WorldWideScience

Sample records for waste shipment manifest

  1. NRC`s proposed rulemaking on the documentation and reporting of low-level radioactive waste shipment manifest information

    Energy Technology Data Exchange (ETDEWEB)

    Lahs, W.R.; Haisfield, M.F. [Nuclear Regulatory Commission, Washington, DC (United States)

    1991-12-31

    Since the 1982 promulgation of regulations for the land disposal of low-level radioactive waste (LLW), requirements have been in place to control transfers of LLW intended for disposal at licensed land disposal facilities. These requirements established a manifest tracking system and defined processes to control transfers of LLW intended for disposal at a land disposal facility. Because the regulations did not specify the format for the LLW shipment manifests, it was not unexpected that the two operators of the three currently operating disposal sites should each have developed their own manifest forms. The forms have many similarities and the collected information, in many cases, is identical; however, these manifests incorporate unique operator preferences and also reflect the needs of the Agreement State regulatory authority in the States where the disposal sites are located. Since Agreement State regulations must be compatible with, but need not always be identical to, those of the Nuclear Regulatory Commission (NRC), the possibility of a proliferation of different manifest forms containing variations in collected information could be envisioned. If these manifests were also to serve a shipping paper purpose, effective integration of the Department of Transportations` (DOT) requirements would also have to be addressed. This wide diversity in uses of manifest information by Federal and State regulatory authorities, other State or Compact entities, and disposal site operators, suggested a single consolidated approach to develop a uniform manifest format with a baseline information content and to define recordkeeping requirements. The NRC, in 1989, had embarked on a rulemaking activity to establish a base set of manifest information needs for regulatory purposes. In response to requests from State and Regional Compact organizations who are attempting to design, develop and operate LLW disposal facilities, and with the general support of Agreement State regulatory

  2. Frequent Questions on International Agreements on Transboundary Shipments of Waste

    Science.gov (United States)

    Answers FAQs such as How does the OECD control the shipment of hazardous waste between Member countries? Where do I find the green and amber lists of waste? Why hasn't the United States ratified the Basel Convention?

  3. 10 CFR 71.97 - Advance notification of shipment of irradiated reactor fuel and nuclear waste.

    Science.gov (United States)

    2010-01-01

    ... fuel and nuclear waste. 71.97 Section 71.97 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) PACKAGING... notification of shipment of irradiated reactor fuel and nuclear waste. (a) As specified in paragraphs (b), (c... advance notification of transportation of nuclear waste was published in the Federal Register on June...

  4. Annual Transportation Report for Radioactive Waste Shipments to and from the Nevada Test Site

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office

    2009-02-01

    In February 1997, the U.S. Department of Energy (DOE), Nevada Operations Office (now known as the Nevada Site Office) issued the Mitigation Action Plan which addressed potential impacts described in the “Final Environmental Impact Statement for the Nevada Test Site and Off-Site Locations in the State of Nevada” (DOE/EIS 0243). The U.S. Department of Energy, Nevada Operations Office committed to several actions, including the preparation of an annual report, which summarizes waste shipments to and from the Nevada Test Site (NTS) Radioactive Waste Management Site (RWMS) at Area 5 and Area 3. No shipments were disposed of at Area 3 in fiscal year (FY) 2008. This document satisfies requirements regarding low-level radioactive waste (LLW) and mixed low-level radioactive waste (MLLW) transported to or from the NTS during FY 2008. No transuranic (TRU) waste shipments were made from or to the NTS during FY 2008.

  5. 4th Quarter Transportation Report FY 2014: Radioactive Waste Shipments to and from the Nevada National Security Site (NNSS)

    Energy Technology Data Exchange (ETDEWEB)

    Gregory, Louis [National Security Technologies, LLC. (NSTec), Mercury, NV (United States)

    2014-12-02

    This report satisfies the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Field Office (NNSA/NFO) commitment to prepare a quarterly summary report of radioactive waste shipments to and from the Nevada National Security Site (NNSS) Radioactive Waste Management Complex (RWMC) at Area 5. There were no shipments sent for offsite treatment and returned to the NNSS this quarter. There was one shipment of two drums sent for offsite treatment and disposal. This report summarizes the 4th quarter of Fiscal Year (FY) 2014 low-level radioactive waste (LLW) and mixed low-level radioactive waste (MLLW) shipments. This report also includes annual summaries for FY 2014.

  6. Lawrence Livermore National Laboratory offsite hazardous waste shipment data validation report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    The U.S. Department of Energy Headquarters requested this report to verify that Lawrence Livermore National Laboratory (LLNL) properly categorized hazardous waste shipped offsite from 1984 to 1991. LLNL categorized the waste shipments by the new guidelines provided on the definition of radioactive waste. For this validation, waste that has had no radioactivity added by DOE operations is nonradioactive. Waste to which DOE operations has added or concentrated any radioactivity is radioactive. This report documents findings from the review of available LLNL hazardous waste shipment information and summarizes the data validation strategy. The report discusses administrative and radiological control procedures in place at LLNL during the data validation period. It also describes sampling and analysis and surface survey procedures used in determining radionuclide concentrations for offsite release of hazardous waste shipments. The evaluation team reviewed individual items on offsite hazardous waste shipments and classified them, using the DOE-HQ waste category definitions. LLNL relied primarily on generator knowledge to classify wastes. Very little radioanalytical information exists on hazardous wastes shipped from LLNL. Slightly greater than one-half of those hazardous waste items for which the documentation included radioanalytical data showed concentrations of radioactivity higher than the LLNL release criteria used from 1989 to 1991. Based on this small amount of available radioanalytical data, very little (less than one percent) of the hazardous waste generated at the LLNL main site can be shown to contain DOE added radioactivity. LLNL based the criteria on the limit of analytical sensitivity for gross alpha and gross beta measurements and the background levels of tritium. Findings in this report are based on information and documentation on the waste handling procedures in place before the start of the hazardous waste shipping moratorium in May 1991.

  7. 3rd Quarter Transportation Report FY2015: Radioactive Waste Shipments to and from the Nevada National Security Site (NNSS)

    Energy Technology Data Exchange (ETDEWEB)

    Gregory, Louis B. [National Security Technologies, LLC (NSTec), Las Vegas, NV (United States)

    2015-07-01

    This report satisfies the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Field Office (NNSA/NFO) commitment to prepare a quarterly summary report of radioactive waste shipments to and from the Nevada National Security Site (NNSS) Radioactive Waste Management Complex (RWMC) at Area 5. There were no shipments sent for offsite treatment and returned to the NNSS this quarter. This report summarizes the 3rd quarter of Fiscal Year (FY) 2015 low-level radioactive waste (LLW) and mixed low-level radioactive waste (MLLW) shipments.

  8. 1st Quarter Transportation Report FY 2015: Radioactive Waste Shipments to and from the Nevada National Security Site (NNSS)

    Energy Technology Data Exchange (ETDEWEB)

    Gregory, Louis [National Security Technologies, LLC, Las Vegas, NV (United States)

    2015-02-20

    This report satisfies the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Field Office (NNSA/NFO) commitment to prepare a quarterly summary report of radioactive waste shipments to and from the Nevada National Security Site (NNSS) Radioactive Waste Management Complex (RWMC) at Area 5. There were no shipments sent for offsite treatment and returned to the NNSS this quarter. This report summarizes the 1st quarter of Fiscal Year (FY) 2015 low-level radioactive waste (LLW) and mixed low-level radioactive waste (MLLW) shipments. Tabular summaries are provided which include the following: Sources of and carriers for LLW and MLLW shipments to and from the NNSS; Number and external volume of LLW and MLLW shipments; Highway routes used by carriers; and Incident/accident data applicable to LLW and MLLW shipments. In this report shipments are accounted for upon arrival at the NNSS, while disposal volumes are accounted for upon waste burial. The disposal volumes presented in this report include minor volumes of non-radioactive classified waste/material that were approved for disposal (non-radioactive classified or nonradioactive classified hazardous). Volume reports showing cubic feet generated using the Low-Level Waste Information System may vary slightly due to rounding conventions for volumetric conversions from cubic meters to cubic feet.

  9. Improvement of resource efficiency by efficient waste shipment inspections; Steigerung der Ressourceneffizienz durch effiziente Kontrollen von Abfallverbringungen

    Energy Technology Data Exchange (ETDEWEB)

    Schilling, Stephanie [Institut fuer Oekologie und Politik GmbH (OEKOPOL), Hamburg (Germany)

    2011-09-15

    Illegal shipment of waste as well as enforcement related to waste shipment have been regularly the centre of attention of public and professional debates and are also a topic of cross-national relations. In addition, the fear persists that by illegal waste shipments waste is treated in plants neither adapted to protect the environment and health nor having sufficient recuperation capabilities for precious raw materials. This project therefore intends to clarify the status quo of waste shipment inspections in the 16 federal states of Germany (Bundeslaender, in the following cited as states or federal states) to identify potential for development regarding the organisation and execution of inspections and to elaborate recommendations to optimise enforcement activities and further development of European and German legislative regulations. In order to optimise the enforcement of the European Waste Shipment Regulation (WSR) and the German Waste Shipment Act (AbfVerbrG), an adequate number of qualified personnel is necessary within all bodies involved into waste shipment inspections. Those bodies are namely the competent waste authorities, customs, police, the Federal Office for Transport of Goods (BAG), the Federal Railway Authority (EBA) and the prosecution offices. An adequate number of qualified personnel is not provided for in all states/authorities. This is also reflected in the number of transport and plant inspections which deviate between zero to a fixed number per year as well as being continuously performed and based occasion-/cause oriented inspections. Tangible means like access to IT-systems and the Internet should be provided for on-site inspections. Besides qualified and experienced personnel also IT-Systems have a relevant impact on the preselection of the entity to be inspected as well as for on-the-spot investigations. Therefore IT-System can increase the efficiency of inspections (inspections per time unit resp. exposure of illegal shipments per time

  10. Improvement of resource efficiency by efficient waste shipment inspections; Steigerung der Ressourceneffizienz durch effiziente Kontrollen von Abfallverbringungen

    Energy Technology Data Exchange (ETDEWEB)

    Schilling, Stephanie [Institut fuer Oekologie und Politik GmbH (OEKOPOL), Hamburg (Germany)

    2011-09-15

    Illegal shipment of waste as well as enforcement related to waste shipment have been regularly the centre of attention of public and professional debates and are also a topic of cross-national relations. In addition, the fear persists that by illegal waste shipments waste is treated in plants neither adapted to protect the environment and health nor having sufficient recuperation capabilities for precious raw materials. This project therefore intends to clarify the status quo of waste shipment inspections in the 16 federal states of Germany (Bundeslaender, in the following cited as states or federal states) to identify potential for development regarding the organisation and execution of inspections and to elaborate recommendations to optimise enforcement activities and further development of European and German legislative regulations. In order to optimise the enforcement of the European Waste Shipment Regulation (WSR) and the German Waste Shipment Act (AbfVerbrG), an adequate number of qualified personnel is necessary within all bodies involved into waste shipment inspections. Those bodies are namely the competent waste authorities, customs, police, the Federal Office for Transport of Goods (BAG), the Federal Railway Authority (EBA) and the prosecution offices. An adequate number of qualified personnel is not provided for in all states/authorities. This is also reflected in the number of transport and plant inspections which deviate between zero to a fixed number per year as well as being continuously performed and based occasion-/cause oriented inspections. Tangible means like access to IT-systems and the Internet should be provided for on-site inspections. Besides qualified and experienced personnel also IT-Systems have a relevant impact on the preselection of the entity to be inspected as well as for on-the-spot investigations. Therefore IT-System can increase the efficiency of inspections (inspections per time unit resp. exposure of illegal shipments per time

  11. 3rd Quarter Transportation Report FY 2014: Radioactive Waste Shipments to and from the Nevada National Security Site (NNSS)

    Energy Technology Data Exchange (ETDEWEB)

    Gregory, Louis [National Security Technologies, LLC. (NSTec), Mercury, NV (United States)

    2014-09-20

    This report satisfies the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Field Office (NNSA/NFO) commitment to prepare a quarterly summary report of radioactive waste shipments to the Nevada National Security Site (NNSS) Radioactive Waste Management Complex (RWMC) at Area 5. There were no shipments sent for offsite treatment and returned to the NNSS this quarter. This report summarizes the 3rd quarter of Fiscal Year (FY) 2014 low-level radioactive waste (LLW) and mixed low-level radioactive waste (MLLW) shipments. This report also includes annual summaries for FY 2014 in Tables 4 and 5. Tabular summaries are provided which include the following: Sources of and carriers for LLW and MLLW shipments to and from the NNSS; Number and external volume of LLW and MLLW shipments; Highway routes used by carriers; and Incident/accident data applicable to LLW and MLLW shipments. In this report shipments are accounted for upon arrival at the NNSS, while disposal volumes are accounted for upon waste burial. The disposal volumes presented in this report do not include minor volumes of non-radioactive materials that were approved for disposal. Volume reports showing cubic feet generated using the Low-Level Waste Information System may vary slightly due to differing rounding conventions.

  12. 49 CFR 172.205 - Hazardous waste manifest.

    Science.gov (United States)

    2010-10-01

    ... SECURITY PLANS Shipping Papers § 172.205 Hazardous waste manifest. (a) No person may offer, transport... waste in the United States; and (iv) Retain one copy of the manifest and rail shipping paper in... 49 Transportation 2 2010-10-01 2010-10-01 false Hazardous waste manifest. 172.205 Section 172.205...

  13. 1st Quarter Transportation Report FY2017: Waste Shipments To and From the Nevada National Security Site (NNSS), Radioactive Waste Management Complex

    Energy Technology Data Exchange (ETDEWEB)

    Gregory, Louis [National Security Technologies, LLC. (NSTec), Las Vegas, NV (United States)

    2017-01-31

    This report satisfies the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Field Office (NNSA/NFO) commitment to prepare a quarterly summary report of waste shipments to the Nevada National Security Site (NNSS) Radioactive Waste Management Complex (RWMC) at Area 5. This report summarizes the 1st quarter of fiscal year (FY) 2017 low-level radioactive waste (LLW), mixed low-level radioactive waste (MLLW) and classified non-radioactive (CNR) shipments. There were no shipments sent for offsite treatment from a NNSS facility and returned to the NNSS this quarter of FY2017.

  14. International Agreements on Transboundary Shipments of Hazardous Waste

    Science.gov (United States)

    Several international agreements may affect U.S. hazardous waste import and export practices including the Basel Convention, the OECD Council Decision, and bilateral agreements between the U.S. and Canada, Mexico, Costa Rica, Malaysia, and the Philippines

  15. Evaluation of nuclear facility decommissioning projects: Summary status report: Three Mile Island Unit 2. Radioactive waste and laundry shipments

    Energy Technology Data Exchange (ETDEWEB)

    Doerge, D. H.; Haffner, D. R.

    1988-06-01

    This document summarizes information concerning radioactive waste and laundry shipments from the Three Mile Island Nuclear Station Unit 2 to radioactive waste disposal sites and to protective clothing decontamination facilities (laundries) since the loss of coolant accident experienced on March 28, 1979. Data were collected from radioactive shipment records, summarized, and placed in a computerized data information retrieval/manipulation system which permits extraction of specific information. This report covers the period of April 9, 1979 through April 19, 1987. Included in this report are: waste disposal site locations, dose rates, curie content, waste description, container type and number, volumes and weights. This information is presented in two major categories: protective clothing (laundry) and radioactive waste. Each of the waste shipment reports is in chronological order.

  16. Overweight truck shipments to nuclear waste repositories: legal, political, administrative and operational considerations

    Energy Technology Data Exchange (ETDEWEB)

    1986-03-01

    This report, prepared for the Chicago Operations Office and the Office of Civilian Radioactive Waste Management (OCRWM) of the US Department of Energy (DOE), identifies and analyzes legal, political, administrative, and operational issues that could affect an OCRWM decision to develop an overweight truck cask fleet for the commercial nuclear waste repository program. It also provides information required by DOE on vehicle size-and-weight administration and regulation, pertinent to nuclear waste shipments. Current legal-weight truck casks have a payload of one pressurized-water reactor spent fuel element or two boiling-water reactor spent fuel elements (1 PWR/2 BWR). For the requirements of the 1960s and 1970s, casks were designed with massive shielding to accommodate 6-month-old spent fuel; the gross vehicle weight was limited to 73,280 pounds. Spent fuel to be moved in the 1990s will have aged five years or more. Gross vehicle weight limitation for the Interstate highway system has been increased to 80,000 pounds. These changes allow the design of 25-ton legal-weight truck casks with payloads of 2 PWR/5 BWR. These changes may also allow the development of a 40-ton overweight truck cask with a payload of 4 PWR/10 BWR. Such overweight casks will result in significantly fewer highway shipments compared with legal-weight casks, with potential reductions in transport-related repository risks and costs. These advantages must be weighed against a number of institutional issues surrounding such overweight shipments before a substantial commitment is made to develop an overweight truck cask fleet. This report discusses these issues in detail and provides recommended actions to DOE.

  17. Radioactive waste shipments to Hanford Retrievable Storage from the General Electric Vallecitos Nuclear Center, Pleasanton, California

    Energy Technology Data Exchange (ETDEWEB)

    Vejvoda, E.J.; Pottmeyer, J.A.; DeLorenzo, D.S.; Weyns-Rollosson, M.I. [Los Alamos Technical Associates, Inc., NM (United States); Duncan, D.R. [Westinghouse Hanford Co., Richland, WA (United States)

    1993-10-01

    During the next two decades the transuranic (TRU) wastes now stored in the burial trenches and storage facilities at the Hanford Site are to be retrieved, processed at the Waste Receiving and Processing Facility, and shipped to the Waste Isolation Pilot Plant near Carlsbad, New Mexico for final disposal. Approximately 3.8% of the TRU waste to be retrieved for shipment to WIPP was generated at the General Electric (GE) Vallecitos Nuclear Center (VNC) in Pleasanton, California and shipped to the Hanford Site for storage. The purpose of this report is to characterize these radioactive solid wastes using process knowledge, existing records, and oral history interviews. The waste was generated almost exclusively from the activities, of the Plutonium Fuels Development Laboratory and the Plutonium Analytical Laboratory. Section 2.0 provides further details of the VNC physical plant, facility operations, facility history, and current status. The solid radioactive wastes were associated with two US Atomic Energy Commission/US Department of Energy reactor programs -- the Fast Ceramic Reactor (FCR) program, and the Fast Flux Test Reactor (FFTR) program. These programs involved the fabrication and testing of fuel assemblies that utilized plutonium in an oxide form. The types and estimated quantities of waste resulting from these programs are discussed in detail in Section 3.0. A detailed discussion of the packaging and handling procedures used for the VNC radioactive wastes shipped to the Hanford Site is provided in Section 4.0. Section 5.0 provides an in-depth look at this waste including the following: weight and volume of the waste, container types and numbers, physical description of the waste, radiological components, hazardous constituents, and current storage/disposal locations.

  18. Evaluation of nuclear facility decommissioning projects. Three Mile Island Unit 2. Radioactive waste and laundry shipments. Volume 9. Summary status report

    Energy Technology Data Exchange (ETDEWEB)

    Doerge, D. H.; Miller, R. L.; Scotti, K. S.

    1986-05-01

    This document summarizes information concerning radioactive waste and laundry shipments from the Three Mile Island Nuclear Station Unit 2 to radioactive waste disposal sites and to protective clothing decontamination facilities (laundries) since the loss of coolant accident experienced on March 28, 1979. Data were collected from radioactive shipment records, summarized, and placed in a computerized data information retrieval/manipulation system which permits extraction of specific information. This report covers the period of April 9, 1979 to May 5, 1985. Included in this report are: waste disposal site locations, dose rates, curie content, waste description, container type and number, volumes and weights. This information is presented in two major categories: protective clothing (laundry) and radioactive waste. Each of the waste shipment reports is in chronological order.

  19. 75 FR 1235 - Revisions to the Requirements for: Transboundary Shipments of Hazardous Wastes Between OECD...

    Science.gov (United States)

    2010-01-08

    ... Between OECD Member Countries, Export Shipments of Spent Lead- Acid Batteries, Submitting Exception... OECD Member Countries, Export Shipments of Spent Lead-Acid Batteries, Submitting Exception Reports for... belonging to the Organization for Economic Cooperation and Development (OECD), establish notice and consent...

  20. Annual Transportation Report for Radioactive Waste Shipments to and from the Nevada Test Site, Fiscal Year 2009

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office

    2010-02-01

    In February 1997, the U.S. Department of Energy (DOE), Nevada Operations Office (now known as the Nevada Site Office) issued the Mitigation Action Plan which addressed potential impacts described in the “Final Environmental Impact Statement for the Nevada Test Site and Off-Site Locations in the State of Nevada” (DOE/EIS 0243). The DOE, Nevada Operations Office committed to several actions, including the preparation of an annual report, which summarizes waste shipments to and from the Nevada Test Site (NTS) Radioactive Waste Management Site (RWMS) at Area 5 and Area 3. Since 2006, the Area 3 RWMS has been in cold stand-by. This document satisfies requirements regarding low-level radioactive waste (LLW) and mixed low-level radioactive waste (MLLW) transported to and from the NTS during FY 2009. In addition, this document provides shipment, volume, and route information on transuranic (TRU) waste shipped from the NTS to the Idaho National Laboratory, near Idaho Falls, Idaho.

  1. Waste manifesting and tracking: compliance monitoring and enforcement

    Energy Technology Data Exchange (ETDEWEB)

    Bures, M.A. [M.A. Bures Consulting, Calgary, AB (Canada)

    1998-12-31

    An overview of Alberta`s new approach to compliance and enforcement activities for oilfield waste manifesting and tracking was presented. The Energy and Utilities Board`s (EUB`s) current compliance model includes a surveillance process which places a lot of emphasis on improving the performance of problem operators and high risk operators. It also includes an enforcement policy which outlines well defined expectations and escalating consequences. These `enforcement ladders` generally consist of at least four levels. Levels one and two are considered relatively minor offences, but levels three and higher are quite serious and the consequences of non-compliance far more expensive. The priority areas for surveillance and compliance monitoring of oilfield waste include: (1) waste receivers, (2) proper characterization of oilfield waste to ensure appropriate disposal, (3) the verification that oilfield waste is disposed at appropriate facilities, and (4) ensuring that dangerous oilfield wastes go to approved facilities. The new compliance model is an approved EUB policy and is gradually being implemented across the province. 6 refs., 1 fig.

  2. 49 CFR 173.12 - Exceptions for shipment of waste materials.

    Science.gov (United States)

    2010-10-01

    ... by the shipper and unloaded by the consignee, unless the motor carrier is a private or contract...) Household waste. Household waste, as defined in § 171.8 of this subchapter, is not subject to the... requirements. (f) Household waste. Household waste, as defined in § 171.8 of this subchapter, is not subject...

  3. Stakeholder Transportation Scorecard: Reviewing Nevada's Recommendations for Enhancing the Safety and Security of Nuclear Waste Shipments - 13518

    Energy Technology Data Exchange (ETDEWEB)

    Dilger, Fred C. [Black Mountain Research, Henderson, NV 81012 (United States); Ballard, James D. [Department of Sociology, California State University, Northridge, CA 91330 (United States); Halstead, Robert J. [State of Nevada Agency for Nuclear Projects, Carson City, NV 80906 (United States)

    2013-07-01

    As a primary stakeholder in the Yucca Mountain program, the state of Nevada has spent three decades examining and considering national policy regarding spent nuclear fuel and high-level radioactive waste transportation. During this time, Nevada has identified 10 issues it believes are critical to ensuring the safety and security of any spent nuclear fuel transportation program, and achieving public acceptance. These recommendations are: 1) Ship the oldest fuel first; 2) Ship mostly by rail; 3) Use dual-purpose (transportable storage) casks; 4) Use dedicated trains for rail shipments; 5) Implement a full-scale cask testing program; 6) Utilize a National Environmental Policy Act (NEPA) process for the selection of a new rail spur to the proposed repository site; 7) Implement the Western Interstate Energy Board (WIEB) 'straw man' process for route selection; 8) Implement Section 180C assistance to affected States, Tribes and localities through rulemaking; 9) Adopt safety and security regulatory enhancements proposed states; and 10) Address stakeholder concerns about terrorism and sabotage. This paper describes Nevada's proposals in detail and examines their current status. The paper describes the various forums and methods by which Nevada has presented its arguments and sought to influence national policy. As of 2012, most of Nevada's recommendations have been adopted in one form or another, although not yet implemented. If implemented in a future nuclear waste program, the State of Nevada believes these recommendations would form the basis for a successful national transportation plan for shipments to a geologic repository and/or centralized interim storage facility. (authors)

  4. Getting waste ready for shipment to the WIPP: integration of characterization and certification activities

    Energy Technology Data Exchange (ETDEWEB)

    Sinkule, B.; Knudsen, K.; Rogers, P.

    1996-06-01

    The Waste Isolation Pilot Plant (WIPP) Waste Acceptance Criteria (WAC) serve as the primary directive for assuring the safe handling, transportation, and disposal of transuranic (TRU) waste generated at Department of Energy (DOE) sites. The WIPP WAC address fulfillment of WIPP`s operational safety and performance assessment criteria, compliance with Resource Conservation and Recovery Act (RCRA) requirements, and preparation of waste packages that meet all transportation criteria. At individual generator sites, preparation of transuranic waste for final disposal at WIPP includes characterizing the waste to meet the requirements of the transuranic Waste Characterization Quality Assurance Program Plan (QAPP) and certifying waste containers to meet the WIPP WAC and the Transuranic Package Transporter-II Authorized Methods for Payload Control (TRAMPAC). This paper compares the quality assurance and quality control requirements specified in the WIPP WAC, QAPP, and TRAMPAC and discusses the potential to consolidate activities to comply with the TRU waste characterization and certification program requirements.

  5. Expediting the commercial disposal option: Low-level radioactive waste shipments from the Mound Plant

    Energy Technology Data Exchange (ETDEWEB)

    Rice, S.; Rothman, R.

    1995-12-31

    In April, Envirocare of Utah, Inc., successfully commenced operation of its mixed waste treatment operation. A mixed waste which was (a) radioactive, (b) listed as a hazardous waste under the Resource Conservation and Recovery Act (RCRA), and (c) prohibited from land disposal was treated using Envirocare`s full-scale Mixed Waste Treatment Facility. The treatment system involved application of chemical fixation/stabilization technologies to reduce the leachability of the waste to meet applicable concentration-based RCRA treatment standards. In 1988, Envirocare became the first licensed facility for the disposal of naturally occurring radioactive material. In 1990, Envirocare received a RCRA Part B permit for commercial mixed waste storage and disposal. In 1994, Envirocare was awarded a contract for the disposal of DOE mixed wastes. Envirocare`s RCRA Part B permit allows for the receipt, storage, treatment, and disposal of mixed wastes that do not meet the land-disposal treatment standards of 40 CFR (Code of Federal Regulations) 268. Envirocare has successfully received, managed, and disposed of naturally occurring radioactive material, low-activity radioactive waste, and mixed waste from government and private generators.

  6. Economic Development And Transfrontier Shipments Of Waste In Poland – Spatio-Temporal Analysis

    Directory of Open Access Journals (Sweden)

    Antczak Elżbieta

    2014-12-01

    Full Text Available The aim of the paper is to apply the spatio-temporal Environmental Kuznets Curve (SpEKC to test the relationship between economic growth and the amount of collected mixed municipal waste. The analysis was conducted at the level of sixty-six Polish sub-regions. The study contained selected environmental indicators. The dependent variable - the amount of municipal waste generated in kilograms per capita characterized the state of the environment. The GDP per capita in constant prices (as an explanatory variable presented the level of economic development of the sub-regions. In the empirical part of the research there were used spatial panel data models based on EKCs. It determined the levels of economic development, at which the amount of produced wastes has fallen or increased, depending on the wealth of the region. The application of different types of spatial weight matrices was an important element of this modelling. Data obtained the years 2005-2012. Models were estimated in the RCran package.

  7. Fall Protection Procedures for Sealing Bulk Waste Shipments by Rail Cars at Formerly Utilized Sites Remedial Action Program (FUSRAP) Sites - 13509

    Energy Technology Data Exchange (ETDEWEB)

    Boyle, J.D. [U.S. Army Corps of Engineers - Buffalo District, Buffalo, New York 14207 (United States); Fort, E. Joseph; Lorenz, William [Cabrera Services (Cabrera) East Harford, CT 06108 (United States); Mills, Andy [Shaw Environmental and Infrastructure, Inc. (Shaw) Baton Rouge, LA 70809 (United States)

    2013-07-01

    Rail-cars loaded with radioactive materials must be closed and fastened to comply with United States Department of Transportation (DOT) requirements before they shipped. Securing waste shipments in a manner that meets these regulations typically results in the use of a sealable rail-car liner. Workers accessing the tops of the 2.74 m high rail-cars to seal and inspect liners for compliance prior to shipment may be exposed to a fall hazard. Relatively recent revisions to the Fall Protection requirements in the Safety and Health Requirements Manual (EM385-1-1, U.S. Army Corps of Engineers) have necessitated modifications to the fall protection systems previously employed for rail-car loading at Formerly Utilized Sites Remedial Action Program (FUSRAP) sites. In response these projects have developed site-specific procedures to protect workers and maintain compliance with the improved fall protection regulations. (authors)

  8. 76 FR 36480 - Hazardous Waste Manifest Printing Specifications Correction Rule

    Science.gov (United States)

    2011-06-22

    ... indicate that red ink, as well as other distinct colors, or other methods to distinguish the copy... would afford authorized manifest form printers ] greater flexibility in complying with the Federal... in red ink. In the ``Rules and Regulations'' section of this Federal Register, EPA is making...

  9. Sustaining Shipments

    Energy Technology Data Exchange (ETDEWEB)

    Bonnardel-Azzarelli, Betty [World Nuclear Transport Institute, Remo House, 4th Floor, 310-312 Regent Street, London, London W1B 3AX (United Kingdom)

    2009-06-15

    Transport plays an essential role in bringing the benefits of the atom to people the world over. Each day thousands of shipments of radioactive materials are transported on national and international routes. These consignments are essential to many aspects of modern life, from the generation of electricity, to medicine and health, scientific research and agriculture. Maintaining safe, cost-effective transport is essential to support them. Despite an outstanding safety record spanning over 45 years, the transport of radioactive materials cannot and must not be taken for granted. In an era of nuclear expansion, with increased transports required to more destinations, a worrisome trend for global supply is that some shipping companies, air carriers, ports and terminals, have instituted policies of not accepting radioactive materials. Experience has shown that the reasons for delays and denials of shipments are manifold and often have their origin in mis-perceptions about the nature of the materials and the requirements for their safe handling and carriage. There is growing recognition internationally of the problems created by shipment delays and denials and they now are being addressed in a more proactive way by such organisations as the International Atomic Energy Agency (IAEA). The rapidly changing supply-demand equation for fuel cycle services: substantial new nuclear build planned or underway in several countries, twenty-first century 'gold rush' fever in uranium exploration and mining, proposed new mechanisms to assure fuel supply to more countries while minimising proliferation risks. But, can supply to meet demand be assured, unless and until transport can be assured? And is it reasonable to expect that transport can be assured to meet the emerging demand-side of the fuel cycle equation when industry already is facing increased instances of shipment delays and denials? It is a worrisome trend for global supply of Class 7 radioactive materials that

  10. Hanford Site annual dangerous waste report: Volume 1, Part 1, Generator dangerous waste report, dangerous waste

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    This report contains information on hazardous wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, waste number, weight, and waste designation.

  11. Hanford Site annual dangerous waste report: Volume 1, Part 2, Generator dangerous waste report, dangerous waste

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    This report contains information on hazardous materials at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, waste number, weight, and waste designation.

  12. Hanford Site annual dangerous waste report: Volume 3, Part 1, Waste Management Facility report, dangerous waste

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    This report contains information on hazardous wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, handling method and containment vessel, waste number, waste designation, and amount of waste.

  13. Supply Chain Shipment Pricing Data

    Data.gov (United States)

    US Agency for International Development — This data set provides supply chain health commodity shipment and pricing data. Specifically, the data set identifies Antiretroviral (ARV) and HIV lab shipments to...

  14. 49 CFR 175.704 - Plutonium shipments.

    Science.gov (United States)

    2010-10-01

    ... Regulations Applicable According to Classification of Material § 175.704 Plutonium shipments. Shipments of plutonium which are subject to 10 CFR 71.88(a)(4) must comply with the following: (a) Each package... 49 Transportation 2 2010-10-01 2010-10-01 false Plutonium shipments. 175.704 Section...

  15. 40 CFR 761.210 - Manifest discrepancies.

    Science.gov (United States)

    2010-07-01

    ... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.210 Manifest discrepancies. (a) Manifest discrepancies are differences between the quantity or type of PCB waste designated on the manifest or shipping paper and the quantity or type of PCB waste actually delivered to and received by a designated facility...

  16. 19 CFR 122.79 - Shipments to U.S. possessions.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Shipments to U.S. possessions. 122.79 Section 122.79 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF...; Electronic Manifest Requirements for Passengers, Crew Members, and Non-Crew Members Onboard...

  17. 7 CFR 922.54 - Special purpose shipments.

    Science.gov (United States)

    2010-01-01

    ... COUNTIES IN WASHINGTON Order Regulating Handling Regulations § 922.54 Special purpose shipments. (a) Except... quantities, or types of shipments, or for such specified purposes (including shipments to facilitate...

  18. 78 FR 57261 - Safety Zone; Grain-Shipment and Grain-Shipment Assist Vessels, Columbia and Willamette Rivers

    Science.gov (United States)

    2013-09-18

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Grain-Shipment and Grain-Shipment Assist...: The Coast Guard is establishing a temporary safety zone around all inbound and outbound grain-shipment and grain-shipment assist vessels involved in commerce with the Columbia Grain facility on the...

  19. 78 FR 33224 - Safety Zone; Grain-Shipment and Grain-Shipment Assist Vessels, Columbia and Willamette Rivers

    Science.gov (United States)

    2013-06-04

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Grain-Shipment and Grain-Shipment Assist... and outbound grain-shipment and grain-shipment assist vessels involved in commerce with the Columbia Grain facility on the Willamette River in Portland, OR, the United Grain Corporation facility on the...

  20. 76 FR 62062 - Proposed Approval of the Central Characterization Project's Remote-Handled Transuranic Waste...

    Science.gov (United States)

    2011-10-06

    .../epahome/dockets.htm . Docket: All documents in the docket are listed in the http://www.regulations.gov... shipment of TRU waste for disposal at WIPP from any site other than Los Alamos National Laboratories (LANL... waste streams and equipment at LANL) prohibit shipment of TRU waste for disposal at WIPP (from LANL...

  1. 77 FR 11112 - Proposed Approval of the Central Characterization Project's Remote-Handled Transuranic Waste...

    Science.gov (United States)

    2012-02-24

    ...://www.epa.gov/epahome/dockets.htm . Docket: All documents in the docket are listed in the www... shipment of TRU waste for disposal at WIPP from any site other than Los Alamos National Laboratories (LANL... waste streams and equipment at LANL) prohibit shipment of TRU waste for disposal at WIPP (from LANL...

  2. 40 CFR 761.208 - Use of the manifest.

    Science.gov (United States)

    2010-07-01

    ... paper to certify that the PCB waste covered by the manifest or shipping paper was received. (ii) Note... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.208 Use of the manifest. (a)(1) The generator of PCB waste shall: (i) Sign the manifest certification by hand. (ii) Obtain the handwritten signature of the...

  3. 40 CFR 761.209 - Retention of manifest records.

    Science.gov (United States)

    2010-07-01

    ... shall keep a copy of the manifest and the shipping paper required to accompany the PCB waste for a... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.209 Retention of manifest records. (a) A generator of PCB waste shall keep a copy of each manifest signed in accordance with § 761.208(a)(1) until the...

  4. 40 CFR 262.21 - Manifest tracking numbers, manifest printing, and obtaining manifests.

    Science.gov (United States)

    2010-07-01

    ... AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS APPLICABLE TO GENERATORS OF HAZARDOUS WASTE The... paragraph (c) of this section, EPA will provide the registrant an electronic file of the manifest... for Transporters” on Copy 5; and (C) The “Instructions for Treatment, Storage, and Disposal...

  5. 7 CFR 916.54 - Special purpose shipments.

    Science.gov (United States)

    2010-01-01

    ... Order Regulating Handling Regulations § 916.54 Special purpose shipments. (a) Except as otherwise... State of California; or (2) for such specified purposes (including shipments to facilitate the...

  6. 7 CFR 917.43 - Special purpose shipments.

    Science.gov (United States)

    2010-01-01

    ... CALIFORNIA Order Regulating Handling Regulations § 917.43 Special purpose shipments. (a) Except as otherwise... continental United States; (2) for such specified purposes (including shipments to facilitate the conduct...

  7. 7 CFR 946.54 - Shipments for specified purposes.

    Science.gov (United States)

    2010-01-01

    ... POTATOES GROWN IN WASHINGTON Order Regulating Handling Regulation § 946.54 Shipments for specified purposes... part in order to facilitate shipments of potatoes for the following purposes: (1) Livestock feed;...

  8. 7 CFR 923.54 - Special purpose shipments.

    Science.gov (United States)

    2010-01-01

    ... DESIGNATED COUNTIES IN WASHINGTON Order Regulating Handling Regulations § 923.54 Special purpose shipments... grading or packing to specified locations outside the production area and shipments to facilitate...

  9. Overseas shipments of 48Y cylinders

    Energy Technology Data Exchange (ETDEWEB)

    Tanaka, R.T.; Furlan, A.S. [Cameco Corp., Port Hope, Ontario (Canada)

    1991-12-31

    This paper describes experiences with two incidents of overseas shipments of uranium hexafluoride (UF{sub 6}) cylinders. The first incident involved nine empty UF{sub 6} cylinders in enclosed sea containers. Three UF{sub 6} cylinders broke free from their tie-downs and damaged and contaminated several sea containers. This paper describes briefly how decontamination was carried out. The second incident involved a shipment of 14 full UF{sub 6} cylinders. Although the incident did not cause an accident, the potential hazard was significant. The investigation of the cause of the near accident is recounted. Recommendations to alleviate future similar incidents for both cases are presented.

  10. 10 CFR 71.63 - Special requirement for plutonium shipments.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Special requirement for plutonium shipments. 71.63 Section... MATERIAL Package Approval Standards § 71.63 Special requirement for plutonium shipments. Shipments containing plutonium must be made with the contents in solid form, if the contents contain greater than...

  11. 19 CFR 145.43 - Unaccompanied tourist shipments

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Unaccompanied tourist shipments 145.43 Section 145.43 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF... tourist shipments Unaccompanied tourist shipments for which entry is claimed under subheading...

  12. 19 CFR 132.25 - Undeliverable shipment.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Undeliverable shipment. 132.25 Section 132.25 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE... reasonable time, but not to exceed 30 days, the addressee fails to indicate to the port director an...

  13. 7 CFR 35.6 - Shipment.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Shipment. 35.6 Section 35.6 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE COMMODITY STANDARDS AND STANDARD CONTAINER REGULATIONS EXPORT...

  14. LABELING OPTIONS FOR POSTAL SHIPMENTS BY PASSIVE RFID TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Ondrej Maslák

    2015-09-01

    Full Text Available This article discusses the topic of labeling postal shipments by passive radio frequency identification (RFID tags. Every delivery company needs to have all necessary information for every single postal shipment package it carries. Shipment package labeling is essential for processing and tracking the postal shipments along its delivery process. Using RFID technology for the process brings advantages in more efficient delivery and data collection along with regular information updates of shipment status across complete delivery chain.In this article, we focused on the problem of logical log of key shipment package information into EPC memory of the RFID smart label. We have taken into account the National postal administrator and its current system of shipment labeling. In the end, we presented a design for conversion of contemporary labeling using bar codes into labeling using RFID tags.

  15. Safety Analysis Report for packaging (onsite) steel waste package

    Energy Technology Data Exchange (ETDEWEB)

    BOEHNKE, W.M.

    2000-07-13

    The steel waste package is used primarily for the shipment of remote-handled radioactive waste from the 324 Building to the 200 Area for interim storage. The steel waste package is authorized for shipment of transuranic isotopes. The maximum allowable radioactive material that is authorized is 500,000 Ci. This exceeds the highway route controlled quantity (3,000 A{sub 2}s) and is a type B packaging.

  16. Denial of shipments - myth or reality

    Energy Technology Data Exchange (ETDEWEB)

    Charrette, M.A.; McInnes, D. [MDS Nordion, Ottawa, ON (Canada)

    2004-07-01

    The global healthcare community depends on shipments of radioisotopes. MDS Nordion manufactures and distributes radioisotopes used in the medical, research and sterilization industries throughout the world. With a growing demand for radiation and radiation technology to prevent, diagnose and treat disease, it is important that the global health care industry have a secure and reliable supply of such important materials. Despite this ever increasing need, shipments of radioisotopes are being increasingly delayed and outright denied. This paper outlines the importance of radioisotopes to global healthcare. It also details examples of shipment denials and how this evolving situation has impeded the efficient transport of radioactive material which risks preventing the delivery of essential radioisotopes to many member states. Denial of shipments was identified as a key issue at the 2003 International Conference on the Safety of Transport of Radioactive Material, the 2003 International Atomic Energy Agency (IAEA) General Conference and at an IAEA Technical Meeting in January 2004. The outcome is that the IAEA is focused on better documenting the problem and is starting to develop ideas to address it. Moreover, governments, associations and modal organizations are becoming more aware of the matter. As a responsible partner in a unique industry, MDS Nordion encourages all IAEA Member States, commercial carriers, airports and ports to be engaged in this matter and accept the transport of radioactive material without additional requirements. In this respect, the collaboration of all organizations involved in this highly interactive global system of transport is vital to assure the effective transport of radioactive material for global health care.

  17. A rationale for maintaining the double containment requirement for plutonium shipments

    Energy Technology Data Exchange (ETDEWEB)

    Channell, James K. [Environmental Evaluation Group, Albuquerque, NM (US); Anastas, George [Environmental Evaluation Group, Albuquerque, NM (US)

    2003-12-31

    Current U.S. Nuclear Regulatory Commission (NRC) transportation regulations (10 CFR 71.63 (b)) require that all shipments containing more than 20 curies of plutonium must be transported in packages that provide double containment. On April 30, 2002 the NRC issued a proposed rule that would eliminate §71.63(b) and the double containment requirement. NRC’s reasons for proposing elimination of §71.63(b) are: (1) compatibility with International Atomic Energy Agency Transportation Safety Standards (which do not have the requirement); (2) the current rule is inconsistent with the A1/A2 system since it applies only to plutonium; (3) double containment causes a heavier package and results in higher transportation costs; (4) the separate inner containment results in additional radiation exposure; and (5) while there would be additional protection from a separate inner container in an accident; this type of approach is not “risk informed nor performance based.” The Environmental Evaluation Group (EEG) has been a proponent of the double containment requirement for the Waste Isolation Pilot Plant (WIPP) shipments for twenty years. This requirement affects shipments to WIPP much more than any other current or planned shipping campaign because reactor fuel elements, metal or metal alloy, and vitrified high-level waste are exempt from §71.63(b). EEG submitted comments on the Proposed Rule on July 26, 2002 (Appendix C). This report is an update and expansion of the July 26, 2002 comments. Actual WIPP experience with shipments in the double contained TRUPACT-II package is used to respond to NRC arguments for deletion of §71.63(b) and offers a rationale for maintaining the current requirement.

  18. Sea shipment of Japanese plutonium under international law

    Energy Technology Data Exchange (ETDEWEB)

    Van Dyke, J.M. [Univ. of Hawaii, Honolulu, HI (United States)

    1993-10-01

    The Japanese government`s shipment of plutonium from France to Japan raises a number of significant questions under international law. The first shipment, which began in November 1992 on the Akatsuki Maru, violated international law in several respects. This article analyzes the international law that governs these shipments, focusing on the rules that govern navigation on the high seas and exclusive economic zones, territorial seas, and international straits, and also addresses the question of liability for damage. 281 refs.

  19. 75 FR 24755 - DTE ENERGY; Enrico Fermi Atomic Power Plant Unit 1; Exemption From Certain Low-Level Waste...

    Science.gov (United States)

    2010-05-05

    ... COMMISSION DTE ENERGY; Enrico Fermi Atomic Power Plant Unit 1; Exemption From Certain Low-Level Waste Shipment Tracking Requirements In 10 CFR Part 20 Appendix G 1.0 Background DTE Energy (DTE) is the licensee.... DTE is in the process of decommissioning Fermi-1 and radioactive waste shipments from the site are...

  20. 19 CFR 4.76 - Procedures and responsibilities of carriers filing outbound vessel manifest information via the AES.

    Science.gov (United States)

    2010-04-01

    ... outbound vessel manifest information via the AES. 4.76 Section 4.76 Customs Duties U.S. CUSTOMS AND BORDER... manifest information via the AES. (a) The sea carrier's module. The Sea Carrier's Module is a component of... information will be transmitted to Customs via AES for each shipment as far in advance of departure...

  1. 24 CFR 3286.9 - Manufacturer shipment responsibilities.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Manufacturer shipment... Requirements § 3286.9 Manufacturer shipment responsibilities. (a) Providing information to HUD. At or before the time that each manufactured home is shipped by a manufacturer, the manufacturer must provide...

  2. 48 CFR 452.247-73 - Packing for Overseas Shipment.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Packing for Overseas Shipment. 452.247-73 Section 452.247-73 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE... Packing for Overseas Shipment. As prescribed in 447.305-10(c), insert the following clause: Packing...

  3. 48 CFR 452.247-72 - Packing for Domestic Shipment.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Packing for Domestic Shipment. 452.247-72 Section 452.247-72 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE... Packing for Domestic Shipment. As prescribed in 447.305-10(b), insert the following clause: Packing...

  4. 27 CFR 28.244 - Shipment to manufacturing bonded warehouse.

    Science.gov (United States)

    2010-04-01

    ... bonded warehouse. 28.244 Section 28.244 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX... Export Consignment § 28.244 Shipment to manufacturing bonded warehouse. Distilled spirits and wines withdrawn for shipment to a manufacturing bonded warehouse shall be consigned to the proprietor of...

  5. 9 CFR 104.6 - Products for transit shipment only.

    Science.gov (United States)

    2010-01-01

    ... OF AGRICULTURE VIRUSES, SERUMS, TOXINS, AND ANALOGOUS PRODUCTS; ORGANISMS AND VECTORS PERMITS FOR BIOLOGICAL PRODUCTS § 104.6 Products for transit shipment only. An application for a permit for Transit Shipment Only shall be required when a biological product is being shipped from one foreign country...

  6. 19 CFR 148.114 - Shipment of unaccompanied articles.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Shipment of unaccompanied articles. 148.114 Section 148.114 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY... States § 148.114 Shipment of unaccompanied articles. One copy of the validated Customs Form 255 shall...

  7. 77 FR 74777 - Safety Zones; Grain-Shipment Assistance Vessels; Columbia and Willamette Rivers

    Science.gov (United States)

    2012-12-18

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zones; Grain-Shipment Assistance Vessels... transferring persons to or from grain-shipment vessels, and/or assisting grain-shipment vessel movements. These.... To do otherwise would be impracticable since the arrival of grain-shipment vessels cannot be delayed...

  8. 77 FR 12228 - Idaho: Proposed Authorization of State Hazardous Waste Management Program; Revision

    Science.gov (United States)

    2012-02-29

    ... Shipments of Spend Lead-Acid Batteries (75 FR 1236, January 8, 2010); Hazardous Waste Technical Corrections... Development (OECD) Requirements; Export Shipments of Spend Lead-Acid Batteries (75 FR 1236, January 8, 2010... Business Size Regulations at 13 CFR part 121; (2) a small governmental jurisdiction that is a government of...

  9. Common errors in transport of radioactive waste

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, Fabio F.; Boni-Mitake, Malvina; Dellamano, Jos C. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)]. E-mails: ffsuzuki@ipen.br; mbmitake@ipen.br; jcdellam@ipen.br

    2007-07-01

    The transport of radioactive waste is a stage of the waste management and must fit the same protection and safety requirements of any radioactive material shipment. In Brazil, the radioactive waste shipments must comply with the national regulations for transport of dangerous goods and the specific regulation for the safe transport of radioactive material of the nuclear regulatory authority. In these regulations, the consignor is responsible for the safety during the transport, however, the unload operations are consignee's responsibility. The Radioactive Waste Laboratory of the Nuclear and Energy Research Institute, IPEN-CNEN/SP, receives institutional radioactive waste from several radioactive facilities in the country. During the unload operations, protection and safety items are verified, such as the data written into the transport documents and the maximum levels of radiation on packages. The records show that almost all shipments of radioactive waste presented irregularities that varied from mistakes in fulfilling transport documents, up to the total disregard to the regulations. The shipments that could result in radiological risk to the operators of IPEN-CNEN/SP gave origin to reports that had been sent to the nuclear regulatory authority to take steps to prevent new occurrences and to enforce consignors and carriers. The adoption of this procedure in any type of occurrence, as well as its institutionalization in all radioactive waste management facilities of the nuclear regulatory authority could be an improvement against the errors observed in this type of transport. (author)

  10. 327 to 324 Pin tube shipment quality management process plan

    Energy Technology Data Exchange (ETDEWEB)

    HAM, J.E.

    1998-11-05

    The B and W Hanford Company's (BWHC) 327 Facility, in the 300 Area of the Hanford Site, is preparing to ship five Pin Tubes to the 324 Facility for storage and eventual disposition. The Pin Tubes consist of legacy fuel pin pieces and drillings. They will be over-packed in new Pin Tubes and transported to 324 in three shipments. Once received at 324, two of the shipments will be combined for storage as a fissionable material batch, and the other shipment will be added to an existing batch.

  11. Addendum to the Safety Analysis Report for the Steel Waste Packaging. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Crow, S R

    1996-02-15

    The Battelle Pacific Northwest National Laboratory Safety Analysis Report (SAR) for the Steel Waste Package requires additional analyses to support the shipment of remote-handled radioactive waste and special-case waste from the 324 building hot cells to PUREX for interim storage. This addendum provides the analyses required to show that this waste can be safely shipped onsite in the configuration shown.

  12. Avian influenza surveillance sample collection and shipment protocol

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Instructions for mortality collection and shipment of avian influenza (AI) live bird surveillance sample collections. AI sample collections will include...

  13. 7 CFR 947.54 - Shipments for specified purposes.

    Science.gov (United States)

    2010-01-01

    ... Order Regulating Handling Regulation § 947.54 Shipments for specified purposes. (a) Whenever the... modify, suspend, or terminate any or all regulations issued pursuant to this part, in order to facilitate...

  14. Stable isotope customer list and summary of shipments - FY 1978

    Energy Technology Data Exchange (ETDEWEB)

    Davis, W.C. (comp.)

    1979-05-01

    This compilation is divided into four sections: alphabetical lists of customers, of isotopes (cross-referenced to customer numbers), and of states and countries (cross-referenced to customer numbers), and a tabulation of the shipments of each isotope. (DLC)

  15. Case histories of West Valley spent fuel shipments: Final report

    Energy Technology Data Exchange (ETDEWEB)

    1987-01-01

    In 1983, NRC/FC initiated a study on institutional issues related to spent fuel shipments originating at the former spent fuel processing facility in West Valley, New York. FC staff viewed the shipment campaigns as a one-time opportunity to document the institutional issues that may arise with a substantial increase in spent fuel shipping activity. NRC subsequently contracted with the Aerospace Corporation for the West Valley Study. This report contains a detailed description of the events which took place prior to and during the spent fuel shipments. The report also contains a discussion of the shipment issues that arose, and presents general findings. Most of the institutional issues discussed in the report do not fall under NRC's transportation authority. The case histories provide a reference to agencies and other institutions that may be involved in future spent fuel shipping campaigns. 130 refs., 7 figs., 19 tabs.

  16. 7 CFR 920.54 - Special purpose shipments.

    Science.gov (United States)

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE KIWIFRUIT GROWN IN CALIFORNIA... (including shipments to facilitate the conduct of marketing research and development projects); or, (3)...

  17. 7 CFR 906.42 - Shipments for special purposes.

    Science.gov (United States)

    2010-01-01

    ... LOWER RIO GRANDE VALLEY IN TEXAS Order Regulating Handling Regulation § 906.42 Shipments for special... combination thereof, in order to facilitate the handling of fruit: (a) For relief or for charity; (b)...

  18. 7 CFR 924.54 - Special purpose shipments.

    Science.gov (United States)

    2010-01-01

    ... COUNTIES IN WASHINGTON AND IN UMATILLA COUNTY, OREGON Order Regulating Handling Regulations § 924.54... shipments to facilitate the conduct of marketing research and development projects established pursuant...

  19. 7 CFR 945.53 - Shipments for specified purposes.

    Science.gov (United States)

    2010-01-01

    ... POTATOES GROWN IN CERTAIN DESIGNATED COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating... order to facilitate shipments of potatoes for the following purposes: (a) Export; (b) Relief or...

  20. 7 CFR 966.54 - Shipments for special purposes.

    Science.gov (United States)

    2010-01-01

    ... Regulating Handling Regulation § 966.54 Shipments for special purposes. Upon the basis of recommendations and... facilitate handling of tomatoes for the following purposes: (a) For export; (b) For relief or for charity;...

  1. SUMMARY PLAN FOR BENCH-SCALE REFORMER AND PRODUCT TESTING TREATABILITY STUDIES USING HANFORD TANK WASTE

    Energy Technology Data Exchange (ETDEWEB)

    ROBBINS RA

    2011-02-11

    This paper describes the sample selection, sample preparation, environmental, and regulatory considerations for shipment of Hanford radioactive waste samples for treatability studies of the FBSR process at the Savannah River National Laboratory and the Pacific Northwest National Laboratory.

  2. Expert System for Building TRU Waste Payloads - 13554

    Energy Technology Data Exchange (ETDEWEB)

    Bruemmer, Heather; Slater, Bryant [Information Systems Laboratories, 2235 East 25th Street, Suite 100, Idaho Falls, ID 83404 (United States)

    2013-07-01

    The process for grouping TRU waste drums into payloads for shipment to the Waste Isolation Pilot Plant (WIPP) for disposal is a very complex process. Transportation and regulatory requirements must be met, along with striving for the goals of shipment efficiency: maximize the number of waste drums in a shipment and minimize the use of empty drums which take up precious underground storage space. The restrictions on payloads range from weight restrictions, to limitations on flammable gas in the headspace, to minimum TRU alpha activity concentration requirements. The Overpack and Payload Assistant Tool (OPAT) has been developed as a mixed-initiative intelligent system within the WIPP Waste Data System (WDS) to guide the construction of multiple acceptable payloads. OPAT saves the user time while at the same time maximizes the efficiency of shipments for the given drum population. The tool provides the user with the flexibility to tune critical factors that guide OPAT's operation based on real-time feedback concerning the results of the execution. This feedback complements the user's external knowledge of the drum population (such as location of drums, known challenges, internal shipment goals). This work demonstrates how software can be utilized to complement the unique domain knowledge of the users. The mixed-initiative approach combines the insight and intuition of the human expert with the proficiency of automated computational algorithms. The result is the ability to thoroughly and efficiently explore the search space of possible solutions and derive the best waste management decision. (authors)

  3. Use of sodium chloride and zeolite during shipment of Ancistrus triradiatus under high temperature

    Directory of Open Access Journals (Sweden)

    Wilson F. Ramírez-Duarte

    Full Text Available The use of sodium chloride (0.5 g/L and 1 g/L and zeolite (22.7 g/L during shipment (48 h of Ancistrus triradiatus at high temperatures (between 24.5 and 34ºC were evaluated. Several water quality parameters (dissolved oxygen, pH, conductivity, and total ammonia were measured before and after shipment. Glycemia was measured before shipment and at 24 and 48 h after shipment. After shipment, a resistance test was carried out in a high concentration of sodium chloride, and mortality was recorded after shipment, and 7 days post-shipment. While the two evaluated substances increased survival of A. triradiatus challenged by high temperatures during shipment, the best result was obtained with 1 g/L of sodium chloride.

  4. Air Shipment of Spent Nuclear Fuel from Romania to Russia

    Energy Technology Data Exchange (ETDEWEB)

    Igor Bolshinsky; Ken Allen; Lucian Biro; Alexander Buchelnikov

    2010-10-01

    Romania successfully completed the world’s first air shipment of spent nuclear fuel transported in Type B(U) casks under existing international laws and without shipment license special exceptions when the last Romanian highly enriched uranium (HEU) spent nuclear fuel was transported to the Russian Federation in June 2009. This air shipment required the design, fabrication, and licensing of special 20 foot freight containers and cask tiedown supports to transport the eighteen TUK 19 shipping casks on a Russian commercial cargo aircraft. The new equipment was certified for transport by road, rail, water, and air to provide multi modal transport capabilities for shipping research reactor spent fuel. The equipment design, safety analyses, and fabrication were performed in the Russian Federation and transport licenses were issued by both the Russian and Romanian regulatory authorities. The spent fuel was transported by truck from the VVR S research reactor to the Bucharest airport, flown by commercial cargo aircraft to the airport at Yekaterinburg, Russia, and then transported by truck to the final destination in a secure nuclear facility at Chelyabinsk, Russia. This shipment of 23.7 kg of HEU was coordinated by the Russian Research Reactor Fuel Return Program (RRRFR), as part of the U.S. Department of Energy Global Threat Reduction Initiative (GTRI), in close cooperation with the Rosatom State Atomic Energy Corporation and the International Atomic Energy Agency, and was managed in Romania by the National Commission for Nuclear Activities Control (CNCAN). This paper describes the planning, shipment preparations, equipment design, and license approvals that resulted in the safe and secure air shipment of this spent nuclear fuel.

  5. Cardiovascular manifestations of phaeochromocytoma

    NARCIS (Netherlands)

    Prejbisz, A.; Lenders, J.W.M.; Eisenhofer, G.; Januszewicz, A.

    2011-01-01

    Clinical expression of phaeochromocytoma may involve numerous cardiovascular manifestations, but usually presents as sustained or paroxysmal hypertension associated with other signs and symptoms of catecholamine excess. Most of the life-threatening cardiovascular manifestations of phaeochromocytoma,

  6. Cardiovascular manifestations of phaeochromocytoma

    NARCIS (Netherlands)

    Prejbisz, A.; Lenders, J.W.M.; Eisenhofer, G.; Januszewicz, A.

    2011-01-01

    Clinical expression of phaeochromocytoma may involve numerous cardiovascular manifestations, but usually presents as sustained or paroxysmal hypertension associated with other signs and symptoms of catecholamine excess. Most of the life-threatening cardiovascular manifestations of phaeochromocytoma,

  7. 27 CFR 28.244a - Shipment to a customs bonded warehouse.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Shipment to a customs... Export Consignment § 28.244a Shipment to a customs bonded warehouse. Distilled spirits and wine withdrawn for shipment to a customs bonded warehouse shall be consigned in care of the customs officer in...

  8. 19 CFR 10.462 - Packing materials and containers for shipment.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Packing materials and containers for shipment. 10... Free Trade Agreement Rules of Origin § 10.462 Packing materials and containers for shipment. (a) Packing materials and containers for shipment, as defined in § 10.450(m), are to be disregarded...

  9. 19 CFR 10.602 - Packing materials and containers for shipment.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Packing materials and containers for shipment. 10...-Central America-United States Free Trade Agreement Rules of Origin § 10.602 Packing materials and containers for shipment. (a) Effect on tariff shift rule. Packing materials and containers for shipment,...

  10. 19 CFR 10.540 - Packing materials and containers for shipment.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Packing materials and containers for shipment. 10...-Singapore Free Trade Agreement Rules of Origin § 10.540 Packing materials and containers for shipment. (a) Packing materials and containers for shipment, as defined in § 10.530(j) of this subpart, are to...

  11. 27 CFR 44.190 - Return of shipment to a manufacturer or customs warehouse proprietor.

    Science.gov (United States)

    2010-04-01

    ... manufacturer or customs warehouse proprietor. 44.190 Section 44.190 Alcohol, Tobacco Products and Firearms... of Shipments of Tobacco Products and Cigarette Papers and Tubes by Manufacturers and Export Warehouse Proprietors Consignment of Shipment § 44.190 Return of shipment to a manufacturer or customs...

  12. 10 CFR 71.64 - Special requirements for plutonium air shipments.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Special requirements for plutonium air shipments. 71.64... MATERIAL Package Approval Standards § 71.64 Special requirements for plutonium air shipments. (a) A package for the shipment of plutonium by air subject to § 71.88(a)(4), in addition to satisfying...

  13. 22 CFR 211.4 - Availability and shipment of commodities.

    Science.gov (United States)

    2010-04-01

    ... effectively because of natural or other disturbances, (C) Where carriers to a specific country are unavailable... USE IN DISASTER RELIEF, ECONOMIC DEVELOPMENT AND OTHER ASSISTANCE § 211.4 Availability and shipment of... port of entry, upon completion of discharge by the ocean carrier (non-landlocked countries), or at...

  14. 7 CFR 322.27 - Eligible ports for transit shipments.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Eligible ports for transit shipments. 322.27 Section 322.27 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE BEES, BEEKEEPING BYPRODUCTS, AND BEEKEEPING EQUIPMENT...

  15. 7 CFR 322.24 - Packaging of transit shipments.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Packaging of transit shipments. 322.24 Section 322.24 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE BEES, BEEKEEPING BYPRODUCTS, AND BEEKEEPING EQUIPMENT Transit...

  16. 7 CFR 322.8 - Packaging of shipments.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Packaging of shipments. 322.8 Section 322.8 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE BEES, BEEKEEPING BYPRODUCTS, AND BEEKEEPING EQUIPMENT Importation...

  17. 7 CFR 322.16 - Packaging of shipments.

    Science.gov (United States)

    2010-01-01

    ... vermiculite. (2) Other materials, such as host material for the organism, soil, or other types of packing... Restricted Organisms § 322.16 Packaging of shipments. (a) Restricted organisms must be packed in a container or combination of containers that will prevent the escape of the organisms and the leakage of...

  18. 41 CFR 101-26.311 - Frustrated shipments.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Frustrated shipments. 101-26.311 Section 101-26.311 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 26-PROCUREMENT SOURCES...

  19. Summary of Remediated and Unremediated Nitrate Salt Surrogate Testing in Support of the Waste Treatment Permit Application to the New Mexico Environment Department (NMED)

    Energy Technology Data Exchange (ETDEWEB)

    Funk, David John [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-06-22

    The inadvertent creation of transuranic waste carrying hazardous waste codes D001 and D002 requires the treatment of the material to eliminate the hazardous characteristics and allow its eventual shipment and disposal at the Waste Isolation Pilot Plant (WIPP). This report briefly summarizes the surrogate testing that was done in support of our understanding of this waste form.

  20. 48 CFR 52.247-52 - Clearance and Documentation Requirements-Shipments to DOD Air or Water Terminal Transshipment...

    Science.gov (United States)

    2010-10-01

    ... Documentation Requirements-Shipments to DOD Air or Water Terminal Transshipment Points. 52.247-52 Section 52.247... and Documentation Requirements—Shipments to DOD Air or Water Terminal Transshipment Points. As... Requirements—Shipments to DOD Air or Water Terminal Transshipment Points (FEB 2006) All shipments to water...

  1. Extrahepatic manifestations of HCV.

    Science.gov (United States)

    Grignoli, R; Goossens, N; Negro, F

    2015-03-01

    The hepatic consequences of an infection with the hepatitis C virus (HCV) are well recognised, but extrahepatic manifestations of HCV may be just as severe. Here we have reviewed various extrahepatic manifestations of HCV such as mixed cryoglobulinemia, lymphoma, metabolic features and neurologic consequences and we discuss pathogenesis and management of these clinical problems. We concluded with important aspects of therapy with novel anti-HCV agents and its effects on extrahepatic manifestations.

  2. 75 FR 75641 - Advance Notification to Native American Tribes of Transportation of Certain Types of Nuclear Waste

    Science.gov (United States)

    2010-12-06

    ... Tribes of Transportation of Certain Types of Nuclear Waste AGENCY: Nuclear Regulatory Commission. ACTION...'s designee, of certain shipments of irradiated reactor fuel and certain nuclear waste passing... notification to Native American Tribes of transportation of certain types of nuclear waste (64 FR...

  3. PARANEOPLASTIC MANIFESTATIONS IN CHILDREN

    NARCIS (Netherlands)

    DEGRAAF, JH; TAMMINGA, RYJ; KAMPS, WA

    1994-01-01

    Paraneoplastic manifestations are signs and symptoms observed in patients with cancer, distant from the tumour or its metastases and not caused by invasion, obstruction or bulk mass. In children with cancer, paraneoplastic manifestations are rare and distinct from those observed in adults. Knowledge

  4. Atypical manifestations of leptospirosis.

    Science.gov (United States)

    Rajapakse, Senaka; Rodrigo, Chaturaka; Balaji, Krishan; Fernando, Sumadhya Deepika

    2015-05-01

    Leptospirosis is an illness with a wide spectrum of clinical manifestations and severe illness affects nearly all organ systems. Serious and potentially life-threatening clinical manifestations of acute leptospirosis are caused by both direct tissue invasion by spirochaetes and by the host immune responses. In its severe form, leptospirosis can cause multi-organ dysfunction and death in a matter of days. Therefore it is critical to suspect and recognize the disease early, in order to initiate timely treatment. While the classical presentation of the disease is easily recognized by experienced clinicians practising in endemic regions, rarer manifestations can be easily missed. In this systematic review, we summarize the atypical manifestations reported in literature in patients with confirmed leptospirosis. Awareness of these unusual manifestations would hopefully guide clinicians towards early diagnosis.

  5. Facilitation of the USHPRR Program MP-1 Shipments

    Energy Technology Data Exchange (ETDEWEB)

    Woolstenhulme, Eric C.

    2017-04-11

    This report describes the activities necessary to support the numerous transportation tasks involved with the successful completion of the mini-plate MP-1 and future MP experiments for the U.S. High Performance Research Reactor HEU to LEU conversion program. It includes information about the general activities necessary to implement equipment, operational processes, and safety basis changes required at the shipping facility and receipt facilities to support the shipments.

  6. Technologies for sorting, assaying, classifying, and certifying transuranic waste within the United States

    Energy Technology Data Exchange (ETDEWEB)

    Pound, D.G. (Idaho National Engineering Lab., Idaho Falls, ID (USA))

    1990-01-01

    At the Idaho National Engineering Laboratory (INEL), the Stored Waste Examination Pilot Plant (SWEPP) was developed to provide nondestructive examination and assay techniques for examining and certifying TRU wastes without opening the waste container. This technology was developed, primarily for stored TRU waste, to evaluate waste package compliance with Waste Disposal Acceptance Criteria and Transportation requirements prior to shipment. These techniques include real-time x-ray radiography, passive and active neutron assay, and ultrasonic container integrity examination. These techniques provide the necessary information to ensure safe transportation, handling, and disposal of the waste at the Waste Isolation Pilot Plant (WIPP). 1 ref., 3 figs.

  7. Technologies for sorting, assaying, classifying, and certifying transuranic waste within the United States

    Energy Technology Data Exchange (ETDEWEB)

    Pound, D.G. (Idaho National Engineering Lab., Idaho Falls (USA))

    1990-01-01

    At the Idaho National Engineering Laboratory (INEL), the Stored Waste Examination Pilot Plant (SWEPP) was developed to provide nondestructive examination and assay techniques for examining and certifying TRU wastes without opening the waste container. This technology was developed, primarily for stored TRU waste, to evaluate waste package compliance with Waste Disposal Acceptance Criteria and Transportation requirements prior to shipment. These techniques include real-time x-ray radiography, passive and active neutron assay, and ultrasonic container integrity examination. These techniques provide the necessary information to ensure safe transportation, handling, and disposal of the waste at the Waste Isolation Pilot Plant (WIPP). (orig.).

  8. AIR SHIPMENT OF SPENT NUCLEAR FUEL FROM THE BUDAPEST RESEARCH REACTOR

    Energy Technology Data Exchange (ETDEWEB)

    Dewes, J.

    2014-02-24

    The shipment of spent nuclear fuel is usually done by a combination of rail, road or sea, as the high activity of the SNF needs heavy shielding. Air shipment has advantages, e.g. it is much faster than any other shipment and therefore minimizes the transit time as well as attention of the public. Up to now only very few and very special SNF shipments were done by air, as the available container (TUK6) had a very limited capacity. Recently Sosny developed a Type C overpack, the TUK-145/C, compliant with IAEA Standard TS-R-1 for the VPVR/M type Skoda container. The TUK-145/C was first used in Vietnam in July 2013 for a single cask. In October and November 2013 a total of six casks were successfully shipped from Hungary in three air shipments using the TUK-145/C. The present paper describes the details of these shipments and formulates the lessons learned.

  9. An overview of waste crime, its characteristics, and the vulnerability of the EU waste sector.

    Science.gov (United States)

    Baird, J; Curry, R; Cruz, P

    2014-02-01

    While waste is increasingly viewed as a resource to be globally traded, increased regulatory control on waste across Europe has created the conditions where waste crime now operates alongside a legitimate waste sector. Waste crime,is an environmental crime and a form of white-collar crime, which exploits the physical characteristics of waste, the complexity of the collection and downstream infrastructure, and the market opportunities for profit. This paper highlights some of the factors which make the waste sector vulnerable to waste crime. These factors include new legislation and its weak regulatory enforcement, the economics of waste treatment, where legal and safe treatment of waste can be more expensive than illegal operations, the complexity of the waste sector and the different actors who can have some involvement, directly or indirectly, in the movement of illegal wastes, and finally that waste can be hidden or disguised and creates an opportunity for illegal businesses to operate alongside legitimate waste operators. The study also considers waste crime from the perspective of particular waste streams that are often associated with illegal shipment or through illegal treatment and disposal. For each, the nature of the crime which occurs is shown to differ, but for each, vulnerabilities to waste crime are evident. The paper also describes some approaches which can be adopted by regulators and those involved in developing new legislation for identifying where opportunities for waste crime occurs and how to prevent it.

  10. Ocular manifestations of candidemia

    NARCIS (Netherlands)

    Oude Lashof, A.M.L.; Rothova, A.; Sobel, J.D.; Ruhnke, M.; Pappas, P.G.; Viscoli, C.; Schlamm, H.T.; Oborska, I.T.; Rex, J.H.; Kullberg, B.J.

    2011-01-01

    BACKGROUND: Ocular candidiasis is a major complication of candidemia. The incidence, risk factors, and outcome of eye involvement during candidemia are largely unknown. We prospectively studied the ocular manifestations of candidemia in a large, worldwide, randomized multicenter trial that compared

  11. Cardiovascular manifestations in hyperthyroidism

    Directory of Open Access Journals (Sweden)

    Vairamani Kandan

    2016-07-01

    Conclusions: This study shows that cardiovascular manifestations are quite common and varied in hyperthyroidism which are to be looked for in the management. [Int J Res Med Sci 2016; 4(7.000: 3032-3038

  12. Hanford Site Transuranic (TRU) Waste Certification Plan

    Energy Technology Data Exchange (ETDEWEB)

    GREAGER, T.M.

    2000-12-01

    As a generator of transuranic (TRU) and TRU mixed waste destined for disposal at the Waste Isolation Pilot Plant (WIPP), the Hanford Site must ensure that its TRU waste meets the requirements of US. Department of Energy (DOE) 0 435.1, ''Radioactive Waste Management,'' and the Contact-Handled (CH) Transuranic Waste Acceptance Criteria for the Waste Isolation Pilot Plant (WIPP-WAC). WIPP-WAC requirements are derived from the WIPP Technical Safety Requirements, WIPP Safety Analysis Report, TRUPACT-II SARP, WIPP Land Withdrawal Act, WIPP Hazardous Waste Facility Permit, and Title 40 Code of Federal Regulations (CFR) 191/194 Compliance Certification Decision. The WIPP-WAC establishes the specific physical, chemical, radiological, and packaging criteria for acceptance of defense TRU waste shipments at WIPP. The WPP-WAC also requires that participating DOE TRU waste generator/treatment/storage sites produce site-specific documents, including a certification plan, that describe their program for managing TRU waste and TRU waste shipments before transferring waste to WIPP. Waste characterization activities provide much of the data upon which certification decisions are based. Waste characterization requirements for TRU waste and TRU mixed waste that contains constituents regulated under the Resource Conservation and Recovery Act (RCRA) are established in the WIPP Hazardous Waste Facility Permit Waste Analysis Plan (WAP). The Hanford Site Quality Assurance Project Plan (QAPjP) (HNF-2599) implements the applicable requirements in the WAP and includes the qualitative and quantitative criteria for making hazardous waste determinations. The Hanford Site must also ensure that its TRU waste destined for disposal at WPP meets requirements for transport in the Transuranic Package Transporter-11 (TRUPACT-11). The US. Nuclear Regulatory Commission (NRC) establishes the TRUPACT-11 requirements in the Safety Analysis Report for the TRUPACT-II Shipping Package

  13. Hanford Site Transuranic (TRU) Waste Certification Plan

    Energy Technology Data Exchange (ETDEWEB)

    GREAGER, T.M.

    2000-12-06

    As a generator of transuranic (TRU) and TRU mixed waste destined for disposal at the Waste Isolation Pilot Plant (WIPP), the Hanford Site must ensure that its TRU waste meets the requirements of US. Department of Energy (DOE) 0 435.1, ''Radioactive Waste Management,'' and the Contact-Handled (CH) Transuranic Waste Acceptance Criteria for the Waste Isolation Pilot Plant (WIPP-WAC). WIPP-WAC requirements are derived from the WIPP Technical Safety Requirements, WIPP Safety Analysis Report, TRUPACT-II SARP, WIPP Land Withdrawal Act, WIPP Hazardous Waste Facility Permit, and Title 40 Code of Federal Regulations (CFR) 191/194 Compliance Certification Decision. The WIPP-WAC establishes the specific physical, chemical, radiological, and packaging criteria for acceptance of defense TRU waste shipments at WIPP. The WPP-WAC also requires that participating DOE TRU waste generator/treatment/storage sites produce site-specific documents, including a certification plan, that describe their program for managing TRU waste and TRU waste shipments before transferring waste to WIPP. Waste characterization activities provide much of the data upon which certification decisions are based. Waste characterization requirements for TRU waste and TRU mixed waste that contains constituents regulated under the Resource Conservation and Recovery Act (RCRA) are established in the WIPP Hazardous Waste Facility Permit Waste Analysis Plan (WAP). The Hanford Site Quality Assurance Project Plan (QAPjP) (HNF-2599) implements the applicable requirements in the WAP and includes the qualitative and quantitative criteria for making hazardous waste determinations. The Hanford Site must also ensure that its TRU waste destined for disposal at WPP meets requirements for transport in the Transuranic Package Transporter-11 (TRUPACT-11). The US. Nuclear Regulatory Commission (NRC) establishes the TRUPACT-11 requirements in the Safety Analysis Report for the TRUPACT-II Shipping Package

  14. 75 FR 54631 - Proposed Approval of the Central Characterization Project's Transuranic Waste Characterization...

    Science.gov (United States)

    2010-09-08

    .../epahome/dockets.htm . Docket: All documents in the docket are listed in the http://www.regulations.gov... (LANL) until the EPA determines that the site has established and executed a quality assurance program... specific, limited waste streams and equipment at LANL) prohibit shipment of TRU waste for disposal at...

  15. Haematological manifestations of lupus

    Science.gov (United States)

    Fayyaz, Anum; Igoe, Ann; Kurien, Biji T; Danda, Debashish; James, Judith A; Stafford, Haraldine A; Scofield, R Hal

    2015-01-01

    Our purpose was to compile information on the haematological manifestations of systemic lupus erythematosus (SLE), namely leucopenia, lymphopenia, thrombocytopenia, autoimmune haemolytic anaemia (AIHA), thrombotic thrombocytopenic purpura (TTP) and myelofibrosis. During our search of the English-language MEDLINE sources, we did not place a date-of-publication constraint. Hence, we have reviewed previous as well as most recent studies with the subject heading SLE in combination with each manifestation. Neutropenia can lead to morbidity and mortality from increased susceptibility to infection. Severe neutropenia can be successfully treated with granulocyte colony-stimulating factor. While related to disease activity, there is no specific therapy for lymphopenia. Severe lymphopenia may require the use of prophylactic therapy to prevent select opportunistic infections. Isolated idiopathic thrombocytopenic purpura maybe the first manifestation of SLE by months or even years. Some manifestations of lupus occur more frequently in association with low platelet count in these patients, for example, neuropsychiatric manifestation, haemolytic anaemia, the antiphospholipid syndrome and renal disease. Thrombocytopenia can be regarded as an important prognostic indicator of survival in patients with SLE. Medical, surgical and biological treatment modalities are reviewed for this manifestation. First-line therapy remains glucocorticoids. Through our review, we conclude glucocorticoids do produce a response in majority of patients initially, but sustained response to therapy is unlikely. Glucocorticoids are used as first-line therapy in patients with SLE with AIHA, but there is no conclusive evidence to guide second-line therapy. Rituximab is promising in refractory and non-responding AIHA. TTP is not recognised as a criteria for classification of SLE, but there is a considerable overlap between the presenting features of TTP and SLE, and a few patients with SLE have concurrent

  16. Haematological manifestations of lupus.

    Science.gov (United States)

    Fayyaz, Anum; Igoe, Ann; Kurien, Biji T; Danda, Debashish; James, Judith A; Stafford, Haraldine A; Scofield, R Hal

    2015-01-01

    Our purpose was to compile information on the haematological manifestations of systemic lupus erythematosus (SLE), namely leucopenia, lymphopenia, thrombocytopenia, autoimmune haemolytic anaemia (AIHA), thrombotic thrombocytopenic purpura (TTP) and myelofibrosis. During our search of the English-language MEDLINE sources, we did not place a date-of-publication constraint. Hence, we have reviewed previous as well as most recent studies with the subject heading SLE in combination with each manifestation. Neutropenia can lead to morbidity and mortality from increased susceptibility to infection. Severe neutropenia can be successfully treated with granulocyte colony-stimulating factor. While related to disease activity, there is no specific therapy for lymphopenia. Severe lymphopenia may require the use of prophylactic therapy to prevent select opportunistic infections. Isolated idiopathic thrombocytopenic purpura maybe the first manifestation of SLE by months or even years. Some manifestations of lupus occur more frequently in association with low platelet count in these patients, for example, neuropsychiatric manifestation, haemolytic anaemia, the antiphospholipid syndrome and renal disease. Thrombocytopenia can be regarded as an important prognostic indicator of survival in patients with SLE. Medical, surgical and biological treatment modalities are reviewed for this manifestation. First-line therapy remains glucocorticoids. Through our review, we conclude glucocorticoids do produce a response in majority of patients initially, but sustained response to therapy is unlikely. Glucocorticoids are used as first-line therapy in patients with SLE with AIHA, but there is no conclusive evidence to guide second-line therapy. Rituximab is promising in refractory and non-responding AIHA. TTP is not recognised as a criteria for classification of SLE, but there is a considerable overlap between the presenting features of TTP and SLE, and a few patients with SLE have concurrent

  17. Tritium waste package

    Science.gov (United States)

    Rossmassler, Rich; Ciebiera, Lloyd; Tulipano, Francis J.; Vinson, Sylvester; Walters, R. Thomas

    1995-01-01

    A containment and waste package system for processing and shipping tritium xide waste received from a process gas includes an outer drum and an inner drum containing a disposable molecular sieve bed (DMSB) seated within outer drum. The DMSB includes an inlet diffuser assembly, an outlet diffuser assembly, and a hydrogen catalytic recombiner. The DMSB absorbs tritium oxide from the process gas and converts it to a solid form so that the tritium is contained during shipment to a disposal site. The DMSB is filled with type 4A molecular sieve pellets capable of adsorbing up to 1000 curies of tritium. The recombiner contains a sufficient amount of catalyst to cause any hydrogen add oxygen present in the process gas to recombine to form water vapor, which is then adsorbed onto the DMSB.

  18. [Unusual Migraine Manifestations].

    Science.gov (United States)

    Schipper, Sivan; Gantenbein, Andreas R; Sandor, Peter S

    2016-06-01

    Migraine is a complex neurologic disorder by which several systems of the central nervous system (autonomous system, affective, cognitive, sensoric and motoric system) may be affected on different levels. Around a fourth of the patients have migraine aura. The most common aura is the visual aura, followed by sensoric aura. But motoric deficits as well as deficits of higher cortical centers (disorders of thinking, orientation, coherence or concentration) may occur as well. In analogy with a headache calendar, an aura calendar can deliver important help in the diagnostic process of rare migraine manifestations and prevent underdiagnosis of unusual migraine manifestations. Complex migraine manifestations are diagnoses of exlusion, and a broad diagnostic work-up is warranted in order to exclude dangerous neurologic pathologies. There are no specific therapeutic recommendations, as there is a lack of randomized controlled studies.

  19. Pulmonary manifestations of leptospirosis

    Directory of Open Access Journals (Sweden)

    Sameer Gulati

    2012-01-01

    Full Text Available Leptospirosis has a spectrum of presentation which ranges from mild disease to a severe form comprising of jaundice and renal failure. Involvement of the lung can vary from subtle clinical features to deadly pulmonary hemorrhage and acute respiratory distress syndrome. Of late, it has been identified that leptospirosis can present atypically with predominant pulmonary manifestations. This can delay diagnosis making and hence optimum treatment. The purpose of this review is to bring together all the reported pulmonary manifestations of leptospirosis and the recent trends in the management.

  20. Stable isotope customer list and summary of shipments - FY 1983

    Energy Technology Data Exchange (ETDEWEB)

    Davis, W.C. (comp.)

    1983-12-01

    This compilation is published as an aid to those concerned with the separation and sale of stable isotopes. The information is divided into four sections: (1) alphabetical list of domestic and foreign customers, showing the stable isotopes purchased during the fiscal year; (2) alphabetical list of isotopes, cross-referenced to customer numbers and divided into domestic and foreign categories; (3) alphabetical list of states and countries, cross-referenced to customer numbers and indicating geographical concentrations of isotope users; and (4) tabulation of the shipments, quantities, and dollars for domestic, foreign, and project categories for each isotope.

  1. Stable Isotope Customer List and Summary of Shipments. FY 1985

    Energy Technology Data Exchange (ETDEWEB)

    Tracy, J. G. [comp.

    1985-11-01

    This compilation is published as an aid to those concerned with the separation and sale of stable isotopes. The information is divided into four sections: (1) alphabetical list of domestic and foreign customers, showing the stable isotopes purchased during the fiscal year; (2) alphabetical list of isotopes, cross-referenced to customer numbers and divided into domestic and foreign categories; (3) alphabetical list of states and countries, cross-referenced to customer numbers and indicating geographical concentrations of isotope users; and (4) tabulation of the shipments, quantities, and dollars for domestic, foreign, and project categories for each isotope.

  2. 49 CFR 171.3 - Hazardous waste.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Hazardous waste. 171.3 Section 171.3... waste. (a) No person may offer for transportation or transport a hazardous waste (as defined in § 171.8... waste for which a manifest is required unless that person: (1) Has marked each motor vehicle used to...

  3. Calculational technique to predict combustible gas generation in sealed radioactive waste containers

    Energy Technology Data Exchange (ETDEWEB)

    Flaherty, J.E.; Fujita, A.; Deltete, C.P.; Quinn, G.J.

    1986-05-01

    Certain forms of nuclear waste, when subjected to ionizing radiation, produce combustible mixtures of gases. The production of these gases in sealed radioactive waste containers represents a significant safety concern for the handling, shipment and storage of waste. The US Nuclear Regulatory Commission (NRC) acted on this safety concern in September 1984 by publishing an information notice requiring waste generators to demonstrate, by tests or measurements, that combustible mixtures of gases are not present in radioactive waste shipments; otherwise the waste must be vented within 10 days of shipping. A task force, formed by the Edison Electric Institute to evaluate these NRC requirements, developed a calculational method to quantify hydrogen gas generation in sealed containers. This report presents the calculational method along with comparisons to actual measured hydrogen concentrations from EPICOR II liners, vented during their preparation for shipment. As a result of this, the NRC recently altered certain waste shipment Certificates-Of-Compliance to allow calculations, as well as tests and measurements, as acceptable means of determining combustible gas concentration. This modification was due in part to work described herein.

  4. SITE GENERATED RADIOLOGICAL WASTE HANDLING SYSTEM DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    S. C. Khamankar

    2000-06-20

    The Site Generated Radiological Waste Handling System handles radioactive waste products that are generated at the geologic repository operations area. The waste is collected, treated if required, packaged for shipment, and shipped to a disposal site. Waste streams include low-level waste (LLW) in solid and liquid forms, as-well-as mixed waste that contains hazardous and radioactive constituents. Liquid LLW is segregated into two streams, non-recyclable and recyclable. The non-recyclable stream may contain detergents or other non-hazardous cleaning agents and is packaged for shipment. The recyclable stream is treated to recycle a large portion of the water while the remaining concentrated waste is packaged for shipment; this greatly reduces the volume of waste requiring disposal. There will be no liquid LLW discharge. Solid LLW consists of wet solids such as ion exchange resins and filter cartridges, as-well-as dry active waste such as tools, protective clothing, and poly bags. Solids will be sorted, volume reduced, and packaged for shipment. The generation of mixed waste at the Monitored Geologic Repository (MGR) is not planned; however, if it does come into existence, it will be collected and packaged for disposal at its point of occurrence, temporarily staged, then shipped to government-approved off-site facilities for disposal. The Site Generated Radiological Waste Handling System has equipment located in both the Waste Treatment Building (WTB) and in the Waste Handling Building (WHB). All types of liquid and solid LLW are processed in the WTB, while wet solid waste from the Pool Water Treatment and Cooling System is packaged where received in the WHB. There is no installed hardware for mixed waste. The Site Generated Radiological Waste Handling System receives waste from locations where water is used for decontamination functions. In most cases the water is piped back to the WTB for processing. The WTB and WHB provide staging areas for storing and shipping LLW

  5. 76 FR 24713 - Cooperative Inspection Programs: Interstate Shipment of Meat and Poultry Products

    Science.gov (United States)

    2011-05-02

    ..., and 381 Cooperative Inspection Programs: Interstate Shipment of Meat and Poultry Product; Final Rule... Cooperative Inspection Programs: Interstate Shipment of Meat and Poultry Products AGENCY: Food Safety and... amending the Federal meat and poultry products inspection regulations to establish a new...

  6. 22 CFR 201.46 - Compensation to supplier if shipment is prohibited.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Compensation to supplier if shipment is... Commodities and Commodity-Related Services § 201.46 Compensation to supplier if shipment is prohibited. (a) Payment to supplier. USAID shall make appropriate payment to a supplier for the value of...

  7. 76 FR 81360 - Cooperative Inspection Programs: Interstate Shipment of Meat and Poultry Products; Correction

    Science.gov (United States)

    2011-12-28

    ... Programs: Interstate Shipment of Meat and Poultry Products; Correction AGENCY: Food Safety and Inspection... small State-inspected establishments will be eligible to ship meat and poultry products in interstate..., ``Cooperative Inspection Programs; Interstate Shipment of Meat and Poultry Products'' (76 FR 24714). The final...

  8. 78 FR 6209 - Safety Zone; Grain-Shipment Vessels, Columbia and Willamette Rivers

    Science.gov (United States)

    2013-01-30

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Grain-Shipment Vessels, Columbia and...: The Coast Guard is establishing a temporary safety zone around all inbound and outbound grain-shipment vessels involved in commerce with the Columbia Grain facility on the Willamette River in Portland, OR, the...

  9. 22 CFR 123.13 - Domestic aircraft shipments via a foreign country.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Domestic aircraft shipments via a foreign... REGULATIONS LICENSES FOR THE EXPORT OF DEFENSE ARTICLES § 123.13 Domestic aircraft shipments via a foreign... United States to another location in the United States via a foreign country. The pilot of the...

  10. 41 CFR 50-204.26 - Exemptions for radioactive materials packaged for shipment.

    Science.gov (United States)

    2010-07-01

    ... radioactive materials packaged for shipment. 50-204.26 Section 50-204.26 Public Contracts and Property... HEALTH STANDARDS FOR FEDERAL SUPPLY CONTRACTS Radiation Standards § 50-204.26 Exemptions for radioactive materials packaged for shipment. Radioactive materials packaged and labeled in accordance with...

  11. 77 FR 14445 - Leakage Tests on Packages for Shipment of Radioactive Material

    Science.gov (United States)

    2012-03-09

    ... COMMISSION Leakage Tests on Packages for Shipment of Radioactive Material AGENCY: Nuclear Regulatory... Standard N14.5-1997, ``Radioactive Materials--Leakage Tests on Packages for Shipment'' approved February... receiving radioactive material. II. Further Information Revision 1 of Regulatory Guide 7.4 was issued with...

  12. The selective use of emergency shipments for service-contract differentiation

    NARCIS (Netherlands)

    Alvarez, E.M.; Heijden, van der M.C.; Zijm, W.H.M.

    2013-01-01

    Suppliers of capital goods increasingly offer performance-based service contracts with customer-specific service levels. We use selective emergency shipments of spare parts to differentiate logistic performance: We apply emergency shipments in out-of-stock situations for combinations of parts and cu

  13. The selective use of emergency shipments for service-contract differentiation

    NARCIS (Netherlands)

    Alvarez, Elisa; van der Heijden, Matthijs C.; Zijm, Willem H.M.

    2013-01-01

    Suppliers of capital goods increasingly offer performance-based service contracts with customer-specific service levels. We use selective emergency shipments of spare parts to differentiate logistic performance: We apply emergency shipments in out-of-stock situations for combinations of parts and

  14. 77 FR 18871 - Administrative Guide for Verifying Compliance With Packaging Requirements for Shipment and...

    Science.gov (United States)

    2012-03-28

    ... COMMISSION Administrative Guide for Verifying Compliance With Packaging Requirements for Shipment and Receipt... Guide 7.7, ``Administrative Guide for Verifying Compliance with Packaging Requirements for Shipment and... administrative requirements for transporting licensed material under 10 CFR part 71, ``Packaging and...

  15. 76 FR 4001 - Foreign Trade Regulations (FTR): Mandatory Automated Export System Filing for All Shipments...

    Science.gov (United States)

    2011-01-21

    ... Commerce Census Bureau 15 CFR Part 30 Foreign Trade Regulations (FTR): Mandatory Automated Export System... Foreign Trade Regulations (FTR): Mandatory Automated Export System Filing for All Shipments Requiring... Automated Export System (AES) or through AESDirect for all shipments of used self-propelled...

  16. Oral Manifestations of Menopause

    African Journals Online (AJOL)

    The oral manifestations may vary for each patient in the form of burning mouth syndrome .... as chlorhexidine aids in reduction of the accumulation of dental plaque.[5,10 ... women with missing teeth may have a higher risk of hypertension and ...

  17. WASTE TREATMENT BUILDING SYSTEM DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    F. Habashi

    2000-06-22

    The Waste Treatment Building System provides the space, layout, structures, and embedded subsystems that support the processing of low-level liquid and solid radioactive waste generated within the Monitored Geologic Repository (MGR). The activities conducted in the Waste Treatment Building include sorting, volume reduction, and packaging of dry waste, and collecting, processing, solidification, and packaging of liquid waste. The Waste Treatment Building System is located on the surface within the protected area of the MGR. The Waste Treatment Building System helps maintain a suitable environment for the waste processing and protects the systems within the Waste Treatment Building (WTB) from most of the natural and induced environments. The WTB also confines contaminants and provides radiological protection to personnel. In addition to the waste processing operations, the Waste Treatment Building System provides space and layout for staging of packaged waste for shipment, industrial and radiological safety systems, control and monitoring of operations, safeguards and security systems, and fire protection, ventilation and utilities systems. The Waste Treatment Building System also provides the required space and layout for maintenance activities, tool storage, and administrative facilities. The Waste Treatment Building System integrates waste processing systems within its protective structure to support the throughput rates established for the MGR. The Waste Treatment Building System also provides shielding, layout, and other design features to help limit personnel radiation exposures to levels which are as low as is reasonably achievable (ALARA). The Waste Treatment Building System interfaces with the Site Generated Radiological Waste Handling System, and with other MGR systems that support the waste processing operations. The Waste Treatment Building System interfaces with the General Site Transportation System, Site Communications System, Site Water System, MGR

  18. First shipment of magnets from CERN to SESAME

    CERN Multimedia

    CERN Bulletin

    2015-01-01

    On Monday, 19 October, CERN will bid a fond farewell to two containers of magnets. Their destination: SESAME, the synchrotron light source under construction in Jordan.   The SESAME magnets, ready for transport. The containers hold 31 sextupoles, produced in Cyprus and France, and 32 quadrupoles, produced in Spain and Turkey. The magnets will rejoin 8 dipoles (from the UK) that are already at SESAME. The quadrupoles and sextupoles were checked and measured at CERN before this shipment, while the dipoles went via the ALBA synchrotron, near Barcelona, where magnetic measurements were carried out. With this shipment, around 50% of the magnets for the SESAME storage ring will have been delivered. The containers are expected to arrive just in time for the upcoming SESAME Council meeting at the end of November. The rest of the magnets – as well as all the power supplies and related control modules – have been produced and will be delivered to SESAME at th...

  19. HMPT: Hazardous Waste Transportation Live 27928, Test 27929

    Energy Technology Data Exchange (ETDEWEB)

    Simpson, Lewis Edward [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-03-17

    HMPT: Hazardous Waste Transportation (Live 27928, suggested one time and associated Test 27929, required initially and every 36 months) addresses the Department of Transportation (DOT) function-specific training requirements of the hazardous materials packagings and transportation (HMPT) Los Alamos National Laboratory (LANL) lab-wide training. This course addresses the requirements of the DOT that are unique to hazardous waste shipments. Appendix B provides the Title 40 Code of Federal Regulations (CFR) reference material needed for this course.

  20. 49 CFR 375.511 - May I use an alternative method for shipments weighing 3,000 pounds or less?

    Science.gov (United States)

    2010-10-01

    ... weighing 3,000 pounds or less? 375.511 Section 375.511 Transportation Other Regulations Relating to... alternative method for shipments weighing 3,000 pounds or less? For shipments weighing 3,000 pounds or less (1,362 kilograms or less), you may weigh the shipment upon a platform or warehouse certified scale...

  1. Hazardous waste shipping in the northern border of Mexico: The situation of Baja California

    Directory of Open Access Journals (Sweden)

    Ramón A. Castillo Ponce

    2013-01-01

    Full Text Available In this document we evaluate the determinants of shipments of hazardous waste to the US. We consider a sample of firms operating in the state of Baja California for the 2008–2010 sample period. The analysis consists on the estimation of two econometric specifications. The first refers to a truncated model in the spirit of Tobit. The second is a probabilistic model. The results of the Tobit model suggest that size, location and origin of the firm influence the amount of shipments. In particular, shipments are positively associated with larger firms; those located in the municipality of Tijuana and those whose origin is foreign. The probabilistic model finds that a depreciation of the Mexican peso contributes to an increase in the likelihood of sending a shipment. This may be the result of an improvement in the border economic environment due to the depreciation of the currency.

  2. Inflammatory Manifestations of Lymphedema

    Directory of Open Access Journals (Sweden)

    Catherine L. Ly

    2017-01-01

    Full Text Available Lymphedema results from lymphatic insufficiency leading to a progressive inflammatory process that ultimately manifests as discomfort, recurrent infections, and, at times, secondary malignancy. Collectively, these morbidities contribute to an overall poor quality of life. Although there have been recent advances in microsurgical interventions, a conservative palliative approach remains the mainstay of treatment for this disabling disease. The absence of a cure is due to an incomplete understanding of the pathophysiological changes that result in lymphedema. A histological hallmark of lymphedema is inflammatory cell infiltration and recent studies with animal models and clinical biopsy specimens have suggested that this response plays a key role in the pathology of the disease. The purpose of this report is to provide an overview of the ongoing research in and the current understanding of the inflammatory manifestations of lymphedema.

  3. Inflammatory Manifestations of Lymphedema

    Science.gov (United States)

    Ly, Catherine L.; Kataru, Raghu P.; Mehrara, Babak J.

    2017-01-01

    Lymphedema results from lymphatic insufficiency leading to a progressive inflammatory process that ultimately manifests as discomfort, recurrent infections, and, at times, secondary malignancy. Collectively, these morbidities contribute to an overall poor quality of life. Although there have been recent advances in microsurgical interventions, a conservative palliative approach remains the mainstay of treatment for this disabling disease. The absence of a cure is due to an incomplete understanding of the pathophysiological changes that result in lymphedema. A histological hallmark of lymphedema is inflammatory cell infiltration and recent studies with animal models and clinical biopsy specimens have suggested that this response plays a key role in the pathology of the disease. The purpose of this report is to provide an overview of the ongoing research in and the current understanding of the inflammatory manifestations of lymphedema. PMID:28106728

  4. Achondroplasia: manifestations and treatment.

    Science.gov (United States)

    Shirley, Eric D; Ain, Michael C

    2009-04-01

    Achondroplasia, the most common skeletal dysplasia, is caused by a mutation of fibroblast growth factor receptor-3. This disorder is characterized by frontal bossing, midface hypoplasia, otolaryngeal system dysfunction, and rhizomelic short stature. Orthopaedic manifestations are exhibited in the spine and the extremities. In the infant with achondroplasia, foramen magnum stenosis may result in brainstem compression with apnea and sudden death. Thoracolumbar kyphosis is seen in most infants, but typically it resolves when the child begins to walk. Anatomic anomalies of the vertebral column place the patient at risk for spinal stenosis as early as the first decade and especially during adulthood. Radial head dislocation is one manifestation in the upper extremity. Lower extremity alignment often is characterized by genu varum, which may require correction osteotomy. Medical and surgical options are available to increase patient height, but indications are controversial, and treatment often consumes a large portion of the child's life.

  5. Packaging and transportation manual. Chapter on the packaging and transportation of hazardous and radioactive waste

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    The purpose of this chapter is to outline the requirements that Los Alamos National Laboratory employees and contractors must follow when they package and ship hazardous and radioactive waste. This chapter is applied to on-site, intra-Laboratory, and off-site transportation of hazardous and radioactive waste. The chapter contains sections on definitions, responsibilities, written procedures, authorized packaging, quality assurance, documentation for waste shipments, loading and tiedown of waste shipments, on-site routing, packaging and transportation assessment and oversight program, nonconformance reporting, training of personnel, emergency response information, and incident and occurrence reporting. Appendices provide additional detail, references, and guidance on packaging for hazardous and radioactive waste, and guidance for the on-site transport of these wastes.

  6. MANIFEST OF DEPTH SOCIOPSYCHOLOGY

    OpenAIRE

    ZELITCHENKO ALEXANDER

    2013-01-01

    The observations of motives of activity of big groups (nations, confessions etc.) as a whole result in discovery of the part of unconscious mind that is common for all members of big group a collective unconscious. Two parts of collective unconscious may be determined: the collective superconscious known first as a group archetype and the collective subconscious, which manifest itself for example in phenomenon of collective trauma. Depth sociopsychology is a science about the collective uncon...

  7. Haematological manifestations of lupus

    OpenAIRE

    2015-01-01

    Our purpose was to compile information on the haematological manifestations of systemic lupus erythematosus (SLE), namely leucopenia, lymphopenia, thrombocytopenia, autoimmune haemolytic anaemia (AIHA), thrombotic thrombocytopenic purpura (TTP) and myelofibrosis. During our search of the English-language MEDLINE sources, we did not place a date-of-publication constraint. Hence, we have reviewed previous as well as most recent studies with the subject heading SLE in combination with each manif...

  8. Orofacial manifestations of achondroplasia

    OpenAIRE

    Kaushik, Atul; Kumar, Munish; Rohilla, Smriti; Tanwar, Renu; V C Vinod

    2012-01-01

    Achondroplasia (Online Mendelian Inheritance in Man [OMIM] 100800), is considered as a form of skeletal dysplasia dwarfism that manifests with stunted stature and disproportionate limb shortening. Achondroplasia is of special interest in the field of dentistry because of its characteristic craniofacial features which include relative macrocephaly, depressed nasal bridge and maxillary hypoplasia. Presence of large head, implanted shunt, airway obstruction and difficulty in head control require...

  9. Ocular manifestations of leptospirosis

    Directory of Open Access Journals (Sweden)

    Rathinam S

    2005-01-01

    Full Text Available Leptospiral uveitis is a common entity in tropical countries. Ocular manifestations are noted in the second phase of illness, but these remain under-diagnosed mainly because of the prolonged symptom-free period that separates the systemic manifestations from detection of ocular manifestations.Varying ophthalmic presentations and the intrinsic nature of different types of uveitis to mimic one another also challenge the accuracy of the diagnosis. Of the individual ocular signs, the combination of acute, non-granulomatous, panuveitis, hypopyon, vasculitis, optic disc edema, membranous vitreous opacities and absence of choroiditis or retinitis have high predictive value for the clinical diagnosis of leptospiral uveitis. Geographic location of the patient, occupation, socio-economic status, risk factors related to exposure, past history of fever or jaundice also aid in diagnosis.Steroids are the mainstay of treatment for leptospiral uveitis. Depending upon the severity and anatomical location of inflammatory lesion, topical, peri-ocular and/or systemic steroids are given. The prognosis is generally good, even when the inflammation is severe.

  10. Construction and operation of an industrial solid waste landfill at Portsmouth Gaseous Diffusion Plant, Piketon, Ohio

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-01

    The US Department of Energy (DOE), Office of Waste Management, proposes to construct and operate a solid waste landfill within the boundary of the Portsmouth Gaseous Diffusion Plant (PORTS), Piketon, Ohio. The purpose of the proposed action is to provide PORTS with additional landfill capacity for non-hazardous and asbestos wastes. The proposed action is needed to support continued operation of PORTS, which generates non-hazardous wastes on a daily basis and asbestos wastes intermittently. Three alternatives are evaluated in this environmental assessment (EA): the proposed action (construction and operation of the X-737 landfill), no-action, and offsite shipment of industrial solid wastes for disposal.

  11. Radioactive wastes transport. A safety logic; Le transport des dechets radioactifs. Une logique de surete

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    The safety principle which applies to transport operations of radioactive wastes obeys to a very strict regulation. For the conditioning of wastes in package, the organisation of shipments and the qualification of carriers, the ANDRA, the French national agency of radioactive wastes, has implemented a rigorous policy based on the respect of a quality procedure and on the mastery of delivery fluxes. This brochure presents in a simple, illustrated and detailed manner the different steps of these transports. (J.S.)

  12. Waste Receiving and Processing Facility Module 1 Data Management System software requirements specification

    Energy Technology Data Exchange (ETDEWEB)

    Rosnick, C.K.

    1996-04-19

    This document provides the software requirements for Waste Receiving and Processing (WRAP) Module 1 Data Management System (DMS). The DMS is one of the plant computer systems for the new WRAP 1 facility (Project W-0126). The DMS will collect, store and report data required to certify the low level waste (LLW) and transuranic (TRU) waste items processed at WRAP 1 as acceptable for shipment, storage, or disposal.

  13. Waste Receiving and Processing Facility Module 1 Data Management System Software Requirements Specification

    Energy Technology Data Exchange (ETDEWEB)

    Brann, E.C. II

    1994-09-09

    This document provides the software requirements for Waste Receiving and Processing (WRAP) Module 1 Data Management System (DMS). The DMS is one of the plant computer systems for the new WRAP 1 facility (Project W-026). The DMS will collect, store and report data required to certify the low level waste (LLW) and transuranic (TRU) waste items processed at WRAP 1 as acceptable for shipment, storage, or disposal.

  14. Cementitious waste option scoping study report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, A.E.; Taylor, D.D.

    1998-02-01

    A Settlement Agreement between the Department of Energy (DOE) and the State of Idaho mandates that all high-level radioactive waste (HLW) now stored at the Idaho Chemical Processing Plant (ICPP) on the Idaho National Engineering and Environmental Laboratory (INEEL) will be treated so that it is ready to be moved out of Idaho for disposal by a target date of 2035. This study investigates the nonseparations Cementitious Waste Option (CWO) as a means to achieve this goal. Under this option all liquid sodium-bearing waste (SBW) and existing HLW calcine would be recalcined with sucrose, grouted, canisterized, and interim stored as a mixed-HLW for eventual preparation and shipment off-Site for disposal. The CWO waste would be transported to a Greater Confinement Disposal Facility (GCDF) located in the southwestern desert of the US on the Nevada Test Site (NTS). All transport preparation, shipment, and disposal facility activities are beyond the scope of this study. CWO waste processing, packaging, and interim storage would occur over a 5-year period between 2013 and 2017. Waste transport and disposal would occur during the same time period.

  15. Irradiated test fuel shipment plan for the LWR MOX fuel irradiation test project

    Energy Technology Data Exchange (ETDEWEB)

    Shappert, L.B.; Dickerson, L.S.; Ludwig, S.B.

    1998-10-16

    This document outlines the responsibilities of DOE, DOE contractors, the commercial carrier, and other organizations participating in a shipping campaign of irradiated test specimen capsules containing mixed-oxide (MOX) fuel from the Idaho National Engineering and Environmental Laboratory (INEEL) to the Oak Ridge National Laboratory (ORNL). The shipments described here will be conducted according to applicable regulations of the US Department of Transportation (DOT), US Nuclear Regulatory Commission (NRC), and all applicable DOE Orders. This Irradiated Test Fuel Shipment Plan for the LWR MOX Fuel Irradiation Test Project addresses the shipments of a small number of irradiated test specimen capsules and has been reviewed and agreed to by INEEL and ORNL (as participants in the shipment campaign). Minor refinements to data entries in this plan, such as actual shipment dates, exact quantities and characteristics of materials to be shipped, and final approved shipment routing, will be communicated between the shipper, receiver, and carrier, as needed, using faxes, e-mail, official shipping papers, or other backup documents (e.g., shipment safety evaluations). Any major changes in responsibilities or data beyond refinements of dates and quantities of material will be prepared as additional revisions to this document and will undergo a full review and approval cycle.

  16. IMPROVEMENTS IN CONTAINER MANAGEMENT OF TRANSURANIC (TRU) AND LOW LEVEL RADIOACTIVE WASTE STORED AT THE CENTRAL WASTE COMPLEX (CWC) AT HANFORD

    Energy Technology Data Exchange (ETDEWEB)

    UYTIOCO EM

    2007-11-14

    The Central Waste Complex (CWC) is the interim storage facility for Resource Conservation & Recovery Act (RCRA) mixed waste, transuranic waste, transuranic mixed waste, low-level and low-level mixed radioactive waste at the Department of Energy's (DOE'S) Hanford Site. The majority of the waste stored at the facility is retrieved from the low-level burial grounds in the 200 West Area at the Site, with minor quantities of newly generated waste from on-site and off-site waste generators. The CWC comprises 18 storage buildings that house 13,000 containers. Each waste container within the facility is scanned into its location by building, module, tier and position and the information is stored in a site-wide database. As waste is retrieved from the burial grounds, a preliminary non-destructive assay is performed to determine if the waste is transuranic (TRU) or low-level waste (LLW) and subsequently shipped to the CWC. In general, the TRU and LLW waste containers are stored in separate locations within the CWC, but the final disposition of each waste container is not known upon receipt. The final disposition of each waste container is determined by the appropriate program as process knowledge is applied and characterization data becomes available. Waste containers are stored within the CWC based on their physical chemical and radiological hazards. Further segregation within each building is done by container size (55-gallon, 85-gallon, Standard Waste Box) and waste stream. Due to this waste storage scheme, assembling waste containers for shipment out of the CWC has been time consuming and labor intensive. Qualitatively, the ratio of containers moved to containers in the outgoing shipment has been excessively high, which correlates to additional worker exposure, shipment delays, and operational inefficiencies. These inefficiencies impacted the LLW Program's ability to meet commitments established by the Tri-Party Agreement, an agreement between the State

  17. AIR SHIPMENT OF HIGHLY ENRICHED URANIUM SPENT NUCLEAR FUEL FROM ROMANIA AND LIBYA

    Energy Technology Data Exchange (ETDEWEB)

    Christopher Landers; Igor Bolshinsky; Ken Allen; Stanley Moses

    2010-07-01

    In June 2009 Romania successfully completed the world’s first air shipment of highly enriched uranium (HEU) spent nuclear fuel transported in Type B(U) casks under existing international laws and without special exceptions for the air transport licenses. Special 20-foot ISO shipping containers and cask tiedown supports were designed to transport Russian TUK 19 shipping casks for the Romanian air shipment and the equipment was certified for all modes of transport, including road, rail, water, and air. In December 2009 Libya successfully used this same equipment for a second air shipment of HEU spent nuclear fuel. Both spent fuel shipments were transported by truck from the originating nuclear facilities to nearby commercial airports, were flown by commercial cargo aircraft to a commercial airport in Yekaterinburg, Russia, and then transported by truck to their final destinations at the Production Association Mayak facility in Chelyabinsk, Russia. Both air shipments were performed under the Russian Research Reactor Fuel Return Program (RRRFR) as part of the U.S. National Nuclear Security Administration (NNSA) Global Threat Reduction Initiative (GTRI). The Romania air shipment of 23.7 kg of HEU spent fuel from the VVR S research reactor was the last of three HEU fresh and spent fuel shipments under RRRFR that resulted in Romania becoming the 3rd RRRFR participating country to remove all HEU. Libya had previously completed two RRRFR shipments of HEU fresh fuel so the 5.2 kg of HEU spent fuel air shipped from the IRT 1 research reactor in December made Libya the 4th RRRFR participating country to remove all HEU. This paper describes the equipment, preparations, and license approvals required to safely and securely complete these two air shipments of spent nuclear fuel.

  18. Quantitative estimation of sampling uncertainties for mycotoxins in cereal shipments.

    Science.gov (United States)

    Bourgeois, F S; Lyman, G J

    2012-01-01

    Many countries receive shipments of bulk cereals from primary producers. There is a volume of work that is on-going that seeks to arrive at appropriate standards for the quality of the shipments and the means to assess the shipments as they are out-loaded. Of concern are mycotoxin and heavy metal levels, pesticide and herbicide residue levels, and contamination by genetically modified organisms (GMOs). As the ability to quantify these contaminants improves through improved analytical techniques, the sampling methodologies applied to the shipments must also keep pace to ensure that the uncertainties attached to the sampling procedures do not overwhelm the analytical uncertainties. There is a need to understand and quantify sampling uncertainties under varying conditions of contamination. The analysis required is statistical and is challenging as the nature of the distribution of contaminants within a shipment is not well understood; very limited data exist. Limited work has been undertaken to quantify the variability of the contaminant concentrations in the flow of grain coming from a ship and the impact that this has on the variance of sampling. Relatively recent work by Paoletti et al. in 2006 [Paoletti C, Heissenberger A, Mazzara M, Larcher S, Grazioli E, Corbisier P, Hess N, Berben G, Lübeck PS, De Loose M, et al. 2006. Kernel lot distribution assessment (KeLDA): a study on the distribution of GMO in large soybean shipments. Eur Food Res Tech. 224:129-139] provides some insight into the variation in GMO concentrations in soybeans on cargo out-turn. Paoletti et al. analysed the data using correlogram analysis with the objective of quantifying the sampling uncertainty (variance) that attaches to the final cargo analysis, but this is only one possible means of quantifying sampling uncertainty. It is possible that in many cases the levels of contamination passing the sampler on out-loading are essentially random, negating the value of variographic quantitation of

  19. Waste Information Management System with 2012-13 Waste Streams - 13095

    Energy Technology Data Exchange (ETDEWEB)

    Upadhyay, H.; Quintero, W.; Lagos, L.; Shoffner, P.; Roelant, D. [Applied Research Center, Florida International University, 10555 West Flagler Street, Suite 2100, Miami, FL 33174 (United States)

    2013-07-01

    The Waste Information Management System (WIMS) 2012-13 was updated to support the Department of Energy (DOE) accelerated cleanup program. The schedule compression required close coordination and a comprehensive review and prioritization of the barriers that impeded treatment and disposition of the waste streams at each site. Many issues related to waste treatment and disposal were potential critical path issues under the accelerated schedule. In order to facilitate accelerated cleanup initiatives, waste managers at DOE field sites and at DOE Headquarters in Washington, D.C., needed timely waste forecast and transportation information regarding the volumes and types of radioactive waste that would be generated by DOE sites over the next 40 years. Each local DOE site historically collected, organized, and displayed waste forecast information in separate and unique systems. In order for interested parties to understand and view the complete DOE complex-wide picture, the radioactive waste and shipment information of each DOE site needed to be entered into a common application. The WIMS application was therefore created to serve as a common application to improve stakeholder comprehension and improve DOE radioactive waste treatment and disposal planning and scheduling. WIMS allows identification of total forecasted waste volumes, material classes, disposition sites, choke points, technological or regulatory barriers to treatment and disposal, along with forecasted waste transportation information by rail, truck and inter-modal shipments. The Applied Research Center (ARC) at Florida International University (FIU) in Miami, Florida, developed and deployed the web-based forecast and transportation system and is responsible for updating the radioactive waste forecast and transportation data on a regular basis to ensure the long-term viability and value of this system. (authors)

  20. Discourse Manifestation of Personality

    Directory of Open Access Journals (Sweden)

    Владимир Ильич Карасик

    2016-12-01

    Full Text Available The paper deals with approaches to discourse studies. The approaches may be regarded as discourse dimensions associated with models presented and substantiated by M.M. Bakhtin, J. Habermas, Yu.M. Lotman and M.A.K. Halliday. They comprise contents, participants, tonality, channel and communicative actions. The approaches described complement each other and make it possible to synthesize the results achieved in Text Linguistics, Pragmatics, Social Linguistics, and Discourse Studies. They are joined by and oriented towards the concept of Language Personality, i.e. persons who manifest themselves in various kinds of communicative situations. However, each discourse dimension corresponds to a certain type of discourse. A Topic Approach to discourse focuses upon its contents (its referential substance and specifies the correlation between explicit and implicit meaning expression. A Subject Approach to discourse makes it possible to single out and describe two basic types of communication as presented in Personality bound and Status bound discourse, the former diverges into two subtypes - Habitual and Existential communication, whereas the latter is manifested in various kinds of Institutional discourse. A Tonality Approach to discourse highlights different types of stylistic and emotional modes of communication and correspondingly characterizes personality types who are engaged in such situations. A Regime Approach is concentrated on communication channel and technical peculiarities of behavior determined by those restrictions. An Action Approach to discourse gives us a broader understanding of a performative act, i.e. an action incorporated in culture and a situational behavioral interaction.

  1. Rheumatologic Manifestations of Sarcoidosis

    Science.gov (United States)

    Sweiss, Nadera J.; Patterson, Karen; Sawaqed, Ray; Jabbar, Umair; Korsten, Peter; Hogarth, Kyle; Wollman, Robert; Garcia, Joe G.N.; Niewold, Timothy B.; Baughman, Robert P.

    2012-01-01

    Sarcoidosis is a systemic, clinically heterogeneous disease characterized by the development of granulomas. Any organ system can be involved, and patients may present with any number of rheumatologic symptoms. There are no U.S. Food and Drug Administration–approved therapies for the treatment of sarcoidosis. Diagnosing sarcoidosis becomes challenging, particularly when its complications cause patients’ symptoms to mimic other conditions, including polymyositis, Sjögren syndrome, or vasculitis. This review presents an overview of the etiology of and biomarkers associated with sarcoidosis. We then provide a detailed description of the rheumatologic manifestations of sarcoidosis and present a treatment algorithm based on current clinical evidence for patients with sarcoid arthritis. The discussion will focus on characteristic findings in patients with sarcoid arthritis, osseous involvement in sarcoidosis, and sarcoid myopathy. Arthritic conditions that sometimes coexist with sarcoidosis are described as well. We present two cases of sarcoidosis with rheumatologic manifestations. Our intent is to encourage a multidisciplinary, translational approach to meet the challenges and difficulties in understanding and treating sarcoidosis. PMID:20665396

  2. Hematologic manifestations of babesiosis.

    Science.gov (United States)

    Akel, Tamer; Mobarakai, Neville

    2017-02-15

    Babesiosis, a zoonotic parasitic infection transmitted by the Ixodes tick, has become an emerging health problem in humans that is attracting attention worldwide. Most cases of human babesiosis are reported in the United States and Europe. The disease is caused by the protozoa of the genus Babesia, which invade human erythrocytes and lyse them causing a febrile hemolytic anemia. The infection is usually asymptomatic or self-limited in the immunocompetent host, or follows a persistent, relapsing, and/or life threatening course with multi-organ failure, mainly in the splenectomized or immunosuppressed patients. Hematologic manifestations of the disease are common. They can range from mild anemia, to severe pancytopenia, splenic rupture, disseminated intravascular coagulopathy (DIC), or even hemophagocytic lymphohistiocytosis (HLH). A 70 year old immunocompetent female patient living in New York City presented with a persistent fever, night sweats, and fatigue of 5 days duration. Full evaluation showed a febrile hemolytic anemia along with neutropenia and thrombocytopenia. Blood smear revealed intraerythrocytic Babesia, which was confirmed by PCR. Bone marrow biopsy was remarkable for dyserythropoiesis, suggesting possible HLH, supported by other blood workup meeting HLH-2004 trial criteria. Human babesiosis is an increasing healthcare problem in the United States that is being diagnosed more often nowadays. We presented a case of HLH triggered by Babesia microti that was treated successfully. Also, we presented the hematologic manifestations of this disease along with their pathophysiologies.

  3. Assessment of alternatives for management of ORNL retrievable transuranic waste. Nuclear Waste Program: transuranic waste (Activity No. AR 05 15 15 0; ONL-WT04)

    Energy Technology Data Exchange (ETDEWEB)

    1980-10-01

    Since 1970, solid waste with TRU or U-233 contamination in excess of 10 ..mu..Ci per kilogram of waste has been stored in a retrievable fashion at ORNL, such as in ss drums, concrete casks, and ss-lined wells. This report describes the results of a study performed to identify and evaluate alternatives for management of this waste and of the additional waste projected to be stored through 1995. The study was limited to consideration of the following basic strategies: Strategy 1: Leave waste in place as is; Strategy 2: Improve waste confinement; and Strategy 3: Retrieve waste and process for shipment to a Federal repository. Seven alternatives were identified and evaluated, one each for Strategies 1 and 2 and five for Strategy 3. Each alternative was evaluated from the standpoint of technical feasibility, cost, radiological risk and impact, regulatory factors and nonradiological environmental impact.

  4. 19 CFR 123.41 - Truck shipments transiting Canada.

    Science.gov (United States)

    2010-04-01

    ... transiting Canada from point to point in the United States will be manifested on United States-Canada Transit... certified. The driver will be allowed to break any seals affixed by Canadian Customs upon presentation of...

  5. Performance of Orius insidiosus after storage, exposure to dispersal material, handling and shipment processes

    NARCIS (Netherlands)

    Bueno, V.H.P.; Carvalho, L.M.; Lenteren, van J.C.

    2014-01-01

    Storage, handling and shipment procedures are important factors influencing the quality of biological control agents. This study aimed to evaluate biological parameters and performance of Orius insidiosus (Say) after different storage periods at low temperatures, after exposure to different

  6. Determining Replenishment Lot Size and Shipment Policy for an EPQ Inventory Model with Delivery and Rework

    Directory of Open Access Journals (Sweden)

    Leopoldo Eduardo Cárdenas-Barrón

    2015-01-01

    Full Text Available The determination of production-shipment policies for a vendor-buyer system is dealt within this paper. The main objective is to derive the optimal replenishment lot size and shipment policy for an EPQ inventory model with multiple deliveries and rework. This inventory model contains two decision variables: the replenishment lot size and the number of deliveries. Previous researches solve this inventory model considering both variables to be continuous. However, the number of deliveries must be considered as a discrete variable. In this direction, this paper solves the inventory model considering two cases: Case 1: the replenishment lot size as a continuous variable and the number of shipments as a discrete variable and Case 2: the replenishment lot size and the number of shipments as discrete variables. The final results are two simple and easy-to-apply solution procedures to find the optimal values for the replenishment lot size and the number of deliveries for each case.

  7. Shipment Consolidation Policy under Uncertainty of Customer Order for Sustainable Supply Chain Management

    Directory of Open Access Journals (Sweden)

    Kyunghoon Kang

    2017-09-01

    Full Text Available With increasing concern over the environment, shipment consolidation has become one of a main initiative to reduce CO2 emissions and transportation cost among the logistics service providers. Increased delivery time caused by shipment consolidation may lead to customer’s order cancellation. Thus, order cancellation should be considered as a factor in order uncertainty to determine the optimal shipment consolidation policy. We develop mathematical models for quantity-based and time-based policies and obtain optimality properties for the models. Efficient algorithms using optimal properties are provided to compute the optimal parameters for ordering and shipment decisions. To compare the performances of the quantity-based policy with the time-based policy, extensive numerical experiments are conducted, and the total cost is compared.

  8. Storage and shipment system for beer and beverage; Beer inryo hokan shukka system

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-04-20

    This storage and shipment system for beer and beverage was delivered to Suita factory of Asahi Breweries, Ltd. for reducing the shipment lead time essential for the total fresh management activity promoted by the whole company. Main specifications: (1) Warehouse capacity: 26,880 pallets, (2) Stacker crane: 24 units (twin shuttle system), (3) Conveyer: 1 unit, (4) Truck loader: 3 units, (5) Handling capacity: 760 pallet/h for storage, 670 pallet/h for shipment. Features: (1) Storage system directly connected with a plant by immediate automatic storage after palletizing, (2) One-point loading by a package loading berth with an alignment function, (3) High-speed mass storage and shipment handling by distributing system, (4) High reliability by block distributing system. (translated by NEDO)

  9. Stability of urinary fractionated metanephrines and catecholamines during collection, shipment, and storage of samples.

    NARCIS (Netherlands)

    Willemsen, J.J.; Ross, H.A.; Lenders, J.W.M.; Sweep, C.G.J.

    2007-01-01

    BACKGROUND: Measurements of 24-h fractionated urinary metanephrines and catecholamines are used for the diagnosis of pheochromocytoma, but adequate information is needed regarding collection, storage, and shipment conditions. METHODS: Spot urine samples were collected from 8 healthy volunteers. Aliq

  10. Respiratory manifestations of hypothyroidism

    DEFF Research Database (Denmark)

    Sorensen, Jesper Roed; Winther, Kristian Hillert; Bonnema, Steen Joop

    2016-01-01

    BACKGROUND: Hypothyroidism has been associated with increased pulmonary morbidity and overall mortality. We conducted a systematic review to identify the prevalence and underlying mechanisms of respiratory problems among patients with thyroid insufficiency. METHODS: PubMed and EMBASE databases were...... searched for relevant literature from January 1950 through January 2015 with study eligibility criteria: English-language publications; Adult subclinical or overt hypothyroid patients; Intervention, observational or retrospective studies; and respiratory manifestations. We followed the PRISMA statement......% of newly diagnosed patients with overt hypothyroidism, and demonstrated reversibility following treatment. The evidence for or against a direct effect on pulmonary function was ambiguous. However, each of the above mentioned areas were only dealt with in a limited number of studies. Therefore, we refrain...

  11. OPHTHALMIC MANIFESTATIONS OF LEUKEMIA

    Directory of Open Access Journals (Sweden)

    E. E. Grishina

    2016-01-01

    Full Text Available Ophthalmic manifestations of leukemia are variable and are predominantly represented by leukemic infiltration of the eye and hemodynamic abnormalities in the retinal vasculature. Leukemic infiltration of the retina should be differentiated from an inflammatory process, such as retinitis, chorioretinitis of viral or fungal origin that are not uncommon in patients with hematological malignancies. Retinal involvement is mainly seen in adult patients with acute myeloid leukemia and is less common in patients with acute lymphoblastic leukemia. Retinopathy is more frequent during relapses of the underlying disease. Also, retinopathy can be the first sign of the disease. Leukemia should be included into the list for differential diagnosis with disorders that can be associated with optical nerve edema and retinal hemorrhages. Fundus abnormalities correlate with peripheral blood parameters. Retinopathy and leukemic optic neuropathy are predictors of unfavorable prognosis. Early diagnostics and timely and adequate treatment may fully eliminate ocular symptoms and improve quality of life in patients with hemoblastoses.

  12. Genitourinary manifestations of tuberculosis.

    Science.gov (United States)

    Wise, Gilbert J; Marella, Venkata K

    2003-02-01

    By the 1980s, the availability of antituberculosis chemotherapy reduced the incidence and prevalence of tuberculosis. Changing patterns of population emigration and the development of large pools of immune-compromised individuals reversed the downward trend of tuberculosis. The incidence of genitourinary tuberculosis has remained constant. The manifestations of GU TB can be variable and cause a variety of clinical patterns that mimic other diseases. Adrenal insufficiency, renal disease, obstructive uropathy, and chronic cystitis are not uncommon with TB. The patient with TB may have genital disease that simulates STD or scrotal tumors. Infertility can be caused by GU tuberculosis. Awareness of environmental factors and patient history should alert the urologist to the wide array of clinical findings in the genitourinary system that can be caused by tuberculosis.

  13. [Pulmonary Manifestations of Vasculitis].

    Science.gov (United States)

    von Vietinghoff, S

    2016-11-01

    The variable symptoms and signs of pulmonary vasculitis are a diagnostic and therapeutic challenge. Vasculitis should be considered in rapidly progressing, severe and unusual manifestations of pulmonary disease. Clinical examination of other organ systems typically affected by vasculitis such as skin and kidney and autoantibody measurements are complementary approaches to manage this situation. Pulmonary involvement is common in small vessel vasculitis including anti-GBM disease (Goodpasture syndrome) and the ANCA-associated vasculitides. Life threatening pulmonary hemorrhage and irreversible damage of other organs, frequently the kidney, are important complications necessitating rapid diagnosis of these conditions.Vasculitides are rare diseases of multiple organs and therapies including biologics are evolving rapidly, requiring cooperation of specialities and with specialized centres to achieve best patient care. All involved physicians should be aware of typical complications of immunosuppressive therapy. © Georg Thieme Verlag KG Stuttgart · New York.

  14. Hepatitis C: extrahepatic manifestations.

    Science.gov (United States)

    Metts, Julius; Carmichael, Lesley; Kokor, Winfred; Scharffenberg, Robert

    2014-12-01

    Chronic hepatitis C virus (HCV) infection is associated with multiple extrahepatic manifestations (EHM) affecting various organs in the body. Approximately 40% to 75% of patients with chronic HCV infection experience at least one clinical EHM during the course of the HCV infection. Mixed cryoglobulinemia (type 2) is the most documented EHM associated with chronic HCV infection. This has been documented in up to 50% of patients. Clinically, it presents as arthralgia, weakness, and cutaneous symptoms. Morphologically, immune complex depositions are identified in small vessels and glomerular capillary walls, leading to leukocytoclastic vasculitis in the skin and membranoproliferative glomerulonephritis in the kidney. In other EHMs of chronic HCV infection not related to cryoglobulinemia, such as Sjögren syndrome, lichen planus, and autoimmune thyroiditis, autoimmune processes resulting in chronic inflammatory infiltrates are thought to be the underlying mechanism.

  15. Use of sodium chloride and zeolite during shipment of Ancistrus triradiatus under high temperature

    Directory of Open Access Journals (Sweden)

    Wilson F. Ramírez-Duarte

    2011-01-01

    Full Text Available The use of sodium chloride (0.5 g/L and 1 g/L and zeolite (22.7 g/L during shipment (48 h of Ancistrus triradiatus at high temperatures (between 24.5 and 34ºC were evaluated. Several water quality parameters (dissolved oxygen, pH, conductivity, and total ammonia were measured before and after shipment. Glycemia was measured before shipment and at 24 and 48 h after shipment. After shipment, a resistance test was carried out in a high concentration of sodium chloride, and mortality was recorded after shipment, and 7 days post-shipment. While the two evaluated substances increased survival of A. triradiatus challenged by high temperatures during shipment, the best result was obtained with 1 g/L of sodium chloride.O uso de cloreto de sódio (0,5 g/L e 1 g/L e zeolita (22,7 g/L foram avaliados durante o transporte (48 h de Ancistrus triradiatus em altas temperaturas (entre 24,5 e 34ºC. Os seguintes parâmetros foram monitorados: pH, oxigênio dissolvido, condutividade e amônia antes e depois do transporte. Também foi mensurada a concentração de glicose no sangue antes do transporte e 0, 24 e 48 h após o transporte. Foi realizado um teste de resistência a altas concentrações de cloreto de sódio após o transporte, sendo registrada a mortalidade no final do transporte e após 7 dias. As duas substâncias testadas aumentam a sobrevivência de A. triradiatus a altas temperaturas durante o transporte, porém o melhor resultado foi obtido com o uso de 1 g/L cloreto de sódio.

  16. Financial assistance to States and tribes to support emergency preparedness and response and the safe transportation of hazardous shipments

    Energy Technology Data Exchange (ETDEWEB)

    Bradbury, J.A.; Jones, M.L.

    1995-01-01

    This report identifies and summarizes existing sources of financial assistance to States and Indian tribes in preparing and responding to transportation emergencies and ensuring the safe transportation of hazardous shipments through their jurisdictions. The report has been prepared as an information resource for the US Department of Energy`s Office of Environmental Restoration and Waste Management, Office of Transportation, Emergency Management and Analytical Services. The report discusses funding programs administered by the following Federal agencies: Federal Emergency Management Agency; Department of Transportation; the Environmental Protection Agency; and the Department of Energy. Also included is a summary of fees assessed by some States on carriers of hazardous materials and hazardous waste. The discussion of programs is supplemented by an Appendix that provides a series of tables summarizing funding sources and amounts. The report includes several conclusions concerning the level of funding provided to Indian tribes, the relative ranking of funding sources and the variation among States in overall revenues for emergency response and safe transportation.

  17. Criticality Safety Evaluation for TRU Waste In Storage at the RWMC

    Energy Technology Data Exchange (ETDEWEB)

    M. E. Shaw; J. B. Briggs; C. A. Atkinson; G. J. Briscoe

    1994-04-01

    Stored containers (drums, boxes, and bins) of transuranic waste at the Radioactive Waste Management Complex (RWMC) facility located at the Idaho National Engineering Laboratory (INEL) were evaluated based on inherent neutron absorption characteristics of the waste materials. It was demonstrated that these properties are sufficient to preclude a criticality accident at the actual fissile levels present in the waste stored at the RWMC. Based on the database information available, the results reported herein confirm that the waste drums, boxes, and bins currently stored at the RWMC will remain safely subcritical if rearranged, restacked, or otherwise handled. Acceptance criteria for receiving future drum shipments were established based on fully infinite systems.

  18. [Pleuropulmonary manifestations of amebiasis].

    Science.gov (United States)

    Mbaye, P S; Koffi, N; Camara, P; Burgel, P R; Hovette, P; Klotz, F

    1998-12-01

    Amibiasis is the third leading cause of death due to parasitic infections in the world. Amibiasis is endemic in the warm regions of the world with deficient hygiene and socio-economic situations. Entamoeba histolytica is the causal agent of invasive amibiasis, unlike Entamoeba dispar which is not a pathogen for humans. Amibian colitis and amibian abscess of the liver are the most frequent intestinal and extra-intestinal manifestations. Pleuropulmonary complications almost always occur in patients with a liver abscess, the intrathoracic contamination via transphrenic dissemination predominating. Respiratory signs are inaugural in 80% of the cases. Pleuropulmonary ambiasis designates the localization of the amibian infestation, but the clinical expression may vary: pneumonia, lung abscess, pleurisy, hepatobronchial fistulization and more infrequently pulmonary embolism. The preferential localization is the right hemithorax related to abscess in the right lobe of the liver. Left lobe abscesses lead to left-sided pleuropulmonary complications with the risk of rupture into the pericardium. Chocolate-colored pus from a pleural or abscess puncture or vomitus strongly suggests the diagnosis, which is confirmed by highly-positive serology. Metronidazole is the treatment of choice, providing cure without sequellae. In Africa, mortality and morbidity due to ambiasis are high. In Abidjan, 92% of cured patients have sequella, and mortality reaches 15%, the consequence of late diagnosis.

  19. Pulmonary manifestation of leptospirosis

    Energy Technology Data Exchange (ETDEWEB)

    Im, Jung Gi; Yeon, Kyung Mo; Han, Man Chung; Kim, Chu Wan; Lee, Jung Sang; Kim, Suhng Gwon; Han, Yong Chol; Chang, Woo Hyun; Chi, Je Geun [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1986-02-15

    Authors analysed and present chest X-ray findings of serologically proven leptospirosis from Seoul National University Hospital, either admitted or referred for serological verification, during recent 2 years. Radiological findings were correlated with the lung specimen findings of experimentally induced leptospirosis in guinea pig. The results are as follows: 1. 24 cases (56%) showed positive X-ray findings. 2. Predominant radiological patterns of involved lung were tiny dot, small nodule, rosette density in 11 cases, massive confluent consolidation in 4 cases, and diffuse ill-defined velly increased density in 9 cases. 3. Distribution of pulmonary lesions were bilateral (100%), non-lobar, non-segmental (95%), and there were conspicuous tendency of peripheral lung predominance. 4. Extrapulmonary manifestation, such as pleural effusion or cardiomegaly was rate. 5. Pulmonary lesions resolved completely usually 5 to 10 days after their appearance. 6. From the gross and microscopic findings of serially sacrificed guinea pig's lung and a case of autopsy, authors concluded that fine dot-like density in chest X-ray was due to paleolithic hemorrhage in intraalveolar space at initial stage, growing up to ressette density or confluent consolidation as the pathetic extends to surrounding lung forming purpura and coalescent hemorrhage.

  20. Survey of radioactive material shipments in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Simmons, J.L.; Cloninger, M.O.; Cole, B.M.; Medford, A.E.

    1976-04-01

    The survey period was from March 1, 1974, through February 28, 1975. Of over 15,000 NRC and Agreement States licensees, and ERDA prime contractors, 2275 received questionnaire packets. Approximately 59 percent of those recipients responded to the survey; of these respondents, 35 percent reported shipping activities. Based on the number of packages shipped annually, the major nuclides were /sup 131/I, /sup 125/I, /sup 99m/Tc, /sup 99/Mo, and /sup 238/U, while those shipped in the greatest amounts (grams or curies) were /sup 60/Co, /sup 192/Ir, and /sup 238/U. The majority of package types shipped were Types A and LS (low specific activity), while the most common modes of transport were rail and truck. The shipping activities of approximately 14,600 minor shippers were estimated to be on the order of 200,000 radioactive packages/year. The combined annual shipping activities of 761 major shippers, SNM licensees, and ERDA contractors who responded were estimated to be approximately 300,000 packages of SNM and Source Material plus 800,000 packages containing nuclides other than SNM or Source Material. There were also about 800,000 packages (mostly exempt) shipped by 21 apparent major shippers who responded to a part of the survey intended for minor shippers. Also, classified data containing information regarding nonweapons shipments indicated 850 packages. The possibility of using the survey data for projection use was briefly investigated.

  1. Lessons learned in TRU waste process improvement at LANL

    Energy Technology Data Exchange (ETDEWEB)

    Del Signore, J. C.; Huchton, J. (Judith); Martin, B. (Beverly); Lindahl, P. (Peter); Miller, S. (Scott); Hartwell, W. B. (Ware B.)

    2004-01-01

    Typical papers that discuss lessons learned or quality improvement focus on the challenge for a production facility reaching six sigma (3.4 Defects Per Million Opportunities) from five sigma. This paper discusses lessons learned when the Los Alamos National Laboratory's (LANL) transuranic (TRU) waste management project was challenged to establish a production system to meet the customer's expectations. The target for FY 2003 was set as two shipments of TRU waste per week leaving the site. The average for the four previous years (FY99-02) was about one shipment every two months. LANL recognized that, despite its success in 1999 as the first site to ship TRU waste to open the Waste Isolation Pilot Plant (WIPP), significant changes to the way business was being done were required to move to a production mode. Process improvements began in earnest in April 2002. This paper discusses several of the initiatives LANL took to achieve forty-five shipments in FY03. The paper is organized by topic into five major areas that LANL worked to get the job done.

  2. Gastrointestinal manifestations of endocrine disease

    Institute of Scientific and Technical Information of China (English)

    Christina Maser; Arnbjorn Toset; Sanziana Roman

    2006-01-01

    The hormonal interactions among the systems throughout the body are not fully understood; many vague clinical symptoms may in fact be manifestations of underlying endocrine diseases. The aim of the following review is to discuss gastrointestinal manifestations of surgically correctable endocrine diseases, focusing on abnormalities of thyroid function, cancer and finally autoimmune diseases. We also review manifestations of pancreatic endocrine tumors, and multiple endocrine neoplasia.

  3. [Extrahepatic manifestations in hepatitis C].

    Science.gov (United States)

    Risum, Malene

    2011-05-09

    Hepatitis C does not only affect the liver, but also manifests outside the liver. The skin, kidneys and nervous system are often involved due to mixed cryoglobulinaemia. Porphyria cutanea tarda, lymphoma and thyroid diseases among others can also attend a chronic infection, but the exact pathogenesis behind these manifestations is not clearly mapped. Antiviral treatment is reported to induce sustained virological response in more than half of the treated patients with a variable clinical response in the extrahepatic manifestations.

  4. Extrahepatic manifestations of hepatitis C.

    Science.gov (United States)

    Palekar, Nicole A; Harrison, Stephen A

    2005-10-01

    Hepatitis C affects approximately 170 million people worldwide. Extrahepatic manifestations of chronic hepatitis C infection are clinically evident in nearly 40% of patients. Much research has been done over the last decade to better understand their incidence, clinical presentation, mechanism of disease, and the role of antiviral therapy in their treatment. Of the commonly reported manifestations, cryoglobulinemia, membranoproliferative glomerulonephritis, and porphyria cutanea tarda remain the best understood manifestations. More recently, the association of insulin resistance and diabetes mellitus with chronic hepatitis C has been demonstrated. This paper serves to review the growing body of literature detailing the extrahepatic manifestations of chronic hepatitis C.

  5. Respiratory manifestations in amyloidosis

    Institute of Scientific and Technical Information of China (English)

    XU Ling; CAI Bai-qiang; ZHONG Xu; ZHU Yuan-jue

    2005-01-01

    Background Amyloidosis is a collection of diseases in which different proteins are deposited. Amyloid deposits occur in systemic and organ-limited forms. In both systemic and localized forms of the disease, lung can be involved. The aim of this study was to explore the different respiratory manifestations of amyloidosis. Methods Chest radiology, clinical presentations, bronchoscopic/laryngoscopic findings and lung function data of 59 patients with amyloidosis involving respiratory tract collected during January 1986 to March 2005, were analysed.Results Of the 16 cases with localized respiratory tract amyloidosis, 8 had the lesions in the trachea and the bronchi, 2 in the larynx and the trachea, 5 in the larynx and/or the pharynx, and 1 in the lung parenchyma. Of 43 systemic amyloidosis with respiratory tract involvement, 3 had the lesions in bronchi, 13 in lung parenchyma, 33 in pleura, 8 in mediastina, 1 in nose and 1 in pharynx. Chest X-rays were normal in most cases of tracheobronchial amyloidosis. CT, unlike chest X-rays, showed irregular luminal narrowing, airway wall thickening with calcifications and soft tissue shadows in airway lumen. Localized lung parenchymal amyloidosis presented as multiple nodules. Multiple nodular opacities, patch shadows and reticular opacities were the main radiological findings in systemic amyloidosis with lung parenchymal involvement. In pleural amyloidosis, pleural effusions and pleural thickening were detected. Mediastinal and/or hilar adenopathy were also a form of lung involvement in systemic amyloidosis. The major bronchoscopic findings of tracheobronchial amyloidosis were narrowing of airway lumen, while nodular, 'tumour like' or 'bubble like' masses, with missing or vague cartilaginous rings, were detected in about half of the patients.Conclusions Localized respiratory tract amyloidosis mostly affects the trachea and the bronchi. Chest X-rays are not sensitive to detect these lesions. Systemic amyloidosis often involves

  6. DOE assay methods used for characterization of contact-handled transuranic waste

    Energy Technology Data Exchange (ETDEWEB)

    Schultz, F.J. (Oak Ridge National Lab., TN (United States)); Caldwell, J.T. (Pajarito Scientific Corp., Los Alamos, NM (United States))

    1991-08-01

    US Department of Energy methods used for characterization of contact-handled transuranic (CH-TRU) waste prior to shipment to the Waste Isolation Pilot Plant (WIPP) are described and listed by contractor site. The methods described are part of the certification process. All CH-TRU waste must be assayed for determination of fissile material content and decay heat values prior to shipment and prior to storage on-site. Both nondestructive assay (NDA) and destructive assay methods are discussed, and new NDA developments such as passive-action neutron (PAN) crate counter improvements and neutron imaging are detailed. Specifically addressed are assay method physics; applicability to CH-TRU wastes; calibration standards and implementation; operator training requirements and practices; assay procedures; assay precision, bias, and limit of detection; and assay limitation. While PAN is a new technique and does not yet have established American Society for Testing and Materials. American National Standards Institute, or Nuclear Regulatory Commission guidelines or methods describing proper calibration procedures, equipment setup, etc., comparisons of PAN data with the more established assay methods (e.g., segmented gamma scanning) have demonstrated its reliability and accuracy. Assay methods employed by DOE have been shown to reliable and accurate in determining fissile, radionuclide, alpha-curie content, and decay heat values of CH-TRU wastes. These parameters are therefore used to characterize packaged waste for use in certification programs such as that used in shipment of CH-TRU waste to the WIPP. 36 refs., 10 figs., 7 tabs.

  7. Hyaline fibromatosis syndrome: cutaneous manifestations*

    Science.gov (United States)

    Marques, Silvio Alencar; Stolf, Hamilton Ometto; Polizel, Juliana Ocanha; Munhoz, Tânia; Brandão, Marcela Calixto; Marques, Mariangela Esther Alencar

    2016-01-01

    Hyaline fibromatosis syndrome is the current name for clinical manifestations of diseases previously known as “infantile systemic hyalinosis” and “juvenile hyaline fibromatosis”. The authors report representative clinical cases of each one of the above subtypes with emphasis on cutaneous manifestations and difficulties for early diagnosis in this syndrome, essentially of multidisciplinary approach. PMID:27192526

  8. Cerebrovascular manifestations following scorpion sting

    OpenAIRE

    Nataraja P; Naveen Prasad SV; Obulareddy G; Anil Ch; Naveen T; Vengamma B

    2016-01-01

    Scorpion sting is a common clinical problem in Rayalaseema area of Andhra Pradesh State in India. Clilnical presentation of scorpion envenomation can range from mild local pain to systemic manifestations involving almost all systems. Cerebrovascular manifestations of scorpion sting have been sparsely documented. We report two cases who presented with ischaemic stroke and haemorrhagic stroke following scorpion sting.

  9. CH-TRU Waste Content Codes

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2008-01-16

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  10. USE OF RFID TO TRACK HAZARDOUS WASTE SHIPMENTS ACROSS DOMESTIC AND INTERNATIONAL BORDERS

    Science.gov (United States)

    Radio-frequency identification system (RFID) is an emerging commodity tracking technology that is being tested and implemented in a large number of applications worldwide. RFID is a method of transmitting data using radio waves, usually through communication with a tag. Both ac...

  11. USE OF RFID TO TRACK HAZARDOUS WASTE SHIPMENTS ACROSS DOMESTIC AND INTERNATIONAL BORDERS

    Science.gov (United States)

    Radio-frequency identification system (RFID) is an emerging commodity tracking technology that is being tested and implemented in a large number of applications worldwide. RFID is a method of transmitting data using radio waves, usually through communication with a tag. Both ac...

  12. Neuropsychiatric manifestations of scrub typhus

    Directory of Open Access Journals (Sweden)

    Sanjay K Mahajan

    2017-01-01

    Full Text Available Scrub typhus is caused by Orientia tsutsugamushi characterized by focal or disseminated vasculitis and perivasculitis which may involve the lungs, heart, liver, spleen and central nervous system. It was thought to have been eradicated from India. Recently it is being reported from many areas of India. The clinical picture and severity of the symptoms varies widely. The neurological manifestations of scrub typhus are not uncommon but are diverse. Meningoencephalitis is classical manifestation of scrub typhus but cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, neuroleptic malignant syndrome and Guillan-Barré syndrome are other manifestations reported in literature. The availability of literature on the neurological manifestations of scrub typhus is limited to case reports mainly. This article reviews various neurological manifestations of scrub typhus reported in literature.

  13. Waste characterization activities at the Lawrence Livermore National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Roberson, G.P.; Martz, H.E.; Haskins, J.J. [and others

    1995-06-28

    Radioactive and hazardous wastes are generated at many national laboratories, military sites, fuel fabrication and enrichment plants, reactors, and many other facilities. At all of these sites, wastes must be separated, categorized, possibly treated, and packed into containers for shipment to waste-storage or disposal sites. Prior to treatment, storage or, shipment, the containers must be characterized to determine the ultimate disposition of the contained waste. Comprehensive and accurate nondestructive evaluation (NDE) and nondestructive assay (NDA) methods can be used to characterize most waste containers in a safe and cost-effective manner without opening them. The Lawrence Livermore National Laboratory (LLNL) is investigating and developing the application of x-ray and {gamma}-ray methods to nonintrusively characterize waste containers and/or items. X-ray NDE methods are being investigated to determine whether they can be used to identify hazardous and nonconforming materials. A {gamma}-ray NDA method is used to identify the radioactive sources within a container and to accurately quantify their strength. In this paper we describe five waste characterization projects being conducted at LLNL that apply both the NDE and NDA methods and present results.

  14. Safety evaluation for packaging (onsite) disposable solid waste cask

    Energy Technology Data Exchange (ETDEWEB)

    Flanagan, B.D., Westinghouse Hanford

    1996-12-20

    This safety evaluation for packaging (SEP) evaluates and documents the ability of the Disposable Solid Waste Cask (DSWC) to meet the packaging requirements of HNF-CM-2-14, Hazardous Material Packaging and Shipping, for the onsite transfer of special form, highway route controlled quantity, Type B fissile radioactive material. This SEP evaluates five shipments of DSWCs used for the transport and storage of Fast Flux Test Facility unirradiated fuel to the Plutonium Finishing Plant Protected Area.

  15. Neonatal muscular manifestations in mitochondrial disorders.

    Science.gov (United States)

    Tulinius, Már; Oldfors, Anders

    2011-08-01

    During the last decade rapid development has occurred in defining nuclear gene mutations causing mitochondrial disease. Some of these newly defined gene mutations cause neonatal or early infantile onset of disease, often associated with severe progressive encephalomyopathy combined with other multi-organ involvement such as cardiomyopathy or hepatopathy and with early death. Findings suggesting myopathy in neonates are hypotonia, muscle weakness and wasting, and arthrogryposis. We aim to describe the clinical findings of patients with mitochondrial disease presenting with muscular manifestations in the neonatal period or in early infancy and in whom the genetic defect has been characterized. The majority of patients with neonatal onset of mitochondrial disease have mutations in nuclear genes causing dysfunction of the mitochondrial respiratory chain, leading to defective oxidative phosphorylation.

  16. Cutaneous Manifestations of Crohn Disease.

    Science.gov (United States)

    Hagen, Joshua W; Swoger, Jason M; Grandinetti, Lisa M

    2015-07-01

    Awareness of the extraintestinal manifestations of Crohn disease is increasing in dermatology and gastroenterology, with enhanced identification of entities that range from granulomatous diseases recapitulating the underlying inflammatory bowel disease to reactive conditions and associated dermatoses. In this review, the underlying etiopathology of Crohn disease is discussed, and how this mirrors certain skin manifestations that present in a subset of patients is explored. The array of extraintestinal manifestations that do not share a similar pathology, but which are often seen in association with inflammatory bowel disease, is also discussed. Treatment and pathogenetic mechanisms, where available, are discussed.

  17. Ocular manifestations of feline herpesvirus.

    Science.gov (United States)

    Andrew, S E

    2001-03-01

    Feline herpesvirus-1 (FHV-1) infection is ubiquitous in the domestic cat population worldwide. The most common clinical ocular manifestations of infection with FHV-1 are conjunctivitis and keratitis. This paper reviews the pathogenesis of feline herpesvirus-1 and discusses the various clinical ocular manifestations, diagnostic techniques and treatment of FHV-1-induced diseases. Ocular manifestations include: conjunctivitis, keratitis, stromal keratitis, keratoconjunctivitis sicca, ophthalmia neonatorium, symblepharon, corneal sequestrum, eosinophilic keratitis and anterior uveitis. Diagnostic techniques discussed include: virus isolation, fluorescent antibody testing, serum neutralising titers, ELISA and polymerase chain reaction. Various therapies are also discussed.

  18. Lot sizing and unequal-sized shipment policy for an integrated production-inventory system

    Science.gov (United States)

    Giri, B. C.; Sharma, S.

    2014-05-01

    This article develops a single-manufacturer single-retailer production-inventory model in which the manufacturer delivers the retailer's ordered quantity in unequal shipments. The manufacturer's production process is imperfect and it may produce some defective items during a production run. The retailer performs a screening process immediately after receiving the order from the manufacturer. The expected average total cost of the integrated production-inventory system is derived using renewal theory and a solution procedure is suggested to determine the optimal production and shipment policy. An extensive numerical study based on different sets of parameter values is conducted and the optimal results so obtained are analysed to examine the relative performance of the models under equal and unequal shipment policies.

  19. 10 CFR 61.80 - Maintenance of records, reports, and transfers.

    Science.gov (United States)

    2010-01-01

    ... receipt and disposal of radioactive waste in an electronic recordkeeping system. (1) The manifest... shipment is received at the disposal facility, the date of disposal of the waste, a traceable shipment... the waste, the location of disposal at the disposal site, the containment integrity of the...

  20. Hazardous waste database: Waste management policy implications for the US Department of Energy`s Environmental Restoration and Waste Management Programmatic Environmental Impact Statement

    Energy Technology Data Exchange (ETDEWEB)

    Lazaro, M.A.; Policastro, A.J.; Antonopoulos, A.A.; Hartmann, H.M.; Koebnick, B.; Dovel, M. [Argonne National Lab., IL (United States); Stoll, P.W. [COMPASS Environmental Compliance Associates, Boise, ID (United States)

    1994-03-01

    The hazardous waste risk assessment modeling (HaWRAM) database is being developed to analyze the risk from treatment technology operations and potential transportation accidents associated with the hazardous waste management alternatives. These alternatives are being assessed in the Department of Energy`s Environmental Restoration and Waste Management Programmatic Environmental Impact Statement (EM PEIS). To support the risk analysis, the current database contains complexwide detailed information on hazardous waste shipments from 45 Department of Energy installations during FY 1992. The database is currently being supplemented with newly acquired data. This enhancement will improve database information on operational hazardous waste generation rates, and the level and type of current on-site treatment at Department of Energy installations.

  1. Packaged low-level waste verification system

    Energy Technology Data Exchange (ETDEWEB)

    Tuite, K.; Winberg, M.R.; McIsaac, C.V. [Idaho National Engineering Lab., Idaho Falls, ID (United States)

    1995-12-31

    The Department of Energy through the National Low-Level Waste Management Program and WMG Inc. have entered into a joint development effort to design, build, and demonstrate the Packaged Low-Level Waste Verification System. Currently, states and low-level radioactive waste disposal site operators have no method to independently verify the radionuclide content of packaged low-level waste that arrives at disposal sites for disposition. At this time, the disposal site relies on the low-level waste generator shipping manifests and accompanying records to ensure that low-level waste received meets the site`s waste acceptance criteria. The subject invention provides the equipment, software, and methods to enable the independent verification of low-level waste shipping records to ensure that the site`s waste acceptance criteria are being met. The objective of the prototype system is to demonstrate a mobile system capable of independently verifying the content of packaged low-level waste.

  2. Distribution and Diversity of Salmonella Strains in Shipments of Hatchling Poultry, United States, 2013.

    Science.gov (United States)

    Habing, G G; Kessler, S E; Mollenkopf, D F; Wittum, T E; Anderson, T C; Barton Behravesh, C; Joseph, L A; Erdman, M M

    2015-08-01

    Multistate outbreaks of salmonellosis associated with live poultry contact have been occurring with increasing frequency. In 2013, multistate outbreaks of salmonellosis were traced back to exposure to live poultry, some of which were purchased at a national chain of farm stores (Farm store chain Y). This study was conducted at 36 stores of Farm store chain Y and was concurrent with the timing of exposure for the human outbreaks of salmonellosis in 2013. We used environmental swabs of arriving shipment boxes of hatchling poultry and shipment tracking information to examine the distribution, diversity and anti-microbial resistance of non-typhoidal Salmonella (NTS) across farm stores and hatcheries. Isolates recovered from shipment boxes underwent serotyping, anti-microbial resistance (AMR) testing and pulsed-field gel electrophoresis (PFGE). Postal service tracking codes from the shipment boxes were used to determine the hatchery of origin. The PFGE patterns were compared with the PFGE patterns of NTS causing outbreaks of salmonellosis in 2013. A total of 219 hatchling boxes from 36 stores in 13 states were swabbed between 15 March 2013 and 18 April 2013. NTS were recovered from 59 (27%) of 219 hatchling boxes. Recovery was not significantly associated with species of hatchlings, number of birds in the shipment box, or the presence of dead, injured or sick birds. Four of the 23 PFGE patterns and 23 of 50 isolates were indistinguishable from strains causing human outbreaks in 2013. For serotypes associated with human illnesses, PFGE patterns most frequently recovered from shipment boxes were also more frequent causes of human illness. Boxes positive for the same PFGE pattern most frequently originated from the same mail-order hatchery. Only one of 59 isolates was resistant to anti-microbials used to treat Salmonella infections in people. This study provides critical information to address recurrent human outbreaks of salmonellosis associated with mail-order hatchling

  3. 49 CFR 173.475 - Quality control requirements prior to each shipment of Class 7 (radioactive) materials.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Quality control requirements prior to each... TRANSPORTATION HAZARDOUS MATERIALS REGULATIONS SHIPPERS-GENERAL REQUIREMENTS FOR SHIPMENTS AND PACKAGINGS Class 7 (Radioactive) Materials § 173.475 Quality control requirements prior to each shipment of Class 7 (radioactive...

  4. 49 CFR 375.407 - Under what circumstances must I relinquish possession of a collect-on-delivery shipment...

    Science.gov (United States)

    2010-10-01

    ... possession of the shipment at the time of delivery. If there are either charges for any additional services... delivery. You must accept the form of payment agreed to at the time of estimate, unless the shipper agrees... possession of a collect-on-delivery shipment transported under a non-binding estimate? 375.407 Section 375...

  5. 49 CFR 375.709 - If a shipment is totally lost or destroyed, what charges may I collect at delivery?

    Science.gov (United States)

    2010-10-01

    ... MOTOR CARRIER SAFETY REGULATIONS TRANSPORTATION OF HOUSEHOLD GOODS IN INTERSTATE COMMERCE; CONSUMER PROTECTION REGULATIONS Delivery of Shipments § 375.709 If a shipment is totally lost or destroyed, what... shipper's rights are in addition to, and not in lieu of, any other rights the individual shipper may have...

  6. 49 CFR 375.707 - If a shipment is partially lost or destroyed, what charges may I collect at delivery?

    Science.gov (United States)

    2010-10-01

    ... MOTOR CARRIER SAFETY REGULATIONS TRANSPORTATION OF HOUSEHOLD GOODS IN INTERSTATE COMMERCE; CONSUMER PROTECTION REGULATIONS Delivery of Shipments § 375.707 If a shipment is partially lost or destroyed, what... the individual shipper. (d) The individual shipper's rights are in addition to, and not in lieu of...

  7. 9 CFR 73.6 - Placarding means of conveyance and marking billing of shipments of treated scabby cattle or...

    Science.gov (United States)

    2010-01-01

    ... marking billing of shipments of treated scabby cattle or cattle exposed to scabies. 73.6 Section 73.6... INTERSTATE TRANSPORTATION OF ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS SCABIES IN CATTLE § 73.6 Placarding means of conveyance and marking billing of shipments of treated scabby cattle or cattle exposed...

  8. 31 CFR 358.9 - Who is responsible for the cost and risks associated with the shipment of securities?

    Science.gov (United States)

    2010-07-01

    ... § 358.9 Who is responsible for the cost and risks associated with the shipment of securities? The... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Who is responsible for the cost and risks associated with the shipment of securities? 358.9 Section 358.9 Money and Finance: Treasury...

  9. Renal (Kidney) Manifestations in TSC

    Science.gov (United States)

    ... International TSC Research Conference Text Size Get Involved RENAL (KIDNEY) MANIFESTATIONS IN TSC Download a PDF of ... sclerosis complex (TSC) will develop some form of renal (kidney) disease during their lifetime. There are three ...

  10. The Single-Vendor-Single-Buyer Integrated Production-Shipment Model with Stock Dependent Demand Rate

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    In the integrated production-shipment models for the single-vendor-single-buyer system presented hitherto, thedemand rate of items is treated as a constant. However, many researchers have observed that the presence of morequantities of the same product tends to attract more customers. This suggests that the demand rate should depend on thestock level. This paper presents a single-vendor-single-buyer production-shipment model with the stock dependentdemand rate, based on the demand rate linearly depending upon the stock level at any instant of time.

  11. Determination of production-shipment policy using a two-phase algebraic approach

    Directory of Open Access Journals (Sweden)

    Huei-Hsin Chang

    2012-04-01

    Full Text Available The optimal production-shipment policy for end products using mathematicalmodeling and a two-phase algebraic approach is investigated. A manufacturing systemwith a random defective rate, a rework process, and multiple deliveries is studied with thepurpose of deriving the optimal replenishment lot size and shipment policy that minimisestotal production-delivery costs. The conventional method uses differential calculus on thesystem cost function to determine the economic lot size and optimal number of shipmentsfor such an integrated vendor-buyer system, whereas the proposed two-phase algebraicapproach is a straightforward method that enables practitioners who may not havesufficient knowledge of calculus to manage real-world systems more effectively.

  12. Nail manifestations in pemphigus vulgaris

    Directory of Open Access Journals (Sweden)

    Cahali Juliana Burihan

    2002-01-01

    Full Text Available Nail involvement in pemphigus vulgaris is rare. We describe 5 patients with pemphigus vulgaris presenting nail involvement. In this disease, nail manifestations present, by order of frequency, as chronic paronychia, onychomadesis, onycholysis, Beau's lines and trachyonychia. All our 5 cases presented with paronychia, and 1 of them also had Beau's lines. Treatment with prednisone and/or cyclophosphamide controlled mucocutaneous and nail manifestations in all cases.

  13. 40 CFR 262.89 - OECD Waste Lists.

    Science.gov (United States)

    2010-07-01

    ... the Federal RCRA manifesting requirements at 40 CFR part 262, subpart B, to the universal waste... RCRA manifesting requirements at 40 CFR part 262, subpart B, the universal waste management standards... authority or authorities of concerned countries having jurisdiction over transboundary movements of...

  14. Methods for verifying compliance with low-level radioactive waste acceptance criteria

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-09-01

    This report summarizes the methods that are currently employed and those that can be used to verify compliance with low-level radioactive waste (LLW) disposal facility waste acceptance criteria (WAC). This report presents the applicable regulations representing the Federal, State, and site-specific criteria for accepting LLW. Typical LLW generators are summarized, along with descriptions of their waste streams and final waste forms. General procedures and methods used by the LLW generators to verify compliance with the disposal facility WAC are presented. The report was written to provide an understanding of how a regulator could verify compliance with a LLW disposal facility`s WAC. A comprehensive study of the methodology used to verify waste generator compliance with the disposal facility WAC is presented in this report. The study involved compiling the relevant regulations to define the WAC, reviewing regulatory agency inspection programs, and summarizing waste verification technology and equipment. The results of the study indicate that waste generators conduct verification programs that include packaging, classification, characterization, and stabilization elements. The current LLW disposal facilities perform waste verification steps on incoming shipments. A model inspection and verification program, which includes an emphasis on the generator`s waste application documentation of their waste verification program, is recommended. The disposal facility verification procedures primarily involve the use of portable radiological survey instrumentation. The actual verification of generator compliance to the LLW disposal facility WAC is performed through a combination of incoming shipment checks and generator site audits.

  15. 49 CFR 375.805 - If I am forced to relinquish a collect-on-delivery shipment before the payment of ALL charges...

    Science.gov (United States)

    2010-10-01

    ... shipment before the payment of ALL charges, how do I collect the balance? 375.805 Section 375.805... forced to relinquish a collect-on-delivery shipment before the payment of ALL charges, how do I collect the balance? On “collect-on-delivery” shipments, you must present your freight bill for all...

  16. Waste Sites - Municipal Waste Operations

    Data.gov (United States)

    NSGIC Education | GIS Inventory — A Municipal Waste Operation is a DEP primary facility type related to the Waste Management Municipal Waste Program. The sub-facility types related to Municipal Waste...

  17. Waste Isolation Pilot Plant Biennial Environmental Compliance Report

    Energy Technology Data Exchange (ETDEWEB)

    Westinghouse TRU Solutions

    2000-12-01

    This Biennial Environmental Compliance Report (BECR) documents environmental regulatory compliance at the Waste Isolation Pilot Plant (WIPP), a facility designed for the safe disposal of transuranic (TRU) radioactive waste, for the reporting period of April 1, 1998, to March 31, 2000. As required by the WIPP Land Withdrawal Act (LWA)(Public Law [Pub. L.] 102-579, and amended by Pub. L. 104-201), the BECR documents U.S. Department of Energy (DOE) Carlsbad Area Office's (hereinafter the ''CAO'') compliance with applicable environmental protection laws and regulations implemented by agencies of the federal government and the state of New Mexico. An issue was identified in the 1998 BECR relating to a potential cross-connection between the fire-water systems and the site domestic water system. While the CAO and its managing and operating contractor (hereinafter the ''MOC'') believe the site was always in compliance with cross-connection control requirements, hardware and procedural upgrades w ere implemented in March 1999 to strengthen its compliance posture. Further discussion of this issue is presented in section 30.2.2 herein. During this reporting period WIPP received two letters and a compliance order alleging violation of certain requirements outlined in section 9(a)(1) of the LWA. With the exception of one item, pending a final decision by the New Mexico Environment Department (NMED), all alleged violations have been resolved without the assessment of fines or penalties. Non-mixed TRU waste shipments began on March 26, 1999. Shipments continued through November 26, 1999, the effective date of the Waste Isolation Pilot Plant Hazardous Waste Facility Permit (NM4890139088-TSDF). No shipments regulated under the Hazardous Waste Facility Permit were received at WIPP during this BECR reporting period.

  18. 15 CFR 743.2 - High performance computers: Post shipment verification reporting.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false High performance computers: Post... ADMINISTRATION REGULATIONS SPECIAL REPORTING § 743.2 High performance computers: Post shipment verification... certain computers to destinations in Computer Tier 3, see § 740.7(d) for a list of these destinations...

  19. 21 CFR 1271.265 - Receipt, predistribution shipment, and distribution of an HCT/P.

    Science.gov (United States)

    2010-04-01

    ... distribution of an HCT/P. 1271.265 Section 1271.265 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF... Practice § 1271.265 Receipt, predistribution shipment, and distribution of an HCT/P. (a) Receipt. You must evaluate each incoming HCT/P for the presence and significance of microorganisms and inspect for damage...

  20. 49 CFR 173.301b - Additional general requirements for shipment of UN pressure receptacles.

    Science.gov (United States)

    2010-10-01

    ... Group I performance level. (d) Non-refillable UN pressure receptacles. Non-refillable UN pressure... pressure receptacles. 173.301b Section 173.301b Transportation Other Regulations Relating to Transportation....301b Additional general requirements for shipment of UN pressure receptacles. (a) General....

  1. 7 CFR 932.60 - Reports of acquisitions, sales, uses, shipments and creditable brand advertising.

    Science.gov (United States)

    2010-01-01

    ... creditable brand advertising. 932.60 Section 932.60 Agriculture Regulations of the Department of Agriculture... Reports of acquisitions, sales, uses, shipments and creditable brand advertising. (a) Each handler shall... shall file such reports of creditable brand advertising as recommended by the committee and approved...

  2. 27 CFR 44.210 - Return of shipment to factory or export warehouse.

    Science.gov (United States)

    2010-04-01

    ... factory or export warehouse. 44.210 Section 44.210 Alcohol, Tobacco Products and Firearms ALCOHOL AND... Proprietors Miscellaneous Provisions § 44.210 Return of shipment to factory or export warehouse. A manufacturer or export warehouse proprietor may return to his factory or export warehouse, without...

  3. 9 CFR 73.5 - Interstate shipment of undiseased cattle from quarantined area; when permitted.

    Science.gov (United States)

    2010-01-01

    ... cattle from quarantined area; when permitted. 73.5 Section 73.5 Animals and Animal Products ANIMAL AND... (INCLUDING POULTRY) AND ANIMAL PRODUCTS SCABIES IN CATTLE § 73.5 Interstate shipment of undiseased cattle from quarantined area; when permitted. Cattle of any herd in any quarantined area, which herd is...

  4. 16 CFR 1610.39 - Shipments under section 11(c) of the Act.

    Science.gov (United States)

    2010-01-01

    ... REGULATIONS STANDARD FOR THE FLAMMABILITY OF CLOTHING TEXTILES Rules and Regulations § 1610.39 Shipments under... in commerce of articles of wearing apparel or textile fabrics for the purpose of finishing or... a statement disclosing such purpose. (b) An article of wearing apparel or textile fabric shall...

  5. EVALUATION OF CHROMOMYCIN A3 ASSAY IN HUMAN SPERM AFTER SIMULATED OVERNIGHT SHIPMENT

    Science.gov (United States)

    EVALUATION OF CHROMOMYCIN A3ASSAY IN HUMAN SPERM AFTER SIMULATED OVERNIGHT SHIPMENT. SC Jeffay1, R Morris Buus1, LF Strader1, AF Olshan2, DP Evenson3, SD Perreault1. 1US EPA/ORD, RTP, NC;2UNC-CH, Chapel Hill, NC;3SDSU, Brookings, SD.Semen collection kits that allow ...

  6. 77 FR 74587 - Safety Zone; Grain-Shipment Vessels, Columbia and Willamette Rivers

    Science.gov (United States)

    2012-12-17

    ... Department of Homeland Security Management Directive 023-01 and Commandant Instruction M16475.lD, which guide... categorically excluded from further review under paragraph 34(g) of Figure 2-1 of the Commandant Instruction. An... a maximum 200-yard radius of grain-shipment vessels when anchored, at any berth, moored, or in...

  7. Routing of radioactive shipments in networks with time-varying costs and curfews

    Energy Technology Data Exchange (ETDEWEB)

    Bowler, L.A.; Mahmassani, H.S. [Univ. of Texas, Austin, TX (United States). Dept. of Civil Engineering

    1998-09-01

    This research examines routing of radioactive shipments in highway networks with time-dependent travel times and population densities. A time-dependent least-cost path (TDLCP) algorithm that uses a label-correcting approach is adapted to include curfews and waiting at nodes. A method is developed to estimate time-dependent population densities, which are required to estimate risk associated with the use of a particular highway link at a particular time. The TDLCP algorithm is implemented for example networks and used to examine policy questions related to radioactive shipments. It is observed that when only Interstate highway facilities are used to transport these materials, a shipment must go through many cities and has difficulty avoiding all of them during their rush hour periods. Decreases in risk, increased departure time flexibility, and modest increases in travel times are observed when primary and/or secondary roads are included in the network. Based on the results of the example implementation, the suitability of the TDLCP algorithm for strategic nuclear material and general radioactive material shipments is demonstrated.

  8. 7 CFR 318.47-4 - Shipments by the Department of Agriculture.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Shipments by the Department of Agriculture. 318.47-4 Section 318.47-4 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE STATE OF HAWAII AND TERRITORIES QUARANTINE NOTICES...

  9. 78 FR 31821 - Physical Protection of Shipments of Irradiated Reactor Fuel

    Science.gov (United States)

    2013-05-28

    ...: Nuclear Regulatory Commission. ACTION: NUREG; issuance. SUMMARY: The U.S. Nuclear Regulatory Commission (NRC) is issuing Revision 2 of NUREG-0561, ``Physical Protection of Shipments of Irradiated Reactor... individuals granted unescorted access to SNF during transportation. DATES: Revision 2 of NUREG-0561...

  10. 78 FR 67927 - Foreign Trade Regulations (FTR): Mandatory Automated Export System Filing for All Shipments...

    Science.gov (United States)

    2013-11-13

    ... Export System Filing for All Shipments Requiring Shipper's Export Declaration Information: Substantive... the Automated Export System (AES) under control number 0607-0152. DATES: The effective date of the... instrument used for collecting export trade data, which is used by the Census Bureau for statistical...

  11. 15 CFR 30.35 - Procedure for shipments exempt from filing requirements.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Procedure for shipments exempt from filing requirements. 30.35 Section 30.35 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade BUREAU OF THE CENSUS, DEPARTMENT OF COMMERCE FOREIGN TRADE REGULATIONS Exemptions From...

  12. 15 CFR 30.39 - Special exemptions for shipments to the U.S. Armed Services.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Special exemptions for shipments to the U.S. Armed Services. 30.39 Section 30.39 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade BUREAU OF THE CENSUS, DEPARTMENT OF COMMERCE FOREIGN TRADE...

  13. 15 CFR 30.36 - Exemption for shipments destined to Canada.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Exemption for shipments destined to Canada. 30.36 Section 30.36 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade BUREAU OF THE CENSUS, DEPARTMENT OF COMMERCE FOREIGN TRADE REGULATIONS Exemptions From the...

  14. 75 FR 31288 - Plant-Verified Drop Shipment (PVDS)-Nonpostal Documentation

    Science.gov (United States)

    2010-06-03

    ... 111 Plant-Verified Drop Shipment (PVDS)--Nonpostal Documentation AGENCY: Postal Service TM . ACTION...; and to require segregation of documentation presented at the time of induction. DATES: Effective Date... other documentation presented at the time of mailing. This measure ensures that postal personnel will...

  15. Processing Discrepancy Reports Against Foreign Military Sales Shipments (Supplementation is Permitted at all Levels)

    Science.gov (United States)

    2007-11-02

    invoice should be attached to SF 364. Item 6 Transportation Document. The type of transportation document, Government Bill of Lading ( GBL ), Commercial...identifying number assigned to such document. This is a mandatory entry when shipment received was made via traceable means, e.g., GBL or CBL. The following

  16. 10 CFR 40.66 - Requirements for advance notice of export shipments of natural uranium.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Requirements for advance notice of export shipments of natural uranium. 40.66 Section 40.66 Energy NUCLEAR REGULATORY COMMISSION DOMESTIC LICENSING OF SOURCE... natural uranium. (a) Each licensee authorized to export natural uranium, other than in the form of ore...

  17. 49 CFR 173.302a - Additional requirements for shipment of nonliquefied (permanent) compressed gases in...

    Science.gov (United States)

    2010-10-01

    ..., 3AX, 3AA, 3AAX, and 3T cylinder may be filled with a compressed gas, other than a liquefied, dissolved... nonliquefied (permanent) compressed gases in specification cylinders. 173.302a Section 173.302a Transportation... PACKAGINGS Gases; Preparation and Packaging § 173.302a Additional requirements for shipment of nonliquefied...

  18. 9 CFR 351.16 - Certificate required for shipments of technical animal fat.

    Science.gov (United States)

    2010-01-01

    ... technical animal fat. 351.16 Section 351.16 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE... AND VOLUNTARY INSPECTION AND CERTIFICATION CERTIFICATION OF TECHNICAL ANIMAL FATS FOR EXPORT Transportation and Exportation of Certified Technical Animal Fat § 351.16 Certificate required for shipments...

  19. 19 CFR 18.24 - Retention of goods on dock; splitting of shipments.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Retention of goods on dock; splitting of shipments... Transit Through the United States to Foreign Countries § 18.24 Retention of goods on dock; splitting of... dock, the port director, in his discretion, may allow in-transit merchandise, including merchandise...

  20. Cutaneous manifestations of human toxocariasis.

    Science.gov (United States)

    Gavignet, Béatrice; Piarroux, Renaud; Aubin, François; Millon, Laurence; Humbert, Philippe

    2008-12-01

    Human toxocariasis is a parasitic disease characterized by the presence of larvae of the genus Toxocara in human tissues. T canis and T cati, the adult roundworms of which are found in dog and cat intestines, respectively, are the most common causative agents of the disease. Toxocaral larvae usually cause two severe syndromes: visceral larva migrans and ocular larva migrans, depending on the location of the larvae. Two other syndromes, covert toxocariasis and common toxocariasis, which are less typical and not as severe, have also been described. During the last two decades, cutaneous manifestations such as chronic urticaria, chronic pruritus, and miscellaneous eczema, in patients with Toxocara antibodies, have been studied by different authors. In some cases, these cutaneous manifestations are the only signs indicating the presence of the disease, and they are cured after antihelmintic treatment when there is good patient compliance. In this review, we focus on these particular skin manifestations regarding their clinical description, diagnosis, and treatment.

  1. [Cardiovascular manifestations of human toxocariasis].

    Science.gov (United States)

    Bolívar-Mejía, Adrián; Rodríguez-Morales, Alfonso J; Paniz-Mondolfi, Alberto E; Delgado, Olinda

    2013-01-01

    Toxocariasis is a parasitic infection produced by helminths that cannot reach their adult stage in humans. For their etiological species (Toxocara canis and Toxocara cati), man is a paratenic host. Infection by such helminths can produce a variety of clinical manifestations, such as: visceral larvae migrans syndrome, ocular larvae migrans syndrome and covert toxocariasis. In the visceral larvae migrans syndrome, the organs that are mainly involved include liver, lungs, skin, nervous system, muscles, kidneys and the heart. Regarding the latter, the importance of cardiovascular manifestations in toxocariasis, as well as its clinical relevance, has increasingly begun to be recognized. The current article is based on a systematic information search, focused mainly on the clinical and pathological aspects of cardiovascular manifestations in toxocariasis, including its pathophysiology, laboratory findings, diagnosis and therapeutical options, with the objective of highlighting its importance as a zoonosis and its relevance to the fields of cardiovascular medicine in adults and children.

  2. RHEUMATIC MANIFESTATIONS IN VIRAL HEPATITIS

    Directory of Open Access Journals (Sweden)

    L P Anan'eva

    2008-01-01

    Full Text Available Autoimmune reactions are of primary importance in the development of extrahepatic manifestations of viral hepatitis, among which there are rheumatic symptoms and syndromes. The incidence of clinically significant extrahepatic manifestations is shown to be relatively low, but they may be in the foreground in the clinical picture of the disease and are noted for severity. It is concluded that due to the high prevalence of hepatitis and the systemic pattern of their chronic forms, patients with extrahepatic manifestations of viral hepatitis may be encountered in the practice of a therapist and a rheumatologist. The onset of the infection caused by hepatitis viruses may be accompanied by articular lesion therefore the rheumatologist may be the first physician such a patient may resort to.

  3. RHEUMATIC MANIFESTATIONS IN VIRAL HEPATITIS

    Directory of Open Access Journals (Sweden)

    L P Anan'eva

    2008-12-01

    Full Text Available Autoimmune reactions are of primary importance in the development of extrahepatic manifestations of viral hepatitis, among which there are rheumatic symptoms and syndromes. The incidence of clinically significant extrahepatic manifestations is shown to be relatively low, but they may be in the foreground in the clinical picture of the disease and are noted for severity. It is concluded that due to the high prevalence of hepatitis and the systemic pattern of their chronic forms, patients with extrahepatic manifestations of viral hepatitis may be encountered in the practice of a therapist and a rheumatologist. The onset of the infection caused by hepatitis viruses may be accompanied by articular lesion therefore the rheumatologist may be the first physician such a patient may resort to.

  4. Cutaneous manifestations of viral hepatitis.

    Science.gov (United States)

    Akhter, Ahmed; Said, Adnan

    2015-02-01

    There are several extrahepatic cutaneous manifestations associated with hepatitis B and hepatitis C virus infection. Serum sickness and polyarteritis nodosa are predominantly associated with hepatitis B infection, whereas mixed cryoglobulinemia associated vasculitis and porphyria cutanea tarda are more frequently seen in hepatitis C infection. The clinico-pathogenic associations of these skin conditions are not completely defined but appear to involve activation of the host immune system including the complement system. Management of the aforementioned cutaneous manifestations of viral hepatitis is often similar to that done in cases without viral hepatitis, with control of immune activation being a key strategy. In cases associated with hepatitis B and C, control of viral replication with specific antiviral therapy is also important and associated with improvement in most of the associated clinical manifestations.

  5. 76 FR 36363 - Hazardous Waste Manifest Printing Specifications Correction Rule

    Science.gov (United States)

    2011-06-22

    ... another method (e.g., white text against black background in a text box, or, black text against grey background in a text box) that clearly distinguishes the copy distribution notations from the other text and... resulted because the laser printers proposed for use in this mobile application could not produce red...

  6. Quantum manifestations of Nekhoroshev stability

    Energy Technology Data Exchange (ETDEWEB)

    Fontanari, Daniele, E-mail: fontanari@purple.univ-littoral.fr [Département de physique, Université du Littoral – Côte d' Opale, 59140 Dunkerque (France); Fassò, Francesco, E-mail: fasso@math.unipd.it [Università di Padova, Dipartimento di Matematica, Via Trieste 63, Padova 35121 (Italy); Sadovskií, Dmitrií A., E-mail: sadovski@univ-littoral.fr [Département de physique, Université du Littoral – Côte d' Opale, 59140 Dunkerque (France)

    2016-09-16

    We uncover quantum manifestations of classical Nekhoroshev theory of resonant dynamics using a simple quantum system of two coupled angular momenta with conserved equal magnitudes which corresponds to a perturbed classical integrable anisochronous Hamiltonian system. - Highlights: • Basic quantum manifestations of classical Nekhoroshev theory are studied. • A simple anisochronous convex system with two degrees of freedom is proposed. • Zones are uncovered in the joint expectation value spectrum of quantized actions. • The width of the zones is given by the Nekhoroshev resonant normal forms.

  7. Cutaneous manifestations in celiac disease

    Institute of Scientific and Technical Information of China (English)

    L Abenavoli; G Addolorato; I Proietti; L Leggio; A Ferrulli; L Vonghia; R Capizzi; M Rotoli; PL Amerio; G Gasbarrini

    2006-01-01

    Celiac disease (CD) is an autoimmune gluten-dependent enteropathy characterized by atrophy of intestinal villi that improves after gluten-free diet (GFD). CD is often associated with extra-intestinal manifestations;among them, several skin diseases are described in CD patients. The present review reports all CD-associated skin manifestations described in the literature and tries to analyze the possible mechanisms involved in this association. The opportunity to evaluate the possible presence of CD in patients affected by skin disorders is discussed.

  8. Dermatologic Manifestations of Systemic Diseases.

    Science.gov (United States)

    Valdez, Maryn Anne; Isamah, Nwamaka; Northway, Rebecca M

    2015-12-01

    Dermatologic complaints are encountered frequently by the primary care provider. Patients often are required as well as want to see their primary care provider before referral to a specialist. Therefore, primary care providers must be skilled in a variety of topics including dermatology. Certain dermatologic manifestations are associated with, or indicative of, systemic diseases. Primary care providers must be knowledgeable in diagnosis, evaluation, and treatment of dermatologic conditions, as well as when to appropriately refer. This article reviews common dermatologic manifestations of systemic diseases. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Residential Waste

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund; Fruergaard, Thilde; Matsufuji, Y.

    2011-01-01

    are discussed in this chapter. Characterizing residential waste is faced with the problem that many residences already divert some waste away from the official collection systems, for example performing home composting of vegetable waste and garden waste, having their bundled newspaper picked up by the scouts...... twice a year or bringing their used furniture to the flea markets organized by charity clubs. Thus, much of the data available on residential waste represents collected waste and not necessarily all generated waste. The latter can only be characterized by careful studies directly at the source......Residential waste comes from residential areas with multi-family and single-family housing and includes four types of waste: household waste, garden waste, bulky waste and household hazardous waste. Typical unit generation rates, material composition, chemical composition and determining factors...

  10. Residential Waste

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund; Fruergaard, Thilde; Matsufuji, Y.

    2011-01-01

    Residential waste comes from residential areas with multi-family and single-family housing and includes four types of waste: household waste, garden waste, bulky waste and household hazardous waste. Typical unit generation rates, material composition, chemical composition and determining factors...... are discussed in this chapter. Characterizing residential waste is faced with the problem that many residences already divert some waste away from the official collection systems, for example performing home composting of vegetable waste and garden waste, having their bundled newspaper picked up by the scouts...... twice a year or bringing their used furniture to the flea markets organized by charity clubs. Thus, much of the data available on residential waste represents collected waste and not necessarily all generated waste. The latter can only be characterized by careful studies directly at the source...

  11. Cardiac Manifestation in Dengue Fever.

    Science.gov (United States)

    Arora, Mohit; Patil, Rekha S

    2016-07-01

    To study the cardiac manifestations of the dengue fever. This one year descriptive study was undertaken at KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum under the Department of Medicine. A total of 120 patients with either dengue IgM or IgM and IgG were studied. The assessment of cardiac manifestations was done based on electrocardiogram, 2D echocardiography and cardiac enzymes. Of the 120 patients, 85 (70.83%) were males and the male to female ratio was 2.4:1. The mean age of the patients was 33.02 ± 12.71 years. The commonest clinical presentation was myalgia (97.5%) followed by fever (92.5%). On clinical examination 33.33% of the patients had petecheia and only 9 patients having active bleeding manifestation at the time of presentation. A raised CK-MB and Troponin I was observed in 33.3% and 26.7% patients ECG findings revealed normal rhythm among 95% with 15.8% of them having an abnormal heart rate. Rhythm disturbance was noted in 5% of the patients with AV block being the most common (66.67%). Cardiac manifestation in the form of myocarditis was observed in 37.50% of the patients with a positive correlation with the severity of the dengue fever defined as by W.H.O. criteria. Patients with dengue fever are at high risk of developing myocarditis and rhythm disturbance and therefore require a close cardiac monitoring.

  12. Neurological Manifestations of Takayasu Arteritis

    Institute of Scientific and Technical Information of China (English)

    Li-xin Zhou; Jun Ni; Shan Gao; Bin Peng; Li-ying Cui

    2011-01-01

    Objective To investigate the clinical neurological manifestations of Takayasu arteritis (TA).Methods A retrospective study was conducted with 63 consecutive TA cases admitted to Peking Union Medical College Hospital from January 2009 to May 2010.All the patients fulfilled the diagnostic criteria of TA by the American College of Rheumatology.Among the 63 TA patients,27 with neurological manifestations were included in the present study.All the patients were evaluated using standardized neurological examination,sonography,computed tomography (CT) angiography,and cerebral CT or magnetic resonance imaging.Results Dizziness and visual disturbance were the most common symptoms,which occurred in 20 (74.1%) and 16 (59.3%) patients respectively.Another common symptom was headache,observed in 15 (55.6%) patients.Six (22.2%) patients had suffered from ischemic stroke; 7 (25.9%) patients had epileptic seizures.Two (7.4%) patients were diagnosed as reversible posterior encephalopathy syndrome (RPES) based on typical clinical and imaging manifestations.Conclusions Neurological manifestations are common symptoms in TA patients in the chronic phase,including dizziness,visual disturbance,headache,ischemic stroke,seizures,and some unusual ones such as RPES.We suggested RPES be included into the differential diagnosis of acute neurological changes in TA.

  13. Mucocutaneous manifestations of Cowden's syndrome

    Directory of Open Access Journals (Sweden)

    Kundoor Vinay Kumar Reddy

    2016-01-01

    Full Text Available Cowden's syndrome is an autosomal dominant genodermatosis with variable orofacial and systemic manifestations. Here we present one such classical case of Cowden's syndrome in a 45-year-old female patient with features such as multiple cutaneous papillomatosis, oral fibromas, and fibromas involving multiple organs such as gastrointestinal tract (multiple polyps, thyroid disorders, and breast cancer.

  14. Parasitic Diseases With Cutaneous Manifestations.

    Science.gov (United States)

    Ash, Mark M; Phillips, Charles M

    2016-01-01

    Parasitic diseases result in a significant global health burden. While often thought to be isolated to returning travelers, parasitic diseases can also be acquired locally in the United States. Therefore, clinicians must be aware of the cutaneous manifestations of parasitic diseases to allow for prompt recognition, effective management, and subsequent mitigation of complications. This commentary also reviews pharmacologic treatment options for several common diseases.

  15. Radiologic manifestations in the musculoskeletal system of miscellaneous endocrine disorders.

    Science.gov (United States)

    Chew, F S

    1991-01-01

    The manifestations of endocrine derangements in the musculoskeletal system in infancy and childhood are disturbances in growth and maturation and in adulthood are disturbances in maintenance and metabolism. Hypercortisolism during skeletal immaturity suppresses growth. In the adult, hypercortisolism leads to osteoporosis, osteonecrosis, and muscle wasting. Deficiency of growth hormone during skeletal development results in short stature. An excess of growth hormone in a skeletally immature individual results in gigantism, an excess in a skeletally mature individual results in acromegaly. Patients with gigantism have extreme height with normal body proportions. Musculoskeletal manifestations of acromegaly include soft-tissue thickening, vertebral body enlargement, characteristic hand and foot changes, and enthesal bony proliferation. Hyperthyroidism causes catabolism of protein and loss of connective tissue, which manifest as muscle wasting. Deficient levels of thyroid hormone cause defects in growth and development. Severe growth retardation from congenital hypothyroidism is rare because neonatal screening recognizes the disorder and leads to early treatment. The skeletal manifestation of hypergonadism in children is precocious growth and early skeletal maturation. Although the initial precocious growth spurt results in a tall child, early closure of the growth plates results in a short adult. Hypogonadism in the prepubertal child results in delayed adolescence and delayed skeletal maturation. Diabetes mellitus in childhood results in decreased growth, a phenomenon presumed to be secondary to nutritional abnormalities. Generalized osteoporosis and short stature are common. In the adult, generalized osteoporosis may accompany insulin-dependent diabetes mellitus if obesity is absent. Calcification of interdigital arteries of the foot is common in diabetics and uncommon in other conditions. Additional skeletal manifestations relate to complications of diabetes such as

  16. Preliminary concepts: materials management in an internationally safeguarded nuclear-waste geologic repository

    Energy Technology Data Exchange (ETDEWEB)

    Ostenak, C.A.; Whitty, W.J.; Dietz, R.J.

    1979-11-01

    Preliminary concepts of materials accountability are presented for an internationally safeguarded nuclear-waste geologic repository. A hypothetical reference repository that receives nuclear waste for emplacement in a geologic medium serves to illustrate specific safeguards concepts. Nuclear wastes received at the reference repository derive from prior fuel-cycle operations. Alternative safeguards techniques ranging from item accounting to nondestructive assay and waste characteristics that affect the necessary level of safeguards are examined. Downgrading of safeguards prior to shipment to the repository is recommended whenever possible. The point in the waste cycle where international safeguards may be terminate depends on the fissile content, feasibility of separation, and practicable recoverability of the waste: termination may not be possible if spent fuels are declared as waste.

  17. Office of Waste Isolation. Progress report, November 1977. [National waste terminal storage

    Energy Technology Data Exchange (ETDEWEB)

    Rhines, R.C.; Asher, J.M. (eds.)

    1977-12-28

    This program is part of the National Waste Terminal Storage program. The Geologic Review Group meeting was held in New Orleans, November 16-17. Start-up of the near-surface heater experiment in the Conasauga Shale formation is under way at Oak Ridge. The first shipment of experimental equipment from Oak Ridge to Avery Island, Louisiana, for the dome salt in-situ test was successfully completed. On November 9-10, a design status review on the spent fuel repository conceptual design was held with Kaiser Engineers, Inc. On November 2, OWI personnel reviewed the progress on the Economic Studies with TRW representatives.

  18. Hazardous Waste

    Science.gov (United States)

    ... you throw these substances away, they become hazardous waste. Some hazardous wastes come from products in our homes. Our garbage can include such hazardous wastes as old batteries, bug spray cans and paint ...

  19. Waste printed circuit board recycling techniques and product utilization

    Energy Technology Data Exchange (ETDEWEB)

    Hadi, Pejman; Xu, Meng [Chemical and Biomolecular Engineering Department, Hong Kong University of Science and Technology, Clear Water Bay Road, Hong Kong Special Administrative Region (Hong Kong); Lin, Carol S.K. [School of Energy and Environment, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong Special Administrative Region (Hong Kong); Hui, Chi-Wai [Chemical and Biomolecular Engineering Department, Hong Kong University of Science and Technology, Clear Water Bay Road, Hong Kong Special Administrative Region (Hong Kong); McKay, Gordon, E-mail: kemckayg@ust.hk [Chemical and Biomolecular Engineering Department, Hong Kong University of Science and Technology, Clear Water Bay Road, Hong Kong Special Administrative Region (Hong Kong); Division of Sustainable Development, College of Science, Engineering and Technology, Hamad Bin Khalifa University, Qatar Foundation, Doha (Qatar)

    2015-02-11

    Highlights: • There is a major environmental issue about the printed circuit boards throughout the world. • Different physical and chemical recycling techniques have been reviewed. • Nonmetallic fraction of PCBs is the unwanted face of this waste stream. • Several applications of the nonmetallic fraction of waste PCBs have been introduced. - Abstract: E-waste, in particular waste PCBs, represents a rapidly growing disposal problem worldwide. The vast diversity of highly toxic materials for landfill disposal and the potential of heavy metal vapors and brominated dioxin emissions in the case of incineration render these two waste management technologies inappropriate. Also, the shipment of these toxic wastes to certain areas of the world for eco-unfriendly “recycling” has recently generated a major public outcry. Consequently, waste PCB recycling should be adopted by the environmental communities as an ultimate goal. This article reviews the recent trends and developments in PCB waste recycling techniques, including both physical and chemical recycling. It is concluded that the physical recycling techniques, which efficiently separate the metallic and nonmetallic fractions of waste PCBs, offer the most promising gateways for the environmentally-benign recycling of this waste. Moreover, although the reclaimed metallic fraction has gained more attention due to its high value, the application of the nonmetallic fraction has been neglected in most cases. Hence, several proposed applications of this fraction have been comprehensively examined.

  20. Cardiopulmonary Manifestations of Ankylosing Spondylitis

    Science.gov (United States)

    Momeni, Mahnaz; Taylor, Nora; Tehrani, Mahsa

    2011-01-01

    Ankylosing spondylitis is a chronic inflammatory condition that usually affects young men. Cardiac dysfunction and pulmonary disease are well-known and commonly reported extra-articular manifestation, associated with ankylosing spondylitis (AS). AS has also been reported to be specifically associated with aortitis, aortic valve diseases, conduction disturbances, cardiomyopathy and ischemic heart disease. The pulmonary manifestations of the disease include fibrosis of the upper lobes, interstitial lung disease, ventilatory impairment due to chest wall restriction, sleep apnea, and spontaneous pneumothorax. They are many reports detailing pathophysiology, hypothesized mechanisms leading to these derangements, and estimated prevalence of such findings in the AS populations. At this time, there are no clear guidelines regarding a stepwise approach to screen these patients for cardiovascular and pulmonary complications. PMID:21547038

  1. Unusual clinical manifestations of leptospirosis

    Directory of Open Access Journals (Sweden)

    Bal A

    2005-01-01

    Full Text Available Leptospirosis has protean clinical manifestations. The classical presentation of the disease is an acute biphasic febrile illness with or without jaundice. Unusual clinical manifestations may result from involvement of pulmonary, cardiovascular, neural, gastrointestinal, ocular and other systems. Immunological phenomena secondary to antigenic mimicry may also be an important component of many clinical features and may be responsible for reactive arthritis. Leptospirosis in early pregnancy may lead to fetal loss. There are a few reports of leptospirosis in HIV- infected individuals but no generalisation can be made due to paucity of data. It is important to bear in mind that leptospiral illness may be a significant component in cases of dual infections or in simultaneous infections with more than two pathogens.

  2. Digestive manifestations of parathyroid disorders

    Institute of Scientific and Technical Information of China (English)

    Bassam Abboud; Ronald Daher; Joe Boujaoude

    2011-01-01

    The parathyroid glands are the main regulator of plasma calcium and have a direct influence on the digestive tract. Parathyroid disturbances often result in unknown long-standing symptoms. The main manifestation of hypoparathyroidism is steatorrhea due to a deficit in exocrine pancreas secretion. The association with celiac sprue may contribute to malabsorption. Hyperparathyroidism causes smooth-muscle atony, with upper and lower gastrointestinal symptoms such as nausea, heartburn and constipation. Hyperparathyroidism and peptic ulcer were strongly linked before the advent of proton pump inhibitors. Nowadays, this association remains likely only in the particular context of multiple endocrine neoplasia type 1/Zollinger-Ellison syndrome. In contrast to chronic pancreatitis, acute pancreatitis due to primary hyperparathyroidism is one of the most studied topics. The causative effect of high calcium level is confirmed and the distinction from secondary hyperparathyroidism is mandatory. The digestive manifestations of parathyroid malfunction are often overlooked and serum calcium level must be included in the routine workup for abdominal symptoms.

  3. Cardiopulmonary Manifestations of Ankylosing Spondylitis

    Directory of Open Access Journals (Sweden)

    Mahnaz Momeni

    2011-01-01

    Full Text Available Ankylosing spondylitis is a chronic inflammatory condition that usually affects young men. Cardiac dysfunction and pulmonary disease are well-known and commonly reported extra-articular manifestation, associated with ankylosing spondylitis (AS. AS has also been reported to be specifically associated with aortitis, aortic valve diseases, conduction disturbances, cardiomyopathy and ischemic heart disease. The pulmonary manifestations of the disease include fibrosis of the upper lobes, interstitial lung disease, ventilatory impairment due to chest wall restriction, sleep apnea, and spontaneous pneumothorax. They are many reports detailing pathophysiology, hypothesized mechanisms leading to these derangements, and estimated prevalence of such findings in the AS populations. At this time, there are no clear guidelines regarding a stepwise approach to screen these patients for cardiovascular and pulmonary complications.

  4. Orofacial manifestations of systemic sclerosis.

    Science.gov (United States)

    Veale, B J; Jablonski, R Y; Frech, T M; Pauling, J D

    2016-09-23

    Systemic sclerosis (SSc) is a multisystem disease of unknown aetiology characterised by microangiopathy, dysregulated immune function and tissue remodelling, which commonly involves the oral cavity. Orofacial manifestations of SSc contribute greatly to overall disease burden and yet are regularly overlooked and under-treated. This may reflect a pre-occupation amongst rheumatology clinicians on potentially life-threatening internal organ involvement, but is also a consequence of insufficient engagement between rheumatologists and dental professionals. A high proportion of SSc patients report difficulty accessing a dentist with knowledge of the disease and there is recognition amongst dentists that this could impact negatively on patient care. This review shall describe the clinical features and burden of orofacial manifestations of SSc and the management of such problems. The case is made for greater collaborative working between rheumatologists and dental professionals with an interest in SSc in both the research and clinical setting.

  5. ORBITAL MANIFESTATIONS OF SINUS DISEASE

    Directory of Open Access Journals (Sweden)

    Jyothirmayi

    2015-01-01

    Full Text Available AIM : To study the orbital manifestations in patients with sinus disease. METHODS : Patients wit h paranasal sinus disease presenting to OPD at Government ENT Hospital, AMC, Visakhapatnam from January 2012 to June 2014 were screened for orbital manifestations. Out of these, thirteen patients with orbital disease were referred to GREH, AMC, Visakhapatn am and were thoroughly investigated and managed appropriately. RESULTS : Out of the 14 patients 4 were female and 10 were male. Age ranged from 19 years to 70 years. 5 had maxillary sinus disease (4 - carcinoma and 1 case of mucormycosis. Frontal sinus dis ease was seen in two patients, one fibrous dysplasia and one malignancy. Five patients had ethmoidal sinus disease of which three patients were found to have ethmoidal sinus tumour (Malignant melanoma, Squamous cell Carcinoma. More than two sinuses were i nvolved in 2 patients. CONCLUSIONS : Early screening of patients with sinus disease by an Ophthalmologist can help in preventing severe vision threatening orbital complications.

  6. Some Manifestations of Japanese Exclusionism

    Directory of Open Access Journals (Sweden)

    Liang Morita

    2015-08-01

    Full Text Available The Japanese subscribe to ethnic nationalism, which is an ideology with the aim to develop an ethnically exclusive and homogeneous nationhood. One manifestation of ethnic nationalism is the belief that Japan is, or should be, a mono-ethnic society. Ethnic nationalism is manifested in the exclusionary attitude or opinion of the Japanese. In the context of foreigners living in Japan, the exclusionary attitude or opinion of the Japanese often translates into the insistence that foreigners should do things the Japanese way. This is unfriendly to foreigners living in Japan, to say the least. This article illustrates how unwelcoming and inconvenient Japanese exclusionism can be by using two examples that directly affect foreigners: housing and discrimination against foreigners.

  7. Breast manifestations of systemic diseases

    Directory of Open Access Journals (Sweden)

    Dilaveri CA

    2012-02-01

    Full Text Available Christina A Dilaveri, Maire Brid Mac Bride, Nicole P Sandhu, Lonzetta Neal, Karthik Ghosh, Dietlind L Wahner-RoedlerDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USAAbstract: Although much emphasis has been placed on the primary presentations of breast cancer, little focus has been placed on how systemic illnesses may affect the breast. In this article, we discuss systemic illnesses that can manifest in the breast. We summarize the clinical features, imaging, histopathology, and treatment recommendations for endocrine, vascular, systemic inflammatory, infectious, and hematologic diseases, as well as for the extramammary malignancies that can present in the breast. Despite the rarity of these manifestations of systemic disease, knowledge of these conditions is critical to the appropriate evaluation and treatment of patients presenting with breast symptoms.Keywords: breast, endocrine, hematologic, infectious, vascular

  8. Diverse clinical manifestations of pheochromocytomas.

    Science.gov (United States)

    Badui, E; Mancilla, R; Szymanski, J J; Garcia-Rubi, D; Estañol, B

    1982-03-01

    Many difficulties are encountered by clinicians in attempting to diagnose pheochromocytomas. We describe several patients with unusual clinical features. These include sudden death, cerebral hemorrhage, refractory congestive heart failure, acute abdominal pain, and hypercalcemia. In 2 patients, the rare association of this tumor and pregnancy was observed. Two subjects had sudden death, 1 during a pneumoencephalogram and another during an epidural block. The clinicians should be aware of these manifestations of pheochromocytomas.

  9. Clinical manifestations of sleep apnea

    OpenAIRE

    Stansbury, Robert C.; Strollo, Patrick J.

    2015-01-01

    Obstructive sleep apnea (OSA) may manifest in a number of ways from subtle intrusion into daily life to profound sleepiness, snoring, witnessed apneas and other classic symptoms. Although there is increasing evidence suggesting OSA can adversely affect health in a variety of ways, this disorder remains underdiagnosed. The most well-escribed health consequences of OSA relate to the cardiovascular system. Hypertension and arrhythmias have a strong association with OSA, and evidence suggests tha...

  10. Infrequent cardiac manifestations of sarcoidosis.

    Science.gov (United States)

    Ashraf, Said; Briasoulis, Alexandros; Afonso, Luis

    Cardiac sarcoidosis (CS) is found in 2-7% of patients with systemic sarcoidosis (SS). Its diagnosis and treatment is challenging, notwithstanding the poor prognosis and treatment. Hereby, we present a case of systemic sarcoidosis with rare cardiac manifestations of severe mitral incompetence and large coronary aneurysm in a previously healthy woman. She underwent successful mitral valve replacement and coronary artery bypass surgery and was maintained on low dose glucocorticoid therapy. Copyright © 2016. Published by Elsevier Inc.

  11. Systemic diseases with cutaneous manifestations.

    Science.gov (United States)

    Merchant, S R; Taboada, J

    1995-07-01

    The purpose of this article is to briefly discuss the following cutaneous manifestations of selected systemic diseases: poxvirus; feline leukemia virus (FeLV); feline immunodeficiency virus (FIV); herpesvirus; calcivirus; pseudorabies; plague; tularemia; toxoplasmosis; leishmania; hypothyroidism; hyperthyroidism; hyperadrenocorticism; diabetes mellitus; acromegaly; thallium poisoning; pancreatic disease; hypereosinophilic syndrome; mucopolysaccharidosis; and pansteatitis. Recognition of these cutaneous signs may help alert the clinician to the possibility of an internal disorder so that the appropriate diagnostic tests can be considered.

  12. Rheumatic manifestations of diabetes mellitus.

    Science.gov (United States)

    Lebiedz-Odrobina, Dorota; Kay, Jonathan

    2010-11-01

    DM is associated with various musculoskeletal manifestations. The strength of this relationship varies among the various musculoskeletal disorders; the associations are based mostly on epidemiologic data. For most of these conditions, definitive pathophysiologic correlates are lacking.Hand and shoulder disorders occur more frequently than other musculoskeletal manifestations of DM. Recognition of the association between DM and shoulder adhesive capsulitis, DD, and stenosing flexor tenosynovitis facilitates their correct diagnosis in the setting of DM and prompt initiation of appropriate treatment, which may include optimizing glycemic control. Conversely, awareness and identification of the characteristic musculoskeletal manifestations of DM may facilitate earlier diagnosis of DM and initiation of glucose-lowering therapy to retard the development of diabetic complications.Much less has been published about the musculoskeletal complications of DM than about its micro- and macrovascular complications. Prospective case-control cohort studies are needed to establish the true prevalence of musculoskeletal complications of DM and the metabolic syndrome, especially in this era of tighter glycemic control.The potential relationship between DM and the development of OA needs to be clarified in large, prospective, case-control cohort studies. The effect on musculoskeletal manifestations of various therapeutic regimens to manage DM should be studied prospectively. Treatment regimens for some musculoskeletal conditions associated with DM, such as DISH, should be studied in larger prospective, randomized,controlled clinical trials.At the molecular level, further studies are warranted to clarify the potential contribution of AGEs and adipokines to the development of OA and diabetic musculoskeletal syndromes, such as shoulder adhesive capsulitis, DD, stenosing flexor tenosynovitis, and LJM. Identification of such molecular targets for therapy would promote the development of

  13. Respiratory manifestations in endocrine diseases

    OpenAIRE

    LENCU, CODRU?A; ALEXESCU, TEODORA; PETRULEA, MIRELA; LENCU, MONICA

    2016-01-01

    The control mechanisms of respiration as a vital function are complex: voluntary ? cortical, and involuntary ? metabolic, neural, emotional and endocrine. Hormones and hypothalamic neuropeptides (that act as neurotrasmitters and neuromodulators in the central nervous system) play a role in the regulation of respiration and in bronchopulmonary morphology. This article presents respiratory manifestations in adult endocrine diseases that evolve with hormone deficit or hypersecretion. In hyperthy...

  14. Imaging Manifestations of Thoracic Tuberculosis.

    Science.gov (United States)

    Restrepo, Carlos Santiago; Katre, Rashmi; Mumbower, Amy

    2016-05-01

    Despite significant improvements in the diagnosis and treatment of tuberculosis achieved during the last 3 decades, tuberculosis still remains one of the deadliest communicable diseases worldwide. Tuberculosis is still present in all regions of the world, with a more significant impact in developing countries. This article reviews the most common imaging manifestations of primary and postprimary tuberculosis, their complications, and the critical role of imaging in the diagnosis and follow-up of affected patients.

  15. DWPF waste glass Product Composition Control System

    Energy Technology Data Exchange (ETDEWEB)

    Brown, K.G.; Postles, R.L.

    1992-07-01

    The Defense Waste Processing Facility (DWPF) will be used to blend aqueous radwaste (PHA) with solid radwaste (Sludge) in a waste receipt vessel (the SRAT). The resulting SRAT material is transferred to the SME an there blended with ground glass (Frit) to produce a batch of melter feed slurry. The SME material is passed to a hold tank (the MFT) which is used to continuously feed the DWPF melter. The melter. The melter produces a molten glass wasteform which is poured into stainless steel canisters for cooling and, ultimately, shipment to and storage in a geologic repository. The Product Composition Control System (PCCS) is the system intended to ensure that the melt will be processible and that the glass wasteform will be acceptable. This document provides a description of this system.

  16. DWPF waste glass Product Composition Control System

    Energy Technology Data Exchange (ETDEWEB)

    Brown, K.G.; Postles, R.L.

    1992-01-01

    The Defense Waste Processing Facility (DWPF) will be used to blend aqueous radwaste (PHA) with solid radwaste (Sludge) in a waste receipt vessel (the SRAT). The resulting SRAT material is transferred to the SME an there blended with ground glass (Frit) to produce a batch of melter feed slurry. The SME material is passed to a hold tank (the MFT) which is used to continuously feed the DWPF melter. The melter. The melter produces a molten glass wasteform which is poured into stainless steel canisters for cooling and, ultimately, shipment to and storage in a geologic repository. The Product Composition Control System (PCCS) is the system intended to ensure that the melt will be processible and that the glass wasteform will be acceptable. This document provides a description of this system.

  17. Atypical Neurological Manifestations Of Hypokalemia

    Directory of Open Access Journals (Sweden)

    pal P K

    2004-01-01

    Full Text Available A part from the well-established syndrome of motor paralysis, hypokalemia may present with atypical neurological manifestations, which are not well documented in literature. Methods: We treated 30 patients of hypokalemia whose neurological manifestations improved after corrections of hypokalemia. A retrospective chart review of the clinical profile was done with emphasis on the evolution of symptoms and occurrence of unusual manifestations. Results: Twenty-eight patients had subacute quadriparesis with duration of symptoms varying from 10hrs to 7 days and two had slowly progressive quadriparesis. Fifty percent of patients had more than one attack of paralysis. Early asymmetric weakness (11, stiffness and abnormal posture of hands (7, predominant bibrachial weakness (4, distal paresthesias (4, hemiparesthesia (1, hyperreflexia(4, early severe weakness of neck muscles (3, chorea (1, trismus (1,and, retention of urine (1 were the unusual features observed. The means level of serum potassium on admission was 2.1+0.6mEq/L.and the serum creatine kinase was elevated in 14 out of 17 patients. All patients except two had complete recovery.

  18. Neurological manifestations of thoracic myelopathy.

    Science.gov (United States)

    Takenaka, Shota; Kaito, Takashi; Hosono, Noboru; Miwa, Toshitada; Oda, Takenori; Okuda, Shinya; Yamashita, Tomoya; Oshima, Kazuya; Ariga, Kenta; Asano, Masatoshi; Fuchiya, Tsuyoshi; Kuroda, Yusuke; Nagamoto, Yukitaka; Makino, Takahiro; Yamazaki, Ryoji; Yonenobu, Kazuo

    2014-07-01

    Investigation of preoperative manifestations of thoracic myelopathy in a large population has not been reported. The aim of this study was to identify symptoms specific to anatomical pathology or compressed segments in thoracic myelopathy through investigation of preoperative manifestations. Subjects were 205 patients [143 men, 62 women; mean age, 62.2 (range 21-87 years)] with thoracic myelopathy who underwent surgery at our affiliate institutions from 2000 to 2011. The disease distribution included ossification of the ligamentum flavum (OLF) in 106 patients, ossification of the posterior longitudinal ligament (OPLL) in 17, OLF with OPLL in 17, intervertebral disc herniation (IDH) in 23, OLF with IDH in 3, and spondylosis in 39. We assessed (1) initial and preoperative complaints, (2) neurological findings, (3) Japanese Orthopaedic Association scores (JOA, full score, 11 points), (4) the compressed segments, and (5) preoperative duration. Multivariate analyses were performed to examine potential relationships between preoperative manifestations and anatomical pathology or compressed segments. The multivariate analyses revealed relationships between lower limb muscle weakness and T10/11 anterior compression; lower limb pain and T11/12 anterior compression; low back pain and T11/12 compression; and hyporeflexia in the patellar tendon reflex/foot drop and T12/L1 anterior compression. This study elucidated symptoms specific to anatomical pathology or compressed segments in thoracic myelopathy. These relationships can be helpful in the initial investigation of thoracic diseases, although additional measures such as MRI or CT are necessary for definitive diagnosis.

  19. Toxoplasmosis and its Ocular Manifestations

    Directory of Open Access Journals (Sweden)

    Koev Kr.

    2014-06-01

    Full Text Available The present review provides general information about the parasitic infection of toxoplasmosis and describes the ways of its transmission. It outlines the importance of the consequences of toxoplasmosis infection and the methods of its prevention. The review traces the harmful effects of the disease on human and animal organisms, the causes and stages of development of the disease. The review specifically focuses on the ocular manifestations of toxoplasmosis which can cause ocular lesions, inflammation and scarring. Herein are described the ways toxoplasmosis can damage the eyes causing chorioretinitis, nystagmus, microphthalmia, etc. Furthermore, the review addresses the problem of how congenital and acquired toxoplasmosis affects eyes. The ocular symptoms of toxoplasmosis include weakened or blurred vision, eyeballs pain, ocular sensitivity to light, etc. The harmful effects of toxoplasmosis to pregnant women and immunocompromised patients have been delineated. Some of the disease manifestations include jaundice, rash, asphyxia, etc. The review traces the diagnostic work-up and comments on common tests for toxoplasmosis, such as taking of blood serum samples. The review ends with the treatment of the disease and of its ocular manifestations in particular, for example application of intravitreous injection. The prevention of the infection is extremely important for pregnant women, immunocompromised patients and patients with AIDS.

  20. Request for One-Time Shipment of 32 Watt PU-328 Source in 9968 Packaging

    Energy Technology Data Exchange (ETDEWEB)

    Massey, W.M.

    1998-11-25

    The 9968 package is designed for surface shipment of fissile and other radioactive materials where a high degree of double containment is required. The use of the 9968 radioactive material package for a one time shipment of a 32 watt heat source versus the SARP approved maximum 30 watt heat source is addressed in this report. The analyses show that the small increase in heat load from 30 watts to 32 watts does not substantially increase internal temperatures or pressures that would approach limits for the package. Also, the weight of the content is within the current 9968 package limits. It is concluded that the 32-watt heat source can be safely shipped in the 9968 package and therefore a waiver to ship the source is justified.

  1. ERM 593 Applied Project_Guidance for Reviewing and Approving a Waste Stream Profile in the Waste Compliance and Tracking System_Final_05-05-15

    Energy Technology Data Exchange (ETDEWEB)

    Elicio, Andy U. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-05-05

    My ERM 593 applied project will provide guidance for the Los Alamos National Laboratory Waste Stream Profile reviewer (i.e. RCRA reviewer) in regards to Reviewing and Approving a Waste Stream Profile in the Waste Compliance and Tracking System. The Waste Compliance and Tracking system is called WCATS. WCATS is a web-based application that “supports the generation, characterization, processing and shipment of LANL radioactive, hazardous, and industrial waste.” The LANL generator must characterize their waste via electronically by filling out a waste stream profile (WSP) in WCATS. Once this process is completed, the designated waste management coordinator (WMC) will perform a review of the waste stream profile to ensure the generator has completed their waste stream characterization in accordance with applicable state, federal and LANL directives particularly P930-1, “LANL Waste Acceptance Criteria,” and the “Waste Compliance and Tracking System User's Manual, MAN-5004, R2,” as applicable. My guidance/applied project will describe the purpose, scope, acronyms, definitions, responsibilities, assumptions and guidance for the WSP reviewer as it pertains to each panel and subpanel of a waste stream profile.

  2. TRU waste inventory collection and work-off plans for the centralization of TRU waste characterization at INL - on your mark - get set - 9410

    Energy Technology Data Exchange (ETDEWEB)

    Mctaggert, Jerri Lynne [Los Alamos National Laboratory; Lott, Sheila [Los Alamos National Laboratory; Gadbury, Casey [CBFO

    2009-01-01

    The U.S. Department of Energy (DOE) amended the Record of Decision (ROD) for the Waste Management Program: Treatment and Storage ofTransuranic Waste to centralize transuranic (TRU) waste characterization/certification from fourteen TRU waste sites. This centralization will allow for treatment, characterization and certification ofTRU waste from the fourteen sites, thirteen of which are sites with small quantities ofTRU waste, at the Idaho National Laboratory (INL) prior to shipping the waste to the Waste Isolation Pilot Plant (WIPP) for disposal. Centralization ofthis TRU waste will avoid the cost ofbuilding treatment, characterization, certification, and shipping capabilities at each ofthe small quantity sites that currently do not have existing facilities. Advanced Mixed Waste Treatment Project (AMWTP) and Idaho Nuclear Technology and Engineering Center (INTEC) will provide centralized shipping facilities, to WIPP, for all ofthe small quantity sites. Hanford, the one large quantity site identified in the ROD, has a large number ofwaste in containers that are overpacked into larger containers which are inefficient for shipment to and disposal at WIPP. The AMWTP at the INL will reduce the volume ofmuch of the CH waste and make it much more efficient to ship and dispose of at WIPP. In addition, the INTEC has a certified remote handled (RH) TRU waste characterization/certification program at INL to disposition TRU waste from the sites identified in the ROD.

  3. Thoracic manifestation of tuberculosis; Thorakale Manifestation der Tuberkulose

    Energy Technology Data Exchange (ETDEWEB)

    Kienzl-Palma, D.; Prosch, H. [Medizinische Universitaet Wien, Abteilung fuer Allgemeine Radiologie und Kinderradiologie, Universitaetsklinik fuer Radiologie und Nuklearmedizin, Wien (Austria)

    2016-10-15

    Tuberculosis (TB) is a granulomatous disease caused by Mycobacterium tuberculosis and transmission is via an airborne route by droplet infection. In the majority of cases patients have thoracic TB, which most frequently presents with hilar lymphadenopathy and pulmonary manifestation. Due to the rise in incidence of TB in central Europe to be expected over the coming years, it is essential to be acquainted with the radiological manifestations of pulmonary TB, particularly to be able to discriminate active from inactive TB. Due to the use of molecular techniques entailing DNA fingerprinting, the traditional classification of TB in primary and postprimary TB is being challenged. These genetic studies have revealed that variations in the clinical and radiographic appearance of TB are mainly affected by the immune status of the patients. Due to the low prevalence of TB in central Europe and the wide variation of radiological presentations, the diagnosis and therapy of TB is often delayed. In this article, the radiographic manifestations of thoracic TB are summarized and discussed. Together with the medical history and bacteriological tests, chest X-ray imaging and computed tomography (CT) play a major role not only in the detection of TB but also in the follow-up during and after therapy. Chest X-radiographs should be the primary diagnostic method in patients with suspected TB in screening as well as for diagnosis and therapy monitoring. The use of CT is more sensitive than chest radiographs and is frequently performed after chest radiographs to obtain detailed information about subtle parenchymal changes or lymph node manifestation. When active TB is suspected CT should be performed. Tree in bud, lobular consolidations, centrilobular nodules, cavities and ground-glass opacification are typical changes in active TB. (orig.) [German] Tuberkulose (Tbc) ist eine durch Troepfchen uebertragene granulomatoese Infektionserkrankung, die durch das Mycobacterium tuberculosis

  4. Combining Diffusion and Grey Models Based on Evolutionary Optimization Algorithms to Forecast Motherboard Shipments

    OpenAIRE

    Fu-Kwun Wang; Yu-Yao Hsiao; Ku-Kuang Chang

    2012-01-01

    It is important for executives to predict the future trends. Otherwise, their companies cannot make profitable decisions and investments. The Bass diffusion model can describe the empirical adoption curve for new products and technological innovations. The Grey model provides short-term forecasts using four data points. This study develops a combined model based on the rolling Grey model (RGM) and the Bass diffusion model to forecast motherboard shipments. In addition, we investigate evolutio...

  5. Combining Diffusion and Grey Models Based on Evolutionary Optimization Algorithms to Forecast Motherboard Shipments

    OpenAIRE

    Fu-Kwun Wang; Yu-Yao Hsiao; Ku-Kuang Chang

    2012-01-01

    It is important for executives to predict the future trends. Otherwise, their companies cannot make profitable decisions and investments. The Bass diffusion model can describe the empirical adoption curve for new products and technological innovations. The Grey model provides short-term forecasts using four data points. This study develops a combined model based on the rolling Grey model (RGM) and the Bass diffusion model to forecast motherboard shipments. In addition, we investigate evolutio...

  6. Cost avoidance realized through transportation and disposal of Fernald mixed low-level waste

    Energy Technology Data Exchange (ETDEWEB)

    Sparks, A.K.; Dilday, D.R. [Fluor Daniel Environmental Restoration Management Corp., Fernald, OH (United States); Rast, D.M. [USDOE Fernald Field Office, OH (United States)

    1995-11-01

    Currently, Department of Energy (DOE) facilities are undergoing a transformation from shipping radiologically contaminated waste within the DOE structure for disposal to now include Mixed Low Level Waste (MLLW) shipments to a permitted commercial disposal facility (PCDF) final disposition. Implementing this change can be confusing and is perceived as being more difficult than it actually is. Lack of experience and disposal capacity, sometimes and/or confusing regulatory guidance, and expense of transportation and disposal of MLLW ar contributing factors to many DOE facilities opting to simply store their MLLW. Fernald Environmental Restoration Management Company (FERMCO) established itself as a leader i addressing MLLW transportation and disposal by being one of the first DOE facilities to ship mixed waste to a PCDF (Envirocare of Utah) for disposal. FERMCO`s proactive approach in establishing a MLLW Disposal Program produces long-term cost savings while generating interim mixed waste storage space to support FERMCO`s cleanup mission. FERMCO`s goal for all MLLW shipments was to develop a cost efficient system to accurately characterize, sample and analyze the waste, prepare containers and shipping paperwork, and achieve regulatory compliance while satisfying disposal facility waste acceptance criteria (WAC). This goal required the ability to evolve with the regulations, to address waste streams of varying matrices and contaminants, and to learn from each MLLW shipment campaign. These efforts have produced a successful MLLW Disposal Program at the Fernald Environmental Management Project (FEMP). FERMCO has a massed lessons learned from development of this fledgling program which may be applied complex-wide to ultimately save facilities time and money traditionally wasted by maintaining the status quo.

  7. [Neuropsychiatric manifestations ushering pernicious anemia].

    Science.gov (United States)

    Mrabet, S; Ellouze, F; Ellini, S; Mrad, M F

    2015-12-01

    Biermer disease or pernicious anemia is an autoimmune atrophic gastritis characterized by the lack of secretion of gastric intrinsic factor. This leads to an insufficient absorption of vitamin B12 in the ileum. Clinical manifestations are mainly hematologic. Neuropsychiatric manifestations are known but are less frequent especially early in the disease. Inaugural neuropsychiatric arrays are rare and various thus making diagnosis difficult. In this article, we report through two clinical cases different neuropsychiatric manifestations revealing pernicious anemia. Mrs. C.O., aged 56, presented after surgery for gallstones, an acute psychiatric array associated with gait disorders. She had no history of neurological or psychiatric problems. The psychiatric interview revealed delirious syndrome, depressive symptoms and anxiety. Neurological examination noted a flaccid paraplegia with peripheral neuropathic syndrome and myoclonus in the upper limbs. At the full blood count, a macrocytosis (VGM: 112.2fl) without anemia was found. The level of vitamin B12 in the blood was low. Cerebro-spinal MRI was suggestive of a neuro-Biermer and showed hyper signal in the cervical cord on T2-weighted sagittal section. In axial section, hyper signal appears at the posterior columns in the form of V. There were no brain abnormalities. A sensorimotor axonal polyneuropathy was diagnosed. The patient received vitamin B12 intramuscularly for ten days associated with neuroleptic treatment. Mrs. R.M., aged 40, was brought to the psychiatry consultation for acute behavioral disorders progressively worsening over a month. An anxiety syndrome, depressive syndrome and delirious syndrome were identified. Neurological examination showed a posterior cordonal syndrome with quadripyramidal syndrome. Full blood count showed a macrocytic anemia. Serum B12 level was collapsed. Cerebro-spinal MRI was normal. She received vitamin B12 with clinical and biological improvement. Features of pernicious anemia

  8. Industry Self-Regulation to Improve Student Health: Quantifying Changes in Beverage Shipments to Schools

    Science.gov (United States)

    Fitzpatrick, Brendan M.; Phillips, Elizabeth

    2012-01-01

    Objectives. We developed a data collection and monitoring system to independently evaluate the self-regulatory effort to reduce the number of beverage calories available to children during the regular and extended school day. We have described the data collection procedures used to verify data supplied by the beverage industry and quantified changes in school beverage shipments. Methods. Using a proprietary industry data set collected in 2005 and semiannually in 2007 through 2010, we measured the total volume of beverage shipments to elementary, middle, and high schools to monitor intertemporal changes in beverage volumes, the composition of products delivered to schools, and portion sizes. We compared data with findings from existing research of the school beverage landscape and a separate data set based on contracts between schools and beverage bottling companies. Results. Between 2004 and the 2009–2010 school year, the beverage industry reduced calories shipped to schools by 90%. On a total ounces basis, shipments of full-calorie soft drinks to schools decreased by 97%. Conclusions. Industry self-regulation, with the assistance of a transparent and independent monitoring process, can be a valuable tool in improving public health outcomes. PMID:22897528

  9. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2007-09-20

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  10. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2005-08-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  11. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2005-01-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codesand corresponding shipping categories for "Controlled Shipments

  12. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2005-01-30

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  13. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2006-06-20

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  14. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2005-12-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  15. CH-TRU Waste Content Codes (CH TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2004-12-01

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  16. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2006-08-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  17. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2005-11-20

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  18. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2007-06-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  19. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2005-03-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  20. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2007-02-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  1. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2006-09-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  2. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2005-05-01

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  3. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2006-12-20

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  4. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2006-01-18

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  5. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2007-08-15

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  6. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2005-06-20

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  7. CH-TRU Waste Content Codes (CH-TRUCON)

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2004-10-01

    The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 of the CH-TRU Payload Appendices. For shipments to WIPP from Los Alamos National Laboratory (LANL), Nevada Test Site, and Rocky Flats Environmental Technology Site, a 20-day shipping period is applicable. Table 2B provides a summary of approved content codes and corresponding shipping categories for "Close-Proximity Shipments" (20-day shipping period). For shipments implementing the controls specified in the CH-TRAMPAC and Appendix 3.6 of the CH-TRU Payload Appendices, a 10-day shipping period is applicable. Table 2C provides a summary of approved content codes and corresponding shipping categories for "Controlled Shipments

  8. Waste Information Management System-2012 - 12114

    Energy Technology Data Exchange (ETDEWEB)

    Upadhyay, H.; Quintero, W.; Shoffner, P.; Lagos, L.; Roelant, D. [Applied Research Center, Florida International University, 10555 West Flagler Street, Suite 2100, Miami, FL 33174 (United States)

    2012-07-01

    The Waste Information Management System (WIMS) -2012 was updated to support the Department of Energy (DOE) accelerated cleanup program. The schedule compression required close coordination and a comprehensive review and prioritization of the barriers that impeded treatment and disposition of the waste streams at each site. Many issues related to waste treatment and disposal were potential critical path issues under the accelerated schedule. In order to facilitate accelerated cleanup initiatives, waste managers at DOE field sites and at DOE Headquarters in Washington, D.C., needed timely waste forecast and transportation information regarding the volumes and types of radioactive waste that would be generated by DOE sites over the next 40 years. Each local DOE site historically collected, organized, and displayed waste forecast information in separate and unique systems. In order for interested parties to understand and view the complete DOE complex-wide picture, the radioactive waste and shipment information of each DOE site needed to be entered into a common application. The WIMS application was therefore created to serve as a common application to improve stakeholder comprehension and improve DOE radioactive waste treatment and disposal planning and scheduling. WIMS allows identification of total forecasted waste volumes, material classes, disposition sites, choke points, technological or regulatory barriers to treatment and disposal, along with forecasted waste transportation information by rail, truck and inter-modal shipments. The Applied Research Center (ARC) at Florida International University (FIU) in Miami, Florida, developed and deployed the web-based forecast and transportation system and is responsible for updating the radioactive waste forecast and transportation data on a regular basis to ensure the long-term viability and value of this system. WIMS continues to successfully accomplish the goals and objectives set forth by DOE for this project. It has

  9. ZERO WASTE

    OpenAIRE

    Upadhyaya, Luv

    2013-01-01

    The aim of the thesis was to develop a clear vision on better waste management system. The thesis introduced the sustainable waste management along with innovation. The aim of the research was to find out the types of waste being introduced to environment, their consequence on human beings and surroundings, best policies, principles and practices to minimize the effect of the waste to lowest. The study was based on literature. The thesis includes the introduction of types of waste, clarifi...

  10. Cardiac manifestations in systemic sclerosis

    Institute of Scientific and Technical Information of China (English)

    Sevdalina; Lambova

    2014-01-01

    Primary cardiac involvement, which develops as a direct consequence of systemic sclerosis(SSc), may manifest as myocardial damage, fibrosis of the conduction system, pericardial and, less frequently, as valvular disease. In addition, cardiac complications in SSc may develop as a secondary phenomenon due to pulmonary arterial hypertension and kidney pathology. The prevalence of primary cardiac involvement in SSc is variable and difficult to determine because of the diversity of cardiac manifestations, the presence of subclinical periods, the type of diagnostic tools applied, and the diversity of patient populations. When clinically manifested, cardiac involvement is thought to be an important prognostic factor. Profound microvascular disease is a pathognomonic feature of SSc, as both vasospasm and structural alterations are present. Such alterations are thought to predict macrovascular atherosclerosis over time. There are contradictory reports regarding the prevalence of atherosclerosis in SSc. According to some authors, the prevalence of atherosclerosis of the large epicardial coronary arteries is similar to that of the general population, in contrast with other rheumatic diseases such as rheumatoid arthritis and systemic lupus erythematosus. However, the level of inflammation in SSc is inferior. Thus, the atherosclerotic process may not be as aggressive and not easily detectable in smaller studies. Echocardiography(especially tissue Doppler imaging), single-photon emission computed tomography, magnetic resonance imaging and cardiac computed tomography are sensitive techniques for earlier detection of both structural and functional scleroderma-related cardiac pathologies. Screening for subclinical cardiac involvement via modern, sensitive tools provides an opportunity for early diagnosis and treatment, which is of crucial importance for a positive outcome.

  11. Clinical manifestations of sleep apnea.

    Science.gov (United States)

    Stansbury, Robert C; Strollo, Patrick J

    2015-09-01

    Obstructive sleep apnea (OSA) may manifest in a number of ways from subtle intrusion into daily life to profound sleepiness, snoring, witnessed apneas and other classic symptoms. Although there is increasing evidence suggesting OSA can adversely affect health in a variety of ways, this disorder remains underdiagnosed. The most well-escribed health consequences of OSA relate to the cardiovascular system. Hypertension and arrhythmias have a strong association with OSA, and evidence suggests that treatment of OSA in patients with refractory hypertension and in patients planning cardioversion for atrial fibrillation may be of particularly importance. Significant associations between heart failure and OSA as well as complex sleep apnea have also been well-described. Cerebrovascular insult, impaired neurocognition, and poorly controlled mood disorder are also associated with in OSA. Therapy for OSA may ameliorate atherosclerotic progression and improve outcomes post-cerebrovascular accident (CVA). OSA should be considered in patients complaining of poor concentration at work, actual or near-miss motor vehicle accidents, and patients with severe sleepiness as a component of their co-morbid mood disorders. The metabolic impact of OSA has also been studied, particularly in relation to glucose homeostasis. Also of interest is the potential impact OSA has on lipid metabolism. The adverse effect untreated OSA has on glucose tolerance and lipid levels has led to the suggestion that OSA is yet another constituent of the metabolic syndrome. Some of these metabolic derangements may be related to the adverse effects untreated OSA has on hepatic health. The cardiovascular, neurocognitive, and metabolic manifestations of OSA can have a significant impact on patient health and quality of life. In many instances, evidence exists that therapy not only improves outcomes in general, but also modifies the severity of co-morbid disease. To mitigate the long-term sequela of this disease

  12. Optimal scheduling of logistical support for medical resources order and shipment in community health service centers

    Directory of Open Access Journals (Sweden)

    Ming Liu

    2015-11-01

    Full Text Available Purpose: This paper aims to propose an optimal scheduling for medical resources order and shipment in community health service centers (CHSCs.Design/methodology/approach: This paper presents two logistical support models for scheduling medical resources in CHSCs. The first model is a deterministic planning model (DM, which systematically considers the demands for various kinds of medical resources, the lead time of supplier, the storage capacity and other constraints, as well as the integrated shipment planning in the dimensions of time and space. The problem is a multi-commodities flow problem and is formulated as a mixed 0-1 integer programming model. Considering the demand for medical resources is always stochastic in practice, the second model is constructed as a stochastic programming model (SM. A solution procedure is developed to solve the proposed two models and a simulation-based evaluation method is proposed to compare the performances of the proposed models. Findings andFindings: The main contributions of this paper includes the following two aspects: (1 While most research on medical resources optimization studies a static problem taking no consideration of the time evolution and especially the dynamic demand for such resources, the proposed models in our paper integrate time-space network technique, which can find the optimal scheduling of logistical support for medical resources order and shipment in CHSCs effectively. (2 The logistics plans in response to the deterministic demand and the time-varying demand are constructed as 0-1 mixed integer programming model and stochastic integer programming model, respectively. The optimal solutions not only minimize the operation cost of the logistics system, but also can improve the order and shipment operation in practice.Originality/value: Currently, medical resources in CHSCs are purchased by telephone or e-mail. The important parameters in decision making, i.e. order/shipment frequency

  13. Cutaneous manifestations of chikungunya fever.

    Science.gov (United States)

    Seetharam, K A; Sridevi, K; Vidyasagar, P

    2012-01-01

    Chikungunya fever, a re-emerging RNA viral infection produces different cutaneous manifestations in children compared to adults. 52 children with chikungunya fever, confirmed by positive IgM antibody test were seen during 2009-2010. Pigmentary lesions were common (27/52) followed by vesiculobullous lesions (16/52) and maculopapular lesions (14/52). Vesiculobullous lesions were most common in infants, although rarely reported in adults. Psoriasis was exacerbated in 4 children resulting in more severe forms. In 2 children, guttate psoriasis was observed for the first time.

  14. Neurological manifestation of colonic adenocarcinoma

    Directory of Open Access Journals (Sweden)

    Uzair Chaudhary

    2012-04-01

    Full Text Available Paraneoplastic neurologic disorders are extremely rare in cancer patients and are most commonly associated with certain tumors, such as ovarian cancer, small cell lung cancer, and breast cancer. We report here a paraneoplastic neurological syndrome in a 53-year-old man with colonic adenocarcinoma with a solitary liver metastasis. His paraneoplastic syndrome was successfully treated by methylprednisolone and primary oncologic therapies including neoadjuvant chemotherapy and definitive surgery. This is also the first documented case of simultaneous manifestation of a sensory neuropathy and limbic encephalitis with colon cancer.

  15. Gaucher disease and bone manifestations.

    Science.gov (United States)

    Marcucci, Gemma; Zimran, Ari; Bembi, Bruno; Kanis, John; Reginster, Jean-Yves; Rizzoli, Renè; Cooper, Cyrus; Brandi, Maria Luisa

    2014-12-01

    Gaucher disease is a relatively rare metabolic disease caused by the inherited deficiency of the lysosomal enzyme glucocerebrosidase. Gaucher disease affects multiple organs, among which is the skeleton. Bone involvement occurs frequently in Gaucher disease, and is one of its most debilitating features, reducing the quality of life of patients. Bone status is an important consideration for treatment to ameliorate symptoms and reduce the risk of irreversible complications. We have conducted a systematic review of all the various aspects of Gaucher disease, focusing on different skeletal manifestations, pathophysiology of bone alterations, clinical symptoms, and current diagnostic and therapeutic approaches.

  16. [Corneal manifestations in systemic diseases].

    Science.gov (United States)

    Zarranz Ventura, J; De Nova, E; Moreno-Montañés, J

    2008-01-01

    Systemic diseases affecting the cornea have a wide range of manifestations. The detailed study of all pathologies that cause corneal alteration is unapproachable, so we have centered our interest in the most prevalent or characteristic of them. In this paper we have divided these pathologies in sections to facilitate their study. Pulmonar and conective tissue (like colagen, rheumatologic and idiopathic inflamatory diseases), dermatologic, cardiovascular, hematologic, digestive and hepatopancreatic diseases with corneal alteration are described. Endocrine and metabolic diseases, malnutrition and carential states are also studied, as well as some otorhinolaryngologic and genetic diseases that affect the cornea. Finally, a brief report of ocular toxicity induced by drugs is referred.

  17. Transuranic (TRU) Waste Phase I Retrieval Plan

    CERN Document Server

    McDonald, K M

    2000-01-01

    From 1970 to 1987, TRU and suspect TRU wastes at Hanford were placed in the SWBG. At the time of placement in the SWBG these wastes were not regulated under existing Resource Conservation and Recovery Act (RCRA) regulations, since they were generated and disposed of prior to the effective date of RCRA at the Hanford Site (1987). From the standpoint of DOE Order 5820.2A1, the TRU wastes are considered retrievably stored, and current plans are to retrieve these wastes for shipment to WIPP for disposal. This plan provides a strategy for the Phase I retrieval that meets the intent of TPA milestone M-91 and Project W-113, and incorporates the lessons learned during TRU retrieval campaigns at Hanford, LANL, and SRS. As in the original Project W-113 plans, the current plan calls for examination of approximately 10,000 suspect-TRU drums located in the 218-W-4C burial ground followed by the retrieval of those drums verified to contain TRU waste. Unlike the older plan, however, this plan proposes an open-air retrieval ...

  18. Cutaneous manifestations of inflammatory bowel disease

    Directory of Open Access Journals (Sweden)

    Al Roujayee Abdulaziz

    2007-01-01

    Full Text Available Inflammatory bowel disease (IBD has many extraintestinal manifestations, and skin lesions are one of the most frequently described extraintestinal findings. Reports indicate an incidence of cutaneous manifestations ranging from 2 to 34%, Cutaneous manifestations are usually related to the activity of the bowel disease but may have an independent course. In this review we aim to address the various cutaneous manifestations associated with IBD, their impact on the disease course, and the treatment options available.

  19. Atypical Manifestation of Vestibular Schwannoma

    Directory of Open Access Journals (Sweden)

    Webster, Guilherme

    2013-09-01

    Full Text Available Introduction: Vestibular schwannoma (also known as acoustic neuroma is a benign tumor whose cells are derived from Schwann sheaths, which commonly occurs from the vestibular portion of the eighth cranial nerve. Furthermore, vestibular schwannomas account for ∼8% of intracranial tumors in adults and 80 to 90% of tumors of the cerebellopontine angle. Its symptoms are varied, but what stands out most is a unilateral sensorineural hearing loss, with a low index of speech recognition. Objective: Describe an atypical manifestation of vestibular schwannoma. Case Report: The 46-year-old woman had vertigo and binaural hearing loss and fullness, with ear, nose, and throat examination suggestive of cochlear injury. After 6 months, the patient developed worsening of symptoms and onset of right unilateral tinnitus. In further exams the signs of cochlear damage remained, except for the vestibular test (hyporeflexia. Magnetic resonance imaging showed an expansive lesion in the right cerebellopontine angle. Discussion: This report warns about the atypical manifestations of vestibular schwannoma, which must always be remembered in investigating and diagnosing hearing loss.

  20. Oral manifestations of acute leukaemia

    Directory of Open Access Journals (Sweden)

    Ivanović Mirjana

    2011-01-01

    Full Text Available Acute leukaemia is the most common form of chilhood cancer. The aim of this paper was to underline the importance of oral manifestations in children with acute leukaemia. The disease and its treatment can directly or indirectly affect oral health. Oral manifestations are gingival inflammation and enlargement. Leukaemic cells are capable of infiltrating the gingiva and the deeper periodontal tissues which leads to ulceration and infection of oral tissues. Gingival bleeding is a common sign in patients with leukaemia. Symptoms include local lymphadenopathy, mucous membrane Petechiae and ecchymoses. Cytotoxic drugs have direct effects like mucositis, involving atrophy, desquamation and ulceration of the mucosa, with increasing the risk for local and systemic infections. Leukaemia can directly influence dental care and dental treatment, while oral lesions may have life-threatening consequences. Knowledge and skills among dentists may also not be adequate to treat children with acute leukaemia. It is therefore imperative that all stomatologists be aware of dental problems that occur in leukaemia in order to be able to effectively carry out appropriate measures to mitigate these problems.

  1. Cutaneous manifestations of internal malignancy

    Directory of Open Access Journals (Sweden)

    A Ayyamperumal

    2012-01-01

    Full Text Available Background: Many malignancies affecting the internal organs display cutaneous manifestations which may be either specific (tumor metastases or nonspecific lesions. Aims: The study is aimed at determining the frequency and significance of cutaneous manifestations among patients with internal malignancy. Materials and Methods: 750 cases of proven internal malignancy, who attended a cancer chemotherapy center in South India, were studied. Specific infiltrates were confirmed by histopathology, fine needle aspiration cytology (FNAC and marker studies. Results: Out of the 750 patients with internal malignancy, skin changes were seen in a total of 52 (6.93% patients. Conclusion: Cutaneous metastases (specific lesions were seen in 20 patients (2.66%: contiguous in 6 (0.8%, and non-contiguous in 14 (1.86%. Nonspecific skin changes were seen in 32 patients (4.26%. None of our patients presented with more than one type of skin lesions. Herpes zoster was the most common nonspecific lesion noticed in our patients, followed by generalized pruritus, multiple eruptive seborrheic keratoses, bullous disorder, erythroderma, flushing, purpura, pyoderma gangrenosum, insect bite allergy and lichenoid dermatitis.

  2. Waste printed circuit board recycling techniques and product utilization.

    Science.gov (United States)

    Hadi, Pejman; Xu, Meng; Lin, Carol S K; Hui, Chi-Wai; McKay, Gordon

    2015-01-01

    E-waste, in particular waste PCBs, represents a rapidly growing disposal problem worldwide. The vast diversity of highly toxic materials for landfill disposal and the potential of heavy metal vapors and brominated dioxin emissions in the case of incineration render these two waste management technologies inappropriate. Also, the shipment of these toxic wastes to certain areas of the world for eco-unfriendly "recycling" has recently generated a major public outcry. Consequently, waste PCB recycling should be adopted by the environmental communities as an ultimate goal. This article reviews the recent trends and developments in PCB waste recycling techniques, including both physical and chemical recycling. It is concluded that the physical recycling techniques, which efficiently separate the metallic and nonmetallic fractions of waste PCBs, offer the most promising gateways for the environmentally-benign recycling of this waste. Moreover, although the reclaimed metallic fraction has gained more attention due to its high value, the application of the nonmetallic fraction has been neglected in most cases. Hence, several proposed applications of this fraction have been comprehensively examined. Copyright © 2014 Elsevier B.V. All rights reserved.

  3. Gastrointestinal manifestations of food allergies.

    Science.gov (United States)

    Wolfe, Jaime Liou; Aceves, Seema S

    2011-04-01

    The rates of eosinophilic gastrointestinal disorders appear to be increasing. The most common of these is eosinophilic esophagitis (EoE) which is a clinicopathologic condition consisting of characteristic symptoms and endoscopic features accompanied by a pan-esophageal, acid resistant epithelial eosinophilia of greater than equal to 15 per high power field. Typical symptoms include dysphagia and abdominal pain. Typical endoscopic features include pallor, plaques, furrows, concentric rings. Complications include food impactions and strictures. EoE resolution with food elimination diets provides evidence that EoE is a food-antigen driven process. In vitro and microarray studies have identified specific immunologic factors underlying EoE pathogenesis. Other gastrointestinal manifestations of food intolerances/allergy include food protein induced enterocolitis syndrome.

  4. Ocular manifestations of mitochondrial disease

    Directory of Open Access Journals (Sweden)

    S. D. Mathebula

    2012-12-01

    Full Text Available Mitochondrial disease caused by mutations in mitochondrial DNA is recognized as one of the most common causes of inherited neurological disease. Neuro-ophthalmic manifestations are a common feature of mitochondrial disease.  Optic atrophy causing central visual loss is the dominant feature of mitochondrial DNA diseases. Nystagmus is also encountered in mitochondrial disease.Although optometrists are not involved with the management of mitochondrial disease, they are likely to see more patients with this disease. Oph-thalmic examination forms part of the clinical assessment of mitochondrial disease. Mitochondrial disease should be suspected in any patient with unexplained optic neuropathy, ophthalmoplegia, pigmentary retinopathy or retrochiasmal visual loss. Despite considerable advances in the under-standing of mitochondrial genetics and the patho-genesis of mtDNA diseases, no effective treatment options are currently available for patients withmitochondrial dysfunction. (S Afr Optom 201271(1 46-50

  5. Atypical Cutaneous Manifestations in Syphilis.

    Science.gov (United States)

    Ivars Lleó, M; Clavo Escribano, P; Menéndez Prieto, B

    2016-05-01

    Although the diversity of the clinical manifestations of syphilis is well-known, atypical presentations can also occur. Such atypical presentations are associated with a high risk of transmission as a result of diagnostic confusion and treatment delays owing to the disease's ability to mimic other common skin diseases, deviate from classic clinical presentations, and adopt unique forms. Cases of atypical syphilis have been described most frequently in patients with concomitant human immunodeficiency virus (HIV) infection. Because the incidence of syphilis has been growing over recent years -particularly in patients with HIV co-infection- dermatologists need to be familiar with the less well-known clinical presentations of this venereal disease. Copyright © 2015 AEDV. Published by Elsevier España, S.L.U. All rights reserved.

  6. Neurological manifestations in Fabry disease

    Institute of Scientific and Technical Information of China (English)

    Joseph Bruno Bidin Brooks; Yara Dadalti Fragoso

    2016-01-01

    Fabry disease (FD) is a rare, progressive, multisystem and highly debilitating disease. FD is an X-linked lysosome storage disorder that results in α-galactosidase A deifciency. The subsequent accumulation of glycosphingolipids is more evident in vascular endothelium and smooth-muscle cells. The resulting effect of the deposition is generalized inlfammation and vasculopathy, which can also affect the central and peripheral nervous system. FD progresses with kidney dysfunction, angiokeratoma of the skin, cardiomyopathy, cerebrovascular events and neurological disorders. In the present review, the neurological manifestations of FD are summarized with emphasis on cerebral vasculopathy, cochlear nerve dysfunction, psychiatric and cognitive symptoms, autonomic dysfunction and peripheral neuropathy. Enzyme replacement therapy is also discussed in the light of its more prominent effects when administered early in life, which make it essential to diagnose FD as soon as possible.

  7. [Pulmonary manifestations in rheumatoid arthritis].

    Science.gov (United States)

    Morawska, Justyna; Domysławska, Izabela; Bagrowska, Magdalena; Sierakowski, Stanislaw

    2015-01-01

    Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by destructive cartilages, bones and other structures formed joints. RA belongs to connective tissue diseases represented by systemic nature, internal illness, extra-articular features and rapidly progress of atherosceirosis. The extra-articular complications cause the reduction of patient longevity. The frequency of symptoms in patient with RA and respiratory disorders occur in 10-20% of cases. Pulmonary complications are the second most common cause of premature of patient deaths. Respiratory disorders associated with RA are devided into 3 groups: infection, lung disease caused by drugs and pulmonary manifestation connected by RA. These last affect interstitial tissue, bronchioli, pulmonary vessels, pleura, also are presented by pulmonary rheumatoid nodules and pulmonary hypertension.

  8. Oropharyngeal dysphagia: manifestations and diagnosis.

    Science.gov (United States)

    Rommel, Nathalie; Hamdy, Shaheen

    2016-01-01

    Swallowing disorders (dysphagia) have been recognized by the WHO as a medical disability associated with increased morbidity, mortality and costs of care. With increasing survival rates and ageing of the population, swallowing disorders and their role in causing pulmonary and nutritional pathologies are becoming exceedingly important. Over the past two decades, the study of oropharyngeal dysphagia has been approached from various disciplines with considerable progress in understanding its pathophysiology. This Review describes the most frequent manifestations of oropharyngeal dysphagia and the clinical as well as instrumental techniques that are available to diagnose patients with dysphagia. However, the clinical value of these diagnostic tests and their sensitivity to predict outcomes is limited. Despite considerable clinical research efforts, conventional diagnostic methods for oropharyngeal dysphagia have limited proven accuracy in predicting aspiration and respiratory disease. We contend that incorporation of measurable objective assessments into clinical diagnosis is needed and might be key in developing novel therapeutic strategies.

  9. Mucocutaneous manifestations of Chikungunya fever

    Directory of Open Access Journals (Sweden)

    Bandyopadhyay Debabrata

    2010-01-01

    Full Text Available Chikungunya fever (CF is an arboviral acute febrile illness transmitted by the bite of infected Aedes mosquitoes. After a quiescence of more than three decades, CF has recently re-emerged as a major public health problem of global scale. CF is characterized by an acute onset of high fever associated with a severe disabling arthritis often accompanied by prominent mucocutaneous manifestations. The disease is usually self-limiting, but the joint symptoms and some of the cutaneous features may persist after the defervescence. A wide range of mucocutaneous changes has been described to occur in association with CF during the current epidemic. Besides a morbilliform erythema, hyperpigmentation, xerosis, excoriated papules, aphthous-like ulcers, vesiculobullous and lichenoid eruptions, and exacerbation of pre-existing or quiescent dermatoses had been observed frequently. These unusual features may help in the clinical differential diagnosis of acute viral exanthems mimicking CF.

  10. Waste management

    DEFF Research Database (Denmark)

    2000-01-01

    The case study deals with public accountability issues connected to household waste management in the municipality of Copenhagen, Denmark.......The case study deals with public accountability issues connected to household waste management in the municipality of Copenhagen, Denmark....

  11. Waste management

    DEFF Research Database (Denmark)

    2000-01-01

    The case study deals with public accountability issues connected to household waste management in the municipality of Copenhagen, Denmark.......The case study deals with public accountability issues connected to household waste management in the municipality of Copenhagen, Denmark....

  12. Radioactive Waste.

    Science.gov (United States)

    Blaylock, B. G.

    1978-01-01

    Presents a literature review of radioactive waste disposal, covering publications of 1976-77. Some of the studies included are: (1) high-level and long-lived wastes, and (2) release and burial of low-level wastes. A list of 42 references is also presented. (HM)

  13. Combining Diffusion and Grey Models Based on Evolutionary Optimization Algorithms to Forecast Motherboard Shipments

    Directory of Open Access Journals (Sweden)

    Fu-Kwun Wang

    2012-01-01

    Full Text Available It is important for executives to predict the future trends. Otherwise, their companies cannot make profitable decisions and investments. The Bass diffusion model can describe the empirical adoption curve for new products and technological innovations. The Grey model provides short-term forecasts using four data points. This study develops a combined model based on the rolling Grey model (RGM and the Bass diffusion model to forecast motherboard shipments. In addition, we investigate evolutionary optimization algorithms to determine the optimal parameters. Our results indicate that the combined model using a hybrid algorithm outperforms other methods for the fitting and forecasting processes in terms of mean absolute percentage error.

  14. Stable isotope customer list and summary of shipments, FY 1985. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Tracy, J.G. (comp.)

    1986-01-01

    This compilation is published as an aid to those concerned with the separation and sale of stable isotopes. The information is divided into four sections: (1) alphabetical list of domestic and foreign customers, showing the stable isotopes purchased during the fiscal year; (2) alphabetical list of isotopes, cross-referenced to customer numbers and divided into domestic and foreign categories; (3) alphabetical list of states and countries, cross-referenced to customer numbers and indicating geographical concentrations of isotope users; and (4) tabulation of the shipments, quantities, and dollars for domestic, foreign, and project categories for each isotope.

  15. Stable-isotope customer list and summary of shipments, FY 1982

    Energy Technology Data Exchange (ETDEWEB)

    Davis, W.C. (comp.)

    1983-04-01

    This compilation is published as an aid to those concerned with the separation and sale of stable isotopes. The inforamtion is divided into four sections: (1) alphabetical list of domestic and foreign customers, showing the stable isotopes purchased during the fiscal year; (2) alphabetical list of isotopes, cross-referenced to customer numbers and divided into domestic and foreign categories; (3) alphabetical list of states and countries, cross-referenced to customer numbers and indicating geographical concentrations of isotope users; and (4) tabulation of the shipments, quantities, and dollars for domestic, foreign, and project categories for each isotope.

  16. Characterization of past and present solid waste streams from the plutonium finishing plant

    Energy Technology Data Exchange (ETDEWEB)

    Duncan, D R; Mayancsik, B A [Westinghouse Hanford Co., Richland, WA (United States); Pottmeyer, J A; Vejvoda, E J; Reddick, J A; Sheldon, K M; Weyns, M I [Los Alamos Technical Associates, Kennewick, WA (United States)

    1993-02-01

    During the next two decades the transuranic (TRU) wastes now stored in the burial trenches and storage facilities at the Hanford Site are to be retrieved, processed at the Waste Receiving and Processing (WRAP) Facility, and shipped to the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico for final disposal. Over 50% of the TRU waste to be retrieved for shipment to the WIPP has been generated at the Plutonium Finishing Plant (PFP), also known as the Plutonium Processing and Storage Facility and Z Plant. The purpose of this report is to characterize the radioactive solid wastes generated by the PFP since its construction in 1947 using process knowledge, existing records, and history-obtained from interviews. The PFP is currently operated by Westinghouse Hanford Company (WHC) for the US Department of Energy (DOE).

  17. Office of Civilian Radioactive Waste Management fiscal year 1996 annual report to Congress

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-05-01

    In Fiscal Year 1996 a revised program strategy was developed that reflects Administration policy and responds to sharply reduced funding and congressional guidance while maintaining progress toward long-term objectives. The program is on track, working toward an early, comprehensive assessment of the viability of the Yucca Mountain site; more closely determining what will be required to incorporate defense waste into the waste management system; pursuing a market-driven strategy for waste acceptance, storage, and transportation; and preserving the core capability to respond to an interim storage contingency. Overall, the elements of an integrated system for managing the Nation`s spent fuel and high-level radioactive waste are emerging, more soundly conceived, and more modestly designed, as the OCRWM works toward the physical reality of waste shipments to Federal facilities.

  18. Characterization of past and present solid waste streams from the plutonium finishing plant

    Energy Technology Data Exchange (ETDEWEB)

    Duncan, D.R.; Mayancsik, B.A. [Westinghouse Hanford Co., Richland, WA (United States); Pottmeyer, J.A.; Vejvoda, E.J.; Reddick, J.A.; Sheldon, K.M.; Weyns, M.I. [Los Alamos Technical Associates, Kennewick, WA (United States)

    1993-02-01

    During the next two decades the transuranic (TRU) wastes now stored in the burial trenches and storage facilities at the Hanford Site are to be retrieved, processed at the Waste Receiving and Processing (WRAP) Facility, and shipped to the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico for final disposal. Over 50% of the TRU waste to be retrieved for shipment to the WIPP has been generated at the Plutonium Finishing Plant (PFP), also known as the Plutonium Processing and Storage Facility and Z Plant. The purpose of this report is to characterize the radioactive solid wastes generated by the PFP since its construction in 1947 using process knowledge, existing records, and history-obtained from interviews. The PFP is currently operated by Westinghouse Hanford Company (WHC) for the US Department of Energy (DOE).

  19. Hanford Site Hazardous waste determination report for transuranic debris waste streams NPFPDL2A

    Energy Technology Data Exchange (ETDEWEB)

    WINTERHALDER, J.A.

    1999-09-29

    This hazardous waste determination report (Report) describes the process and information used on the Hanford Site to determine that waste stream number NPFPDLZA, consisting of 30 containers of contact-handled transuranic debris waste, is not hazardous waste regulated by the Resource Conservation and Recovery Act (RCRA) or the New Mexico Hazardous Waste Act. For a waste to be hazardous under these statutes, the waste either must be specifically listed as a hazardous waste, or exhibit one or more of the characteristics of a hazardous waste, Le., ignitability, corrosivity, reactivity, or toxicity. Waste stream NPFPDLZA was generated, packaged, and placed into storage between 1993 and 1997. Extensive knowledge of the waste generating process, facility operational history, and administrative controls and operating procedures in effect at the time of generation, supported the initial nonhazardous waste determination. Because of the extent and reliability of information pertaining to this waste type, and the total volume of waste in the debris matrix parameter category, the Hanford Site is focusing initial efforts on this and similar waste streams for the first shipment to the Waste Isolation Pilot Plant (WIPP). RCRA regulations authorize hazardous waste determinations to be made either by using approved sampling and analysis methods or by applying knowledge of the waste in light of the materials or the process(es) used. This latter approach typically is referred to as process knowledge. The Transuranic Waste Characterization Quality Assurance Program Plan (CAO-94-1010) for WIPP refers to acceptable knowledge in essentially the same terms; acceptable knowledge as used throughout this Report is synonymous with the term process knowledge. The 30 containers addressed in this Report were characterized by the following methods: Acceptable knowledge; Nondestructive examination using real-time radiography; Visual examination; and Headspace gas sampling and analysis. The initial

  20. 19 CFR 7.1 - Puerto Rico; spirits and wines withdrawn from warehouse for shipment to; duty on foreign-grown...

    Science.gov (United States)

    2010-04-01

    ... warehouse for shipment to; duty on foreign-grown coffee. 7.1 Section 7.1 Customs Duties U.S. CUSTOMS AND... warehouse for shipment to; duty on foreign-grown coffee. (a) When spirits and wines are withdrawn from a..., part 18 of this chapter. (c) A regular entry shall be made for all foreign-grown coffee shipped...

  1. 49 CFR 375.705 - If a shipment is transported on more than one vehicle, what charges may I collect at delivery?

    Science.gov (United States)

    2010-10-01

    ... vehicle, what charges may I collect at delivery? 375.705 Section 375.705 Transportation Other Regulations...; CONSUMER PROTECTION REGULATIONS Delivery of Shipments § 375.705 If a shipment is transported on more than one vehicle, what charges may I collect at delivery? (a) At your discretion, you may do one of...

  2. 49 CFR 375.521 - What must I do if an individual shipper wants to know the actual weight or charges for a shipment...

    Science.gov (United States)

    2010-10-01

    ... required at time of delivery is 110 percent of the estimated charges, but only if the individual shipper... know the actual weight or charges for a shipment before I tender delivery? 375.521 Section 375.521... GOODS IN INTERSTATE COMMERCE; CONSUMER PROTECTION REGULATIONS Pick Up of Shipments of Household Goods...

  3. [EEG manifestations in metabolic encephalopathy].

    Science.gov (United States)

    Lin, Chou-Ching K

    2005-09-01

    Normal brain function depends on normal neuronal metabolism, which is closely related to systemic homeostasis of metabolites, such as glucose, electrolytes, amino acids and ammonia. "Metabolic encephalopathy" indicates diffuse brain dysfunction caused by various systemic derangements. Electroencephalogram (EEG) is widely used to evaluate metabolic encephalopathy since 1937, when Berger first observed slow brain activity induced by hypoglycemia. EEG is most useful in differentiating organic from psychiatric conditions, identifying epileptogenicity, and providing information about the degree of cortical or subcortical dysfunction. In metabolic encephalopathy, EEG evolution generally correlates well with the severity of encephalopathy. However, EEG has little specificity in differentiating etiologies in metabolic encephalopathy. For example, though triphasic waves are most frequently mentioned in hepatic encephalopathy, they can also be seen in uremic encephalopathy, or even in aged psychiatric patients treated with lithium. Spike-and-waves may appear in hyper- or hypo-glycemia, uremic encephalopathy, or vitamin deficiencies, etc. Common principles of EEG changes in metabolic encephalopathy are (1) varied degrees of slowing, (2) assorted mixtures of epileptic discharge, (3) high incidence of triphasic waves, and (4), as a rule, reversibility after treatment of underlying causes. There are some exceptions to the above descriptions in specific metabolic disorders and EEG manifestations are highly individualized.

  4. Rheumatic manifestations of pituitary tumors.

    Science.gov (United States)

    Stavrou, S; Kleinberg, D L

    2001-10-01

    Pituitary tumors may cause rheumatologic problems as a result of under production or overproduction of one pituitary hormone. Excessive growth hormone causes destruction of cartilage by a direct action. Facial and acral changes and arthralgias may be some of the first symptoms of acromegaly. The arthritis associated with acromegaly is often devastating. Carpal tunnel syndrome is very common in patients with acromegaly. Adrenocorticotropin (ACTH) has indirect effects via the action of glucocorticoid on bones, muscles, and the immune system. Proximal muscle weakness is a characteristic feature of Cushing's syndrome. Patients with Cushing's syndrome commonly have osteopenia and osteoporosis that lead to an increase in bone fractures. Avascular necrosis is associated with exogenous steroid administration. The effects of too much glucocorticoid or too rapid withdrawal can be severe. Gonadotropins act via the gonadal steroids and protect bone mass from loss. Prolactin is less involved in rheumatologic disease; the data for which are limited in humans. Pituitary tumors can have manifestations similar to rheumatologic disorders and should be included in the differential diagnosis of these diseases.

  5. Skin manifestations in autoinflammatory syndromes.

    Science.gov (United States)

    Braun-Falco, Markus; Ruzicka, Thomas

    2011-03-01

    Autoinflammatory diseases encompass a group of inflammatory diseases that are non-infectious, non-allergic, non-autoimmune and non-immunodeficient. The term was initially coined for a small group of familial periodic fever syndromes of which familial Mediterranean fever (FMF) is the most common and best known. Genetic and molecular analyses demonstrated for the majority of these diseases an impairment of inflammasomes to cause an increased activity of an interleukin-1-dependent inflammatory response. Over the last years an increasing number of either rare hereditary syndromes or acquired common diseases could be summarized under the designation of autoinflammatory disease, thus creating an emerging new rubric of inflammatory diseases. Many of them display cutaneous manifestations as both concomitant or more rarely main symptoms. To name some of them like erysipelas-like erythema in FMF; urticaria-like rashes in tumor necrosis factor receptor 1- or cryopyrin-associated periodic syndromes (TRAPS, CAPS), hyperimmunoglobulin D syndrome (HIDS) or Schnitzler syndrome; pyoderma gangrenosum and acne in PAPA syndrome; or behçetoid aphthous ulcerations in HIDS and PFAPA syndrome. Based on the new insights into pathogenesis one increasingly realizes the good response of these diseases to IL-1 antagonist therapies.

  6. Mucocutaneous manifestations of HIV infection

    Directory of Open Access Journals (Sweden)

    Shobhana A

    2004-03-01

    Full Text Available BACKGROUND AND AIMS: Human immunodeficiency virus (HIV is associated with various mucocutaneous features, which may be the first pointer towards the existence of HIV infection. This study was done to note the different mucocutaneous lesions present in the HIV population in eastern India. METHODS: Four hundred and ten HIV seropositive patients attending the outpatient and inpatient departments were included in the study. RESULTS: Out of 410 HIV positives, 40% had mucocutaneous involvement at presentation. The mean age of the study population was 29 years and male to female ratio was 2.5:1. The common mucocutaneous morbidities included oral candidiasis (36%, dermatophytosis and gingivitis (13% each, herpes zoster (6%, herpes simplex and scabies (5% each. A striking feature, noted in 36% males, was straightening of hairs. Genital herpes was the commonest genital ulcer disease. Lesions associated with declining immunity included oral candidiasis, oral hairy leukoplakia and herpes zoster with median CD4 counts of 98, 62 and 198/ L respectively. CONCLUSION: Early recognition of mucocutaneous manifestations and associated STDs help in better management of HIV/AIDS.

  7. Respiratory manifestations in endocrine diseases.

    Science.gov (United States)

    Lencu, Codruţa; Alexescu, Teodora; Petrulea, Mirela; Lencu, Monica

    2016-01-01

    The control mechanisms of respiration as a vital function are complex: voluntary - cortical, and involuntary - metabolic, neural, emotional and endocrine. Hormones and hypothalamic neuropeptides (that act as neurotrasmitters and neuromodulators in the central nervous system) play a role in the regulation of respiration and in bronchopulmonary morphology. This article presents respiratory manifestations in adult endocrine diseases that evolve with hormone deficit or hypersecretion. In hyperthyroidism, patients develop ventilation disorders, obstructive and central sleep apnea, and pleural collection. The respiratory abnormalities in hyperthyroidism as a result of the hypermetabolic action of thyroid hormones are hyperventilation, myopathy and cardiovascular involvement; recent studies have reported pulmonary arterial hypertension in Graves' disease, as a result of the association of several mechanisms. Thyroid hypertrophy can induce through compression of the upper airways dyspnea, stridor, wheezing and cough. The respiratory disorders in acromegaly are ventilatory dysfunction and sleep apnea, which contribute to an unfavorable evolution of the disease. Respiratory changes in parathyroid, adrenal and reproductive system diseases have been described. Respiratory disorders should be recognized, investigated and monitored by medical practitioners of various specialties (family physicians, internists, endocrinologists, pneumologists, cardiologists). They are frequently severe, causing an unfavorable evolution of the associated endocrine and respiratory disease.

  8. Rheumatological manifestations in diabetes mellitus.

    Science.gov (United States)

    Del Rosso, Angela; Cerinic, Marco Matucci; De Giorgio, Francesca; Minari, Chiara; Rotella, Carlo Maria; Seghieri, Giuseppe

    2006-11-01

    Rheumatological manifestations of Diabetes Mellitus may be classified in: non articular, articular and bone conditions. Among non articular conditions, diabetic cheiroarthropathy, frequent in type I diabetes, the most important disorder related to limited joint mobility, results in stiff skin and joint contractures. Adhesive capsulitis of the shoulder, flexor tenosynovitis, and Duputryen's and Peyronie's diseases are also linked to limited joint mobility. Diffuse skeletal hyperostosis, due to calcification at entheses, is frequent and early, particularly in type 2 diabetes. Neuropathies cause some non articular conditions, mainly neuropathic arthritis, a destructive bone and joint condition more common in type I diabetes. Algodistrophy, shoulder-hand and entrapment syndromes are also frequent. Mononeuropathy causes diabetic amyotrophy, characterised by painless muscle weakness. Among muscle conditions, diabetic muscle infarction is a rare, sometimes severe, condition. Among articular conditions, osteoarthritis is frequent and early in diabetes, in which also chondrocalcinosis and gout occur. Rheumatoid arthritis (RA) and diabetes I have a common genetic background and the presence of diabetes gives to RA an unfavourable prognosis. Among bone conditions, osteopenia and osteoporosis may occur early in type 1 diabetes. Contrarily, in type 2 diabetes, bone mineral density is similar or, sometimes, higher than in non diabetic subjects, probably due to hyperinsulinemia.

  9. Extracardiac manifestations of bacterial endocarditis.

    Science.gov (United States)

    Heffner, J E

    1979-08-01

    Bacterial endocarditis is an elusive disease that challenges clinicians' diagnostic capabilities. Because it can present with various combinations of extravalvular signs and symptoms, the underlying primary disease can go unnoticed.A review of the various extracardiac manifestations of bacterial endocarditis suggests three main patterns by which the valvular infection can be obscured. (1) A major clinical event may be so dramatic that subtle evidence of endocarditis is overlooked. The rupture of a mycotic aneurysm may simulate a subarachnoid hemorrhage from a congenital aneurysm. (2) The symptoms of bacterial endocarditis may be constitutional complaints easily attributable to a routine, trivial illness. Symptoms of low-grade fever, myalgias, back pain and anorexia may mimic a viral syndrome. (3) Endocarditis poses a difficult diagnostic dilemma when it generates constellations of findings that are classic for other disorders. Complaints of arthritis and arthralgias accompanied by hematuria and antinuclear antibody may suggest systemic lupus erythematosus; a renal biopsy study showing diffuse proliferative glomerulonephritis may support this diagnosis. The combination of fever, petechiae, altered mental status, thrombocytopenia, azotemia and anemia may promote the diagnosis of thrombotic thrombocytopenic purpura. When the protean guises of bacterial endocarditis create these clinical difficulties, errors in diagnosis occur and appropriate therapy is delayed. Keen awareness of the varied disease presentations will improve success in managing endocarditis by fostering rapid diagnosis and prompt therapy.

  10. Industrial Waste

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund

    2011-01-01

    of the system industry has to inform at the planning stage and afterwards in yearly reports on their waste arising and how the waste is managed. If available such information is very helpful in obtaining information about that specific industry. However, in many countries there is very little information......Industrial waste is waste from industrial production and manufacturing. Industry covers many industrial sectors and within each sector large variations are found in terms of which raw materials are used, which production technology is used and which products are produced. Available data on unit...... generation rates and material composition as well as determining factors are discussed in this chapter. Characterizing industrial waste is faced with the problem that often only a part of the waste is handled in the municipal waste system, where information is easily accessible. In addition part...

  11. Unusual florid skeletal manifestations of primary hyperparathyroidism

    Energy Technology Data Exchange (ETDEWEB)

    Ashebu, Samuel D.; Dahniya, Mohamed H.; Muhtaseb, Sayeed A.; Aduh, Prosper [Department of Radiology, Al-Adan Hospital (Kuwait)

    2002-12-01

    We report a case of primary hyperparathyroidism (PHPT) with advanced and unusual skeletal manifestations - a rare occurrence in developed countries nowadays. The literature is briefly reviewed. (orig.)

  12. Extrahepatic manifestations of hepatitis E virus.

    Science.gov (United States)

    Kamar, Nassim; Marion, Olivier; Abravanel, Florence; Izopet, Jacques; Dalton, Harry R

    2016-04-01

    Hepatitis E virus can cause acute, fulminant and chronic hepatitis and has been associated with a range of extrahepatic manifestations. Guillain-Barré syndrome, neuralgic amyotrophy and encephalitis are the main neurological manifestations associated with acute and chronic hepatitis E virus infection. Renal injuries have been also reported, including membranoproliferative glomerulonephritis with or without cryoglobulinemia and membranous glomerulonephritis. Acute pancreatitis, haematological disorders and other autoimmune extrahepatic manifestations of hepatitis E virus, such as myocarditis and thyroiditis, have been also reported. In this comprehensive article, we review all published reports describing hepatitis E virus-associated extrahepatic manifestations.

  13. Electrocardiographic Manifestations of Benzodiazepine Toxicity

    Directory of Open Access Journals (Sweden)

    Nahid Kazemzadeh

    2014-11-01

    Full Text Available Background: The aim of this study was to evaluate and compare the clinical and electrocardiographic (ECG manifestations of benzodiazepines (BZs. Methods: In this retrospective study, all BZ-poisoned patients hospitalized at Loghman Hakim Hospital between September 2010 and March 2011 were evaluated. Patients’ information including age, sex, time elapsed between the ingestion and presentation, and type of the BZ used were extracted from the patients' charts and recorded. ECGs on presentation to the emergency department (ED were evaluated and parameters such as PR interval, QRS duration, corrected QT, amplitude of S wave in lead I, height of R wave and R/S ratio in the lead aVR were also measured and recorded. Results: Oxazepam, chlordiazepoxide, lorazepam, alprazolam, diazepam, and clonazepam were ingested by 9 (3%, 13 (4.4%, 29 (9.9%, 105 (35.8%, 65 (22.2%, and 72 (24.6% patients, respectively. Mean PR interval was reported to be 0.16 ± 0.03 sec and PR interval of greater than 200 msec was detected in 12 (4.5% patients. Mean QRS duration was 0.07 ± 0.01sec and QRS≥120 msec was observed in 7 (2.6% cases. Conclusion: Diazepam is the only BZ that does not cause QRS widening and oxazepam is the only one not causing PR prolongation. It can be concluded that if a patient refers with a decreased level of consciousness and accompanying signs of BZ toxicity, QRS widening in ECG rules out diazepam, whereas PR prolongation rules out oxazepam toxicity.

  14. Gastrointestinal manifestations in cystic fibrosis.

    Science.gov (United States)

    Eggermont, E

    1996-08-01

    CFTR, or cystic fibrosis transmembrane conductance regulator, the gene product that is defective in cystic fibrosis, is present in the apical membrane of the epithelial cells from the stomach to the colon. In the foregut, the clinical manifestations are not directly related to the primary defect of the CFTR chloride channel. The most troublesome complaints and symptoms originate from the oesophagus as peptic oesophagitis or oesophageal varices. In the small intestinal wall, the clinical expression of CF depends largely on the decreased secretion of fluid and chloride ions, the increased permeability of the paracellular space between adjacent enterocytes and the sticky mucous cover over the enterocytes. As a rule, the brush border enzyme activities are normal and there is some enhanced active transport as shown for glucose and alanine. The results of continuous enteral feeding of CF patients clearly show that the small intestinal mucosa, in the daily situation, is not functioning at maximal capacity. Although CFTR expression in the colon is lower, the large intestine may be the site of several serious complications such as rectal prolapse, meconium ileus equivalent, intussusception, volvulus and silent appendicitis. In recent years colonic strictures, after the use of high-dose pancreatic enzymes, are being increasingly reported; the condition has recently been called CF fibrosing colonopathy. The CF gastrointestinal content itself differs mainly from the normal condition by the lower acidity in the foregut and the accretion of mucins and proteins, eventually resulting in intestinal obstruction, in the ileum and colon. Better understanding of the CF gastrointestinal phenotype may contribute to improvement of the overall wellbeing of these patients.

  15. Endocrine manifestations of celiac disease

    Directory of Open Access Journals (Sweden)

    R Philip

    2012-01-01

    Full Text Available Background: Celiac disease can have extra gastrointestinal tract (GIT presentations, most of which are endocrine. The aim of this study was to present patients diagnosed to have celiac disease from an endocrine department and to study the prevalence of endocrinopathies in celiac disease. Materials and Methods: A total of 36 patients from the endocrinology department (LLRM Medical College, Meerut between January 2011 and July 2012 and who were diagnosed to have celiac disease were included in the study. Results: Short stature was the commonest presentation (25%, other presentations included short stature and delayed puberty (20%, delayed puberty (11%, screening for celiac disease in type-1 DM patients (17%, rickets (6%, anemia not responding to oral therapy (6%, type-1 DM with recurrent hypoglycaemia (6%, and osteomalacia (3%. The endocrine manifestations include (after complete evaluation short stature (58%, delayed puberty (31%, elevated alkaline phospahatase (67%, low calcium (22%, X-rays suggestive of osteomalacia or rickets (8%, capopedal spasm (6%, and night blindness (6%. Anti-TPO antibody positivity was found in 53%, hypothyroidism in 28%, subclinical hypothyroidism in 17%, and type-1 DM in 25% of the patients. A total of 14% patients had no GI symptoms. Conclusion: Celiac disease is an endocrine disrupter as well as the great masquerader having varied presentations including short stature, delayed puberty, and rickets. Some patients who have celiac disease may not have any GI symptoms, making the diagnosis all the more difficult. Also, there is significant incidence of celiac disease with hypothyroidism and type-1 DM, making screening for it important in these diseases.

  16. Cystic thymic diseases: CT manifestations

    Energy Technology Data Exchange (ETDEWEB)

    Song, Soon Young; Choi, Yo Won; Jeon, Eui Yong; Jeon, Seok Chol; Seo, Heung Suk; Hahm, Chang Kok [School of Medicine, Hanyang University, Seoul (Korea, Republic of)

    1995-09-15

    To describe CT findings and differential points of cystic thymic lesions. We evaluated retrospectively total 19 masses with well marginated cystic lesions at thymic area on CT scans. They were 10 teratomas, 3 congenital thymic cysts, 2 multilocular thymic cysts(associated with thymoma and myasthenia gravis in each), 2 cysts Assciated with thymic Hodgkin's lymphomas an ectopic parathyroid cyst, and an infected thymic cyst. The radiological abnormalities evaluated were thickness of the wall, presence or abscene of septa, mural nodule, solid component, calcification and fat component. All three cases of congenital thymic cysts and an ectopic parathyroid cyst appeared as thin-walled unilocular cyst with homogeneous internal density and without identifiable solid component. In multilocular thymic cyst, there were thick wall and solid components(n =2), thick internal septa and calcifications(n = 1). The cysts of teratomas manifested thick walls(n = 9), internal septa(n = 4), calcifications(n = 6), fat components(n = 4), and solid components(n = 4). Cysts in Hodgkin's diseases appeared as multilocular or unilocular and had thick wall and septa without calcification. Infected thymic cyst presented with multilocular cystic mass with identifiable wall and septa, calcification, and solid components. The thymic diseases with cystic lesion include teratomas, congenital thymic cysts, multilocular thymic cysts, parathyroid cyst, and Hodgkin's disease. Congenital thymic cyst and ectopic parathyroid cyst are thin-walled unilocular cystic lesions. Cystic lesions associated with teratoma, Hodgkin's disease, and multilocular thymic cyst are thick-walled cystic lesions with or without solid component.

  17. Clinical manifestation of myeloperoxidase deficiency.

    Science.gov (United States)

    Lanza, F

    1998-09-01

    Myeloperoxidase (MPO), an iron-containing heme protein localized in the azurophilic granules of neutrophil granulocytes and in the lysosomes of monocytes, is involved in the killing of several micro-organisms and foreign cells, including bacteria, fungi, viruses, red cells, and malignant and nonmalignant nucleated cells. Despite the primary role of the oxygen-dependent MPO system in the destruction of certain phagocytosed microbes, subjects with total or partial MPO deficiency generally do not have an increased frequency of infections, probably because other MPO-independent mechanism(s) for microbicidal activity compensate for the lack of MPO. Infectious diseases, especially with species of Candida, have been observed predominantly in MPO-deficient patients who also have diabetes mellitus, but the frequency of such cases is very low, less than 5% of reported MPO-deficient subjects. Evidence from a number of investigators indicates that individuals with total MPO deficiency show a high incidence of malignant tumors. Since MPO-deficient PMNs exhibit in vitro a depressed lytic action against malignant human cells, it can be speculated that the neutrophil MPO system plays a central role in the tumor surveillance of the host. However, any definitive conclusion on the association between MPO deficiency and the occurrence of cancers needs to be confirmed in further clinical studies. Clinical manifestations of this disorder depend on the nature of the defect; an acquired abnormality associated with other hematological or nonhematological diseases has been occasionally described, but the primary deficiency is the form more commonly reported. Another area of interest pertinent to MPO expression is related to the use of anti-MPO monoclonal antibodies for the lineage assignment of acute leukemic cells, the definition of FAB MO acute myeloid leukemia, the identification of biphenotypic acute leukemias, and their distinction from acute leukemia with minimal phenotypic deviation

  18. Just-in-time characterization and certification of DOE-generated wastes

    Energy Technology Data Exchange (ETDEWEB)

    Arrenholz, D.A.; Primozic, F.J. [Benchmark Environmental Corp., Albuquerque, NM (United States); Robinson, M.A. [Los Alamos National Lab., NM (United States)

    1995-12-31

    Transportation and disposal of wastes generated by Department of Energy (DOE) activities, including weapons production and decontamination and decommissioning (D&D) of facilities, require that wastes be certified as complying with various regulations and requirements. These certification requirements are typically summarized by disposal sites in their specific waste acceptance criteria. Although a large volume of DOE wastes have been generated by past activities and are presently in storage awaiting disposal, a significant volume of DOE wastes, particularly from D&D projects. have not yet been generated. To prepare DOE-generated wastes for disposal in an efficient manner. it is suggested that a program of just-in-time characterization and certification be adopted. The goal of just-in-time characterization and certification, which is based on the just-in-time manufacturing process, is to streamline the certification process by eliminating redundant layers of oversight and establishing pro-active waste management controls. Just-in-time characterization and certification would rely on a waste management system in which wastes are characterized at the point of generation, precertified as they are generated (i.e., without iterative inspections and tests subsequent to generation and storage), and certified at the point of shipment, ideally the loading dock of the building from which the wastes are generated. Waste storage would be limited to accumulating containers for cost-efficient transportation.

  19. Industrial Waste

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund

    2011-01-01

    Industrial waste is waste from industrial production and manufacturing. Industry covers many industrial sectors and within each sector large variations are found in terms of which raw materials are used, which production technology is used and which products are produced. Available data on unit...... generation rates and material composition as well as determining factors are discussed in this chapter. Characterizing industrial waste is faced with the problem that often only a part of the waste is handled in the municipal waste system, where information is easily accessible. In addition part...... of the industrial waste may in periods, depending on market opportunities and prices, be traded as secondary rawmaterials. Production-specificwaste from primary production, for example steel slag, is not included in the current presentation. In some countries industries must be approved or licensed and as part...

  20. [Hemolytic uremic syndrome. Clinical manifestations. Treatment].

    Science.gov (United States)

    Exeni, Ramón A

    2006-01-01

    Clinical manifestation are described in children with epidemic HUS. The intestinal involvement in the prodromic period, is outlined and the most common disturbances such acute renal failure, thrombocytopenia, hemolytic anemia, leucocitosis hypertension, neurological, pancreatic and cardiac manifestations are described. We discuss the acid-base and electrolyte disturbances, metabolic acidosis, hyponatremia, hyperkalemia. The etiopathogenic treatment and the control of renal sequelae are also discussed.

  1. Oral manifestations of syphilis: a review

    Directory of Open Access Journals (Sweden)

    A.B. Soares

    2004-01-01

    Full Text Available Syphilis is an infectious disease presenting stages associated with specific oral lesions. Therefore, health professionals should be familiar with the different syphilis oral manifestations at each stage and be prepared to refer any suspected patient for further evaluation. This report describes the most important clinical factors of each stage, emphasizing the oral manifestations.

  2. Cardiac manifestations of inborn errors of metabolism.

    NARCIS (Netherlands)

    Evangeliou, A.; Papadopoulou-Legbelou, K.; Daphnis, E.; Ganotakis, E.; Vavouranakis, I.; Michailidou, H.; Hitoglou-Makedou, A.; Nicolaidou, P.; Wevers, R.A.; Varlamis, G.

    2007-01-01

    AIM: The aim of the study was to investigate the frequency and type of cardiac manifestations in a defined group of patients with inborn errors of metabolism. This paper also explores the key role of cardiac manifestations in the diagnosis of inborn errors of metabolism in daily practice. METHODS: O

  3. Pulmonary manifestations of the antiphospholipid antibody syndrome.

    Science.gov (United States)

    Ford, H James; Roubey, Robert A S

    2010-09-01

    A broad spectrum of pulmonary disease may occur in antiphospholipid antibody syndrome. The most common pulmonary manifestations are pulmonary thromboembolism and pulmonary hypertension. In this article the authors review these manifestations, as well as less common findings including acute respiratory distress syndrome, alveolar hemorrhage, and pulmonary capillaritis.

  4. Congenital rubella syndrome and delayed manifestations

    DEFF Research Database (Denmark)

    Dammeyer, Jesper Herup

    2010-01-01

    Objective: Several hypotheses of different medical and psychological delayed manifestations among people who have congenital rubella syndrome (CRS) have been discussed. This study tests some of these hypotheses of delayed manifestations. Methods: Gathering information about 35 individuals who hav...... which people with CRS face must primarily be understood in relation to congenital deafblindness and dual sensory and communicative deprivation....

  5. 21 CFR 11.50 - Signature manifestations.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Signature manifestations. 11.50 Section 11.50 Food... RECORDS; ELECTRONIC SIGNATURES Electronic Records § 11.50 Signature manifestations. (a) Signed electronic...: (1) The printed name of the signer; (2) The date and time when the signature was executed; and...

  6. Waste indicators

    Energy Technology Data Exchange (ETDEWEB)

    Dall, O.; Lassen, C.; Hansen, E. [Cowi A/S, Lyngby (Denmark)

    2003-07-01

    The Waste Indicator Project focuses on methods to evaluate the efficiency of waste management. The project proposes the use of three indicators for resource consumption, primary energy and landfill requirements, based on the life-cycle principles applied in the EDIP Project. Trial runs are made With the indicators on paper, glass packaging and aluminium, and two models are identified for mapping the Danish waste management, of which the least extensive focuses on real and potential savings. (au)

  7. NEUROLOGIC MANIFESTATION OF ORGANIC ACADEMIA

    Directory of Open Access Journals (Sweden)

    Seyyed Hassan TONEKABONI

    2012-03-01

    Full Text Available Inborn errors of organic acid metabolism are relatively recently recognized diseases with a wide spectrum of clinical signs and symptoms: ranging from asymptomatic, normal appearing children to death during first few days of life.In my presentation I will try to explain some of the most common clinical presentation of these disorder with stress on neurologic findings. Organic acidemia usually have three clinical manifestations Severe neonatal form, Intermittent late-onset form and chronic progressive form. Recurrent coma, The main feature of these disorders is due to accumulation of toxic metabolites in Central Nervous system with direct effect on the function, while chronic accumulation of these materials may interfere with CNS development or cerebral metabolism leading to developmental delay.Severe neonatal formsFollowing a symptom free interval of a few days from birth, poor sucking and difficult feeding appears in the newborn, followed by unexplained and progressive coma. Seizures may appear during the course of the disease and EEG may show a burst-suppression pattern. During this stage most infants have axial hypotonia with peripheral dystonia, choreoathetosis, episodic opisthotonus and some repetitive bicycling and boxing movements.Associated biochemical abnormalities including metabolic acidosis, ketonuria and hyperammonemia also is usually present. The overall short-term prognosis with recent advances in medical care is improving. But later in life acute intercurrent episodes triggered by a stress often occur, which can be occasionally fatal.bulging fontanelle and cerebral edema may mimic CNS infection in these babies.Intermittent late-onset formsRecurrent attacks of coma or lethargy with ataxia can occur in childhood or even in adolescence or adulthood. These episodes may be frequent, though in between these the child is entirely normal. These attacks are precipitated by conditions that enhance protein catabolism (trauma, infection etc

  8. Handling e-waste in developed and developing countries: Initiatives, practices, and consequences

    Energy Technology Data Exchange (ETDEWEB)

    Sthiannopkao, Suthipong, E-mail: suthisuthi@gmail.com [Department of Environmental Engineering, College of Engineering, Dong-A University, 37 Nakdong-Daero 550 beon-gil Saha-gu, Busan (Korea, Republic of); Wong, Ming Hung [Croucher Institute for Environmental Sciences, Hong Kong Baptist University, Hong Kong (China)

    2013-10-01

    Discarded electronic goods contain a range of toxic materials requiring special handling. Developed countries have conventions, directives, and laws to regulate their disposal, most based on extended producer responsibility. Manufacturers take back items collected by retailers and local governments for safe destruction or recovery of materials. Compliance, however, is difficult to assure, and frequently runs against economic incentives. The expense of proper disposal leads to the shipment of large amounts of e-waste to China, India, Pakistan, Nigeria, and other developing countries. Shipment is often through middlemen, and under tariff classifications that make quantities difficult to assess. There, despite the intents of national regulations and hazardous waste laws, most e-waste is treated as general refuse, or crudely processed, often by burning or acid baths, with recovery of only a few materials of value. As dioxins, furans, and heavy metals are released, harm to the environment, workers, and area residents is inevitable. The faster growth of e-waste generated in the developing than in the developed world presages continued expansion of a pervasive and inexpensive informal processing sector, efficient in its own way, but inherently hazard-ridden. - Highlights: ► Much e-waste, expensive to process safely, illegally goes to developing countries. ► E-waste processing in developing countries pollutes with heavy metals and dioxins. ► Well-conceived developing world waste regulations lack enforceability. ► Crude e-waste processing cannot recover several rare materials. ► The amount of e-waste unsafely processed will continue to grow.

  9. 49 CFR 173.304b - Additional requirements for shipment of liquefied compressed gases in UN pressure receptacles.

    Science.gov (United States)

    2010-10-01

    ... compressed gases in UN pressure receptacles. 173.304b Section 173.304b Transportation Other Regulations...; Preparation and Packaging § 173.304b Additional requirements for shipment of liquefied compressed gases in UN... UN pressure receptacles subject to the requirements in this section and § 173.304. In addition,...

  10. 9 CFR 72.19 - Interstate shipments and use of pine straw, grass, litter from quarantined area; prohibited until...

    Science.gov (United States)

    2010-01-01

    ... straw, grass, litter from quarantined area; prohibited until disinfected. 72.19 Section 72.19 Animals... Interstate shipments and use of pine straw, grass, litter from quarantined area; prohibited until disinfected. Pine straw, grass, or similar litter collected from tick-infested pastures, ranges, or premises...

  11. 9 CFR 73.4 - Interstate shipment of exposed but not visibly diseased cattle from a quarantined or...

    Science.gov (United States)

    2010-01-01

    ... visibly diseased cattle from a quarantined or nonquarantined area; conditions under which permitted. 73.4... AGRICULTURE INTERSTATE TRANSPORTATION OF ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS SCABIES IN CATTLE § 73.4 Interstate shipment of exposed but not visibly diseased cattle from a quarantined...

  12. 19 CFR 10.815 - Packaging and packing materials and containers for retail sale and for shipment.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Packaging and packing materials and containers for... RATE, ETC. United States-Bahrain Free Trade Agreement Rules of Origin § 10.815 Packaging and packing... good is packaged for retail sale and packing materials and containers for shipment are to...

  13. 19 CFR 10.775 - Packaging and packing materials and containers for retail sale and for shipment.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Packaging and packing materials and containers for... RATE, ETC. United States-Morocco Free Trade Agreement Rules of Origin § 10.775 Packaging and packing... good is packaged for retail sale and packing materials and containers for shipment are to...

  14. 15 CFR 30.40 - Special exemptions for certain shipments to U.S. government agencies and employees.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Special exemptions for certain shipments to U.S. government agencies and employees. 30.40 Section 30.40 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade BUREAU OF THE CENSUS, DEPARTMENT OF COMMERCE FOREIGN...

  15. 41 CFR 102-118.130 - Must my agency use a GBL for express, courier, or small package shipments?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Must my agency use a GBL for express, courier, or small package shipments? 102-118.130 Section 102-118.130 Public Contracts and... Transportation Services § 102-118.130 Must my agency use a GBL for express, courier, or small package...

  16. HANFORD FACILITY ANNUAL DANGEROUS WASTE REPORT CY2005

    Energy Technology Data Exchange (ETDEWEB)

    SKOLRUD, J.O.

    2006-02-15

    The Hanford Facility Annual Dangerous Waste Report (ADWR) is prepared to meet the requirements of Washington Administrative Code Sections 173-303-220, Generator Reporting, and 173-303-390, Facility Reporting. In addition, the ADWR is required to meet Hanford Facility RCR4 Permit Condition I.E.22, Annual Reporting. The ADWR provides summary information on dangerous waste generation and management activities for the Calendar Year for the Hanford Facility EPA ID number assigned to the Department of Energy for RCRA regulated waste, as well as Washington State only designated waste and radioactive mixed waste. An electronic database is utilized to collect and compile the large array of data needed for preparation of this report. Information includes details of waste generated on the Hanford Facility, waste generated offsite and sent to Hanford for management, and other waste management activities conducted at Hanford, including treatment, storage, and disposal. Report details consist of waste descriptions and weights, waste codes and designations, and waste handling codes, In addition, for waste shipped to Hanford for treatment and/or disposal, information on manifest numbers, the waste transporter, the waste receiving facility, and the original waste generators are included. In addition to paper copies, the report is also transmitted electronically to a web site maintained by the Washington State Department of Ecology.

  17. Test/QA Plan for Verification of Radio Frequency Identification (RFID) for Tracking Hazardous Waste Shipments across International Borders

    Science.gov (United States)

    The verification test will be conducted under the auspices of the U.S. Environmental Protection Agency (EPA) through the Environmental Technology Verification (ETV) Program. It will be performed by Battelle, which is managing the ETV Advanced Monitoring Systems (AMS) Center throu...

  18. Use of Radio Frequency Identification (RFID) for Tracking Hazardous Waste Shipments Across International Borders -Test/QA Plan

    Science.gov (United States)

    The Environmental Technology Verification (ETV) – Environmental and Sustainable Technology Evaluations (ESTE) Program conducts third-party verification testing of commercially available technologies that may accomplish environmental program management goals. In this verification...

  19. Test/QA Plan for Verification of Radio Frequency Identification (RFID) for Tracking Hazardous Waste Shipments across International Borders

    Science.gov (United States)

    The verification test will be conducted under the auspices of the U.S. Environmental Protection Agency (EPA) through the Environmental Technology Verification (ETV) Program. It will be performed by Battelle, which is managing the ETV Advanced Monitoring Systems (AMS) Center throu...

  20. Use of Radio Frequency Identification (RFID) for Tracking Hazardous Waste Shipments Across International Borders -Test/QA Plan

    Science.gov (United States)

    The Environmental Technology Verification (ETV) – Environmental and Sustainable Technology Evaluations (ESTE) Program conducts third-party verification testing of commercially available technologies that may accomplish environmental program management goals. In this verification...

  1. Food waste or wasted food

    OpenAIRE

    van Graas, Maaike Helene

    2014-01-01

    In the industrialized world large amounts of food are daily disposed of. A significant share of this waste could be avoided if different choices were made by individual households. Each day, every household makes decisions to maximize their happiness while balancing restricted amounts of time and money. Thinking of the food waste issue in terms of the consumer choice problem where households can control the amount of wasted food, we can model how households can make the best decisions. I...

  2. A TRANSPORTATION RISK ASSESSMENT TOOL FOR ANALYZING THE TRANSPORT OF SPENT NUCLEAR FUEL AND HIGH-LEVEL RADIOACTIVE WASTE TO THE PROPOSED YUCCA MOUNTAIN REPOSITORY

    Energy Technology Data Exchange (ETDEWEB)

    NA

    2001-02-15

    The Yucca Mountain Draft Environmental Impact Statement (DEIS) analysis addressed the potential for transporting spent nuclear fuel and high-level radioactive waste from 77 origins for 34 types of spent fuel and high-level radioactive waste, 49,914 legal weight truck shipments, and 10,911 rail shipments. The analysis evaluated transportation over 59,250 unique shipment links for travel outside Nevada (shipment segments in urban, suburban or rural zones by state), and 22,611 links in Nevada. In addition, the analysis modeled the behavior of 41 isotopes, 1091 source terms, and used 8850 food transfer factors (distinct factors by isotope for each state). The analysis also used mode-specific accident rates for legal weight truck, rail, and heavy haul truck by state, and barge by waterway. This complex mix of data and information required an innovative approach to assess the transportation impacts. The approach employed a Microsoft{reg_sign} Access database tool that incorporated data from many sources, including unit risk factors calculated using the RADTRAN IV transportation risk assessment computer program. Using Microsoft{reg_sign} Access, the analysts organized data (such as state-specific accident and fatality rates) into tables and developed queries to obtain the overall transportation impacts. Queries are instructions to the database describing how to use data contained in the database tables. While a query might be applied to thousands of table entries, there is only one sequence of queries that is used to calculate a particular transportation impact. For example, the incident-free dose to off-link populations in a state is calculated by a query that uses route segment lengths for each route in a state that could be used by shipments, populations for each segment, number of shipments on each segment, and an incident-free unit risk factor calculated using RADTRAN IV. In addition to providing a method for using large volumes of data in the calculations, the

  3. A review and overview of nuclear waste management

    Energy Technology Data Exchange (ETDEWEB)

    Murray, R.L.

    1984-12-31

    An understanding of the status and issues in the management of radioactive wastes is based on technical information on radioactivity, radiation, biological hazard of radiation exposure, radiation standards, and methods of protection. The fission process gives rise to radioactive fission products and neutron bombardment gives activation products. Radioactive wastes are classified according to source: defense, commercial, industrial, and institutional; and according to physical features: uranium mill tailings, high-level, transuranic, and low-level. The nuclear fuel cycle, which contributes a large fraction of annual radioactive waste, starts with uranium ore, includes nuclear reactor use for electrical power generation, and ends with ultimate disposal of residues. The relation of spent fuel storage and reprocessing is governed by technical, economic, and political considerations. Waste has been successfully solidified in glass and other forms and choices of the containers for the waste form are available. Methods of disposal of high-level waste that have been investigated are transmutation by neutron bombardment, shipment to Antartica, deep-hole insertion, subseabed placement, transfer by rocket to an orbit in space, and disposal in a mined cavity. The latter is the favored method. The choices of host geological media are salt, basalt, tuff, and granite.

  4. Neurological Manifestations In Inflammatory Bowel Disease

    Directory of Open Access Journals (Sweden)

    youssef HNACH

    2015-06-01

    Full Text Available IntroductionThe purpose of this retrospective study was to report neurological manifestations noted in patients who were monitored for inflammatory bowel disease, in order to document the pathophysiological, clinical, progressive, and therapeutic characteristics of this entity.Material and methodsWe conducted a retrospective study on patients monitored -in the gastroenterology service in Ibn Sina Hospital in Rabat, Morocco- for inflammatory bowel disease from 1992 till 2013 and who developed neurological manifestations during its course. Patients with iatrogenic complications were excluded, as well as patients with cerebrovascular risk factors.ResultsThere were 6 patients, 4 of whom have developed peripheral manifestations. Electromyography enabled the diagnosis to be made and the outcome was favorable with disappearance of clinical manifestations and normalization of the electromyography.The other 2 patients, monitored for Crohn’s disease, developed ischemic stroke. Cerebral computed tomography angiography provided positive and topographic diagnosis. Two patients were admitted to specialized facilities.ConclusionNeurological manifestations in inflammatory bowel disease are rarely reported.  Peripheral neuropathies and stroke remain the most common manifestations. The mechanisms of these manifestations are not clearly defined yet. Currently, we hypothesize the interaction of immune mediators.

  5. [Lyme disease--clinical manifestations and treatment].

    Science.gov (United States)

    Stock, Ingo

    2016-05-01

    Lyme disease (Lyme borreliosis) is a systemic infectious disease that can present in a variety of clinical manifestations. The disease is caused by a group of spirochaetes--Borrelia burgdorferi sensu lato or Lyme borrelia--that are transmitted to humans by the bite of Ixodes ticks. Lyme disease is the most common arthropode-borne infectious disease in many European countries including Germany. Early localized infection is typically manifested by an erythema migrans skin lesion, in rarer cases as a borrelial lymphocytoma. The most common early disseminated manifestation is (early) neuroborreliosis. In adults, neuroborreliosis appears typically as meningoradiculoneuritis. Neuroborreliosis in children, however, is typically manifested by meningitis. In addition, multiple erythema migrans lesions and Lyme carditis occur relatively frequently. The most common manifestation oflate Lyme disease is Lyme arthritis. Early manifestations (and usually also late manifestations) of Lyme disease can be treated successfully by application of suitable antibacterial agents. For the treatment of Lyme disease, doxycycline, certain penicillins such as amoxicillin and some cephalosporins (ceftriaxone, cefotaxime, cefuroxime axetil) are recommended in current guidelines. A major challenge is the treatment of chronic, non-specific disorders, i. e., posttreatment Lyme disease syndrome and "chronic Lyme disease". Prevention of Lyme disease is mainly accomplished by protecting against tick bites. Prophylactic administration of doxycycline after tick bites is generally not recommended in Germany. There is no vaccine available for human beings.

  6. The cost and risk impacts of rerouting railroad shipments of hazardous materials.

    Science.gov (United States)

    Glickman, Theodore S; Erkut, Erhan; Zschocke, Mark S

    2007-09-01

    Rail shipments of hazardous materials expose the population near the routes to the possibility of an accident resulting in a spill. Rail routes are determined by economic concerns such as route length and the revenue generated for the originating carrier. In this paper we consider an alternate routing strategy that takes accident risks into account. We employ a model to quantify rail transport risk and then use a weighted combination of cost and risk and generate alternate routes. In some cases the alternate routes achieve significantly lower risk values than the practical routes at a small incremental cost. While there are generally fewer rerouting alternatives for rail than for road transport, considering the possible consequences of a train derailment we argue that risk should be taken into account when selecting rail routes and that the cost-risk tradeoffs should be evaluated.

  7. XpertTrack: Precision Autonomous Measuring Device Developed for Real Time Shipments Tracker

    Directory of Open Access Journals (Sweden)

    Liviu Viman

    2016-03-01

    Full Text Available This paper proposes a software and hardware solution for real time condition monitoring applications. The proposed device, called XpertTrack, exchanges data through the GPRS protocol over a GSM network and monitories temperature and vibrations of critical merchandise during commercial shipments anywhere on the globe. Another feature of this real time tracker is to provide GPS and GSM positioning with a precision of 10 m or less. In order to interpret the condition of the merchandise, the data acquisition, analysis and visualization are done with 0.1 °C accuracy for the temperature sensor, and 10 levels of shock sensitivity for the acceleration sensor. In addition to this, the architecture allows increasing the number and the types of sensors, so that companies can use this flexible solution to monitor a large percentage of their fleet.

  8. Genetic alterations in syndromes with oral manifestations.

    Science.gov (United States)

    Anuthama, Krishnamurthy; Prasad, Harikrishnan; Ramani, Pratibha; Premkumar, Priya; Natesan, Anuja; Sherlin, Herald J

    2013-11-01

    Ever since Gregor Johan Mendel proposed the law of inheritance, genetics has transcended the field of health and has entered all walks of life in its application. Thus, the gene is the pivoting factor for all happenings revolving around it. Knowledge of gene mapping in various diseases would be a valuable tool in prenatally diagnosing the condition and averting the future disability and stigma for the posterity. This article includes an array of genetically determined conditions in patients seen at our college out-patient department with complete manifestation, partial manifestation and array of manifestations not fitting into a particular syndrome.

  9. Genetic alterations in syndromes with oral manifestations

    Directory of Open Access Journals (Sweden)

    Krishnamurthy Anuthama

    2013-01-01

    Full Text Available Ever since Gregor Johan Mendel proposed the law of inheritance, genetics has transcended the field of health and has entered all walks of life in its application. Thus, the gene is the pivoting factor for all happenings revolving around it. Knowledge of gene mapping in various diseases would be a valuable tool in prenatally diagnosing the condition and averting the future disability and stigma for the posterity. This article includes an array of genetically determined conditions in patients seen at our college out-patient department with complete manifestation, partial manifestation and array of manifestations not fitting into a particular syndrome.

  10. Ecofeed, animal feed produced from recycled food waste

    Directory of Open Access Journals (Sweden)

    Katsuaki Sugiura

    2009-09-01

    Full Text Available Due to the price hike of imported grains for feed, the production of Ecofeed, feed produced from recycled food waste, has increased in recent years. Food dregs from the food and beverage processing industry and out-of-date food from supermarkets and convenience stores are most often used as raw materials for Ecofeed. As food waste usually contains a lot of moisture and is easily spoiled, guidelines prescribing measures to be taken when collecting, transporting and storing raw materials, and for the production, shipment, storage and use of Ecofeed products, have been developed to ensure the safety of Ecofeed. The guidelines also include measures that should be taken to prevent the spread of bovine spongiform encephalopathy when producing and using Ecofeed. A certification system was introduced in March 2009 to ensure the quality and safety of Ecofeed and thus promote its use.

  11. Transuranic (TRU) Waste Phase I Retrieval Plan

    Energy Technology Data Exchange (ETDEWEB)

    MCDONALD, K.M.

    2000-09-28

    From 1970 to 1987, TRU and suspect TRU wastes at Hanford were placed in the SWBG. At the time of placement in the SWBG these wastes were not regulated under existing Resource Conservation and Recovery Act (RCRA) regulations, since they were generated and disposed of prior to the effective date of RCRA at the Hanford Site (1987). From the standpoint of DOE Order 5820.2A1, the TRU wastes are considered retrievably stored, and current plans are to retrieve these wastes for shipment to WIPP for disposal. This plan provides a strategy for the Phase I retrieval that meets the intent of TPA milestone M-91 and Project W-113, and incorporates the lessons learned during TRU retrieval campaigns at Hanford, LANL, and SRS. As in the original Project W-113 plans, the current plan calls for examination of approximately 10,000 suspect-TRU drums located in the 218-W-4C burial ground followed by the retrieval of those drums verified to contain TRU waste. Unlike the older plan, however, this plan proposes an open-air retrieval scenario similar to those used for TRU drum retrieval at LANL and SRS. Phase I retrieval consists of the activities associated with the assessment of approximately 10,000 55-gallon drums of suspect TRU-waste in burial ground 218-W-4C and the retrieval of those drums verified to contain TRU waste. Four of the trenches in 218-W-4C (Trenches 1, 4, 20, and 29) are prime candidates for Phase I retrieval because they contain large numbers of suspect TRU drums, stacked from 2 to 5 drums high, on an asphalt pad. In fact, three of the trenches (Trenches 1 , 20, and 29) contain waste that has not been covered with soil, and about 1500 drums can be retrieved without excavation. The other three trenches in 218-W-4C (Trenches 7, 19, and 24) are not candidates for Phase I retrieval because they contain significant numbers of boxes. Drums will be retrieved from the four candidate trenches, checked for structural integrity, overpacked, if necessary, and assayed at the burial

  12. Waste characterization for the F/H Effluent Treatment Facility in support of waste certification

    Energy Technology Data Exchange (ETDEWEB)

    Brown, D.F.

    1994-10-17

    The Waste Acceptance Criteria (WAC) procedures define the rules concerning packages of solid Low Level Waste (LLW) that are sent to the E-area vaults (EAV). The WACs tabulate the quantities of 22 radionuclides that require manifesting in waste packages destined for each type of vault. These quantities are called the Package Administrative Criteria (PAC). If a waste package exceeds the PAC for any radionuclide in a given vault, then specific permission is needed to send to that vault. To avoid reporting insignificant quantities of the 22 listed radionuclides, the WAC defines the Minimum Reportable Quantity (MRQ) of each radionuclide as 1/1000th of the PAC. If a waste package contains less than the MRQ of a particular radionuclide, then the package`s manifest will list that radionuclide as zero. At least one radionuclide has to be reported, even if all are below the MRQ. The WAC requires that the waste no be ``hazardous`` as defined by SCDHEC/EPA regulations and also lists several miscellaneous physical/chemical requirements for the packages. This report evaluates the solid wastes generated within the F/H Effluent Treatment Facility (ETF) for potential impacts on waste certification.

  13. Characterization of past and present solid waste streams from 231-Z

    Energy Technology Data Exchange (ETDEWEB)

    Pottmeyer, J.A.; DeLorenzo, D.S.; Weyns-Rollosson, M.I.; Berkwitz, D.E.; Vejvoda, E.J. [Los Alamos Technical Associates, Inc., NM (US); Duncan, D.R. [Westinghouse Hanford Co., Richland, WA (US)

    1993-06-01

    During the next two decades the transuranic (TRU) wastes now stored in the burial trenches and storage facilities at the Hanford Site are to be retrieved, processed at the Waste Receiving and Processing Facility, and shipped to the Waste Isolation Pilot Plant near Carlsbad, New Mexico for final disposal. Over 8% of the TRU waste to be retrieved for shipment to the Waste Isolation Pilot Plant has been generated at the Plutonium Metallurgy Laboratory (231-Z) Facility. The purpose of this report is to characterize the radioactive solid wastes generated by 231-Z using process knowledge, existing records and oral history interviews. Since 1944 research and development programs utilizing plutonium have been conducted at 231-Z in the fields of physical metallurgy, property determination, alloy development, and process development. The following are sources of solid waste generation at the 231-Z Facility: (1) General Weapons Development Program, (2) process waste from gloveboxes, (3) numerous classified research and development programs, (4) advanced decontamination and decommissioning technologies, including sectioning, vibratory finishing, electropolishing, solution process, and small bench-scale work, (5) general laboratory procedures, (6) foundry area, (7) housekeeping activities, and (8) four cleanout campaigns. All solid wastes originating at 231-Z were packaged for onsite-offsite storage or disposal. Waste packaging and reporting requirements have undergone significant changes throughout the history of 231-Z. Current and historical procedures are provided in Section 4.0. Information on the radioactive wastes generated at 231-Z can be found in a number of documents and databases, most importantly the Solid Waste Information and Tracking System database and Solid Waste Burial Records. Facility personnel also provide excellent information about past waste generation and the procedures used to handle that waste. Section 5.0 was compiled using these sources.

  14. Endocrine disorders and the neurologic manifestations.

    Science.gov (United States)

    Yu, Jeesuk

    2014-12-01

    The nervous system and the endocrine system are closely interrelated and both involved intimately in maintaining homeostasis. Endocrine dysfunctions may lead to various neurologic manifestations such as headache, myopathy, and acute encephalopathy including coma. It is important to recognize the neurologic signs and symptoms caused by the endocrine disorders while managing endocrine disorders. This article provides an overview of the neurologic manifestations found in various endocrine disorders that affect pediatric patients. It is valuable to think about 'endocrine disorder' as a cause of the neurologic manifestations. Early diagnosis and treatment of hormonal imbalance can rapidly relieve the neurologic symptoms. Better understanding of the interaction between the endocrine system and the nervous system, combined with the knowledge about the pathophysiology of the neurologic manifestations presented in the endocrine disorders might allow earlier diagnosis and better treatment of the endocrine disorders.

  15. Manifest toob klassika taas kinoekraanile / Andri Maimets

    Index Scriptorium Estoniae

    Maimets, Andri, 1979-

    2007-01-01

    2.-9. veebr. on kinos "Sõprus" ja 11.-15. veebr. Tartu Sadamateatris 5. kultusfilmide festival Manifest, seekord USA filmid ja teemaks sõnavabadus. Esilinastub ka Urmas E. Liivi dokumentaalfilm "Tervitusi Nõukogude Eestist!"

  16. Mucocutaneous manifestations of helminth infections: Nematodes.

    Science.gov (United States)

    Lupi, Omar; Downing, Christopher; Lee, Michael; Pino, Livia; Bravo, Francisco; Giglio, Patricia; Sethi, Aisha; Klaus, Sidney; Sangueza, Omar P; Fuller, Claire; Mendoza, Natalia; Ladizinski, Barry; Woc-Colburn, Laila; Tyring, Stephen K

    2015-12-01

    In the 21st century, despite increased globalization through international travel for business, medical volunteerism, pleasure, and immigration/refugees into the United States, there is little published in the dermatology literature regarding the cutaneous manifestations of helminth infections. Approximately 17% of travelers seek medical care because of cutaneous disorders, many related to infectious etiologies. This review will focus on the cutaneous manifestations of helminth infections and is divided into 2 parts: part I focuses on nematode infections, and part II focuses on trematode and cestode infections. This review highlights the clinical manifestations, transmission, diagnosis, and treatment of helminth infections. Nematodes are roundworms that cause diseases with cutaneous manifestations, such as cutaneous larval migrans, onchocerciasis, filariasis, gnathostomiasis, loiasis, dracunculiasis, strongyloidiasis, ascariasis, streptocerciasis, dirofilariasis, and trichinosis. Tremadotes, also known as flukes, cause schistosomiasis, paragonimiasis, and fascioliasis. Cestodes (tapeworms) are flat, hermaphroditic parasites that cause diseases such as sparganosis, cysticercosis, and echinococcus.

  17. Musculoskeletal manifestations of the antiphospholipid syndrome.

    Science.gov (United States)

    Noureldine, M H A; Khamashta, M A; Merashli, M; Sabbouh, T; Hughes, G R V; Uthman, I

    2016-04-01

    The scope of clinical and laboratory manifestations of the antiphospholipid syndrome (APS) has increased dramatically since its discovery in 1983, where any organ system can be involved. Musculoskeletal complications are consistently reported in APS patients, not only causing morbidity and mortality, but also affecting their quality of life. We reviewed all English papers on APS involvement in the musculoskeletal system using Google Scholar and Pubmed; all reports are summarized in a table in this review. The spectrum of manifestations includes arthralgia/arthritis, avascular necrosis of bone, bone marrow necrosis, complex regional pain syndrome type-1, muscle infarction, non-traumatic fractures, and osteoporosis. Some of these manifestations were reported in good quality studies, some of which showed an association between aPL-positivity and the occurrence of these manifestations, while others were merely described in case reports.

  18. Cutaneous manifestations of dermatomyositis and their management.

    Science.gov (United States)

    Callen, Jeffrey P

    2010-06-01

    Dermatomyositis is a condition with pathognomonic and characteristic cutaneous lesions. This article describes the skin manifestations observed in patients with dermatomyositis, their differential diagnosis, their relationship to internal disease (particularly malignancy), and their management.

  19. Systemic manifestations of hepatitis C infection.

    Science.gov (United States)

    Tang, Lydia; Marcell, Lauren; Kottilil, Shyam

    2016-01-01

    Chronic hepatitis C (HCV) is a common infection affecting 185 million people worldwide. The most common manifestation of chronic HCV is progressive liver fibrosis, cirrhosis, liver failure and hepatocellular carcinoma. However, several systemic manifestations of HCV have been recognized and reported in the literature. The purpose of this review is to assimilate published literature based on evidence to categorize these extrahepatic manifestations with the likelihood of a causal association with HCV. Exciting recent developments have resulted in simple all oral interferon-free highly effective therapy for HCV. However, this treatment is also expensive and less accessible to most affected individuals as treatment recommendations are based on stage of liver fibrosis. Expanding the scope of HCV therapy to those with extrahepatic manifestations beyond what is currently recommended will significantly reduce the morbidity and mortality in this aging population.

  20. Neuropsychiatric Manifestations of Parkinson`s Disease

    Directory of Open Access Journals (Sweden)

    Ana Peixinho

    2014-10-01

    Full Text Available Parkinson’s disease affects about 1% of the world population older than 65 years. It’s most frequently considered a movement disorder, but the neuropsychiatric manifestations associated with the disease and/or its treatment may be of equal or greater significance in some patients. We will discuss briefly the epidemiology, physiopathology and diagnosis of Parkinson’s disease, highlighting the neuropsychiatric manifestations: depression, anxiety, psychosis, dementia, sleep disorders, dopamine dysregulation syndrome.

  1. Hashimoto's Encephalitis: Rare Manifestation of Hypothyroidism.

    Science.gov (United States)

    Gutch, Manish; Bhattacharjee, Annesh; Kumar, Sukriti; Pushkar, Durgesh

    2017-01-01

    Hashimoto's encephalitis is a rare, heterogeneous and completely treatable form of neuroendocrine disorder manifesting with seizures, stroke-like episodes, encephalopathy, dementia and variable neuropsychiatric manifestations. It is generally associated with a background of Hashimoto's Thyroiditis, and the patient has high titers of antithyroid antibodies, especially antithyroid peroxidase antibodies. This entity responds dramatically to corticosteroids, hence should be always considered and excluded while treating a patient with encephalopathy in the background of a thyroid disease.

  2. Endocrine disorders and the neurologic manifestations

    OpenAIRE

    Yu, Jeesuk

    2014-01-01

    The nervous system and the endocrine system are closely interrelated and both involved intimately in maintaining homeostasis. Endocrine dysfunctions may lead to various neurologic manifestations such as headache, myopathy, and acute encephalopathy including coma. It is important to recognize the neurologic signs and symptoms caused by the endocrine disorders while managing endocrine disorders. This article provides an overview of the neurologic manifestations found in various endocrine disord...

  3. Clinical Manifestations and Diagnosis of Acromegaly

    OpenAIRE

    Gloria Lugo; Lara Pena; Fernando Cordido

    2012-01-01

    Acromegaly and gigantism are due to excess GH production, usually as a result of a pituitary adenoma. The incidence of acromegaly is 5 cases per million per year and the prevalence is 60 cases per million. Clinical manifestations in each patient depend on the levels of GH and IGF-I, age, tumor size, and the delay in diagnosis. Manifestations of acromegaly are varied and include acral and soft tissue overgrowth, joint pain, diabetes mellitus, hypertension, and heart and respiratory failure. Ac...

  4. Neuropsychiatric Manifestations of Parkinson`s Disease

    OpenAIRE

    Peixinho, Ana; De Azevedo, Ana Luísa; Simões, Rita Moiron

    2006-01-01

    Parkinson’s disease affects about 1% of the world population older than 65 years. It’s most frequently considered a movement disorder, but the neuropsychiatric manifestations associated with the disease and/or its treatment may be of equal or greater significance in some patients. We will discuss briefly the epidemiology, physiopathology and diagnosis of Parkinson’s disease, highlighting the neuropsychiatric manifestations: depression, anxiety, psychosis, dementia, sleep disorders, dopamine d...

  5. [Extrahepatic manifestations of hepatitis C virus infection].

    Science.gov (United States)

    Roca, Bernardino

    2004-10-01

    Hepatitis C virus predominantly affects the liver, although it may also produce a number of extrahepatic manifestations, such as mixed cryoglobulinemia, salivary and lacrimal gland dysfunction, and several types of kidney disease. The pathogenesis of these conditions is not completely understood, but immunologic mechanisms are involved in many cases. In some patients with hepatitis C virus infection, the extrahepatic manifestations predominate and their proper diagnosis and management is very important.

  6. Neurologic Manifestations of Childhood Rheumatic Diseases

    Directory of Open Access Journals (Sweden)

    Reza SHIARI

    2012-10-01

    Full Text Available Children with rheumatic disorders may have a wide variety of clinical features ranging from fever or a simple arthritis to complex multisystem autoimmune diseases. Information about the prevalence of neurological manifestations in children with rheumatologic disorders is limited. This review describes the neurologic complications of childhood Rheumatic disease either solely or combined with symptoms of other organs involvement, as a primary manifestation or as a part of other symptoms, additionally.

  7. Current oral manifestations of HIV infection.

    Science.gov (United States)

    Navazesh, M

    2001-02-01

    The oral manifestations of human immunodeficiency virus infection have changed drastically since the introduction of the highly active anti-retroviral therapy (HAART) in developed countries. Recent studies have documented significant reductions in morbidity and mortality rates among HIV-infected patients on HAART. This article focuses on the latest information about the oral manifestations of HIV infection and will discuss the impact of HAART.

  8. Metabolic and hormonal signatures in pre-manifest and manifest Huntington’s disease patients

    Directory of Open Access Journals (Sweden)

    Rui eWang

    2014-06-01

    Full Text Available Huntington's disease (HD is an inherited neurodegenerative disorder typified by involuntary body movements, and psychiatric and cognitive abnormalities. Many HD patients also exhibit metabolic changes including progressive weight loss and appetite dysfunction. Here we have investigated metabolic function in pre-manifest and manifest HD subjects to establish an HD subject metabolic hormonal plasma signature. Individuals at risk for HD who have had predictive genetic testing showing the cytosine-adenine-guanine (CAG expansion causative of HD, but who do not yet present signs and symptoms sufficient for the diagnosis of manifest HD are said to be pre-manifest. Pre-manifest and manifest HD patients, as well as both familial and non-familial controls, were evaluated for multiple peripheral metabolism signals including circulating levels of hormones, growth factors, lipids and cytokines. Both pre-manifest and manifest HD subjects exhibited significantly reduced levels of circulating growth factors, including growth hormone and prolactin. HD-related changes in the levels of metabolic hormones such as ghrelin, glucagon and amylin were also observed. Total cholesterol, HDL-C and LDL-C were significantly decreased in HD subjects. C-reactive protein was significantly elevated in pre-manifest HD subjects. The observation of metabolic alterations, even in subjects considered to be in the pre-manifest stage of HD, suggests that in addition, and prior, to overt neuronal damage, HD affects metabolic hormone secretion and energy regulation, which may shed light on pathogenesis, and provide opportunities for biomarker development.

  9. Metabolic and hormonal signatures in pre-manifest and manifest Huntington's disease patients.

    Science.gov (United States)

    Wang, Rui; Ross, Christopher A; Cai, Huan; Cong, Wei-Na; Daimon, Caitlin M; Carlson, Olga D; Egan, Josephine M; Siddiqui, Sana; Maudsley, Stuart; Martin, Bronwen

    2014-01-01

    Huntington's disease (HD) is an inherited neurodegenerative disorder typified by involuntary body movements, and psychiatric and cognitive abnormalities. Many HD patients also exhibit metabolic changes including progressive weight loss and appetite dysfunction. Here we have investigated metabolic function in pre-manifest and manifest HD subjects to establish an HD subject metabolic hormonal plasma signature. Individuals at risk for HD who have had predictive genetic testing showing the cytosine-adenine-guanine (CAG) expansion causative of HD, but who do not yet present signs and symptoms sufficient for the diagnosis of manifest HD are said to be "pre-manifest." Pre-manifest and manifest HD patients, as well as both familial and non-familial controls, were evaluated for multiple peripheral metabolism signals including circulating levels of hormones, growth factors, lipids, and cytokines. Both pre-manifest and manifest HD subjects exhibited significantly reduced levels of circulating growth factors, including growth hormone and prolactin. HD-related changes in the levels of metabolic hormones such as ghrelin, glucagon, and amylin were also observed. Total cholesterol, HDL-C, and LDL-C were significantly decreased in HD subjects. C-reactive protein was significantly elevated in pre-manifest HD subjects. The observation of metabolic alterations, even in subjects considered to be in the pre-manifest stage of HD, suggests that in addition, and prior, to overt neuronal damage, HD affects metabolic hormone secretion and energy regulation, which may shed light on pathogenesis, and provide opportunities for biomarker development.

  10. Extrahepatic manifestations of chronic viral hepatitis.

    Science.gov (United States)

    Pyrsopoulos, N T; Reddy, K R

    2001-02-01

    Hepatitis B (HBV) and C (HCV) viruses are well-recognized causes for chronic hepatitis, cirrhosis, and even for hepatocellular carcinoma. Apart from liver disease, these viral infections are known to be associated with a spectrum of extrahepatic manifestations. The prevalence of clinically significant extrahepatic manifestations is relatively low, but it can be associated with significant morbidity and even mortality. An awareness and recognition of these manifestations is of paramount importance in facilitating early diagnosis and in offering treatment. However, treatments are not necessarily effective, and patients may continue with disabling extrahepatic manifestations. Hepatitis B virus has been well recognized as causing a variety of manifestations that include skin rash, arthritis, arthralgia, glomerulonephritis, polyarteritis nodosa, and papular acrodermatitis. More recently, infection with hepatitis C virus has elicited considerable interest for its role in a spectrum of extrahepatic manifestations. Among the best-reported are cryoglobulinemia, glomerulonephritis, high titer of autoantibodies, idiopathic thrombocytopenic purpura, lichen planus, Mooren's corneal ulcer, Sjögren's syndrome, porphyria cutanea tarda, and necrotizing cutaneous vasculitis. The precise pathogenesis of these extrahepatic complications has not been determined, although the majority represent the clinical expression of autoimmune phenomena.

  11. Handling e-waste in developed and developing countries: initiatives, practices, and consequences.

    Science.gov (United States)

    Sthiannopkao, Suthipong; Wong, Ming Hung

    2013-10-01

    Discarded electronic goods contain a range of toxic materials requiring special handling. Developed countries have conventions, directives, and laws to regulate their disposal, most based on extended producer responsibility. Manufacturers take back items collected by retailers and local governments for safe destruction or recovery of materials. Compliance, however, is difficult to assure, and frequently runs against economic incentives. The expense of proper disposal leads to the shipment of large amounts of e-waste to China, India, Pakistan, Nigeria, and other developing countries. Shipment is often through middlemen, and under tariff classifications that make quantities difficult to assess. There, despite the intents of national regulations and hazardous waste laws, most e-waste is treated as general refuse, or crudely processed, often by burning or acid baths, with recovery of only a few materials of value. As dioxins, furans, and heavy metals are released, harm to the environment, workers, and area residents is inevitable. The faster growth of e-waste generated in the developing than in the developed world presages continued expansion of a pervasive and inexpensive informal processing sector, efficient in its own way, but inherently hazard-ridden. Copyright © 2012 Elsevier B.V. All rights reserved.

  12. Environmental assessment for Sandia National Laboratories/New Mexico offsite transportation of low-level radioactive waste

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-09-01

    Sandia National Laboratories, New Mexico (SNL/NM) is managed and operated by Sandia Corporation, a Lockheed Martin Company. SNL/NM is located on land owned by the U.S. Department of Energy (DOE) within the boundaries of the Kirtland Air Force Base (KAFB) in Albuquerque, New Mexico. The major responsibilities of SNL/NM are the support of national security and energy projects. Low-level radioactive waste (LLW) is generated by some of the activities performed at SNL/NM in support of the DOE. This report describes potential environmental effects of the shipments of low-level radioactive wastes to other sites.

  13. Dismantlement and Radioactive Waste Management of DPRK Nuclear Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Jooho, W.; Baldwin, G. T.

    2005-04-01

    One critical aspect of any denuclearization of the Democratic People’s Republic of Korea (DPRK) involves dismantlement of its nuclear facilities and management of their associated radioactive wastes. The decommissioning problem for its two principal operational plutonium facilities at Yongbyun, the 5MWe nuclear reactor and the Radiochemical Laboratory reprocessing facility, alone present a formidable challenge. Dismantling those facilities will create radioactive waste in addition to existing inventories of spent fuel and reprocessing wastes. Negotiations with the DPRK, such as the Six Party Talks, need to appreciate the enormous scale of the radioactive waste management problem resulting from dismantlement. The two operating plutonium facilities, along with their legacy wastes, will result in anywhere from 50 to 100 metric tons of uranium spent fuel, as much as 500,000 liters of liquid high-level waste, as well as miscellaneous high-level waste sources from the Radiochemical Laboratory. A substantial quantity of intermediate-level waste will result from disposing 600 metric tons of graphite from the reactor, an undetermined quantity of chemical decladding liquid waste from reprocessing, and hundreds of tons of contaminated concrete and metal from facility dismantlement. Various facilities for dismantlement, decontamination, waste treatment and packaging, and storage will be needed. The shipment of spent fuel and liquid high level waste out of the DPRK is also likely to be required. Nuclear facility dismantlement and radioactive waste management in the DPRK are all the more difficult because of nuclear nonproliferation constraints, including the call by the United States for “complete, verifiable and irreversible dismantlement,” or “CVID.” It is desirable to accomplish dismantlement quickly, but many aspects of the radioactive waste management cannot be achieved without careful assessment, planning and preparation, sustained commitment, and long

  14. Dismantlement and radioactive waste management of North Korean nuclear facilities.

    Energy Technology Data Exchange (ETDEWEB)

    Whang, Jooho (Kyung Hee University, South Korea); Baldwin, George Thomas

    2004-07-01

    One critical aspect of any denuclearization of the Democratic People's Republic of Korea (DPRK) involves dismantlement of its nuclear facilities and management of their associated radioactive wastes. The decommissioning problem for its two principal operational plutonium facilities at Yongbyun, the 5MWe nuclear reactor and the Radiochemical Laboratory reprocessing facility, alone present a formidable challenge. Dismantling those facilities will create radioactive waste in addition to existing inventories of spent fuel and reprocessing wastes. Negotiations with the DPRK, such as the Six Party Talks, need to appreciate the enormous scale of the radioactive waste management problem resulting from dismantlement. The two operating plutonium facilities, along with their legacy wastes, will result in anywhere from 50 to 100 metric tons of uranium spent fuel, as much as 500,000 liters of liquid high-level waste, as well as miscellaneous high-level waste sources from the Radiochemical Laboratory. A substantial quantity of intermediate-level waste will result from disposing 600 metric tons of graphite from the reactor, an undetermined quantity of chemical decladding liquid waste from reprocessing, and hundreds of tons of contaminated concrete and metal from facility dismantlement. Various facilities for dismantlement, decontamination, waste treatment and packaging, and storage will be needed. The shipment of spent fuel and liquid high level waste out of the DPRK is also likely to be required. Nuclear facility dismantlement and radioactive waste management in the DPRK are all the more difficult because of nuclear nonproliferation constraints, including the call by the United States for 'complete, verifiable and irreversible dismantlement', or 'CVID'. It is desirable to accomplish dismantlement quickly, but many aspects of the radioactive waste management cannot be achieved without careful assessment, planning and preparation, sustained commitment, and

  15. Climate impacts from import of waste fuels; Klimatpaaverkan fraan import av braennbart avfall

    Energy Technology Data Exchange (ETDEWEB)

    Haraldsson, Maarten; Sundberg, Johan (Profu, Moelndal (Sweden))

    2009-04-15

    Imports of combustible waste has increased in recent years and imported waste has become an increasingly important fuel in the Swedish district heating systems. The projections for the next few years show that the imports can be much higher, partly due to reduced amounts of waste in the wake of economic downturn the world economy, partly because several new incinerators will be put into operation. In a environmental perspective, imports are controversial and it has been proposed that imports should be restricted. This report provides an assessment of the climate impact of importing waste for combustion. The report shows that greenhouse gas emissions due to imports of waste to the Swedish district heating plants in 2007 was reduced by 500 000 tonnes of carbon dioxide. This is equivalent to the emissions from 300 000 Swedes car journeys a year, or 2.5% of the total emission reduction target set by the Government for the non-trading sector until 2020. Imports of wood waste-chips accounts for the largest reduction, but the study shows that imports of other types of waste contribute to a reduction in emissions of greenhouse gases. The reasons for the reduction is that the use of imported waste fuel substitute for other heating and electricity generation, which gives the consequence that emissions are avoided. The largest emission reductions are obtained, however, by the importation of household waste by replacing the alternative waste treatment of the corresponding waste in the country of origin. In the countries from which imports of waste currently takes place there is a lack of treatment capacity for organic waste. The alternative treatment available is primarily deposition. This treatment causes significant emissions of methane, which is a very strong greenhouse gas. The shipment of waste that occur as a result of imports gives a marginal contribution of greenhouse gases, compared against the emission reductions outlined above

  16. PROJECT STRATEGY FOR THE REMEDIATION AND DISPOSITION OF LEGACY TRANSURANIC WASTE AT THE SAVANNAH RIVER SITE, South Carolina, USA

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez, M.

    2010-12-17

    This paper discusses the Savannah River Site Accelerated Transuranic (TRU) Waste Project that was initiated in April of 2009 to accelerate the disposition of remaining legacy transuranic waste at the site. An overview of the project execution strategy that was implemented is discussed along with the lessons learned, challenges and improvements to date associated with waste characterization, facility modifications, startup planning, and remediation activities. The legacy waste was generated from approximately 1970 through 1990 and originated both on site as well as at multiple US Department of Energy sites. Approximately two thirds of the waste was previously dispositioned from 2006 to 2008, with the remaining one third being the more hazardous waste due to its activity (curie content) and the plutonium isotope Pu-238 quantities in the waste. The project strategy is a phased approach beginning with the lower activity waste in existing facilities while upgrades are made to support remediation of the higher activity waste. Five waste remediation process lines will be used to support the full remediation efforts which involve receipt of the legacy waste container, removal of prohibited items, venting of containers, and resizing of contents to fit into current approved waste shipping containers. Modifications have been minimized to the extent possible to meet the accelerated goals and involve limited upgrades to address life safety requirements, radiological containment needs, and handling equipment for the larger waste containers. Upgrades are also in progress for implementation of the TRUPACT III for the shipment of Standard Large Boxes to the Waste Isolation Pilot Plant, the US TRU waste repository. The use of this larger shipping container is necessary for approximately 20% of the waste by volume due to limited size reduction capability. To date, approximately 25% of the waste has been dispositioned, and several improvements have been made to the overall processing

  17. Musculoskeletal Manifestations in Inflammatory Bowel Disease

    Directory of Open Access Journals (Sweden)

    Giovanni Fornaciari

    2001-01-01

    Full Text Available Muscoloskeletal manifestations are the most common extraintestinal complications of inflammatory bowel disease. Wide ranges in prevalence have been reported, depending on the criteria used to define spondylarthropathy. In 1991, the European Spondylarthropathy Study Group developed classification criteria that included previously neglected cases of undifferentiated spondylarthropathies, which had been ignored in most of the oldest epidemiological studies on inflammatory bowel disease. The spectrum of muscoloskeletal manifestations in inflammatory bowel disease patients includes all of the clinical features of spondylarthropathies: peripheral arthritis, inflammatory spinal pain, dactylitis, enthesitis (Achilles tendinitis and plantar fasciitis, buttock pain and anterior chest wall pain. Radiological evidence of sacroiliitis is common but not obligatory. The articular manifestations begin either concomitantly or subsequent to the bowel disease; however, the onset of spinal disease often precedes the diagnosis of inflammatory bowel disease. The prevalence of the different muscoloskeletal manifestations is similar in ulcerative colitis and Crohn's disease. Symptoms usually disappear after proctocolectomy. The pathogenetic mechanisms that produce the muscoloskeletal manifestations in inflammatory bowel disease are unclear. Several arguments favour an important role of the intestinal mucosa in the development of spondylarthropathy. The natural history is characterized by periods of flares and remission; therefore, the efficacy of treatment is difficult to establish. Most patients respond to rest, physical therapy and nonsteroidal anti-inflammatory drugs, but these drugs may activate bowel disease. Sulphasalazine may be recommended in some patients. There is no indication for the systemic use of steroids.

  18. Articular manifestations in patients with Lyme disease.

    Science.gov (United States)

    Vázquez-López, María Esther; Díez-Morrondo, Carolina; Sánchez-Andrade, Amalia; Pego-Reigosa, Robustiano; Díaz, Pablo; Castro-Gago, Manuel

    To determine the percentage of Lyme patients with articular manifestations in NW Spain and to know their evolution and response to treatment. A retrospective study (2006-2013) was performed using medical histories of confirmed cases of Lyme disease showing articular manifestations. Clinical and laboratory characteristics, together with the treatment and evolution of the patients, were analysed. Seventeen out of 108 LD confirmed patients (15.7%) showed articular manifestations. Regarding those 17 patients, 64.7%, 29.4% and 5.9% presented arthritis, arthralgia and bursitis, respectively. The knee was the most affected joint. Articular manifestations were often associated to neurological, dermatological and cardiac pathologies. Otherwise, most patients were in Stage III. The 11.8% of the cases progressed to a recurrent chronic arthritis despite the administration of an appropriate treatment. Lyme disease patients showing articular manifestations should be included in the diagnosis of articular affections in areas of high risk of hard tick bite, in order to establish a suitable and early treatment and to avoid sequels. Copyright © 2015 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  19. Nocturnal manifestations of atypical parkinsonian disorders.

    Science.gov (United States)

    Bhidayasiri, Roongroj; Jitkritsadakul, Onanong; Colosimo, Carlo

    2014-01-01

    Although nocturnal disturbances are increasingly recognized as an integral part of the continuum of daytime manifestations of Parkinson's disease (PD), there is still little evidence in the medical literature to support the occurrence of these complex phenomena in patients with atypical parkinsonian disorders (APDs). Based on the anatomical substrates in APDs, which are considered to be more extensive outside the basal ganglia than in PD, we might expect that patients with APDs encounter the whole range of nocturnal disturbances, including motor, sleep disorders, autonomic dysfunctions, and neuropsychiatric manifestations at a similar, or even greater, frequency than in PD. This article is a review of the current literature on the problems at nighttime of patients with progressive supranuclear palsy, multiple system atrophy, corticobasal degeneration, and dementia with Lewy bodies. MEDLINE, life science journals and online books were searched by querying appropriate key words. Reports were included if the studies were related to nocturnal manifestations in APDs. Forty articles fulfilled the selection criteria. Differences between these symptoms in APDs and PD are highlighted, given the evidence available about each manifestation. This analysis of nocturnal manifestations of APDs suggests the need for future studies to address these issues to improve the quality of life not only of patients with APDs but the caregivers who encounter the challenges of supporting these patients on a daily basis.

  20. RHEUMATOLOGICAL MANIFESTATIONS OF TYPE 2 DIABETES MELLITUS

    Directory of Open Access Journals (Sweden)

    Gurinder

    2014-01-01

    Full Text Available AIM : To determine the prevalence of rheumatic musculoskeletal manifestations in type 2 diabetic individuals and compare them with non - diabetic individuals. METHODS: 100 type 2 diabetic patients and 100 age and sex matched individuals were included in the study. Complete musculoskeletal examination was carried out which included examinatio n of shoulder joints , hands , back and knees. Patients were also asked to mark the sites of pain on a mannequin. Intensity of pain was marked on a visual analogue scale. These variables were then evaluated using Chi square test . RESULTS : Prevalence of RMS was found to be much higher in case of diabetic individuals except osteoarthritis. 49 patients out of 100 diabetic patients were found to have some form of rheumatic musculoskeletal manifestations. Diabetic cheiroarthropathy was found in the highest number of cases. A significant relation of these manifestations was found with age , duration of diabetes and glycemic control. A significant relation was also found between these manifestations and chronic microangiopathic complications like retinopathy and neph ropathy. CONCLUSION : A detailed examination of musculoskeletal system is an important part of care in patients with type 2 diabetes and some of the manifestations could be a simple and reliable marker of microangiopathic complications like retinopathy and nephropathy.

  1. Network analysis of swine shipments in Ontario, Canada, to support disease spread modelling and risk-based disease management.

    Science.gov (United States)

    Dorjee, S; Revie, C W; Poljak, Z; McNab, W B; Sanchez, J

    2013-10-01

    Understanding contact networks are important for modelling and managing the spread and control of communicable diseases in populations. This study characterizes the swine shipment network of a multi-site production system in southwestern Ontario, Canada. Data were extracted from a company's database listing swine shipments among 251 swine farms, including 20 sow, 69 nursery and 162 finishing farms, for the 2-year period of 2006 to 2007. Several network metrics were generated. The number of shipments per week between pairs of farms ranged from 1 to 6. The medians (and ranges) of out-degree were: sow 6 (1-21), nursery 8 (0-25), and finishing 0 (0-4), over the entire 2-year study period. Corresponding estimates for in-degree of nursery and finishing farms were 3 (0-9) and 3 (0-12) respectively. Outgoing and incoming infection chains (OIC and IIC), were also measured. The medians (ranges) of the monthly OIC and IIC were 0 (0-8) and 0 (0-6), respectively, with very similar measures observed for 2-week intervals. Nursery farms exhibited high measures of centrality. This indicates that they pose greater risks of disease spread in the network. Therefore, they should be given a high priority for disease prevention and control measures affecting all age groups alike. The network demonstrated scale-free and small-world topologies as observed in other livestock shipment studies. This heterogeneity in contacts among farm types and network topologies should be incorporated in simulation models to improve their validity. In conclusion, this study provided useful epidemiological information and parameters for the control and modelling of disease spread among swine farms, for the first time from Ontario, Canada. Copyright © 2013 Elsevier B.V. All rights reserved.

  2. Automating Risk Assessments of Hazardous Material Shipments for Transportation Routes and Mode Selection

    Energy Technology Data Exchange (ETDEWEB)

    Barbara H. Dolphin; William D. RIchins; Stephen R. Novascone

    2010-10-01

    The METEOR project at Idaho National Laboratory (INL) successfully addresses the difficult problem in risk assessment analyses of combining the results from bounding deterministic simulation results with probabilistic (Monte Carlo) risk assessment techniques. This paper describes a software suite designed to perform sensitivity and cost/benefit analyses on selected transportation routes and vehicles to minimize risk associated with the shipment of hazardous materials. METEOR uses Monte Carlo techniques to estimate the probability of an accidental release of a hazardous substance along a proposed transportation route. A METEOR user selects the mode of transportation, origin and destination points, and charts the route using interactive graphics. Inputs to METEOR (many selections built in) include crash rates for the specific aircraft, soil/rock type and population densities over the proposed route, and bounding limits for potential accident types (velocity, temperature, etc.). New vehicle, materials, and location data are added when available. If the risk estimates are unacceptable, the risks associated with alternate transportation modes or routes can be quickly evaluated and compared. Systematic optimizing methods will provide the user with the route and vehicle selection identified with the lowest risk of hazardous material release. The effects of a selected range of potential accidents such as vehicle impact, fire, fuel explosions, excessive containment pressure, flooding, etc. are evaluated primarily using hydrocodes capable of accurately simulating the material response of critical containment components. Bounding conditions that represent credible accidents (i.e; for an impact event, velocity, orientations, and soil conditions) are used as input parameters to the hydrocode models yielding correlation functions relating accident parameters to component damage. The Monte Carlo algorithms use random number generators to make selections at the various decision

  3. The Integrated Waste Tracking Systems (IWTS) - A Comprehensive Waste Management Tool

    Energy Technology Data Exchange (ETDEWEB)

    Robert S. Anderson

    2005-09-01

    The US Department of Energy (DOE) Idaho National Laboratory (INL) site located near Idaho Falls, ID USA, has developed a comprehensive waste management and tracking tool that integrates multiple operational activities with characterization data from waste declaration through final waste disposition. The Integrated Waste Tracking System (IWTS) provides information necessary to help facility personnel properly manage their waste and demonstrate a wide range of legal and regulatory compliance. As a client?server database system, the IWTS is a proven tracking, characterization, compliance, and reporting tool that meets the needs of both operations and management while providing a high level of flexibility. This paper describes some of the history involved with the development and current use of IWTS as a comprehensive waste management tool as well as a discussion of IWTS deployments performed by the INL for outside clients. Waste management spans a wide range of activities including: work group interactions, regulatory compliance management, reporting, procedure management, and similar activities. The IWTS documents these activities and performs tasks in a computer-automated environment. Waste characterization data, container characterization data, shipments, waste processing, disposals, reporting, and limit compliance checks are just a few of the items that IWTS documents and performs to help waste management personnel perform their jobs. Throughout most hazardous and radioactive waste generating, storage and disposal sites, waste management is performed by many different groups of people in many facilities. Several organizations administer their areas of waste management using their own procedures and documentation independent of other organizations. Files are kept, some of which are treated as quality records, others not as stringent. Quality records maintain a history of: changes performed after approval, the reason for the change(s), and a record of whom and when

  4. A National Tracking Center for Monitoring Shipments of HEU, MOX, and Spent Nuclear Fuel: How do we implement?

    Energy Technology Data Exchange (ETDEWEB)

    Mark Schanfein

    2009-07-01

    Nuclear material safeguards specialists and instrument developers at US Department of Energy (USDOE) National Laboratories in the United States, sponsored by the National Nuclear Security Administration (NNSA) Office of NA-24, have been developing devices to monitor shipments of UF6 cylinders and other radioactive materials , . Tracking devices are being developed that are capable of monitoring shipments of valuable radioactive materials in real time, using the Global Positioning System (GPS). We envision that such devices will be extremely useful, if not essential, for monitoring the shipment of these important cargoes of nuclear material, including highly-enriched uranium (HEU), mixed plutonium/uranium oxide (MOX), spent nuclear fuel, and, potentially, other large radioactive sources. To ensure nuclear material security and safeguards, it is extremely important to track these materials because they contain so-called “direct-use material” which is material that if diverted and processed could potentially be used to develop clandestine nuclear weapons . Large sources could be used for a dirty bomb also known as a radioactive dispersal device (RDD). For that matter, any interdiction by an adversary regardless of intent demands a rapid response. To make the fullest use of such tracking devices, we propose a National Tracking Center. This paper describes what the attributes of such a center would be and how it could ultimately be the prototype for an International Tracking Center, possibly to be based in Vienna, at the International Atomic Energy Agency (IAEA).

  5. Novel Cutaneous Manifestations of Pleuroparenchymal Fibroelastosis.

    Science.gov (United States)

    Lowther, Christopher M; Morrison, Annie O; Candelario, Nicole M; Khalafbeigi, Sheva; Cockerell, Clay J

    2016-10-01

    Pleuroparenchymal fibroelastosis (PPFE) is a rare progressive disease that manifests as parenchymal fibrosis of the upper lobe and pleura. Approximately 100 cases have been reported. Cutaneous manifestations of PPFE have not previously been described. Diagnosis is dependent on histologic identification of fibrosis with atypical elastic fibers, necessitating an invasive peripheral lung wedge biopsy.A 68-year-old male with a history of pleuroparenchymal fibroelastosis presented with an asymptomatic, telangiectatic erythematous eruption on bilateral lower extremities. Biopsies demonstrated a subtle perivascular infiltrate with marked increase in atypical elastic fibers, similar to the elastosis in the patient's lungs.This is the first documented case of cutaneous manifestations in PPFE. Clinicians need to be aware that cutaneous eruptions clinically simulating telangiectasia macularis eruptiva perstans but lacking a mast cell infiltrate histologically, may have increased abnormal elastic fibers. Thus, early recognition of these lesions in patients with an undefined restrictive lung disorder, may facilitate the diagnosis of PPFE in some patients.

  6. Vertigo as a Predominant Manifestation of Neurosarcoidosis

    Directory of Open Access Journals (Sweden)

    Tasnim F. Imran

    2015-01-01

    Full Text Available Sarcoidosis is a granulomatous disease of unknown etiology that affects multiple organ systems. Neurological manifestations of sarcoidosis are less common and can include cranial neuropathies and intracranial lesions. We report the case of a 21-year-old man who presented with vertigo and uveitis. Extensive workup including brain imaging revealed enhancing focal lesions. A lacrimal gland biopsy confirmed the diagnosis of sarcoidosis. The patient was initially treated with prednisone, which did not adequately control his symptoms, and then was switched to methotrexate with moderate symptomatic improvement. Our patient had an atypical presentation with vertigo as the predominant manifestation of sarcoidosis. Patients with neurosarcoidosis typically present with systemic involvement of sarcoidosis followed by neurologic involvement. Vertigo is rarely reported as an initial manifestation. This case highlights the importance of consideration of neurosarcoidosis as an entity even in patients that may not have a typical presentation or systemic involvement of disease.

  7. Ocular manifestations in systemic lupus erythematosus.

    Science.gov (United States)

    Silpa-archa, Sukhum; Lee, Joan J; Foster, C Stephen

    2016-01-01

    Systemic lupus erythematosus (SLE) can involve many parts of the eye, including the eyelid, ocular adnexa, sclera, cornea, uvea, retina and optic nerve. Ocular manifestations of SLE are common and may lead to permanent blindness from the underlying disease or therapeutic side effects. Keratoconjunctivitis sicca is the most common manifestation. However, vision loss may result from involvement of the retina, choroid and optic nerve. Ocular symptoms are correlated to systemic disease activity and can present as an initial manifestation of SLE. The established treatment includes prompt systemic corticosteroids, steroid-sparing immunosuppressive drugs and biological agents. Local ocular therapies are options with promising efficacy. The early recognition of disease and treatment provides reduction of visual morbidity and mortality.

  8. Cutaneous Manifestations of Systemic Lupus Erythematosus

    Science.gov (United States)

    Uva, Luís; Miguel, Diana; Pinheiro, Catarina; Freitas, João Pedro; Marques Gomes, Manuel; Filipe, Paulo

    2012-01-01

    Systemic lupus erythematosus (SLE) is a multiorgan autoimmune disease of unknown etiology with many clinical manifestations. The skin is one of the target organs most variably affected by the disease. The American College of Rheumatology (ACR) established 11 criteria as a classificatory instrument to operationalise the definition of SLE in clinical trials. They were not intended to be used to diagnose individuals and do not do well in that capacity. Cutaneous lesions account for four of these 11 revised criteria of SLE. Skin lesions in patients with lupus may be specific or nonspecific. This paper covers the SLE-specific cutaneous changes: malar rash, discoid rash, photosensitivity, and oral mucosal lesions as well as SLE nonspecific skin manifestations, their pathophysiology, and management. A deeper thorough understanding of the cutaneous manifestations of SLE is essential for diagnosis, prognosis, and efficient management. Thus, dermatologists should cooperate with other specialties to provide optimal care of SLE patient. PMID:22888407

  9. Extrahepatic Manifestations of Primary Biliary Cholangitis.

    Science.gov (United States)

    Chalifoux, Sara L; Konyn, Peter G; Choi, Gina; Saab, Sammy

    2017-03-16

    Primary biliary cholangitis (PBC) is an autoimmune liver disease characterized by progressive destruction of the intrahepatic bile ducts, leading to cholestasis. PBC is known to have both hepatic and extrahepatic manifestations. Extrahepatic manifestations are seen in up to 73% of patients with PBC, with the most common being Sjogren's syndrome, thyroid dysfunction and systemic sclerosis. It is thought that patients with PBC are at increased risk of developing these extrahepatic manifestations, almost all of which are autoimmune, because patients with autoimmune disease are at higher risk of developing another autoimmune condition. Due to the high prevalence of extrahepatic diseases in patients with PBC, it is important to complete a thorough medical history at the time of diagnosis. Prompt recognition of extrahepatic disease can lead to improved patient outcomes and quality of life. The following review summarizes the most common extrahepatic conditions associated with PBC.

  10. The Development of an Effective Transportation Risk Assessment Model for Analyzing the Transport of Spent Fuel and High-Level Radioactive Waste to the Proposed Yucca Mountain Repository

    Energy Technology Data Exchange (ETDEWEB)

    McSweeney; Thomas; Winnard; Ross; Steven B.; Best; Ralph E.

    2001-02-06

    Past approaches for assessing the impacts of transporting spent fuel and high-level radioactive waste have not been effectively implemented or have used relatively simple approaches. The Yucca Mountain Draft Environmental Impact Statement (DEIS) analysis considers 83 origins, 34 fuel types, 49,914 legal weight truck shipments, 10,911 rail shipments, consisting of 59,250 shipment links outside Nevada (shipment kilometers and population density pairs through urban, suburban or rural zones by state), and 22,611 shipment links in Nevada. There was additional complexity within the analysis. The analysis modeled the behavior of 41 isotopes, 1091 source terms, and used 8850 food transfer factors (distinct factors by isotope for each state). The model also considered different accident rates for legal weight truck, rail, and heavy haul truck by state, and barge by waterway. To capture the all of the complexities of the transportation analysis, a Microsoft{reg_sign} Access database was created. In the Microsoft{reg_sign} Access approach the data is placed in individual tables and equations are developed in queries to obtain the overall impacts. While the query might be applied to thousands of table entries, there is only one equation for a particular impact. This greatly simplifies the validation effort. Furthermore, in Access, data in tables can be linked automatically using query joins. Another advantage built into MS Access is nested queries, or the ability to develop query hierarchies. It is possible to separate the calculation into a series of steps, each step represented by a query. For example, the first query might calculate the number of shipment kilometers traveled through urban, rural and suburban zones for all states. Subsequent queries could join the shipment kilometers query results with another table containing the state and mode specific accident rate to produce accidents by state. One of the biggest advantages of the nested queries is in validation

  11. Main Ocular Manifestations in Rheumatoid Arthritis

    Directory of Open Access Journals (Sweden)

    Sandra Saray Quignon Santana

    2009-12-01

    Full Text Available Rheumatoid arthritis is considered an autoimmune disease in which articular and extra articular manifestations are produced and contribute to alter the functional capacity of the individual. This study consists on performing a bibliographical review showing the main ocular manifestations in patients with rheumatoid arthritis. It is our purpose to give you our experiences to the students as well as the internal medicine, ophthalmology and rheumatologist residents about this topic. The ophthalmological consultation of sick patients contributes to the prevention of ocular illnesses which are characteristic of the base disease and improve the ocular health.

  12. Life-Threatening Cardiac Manifestations of Pheochromocytoma

    Directory of Open Access Journals (Sweden)

    Luiz R. Leite

    2010-01-01

    Full Text Available Pheochromocytoma is a catecholamine-secreting tumor of the adrenal glands, usually with benign manifestations, whose typical clinical presentation includes the triad of headache, palpitations and diaphoresis. However, a wide range of signs and symptoms may be present. In the cardiovascular system, the most common signs are labile hypertension and sinus tachycardia. Systolic heart failure and ST-segment deviations mimicking myocardial infarction have also been reported, as well as QT interval prolongation and, rarely, ventricular tachycardia. We describe a challenging diagnosis of pheochromocytoma with many cardiovascular manifestations, which could have been missed due to the absence of typical symptoms.

  13. 78 FR 11877 - Announcement of Requirements Gathering Meetings for the Electronic Manifest (e-Manifest) System

    Science.gov (United States)

    2013-02-20

    ... such a system, perhaps through the assessment of reasonable service fees or by a similar ``user pays... agency begins the planning stage of the e-Manifest system development process. EPA envisions that e... RCRA Docket is (202) 566- 0270. II. Historical Background on e-Manifest Project For more than a...

  14. A new algorithm for solving the inventory routing problem with direct shipment

    Directory of Open Access Journals (Sweden)

    Ali Hossein Mirzaei

    2012-02-01

    Full Text Available   In this paper a multi-commodity multi-period inventory routing problem in a two-echelon supply chain consisting of a manufacturer and a set of retailers has been studied. In addition to inventory management and distribution planning, production planning has also been considered in the above problem. The objective is to minimize total system cost that consists of production setup, inventory holding and distribution costs. The commodities are delivered to the retailers by an identical fleet of limited capacity vehicles through direct shipment strategy. Also it is assumed that production and storage capacity is limited and stockout is not allowed. Since similar problems without distribution planning are known as NP-hard, this is also an NP-hard problem. Therefore, in this paper, a new improved particle swarm optimization algorithm has been developed consisting of two distinguished phases for problem solving. First, the values of binary variables are determined using the proposed algorithm and then, the continuous variables are calculated by solving a linear programming model. Performance of the proposed algorithm has been compared with genetic and original particle swarm optimization algorithms using various samples of random problems. The findings imply significant performance of the proposed algorithm.         

  15. Packaging design criteria for the N Reactor/single pass reactor fuel characterization shipments

    Energy Technology Data Exchange (ETDEWEB)

    Stevens, P.F.

    1994-08-31

    The majority of the spent fuel from the N Reactor and the single pass reactors (SPR) is presently being stored at the basins in the 100 K Area. Characterization of these fuels is essential to formulate a safe and efficient processing/disposal method for the spent fuel. Consequently, it is necessary to transport a cross section of spent fuel from the K Basins to the hot cells at the 327 Building in the 300 Area for analysis. The CNS 1-13G cask, a US Nuclear Regulatory Commission (NRC) certified cask manufactured by the ChemNuclear company, will be utilized for the transportation for irradiated fuel elements from the K Basins to the 327 Laboratories for characterization. The cask will utilize an inner container to compensate for the possibility of failed fuel cladding and to reduce the chances of contaminating the cask or the off loading facility. The Packaging Design Criteria (PDC) for these shipments establishes the acceptance criteria for the cask and for the design of an inner container that will be used in the Safety Evaluation for Packaging (SEP).

  16. Landfills - Municipal Waste Operations

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — A Municipal Waste Operation is a DEP primary facility type related to the Waste Management Municipal Waste Program. The sub-facility types related to Municipal Waste...

  17. ACCELERATION OF LOS ALAMOS NATIONAL LABORATORY TRANSURANIC WASTE DISPOSITION

    Energy Technology Data Exchange (ETDEWEB)

    O' LEARY, GERALD A. [Los Alamos National Laboratory

    2007-01-04

    One of Los Alamos National Laboratory's (LANL's) most significant risks is the site's inventory of transuranic waste retrievably stored above and below-ground in Technical Area (TA) 54 Area G, particularly the dispersible high-activity waste stored above-ground in deteriorating facilities. The high activity waste represents approximately 50% (by activity) of the total 292,000 PE-Ci inventory remaining to be disposed. The transuramic waste inventory includes contact-handled and remote-handled waste packaged in drums, boxes, and oversized containers which are retrievably stored both above and below-ground. Although currently managed as transuranic waste, some of the inventory is low-level waste that can be disposed onsite or at approved offsite facilities. Dispositioning the transuranic waste inventory requires retrieval of the containers from above and below-ground storage, examination and repackaging or remediation as necessary, characterization, certification and loading for shipment to the Waste Isolation Pilot Plant in Carlsbad New Mexico, all in accordance with well-defined requirements and controls. Although operations are established to process and characterize the lower-activity contact-handled transuranic waste containers, LAN L does not currently have the capability to repack high activity contact-handled transuranic waste containers (> 56 PE-Ci) or to process oversized containers with activity levels over 0.52 PE-Ci. Operational issues and compliance requirements have resulted in less than optimal processing capabilities for lower activity contact-handled transuranic waste containers, limiting preparation and reducing dependability of shipments to the Waste Isolation Pilot Plant. Since becoming the Los Alamos National Laboratory contract in June 2006, Los Alamos National Security (LANS) L.L.C. has developed a comprehensive, integrated plan to effectively and efficiently disposition the transuranic waste inventory, working in concert with

  18. Development of a Radioactive Waste Assay System

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Duck Won; Song, Myung Jae; Shin, Sang Woon; Sung, Kee Bang; Ko, Dae Hach [Korea Electric Power Research Institute, Taejon (Korea, Republic of); Kim, Kil Jeong; Park, Jong Mook; Jee, Kwang Yoong [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1996-12-31

    Nuclear Act of Korea requires the manifest of low and intermediate level radioactive waste generated at nuclear power plants prior to disposal sites.Individual history records of the radioactive waste should be contained the information about the activity of nuclides in the drum, total activity, weight, the type of waste. A fully automated nuclide analysis assay system, non-destructive analysis and evaluation system of the radioactive waste, was developed through this research project. For the nuclides that could not be analysis directly by MCA, the activities of the representative {gamma}-emitters(Cs-137, Co-60) contained in the drum were measured by using that system. Then scaling factors were used to calculate the activities of {alpha}, {beta}-emitters. Furthermore, this system can automatically mark the analysis results onto the drum surface. An automated drum handling system developed through this research project can reduce the radiation exposure to workers. (author). 41 refs., figs.

  19. Advanced conceptual design report solid waste retrieval facility, phase I, project W-113

    Energy Technology Data Exchange (ETDEWEB)

    Smith, K.E.

    1994-03-21

    Project W-113 will provide the equipment and facilities necessary to retrieve suspect transuranic (TRU) waste from Trench 04 of the 218W-4C burial ground. As part of the retrieval process, waste drums will be assayed, overpacked, vented, head-gas sampled, and x-rayed prior to shipment to the Phase V storage facility in preparation for receipt at the Waste Receiving and Processing Facility (WRAP). Advanced Conceptual Design (ACD) studies focused on project items warranting further definition prior to Title I design and areas where the potential for cost savings existed. This ACD Report documents the studies performed during FY93 to optimize the equipment and facilities provided in relation to other SWOC facilities and to provide additional design information for Definitive Design.

  20. Oropharyngeal Dysphagia: neurogenic etiology and manifestation.

    Science.gov (United States)

    Sebastian, Swapna; Nair, Prem G; Thomas, Philip; Tyagi, Amit Kumar

    2015-03-01

    To determine the type, severity and manifestation of dysphagia in patients with neurogenic etiology. Clinical documentation was done on the different etiologies, its manifestation, assessment findings and management strategies taken for patients with neurogenic oropharyngeal dysphagia who were referred for assessment and management of dysphagia over a period of three months in a tertiary care teaching hospital. Flexible endoscopic examination was done in all the patients. The severity of dysphagia in these patients were graded based on Gugging Swallowing Screen (GUSS). A total of 53 patients with neurogenic oropharyngeal dysphagia were evaluated by an otolaryngologist and a speech language pathologist over a period of three months. The grading of severity based on GUSS for these patients were done. There were 30 patients with recurrent laryngeal nerve injury due to various etiologies, one patient with Neurofibroma-vestibular schwanoma who underwent surgical excision, 16 patients with stroke, two patients with traumatic brain injury, two patients with Parkinsonism and two patients with myasthenia gravis. The manifestation of dysphagia was mainly in the form of prolonged masticatory time, oral transit time, and increased number of swallows required for each bolus, cricopharyngeal spasms and aspiration. Among the dysphagia patients with neurogenic etiology, dysphagia is manifested with a gradual onset and is found to have a progressive course in degenerative disorders. Morbidity and mortality may be reduced with early identification and management of neurogenic dysphagia.

  1. 19 CFR 122.75 - Complete manifest.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Complete manifest. 122.75 Section 122.75 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY AIR COMMERCE REGULATIONS Documents Required for Clearance and Permission To Depart;...

  2. Rheumatic manifestations associated with lung diseases

    Directory of Open Access Journals (Sweden)

    Marco Aurelio Scarpinella Bueno

    2008-03-01

    Full Text Available Rheumatic manifestations in the more prevalent lung diseasessuch as asthma, chronic pulmonary disease or pneumonia are notfrequent. Exceptions to this rule are represented by lung cancerand sarcoidosis, where the appearance of the digital clubbing,hypertrophic osteoarthropathy, and arthtritis can correspond to thefi rst symptoms of the illness.

  3. Propylthiouracil induced leukocytoclastic vasculitis: A rare manifestation

    Directory of Open Access Journals (Sweden)

    Semra Ayturk

    2013-01-01

    Full Text Available Propylthiouracil (PTU is a common drug used in patients with hyperthyroidism. It may cause perinuclearantineutrophil cytoplasmic antibodies (p-ANCA in few patients with Graves′ disease. This antibody has been associated with different forms of vasculitis. We report a patient who presented with cutaneous manifestations of leukocytoclasticvasculitis with simultaneous development of p-ANCAs during PTU therapy for Graves′ disease.

  4. Imaging the Abdominal Manifestations of Cystic Fibrosis

    Directory of Open Access Journals (Sweden)

    C. D. Gillespie

    2017-01-01

    Full Text Available Cystic fibrosis (CF is a multisystem disease with a range of abdominal manifestations including those involving the liver, pancreas, and kidneys. Recent advances in management of the respiratory complications of the disease has led to a greater life expectancy in patients with CF. Subsequently, there is increasing focus on the impact of abdominal disease on quality of life and survival. Liver cirrhosis is the most important extrapulmonary cause of death in CF, yet significant challenges remain in the diagnosis of CF related liver disease. The capacity to predict those patients at risk of developing cirrhosis remains a significant challenge. We review representative abdominal imaging findings in patients with CF selected from the records of two academic health centres, with a view to increasing familiarity with the abdominal manifestations of the disease. We review their presentation and expected imaging findings, with a focus on the challenges facing diagnosis of the hepatic manifestations of the disease. An increased familiarity with these abdominal manifestations will facilitate timely diagnosis and management, which is paramount to further improving outcomes for patients with cystic fibrosis.

  5. Kerosene poisoning--varied systemic manifestations.

    Science.gov (United States)

    Patel, A L; Shaikh, W A; Patel, H L; Deshmukh, D; Malaviya, A P; Janawar, P; Londhe, V; Dodheja, H

    2004-01-01

    We report here unusual clinical manifestations in a case of kerosene poisoning. The patient presented with encephalopathy and in the course of stay in the hospital developed renal tubular acidosis, delayed first-degree burns and myocarditis. With supportivetherapy the patient recovered completely and was discharged without any sequelae.

  6. [Extra-articular manifestations of seronegative spondylarthritis].

    Science.gov (United States)

    Cammelli, Daniele

    2006-05-01

    Seronegative spondylarthritis are frequently characterised by extra-articular manifestations. They are frequently in recurrent uveitis. Between the cutaneous manifestations should be mentioned erythema nodosum, typical of inflammatory bowel diseases, and keratoderma blenorrhagicum, in the Reiter's syndrome. Cardiac complications in ankylosing spondylitis (AS) include aortic valvular regurgitation and arrhythmia and, more rarely, mitral valvulopathy, cardiomyopathy and pericarditis. Pulmonary involvement in AS includes ventilatory restrictive syndrome and fibro-bullous disease of the apex. Vertebral osteoporosis is a very important extra-articular manifestation because of the possibility of spontaneous fractures of the vertebrae. Central neurological manifestations include medullary compression from cervical sub-luxation while the most important peripheral involvements are lumbar stenosis and the cauda equina syndrome. Type AA amyloidosis is a rare late complication of the AS, possible cause of death especially in patients with aggressive disease. Kidney complications can be observed as consequences of prolonged anti-inflammatory therapy, but the most frequent renal complications are amyloidosis and mesangial IgA segmental and focal glomerulonephritis.

  7. Hepatitis A: clinical manifestations and management.

    Science.gov (United States)

    Jeong, Sook-Hyang; Lee, Hyo-Suk

    2010-01-01

    Due to improved living conditions and subsequent changes in hepatitis A epidemiology, the disease burden of hepatitis A is increasing in many regions. Recently, Korea has faced a large, community-wide outbreak of hepatitis A, which has prompted a vaccination program. The clinical spectrum of hepatitis A virus infection ranges from asymptomatic infection to fulminant hepatitis. Clinical manifestations depend on the age of the host: less than 30% of infected young children are symptomatic, while about 80% of infected adults manifest severe hepatitis with remarkably elevated serum aminotransferases. Fulminant hepatitis is rare, with a reported incidence from 0.015 to 0.5%. Atypical manifestations include relapsing hepatitis and prolonged cholestasis, and complicated cases with acute kidney injury have been reported. Extrahepatic manifestations, such as autoimmune hemolytic anemia, aplastic anemia, pure red cell aplasia, pleural or pericardial effusion, acute reactive arthritis, acute pancreatitis, acalculous cholecystitis, mononeuritis, and Guillain-Barré syndrome, have been rarely reported. Management of hepatitis A includes general supportive care, and critical decisions regarding liver transplantation await further studies on prognostic predictors. Fundamental management of hepatitis A is active vaccination. However, a vaccination program should be adapted to the regional situation, according to differing epidemiology and disease burden.

  8. Extrahepatic manifestations of hepatitis C virus infection.

    Science.gov (United States)

    Zignego, Anna Linda; Craxì, Antonio

    2008-08-01

    Hepatitis C virus may cause hepatic and extrahepatic diseases. Extrahepatic manifestations range from disorders for which a significant association with viral infection is supported by epidemiologic and pathogenetic data, to anecdotal observations without clear proof of causality. This article describes the diagnosis and treatment of these diseases.

  9. The extrahepatic manifestations of hepatitis B virus.

    Science.gov (United States)

    Baig, Saeeda; Alamgir, Mohiuddin

    2008-07-01

    Hepatitis B Virus (HBV) leads to a number of hepatic complications, from acute to chronic hepatitis, cirrhosis and hepatocellular carcinoma, is a well-established fact. Upcoming clinical research, over the years, associates numerous extrahepatic manifestations during the acute and chronic episodes of hepatitis B with significant morbidity and mortality. A causal relationship between HBV and serious autoimmune disorders has also been observed among certain susceptible vaccine recipients in a defined temporal period following immunization. The cause of these extrahepatic manifestations is generally believed to be immune mediated. The most commonly described include skin rash, arthritis, arthralgia, glomerulonephritis, polyarteritis nodosa, and papular acrodermatitis etc. The serum-sickness like "arthritis-dermatitis" prodrome has also been observed in approximately one-third of patients acquiring HBV infections. Skin manifestations of HBV infection typically present as palpable purpura reported to be caused by chronic HBV, although this association remains controversial. To consider the relationship between HBV and other clinically significant disorders as well as serious autoimmune disorders among certain vaccine recipients is the topic of this review. Variable factors that influence extrahepatic manifestation are discussed, including possible synergy between hepatitis B virus and the immune system.

  10. Extrahepatic manifestations of chronic hepatitis B.

    Science.gov (United States)

    Han, Steven-Huy B

    2004-05-01

    Several extrahepatic manifestations are associated with chronic HBV infection, many with significant morbidity and mortality. The cause of these extrahepatic manifestations is generally believed to be immune mediated. PAN is a rare, but serious, systemic complication of chronic HBV affecting the small- and medium-sized vessels. PAN is seen more frequently in North American and European patients and rarely in Asian patients. PAN ultimately involves multiple organ systems, some with devastating consequences, though the hepatic manifestations are often more mild. The optimal treatment of HBV-associated PAN is thought to include a combination of antiviral and immunosuppressive therapies. HBV-associated GN occurs mainly in children, predominantly males, in HBV endemic areas of the world, but is only occasionally reported in the United States. In children, GN is usually self-limited with only rare progression to renal failure. In adults, the natural disease course of GN may be more relentless, slowly progressing to renal failure. Immunosuppressive therapy in HBV-related GN is not recommended, but antiviral therapy with alpha-interferon has shown promise. The serum-sickness like "arthritis-dermatitis" prodrome is seen in approximately one third of patients acquiring HBV. The joint and skin manifestations are varied, but the syndrome spontaneously resolves at the onset of clinical hepatitis with few significant sequelae. Occasionally, arthritis following the acute prodromal infection may persist; however, joint destruction is rare. The association between HBV and mixed essential cryoglobulinemia remains controversial; but a triad of purpura, arthralgias, and weakness, which can progress to nephritis, pulmonary disease, and generalized vasculitis, has characterized the syndrome. Finally, skin manifestations of HBV infection typically present as palpable purpura. Though papular acrodermatitis of childhood has been reported to be caused by chronic HBV, this association

  11. Human waste

    NARCIS (Netherlands)

    Amin, Md Nurul; Kroeze, Carolien; Strokal, Maryna

    2017-01-01

    Many people practice open defecation in south Asia. As a result, lot of human waste containing nutrients such as nitrogen (N) and phosphorus (P) enter rivers. Rivers transport these nutrients to coastal waters, resulting in marine pollution. This source of nutrient pollution is, however, ignored in

  12. Waste disposal

    CERN Multimedia

    2006-01-01

    We should like to remind you that you can have all commonplace, conventional waste (combustible, inert, wood, etc.) disposed of by the TS-FM Group. Requests for the removal of such waste should be made by contacting FM Support on tel. 77777 or by e-mail (Fm.Support@cern.ch). For requests to be acted upon, the following information must be communicated to FM Support: budget code to be debited for the provision and removal of the skip / container. type of skip required (1m3, 4 m3, 7 m3, 15 m3, 20 m3, 30 m3). nature of the waste to be disposed of (bulky objects, cardboard boxes, etc.). building concerned. details of requestor (name, phone number, department, group, etc.). We should also like to inform you that the TS-FM Group can arrange for waste to be removed from work-sites for firms under contract to CERN, provided that the prior authorisation of the CERN Staff Member in charge of the contract is obtained and the relevant disposal/handling charges are paid. You are reminded that the selective sorting o...

  13. Waste disposal

    CERN Multimedia

    2006-01-01

    We should like to remind you that you can have all commonplace, conventional waste (combustible, inert, wood, etc.) disposed of by the TS-FM Group. Requests for the removal of such waste should be made by contacting FM Support on tel. 77777 or by e-mail (Fm.Support@cern.ch). For requests to be acted upon, the following information must be communicated to FM Support: budget code to be debited for the provision and removal of the skip / container; type of skip required (1m3, 4 m3, 7 m3, 15 m3, 20 m3, 30 m3); nature of the waste to be disposed of (bulky objects, cardboard boxes, etc.); building concerned; details of requestor (name, phone number, department, group, etc.). We should also like to inform you that the TS-FM Group can arrange for waste to be removed from work-sites for firms under contract to CERN, provided that the prior authorisation of the CERN Staff Member in charge of the contract is obtained and the relevant disposal/handling charges are paid. You are reminded that the selective sorting...

  14. 10 CFR 20.2006 - Transfer for disposal and manifests.

    Science.gov (United States)

    2010-01-01

    ....2006 Energy NUCLEAR REGULATORY COMMISSION STANDARDS FOR PROTECTION AGAINST RADIATION Waste Disposal... 10 CFR part 20 are designed to— (1) Control transfers of low-level radioactive waste by any waste generator, waste collector, or waste processor licensee, as defined in this part, who ships low-level...

  15. Waste assay and mass balance for the decontamination and volume reduction system at LANL

    Energy Technology Data Exchange (ETDEWEB)

    Gruetzmacher, Kathleen M.; Ferran, Scott G.; Garner, Scott E.; Romero, Mike J.; Christensen, Davis V.; Bustos, Roland M.

    2003-07-01

    The Decontamination and Volume Reduction System (DVRS) operated by the Solid Waste Operations (SWO) Group at Los Alamos National Laboratory (LANL) processes large volume, legacy radioactive waste items. Waste boxes, in sizes varying from 4 ft x 4 ft x 8 ft to 10 ft x 12 ft x 40 ft, are assayed prior to entry into the processing building. Inside the building, the waste items are removed from their container, decontaminated and/or size reduced if necessary, and repackaged for shipment to the Waste Isolation Pilot Plant (WIPP) or on-site low-level waste disposal. The repackaged items and any secondary waste produced (e.g., personal protective equipment) are assayed again at the end of the process and a mass balance is done to determine whether there is any significant hold-up material left in the DVRS building. The DVRS building is currently classed as a radiological facility, with a building limit of 0.52 Ci of Pu239 and Am241, and 0.62 Ci of Pu238, the most common radionuclides processed. This requires tight controls on the flow of nuclear material. The large volume of the initial waste packages, the (relatively) small amounts of radioactive material in them, and the tight ceiling on the building inventory require accurate field measurements of the nuclear material. This paper describes the radioactive waste measurement techniques, the computer modeling used to determine the amount of nuclear material present in a waste package, the building inventory database, and the DVRS process itself. Future plans include raising the limit on the nuclear material inventory allowed in the building to accommodate higher activity waste packages. All DOE sites performing decontamination and decommissioning of radioactive process equipment face challenges related to waste assay and inventory issues. This paper describes an ongoing operation, incorporating lessons learned over the life of the project to date.

  16. Waste Isolation Pilot Plant 2005 Site Environmental Report

    Energy Technology Data Exchange (ETDEWEB)

    Washington Regulatory and Environmental Services

    2006-10-13

    The purpose of this report is to provide information needed by the DOE to assess WIPP's environmental performance and to make WIPP environmental information available to stakeholders and members of the public. This report has been prepared in accordance with DOE Order 231.1A and DOE guidance. This report documents WIPP's environmental monitoring programs and their results for 2004. The WIPP Project is authorized by the DOE National Security and Military Applications of Nuclear Energy Authorization Act of 1980 (Pub. L. 96-164). After more than 20 years of scientific study and public input, WIPP received its first shipment of waste on March 26, 1999. Located in southeastern New Mexico, WIPP is the nation's first underground repository permitted to safely and permanently dispose of TRU radioactive and mixed waste (as defined in the WIPP LWA) generated through defense activities and programs. TRU waste is defined, in the WIPP LWA, as radioactive waste containing more than 100 nanocuries (3,700 becquerels [Bq]) of alpha-emitting TRU isotopes per gram of waste, with half-lives greater than 20 years except for high-level waste, waste that has been determined not to require the degree of isolation required by the disposal regulations, and waste the U.S. Nuclear Regulatory Commission (NRC) has approved for disposal. Most TRU waste is contaminated industrial trash, such as rags and old tools; sludges from solidified liquids; glass; metal; and other materials from dismantled buildings. TRU waste is eligible for disposal at WIPP if it has been generated in whole or in part by one or more of the activities listed in the Nuclear Waste Policy Act of 1982 (42 United States Code [U.S.C.] §10101, et seq.), including naval reactors development, weapons activities, verification and control technology, defense nuclear materials production, defense nuclear waste and materials by-products management,defense nuclear materials security and safeguards and security

  17. Transportation impact analysis for shipment of irradiated N-reactor fuel and associated materials

    Energy Technology Data Exchange (ETDEWEB)

    Daling, P.M.; Harris, M.S.

    1994-12-01

    An analysis of the radiological and nonradiological impacts of highway transportation of N-Reactor irradiated fuel (N-fuel) and associated materials is described in this report. N-fuel is proposed to be transported from its present locations in the 105-KE and 105-KW Basins, and possibly the PUREX Facility, to the 327 Building for characterization and testing. Each of these facilities is located on the Hanford Site, which is near Richland, Washington. The projected annual shipping quantity is 500 kgU/yr for 5 years for a total of 2500 kgU. It was assumed the irradiated fuel would be returned to the K- Basins following characterization, so the total amount of fuel shipped was assumed to be 5000 kgU. The shipping campaign may also include the transport and characterization of liquids, gases, and sludges from the storage basins, including fuel assembly and/or canister parts that may also be present in the basins. The impacts of transporting these other materials are bounded by the impacts of transporting 5000 kgU of N-fuel. This report was prepared to support an environmental assessment of the N-fuel characterization program. The RADTRAN 4 and GENII computer codes were used to evaluate the radiological impacts of the proposed shipping campaign. RADTRAN 4 was used to calculate the routine exposures and accident risks to workers and the general public from the N-fuel shipments. The GENII computer code was used to calculate the consequences of the maximum credible accident. The results indicate that the transportation of N-fuel in support of the characterization program should not cause excess radiological-induced latent cancer fatalities or traffic-related nonradiological accident fatalities. The consequences of the maximum credible accident are projected to be small and result in no excess latent cancer fatalities.

  18. Clinical Manifestations of the Opiate Withdrawal Syndrome

    Directory of Open Access Journals (Sweden)

    Faniya Shigakova

    2015-09-01

    Full Text Available Currently, substance abuse is one of the most serious problems facing our society. The aim of this study was to investigate the clinical manifestations of the opiate withdrawal syndrome (OWS. The study included 112 patients (57 women and 55 men aged from 18 to 64 years with opium addiction according to the DSM-IV. To study the clinical manifestation of OWS, the special 25-score scale with four sections to assess severity of sleep disorders, pain syndrome, autonomic disorders, and affective symptoms was used. Given the diversity of the OWS symptoms, attention was focused on three clinical variants, affective, algic and mixed. The OWS affective variant was registered more frequently in women, while the mixed type of OWS was more typical of men.

  19. A gingival manifestation of histoplasmosis leading diagnosis

    Directory of Open Access Journals (Sweden)

    Marco Tullio Brazão-Silva

    2013-01-01

    Full Text Available Histoplasmosis is a world-wide distributed deep mycosis caused by Histoplasma capsulatum which has been endemic in many countries. We present a case involving an immunocompetent man evidencing the necessity of a multidisciplinary approach and rational requisition of exams. The disease has started as a pulmonary disease mimicking tuberculosis, although the exams have been negative. Immunodiffusion test indicate histoplasmosis, not confirmed by culture of sputum. After days the patient was forwarded by a private doctor for evaluation of oral lesions at our Department of Stomatology. An incisional biopsy revealed a nonspecific granulomatous inflammation and the Grocott-Gomori methenamine silver stain identified scarce oval structures that could represent fungal yeast. Sampling oral lesions with swab, it was observed the typical growth of H. capsulatum on culture. This case highlights the importance of doctor′s integration diagnosing histoplasmosis, while a wide spectrum of clinical manifestations should be expected. Oral lesions may be the critical manifestation leading diagnosis.

  20. The chronic gastrointestinal manifestations of Chagas disease

    Directory of Open Access Journals (Sweden)

    Nilce Mitiko Matsuda

    2009-01-01

    Full Text Available Chagas disease is an infectious disease caused by the protozoan Trypanosoma cruzi. The disease mainly affects the nervous system, digestive system and heart. The objective of this review is to revise the literature and summarize the main chronic gastrointestinal manifestations of Chagas disease. The chronic gastrointestinal manifestations of Chagas disease are mainly a result of enteric nervous system impairment caused by T. cruzi infection. The anatomical locations most commonly described to be affected by Chagas disease are salivary glands, esophagus, lower esophageal sphincter, stomach, small intestine, colon, gallbladder and biliary tree. Chagas disease has also been studied in association with Helicobacter pylori infection, interstitial cells of Cajal and the incidence of gastrointestinal cancer.

  1. Cutaneous manifestations of Helicobacter cinaedi infection.

    Science.gov (United States)

    Shimizu, Satoko; Inokuma, Daisuke; Watanabe, Mika; Sakai, Toshiya; Yamamoto, Satoshi; Tsuchiya, Kikuo; Shimizu, Hiroshi

    2013-03-27

    Helicobacter cinaedi causes gastroenteritis and bacter-aemia, particularly in immunocompromised individuals. Although cellulitis is sometimes reported to accompany infection by this pathogen, the cutaneous manifestations are poorly understood. To clarify the characteristic cutaneous features, 47 cases of H. cinaedi bacteraemia experienced at Sapporo City General Hospital as nosocomial infection were retrospectively evaluated. Thirty-four percent (16 cases) of the patients showed cutaneous lesions. They all had sudden onset of erythemas accompanied by high temperature. The most common cutaneous manifestations were found to be superficial cellulitis, which results in painful erythemas or infiltrated erythematous plaques on the extremities. These skin lesions can be an early clinical indicator of H. cinaedi bacteraemia in the setting of nosocomial infection.

  2. Antiphospholipid antibody: laboratory, pathogenesis and clinical manifestations

    Directory of Open Access Journals (Sweden)

    T. Ziglioli

    2011-06-01

    Full Text Available Antiphospholipid antibodies (aPL represent a heterogeneous group of antibodies that recognize various antigenic targets including beta2 glycoprotein I (β2GPI, prothrombin (PT, activated protein C, tissue plasminogen activator, plasmin and annexin A2. The most commonly used tests to detect aPL are: lupus anticoagulant (LAC, a functional coagulation assay, anticardiolipin antibody (aCL and anti-β2GPI antibody (anti-β2GPI, which are enzyme-linked immunoassay (ELISA. Clinically aPL are associated with thrombosis and/or with pregnancy morbidity. Apparently aPL alone are unable to induce thrombotic manifestations, but they increase the risk of vascular events that can occur in the presence of another thrombophilic condition; on the other hand obstetrical manifestations were shown to be associated not only to thrombosis but mainly to a direct antibody effect on the trophoblast.

  3. Clinical manifestations, diagnosis, and treatment of neurocysticercosis.

    Science.gov (United States)

    Sotelo, Julio

    2011-12-01

    Neurocysticercosis (NCC) is the most frequent parasitic disease of the human brain. Modern imaging studies, CT and MRI, have defined the diagnosis and characterization of the disease. Through these studies the therapeutic approach for each case may be individualized with the aid of antihelmintics, steroids, symptomatic medicines, or surgery. The use of one or various therapeutic measures largely depends on the peculiar combination of number, location, and biological stage of lesions as well as the degree of inflammatory response to the parasites. Although there is not a typical clinical picture of NCC, epilepsy is the most frequent manifestation of parenchymal NCC, whereas hydrocephalus is the most frequent manifestation of meningeal NCC. Eradication of cysticercosis is an attainable goal by public education and sanitary improvement in endemic areas.

  4. Atypical Manifestations in Glut1 Deficiency Syndrome.

    Science.gov (United States)

    De Giorgis, V; Varesio, C; Baldassari, C; Piazza, E; Olivotto, S; Macasaet, J; Balottin, U; Veggiotti, P

    2016-08-01

    Glucose transporter type 1 deficiency syndrome is a genetically determined, treatable, neurologic disorder that is caused by an insufficient transport of glucose into the brain. It is caused by a mutation in the SCL2A1 gene, which is so far the only known to be associated with this condition. Glucose transporter type 1 deficiency syndrome consists of a wide clinical spectrum that usually presents with cognitive impairment, epilepsy, paroxysmal exercise-induced dyskinesia, acquired microcephaly, hemolytic anemia, gait disturbance, and dyspraxia in different combinations. However, there are other clinical manifestations that we consider equally peculiar but that have so far been poorly described in literature. In this review, supported by a video contribution, we will accurately describe this type of clinical manifestation such as oculogyric crises, weakness, paroxysmal kinesigenic and nonkinesigenic dyskinesia in order to provide an additional instrument for a correct, rapid diagnosis. © The Author(s) 2016.

  5. Clinical Manifestations and Diagnosis of Acromegaly

    Directory of Open Access Journals (Sweden)

    Gloria Lugo

    2012-01-01

    Full Text Available Acromegaly and gigantism are due to excess GH production, usually as a result of a pituitary adenoma. The incidence of acromegaly is 5 cases per million per year and the prevalence is 60 cases per million. Clinical manifestations in each patient depend on the levels of GH and IGF-I, age, tumor size, and the delay in diagnosis. Manifestations of acromegaly are varied and include acral and soft tissue overgrowth, joint pain, diabetes mellitus, hypertension, and heart and respiratory failure. Acromegaly is a disabling disease that is associated with increased morbidity and reduced life expectancy. The diagnosis is based primarily on clinical features and confirmed by measuring GH levels after oral glucose loading and the estimation of IGF-I. It has been suggested that the rate of mortality in patients with acromegaly is correlated with the degree of control of GH. Adequately treated, the relative mortality risk can be markedly reduced towards normal.

  6. ORAL MANIFESTATIONS AMONG ROMANIAN HIV PATIENTS

    Directory of Open Access Journals (Sweden)

    Manuela ARBUNE

    2013-03-01

    Full Text Available The objective of the study is to evaluate the oral health problems on HIV youth patients from Galati. Materials and method. A cross-sectional study assessed 102 patients with mean age 22. The most frequent oral manifestations on HIV infected youth under ART are erythema marginatum, periodontitis, candidosis and hypertrophia gingivalis. Results and discussion. Dental decay-missing-filled index on HIV patients is high. Viral HIV replication, long time pediatric exposure on HIV, male sex, smoking, and oral inflamation are related to dental poor condition. Exodontic therapy is comon among HIV youth. However, persistence of some associated oral infections is related to individual or behavioral risk factors, but also to some newly found mechanisms, such as disfunctional immune reconstruction. Seeing to antiretroviral treatment, the severity and frequency of oral manifestations decreased among HIV patients on antiretroviral treatment. Conclusions. Developing medical, social and educational programs is imperative for improving the oral health of HIV youth of Galati.

  7. Pattern of cutaneous manifestations in diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Goyal Abhishek

    2010-01-01

    Full Text Available Background: Diabetes mellitus affects individuals of all ages and socioeconomic status. Skin is affected by the acute metabolic derangements as well as by chronic degenerative complications of diabetes. Aims: To evaluate the prevalence of skin manifestations in patients with diabetes mellitus. To analyze the prevalence and pattern of skin disorders among diabetic patients from this region of Western Himalayas. Materials and Methods: One hundred consecutive patients with the diagnosis of diabetes mellitus and having skin lesions, either attending the diabetic clinic or admitted in medical wards were included in this study. Results: The common skin disorders were: x0 erosis (44%, diabetic dermopathy (36%, skin tags (32%, cutaneous infections (31%, and seborrheic keratosis (30%. Conclusion: Skin is involved in diabetes quite often and the manifestations are numerous. High prevalence of xerosis in our diabetic population is perhaps due to cold and dry climatic conditions in the region for most of the time in the year.

  8. Varied Clinical Manifestations of Amebic Colitis.

    Science.gov (United States)

    Cooper, Chad J; Fleming, Rhonda; Boman, Darius A; Zuckerman, Marc J

    2015-11-01

    Invasive amebiasis is common worldwide, but infrequently observed in the United States. It is associated with considerable morbidity in patients residing in or traveling to endemic areas. We review the clinical and endoscopic manifestations of amebic colitis to alert physicians to the varied clinical manifestations of this potentially life-threatening disease. Copyright ©Most patients present with watery or bloody diarrhea. Less common presentations of amebic colitis include abdominal pain, overt gastrointestinal bleeding, exacerbation of inflammatory bowel disease, or the incidental association with colon cancer. Amebic liver abscesses are the most frequent complication. Rectosigmoid involvement may be found on colonoscopy; however, most case series have reported that the cecum is the most commonly involved site, followed by the ascending colon. Endoscopic evaluation should be used to assist in the diagnosis, with attention to the observation of colonic inflammation, ulceration, and amebic trophozoites on histopathological examination.

  9. Clinical manifestations and diagnosis of acromegaly.

    Science.gov (United States)

    Lugo, Gloria; Pena, Lara; Cordido, Fernando

    2012-01-01

    Acromegaly and gigantism are due to excess GH production, usually as a result of a pituitary adenoma. The incidence of acromegaly is 5 cases per million per year and the prevalence is 60 cases per million. Clinical manifestations in each patient depend on the levels of GH and IGF-I, age, tumor size, and the delay in diagnosis. Manifestations of acromegaly are varied and include acral and soft tissue overgrowth, joint pain, diabetes mellitus, hypertension, and heart and respiratory failure. Acromegaly is a disabling disease that is associated with increased morbidity and reduced life expectancy. The diagnosis is based primarily on clinical features and confirmed by measuring GH levels after oral glucose loading and the estimation of IGF-I. It has been suggested that the rate of mortality in patients with acromegaly is correlated with the degree of control of GH. Adequately treated, the relative mortality risk can be markedly reduced towards normal.

  10. Thoracic manifestations of ovarian hyperstimulation syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Levin, M.F.; Hutton, L.C.; Kaplan, B.R. [University of Western Ontario, London, ON (Canada)

    1995-02-01

    In order to determine the thoracic manifestations of severe ovarian hyperstimulation syndrome, the medical records and available images of 771 patients who had received gonadotropins to induce superovulation, were reviewed. In 22 patients (3%) severe hyperstimulation syndrome was diagnosed clinically and confirmed with ultrasonography (US). Pleural effusion occurred in five of these (23%), one of whom required thoracentesis. Atelectasis and internal jugular vein thrombosis developed in one patient, and ventilation-perfusion mismatch occurred in another. The study concluded that respiratory distress in patients with ovarian hyperstimulation syndrome was most likely due to lung restriction. Pulmonary manifestations formed an important part of this syndrome, and radiologic input were considered necessary for assessment, monitoring and management. 10 refs., 2 figs., 1 tab.

  11. Clinical Manifestations and Diagnosis of Acromegaly

    Science.gov (United States)

    Lugo, Gloria; Pena, Lara; Cordido, Fernando

    2012-01-01

    Acromegaly and gigantism are due to excess GH production, usually as a result of a pituitary adenoma. The incidence of acromegaly is 5 cases per million per year and the prevalence is 60 cases per million. Clinical manifestations in each patient depend on the levels of GH and IGF-I, age, tumor size, and the delay in diagnosis. Manifestations of acromegaly are varied and include acral and soft tissue overgrowth, joint pain, diabetes mellitus, hypertension, and heart and respiratory failure. Acromegaly is a disabling disease that is associated with increased morbidity and reduced life expectancy. The diagnosis is based primarily on clinical features and confirmed by measuring GH levels after oral glucose loading and the estimation of IGF-I. It has been suggested that the rate of mortality in patients with acromegaly is correlated with the degree of control of GH. Adequately treated, the relative mortality risk can be markedly reduced towards normal. PMID:22518126

  12. [Cerebrotendinous xanthomatosis: physiopathology, clinical manifestations and genetics].

    Science.gov (United States)

    Preiss, Yudith; Santos, José L; Smalley, Susan V; Maiz, Alberto

    2014-05-01

    Cerebrotendinous xanthomatosis (CTX) is a rare autosomal recessive disease, caused by genetic deficiency of the 27-hydroxylase enzyme (encoded by CYP27A1). It plays a key role in cholesterol metabolism, especially in bile acid synthesis and in the 25-hydroxylation of vitamin D3 in the liver. Its deficiency causes reduced bile acid synthesis and tissue accumulation of cholestanol. Clinical manifestations are related to the presence of cholestanol deposits and include tendon xanthomas, premature cataracts, chronic diarrhea, progressive neurologic impairment and less frequently coronary heart disease, early onset osteoporosis and abnormalities in the optic disk and retina. An early diagnosis and treatment with quenodeoxycholic acid may prevent further complications, mainly neurological manifestations. This review summarizes cholesterol metabolism related to bile acid synthesis, physiopathology, biochemistry and treatment of cerebrotendinous xanthomatosis.

  13. Cutaneous manifestations of familial amyloidotic polyneuropathy.

    Science.gov (United States)

    Rocha, N; Velho, G; Horta, M; Martins, A; Massa, A

    2005-09-01

    Familial amyloidotic polyneuropathy is an autosomal dominant amyloidosis, characterized by the systemic deposition of amyloid with a particular involvement of the peripheral nerves. The disease generally manifests as a severe sensory, motor and autonomic neuropathy. Cardiomyopathy, nephropathy, vitreous opacities and carpal tunnel syndrome may occur in a variable association with the neuropathy. Trophic dermatological lesions are frequent in the more advanced stages of the disease. We examined the skin of 142 patients. The cutaneous manifestations more frequently observed were: xerosis (81.6%), seborrheic dermatitis (21.8%), traumatic and burn lesions (19.7%), acne (18.3%), neurotrophic ulcers (14%) and onychomycosis (10.5%). Among the hepatic transplanted patients (31%), seborrheic dermatitis and acne were the most frequent diagnoses.

  14. [Multiple sclerosis: pathogenesis and manifestations in children].

    Science.gov (United States)

    Brissaud, O; Palin, K; Chateil, J F; Pedespan, J M

    2001-09-01

    Multiple sclerosis (MS) is rare in children and occurs exceptionally before ten years. Sex ratio (girl/boy) is around 2.5 to 3, higher than in adults. Brain stem dysfunction and meningeal symptoms are more commonly first manifestations of the disease than in adults. Optic neuritis is also a frequent early manifestation. The etiology of the disease remains unclear and none of the advanced hypotheses (infectious, genetic, environmental) can by themselves explain its occurrence. There is a genetic susceptibility which is probably linked to many genes leading to a low related risk (less than two). A viral trigger mechanism in a person with a genetic predisposition is possible. New therapies result from a better understanding of the closed immune mechanisms of the disease.

  15. Oral manifestations of HIV positive children.

    Science.gov (United States)

    Magalhães, M G; Bueno, D F; Serra, E; Gonçalves, R

    2001-01-01

    Oral manifestations in HIV positive children were observed in thirty-eight HIV infected children that have received care at the Special Care Dentistry Center (SCDC) of the School of Dentistry, University of Sao Paulo. Results have shown that 52.63% of the children presented at least one oral manifestation related with HIV/AIDS. Angular cheilitis occurred in 28.94%, parotid gland bilateral enlargement, pseudomembranous candidiasis and erythematous candidiasis in 18.42%, conventional gingivitis in 13.15%, herpes simplex in 5.26%, hairy leukoplakia, recurrent aphthous ulcer and condyloma acuminatum in 2.63%. Although enamel hypoplasia occurred in 23.68%, this could not be attributed specifically to HIV infection.

  16. Extra-pulmonary manifestations of sarcoidosis

    Energy Technology Data Exchange (ETDEWEB)

    Vardhanabhuti, V. [Radiology Department, Derriford Hospital, Plymouth (United Kingdom); Venkatanarasimha, N. [St Michael' s Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8 (Canada); Bhatnagar, G.; Maviki, M.; Iyengar, S.; Adams, W.M. [Radiology Department, Derriford Hospital, Plymouth (United Kingdom); Suresh, P., E-mail: sureshpriya2000@yahoo.com [Radiology Department, Derriford Hospital, Plymouth (United Kingdom)

    2012-03-15

    Although, the diagnosis and evaluation of sarcoidosis has traditionally remained confined to the chest, its multi-system nature has been widely recognized. Radiological features of pulmonary sarcoidosis are well known but extra-pulmonary manifestations can produce a plethora of non-specific imaging findings that can affect subcutaneous tissue, and the neurological, cardiac, gastrointestinal, urological, liver, spleen, and skeletal systems. In the literature, there are various case reports and specific system reviews but there are few reviews that encompass all the extra-pulmonary manifestations. In this paper, we comprehensively review the imaging features of extra-pulmonary sarcoidosis with characteristic features as well as atypical presentations. In addition, we discuss the emerging role of nuclear medicine in sarcoidosis.

  17. Palmse viinaköögi manifest

    Index Scriptorium Estoniae

    1996-01-01

    Manifest. Tõlkijate seminari puhul 17. mail 1996 Palmse viinaköögis Juta Bedia, Eric Dickens, Gyözö Fehérvári, Guntars Godinsh, Maima Grinberga, Irja Grönholm, Leif Hannibal, Cornelius Hasselblatt, Pirkko Huurto, Ivo Iliste, Nora Javorskaja, Gisbert Jänicke, Kaisu Lahikainen, Enel Melberg, Vera Ruber, Arnold Tamm, Leili Tamm, Jonatan Tomesh, Lilia Velic'kova, Marianne Vogel. Inglise k.: Estonian Literary Magazine, autumn 1996, nr. 3

  18. Hypersensitivity manifestations to the fruit mango

    OpenAIRE

    Sareen, Richa; SHAH, ASHOK

    2011-01-01

    The objectives of this study are 1) To review the published data and document the current knowledge on allergic manifestations to the fruit mango 2) To highlight the two distinct clinical presentations of hypersensitivity reactions caused by mango 3) To discuss the role of cross-reactivity 4) To increase awareness of potentially life threatening complications that can be caused by allergy to mango. An extensive search of the literature was performed in Medline/PubMed with the key terms "mango...

  19. Catatonia: an unusual manifestation of Wilson's disease.

    Science.gov (United States)

    Basu, Aniruddha; Thanapal, Sivakumar; Sood, Mamta; Khandelwal, Sudhir K

    2015-01-01

    Wilson's disease, characterized by abnormal copper accumulation in the human body, may present with psychiatric manifestations in about one-fifth of patients. The authors report a patient with Wilson's disease who initially presented with acute psychosis and later developed catatonic symptoms. The atypical presentation led to a delay in diagnosis and institution of appropriate treatment. Wilson's disease can be ruled out in all young patients presenting with psychiatric symptoms for the first time by screening for a Kayser-Fleischer ring.

  20. [Cursive and gelastic manifestations of epilepsies].

    Science.gov (United States)

    Guerreiro, C A; Silveira, D C; Guerreiro, M M

    1987-12-01

    Seven cases of cursive and two cases of gelastic manifestations of epileptic seizures are presented. The cases were documented with computerized tomography and electroencephalography (EEG). Most of patients with cursive seizures showed temporal lobe epileptiform discharge in EEG. The authors discuss the theme in relation to pathophysiology and conclude that they are not a homogeneous group according to prognosis and nosology. Every case presented complex partial seizures with or without tonic-clonic seizures.

  1. Palmse viinaköögi manifest

    Index Scriptorium Estoniae

    1996-01-01

    Manifest. Tõlkijate seminari puhul 17. mail 1996 Palmse viinaköögis Juta Bedia, Eric Dickens, Gyözö Fehérvári, Guntars Godinsh, Maima Grinberga, Irja Grönholm, Leif Hannibal, Cornelius Hasselblatt, Pirkko Huurto, Ivo Iliste, Nora Javorskaja, Gisbert Jänicke, Kaisu Lahikainen, Enel Melberg, Vera Ruber, Arnold Tamm, Leili Tamm, Jonatan Tomesh, Lilia Velic'kova, Marianne Vogel. Inglise k.: Estonian Literary Magazine, autumn 1996, nr. 3

  2. Tardive Dystonia: Clinical Spectrum and Novel Manifestations

    Directory of Open Access Journals (Sweden)

    R. Jeffrey Davis

    1988-01-01

    Full Text Available Tardive dystonia was identified in 25 patients: involvement of the face and neck was most common; truncal and limb dystonia were also observed. There were 3 cases of laryngospasm and 2 of spasmodic dysphonia. The latter has not been previously reported as a manifestation of tardive dystonia. In all cases, movements typical of classic tardive dyskinesia could be demonstrated. This group illustrates the variety of dystonic disorders that may occur in conjunction with tardive dyskinesia.

  3. Atypical manifestations of multiple myeloma: Radiological appearance

    Energy Technology Data Exchange (ETDEWEB)

    Hess, Thomas [Department of Radiology, St-Vincenz Hospital, Auf dem Schafsberg, D-65549 Limburg (Germany)]. E-mail: t.hess@st-vincenz.de; Egerer, Gerlinde [Department of Internal Medicine V, Haematology/Oncology, University of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg (Germany); Kasper, Bernd [Department of Internal Medicine V, Haematology/Oncology, University of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg (Germany); Rasul, Kakil Ibrahim [Hamad Medical Center, Moha (Qatar); Goldschmidt, Hartmut [Department of Internal Medicine V, Haematology/Oncology, University of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg (Germany); Kauffmann, G.W. [Department of Radiology, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg (Germany)

    2006-05-15

    Diagnostic procedures performed on patients with multiple myeloma typically reveal lytic bone lesions, osteopenia or osteoporosis, bone marrow infiltration by plasma cells as well as overproduction of immunoglobulin or light chains in the serum or urine. Skeletal manifestations are extremely variable and the unusual forms have been described extensively. Extramedullary plasma-cell tumours (plasmocytoma) are found in about 5% of newly diagnosed patients with multiple myelomas. In this paper we present eight patients with atypical forms of multiple myeloma.

  4. [Pulmonary, pleural and pericardial manifestations of rickettsiosis].

    Science.gov (United States)

    Piéron, R; Lesobre, B; Mafart, Y; Meyniel, D; Coppin, M

    1976-01-01

    The authors report four observations of rickettsioses with R. conori (3 cases) or R. mooseri (1 case) with pericardial, pleural or pulmonary manifestations (2 cases). On this occasion, they recall that diagnosis of rickettsiosis can only be made on precise conditions: compatible clinical syndrome, significantly increasing then decreasing antibodies level, negative bacteriological and viral investigations and effectiveness of particular antibiotics. They also recall the main characteristics of pericardites, pleurisies, and pneumopathies produced by rickettsiae, probably more frequently than previously thought.

  5. Dermatologic Extrahepatic Manifestations of Hepatitis C

    Science.gov (United States)

    Dedania, Bhavtosh; Wu, George Y.

    2015-01-01

    Hepatitis C virus (HCV) affects millions of people worldwide, and an estimated 3.2 million people in the United States. HCV is a hepatotropic and lymphotropic virus that causes not only liver disease, but also a significant number of extrahepatic manifestations (EHMs). Up to 74% of patients affected by HCV will have HCV-related EHMs of some severity in their lifetime. The EHMs vary from simple cutaneous palpable purpura to complex lymphoproliferative disorders, including lymphomas and immune-complex deposit diseases causing local and/or systemic complications. Mixed cryoglobulinemia (MC) is manifested by multiple systemic organ involvement, mainly skin, kidney, peripheral nerves, and salivary glands, and less frequently causes widespread vasculitis and malignant lymphoma. MC affects up to 3% of HCV-infected patients with cryoglobulinemia of clinical significance, i.e. >6%. Severe disease requires immunosuppressive or plasma exchange therapy. HCV prevalence in the United States in patients with porphyria cutanea tarda (PCT) was reported to be 66%, much higher than that in general population. Therefore, all patients with PCT should be screened for HCV. The skin rash of PCT varies from large blisters to small vesicles and/or milia on the hands. Skin manifestations due to PCT usually respond to anti‐HCV treatment together with reducing skin sun exposure, avoiding triggers, having routine phlebotomy (especially for people with chronic iron overload states), and using chloroquine. Lichen planus (LP), which typically affects both the skin and oral mucosa is a chronic inflammatory disease of squamous cell origin affecting about 1% of the worldwide population. The prevalence of HCV in patients with LP varies based on geographic location. We review here the basic pathophysiology, clinical features, and management of dermatologic manifestations of HCV. PMID:26357639

  6. PULMONARY MANIFESTATION OF LYMPHANGIOLEIOMYOMATOSIS: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Duara

    2016-05-01

    Full Text Available Lymphangioleiomyomatosis (LAM is an uncommon interstitial lung disease that exclusively affects women, usually during their reproductive years. LAM is characterized pathologically by abnormal proliferation of LAM cells in the lungs and in thoracic and retroperitoneal lymphatics. 1 We presented a case of 40-year-old female presented to Department of Pulmonary Medicine, Gauhati Medical College with cough and chest pain for 6 months, which was diagnosed to be pulmonary manifestation of Lymphangioleiomyomatosis in HRCT chest.

  7. Uncommon cutaneous manifestations of lupus erythematosus.

    Science.gov (United States)

    Mascaro, J M; Herrero, C; Hausmann, G

    1997-01-01

    Cutaneous manifestations of lupus erythematosus (LE) are, usually, characteristic enough to permit an easy diagnosis. However, some patients may present less typical lesions, associated or not to the classic ones. Therefore, irrespectively of the variety of LE (acute, subacute and chronic), in absence of the typical butterfly rash, erythematosquamous papules or plaques, or any of the characteristic cutaneous alterations, it is important (even though not always easy) to recognize the uncommon and/or atypical changes of the skin.

  8. Rheumatic manifestations of inflammatory bowel disease

    Institute of Scientific and Technical Information of China (English)

    Tatiana Sofía Rodríguez-Reyna; Cynthia Martínez-Reyes; Jesús Kazúo Yamamoto-Furusho

    2009-01-01

    This article reviews the literature concerning rheumatic manifestations of inflammatory bowel disease(IBD), including common immune-mediated pathways,frequency, clinical course and therapy. Musculoskeletal complications are frequent and well-recognized manifestations in IBD, and affect up to 33% of patients with IBD. The strong link between the bowel and the osteo-articular system is suggested by many clinical and experimental observations, notably in HLA-B27 transgenic rats. The autoimmune pathogenic mechanisms shared by IBD and spondyloarthropathies include genetic susceptibility to abnormal antigen presentation,aberrant recognition of self, the presence of autoantibodies against specific antigens shared by the colon and other extra-colonic tissues, and increased intestinal permeability. The response against microorganisms may have an important role through molecular mimicry and other mechanisms. Rheumatic manifestations of IBD have been divided into peripheral arthritis, and axial involvement, including sacroiliitis,with or without spondylitis, similar to idiopathic ankylosing spondylitis. Other periarticular features can occur,including enthesopathy, tendonitis, clubbing, periostitis,and granulomatous lesions of joints and bones.Osteoporosis and osteomalacia secondary to IBD and iatrogenic complications can also occur. The management of the rheumatic manifestations of IBD consists of physical therapy in combination with local injection of corticosteroids and nonsteroidal anti-inflammatory drugs; caution is in order however, because of their possible harmful effects on intestinal integrity, permeability,and even on gut inflammation. Sulfasalazine,methotrexate, azathioprine, cyclosporine and leflunomide should be used for selected indications. In some cases, tumor necrosis factor-α blocking agents should be considered as first-line therapy.

  9. Dermatologic Extrahepatic Manifestations of Hepatitis C.

    Science.gov (United States)

    Dedania, Bhavtosh; Wu, George Y

    2015-06-28

    Hepatitis C virus (HCV) affects millions of people worldwide, and an estimated 3.2 million people in the United States. HCV is a hepatotropic and lymphotropic virus that causes not only liver disease, but also a significant number of extrahepatic manifestations (EHMs). Up to 74% of patients affected by HCV will have HCV-related EHMs of some severity in their lifetime. The EHMs vary from simple cutaneous palpable purpura to complex lymphoproliferative disorders, including lymphomas and immune-complex deposit diseases causing local and/or systemic complications. Mixed cryoglobulinemia (MC) is manifested by multiple systemic organ involvement, mainly skin, kidney, peripheral nerves, and salivary glands, and less frequently causes widespread vasculitis and malignant lymphoma. MC affects up to 3% of HCV-infected patients with cryoglobulinemia of clinical significance, i.e. >6%. Severe disease requires immunosuppressive or plasma exchange therapy. HCV prevalence in the United States in patients with porphyria cutanea tarda (PCT) was reported to be 66%, much higher than that in general population. Therefore, all patients with PCT should be screened for HCV. The skin rash of PCT varies from large blisters to small vesicles and/or milia on the hands. Skin manifestations due to PCT usually respond to anti-HCV treatment together with reducing skin sun exposure, avoiding triggers, having routine phlebotomy (especially for people with chronic iron overload states), and using chloroquine. Lichen planus (LP), which typically affects both the skin and oral mucosa is a chronic inflammatory disease of squamous cell origin affecting about 1% of the worldwide population. The prevalence of HCV in patients with LP varies based on geographic location. We review here the basic pathophysiology, clinical features, and management of dermatologic manifestations of HCV.

  10. The radiological manifestations of sickle cell disease

    Energy Technology Data Exchange (ETDEWEB)

    Madani, G. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom)]. E-mail: gittamadani@yahoo.com; Papadopoulou, A.M. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom); Holloway, B. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom); Robins, A. [Department of Paediatrics, Whittington Hospital NHS Trust, London (United Kingdom); Davis, J. [Department of Radiology, Whittington Hospital NHS Trust, London (United Kingdom); Murray, D. [Department of Radiology, Whittington Hospital NHS Trust, London (United Kingdom)

    2007-06-15

    Sickle cell disease (SCD) is an inherited abnormality of the ss-globin chain, which causes a spectrum of haemolytic anaemias. Clinical manifestations in SCD include anaemia, jaundice, recurrent vaso-occlusive crises, and infections (particularly by encapsulated bacteria) due to functional asplenia and cerebrovascular accidents. Radiological investigations play a critical role both in the diagnosis and in the primary prevention of the complications of SCD.

  11. Electrical and electronic waste management in China: progress and the barriers to overcome.

    Science.gov (United States)

    Liu, Xianbing; Tanaka, Masaru; Matsui, Yasuhiro

    2006-02-01

    Serious adverse impacts on the environment and human health from e-waste recycling have occurred in the past and continue to occur in China today, due to a lack of national management strategies. China has made great efforts to face the challenges of the approaching peak increase in the domestic generation of e-waste and the illegal shipment of e-waste from other countries. This study examined recent progress and analysed the main problems associated with this issue in China. It was found that the material and the financial flows of e-waste in China had their own specific characteristics. Nearly 60% of the generated e-wastes were sold to private individual collectors and passed into informal recycling processes. More than 90% of Chinese citizens are reluctant to pay for the recycling of their e-waste. This is due to their traditional understanding that there remained value in these end-of-life products. Regulations concerning e-waste in China have been drafted but their deficiencies are obvious. The extended producer responsibilities (EPR) have been introduced but are not well defined. Eight formal facilities have been planned and are under construction or are in operation along the eastern coast of China but it will be difficult for them to compete with the informal processes for the reasons identified during the study.

  12. Possible global environmental impacts of solid waste practices

    Energy Technology Data Exchange (ETDEWEB)

    Davis, M.M.; Holter, G.M.; DeForest, T.J.; Stapp, D.C. [Pacific Northwest Lab., Richland, WA (United States); Dibari, J.C. [Heritage College, Toppenish, WA (United States)

    1994-09-01

    Pollutants resulting from the management of solid waste have been shown to affect the air, land, oceans, and waterways. In addition, solid wastes have other, more indirect impacts such as reduction in feedstocks of natural resources, because useful materials are disposed of rather than recycled. The objective of this study is to evaluate solid waste management practices that have negative implications on the global environment and develop recommendations for reducing such impacts. Recommendations identifying needed changes are identified that will reduce global impacts of solid waste practices in the future. The scope of this study includes the range of non-hazardous solid wastes produced within our society, including municipal solid waste (MSW) and industrial solid waste (ISW), as well as industry-specific wastes from activities such as construction, demolition, and landclearing. Most solid waste management decisions continue to be made and implemented at very local levels, predominantly with a short-term focus to respond to relatively immediate pressures of landfill shortages, funding problems, political considerations, and the like. In this rush to address immediate local problems, little consideration is being given to potential impacts, either short- or long-term, at the national or global level resulting from solid waste management practices. More and more, the cumulative impacts from local decisions concerning solid waste management are beginning to manifest themselves in broader, longer-term impacts than are being addressed by the decision-makers or, at the very least, are presenting a greater and greater potential for such impacts.

  13. Chronic polyarthritis as isolated manifestation of toxocariasis

    Directory of Open Access Journals (Sweden)

    Gabriela R. Viola

    2016-04-01

    Full Text Available ABSTRACT Human toxocariasis is a parasitic zoonosis mainly caused by Toxocara canis or Toxocara catiand is acquired by ingestion of the parasite’s embryonated eggs. Arthralgia and/or arthri-tis were reported in up to 17% of the cases, generally with acute duration (less than 6weeks. However, to our knowledge, chronic polyarthritis, as the isolated presentation ofToxocara infection, was not reported. One of the 5809 patients that was followed up at ourservice (0.017% had chronic polyarthritis as the single manifestation of toxocariasis and wasdescribed herein. A 3-year-old girl was referred to our service with severe painful chronicpolyarthritis for a period longer than 10 weeks and morning stiffness of 30 min. Dog contactexposure history in the recreational areas of neighborhood was reported. Her exams showedhigh levels of eosinophils in peripheral blood (29%, bone marrow aspirate revealed markedeosinophilia (32% and Toxocara enzyme-linked immunosorbent assay (Elisa was positive(1:1280. She was treated with paracetamol (40 mg/kg/day and thiabendazole (25 mg/kg/dayfor 10 days, and all manifestations reduced. After eight months of follow-up, she was onclinical and laboratorial remission. In conclusion, we described a case of chronic polyarthri-tis, as isolated manifestation of toxocariasis, mimicking juvenile idiopathic arthritis andleukemia. Importantly, this zoonosis should be considered in patients with arthritis andeosinophilia.

  14. Chronic polyarthritis as isolated manifestation of toxocariasis.

    Science.gov (United States)

    Viola, Gabriela R; Giacomin, Maria Fernanda A; França, Camila M P; Sallum, Adriana M E; Jacob, Cristina M A; Silva, Clovis A

    2016-01-01

    Human toxocariasis is a parasitic zoonosis mainly caused by Toxocara canis or Toxocara cati and is acquired by ingestion of the parasite's embryonated eggs. Arthralgia and/or arthritis were reported in up to 17% of the cases, generally with acute duration (less than 6 weeks). However, to our knowledge, chronic polyarthritis, as the isolated presentation of Toxocara infection, was not reported. One of the 5809 patients that was followed up at our service (0.017%) had chronic polyarthritis as the single manifestation of toxocariasis and was described herein. A 3-year-old girl was referred to our service with severe painful chronic polyarthritis for a period longer than 10 weeks and morning stiffness of 30min. Dog contact exposure history in the recreational areas of neighborhood was reported. Her exams showed high levels of eosinophils in peripheral blood (29%), bone marrow aspirate revealed marked eosinophilia (32%) and Toxocara enzyme-linked immunosorbent assay (Elisa) was positive (1:1280). She was treated with paracetamol (40mg/kg/day) and thiabendazole (25mg/kg/day) for 10 days, and all manifestations reduced. After eight months of follow-up, she was on clinical and laboratorial remission. In conclusion, we described a case of chronic polyarthritis, as isolated manifestation of toxocariasis, mimicking juvenile idiopathic arthritis and leukemia. Importantly, this zoonosis should be considered in patients with arthritis and eosinophilia.

  15. Nephrogenic systemic fibrosis: late skin manifestations

    DEFF Research Database (Denmark)

    Bangsgaard, Nannie; Marckmann, Peter; Rossen, Kristian

    2009-01-01

    BACKGROUND: Nephrogenic systemic fibrosis (NSF) is a serious disease that occurs in patients with severe renal disease and is believed to be caused by gadolinium-containing contrast agents. A detailed description of the late skin manifestations of NSF is important to help dermatologists and nephr......BACKGROUND: Nephrogenic systemic fibrosis (NSF) is a serious disease that occurs in patients with severe renal disease and is believed to be caused by gadolinium-containing contrast agents. A detailed description of the late skin manifestations of NSF is important to help dermatologists...... confluent dermal plaques with thickening and hardening. In contrast, 3 patients presented with wrinkled, redundant skin as seen in cutis laxa. Patients with NSF had significantly poorer scores than control patients on the Daily Life Quality Index (mean [SD], 11. 4 [7.4] vs 1.5 [2. 3]; P ...: This descriptive case series of patients with NSF gives a detailed clinical picture of the skin manifestations late in the disease. It demonstrates that the clinical picture in the late stage has a varied presentation and that NSF has a significant effect on the quality of life....

  16. Hematological manifestations of primary mitochondrial disorders.

    Science.gov (United States)

    Finsterer, Josef

    2007-01-01

    At onset mitochondrial disorders (MID) frequently manifest as a mono-organic problem but turn into multisystem disease during the disease course in most of the cases. Organs/tissues most frequently affected in MID are the cerebrum, peripheral nerves, and the skeletal muscle. Additionally, most of the inner organs may be affected alone or in combination. Hematological manifestations of MID include aplastic, megaloblastic, or sideroblastic anemia, leukopenia, neutropenia, thrombocytopenia, or pancytopenia. In single cases either permanent or recurrent eosinophilia has been observed. Hematological abnormalities may occur together with syndromic or nonsyndromic MIDs. Syndromic MIDs, in which hematological manifestations predominate, are the Pearson syndrome (pancytopenia), Kearns-Sayre syndrome (anemia), Barth syndrome (neutropenia), and the autosomal recessive mitochondrial myopathy, lactic acidosis and sideroblastic anemia syndrome. In single cases with Leigh's syndrome, MERRF (myoclonic epilepsy and ragged-red fiber) syndrome, Leber's hereditary optic neuropathy, and Friedreich's ataxia anemia has been described. Anemia, leukopenia, thrombocytopenia, eosinophilia, or pancytopenia can frequently also be found in nonsyndromic MIDs with or without involvement of other tissues. Therapy of blood cell involvement in MID comprises application of antioxidants, vitamins, iron, bone marrow-stimulating factors, or substitution of cells.

  17. Abdominal manifestations of cystic fibrosis in children

    Energy Technology Data Exchange (ETDEWEB)

    Chaudry, Gulraiz; Navarro, Oscar M.; Levine, Daniel S.; Oudjhane, Kamaldine [University of Toronto, Department of Diagnostic Imaging, Hospital for Sick Children, Toronto, ON (Canada)

    2006-03-15

    Pulmonary complications remain the main cause of mortality in cystic fibrosis, but the presenting symptoms in children are often related to gastrointestinal or pancreaticobiliary disease. Furthermore, abdominal manifestations are now seen throughout childhood, from infancy to adolescence. The child might present in the neonatal period with meconium ileus or its attendant complications. The older child might present with distal intestinal obstruction syndrome or colonic stricture secondary to high doses of pancreatic enzyme replacement. Less-common gastrointestinal manifestations include intussusception, duodenitis and fecal impaction of the appendix. Most children also show evidence of exocrine pancreatic deficiency. Radiologically, the combination of fat deposition and pancreatic fibrosis leads to varying CT and MR appearances. A higher than normal incidence of pancreatic cysts and calcification is also seen. Decreased transport of water and chloride also increases the viscosity of bile, with subsequent obstruction of the biliary ductules. If extensive, this can progress to obstructive cirrhosis, portal hypertension and esophageal varices. Diffuse fatty infiltration, hypersplenism and gallstones are also commonly seen in these patients. We present a pictorial review of the radiological appearance of these abdominal manifestations. The conditions are dealt with individually, together with typical appearances in various imaging modalities. (orig.)

  18. Manifestations or seven acts and one folly

    Directory of Open Access Journals (Sweden)

    Frederico Guilherme Bandeira de Araújo

    2014-08-01

    Full Text Available The theme that inspired the writing of this article was the set of street manifestations that took place in Brazil in July 2013. The manifestations were initially articulated by the problems of urban mobility, but later will acquire immense complexity. The plurality of voices and crossings and the impossibility of a single language to give existence to the complexity of the manifestations is what constitutes the raw material of this text, which causes thinking about generalizations and constraints that are imposed by existing languages to talk space. The text was produced collectively or brokered by members of the Grupo de Pesquisa Modernidade e Cultura of the Instituto de Pesquisa e Planejamento Urbano e Regional, of the Universidade Federal do Rio de Janeiro and was presented as a performance in the panel discussion “In the borders of the major Geography: imagination, strangeness and performance, in the III Colóquio Internacional “A Educação pelas imagens e suas geografias”.

  19. Waste Isolation Pilot Plant 2003 Site Environmental Report

    Energy Technology Data Exchange (ETDEWEB)

    Washington Regulatory and Environmental Services

    2005-09-03

    The purpose of this report is to provide information needed by the DOE to assess WIPP's environmental performance and to convey that performance to stakeholders and members of the public. This report has been prepared in accordance with DOE Order 231.1A and DOE guidance. This report documents WIPP's environmental monitoring programs and their results for 2003. The WIPP Project is authorized by the DOE National Security and Military Applications of Nuclear Energy Authorization Act of 1980 (Pub. L. 96-164). After more than 20 years of scientific study and public input, WIPP received its first shipment of waste on March 26, 1999. Located in southeastern New Mexico, WIPP is the nation's first underground repository permitted to safely and permanently dispose of TRU radioactive and mixed waste (as defined in the WIPP LWA) generated through the research and production of nuclear weapons and other activities related to the national defense of the United States. TRU waste is defined in the WIPP LWA as radioactive waste containing more than 100 nanocuries (3,700 becquerels [Bq]) of alpha-emitting transuranic isotopes per gram of waste, with half-lives greater than 20 years. Exceptions are noted as high-level waste, waste that has been determined not to require the degree of isolation required by the disposal regulations, and waste the U.S. Nuclear Regulatory Commission (NRC) has approved for disposal. Most TRU waste is contaminated industrial trash, such as rags and old tools, and sludges from solidified liquids; glass; metal; and other materials from dismantled buildings. A TRU waste is eligible for disposal at WIPP if it has been generated in whole or in partby one or more of the activities listed in the Nuclear Waste Policy Act of 1982 (42 United States Code [U.S.C.] §10101, et seq.), including naval reactors development, weapons activities, verification and control technology, defense nuclear materials production, defense nuclear waste and materials by

  20. Control technology assessment of hazardous waste disposal operations in chemicals manufacturing: walk-through survey report of Chemical Waste Management, Inc. , Emelle, Alabama

    Energy Technology Data Exchange (ETDEWEB)

    Anastas, M.

    1982-08-01

    A walk through survey was conducted to assess hazardous waste disposal operations at Chemical Waste Management, Incorporated (SIC-4953), Emelle, Alabama in February 1982. Hazardous waste treatment and disposal operations included landfilling, fixation, solar evaporation, and incineration. The incinerator was a liquid injection unit used for combustible liquids containing up to 10 percent chlorine. Polychlorinated biphenyls and other chlorine containing wastes not treated on site were temporarily stored before shipment for at sea incineration. In-situ fixation was carried out on corrosive, acidic, and heavy metal containing liquids. Liquid wastes were removed and eventually pumped into a pit where they were mixed with cement kiln dust. Drum stored wastes intended for landfilling were transported by front end loaders to the site. Heavy equipment operators were protected from exposure to dust by environmental cabs. Air and medical monitoring were performed on landfill, laboratory, and maintenance shop workers. Hard hats, goggles, and safety shoes were required at the landfill. Respirators and other protective equipment and clothing were available. The author concludes that the company management is concerned about the health and safety of the employees. An in depth survey is recommended.