Sample records for year operational experience

  1. TAPS condensers - 12 years of operating experience

    Srinivasan, V.S. (Tarapur Atomic Power Station (India))

    This paper describes briefly the 12 years of operating experience of TAPS condensers, which have aluminium brass tubes and use sea water from Arabian sea for cooling. The abnormal tube failure rates led to a thorough investigation of the causes. The remedial measures adopted to arrest and bring down the failure rate are elaborated. In addition to improved preventive maintenance practices, additional measures like ferrous ion addition, partial zonal retubing are also brought out.

  2. Five years operating experience at the Fast Flux Test Facility

    Baumhardt, R. J.; Bechtold, R. A.


    The Fast Flux Test Facility (FFTF) is a 400 Mw(t), loop-type, sodium-cooled, fast neutron reactor. It is operated by the Westinghouse Hanford Company for the United States Department of Energy at Richland, Washington. The FFTF is a multipurpose test reactor used to irradiate fuels and materials for programs such as Liquid Metal Reactor (LMR) research, fusion research, space power systems, isotope production and international research. FFTF is also used for testing concepts to be used in Advanced Reactors which will be designed to maximize passive safety features and not require complex shutdown systems to assure safe shutdown and heat removal. The FFTF also provides experience in the operation and maintenance of a reactor having prototypic components and systems typical of large LMR (LMFBR) power plants. The 5 year operational performance of the FFTF reactor is discussed in this report. 6 refs., 10 figs., 2 tabs.

  3. Wabash River coal gasification repowering project -- first year operation experience

    Troxclair, E.J. [Destec Energy, Inc., Houston, TX (United States); Stultz, J. [PSI Energy, Inc., West Terre Haute, IN (United States)


    The Wabash River Coal Gasification Repowering Project (WRCGRP), a joint venture between Destec Energy, Inc. and PSI Energy, Inc., began commercial operation in November of 1995. The Project, selected by the United States Department of Energy (DOE) under the Clean Coal Program (Round IV) represents the largest operating coal gasification combined cycle plant in the world. This Demonstration Project has allowed PSI Energy to repower a 1950`s vintage steam turbine and install a new syngas fired combustion turbine to provide 262 MW (net) of electricity in a clean, efficient manner in a commercial utility setting while utilizing locally mined high sulfur Indiana bituminous coal. In doing so, the Project is also demonstrating some novel technology while advancing the commercialization of integrated coal gasification combined cycle technology. This paper discusses the first year operation experience of the Wabash Project, focusing on the progress towards achievement of the demonstration objectives.

  4. Thirty year operational experience of the JET flywheel generators

    Rendell, Daniel, E-mail:; Shaw, Stephen R.; Pool, Peter J.; Oberlin-Harris, Colin


    Highlights: • The pony-motor rotor circuit's liquid resistor requires frequent maintenance. • A crowned profile on the thrust pads is desirable. • Both plug braking transformers have been replaced after flashovers occurred. • Two-plane balancing of one of the flywheel generators has improved vibration levels but also provided information to lead further investigations. • A half-life inspection on the flywheel generators has shown no major issues after 30 year of operating. - Abstract: The JET flywheel generator converters have operated since 1983 and for over 85,000 pulses. Problems with this plant are discussed, including corrosion, unbalanced flow and arcing within the liquid resistors; starting difficulties on both machines; and failure of the plug-braking transformers at energisiation. In 2012/13 two sets of thrust bearing pads have required refurbishment, a process which highlighted the importance of their profile. Extensive half-life inspections have shown that there are no serious problems with either generator.

  5. Remotely Operated Vehicles under sea ice - Experiences and results from five years of polar operations

    Katlein, Christian; Arndt, Stefanie; Lange, Benjamin; Belter, Hans Jakob; Schiller, Martin; Nicolaus, Marcel


    The availability of advanced robotic technologies to the Earth Science community has largely increased in the last decade. Remotely operated vehicles (ROV) enable spatially extensive scientific investigations underneath the sea ice of the polar oceans, covering a larger range and longer diving times than divers with significantly lower risks. Here we present our experiences and scientific results acquired from ROV operations during the last five years in the Arctic and Antarctic sea ice region. Working under the sea ice means to have all obstacles and investigated objects above the vehicle, and thus changes several paradigms of ROV operations as compared to blue water applications. Observations of downwelling spectral irradiance and radiance allow a characterization of the optical properties of sea ice and the spatial variability of the energy partitioning across the atmosphere-ice-ocean boundary. Our results show that the decreasing thickness and age of the sea ice have led to a significant increase in light transmission during summer over the last three decades. Spatially extensive measurements from ROV surveys generally provide more information on the light field variability than single spot measurements. The large number of sampled ice conditions during five cruises with the German research icebreaker RV Polarstern allows for the investigations of the seasonal evolution of light transmittance. Both, measurements of hyperspectral light transmittance through sea ice, as well as classification of upward-looking camera images were used to investigate the spatial distribution of ice-algal biomass. Buoyant ice-algal aggregates were found to be positioned in the stretches of level ice, rather than pressure ridges due to a physical interaction of aggregate-buoyancy and under-ice currents. Synchronous measurements of sea ice thickness by upward looking sonar provides crucial additional information to put light-transmittance and biological observations into context

  6. Conclusions from 12 Years Operational Experience of the Cryoplants for the Superconducting Magnets of the LEP Experiments

    Barth, K; Delikaris, D; Passardi, Giorgio


    The Large Electron Positron Collider (LEP) has ended its last physics run in November 2000, and it is at present being dismantled to liberate the tunnel for the Large Hadron Collider (LHC) project to be completed by end of 2005. The cryogenic systems for the superconducting solenoid and focusing quadrupoles for the two LEP experiments, ALEPH and DELPHI, each supplying a cooling power of 800 W/4.5 K entropy equivalent, have accumulated more then 100'000 hours of running time. The paper summarises the 12 years cryogenic experience in the various operating modes: cool-down, steady state, recovery after energy fast dump, utilities failures and warm-up of the superconducting magnets. The detailed operation statistics is presented and compared to the other CERN cryogenic systems. Emphasis is given to the technical analysis of the fault conditions and of their consequences on the helium refrigeration production time in view of the future operation of the LHC cryogenics.

  7. Three Year of Operation Experience of the Skal-et Collector Loop at Segs V

    Hermann, U.; Worringer, S.; Graeter, F.; Nava, P.


    In November 2003 the SKAL-ET loop was inaugurated. The SKAL-ET technology is based on the EuroTrough concept, which was developed and qualified by a European consortium. SKAL-ET represents a next step of development and up-scaling of a new generation of parabolic trough collectors. Seven collectors with an overall aperture area of 4360 square meters were set up at an existing Solar Electricity Generating System (SEGS) in California. Both a 100 m long collector design and a 150 m collector design were implemented. The new SKAL-ET collectors replace a former LS-3 loop and are part of the solar field of SEGS V. Since April 2003 they are operating as a matter of routine as an integral part of the solar field of the commercial power plant SEGS V and are contributing to the electricity production in the order of 0.7 MWel. In September 2003 special test instrumentation was installed at the loop to measure the performance and to monitor the operation. In addition a new sun sensor and control system to track the collectors is developed and tested. The paper reports about the operating experience gathered in the last three years and about results of performance measurements.. (Author)

  8. Building and Deploying Remotely Operated Vehicles in the First-Year Experience

    O'Brien-Gayes, A.; Fuss, K.; Gayes, P.


    Coastal Carolina University has committed to improving student retention and success in Mathematics and Science through a pilot program to engage first-year students in an applied and investigative project as part of the University's First-Year Experience (FYE). During the fall 2007 semester, five pilot sections of FYE classes, consisting of students from the College of Natural and Applied Sciences are building and deploying Remotely Operated Vehicles (ROVs). These ROV-based classes are designed to: accelerate exploration of the broad fields of science and mathematics; enlist interest in technology by engaging students in a multi-stepped, interdisciplinary problem solving experience; explore science and mathematical concepts; institute experiential learning; and build a culture of active learners to benefit student success across traditional departmental boundaries. Teams of three students (forty teams total) will build, based on the MIT Sea Perch design, and test ROVs in addition to collecting data with their ROVs. Various accessories attached to the vehicles for data collection will include temperature and light sensors, plankton nets and underwater cameras. The first-year students will then analyze the data, and the results will be documented as part of their capstone projects. Additionally, two launch days will take place on two campus ponds. Local middle and high school teachers and their students will be invited to observe this event. The teams of students with the most capable and successful ROVs will participate in a workshop held in November 2007 for regional elementary, middle and high school teachers. These students will give a presentation on the building of the ROVs and also provide a hands-on demonstration for the workshop participants. These activities will ensure an incorporation of service learning into the first semester of the freshmen experience. The desired outcomes of the ROV-based FYE classes are: increased retention at the postsecondary

  9. Clinical routine operation of a filmless radiology department: three years experience

    Mosser, Hans M.; Paertan, Gerald; Hruby, Walter


    This paper communicates the operational implementation of filmless digital radiology in clinical routine, its feasibility and its effect on the radiology profession, based on the three years clinical experience from the filmless digital radiology department of the Danube Hospital, a major teaching hospital in Vienna, Austria, with currently 850 acute-care beds. Since April 1992 all radiological modalities are reported from the monitors of 16 reporting consoles in the radiology department. Images and reports are distributed by the hospital-wide network (Sienet, Siemens Medical Systems, Erlangen), and can be viewed on 60 display consoles throughout the hospital. Filmless radiology primarily is an efficient hospital-wide infrastructure to deliver radiological services along with other medical information, providing safe and fast access to this information anytime and anywhere, necessary for the conduct of the diagnostic and therapeutic task of patient care. In a comparative study of the Danube Hospital with the film based Rudolfstiftung Hospital in Vienna, we found a significant decrease of the mean patient length of hospital stay (1.99 to 3.72 days) that partially might be attributed to the implementation of filmless radiology.

  10. The laser ranging experiment of the Lunar Reconnaissance Orbiter: Five years of operations and data analysis

    Mao, Dandan; McGarry, Jan F.; Mazarico, Erwan; Neumann, Gregory A.; Sun, Xiaoli; Torrence, Mark H.; Zagwodzki, Thomas W.; Rowlands, David D.; Hoffman, Evan D.; Horvath, Julie E.; Golder, James E.; Barker, Michael K.; Smith, David E.; Zuber, Maria T.


    We describe the results of the Laser Ranging (LR) experiment carried out from June 2009 to September 2014 in order to make one-way time-of-flight measurements of laser pulses between Earth-based laser ranging stations and the Lunar Reconnaissance Orbiter (LRO) orbiting the Moon. Over 4,000 h of successful LR data are obtained from 10 international ground stations. The 20-30 cm precision of the full-rate LR data is further improved to 5-10 cm after conversion into normal points. The main purpose of LR is to utilize the high accuracy normal point data to improve the quality of the LRO orbits, which are nominally determined by the radiometric S-band tracking data. When independently used in the LRO precision orbit determination process with the high-resolution GRAIL gravity model, LR data provide good orbit solutions, with an average difference of ∼50 m in total position, and ∼20 cm in radial direction, compared to the definitive LRO trajectory. When used in combination with the S-band tracking data, LR data help to improve the orbit accuracy in the radial direction to ∼15 cm. In order to obtain highly accurate LR range measurements for precise orbit determination results, it is critical to closely model the behavior of the clocks both at the ground stations and on the spacecraft. LR provides a unique data set to calibrate the spacecraft clock. The LRO spacecraft clock is characterized by the LR data to a timing knowledge of 0.015 ms over the entire 5 years of LR operation. We here present both the engineering setup of the LR experiments and the detailed analysis results of the LR data.

  11. Two year experience in the operation of the first community photovoltaic system in Cuba

    Lopez, Jose R. Diaz [Universidad de Oriente, Dept. of Applied Physics, Stgo de Cuba (Cuba); Cuan, Jose E. Camejo; Cruz, Idelgrade Batista; Heredia, Ruben Ramos; Perez, Raul Hernandez; Cisnero, Inaudis; Borges, Alexis [Solar Energy Research Center, Photovoltaic Div., Stgo de Cuba (Cuba)


    Although the photovoltaic technologies have been introduced in Cuba for more than 10 years, the long-term stable operation is still an aspiration. With the setting in operation of the first community photovoltaic electrification systems, it was possible to carry out a systematic study of the factors that determine the loss of quality of the operative state of the systems by means of the detection and classification of failures detected in periodic technical inspections. The data analysed on the basis of the medium frequency of failures allowed discovering problems of technology and its social adoption. This analysis lead to the design of a system of maintenance and repair that guarantees the sustainability of the project. The technical characteristics of the equipment that adapts better to the real conditions of exploitation in the country were determined as well. (Author)

  12. ESA's billion star surveyor - Flight operations experience from Gaia's first 1.5 Years

    Milligan, D.; Rudolph, A.; Whitehead, G.; Loureiro, T.; Serpell, E.; di Marco, F.; Marie, J.; Ecale, E.


    This paper details the initial in-flight mission operations experience from ESA's ultra-precise Gaia spacecraft. Tasked with mapping the positions and movements of 1 billion stars to unprecedented precision (to the 10 s of micro-arc-second level, comparable to the width of a coin on the Moon as viewed from Earth). ESA's Science cornerstone mission is expected to also discover and chart 100,000's of new objects including near Earth Asteroids, exoplanets, brown dwarfs and Quasars. After a flawless launch 19 Dec 2013, Gaia was brought the circa 1.5 million kms into L2 via a sequence of technically demanding orbit transfer manoeuvres using onboard thrusters in thrust vectoring mode. Starting in parallel to this, and lasting 6 months, the full spacecraft was commissioned and brought gradually up to the highest operational mode. A number of problems were detected and tackled during commissioning and early routine phase operations. An apparent dimming of the on-board laser and imaged stars, was tracked down to water ice building up inside the telescope enclosure. Also apparent was more straylight than expected. Elsewhere, a micro-propulsion thruster developed unexpected performance levels and a back-up chemical thruster suffered a failed latch valve. These issues, like several others, were dealt with and solved in a series of review meetings, in-orbit special operations and newly developed procedures and on-board software changes. After commissioning Gaia was working so well that it was producing approximately 45% more science data than originally foreseen, primarily since it was able to see stars fainter than required. The mission operations concept was quickly adapted to partially automate ground operations and increase ground station time to allow the full scientific potential of Gaia to be realised.

  13. FERMI magnet power supplies: design strategies and five years of operational experience

    Visintini, Roberto


    FERMI is the FEL-based light source in operation for external users since 2011 at the Elettra Research Center in Trieste, Italy. FERMI@Elettra is the name of the project for the construction and commissioning of this source. The design strategies adopted in the project had to consider the extremely close presence and the routine operation for users of the synchrotron-based source Elettra. There are more than 350 magnets and coils distributed along the linear accelerator, the two chains of undulators and the electron beam dump. Almost each magnetic element requires a dedicated DC power supply. Magnets, power supplies, and the connecting cables constitute a system, strongly interconnected with the remote control system, the machine and personnel safety system, and the infrastructure. All this has to fulfill the requirements from the particle physics specialists. We adopted a "systemic" approach in the design of new magnets and the re-use of the old ones, as well as the choice and the design of the associated power supplies. The commissioning of the systems started early 2010 and almost all magnet power supplies are in operation since then. During these 5 years, we introduced few minor upgrades and patches while the adopted solutions proved their soundness in terms of performance and reliability, causing very little downtime to the FERMI operations.

  14. Slaughterhouse waste co-digestion - Experiences from 15 years of full-scale operation

    Ek, A.E.W. (Swedish Biogas International Korea Co., Ltd, Totaleco B/D 1302-7, Seocho-Dong, Seocho-Gu, Seoul (Korea, Republic of)); Hallin, S.; Vallin, L. (Dept. of Biogas R and D, Tekniska Verken i Linkoeping AB (Sweden)); Schnurer, A. (Dept. of Microbiology, Swedish Univ. of Agricultural Sciences, Uppsala (Sweden)); Karlsson, M. (Dept. of Biogas R and D, Tekniska Verken i Linkoeping AB (Sweden); Dept. of Physics, Chemistry and Biology, Linkoeping Univ., Linkoeping (Sweden)), E-mail:


    At Tekniska Verken in Linkoeping AB (TVAB) there is a long time experience of handling and producing biogas from large volumes of slaughterhouse waste. Experiences from research and development and plant operations have lead to the implementation of several process improving technological/biological solutions. We can in this paper describe how the improvements have had several positive effects on the process, including energy savings, better odor control, higher gas quality, increased organic loading rates and higher biogas production with maintained process stability. In addition, it is described how much of the process stability in anaerobic digestion of slaughter house waste relates to the plant operation, which allow the microbiological consortia to adapt to the substrate. Since digestion of proteinaceous substrates like slaughterhouse waste lead to high ammonia loads, special requirements in ammonia tolerance are placed on the microbiota of the anaerobic digestion. Biochemical assays revealed that the main route for methane production proceed through syntrophic acetate oxidation, which require longer retention times than methane production by acetoclastic methanogens. Thus, the long retention time of the plant, accomplished by a low dilution of the substrate, is a vital component of the process stability when treating high protein substrates like slaughterhouse waste

  15. Influence of the experience of operator and assistant on the survival rate of proximal ART restorations: two-year results

    A.M. Kemoli; W.E. van Amerongen; G. Opinya


    AIM: The objective of the study was to determine the influence of the experience of the operator and the assistant on the survival rate of proximal ART- restorations after 2 years when placed using two methods of tooth-isolation and three glass ionomer cement-brands. STUDY DESIGN: A clinical interve

  16. Stirling machine operating experience

    Ross, B. [Stirling Technology Co., Richland, WA (United States); Dudenhoefer, J.E. [Lewis Research Center, Cleveland, OH (United States)


    Numerous Stirling machines have been built and operated, but the operating experience of these machines is not well known. It is important to examine this operating experience in detail, because it largely substantiates the claim that stirling machines are capable of reliable and lengthy operating lives. The amount of data that exists is impressive, considering that many of the machines that have been built are developmental machines intended to show proof of concept, and are not expected to operate for lengthy periods of time. Some Stirling machines (typically free-piston machines) achieve long life through non-contact bearings, while other Stirling machines (typically kinematic) have achieved long operating lives through regular seal and bearing replacements. In addition to engine and system testing, life testing of critical components is also considered. The record in this paper is not complete, due to the reluctance of some organizations to release operational data and because several organizations were not contacted. The authors intend to repeat this assessment in three years, hoping for even greater participation.

  17. Operation of the aircraft as a discipline of knowledge after 100 years of experience

    Stanisław Danilecki


    Full Text Available The paper presents the course of the most important stages of development of the discipline related to the maintenance of aircrafts, as a synthesis of the 100-year experience. It is presented linking of technical maintenance of the aircraft with other disciplines of knowledge. The scope of technical maintenance was defined. The division and analysis of the methods for the maintenance was made. There were defined and discussed definitions used in the theory of maintenance, in conjunction with the construction of the aircraft and the tasks arising for constructor-manufacturer. MSG subsequent versions of the document constituting the logistical procedures for determining the programmable handling of civil airplanes were discussed.[b]Keywords[/b]: aviation, aircraft, maintenance aircrafts

  18. Operational strategy, economic and environmental performance of sludge treatment reed bed systems - based on 28 years of experience

    Nielsen, S.; Larsen, Julie Dam


    Sludge treatment reed bed (STRB) systems have been used for dewatering and mineralisation of sludge in Europe since 1988. STRB systems provide substantial environmental, economic, and operational benefits compared to mechanical sludge dewatering solutions such as belt presses and centrifuges...... and hazardous organic compounds, qualities that make it suitable for recycling on agricultural land. The upfront capital cost for STRBs are often higher compared to mechanical dewatering devices. However, the operational expenses (OPEX) (including energy, chemicals, bio solid handling) are significantly lower...... compared to conventional mechanical dewatering devices, delivering an economic break-even of about 3-5 years. This paper provides an overview of the operation and maintenance costs and environmental benefits of a typical STRB based on the experiences gained from the operation of a large number of STRBs...

  19. Operational strategy, economic and environmental performance of sludge treatment reed bed systems - based on 28 years of experience.

    Nielsen, S; Larsen, J D


    Sludge treatment reed bed (STRB) systems have been used for dewatering and mineralisation of sludge in Europe since 1988. STRB systems provide substantial environmental, economic, and operational benefits compared to mechanical sludge dewatering solutions such as belt presses and centrifuges. They require less energy, no chemicals, reduce the sludge volume and produce bio solids with dry solid contents up to 20-40% under Danish climate conditions, depending on the sludge quality. Experience has shown that sludge treated in STRBs represents a high quality product with a low content of pathogens and hazardous organic compounds, qualities that make it suitable for recycling on agricultural land. The upfront capital cost for STRBs are often higher compared to mechanical dewatering devices. However, the operational expenses (OPEX) (including energy, chemicals, bio solid handling) are significantly lower compared to conventional mechanical dewatering devices, delivering an economic break-even of about 3-5 years. This paper provides an overview of the operation and maintenance costs and environmental benefits of a typical STRB based on the experiences gained from the operation of a large number of STRBs with yearly treatment capacities between 100 and 3,000 tonnes of dry solid up to approximately 250,000 PE in Denmark and Europe.

  20. CMS Tracker operational experience

    Fiori, Francesco


    The CMS Tracker was repaired, recalibrated and commissioned successfully for the second run of Large Hadron Collider. In 2015 the Tracker performed well with improved hit efficiency and spatial resolution compared to Run I. Operations successfully transitioned to lower temperatures after commissioning environmental control and monitoring. This year the detector is expected to withstand luminosities that are beyond its design limits and will need a combined effort of both online and offline team to yield the high quality data that is required to reach our physics goals. We present the experience gained during the second run of the LHC and show the latest performance results of the CMS Tracker.

  1. Operational experience at ELBE

    Michel, P.; Lehnert, U.; Seidel, W.


    The ELBE center for high power radiation sources is the largest user facility in the Helmholtz-Zentrum Dresden- Rossendorf. The facility is based on a 36 MeV superconducting RF Linac which can be operated up to 1.6 mA in cw mode. The electron beam is used to generate secondary radiation, such as infrared light (Free Electron Lasers), coherent THz radiation, MeV-Bremsstrahlung, fast neutrons and positrons for a wide range of basic research like semiconductor physics, nuclear astrophysics and radio biological investigations. Two high power laser systems (500 TW Ti:Sa laser, 2 PW diode pumped laser) are under construction for laser acceleration experiments and X-ray generation by Thomson scattering. The FELs are in operation since 2004 (mid-IR FEL, 4-22μm) and 2006 (far-IF FEL, 20-250μm). The fundamental features of the ELBE IR FELs, the FEL instrumentation and advanced beam diagnostics for the photon beam are described. During ten years of user operation experiences and statistical data were collected.

  2. Two years of operational experiences with Vattenfall's oxyfuel pilot plant

    Altmann, Hubertus [Vattenfall Europe Mining and Generation, Cottbus (Germany); Porsche, Thomas [Vattenfall Europe Generation AG, Cottbus (Germany)


    Directly linked to Vattenfall's ambition to be one of the leading European energy companies the strategic target is set, to reduce the specific CO{sub 2} emission caused by the production of electricity and heat by 50 per cent until 2030 and to produce heat and electricity climate neutral by 2050. These reduction targets stand in line with the plans of the European Union and the German government and go even beyond them. First results from the operation of the Oxyfuel pilot plant are available now. These real and comprehensible results are now the foundation for further planning and building activities and they guarantee a successful future development of CCS power plant technology. From today's point of view, technical obstacles which are still in the way of CCS can be overcome. It can be stated by now that Oxyfuel works in pilot scale, all emission limits are kept and necessary CO{sub 2} purities are achieved. The integration of plant parts from chemical engineering (ASU, CO{sub 2}-plant) were done successfully. The transfer of knowledge from pilot to demonstration plant is organised. There is a need of research and development to further increase efficiency and availability. Financial funding is necessary for the demo project and acceptance for CCS und CO{sub 2}-storage needs to be improved in public and politics. Nevertheless, the question whether CCS technology will be successful or not does not only depend on its profitability but is also a question of acceptance. We do not only have to illustrate the importance of coal and lignite for a reliable and affordable power supply to the people in our country and in entire Europe. We also have to provide answers to their simple questions regarding the safety of transport systems and the leak-proof of CO{sub 2} storage areas. These are the aspects we have to focus on and where we have to supply the right arguments. (orig.)

  3. Straight line repair of unilateral cleft lip: new operative method based on 25 years experience.

    Nakajima, T; Tamada, I; Miyamoto, J; Nagasao, T; Hikosaka, M


    The resultant scar in the primary repair of unilateral cleft lip should ideally be straight and the mirror image of the philtrum on the non-cleft side. In 1993, we reported a new operative technique for unilateral cleft lip, in which we designed a straight line for the incision on the white lip. In order to produce the nostril floor, we used the white lip tissue in the area between the alar base and alveolus at the cleft side as a flap. We also used a small triangular flap above the white skin roll to prevent Cupid's peak from being drawn up. Unlike the rotation-advancement method, our technique does not leave a transverse scar at the alar base. Instead, it leaves a scar only along the line coincident with the natural philtral ridge. However, during observations of our patients, we noticed that the small triangular flap designed to be 1.5mm tended to become a conspicuous angular scar as the patients grew older. In addition, drooping of Cupid's peak on the cleft side was often observed with this small triangular flap. To make it less conspicuous, we made some modifications to the small flap above the white skin roll. With this new technique, we designed a semi-circular flap (1.5 x 3mm) above the white skin roll, instead of the small triangular flap. The suture line of our refined procedure draws a gentle curve, which looks almost straight because of skin elasticity. Moreover, the semi-circular flap causes less drooping of the upper lip than the triangular flap. We believe that revising the shape of the small flap on the white skin roll greatly improves patients' appearance. In this report, we present our refined techniques of primary repair of unilateral cleft lip.

  4. Lessons Learned from Eight Years' Experience of Actual Operation, and Future Prospects of JMA Earthquake Early Warning System

    Hoshiba, M.; Nishimae, Y.


    Since 2007, experiences of actual operation of EEW have been gained by the Japan Meteorological Agency (JMA). During this period, we have learned lessons from many M6- and M7-class earthquakes, and the Mw9.0 Tohoku earthquake. During the Mw9.0 Tohoku earthquake, JMA system functioned well: it issued a warning message more than 15 s before strong ground shaking in the Tohoku district (relatively near distance from the epicenter). However, it was not perfect: in addition to the problem of large extent of fault rupture, some false warning messages were issued due to the confusion of the system because of simultaneous multiple aftershocks which occurred at the wide rupture area. To address the problems, JMA will introduce two new methods into the operational system this year to start their tests, aiming at practical operation within a couple of years. One is Integrated Particle Filter (IPF) method, which is an integrated algorithm of multiple hypocenter determination techniques with Bayesian estimation, in which amplitude information is also used for hypocenter determination. The other is Propagation of Local Undamped Motion (PLUM) method, in which warning message is issued when strong ground shaking is detected at nearby stations around the target site (e.g., within 30 km). Here, hypocenter and magnitude are not required in PLUM. Aiming at application for several years later, we are investigating a new approach, in which current wavefield is estimated in real time, and then future wavefield is predicted time evolutionally from the current situation using physics of wave propagation. Here, hypocenter and magnitude are not necessarily required, but real-time observation of ground shaking is necessary. JMA also plans to predict long period ground motion (up to 8 s) with the EEW system for earthquake damage mitigation in high-rise buildings. Its test will start using the operational system in the near future.

  5. ATLAS IBL operational experience

    Takubo, Yosuke; The ATLAS collaboration


    The Insertable B-Layer (IBL) is the inner most pixel layer in the ATLAS experiment, which was installed at 3.3 cm radius from the beam axis in 2014 to improve the tracking performance. To cope with the high radiation and hit occupancy due to proximity to the interaction point, a new read-out chip and two different silicon sensor technologies (planar and 3D) have been developed for the IBL. After the long shut-down period over 2013 and 2014, the ATLAS experiment started data-taking in May 2015 for Run-2 of the Large Hadron Collider (LHC). The IBL has been operated successfully since the beginning of Run-2 and shows excellent performance with the low dead module fraction, high data-taking efficiency and improved tracking capability. The experience and challenges in the operation of the IBL is described as well as its performance.

  6. FACT: status and experience from four years of operation of the first G-APD Cherenkov Telescope

    Biland, A.; Adam, J.; Ahnen, M. L.; Baack, D.; Balbo, M.; Bergmann, M.; Blank, M.; Bretz, T.; Brügge, K. A.; Buss, J.; Dmytriiev, A.; Dorner, D.; Einecke, S.; Hempfling, C.; Hildebrand, D.; Hughes, G.; Linhoff, L.; Mannheim, K.; Müller, S.; Neise, D.; Neronov, A.; Nöthe, M.; Paravac, A.; Pauss, F.; Rhode, W.; Shukla, A.; Temme, F.; Thaele, J.; Walter, R.


    The First G-APD Cherenkov Telescope (FACT) is pioneering the usage of novel Geiger-mode operated Avalanche Photo Diodes (G-APD, nowadays usually called SiPM) for Cherenkov Telescopes. The camera consists of 1440 pixels with dedicated electronics operated at 2 GHz and is installed on a refurbished telescope with a mirror area of ≈ 9:5 m2 at the Canary Island La Palma. The camera was installed in October 2011, and data are taken almost every night since then. The very stable and reliable operation allows to operate FACT from remote without the need of a data taking crew on-site. Over the years, operation became more and more automatic, and the next step will be to switch to fully automatic operation. This results in a very high data taking efficiency. The operation of FACT allows monitoring the long-term behavior of few variable extra-galactic very-high energy sources with unprecedented sampling density as well as testing the behavior of the sensors under harsh conditions. Despite operating also under strong moonlight conditions and therefore collecting far more signals than during dark nights, the G-APDs show no change in their performance or any indication for ageing. Understanding the behavior of the G-APDs under all the varying conditions allows to operate FACT without the need of any external calibration device. The properties of the sensors themselves allow for a high precision self-calibration of the camera.

  7. 5-year operation experience with the 1.8 K refrigeration units of the LHC cryogenic system

    Ferlin, G; Claudet, S; Pezzetti, M


    Since 2009, the Large Hadron Collider (LHC) is in operation at CERN. The LHC superconducting magnets distributed over eight sectors of 3.3-km long are cooled at 1.9 K in pressurized superfluid helium. The nominal operating temperature of 1.9 K is produced by eight 1.8-K refrigeration units based on centrifugal cold compressors (3 or 4 stages depending to the vendor) combined with warm volumetric screw compressors with sub-atmospheric suction. After about 5 years of continuous operation, we will present the results concerning the availability for the final user of these refrigeration units and the impact of the design choice on the recovery time after a system trip. We will also present the individual results for each rotating machinery in terms of failure origin and of Mean Time between Failure (MTBF), as well as the consolidations and upgrades applied to these refrigeration units.

  8. Machine Protection at the LHC – Experience of Three Years Running and Outlook for Operation at Nominal Energy

    Wollmann, D; Wenninger, J; Zerlauth, M


    With more than 22 fb-1 integrated luminosity delivered to the experiments ATLAS and CMS, the LHC surpassed the results of 2011 by more than a factor 5. This was achieved at 4 TeV, with intensities of ~2e14 p per beam. The uncontrolled loss of only a small fraction of the stored beam is sufficient to damage parts of the superconducting magnet system, accelerator equipment or the particle physics experiments. To protect against such losses, a correct functioning of the complex LHC machine protection (MP) systems through the operational cycle is essential. Operating with up to 140 MJ stored beam energy was only possible due to the experience and confidence gained in the two previous running periods, where the intensity was slowly increased. In this paper the 2012 performance of the MP systems is discussed. The strategy applied for a fast, but safe, intensity ramp up and the monitoring of the MP systems during stable running periods are presented. Weaknesses in the reliability of the MP systems, set-up procedures...

  9. The first Italian Superconducting Fault Current Limiter: Results of the field testing experience after one year operation

    Martini, L.; Bocchi, M.; Ascade, M.; Valzasina, A.; Rossi, V.; Ravetta, C.; Angeli, G.


    Ricerca sul Sistema Energetico S.p.A. (RSE) has been gaining a relevant experience in the simulation, design and installation of resistive-type Superconducting Fault Current Limiter (SFCL) devices for more than five years in the framework of a R&D national project funded by the Ricerca di Sistema (RdS). The most recent outcome of this research activity is the installation of a resistive-type BSCCO-based 9 kV / 3.4 MVA SFCL device in a single feeder branch of the Medium Voltage (MV) distribution network managed by A2A Reti Elettriche S.p.A (A2A) in the Milano area. This installation represents the first SFCL successfully installed in Italy. In this paper, we report on the main outcomes after a more than 1-year long steady-state field testing activity. The design of an upgraded device to be installed in the same substation has already been initiated: the new SFCL will allow to protect four different feeders, therefore implying a device upgrade up to 15.6 MVA.

  10. [Prevalence of central nervous system tumours and histological identification in the operated patient: 20 years of experience].

    Anaya-Delgadillo, Gustavo; de Juambelz-Cisneros, Pedro Pablo; Fernández-Alvarado, Basilio; Pazos-Gómez, Fernando; Velasco-Torre, Andrea; Revuelta-Gutiérrez, Rogelio

    Central nervous system tumours comprise a heterogeneous group of neoplasms with great histological diversity. Despite the rising prevalence of these tumours in developing countries, some places like Mexico and Latin America have no representative studies that show the real impact of these tumours in our population. To describe the characteristics of the primary and secondary tumours of the central nervous system in the last 20 years in a Mexican institution. Patients with histopathological diagnosis from 1993 to 2013 in our institution, grouping them according to WHO classification 2007, characterising them by age group, gender, and anatomical location. There were a total of 511 tumours of the central nervous system. Of those, 292 were women and 219 men, with a ratio 1.3: 1, and a mean age of 49.3 years. Tumours with higher prevalence were: Meningeal tumours, 171 (33%), followed by neuroepithelial, 121 (24%). Astrocytoma had the highest prevalence in paediatric patients, whereas in those older than 20 years it was the meningioma. The supratentorial location was the most involved. This is the first study of a series of cases in Mexico that is performed by taking into account benign and malignant tumours of the central nervous system, with patients of all age groups with a range of 20 years. While this work only represents a retrospective analysis of an institution, it can be a strong indication of the epidemiology of these tumours in our environment. Copyright © 2016. Publicado por Masson Doyma México S.A.

  11. Training tissue bank operators: the International Atomic Energy Agency (IAEA)/National University of Singapore (NUS) 10 years of experience.

    Nather, A; Phillips, G O; Morales Pedraza, Jorge; Lee, Chris C W


    National University of Singapore (NUS) was appointed by IAEA to become IAEA/NUS Regional Training Centre (RTC) for Asia and the Pacific region in September 1996. The Government of Singapore (represented by the Ministry of Environment) with the National Science and Technology Board as the funding agency awarded a grant of S$225,500 to build a new purpose-built tissue bank to be the Regional Training Centre. National University Hospital provided a space of 2,000 square feet for this purpose. The first Diploma Course was launched on 3 November 1997 with 17 candidates with the first NUS Diploma Examination being held in October 1998. Between November 1997 and April 2007, a total of nine courses were conducted by RTC with a total of 180 tissue bank operators, 133 from Asia and the Pacific region (13 countries including 2 from Iran), 14 from Africa (Algeria, Egypt, Libya, Egypt, South Africa and Zambia), 6 from Latin America (Brazil, Chile, Cuba, Peru and Uruguay), 9 from Europe (Greece, Slovakia, Poland, Ukraine) and 2 from Australia. The last batch (ninth batch) involved twenty students registered in April 2007 and will be due to sit for the terminal examination only in April 2008.

  12. MIT January Operational Internship Experience

    Bosanac, Natasha; DeVivero, Charlie; James, Jillian; Perez-Martinez, Carla; Pino, Wendy; Wang, Andrew; Willett, Ezekiel; Williams, Kwami


    This viewgraph presentation describes the MIT January Operational Internship Experience (JOIE) program. The topics include: 1) Landing and Recovery; 2) Transportation; 3) Shuttle Processing; 4) Constellation Processing; 5) External Tank; 6) Launch Pad; 7) Ground Operations; 8) Hypergolic Propellants; 9) Environmental; 10) Logistics; 11) Six Sigma; 12) Systems Engineering; and 13) Human Factors.

  13. Cathodic corrosion protection in a gas distribution grid. Operational experience in five years of operation; Kathodischer Korrosionsschutz in einem Gasverteilungsnetz. Betriebserfahrung nach fuenf Jahren

    Poka, Werner [Stadtwerke Straubing (Germany); Gaugler, Hans; Steiger, Oliver [Stadtwerke Muenchen (Germany)


    In late 2001, Stadtwerke Straubing in Bavaria decided on cathodic corrosion protection of the Straubing low-pressure grid, with about 120 km of steel pipes. Planning started in early 2002 in cooperation with Stadtwerke Munich (SWM). Three years later, in December 2005, the last of the 25 grid sections was integrated in the cathodic corrosion protection system. This was followed by two years of monitoring, documentation, and measurements. The effectiveness of the cathodic corrosion protection system was proved for the whole low-pressure grid. Cost was reduced and availability enhanced. The project is discussed in detail, including economic efficiency, leak frequency and condition monitoring on the basis of measurements.

  14. Operating and maintenance experience in tritium environments

    Tuer, G.L.


    This presentation is a summary of practical experience gained over more than twenty years from analyzing failures of process equipment operated in tritium and deuterium environments. Significant improvements have been achieved in design and procurement of new equipment, testing and selection of materials, and gradually more favorable maintenance experience. Preferred materials and inspection methods are described. 6 tabs.

  15. Comparing PRAs with operating experience

    Picard, R.R.; Martz, H.F.


    Probabilistic Risk Assessment is widely used to estimate the frequencies of rare events, such as nuclear power plant accidents. An obvious question concerns the extent to which PRAs conform to operating experience--that is, do PRAs agree with reality? The authors discuss a formal methodology to address this issue and examine its performance using plant-specific data.

  16. Operational accidents and radiation exposure experience within the United States Atomic Energy Commission, 1943--1975. [AEC health and safety during first 32 years


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

  17. The SILEX experiment system operations

    Demelenne, B.


    The European Space Agency is going to conduct an inter orbit link experiment which will connect a low Earth orbiting satellite and a Geostationary satellite via optical terminals. This experiment has been called SILEX (Semiconductor Inter satellite Link EXperiment). Two payloads will be built. One called PASTEL (PASsager de TELecommunication) will be embarked on the French Earth observation satellite SPOT4. The future European experimental data relay satellite ARTEMIS (Advanced Relay and TEchnology MISsion) will carry the OPALE terminal (Optical PAyload Experiment). The principal characteristic of the mission is a 50 Megabits flow of data transmitted via the optical satellite link. The relay satellite will route the data via its feeder link thus permitting a real time reception in the European region of images taken by the observation satellite. The PASTEL terminal has been designed to cover up to 9 communication sessions per day with an average of 5. The number of daily contact opportunities with the low earth orbiting satellite will be increased and the duration will be much longer than the traditional passes over a ground station. The terminals have an autonomy of 24 hours with respect to ground control. Each terminal will contain its own orbit model and that of its counter terminal for orbit prediction and for precise computation of pointing direction. Due to the very narrow field of view of the communication laser beam, the orbit propagation calculation needs to be done with a very high accuracy. The European Space Agency is responsible for the operation of both terminals. A PASTEL Mission Control System (PMCS) is being developed to control the PASTEL terminal on board SPOT4. The PMCS will interface with the SPOT4 Control Centre for the execution of the PASTEL operations. The PMCS will also interface with the ARTEMIS Mission Control System for the planning and the coordination of the operation. It is the first time that laser technology will be used to support

  18. Some Experiences on BEPCII SRF System Operation

    Tong-ming, Huang; Peng, Sha; Yi, Sun; Wei-min, Pan; Guang-wei, Wang; Jian-ping, Dai; Zhong-quan, Li; Qiang, Ma; Qun-yao, Wang; Guang-yuan, Zhao; Zheng-hui, Mi


    The Superconducting Radio Frequency (SRF) system of the upgrade project of Beijing Electron Positron Collider (BEPCII) has been in operation for almost 8 years. The SRF system has accelerated both electron and positron at the design beam current of 910 mA successfully, and a high beam intensity colliding of 860 mA (electron)*910 mA (positron) has been achieved in April 2014. Many problems were encountered during the operation, among which some were solved and some remain unsolved. This paper will describe some experiences on BEPCII SRF system operation, including the symptoms, causes and solutions.

  19. Fermilab SRF cryomodule operational experience

    Martinez, A; Theilacker, J C; DeGraff, B D; White, M; Johnson, G S; 10.1063/1.4707033


    Fermi National Accelerator Laboratory is constructing an Advanced Accelerator Research and Development facility at New Muon Lab. The cryogenic infrastructure in support of the initial phase of the facility consists of two Tevatron style standalone refrigerators, cryogenic distribution system as well as an ambient temperature pumping system to achieve 2 K operations with supporting purification systems. During this phase of the project a single Type III plus 1.3 GHz cryomodule was installed, cooled and tested. Design constraints of the cryomodule required that the cryomodule individual circuits be cooled at predetermined rates. These constraints required special design solutions to achieve. This paper describes the initial cooldown and operational experience of a 1.3 GHz cryomodule using the New Muon Lab cryogenic system.

  20. Fermilab SRF cryomodule operational experience

    Martinez, A.; Klebaner, A.L.; Theilacker, J.C.; DeGraff, B.D.; White, M.; Johnson, G.S.; /Fermilab


    Fermi National Accelerator Laboratory is constructing an Advanced Accelerator Research and Development facility at New Muon Lab. The cryogenic infrastructure in support of the initial phase of the facility consists of two Tevatron style standalone refrigerators, cryogenic distribution system as well as an ambient temperature pumping system to achieve 2K operations with supporting purification systems. During this phase of the project a single Type III plus 1.3 GHz cryomodule was installed, cooled and tested. Design constraints of the cryomodule required that the cryomodule individual circuits be cooled at predetermined rates. These constraints required special design solutions to achieve. This paper describes the initial cooldown and operational experience of a 1.3 GHz cryomodule using the New Muon Lab cryogenic system.

  1. FEBEX-DP. Dismantling the ''full-scale engineered barrier experiment'' after 18 years of operation at the Grimsel Test Site, Switzerland

    Kober, Florian; Gaus, Irina [Nagra, Wettingen (Switzerland)


    The FEBEX experiment at the Grimsel Test Site (GTS) consists of an in-situ full-scale engineered barrier system (EBS) test for the disposal of high-level waste (HLW). It is performed under natural conditions in crystalline rock in which the canisters are placed horizontally in drifts and are surrounded by a clay barrier constructed of highly compacted bentonite blocks. A partial dismantling and sampling of the EBS was carried out during 2002. Heating of the FEBEX started in 1997 and since then a constant temperature of 100 deg C has been maintained, while the bentonite buffer has been slowly hydrating in a natural way. A total of 632 sensors in the bentonite barrier, the rock mass, the heaters and the service zone record temperature, water saturation, humidity, total pressure, displacement, and water pressure. The hydration pattern is relatively symmetric, with no major differences along the axis. Although the host rock is characterized by heterogeneities with zones of higher permeability, the resaturation process is driven by the suction of the bentonite rather than by the availability of water in the rock, especially in the early phase. After 17 years, the water content in the buffer close to the heater still continues to increase slowly. The hydraulic pore pressures in the buffer and the geosphere have practically stabilized. The total pressure in general continues to increase in most points into the buffer, where in some parts pressures of over 6 MPa are registered. The long monitoring phase and the partial dismantling in 2002 indicate that the EBS has largely performed as expected and the major processes and couplings affecting the buffer saturation during the initial thermal period identified prior to the start of the experiment have been confirmed. A comprehensive report documents and reviews the state of the FEBEX (Lanyon and Gaus, 2013). After 18 years of operation the experiment will be excavated and dismantled in 2015. The main objectives of the FEBEX

  2. One year of operational experience with the upgraded and modernized Borssele nuclear power plant; Ein Jahr Erfahrung mit dem nachgeruesteten und modernisierten Kernkraftwerk Borssele

    Bongers, J.W.M. [EPZ Kernenergie, Borssele (Netherlands); Wiersema, H.T. [KEMA Nuclear, Arnheim (Netherlands)


    The operating experience with the modernized Borssele NPP is excellent. The post upgrade operations showed some minor incidents related to the modernization. Part of the incidents were handled immediately, the others were solved during the 1998 outage. This outage was very well organized and executed, resulting in the shortest outage time ever achieved in Borssele. The plant availability in the first operating period after modernization ranged at over 90%. (orig.) [Deutsch] Mit dem modernisierten Kernkraftwerk Borssele wurden sehr gute Erfahrungen gemacht. Waehrend des Betriebes nach Abschluss der Modernisierungsarbeiten kam es zu einigen geringfuegigen Ereignissen, die durch die Modernisierungsmassnahmen verursacht worden waren. Einige dieser Probleme konnten sofort behoben werden, andere wurden waehrend der Revision im Jahre 1998 geloest. Diese Revision wurde hervorragend organisiert und ausgefuehrt und fuehrte dadurch zu den kuerzesten Ausfallzeiten, die jemals in Borssele erzielt wurden. Die Anlagenverfuegbarkeit lag in der ersten Betriebszeit nach den Umbaumassnahmen bei ueber 90%. (orig.)

  3. Five-year experience with the peri-operative goal directed management for surgical repair of traumatic aortic injury in the eastern province, Saudi Arabia

    Haytham Z Al-Gameel


    Full Text Available Context: Traumatic aortic injury (TAI accounts for 1/3 of all trauma victims. Aim: We aimed to investigate the efficacy of the adopted standardized immediate pre-operative and intra-operative hemodynamic goal directed control, anesthetic technique and organs protection on the morbidity and mortality in patients presented with TAI. Settings and Design: An observational retrospective study at a single university teaching hospital. Materials and Methods: Following ethical approval, we recruited the data of 44 patients admitted to the King Fahd Hospital of the University, Al Khobar, Saudi Arabia, with formal confirmation of diagnosis of blunt TAI during a 5-year period from February 2008 to April 2013 from the hospital medical records. Statistical Analysis: descriptive analysis. Results: A total of 44 victims (41 men, median (range age 29 (22-34 years with TAI who underwent surgical repair were recruited. Median (range post-operative chest tube output was 700 (200-1100 ml necessitated transfusion in 5 (11.4% of cases. Post-operative complications included transient renal failure (13.6%, pneumonia (6.8%, acute lung injury/distress syndrome (20.5%, sepsis (4.5%, wound infection (47.7% and air leak (6.8%. No patient developed end stage renal failure or spinal cord injury. Median intensive care unit stay was 6 (4-30 days and in-hospital mortality was 9.1%. Conclusion: We found that the implementation of a standardized early goal directed hemodynamic control for the peri-operative management of patients with TAI reduces the post-operative morbidity and mortality after surgical repair.

  4. 14 CFR 135.244 - Operating experience.


    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Operating experience. 135.244 Section 135... Crewmember Requirements § 135.244 Operating experience. (a) No certificate holder may use any person, nor may... that make and basic model aircraft and in that crewmember position, the following operating experience...

  5. Operational Amplifier Experiments for the Chemistry Laboratory.

    Braun, Robert D.


    Provides details of experiments that deal with the use of operational amplifiers and are part of a course in instrumental analysis. These experiments are performed after the completion of a set of electricity and electronics experiments. (DDR)

  6. Magnet operating experience review for fusion applications

    Cadwallader, L.C.


    This report presents a review of magnet operating experiences for normal-conducting and superconducting magnets from fusion, particle accelerator, medical technology, and magnetohydrodynamics research areas. Safety relevant magnet operating experiences are presented to provide feedback on field performance of existing designs and to point out the operational safety concerns. Quantitative estimates of magnet component failure rates and accident event frequencies are also presented, based on field experience and on performance of similar components in other industries.

  7. Magnet operating experience review for fusion applications

    Cadwallader, L.C.


    This report presents a review of magnet operating experiences for normal-conducting and superconducting magnets from fusion, particle accelerator, medical technology, and magnetohydrodynamics research areas. Safety relevant magnet operating experiences are presented to provide feedback on field performance of existing designs and to point out the operational safety concerns. Quantitative estimates of magnet component failure rates and accident event frequencies are also presented, based on field experience and on performance of similar components in other industries.

  8. SNS Target Systems initial operating experience

    McManamy, T.; Forester, J.


    The SNS mercury target started operation with low beam power when commissioned on April 28, 2006. The beam power has been following a planned ramp up since then and has reached 340 kW as of February 2008. The target systems supporting neutron production include the target and mercury loop, the cryogenic and ambient moderator systems, reflector and vessel systems, bulk shielding and shutters systems, utility systems, remote handling systems and the associated instrumentation and controls. Availability for these systems has improved with time and reached 100% for the first 2000 hour neutron production run in fiscal year 2008. An overview of the operating experience and the planning to support continued power increases to 1.4 MW for these systems will be given in this paper.

  9. The Wonderland of Operating the ALICE Experiment

    Augustinus, A; Pinazza, O; Rosinský, P; Lechman, M; Jirdén, L; Chochula, P


    ALICE is one of the experiments at the Large Hadron Collider (LHC), CERN, Geneva, Switzerland. Composed of 18 sub-detectors each with numerous subsystems that need to be controlled and operated in a safe and efficient way. The Detector Control System (DCS) is the key to this and has been used by detector experts with success during the commissioning of the individual detectors. During the transition from commissioning to operation, more and more tasks were transferred from detector experts to central operators. By the end of the 2010 datataking campaign, the ALICE experiment was run by a small crew of central operators, with only a single controls operator. The transition from expert to non-expert operation constituted a real challenge in terms of tools, documentation and training. A relatively high turnover and diversity in the operator crew that is specific to the HEP experiment environment (as opposed to the more stable operation crews for accelerators) made this challenge even bigger. Thi...

  10. 50 years experience with Dupuytren's contracture in the Erlangen University Hospital – A retrospective analysis of 2919 operated hands from 1956 to 2006

    Puschkin Valerij


    other studies. However, in the whole cohort of our operated patients during the last 50 years the prevalence of the above mentioned risk factors is slightly higher than in the normal population.

  11. Is it safe to perform operation for colorectal malignancy in Chinese patients without DVT prophylaxis? An 8-year experience from a regional hospital in Hong Kong

    Day Weida; Lau Ying Yu Patrick; Yip Wai Chun Andrew


    Background Colorectal surgery was regarded as one of the high risk surgery for post-operative deep vein thrombosis (DVT) and pulmonary embolism. This study aimed at investigating the incidence of venous thromboembolism (VTE) after colorectal surgery for malignancy.Methods Data were collected from the prospective database of colorectal malignancy from 2000 to 2008. A total of 1421 colorectal (open and laparoscopic) operations were performed for the colorectal malignancy without DVT prophylaxis.Results Only seven patients (0.5%) developed symptomatic DVT and one of them had complication of pulmonary embolism without mortality. Open operation for colorectal malignancy was identified as possible risk factor of DVT,however, risk factors like operative time, low anterior resection, sex, age etc. were not identified.Conclusion Risk of venous thromboembolism after colorectal operation is low in Chinese of our locality and it might be safe to perform colorectal operation for malignancy without DVT prophylaxis.

  12. SPEAR 3: the First Year of Operation

    Hettel, R.O.; /SLAC


    The first electrons were accumulated in the newly completed 3-GeV SPEAR 3 storage ring on December 15, 2003, five days after the beginning of commissioning. By mid-January of 2004, 100 mA were stored, the maximum current allowed in the first phase of SPEAR 3 operation, and ring characterization and tuning continued until early March when the first photon beam line was opened for users. After the first year of operation the SPEAR 3 beam properties and ring performance had been extensively measured. These include micron stability using slow orbit feedback, an emittance coupling of {approx}0.1% and 50-h lifetimes. The performance of SPEAR 3 during its first year of commissioning and operation and the improvement plans are described.

  13. Operating experience with nuclear power plants 2015. Pt. 1



    The VGB Technical Committee ''Nuclear Plant Operation'' has been exchanging operating experience about nuclear power plants for more than 30 years. Plant operators from several European countries are participating in the exchange. A report is given on the operating results achieved in 2015, events important to plant safety, special and relevant repair, and retrofit measures from Germany. The second part of this report will focus on nuclear power plant in Belgium, Finland, the Netherlands, Switzerland, and Spain.

  14. The General Surgery Chief Resident Operative Experience

    Drake, Frederick Thurston; Horvath, Karen D.; Goldin, Adam B.; Gow, Kenneth W.


    IMPORTANCE The chief resident (CR) year is a pivotal experience in surgical training. Changes in case volume and diversity may impact the educational quality of this important year. OBJECTIVE To evaluate changes in operative experience for general surgery CRs. DESIGN, SETTING, AND PARTICIPANTS Review of Accreditation Council for Graduate Medical Education case logs from 1989–1990 through 2011–2012 divided into 5 periods. Graduates in period 3 were the last to train with unrestricted work hours; those in period 4 were part of a transition period and trained under both systems; and those in period 5 trained fully under the 80-hour work week. Diversity of cases was assessed based on Accreditation Council for Graduate Medical Education defined categories. MAIN OUTCOMES AND MEASURES Total cases and defined categories were evaluated for changes over time. RESULTS The average total CR case numbers have fallen (271 in period 1 vs 242 in period 5, P surgery training may be jeopardized by reduced case diversity. Chief resident cases are crucial in surgical training and educators should consider these findings as surgical training evolves. PMID:23864049

  15. European dry cooling tower operating experience

    DeSteese, J.G.; Simhan, K.


    Interviews were held with representatives of major plants and equipment manufacturers to obtain current information on operating experience with dry cooling towers in Europe. The report documents the objectives, background, and organizational details of the study, and presents an itemized account of contacts made to obtain information. Plant selection was based on a merit index involving thermal capacity and length of service. A questionnaire was used to organize operational data, when available, into nine major categories of experience. Information was also solicited concerning the use of codes and standards to ensure the achievement of cooling tower performance. Several plant operators provided finned-tube samples for metallographic analysis. Additionally, information on both operating experience and developing technology was supplied by European technical societies and research establishments. Information obtained from these contacts provides an updated and representative sample of European experience with dry cooling towers, which supplements some of the detailed reviews already available in the literature. In addition, the study presents categorized operating experience with installations which have not been reviewed so extensively, but nevertheless, have significant operational histories when ranked by the merit index. The contacts and interviews reported in the survey occurred between late March and October 1975. The study was motivated by the expressed interest of U.S. utility industry representatives who expect European experience to provide a basis of confidence that dry cooling is a reliable technology, applicable when necessary, to U.S. operating requirements.

  16. LEAR during its first year of operation


    Construction of the Low Energy Antiproton Ring (LEAR) had been completed in July 1982, followed by tests with protons and antiprotons on machine properties, acceleration, deceleration and stochastic cooling. At the beginning of 1983, LEAR hardware was brought to operational level, and in July 1983 the first antiprotons were delivered to the experiments. See 8207133 for completion and start-up and 9007366 for a more detailed description. See also 8201061, 8204131.

  17. MIT January Operational Internship Experience 2011

    DeLatte, Danielle; Furhmann, Adam; Habib, Manal; Joujon-Roche, Cecily; Opara, Nnaemeka; Pasterski, Sabrina Gonzalez; Powell, Christina; Wimmer, Andrew


    This slide presentation reviews the 2011 January Operational Internship experience (JOIE) program which allows students to study operational aspects of spaceflight, how design affects operations and systems engineering in practice for 3 weeks. Topics include: (1) Systems Engineering (2) NASA Organization (3) Workforce Core Values (4) Human Factors (5) Safety (6) Lean Engineering (7) NASA Now (8) Press, Media, and Outreach and (9) Future of Spaceflight.

  18. Accelerator/Experiment operations - FY 2004

    Bromberg, C.; Conrad, J.; Denisov, D.; Holmes, S.; Louis, W.; Meyer, A.; Moore, Craig D.; Raja, R.; Ramberg, E.; Roser, R.; /Fermilab


    This Technical Memorandum (TM) summarizes the accelerator and experiment operations for FY 2004. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2004 Run II at the Tevatron Collider, the MiniBooNE neutrino experiment, and SY 120 activities.

  19. Can pre-operative axial CT imaging predict syndesmosis instability in patients sustaining ankle fractures? Seven years' experience in a tertiary trauma center

    Yeung, Tsz Wai; Chan, Chung Yan Grace; Chan, Wun Cheung Samuel; Yuen, Ming Keung [Tuen Mun Hospital, Department of Radiology, Tuen Mun (China); Yeung, Yuk Nam [Tune Mun Hospital, Department of Orthopaedics and Traumatology, Tuen Mun (China)


    The purpose of this study is to explore the diagnostic accuracy of CT measurements in predicting syndesmosis instability of injured ankle, with correlation to operative findings. From July 2006 to June 2013, 123 patients presented to a single tertiary hospital who received pre-operative CT for ankle fractures were retrospectively reviewed. All patients underwent open reduction and internal fixation for fractures and intra-operative syndesmosis integrity tests. The morphology of incisura fibularis was categorized as deep or shallow. The tibiofibular distance (TFD) between the medial border of the fibula and the nearest point of the lateral border of tibia were measured at anterior (aTFD), middle (mTFD), posterior (pTFD), and maximal (maxTFD) portions across the syndesmosis on axial CT images at 10 mm proximal to the tibial plafond. Statistical analysis was performed with independent samples t test and ROC curve analysis. Intraobserver reproducibility and inter-observers agreement were also evaluated. Of the 123 patients, 39 (31.7 %) were operatively diagnosed with syndesmosis instability. No significant difference of incisura fibularis morphology (deep or shallow) and TFDs was demonstrated respective to genders. The axial CT measurements were significantly higher in ankles diagnosed with syndesmosis instability than the group without (maxTFD means 7.2 ± 2.96 mm vs. 4.6 ± 1.4 mm, aTFD mean 4.9 ± 3.7 mm vs. 1.8 ± 1.4 mm, mTFD mean 5.3 ± 2.4 mm vs. 3.2 ± 1.6 mm, pTFD mean 5.3 ± 1.8 mm vs. 4.1 ± 1.3 mm, p < 0.05). Their respective cutoff values with best sensitivity and specificity were calculated; the aTFD (AUC 0.798) and maxTFD (AUC 0.794) achieved the highest diagnostic accuracy. The optimal cutoff levels were aTFD = 4 mm (sensitivity, 56.4 %; specificity, 91.7 %) and maxTFD = 5.65 mm (sensitivity, 74.4 %; specificity, 79.8 %). The inter-observer agreement was good for all aTFD, mTFD, pTFD, and maxTFD measurements (ICC 0.959, 0.799, 0.783, and 0.865). The ICC

  20. Online telemonitoring of process gas compressors - an account of experience from eight years of operation; Online-Telemonitoring fuer Prozessgasverdichter - Erfahrungsbericht aus acht Betriebsjahren

    Dartmann, R. [NEAC Compressor Service GmbH und Co. KG, Uebach-Palenberg (Germany)


    The natural oil refinery Emsland of Wintershall AG at Lingen (Ems) operates a total of 221 compressors (plant 1). Of these, 14 are turbocompressors and 41 reciprocating compressors with up to 3.2 MW required power. With the now realized extension of the company's online telemonitoring system to ten machines, 65 % of the installed reciprocating compressor capacity is subjected to service and maintenance based on its actual condition. At last there is a means enabling operators to judge the condition of reciprocating compressors almost as unequivocally as that of turbocompressors. Further, with the offline system announced by the manufacturer there will be the chance to include further piston engines into the monitoring scheme within appropriate periods of time. (orig.) [German] Die Erdoel-Raffinerie Emsland der Wintershall AG in Lingen (Ems) besitzt insgesamt 221 Verdichter (Anlage 1), davon 14 Turboverdichter und 41 Kolbenverdichter mit Antriebsleistungen bis 3,2 MW. Mit der jetzt durchgefuehrten Erweiterung des Online-Telemonitoring-Systems auf zehn Maschinen werden jetzt 65% der installierten Kolbenverdichterleistung einer zustandsbezogenen Maschinenwartung unterzogen. Endlich gibt es ein Werkzeug, mit dem der Betreiber den Zustand des Kolbenverdichters annaehernd so eindeutig wie den eines Turboverdichters beurteilen kann. Weiterhin bietet sich die Perspektive, kuenftig mit dem vom Hersteller angekuendigten Offline-System in entsprechenden Zeitabstaenden auch weitere Kolbenmaschinen in die Zustandsueberwachung aufzunehmen. (orig./AKF)

  1. Accelerator/Experiment Operations - FY 2014

    Czarapata, P. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Geer, S. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Geesaman, D. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Harris, D. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Lang, K. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); McFarland, K. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Moore, C. D. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Nagaitsev, S. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Plunkett, R. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Reimer, P. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Schmidt, J. J. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Soha, A. K. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Tayloe, R. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Thomas, J. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Torretta, D. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Van de Water, R. [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States)


    This Technical Memorandum (TM) summarizes the Fermilab accelerator and accelerator experiment operations for FY 2014. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2014 MINOS and MINERvA experiments using the Main Injector Neutrino Beam (NuMI), the MiniBooNE experiment running in the Booster Neutrino Beam (BNB), and the SeaQuest experiment and Meson Test Beam (MTest) activities in the 120 GeV external Switchyard beam (SY120). Each section was prepared by the relevant authors, and was somewhat edited for inclusion in this summary.

  2. The Defense Waste Processing Facility: Two Years of Radioactive Operation

    Marra, S.L. [Westinghouse Savannah River Company, AIKEN, SC (United States); Gee, J.T.; Sproull, J.F.


    The Defense Waste Processing Facility (DWPF) at the Savannah River Site in Aiken, SC is currently immobilizing high level radioactive sludge waste in borosilicate glass. The DWPF began vitrification of radioactive waste in May, 1996. Prior to that time, an extensive startup test program was completed with simulated waste. The DWPF is a first of its kind facility. The experience gained and data collected during the startup program and early years of operation can provide valuable information to other similar facilities. This experience involves many areas such as process enhancements, analytical improvements, glass pouring issues, and documentation/data collection and tracking. A summary of this experience and the results of the first two years of operation will be presented.

  3. Accelerator/Experiment operations - FY 2006

    Brice, S.; Conrad, J.; Denisov, D.; Ginther, G.; Holmes, S.; James, C.; Lee, W.; Louis, W.; Moore, C.; Plunkett, R.; Raja, R.; /Fermilab


    This Technical Memorandum (TM) summarizes the Fermilab accelerator and experiment operations for FY 2006. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2006 Run II at the Tevatron Collider, the MiniBooNE experiments running in the Booster Neutrino Beam in neutrino and antineutrino modes, MINOS using the Main Injector Neutrino Beam (NuMI), and SY 120 activities.

  4. Recent operating experiences and programs at EBR-II

    Lentz, G.L.


    Experimental Breeder Reactor No. II (EBR-II) is a pool-type, unmoderated, sodium-cooled reactor with a design power of 62.5 MWt and an electrical generation capability of 20 MW. It has been operated by Argonne National Laboratory for the US government for almost 20 years. During that time, it has operated safely and has demonstrated stable operating characteristics, high availability, and excellent performance of its sodium components. The 20 years of operating experience of EBR-II is a valuable resource to the nuclear community for the development and design of future LMFBR's. Since past operating experience has been extensively reported, this report will focus on recent programs and events.

  5. Choledochal cysts: our ten year experience.

    Cianci, F


    We present our experience in the management of choledochal cysts from 1999 to 2009. A retrospective review of all charts with a diagnosis of choledochal cysts in our institution in this ten-year period. Data was collated using Excel. A total of 17 patients were diagnosed with choledochal cyst: 9 females and 8 males. The average age at diagnosis was 28 months (range from 0 to 9 years). The most common presenting symptoms were obstructive jaundice 6 (35%) and abdominal pain and vomiting 4 (23%). Ultrasound (US) was the initial diagnostic test in all cases with 4 patients requiring further investigations. All patients underwent Roux-en-Y Hepaticojejunostomy. The average length of stay was 11 days. Patients were followed up with Liver Function Tests (LFTS) and US 4-6 weeks post-operatively. Three patients developed complications including post-op collection, high drain output requiring blood transfusion and adhesive bowel obstruction. Our overall experience with choledochal cyst patients has been a positive one with effective management and low complication rates.

  6. Accelerator/Experiment Operations - FY 2010

    Adamson, M.; Appel, J.A.; Casarsa, M.; Coleman, R.; Denisov, D.; Dixon, R.; Escobar, C.; Ginther, G.; Gruenendahl, S.; Harris, D.; Henderson, S.; /Fermilab


    This Technical Memorandum (TM) summarizes the Fermilab accelerator and accelerator experiment operations for FY 2010. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2010 Run II at the Tevatron Collider, the MINOS and MINER?A experiments using the Main Injector Neutrino Beam (NuMI), the MiniBooNE experiment running in the Booster Neutrino Beam (BNB), and the Meson Test Beam (MTest) activities in the 120 GeV external Switchyard beam (SY120). Each section was prepared by the relevant authors, and was somewhat edited for inclusion in this summary.

  7. Accelerator/Experiment Operations - FY 2011

    Adamson, P.; Bernardi, G.; Casarsa, M.; Coleman, R.; Denisov, D.; Dixon, R.; Ginther, G.; Gruenendahl, S.; Hahn, S.; Harris, D.; Henderson, S.


    This Technical Memorandum (TM) summarizes the Fermilab accelerator and accelerator experiment operations for FY 2011. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2011 Run II at the Tevatron Collider, the MINOS and MINERvA experiments using the Main Injector Neutrino Beam (NuMI), the MiniBooNE experiment running in the Booster Neutrino Beam (BNB), and the Meson Test Beam (MTest) activities in the 120 GeV external Switchyard beam (SY120).

  8. Accelerator/Experiment Operations - FY 2015

    Czarapata, P. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); et al.


    This Technical Memorandum summarizes the Fermilab accelerator and experiment operations for FY 2015. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2015 NOvA, MINOS+ and MINERvA experiments using the Main Injector Neutrino Beam (NuMI), the activities in the SciBooNE Hall using the Booster Neutrino Beam (BNB), and the SeaQuest experiment and Meson Test Beam (MTest) activities in the 120 GeV external Switchyard beam (SY120).

  9. Operation experience with the LHC RF system

    Arnaudon, L; Brunner, O; Butterworth, A


    The LHC ACS RF system is composed of 16 superconducting cavities, eight per ring, housed in a total of four cryomodules each containing four cavities. Each cavity is powered by a 300 kW klystron. The ACS RF power control system is based on industrial Programmable Logic Controllers (PLCs), with additional fast RF interlock protection systems. The Low Level RF (LLRF) is implemented in VME crates. Operational performance and reliability are described. A full set of user interfaces, both for experts and operators has been developed, with user feedback and maintenance issues as key points. Operational experience with the full RF chain, including the low level system, the beam control, the synchronization system and optical fibers distribution is presented. Last but not least overall performance and reliability based on experience with first beam are reviewed and perspectives for future improvement outlined.

  10. Mod-2 wind turbine field operations experience

    Gordon, L. H.


    The Mod-2 wind turbine is now in a 2-year research/experimental operations phase which offers a unique opportunity to study the effects of single and multiple wind turbines interacting with each other, the power grid, and the environment. This paper addresses the field operations and research testing experienced at the Mod-2 Cluster Goodnoe Hills Research Test Site near Goldendale, WA. Field operation, both routine and nonroutine, are discussed as well as the role of the participating utility. Technical areas discussed pertain to system performance and loads. Specific research tests relating to acoustics, TV interference, and wake effects are also discussed.

  11. Accelerator/Experiment Operations - FY 2016

    Blake, A. [Argonne National Lab. (ANL), Argonne, IL (United States); Convery, M. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Geer, S. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Geesaman, D. [Argonne National Lab. (ANL), Argonne, IL (United States); Harris, D. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Johnson, D. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Lang, K. [Argonne National Lab. (ANL), Argonne, IL (United States); McFarland, K. [Argonne National Lab. (ANL), Argonne, IL (United States); Messier, M. [Argonne National Lab. (ANL), Argonne, IL (United States); Moore, C. D. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Newhart, D. [Fermilab; Reimer, P. E. [Argonne; Plunkett, R. [Fermilab; Rominsky, M. [Fermilab; Sanchez, M. [Iowa State U.; Schmidt, J. J. [Fermilab; Shanahan, P. [Fermilab; Tate, C. [Fermilab; Thomas, J. [University Coll. London; Donatella Torretta, Donatella Torretta [Fermilab; Matthew Wetstein, Matthew Wetstein [Iowa State University


    This Technical Memorandum summarizes the Fermilab accelerator and experiment operations for FY 2016. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2016 NOvA, MINOS+ and MINERvA experiments using the Main Injector Neutrino Beam (NuMI), the MicroBooNE experiment and the activities in the SciBooNE Hall using the Booster Neutrino Beam (BNB), and the SeaQuest experiment, LArIAT experiment and Meson Test Beam activities in the 120 GeV external switchyard beam (SY120). Each section was prepared by the relevant authors, and was then edited for inclusion in this summary.


    Yasemin Burcu Ustun


    Results: In our practice, we mostly performed anesthesia/sedation for ASA physical status II patients, in adults most common procedures are invitro fertilization (%23,8, in pediatric patients most common procedures are interventional cardiology procedures, propofol is the most commonly used drug, and bradicardia is most commonly (%1,1 complication. [J Contemp Med 2014; 4(3.000: 133-137

  13. The Deep Impact Network Experiment Operations Center

    Torgerson, J. Leigh; Clare, Loren; Wang, Shin-Ywan


    Delay/Disruption Tolerant Networking (DTN) promises solutions in solving space communications challenges arising from disconnections as orbiters lose line-of-sight with landers, long propagation delays over interplanetary links, and other phenomena. DTN has been identified as the basis for the future NASA space communications network backbone, and international standardization is progressing through both the Consultative Committee for Space Data Systems (CCSDS) and the Internet Engineering Task Force (IETF). JPL has developed an implementation of the DTN architecture, called the Interplanetary Overlay Network (ION). ION is specifically implemented for space use, including design for use in a real-time operating system environment and high processing efficiency. In order to raise the Technology Readiness Level of ION, the first deep space flight demonstration of DTN is underway, using the Deep Impact (DI) spacecraft. Called the Deep Impact Network (DINET), operations are planned for Fall 2008. An essential component of the DINET project is the Experiment Operations Center (EOC), which will generate and receive the test communications traffic as well as "out-of-DTN band" command and control of the DTN experiment, store DTN flight test information in a database, provide display systems for monitoring DTN operations status and statistics (e.g., bundle throughput), and support query and analyses of the data collected. This paper describes the DINET EOC and its value in the DTN flight experiment and potential for further DTN testing.

  14. Operational experience of extreme wind penetrations

    Estanqueiro, Ana [INETI/LNEG - National Laboratory for Energy and Geology, Lisbon (Portugal); Mateus, Carlos B. [Instituto de Meteorologia, Lisboa (Portugal); Pestana, Rui [Redes Energeticas Nacionais (REN), Lisboa (Portugal)


    This paper reports the operational experience from the Portuguese Power System during the 2009/2010 winter months when record wind penerations were observed: the instantaneous wind power penetration peaked at 70% of consumption during no-load periods and the wind energy accounted for more than 50% of the energy consumed for a large period. The regulation measures taken by the TSO are presented in the paper, together with the additional reserves operated for added system security. Information on the overall power system behavior under such extreme long-term wind power penetrations will also be addressed. (org.)

  15. Accelerator/Experiment Operations - FY 2008

    Brice, Stephen J.; Buehler, M.; Casarsa, M.; Coleman, R.; Denisov, D.; Ginther, G.; Grinstein, S.; Habig, A.; Holmes, S.; Hylen, J.; Kissel, W.; /Fermilab


    This Technical Memorandum (TM) summarizes the Fermilab accelerator and accelerator experiment operations for FY 2008. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2008 Run II at the Tevatron Collider, MINOS using the Main Injector Neutrino Beam (NuMI), the MiniBooNE and SciBooNE experiments running in the Booster Neutrino Beam (BNB), and the Meson Test Beam (MTest) activities in the 120 GeV external Switchyard beam (SY120).

  16. Accelerator/Experiment Operations - FY 2007

    Brice, S.; Buchanan, N.; Coleman, R.; Convery, M.; Denisov, D.; Ginther, G.; Habig, A.; Holmes, S.; Kissel, W.; Lee, W.; Nakaya, T.; /Fermilab


    This Technical Memorandum (TM) summarizes the Fermilab accelerator and accelerator experiment operations for FY 2007. It is one of a series of annual publications intended to gather information in one place. In this case, the information concerns the FY 2007 Run II at the Tevatron Collider, the MiniBooNE and SciBooNE experiments running in the Booster Neutrino Beam (BNB), MINOS using the Main Injector Neutrino Beam (NuMI), and the Meson Test Beam (MTest) activities in the 120 GeV external Switchyard beam (SY120). Each section was prepared by the relevant authors, and was somewhat edited for inclusion in this summary.

  17. Design and operation experience of TRACY

    Takeshita, Isao; Ohno, Akio; Sakuraba, Koichi; Ogawa, Kazuhiko; Morita, Toshio; Aizawa, Eiju; Sugawara, Susumu [Department of NUCEF Project, Japan Atomic Energy Research Institute, Tokai, Ibaraki (Japan)


    To realize the dynamic behaviors at a criticality accident is an essential issue for not only rational design of fissile material handing facilities but also safety management of the facilities. The Transient Experiment Critical Facility (TRACY) had been constructed at the Nuclear Fuel Cycle Safety Engineering Research Facility (NUCEF) in JAERI. The purpose of TRACY is to obtain experimental data necessary to evaluate potential hazard of a criticality accident postulated in safety assessments of a reprocessing plant. TRACY's first transient operation using low enriched (10%) uranium nitrate solution fuel went on July 30 1996 and 118 operations including 51 transient operations are recorded since the first critical achievement. TRACY carries out intensive experimental researches on nuclear-thermal-hydraulic dynamic behavior and on investigation of migration amount of radioactive nuclei in solution fuel to gas phase. (author)

  18. Mod-2 wind turbine field operations experiment

    Gordon, L. H.


    The three-machine, 7.5 MW Goodnoe Hills located near Goldendale, Washington and is now in a research/experimental operations phase that offers a unique opportunity to study the effects of single and multiple wind turbines interacting with each other, the power grid; and the environment. Following a brief description of the turbine and project history, this paper addresses major problem areas and research and development test results. Field operations, both routine and nonroutine, are discussed. Routine operation to date has produced over 13,379,000 KWh of electrical energy during 11,064 hr of rotation. Nonroutine operation includes suspended activities caused by a crack in the low speed shaft that necessitated a redesign and reinstallation of this assembly on all three turbines. With the world's largest cluster back in full operation, two of the turbines will be operated over the next years to determine their value as energy producer. The third unit will be used primarily for conducting research tests requiring configuration changes to better understand the wind turbine technology. Technical areas summarized pertain to system performance and enhancements. Specific research tests relating to acoustics, TV interference, and wake effects conclude the paper.

  19. Accelerator/Experiment Operations - FY 2001 Through FY 2003

    Jeffrey A. Appel et al.


    This Technical Memorandum (TM) summarizes the accelerator and experiment operations for the period FY 2001 through FY 2003. The plan is to have an annual TM to gather such information in one place. In this case, the information concerns the startup of Run II at the Tevatron Collider and the beginning of the MiniBooNE neutrino experiment. While the focus is on the FY 2003 efforts, this document includes summaries of the earlier years where available for completeness.

  20. Operational Experience with the ALICE Pixel detector

    Mastroserio, A.


    The Silicon Pixel Detector (SPD) constitutes the two innermost layers of the Inner Tracking System of the ALICE experiment and it is the closest detector to the interaction point. As a vertex detector, it has the unique feature of generating a trigger signal that contributes to the L0 trigger of the ALICE experiment. The SPD started collecting data since the very first pp collisions at LHC in 2009 and since then it has taken part in all pp, Pb-Pb and p-Pb data taking campaigns. This contribution will present the main features of the SPD, the detector performance and the operational experience, including calibration and optimization activities from Run 1 to Run 2.

  1. Operational foreshock forecasting: Fifteen years after

    Ogata, Y.


    We are concerned with operational forecasting of the probability that events are foreshocks of a forthcoming earthquake that is significantly larger (mainshock). Specifically, we define foreshocks as the preshocks substantially smaller than the mainshock by a magnitude gap of 0.5 or larger. The probability gain of foreshock forecast is extremely high compare to long-term forecast by renewal processes or various alarm-based intermediate-term forecasts because of a large event’s low occurrence rate in a short period and a narrow target region. Thus, it is desired to establish operational foreshock probability forecasting as seismologists have done for aftershocks. When a series of earthquakes occurs in a region, we attempt to discriminate foreshocks from a swarm or mainshock-aftershock sequence. Namely, after real time identification of an earthquake cluster using methods such as the single-link algorithm, the probability is calculated by applying statistical features that discriminate foreshocks from other types of clusters, by considering the events' stronger proximity in time and space and tendency towards chronologically increasing magnitudes. These features were modeled for probability forecasting and the coefficients of the model were estimated in Ogata et al. (1996) for the JMA hypocenter data (M≧4, 1926-1993). Currently, fifteen years has passed since the publication of the above-stated work so that we are able to present the performance and validation of the forecasts (1994-2009) by using the same model. Taking isolated events into consideration, the probability of the first events in a potential cluster being a foreshock vary in a range between 0+% and 10+% depending on their locations. This conditional forecasting performs significantly better than the unconditional (average) foreshock probability of 3.7% throughout Japan region. Furthermore, when we have the additional events in a cluster, the forecast probabilities range more widely from nearly 0% to

  2. Development and operational experience of magnetic horn system for T2K experiment

    Sekiguchi, T; Fujii, Y; Hagiwara, M; Hasegawa, T; Hayashi, K; Ishida, T; Ishii, T; Kobayashi, H; Kobayashi, T; Koike, S; Koseki, K; Maruyama, T; Matsumoto, H; Nakadaira, T; Nakamura, K; Nakayoshi, K; Nishikawa, K; Oyama, Y; Sakashita, K; Shibata, M; Suzuki, Y; Tada, M; Takahashi, K; Tsukamoto, T; Yamada, Y; Yamanoi, Y; Yamaoka, H; Ichikawa, A K; Kubo, H; Butcher, Z; Coleman, S; Missert, A; Spitz, J; Zimmerman, E D; Tzanov, M; Bartoszek, L


    A magnetic horn system to be operated at a pulsed current of 320 kA and to survive high-power proton beam operation at 750 kW was developed for the T2K experiment. The first set of T2K magnetic horns was operated for over 12 million pulses during the four years of operation from 2010 to 2013, under a maximum beam power of 230 kW, and $6.63\\times10^{20}$ protons were exposed to the production target. No significant damage was observed throughout this period. This successful operation of the T2K magnetic horns led to the discovery of the $\

  3. Operating Experiences with an Advanced Fabric Energy Storage System

    R.J Fuller


    Full Text Available Despite their proven track record in the cold climate countries of northern Europe, there are no reports in the research literature of experiences using advanced fabric energy storage (FES systems in countries where cooling rather than heating is the main priority. This paper reports some of the experiences with the first known advanced FES system in Australia made over the first full calendar year of operation. It is located in a three-storey building on a university campus in Victoria and has been in operation since mid-2002. Temperature, energy use and operational mode data were recorded during 2003. Airflow measurements through the FES system have been made in five areas of the building. On-going operating problems still exist with the system and this has prevented a conclusive evaluation of its suitability for the southern Australian climate.

  4. Operational Experience with the ATLAS Pixel Detector

    Lantzsch, Kerstin; The ATLAS collaboration


    Run 2 of the LHC is providing new challenges to track and vertex reconstruction with higher energies, denser jets and higher rates. Therefore the ATLAS experiment has constructed the first 4-layer Pixel detector in HEP, installing a new Pixel layer, also called Insertable B-Layer (IBL). In addition the Pixel detector was refurbished with new service quarter panels to recover about 3% of defective modules lost during run 1 and a new optical readout system to readout the data at higher speed while reducing the occupancy when running with increased luminosity. The commissioning, operation and performance of the 4-layer Pixel Detector will be presented.

  5. ATLAS Tracker and Pixel Operational Experience

    AUTHOR|(INSPIRE)INSPIRE-00222525; The ATLAS collaboration


    The tracking performance of the ATLAS detector relies critically on the silicon and gaseous tracking subsystems that form the ATLAS Inner Detector. Those subsystems have undergone significant hardware and software upgrades to meet the challenges imposed by the higher collision energy, pileup and luminosity that are being delivered by the LHC during Run2. The key status and performance metrics of the Pixel Detector and the Semi Conductor Tracker, are summarised, and the operational experience and requirements to ensure optimum data quality and data taking efficiency are described.

  6. Study on unplanned re-operation after radical gastrectomy for gastric cancer: Seven years' experience%胃癌根治术后非计划再手术35例

    黄嫣妮; 钱雷敏; 黄建明; 戈军刚; 高林; 刘惠钧


    Objective To investigate the causes of unplanned re-operation following radical surgery for gastric cancer and to summarize clinical experience.Methods The clinical data of gastric cancer patients who underwent radical gastrectomy from Jan.2006 to Dec.2012 were retrospectively analyzed in the study,especially focusing on the preoperative,intraoperative and postoperative situations of unplanned re-operation cases at the same hospitalization.Results During seven years,radical gastrectomy for gastric cancer was implemented in 1707 cases,35 of which had unplanned re-operations.The rate of such re-operation was 2.05 %,following the mortality rate of 8.57%.Besides age,basic chronic illness and TNM stage,the primary operation way,which caused the higher incidence of unplanned re-operation,was radical total gastrectomy.Some complications after radical gastrectomy required unplanned re-operations,of which the most common was wound disruption and others,in turn,were pleural effusions/ascites,post-traumatic focal pancreatitis (PTFP),intestinal obstruction,intraperitoneal hemorrhage,while the most serious consequence was anastomotic leakage or stump fistula and partly led to death.Conclusion Unplanned re-operation after radical gastrectomy for gastric cancer can increase residential time,total treatment cost and the mortality rate.Comprehensive preoperative analysis,correct intraoperative and postoperative management,as well as timely treatment of complications are important measures to reduce the incidence of those unplanned re-operations.%目的 探讨胃癌根治术后非计划再手术的原因及总结临床治疗体会.方法 回顾性分析2006年1月—2012年12月间行胃癌根治术患者的临床资料,并重点分析同一住院期间非计划再手术病例的术前、手术及术后情况.结果 7年间共实施胃癌根治术1 707例,发生非计划再手术35例,再手术率2.05%,再手术死亡率8.57%.发生率较高者的初次手术方式为根治

  7. D0 data handling operational experience

    Lee Lueking et al.


    We report on the production experience of the D0 experiment at the Fermilab Tevatron, using the SAM data handling system with a variety of computing hardware configurations, batch systems, and mass storage strategies. We have stored more than 300 TB of data in the Fermilab Enstore mass storage system. We deliver data through this system at an average rate of more than 2 TB/day to analysis programs, with a substantial multiplication factor in the consumed data through intelligent cache management. We handle more than 1.7 Million files in this system and provide data delivery to user jobs at Fermilab on four types of systems: a reconstruction farm, a large SMP system, a Linux batch cluster, and a Linux desktop cluster. In addition, we import simulation data generated at 6 sites worldwide, and deliver data to jobs at many more sites. We describe the scope of the data handling deployment worldwide, the operational experience with this system, and the feedback of that experience.

  8. Operating experience from Swedish nuclear power plants



    During 1997 the PWRs in Ringhals performed extremely well (capability factors 85-90%), the unit Ringhals 2 reached the best capability factor since commercial operation started in 1976. The BWRs made an average 76% capability, which is somewhat less than in 1996. The slightly reduced capability derives from ongoing modernization projects at several units. At the youngest plants, Forsmark 3 and Oskarshamn 3, capability and utilization were very high. Events and data for 1997 are given for each reactor, together with operational statistics for the years 1990-1997. A number of safety-related events are reported, which occurred st the Swedish plants during 1997. These events are classified as level 1 or higher on the international nuclear event scale (INES).

  9. Top-up operation experience at APS.

    Emery, L.


    The Advanced Photon Source (APS) is a 7-OeV, third-generation synchrotrons radiation source. To provide more stable beam for users, in September 1998 we began commissioning a new operating mode called ''top-up.'' In this mode, the beam current does not decay but is maintained at a high level using frequent injection, while photon shutters are open and photon beams are delivered to users. The hardware, software, and safety requirements for top-up will be reported. Safety issues related to injection with open photon shutters are covered in companion papers in this conference. Recent operational experience includes testing aspects of top-up injection and delivering beam to X-ray users for a few hours with fractional current stability of 10{sup {minus}3}. We expect to run several top-up operation shifts in Spring 1999. Issues of importance are orbit and emittance transients during the injection and scheduling of injection pulses for the convenience of users.

  10. Framatome Owners Group achievement after 15 years of operation

    Braquilanges, Bertrand de; Delporte, Rene [Electrabel s.a., boulevard du Regent 8, 1000 Bruxelles (Belgium); Van Schalkwyk, Andries C. [Eskom, PO Box 1091, Johannesburg 2001 (South Africa)


    The Framatome Owners Group was created in 1991 to share the operating experience of five utilities having Framatome plants: - GNPJVC, operating Daya Bay units (China); - EDF with the 900 and 1300 MWe units (France); - Electrabel, operating Tihange 1 and 2 and Doel 3 (Belgium); - Eskom, operating Koeberg 1 and 2 (South Africa); - KHNP, operating Ulchin 1 and 2 (South Korea). LANPC, future operator of Ling Ao units (China) joined the FROG in 2000. The FROG was also opened to operators having bought main components to Framatome ANP, like Ringhals AB (1997 - Sweden) or British Energy (2003 - UK). When requested by operators, working groups and networks of correspondents have been initiated when specific issues needed to be investigated. Today there are five working groups: - Steam Generator Technical Committee, which has been joined also by non full FROG Members: NEK (Krsko, Slovenia), NOK (Beznau, Switzerland), NSP (Prairie Island, USA); - Emergency Operating Procedures WG, in which the non full FROG Member Fortum (Loviisa, Finland) participates; - The Corrosion WG; - The Risk Informed Applications WG; - The Outage Optimization WG. Two networks of specialists operate on aging of mechanical equipment and transformers failures. Through these working groups and networks, Framatome ANP worldwide representatives answer the requests of the FROG members. The assistance of the whole group AREVA is also possible (e.g. T and D coordinates technically the network on transformers). Joint Programs can be initiated when there is a common interest to investigate a topic more deeply, for instance, recent programs in the SGTC aim at reducing sludge amount in the Steam Generator. As regards EOP WG, Members currently focus on a guidance to reduce the risk of sumps clogging issue. The Corrosion Working Group performs an experimental program aiming at studying the effects of surface conditions on the Stress Corrosion Cracking of 182/22 Ni base welds. This induces a large documentation

  11. Cinco anos de experiência com a operação de Ross: o que aprendemos? A five-year experience with the Ross operation: what have we learned?

    Francisco Diniz Affonso da COSTA


    -enxerto pulmonar teve desempenho hemodinâmico fisiológico, com média de gradiente médio de 3,8±3,3 mmHg. O grau de insuficiência valvar foi negligenciável. Mesmo em condição de exercício, os gradientes não se elevaram de forma significativa, com média de gradiente médio de 6,8±3,8 mmHg. A função hemodinâmica dos homoenxertos foi excelente na fase imediata, com gradiente médio de 4,1±4,6 mmHg. Houve, entretanto, discreto aumento desses gradientes na fase tardia, com média de 13,9±10 mmHg. Durante o exercício, houve aumento significativo destes gradientes, que foram para 33,6±18,9 mmHg. Diâmetro do homoenxerto e idade do receptor tiveram correlação inversa com o gradiente pulmonar tardio. O índice de massa ventricular diminui de 180±68 g/m² no pré-operatório para 117±32 g/m² na fase tardia. A função ventricular no pós-operatório tardio foi normal tanto em repouso como em exercício na maioria dos pacientes. CONCLUSÕES: O implante do auto-enxerto pulmonar em posição aórtica pôde ser feito com baixa mortalidade imediata. A sobrevida tardia foi excelente, com baixa incidência de complicações. O desempenho hemodinâmico dos auto-enxertos pulmonares foi próximo ao fisiológico tanto em repouso como em exercício. Houve significativa regressão da massa ventricular esquerda, e, os índices de função ventricular também foram normais na fase tardia de pós-operatório. Apesar dos homoenxertos da via de saída do ventrículo direito apresentarem desempenho hemodinâmico adequado na fase imediata, o aparecimento de discretos gradientes na fase tardia foi freqüente.OBJECTIVE: To evaluate the clinical and functional results of 96 patients submitted to aortic valve replacement with the pulmonary autograft. MATERIAL AND METHODS: From May/95 to March/2000, 96 patients with mean age of 25.4±11.4 years were consecutively submitted to aortic valve replacement with the pulmonary autograft. The most common preoperative diagnosis was rheumatic aortic

  12. Cassini Solstice Mission Maneuver Experience: Year One

    Wagner, Sean V.; Arrieta, Juan; Ballard, Christopher G.; Hahn, Yungsun; Stumpf, Paul W.; Valerino, Powtawche N.


    The Cassini-Huygens spacecraft began its four-year Prime Mission to study Saturn's system in July 2004. Two tour extensions followed: a two-year Equinox Mission beginning in July 2008 and a seven-year Solstice Mission starting in September 2010. This paper highlights Cassini maneuver activities from June 2010 through June 2011, covering the transition from the Equinox to Solstice Mission. This interval included 38 scheduled maneuvers, nine targeted Titan flybys, three targeted Enceladus flybys, and one close Rhea flyby. In addition, beyond the demanding nominal navigation schedule, numerous unforeseen challenges further complicated maneuver operations. These challenges will be discussed in detail.

  13. Experience with the operation of the European ALMA antennas

    Stanghellini, Stefano; Laing, Robert; Rossi, Silvio; Wild, Wolfgang


    The 25 European antennas of ALMA were delivered by ESO to the ALMA project in Chile between April 2011 and September 2013. Their combined time of operation is already significant and allows us to draw conclusions regarding their ability to fulfil the original specification, in terms of both scientific performance and operational availability. In this paper, we will summarize the experience gained during the past five years of operation. We will characterize the performance of the antennas in routine operation and compare with the data obtained during acceptance testing. We will also describe the few technical issues experienced while operating at 5000m and the way in which these were treated during these first years of operation. We will evaluate the effective reliability obtained in service based on field data and draw some conclusions as to the way in which reliability and maintainability aspects were covered during the process which led to the final design of the antenna. We will discuss the smart use of software to handle redundancy in a flexible way and to exclude failed components without affecting overall antenna operability. The use of low-level diagnostics enabled by remote access allows us to shorten the trouble-shooting cycle and to optimise physical interventions on the antennas. Finally, the paper will cover Antenna maintenance manuals edited using an industrial interactive standard. It will be explained why this advanced and innovative concept has not achieved the success that was expected, and why the traditional form is preferred at the ALMA Observatory.

  14. Psychological Support Operations and the ISS One-Year Mission

    Beven, G.; Vander Ark, S. T.; Holland, A. W.


    Since NASA began human presence on the International Space Station (ISS) in November 1998, crews have spent two to seven months onboard. In March 2015 NASA and Russia embarked on a new era of ISS utilization, with two of their crewmembers conducting a one-year mission onboard ISS. The mission has been useful for both research and mission operations to better understand the human, technological, mission management and staffing challenges that may be faced on missions beyond Low Earth Orbit. The work completed during the first 42 ISS missions provided the basis for the pre-flight, in-flight and post-flight work completed by NASA's Space Medicine Operations Division, while our Russian colleagues provided valuable insights from their long-duration mission experiences with missions lasting 10-14 months, which predated the ISS era. Space Medicine's Behavioral Health and Performance Group (BHP) provided pre-flight training, evaluation, and preparation as well as in-flight psychological support for the NASA crewmember. While the BHP team collaboratively planned for this mission with the help of all ISS international partners within the Human Behavior and Performance Working Group to leverage their collective expertise, the US and Russian BHP personnel were responsible for their respective crewmembers. The presentation will summarize the lessons and experience gained within the areas identified by this Working Group as being of primary importance for a one-year mission.

  15. Medical supply on contingency military operations: experience from Operation GRITROCK.

    Robinson, J P; Reeves, P


    Medical supply during military operations has the ability to affect the efficacy of the operation being undertaken, either negatively or positively. An appropriately-managed maritime platform with a robust medical supply chain during transit and on arrival in theatre is the main aim. A secure supply chain will reduce any implications that logistics may have with regard to capability, and negate the effects of deficiencies of short shelf life items occurring over time and during use in high tempo operations.

  16. Recent operating experiences with steam generators in Japanese NPPs

    Yashima, Seiji [Japan Power Engineering and Inspection Corp., Tokyo (Japan)


    In 1994, the Genkai-3 of Kyushu Electric Power Co., Inc. and the Ikata-3 of Shikoku Electric Power Co., Inc. started commercial operation, and now 22 PWR plants are being operated in Japan. Since the first PWR plant now 22 PWR plants are being operated in was started to operate, Japanese PWR plants have had an operating experience of approx. 280 reactor-years. During that period, many tube degradations have been experienced in steam generators (SGs). And, in 1991, the steam generator tube rupture (SGTR) occurred in the Mihama-2 of Kansai Electric Power Co., Inc. However, the occurrence of tube degradation of SGs has been decreased by the instructions of the MITI as regulatory authorities, efforts of Electric Utilities, and technical support from the SG manufacturers. Here the author describes the recent SGs in Japan about the following points. (1) Recent Operating Experiences (2) Lessons learned from Mihama-2 SGTR (3) SG replacement (4) Safety Regulations on SG (5) Research and development on SG.

  17. The Elon Gap Experience: A Transformative First-Year Experience

    Morrison, Stephen T.; Burr, Katherine H.; Waters, Rexford A.; Hall, Eric E.


    The Elon Gap Experience (EGE) was conceived out of Elon University's most recent strategic plan, the Elon Commitment (Elon University, 2009). One theme calls for "strategic and innovative pathways in undergraduate and graduate education," specifically "to launch a service program as part of a gap-year program" (Elon University,…

  18. The Elon Gap Experience: A Transformative First-Year Experience

    Morrison, Stephen T.; Burr, Katherine H.; Waters, Rexford A.; Hall, Eric E.


    The Elon Gap Experience (EGE) was conceived out of Elon University's most recent strategic plan, the Elon Commitment (Elon University, 2009). One theme calls for "strategic and innovative pathways in undergraduate and graduate education," specifically "to launch a service program as part of a gap-year program" (Elon University,…

  19. Operation and Experiments on LECR3

    LiJinyu; FengYucheng; WangHui; MaBaohua; SunLiangting; CaoYun; HeWei; LiXixia; ZhangZimin; ZhaoHongwei


    LECR3 (Lanzhou Electron Cyclotron Resonance ion source No.3) which aims to produce intense highly charged ion beams for atomic physics research, was designed and constructed based on LECR2 (Lanzhou Electron Cyclotron Resonance ion source No.2) with high B mode. In year 2003, according to the arrangements of atomic physics research experiments and the ECR ion source research activities, ion beams of 14 elements were produced on LECR3. The elements include 16O, 40At, 129Xe, 63Cu, 65Zn, 56Fe, 58Ni, 26Mg, 208Pb, 35C1, 37C1, 28Si, 84Kr and 181Ta. Many of them were tested for the first time on LECR3 ion source.

  20. 14 CFR 121.434 - Operating experience, operating cycles, and consolidation of knowledge and skills.


    ... consolidation of knowledge and skills. 121.434 Section 121.434 Aeronautics and Space FEDERAL AVIATION... Qualifications § 121.434 Operating experience, operating cycles, and consolidation of knowledge and skills. (a... operating experience, operating cycles, and line operating flight time for consolidation of knowledge and...

  1. Neonatal Duodenal Obstruction: A 15-Year Experience

    Kamal Nain Rattan


    Full Text Available Background: Congenital duodenal obstruction is one of the commonest causes of neonatal intestinal obstruction. We are presenting our 15-year experience by analyzing clinical spectrum and outcome in neonates with duodenal obstruction admitted at our center. Material and Methods: The hospital records of all neonates admitted with duodenal obstruction from June 2000 to June 2015 were reviewed. The patient records were analyzed for antenatal diagnosis, age, sex, clinical presentation, diagnosis, associated anomalies, surgical procedures performed; postoperative morbidity and mortality. We excluded from our study malrotation of gut associated with congenital diaphragmatic hernia and abdominal wall defects. Results: A total of 81 patients were admitted, out of which 56 were males and 25 were females. Polyhydramnios was detected in 24 (30% pregnancies. Average birth weight was 2.1±1.0Kg and average gestational age was 38 (SD±1 weeks with 17 (21% preterm neonates. Presenting features were vomiting in 81(100% which was bilious in 81% and non bilious in 19%, epigastric fullness in 56 (69% and dehydration in 18 (22% and failure to thrive in 16 (19%. Most common cause of obstruction was duodenal atresia in 38 (46.9%, followed by malrotation of gut in 33 (40.7%, and annular pancreas in 4 cases. Depending upon site of location, infra-ampullary obstruction was the most common in 64 (79%, supra-ampullary in 9 (7.4% and ampullary 8 neonates. Both duodenal atresia and malrotation of gut was present in 4 cases. X-ray abdomen was most commonly used investigation to confirm the diagnosis. All cases were managed surgically by open laparotomy. Eleven (13.5% patients died due to sepsis and associated congenital anomalies. Conclusion: Congenital duodenal obstruction most commonly presents in early neonatal period with features of upper GIT obstruction like vomiting and epigastrium fullness as in our series. Early antenatal diagnosis and surgical interventions hold the

  2. Ten years of the project Chain Experiment

    Susman, Katarina; Ziherl, Saša; Bajc, Jurij


    In this paper the project Chain Experiment is presented. It can be viewed as a competition or as a popularization activity for science, technology, and physics in particular. We present the basic idea of a toppling-domino-like chain of contraptions that are operated one after another, and each demonstrates different physical phenomena. The evolution into its current form with three different types of activities is briefly described. The emphasis of the paper is on the impact of the project on physics education. The ways in which physics students, physics teachers, and participating pupils profit from the different project activities are presented in detail.

  3. Fifteen years experience: Egyptian metabolic lab

    Ekram M. Fateen


    Conclusion: This study illustrates the experience of the reference metabolic lab in Egypt over 15 years. The lab began metabolic disorder screening by using simple diagnostic techniques like thin layer chromatography and colored tests in urine which by time updated and upgraded the methods to diagnose a wide range of disorders. This study shows the most common diagnosed inherited inborn errors of metabolism among the Egyptian population.

  4. Inflammatory abdominal aortic aneurysms. A 20-year experience.

    Dalainas, I; Nano, G; Ranucci, M; Bianchi, P; Stegher, S; Casana, R; Malacrida, G; Tealdi, D G


    The aim of the study was to report a 20-year single Institution experience, with the early and late outcomes of surgical treatment of inflammatory abdominal aortic aneurysms. In a 20-year period, 2 275 consecutive patients underwent elective surgical repair for non-rupture abdominal aortic aneurysm. Fifty-two patients (2.3%) were classified as inflammatory abdominal aortic aneurysms. Early and late outcomes were analyzed. One patient died in the perioperative period, giving a mortality rate of 1.92%. One patient died from a pseudoaneurysm rupture 7 months after operation. Three patients developed an aortic pseudoaneurysm in the follow-up period (mean 12.1 years, range 1-20 years) and underwent a redo operation. Overall surgical outcome of these patients, in terms of short-term and long-term is good. A high rate of pseudoaneurysm formation was observed.

  5. Pediatric lung transplantation: 10 years of experience

    Camargo, Priscila C. L. B.; Pato, Eduardo Z. S.; Campos, Silvia V.; Afonso, José E.; Carraro, Rafael M.; Costa, André N.; Teixeira, Ricardo H. O. B.; Samano, Marcos N.; Pêgo-Fernandes, Paulo M.


    Lung transplantation is a well-established treatment for advanced lung diseases. In children, the diseases that most commonly lead to the need for a transplantation are cystic fibrosis, pulmonary hypertension, and bronchiolitis. However, the number of pediatric lung transplantations being performed is low compared with the number of transplants performed in the adult age group. The objective of this study was to demonstrate our experience with pediatric lung transplants over a 10-year period in a program initially designed for adults. PMID:24860860

  6. Pediatric lung transplantation: 10 years of experience

    Priscila C. L. B. Camargo


    Full Text Available Lung transplantation is a well-established treatment for advanced lung diseases. In children, the diseases that most commonly lead to the need for a transplantation are cystic fibrosis, pulmonary hypertension, and bronchiolitis. However, the number of pediatric lung transplantations being performed is low compared with the number of transplants performed in the adult age group. The objective of this study was to demonstrate our experience with pediatric lung transplants over a 10-year period in a program initially designed for adults.

  7. Radiation protection issues after 20 years of LHC operation

    Forkel-Wirth, D; Roesler, S; Theis, C; Ulrici, L; Vincke, H; Vincke, Hz


    Since November 2009, the LHC commissioning progresses very well, both with proton and lead beams. It will continue in 2011 and nominal LHC operation is expected to be attained in 2013. In parallel, plans for various LHC upgrades are under discussion, suggesting a High-Luminosity (HL) upgrade first and a High-Energy (HE) upgrade in a later state. Whereas the upgrade in luminosity would require the modification of only some few key accelerator components like the inner triplets, the upgrade in beam energy from 7 TeV to 16.5 TeV would require the exchange of all dipoles and of numerous other accelerator components. The paper gives an overview of the radiation protection issues related to the dismantling of LHC components prior to the installation of the HE-LHC components, i.e. after about 20 years of LHC operation. Two main topics will be discussed: (i) the exposure of workers to ionizing radiation during the dismantling of dipoles, inner triplets or collimators and experiments and (ii) the production, condition...

  8. SMART-1 Technology and Science Experiments and their Operations

    Marini, A.; Lumb, R.; Dias-Almeida, M.; Foing, B. H.


    SMART-1, the first European mission to the Moon, hosts 10 Technology and science experiments run by 7 on-board instruments. The primary objective of the mission is the demonstration of the solar electric propulsion. Therefore the monitoring of the spacecraft plasma environment and the contamination produced by the Stationary Plasma thruster is a key-task, which will be carried out by two experiments (SPEDE - Spacecraft Potential, Electron and Dust Experiment - and EPDP - Electric propulsion diagnostic Package). SPEDE and EPDP will contribute also to the characterisation of the near-Earth and interplanetary plasma environment and to study the solar wind. A package of three spectroscopy and imaging instruments has been selected to run technology demonstration of miniaturised compact instrument for planetary remote sensing and for carrying out valuable science at the Moon. AMIE (Asteroid-Moon micro-Imager Experiment) is a miniature medium-resolution (30 m at 300 km height) camera, equipped with a fixed panchromatic and 3-colour filter, for Moon topography and imaging support to other experiments. D-CIXS (Demonstration of a Compact Imaging X-ray Spectrometer) is based on novel detector and filter/collimator technologies, and will perform the first global mapping of the lunar elemental composition, by looking at X-ray fluorescence in the 0.5-10 keV range. It is supported in its operation by XSM (X-ray Solar Monitor) that also monitors long-term coronal X-ray emission and solar flares. SIR is a miniature near-infrared spectrometer operating in the 0.9-2.6 μm wavelength range and will carry out mineralogical survey of the lunar crust in a previously uncovered bandwidth. Technology experiments for deep space communications are: The SMART-1 Instruments have been integrated in the Spacecraft in the current year and have undergone functional verification following environmental tests. The Experiments will be performed during two distinct phases of the SMART-1 mission

  9. First year clinical tutorials: students’ learning experience

    Burgess A


    Full Text Available Annette Burgess,1 Kim Oates,2 Kerry Goulston,2 Craig Mellis1 1Central Clinical School, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; 2Sydney Medical School, The University of Sydney, Sydney, NSW, Australia Background: Bedside teaching lies at the heart of medical education. The learning environment afforded to students during clinical tutorials contributes substantially to their knowledge, thinking, and learning. Situated cognition theory posits that the depth and breadth of the students' learning experience is dependent upon the attitude of the clinical teacher, the structure of the tutorial, and the understanding of tutorial and learning objectives. This theory provides a useful framework to conceptualize how students' experience within their clinical tutorials impacts their knowledge, thinking, and learning. Methods: The study was conducted with one cohort (n=301 of students who had completed year 1 of the medical program at Sydney Medical School in 2013. All students were asked to complete a three-part questionnaire regarding their perceptions of their clinical tutor's attributes, the consistency of the tutor, and the best features of the tutorials and need for improvement. Both quantitative and qualitative data were collected and analyzed using descriptive statistics. Results: The response rate to the questionnaire was 88% (265/301. Students perceived that their tutors displayed good communication skills and enthusiasm, encouraged their learning, and were empathetic toward patients. Fifty-two percent of students reported having the same communications tutor for the entire year, and 28% reported having the same physical examination tutor for the entire year. Students would like increased patient contact, greater structure within their tutorials, and greater alignment of teaching with the curriculum. Conclusion: Situated cognition theory provides a valuable lens to view students' experience of learning within the

  10. Colon cancer surgery. Five years of experience.

    Nicolás Rubio Silveira


    Full Text Available Fundament: Colon-rectal cancer is one of the most frequent neoplams in eastern countries and it is the second most frequent type of cancer just behind cancer of the lungs and of the breast respectively. In spite of the advances in the last few years in regards to treatment, colon cancer is the most frequent cause of death due to cancer. Objective: To know morbimortality due to cancer of the colon after both, surgery and oncological treatment. Method: Descriptive - retrospective sdtudy carried out at the Military hospital ¨Dr. Octavio de la Concepción y de la Pedraja¨ from Camaguey Province from January 1999 to January 2004.The sample was composed by 20 patients operated of well differentiated adenocarcinoma of the colon. The variables under study were: Age, Sex, place, anatomical localization of the tumor, anatomoclinical stage according to Dukes classification, evidencies of far metastases, type of surgery type of oncologic treatment. Results: There was a predominance of males (55% aged more than 45 years old. 55% of the tumors were located in the sigmoid colon. There was a resect of the tumor in 16 cases and only 2 have died due to the disease . Chemotherapy with 5 fluoruracile was applied to 9 patients, with good results.

  11. Weapons Experiments Division Explosives Operations Overview

    Laintz, Kenneth E. [Los Alamos National Laboratory


    Presentation covers WX Division programmatic operations with a focus on JOWOG-9 interests. A brief look at DARHT is followed by a high level overview of explosives research activities currently being conducted within in the experimental groups of WX-Division. Presentation covers more emphasis of activities and facilities at TA-9 as these efforts have been more traditionally aligned with ongoing collaborative explosive exchanges covered under JOWOG-9.

  12. Weapons Experiments Division Explosives Operations Overview

    Laintz, Kenneth E. [Los Alamos National Laboratory


    Presentation covers WX Division programmatic operations with a focus on JOWOG-9 interests. A brief look at DARHT is followed by a high level overview of explosives research activities currently being conducted within in the experimental groups of WX-Division. Presentation covers more emphasis of activities and facilities at TA-9 as these efforts have been more traditionally aligned with ongoing collaborative explosive exchanges covered under JOWOG-9.

  13. Operational experience with the CEBAF control system

    Hovater, C.; Chowdhary, M.; Karn, J.; Tiefenback, M.; Zeijts, J. van; Watson, W.


    The CEBAF accelerator at Thomas Jefferson National Accelerator Facility (Jefferson Lab) successfully began its experimental nuclear physics program in November of 1995 and has since surpassed predicted machine availability. Part of this success can be attributed to using the EPICS (Experimental Physics and Industrial Control System) control system toolkit. The CEBAF control system is one of the largest accelerator control system now operating. It controls approximately 338 SRF cavities, 2,300 magnets, 500 beam position monitors and other accelerator devices, such as gun hardware and other beam monitoring devices. All told, the system must be able to access over 125,000 database records. The system has been well received by both operators and the hardware designers. The EPICS utilities have made the task of troubleshooting systems easier. The graphical and test-based creation tools have allowed operators to custom build control screens. In addition, the ability to integrate EPICS with other software packages, such as Tcl/Tk, has allowed physicists to quickly prototype high-level application programs, and to provide GUI front ends for command line driven tools. Specific examples of the control system applications are presented in the areas of energy and orbit control, cavity tuning and accelerator tune up diagnostics.

  14. Button vesicostomy: 13 years of experience.

    Bradshaw, Catherine J; Gray, Robert; Downer, Angela; Hitchcock, Rowena


    Over recent years the button vesicostomy has become an alternative management option in children with poor bladder emptying, when clean intermittent catheterisation (CIC) cannot be initiated for reasons of age, sensation, or urethral anatomy. This study reviews recent experience of this technique and evaluates its use. Retrospective review of patients who had a button vesicostomy to permit bladder drainage between 1998 and 2011. Thirty children underwent button vesicostomy insertion aged between 4 days and 16 years. Indications were neuropathic bladders (n = 15), congenital hypotonic bladders (n = 6), functional bladder disorders (n = 5), and post-obstruction bladders (n = 4). The median length of use was 11 months; however, 7 patients still have the button in situ. Minor complications (n = 12) included transient leakage, wound infection, and overgranulation. Major complications included 2 UTIs, 1 device failure, and 2 significant leaks, requiring revision of the tract and removal of the button. The button vesicostomy is a suitable and safe technique for use in the short- and medium-term. The procedure has minimal morbidity and therefore is acceptable to families. It has a wide scope, including patients with a neuropathic bladder as an alternative to CIC and where temporary drainage is required until bladder function can recover. Copyright © 2013 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

  15. Operational experience with forced cooled superconducting magnets

    Ivanov, D.P., E-mail: [National Research Center “Kurchatov Institute”, Moscow 123182 (Russian Federation); Kolbasov, B.N., E-mail: [National Research Center “Kurchatov Institute”, Moscow 123182 (Russian Federation); Anashkin, I.O.; Khvostenko, P.P. [National Research Center “Kurchatov Institute”, Moscow 123182 (Russian Federation); Pan, W.J. [Institute of Plasma Physics, Chinese Academy of Sciences, P.O. Box 1126, Hefei, Anhui 230031 (China); Pradhan, S.; Sharma, A.N. [Institute for Plasma Research, Bhat, Gandhinagar, Gujarat 382428 (India); Song, Y.T.; Weng, P.D. [Institute of Plasma Physics, Chinese Academy of Sciences, P.O. Box 1126, Hefei, Anhui 230031 (China)


    Highlights: ► Seventeen breakdowns happened in the fusion facilities with forced cooled superconducting magnets (FCSMs). ► The breakdowns always began on the electric, cryogenic and diagnostic communications (ECDCs) and never on the coils. ► In all the FCSMs the ECDCs were always insulated worse than the coils. ► For reliable operation of ITER organization team should essentially improve the ECDC insulation. ► Use of stainless steel grounded casings filled up with solid insulation over all the ECDCs is the best way to get reliable insulation. -- Abstract: Force-cooled concept has been chosen for ITER superconducting magnet to get reliable coil insulation using vacuum-pressure impregnation (VPI) technology. However 17 breakdowns occurred during operation of six magnets of this type or their single coil tests at operating voltage < 3 kV, while ITER needs 12 kV. All the breakdowns started on electric, cryogenic and diagnostic communications (ECDCs) by the high voltage induced at fast current variations in magnets concurrently with vacuum deterioration, but never on the coils, though sometimes the latter were damaged too. It suggests that simple wrap insulation currently employed on ECDCs and planned to be used in ITER is unacceptable. Upgrade of the ECDC insulation to the same level as on the coils is evidently needed. This could be done by covering each one from ECDCs with vacuum-tight grounded stainless steel casings filled up with solid insulator using VPI-technology. Such an insulation will be insensitive to in-cryostat conditions, excluding helium leaks and considerably simplifying the tests thus allowing saving time and cost. However it is not accepted in ITER design yet. So guarantee of breakdown prevention is not available.

  16. First Operational Experience Of The CNGS Facility

    Gschwendtner, E.; Pardons, A.; Bruno, L.; Clement, M.; Efthymiopoulos, I.; Elsener, K.; Meddahi, M.; Rangod, S.; Vincke, H.


    The CNGS project (CERN Neutrinos to Gran Sasso) aims at directly detecting νμ-ντ oscillation. An intense muon-neutrino beam (1017νμ/day) is generated at CERN and directed towards the Gran Sasso National Laboratory, LNGS, in Italy, where the ντ will be detected in large and complex detectors. An overview of the CNGS beam facility is given. The performance of the primary and secondary beam line during beam commissioning and physics operation is discussed. Modifications on the magnetic focusing lenses (horn and reflector) are described.


    Vanja Pecić


    Full Text Available Lisfranc was probably the first to excise the rectum for cancer. He performed operation using perineal approach in 1826. This operation came into common use fifty years later. Czerny did the first combined abdominoperineal resection in attempt to finish excision he could not complete from below. Some fifteen years later Ernest Miles described the planned, one stage abdominoperineal resection.Miles name has become a synonym for this combined procedure, creating a radical change in the philosophy of resection and en bloc lymphadenectomy.In the beginning of twenty-century abdominoperineal resection became golden standard in the treatment of rectal cancer. Reconstructive operations, introduction of stapling devices and better understanding of potential tumor spread, reduced indications for Miles operation.Surgical treatment of rectal cancer made progress in the past 100 years. Miles was the first in line. Without his theory of perirectal lymphatic spread recurrence rate would be still as high as 95%.


    M. Bakhshi


    Full Text Available Totally implantable venous access devices (TIVAD or implantable catheter ports are devices which can be implanted subcutaneously. They enable prolonged and repeated access to the vascular system, into the peritoneal cavity or intravertebral space. This device is particularly useful for repeated medical injection, for blood sampling or transfusion of blood and blood derivatives and for total parenteral nutrition (TPN. Although many patients benefit from the insertion of TIVAD without any secondary effects, any surgical implantation can nevertheless lead to complications. ‎In this study, we investigated the advantages and disadvantages of TIVAD catheter in pediatric age group. A total of 94 cases, 2 to 14 years old, were included in our study. We implanted TIVAD in these patients for chemotherapy in 83 cases (88.29%, for prolonged TPN in 6 cases (6.38%, for corticosteroid and antibiotic therapy after ‎Kasai operation in 2 cases (2.12%, for intermittent IV therapy in 2 cases (2.12% and for need to partial parenteral nutrition in 1 case (1.06%. Out of 94 cases, 14 cases (15% had some kind of complications and 80 cases (85% had no complication. There was no mortality. Most patients and their parents (82 cases, 87.23% were satisfied from TIVAD. ‎It seems that TIVAD can be a useful device for many chronic patients who need an IV access for multiple injections.

  19. Operational Significance of Discord: Theory and Experiment

    Gu, Mile; Assad, Syed M; Symul, Thomas; Modi, Kavan; Ralph, Timothy C; Vedral, Vlatko; Lam, Ping Koy


    Observations that coherent interactions between non-entangled systems can still exhibit unique quantum behaviour challenged the traditional view that quantum correlations are synonymous with entanglement. In response, quantum discord was proposed to complete the description of all quantum correlations. Nevertheless, explicit protocols that directly exploit discord as a quantum resource have remained elusive. Here, we demonstrate that under certain measurement constraints, discord between bipartite systems directly quantifies a quantum resource that coherent interactions can harness. The inability to access this resource by any other means allows us to use discord to directly quantify this `quantum advantage'. We experimentally encode information within the discordant correlations of two separable Gaussian states. The amount of extra information recovered by coherent interaction is quantified and directly linked with the discord between the states. No entanglement exists at any point of this experiment. Thus w...

  20. Operating Experience of MACSTOR Modules at CANDU 6 Stations

    Beaudoin, Robert R. [Atomic Energy Canada Ltd., Chalk River (Canada)


    Over the last three decades, Atomic Energy of Canada Limited (AECL) has contributed to the technology development and implementation of dry spent fuel management facilities in Canada, Korea and Romania During that period, AECL has developed a number of concrete canister models and the MACSTOR200 module, a medium size air-cooled vault with a 228 MgU (Mega grams of Uranium) capacity. AECL's dry storage technologies were used for the construction of eight large-scale above ground dry storage facilities for CANDU spent fuel. As of 2005, those facilities have an installed capacity in excess of 5,000 MgU. Since 1995, the two newest dry storage installations built for CANDU 6 reactors at Gentilly 2 (Canada) and Cernavoda (Romania) used the MACSTOR 200 module. Seven such modules have been built at Gentilly 2 during the 1995 to 2004 period and one at Cernavoda in 2003. The construction and operating experience of those modules is reviewed in this paper. The MACSTOR 200 modules were initially designed for a 50-year service life, with recent units at Gentilly 2 licensed for a 100-year service life in a rural (non-maritime) climate. During the 1995-2005 period, six of the eight modules were loaded with fuel. Their operation has brought a significant amount of experience on loading operations, performance of fuel handling equipment, radiation shielding, heat transfer, monitoring of the two confinement boundaries and radiation dose to personnel. Heat dissipation performance of the MACSTOR 200 was initially licensed using values derived from full scale tests made at AECL's Whiteshell Research Laboratories, that were backed-up by temperature measurements made on the first two modules. Results and computer models developed for the MACSTOR 200 module are described. Korea Hydro and Nuclear Power (KHNP) and its subsidiary Nuclear Environment Technology Institute (NETEC), in collaboration with Hyundai Engineering Company Ltd. (HEC) and AECL, are developing a new dry storage

  1. TSTA Piping and Flame Arrestor Operating Experience Data

    Cadwallader, Lee C.; Willms, R. Scott


    The Tritium Systems Test Assembly (TSTA) was a facility dedicated to tritium handling technology and experiment research at the Los Alamos National Laboratory. The facility operated from 1984 to 2001, running a prototype fusion fuel processing loop with ~100 grams of tritium as well as small experiments. There have been several operating experience reports written on this facility’s operation and maintenance experience. This paper describes analysis of two additional components from TSTA, small diameter gas piping that handled small amounts of tritium in a nitrogen carrier gas, and the flame arrestor used in this piping system. The operating experiences and the component failure rates for these components are discussed in this paper. Comparison data from other applications are also presented.

  2. Radar-based alert system to operate a sewerage network: relevance and operational effectiveness after several years of use.

    Faure, D; Payrastre, O; Auchet, P


    Since January 2000, the sewerage network of a very urbanised catchment area in the Greater Nancy Urban Community has been operated according to the alarms generated in real time by a storm alert system using weather radar data. This alert system is based on an automatic identification of intense rain cells in the radar images. This paper presents the characteristics of this alert system and synthesises the main results of two complementary studies realised in 2002 in order to estimate the relevance and the operational effectiveness of the alert system. The first study consisted in an off-line analysis of almost 50,000 intense rain cells detected in four years of historical radar data. The second study was an analysis of the experience feedback after two years of operational use of this alert system. The results of these studies are discussed in function of the initial operational objectives.

  3. Fire protection system operating experience review for fusion applications

    Cadwallader, L.C.


    This report presents a review of fire protection system operating experiences from particle accelerator, fusion experiment, and other applications. Safety relevant operating experiences and accident information are discussed. Quantitative order-of-magnitude estimates of fire protection system component failure rates and fire accident initiating event frequencies are presented for use in risk assessment, reliability, and availability studies. Safety concerns with these systems are discussed, including spurious operation. This information should be useful to fusion system designers and safety analysts, such as the team working on the Engineering Design Activities for the International Thermonuclear Experimental Reactor.

  4. Operational experience running Hadoop XRootD Fallback

    Dost, J. M.; Tadel, A.; Tadel, M.; Würthwein, F.


    In April of 2014, the UCSD T2 Center deployed hdfs-xrootd-fallback, a UCSD- developed software system that interfaces Hadoop with XRootD to increase reliability of the Hadoop file system. The hdfs-xrootd-fallback system allows a site to depend less on local file replication and more on global replication provided by the XRootD federation to ensure data redundancy. Deploying the software has allowed us to reduce Hadoop replication on a significant subset of files in our cluster, freeing hundreds of terabytes in our local storage, and to recover HDFS blocks lost due to storage degradation. An overview of the architecture of the hdfs-xrootd-fallback system will be presented, as well as details of our experience operating the service over the past year.

  5. Neonatal Intestinal Obstruction-Four Year Experience

    D. Rathore


    Full Text Available Aim of study: To study the aetiology and frequency, sex incidence, age of presentation, management and outcome of neonatal intestinal obstruction. Material and Methods: This prospective study of 316 neonates with intestinal obstruction was conducted over a period of 4 years from November 2009 to October 2013 at single institute. These cases were managed by various surgical procedures. Their epidemiology, day of presentation, associated anomalies and outcomes were studied. Results: A total of 316 neonates (277 males and 39 females were operated for intestinal obstruction. 268(84.81% neonates presented in the 1st week of life. Imperforate anus occurred in 206 (65.19%.Small bowel atresia accounted for23 (7.27% cases while duodenal atresia was seen in19 (6.01% patients. Infantile hypertrophic pyloric stenosis and Malrotation each occurred in 14 (4.43% patients; Hirschsprung’s disease in 18(5.69%, Necrotising Enterocolitis in 12(3.79%, Meconium disease of newborn in 9(2.85% while colonic atresia was seen in one (0.3% patient. Colostomy was performed in 145(45.88%, Pouchostomy in 15(4.74% and Cutback anoplasty in 56(17.72% patients. Ramsted’s Pyloromyotomy in 13(4.11%% neonates, Laparoscopic Pyloromyotomy in 1(0.3%,Kimura’s Duodenoduodenostomy in 19(6.01% ,End to Back anastomosis in 24(7.59% , End to End anastomosis in 7(2.21% , Multiple anastomosis in 2(0.6% , Enterotomy with irrigation in 7(2.21% , Ladd’s procedure in 14(4.43% , ,Single stage transanal pull through in 8(2.53% , Ileostomy in 2(0.6% , Single stage Abdominoperineal pull through in 2(0.6%, Levelling colostomy in 6(1.89% ,Peritoneal drain insertion under Local anaesthesia in 5(1.58% . Overall mortality was 13.60%. Conclusion: Intestinal Obstruction is the most common surgical emergency in neonatal period. Early and accurate diagnosis is paramount for proper patient management. The etiology, mode of presentation, morbidity and outcome of surgery of intestinal obstruction in

  6. Fermi Large Area Telescope Operations: Progress Over 4 Years

    Cameron, Robert A.; /SLAC


    The Fermi Gamma-ray Space Telescope was launched into orbit in June 2008, and is conducting a multi-year gamma-ray all-sky survey, using the main instrument on Fermi, the Large Area Telescope (LAT). Fermi began its science mission in August 2008, and has now been operating for almost 4 years. The SLAC National Accelerator Laboratory hosts the LAT Instrument Science Operations Center (ISOC), which supports the operation of the LAT in conjunction with the Mission Operations Center (MOC) and the Fermi Science Support Center (FSSC), both at NASA's Goddard Space Flight Center. The LAT has a continuous output data rate of about 1.5 Mbits per second, and data from the LAT are stored on Fermi and transmitted to the ground through TDRS and the MOC to the ISOC about 10 times per day. Several hundred computers at SLAC are used to process LAT data to perform event reconstruction, and gamma-ray photon data are subsequently delivered to the FSSC for public release with a few hours of being detected by the LAT. We summarize the current status of the LAT, and the evolution of the data processing and monitoring performed by the ISOC during the first 4 years of the Fermi mission, together with future plans for further changes to detected event data processing and instrument operations and monitoring.

  7. Experience with one-stage operations for bilateral nephroblastoma

    A. P. Kazantsev


    Full Text Available The paper describes the personal experience with one-stage operations for bilateral nephroblastoma (BN in children. In 2000 to 2012, the Research Institute of Pediatric Oncology and Hematology, N.N. Blokhin Russian Cancer Research Institute, performed one-stage surgical interventions in 21 (26.2 % children with BN. Their age ranged from 10 months to 5 years. The one-stage surgery as bilateral nephrectomy was made in 9 children. Nephrectomy with one-stage resection of the contralateral kidney was carried out in 4 children; 4 patients underwent one-stage surgery as resection of one kidney and biopsy of the other and 4 patients had nephrectomy and biopsy of the second kidney. BN is a rare disease as suggested by the data available in the world literature; each new report on patients with BN is of great scientific and practical interest. The rate of BN is 4 to 10 % of all kidney cancers in children. Synchronous and metachronous kidney injuries are encountered in 5–7 and 2–3 % of cases, respectively. Bilateral renal involvement is more commonly diagnosed in younger children. The major peak incidence of BN occurs from ages 3 to 5 years. The disease is rarely diagnosed in children above 10 years. Boys and girls are equally frequently ill. 

  8. Experience with one-stage operations for bilateral nephroblastoma

    A. P. Kazantsev


    Full Text Available The paper describes the personal experience with one-stage operations for bilateral nephroblastoma (BN in children. In 2000 to 2012, the Research Institute of Pediatric Oncology and Hematology, N.N. Blokhin Russian Cancer Research Institute, performed one-stage surgical interventions in 21 (26.2 % children with BN. Their age ranged from 10 months to 5 years. The one-stage surgery as bilateral nephrectomy was made in 9 children. Nephrectomy with one-stage resection of the contralateral kidney was carried out in 4 children; 4 patients underwent one-stage surgery as resection of one kidney and biopsy of the other and 4 patients had nephrectomy and biopsy of the second kidney. BN is a rare disease as suggested by the data available in the world literature; each new report on patients with BN is of great scientific and practical interest. The rate of BN is 4 to 10 % of all kidney cancers in children. Synchronous and metachronous kidney injuries are encountered in 5–7 and 2–3 % of cases, respectively. Bilateral renal involvement is more commonly diagnosed in younger children. The major peak incidence of BN occurs from ages 3 to 5 years. The disease is rarely diagnosed in children above 10 years. Boys and girls are equally frequently ill. 

  9. Complications in Neck Dissection 10 years ex-perience with 268 cases in the Cancer Institute



    Full Text Available Immediate and late post operative complications or radical Neck Dissection were discussed. Preventive measures and the treatment of each were mentioned briefly. Our 10 years experience with complications or neck dissection in the Cancer Institute was presented.

  10. Unit Operation Experiment Linking Classroom with Industrial Processing

    Benson, Tracy J.; Richmond, Peyton C.; LeBlanc, Weldon


    An industrial-type distillation column, including appropriate pumps, heat exchangers, and automation, was used as a unit operations experiment to provide a link between classroom teaching and real-world applications. Students were presented with an open-ended experiment where they defined the testing parameters to solve a generalized problem. The…

  11. Operating experience review of an INL gas monitoring system

    Cadwallader, Lee C. [Idaho National Lab. (INL), Idaho Falls, ID (United States); DeWall, K. G. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Herring, J. S. [Idaho National Lab. (INL), Idaho Falls, ID (United States)


    This article describes the operations of several types of gas monitors in use at the Idaho National Laboratory (INL) High Temperature Electrolysis Experiment (HTE) laboratory. The gases monitored in the lab room are hydrogen, carbon monoxide, carbon dioxide, and oxygen. The operating time, calibration, and both actual and unwanted alarms are described. The calibration session time durations are described. In addition, some simple calculations are given to estimate the reliability of these monitors and the results are compared to operating experiences of other types of monitors.

  12. Shifting from Production to Service to Experience-Based Operations

    Angelis, Jannis; de Lima, Edson Pinheiro

    This chapter covers the shift in focus of value added business operations from ­production to services, and in turn, to experience-based operations where customer involvement itself becomes part of the offering. The shift has significant implications for how businesses are managed. The greater service focus affects the firm's unique value proposition, which necessitates considerations on strategy, supplier relations, post-sale offerings and so on. Meanwhile, the inclusion of customer ­experiences affect the way operations are designed and employed so that these are structurally systematically captured and capitalised.

  13. Wind resource assessment: A three year experience

    Al-Abbadi, N.M.; Alawaji, S.H.; Eugenio, N.N. [Energy Research Institute (ERI), Riyadh (Saudi Arabia)


    This paper presents the results of data collected from three different sites located in the central, northern and eastern region of Saudi Arabia. Each site is geographically and climatologically different from the others. Statistical moments and frequency distributions were generated for the wind speed and direction parameters to analyse the wind energy characteristics and its availability. The results of these statistical operations present the wind power and energy density estimates of the three sites. The data analysis presented a prospect of wind energy conversion and utilization. The annual extractable energy density is 488, 890, 599 kWh/m{sup 2} for the central, northern and eastern sites respectively. Also, the paper demonstrates the lessons learned from operating wind assessment stations installed in remote areas having different environmental characteristics.

  14. Undergraduate surgical nursing preparation and guided operating room experience: A quantitative analysis.

    Foran, Paula


    The aim of this research was to determine if guided operating theatre experience in the undergraduate nursing curricula enhanced surgical knowledge and understanding of nursing care provided outside this specialist area in the pre- and post-operative surgical wards. Using quantitative analyses, undergraduate nurses were knowledge tested on areas of pre- and post-operative surgical nursing in their final semester of study. As much learning occurs in nurses' first year of practice, participants were re-tested again after their Graduate Nurse Program/Preceptorship year. Participants' results were compared to the model of operating room education they had participated in to determine if there was a relationship between the type of theatre education they experienced (if any) and their knowledge of surgical ward nursing. Findings revealed undergraduates nurses receiving guided operating theatre experience had a 76% pass rate compared to 56% with non-guided or no experience (p < 0.001). Graduates with guided operating theatre experience as undergraduates or graduate nurses achieved a 100% pass rate compared to 53% with non-guided or no experience (p < 0.001). The research informs us that undergraduate nurses achieve greater learning about surgical ward nursing via guided operating room experience as opposed to surgical ward nursing experience alone.

  15. Draft 1992 : Operations, Maintenance, and Replacement 10-Year Plan.

    United States. Bonneville Power Administration.


    Two years ago, BPA released its first-ever Operations, Maintenance, and Replacement (OM R) 10-Year Plan. That effort broke new ground and was an extensive look at the condition of Operations, Maintenance, and Replacement on BPA's power system. This document -- the 1992 OM R 10-Year Plan -- uses that original plan as its foundation. It takes a look at how well BPA has accomplished the challenging task set out in the 1990 Plan. The 1992 Plan also introduces the Construction Program. Construction's critical role in these programs is explored, and the pressures of construction workload -- such as the seasonal nature of the work and the broad swings in workload between projects and years -- are discussed. The document then looks at how situations may have changed with issues explored initially in the 1990 Plan. Importantly, this Plan also surfaces and explains some new issues that threaten to impact BPA's ability to accomplish its OM R workload. Finally, the document focuses on the revised strategies for Operations, Maintenance, Replacement, Construction, and Environment for the 1992 to 2001 time period, including the financial and human resources needed to accomplish those strategies.

  16. Draft 1992 : Operations, Maintenance, and Replacement 10-Year Plan.

    United States. Bonneville Power Administration.


    Two years ago, BPA released its first-ever Operations, Maintenance, and Replacement (OM&R) 10-Year Plan. That effort broke new ground and was an extensive look at the condition of Operations, Maintenance, and Replacement on BPA`s power system. This document -- the 1992 OM&R 10-Year Plan -- uses that original plan as its foundation. It takes a look at how well BPA has accomplished the challenging task set out in the 1990 Plan. The 1992 Plan also introduces the Construction Program. Construction`s critical role in these programs is explored, and the pressures of construction workload -- such as the seasonal nature of the work and the broad swings in workload between projects and years -- are discussed. The document then looks at how situations may have changed with issues explored initially in the 1990 Plan. Importantly, this Plan also surfaces and explains some new issues that threaten to impact BPA`s ability to accomplish its OM&R workload. Finally, the document focuses on the revised strategies for Operations, Maintenance, Replacement, Construction, and Environment for the 1992 to 2001 time period, including the financial and human resources needed to accomplish those strategies.

  17. 50 years of CO2 experience

    Tyree, L. Jr [Liquid Carbonic Corp., PRAXAIR Inc., Kyongnam (Korea, Republic of)


    An overview is given of the experiences with the use of CO2 as a refrigerant at the Liquid Carbonic Corporation, now owned by PRAXAIR Inc. The overview is presented in the form of copies of overhead sheets, presented in Session 2 on Applications

  18. Cryogenic system operating experience review for fusion applications

    Cadwallader, L.C.


    This report presents a review of cryogenic system operating experiences, from particle accelerator, fusion experiment, space research, and other applications. Safety relevant operating experiences and accident information are discussed. Quantitative order-of-magnitude estimates of cryogenic component failure rates and accident initiating event frequencies are presented for use in risk assessment, reliability, and availability studies. Safety concerns with cryogenic systems are discussed, including ozone formation, effects of spills, and modeling spill behavior. This information should be useful to fusion system designers and safety analysts, such as the team working on the International Thermonuclear Experimental Reactor design.

  19. Total Hip Arthroplasty – over 100 years of operative history

    Stephen Richard Knight


    Full Text Available Total hip arthroplasty (THA has completely revolutionised the nature in which the arthritic hip is treated, and is considered to be one of the most successful orthopaedic interventions of its generation (1. With over 100 years of operative history, this review examines the progression of the operation from its origins, together with highlighting the materials and techniques that have contributed to its development. Knowledge of its history contributes to a greater understanding of THA, such as the reasons behind selection of prosthetic materials in certain patient groups, while demonstrating the importance of critically analyzing research to continually determine best operative practice. Finally, we describe current areas of research being undertaken to further advance techniques and improve outcomes.

  20. Cassini Solstice Mission Maneuver Experience: Year Three

    Wagner, Sean V.; Arrieta, Juan; Hahn, Yungsun; Stumpf, Paul W.; Valerino, Powtawche N.; Wong, Mau C.


    The Solstice Mission is the final extension of the Cassini spacecraft s tour of Saturn and its moons. To accommodate an end-of-mission in 2017, the maneuver decision process has been refined. For example, the Cassini Project now prioritizes saving propellant over minimizing maneuver cycles. This paper highlights 30 maneuvers planned from June 2012 through July 2013, targeted to nine Titan flybys and the final Rhea encounter in the mission. Of these maneuvers, 90% were performed to maintain the prescribed trajectory and preserve downstream delta V. Recent operational changes to maneuver executions based on execution-error modeling and analysis are also discussed.

  1. Lesson Learned from the Recent Operating Experience of Domestic Nuclear Power Plants

    Lee, Chang-Ju; Kim, Min-Chull; Koo, Bon-Hyun; Kim, Sang-Jae; Lee, Kyung-Won; Kim, Ji-Tae; Lee, Durk-Hun [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)


    According to the public concerns, it seems that one of the main missions of a nuclear regulatory body is to collect operational experiences from various nuclear facilities, and to analyze their follow-up information. The extensive use of lessons learned from operating experiences to back fit safety systems, improve operator training and emergency procedures, and to focus more attention on human factors, safety culture and quality management systems are also desired. Collecting operational experiences has been mainly done regarding the incidents and major failures of components (so called 'event'), which usually demands lots of regulatory resources. This paper concentrates on new information, i.e. lesson learned from recent investigation results of domestic events which contain 5 years' experience. This information can induce many insights for improving operational safety of nuclear power plants (NPPs)

  2. Paediatric surgery: trends in UK surgical trainees' operative experience.

    Youngson, G G; Adams, S; Winton, E


    This study assesses the effects of the reconfiguration of postgraduate surgical training and changes to work patterns through legislation within UK on the operative experience of trainees completing specialty training in paediatric surgery. Data were collected from the consolidation record of operative experience submitted by every candidate sitting the Intercollegiate Specialty Board Examination in Paediatric Surgery in UK from 1996 through 2004. A number of index procedures were chosen as surrogates of the overall operative experience and underwent detailed analysis. These comprised operations performed in the following categories: Neonatal Surgery, General Paediatric Surgery, Paediatric Urology, Paediatric Oncology, and Emergency Paediatric Surgery. Sixty-three sets of data comprising 12,866 operations were ultimately identified as being suitable for analysis. The average number of operations performed annually by trainees increased over the study period as did the number in each of the operative categories. The number of operations performed with senior assistance or supervision increased over this period by an average of 12.5%. This trend was also evident in emergency surgery where the average number of sample procedures performed by trainees increased by 28% over the study period. In 1995, reforms to the training grade within UK reduced the time spent in specialist training from a previously unregulated period to 72 months of higher surgical training. Subsequent directives in response to health and safety legislation have further abbreviated the length of time spent at the workplace, initially to 72 hours and more recently to 58 hours per week. This combination has been generally perceived throughout the surgical community as prejudicial to acquisition of clinical and operative competence. This study, however, fails to endorse this perception and suggests to the contrary that perhaps through increased delegation, the volume of training operations is being

  3. US nuclear power plant operating cost and experience summaries

    Kohn, W.E.; Reid, R.L.; White, V.S.


    NUREG/CR-6577, U.S. Nuclear Power Plant Operating Cost and Experience Summaries, has been prepared to provide historical operating cost and experience information on U.S. commercial nuclear power plants. Cost incurred after initial construction are characterized as annual production costs, representing fuel and plant operating and maintenance expenses, and capital expenditures related to facility additions/modifications which are included in the plant capital asset base. As discussed in the report, annual data for these two cost categories were obtained from publicly available reports and must be accepted as having different degrees of accuracy and completeness. Treatment of inconclusive and incomplete data is discussed. As an aid to understanding the fluctuations in the cost histories, operating summaries for each nuclear unit are provided. The intent of these summaries is to identify important operating events; refueling, major maintenance, and other significant outages; operating milestones; and significant licensing or enforcement actions. Information used in the summaries is condensed from annual operating reports submitted by the licensees, plant histories contained in Nuclear Power Experience, trade press articles, and the Nuclear Regulatory Commission (NRC) web site (

  4. Hanford Atomic Products Operation Five-Year Program

    Priode, C.A.; Benoliel, R.W.; Gilbert, W.D.; McGrath, R.E.; Tomlinson, R.E.; Zuhr, H.F. [comps.


    The General Electric Company has prepared in past years numerous documents for the Atomic Energy Commission outlining in some detail its current and proposed programs at Hanford. Last year, at the request of the commission, program types of information were consolidated into one document, the HAPO Five Year Program. That document was well received and useful to an extent that the General Electric Company was requested by the Commission to prepare another covering the fiscal years 1959 through 1963. In outlining the five year program for the Hanford Atomic Products Operation, the General Electric Company has made assumptions regarding the US Atomic Energy Commission`s current and future programs and Hanford`s relationship to these programs. Two major objectives of the Commission were considered basic for future planning: first, to provide adequate atomic weapons for national defense; and second, to encourage and assist in the development of atomic energy for peaceful uses. The Hanford contributions to these objectives are conceived to include the acquisition and potential application of new technology in support of: (1) Increased production of plutonium, as nitrate solution, buttons, and as current and future shapes. (2) A program that will provide the technological capability to implement broad changes in the Commission`s programs such as conversion of Hanford reactors to tritium production, the separation and packaging of mixed and specific fission products, the recovery of transuranic elements, the processing of power reactor fuels, and the provision of weapons assembly capability. (3) Optimum costs, operating and capital. (4) New production reactor designs and concepts. (5) Use of plutonium as power reactor fuel. (6) Operation of nuclear reactors and associated plants with assured radiological protection of both workers and people and other forms of life in the environs.

  5. CTS (Hermes): United States experiments and operations summary

    Donoughe, P. L.; Hunczak, H. R.


    The Communications Technology Satellite, launched in January 1976 and embodying the highest power transmitter in a communications satellite, was considered. As a joint program between the U.S. and Canada, close coordination of the two countries was necessitated since the management and control of experiments were done in real time. Criteria used by NASA for acceptance of the United States experiments are noted and acceptance procedures are discussed. The category for each accepted experiment is given. The modus operandi employed for the U.S. experiments in the areas of management, coordination, liaison, and real time operation are described. Some of the highlights associated with satellite utilization are given.

  6. Cassini Solstice Mission Maneuver Experience: Year Two

    Arrieta, Juan; Ballard, Christopher G.; Hahn, Yungsun


    The Cassini Spacecraft was launched in October 1997 on a mission to observe Saturn and its moons; it entered orbit around Saturn in July 2004 for a nominal four-year Prime Mission, later augmented by two extensions: the Equinox Mission, from July 2008 through September 2010, and the Solstice Mission, from October 2010 through September 2017. This paper provides an overview of the maneuver activities from August 2011 through June 2012 which include the design of 38 Orbit Trim Maneuvers--OTM-288 through OTM-326-- for attaining 14 natural satellite encounters: seven with Titan, six with Enceladus, and one with Dione.

  7. 60 years of CERN experiments and discoveries

    Di Lella, Luigi


    The book contains a description of the most important experimental results achieved at CERN during the past 60 years, from the mid-1950s to the latest discovery of the Higgs particle. It covers the results from early accelerators at CERN to the most recent results at the LHC and thus provides an excellent review of the achievements of this outstanding laboratory. It reflects not only the impressive scientific progress achieved during the past six decades but demonstrates also the special way of successful international collaboration developed at CERN.

  8. Ventilation Systems Operating Experience Review for Fusion Applications

    L. C. Cadwallader


    This report is a collection and review of system operation and failure experiences for air ventilation systems in nuclear facilities. These experiences are applicable for magnetic and inertial fusion facilities since air ventilation systems are support systems that can be considered generic to nuclear facilities. The report contains descriptions of ventilation system components, operating experiences with these systems, component failure rates, and component repair times. Since ventilation systems have a role in mitigating accident releases in nuclear facilities, these data are useful in safety analysis and risk assessment of public safety. An effort has also been given to identifying any safety issues with personnel operating or maintaining ventilation systems. Finally, the recommended failure data were compared to an independent data set to determine the accuracy of individual values. This comparison is useful for the International Energy Agency task on fusion component failure rate data collection.

  9. Insertion device operating experience at the Advanced Photon Source

    Grimmer, John; Ramanathan, Mohan; Smith, Martin; Merritt, Michael


    The Advanced Photon Source has 29 insertion devices (IDs) installed in the 7 GeV electron storage ring; 28 of these devices, most of which are 3.3 cm period undulators, use two horizontal permanent magnet structures positioned over a straight vacuum chamber. A support and drive mechanism allows the vertical gap between the magnet structures to be varied, thus changing the x-ray energy produced by the ID [J. Viccaro, Proc. SPIE 1345, 28 (1990); E. Gluskin, J. Synchrotron Radiat. 5, 189 (1998)]. Most of these IDs use a drive scheme with two stepper motors, one driving each end through a mechanism synchronizing the upper and lower magnet structures. Our experience in almost 5 yr of operating this system will be discussed. All of the IDs are in continuous operation for approximately 10 weeks at a time. Reliability of operation is of paramount importance, as access to the storage ring for servicing of a single ID inhibits operation for all users. Our experience in achieving highly reliable ID operation is reviewed. Accuracy of operation and repeatability over time are also vital. To this end, these devices use absolute optical linear encoders with submicron resolution for primary position feedback. Absolute rotary encoders are used as a backup to the linear encoders. The benefits and limitations of each type of encoder, and our experience dealing with radiation and electrical noise are reviewed. The insertion devices operate down to gaps as small as 8.5 mm, with clearance over the vacuum chamber as small as 200 μm. The vacuum chamber has a minimum wall thickness of only 1 mm. A number of levels of safeguards are used to prevent contact between the magnet structure and the vacuum chamber. These safeguards and their evolution after gaining operational experience are presented.

  10. Necrotizing fasciitis: a six-year experience.

    Tunovic, Edin; Gawaziuk, Justin; Bzura, Tom; Embil, John; Esmail, Ali; Logsetty, Sarvesh


    Necrotizing fasciitis (NF) is a life-threatening infectious disease whose incidence has been on the rise. Commonly a consequence of group A beta-hemolytic Streptococcus infection, it results in high levels of morbidity and mortality. Diagnosis is difficult and treatment involves emergent surgical intervention and antibiotic therapy. The aim of this study is to examine the incidence of NF in Manitoba with the goal of observing whether there is a geographic variation in incidence and outcomes based on Regional Health Authorities (RHAs). This is a 6-year retrospective chart review of all NF patients who presented to the Health Sciences Center from 2004 to 2009. A total of 130 patients satisfied the inclusion criteria. The mean age was 47 ± 16 years. The most common comorbidities were diabetes (33.8%) and hypertension (33.1%). The overall mortality was 13.1% with advanced age being an independent risk factor (P < .05). Lower extremity was the most common location of infection (44.6%) and the most common causative organism was group A beta-hemolytic Streptococcus (63.9%). The type of infection (mono- vs. polymicrobial) was not found to affect length of stay, amputation rate, or mortality. There was no statistical difference in rate of amputations, length of stay, or mortality based on RHA. Incidence within the province, however, varied significantly based on RHA and ethnicity (P < .05). We determined that regardless of origin before admission, all our patients have equivalent prognosis. Burntwood RHA was found to have substantially higher incidence than the rest of the province, and higher incidence was established among the Aboriginal population.

  11. Neurocysticercosis: A five-year experience

    Doder Radoslava Ž.


    Full Text Available Introduction Neurocysticercosis (NCC is the most common parasitic disease with wide distribution which is caused by larval forms of Taenia Solium. Our aim was to: show the most common clinical manifestations of patients with NCC and their importance in diagnosing this disease; examine the value of serologic diagnostic methods in blood and cerebrospinal fluid; to emphasize the value of radiological diagnostic methods – CT and MRI of the brain, in relation to the applied protocol of therapy, as well as the impact of anti-parasitic therapy on the outcome of this disease. Material, methods and results 13 patients with NCC (from 35 to 63 years of age, median age 49; 61,5% male and 38,5% female were treated at the Clinic of Infectious Diseases in Novi Sad during a five-year period. Two patients had a positive epidemic data of parasitic diseases of the intestinal tract in childhood. The most common clinical manifestation was headache in 61,5% of patients, and generalized convulsions and hemiparesis in 46,2%. Meningeal inflammation was present in 27,3% of patients. Two of five patients had positive ELISA test for cysticercosis in the serum and cerebrospinal fluid. CT and MRI findings confirmed parenchimal form of NCC in 30,8% of patients, while calcifications were found in 69,2% of patients. All patients were treated with Albendazole, 800 mg a day, in two doses. 30,76% of patients had a favorable outcome of the disease, 53,7% of patients were discharged with complications, and one patient died. Conclusion The most common manifestation of NCC in our patients was headache, followed by general convulsions and hemiparesis. Radiological diagnostic methods – CT and MRI – proved to be most valuable both in diagnostics and follow-up of lesions. All our patients were treated with Albendazole; Dexamethasone was applied in patients with severe inflammatory reaction, and anti-convulsive drugs in patients with convulsions.

  12. The Dark Energy Survey and Operations: Years 1 to 3

    Diehl, H. T. [Fermilab


    The Dark Energy Survey (DES) is an operating optical survey aimed at understanding the accelerating expansion of the universe using four complementary methods: weak gravitational lensing, galaxy cluster counts, baryon acoustic oscillations, and Type Ia supernovae. To perform the 5000 sq-degree wide field and 30 sq-degree supernova surveys, the DES Collaboration built the Dark Energy Camera (DECam), a 3 square-degree, 570-Megapixel CCD camera that was installed at the prime focus of the Blanco 4-meter telescope at the Cerro Tololo Inter-American Observatory (CTIO). DES has completed its third observing season out of a nominal five. This paper describes DES “Year 1” (Y1) to “Year 3” (Y3), the strategy, an outline of the survey operations procedures, the efficiency of operations and the causes of lost observing time. It provides details about the quality of the first three season's data, and describes how we are adjusting the survey strategy in the face of the El Niño Southern Oscillation

  13. [Pituitary tumors: 10 years of experience].

    Cecenarro, Laura Anahi; Rodrigo Fanton, Elica Tatiana; Estario, Paula; Papalini, Roque Francisco; Estario, María Éugenia


    Introducción: Los tumores hipofisarios comprenden la cuarta parte de las neoplasias intracraneales y los adenomas son el mayor porcentaje de ellos. Son de naturaleza benigna, pero pueden ser invasivos y producir impacto en la morbi-mortalidad. Objetivo: analizar las características clínicas de los pacientes con diagnóstico de adenomas hipofisarios y crear un registro computarizado para mejorar las estrategias de diagnóstico y seguimiento de estos pacientes. Metodología: Se realizó un análisis retrospectivo, descriptivo, de 102 historias clínicas sobre un total de 191 pacientes que concurrieron al servicio de endocrinología desde el año 2003 al 2014 . Las variables fueron analizadas mediante las correspondientes estadísticas descriptivas. Se utilizó el programa SPSS 11.5. Resultados: El 63% fueron mujeres, y el mayor porcentaje etario entre 25-60 años (74.4%). El 54% correspondió a adenomas no funcionantes, el 28% a prolactinomas, el 11.8% somatotropinomas y el 6.2% corticotropinomas. En todos los tipos el grupo femenino fue mayoritario, excepto en los no funcionantes. De los adenomas no funcionantes el 79% fueron macroadenomas, los prolactinomas el 52% fueron microadenomas y se realizó cirugía en el 37% de ellos. Los somatotropinomas, en el 80% fueron macroadenomas, se operó el 80% de los pacientes y radioterapia al 40%. En los corticotropinomas, tanto micro como macroadenomas se presentaron en igual porcentaje (50%) y todos ellos recibieron tratamiento quirúrgico. Conclusión: Los hallazgos coinciden con la literatura en cuanto a frecuencia y edad de presentación de los adenomas. Consideramos valioso la elaboración de un registro que nos permita optimizar el seguimiento y tratamiento de los pacientes, la investigación y divulgación científica.

  14. Prepubertal testicular tumors: Our 10 years experience

    R B Nerli


    Full Text Available Background: Testicular tumors in the pediatric population are distinct from those of the adults. In contrast to the prevalence data reported in tumor registries, several studies have shown that a majority of the prepubertal testis tumors are benign. We retrospectively analyzed a series of prepubertal testicular tumors. Materials and Methods: A retrospective review of all testicular tumors at our institution was done from Jan 1999 to Dec 2008. Data relating to presentation, evaluation, and management were collected. Results: A total of 22 children with prepubertal testicular tumors were identified. The mean age at presentation was 4.6 years. Mature teratoma, epidermoid cysts, immature teratoma, and yolk sac tumor accounted for 49.94%, 13.62%, 9.08%, and 18.16%, respectively. All surgeries were successful with respect to cancer control and testicular preservation. Conclusions: Benign tumors formed the majority (72.64% of the tumors that were encountered, with yolk sac tumors (18.16% being a minority. Testicular preserving surgery appears to be a feasible option for benign tumors and is safe and efficacious in long-term follow-up.

  15. Operational experience with room temperature continuous wave accelerator structures

    Alimov, A. S.; Ishkhanov, B. S.; Piskarev, I. M.; Shvedunov, V. I.; Tiunov, A. V.


    The paper reports the results of the computer simulation of parameters of the on-axis coupled accelerator structure for the continuous wave racetrack microtron. The operational experience with the accelerating sections on the basis of the on-axis coupled structure is described.

  16. EBO feed water distribution system, experience gained from operation

    Matal, O. [Energovyzkum, Brno (Switzerland); Schmidt, S.; Mihalik, M. [Atomove Elektrarne Bohunice, Jaslovske Bohunice (Switzerland)


    Advanced feed water distribution systems of the EBO design have been installed into steam generators at Units 3 and 4 of the NPP Jaslovske Bohunice (VVER 440). Experiences gained from the operation of steam generators with the advanced feed water distribution systems are discussed in the paper. (orig.). 4 refs.

  17. [Assisted circulation with the heart-lung machine after cardiosurgical interventions: one year's experience with intra-aortal counter-pulsation with the heart-lung machine after cardiosurgical operations is reported (author's transl)].

    Reichart, B; Kemkes, B; Kreuzer, E; Klinner, W; Holtz, J


    In the period from September 1976 to 1977, aortic or mitral valve replacement was performed in 84 and 34 patients respectively. Cardiogenic shock occurred during or immediately after the operation in 3 and 2 patients respectively (= 8.8% and 2.4%). In spite of the use of intra-aortal counter-pulsation, none of the patients survived the acute event. During the same period, 8 (= 5%) out of 113 patients who had undergone coronary surgery needed intra-aortal counter-pulsation. 4 of them survived the acute left heart failure and at the present time are clinically healthy (N.Y. Heart Association Class II).

  18. Efeito do tempo de experiência de operadores de Harvester no rendimento operacional Effect of time experience of Harvester operators in operating yield

    Elaine Cristina Leonello


    Full Text Available A mecanização da colheita de madeira permite maior controle dos custos e pode proporcionar reduções em prazos relativamente curtos. Além disso, tem um lugar de destaque na humanização do trabalho florestal e no aumento do rendimento operacional. O presente trabalho teve por objetivo avaliar o desempenho de operadores de harvester em função do tempo de experiência na atividade. Foram avaliados oito operadores do sexo masculino, com idade entre 23 e 46 anos. O estudo consistiu na análise do volume de madeira colhida pelo harvester. O tempo de experiência afeta significativamente o rendimento operacional dos operadores de harvester. Tal rendimento aumenta expressivamente nos primeiros 18 meses de experiência, mantendo-se em ascensão nos próximos 26 meses. Após os 44 meses de experiência, o rendimento dos operadores tende a reduzir, revelando as possíveis acomodações do cotidiano. Tais resultados permitem concluir que por volta dos 50 meses de experiência na atividade de operação de harvester, se faz necessária a adoção de medidas de reciclagem, motivação, entre outras, a fim de proporcionar aos operadores melhores condições de trabalho que os possibilitem continuar exercendo a atividade de forma eficiente e rentável à empresa.The mechanization of timber harvesting allows greater control of costs and can provide reductions in relatively short intervals. Moreover, it has a place in the humanization of the working forest and the increase in performance. This work provides comparisons of operating performance of different operator harvester according to the time of experience in the activity. The operators evaluated were eight males, aged between 23 and 46 years old. The study consisted of analysis of the volume of timber harvested by the harvester. The experience significantly affects the performance of harvesters operators. The performance increases significantly in the first 18 months of experience, and it remained on

  19. Fifteen years of operational experiences with DeNO{sub x} as well as dioxin and furan filters in Vienna; Fuenfzehn Jahre Betriebserfahrung mit DeNO{sub x}- sowie Dioxin- und Furanfiltern in Wien

    Kirchner, A.; Angerer, T. [Fernwaerme Wien GmbH, Vienna (Austria)


    Apart from the production and distribution of thermal energy, the thermal treatment of wastes gains in importance at the company Fernwaerme Wien GmbH (Vienna, Austria). The thermal treatment is connected with emissions of exhaust gases and its reduction. The authors of the contribution under consideration report on the history and technology of the utilized waste incineration plants in Vienna. Additionally, experiences with the procedures to the reduction of emissions of nitrogen oxides, dioxin and furan are described. The contribution under consideration closes with a description of selected future-oriented activities and potential changes according to waste processing.

  20. The Lueneburg model - experience from a one-year operating period of the mechanic-biological waste pre-treatment plant; Modell Lueneburg - Erfahrungen aus einem Jahr Betrieb der MBV-Anlage

    Tegtmeyer, E. [Gesellschaft fuer Abfallwirtschaft Lueneburg mbH, Bardowick (Germany)


    The Lueneburg plant is one of three demonstration plants for mechanic-biological pre-treatment of residual waste which receive considerable grants from the state of Niedersachsen. Whereas the other two plants, the one at Bassum (district of Diepholz) and the one at Wiefels (district of Friesland), are currently under construction, the Lueneburg plant has been officially inaugurated already in December 1995 and has since been in operation. (orig./SR) [Deutsch] Die Lueneburger Anlage ist eine von drei Demonstrationsanlagen zur mechanisch-biologischen Vorbehandlung von Restabfaellen, die durch das Land Niedersachsen in erheblichem Umfang anteilig gefoerdert werden. Waehrend die beiden anderen Anlagen in Bassum (Landkreis Diepholz) und Wiefels (Landkreis Friesland) sich zur Zeit in der Errichtungsphase befinden, ist die MBV-Anlage Lueneburg bereits im Dezember 1995 offiziell eingeweiht worden und verfuegt damit mittlerweile ueber eine etwa einjaehrige Betriebserfahrung. (orig./SR)

  1. United States Department of Energy, Nevada Operations Office, completion report Operation KLAXON, Fiscal Year 1993


    The U.S. Department of Energy, Nevada Operations Office (DOE/NV), Completion Report provides a summary of activities conducted at the Nevada Test Site (NTS) between October 1, 1992, and September 30, 1993, associated with Operation KLAXON. (In the past, each annual Completion Report dealt with a series of underground nuclear detonations; however, because no nuclear tests were conducted during FY 1993, this Report summarizes continuing nonnuclear and nuclear test readiness activities at the NTS sponsored by DOE/NV.) The report serves as a reference for those involved with the planning and execution of Operation KLAXON and also serves as a planning guide for future operations. Information in the report covers the logistics and management of activities. Scientific information and data associated with NTS activities are presented in technical documents published by participating agencies. In September 1992, Congress legislated a nine-month moratorium on the testing of nuclear weapons. The bill also provided for a resumption of testing (with no more than five tests per year, or a total of 15 during the next three years) in July 1993, and mandated an end to nuclear testing, entirely, by 1996. President Bush signed the bill into law in October 1992.

  2. Cathodic corrosion protection in jacket tube steel pipes. Practical experience after five years of operation, a summary; Kathodischer Korrosionsschutz von Stahlrohrleitungen in Mantelrohren. Praxishinweise nach 5 Jahren - eine Zusammenfassung

    Lemkemeyer, Marc [RWE Westfalen-Weser-Ems Netz-service GmbH, Dortmund (Germany)


    In november 2006, the completely revised AfK recommendation No. 1 came into force. It was the first of its kind to contain concrete calculation methods for calculating the effects of cathodic corrosion protection in jacket tubes. In the five years that followed, a large number of jacket tubes was investigated by this method. It was found that some input parameters that are only estimated still require further specification. Further, some further calculation algorithms have been defined. Some of the specifications are described in more detail in this article.


    S. V. Gautier


    Full Text Available Introduction. Over the past few decades in Russia and other countries there has been signifi cant progress in the development of liver transplantation in children. It became possible to operate recipients with very low body mass, to perform transplant from cadaveric and living donors with incompatible blood type, as well as to perform single-step transplantation of liver with kidney or pancreas in patients with combined diseases.Aim: to investigate the 6-year experience of liver transplantation in children in V.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs.Materials and methods. From May 2008 to June 2014 304 liver transplantswere performed in 297 children aged from 3 months to 17 years with body mass 4 to 32 kg. 241 living donor liver left lateral section transplants (including 2 in conjunction with kidney, 8 left lobe (including 1 in conjunction with kidney, 40 right lobe liver transplants (including 1 in conjunction with kidney, and 9 cadaveric whole liver transplants (including 1 case of simultaneous liver and pancreas transplantation and 6 split liver transplants (4 – split left lateral section transplantations and 2 extended right lobe liver grafts were achieved.41 of these patients received a graft from AB0 – incompatible donors.Results. A retrospective evaluation of surgical technique and analysis of results were carried out. Early mortality was 8.1%, 1-year survival rate – 86.4%, 5-year survival rate – 78.8%.Conclusion. These results suggest the prospects of this procedure for pediatrictransplantation and require further investigation and promotion approaches in medical and social public.

  4. Yorkshire Regional Lymphoma Histopathology panel: analysis of five years' experience.

    Bird, C C; Lauder, I; Kellett, H S; Chorlton, I; Barnes, N; Darwin, C; Cartwright, R A; Boyko, R


    Five years' experience of operating a Regional Lymphoma Histopathology Panel is described. During this period, approximately 1400 cases were registered of which nearly 1200 were confirmed as malignant lymphoma. Complete concordance of diagnosis was achieved between submitting pathologists and the Panel in two-thirds of cases of Hodgkin's disease and just over half of non-Hodgkin's lymphoma. Most discrepancies in diagnosis were found to be of clinical importance in terms of prognosis and/or therapeutic management of patients. In approximately two-thirds of such instances disagreement arose because of wrong assignment of tumour grade within the main lymphoma class but in one-third of cases the main class of lymphoma was wrongly designated. Panel members experienced similar diagnostic problems as submitting pathologists although to a lesser extent. The existence of the panel has not reduced the proportion of cases causing diagnostic difficulty for submitting pathologists or panel members during the 5 year study period. The principal cause of death was ascertained from death certificates and autopsy findings in nearly half the cases dying during the study period. In approximately half of these infection (largely pulmonary) played a major role while most of the remainder died of various cardiovascular, pulmonary or renal disorders. There was no specific pattern relating to the main lymphoma class. It is concluded that whilst the panel fulfils a useful function in resolving diagnostic difficulties and standardizing lymphoma diagnosis its role is restricted somewhat by the limitations imposed by conventional morphological assessments.

  5. Stereotactic radiosurgery in hemangioblastoma: Experience over 14 years

    Nishant Goyal


    Full Text Available Background: Although gamma knife has been advocated for hemangioblastomas, it is not used widely by neurosurgeons. Objective: We review our experience over 14 years in an attempt to define the role of stereotactic radiosurgery (SRS in the management of hemangioblastomas. Patients and Methods: A retrospective study was conducted on all patients of hemangioblastoma who underwent SRS at our institute over a period of 14 years (1998–2011. Gamma knife plans, clinical history, and radiology were reviewed for all patients. Results: A total of 2767 patients underwent gamma knife during the study period. Of these, 10 (0.36% patients were treated for 24 hemangioblastomas. Eight patients (80% had von Hippel-Lindau disease while two had sporadic hemangioblastomas. The median peripheral dose (50% isodose delivered to the tumors was 29.9 Gy. Clinical and radiological follow-up data were available for eight patients. Of these, two were re-operated for persisting cerebellar symptoms. The remaining six patients were recurrence-free at a mean follow-up of 48 months (range 19–108 months. One patient had an increase in cyst volume along with a decrease in the size of the mural nodule. Conclusions: SRS should be the first option for asymptomatic hemangioblastomas. Despite the obvious advantages, gamma knife is not widely used as an option for hemangioblastomas.

  6. Italian experience in distribution transformers optimisation and operation

    Cannavale, G. [ENEL (Italy)


    The suitable optimization and the correct operation of a large MV (medium voltage)/LV (low valtage) distribution fleet requires the knowledge of several elements, such as: transformers fleet composition and the trend of growth of the same; no-load and on-load losses of the several transformer classes belonging to the concerned fleet; service procedures in order to evaluate the amount of loss of the whole fleet either by using mathematical models and/or through service experiences, whether the adopted improvements have been useful in limiting the amount of power lost and in upgrading the transformer operation.

  7. Operational experience of ATLAS SCT and Pixel Detector

    Kocian, Martin; The ATLAS collaboration


    The ATLAS Inner Detector based on silicon sensors is consisting of a strip detector (SCT) and a pixel detector. It is the crucial component for vertexing and tracking in the ATLAS experiment. With the excellent performance of the LHC well beyond the original specification the silicon tracking detectors are facing substantial challenges in terms of data acquisition, radiation damage to the sensors, and SEUs in the readout ASICs. The approaches on how the detector systems cope with the demands of high luminosity operation while maintaining excellent performance through hardware upgrades, software and firmware algorithms, and operational settings, are presented.

  8. CERN's LEIR Digital LLRF : system overview and operational experience

    Angoletta, ME; Blas, A; Bracke, E; Butterworth, A; Dubouchet, F; Findlay, A; Pedersen, F; Sanchez-Quesada, J


    The Low Energy Ion Ring (LEIR) is an accumulation and acceleration ring in the Large Hadron Collider (LHC) ion injector chain. After its successful start in 2005, it has been running in three operational campaigns. The LEIR low-level RF (LLRF) system is the first all-digital system to operate in a CERN circular machine. Its capabilities include beam control tasks as well as dual-harmonic cavity voltage/phase servoing. All the system’s control parameters are fully configurable, remotely and in-between cycles; extensive built-in observation capabilities and diagnostics are available. The system is flexible, powerful and extremely reliable. This paper outlines the main building blocks and operational features, along with results obtained during the first years of operation.

  9. [Evoked potentials in intracranial operations: current status and our experiences].

    Nau, H E; Hess, W; Pohlen, G; Marggraf, G; Rimpel, J


    Intraoperative neuromonitoring, especially evoked potential monitoring, has gained interest in recent years for both the anesthesiologist evaluating cerebral function and the neurosurgeon wishing to avoid neuronal lesions during intracranial operations. Before evoked potential monitoring can be introduced as a routine method of intraoperative management, experience with this method particularly in intensive care units, is imperative. We recorded evoked potentials with the Compact Four (Nicolet) and Basis 8000 (Schwarzer Picker International) computer systems. Preoperative derivations should be done with the same apparatus used intraoperatively and parameters of peri- and intraoperative derivations should not be changed. The patient's head must be fixed in a Mayfield clamp in order to avoid artefacts during trepanation. The possible artefacts due to apparatus, patient, or anesthesia are summarized in the tables. The derivations of evoked potentials should be supervised by a person who is not involved in the anesthesia or the surgical procedure; this condition may change in the future with full automatization of the recording technique and alarms. Good communication between surgeon, anesthesiologist, and neurophysiological assistant is a prerequisite. The modality is chosen in accordance with the affected neuronal system: visual-evoked potential (VEP) monitoring in the management of processes affecting the visual pathway, brain stem auditory-(BAER) and somatosensory-evoked potential (SSEP) monitoring in lesions affecting these pathways, in particular space-occupying lesions of the posterior fossa. VEP monitoring may be useful, but we observed alterations of the responses without changes in the level of anesthesia or manipulation of the visual pathways. In space-occupying processes of the cerebellopontine angle, BAER could not be developed in nearly all cases because the large underlying tumor had caused the disappearance of waves II-V. In these cases SSEP monitoring

  10. Two years of operation of a large solar cooling plant

    Lazzarin, R.M.; Romagnoni, P. (Padua Univ. (Italy)); Casasola, L. (CERIT, Pordenone (Italy))


    A solar plant was installed with a surface area of 440 m[sup 2] of evacuated-tube collectors, a reflecting surface of the same area and an absorption refrigeration system for air-conditioning the CERIT building of Pordenone. A 43 m[sup 3] heat-storage unit, at temperatures of 80-90[sup o]C, and a 150 m[sup 3] cold-storage unit were also installed. These components form the largest solar cooling plant in Europe. After two years of operation, it is possible to evaluate the project as a whole, and to appreciate the contribution of the flat solar reflector and the working of the absorption unit. (Author)

  11. Permitting of Landfill Bioreactor Operations: Ten Years after ...

    Prior to promulgation of the Rule, there were approximately 20 full-scale bioreactor projects in North America, including one in Canada. Of these, six were permitted by EPA (four Project XL sites and two projects listed separately under a cooperative research agreement at the Outer Loop Landfill in Kentucky). In March 2014, there were about 40 bioreactor projects reported, including 30 active RD&D projects in 11 approved states and one project on tribal lands. Wisconsin features the largest number of projects at 13, due primarily to the fact that landfill owners in the state must either eliminate landfill disposal of biodegradable materials or to achieve the complete stabilization of deposited organic waste at MSW landfills within 40 years after closure. Most landfill operators have selected a bioreactor approach to attempt to achieve the latter goal. In summary, only 16 of 50 (32%) states have currently adopted the Rule, meaning that development of RD&D permitting procedures that are consistent with EPA’s requirements has generally not occurred. The predominant single reason cited for not adopting the Rule was lack of interest amongst landfill facilities in the state. Subtitle D and its state derivatives already allow leachate recirculation over prescriptive (i.e., minimum technology) liner systems, which is often the primary goal of site operators seeking to control leachate treatment costs. Other reasons related to concerns over increased time, cost

  12. SAM Overview and Operation at the D0 Experiment

    LauriLoebel-Carpenter; LeeLueking; 等


    SAM is a network-distributed data management system developed at Fermilab for use with Run II data,It is being Employed by the D0 Experiment to store,manage,deliver,and track processing of all data.We describe the design and features of the system including resource management and data transfer mechanisms,We show the operational experience D0 has accumulated to date including data acquisition processing,and all levels of access and delivery.We present various configurations of the system and describe their use in the collaboration.

  13. Operating Experiences of a Loss of Voltage Monitoring Program

    Lee, Eun-Chan [Korea Hydro and Nuclear Power Co. Ltd., Daejeon (Korea, Republic of)


    Loss of voltage (LOV) events continue to occur due to inadequate work management and random human errors. On February 26, 2015, regulators analyzed the root causes of LOV events and presented the results for the nuclear industry. Currently, KHNP uses a risk monitoring program, which is named 'LOV Monitor', for LOV prevention during pilot plant outages. This review introduces the operation experiences of LOV Monitor based on the evaluation results of a real event. The operation experiences of LOV Monitor in the pilot plants confirmed that this program could detect and reduce LOV possibilities from scheduling errors such as the simultaneous maintenance of energized trains and de-energized trains considering the physical conditions of the power circuit breakers. However, a maintenance culture that heeds the risk monitoring result must be strengthened in order to obtain substantial effects through applying LOV Monitor to the outage.

  14. Operational Experience with a LHC Collimator Prototype in the CERN SPS

    Redaelli, S; Assmann, R; Dehning, B; Bracco, C; Jonker, M; Masi, A; Losito, R; Sapinski, M; Weiler, T; Zamantzas, C


    A full-scale prototype of the Large Hadron Collider (LHC) collimator was installed in 2004 in the CERN Super Proton Synchrotron (SPS) and has been extensively used for beam tests, for control tests and also LHC simulation benchmarking during four years of operation. This operational experience has been extremely valuable in view of the final LHC implementation as well as for estimating the LHC operational scenarios, most notably to establish procedures for the beam-based alignment of the collimators with respect to the circulating beam. These studies were made possible by installing in the SPS a first prototype of the LHC beam loss monitoring system. The operational experience gained at the SPS and the lessons learnt for the LHC operation are presented.


    Redaelli, S; Assmann, R; Dehning, B; Bracco, C; Jonker, M; Masi, A; Losito, R; Sapinski, M; Weiler, T; Zamantzas, C


    A full-scale prototype of the Large Hadron Collider (LHC) collimator was installed in 2004 in the CERN Super Proton Synchrotron (SPS) and has been extensively used for beam tests, for control tests and also LHC simulation benchmarking during four years of operation. This operational experience has been extremely valuable in view of the final LHC implementation as well as for estimating the LHC operational scenarios, most notably to establish procedures for the beam-based alignment of the collimators with respect to the circulating beam. These studies were made possible by installing in the SPS a first prototype of the LHC beam loss monitoring system. The operational experience gained at the SPS and the lessons learnt for the LHC operation are presented.

  16. Experience, training and confidence among small, non-community drinking water system operators in Ontario, Canada.

    Pons, Wendy; McEwen, Scott A; Pintar, Katarina; Jones-Bitton, Andria; Young, Ian; Papadopoulos, Andrew


    The water operator plays an important role in water safety; however, little published research exists that has examined this role. The purpose of this study was to develop a greater understanding of the experience, existing knowledge, confidence and future training needs of the small, non-community drinking water operator in Ontario in order to help guide future outreach and training opportunities. A cross-sectional telephone survey of 332 small, non-community drinking water operators in Ontario was conducted in July and August 2011. Survey questions pertained to respondents' experience as operators, formal training, perceived importance of water safety issues, confidence in handling water safety issues, and future training needs. Approximately 16% (54/330) of respondents had one year or less experience as a water operator, and 60% (199/332) reported that being a water operator was not a chosen profession. Only 37% (124/332) of operators reported completing operator training. Respondents reported a preference for online training courses or on-site training (compared with a classroom setting). Low training rates, inexperience, and in certain situations, low confidence, among many small water system operators highlight a need to provide continued support to the development of ongoing training opportunities in this population.

  17. The National Flood Interoperability Experiment: Bridging Resesarch and Operations

    Salas, F. R.


    The National Weather Service's new National Water Center, located on the University of Alabama campus in Tuscaloosa, will become the nation's hub for comprehensive water resources forecasting. In conjunction with its federal partners the US Geological Survey, Army Corps of Engineers and Federal Emergency Management Agency, the National Weather Service will operationally support both short term flood prediction and long term seasonal forecasting of water resource conditions. By summer 2016, the National Water Center will begin evaluating four streamflow data products at the scale of the NHDPlus river reaches (approximately 2.67 million). In preparation for the release of these products, from September 2014 to August 2015, the National Weather Service partnered with the Consortium of Universities for the Advancement of Hydrologic Science, Inc. to support the National Flood Interoperability Experiment which included a seven week in-residence Summer Institute in Tuscaloosa for university students interested in learning about operational hydrology and flood forecasting. As part of the experiment, 15 hour forecasts from the operational High Resolution Rapid Refresh atmospheric model were used to drive a three kilometer Noah-MP land surface model loosely coupled to a RAPID river routing model operating on the NHDPlus dataset. This workflow was run every three hours during the Summer Institute and the results were made available to those engaged to pursue a range of research topics focused on flood forecasting (e.g. reservoir operations, ensemble forecasting, probabilistic flood inundation mapping, rainfall product evaluation etc.) Although the National Flood Interoperability Experiment was finite in length, it provided a platform through which the academic community could engage federal agencies and vice versa to narrow the gap between research and operations and demonstrate how state of the art research infrastructure, models, services, datasets etc. could be utilized

  18. Operational experience with CW high gradient and high QL cryomodules

    Hovater, J. Curt [JLAB; Allison, Trent L. [JLAB; Bachimanchi, Ramakrishna [JLAB; Daly, Edward F. [JLAB; Drury, Michael A. [JLAB; Lahti, George E. [JLAB; Mounts, Clyde I. [JLAB; Nelson, Richard M. [JLAB; Plawski, Tomasz E. [JLAB


    The Continuous Electron Beam Accelerator Facility (CEBAF) energy upgrade from 6 GeV to 12 GeV includes the installation of ten new 100 MV cryomodules (80 cavities). The superconducting RF cavities are designed to operate CW at an accelerating gradient of 19.3 MV/m with a QL of 3×107. The RF system employs single cavity control using new digital LLRF controls and 13 kW klystrons. Recently, all of the new cryomodules and associated RF hardware and software have been commissioned and operated in the CEBAF accelerator. Electrons at linac currents up to 10 ?A have been successfully accelerated and used for nuclear physics experiments. This paper reports on the commissioning and operation of the cryomodules and RF system.

  19. Operating Experience at the Aagesta Nuclear Power Station

    Sandstroem, S. (ed.)


    Sweden's first nuclear power reactor Agesta, achieved criticality on July 17, 1963. Full power (65 MW{sub t}) was attained on March 20, 1964. Aagesta is a heavy water cooled and moderated pressure vessel reactor used for production of electricity as well as for district heating. The design, assembly and construction etc, of the reactor was described in detail in a staff report by AB Atomenergi, 'The Aagesta Nuclear Power Station' edited by B McHugh, which was published in September, 1964. In the book experiences from the commissioning and the first operation of the reactor were reported as well as findings from the extensive reactor physics studies made during this period. The report now presented is written by members of the operating team at Aagesta since its start. It reflects in general the experiences up to the end of 1965. The Aagesta Log, however, covers the period up to the normal summer stop 1966. The reactor has hitherto produced 506,000 MWh power of which 48,700 MWh have been electric power. In July 1965 the responsibility for the reactor operation was taken over by the Swedish State Power Board from AB Atomenergi, which company had started the reactor and operated it until the summer break 1965.

  20. Summary of operating experience in Swiss nuclear power plants 1994



    In 1994 the Swiss nuclear power plants produced their highest-ever combined annual output. Their contribution to total electricity generation in the country was 36%. At Muehleberg the power uprate, undertaken in 1993, was effective for the first time for an entire year. The larger capacity of the new steam generators installed in 1993 in unit 1 of the Beznau NPP allows for an electric output of 103% of nominal power. The plant efficiency of the Goesgen and Leibstadt units was increased by replacing the low pressure turbines by the new ones with a modern design. The application for a power uprate of the Leibstadt reactor is still pending. For the first time in Switzerland, one of the reactor units, Beznau 2, operated on an extended cycle of one and a half years, with no refuelling outage in 1994. In spite of the replacements of two of its three low pressure turbines, Goesgen had the shortest refuelling shutdown since the start of commercial operation. The average number of reactor scrams at the Swiss plants remained stable, at less than one scram per reactor year. Re-inspection of crack indications detected in 1990 in the core shroud of the Muehleberg reactor revealed no significant changes. A crack indication was found in one of the other welds inspected. The Swiss government issued a limited operating licence for Beznau 2 for the next ten years, i.e. until the end of 2004. The only other unit with a limited operating licence (until 2003) is Muehleberg. The remaining three reactor units, have no time limits on their operating licences, in accordance with the Atomic Law. Goesgen is the first Swiss nuclear power plant having now produced more than 100 billion kWh. As from January 1, 1995, the nominal net power of the largest Swiss reactor unit, Leibstadt, has been fixed at 1030 MW; that of the Goesgen NPP has been increased by 25 MW to 965 MW. (author) figs., tabs.

  1. Overview of recent operating experience regarding plant aging

    Holahan, G.M.; Caruso, M.A.


    Recent, as well as past, studies of reactor trip frequencies and other types of operating experience have shown that relatively high frequencies are likely in new plants with little accumulated operating time. In order to better understand all the factors which contribute to high frequencies in new plants, the authors have made a comparison of reactor trip frequencies between plants which went into operation in the 1960's and the early 1970's and those which have gone into operation more recently. Trip frequency versus accumulated operating time for two plant groups are compared to see the extent to which design differences (e.g., capacity, thermal margin) affect trip frequency. This paper also presents a review of some recent events in which plant age has played a major role. The events which are reviewed have been identified through the normal systematic event analysis program conducted by the NRC. Information regarding these events was obtained through followup by reviews conducted by NRC Resident Inspectors as well as event reports submitted by licenses.

  2. Installation and first operation of the negative ion optimization experiment

    De Muri, Michela, E-mail: [INFN-LNL, v.le dell’Università 2, I-35020 Legnaro, PD (Italy); Consorzio RFX, CNR, ENEA, INFN, Università di Padova, A cciaierie Venete SpA – Corso Stati Uniti 4, 35127 Padova (Italy); Cavenago, Marco [INFN-LNL, v.le dell’Università 2, I-35020 Legnaro, PD (Italy); Serianni, Gianluigi; Veltri, Pierluigi; Bigi, Marco; Pasqualotto, Roberto; Barbisan, Marco; Recchia, Mauro; Zaniol, Barbara [Consorzio RFX, CNR, ENEA, INFN, Università di Padova, A cciaierie Venete SpA – Corso Stati Uniti 4, 35127 Padova (Italy); Kulevoy, Timour; Petrenko, Sergey [ITEP, B. Cheremushkinskaya 25, 117218 Moscow (Russian Federation); Baseggio, Lucio; Cervaro, Vannino; Agostini, Fabio Degli; Franchin, Luca; Laterza, Bruno [Consorzio RFX, CNR, ENEA, INFN, Università di Padova, A cciaierie Venete SpA – Corso Stati Uniti 4, 35127 Padova (Italy); Minarello, Alessandro [INFN-LNL, v.le dell’Università 2, I-35020 Legnaro, PD (Italy); Rossetto, Federico [Consorzio RFX, CNR, ENEA, INFN, Università di Padova, A cciaierie Venete SpA – Corso Stati Uniti 4, 35127 Padova (Italy); Sattin, Manuele [INFN-LNL, v.le dell’Università 2, I-35020 Legnaro, PD (Italy); Zucchetti, Simone [Consorzio RFX, CNR, ENEA, INFN, Università di Padova, A cciaierie Venete SpA – Corso Stati Uniti 4, 35127 Padova (Italy)


    Highlights: • Negative ion sources are key components of the neutral beam injectors. • The NIO1 experiment is a RF ion source, 60 kV–135 mA hydrogen negative ion beam. • NIO1 can contribute to beam extraction and optics thanks to quick replacement and upgrading of parts. • This work presents installation, status and first experiments results of NIO1. - Abstract: Negative ion sources are key components of the neutral beam injectors for thermonuclear fusion experiments. The NIO1 experiment is a radio frequency ion source generating a 60 kV–135 mA hydrogen negative ion beam. The beam is composed of nine beamlets over an area of about 40 × 40 mm{sup 2}. This experiment is jointly developed by Consorzio RFX and INFN-LNL, with the purpose of providing and optimizing a test ion source, capable of working in continuous mode and in conditions similar to those foreseen for the larger ion sources of the ITER neutral beam injectors. At present research and development activities on these ion sources still address several important issues related to beam extraction and optics optimization, to which the NIO1 test facility can contribute thanks to its modular design, which allows for quick replacement and upgrading of components. This contribution presents the installation phases, the status of the test facility and the results of the first experiments, which have demonstrated that the source can operate in continuous mode.

  3. Laguna Verde BWRs operational experience: steady-state fuel performance

    Cuevas V, G. F.; Bravo S, J. M. [Global Nuclear Fuel - Americas, 3901 Castle Hayne Road, Wilmington, 28401 North Carolina (United States); Casillas, J. L., E-mail: [General Electric Hitachi Nuclear Energy, 1989 Little Orchard St. Romm 239, San Jose, 95125 California (United States)


    The two BWR at Laguna Verde nuclear power station are finishing 21 and 15 years of continuous successful operation as of 2010. During Unit 1 and 2 commercial operations only Ge/GNF fuel designs have been employed; fuel lattice designs 8 x 8 and 10 x 10 were used at the reactor, with an original licensed thermal power (OLTP: 1931 MWt) and the reactor's first power up-rates of 5%. GNF fuel will be also used for the second EPU to reach 120% of OLTP in the near future. Thermal and gamma traversing in-core probes (Tip) are used for power monitoring purposes along with the Ge (now GNF-A) core monitoring system, 3-dimensional Monicore{sup TM}. GNF-A has also participated by preparing the core management plan that is regularly fine-tuned in collaboration with Comision Federal de Electricidad (CFE owner of the Laguna Verde reactors). For determination of thermal margins and eigenvalue prediction, GNF-A employs the NRC-licensed steady-state core simulator PANAC11. Tip comparisons are routinely used to adapt power distributions for a better thermal margin calculation. Over the years, several challenges have appeared in the near and long term fuel management planning such as increasing cycle length, optimization of the thermal margins, rated power increase, etc. Each challenge has been successfully overcome via operational strategy, code improvements and better fuel designs. This paper summarizes Laguna Verde Unit 1 and 2 steady-state performance from initial commercial operation, with a discussion of the nuclear and thermal-hydraulic design features, as well as of the operational strategies that set and interesting benchmark for future fuel applications, code development and operation of the BWRs. (Author)

  4. Tattoo removal by superficial dermabrasion. Five-year experience.

    Clabaugh, W A


    A 5-year clinical experience using superficial dermabrasion to remove tattoos is presented. This procedure can be done quickly in the office with low patient risk. Good pigment removal is obtained with little or no scar formation. Cases are presented which are typical of the 250 tattoos removed in the last 5 years.

  5. Operational Experience with a Cryogenic Axial-Centrifugal Compressor

    Decker, L; Löhlein, K; Purtschert, W; Ziegler, B L; Lebrun, P; Tavian, L; Brunovsky, I; Tucek, L


    The Large Hadron Collider (LHC), presently under construction at CERN, requires large refrigeration capacity at 1.8 K. Compression of gaseous helium at cryogenic temperatures is therefore inevitable. Together with subcontractors, Linde Kryotechnik has developed a prototype machine. This unit is based on a cryogenic axial-centrifugal compressor, running on ceramic ball bearings and driven by a variable-frequency electrical motor operating at ambient temperature. Integrated in a test facility for superconducting magnets the machine has been commissioned without major problems and successfully gone through the acceptance test in autumn 1995. Subsequent steps were initiated to improve efficiency of this prototype. This paper describes operating experience gained so far and reports on measured performance prior to and after constructional modifications.

  6. Tritium operating experience at the tritium laboratory Karlsruhe

    Doerr, L.; Bekris, N.; Besserer, U.; Glugla, M.; Hellriegel, W.; Penzhorn, R.D.; Rohrig, H.D.; Schubert, K.; Vollmer, T.; Wendel, J. [Karlsruhe Research Centre, Tritium Laboratory (Germany)


    The Tritium Laboratory Karlsruhe began operations with gram amounts of tritium in March 1995. Since then, the experimental facilities CAPRICE and PETRA have been routinely in operation. New experimental activities include the analysis of tritium in first wall materials of fusion devices and the development of methods for the detritiation of graphite and carbon fibre composite tiles. The experience gained with Tritium Retention Systems, with the Tritium Transfer System, with portable uranium getter beds and in this context with tritium accountancy is reported. The incorporation of a new Pd packed column into the Isotope Separation System, the increase in storage capacity of the Tritium Storage System, the improvements of the analytical instrumentation and some repair activities are also described. (authors)

  7. Status of SRNL radiological field lysimeter experiment-Year 1

    Kaplan, D. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Roberts, K. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Bagwell, L. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)


    The Savannah River National Laboratory (SRNL) Radiological Field Lysimeter Experiment is a one-of-a-kind field facility designed to study radionuclide geochemical processes at a larger spatial scale (from grams to tens of kilograms sediment) and temporal scale (from months to 10 years) than is readily afforded through laboratory studies. The lysimeter facility is intended to capture the natural heterogeneity of moisture and temperature regimes in the vadose zone, the unsaturated subsurface region between the surface soil and the underlying aquifer. The 48 lysimeter columns, which contain various radionuclides (and stable iodine), were opened to rainfall infiltration on July 5, 2012. The objective of this report is to provide a status of the lysimeter facility operations and to compile data collected during FY13, including leachate volume, rainfall, and soil moisture and temperature in situ probe data. Radiological leachate data are not presented in this document but will be the subject of a separate document.1 Leachate samples were collected quarterly and shipped to Clemson University for radiological analyses. Rainfall, leachate volume, moisture and temperature probe data were collected continuously. During operations of the facility this year, there were four safety or technical concerns that required additional maintenance: 1) radioactivity was detected in one of the overflow bottles (captured water collected from the secondary containment that does not come in contact with the radiological source material); 2) rainwater accumulated within the sample-bottle storage sheds; 3) overflow containers collected more liquid than anticipated; and 4) significant spider infestation occurred in the sample-bottle storage sheds. To address the first three concerns, each of the lysimeter columns was re-plumbed to improve and to minimize the number of joint unions. To address the fourth concern regarding spiders, new sample-bottle water sheds were purchased and a pest control

  8. Nevada Experiments and Operations Program (N Program) Management Plan

    Nattrass, L.; Anastasio, M.R.


    This plan briefly describes the Lawrence Livermore National Laboratory (LLNL) institutional structure and how Nevada Experiments and Operations Program (N Program's) organization fits within this structure, roles and responsibilities, and management processes that govern N Program activities. This plan also serves as the Integrated Safety Management (ISM) Implementation Plan for N Program work. This plan applies to all work performed by and for LLNL that falls under the oversight of DOE/NV except LLNL activities in support of the Yucca Mountain Project Office (YMPO).

  9. Operating experience 1993 in Swedish nuclear power plants



    For many years, the Swedish nuclear power plants had a very good track record, compared with the international average. This trend was broken in 1993. During the year, six power plants were shut down for extended periods of time, for different safety-related reasons. During the autumn, a reactor containment leak was detected during scheduled containment leak rate testing at Barsebaeck 2. The unit was shut down for extensive investigation and corrective action for the rest of the year. Ringhals 2 was shut down last six months of the year as crack indications were found in a weld next to a control rod penetration in the reactor vessel head. Extensive tests and analyses revealed that the crack originated from the manufacturing of the vessel head and was of minor importance to safety. Oskarshamn 1 was shut down the whole year. Cracks in cold bent pipes in the residual heat removal system and cracks in the feedwater riser pipes lead to extensive replacement of piping, including pipes inside the reactor vessel. Decontamination of the reactor vessel was successful and attracted world wide interest. A programme for plant status verification was started in order to establish long-term operating conditions. Replacement of the pipe insulation and the inlet strainers in the core and containment spray systems solved the problems with clogging at certain failures in Barsebaeck, Ringhals 1 and Oskarshamn 1 and 2. Six of the reactors had an extremely high availability, of about 90 per cent and more. By year end, eleven of the twelve reactors were in full power operation.

  10. Experiments in hand-operated, hypersonic shock tunnel facility

    Sudhiesh Kumar, Chintoo; Reddy, K. P. J.


    Experiments were conducted using the newly developed table-top, hand-operated hypersonic shock tunnel, otherwise known as the Reddy hypersonic shock tunnel. This novel instrument uses only manual force to generate the shock wave in the shock tube, and is designed to generate a freestream flow of Mach 6.5 in the test section. The flow was characterized using stagnation point pressure measurements made using fast-acting piezoelectric transducers. Schlieren visualization was also carried out to capture the bow shock in front of a hemispherical body placed in the flow. Freestream Mach numbers estimated at various points in the test section showed that for a minimum diameter of 46 mm within the test section, the value did not vary by more than 3 % along any cross-sectional plane. The results of the experiments presented here indicate that the device may be successfully employed for basic hypersonic research activities at the university level.

  11. Performance and Operation Experience of the ATLAS Semiconductor Tracker

    Gallop, B J


    We report on the operation and performance of the ATLAS Semi-Conductor Tracker (SCT), which has been functioning for 3 years in a high luminosity, high radiation environment. The SCT is constructed of 4088 silicon detector modules, for a total of 6.3 million strips. Each module operates as a stand-alone unit, mechanically, electrically, optically and thermally. The modules are mounted into two types of structures: one barrel, made of 4 cylinders, and two end-cap systems made of 9 disks. The SCT silicon micro-strip sensors are processed in the planar p-in-n technology. The signals are processed in the front-end ABCD3TA ASICs, which use a binary readout architecture. Data is transferred to the off-detector readout electronics via optical fibres. We find $99.3\\%$ of the SCT modules are operational, the noise occupancy and hit efficiency exceed the design specifications; the alignment is very close to the ideal to allow on-line track reconstruction and invariant mass determination. We will report on the operation...

  12. Performance and Operation Experience of the ATLAS Semiconductor Tracker

    Gallop, B J; The ATLAS collaboration


    We report on the operation and performance of the ATLAS Semi-Conductor Tracker (SCT), which has been functioning for 3 years in a high luminosity, high radiation environment. The SCT is constructed of 4088 silicon detector modules, for a total of 6.3 million strips. Each module operates as a stand-alone unit, mechanically, electrically, optically and thermally. The modules are mounted into two types of structures: one barrel, made of 4 cylinders, and two end-cap systems made of 9 disks. The SCT silicon micro-strip sensors are processed in the planar p-in-n technology. The signals are processed in the front-end ABCD3TA ASICs, which use a binary readout architecture. Data is transferred to the off-detector readout electronics via optical fibres. We find 99.3% of the SCT modules are operational, the noise occupancy and hit efficiency exceed the design specifications; the alignment is very close to the ideal to allow on-line track reconstruction and invariant mass determination. We will report on the operation an...

  13. Operating experience from Swedish nuclear power plants, 1999



    The total generation of electricity from Swedish nuclear power plants was 70.1 TWh during 1999, which is slightly more than the mean value for the last five years. The total electricity consumption decreased by one percent, compared with 1998, to a total of 142.3 TWh, due to an unusually warm summer and autumn. The abundant supply of hydroelectric power resulted in comparatively extensive load-following operation by the nuclear plants during the year. Production losses due to low demand totalled 3.0 TWh. The closure of Barsebaeck 1 will result in a capacity reduction exceeding 4 TWh per year. The hydroelectric power production was 70 TWh, which was 6 TWh more than during a normal year, i.e. a year with average rainfall. The remaining production sources, mainly from solid fuel plants combined with district heating contributed 9 TWh. Electricity generation by means of wind power is still increasing. There are now about 470 wind power stations, which produced 0.3 TWh during the year. The total electricity generation totalled 149.8 TWh, a three percent decrease compared with 1998. The preliminary figures for export were 15.9 TWh and for import 8.4 TWh. The figures above are calculated from the preliminary production result. A comprehensive report on electric power supply and consumption in Sweden is provided in the 1999 Annual Report from the Swedish Power Association. The unit capability factor for the PWRs at Ringhals averaged 91%, while the BWRs averaged 82% mainly due to the extended outages. The BWR reactors at Forsmark averaged as much as 93%. Forsmark 1 experienced the shortest refuelling outage ever in Sweden, only 9 days and 20 hours. In May, Oskarshamn 2 passed a historical milestone - the unit produced 100 TWh since connection to the grid in 1974. The final production day for Barsebaeck 1, which had been in commercial operation since 1975, was on November 30 when a decision by the Swedish Government revoked the operating licence. Three safety-related events

  14. PEACESAT (Pan Pacific Education and Communication Experiments by Satellite) Project Early Experience: The Design and Early Years of the First Educational Communication Satellite Experiment. Report 1.

    Hawaii Univ., Honolulu.

    The PEACESAT Project (Pan Pacific Education and Communication Experiments by Satellite) has been in daily operation for four years since April 1971. Initiated as an individual research project of a university faculty member, it has expanded to involve educational institutions in 12 countries or jurisdictions in the Pacific Basin. These…

  15. Experience Building and Operating the CMS Tier-1 Computing Centres

    Albert, M; Bonacorsi, D; Brew, C; Charlot, C; Huang, Chih-Hao; Colling, D; Dumitrescu, C; Fagan, D; Fassi, F; Fisk, I; Flix, J; Giacchetti, L; Gomez-Ceballos, G; Gowdy, S; Grandi, C; Gutsche, O; Hahn, K; Holzman, B; Jackson, J; Kreuzer, P; Kuo, C M; Mason, D; Pukhaeva, N; Qin, G; Quast, G; Rossman, P; Sartirana, A; Scheurer, A; Schott, G; Shih, J; Tader, P; Thompson, R; Tiradani, A; Trunov, A


    The CMS Collaboration relies on 7 globally distributed Tier-1 computing centres located at large universities and national laboratories for a second custodial copy of the CMS RAW data and primary copy of the simulated data, data serving capacity to Tier-2 centres for analysis, and the bulk of the reprocessing and event selection capacity in the experiment. The Tier-1 sites have a challenging role in CMS because they are expected to ingest and archive data from both CERN and regional Tier-2 centres, while they export data to a global mesh of Tier-2s at rates comparable to the raw export data rate from CERN. The combined capacity of the Tier-1 centres is more than twice the resources located at CERN and efficiently utilizing this large distributed resources represents a challenge. In this article we will discuss the experience building, operating, and utilizing the CMS Tier-1 computing centres. We will summarize the facility challenges at the Tier-1s including the stable operations of CMS services, the ability ...

  16. Geostationary Operational Environmental Satellite (GOES)-8 mission flight experience

    Noonan, C. H.; McIntosh, R. J.; Rowe, J. N.; Defazio, R. L.; Galal, K. F.


    The Geostationary Operational Environmental Satellite (GOES)-8 spacecraft was launched on April 13, 1994, at 06:04:02 coordinated universal time (UTC), with separation from the Atlas-Centaur launch vehicle occurring at 06:33:05 UTC. The launch was followed by a series of complex, intense operations to maneuver the spacecraft into its geosynchronous mission orbit. The Flight Dynamics Facility (FDF) of the Goddard Space Flight Center (GSFC) Flight Dynamics Division (FDD) was responsible for GOES-8 attitude, orbit maneuver, orbit determination, and station acquisition support during the ascent phase. This paper summarizes the efforts of the FDF support teams and highlights some of the unique challenges the launch team faced during critical GOES-8 mission support. FDF operations experience discussed includes: (1) The abort of apogee maneuver firing-1 (AMF-1), cancellation of AMF-3, and the subsequent replans of the maneuver profile; (2) The unexpectedly large temperature dependence of the digital integrating rate assembly (DIRA) and its effect on GOES-8 attitude targeting in support of perigee raising maneuvers; (3) The significant effect of attitude control thrusting on GOES-8 orbit determination solutions; (4) Adjustment of the trim tab to minimize torque due to solar radiation pressure; and (5) Postlaunch analysis performed to estimate the GOES-8 separation attitude. The paper also discusses some key FDF GOES-8 lessons learned to be considered for the GOES-J launch which is currently scheduled for May 19, 1995.

  17. Surgical treatment of chronic pancreatitis. Twenty-two years' experience.

    Traverso, L W; Tompkins, R K; Urrea, P T; Longmire, W P


    Seventy-four patients underwent operation for chronic pancreatitis during a 22 year period at UCLA Hospital. Follow-up data obtained for 60% of these patients an average of 3.2 years postoperation were analyzed by computer for statistically significant benefit between paired operation combinations and the variables of pain relief, stool habits, alcohol use, readmission for pancreatitis, and narcotic use. The combined group of total and cephalic pancreaticoduodenectomy proved more effective with respect to pain relief and readmission (p less than 0.05) than the group that had pseudocyst drainage. The comparison of groups that underwent resection or ductal drainage showed no statistical differences for the above variables. Regardless of type of operation, if the patient had evidence of pancreatic calcifications and had abstained from alcohol postoperatively, the likelihood of a return to normal activity was more favorable (p less than 0.05). PMID:485605

  18. Analysing the operative experience of basic surgical trainees in Ireland using a web-based logbook

    Lonergan, Peter E


    Abstract Background There is concern about the adequacy of operative exposure in surgical training programmes, in the context of changing work practices. We aimed to quantify the operative exposure of all trainees on the National Basic Surgical Training (BST) programme in Ireland and compare the results with arbitrary training targets. Methods Retrospective analysis of data obtained from a web-based logbook (http:\\/\\/ for all general surgery and orthopaedic training posts between July 2007 and June 2009. Results 104 trainees recorded 23,918 operations between two 6-month general surgery posts. The most common general surgery operation performed was simple skin excision with trainees performing an average of 19.7 (± 9.9) over the 2-year training programme. Trainees most frequently assisted with cholecystectomy with an average of 16.0 (± 11.0) per trainee. Comparison of trainee operative experience to arbitrary training targets found that 2-38% of trainees achieved the targets for 9 emergency index operations and 24-90% of trainees achieved the targets for 8 index elective operations. 72 trainees also completed a 6-month post in orthopaedics and recorded 7,551 operations. The most common orthopaedic operation that trainees performed was removal of metal, with an average of 2.90 (± 3.27) per trainee. The most common orthopaedic operation that trainees assisted with was total hip replacement, with an average of 10.46 (± 6.21) per trainee. Conclusions A centralised web-based logbook provides valuable data to analyse training programme performance. Analysis of logbooks raises concerns about operative experience at junior trainee level. The provision of adequate operative exposure for trainees should be a key performance indicator for training programmes.

  19. Celebrating 50 years of the CERN Computing Operations group

    Katarina Anthony


    Last week, former and current computing operations staff, managers and system engineers were reunited at CERN. They came together to celebrate a milestone not only for the IT Department but also for CERN: the 50th anniversary of the CERN Operations group and the 40th birthday of the Computer Centre.   The reunion was organised by former chief operator, Pierre Bénassi, and took place from 26 to 27 April. Among the 44 attendees were Neil Spoonley and Charles Symons, who together created the Operations group back in 1963. “At that time, working in the Operations group was a very physical job,” recalls former Operations Group Leader, David Underhill. “For that reason, many of the first operators were former firemen.” A few of the participants enjoyed a tour of CERN landmarks during their visit (see photo). The group toured the CERN Computing Centre (accompanied by IT Department Head, Frédéric Hemmer), as well as the ATLAS cav...

  20. Laparoscopic upper pole heminephroureterectomy in children: Seven-year experience

    Antonio Marte


    Full Text Available Background: Minimally invasive surgery is the current approach to perform heminephroureterectomy (HN in children. This can be obtained through a transperitoneal (TP or a retroperitoneal approach. Here, we report our experience using a TP approach. Materials and Methods: From 2005 to 2014, 22 TP laparoscopic upper poles HN were performed at our institution. There were nine girls and 13 boys aged between 20 months and 6 years (mean age 3.9. Eight patients were diagnosed prenatally, 17 patients presented with urinary tract infection (UTI and three with vomiting and failure to thrive. The indication for HN was reflux nephropathy and UTI in non-functioning upper pole in 19 patients and cystic dysplasia in 1 patient. The surgical technique involved the following steps: Cystoscopic recognition; positioning of 3-4 trocar (right HN; identification of the kidney (detachment of the colon; isolation and low ligation of the dilated ureter; decrossing from renal vessels; section of the parenchyma by LigaSure; haemostasis with clips and LigaSure; drain. Results: The mean operative time was 154 min (range: 81-220 min. All patients were discharged from the 2 nd to 4 th day. Neither major complication nor conversion was recorded. 1 patient presented leakage of urine for 7 days from the drainage which resolved spontaneously. At ultrasound follow-up, 5 patients showed a secondary perirenal cyst, 2-5 cm diameter that resolved spontaneously. Conclusion: The results indicate that laparoscopic upper pole heminephrectomy is the treatment of choice in cases of non-functioning dilated lower segments of duplicated kidneys. The use of laparoscopic approach offers a good working space, a good visual control of the vessels and allows a very low isolation of the ureteral stump which counterbalance the peritoneal violation.

  1. Integrating Renewable Generation into Grid Operations: Four International Experiences

    Weimar, Mark R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Mylrea, Michael E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Levin, Todd [Argonne National Lab. (ANL), Argonne, IL (United States); Botterud, Audun [Argonne National Lab. (ANL), Argonne, IL (United States); O' Shaughnessy, Eric [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States)


    International experiences with power sector restructuring and the resultant impacts on bulk power grid operations and planning may provide insight into policy questions for the evolving United States power grid as resource mixes are changing in response to fuel prices, an aging generation fleet and to meet climate goals. Australia, Germany, Japan and the UK were selected to represent a range in the level and attributes of electricity industry liberalization in order to draw comparisons across a variety of regions in the United States such as California, ERCOT, the Southwest Power Pool and the Southeast Reliability Region. The study draws conclusions through a literature review of the four case study countries with regards to the changing resource mix and the electricity industry sector structure and their impact on grid operations and planning. This paper derives lessons learned and synthesizes implications for the United States based on answers to the above questions and the challenges faced by the four selected countries. Each country was examined to determine the challenges to their bulk power sector based on their changing resource mix, market structure, policies driving the changing resource mix, and policies driving restructuring. Each countries’ approach to solving those changes was examined, as well as how each country’s market structure either exacerbated or mitigated the approaches to solving the challenges to their bulk power grid operations and planning. All countries’ policies encourage renewable energy generation. One significant finding included the low- to zero-marginal cost of intermittent renewables and its potential negative impact on long-term resource adequacy. No dominant solution has emerged although a capacity market was introduced in the UK and is being contemplated in Japan. Germany has proposed the Energy Market 2.0 to encourage flexible generation investment. The grid operator in Australia proposed several approaches to maintaining




    The Waste Assay for Nonradioactive Disposal (WAND) and the High Efficiency Radiation Counters for Ultimate Low Emission Sensitivity (HERCULES) prototype systems have been operating at Los Alamos National Laboratory's (LANL's) Solid Waste Operation's (SWO'S) non-destructive assay (NDA) building since 1997 and 1998, respectively. These systems are the cornerstone of the verification program for low-density Green is Clean (GIC) waste at the Laboratory. GIC waste includes all non-regulated waste generated in radiological controlled areas (RCAS) that has been actively segregated as clean (i.e., nonradioactive) through the use of waste generator acceptable knowledge (AK). The use of this methodology alters LANL's past practice of disposing of all room trash generated in nuclear facilities in radioactive waste landfills. Waste that is verified clean can be disposed of at the Los Alamos County Landfill. It is estimated that 50-90% of the low-density room trash from radioactive material handling areas at Los Alamos might be free of contamination. This approach avoids the high cost of disposal of clean waste at a radioactive waste landfill. It also reduces consumption of precious space in the radioactive waste landfill where disposal of this waste provides no benefit to the public or the environment. Preserving low level waste (LLW) disposal capacity for truly radioactive waste is critical in this era when expanding existing radioactive waste landfills or permitting new ones is resisted by regulators and stakeholders. This paper describes the operating experience with the WAND and HERCULES since they began operation at SWO. Waste for verification by the WAND system has been limited so far to waste from the Plutonium Facility and the Solid Waste Operations Facility. A total of461 ft3 (13.1 m3) of low-density shredded waste and paper have been verified clean by the WAND system. The HERCULES system has been used to verify waste from four Laboratory

  3. Rectovaginal fistula: a review of 11 years experience

    Shieh, C.J.; Gennaro, A.R.

    The records of 22 patients at Temple University Hospital with a diagnosis of rectovaginal fistula, from January 1970 to December 1980, were reviewed. The age at the time of diagnosis ranged from 18 to 75 years with an average of 47.3 years. Most had symptoms and signs which included fecal incontinence, flatus passage per vagina, tenesmus, distressing diarrhea and urinary tract infection. The majority of the fistulas were present for more than a year before the corrective operative procedure was attempted. The patients were divided into two groups: postirradiation fistulas and non-irradiation fistulas. The former resulted from the treatment of carcinoma of the cervix, urinary bladder, urethra, or rectum. The latter resulted from inflammatory bowel diseases, diverticulitis, or trauma from obstetric procedures. The former group were usually treated conservatively, either no operation or defunctioning colostomy. The latter group were treated more aggressively, either by direct repair or resection of the diseased segment.

  4. Mortality in perforated duodenal ulcer depends upon pre-operative risk: a retrospective 10-year study.

    Larkin, J O


    INTRODUCTION: Most patients presenting with acutely perforated duodenal ulcer undergo operation, but conservative treatment may be indicated when an ulcer has spontaneously sealed with minimal\\/localised peritoneal irritation or when the patient\\'s premorbid performance status is poor. We retrospectively reviewed our experience with operative and conservative management of perforated duodenal ulcers over a 10-year period and analysed outcome according to American Society of Anesthesiologists (ASA) score. METHODS: The records of all patients presenting with perforated duodenal ulcer to the Department of Surgery, Mayo General Hospital, between January 1998 and December 2007 were reviewed. Age, gender, co-morbidity, ASA-score, clinical presentation, mode of management, operative procedures, morbidity and mortality were considered. RESULTS: Of 76 patients included, 48 (44 operative, 4 conservative) were ASA I-III, with no mortality irrespective of treatment. Amongst 28 patients with ASA-score IV\\/V, mortality was 54.5% (6\\/11) following operative management and 52.9% (9\\/17) with conservative management. CONCLUSION: In patients with a perforated duodenal ulcer and ASA-score I-III, postoperative outcome is uniformly favourable. We recommend these patients have repair with peritoneal lavage performed, routinely followed postoperatively by empirical triple therapy. Given that mortality is equivalent between ASA IV\\/V patients whether managed operatively or conservatively, we suggest that both management options are equally justifiable.

  5. Performance and operation experience of the Atlas Semiconductor Tracker

    Liang, Z; The ATLAS collaboration


    We report on the operation and performance of the ATLAS Semi-Conductor Tracker (SCT), which has been functioning for 3 years in the high luminosity, high radiation environment of the Large Hadron Collider at CERN. We’ll also report on the few improvements of the SCT foreseen for the high energy run of the LHC. The SCT is constructed of 4088 silicon detector modules, for a total of 6.3 million strips. Each module operates as a stand-alone unit, mechanically, electrically, optically and thermally. The modules are mounted into two types of structures: one barrel, made of 4 cylinders, and two end-cap systems made of 9 disks. The SCT silicon micro-strip sensors are processed in the planar p-in-n technology. The signals are processed in the front-end ABCD3TA ASICs, which use a binary readout architecture. Data is transferred to the off-detector readout electronics via optical fibres. We find 99.3% of the SCT modules are operational, the noise occupancy and hit efficiency exceed the design specifications; the alig...

  6. Vietnam 1963-1973: Ten Years of Operational Contract Support


    determine which contractors operate within the market.29 This study uses the framework of the microeconomic phenomenon of monopsony to explain the...increases. Third, when the size of the military decreases, then the dependence on PMCs increases. In order to 27Edwin Mansfield, Microeconomics ...operates in an imbalanced market where the U.S. Government becomes the sole buyer on the demand side. This is a microeconomic phenomenon known as

  7. Ganges Valley Aerosol Experiment: Science and Operations Plan

    Kotamarthi, VR


    The Ganges Valley region is one of the largest and most rapidly developing sections of the Indian subcontinent. The Ganges River, which provides the region with water needed for sustaining life, is fed primarily by snow and rainfall associated with Indian summer monsoons. Impacts of changes in precipitation patterns, temperature, and the flow of the snow-fed rivers can be immense. Recent satellite-based measurements have indicated that the upper Ganges Valley has some of the highest persistently observed aerosol optical depth values. The aerosol layer covers a vast region, extending across the Indo-Gangetic Plain to the Bay of Bengal during the winter and early spring of each year. The persistent winter fog in the region is already a cause of much concern, and several studies have been proposed to understand the economic, scientific, and societal dimensions of this problem. During the INDian Ocean EXperiment (INDOEX) field studies, aerosols from this region were shown to affect cloud formation and monsoon activity over the Indian Ocean. This is one of the few regions showing a trend toward increasing surface dimming and enhanced mid-tropospheric warming. Increasing air pollution over this region could modify the radiative balance through direct, indirect, and semi-indirect effects associated with aerosols. The consequences of aerosols and associated pollution for surface insolation over the Ganges Valley and monsoons, in particular, are not well understood. The proposed field study is designed for use of (1) the ARM Mobile Facility (AMF) to measure relevant radiative, cloud, convection, and aerosol optical characteristics over mainland India during an extended period of 9–12 months and (2) the G-1 aircraft and surface sites to measure relevant aerosol chemical, physical, and optical characteristics in the Ganges Valley during a period of 6–12 weeks. The aerosols in this region have complex sources, including burning of coal, biomass, and biofuels; automobile

  8. Special Operations of CERES for Radiation Experiment Tests (SOCRATES)

    Szewczyk, Z. Peter

    of both instruments were adjusted to align with the minor plane (orthogonal to the solar plane at local noon). Data for comparison were collected at each node with the focus on Greenland as the target for SW comparison. This experiment is repeated every year during summer solstice to monitor CERES Terra and Aqua consistency. (iv) Geostationary Earth Radiation Budget (GERB) instruments aboard the MeteoSat-8 and 9 spacecraft use arrays with 256 detectors each to measure the reflected solar radiation and Earth emitted radiation. It generates an Earth radiation snapshot every 15 minutes. Since 2004, CERES (FM2) scanner on Terra has made measurements of the same radiances by matching the GERB-2 and then GERB-1 Earth viewing geometry. These special data collection campaigns have been performed during summer and winter solstice periods. Daily, up to five Terra passes are in the view of GERB, and data collected by FM2 are used to compare the GERB detectors with each other using the CERES as a transfer radiometer. In addition, the CERES/GERB comparison is done on geolocated gridboxes.

  9. Operational experience during initial beam commissioning of the LHC

    Fuchsberger, K; Arduini, G; Assmann, R; Bailey, R; Bruning, O; Goddard, B; Kain, V; Lamont, M; MacPherson, A; Meddahi, M; Papotti, G; Pojer, M; Ponce, L; Redaelli, S; Solfaroli Camillocci, M; Venturini Delsolaro, W; Wenninger, J


    After the incident on the 19th September 2008 and more than one year without beam the commissioning of the LHC started again on November 20, 2009. Progress was rapid and collisions under stable beam conditions were established at 1.2 TeV within 3 weeks. In 2010 after qualification of the new quench protection system the way to 3.5 TeV was open and collision were delivered at this energy after a month of additional commissioning. This paper describes the experiences and issues encountered during these first periods of commissioning with beam.

  10. The Applied Meteorology Unit: Nineteen Years Successfully Transitioning Research into Operations for America's Space Program

    Madura, John T.; Bauman, William H.; Merceret, Francis J.; Roeder, William P.; Brody, Frank C.; Hagemeyer, Bartlett C.


    The Applied Meteorology Unit (AMU) provides technology transition and technique development to improve operational weather support to the Space Shuttle and the entire American space program. The AMU is funded and managed by NASA and operated by a contractor that provides five meteorologists with a diverse mix of advanced degrees, operational experience, and associated skills including data processing, statistics, and the development of graphical user interfaces. The AMU's primary customers are the U.S. Air Force 45th Weather Squadron at Patrick Air Force Base, the National Weather Service Spaceflight Meteorology Group at NASA Johnson Space Center, and the National Weather Service Melbourne FL Forecast Office. The AMU has transitioned research into operations for nineteen years and worked on a wide range of topics, including new forecasting techniques for lightning probability, synoptic peak winds,.convective winds, and summer severe weather; satellite tools to predict anvil cloud trajectories and evaluate camera line of sight for Space Shuttle launch; optimized radar scan strategies; evaluated and implemented local numerical models; evaluated weather sensors; and many more. The AMU has completed 113 projects with 5 more scheduled to be completed by the end of 2010. During this rich history, the AMU and its customers have learned many lessons on how to effectively transition research into operations. Some of these lessons learned include collocating with the operational customer and periodically visiting geographically separated customers, operator submitted projects, consensus tasking process, use of operator primary advocates for each project, customer AMU liaisons with experience in both operations and research, flexibility in adapting the project plan based on lessons learned during the project, and incorporating training and other transition assistance into the project plans. Operator involvement has been critical to the AMU's remarkable success and many awards

  11. First Year Experience: How We Can Better Assist First-Year International Students in Higher Education

    Yan, Zi; Sendall, Patricia


    While many American colleges and universities are providing a First Year Experience (FYE) course or program for their first year students, those programs are not often customized to take into account international students' (IS) unique challenges. Using quantitative and qualitative methods, this study evaluated a FYE course that was customized for…

  12. Surgical treatment of aortic valve endocarditis: a 26-year experience

    Taylan Adademir


    Full Text Available Objective: We have retrospectively analyzed the results of the operations made for aortic valve endocarditis in a single center in 26 years. Methods: From June 1985 to January 2011, 174 patients were operated for aortic valve endocarditis. One hundred and thirty-eight (79.3% patients were male and the mean age was 39.3±14.4 (9-77 years. Twenty-seven (15.5% patients had prosthetic valve endocarditis. The mean duration of follow-up was 7.3±4.2 years (0.1-18.2 adding up to a total of 1030.8 patient/years. Results: Two hundred and eighty-two procedures were performed. The most frequently performed procedure was aortic valve replacement with mechanical prosthesis (81.6%. In-hospital mortality occurred in 27 (15.5% cases. Postoperatively, 25 (14.4% patients had low cardiac output and 17 (9.8% heart block. The actuarial survival rates for 10 and 15 years were 74.6±3.7% and 61.1±10.3%, respectively. In-hospital mortality was found to be associated with female gender, emergency operation, postoperative renal failure and low cardiac output. The long term mortality was significantly associated with mitral valve involvement. Male gender was found to be a significant risk factor for recurrence in the follow-up. Conclusion: Surgery for aortic valve endocarditis has significant mortality. Emergency operation, female gender, postoperative renal failure and low cardiac output are significant risk factors. Risk for recurrence and need for reoperation is low.

  13. Operational Experience with the ATLAS Pixel Detector at LHC

    Keil, M


    The ATLAS Pixel Detector is the innermost detector of the ATLAS experiment at the Large Hadron Collider at CERN, providing high-resolution measurements of charged particle tracks in the high radiation environment close to the collision region. This capability is vital for the identification and measurement of proper decay times of long-lived particles such as b-hadrons, and thus crucial for the ATLAS physics program. The detector provides hermetic coverage with three cylindrical layers and three layers of forward and backward pixel detectors. It consists of approximately 80 million pixels that are individually read out via front-end chips bump-bonded to 1744 n-on-n silicon substrates. In this paper results from the successful operation of the Pixel Detector at the LHC will be presented, including calibration procedures, detector performance and measurements of radiation damage. The detector performance is excellent: more than 95% of the pixels are operational, noise occupancy and hit efficiency exceed the des...

  14. Avoiding Human Error in Mission Operations: Cassini Flight Experience

    Burk, Thomas A.


    Operating spacecraft is a never-ending challenge and the risk of human error is ever- present. Many missions have been significantly affected by human error on the part of ground controllers. The Cassini mission at Saturn has not been immune to human error, but Cassini operations engineers use tools and follow processes that find and correct most human errors before they reach the spacecraft. What is needed are skilled engineers with good technical knowledge, good interpersonal communications, quality ground software, regular peer reviews, up-to-date procedures, as well as careful attention to detail and the discipline to test and verify all commands that will be sent to the spacecraft. Two areas of special concern are changes to flight software and response to in-flight anomalies. The Cassini team has a lot of practical experience in all these areas and they have found that well-trained engineers with good tools who follow clear procedures can catch most errors before they get into command sequences to be sent to the spacecraft. Finally, having a robust and fault-tolerant spacecraft that allows ground controllers excellent visibility of its condition is the most important way to ensure human error does not compromise the mission.

  15. Industrial operating experience of the GTE ceramic recuperator

    Gonzalez, J.M.; Ferri, J.L. (GTE Products Corp., Towanda, PA (USA)); Rebello, W.J. (PAR Enterprises, Inc., Fairfax, VA (USA))


    GTE Products Corporation, under a jointly funded program with the US Department of Energy (DOE), developed a compact ceramic high temperature recuperator that could recover heat from a relatively clean exhaust gases at temperatures up to of 2500{degree}F. The DOE program was very successful in that it allowed GTE to improve the technical and economic characteristics of the recuperator and stimulate industrial acceptance of the recuperator as an energy- saving technology. The success of the DOE Program was measured by the fact that from January 1981 to December 1984, 561 recuperators were installed by GTE on new or retrofitted furnaces. One objective of this contract was to conduct a telephone survey of the industrial plants that use the recuperator to determine their operating experience, present status, and common problems, and thus to complete the historical picture. Additionally, recuperators were returned to GTE after operating on industrial furnaces, and a post mortem'' analysis was undertaken with a goal of identifying the potential reason(s) for premature failure of the ceramic matrix. When contamination of the matrix was evident, historical data and spectrographic analysis were used to identify the type of contaminant, and its source. This effort has shown the type of degradation that occurs and has identified system design techniques that can be used to maximize the ceramic recuperator life cycle. 12 refs., 14 figs., 13 tabs.

  16. First Year Teaching Experiences of Early Childhood Urban Teachers.

    Guyton, Edith

    The first-year teaching experiences of urban teachers were studied to conceptualize the reality faced by urban teachers and to determine the implications of the urban environment for teacher education. Subjects were four graduates of a teacher education program that gave no particular attention to the urban context beyond placement for student…

  17. The First-Year Experience in Community Colleges

    Bers, Trudy; Younger, Donna


    This chapter will examine characteristics of first-year experience programs in community colleges, with specific attention to the extant research about their effectiveness, the ways in which research and program delivery can be integrated, and the unique challenges of delivering FYE programs and conducting research about them in community colleges.

  18. 15 years of experience with mechatronics research and education

    van Amerongen, J.


    This paper describes the experiences with mechatronic research projects and several educational structures in the University of Twente since 1989. Education took place in a two-year Mechatronic Designer programme, in specialisations in Electrical and Mechanical Engineering and in an (international)

  19. Primary Care Psychologists in the Netherlands: 30 Years of Experience

    Derksen, J.J.L.


    The primary care psychologist (PCP) in the Netherlands has 30 years of experience. The PCP is a generalist who, in close cooperation with the family physician and other providers of primary health care, has a mindset and manner of working that is largely determined by the context in which the PCP

  20. Outcomes of Synergetic Peer Assessment: First-Year Experience

    Hodgson, Paula; Chan, Kitty; Liu, Justina


    Active participation in learning activities and reviewing assessment activity can facilitate learners engaged in these processes. This case study reports student experiences of the process of peer assessment with teacher guidance in a group project for a first-year nursing course with 153 students. Twenty groups of students were assigned roles in…

  1. Freshmen Marketing: A First-Year Experience with Experiential Learning

    Greene, Henry


    This paper describes an experiential learning activity designed for a New England university freshmen course, BUS101-Marketing First-Year Experience (FYE). The purpose of the activity is to teach basic principles of marketing, develop a general perspective of business, and provide FYE activities that facilitate the college transition. The specific…

  2. Primary Care Psychologists in the Netherlands: 30 Years of Experience

    Derksen, J.J.L.


    The primary care psychologist (PCP) in the Netherlands has 30 years of experience. The PCP is a generalist who, in close cooperation with the family physician and other providers of primary health care, has a mindset and manner of working that is largely determined by the context in which the PCP wo

  3. Freshmen Marketing: A First-Year Experience with Experiential Learning

    Greene, Henry


    This paper describes an experiential learning activity designed for a New England university freshmen course, BUS101-Marketing First-Year Experience (FYE). The purpose of the activity is to teach basic principles of marketing, develop a general perspective of business, and provide FYE activities that facilitate the college transition. The specific…

  4. 15 years of experience with mechatronics research and education

    Amerongen, van Job


    This paper describes the experiences with mechatronic research projects and several educational structures in the University of Twente since 1989. Education took place in a two-year Mechatronic Designer programme, in specialisations in Electrical and Mechanical Engineering and in an (international)

  5. Operational experience of HR AVI Amsterdam; Erste Betriebserfahrungen der HR AVI, Amsterdam

    Wandschneider, Joern [wandschneider + gutjahr ingenieurgesellschaft mbH, Hamburg (Germany)


    The HR-AVI (which derives from ''high efficiency waste treatment plant'' in Dutch) in Amsterdam is the first waste fired power plant worldwide to demonstrate more than 30 % net electrical efficiency. This was in fact the target when designing the plant; it thus features a number of innovations. The HR-AVI is in operation since September 2007, and two years of operational experience are available for evaluation. The first year was marked by a number of extraordinary difficulties that could not have been anticipated in this form, and which bear no significance on the plant efficiency. In particular, the break-age of the generator shaft led to a turbine outage for a lengthy period, resulting in operating modes that had not been intended continuously. It proved that the plant is able to meet the efficiency require ment with ease. But some problems evolved when operating the complex systems in automatic or manual control. Moreover, the maximum electrical efficiency is a diver ging requirement with regard to the maximum refuse through put, if the turbine including peripherals is not always fully available. A display is installed in the control room to indicate the current efficiency. Unfortunately, there are no operational means to compensate for losses in that efficiency figure. The remaining task is to optimize both the operation and the reliability of the water and steam cycle, meaning to produce more of the built-in efficiency in the actually practiced day to day operation. (orig.)

  6. The performance of the Barrel CRID at the SLD: Long-term operational experience

    Abe, K. [Tohoku Univ., Sendai (Japan); Ashford, V.; Aston, D. [Stanford Univ., CA (US). Stanford Linear Accelerator Center] [and others


    The Barrel CRID detector has been operating successfully at SLD for the past 7 years. It is an important tool for SLD physics analyses. The authors report results based on long term operational experience of a number of important quantities such as the Cherenkov quality factor, N{sub o}, of the device, fluid transparency, electron lifetime, single electron detection efficiency, anode wire aging, TMAE purity, long term stability of the gas refraction index, liquid radiator transparency, Cherenkov angle resolution and the number of photoelectrons observed per ring.

  7. The mandala: first-year undergraduate nursing students' learning experiences.

    Mahar, Diane J; Iwasiw, Carroll L; Evans, Marilyn K


    The mandala is a circular art form used by psychologists to access subconscious thought through symbolism and it has recently been adopted by nurse educators as a learning strategy for self-awareness. The lived experiences of six first-year undergraduate nursing students who completed a mandala assignment for emotional learning were explored using hermeneutic phenomenology. Participants experiences diverged from their original expectations that the mandala assignment would allow for a fun and free expression of 'self'. Participants did describe experiences of self-discovery; however, their experiences also resembled those associated with socialization in nursing education. Participants described both self-reflection and critical-reflection while completing the mandala assignment. Nurse educators and researchers can gain insight regarding the use of this assignment as an integrated transformative learning approach for emotional learning.

  8. Engineering development of a digital replacement protection system at an operating US PWR nuclear power plant: Installation and operational experiences

    Miller, M.H. [Duke Power Co., Seneca, SC (United States)


    The existing Reactor Protection Systems (RPSs) at most US PWRs are systems which reflect 25 to 30 year-old designs, components and manufacturing techniques. Technological improvements, especially in relation to modern digital systems, offer improvements in functionality, performance, and reliability, as well as reductions in maintenance and operational burden. The Nuclear power industry and the US nuclear regulators are poised to move forward with the issues that have slowed the transition to modern digital replacements for nuclear power plant safety systems. The electric utility industry is now more than ever being driven by cost versus benefit decisions. Properly designed, engineered, and installed digital systems can provide adequate cost-benefit and allow continued nuclear generated electricity. This paper describes various issues and areas related to an ongoing RPS replacement demonstration project which are pertinant for a typical US nuclear plant to consider cost-effective replacement of an aging analog RPS with a modern digital RPS. The following subject areas relative to the Oconee Nuclear Station ISAT{trademark} Demonstrator project are discussed: Operator Interface Development; Equipment Qualification; Validation and Verification of Software; Factory Testing; Field Changes and Verification Testing; Utility Operational, Engineering and Maintenance; Experiences with Demonstration System; and Ability to operate in parallel with the existing Analog RPS.

  9. MagLev Cobra: Test Facilities and Operational Experiments

    Sotelo, G. G.; Dias, D. H. J. N.; de Oliveira, R. A. H.; Ferreira, A. C.; De Andrade, R., Jr.; Stephan, R. M.


    The superconducting MagLev technology for transportation systems is becoming mature due to the research and developing effort of recent years. The Brazilian project, named MagLev-Cobra, started in 1998. It has the goal of developing a superconducting levitation vehicle for urban areas. The adopted levitation technology is based on the diamagnetic and the flux pinning properties of YBa2Cu3O7-δ (YBCO) bulk blocks in the interaction with Nd-Fe-B permanent magnets. A laboratory test facility with permanent magnet guideway, linear induction motor and one vehicle module is been built to investigate its operation. The MagLev-Cobra project state of the art is presented in the present paper, describing some construction details of the new test line with 200 m.

  10. Estimating the cost of operating cancer registries: Experience in Colombia.

    de Vries, Esther; Pardo, Constanza; Arias, Nelson; Bravo, Luis Eduardo; Navarro, Edgar; Uribe, Claudia; Yepez, María Clara; Jurado, Daniel; Garci, Luz Stella; Piñeros, Marion; Edwards, Patrick; Beebe, Maggie Cole; Tangka, Florence; Subramanian, Sujha


    Maintaining population-based registries requires adequate and sustained resources; however, to date there has been no systematic evaluation to identify the resource needs for cancer registration in most countries, including Colombia. A systematic assessment of the costs can quantify the funding required and identify processes to improve efficiency of cancer registries. The Centers for Disease Control and Prevention's (CDC's) International Registry Costing Tool (IntRegCosting Tool) was tailored specifically for the Colombian registries and was used to collect resource use data from five regional population-based cancer registries: Barranquilla, Bucaramanga, Cali, Manizales, and Pasto. The registries provided cost data for the year 2013 and cancer cases corresponding to the year 2010. We identified an almost threefold variation in the average cost per case (77,932 to 214,082 Colombian pesos or US $41 to US $113 in 2013) across the registries, but there were also substantial differences in data collection approaches, types of data collected, and activities performed. Cost per inhabitant varied between 95 and 415 Colombian pesos (US $0.05 to US $0.22). Between 20% and 45% of the total cost was due to fixed cost activities. The detailed economic information presented in this study constitutes a valuable source of activity-based cost data that registries can use to compare operations, assess key factors that lead to differences in cost per case, and identify potential approaches to improve efficiencies. Furthermore, the knowledge gained from studying the Colombian registries can help inform the planning and operations of other registries in the region. Published by Elsevier Ltd.

  11. 42 CFR 412.71 - Determination of base-year inpatient operating costs.


    ... Costs § 412.71 Determination of base-year inpatient operating costs. (a) Base-year costs. (1) For each...) Modifications to base-year costs. Prior to determining the hospital-specific rate, the intermediary will adjust the hospital's estimated base-year inpatient operating costs, as necessary, to include...

  12. Treatment of rectal prolapse in children with cow milk injection sclerotherapy: 30-year experience

    Zganjer, Mirko; Cizmic, Ante; Cigit, Irenej; Zupancic, Bozidar; Bumci, Igor; Popovic, Ljiljana; Kljenak, Antun


    AIM: To evaluate the role and our experience of injection sclerotherapy with cow milk in the treatment of rectal prolapse in children. METHODS: In the last 30 years (1976-2006) we made 100 injections of sclerotherapy with cow milk in 86 children. In this study we included children who failed to respond to conservative treatment and we perform operative treatment. RESULTS: In our study we included 86 children and in all of the patients we perform cow milk injection sclerotherapy. In 95.3% (82 children) of patients sclerotherapy was successful. In 4 (4.7%) patients we had recurrent rectal prolapse where we performed operative treatment. Below 4 years we had 62 children (72%) and 24 older children (28%). In children who needed operative treatment we performed Thiersch operation and without any complications. CONCLUSION: Injection sclerotherapy with cow milk for treatment rectal prolapse in children is a simple and effective treatment for rectal prolapse with minimal complications. PMID:18205264

  13. Sling for correcting uterine prolapse: twelve years experience.

    Khanam, R A; Rubaiyat, A; Azam, M S


    Pelvic organ prolapse is a common morbidity among Bangladeshi women. Both patient and surgeon prefer vaginal hysterectomy for the treatment of this condition and occasionally they choose Fothergill's operation. Uterine suspension is suitable for the young women to preserve the uterus. This observational study was carried out in three teaching hospitals and two other non government hospitals for the period of 12 years among 280 patients with 1st, 2nd and 3rd degree uterine prolapse. Follow up done at 6th week , 6th month, 1st year, 5th year, 10th year and 12th year for recurrence of prolapse, dragging pain and dyspareunia. Among 280 patients >60% patients were of 26-30 years age group. In last follow up at 12th year 2(0.71%) women complained feeling of some descend of uterus, 1(0.36%) complained dragging pain in abdomen and I (0.36%) complained dyspareunia. All patients expressed satisfaction which indicates psychological well being. Uterine sling is an effective procedure to save uterus in young women to improve their quality of life.

  14. Dez anos de experiência com cirurgia micrográfica pelo método de Munique: relato de 93 casos operados A ten-year experience with the Munich method of micrographic surgery: a report of 93 operated cases

    Luis Fernando Figueiredo Kopke


    . METHODS: Ninety-three patients with a total of 96 skin tumors were treated with the Munich method of micrographic surgery, taking part in a follow-up protocol, from May 1994 through July 2004. RESULTS: Of all tumors, 61.4% were recurrent, 42.3% were recurrent more than once, and 53% were of the sclerodermiform type. The mean larger diameter was 1.58cm, and the mean smaller diameter was 1.10cm. In 95% of the cases, total extirpation of the tumor was obtained in three stages. The most common site was nasal (46.3%, followed by periocular (18.9% and frontal (11.5%. Two patients were lost in follow-up. Of the 96 operated tumors, only 11 had a follow-up time shorter than 2 years. Fifty-six patients were followed for at least 5 years, and 45 (47.3% for over 6 years. A single relapse was observed, which took place in the sixth year of observation. CONCLUSION: The Munich method is an efficient method of micrographic surgery, as good as the Mohs method. This study provides further evidence that the concept of micrographic surgery must be broadened to surgical excision with microscopic margin control, rather than linking it exclusively to the term "Mohs micrographic surgery".

  15. Operating experience from Swedish nuclear power plants, 2000



    From a safety point of view, 2000 was - as were previous years - satisfactory. Total electricity production from the Swedish nuclear power stations amounted to 54.2 TWh, which was over 20% less than the 70.2 TWh produced in 1999. The two main reasons for the reduction were the closure of Barsebaeck 1 on 1st December 1999, and the cutback in output from all reactors due to the particularly good availability of hydro power in 2000. Some reactors were even shut down completely as a result of the low power demand, which has not happened previously. The quantity of unutilised production capacity as a result of these reductions amounted to 11.6 TWh. Costdown operation prior to the annual overhaul shutdowns, which makes better use of the fuel, represented a further 2.1 TWh of unutilised capacity. The average energy availability of the three PWRs at Ringhals was 82.0%, while that of the eight BWRs was 84.2%. Forsmark 3, Ringhals 3 and Oskarshamn 3 all had average availabilities of over 90%. Of five events with safety implications that occurred in the plants during the year, three are described under Special Reporting. One of them relates to the crack indications in welds that were found in an American PWR in the autumn, and which were subsequently also found in Ringhals 4.

  16. "Smart" Magnetic Fluids Experiment Operated on the International Space Station

    Agui, Juan H.; Lekan, Jack F.


    InSPACE is a microgravity fluid physics experiment that was operated on the International Space Station (ISS) in the Microgravity Science Glovebox from late March 2003 through early July 2003. (InSPACE is an acronym for Investigating the Structure of Paramagnetic Aggregates From Colloidal Emulsions.) The purpose of the experiment is to obtain fundamental data of the complex properties of an exciting class of smart materials termed magnetorheological (MR) fluids. MR fluids are suspensions, or colloids, comprised of small (micrometer-sized) superparamagnetic particles in a nonmagnetic medium. Colloids are suspensions of very small particles suspended in a liquid. (Examples of other colloids are blood, milk, and paint.) These controllable fluids can quickly transition into a nearly solid state when exposed to a magnetic field and return to their original liquid state when the magnetic field is removed. Controlling the strength of the magnetic field can control the relative stiffness of these fluids. MR fluids can be used to improve or develop new seat suspensions, robotics, clutches, airplane landing gear, and vibration damping systems. The principal investigator for InSPACE is Professor Alice P. Gast of the Massachusetts Institute of Technology (MIT). The InSPACE hardware was developed at the NASA Glenn Research Center. The InSPACE samples were delivered to the ISS in November 2002, on the Space Shuttle Endeavour, on Space Station Utilization Flight UF-2/STS113. Operations began on March 31, 2003, with the processing of three different particle size samples at multiple test parameters. This investigation focused on determining the structural organization of MR colloidal aggregates when exposed to a pulsing magnetic field. On Earth, the aggregates take the shape of footballs with spiky tips. This characteristic shape may be influenced by the pull of gravity, which causes most particles initially suspended in the fluid to sediment, (i.e., settle and collect at the

  17. Infective Endocarditis With Paravalvular Extension: 35-Year Experience.

    Rouzé, Simon; Flécher, Erwan; Revest, Matthieu; Anselmi, Amedeo; Aymami, Marie; Roisné, Antoine; Guihaire, Julien; Verhoye, Jean Philippe


    We investigated our surgical strategy and clinical results in patients from active infective endocarditis (AIE) complicated by paravalvular involvement to determine the risk factors of early and late death and reoperation. From October 1979 to December 2014, 955 patients underwent operations for AIE; among them 207 had AIE with paravalvular extension. The patients were a mean age of 59.9 ± 15.4 years, and 162 (78%) were male. Of these patients, 137 (66%) had isolated aortic valve endocarditis, and 138 (67%) had native valve endocarditis. Follow-up was 99% complete. The operative mortality of the cohort was 16% (n = 34). Abnormal communication, mechanical valve implantation, and renal failure were independent predictors of 30-day death. Survival at 1, 5, 10, and 15 years was 90.3% ± 2.3%, 62.4% ± 3.7%, 49.3% ± 4.1%, and 37.9% ± 4.4%, respectively. Streptococcus endocarditis (all species), complex annular repair, and preoperative heart failure were independent predictors of long-term death. A reoperation was required in 29 patients (14%). Streptococcus pneumoniae endocarditis was the only independent predictor of early reoperation (within 30 days after the operation or during the same hospitalization). Freedom from reoperation at 1, 5, 10, and 15 years was 91.9% ± 2.2%, 89.6% ± 2.6%, 89.6% ± 2.6%, and 87.0% ± 3.5%, respectively. Independent predictors of late reoperation were urgent/emergency operation, prosthetic valve endocarditis, and complex annular repair. AIE complicated by paravalvular involvement remains a surgical challenge. Valve replacement (particularly using bioprosthesis) associated with ad hoc reconstruction seems to be a reliable option and showed very encouraging results in this context. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  18. [Percutaneous transluminal angioplasty (PTA), 10 years of experience].

    Estevan Solano, J M; García-Cosío, J; Rodríguez, E; Barreiro, A; Maynar, M


    Authors present their experiences during 10 years (1980-89) with the treatment of peripheral arteriopathies with the ATP. Between a total of 455 procedures, an accumulative permeability of 82% in the iliac sector and 71% in the femoro-popliteal sector in elective indications was reached. The total availability of this therapeutic method, the accurate selection of indications and the valious cooperation between Angioradiology and Vascular Surgery Departments should be noted.

  19. Medication Errors In Relation To Education & Years of Nursing Experience


    Medication error is defined as any preventable event that might cause or lead to an inappropriate use orharming of the patient. The purpose of this study was to determine the relationship between the level ofeducation and medication errors; years of work experience and medication errors. With a betterunderstanding of these relationships, nursing professionals can learn what characteristics tend to make anurse prone to medication errors and can develop methods and procedures to reduce incidenc...

  20. AH-64 IHADSS aviator vision experiences in Operation Iraqi Freedom

    Hiatt, Keith L.; Rash, Clarence E.; Harris, Eric S.; McGilberry, William H.


    Forty AH-64 Apache aviators representing a total of 8564 flight hours and 2260 combat hours during Operation Iraqi Freedom and its aftermath were surveyed for their visual experiences with the AH-64's monocular Integrated Helmet and Display Sighting System (IHADSS) helmet-mounted display in a combat environment. A major objective of this study was to determine if the frequencies of reports of visual complaints and illusions reported in the previous studies, addressing mostly benign training environments, differ in the more stressful combat environments. The most frequently reported visual complaints, both while and after flying, were visual discomfort and headache, which is consistent with previous studies. Frequencies of complaints after flying in the current study were numerically lower for all complaint types, but differences from previous studies are statistically significant only for visual discomfort and disorientation (vertigo). With the exception of "brownout/whiteout," reports of degraded visual cues in the current study were numerically lower for all types, but statistically significant only for impaired depth perception, decreased field of view, and inadvertent instrumental meteorological conditions. This study also found statistically lower reports of all static and dynamic illusions (with one exception, disorientation). This important finding is attributed to the generally flat and featureless geography present in a large portion of the Iraqi theater and to the shift in the way that the aviators use the two disparate visual inputs presented by the IHADSS monocular design (i.e., greater use of both eyes as opposed to concentrating primarily on display imagery).

  1. The experience of building and operating COMPASS RICH-1

    Birsa, R; Rocco, E; Schiavon, P; Kramer, D; Schroder, W; Dafni, T; Tessarotto, F; Bressan, A; Schill, C; Deschamps, H; Mann, A; Sozzi, F; Colantoni, M; Dibiase, N; Abbon, P; Svec, M; Delagnes, E; Ketzer, B; Joosten, R; Steiger, L; Ciliberti, P; Konigsmann, K; Maggiora, A; Kolosov, V N; Giorgi, M; Sbrizzai, G; Nahle, O; Kunne, F; Sulc, M; Teufel, A; Paul, S; Neyret, D; Rebourgeard, P; Menon, G; Dalla Torre, S; Hagemann, R; Slunecka, M; Martin, A; Magnon, A; Takekawa, S; Finger, M; Bradamante, F; Heinsius, F H; Nerling, F; Gerassimov, S; Polak, J; Alexeev, M; Pizzolotto, C; Chiosso, M; Gobbo, B; Angerer, H; Denisov, O; Ferrero, A; Baum, G; Franco, C; Lehmann, A; Bordalo, P; Duic, V; Konorov, I; Mutter, A; Levorato, S; Robinet, F; von Harrach, D; Fischer, H; Schoenmeier, P; Pesaro, G; Wollny, H; Panzieri, D


    COMPASS RICH-1 is a large size gaseous Imaging Cherenkov Detector providing hadron identification in the range from 3 to 55 GeV/c, in the wide acceptance spectrometer of the COMPASS Experiment at CERN SPS. It uses a 3 m long C(4)F(10) radiator, a 21 m(2) large VUV mirror surface and two kinds of photon detectors: MAPMTs and MWPCs with CsI photocathodes, covering a total of 5.5 m(2). It is in operation since 2002 and its performance has increased in time thanks to progressive optimization and mostly to a major upgrade which was implemented in 2006. The main characteristics of COMPASS RICH-1 components are described and some specific aspects related to the radiator gas system, the mirror alignment, the MWPC electrical stability and the readout electronics are discussed. Some key features of the event reconstruction and the PID analysis are presented together with results from the COMPASS RICH-1 performance characterization study. (C) 2010 Elsevier B.V. All rights reserved.

  2. The safety experience of New Zealand adventure tourism operators.

    Bentley, Tim A; Page, Stephen; Walker, Linda


    This survey examined parameters of the New Zealand adventure tourism industry client injury risk. The research also sought to establish priorities for intervention to reduce adventure tourism risk, and identify client injury control measures currently in place (or absent) in the New Zealand adventure tourism industry, with a view to establishing guidelines for the development of effective adventure tourism safety management systems. This 2003 survey builds upon an exploratory study of New Zealand adventure tourism safety conducted by us during 1999. A postal questionnaire was used to survey all identifiable New Zealand adventure tourism operators. The questionnaire asked respondents about their recorded client injury experience, perceptions of client injury risk factors, safety management practices, and barriers to safety. Some 27 adventure tourism activities were represented among the responding sample (n=96). The highest client injury risk was reported in the snow sports, bungee jumping and horse riding sectors, although serious underreporting of minor injuries was evident across the industry. Slips, trips and falls (STF) were the major client injury mechanisms, and a range of risk factors for client injuries were identified. Safety management measures were inconsistently applied across the industry. The industry should consider the implications of poor injury reporting standards and safety management practices generally. Specifically, the industry should consider risk management that focuses on minor (e.g., STF) as well as catastrophic events.

  3. Nationwide peritoneal dialysis nurse training in Thailand: 3-year experience.

    Thaiyuenwong, Jutiporn; Mahatanan, Nanta; Jiravaranun, Somsong; Boonyakarn, Achara; Rodpai, Somrak; Eiam-Ong, Somchai; Tungsanga, Kriang; Dhanakijcharoen, Prateep; Kanjanabuch, Talerngsak


    Peritoneal dialysis (PD) center is not possible to operate if there is no availability of dedicated PD nurse. Generally, the nurse has to play many roles, including educator coordinator, and sometimes leader. As professionalism, the PD nurses need to have both theoretical and practical skills. With the tremendous leap of PD population after the launch of "PD First" policy in Thailand, the shortage of skillful PD nurse is concerned. Hence, the nationwide PD nurse training course was established with the collaborations of many organizations and institutes. Until now, 3 generations of 225 PD nurses are the productions of the course. This number represents 80 percent of PD nurses distributed throughout the whole nation. The survey operated in the year 2010 demonstrated that the output of the course was acceptable in terms of quality since most of the trained PD nurses had a confidence in taking care of PD patients. The quality of patient care is good as indicated by KPIs.

  4. Building Connections in the First-year Undergraduate Experience

    June Countryman


    Full Text Available Concerned about the success rate of new students in our program we designed and implemented a compulsory set of experiences which aim to support students in their transition from high school to university by 1 developing their sense of belonging to a community of learners and by 2 articulating with them the interrelationships among their first year core courses. We initiated various strategies which we have refined in response to student feedback over the past three years. In this paper we describe the pedagogical moves that constitute our initiative and the lessons we learned. We explore essential academic and personal issues that first-year students in all programs face. We share our research findings and address the big ideas that could be applied to any discipline or multi-disciplinary program.

  5. A Head Operated Joystick--Experience with Use.

    Evans, Gareth; Blenkhorn, Paul

    This paper describes the development and evaluation of a low-cost head-operated joystick for computer users with disabilities that prevent them from using a conventional hand-operated computer mouse and/or keyboard. The paper focuses on three issues: first, the style of head movement required by the device; second, whether a head-operated device…

  6. Engineering challenges of operating year-round portable seismic stations at high-latitude

    Beaudoin, Bruce; Carpenter, Paul; Hebert, Jason; Childs, Dean; Anderson, Kent


    Remote portable seismic stations are, in most cases, constrained by logistics and cost. High latitude operations introduce environmental, technical and logistical challenges that require substantially more engineering work to ensure robust, high quality data return. Since 2006, IRIS PASSCAL has been funded by NSF to develop, deploy, and maintain a pool of polar specific seismic stations. Here, we describe our latest advancements to mitigate the challenges of high-latitude, year-round station operation. The IRIS PASSCAL program has supported high-latitude deployments since the late 1980s. These early deployments were largely controlled source, summer only experiments. In early 2000 PASSCAL users began proposing year-round deployments of broadband stations in some of the harshest environments on the planet. These early year-round deployments were stand-alone (no telemetry) stations largely designed to operate during summer months and then run as long as possible during the winter with hopes the stations would revive come following summer. In 2006 and in collaboration with UNAVCO, we began developing communications, power systems, and enclosures to extend recording to year-round. Since this initial effort, PASSCAL continued refinement to power systems, enclosure design and manufacturability, and real-time data communications. Several sensor and data logger manufacturers have made advances in cold weather performance and delivered newly designed instruments that have furthered our ability to successfully run portable stations at high-latitude with minimal logistics - reducing size and weight of instruments and infrastructure. All PASSCAL polar engineering work is openly shared through our website:

  7. Complicated eclampsia: fifteen years' experience in a referral medical center.

    Lopez-Llera, M


    The statistical study of a large number of eclamptic patients (n = 704), divided into five successive 3-year periods, was undertaken at the Hospital de Gineco-Obstetricia No. 2 del Centro Médico Nacional in Mexico City in orders to detect significant changes in therapeutic results and/or in the basic character of the disease, as it occurs in a large referral medical complex. The following variables were studied: maternal and perinatal deaths, obstetric profile, main clinical data of the eclamptic episode, frequency of cesarean operation, timing of delivery after admission, main therapeutic changes, frequency of complications in survivors of ante- and intrapartum eclampsia, and cause of death with associated complications. The study showed (1) a continuous increment in the number of cases from the first to the last period, (2) averages for maternal age (24.9 +/- 0.45 years) and for previous parity (1.7 +/- 0.19) unlike those commonly accepted, (3) a significant progression in the severity of the disease in recent years, (4) a frequency of 22.9% of important complications in survivors of ante- and intrapartum eclampsia, and (5) a very limited overall influence of some therapeutic changes on the final outcome of complicated eclampsia, and (6) the impossibility of improving morbidity figures significantly during the 15 years of the study. It was concluded that prevention, early diagnosis, and timely simple medical care offer the only perspective for true medical progress in this particular problem.

  8. 11-Year Experience with Gastroschisis: Factors Affecting Mortality and Morbidity

    Derya Erdoğan


    Full Text Available Objective: The aim of the study was the evaluation of patients treated with a diagnosis of gastroschisis and to establish the factors which affected the morbidity and mortality.Methods: Twenty-nine patients, managed for gastroschisis during 2000-2010 were reviewed retrospectively.Patients were analysed in respect to gestational age, birth weight, associated anomalies, type of delivery,operative procedures, postoperative complications, total parenteral nutrition (TPN related complications.The factors affecting mortality and morbidity were determined.Findings: Associated abnormalities were present in 24% of the patients. Eleven patients underwent elective reduction in the incubator (Bianchi procedure without anesthesia. Eight patients had delayed reduction with silo and ten patients had primary closure. Although the type of delivery had an effect on morbidity but notmortality, gestational age, birth weight, and the operative procedure performed had no effect on morbidity or mortality. Duration until tolerance of oral intake, and of TPN and hospitalization were found to be statistically significantly shorter in the group of babies delivered by cesarean section.Conclusion: In our study the most important cause of mortality was the abdominal compartment syndrome and multi-organ failure in the early years. Long hospitalization periods and sepsis were the main causes of mortality in recent years.

  9. Data Processing Center of Radioastron Project: 3 years of operation.

    Shatskaya, Marina

    ASC DATA PROCESSING CENTER (DPC) of Radioastron Project is a fail-safe complex centralized system of interconnected software/ hardware components along with organizational procedures. Tasks facing of the scientific data processing center are organization of service information exchange, collection of scientific data, storage of all of scientific data, data science oriented processing. DPC takes part in the informational exchange with two tracking stations in Pushchino (Russia) and Green Bank (USA), about 30 ground telescopes, ballistic center, tracking headquarters and session scheduling center. Enormous flows of information go to Astro Space Center. For the inquiring of enormous data volumes we develop specialized network infrastructure, Internet channels and storage. The computer complex has been designed at the Astro Space Center (ASC) of Lebedev Physical Institute and includes: - 800 TB on-line storage, - 2000 TB hard drive archive, - backup system on magnetic tapes (2000 TB); - 24 TB redundant storage at Pushchino Radio Astronomy Observatory; - Web and FTP servers, - DPC management and data transmission networks. The structure and functions of ASC Data Processing Center are fully adequate to the data processing requirements of the Radioastron Mission and has been successfully confirmed during Fringe Search, Early Science Program and first year of Key Science Program.

  10. Indications, Results and Mortality of Pulmonary Artery Banding Procedure: a Brief Review and Five- year Experiences

    Hamid Hoseinikhah; Aliasghar Moeinipour; Ahmadreza Zarifian; Mohammad Sobhan Sheikh Andalibi; Yasamin Moeinipour; Mohammad Abbassi Teshnisi; Abbas Bahreini


    Background Pulmonary artery banding (PAB) is a technique of palliative surgical therapy used by congenital heart surgeons as a staged approach to operative correction of congenital heart defects. Materials and Methods We report 5- year experiences from January 2011 to January 2016 of Imam Reza Hospital center (a tertiary referral hospital in Mashhad city, North East of Iran) that consist of 50 patients with congenital heart disease with left to right shunt that pulmonary artery banding proced...

  11. Ultrasound-guided musculoskeletal interventions in American football: 18 years of experience.

    Dave, Radhika B; Stevens, Kathryn J; Shivaram, Giri M; McAdams, Timothy R; Dillingham, Michael F; Beaulieu, Christopher F


    Myotendinous strains, contusions, and hematomas are common injuries in American football. Along with ligament sprains and inflammatory disorders, musculoskeletal injuries often result in lost participation time. This article summarizes 18 years of experience with 128 ultrasound-guided drainages and injections in 69 football players with 88 injuries. When performed by an operator with sufficient expertise in diagnostic and procedural skills, ultrasound-guided musculoskeletal interventions are minimally invasive, are safe, and can play an integral role in injury management.

  12. The Ricor K508 cryocooler operational experience on Mars

    Johnson, Dean L.; Lysek, Mark J.; Morookian, John Michael [Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109 (United States)


    The Mars Science Laboratory (Curiosity) landed successfully on Mars on August 5, 2012, eight months after launch. The chosen landing site of Gale Crater, located at 4.5 degrees south latitude, 137.4 degrees east longitude, has provided a much more benign environment than was originally planned for during the critical design and integration phases of the MSL Project when all possible landing sites were still being considered. The expected near-surface atmospheric temperatures at the Gale Crater landing site during Curiosity's primary mission (1 Martian year or 687 Earth days) are from −90°C to 0°C. However, enclosed within Curiosity's thermal control fluid loops the Chemistry and Mineralogy (CheMin) instrument is maintained at approximately +20°C. The CheMin instrument uses X-ray diffraction spectroscopy to make precise measurements of mineral constituents of Mars rocks and soil. The instrument incorporated the commercially available Ricor K508 Stirling cycle cryocooler to cool the CCD detector. After several months of brushing itself off, stretching and testing out its subsystems, Curiosity began the exploration of the Mars surface in October 2012. The CheMin instrument on the Mars Science Laboratory (MSL) received its first soil sample from Curiosity on October 24, and successfully analyzed its first soil sample. After a brief review of the rigorous Ricor K508 cooler qualification tests and life tests based on the original MSL environmental requirements this paper presents final pre-launch instrument integration and testing results, and details the operational data of the CheMin cryocooler, providing a snapshot of the resulting CheMin instrument analytical data.

  13. Three year performance of the NTS-2 solar cell experiment

    Statler, R. L.; Walker, D. H.


    Twelve different solar cell modules from the NTS 2 experiment are functioning after more than three years in a severe trapped radiation orbit of 20,367 km (10,990 nm) circular, 63 deg inclination. The rate of maximum power degradation may be fit to a predicted rate which is based on twice the value of 1 MeV electron equivalent damage fluence calculated from the space electron model AEI 7. The photovoltaic parameters of the cells are compared to their original values to demonstrate rank order of performance.

  14. DR Experiments in the 60 years since the Bates paper

    Johnsen, Rainer


    About 60 years have passed since David Bates in a 1950 Physical Review Letter to the Editor first clarified the dissociative recombination mechanism (DR) of molecular ions and provided the conceptual basis for the process that plays an important role in the ionospheres of Earth and other planets, the interstellar medium, and electrical discharges. His visionary (and characteristically "terse") thumbnail sketch of the DR mechanism only hinted at the subtleties that have kept atomic theorists and experimentalists busy for many years. In my talk, I will focus on experiments on N2+ recombination, beginning with plasma afterglows, and then move on to the "after"-afterglow period that is now dominated by the powerful storage-ring methods.

  15. 3-year experience with US QML: lessons learned

    Leseur, M.


    Based on its 20 years experience in manufacturing semiconductor devices, Atmel Nantes has chosen to apply QML concept to move from Product Qualification to Technology Qualification. Defense Supply Center Colombus granted Atmel Nantes QML Q & V (class Q = military quality level , class V = space quality level), in December 1999. A demonstration phase is on-going with draft ESA/SCC 25400 and 2549000 basic specifications for the definition of a European QML. Atmel is a candidate as an integrated microcircuits manufacturer. After 3 years producing QML devices, some optimisations of screening tests have been implemented. This appears to be a valid solution for reducing both cost and cycle time with no impact on product reliability.

  16. In-patient operating exposure for dental undergraduates: a valuable experience?

    Edwards, J P; Durham, J; Moore, U; Goodson, M; Thomson, P


    The General Dental Council, the Association of Dental Education in Europe and the Association of British Academic Oral and Maxillofacial Surgeons have all issued syllabuses suggesting undergraduate dental students should gain experience of oral and maxillofacial in-patient operating.Aim To examine whether final year dental students in a UK dental school had observed, and were comfortable providing an explanation of, oral and maxillofacial in-patient operating.Materials and methods Students at Newcastle University's School of Dental Sciences have block allocations to in-patient operating (16 half-day sessions). A questionnaire was distributed to the whole of the final year (n = 78) at the end of these allocations examining different aspects of their exposure to in-patient operating.Results A response rate of 81% (n = 63) was achieved. Those responding reported that they had seen a wide variety of surgery. The most common procedural group that had not been observed was orthognathic surgery (n = 33, 52%). There was no correlation (p >0.05) between total number of procedural groups observed and total number of procedural groups that students were confident to explain, although there were significant correlations (p operations and having the confidence to explain them. The students felt that the block allocations were beneficial (n = 46, 63%) and offered a variety of free-text reasons for this. Only a minority (n = 24, 38%) had been actively involved in the surgery they had observed, the majority of those individuals having undertaken some suturing (n = 11).Conclusions Students perceive allocations to oral and maxillofacial in-patient operating as beneficial for a variety of reasons. The relationship between having observed a procedure and the individual's perceived ability to explain it appears to be complex. It is difficult to achieve consistent exposure throughout a large year group of undergraduate students, but more targeted learning may be of benefit.

  17. The VENUS Cabled Seafloor Laboratory in Operation: Lessons Learned in the First Year

    Tunnicliffe, V.; Dewey, R.; Round, A.; Macoun, P.; Rachman, Y.


    The Victoria Experimental Network Under the Sea (VENUS) installed its first cabled array of instruments at 100m in Saanich Inlet in British Columbia. The data displays and search capability were opened to researchers and the public in June via the website. As we prepare to deploy the second, larger array into 300m in the Strait of Georgia, our initial months of operations have highlighted several issues that should be addressed by any of the "new generation" cabled observatories. A dedicated job during the first year has been the development of software drivers to collect readings from the instruments and save them in the observatory archive. This step linked to a data delivery service with two paths: one, as data displays viewed on-line, and the second, as software functions that serve targeted archive queries. After six months, when the instrument platforms were recovered for servicing; little bio-fouling of sensing surfaces was evident. Reliability of instruments (such as cameras) over long periods will be a major challenge for deep water cabled observatories. Design features allowing rapid turnaround, easy service and small deck footprint will reduce maintenance costs. With the deployment of a dead pig for a forensic study, a new demand immediately arose: round-the-clock service for a scientist undertaking a short-lived experiment. Determining the operational concept for the infrastructure is a key decision with significant cost implications. VENUS has learned that operating as a responsive 7/24 facility has many different demands. Aligning the infrastructure with the operation concept must start early in the design phase and continue into steady state operations.

  18. Status, results and plans after 3 years of Tunka-Rex operation

    Hiller, Roman [Karlsruher Institut fuer Technologie (Germany); Collaboration: Tunka-Rex-Collaboration


    The Tunka Radio Extension (Tunka-Rex) is a radio detector for air showers from cosmic rays around 10{sup 17} eV close to Lake Baikal in Russia. It currently consists of 44 antenna stations, distributed over 3 km{sup 2}, and will be extended by another 19 antenna stations this year. As most radio experiments, it is hosted by another air-showers detector, providing trigger and an independed reconstruction. This has been Tunka-133, an air-Cherenkov detector at the site, limited to operation during moonless nights. From winter 2015 on, Tunka-Rex also jointly operates with Tunka-Grande, a newly installed scintillator detector at the site, capable of 24 h operation. The goal of the first stage of Tunka-Rex was to develop methods for competitive air shower measurements and detemine the achievable precision for the most important air shower parameters, the energy and depth of the shower maximum. In the next stage, with the now available full duty cycle and powerful combination of radio and scintillator detector, the goal will be to contribute to measurements of the energy spectrum and mass composition of cosmic rays from 10{sup 17} eV to 10{sup 18} eV. Latest results and plans for Tunka-Rex are reported. This includes an energy reconstruction with a single antenna station and the comparison of the absolute energy scale via radio measurements.

  19. Programmable DSP-Based Multi-Bunch Feedback - Operating Experience from Six Installations

    Fox, John D


    A longitudinal instability control system, originally developed for the PEP-II, DAPHNE and ALS machines has in the last two years been commissioned for use at the PLS and BESSY-II light sources. All of the installations are running identical hardware and use a common software distribution package. This common structure is beneficial in sharing expertise among the labs, and allows rapid commissioning of each new installation based on well-understood diagnostic and operational techniques. While the installations share the common instability control system, there are significant differences in machine dynamics between the various colliders and light sources. These differences require careful specification of the feedback algorithm and system configuration at each installation to achieve good instability control and useful operational margins. This paper highlights some of the operational experience at each installation, using measurements from each facility to illustrate the challenges unique to each machine. The authors experience on the opportunities and headaches of sharing development and operational expertise among labs on three continents is also offered.

  20. [8-year experience in 40 patients with an axillary-femoral graft].

    Bialostozky, L; Rish, L; Legaspi, R; Gutiérrez Bosque, R; Archundia, A; Morales, F; Oropeza, G


    The 8 years (1967-1975) experience with axillary-femoral and femoro-femoral grafts in 40 patients is presented; 6 females and 34 males, between 50 and 90 years of age, with arteriosclerosis, all complicated by chronic illnesses. The results have been satisfactory, as the grafts are functioning from 2 months to 80 months (6 years, 8 months), most of them being more than 12 months old. Twenty eight of the 40 patients operated are alive. Four patients (10%) had infection of their grafts. In 6 (15%) the graft closed because of severe progresive distal obstruction. Three patients (7.5%) died in the first 32 post-operative days. In 9 (22.5%) the deaths were not related to surgery. The indications for placement of axillary-femoral and femoro-femoral grafts is established.

  1. Undergraduates’ opinion after 5-year experience with rotary endodontic instruments

    Flávia Sens Fagundes Tomazinho


    Full Text Available Introduction: Dentistry evolution in the past few years has revolutionized daily practice in some specialties. One of these revolutions has occurred in Endodontics due to the advancement of rotary techniques for root canal preparation and its subsequent incorporation into the teaching of Dentistry undergraduates. Objective: The aim of this study was to report a 5-year experience on the undergraduate laboratorial and clinical use of rotary endodontic preparation at a private university. Material and methods: Data survey was performed by using a questionnaire composed of nine objective questions; the questionnaire was answered by the undergraduates. Results: The results showed a positive acceptance regarding the undergraduate teaching of the rotary technique (94.7%. The following advantages were highlighted: faster root canal preparation (91.6% and reduction of patient’s stress (80.9%. Conclusion: It can be concluded that the experience with the two undergraduate groups was excellent due to the high acceptance level of the new technique by the students.

  2. Impact of Surgeon Experience During Carotid Endarterectomy Operation and Effects on Perioperative Outcomes

    Volkan Yüksel

    Full Text Available Abstract Objective: We evaluated the effect of surgeon experience on complication and mortality rates of carotid endarterectomy operation. Methods: Fifty-nine consecutive patients who underwent carotid endarterectomy between January 2013 and February 2016 were divided into two groups. Patients who had been operated by surgeons performing carotid endarterectomy for more than 10 years were allocated to group 1 (experienced surgeons; n=34. Group 2 (younger surgeons; n=25 consisted of patients operated by surgeons independently performing carotid endarterectomy for less than 2 years. Both groups were compared in respect of operative results and postoperative complications. Results: No intergroup difference was found for laterality of the lesion or concomitant coronary artery disease. In group 1, signs of local nerve damage (n=2; 5.9% were detected, whereas in group 2 no evidence of local nerve damage was observed. Surgeons in group 1 used local and general anesthesia in 3 (8.8% and 31 (91.2% patients, respectively, while surgeons in group 2 preferred to use local and general anesthesia in 1 (4% and 24 (96% patients, respectively. Postoperative stroke was observed in group 1 (n=2; 5.9% and group 2 (n=2; 5.8%. Conclusion: Younger surgeons perform carotid endarterectomy with similar techniques and have similar results compared to experienced surgeons. Younger surgeons rarely prefer using shunt during carotid endarterectomy. The experience and the skills gained by these surgeons during their training, under the supervision of experienced surgeons, will enable them to perform successful carotid endarterectomy operations independently after completion of their training period.

  3. Should arthroscopy in adolescents: Three years of clinical experience

    Анастасия Ивановна Брянская


    Full Text Available Background.Shoulder joint injuries and shoulder instability often occur in adolescents.Materials and methods. During a 3-year period, we performed arthroscopic surgery on 42 patients with shoulder joint injuries.Results and discussion. The majority (76.2% of the patients on whom we performed arthroscopic shoulder joint surgery were male. This is likely due to more aggressive physical activity among males. Most of the patients were injured during exercise (n = 27, 64.3%. Arthroscopy is a highly effective surgical method for the treatment of shoulder joint injuries. Prolonged non-operative treatment with no well-established indications and an incorrect diagnosis can lead to rapid progression of degenerative and dystrophic changes of the shoulder joint and may result in shoulder joint dysfunction.

  4. 17 CFR 240.17Ad-21T - Operational capability in a Year 2000 environment.


    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Operational capability in a Year 2000 environment. 240.17Ad-21T Section 240.17Ad-21T Commodity and Securities Exchanges SECURITIES... Company Rules § 240.17Ad-21T Operational capability in a Year 2000 environment. (a) This section...



    @@ The West-East gas pipeline in China has been operated for five years since the commencement of operation on Oct.1st,2003,Over the past five years the pipeline has maintained its safe,stable and high efficint status and brought favorable economic ,social and environmental effects.

  6. Necrotizing fasciitis: eight-year experience and literature review

    Jinn-Ming Wang

    Full Text Available OBJECTIVES: To describe clinical, laboratory, microbiological features, and outcomes of necrotizing fasciitis. METHODS: From January 1, 2004 to December 31, 2011, 115 patients (79 males, 36 females diagnosed with necrotizing fasciitis were admitted to Mackay Memorial Hospital in Taitung. Demographic data, clinical features, location of infection, type of comorbidities, microbiology and laboratory results, and outcomes of patients were retrospectively analyzed. RESULTS: Among 115 cases, 91 survived (79.1% and 24 died (20.9%. There were 67 males (73.6% and 24 females (26.4% with a median age of 54 years (inter-quartile ranges, 44.0-68.0 years in the survival group; and 12 males (50% and 12 females (50% with a median age of 61 years (inter-quartile ranges, 55.5-71.5 years in the non-surviving group. The most common symptoms were local swelling/erythema, fever, pain/tenderness in 92 (80%, 87 (76% and 84 (73% patients, respectively. The most common comorbidies were liver cirrhosis in 54 patients (47% and diabetes mellitus in 45 patients (39%. A single organism was identified in 70 patients (61%, multiple pathogens were isolated in 20 patients (17%, and no microorganism was identified in 30 patients (26%. The significant risk factors were gender, hospital length of stay, and albumin level. DISCUSSION: Necrotizing fasciitis, although not common, can cause notable rates of morbidity and mortality. It is important to have a high index of suspicion and increase awareness in view of the paucity of specific cutaneous findings early in the course of the disease. Prompt diagnosis and early operative debridement with adequate antibiotics are vital.

  7. Urban Operations in the Year 2020 (Operations en zone urbaine en l’an 2020)


    Le groupe d’étude a étudié les besoins recensés par la commission SAS et a établi le présent rapport en vue d’un examen complémentaire. Les...Afin de permettre un examen plus détaillé des principales capacités, quinze « capacités essentielles » ont été définies sur la base de deux grands... mental outlook of a soldier to conduct aggressive close combat operations and to overcome the friction inherent in combat will remain paramount. The

  8. Cassini Maneuver Experience for the Fourth Year of the Solstice Mission

    Vaquero, Mar; Hahn, Yungsun; Stumpf, Paul; Valerino, Powtawche; Wagner, Sean; Wong, Mau


    After sixteen years of successful mission operations and invaluable scientific discoveries, the Cassini orbiter continues to tour Saturn on the most complex gravity-assist trajectory ever flown. To ensure that the end-of-mission target of September 2017 is achieved, propellant preservation is highly prioritized over maneuver cycle minimization. Thus, the maneuver decision process, which includes determining whether a maneuver is performed or canceled, designing a targeting strategy and selecting the engine for execution, is being continuously re-evaluated. This paper summarizes the maneuver experience throughout the fourth year of the Solstice Mission highlighting 27 maneuvers targeted to nine Titan flybys.

  9. Infant acute lymphoblastic leukemia: a 20-year children's hospital experience.

    Murray, Rebecca A F; Thom, Giddel; Gardner, Renee V; Craver, Randall D


    We reviewed our 20-year experience with infant acute lymphoblastic leukemia (ALL). Nine infants (4.2% of all ALL) were identified; all were < 6 months of age. White blood cell counts ranged from 42,000-1.6 million/microL, 6 of 8 had hepatosplenomegaly, and 6 of 9 (66.6%) had central nervous system disease. Of 7 with cytogenetic information, 6 (85.7%) had diploidy; the remaining child was 47, XY,+8,del(21)(q22). Four had the MLL-11q23 abnormality. All received chemotherapy. Four underwent stem cell transplantation. Survival was 67%, (15 months-21 years). Deaths occurred at 9 months, 15 months (graft vs. host), and 7 years (complications of small bowel transplantation). Only 1 undergoing stem cell transplantation died. There were no late recurrences or second malignancies. Despite extensive disease and age < 6 months at diagnosis (a poor prognostic feature), for ALL patients our 67% survival is at least as good as reported, although it is less favorable than childhood ALL.

  10. Aging assessment of reactor instrumentation and protection system components. Aging-related operating experiences

    Gehl, A.C.; Hagen, E.W. [Oak Ridge National Lab., TN (United States)


    A study of the aging-related operating experiences throughout a five-year period (1984--1988) of six generic instrumentation modules (indicators, sensors, controllers, transmitters, annunciators, and recorders) was performed as a part of the Nuclear Plant Aging Research Program. The effects of aging from operational and environmental stressors were characterized from results depicted in Licensee Event Reports (LERs). The data are graphically displayed as frequency of events per plant year for operating plant ages from 1 to 28 years to determine aging-related failure trend patterns. Three main conclusions were drawn from this study: (1) Instrumentation and control (I&C) modules make a modest contribution to safety-significant events: 17% of LERs issued during 1984--1988 dealt with malfunctions of the six I&C modules studied, and 28% of the LERs dealing with these I&C module malfunctions were aging related (other studies show a range 25--50%); (2) Of the six modules studied, indicators, sensors, and controllers account for the bulk (83%) of aging-related failures; and (3) Infant mortality appears to be the dominant aging-related failure mode for most I&C module categories (with the exception of annunciators and recorders, which appear to fail randomly).

  11. An Experiment on the Impact of Communication Problems in the Multi-cultural Operation of NPPs' Emergency Operation

    Kang, Seongkeun; Lee, Chanyoung; Seong, Poong Hyun [KAIST, Daejeon (Korea, Republic of); Ha, Jun Su [KUSTAR, Abu Dhabi (United Arab Emirates)


    Korean government won a contract of nuclear power plants to UAE government in 2010 and nuclear power plants are now under construction in Barakah, UAE. However, with technology transfer and international cooperation, there needs to consider several potential problems due to the differences between two culture of the countries such as language, technical culture and expectation. It is unknown how potential problems can lead to an unsafe plant operation as well. We got to know language problem is the main issue from analyzing the OERs. Korean nuclear power plant operators will work in UAE and they will operate the NPPs with other countries' operators and managers. Therefore they will have to use English when they communicate each other. The purpose of this paper is to confirm how much operators get stress and how much accuracy is declined when operators communicate together in English. Reducing human error is quite important to make nuclear power plants safety. As mental workload of human operator is increased, operators get more stress, then the probability of occurring human error may be increased. It will affect bad influence to nuclear power plants safety. There are many factors to make mental workload increased. We focused on communication problem which is a key factor of the increasing mental workload because many Korean operators will work in UAE nuclear power plants and they may work together with UAE operators. We designed experimental methods to be able to check this problem qualitatively and quantitatively. We analyzed four factors to find the communication problems from the experiments which are accuracy, efficiency, NASA-TLX, and brain wave. Accuracy, efficiency, brain wave are quantitative factors, and NASA-TLX is qualitative factor. To find the impact of how much English affects the operators' workload, we did two cases of experiments; one is experiment for diagnosis and the other is experiment for execution.

  12. Prenatal diagnosis of cystic fibrosis: 10-years experience.

    Hadj Fredj, S; Ouali, F; Siala, H; Bibi, A; Othmani, R; Dakhlaoui, B; Zouari, F; Messaoud, T


    We present in this study our 10years experience in prenatal diagnosis of cystic fibrosis performed in the Tunisian population. Based on family history, 40 Tunisian couples were selected for prenatal diagnosis. Fetal DNA was isolated from amniotic fluid collected by transabdominal amniocentesis or from chronic villi by transcervical chorionic villus sampling. The genetic analysis for cystic fibrosis mutations was performed by denaturant gradient gel electrophoresis and denaturing high-pressure liquid phase chromatography. We performed microsatellites analysis by capillary electrophoresis in order to verify the absence of maternal cell contamination. Thirteen fetuses were affected, 21 were heterozygous carriers and 15 were healthy with two normal alleles of CFTR gene. Ten couples opted for therapeutic abortion. The microsatellites genotyping showed the absence of contamination of the fetal DNA by maternal DNA in 93.75%. Our diagnostic strategy provides rapid and reliable prenatal diagnosis at risk families of cystic fibrosis. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  13. Paediatric pancreatic problems: A five-year experience

    Lahoti B


    Full Text Available Background: To analyse a tertiary care experience with various pancreatic problems in the paediatric age group and clarify the frequency of various pancreatic diseases in the same patient population as well as the role of surgical or conservative management in their treatment. Patients and Methods: All patients with clinical suspicion of disease pertaining to the pancreas, substantiated by laboratory investigations or imaging modalities over a period of five years are included in our study. Results: Of the total 228 patients with various pancreatic problems, who presented to us, mostly with acute pancreatitis and pancreatic trauma, 64 needed surgical interventions. The total mortality rate encountered was a meagre 3.5%. Conclusion: Paediatric pancreatic disorders are not so infrequent; and a high index of suspicion aided by the newer modalities of investigation greatly helps in the appropriate and timely management.

  14. The high-functioning autistic experience: birth to preteen years.

    Church, C C; Coplan, J


    A retrospective chart review of 15 children with high-functioning autism was conducted for the years 1981 through 1992. The purpose of the study was to describe the experience of children with high-functioning autism from infancy through preadolescence. Chart data included clinic staff records, parent letters, academic program records, service records, and comments from the children themselves. The findings of this study support the proposition that children with autism who have an IQ above 70 follow a varied but improving course over time. All 15 children met the DSM-III-R criteria for autism when first evaluated. By middle elementary school, however, none of the children in this study met the DSM-III-R criteria for autism, although they continued to have various language disturbances, social skill deficits, and unique behavioral qualities.

  15. Forty Years' Development of Hybrid Rice:China's Experience

    SUN Liang-xian; CHENG Shi-hua; DONG Hai-tao; CAO Li-yong; LI De-bao; YANG Shi-hua; ZHAI Hu-qu


    China is the first country where heterosis of hybrid rice was successfully exploited commercially on a large scale in the world. Hybrid rice has been developed for 40 years since Prof. Yuan initiated it in China. It had been planted about 330 million hectares with an increase of nearly 400 million tons of rice during 1976-2002. China's experience on hybrid rice could be attributed to utilization of various cytoplasmic male sterility (CMS) resources, high outcrossing rate CMS lines and stable environmentally induced genetic male sterile (EGMS) lines, improvement of diseases resistance and grain quality, and combination of ideal plant type with heterosis in hybrid rice breeding program. Innovative breeding techniques, e.g. improvement in root system, molecular marker-assisted selection and wild hybridization should be considered in further development of hybrid rice in China.

  16. Endoscopic-assisted epiphysiodesis: technique and 20-year experience.

    Ledesma, Justin B; Wang, Tianyi; Desmond, Elizabeth; Imrie, Meghan; Gamble, James G; Rinsky, Lawrence A


    The aim of the study was to describe the endoscopic-assisted epiphysiodesis technique and review our 20-year experience with it. A retrospective review of 44 patients who underwent proximal tibia and/or distal femur endoscopic-assisted epiphysiodesis was carried out. Only patients who had preoperative and postoperative scanograms with clinical follow-up of at least 6 months were included. The mean length of follow-up was 36.8 months. All patients had radiographic evidence of physeal fusion within 6-12 months from the index procedure. No patient required revision surgery. Endoscopic-assisted epiphysiodesis is safe, effective, and achieves predictable physeal fusion. Advantages over current techniques include reduced radiation exposure and lack of requirement for hardware placement.

  17. First experience in operating the population of the condition database for the CMS experiment

    De Gruttola, M; Futyan, David; Glege, Frank; Govi, Giacomo; Innocente, Vincenzo; Paolucci, Pierluigi; Pierro, Antonio; Schlatter, Dieter


    Reliable population of the condition database is critical for the correct operation of the online selection as well as of the offline reconstruction and analysis of data. We will describe here the system put in place in the CMS experiment to populate the database and make condition data promptly available both online for the high-level trigger and offline for reconstruction. The system, designed for high flexibility to cope with very different data sources, uses POOL-ORA technology in order to store data in an object format that best matches the object oriented paradigm for C++ programming language used in the CMS offline software. In order to ensure consistency among the various subdetectors, a dedicated package, PopCon (Populator of Condition Objects), is used to store data online. The data are then automatically streamed to the offline database hence immediately accessible offline worldwide. This mechanism was intensively used during 2008 in the test-runs with cosmic rays. The experience of this first mont...

  18. Long-term operation test of RPCs for the OPERA experiment

    Barichello, G; Brugnera, R; Candela, A; Carrara, E; D'Incecco, M; Dal Corso, F; Degli Esposti, L; Dusini, S; Garfagnini, A; Gustavino, C; Lindozzi, M; Mengucci, A; Monacelli, P; Paoloni, A; Spinetti, M; Stanco, L; Terranova, F; Ventura, M; Votano, L


    OPERA is one of the two detectors foreseen in the CERN Neutrino to Gran Sasso project, devoted to the detection of nu//mu into nu //tau oscillations in the parameter region suggested by SuperKamiokande data on atmospheric neutrinos. Bakelite RPCs will be used to instrument the iron yoke of the muon spectrometers. We present the results of long-term (greater than 6 months) streamer operations of real size OPERA RPCs at cosmic rays fluxes. Given the very low rate observed in the underground Gran Sasso Laboratories, under 3 km w.e., even this short time period is equivalent to more than 10 OPERA years. Results of tests with different gas mixtures are reported, in view of decreasing the streamer charge of operation for the RPCs employed in the experiment.

  19. Medication Errors In Relation To Education & Years of Nursing Experience

    Shweta D Singh


    Full Text Available Medication error is defined as any preventable event that might cause or lead to an inappropriate use orharming of the patient. The purpose of this study was to determine the relationship between the level ofeducation and medication errors; years of work experience and medication errors. With a betterunderstanding of these relationships, nursing professionals can learn what characteristics tend to make anurse prone to medication errors and can develop methods and procedures to reduce incidence. Thesurvey was conducted in 6 hospitals in Anand city. Approval had been obtained from the hospitalswhere the study was to be conducted. The survey form was divided into 5 different sections. Eachsection comprises of minimum 3 questions which relates to their basic information and their perceptionstowards medication error. The results of the study suggested that there is a direct relationship betweeneducation/experiences and medication errors. The study showed that medication error occurs due to lackof qualified nursing staff. The results showed that medication error were reported due to increaseworkload on nurses because of lack of number of nurses in hospitals.

  20. Three years of experience with polyamines in the high pressure steam system of a naphtha cracker

    Lier, Roy van; Janssen, Gerard [SABIC Europe BV, Geleen (Netherlands). Site Improvement, Competence Center Manufacturing; Savelkoul, Jo


    The design and operation of the high pressure steam system of a naphtha cracker pose specific problems which in some cases cannot be satisfactorily resolved with conventional water/steam treatment programs. Following a decade of operational experience with polyamine products at lower pressures at the Geleen (petro)chemical site in the Netherlands, the ammonia/morpholine treatment of the 12.5 MPa steam system of one of SABIC Europe's naphtha crackers was converted to a polyamine program in November 2005. In this paper, the characteristics of the cracker's steam system are first described. Particular aspects of the conversion are then discussed. Finally, the experience gained and insights obtained into the polyamine treatment during the first three years are elaborated. (orig.)

  1. Intra-operative parathyroid hormone measurements – experience of ...

    In experienced hands, parathyroidectomy by conventional neck ... Minimally invasive surgery is currently the standard of care in patients ... the pre-operative sample and the sample drawn 10 minutes after ... The mean postoperative PTH level for the suc- ... Baseline patient characteristics (gender, age, medical history) and.

  2. Mountain Plains Learning Experience Guide: Marketing. Course: Marketing Operations.

    Preston, T.; Egan, B.

    One of thirteen individualized courses included in a marketing curriculum, this course covers the fundamental concepts of the marketing and distribution field, including the operations of wholesale and retail businesses. The course is comprised of three units: (1) The Marketing Process, (2) Wholesaling, and (3) Retailing. Each unit begins with a…

  3. IHEP Experience on Creation and Operation of RFQS

    Belyaev, O K; Maltsev, I G; Stepanov, V B; Strekalovskikh, S A; Teplyakov, V A; Zherebtsov, A V


    The new 1.8 MeV proton RFQ was completed and started operation in the IHEP in 1997. It was built according to the plan of modernization of the injection system to the booster of the IHEP proton synchrotron.

  4. Sixteen Years of International Co-operation. The OECD/NEA Co-operative Programme on Decommissioning

    Menon, S.; Valencia, L.


    The Co-operative Programme on Decommissioning under the administration of the Radioactive Waste Management Committee of the OECD Nuclear Energy Agency (NEA) has recently completed sixteen years of operation. The Programme, which is essentially an information exchange programme between decommissioning projects, came into being in 1985. It has grown from an initial 10 decommissioning projects from 7 countries to 39 projects from 14 countries today. From purely information exchange to start with, the Programme has, in later years, been functioning as a voice for the collective expression of views of the implementers of nuclear decommissioning. During the first sixteen years of the operation of the Co-operative Programme, nuclear decommissioning has grown from local specialist activities within projects to a competitive commercial industry. By the dismantling and release from regulatory control of over a dozen diverse nuclear facilities, the Programme has been able to demonstrate in practice, that nuclear decommissioning can be performed safely both for the workers and the public, and that this can be done at reasonable costs in an environmentally friendly fashion. During the recent years, discussions and work within the Co-operative Programme, specially within some of the Task Groups, have had/are having effects and repercussions not just in the field of nuclear decommissioning, but can possibly affect activities and regulations in other industries. This paper describes how the Programme and its activities and procedures have evolved over the years and indicate the directions of developments in the organization and execution of decommissioning projects. Finally, it gives a brief overview of the achievements of the Cooperative Programme and visualizes future developments in the field of nuclear decommissioning.

  5. The Birmingham hip resurfacing prosthesis: an independent single surgeon's experience at 7-year follow-up.

    Madhu, Tiruveedhula S; Akula, Mahesh R; Raman, Raghu N; Sharma, Hemant K; Johnson, Verne G


    An independent single surgeon's 7-year experience with Birmingham hip resurfacing is presented. The study also involved investigation of the significance of pedestal sign in patients requiring revision. A consecutive 117 hips in 101 patients (59 male and 42 female patients) operated on by the senior author (VGJ) were assessed at a mean follow-up of 7 years (range, 5-9.4 years). Mean age at surgery was 54 years (range, 20-74 years). Seventy-three hips had a preoperative diagnosis of primary osteoarthritis, and secondary osteoarthritis was seen in 44 hips. Failure was defined as revision for any reason. Revision of the femoral component alone was undertaken in 8 hips (6.8%): 5 within first year for periprosthetic fracture neck of femur and in 3 hips after 5 years of follow-up. In 2 patients who were known to have osteonecrosis of the femoral head preoperatively, the femoral component progressively collapsed into varus after 5 years of follow-up. Pedestal sign was the earliest radiologic sign noted in these 2 patients and progressed rapidly within 1 year on serial radiographs well before the onset of clinical symptoms. Kaplan-Meier survival with revision as end point at 7 years was 91.5% (95% confidence interval, 97.6%-85.4%). Copyright © 2011 Elsevier Inc. All rights reserved.

  6. Long-Term Operating Experience with High-Power Gyrotron Oscillators

    Felch, Kevin


    High-power, megawatt-class gyrotron oscillators have now been used in electron cyclotron heating (ECH) experiments for several years. The long periods of sustained operation have provided important information about the design limits that had initially been placed on the key elements of the gyrotron. In particular, observations made on recent 110 GHz, 1 MW gyrotrons used in ECH experiments on DIII-D at General Atomics indicate that several of the important components of the device, including the electron guns, interaction cavities and diamond output windows, have performed quite well, while analyses of the electron beam collectors on some of the devices indicate that design limits have often been exceeded. Observations made on these gyrotrons will be summarized and plans to address problem areas will be discussed.

  7. Operation and Optimization of a Linux PC farm for Physics Analysis in the ZEUS Experiment

    KrzysztofWrona; RadekKaczorowski; 等


    The ZEUS experiment has migrated its reconstruction and analysis farms to a PC-based environment.More than one year of experience has been acquired with successful operation of an analysis farm designed for several hundred users.Specially designed software has been used to proveide fast and reliable access to large amounts of data (30 TB in total),After the ongoing upgrade of the HERA luminosity,higher requirements will arise in terms of data storage capacity and throughput rate,The necessity of a bigger disk cache has led to consideration of solutions based on commodity technology,PC-based file servers are being tested as a cost-effective storage system,In this article we present the hardware and software solutions deplogyed and discuss their performance.scalability and maintenance issues.

  8. CSSC's production and business operation rocket in the first half year


    @@ In the first half year, CSSC's production and business operation kept rocketing. The accumulative industrial gross output value was close to 20 billion Yuan, amounting to 55.6%of the year's quota, up 23.3% from the same period of the previous year. 44 ships or 2.57million dwt, were built and delivered. The contracts valued 44 billion Yuan, up 124.8% from the same period of the previous year. The new construction orders included 92 ships or 7.77 million dwt, exceeding the whole year's business operation goal of 6 million dwt.

  9. A 6-year experience with radial artery conduit for myocardial revascularization

    A Sadeghpour-Tabaee


    Full Text Available Background: Excellent long-term patencies of arterial grafts are considered, superior to those of vein grafts. In this study, we present our 6 years experience in using radial artery as a conduit for myocardial revascularization. The aim of the present study was to assess the safety and early and mid term results of using radial artery in coronary artery bypass graft. Methods: The radial artery used as a conduit in 308 cases was evaluated during past 6 years, and the results obtained were processed and analyzed. Results: The operative morbidity comprised re-operation for bleeding in 3.2%, MI in 5%, with paresthesis and stitch abscess of the hand in 10% in and 3.5% respectively. Hospital mortality included 2 patients, one case being directly due to complication of harvesting radial artery.Conclusion: The results of present study were satisfactory with acceptable morbidity and mortality and favored the application of this conduit to CABG patients.

  10. Basic surgical training in Ireland: the impact of operative experience, training program allocation and mentorship on trainee satisfaction.

    O'Sullivan, K E


    Application to the Irish basic surgical training (BST) program in Ireland has decreased progressively over the past 5 years. We hypothesised that this decline was secondary to dissatisfaction with training correlated with reduced operative experience and lack of mentorship among BSTs.

  11. Emotional experience improves with age: evidence based on over 10 years of experience sampling.

    Carstensen, Laura L; Turan, Bulent; Scheibe, Susanne; Ram, Nilam; Ersner-Hershfield, Hal; Samanez-Larkin, Gregory R; Brooks, Kathryn P; Nesselroade, John R


    Recent evidence suggests that emotional well-being improves from early adulthood to old age. This study used experience-sampling to examine the developmental course of emotional experience in a representative sample of adults spanning early to very late adulthood. Participants (N = 184, Wave 1; N = 191, Wave 2; N = 178, Wave 3) reported their emotional states at five randomly selected times each day for a one week period. Using a measurement burst design, the one-week sampling procedure was repeated five and then ten years later. Cross-sectional and growth curve analyses indicate that aging is associated with more positive overall emotional well-being, with greater emotional stability and with more complexity (as evidenced by greater co-occurrence of positive and negative emotions). These findings remained robust after accounting for other variables that may be related to emotional experience (personality, verbal fluency, physical health, and demographic variables). Finally, emotional experience predicted mortality; controlling for age, sex, and ethnicity, individuals who experienced relatively more positive than negative emotions in everyday life were more likely to have survived over a 13 year period. Findings are discussed in the theoretical context of socioemotional selectivity theory.

  12. McBride's operation for hallux valgus can be used in patients older than 30 years

    Gebuhr, Peter Henrik; Soelberg, M; Larsen, T


    Over a 10-year period, 46 feet with hallux valgus in 36 patients were treated with the McBride procedure. The median age was 35 years. At follow-up of 2 to 11 years after operation, a reduction in the hallux valgus angles, the intermetatarsal angles and the width of the forefeet was found. In pat...

  13. Experiments on data presentation to process operators in diagnostic tasks

    Rasmussen, Jens; Goodstein, L. P.


    Safety and reliability considerations in modern power plants have prompted our interest in man as an information receiver - especially in diagnostic tasks where the growing complexity of process plants and hence the amount of data involved make it imperative to give the staff proper support....... The great flexibility and capacity of the process computer for data reduction and presentation and for storing information on plant structure and functions give the system designer great freedom in the layout of information display for the staff, but the problem for the designer is how to make proper use...... of this freedom to support the operators efficiently. This is especially important in connection with unique, high-risk, and generally improbable abnormalities in plant functioning. Operator tasks and mental models and the need for matching the encoded information about the plant to these models are treated...

  14. The CERN Beam Interlock System: Principle and Operational Experience

    Puccio, B; Kwiatkowski, M; Romera Ramirez, I; Todd, B


    A complex Machine Protection System has been designed to protect the LHC machine from an accidental release of the beam energy, with about 20 subsystems providing status information to the Beam Interlock System that is the backbone of machine protection. Only if the subsystems are in the correct state for beam operation, the Beam Interlock System receives a status flag and beam can be injected into LHC (Large Hadron Collider). The Beam Interlock System also relays commands from the connected subsystems in case of failure for triggering the LHC Beam Dumping System. To maintain the required level of safety of the Beam Interlock System, the performance of the key components is verified before every fill of the machine and validated after every emergency beam dump before beam operation is allowed to continue. This includes all critical paths, starting from the inputs from connected systems triggering a beam dump request, followed by the correct interruption and propagation sequence of the two redundant beam permi...

  15. High power operational experience with the LANSCE Linac

    Rybarcyk, Lawrence J [Los Alamos National Laboratory


    The heart of the Los Alamos Neutron Science Center (LANSCE) is a pulsed linear accelerator that is used to simultaneously provide H+ and H- beams to several user facilities. This accelerator contains two Cockcroft-Walton style injectors, a 100-MeV drift tube linac and an 800-MeV coupled cavity linac. This presentation will touch on various aspects of the high power operation including performance, tune-up strategy, beam losses and machine protection.

  16. Twenty years' experience of a telehealth service in the UK.

    Mansfield, Peter


    Since 1996 a small call centre has been operated to provide instant self-help, non-medical advice to members. Non-clinical advisers work under a medical director. The scheme grew to 1,200 member-families from a regional catchment area, peaking at 2,500 across the country. About 30-50 telephone calls are received each day and up to 1,000 Web visits per day; about 20-50 postal items are sent out daily to members. In a telephone poll during 2001, half of our current members said that they used the National Health Service about 70% less than before they joined, but a third said that they used complementary and alternative medicines 80% more. Half had gained in confidence by about 50% in managing their own health. Members most often join for alternative medical help with a specific problem, but stay if they begin to appreciate the help we can give them in regaining and keeping health in the round. Our retention of new members for a second year is only 10-20%. The 'barefoot' profession of telehealth adviser appears to meet a community need.

  17. My 20 years of experience in the human factors field

    Carnino, A. (International Atomic Energy Agency, Vienna (Austria))


    My first encounter with human factors happened in early 1973: I was performing a reliability assessment of the safety injection system of the Fessenheim reactor, and I found that the operators had to switch to the recirculation phase manually and had only 6 min between the low and low-low level alarm indicating that the water tank was empty. It of course led us to replace this manual action by an automatic positioning for the recirculation phase. In July of the same year, I attended a North Atlantic Treaty Organization workshop in Liverpool on reliability assessment, and I met Alan Swain from the United States and Jens Rasmussen from Denmark. During the long rainy evenings of the seminar, we had time to discuss human errors and human factors, and that was the beginning of a very fruitful collaboration between us. I realized then the complexity of the problem. Quantification needs were obvious for reliability and risk assessment studies, but, at the same time, there were needs for better understanding of human behavior and the mechanisms that could lead to human errors. Knowledge of the man-machine interface also seemed very poor, although some basic ergonomic rules were available and could be applied. But a major problem was the lack of data.

  18. The HRMT27 (Rodtarg) Experiment: Design, Operation and First Results

    Torregrosa Martin, Claudio Leopoldo; Calviani, Marco; Butcher, Mark; Horvath, David; Fornasiere, Elvis; Gentini, Luca


    The HRMT27-Rodtarg- experiment used the HiRadMat facility at CERN to impact intense 440 GeV proton beams onto thin rods - 8 mm diameter, 140 length - made of high-density materials such as Ir, W, Ta, Mo among others. The purpose of the experiment was to reduce uncertainties on the CERN antiproton target material response and assess the material selection for its future redesign. The experiment was designed to recreate the extreme conditions reached in the target, estimated as an increase of temperature above 2000 ºC in less than 0.5 µs and a subsequent compressive-to-tensile pressure wave of several GPa. This document includes a detailed summary of the experimental setup and online recorded data. Results suggest that all the irradiated materials except tantalum suffered internal damage from conditions 5-7 lower than those reached in the AD-Target, while tantalum targets clearly showed the best dynamic response, remaining un-cracked during the experiment. Foreseen post irradiation examinations will complete ...

  19. Successful Experiences with Making Partnering an Operational Strategy.

    Buettner, David L.; Morrison, Michael, C.; Wasicek, Margery


    Provides a concise overview of the key components of sound partnerships developed at North Iowa Area Community College. Offers a conceptual foundation for practitioners, as well as a narrative of the college's successful experiences that illustrates the transformational benefits of partnerships. (AUTH/CB)

  20. High Temperature Electrolysis Pressurized Experiment Design, Operation, and Results

    J.E. O' Brien; X. Zhang; G.K. Housley; K. DeWall; L. Moore-McAteer


    A new facility has been developed at the Idaho National Laboratory for pressurized testing of solid oxide electrolysis stacks. Pressurized operation is envisioned for large-scale hydrogen production plants, yielding higher overall efficiencies when the hydrogen product is to be delivered at elevated pressure for tank storage or pipelines. Pressurized operation also supports higher mass flow rates of the process gases with smaller components. The test stand can accommodate planar cells with dimensions up to 8.5 cm x 8.5 cm and stacks of up to 25 cells. It is also suitable for testing other cell and stack geometries including tubular cells. The pressure boundary for these tests is a water-cooled spool-piece pressure vessel designed for operation up to 5 MPa. Pressurized operation of a ten-cell internally manifolded solid oxide electrolysis stack has been successfully demonstrated up 1.5 MPa. The stack is internally manifolded and operates in cross-flow with an inverted-U flow pattern. Feed-throughs for gas inlets/outlets, power, and instrumentation are all located in the bottom flange. The entire spool piece, with the exception of the bottom flange, can be lifted to allow access to the internal furnace and test fixture. Lifting is accomplished with a motorized threaded drive mechanism attached to a rigid structural frame. Stack mechanical compression is accomplished using springs that are located inside of the pressure boundary, but outside of the hot zone. Initial stack heatup and performance characterization occurs at ambient pressure followed by lowering and sealing of the pressure vessel and subsequent pressurization. Pressure equalization between the anode and cathode sides of the cells and the stack surroundings is ensured by combining all of the process gases downstream of the stack. Steady pressure is maintained by means of a backpressure regulator and a digital pressure controller. A full description of the pressurized test apparatus is provided in this

  1. Performance and operation experience of the ATLAS SemiConductor Tracker

    Robichaud Veronneau, A; The ATLAS collaboration


    After more than 3 years of successful operation at the LHC, we report on the operation and performance of the SemiConductor Tracker (SCT) functioning in a high luminosity, high radiation environment. The SCT is part of the ATLAS experiment at CERN and is constructed of 4088 silicon detector modules for a total of 6.3 million strips. Each module is designed, constructed and tested to operate as a stand-alone unit, mechanically, electrically, optically and thermally. The modules are mounted into two types of structures: one barrel (4 cylinders) and two end-cap systems (9 disks on each end of the barrel). The SCT silicon micro-strip sensors were produced in the planar p-in-n technology. The signals are processed in the front-end ABCD3TA ASICs, which use a binary readout architecture. Data is transferred to the off-detector readout electronics via optical fibers. We find 99.3% of the SCT modules are operational, noise occupancy and hit efficiency exceed the design specifications; the alignment is very close to th...

  2. Operating experience from Swedish nuclear power plants 2004



    2004 was somewhat of a record year for the Swedish nuclear power stations. No serious faults occurred, and production exceeded previous record outputs. Total output from the eleven nuclear power units during the year amounted to 75 TWh, which is the largest amount of power ever produced by nuclear power in Sweden. Corresponding figures for earlier years are 59 TWh (2003), 65 TWh (2002) and 69 TWh (2001). An important reason for this excellent result was the very high energy availability. Forsmark 1, for example, exceeded 97 % availability, while Forsmark 2 just reached 97 %. For all the Swedish nuclear power stations as a whole, availability in 2004 amounted to 91 %. In addition to the connection between production and energy availability, there is also a connection with safety. During the year, safety in the Swedish power stations has been high, not only in absolute terms but also in an international perspective. One measure of safety is to be found in the number of accidents, incidents, anomalies or deviations reported to the IAEA on a scale known as the International Nuclear Event Scale (INES). Sweden has undertaken to report all events in accordance with this international system. Three reports were submitted by the Swedish Nuclear Power Inspectorate, which is responsible for national reporting, during the year. None of them had any significance for reactor safety: all were categorised as incidents or minor deviations from the regulations. Summarising, 2004 has been an excellent year for nuclear power safety, which is also reflected by the record electricity production during the year.

  3. Fessenheim: 30 years of nuclear fuel operation; Fessenheim: 30 ans d'exploitation du combustible nucleaire

    Abgrall, G. [Centrale de Fessenheim, EDF, 68 - Dessenheim (France)


    Fessenheim units 1 and 2 are the first two 900 MW PWR put into operation in France (1977). This article reviews 30 years of change, optimization and feedback experience from Fessenheim, concerning: -) fuel assemblies (particularly the design of some components like grids, ends and guide tubes), -) the reload fuel management (to get a higher unloading burn-up), -) the refueling machine and tools (heavy modifications to reduce the human factor), and -) work organization (work shifts and staff training). (A.C.)

  4. [Low field intra-operative magnetic resonance imaging for brain tumour surgery: preliminary experience].

    Roldán, Pedro; García, Sergio; González, Josep; Reyes, Luis Alberto; Torales, Jorge; Valero, Ricard; Oleaga, Laura; Enseñat, Joaquim

    Intra-operative magnetic resonance imaging (iMRI) is a recently introduced tool in the most advanced neurosurgical operating rooms worldwide. We present our preliminary experience in brain tumour surgery with low field PoleStar N30® intraoperative MRI since its introduction in 2013 in the Barcelona Clinic Hospital. A prospective non-randomised study was conducted on cases operated on using iMRI and intention of complete removal up to October 2015. A record was made of the data as regards surgical times, resection rates, histological diagnosis, hospital stay, and survival rates during follow-up. The study included 50 patients, with a mean age of 55 years (±13.7), a preoperative mean Karnofsky of 92 (being 81 post-operatively), and a mean follow-up of 10.5 months (±6.5). There were 26% re-operations due to recurrence. High-grade gliomas were reported in 56%, low-grade gliomas in 24%, and 20% "Other" tumours. Overall hospital stay was 10 days (±4.5). Depending on the histologiacl diagnosis, the "Others" group had a longer hospital stay. Overall, there were 52% complete removal, 18% of maximum removals, and 30% of partial removals. The overall survival rates during follow-up was 84%. iMRI is a safe and effective tool for brain tumour surgery. Its use allows an increase in resection rates, and minimises post-operative complications. Its implementation involves an increase in surgical time, which improves with the characteristic learning curve. More studies are needed to establish its role in the long-term survival of patients. Copyright © 2016 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Contributing to operations of community agencies through integrated fieldwork experiences.

    Klinger, Lisa; Bossers, Ann


    Occupational therapists are change agents who are well equipped to participate in community development. Community development projects can help agencies in many ways, including determining needs, educating stakeholders, developing novel programs, finding and creating resources, marketing the agency, and creating or implementing policy. In order for service agencies to profit, they need an understanding of the skills occupational therapists can offer. The best way to gain that knowledge may be through direct experience. This paper describes the benefits that flow to community agency partners and to occupational therapy students from an innovative, integrated fieldwork model that links students with service agencies. This approach has demonstrated many benefits to community partners, while allowing all students in an occupational therapy program to have community development experience. This is a cost-effective way to demonstrate the value of occupational therapy and to deliver multiple community development projects.

  6. Operational Experience and Performance of the Present ALICE ITS

    Senyukov, Serhiy


    ALICE (A Large Ion Collider Experiment) is one of four major experiments at the CERN LHC. ALICE studies strongly interacting matter under extreme conditions created in heavy ion colli- sions. The Inner Tracking System (ITS) is an essential part of the ALICE detector. It is used for tracking, reconstruction of primary and secondary vertices and particle identification. ITS is composed of six cylindrical layers of silicon detectors. Three different techologies are used: hybrid pixel, drift and strip detectors. The ITS was fully commisioned in 2009 at the start of LHC Run 1. The detectors showed good performance during this period contributing to several important measurements. During the LHC Long Shutdown 1 (LS1) the ITS underwent general consolidation and is now ready for the next LHC run

  7. Elements of Successful and Safe Fusion Experiment Operations

    K. Rule, L. Cadwallader, Y. Takase, T. Norimatsu, O. Kaneko, M. Sato, and R. Savercool


    A group of fusion safety professionals contribute to a Joint Working Group (JWG) that performs occupational safety walkthroughs of US and Japanese fusion experiments on a routine basis to enhance the safety of visiting researchers. The most recent walkthrough was completed in Japan in March 2008 by the US Safety Monitor team. This paper gives the general conclusions on fusion facility personnel safety that can be drawn from the series of walkthroughs.

  8. Education : Lessons from Economic Theory and Operational Experience

    Nicholas Barr


    This paper talks about how to pay for teaching at universities. It does not talk about financing research, nor about any particular country. Instead, its purpose is to offer a toolkit for policy makers thinking about reform. The paper sets out lessons for policy design from economic theory (section 2) and the experience of developed countries (section 3). Economic theory, however, is not enough. Policy design that outstrips a countrys capacity to implement it effectively is bad policy design....

  9. Initial operation with sodium in the Madison Dynamo Experiment.

    Kendrick, R.; Spence, Ej; Forest, C. B.; O'Connell, R.; Nornberg, Md; Canary, Hw; Wright, A.; Robinson, K.


    A new liquid metal MHD experiment has been constructed at the University of Wisconsin to test several key predictions of dynamo theory: magnetic instabilities driven by sheared flow, the effects of turbulence on current generation, and the back-reaction of the self-generated magnetic field on the fluid motion which brings saturation. This presentation describes the engineering design of the experiment, which is a 0.5 m radius spherical vessel, filled with liquid sodium at 150 ^circC. The experiment is designed to achieve a magnetic Reynolds number in excess of 100, which requires approximately 80 Hp of mechanical drive, producing flow velocities in sodium of 15 m/s through impellers. Handling liquid sodium offers a number of technical challenges, but routine techniques have been developed over the past several decades for safely handling large quantities for the fast breeder reactor. The handling strategy is discussed, technical details concerning seals and pressurization are presented, and safety elements are highlighted.

  10. Advancing Successful Physics Majors - The Physics First Year Seminar Experience

    Deibel, Jason; Petkie, Douglas

    In 2012, the Wright State University physics curriculum introduced a new year-long seminar course required for all new physics majors. The goal of this course is to improve student retention and success via building a community of physics majors and provide them with the skills, mindset, and advising necessary to successfully complete a degree and transition to the next part of their careers. This new course sequence assembles a new cohort of majors annually. To prepare each cohort, students engage in a variety of activities that span from student success skills to more specific physics content while building an entrepreneurial mindset. Students participate in activities including study skills, career night, course planning, campus services, and a department social function. More importantly, students gain exposure to programming, literature searches, data analysis, technical writing, elevator pitches, and experimental design via hands-on projects. This includes the students proposing, designing, and conducting their own experiments. Preliminary evidence indicates increased retention, student success, and an enhanced sense of community among physics undergraduate students, The overall number of majors and students eventually completing their physics degrees has nearly tripled. Associate Professor, Department of Physics.

  11. A 22-year experience in global transport extracorporeal membrane oxygenation.

    Coppola, Christopher P; Tyree, Melissa; Larry, Karen; DiGeronimo, Robert


    Transport extracorporeal membrane oxygenation (ECMO) is currently available at 12 centers. We report a 22-year experience from the only facility providing global transport ECMO. Indications for transport ECMO include lack of ECMO services, inability to transport conventionally, inability to wean from cardiopulmonary bypass, extracorporeal cardiopulmonary resuscitation, and need to move a patient on ECMO for specialized services such as organ transplantation. Retrospective database review of children undergoing inhouse and transport ECMO from 1985 to 2007. Sixty-eight children underwent transport ECMO. Fifty-six were transported on ECMO into our facility. The remaining 12 were moved between 2 outside locations. Ground vehicles and fixed-wing aircraft were used. Distance transported was 8 to 7500 miles (13-12070 km), mean 1380 miles (2220 km). There were 116 inhouse ECMO runs. No child died during transport. Survival to discharge after transport ECMO was 65% (44/68) and, for inhouse ECMO, was 70% (81/116). Transport ECMO is feasible and effective, with survival rates comparable to inhouse ECMO. We have used transport ECMO to help children at non-ECMO centers with pulmonary failure who have not improved with inhaled nitric oxide and high-frequency ventilation. We have also transported a child after extracorporeal cardiopulmonary resuscitation, which may represent an emerging indication for transport ECMO. Transport ECMO often is the only option for children too unstable for conventional transport or those already on ECMO and requiring a specialized service at another facility, such as organ transplantation.

  12. Five years' experience with capsule endoscopy in a single Center

    Taylan Kav; Yusuf Bayraktar


    Capsule endoscopy (CE) is a novel technology that facilitates highly effective and noninvasive imaging of the small bowel. Although its efficacy in the evaluation of obscure gastrointestinal bleeding (OGIB) has been proven in several trials, data on uses of CE in different small bowel diseases are rapidly accumulating in the literature, and it has been found to be superior to alternative diagnostic tools in a range of such diseases.Based on literature evidence, CE is recommended as a first-line investigation for OGIB after negative bidirectional endoscopy. CE has gained an important role in the diagnosis and follow-up of Crohn's disease and celiac disease and in the surveillance of small bowel tumors and polyps in selected patients. Capsule retention is the major complication, with a frequency of 1%-2%. The purpose of this review was to discuss the procedure, indications, contraindications and adverse effects associated with CE. We also review and share our five-year experience with CE in various small bowel diseases. The recently developed balloon-assisted enteroscopies have both diagnostic and therapeutic capability. At the present time, CE and balloon-assisted enteroscopies are complementary techniques in the diagnosis and management of small bowel diseases.

  13. 30 years of experience in safe transportation of nuclear materials

    Kaneko, K. [Nuclear Fuel Transport Co., Ltd., Tokyo (Japan)


    In April 2003, Nuclear Fuel Transport Co., Ltd. (NFT) marked the 30{sup th} anniversary of its founding. NFT was established in 1973 and in 1978, commenced SF transport to the reprocessing plant in Tokai-mura. And then, after making preparations to transport nuclear materials to the various facilities at the Nuclear Fuel Cycle Center in Rokkasho-mura, NFT successfully started transportation of LLW (low level waste) to Rokksho-mura's LLW disposal center in 1992, domestic land transportation of HLW returned from overseas to the HLW storage center in 1995, domestic land transportation of natural hexafluoride delivered from overseas to the uranium enrichment plant in 1996, and transportation of SF to the reprocessing plant in 2000. NFT has realized an annual SF transportation capacity of 300 MTU and is currently making great company wide efforts to meet the Rokkasho Reprocessing Plant's future SF annual reprocessing capacity of 800MTU. At the end of FY2003, NFT had successfully transported 560 casks (about 1,730 MTU) of SF in more than 200 voyages in total, about 160,000 drums of LLW in around 100 voyages in total. This paper introduces the record of safe transport and its experience over the past 30 years and prospect for future transport business.

  14. Cavernous sinus hemangioma: a fourteen year single institution experience.

    Bansal, Sumit; Suri, Ashish; Singh, Manmohan; Kale, Shashank Sharad; Agarwal, Deepak; Sharma, Manish Singh; Mahapatra, Ashok Kumar; Sharma, Bhawani Shankar


    Cavernous sinus hemangioma (CSH) is a rare extra-axial vascular neoplasm that accounts for 2% to 3% of all cavernous sinus tumors. Their location, propensity for profuse bleeding during surgery, and relationship to complex neurovascular structures are factors which present difficulty in excising these lesions. The authors describe their experience of 22 patients with CSH over 14 years at a tertiary care center. Patients were managed with microsurgical resection using a purely extradural transcavernous approach (13 patients) and with Gamma Knife radiosurgery (GKRS; Elekta AB, Stockholm, Sweden) (nine patients). Retrospective data analysis found headache and visual impairment were the most common presenting complaints, followed by facial hypesthesia and diplopia. All but one patient had complete tumor excision in the surgical series. Transient ophthalmoparesis (complete resolution in 6-8 weeks) was the most common surgical complication. In the GKRS group, marked tumor shrinkage (>50% tumor volume reduction) was achieved in two patients, slight shrinkage in five and no change in two patients, with symptom improvement in the majority of patients. To our knowledge, we describe one of the largest series of CSH managed at a single center. Although microsurgical resection using an extradural transcavernous approach is considered the treatment of choice in CSH and allows complete excision with minimal mortality and long-term morbidity, GKRS is an additional tool for treating residual symptomatic lesions or in patients with associated comorbidities making surgical resection unsuitable.

  15. Transmastoid approach to otogenic brain abscess: 14 years experience

    V R Borade


    Full Text Available Objectives: Objectives of this study were to review our experience in on otogenic brain abscess and its management by transmastoid drainage and compare the results. Materials and Methods: All patients with brain abscess secondary to CSOM presenting to our department from January 1997 to December 2010 were included in this study. All patients subjected to clinical, neurological, opthalmological examination and CT scan was done as an imaging modality. All patients managed by radical mastoidectomy or modified radical mastoidectomy and transmastoid drainage of brain abscess as neurosurgical facility not available. Results: Seventy-two patients in whom brain abscess secondary to chronic suppurative otitis media was diagnosed and has been treated since 1997 are presented. 85% of patients were below 20 years of age. More than 50% patients presented with more than one complication of chronic suppurative otitis media. 85% of patients were having extensive cholesteatoma and 15% patients were having extensive granulations in middle ear and mastoid air cells. 83% patients were having cerebellar abscess while 17% patients were having temporal lobe abscess. 80% of the pus culture was sterile while in 20% patients various microorganisms such as Proteus spp., Escherichia coli, Pseudomonas aeruginosa, Staphylococcus spp., and Streptococcus spp were cultured. Overall mortality in this series was 4.4%. Conclusion: In diagnosis of otogenic brain abscess CT scan with constrast is of immense help. Transmastoid drainage of brain abscess is a safe and effective method that can be performed by otologists in cases of otogenic brain abscess.

  16. Electronic medical record in cardiology: a 10-year Italian experience

    Clara Carpeggiani


    Full Text Available SummaryObjectives:the aim of this study was to report a ten years experience in the electronic medical record (EMR use. An estimated 80% of healthcare transactions are still paper-based.Methods:an EMR system was built at the end of 1998 in an Italian tertiary care center to achieve total integration among different human and instrumental sources, eliminating paper-based medical records. Physicians and nurses who used EMR system reported their opinions. In particular the hospital activity supported electronically, regarding 4,911 adult patients hospitalized in the 2004- 2008 period, was examined.Results:the final EMR product integrated multimedia document (text, images, signals. EMR presented for the most part advantages and was well adopted by the personnel. Appropriateness evaluation was also possible for some procedures. Some disadvantages were encountered, such as start-up costs, long time required to learn how to use the tool, little to no standardization between systems and the EMR technology.Conclusion:the EMR is a strategic goal for clinical system integration to allow a better health care quality. The advantages of the EMR overcome the disadvantages, yielding a positive return on investment to health care organization.

  17. Wikis in education - After ten years of experience

    Miran Hladnik


    Full Text Available In the recent ten years, the use of Wikimedia projects in classroom has become a daily necessity. On the Wikiversity subject pages, students can enroll into the seminar schedule, teachers can publish links to their educational resources and instructions, as well as summarize experiences. Students can document their activities on their personal Wikiversity pages, where they can also report about their assignments and exchange information with teachers and their peers. They often use Wikiversity as a sandbox, in order to sketch the encyclopedic entries for Wikipedia. They can link Wikiversity with Wikisource. The latter is a space to which they can upload the literary texts that are found in the national digital library. They can also correct the errors, which have been caused by OCR process, and equip the texts with metadata. Wikis thus force their users to depart from the school “ghetto” and enter the realm of their discipline through the participatory establishment of its sustainable, digital infrastructure. Considering the valuable potential that the wikis have in the context of the paradigm shift, during which competition retreats in favor of the participation and exchange, the article concludes that wikis are still insufficiently represented in the education processes.

  18. LEDA beam diagnostics instrumentation: Measurement comparisons and operational experience

    Gilpatrick, J. D.; Barr, D.; Bruhn, D.; Day, L. A.; Kasemir, K. U.; Kamperschroer, J. H.; Ledford, J.; Lysenko, W.; Madsen, D. W.; Martinez, D. G.; O'Hara, J. F.; Pieck, M.; Power, J. F.; Sellyey, W.; Shurter, R. B.; Stettler, M. W.


    The Low Energy Demonstration Accelerator (LEDA) facility has been used to characterize the pulsed- and cw-beam performance of a 6.7 MeV, 100 mA radio frequency quadrupole (RFQ). Diagnostic instrumentation, primarily located in a short beam transport downstream of the RFQ, allow facility commissioners and operators to measure and monitor the RFQ's accelerated and total beam transmission, beam loss, bunched beam current, beam energy and output phase, and beam position. Transverse beam profile measurements are acquired under both low and high duty-factor pulsed beam conditions using a slow wire scanner and a camera that images beam-induced fluorescence. The wire scanner is also used to acquire transverse beam emittance information using a technique known as a "quad scan". This paper reviews the measurement performance and discusses the resulting data.

  19. Operation experience of Suralaya coal-fired power plant

    Saragi, M. [PT Indonesia Power (Indonesia). Suralaya Generation Business Unit


    Coal utilization for generating electricity at Suralaya coal-fired power plant has been increased from time to time. It has been driven by the growth of electricity demand from industry as well as consumption from the household sector. Generally, boilers for power plant were designed to burn the locally available coals with a limited specification range. Suralaya coal-fired power plant was built based on coal specifications from Bukit Asam (Sumatera Island), which categorized as sub-bituminous coal rank. Nowadays, supply of coal for Suralaya coal-fired power plant not only comes from Bukit Asam coal mine but also from Kalimantan coal mines. The utilization of coal from the other mines has brought other consequences on operating and equipment of the plant. It needs some effort to deal with the effect from different specifications of coal from the originated design of coal. 4 tabs.

  20. Operation experience of p-Carbon polarimeter in RHIC

    Huang, H. [Brookhaven National Lab. (BNL), Upton, NY (United States); Alekseev, I. G. [Inst. of Theoretical and Experimental Physics (ITEP), Moscow (Russian Federation); Aschenauer, E. C. [Brookhaven National Lab. (BNL), Upton, NY (United States); Atoian, G. [Brookhaven National Lab. (BNL), Upton, NY (United States); Bazilevsky, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Eyser, O. [Brookhaven National Lab. (BNL), Upton, NY (United States); Kalinkin, D. [Brookhaven National Lab. (BNL), Upton, NY (United States); Kewisch, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Makdisi, Y. [Brookhaven National Lab. (BNL), Upton, NY (United States); Nemesure, S. [Brookhaven National Lab. (BNL), Upton, NY (United States); Poblaguev, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Schmidke, W. B. [Brookhaven National Lab. (BNL), Upton, NY (United States); Svirida, D. [Inst. of Theoretical and Experimental Physics (ITEP), Moscow (Russian Federation); Steski, D. [Brookhaven National Lab. (BNL), Upton, NY (United States); Webb, G. [Brookhaven National Lab. (BNL), Upton, NY (United States); Zelenski, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Tip, K. [Brookhaven National Lab. (BNL), Upton, NY (United States)


    The spin physics program in Relativistic Heavy Ion Collider (RHIC) requires fast polarimeter to monitor the polarization evolution on the ramp and during stores. Over past decade, the polarimeter has evolved greatly to improve its performance. These include dual chamber design, monitoring camera, Si detector selection (and orientation), target quality control, and target frame modification. The preamp boards have been modified to deal with the high rate problem, too. The ultra thin carbon target lifetime is a concern. Simulations have been carried out on the target interaction with beam. Modification has also been done on the frame design. Extra caution has been put on RF shielding to deal with the pickup noises from the nearby stochastic cooling kickers. This paper summarizes the recent operation performance of this delicate device.

  1. Operating experience from Swedish nuclear power plants 2002



    The total production of electricity from Swedish nuclear power plants was 65.6 TWh during 2002, which is a decrease compared to 2001. The energy capability factor for the 11 Swedish reactors averaged 80.8%. The PWRs at Ringhals averaged 87.6%, while the BWRs, not counting Oskarshamn 1, reached 89.2%. No events, which in accordance to conventions should be reported to IAEA, have occurred during 2002. Operational statistics are presented for each Swedish reactor. The hydroelectric power was 66 TWh, 16% lower than 2000. Wind power contributed 0.5 TWh, and remaining production sources, mainly from solid fuel plants combined with district heating, contributed 10.9 TWh. The electricity generation totalled 143 TWh, considerably less than the record high 2001 figure of 158.7 TWh. The preliminary figures for export were 14.8 TWh and and for import 20.1 TWh.

  2. Wind-To-Hydrogen Project: Operational Experience, Performance Testing, and Systems Integration

    Harrison, K. W.; Martin, G. D.; Ramsden, T. G.; Kramer, W. E.; Novachek, F. J.


    The Wind2H2 system is fully functional and continues to gather performance data. In this report, specifications of the Wind2H2 equipment (electrolyzers, compressor, hydrogen storage tanks, and the hydrogen fueled generator) are summarized. System operational experience and lessons learned are discussed. Valuable operational experience is shared through running, testing, daily operations, and troubleshooting the Wind2H2 system and equipment errors are being logged to help evaluate the reliability of the system.

  3. Pediatric Vascular Surgery Review with a 30-Year-Experience in a Tertiary Referral Center

    Min, Seung-Kee; Cho, Sungsin; Kim, Hyun-Young; Kim, Sang Joon


    Pediatric vascular disease is rare, and remains a big challenge to vascular surgeons. In contrast to adults, surgery for pediatric vascular disease is complicated by issues related to small size, future growth, and availability of suitable vascular conduit. During the last 30 years, 131 major vascular operations were performed in a tertiary referral center, Seoul National University Hospital, including aortoiliac aneurysm, acute or chronic arterial occlusion, renovascular hypertension, portal venous hypertension, trauma, tumor invasion to major abdominal vessels, and others. Herein we review on the important pediatric vascular diseases and share our clinical experiences on these rare diseases. PMID:28690995

  4. Pancreas-preserving total duodenectomy: a 10-year experience

    Penninga, Luit; Svendsen, Lars Bo


    Traditionally, severe pathology of the duodenum has been treated by a pancreaticoduodenectomy using Whipple's operation. Pancreas-preserving total duodenectomy (PPTD) was introduced in the late 1990s as an alternative to Whipple's operation for selected diseases of the duodenum. We report our 10...

  5. Juvenile Angiofibroma Embolization: Nine Years of Experience in Damascus University

    Morteza Joorabian


    Full Text Available Juvenile angiofibroma is a benign, highly vascular, fibromatous or angiofibromatous hamartoma that is locally invasive, arises from the nasopharynx, and has a marked tendency to recur. JNAs constitute 0.5% of head and neck tumors and are found almost exclusively in adolescent males."n152 male cases of juvenile angiofibroma (JNA be-tween 13-24 y/o with a mean age of 15 years were embolized during 2001-2009 in Al Assad University Hospital, Damascus, Syria."nAll cases were referred by the ENT department. The procedure was performed in most cases by Vert diagnostic catheter (5F, 120. Until 2003, we used polyvinyl alcohol (PVA and coils for embolization and then only PVA was used, except in five cases tin which we used Tris- acrylgelatin microspheres. The PVA particles tend to group within the vessel and occlude the proximal lumen and cause intraluminal thrombosis with an inflammatory reaction and thrombus organises later."nNo major complications were reported and just a few cases had headache and tooth pain."nTwelve cases were referred again due to relapsing tumor: four cases due to late surgery (re-embolization was performed and eight cases due to co-existing feeding vessels from ECA and ICA through its meningeal territories (no embolization was carried out. By experience, it was found that major difficulties in embolization of JNA are in cases that have feeding vessels from meningeal territories of ICA which are very narrow and it is not easily possible to embolize them.

  6. [Percutaneous treatment of calculosis in caliceal diverticulosis: 13-year experience].

    Lancini, V; Liatsikos, E N; Bernardo, N O; Dinlenc, C Z; Kapoor, R; Smith, A D


    We report our experience with the composition and management of caliceal diverticular stones for the past 13 years at our institution. Fourty patients with caliceal diverticular stones were treated percutaneously at Long Island Jewish Medical Center. The size of the diverticula ranged from 1 to 4.8 cm, with a mean size of 2.27 cm. The stone size ranged from 0.2 to 4.5 cm in diameter with an average of 1.7 cm. Twenty patients underwent a metabolic evaluation. Follow-up ranged from 8 months to 140 months with a mean of 72.5 months. We achieved a stone free rate of 95%. All 40 patients were free of pain and infection. The chemical composition of stones was identified in 38 patients. Twelve patients were found to have mainly calcium phosphate stones, 16 mainly calcium oxalate stones, 7 mainly uric acid stones and 3 were found with milk of calcium in their diverticulum. Thirty-five patients had complete resolution of their diverticula with normal urograms. The remaining 5 patients had at least 50% diminution of the diverticulum size. No one of the latter patients was found to have stone recurrence. Metabolic evaluation of the 40 patients showed in the 75% of the cases any metabolic abnormality, an absorptive hypercalciuria type II in two patients (10%), hyperuricosuric hypercalciuria in two cases (10%) and hyperoxaluria in one (5%). Percutaneous management of caliceal diverticular stones is a safe and effective modality compared to the existing alternative procedures reported in the literature.

  7. Liver transplantation in Greek children: 15 years experience

    Dimitrios Takoudas


    Full Text Available Liver transplantation (LT is the only available live-saving procedure for children with irreversible liver failure. This paper reports our experience from the follow-up of 16 Greek children with end-stage liver failure who underwent a LT. Over a period of 15 years, 16 pediatric liver recipients received follow up after being subjected to OLT (orthotopic liver transplantation due to end-stage liver failure. Nine children initially presented with extrahepatic biliary atresia, 2 with acute liver failure after toxic mushroom ingestion, 2 with intrahepatic cholestasis, 2 with metabolic diseases and one with hepatoblastoma. Ten children received a liver transplant in the Organ Transplantation Unit of Aristotle University of Thessaloniki and the rest in other transplant centers. Three transplants came from a living-related donor and 13 from a deceased donor. Six children underwent immunosuppressive treatment with cyclo­sporine, mycophenolate mofetil and corticosteroids, and 7 with tacrolimus, mycophenolate mofetil and corticosteroids. Three out of 16 children died within the first month after the transplantation due to post-transplant complications. Three children presented with acute rejection and one with chronic organ rejection which was successfully managed. Five children presented with cytomegalovirus infection, 5 with Epstein-Barr virus, 2 with HSV1,2, 2 with ParvoB19 virus, 2 with varicella-zoster virus and one with C. Albicans infection. One child presented with upper gastrointestinal hemorrhage and one with small biliary paucity. A satisfying outcome was achieved in most cases, with good graft function, except for the patient with small biliary paucity who required re-transplantation. The long-term clinical course of liver transplanted children is good under the condition that they are attended in specialized centers.

  8. Operational experience with nanocoulomb bunch charges in the Cornell photoinjector

    Adam Bartnik


    Full Text Available Characterization of 9–9.5 MeV electron beams produced in the dc-gun based Cornell photoinjector is given for bunch charges ranging from 20 pC to 2 nC. Comparison of the measured emittances and longitudinal current profiles to optimized 3D space charge simulations yields excellent agreement for bunch charges up to 1 nC when the measured laser distribution is used to generate initial particle distributions in simulation. Analysis of the scaling of the measured emittance with bunch charge shows that the emittance scales roughly as the square root of the bunch charge up to 300 pC, above which the trend becomes linear. These measurements demonstrate that the Cornell photoinjector can produce cathode emittance dominated beams meeting the emittance and peak current specifications for next generation free electron lasers operating at high repetition rate. In addition, the 1 and 2 nC results are relevant to the electron ion collider community.

  9. Offshore wind farm Bockstigen - installation and operation experience

    Lange, B. [Risoe National Lab., Wind Energy and Atmospheric Physics Dept., Roskilde (Denmark); Aagaard, E.; Andersen, P.E.; Moeller, A. [Wind World af 1997 A/S, Noerresundby (Denmark); Niklasson, S.; Wickman, A. [Vindkompaniet, Degerhamn (Sweden)


    The first Swedish offshore wind farm Bockstigen is operating since March 1998 near the coast of Gotland. It was built as a demonstration project by the Swedish wind farm developer Vindkompaniet, the Danish wind turbine manufacturer Wind World and the British offshore construction company Seacore and partly funded under the EU-THERMIE program. Bockstigen is the fourth offshore wind farm world-wide. While at previous wind farms the main emphasis laid on the demonstration of the technical feasibility of offshore wind energy utilisation, Bockstigen was aimed at demonstrating its economic viability. A number of innovative concepts have been employed: Drilled monopile foundations were used to save costs. A new construction method has been applied making use of a jack-up barge. A new control system for the turbines and the whole wind farm was developed, which controls the maximum power output, the flicker and the reactive power consumption depending on online measurements of the actual grid state. These new developments have been implemented successfully. A substantial cost reduction compared to previous offshore projects could be achieved. (au)

  10. Operating experiences and test results of six cold helium compressors

    Brown, D. P.; Gibbs, R. J.; Schlafke, A. P.; Sondericker, J. H.; Wu, K. C.

    Three small and three large cold helium centrifugal compressors have been operated at Brookhaven National Laboratory between 1981 and 1986. The three small cold compressors have been installed on a 1000 W refrigerator for testing a string of superconducting magnets and for R and D purposes. The three large units are components of the BNL 24.8 KW refrigerator to be used to provide cooling for the RHIC project. These compressors are used either to circulate a large amount of supercritical helium through a group of magnets or to pump on the helium bath to reduce temperature in the system. One small circulating compressor tested employs tilting-pad gas bearings and is driven by a DC motor. The two small cold vacuum pumps tested use oil bearings and are driven by oil turbines. The three large oil-bearing cold compressors are driven by DC motors through a gear box. A unique feature of the large vacuum pump is the combination of two pumps with a total of four stages on the same shaft. The adiabatic efficiencies are found to be 57% for the large vacuum pumps and close to 50% for the large circulating compressor. Good overall reliability has been experienced.

  11. The NASA Robotic Conjunction Assessment Process: Overview and Operational Experiences

    Newman, Lauri Kraft


    Orbital debris poses a significant threat to spacecraft health and safety. Recent events such as China's anti-satellite test and the Breeze-M rocket explosion have led to an even greater awareness and concern in the satellite community. Therefore, the National Aeronautics and Space Administration (NASA) has established requirements that routine conjunction assessment screening shall be performed for all maneuverable spacecraft having perigees less than 2000 km or within 200 km of geosynchronous altitude. NASA s Goddard Space Flight Center (GSFC) has developed an operational collision risk assessment process to protect NASA s high-value unmanned (robotic) assets that has been in use since January 2005. This paper provides an overview of the NASA robotic conjunction assessment process, including descriptions of the new tools developed to analyze close approach data and of the risk mitigation strategies employed. In addition, statistical data describing the number of conjunctions experienced are presented. A debris avoidance maneuver performed by Aura in June of 2008 is described in detail to illustrate the process.

  12. The LHC RF System - Experience with beam operation

    Baudrenghien, P; Argyropoulos, T; Arnaudon, L; Bohl, T; Brunner, O; Butterworth, A; Ciapala, E; Dubouchet, F; Esteban-Muller, J; Ferreira-Bento, J; Glenat, D; Hagmann, G; Hofle, W; Jacquet, D; Jaussi, M; Kouzue, S; Landre, D; Lollierou, J; Maesen, P; Martinez Yanez, P; Mastoridis, T; Molendijk, J; Nicou, C; Noirjean, J; Papotti, G; Pashnin, A; Pechaud, G; Pradier, J; Sanchez-Quesada, J; Shaposhnikova, E; Schokker, M; Stellfeld, D; Tuckmantel, J; Valuch, D; Wehrle, U; Weierud, F


    The LHC RF system commissioning with beam and physics operation for 2010 and 2011 are presented. It became clear in early 2010 that RF noise was not a lifetime limiting factor: the crossing of the much feared 50 Hz line for the synchrotron frequency did not affect the beam. The broadband LHC RF noise is reduced to a level that makes its contribution to beam diffusion in physics well below that of Intra Beam Scattering. Capture losses are also under control, at well below 0.5%. Longitudinal emittance blow-up, needed for ramping of the nominal intensity single bunch, was rapidly commissioned. In 2011, 3.5 TeV/beam physics has been conducted with 1380 bunches at 50 ns spacing, corresponding to 55% of the nominal current. The intensity per bunch (1.3 1011 p) is significantly above the nominal 1.15 1011. By August 2011 the LHC has accumulated more than 2 fb-1 integrated luminosity, well in excess of the 1 fb-1 target for 2011.

  13. Operating experience review - Ventilation systems at Department of Energy Facilities


    The Office of Special Projects (DP-35), formerly Office of Self-Assessment (DP-9), analyzed occurrences caused by problems with equipment and material and recommended the following systems for an in-depth study: (1) Selective Alpha Air Monitor (SAAM), (2) Emergency Diesel Generator, (3) Ventilation System, (4) Fire Alarm System. Further, DP-35 conducted an in-depth review of the problems associated with SAAM and with diesel generators, and made several recommendations. This study focusses on ventilation system. The intent was to determine the causes for the events related to these system that were reported in the Occurrence Reporting and Processing System (ORPS), to identify components that failed, and to provide technical information from the commercial and nuclear industries on the design, operation, maintenance, and surveillance related to the system and its components. From these data, sites can develop a comprehensive program of maintenance management, including surveillance, to avoid similar occurrences, and to be in compliance with the following DOE orders.

  14. How much and what type: analysis of the first year of the acute care surgery operative case log.

    Dente, Christopher J; Duane, Therese M; Jurkovich, Gregory J; Britt, L D; Meredith, J Wayne; Fildes, John J


    A case log was created by the American Association for the Surgery of Trauma Acute Care Surgery (ACS) committee to track trainee operative experiences, allowing them to enter their cases in the form of Current Procedural Terminology (CPT) codes. We hypothesized that the number of cases an ACS trainee performed would be similar to the expectations of a fifth-year general surgery resident and that the current list of essential and desired cases (E/D list) would accurately reflect cases done by ACS trainees. The database was queried from July 1, 2011, to June 30, 2012. Trainees were classified as those in American Association for the Surgery of Trauma-accredited fellowships (ACC) and those in ACS fellowships not accredited (non-ACC). CPT codes were mapped to the E/D list. Cases entered manually were individually reviewed and assigned a CPT code if possible or listed as "noncodable." To compensate for nonoperative rotations and noncompliance, case numbers were analyzed both annually and monthly to estimate average case numbers for all trainees. In addition, case logs of trainees were compared with the E/D list to assess how well it reflected actual trainee experience. Eighteen ACC ACS and 11 non-ACC ACS trainees performed 16.4 (12.6) cases per month compared with 15.7 (14.2) cases for non-ACC ACS fellows (p = 0.71). When annualized, trainees performed, on average, 195 cases per year. Annual analysis led to similar results. The E/D list captured only approximately 50% of the trainees' operative experience. Only 77 cases were categorized as pediatric. ACS trainees have substantial operative experience averaging nearly 200 major cases during their ACS year. However, high variability exists in the number of essential or desirable cases being performed with approximately 50% of the fellows' operative experience falling outside the E/D list of cases. Modification of the fellows' operative experience and/or the rotation requirements seems to be needed to provide experience in

  15. Experiments on the Impact of language Problems in the Multi-cultural Operation of NPPs' Emergency Operation

    Kang, Seongkeun; Kim, Taehoon; Seong, Poong Hyun [KAIST, Daejeon (Korea, Republic of); Ha, Jun Su [KUSTAR, Abu Dhabi (United Arab Emirates)


    In 2010, The Korea Electric Power Corporation (KEPCO) was awarded a multi-billion dollar bid to construct the first nuclear power plant in Barakah, UAE. One must keep in mind however, that with technology transfer and international cooperation comes a host of potential problems arising from cultural differences such as language, everyday habitudes and workplace expectation. As of now, how problematic these potential issues may become is unknown. Of the aforementioned factors, communication is perhaps of foremost importance. We investigated UAE culture-related issues through analysis of operating experience reviews (OERs) and came to the conclusion that the language barrier needed utmost attention. Korean nuclear power plant operators will work in UAE and will operate the NPPs with operators and managers of other nationalities as well. The purpose of this paper is firstly to confirm that operators are put under mental stress, and secondly to demonstrate the decline in accuracy when they must work in English. Reducing human error is quite important to make nuclear power plants safer. As the mental workload of human operator is increased, the probability of a human error occurring also increases. It will have a negative influence on the plant’s safety. There are many factors which can potentially increase mental workload. We focused on communication problem which is a key factor of increasing mental workload because many Korean operators will work in UAE nuclear power plants and may work together with UAE operators. From these experiments we compared how performance of both Korean and UAE subjects were decreased when they use English. We designed experimental methods to be able to check this problem qualitatively and quantitatively. We analyzed four factors to find the communication problems from the experiments which are accuracy, efficiency, NASA-TLX, and brain wave. Accuracy, efficiency, brain wave are quantitative factors, and NASA-TLX is qualitative factor. To

  16. Operating Experience from two new Biomass Fired FBC-Plants

    Bolhar-Nordenkampf, M.; Tschanun, I.; Kaiser, S. [Austrian Energy and Environment AG, Vienna (Austria)


    The use of renewable fuels in industrial power plants is rising continuously. The driving forces are the Kyoto protocol for CO{sub 2} reduction resulting in government support for green power electricity, substitution of imported primary energy and multi-fuel concepts together with RDF. Biomass fuel exists in various forms, traditionally as wood, bark, harvesting residues sewage sludge and organic waste. A favourable combustion technology is Austrian Energy's 'ECOFLUID' bubbling fluidized bed. Advantageous is the principle of a substoichiometric bed operation which allows bed temperature control in the range between 650 deg C - 850 deg C. Therefore, also fuel with low ash melting temperature can be burned. The applied staged combustion concept results in a homogenous temperature profile in the furnace and first pass of the boiler and thus low NO{sub x} emission. One new plant, owned by Energie AG in Timelkam/Austria has been commissioned in winter 2005. The main fuel of this 57 t/h boiler is bark, wood residues and waste wood up to 30% of the total thermal capacity. Grinding dust and saw dust can be co-fired, too. Optionally, sludge and animal wastes can be fired. The boiler is designed for 42 barg at live steam temperature of 440 deg C. The other new 30 MW{sub th} plant, owned by M-real Hallein AG in Hallein/Austria has been commissioned in winter 2005, too. The boiler is fired with wood chips, bark, rejects and other paper mill residues and furthermore it is able to burn the sludge of the mills own waste water treatment plant. Beside the boiler works as a post combustion system for exhaust gases from a 1 MW Biogas Otto-Engine, or alternatively it is able to burn the biogas directly. The boiler is designed for 61 barg at live steam temperature of 450 deg C.

  17. Can Robotic Gastrectomy Surpass Laparoscopic Gastrectomy by Acquiring Long-Term Experience? A Propensity Score Analysis of a 7-Year Experience at a Single Institution

    Hong, Sung-Soo; Shin, Ho-Jung; Cui, Long-Hai; Hur, Hoon; Han, Sang-Uk


    Purpose It is hypothesized that robotic gastrectomy may surpass laparoscopic gastrectomy after the operators acquire long-term experience and skills in the manipulation of robotic arms. This study aimed to evaluate the long-term learning curve of robotic distal gastrectomy (RDG) for gastric cancer compared with laparoscopic distal gastrectomy (LDG). Materials and Methods From October 2008 to December 2015, patients who underwent LDG (n=809) were matched to patients who underwent RDG (n=232) at a 1:1 ratio, by using a propensity score matching method after stratification for the operative year. The surgical outcomes, such as trends of operative time, blood loss, and complication rate, were compared between the two groups. Results The RDG group showed a longer operative time (171.3 minutes vs. 147.6 minutes, P<0.001) but less estimated blood loss (77.6 ml vs. 116.6 ml, P<0.001). The complication rate and postoperative recovery did not differ between the two groups. The RDG group showed a longer operative time and similar estimated blood loss compared with the LDG group after 5 years of experience (operative time: 159.2 minutes vs. 136.0 minutes in 2015, P=0.003; estimated blood loss: 72.9 ml vs. 78.1 ml in 2015, P=0.793). Conclusions In terms of short-term surgical outcomes, RDG may not surpass LDG after a long-term experience with the technique. PMID:28053810

  18. RCRA and operational monitoring 1994 fiscal year work plan, WBS 1.5.3


    RCRA & Operational Monitoring (ROM) Program Office manages the direct funded Resource Conservation Recovery Act (RCRA) and Operational Monitoring under Work Breakdown Structure (WBS) 1.5.3. The ROM Program Office is a Branch of liquid Waste Disposal, a part of Restoration and Remediation of Westinghouse Hanford Company (WHC). The Fiscal Year Work Plan (FYWP) takes it direction from the Multi-Year Program Plan (MYPP). The FYWP provides the near term, enhanced details for the Program Office to use as baseline Cost, Scope and Schedule. Changs Control administered during the fiscal year is against the baseline provided by the FYWP.

  19. 18 years experience on UF{sub 6} handling at Japanese nuclear fuel manufacturer

    Fujinaga, H.; Yamazaki, N.; Takebe, N. [Japan Nucelar Fuel Conversion Co., Ltd., Ibaraki (Japan)


    In the spring of 1991, a leading nuclear fuel manufacturing company in Japan, celebrated its 18th anniversary. Since 1973, the company has produced over 5000 metric ton of ceramic grade UO{sub 2} powder to supply to Japanese fabricators, without major accident/incident and especially with a successful safety record on UF{sub 6} handling. The company`s 18 years experience on nuclear fuel manufacturing reveals that key factors for the safe handling of UF{sub 6} are (1) installing adequate facilities, equipped with safety devices, (2) providing UF{sub 6} handling manuals and executing them strictly, and (3) repeating on and off the job training for operators. In this paper, equipment and the operation mode for UF{sub 6} processing at their facility are discussed.

  20. McBride's operation for hallux valgus can be used in patients older than 30 years

    Gebuhr, Peter Henrik; Soelberg, M; Larsen, T


    Over a 10-year period, 46 feet with hallux valgus in 36 patients were treated with the McBride procedure. The median age was 35 years. At follow-up of 2 to 11 years after operation, a reduction in the hallux valgus angles, the intermetatarsal angles and the width of the forefeet was found....... In patients older than 30 years there were significant reductions. In patients younger than 30 years, the reduction was not significant. The rate of problems with daily footwear was reduced from 36 of 46 feet to 13 of 38 feet. The authors noted few problems and a high rate of satisfied patients, despite...... the age. In 37 of 46 feet the overall result was found satisfactory by the patients. The authors find that McBride's operation can be used for hallux valgus, also in patients above 30 years, in spite of the generally accepted restriction to younger individuals....

  1. In-School Work Experience and the Returns to Two-Year and Four-Year Colleges

    Molitor, C.J.; Leigh, D.E.


    Building on the existing education literature, we address two interrelated questions. First, how sensitive are estimated returns to two-year and four-year colleges to the inclusion of in-school work experience? Second, do the estimated returns to in-school work experience vary by type of educational institution attended? Regarding the first…

  2. Nutrient movement in a 104-year old soil fertility experiment

    Alabama’s “Cullars Rotation” experiment (circa 1911) is the oldest, continuous soil fertility experiment in the southern U.S. Treatments include 5 K variables, P variables, S variables, soil pH variables and micronutrient variables in 14 treatments involving a 3-yr rotation of (1) cotton-winter legu...

  3. Results of the first year of operation at Embalse Nuclear Power Station in Argentina

    Bonino, A.; Pizarro, L.; Higa, Z. [Ente Nacional Regulador Nuclear, Buenos Aires (Argentina); Dupree, S.A.; Schoeneman, J.L. [Sandia National Labs., Albuquerque, NM (United States)


    As a part of the International Remote Monitoring Project, during March 1995, a Remote Monitoring System (RMS) was installed at the Embalse Nuclear Power Station in Embalse, Argentina. This system monitors the status of four typical Candu spent fuel dry storage silos. The monitoring equipment for each silo consists of analog sensors for temperature and gamma radiation measurement; digital sensors for motion detection; and electronic fiber-optic seals. The monitoring system for each silo is connected to a wireless Authenticate Item Monitoring System (AIMS). This paper describes the operation of the RMS during the first year of the trial and presents the results of the signals reported by the system compared with the on site inspections conducted by the regulatory bodies, ABACC, IAEA, ENREN. As an additional security feature, each sensor periodically transmits authenticated State-of-Health (SOH) messages. This feature provides assurance that all sensors are operational and have not been tampered with. The details of the transmitted information and the incidents of loss of SOH, referred to as Missing SOH Event, and the possible causes which produced the MSOHE are described. The RMS at the embalse facility uses gamma radiation detectors in a strong radiation field of spent fuel dry storage silos. The detectors are Geiger Muller tubes and Silicon solid state diodes. The study of the thermal drift of electronics in GM detectors and the possible radiation damage in silicon detectors is shown. Since the initial installation, the system has been successfully interrogated from Buenos Aires and Albuquerque. The experience gained, and the small changes made in the hardware in order to improve the performance of the system is presented.

  4. TIPSS: 10 years of experience; TIPSS: 10 Jahre klinische Erfahrung

    Richter, G.M.; Brado, M.; Simon, C.; Radeleff, B.; Kauffmann, G.W. [Heidelberg Univ. (Germany). Abt. Radiodiagnostik; Noeldge, G.; Scharf, J.; Hansmann, J.


    Purpose: To demonstrate and document 10 years of clinical experience gathered by us with TIPSS and to discuss achievements, problems and outlook. Results: Variceal filling was widely reduced by TIPSS, and significantly reduced portal liver perfusion as assessed morphologically and rheologically. However, there was an immediate onset of compensated liver perfusion by increased arterial inflow. Total liver perfusion did not change significantly. In TIPSS portal decompression was readily achieved, the portosystemic gradient dropping from an average of 24 mm Hg to 10.5 mm Hg. In our series we could not demonstrate an increased incidence of hepatic encephalopathy during the 30-day post-TIPSS period. Early mortality was 4% and early rebleeding rate 3%. The 12-month re-intervention rate based on an invasive portography follow-up protocol was 76%, and the 24-month re-intervention rate was 90%. The definite occlusion rate was below 5%. Beyond a follow-up time span of 24-months the necessity for re-intervention dropped significantly: Less than one-third of our patients required some sort of re-intervention. (orig./AJ) [Deutsch] Ziel: Darstellung der nach 10jaehriger klinischer Anwendung von TIPSS gewonnenen Erfahrungen unter Beruecksichtigung der technischen Grundlagen, der Veraenderungen in der Haemodynamik der Leber und der Langzeitergebnisse. Ergebnisse: TIPSS reduziert die Varizenfuellung und verringert morphologisch und haemodynamisch die portale Perfusion. Die Gesamtleberperfusion aendert sich nicht signifikant. Unter TIPSS kommt es zu einer unmittelbaren Zunahme der arteriellen Leberperfusion. Die portale Drucksenkung erfolgt von einem portosystemischen Mitteldruck von 24 mmHg auf 10,5 mmHg im Durchschnitt. Die spontane hepatische Enzephalopathierate von etwa 20% aendert sich durch TIPSS nicht wesentlich. Die Fruehletalitaet betraegt 4% und die Nachblutungsrate 3%. Insbesondere die Standardisierung von Indikationen und Kontraindikationen, des Punktionsbesteckes, der

  5. NPP atucha I. 40 years of commercial operation of the heavy-water reactor in Argentina

    Mazzantini, Oscar A. [Nuclearelectrica Argentina SA, Atucha (Argentina); Fabian, Hermann O.


    The nuclear power plant (NPP) Atucha I in Argentina - a heavy-water reactor with pressure vessel technology operated with natural uranium - accomplished a remarkable anniversary on 26 June 2014: 40 years of commercial operation. State-run Nucleoelectrica Argentina SA (NA SA), being today the plant owner and operator commemorated this anniversary, as only few NPP exist which can refer to such long operating time with good performance. With a limited operating licence to 40 years (or rather 32 full load years) by the National Atomic Energy Agency (Comision National de Energia Atomica/CNEA) the plant had been handed over to CNEA on 24 June 1974 by the general contractor, Siemens AG, after release of the works contract on 1. June 1968. The site is located to the north-west of Buenos Aires upstream on the Rio Parana. The plant has an output of 345 MW; it has been continuously, reliable and successfully operated. Atucha I supplied overall 82.4 TWh of electricity into the national grid (220 kV) with an integral operating availability of 76.5 %.

  6. The prosthetic implant of MBA Optetrak in the treatment of knee osteoarthritis: 5 years of experience.

    Pedrazzini, A; Pogliacomi, F; Scaravella, E; Pompili, M; Ceccarelli, F


    In this study the authors report their experience in treating knee osteoarthritis with MBA Optetrak prosthetic implant, designed to minimize the stress of high density polyethylene. In all patients, we implanted two different Optetrak prosthesis according to the validity or not of the posterior cruciate ligament. At follow-up visit, which was performed after an average follow-up of 3.6 years, we analyzed 53 patients radiographically and clinically using the Knee Society Score (KSS). Depending on our experience, we consider mandatory to have a precise selection of the patients as well as to perform an accurate capsular and ligamentous balance during operation. Furthermore, the use of prosthesis models which are similar to the normal knee allows to obtain good and durable results.

  7. The Heteronuclear Multiple-Quantum Correlation Experiment: Perspective from Classical Vectors, Nonclassical Vectors, and Product Operators

    Karen de la Vega-Hernández


    Full Text Available It is usually accepted that most 2D-NMR experiments cannot be approached using classical models. Instructors argue that Product Operators (PO or density matrix formalisms are the only alternative to get insights into complex spin evolution for experiments involving Multiple-Quantum Coherence, such as the Heteronuclear Multiple-Quantum Correlation (HMQC technique. Nevertheless, in recent years, several contributions have been published to provide vectorial descriptions for the HMQC taking PO formalism as the starting point. In this work we provide a graphical representation of the HMQC experiment, taking the basic elements of Bloch’s vector model as building blocks. This description bears an intuitive and comfortable understanding of spin evolution during the pulse sequence, for those who are novice in 2D-NMR. Finally, this classical vectorial depiction is tested against the PO formalism and nonclassical vectors, conveying the didactic advantage of shedding light on a single phenomenon from different perspectives. This comparative approach could be useful to introduce PO and nonclassical vectors for advanced upper-division undergraduate and graduate education.

  8. Development Process and Technical Aspects of Laparoscopic Hepatectomy: Learning Curve Based on 15 Years of Experience.

    Komatsu, Shohei; Scatton, Olivier; Goumard, Claire; Sepulveda, Ailton; Brustia, Raffaele; Perdigao, Fabiano; Soubrane, Olivier


    Laparoscopic hepatectomy continues to be a challenging operation associated with a steep learning curve. This study aimed to evaluate the learning process during 15 years of experience with laparoscopic hepatectomy and to identify approaches to standardization of this procedure. Prospectively collected data of 317 consecutive laparoscopic hepatectomies performed from January 2000 to December 2014 were reviewed retrospectively. The operative procedures were classified into 4 categories (minor hepatectomy, left lateral sectionectomy [LLS], left hepatectomy, and right hepatectomy), and indications were classified into 5 categories (benign-borderline tumor, living donor, metastatic liver tumor, biliary malignancy, and hepatocellular carcinoma). During the first 10 years, the procedures were limited mainly to minor hepatectomy and LLS, and the indications were limited to benign-borderline tumor and living donor. Implementation of major hepatectomy rapidly increased the proportion of malignant tumors, especially hepatocellular carcinoma, starting from 2011. Conversion rates decreased with experience for LLS (13.3% vs 3.4%; p = 0.054) and left hepatectomy (50.0% vs 15.0%; p = 0.012), but not for right hepatectomy (41.4% vs 35.7%; p = 0.661). Our 15-year experience clearly demonstrates the stepwise procedural evolution from LLS through left hepatectomy to right hepatectomy, as well as the trend in indications from benign-borderline tumor/living donor to malignant tumors. In contrast to LLS and left hepatectomy, a learning curve was not observed for right hepatectomy. The ongoing development process can contribute to faster standardization necessary for future advances in laparoscopic hepatectomy. Copyright © 2017 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  9. Performance of the ATLAS Liquid Argon Calorimeter after three years of LHC operation and plans for a future upgrade

    Nikiforou, Nikiforos


    The ATLAS experiment is designed to study the proton-proton collisions produced at the Large Hadron Collider (LHC) at CERN. Liquid argon sampling calorimeters are used for all electromagnetic calorimetry as well as hadronic calorimetry in the endcaps. After installation in 2004--2006, the calorimeters were extensively commissioned over the three--year period prior to first collisions in 2009, using cosmic rays and single LHC beams. Since then, approximately 27~fb$\\mathbf{^{-1}}$ of data have been collected at an unprecedented center of mass energy. During all these stages, the calorimeter and its electronics have been operating almost optimally, with a performance very close to specifications. This paper covers all aspects of these first years of operation. The excellent performance achieved is especially presented in the context of the discovery of the elusive Higgs boson. The future plans to preserve this performance until the end of the LHC program are also presented.

  10. Surgical treatment of chronic pancreatitis using Frey's procedure: a Brazilian 16-year single-centre experience.

    Gestic, Martinho Antonio; Callejas-Neto, Francisco; Chaim, Elinton Adami; Utrini, Murillo Pimentel; Cazzo, Everton; Pareja, Jose Carlos


    Surgical treatment of chronic pancreatitis is indicated for intractable pain. Frey's procedure is an accepted treatment for this disease. The aim of the present study was to describe a single-centre experience in the treatment of chronic pancreatitis using Frey's procedure. A retrospective analysis of 73 patients who underwent a Frey's procedure between 1991 to 2007 and had at least 1 year of follow-up. Demographics, indication for surgery, peri-operative complications and late outcomes were analysed. The median age was 39.9 years. Seventy out of the 73 (95.8%) patients were male. The median pre-operative body mass index (BMI) was 19.1 kg/m(2). All patients had abdominal pain, 34 (46.6%) of them daily and 13 (17.8%) weekly, with moderate or severe intensity in 98.6% (n= 72). The aetiology was secondary to alcohol in 70 patients (95.9%), with a median consumption of 278 g per day. The surgical morbidity rate was 28.7%; there were no deaths. Median post-operative follow-up was 77.0 months; 64 patients (91.4%) had complete pain relief and post-operative BMI was 22.4 kg/m(2) (P<0.001). All patients with pre-operative endocrine and exocrine insufficiencies showed no reversal of the situation. New onset insufficiencies appeared late. Frey's procedure was a safe and effective therapeutic option for the surgical treatment of patients with intractable pain caused by chronic pancreatitis. © 2011 International Hepato-Pancreato-Biliary Association.

  11. Partnerships for success: A collaborative support model to enhance the first year student experience

    Johanna Einfalt


    Full Text Available Recent discourse about engaging first year students calls for more collaboration in terms of adopting a holistic approach to course delivery and support. This paper discusses a collaborative support model operating at a regional Australian university since 2008. In particular, it describes a collaborative support initiative emerging from this model that is based on providing an informal consultative space where students can drop-in and gain assessment support for research, writing and content. A focus group, online surveys and interviews with co-ordinators were conducted to evaluate the impact of this initiative. Findings suggest that this collaborative support model impacts on the first year student experience by: raising awareness about academic skills and the processes for researching and writing; promoting peer learning opportunities; building confidence and providing suitable support for a diverse range of students.

  12. Reflective Journal Writing and the First-Year Experience

    Everett, Michele C.


    In recent years, great emphasis has been placed on student success and retention in higher education. To address this issue, many universities' strategic retention programs include first-year seminars. A variety of pedagogical strategies have been employed in these seminars to help students succeed personally, socially and academically. This…

  13. Management of enterocutaneous fistulas: 30-year clinical experience

    黎介寿; 任建安; 朱维铭; 尹路; 韩建明


    Objectives To explore successful models of management of enterocutaneous fistulas and u nresolved problems requiring further study. Method Analysis of therapeutic results of 1168 cases treated in one center from January 1971 to December 2000. Results In this group of patients, the recovery rate was 93% and 37% of fistulas healed spontaneously after non-operative treatment. The mortality rate was 5.5%, mos t of which occurred due to sepsis. Of 659 cases receiving definitive operations for enteric fistula, 98% recovered. Recovery, mortality and operational succes s rates (94.2%, 4.4%, 99.7%) of cases treated between January 1985 and Decemb er 2000 were significantly better than those (90.4%, 8.2%, 95.5%) of cases treated earlier (January 1971-December 1984) (P<0.05). Conclusions The results from this study were better overall than those reported in previous literatures. The change in therapeutic strategy, improved technique in control of sepsis, rational nutritional support and careful monitoring of vital organs are the key reasons for improvement of managing enteric fistulas. However, incre asing spontaneous closure of fistula, improving the therapeutic rate of specific enteric fistula (IBD or radiation enteritis) and performing definitive operations for enteric fistula at early stages are still problematic and require further study.

  14. Operation experience of the Indonesian multipurpose research reactor RSG-GAS

    Hastowo, Hudi; Tarigan, Alim [Multipurpose Reactor Center, National Nuclear Energy Agency of the Republic of Indonesia (PRSG-BATAN), Kawasan PUSPIPTEK Serpong, Tangerang (Indonesia)


    RSG-GAS is a multipurpose research reactor with nominal power of 30 MW, operated by BATAN since 1987. The reactor is an open pool type, cooled and moderated with light water, using the LEU-MTR fuel element in the form of U{sub 3}O{sub 8}-Al dispersion. Up to know, the reactor have been operated around 30,000 hours to serve the user. The reactor have been utilized to produce radioisotope, neutron beam experiments, irradiation of fuel element and its structural material, and reactor physics experiments. This report will explain in further detail concerning operational experience of this reactor, i.e. reactor operation data, reactor utilization, research program, technical problems and it solutions, plant modification and improvement, and development plan to enhance better reactor operation performance and its utilization. (author)

  15. The first year of the ST Operation Committee is there a future ?

    Bangert, N; Cumer, G; Epting, U; Ninin, P; Nunes, R; Pedersen, J; Pepinster, P; Poulsen, S; Riesco, T; Wilhelmsson, M; CERN. Geneva. ST Division


    The main objective of the ST Operation Committee (STOC) was to develop a proactive and homogeneous service of operation that satisfies the needs of the service users. Furthermore, the role of the Technical Control Room (TCR) should have been developed to a unique and competent entry point for ST operation by bringing the operation teams closer together on a daily basis. Have these objectives been achieved and to what extend? Is there a future for this committee and what could it look like? What are the implications of the first year of work on ST operation as a whole? This paper answers these questions and gives recommendations how to make best use of the STOC for the ST partners and ST, respectively.

  16. Onboard Autonomy and Ground Operations Automation for the Intelligent Payload Experiment (IPEX) CubeSat Mission

    Chien, Steve; Doubleday, Joshua; Ortega, Kevin; Tran, Daniel; Bellardo, John; Williams, Austin; Piug-Suari, Jordi; Crum, Gary; Flatley, Thomas


    The Intelligent Payload Experiment (IPEX) is a cubesat manifested for launch in October 2013 that will flight validate autonomous operations for onboard instrument processing and product generation for the Intelligent Payload Module (IPM) of the Hyperspectral Infra-red Imager (HyspIRI) mission concept. We first describe the ground and flight operations concept for HyspIRI IPM operations. We then describe the ground and flight operations concept for the IPEX mission and how that will validate HyspIRI IPM operations. We then detail the current status of the mission and outline the schedule for future development.

  17. Short-radius horizontal well re-entry learning curve: prize, cost and operational experience

    Boote, K. [Ocelot Energy Inc., Calgary, AB (Canada); MacDonald, R. [Lauron Engineering Ltd, Calgary, AB (Canada)


    Six mature vertical wells in Alberta belonging to Ocelot Energy Inc., were reentered and drilled horizontally. Experiences gained, the modifications made to the drilling program and the rewards in the form of incremental oil, were discussed. Details of pre- and post-performance, operational experiences with exiting the casing, building the curve, overbalance versus underbalanced drilling, motors, directional equipment, setting liners, remedial workovers and the cost of the operation were part of the discussion.

  18. Assessment of LWR piping design loading based on plant operating experience

    Svensson, P. O.


    The objective of this study has been to: (1) identify current Light Water Reactor (LWR) piping design load parameters, (2) identify significant actual LWR piping loads from plant operating experience, (3) perform a comparison of these two sets of data and determine the significance of any differences, and (4) make an evaluation of the load representation in current LWR piping design practice, in view of plant operating experience with respect to piping behavior and response to loading.

  19. Jezebel: Reconstructing a Critical Experiment from 60 Years Ago

    Favorite, Jeffrey A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    The Jezebel experiment of 1954-1955 was a very small, nearly-spherical, nearly-bare (unreflected), nearly-homogeneous assembly of plutonium alloyed with gallium. This experiment was used to determine the critical mass of spherical, bare, homogeneous Pu-alloy. In 1956, the critical mass of Pu-alloy was determined to be 16.45 ± 0.05 kg. The experiment was reevaluated in 1969 using logbooks from the 1950s and updated nuclear cross sections. The critical mass of Pu-alloy was determined to be 16.57 ± 0.10 kg. In 2013, the 239Pu Jezebel experiment was again reevaluated, this time using detailed geometry and materials models and modern nuclear cross sections in high-fidelity Monte Carlo neutron transport calculations. Documentation from the 1950s was often inconsistent or missing altogether, and assumptions had to be made. The critical mass of Pu-alloy was determined to be 16.624 ± 0.075 kg. Historic documents were subsequently found that validated some of the 2013 assumptions and invalidated others. In 2016, the newly found information was used to once again reevaluate the 239Pu Jezebel experiment. The critical mass of Pu-alloy was determined to be 16.624 ± 0.065 kg. This talk will discuss each of these evaluations, focusing on the calculation of the uncertainty as well as the critical mass. We call attention to the ambiguity, consternation, despair, and euphoria involved in reconstructing the historic Jezebel experiment. This talk is quite accessible for undergraduate students as well as non-majors.

  20. Flight Technical Error Analysis of the SATS Higher Volume Operations Simulation and Flight Experiments

    Williams, Daniel M.; Consiglio, Maria C.; Murdoch, Jennifer L.; Adams, Catherine H.


    This paper provides an analysis of Flight Technical Error (FTE) from recent SATS experiments, called the Higher Volume Operations (HVO) Simulation and Flight experiments, which NASA conducted to determine pilot acceptability of the HVO concept for normal operating conditions. Reported are FTE results from simulation and flight experiment data indicating the SATS HVO concept is viable and acceptable to low-time instrument rated pilots when compared with today s system (baseline). Described is the comparative FTE analysis of lateral, vertical, and airspeed deviations from the baseline and SATS HVO experimental flight procedures. Based on FTE analysis, all evaluation subjects, low-time instrument-rated pilots, flew the HVO procedures safely and proficiently in comparison to today s system. In all cases, the results of the flight experiment validated the results of the simulation experiment and confirm the utility of the simulation platform for comparative Human in the Loop (HITL) studies of SATS HVO and Baseline operations.

  1. Three years of experience with the STELLA robotic observatory

    Granzer, Thomas; Strassmeier, Klaus G; 10.1155/2010/980182


    Since May 2006, the two STELLA robotic telescopes at the Izana observatory in Tenerife, Spain, delivered an almost uninterrupted stream of scientific data. To achieve such a high level of autonomous operation, the replacement of all troubleshooting skills of a regular observer in software was required. Care must be taken on error handling issues and on robustness of the algorithms used. In the current paper, we summarize the approaches we followed in the STELLA observatory.

  2. Improvement in performance and operational experience of 14 UD Pelletron Accelerator Facility, BARC–TIFR

    P V Bhagwat


    14 UD Pelletron Accelerator Facility at Mumbai has been operational since 1989. The project MEHIA (medium energy heavy ion accelerator) started in 1982 and was formally inaugurated on 30th December 1988. Since then the accelerator has been working round the clock. Improvement in accelerator performance and operational experience are described.

  3. Function Transfer in Human Operant Experiments: The Role of Stimulus Pairings

    Tonneau, Francois; Gonzalez, Carmen


    Although function transfer often has been studied in complex operant procedures (such as matching to sample), whether operant reinforcement actually produces function transfer in such settings has not been established. The present experiments, with high school students as subjects, suggest that stimulus pairings can promote function transfer in…

  4. MAGIC in practice: experience of peri-operative ECF/X chemotherapy in gastro-esophageal adenocarcinomas.

    Reece-Smith, A M; Saha, S; Cunnell, M L; Hameed, K; Bessell, E M; Duffy, J P; Madhusudan, S; Parsons, S L


    The MAGIC trial demonstrated the perioperative regimen of Epirubicin (E), Cisplatin (C) and 5-Fluorouracil (F) to have an overall survival benefit for patients with gastro-esophageal adenocarcinomas. We present our experience of the peri-operative regimen of ECF/ECX(X = Capecitabine) in operable gastro-esophageal adenocarcinoma. Analysis of retrospective data of patients treated with MAGIC style therapy between May 2006 and August 2008 with potentially operable gastro-esophageal adenocarcinoma. One hundred patients underwent peri-operative chemotherapy according to the MAGIC protocol. Median age was 66 years, with 39% above the age of 70 years. The tumours were evenly distributed between the lower esophagus, gastro-esophageal junction and stomach. Seventy-nine percent completed all pre-operative cycles of chemotherapy and 81% proceeded to surgery, whilst 24% did not receive curative surgery. The median survival on an intention to treat analysis is 31.7 months from diagnosis. The median survival of patients who underwent resection has not yet been reached after a median follow-up of 41.4 months. Our patient population is older than the patients in the MAGIC trial (age 66 years vs. 62 years) with a much higher proportion of esophageal and GEJ tumours. Overall, curative resection rate was comparable to the MAGIC trial. Overall survival is superior to that found in the MAGIC trial. Copyright © 2012 Wiley Periodicals, Inc.


    O. V. Shamsheva; S. A. Sokolov; I. V. Polesko


    The experience of Ribomunyl application in domestic pediatrics has shown its high preventive efficacy at respiratory infections, especially in sickly children with various somatic pathologies even in postvaccinal period. Peroral administration of Ribomunyl, its low toxicity, capability for creating cross-immunity to various serotypes of the pathogen, makes it indispensable in pediatric practice.

  6. A durability analysis of the Cascad facility based on feedback obtained after 10 years of operation; Analyse de la durabilite de l'installation cascad a partir du retour d'experience de 10 ans d'exploitation

    Samoel, R.; Canas, D.; Henry, H.; Battesti, P. [CEA Cadarache, Dept. d' Etudes des Combustibles (DEC/SCEC), 13 - Saint-Paul-lez-Durance (France)


    The CASCAD facility at the nuclear research centre in Cadarache is a dry storage facility for spent fuel that has been placed in a vault. Feedback on its design and performance after 10 years of operation was obtained in order to identify the factors limiting its life time. This assessment corresponds to a durability analysis based on a combination of dependability methods. This is a critical analysis identifying the risks involving failure of the components when they are subjected to internal and external disturbances (aging, technology obsolescence, etc.). The measures to be implemented to extend the life time of the facility are subsequently enumerated. A proposed synthesis or 'logic diagram' of the analysis is also presented. (authors)

  7. Crystallization In High Level Waste (HLW) Glass Melters: Operational Experience From The Savannah River Site

    Fox, K. M.


    observed in any of the pour stream glass samples. Spinel was observed at the bottom of DWPF Melter 1 as a result of K-3 refractory corrosion. Issues have occurred with accumulation of spinel in the pour spout during periods of operation at higher waste loadings. Given that both DWPF melters were or have been in operation for greater than 8 years, the service life of the melters has far exceeded design expectations. It is possible that the DWPF liquidus temperature approach is conservative, in that it may be possible to successfully operate the melter with a small degree of allowable crystallization in the glass. This could be a viable approach to increasing waste loading in the glass assuming that the crystals are suspended in the melt and swept out through the riser and pour spout. Additional study is needed, and development work for WTP might be leveraged to support a different operating limit for the DWPF. Several recommendations are made regarding considerations that need to be included as part of the WTP crystal tolerant strategy based on the DWPF development work and operational data reviewed here. These include: Identify and consider the impacts of potential heat sinks in the WTP melter and glass pouring system; Consider the contributions of refractory corrosion products, which may serve to nucleate additional crystals leading to further accumulation; Consider volatilization of components from the melt (e.g., boron, alkali, halides, etc.) and determine their impacts on glass crystallization behavior; Evaluate the impacts of glass REDuction/OXidation (REDOX) conditions and the distribution of temperature within the WTP melt pool and melter pour chamber on crystal accumulation rate; Consider the impact of precipitated crystals on glass viscosity; Consider the impact of an accumulated crystalline layer on thermal convection currents and bubbler effectiveness within the melt pool; Evaluate the impact of spinel accumulation on Joule heating of the WTP melt pool; and

  8. [Acute osteomyelitis and septic arthritis in children: one year experience].

    Timsit, S; Pannier, S; Glorion, C; Chéron, G


    To describe bacteriologic epidemiology of bone and joint infections, a total of 52 osteomyelitis, 52 arthritis and 20 osteoarthritis of children aged one month to 15 years during a one-year period (2001) were included in a retrospective unicentric review. The mean age was 3,9 +/-3,6 years. Fever and pain were the most common clinical symptoms. The site of infection was single in 95%, involving lower extremities in 80%. Bone scintigraphy was abnormal in 71% of osteomyelitis. Positive cultures was obtained in 29% of all cases (blood cultures: 20%, aspiration cultures: 29%), but in 42% of cases which have both blood and aspiration cultures. Thirty-six bacteria were identified: 19 Staphylococcus (14 aureus), ten Streptococcus (four pneumoniae), three Salmonella, three Kingella kingae, one Moraxella. All the isolates were susceptible to the empiric antibiotic therapy. Outcome was good in 100% of osteomyelitis and in 96% of arthritis.

  9. Polygonal triple (Kotz) osteotomy (over 10 years experience)

    Sen, Cengiz; Gunes, Taner; Erdem, Mehmet; Ozger, Harzem; Tozun, I. Remzi


    We evaluated the results of polygonal triple (Kotz) osteotomy for the treatment of acetabular dysplasia over 10 years. This study included 31 hips of 27 patients who had the Kotz osteotomy for acetabular dysplasia. The mean age was 21.5 years. We performed the original Kotz osteotomy for the first 22 hips (group I), while the modified Kotz osteotomy through an intra-pelvic approach without damage to the abductor muscle was applied for the last 9 hips (group II). Patients were evaluated by cli...

  10. Investigating Novice Teacher Experiences of the Teaching Dynamics Operating in Selected School Communities in Finland

    Blomberg, Seija; Knight, Bruce Allen


    This study focuses on the lived experiences of five novice teachers during their first academic year of teaching. This article analyzes the experiences of new teachers based on long-term data collection throughout a school year as one means of bridging the gap between teacher preparation and actual teaching practice. The findings indicate that…

  11. APGEN Scheduling: 15 Years of Experience in Planning Automation

    Maldague, Pierre F.; Wissler, Steve; Lenda, Matthew; Finnerty, Daniel


    In this paper, we discuss the scheduling capability of APGEN (Activity Plan Generator), a multi-mission planning application that is part of the NASA AMMOS (Advanced Multi- Mission Operations System), and how APGEN scheduling evolved over its applications to specific Space Missions. Our analysis identifies two major reasons for the successful application of APGEN scheduling to real problems: an expressive DSL (Domain-Specific Language) for formulating scheduling algorithms, and a well-defined process for enlisting the help of auxiliary modeling tools in providing high-fidelity, system-level simulations of the combined spacecraft and ground support system.

  12. Operation experiences with a 30 kV/100 MVA high temperature superconducting cable system

    Tønnesen, Ole; Däumling, Manfred; Jensen, Kim Høj;


    of 1157 A. The operation experiences include over-currents of 6 kA due to faults on peripheral lines, commissioning, servicing and failure responses on the cooling system, continuous 24 h, 7 day per week monitoring and performance of the alarm system. The implications of these experiences for the future...

  13. Kootenay Lake Fertilization Experiment, Year 15 (North Arm) and Year 3 (South Arm) (2006) Report

    Schindler, E.U.; Sebastian, D.; Andrusak, G.F. [Fish and Wildlife Science and Allocation, Ministry of Environment, Province of British Columbia


    This report summarizes results from the fifteenth year (2006) of nutrient additions to the North Arm of Kootenay Lake and three years of nutrient additions to the South Arm. Experimental fertilization of the lake has been conducted using an adaptive management approach in an effort to restore lake productivity lost as a result of nutrient uptake in upstream reservoirs. The primary objective of the experiment is to restore kokanee (Oncorhynchus nerka) populations, which are the main food source for Gerrard rainbow trout (Oncorhynchus mykiss) and bull trout (Salvelinus confluentus). The quantity of agricultural grade liquid fertilizer (10-34-0, ammonium polyphosphate and 28-0-0, urea ammonium nitrate) added to the North Arm in 2006 was 44.7 tonnes of P and 248.4 tonnes of N. The total fertilizer load added to the South Arm was 257 tonnes of nitrogen; no P was added. Kootenay Lake has an area of 395 km{sup 2}, a maximum depth of 150 m, a mean depth of 94 m, and a water renewal time of approximately two years. Kootenay Lake is a monomictic lake, generally mixing from late fall to early spring and stratifying during the summer. Surface water temperatures generally exceed 20 C for only a few weeks in July. Results of oxygen profiles were similar to previous years with the lake being well oxygenated from the surface to the bottom depths at all stations. Similar to past years, Secchi disc measurements at all stations in 2006 indicate a typical seasonal pattern of decreasing depths associated with the spring phytoplankton bloom, followed by increasing depths as the bloom gradually decreases by the late summer and fall. Total phosphorus (TP) ranged from 2-7 {micro}g/L and tended to decrease as summer advanced. Over the sampling season dissolved inorganic nitrogen (DIN) concentrations decreased, with the decline corresponding to nitrate (the dominant component of DIN) being utilized by phytoplankton during summer stratification. Owing to the importance of epilimnetic nitrate

  14. Development and operation of the prototype photovoltaic residential systems at the Southeast Residential Experiment station

    Atmaram, G.H.; Kilfoyle, D.; Ventre, G.G.; Wedekind, D.


    The Photovoltaic Southeast Residential Experiment station (SE RES) project, sponsored by the U.S. Department of Energy, began operation in September 1982. As a major part of this project, three prototype utility-interactive photovoltaic residential systems were constructed at the Florida Solar Energy Center (FSEC) in Cape Canaveral, Florida. They became operational in November 1983. Primary consideration was given to investigating a variety of state-of-the-art subsystems (arrays and power conditioners), simplifying array installation and reducing cost. This paper will delineate the development and operational experience gained to date.

  15. Experience in judging intent to harm modulates parahippocampal activity: an fMRI study with experienced CCTV operators.

    Petrini, Karin; McAleer, Phil; Neary, Catherine; Gillard, Julia; Pollick, Frank E


    Does visual experience in judging intent to harm change our brain responses? And if it does, what are the mechanisms affected? We addressed these questions by studying the abilities of Closed Circuit Television (CCTV) operators, who must identify the presence of hostile intentions using only visual cues in complex scenes. We used functional magnetic resonance imaging to assess which brain processes are modulated by CCTV experience. To this end we scanned 15 CCTV operators and 15 age and gender matched novices while they watched CCTV videos of 16 sec, and asked them to report whether each clip would end in violence or not. We carried out four separate whole-brain analyses including 3 model-based analyses and one analysis of intersubject correlation to examine differences between the two groups. The three model analyses were based on 1) experimentally pre-defined clip activity labels of fight, confrontation, playful, and neutral behaviour, 2) participants' reports of violent outcomes during the scan, and 3) visual saliency within each clip, as pre-assessed using eye-tracking. The analyses identified greater activation in the right superior frontal gyrus for operators than novices when viewing playful behaviour, and reduced activity for operators in comparison with novices in the occipital and temporal regions, irrespective of the type of clips viewed. However, in the parahippocampal gyrus, all three model-based analyses consistently showed reduced activity for experienced CCTV operators. Activity in the anterior part of the parahippocampal gyrus (uncus) was found to increase with years of CCTV experience. The intersubject correlation analysis revealed a further effect of experience, with CCTV operators showing correlated activity in fewer brain regions (superior and middle temporal gyrus, inferior parietal lobule and the ventral striatum) than novices. Our results indicate that long visual experience in action observation, aimed to predict harmful behaviour

  16. The BR2 refurbishment programme: achievements and two years operation feedback

    Gubel, P.; Dekeyser, J.; Koonen, E.; Van der Auwera, J. [SCK/CEN, Belgian Nuclear Research Center, Mol (Belgium)


    The BR2 reactor was shutdown end of June 1995 for an extensive refurbishment after more than 30 years utilization. The beryllium matrix needed to be replaced and the aluminium vessel inspected for an envisaged 15 year life extension. Other aspects of the refurbishment programme aimed at the reliability and availability of the installations, safety of operation and compliance with modern safety standards. The reactor was started again in' April '97 and operated only for three cycles in 1997. These first irradiation cycles were intended as a demonstration of the safety and reliability of all components and systems after refurbishment. Also during the extended shutdowns non-critical refurbishment tasks were allowed to be continued and finalized. At the request of the Safety Authorities, some modifications and studies are still in progress without perturbation of the reactor operation. (author)

  17. Annual Review of Aircraft Accident Data. US Carrier Operations Calendar Year 1997


    U.S. AIR CARRIER OPERATIONS 1987 - 1997 Number of Accidents by Segements of Aviation Involved Accidents S135 N135 N135 S121 Total and and and and Year...planning/decision 1 1 Lack of familiarity with geographic area 1 0 Proper alignment 1 1 Raising of flaps 1 0 Refueling 1 0 Self-induced pressure 1 0

  18. A bulldog clamp that was forgotten during a coronary artery bypass operation 8 years ago

    Celkan, Mehmet Adnan; Bayatli, Kivanc


    Prevention of retained foreign bodies in the pericardial cavity is critical for patient safety. We report a patient with a bulldog clamp that was forgotten during a coronary artery bypass operationyears ago, which was detected by chance and removed. PMID:22815324

  19. 76 FR 66051 - Availability of the Fiscal Year 2010 United States Special Operations Command (USSOCOM) Inventory...


    ... of the Secretary Availability of the Fiscal Year 2010 United States Special Operations Command... 2330a of Title 10 United States Code as amended by the National Defense Authorization Act for Fiscal..., Defense Procurement and Acquisition Policy, Office of Strategic Sourcing (DPAP/SS) will make available to...

  20. 77 FR 38274 - Availability of the Fiscal Year 2011 United States Special Operations Command (USSOCOM) Inventory...


    ... of the Secretary Availability of the Fiscal Year 2011 United States Special Operations Command... 2330a of Title 10, United States Code as amended by the National Defense Authorization Act for Fiscal... Acquisition Policy, Office of Strategic Sourcing (DPAP/SS) will make available to the public the first...

  1. A bulldog clamp that was forgotten during a coronary artery bypass operation 8 years ago.

    Celkan, Mehmet Adnan; Bayatli, Kivanc


    Prevention of retained foreign bodies in the pericardial cavity is critical for patient safety. We report a patient with a bulldog clamp that was forgotten during a coronary artery bypass operation 8 years ago, which was detected by chance and removed.

  2. Operational plans for life science payloads - From experiment selection through postflight reporting

    Mccollum, G. W.; Nelson, W. G.; Wells, G. W.


    Key features of operational plans developed in a study of the Space Shuttle era life science payloads program are presented. The data describes the overall acquisition, staging, and integration of payload elements, as well as program implementation methods and mission support requirements. Five configurations were selected as representative payloads: (a) carry-on laboratories - medical emphasis experiments, (b) mini-laboratories - medical/biology experiments, (c) seven-day dedicated laboratories - medical/biology experiments, (d) 30-day dedicated laboratories - Regenerative Life Support Evaluation (RLSE) with selected life science experiments, and (e) Biomedical Experiments Scientific Satellite (BESS) - extended duration primate (Type I) and small vertebrate (Type II) missions. The recommended operational methods described in the paper are compared to the fundamental data which has been developed in the life science Spacelab Mission Simulation (SMS) test series. Areas assessed include crew training, experiment development and integration, testing, data-dissemination, organization interfaces, and principal investigator working relationships.

  3. Operational plans for life science payloads - From experiment selection through postflight reporting

    Mccollum, G. W.; Nelson, W. G.; Wells, G. W.


    Key features of operational plans developed in a study of the Space Shuttle era life science payloads program are presented. The data describes the overall acquisition, staging, and integration of payload elements, as well as program implementation methods and mission support requirements. Five configurations were selected as representative payloads: (a) carry-on laboratories - medical emphasis experiments, (b) mini-laboratories - medical/biology experiments, (c) seven-day dedicated laboratories - medical/biology experiments, (d) 30-day dedicated laboratories - Regenerative Life Support Evaluation (RLSE) with selected life science experiments, and (e) Biomedical Experiments Scientific Satellite (BESS) - extended duration primate (Type I) and small vertebrate (Type II) missions. The recommended operational methods described in the paper are compared to the fundamental data which has been developed in the life science Spacelab Mission Simulation (SMS) test series. Areas assessed include crew training, experiment development and integration, testing, data-dissemination, organization interfaces, and principal investigator working relationships.

  4. Waste Estimates for a Future Recycling Plant in the US Based Upon AREVA Operating Experience - 13206

    Foare, Genevieve; Meze, Florian [AREVA E and P, SGN - 1, rue des Herons, 78182 Montigny-le-Bretonneux (France); Bader, Sven; McGee, Don; Murray, Paul [AREVA Federal Services LLC, 7207 IBM Drive, Mail Code CLT- 1D, Charlotte NC 28262 (United States); Prud' homme, Pascal [AREVA NC SA - 1, place Jean Millier, 92084 Paris La Defense CEDEX (France)


    Estimates of process and secondary wastes produced by a recycling plant built in the U.S., which is composed of a used nuclear fuel (UNF) reprocessing facility and a mixed oxide (MOX) fuel fabrication facility, are performed as part of a U.S. Department of Energy (DOE) sponsored study [1]. In this study, a set of common inputs, assumptions, and constraints were identified to allow for comparison of these wastes between different industrial teams. AREVA produced a model of a reprocessing facility, an associated fuel fabrication facility, and waste treatment facilities to develop the results for this study. These facilities were divided into a number of discrete functional areas for which inlet and outlet flow streams were clearly identified to allow for an accurate determination of the radionuclide balance throughout the facility and the waste streams. AREVA relied primarily on its decades of experience and feedback from its La Hague (reprocessing) and MELOX (MOX fuel fabrication) commercial operating facilities in France to support this assessment. However, to perform these estimates for a U.S. facility with different regulatory requirements and to take advantage of some technological advancements, such as in the potential treatment of off-gases, some deviations from this experience were necessary. A summary of AREVA's approach and results for the recycling of 800 metric tonnes of initial heavy metal (MTIHM) of LWR UNF per year into MOX fuel under the assumptions and constraints identified for this DOE study are presented. (authors)

  5. Social Networking Phenomena in the First-Year Experience

    Corwin, Jay R.; Cintron, Rosa


    The transition from high school to college is never an easy process. New freedoms and new independence provides for an exciting first year. There is no debate as to the importance of starting college off well. However, juggling these new opportunities with increased academic rigor is not an easy process. Several authors have described the…

  6. Peritoneal dialysis in an ageing population: a 10-year experience.

    Smyth, Andrew


    Chronic kidney disease (CKD) is becoming increasingly prevalent and there are increasing numbers of older patients with advanced CKD. Peritoneal dialysis (PD) is a potential treatment. This study aims to compare PD outcomes in age-defined populations in the largest PD centre in the Republic of Ireland over 10 years.

  7. [Aortobifemoral prostheses with "0" porosity. Results after 2 years' experience].

    Escudero, J R; Llagostera, S; Riambau, V; Latorre, E; Upegui, L; Pastor, O; Viver, E


    During the last years diverse types of Dacron prosthesis without porosity (because to be impregnated by different materials) have appeared. In the presented study, outcomes from three different types of prosthesis (differentiated by the impregnated material) were evaluated and a comparison with classical prosthesis was made.

  8. Trends in operative experience of pediatric surgical residents in the United States and Canada.

    Fingeret, Abbey L; Stolar, Charles J H; Cowles, Robert A


    Expansion of the number of training programs in pediatric surgery occurred from 2003 through 2010. We sought to determine the effect of program expansion on case volume and distribution of operative experience. Public domain data on pediatric surgery resident summary statistics available from the Accreditation Council for Graduate Medical Education (ACGME) from July 2003 through June 2010 were analyzed. Total case volume as primary surgeon or teaching assistant, mean case volume per resident, standard deviation, mode, minimum, and maximum number of cases per resident were evaluated. Mean total cases per resident, minimally invasive laparoscopic and thoracoscopic cases, and requisite cases as defined by the ACGME categories of: tumor, important pediatric surgical, and neonatal cases were analyzed by a Cuzick Wilcoxon-type nonparametric trend statistic using a significance level of 0.05. Skew was assessed by Pearson coefficient with levels of -0.5 to 0.5 defining a parametric distribution. The number of pediatric surgical training residents increased by 42% during the years reported, from 24 to 34. No statistically significant difference was found in the mean number of total cases or requisite cases per resident. The mean volume of minimally invasive procedures increased significantly. Case volume per resident was non-parametrically distributed with increasing positive skew over time. The increase in number of pediatric surgical resident training positions has not adversely affected overall operative experience or exposure to highly specialized requisite cases, on average. The increasing positive skew of total and index cases, however, suggests that variability between programs in case exposure is increasing over time. Copyright © 2013 Elsevier Inc. All rights reserved.

  9. Remote power supply by wind/diesel/battery systems - operational experience and economy

    Kniehl, R. [CES - Consulting and Engineering Services, Heidelberg (Germany); Cramer, G.; Toenges, K.H. [SMA Regelsysteme GmbH, Niestetal (Germany)


    To continuously supply remote villages and settlements not connected to the public grid with electric power is an ambitious technical task considering ecological and economical points of view. The German company SMA has developed a modular supply system as a solution for this task in the range of 30 kW to 5 MW. Meanwhile more than 20 applications of these `Intelligent Power Systems (IPS)` have proved their technical reliability and economical competitiveness worldwide under different, and also extreme environmental conditions. Actually it is the first commercially available advanced Wind/Diesel/Battery System for remote area electrification. The modular autonomous electric supply systems realized by SMA basically consist of two or more diesel power sets, battery storage with converter, a rotating phaseshifter, and an optional number of wind turbines. All modules are coupled on the 3-phase AC system grid and run in various parallel configurations depending on the wind speed and the consumer power demand. The control system operates fully automatical and offers a very user-friendly graphical interface. This advanced system control also contains a remote control and operating data output via modem and telephone line. SMA and CES have considerable experience with Wind/Diesel/Battery Systems for more than eight years. In many cases wind energy converters in the power range of 30 to 40 kW were used, but it is also possible to use larger wind turbines (e.g. 250 kW). In the following the system technology is described in detail, experience of different system sizes in several countries of application is presented, and economical analyses for power supply by IPS are given in comparison to a conventional fully diesel power supply. (author)

  10. Laparoscopic Treatment of 1522 Adnexal Masses: An 8-Year Experience

    I. Grammatikakis


    Full Text Available Objective. To reevaluate the long-term effectiveness and safety of laparoscopy in benign ovarian pathology. Materials and Methods. 1522 women with benign adnexal cysts, laparoscopically treated in the 3rd Department of Ob/Gyn, General University hospital “Attikon” and “Lito” Maternity Hospital between July 1998 and December 2006, were included. Results. The diagnosis in 1222 (80,6% cases was endometriosis of the ovary, 60 (4% hydrosalpinx, 51 (3,3% serous cystadenomas, 44 (2,9% dermoid ovarian cyst, 38 (2,5% borderline tumors, 35 (2,3% unruptured follicles, and 33 (2,2% paraovarian cysts. In 174 cases (11,5% laparoscopy was converted to laparotomy due to technical difficulties or suspicion of cancer. In particular, laparotomy was performed in 119 (8% women due to severe adhesions and 18 (1,2% women due to bleeding that could not be controlled safely by laparoscopy. In 36 (2,4% women frozen section during operation revealed malignancy and laparoscopy was converted to laparotomy. A few operative complications were recorded like post-op fever, small hematomas at the trocar entries. Conclusions. Laparoscopic surgery seems to offer significant advantages such as reduced hospital stay, less adverse effects, better quality of life, and superior vision especially on surgical treatment of cases like endometriosis.

  11. Year Round Operation of Autonomous, Low Power Geophysical Stations in Antarctica

    Beaudoin, B. C.; White, S.; Bonnett, B.; Parker, T.; Johns, B.; Anderson, K. R.


    Year round operation of autonomous, low power geophysical stations in Antarctica presents both technical and logistical challenges. Prior to 2005, few if any autonomous seismic or GPS stations operated continuously throughout the austral winter. There are two basic environmental challenges in Antarctica beyond the logistical challenge: the margins with relatively mild temperatures but extreme winds and the Polar Plateau with extreme temperatures but relatively little wind. Large caches of lead-acid batteries can operate stations on the Antarctic margins where temperatures are relatively high, but are logistically expensive and will not survive the extreme temperatures of the Polar Plateau. Primary lithium thionyl chloride batteries have been proven to be successful and economical for use in the extreme plateau environment. These technical and logistical challenges were the focus of an IRIS/PASSCAL-UNAVCO collaboration to design power and communications for a < 5W system capable of continuous operation without intervention for two years. This collaboration has resulted in the successful operation of close to 100 GPS and seismic stations on several IPY projects with better than 80% data return. Our systems were designed to challenging logistical constrains for increased efficiency in polar operations. These year-round systems can now be deployed in a single twin otter flight. The IRIS/PASSCAL-UNAVCO collaboration has resulted in deployable systems backed by facilities with proven track records of longevity of technical field support. Our expertise and sustained engineering has resulted in a robust community product. We have significantly lowered the barriers of entry to scientists who desire year-round autonomous data collection in the Polar regions. A transparent development process with broad community support and input has resulted in a new generation of GPS and seismic systems fielded on several major IPY projects. The challenge now is how to keep the development

  12. Kootenay Lake Fertilization Experiment, Year 15 (North Arm) and Year 3 (South Arm) (2006) Report

    Schindler, E.U.; Sebastian, D.; Andrusak, G.F. [Fish and Wildlife Science and Allocation, Ministry of Environment, Province of British Columbia


    This report summarizes results from the fifteenth year (2006) of nutrient additions to the North Arm of Kootenay Lake and three years of nutrient additions to the South Arm. Experimental fertilization of the lake has been conducted using an adaptive management approach in an effort to restore lake productivity lost as a result of nutrient uptake in upstream reservoirs. The primary objective of the experiment is to restore kokanee (Oncorhynchus nerka) populations, which are the main food source for Gerrard rainbow trout (Oncorhynchus mykiss) and bull trout (Salvelinus confluentus). The quantity of agricultural grade liquid fertilizer (10-34-0, ammonium polyphosphate and 28-0-0, urea ammonium nitrate) added to the North Arm in 2006 was 44.7 tonnes of P and 248.4 tonnes of N. The total fertilizer load added to the South Arm was 257 tonnes of nitrogen; no P was added. Kootenay Lake has an area of 395 km{sup 2}, a maximum depth of 150 m, a mean depth of 94 m, and a water renewal time of approximately two years. Kootenay Lake is a monomictic lake, generally mixing from late fall to early spring and stratifying during the summer. Surface water temperatures generally exceed 20 C for only a few weeks in July. Results of oxygen profiles were similar to previous years with the lake being well oxygenated from the surface to the bottom depths at all stations. Similar to past years, Secchi disc measurements at all stations in 2006 indicate a typical seasonal pattern of decreasing depths associated with the spring phytoplankton bloom, followed by increasing depths as the bloom gradually decreases by the late summer and fall. Total phosphorus (TP) ranged from 2-7 {micro}g/L and tended to decrease as summer advanced. Over the sampling season dissolved inorganic nitrogen (DIN) concentrations decreased, with the decline corresponding to nitrate (the dominant component of DIN) being utilized by phytoplankton during summer stratification. Owing to the importance of epilimnetic nitrate

  13. Polygonal triple (Kotz) osteotomy (over 10 years experience).

    Sen, Cengiz; Gunes, Taner; Erdem, Mehmet; Ozger, Harzem; Tozun, I Remzi


    We evaluated the results of polygonal triple (Kotz) osteotomy for the treatment of acetabular dysplasia over 10 years. This study included 31 hips of 27 patients who had the Kotz osteotomy for acetabular dysplasia. The mean age was 21.5 years. We performed the original Kotz osteotomy for the first 22 hips (group I), while the modified Kotz osteotomy through an intra-pelvic approach without damage to the abductor muscle was applied for the last 9 hips (group II). Patients were evaluated by clinically and radiologically. The average follow-up was 106 months in group I, and 18 months in group II. The Trendelenburg gait was unchanged for four patients in group I and for one patient in group II. The Harris Hip Score improved in all patients postoperatively. Radiographic assesment showed improvement in both groups in terms of the angle of CE, VCE, and Sharp postoperatively(PTrendelenburg gait compared to the original Kotz osteotomy.

  14. One year work experience in a municipal Intensive Therapy Unit.

    Alba Enseñat Alvarez


    Full Text Available Background: The Municipal Intensive Care Units were created in the year 2004, to better the urgency attention in the primary health level. Objective: To characterize the functioning of a Municipal Intensive Care Unit. Method: A descriptive, prospective study that included 348 patients that were received in the unit during the year 2004. The following variables were analized: patients evolution, distribution by diseases, and evolution of the diseases. Results and Conclusions: The number of remissions to the hospital dropped; 183 patients weresent to their homes, 165 were remitted to the Provincial Hospital of Cienfuegos and three of them died in the unit. The angina pectoris was the first cause of admission, followed by cardiac arritmias and cerebrovascular disease.

  15. Sachse optical urethrotomy, a modified technique: 6 years of experience.

    Sandozi, S; Ghazali, S


    Urethrotomy with the Sachse optical urethrotome has radically modified our management of strictures of the male urethra. A total of 143 patients underwent 210 procedures during 6 years. The strictures resolved in 85 per cent of the patients and they required no further treatment, including 52 patients followed for more than 6 years. A modified surgical technique using a pediatric cystoscope is described to inspect, traverse and cannulate the urethral stricture before optical urethrotomy, thus, enabling successful management of even the most difficult strictures. Our results confirm that the best prospects of cure were short and single urethral strictures, and that optical urethrotomy is the treatment of choice for strictures of the male urethra.

  16. Implant therapy: 40 years of experience

    Quirynen, Marc; Herrera, David; Teughels, Wim; Sanz, Mariano


    Implant placement has become a well-established and highly successful therapy in the rehabilitation of partially and fully edentulous patients. The 'original' treatment protocol, which aimed to demonstrate implant 'biocompatibility' and the achievement of osseointegration, has evolved over the past 40 years into a broader treatment approach in which the esthetic and patient-related objectives have become the main focus. This volume of Periodontology 2000 summarizes, via narrative reviews, the...

  17. [4 years experience with the Ulm autologous transfusion concept].

    Mehrkens, H H; Geiger, P; Schleinzer, W; Weindler, M; Wollinsky, K H; Pohland, H


    After a 4-year period in clinical practice the autologous transfusion concept Ulm (ATU) has proved its value. The effort and expense involved are entirely justified by obvious medical advantages. The patients' active involvement in the therapeutic procedure is a remarkable aspect of positive motivation. Furthermore, the medical staff is positively motivated, too, in spite of the obvious additional load to their daily routine work.

  18. [Infantile spinal atrophy: our experience in the last 25 years].

    Madrid Rodríguez, A; Martínez Martínez, P L; Ramos Fernández, J M; Urda Cardona, A; Martínez Antón, J


    To determine the incidence of spinal muscular atrophy (SMA) in our study population and genetic distribution and epidemiological and clinical characteristics and to analyze the level of care and development. Retrospective descriptive study of patients treated in our hospital in the past 25 years (from 1987 to early 2013), with a clinical and neurophysiological diagnosis of SMA. A total of 37 patients were found, representing an incidence for our reference population and year of 1 case per 10,000 live births. Males predominated (male/female ratio: 1.6/1). The type of SMA diagnosed more frequently was, type i (26 cases), followed by type ii (9 cases), one case with SMA type iii, and one case of spinal muscular atrophy with respiratory distress type 1 (SMARD1). The most frequent genetic alteration was homozygous deletion of exons 7 and 8 of SMN1 gene in 31 cases, while five patients had atypical genetics. The median survival for type i was 8.0 months and 15.8 years for type ii. The incidence in our population remains stable at around 1/10.000. Most cases presented with, predominantly male, typical genetics. In approximately 1/10 patients the genetic alteration was different from the classical one to the SMN gene. The prevalence of AME unrelated SMN gene was 1/37. The level of care has increased in line with social and welfare demands in recent years. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  19. Chirurgica Taurina: a 10-year experience of bullfight injuries.

    Rudloff, Udo; Gonzalez, Victor; Fernandez, Eduardo; Holguin, Esteban; Rubio, Gustavo; Lomelin, Jorge; Dittmar, Michael; Barrera, Rafael


    Despite recent efforts to improve medical treatment for injured bullfighters, including the foundation of a scientific society for bullfight injuries, serious injuries, in particular in villages and smaller arenas, still do occur. We are not aware of any series in the English literature that aimed to study the specific mechanisms, types, and outcomes of these injuries. A review of the trauma registry of injured bullfighters who suffered any type of trauma during bullfighting and received emergency therapy by the Surgical Trauma Services between 1994 and 2004 at the Plaza de Toros Nuevo Progreso, Guadalajara, Mexico. In all, 68 out of 750 bullfighters (9.06%) required emergency assistance during bullfighting. Trauma to the upper and lower extremity was most common (66%), followed by injuries to the inguinal (8%) and perineal area (7%). Extremity injuries included penetrating wounds requiring operative debridement in 64% of cases, articular dislocations in 4%, closed fractures in 4%, and open fractures in 1% of cases. Major vascular injuries occurred in 5% of the cases. Penetrating inguinal and penetrating perineal injuries were associated with major vascular injuries to the femoral vessels, necessitating operative repair in 33% of the cases. A considerable risk of serious, life-threatening injuries is inherent to bullfighting. Penetrating inguinal and perineal trauma with injury to the femoral vessels represents a specific, potentially fatal injury. A low threshold for exploration of these penetrating injuries in injured bullfighters is associated with a favorable outcome. Appreciation of the unique mechanisms and types of injuries related to bullfighting should lead to target intervention and help the evolvement of improved emergency treatment in organized bullfighting.

  20. Fusion plasma experiments on TFTR: A 20 year retrospective*

    Hawryluk, R. J.; Batha, S.; Blanchard, W.; Beer, M.; Bell, M. G.; Bell, R. E.; Berk, H.; Bernabei, S.; Bitter, M.; Breizman, B.; Bretz, N. L; Budny, R.; Bush, C. E.; Callen, J.; Camp, R.; Cauffman, S.; Chang, Z.; Cheng, C. Z.; Darrow, D. S.; Dendy, R. O.; Dorland, W.; Duong, H.; Efthimion, P. C.; Ernst, D.; Fisch, N. J.; Fisher, R.; Fonck, R. J.; Fredrickson, E. D.; Fu, G. Y.; Furth, H. P.; Gorelenkov, N. N.; Grek, B.; Grisham, L. R.; Hammett, G. W.; Hanson, G. R.; Herrmann, H. W.; Herrmann, M. C.; Hill, K. W.; Hogan, J.; Hosea, J. C.; Houlberg, W. A.; Hughes, M.; Hulse, R. A.; Jassby, D. L.; Jobes, F. C.; Johnson, D. W.; Kaita, R.; Kaye, S.; Kim, J. S.; Kissick, M.; Krasilnikov, A. V.; Kugel, H.; Kumar, A.; Leblanc, B.; Levinton, F. M.; Ludescher, C.; Majeski, R. P.; Manickam, J.; Mansfield, D. K.; Mazzucato, E.; McChesney, J.; McCune, D. C.; McGuire, K. M.; Meade, D. M.; Medley, S. S.; Mika, R.; Mikkelsen, D. R.; Mirnov, S. V.; Mueller, D.; Nagy, A.; Navratil, G. A.; Nazikian, R.; Okabayashi, M.; Park, H. K.; Park, W.; Paul, S. F.; Pearson, G.; Petrov, M. P.; Phillips, C. K.; Phillips, M.; Ramsey, A. T.; Redi, M. H.; Rewoldt, G.; Reznik, S.; Roquemore, A. L.; Rogers, J.; Ruskov, E.; Sabbagh, S. A.; Sasao, M.; Schilling, G.; Schivell, J.; Schmidt, G. L.; Scott, S. D.; Semenov, I.; Skinner, C. H.; Stevenson, T.; Stratton, B. C.; Strachan, J. D.; Stodiek, W.; Synakowski, E.; Takahashi, H.; Tang, W.; Taylor, G.; Thompson, M. E.; Von Goeler, S.; Von Halle, A.; Walters, R. T.; White, R.; Wieland, R. M.; Williams, M.; Wilson, J. R.; Wong, K. L.; Wurden, G. A.; Yamada, M.; Yavorski, V.; Young, K. M.; Zakharov, L.; Zarnstorff, M. C.; Zweben, S. J. [Princeton Plasma Physics Lab. (PPPL), Princeton, NJ (United States)


    The Tokamak Fusion Test Reactor (TFTR) (R. J. Hawryluk, to be published in Rev. Mod. Phys.) experiments on high-temperature plasmas, that culminated in the study of deuterium–tritium D–T plasmas containing significant populations of energetic alpha particles, spanned over two decades from conception to completion. During the design of TFTR, the key physics issues were magnetohydrodynamic (MHD) equilibrium and stability, plasma energy transport, impurity effects, and plasma reactivity. Energetic particle physics was given less attention during this phase because, in part, of the necessity to address the issues that would create the conditions for the study of energetic particles and also the lack of diagnostics to study the energetic particles in detail. The worldwide tokamak program including the contributions from TFTR made substantial progress during the past two decades in addressing the fundamental issues affecting the performance of high-temperature plasmas and the behavior of energetic particles. The progress has been the result of the construction of new facilities, which enabled the production of high-temperature well-confined plasmas, development of sophisticated diagnostic techniques to study both the background plasma and the resulting energetic fusion products, and computational techniques to both interpret the experimental results and to predict the outcome of experiments. © 1998 American Institute of Physics.

  1. ATLAS Distributed Computing Shift Operation in the first 2 full years of LHC data taking

    Schovancová, J; The ATLAS collaboration; Elmsheuser, J; Jézéquel, S; Negri, G; Ozturk, N; Sakamoto, H; Slater, M; Smirnov, Y; Ueda, I; Van Der Ster, D C


    ATLAS Distributed Computing organized 3 teams to support data processing at Tier-0 facility at CERN, data reprocessing, data management operations, Monte Carlo simulation production, and physics analysis at the ATLAS computing centers located world-wide. In this paper we describe how these teams ensure that the ATLAS experiment data is delivered to the ATLAS physicists in a timely manner in the glamorous era of the LHC data taking. We describe experience with ways how to improve degraded service performance, we detail on the Distributed Analysis support over the exciting period of the computing model evolution.

  2. [Laparoscopic adjustable gastric-banding treatment for morbid obesity our first year experience].

    Iordache, N; Vizeteu, R; Iorgulescu, A; Zmeu, B; Iordache, M


    The authors present the results of a prospective study regarding their 1st year experience in laparoscopic adjustable gastric banding (LABG), which included 21 patients (5 males, 16 females), with an average age of 39 (between 20-53 years). The follow up was made at one and six months postoperative. The medium weight was 138 kg (between 95-172 kg), with a medium excess of body mass of 66.89 kg (extremes between 27.75 and 104 kg). The medium BMI (body mass index) was 48.9 (extremes: 34.5-66), 8 patients being superobese (BMI > 50). The average operating time was 120 min, all operations were finished laparosopically. Postoperative complications were: total disfagia (1 case), parietal suppuration (2 cases) and partial intragastric migration of the prosthesis (1 case). There were no deceased patients. The medium excess of body mass at 6 months after surgery was 46.57 (only 13 patients evaluated in this interval). After 6 months postoperative the comorbidities were healed at half of the patients. Although we do not benefit of a long time follow up, the favorable initial results permits us to state that LABG must find its place in the efforts of struggling against obesity and its consequences.

  3. Boltzmann analyses of swarm experiments over the years

    Pitchford, Leanne


    Art Phelps was one of the ``grand old men'' in field of gaseous electronics. He was a graduate student when the GEC got started and he attended almost all of the meetings over the years. During his remarkably long career, he produced a number of the classic papers in our field as a glance at Web of Science will show. Art was my mentor and friend, and I had the privilege of working with him for many years on various topics related mainly to electron scattering and transport in weakly ionized gases. In this talk, I will discuss the originality of some of his early work on these subjects in the context of their times, focusing in particular on his publications from the mid-1960's with his colleagues from Westinghouse Research Laboratories. These report the first numerical solutions of the Boltzmann equation for electrons, to my knowledge, and they inspired much subsequent work related to the extraction of quantitative information about low-energy electron scatting with simple gases from measurements of macroscopic parameters (mobility, diffusion,..). I will outline some of the work he and I did together in this topical area using more sophisticated numerical techniques. This and other work in the field eventually led to the establishment of the ongoing GEC Plasma Data Exchange Project which now involves a number of people (the LXCat team), as discussed in Tuesday's workshop. The LXCat team had completed work on noble gases and had just started working on evaluations of cross sections for simple molecules when Art died. We are fortunate to have had his involvement on these projects. Art had ideas for future work in these areas, and some are included in a long e-mail message from Art a couple of years ago that I will share because it includes some suggestions [to the community] for future work.

  4. Carotid body tumours. A 20-year single-institution experience.

    Dalainas, Ilias; Nano, Giovanni; Casana, Renato; Bianchi, Paolo; Stegher, Silvia; Malacrida, Giovanni; Tealdi, Domenico Giuseppe


    The aim of this single-institution retrospective study was to review the surgical outcomes of resection of carotid body tumours over the last 20 years in our hospital. From January 1985 to December 2004, 17 patients were admitted to our institution with carotid body tumours. All patients were treated by surgical resection of the tumour. No perioperative deaths occurred. Perioperative comorbidities were more frequent in patients with large carotid body tumours intimately associated with the carotid vessels. Surgical excision of carotid body tumours is safe and effective even in the long term.

  5. Stretch Polytetrafluoroethylene Grafts for Hemodialysis Angioaccess: Three-year Experience

    Al Dayel Adel


    Full Text Available We report the results of 90 stretch polytetrafluoroethylene (PTFE grafts in 78 chronic renal failure patients over a 3-year period from 1995-1998. The grafts were used as primary access in 15% of the patients. The cumulative patency was 63.3% and there were no complications in 48.8% of the cases. Infection was encountered in 15.5% and thrombosis in 31.1% of the grafts. Intimal hyperplasia, venous anastomotic stenosis, improper puncture technique and subclavian vein stenosis were the major causes of failure of grafts. We conclude that stretch PTFE grafts as angioaccesses may provide good patency and durability.

  6. District heating : 50 years of experience in Linkoping

    Ohlander, P.; Fahlstrom [Tekniska Verken (Sweden)


    Some facts about the municipality of Linkoping, Sweden were presented along with an action plan adopted by the Municipal Council in 1998 for sustainable development. Tekniska Verken in Linkoping offers electricity and power grid management; potable water and sewage management; recycling and waste to energy for district heating and cooling; biogas production from biological waste; and, communication technology and leading edge solutions for installing the required infrastructure for all grids. The installation of the first district heating pipelines took place in Linkoping in 1954 and the first waste to energy plant in Sweden was operational by 1958. A combined heat and power plant was commissioned in 1964 with a capacity of 280 MW and with an electricity output of 96 MW{sub e}. A medium sized waste to energy plant was commissioned in 1982 in which municipal waste was thermally treated for the production of district energy. In 2005, the Garstad Waste to Energy Plant was expanded to become one of the most sophisticated plants in the world, working in a combined cycle. It is used for the thermal treatment of municipal waste with a capacity of more than 350,000 metric tons. It is utilized for districting heating, district cooling and electricity generation. This presentation showed how the Tekniska Verken Group has responded to the growing need for district heating and the trend to reduce the use of fossil fuels by focusing its efforts on refining waste to energy techniques and by developing new areas for energy use, such as district cooling. The Tekniska Verken Group has also produced methane from biological waste. A schematic of the new combined heat and power (CHP) plant at Garstad was presented along with graphs of fuel mix, energy output and emissions. This presentation also discussed the development of the waste to biogas concept with reference to the production method of anaerobic digestion of sewage sludge at waste water treatment plants. The many advantages of

  7. Wireless capsule video endoscopy:Three years of experience

    Rami Eliakim


    AIM: To review and summerize the current literatue regarding M2A wireless capsule endoscopy.METHODS: Peer reviewed publications regarding the use of capsule endoscopy as well as our personal experience were reviewed.RESULTS: Review of the literature dearly showed that capsule endoscopy was superior to enteroscopy, small bowel follow through and computerized tomography in patients with obscure gastrointestinal bleeding, iron deficiency anemia,or suspected Crohn′s disease. It was very sensitive for the diagnosis of small bowel tumors and for survailance of small bowel pathology in patients with Gardner syndrome or familial adenomatous polyposis syndrome. Its role in celiac disease and in patients with known Crohn′s disease was currently being investigated.CONCLUSION: Capsule video endoscopy is a superior and more sensitive diagnostic tool than barium follow through,enteroscopy and entero- CT in establishing the diagnosis of many small bowel pathologies.

  8. Angelman syndrome in Hong Kong Chinese: A 20 years' experience.

    Luk, H M; Lo, Ivan F M


    AS(OMIM #105830) is a neurodevelopmental disease that characterized by severe intellectual disability, lack of speech, happy disposition, ataxia, epilepsy and distinct behavioural profile. A tertiary wide study was performed in Hong Kong with aim to examine the clinical and molecular features, genotype-phenotype correlation of the Angelman syndrome (AS) patients. There were total 55 molecularly confirmed AS between January 1995 to September 2015 for review. 65.5% of them were caused by maternal microdeletion, 10.9% by paternal uniparental disomy, 3.6% by imprinting center defect and 14.5% by UBE3A gene mutation. Genotype-phenotype correlation showed epilepsy and microcephaly is more common in microdeletion type as compared with non-microdeletional type. We have concluded that the incidence rate, clinical features and underlying genetic mechanisms in Hong Kong Chinese were comparable with other western populations. The overall average age of diagnosis in this cohort was 6.2 years old (95% C.I was 5.0-7.5 years old). It is hope that by increasing awareness and early referral could result in early diagnosis and better management for AS patient. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  9. Campylobacter bacteraemia: 16 years of experience in a single centre.

    Hussein, Khetam; Raz-Pasteur, Ayelet; Shachor-Meyouhas, Yael; Geffen, Yuval; Oren, Ilana; Paul, Mical; Kassis, Imad


    Campylobacter bacteraemia (CB) is rare and usually occurs in immune-compromised patients. In this study we examined the incidence and epidemiology of CB in one institution over 15.5 years. The medical records of all the consecutive patients with CB admitted to our hospital from 2000 to 2015 were retrospectively reviewed. Clinical characteristics, microbiologic and outcome data were collected. During the study period, 65 patients with CB were identified. The majority of the patients were middle aged and immune-compromised. Campylobacter jejuni was the most commonly identified species (33/47, 70%). The main underlying conditions were haematological malignancies (43%) and chronic liver disease (14%). Fifty-seven percent of the patients were receiving immunosuppressive therapy at the time of bacteraemia. The most common presenting symptoms were fever (85%), diarrhoea (40%), abdominal pain (40%), and nausea and vomiting (40%). Of the isolates tested, 97% were susceptible to macrolides, and only 35% were susceptible to quinolones. Susceptibility to quinolones decreased over the years. Most patients did not receive adequate empiric antibiotic treatment (81.5%) and about 20% never received directed therapy. Mortality and relapse rates were low (5% each). There was no association between adequate empirical or definitive antibiotic therapy and adverse outcomes. The main predisposing factor for Campylobacter bacteraemia in our cohort was immunosuppression. Prognosis was generally favourable regardless of appropriateness of antibiotic therapy.


    D. D. Dement’ev


    Full Text Available Aim. To assess reliability, efficacy, and stability of corneal collagen crosslinking (CXL results for stage I‑II keratoconus.Patients and methods. 2‑year (2012-2014 results of CXL were analyzed. CXL was performed on 20 eyes of 15 patients (13 men and 2 women, mean age 31 years. Stage 1 keratoconus was diagnosed in 13 eyes, stage 2 keratoconus was diagnosed in 2 eyes. Primary stage 1‑2 keratoconus was diagnosed in 17 eyes, keratoconus after corneal refractive surgery (LASIK, radial keratotomy was diagnosed in 3 eyes. Preoperative and postoperative examination included uncorrected (UCVA and best-corrected (BCVA visual acuity measurement, pachymetry, corneal topography (total astigmatism measurement, and biomicroscopy. Follow-up period varied from 1 to 24 months.Results. All patients reported on vision improvement. Preoperatively, mean UCVA and BCVA were 0.4 and 0.64, respectively. Postoperatively, mean UCVA and BCVA were 0.49 and 0.66, respectively. Preoperatively and postoperatively, total astigmatism was 2.1 D and 2.0 D, respectively, while mean central corneal thickness was 454 μm and 447 μm, respectively.Conclusions. Corneal collagen crosslinking for stage 1‑2 keratoconus provides mild UCVA and BCVA improvement, decrease in total astigmatism and central corneal thickness. CXL provides stable results of treatment of primary stage 1‑2 keratoconus and keratoconus after corneal refractive surgery. 

  11. The transformation of an EBM curriculum: a 10-year experience.

    Aiyer, Meenakshy K; Dorsch, Josephine L


    Evidence-based medicine (EBM) is an essential tool for students across the medical education continuum. Incorporation of EBM skills into core competencies by national educational organizations denotes their vital role. The main purpose is to describe the transformation of an EBM curriculum in an Internal Medicine clerkship and the educational principles that influenced changes over ten years. The EBM curriculum over ten years was reviewed. This retrospective review was divided into four phases, based on the educational interventions used. Associated outcomes of the curriculum, student skills, and satisfaction with the course and faculty involvement were assessed. A majority of the 493 students felt they received adequate and appropriate exposure to EBM. The curriculum evolved from a teacher-centered approach using computer-based case scenarios to a learner-centered, and patient centric approach. Student skills in EBM improved, as was evidenced by the pre- and post-tests and the evaluations of critically appraised topic assignments. EBM is an essential tool to develop life-long learners. A learner-centered, patient centric approach is well received by students. Long-term studies are needed to assess the impact of these teaching interventions on patient outcomes.

  12. Survival analysis of cholangiocarcinoma: A 10-year experience in Malaysia

    Ahmad Ramzi Yusoff; Mohd Muzammil Abdul Razak; Yoong Boon Koon; R Vijeyasingam; Siti Zuraidah Mahmud


    AIM: To investigate the clinical features and survival of patients treated for cholangiocarcinoma in our institution and to analyze the factors affecting their survival. METHODS: This retrospective cohort study assessed patients diagnosed with cholangiocarcinoma between January 1997 and December 2007 at the University Malaya Medical Centre in Malaysia. The clinical data and associated outcomes were collected using a structured proforma. RESULTS: Of the 69 patients diagnosed with cholangiocarcinoma, 38 (55%) were male; mean patient age was 61 years. Twelve patients(17%) had intrahepatic, 38 (55%) had perihilar and 19 (28%) had distal tumors. Only 12 patients underwent curative surgery, including seven R0 resections. Only one patient died within 30 d after surgery. The overall median survival was 4 mo, whereas the median survival of R0 resected patients was 16 mo. The overall 1-, 2- and 3-year cumulative survival rates were 67%, 17% and 17%, respectively. Survival rates were significantly associated with curative resection (P= 0.002), intrahepatic tumor (P = 0.003), negative margin status (P = 0.013), early tumor stage (P = 0.016), higher tumor differentiation (P = 0.032) and absence of jaundice (P = 0.038). Multivariate analysis showed that tumor location was a significant independent predictor of patient survival. CONCLUSION: Curative, margin-negative resection of early stage, well-differentiated intrahepatic tumors is associated with improved patient survival.

  13. Eight-year experience in esophageal cancer surgery

    B Thakur


    Full Text Available Aim: Esophageal cancer remains a major and lethal health problem. In Nepal, not much has been explored about its management. The aim of this study was to conduct a retrospective review of esophageal cancer patients undergoing surgery or combined modality treatment at a cancer hospital in Nepal. Materials and Methods: Resectable cases were treated primarily with surgery. Locally advanced cases with doubtful or obviously unresectability underwent preoperative chemo/radiation or chemoradiation followed by surgery. Results: Among 900 patients, 103 were treated with curative intent. Mean age of patients was 54 years, and 100% of the patients presented with complaint of dysphagia. Surgery as a single modality of treatment was done in 57% of cases, and the remaining underwent combined modality treatment. Transthoracic and transhiatal approaches were used in 95% and 5% of cases, respectively. Nodal sampling, two-field (2-FD, and three-field lymphadenectomy (3-FD were done in 18%, 59%, and 20% of cases, respectively. A majority of patients had pathological stage III disease (46.6%. In-hospitality mortality was 5%, and anastomotic leakage rate was 14%. In 87% of patients, R0 resection was achieved. Overall, 4-year survival was 20%. A R0 resection, early-stage disease and 3-FD favored the survival advantage (P < 0.05. Conclusion: The mortality, complication, and survival results were in the acceptable range. R0 resection and radical nodal dissection should be standard practice.

  14. Congenital choledochal cysts in adults: twenty-five-year experience

    LIU Ying-bin; CAO Li-ping; PENG Shu-you; WANG Jian-wei; Khagendra Raj Devkota; JI Zhen-ling; LI Jiang-tao; WANG Xu-an; MA Xiao-ming; CAI Wei-long; KONG Ying


    Background Choledochal cyst is rare in western countries. The relatively high incidence of coexistent hepatobiliary disease increases the difficulty of the surgical management of choledochal cyst. Here we analyze the diagnosis and treatment of congenital bile duct cyst in 122 Chinese adults.Methods The clinical data of 122 patients with congenital choledochal cysts admitted from 1981 to 2006 were analyzed.Results Clinical symptoms in most cases were nonspecific, resulting in delayed diagnosis. Sixty-one patients (50%) had coexistent pancreatobiliary disease. Among the 122 patients, 119 patients underwent ultrasonic examination;ERCP/MRCP was performed in 63 cases and CT in 102 cases. Abnormal pancreatobiliary duct junction was found in 48 patients. Sixteen patients had malignant lesions in the bile duct, arising in 11 of them from incomplete choledochal cyst that underwent various operations including cystenterostomy or cystojejunostomy. There was significant difference between the patients who underwent incomplete cyst resection and complete cyst resection in malignancy rate of bile duct (Chi square test, P= 0.000; odds ratio, 7.800; 95 % confidence interval, 2.450 to 24.836).Conclusions ERCP, CT and MRCP had proved their great values in the classification of the disease. Cyst excision with Roux-en-Y hepaticojejunostomy is recommended as the treatment of choice for patients with type Ⅰ or type Ⅳ cysts. For type Ⅴ cyst (Caroli's disease) with recurrent cholangitis, liver transplantation should be considered.

  15. Twenty-year single-center experience with the medtronic open pivot mechanical heart valve.

    Van Nooten, Guido J; Bové, Thierry; Van Belleghem, Yves; François, Katrien; Caes, Frank; Vandenplas, Guy; De Pauw, Michel; Taeymans, Yves


    Since May 1992 the Medtronic Open Pivot mechanical heart valve has been implanted routinely at the authors' institution. The study aim was to analyze, retrospectively, the 20-year clinical results of the valve. Between May 1992 and December 2011 a total of 1,520 valves was inserted into 1,382 consecutive patients (1,012 aortic, 473 mitral, 26 tricuspid, 9 pulmonary). The mean age of the patients was 61±13.2 years. Preoperatively, 65% of the patients were in New York Heart Association (NYHA) class III or greater. Frequent comorbidities included atrial fibrillation (n=419), coronary disease (n=357), and diabetes (n=255). The 99% complete follow-up totaled 10,527 patient-years (range 12 to 244 months). Ninety-day mortality was 5.2% (n=73, 8 valve related). Of the 550 total deaths, 240 were cardiac and 56 valve related. Multivariate analysis selected age, NYHA III or greater, concomitant coronary revascularization, and respiratory insufficiency as risk factors for death. Renal failure was considered a risk factor in the aortic and atrial fibrillation in the mitral subgroup. Erratic international normalized ratio (INR), NYHA class III or greater, and non-sinus rhythm were risk factors for thromboembolism; likewise redo operations in the aortic subgroup. Erratic INR and age were risk factors for bleeding as were over-coagulation and coronary revascularization in the aortic subgroup and redo operations and renal failure in mitral patients. This 20-year experience demonstrated excellent clinical outcomes with no structural valve failure. Odds ratio defined aortic patients as the lowest risk for adverse events. By contrast atrial fibrillation and elderly age, in combination with instable anticoagulation, yielded the worst long-term results. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  16. Phenix reactor: a review of 35 year long operating life; Le reacteur Phenix: bilan de 35 ans de fonctionnement

    Martin, L.; Dall' Ava, D.; Rochwerger, D.; Goux, D. [CEA Marcoule 30 (France); Guidez, J.; Martin, Ph.; Seran, J.L. [CEA Saclay 91 - Gif sur Yvette (France); Sauvage, J.F.; Prele, G.; Guihard, J. [Electricite de France (EDF), 75 - Paris (France); Bernardin, B.; Vanier, M.; Zaetta, A.; Latge, Ch. [CEA Cadarache, 13 - Saint Paul lez Durance (France); Fontaine, B.; Jolly, J.A.; Gros, J.; Pepe, D. [CEA Marcoule, Centrale Phenix, 30 (France); Pelletier, M.; Pillon, S. [CEA Cadarache, Dept. d' Etudes des Combustibles, 13 - Saint Paul lez Durance (France); Escaravage, C.; Gelineau, O.; Dupraz, R.; Dirat, J.F.; Giraud, M. [AREVA NP, 92 - Paris la Defense (France); Michaille, P. [CEA Dam, DP2I, Mar (France)


    Phenix reactor that was commissioned in 1973, had its final shutdown during the beginning of 2009. This series of articles presents the main contributions of Phenix over its 35 years of operating life in material sciences, the handling of sodium, the design of fast reactors, core physics and reactor safety. Other articles recall the feedback experience on particular components like sodium pumps, steam generators or intermediate heat exchangers and about reactor maintenance. This power plant was first an experimental reactor that, with its hot cells, has performed important irradiation programs concerning mainly fast reactor technology and transmutation as a tool for burning actinides. One article reviews the environmental impact of this reactor over its operating life in terms of waste production and dosimetry. (A.C.)

  17. Cryogenic Operation Methodology and Cryogen Management at CERN over the last 15 Years

    Delikaris, D; Claudet, S; Gayet, Ph; Passardi, Giorgio; Serio, L; Tavian, L


    CERN, the European Organization for Nuclear Research has progressively implemented and brought into operation an impressive number of cryogenic units (34). The paper will present the evolution of CERN’s cryogenic infrastructure and summarize results from cryogenic operation cumulating 590’000 running hours over the last fifteen years. The implemented methodology allowing reaching a high level of plant reliability will be described. CERN also becomes an intensive user of cryogens. Contracts for the delivery of 320 t of liquid helium and 70’000 t of liquid nitrogen have been adjudicated. The paper will describe the procurement strategy, the storage infrastructure and cryogen inventory.

  18. Cord blood banking activity in Iran National Cord Blood Bank: a two years experience.

    Jamali, Mostafa; Atarodi, Kamran; Nakhlestani, Mozhdeh; Abolghasemi, Hasan; Sadegh, Hosein; Faranoosh, Mohammad; Golzade, Khadije; Fadai, Razieh; Niknam, Fereshte; Zarif, Mahin Nikougoftar


    Today umbilical cord blood (UCB) has known as a commonly used source of hematopoietic stem cells for allogeneic transplantation and many cord blood banks have been established around the world for collection and cryopreservation of cord blood units. Herein, we describe our experience at Iran National Cord Blood Bank (INCBB) during 2 years of activity. From November 2010 to 2012, UCBs were collected from 5 hospitals in Tehran. All the collection, processing, testing, cryopreservation and storage procedures were done according to standard operation procedures. Total nucleated cells (TNC) count, viability test, CD34+ cell count, colony forming unit (CFU) assay, screening tests and HLA typing were done on all banked units. Within 3770 collected units, only 32.9% fulfilled banking criteria. The mean volume of units was 105.2 ml and after volume reduction the mean of TNC, viability, CD34+ cells and CFUs was 10.76×10(8), 95.2%, 2.99×10(6) and 7.1×10(5), respectively. One unit was transplanted at Dec 2012 to a 5-year old patient with five of six HLA compatibilities. In our country banking of UCB is new and high rate of hematopoietic stem cell transplants needs expanding CB banks capacity to find more matching units, optimization of methods and sharing experiences to improve biological characterization of units.

  19. A 5-year experience with an elective scholarly concentrations program

    Paul George


    Full Text Available Problem: Programs that encourage scholarly activities beyond the core curriculum and traditional biomedical research are now commonplace among US medical schools. Few studies have generated outcome data for these programs. The goal of the present study was to address this gap. Intervention: The Scholarly Concentration (SC Program, established in 2006 at the Warren Alpert Medical School of Brown University, is a 4-year elective program that not only encourages students to pursue scholarly work that may include traditional biomedical research but also seeks to broaden students’ focus to include less traditional areas. We compared characteristics and academic performance of SC students and non-SC students for the graduating classes of 2010–2014. Context: Approximately one-third of our students opt to complete an SC during their 4-year undergraduate medical education. Because this program is additional to the regular MD curriculum, we sought to investigate whether SC students sustained the academic achievement of non-SC students while at the same time producing scholarly work as part of the program. Outcome: Over 5 years, 35% of students elected to enter the program and approximately 81% of these students completed the program. The parameters that were similar for both SC and non-SC students were age at matriculation, admission route, proportion of undergraduate science majors, and number of undergraduate science courses. Most academic indicators, including United States Medical Licensing Examinations scores, were similar for the two groups; however, SC students achieved more honors in the six core clerkships and were more likely to be inducted into the medical school's two honor societies. Residency specialties selected by graduates in the two groups were similar. SC students published an average of 1.3 peer-reviewed manuscripts per student, higher than the 0.8 manuscripts per non-SC student (p=0.013. Conclusions: An elective, interdisciplinary

  20. 10-year experience of CO2-laser application in ambulance gynecology

    Stachanov, Michael L.; Masychev, Victor I.; Velsher, Leonid Z.; Kirkin, Vladimir V.; Zhashkov, Roman V.; Kocharian, Emilia A.


    CO2-laser surgical systems have come to stay in everyday practice of modern physicians and are successfully used in colposcopic and laparoscopic surgery. Results, obtained in ambulance gynecology are especially impressing. CO2- laser provides high medical- and cost-effective treatment. Presented work describes many-years experience of CO2- laser application. 439 patients with various vulvaric and cervix diseases were operated within this period. Laser beam parameters were selected according to requirements ((tau) =4 J/cm2) treatment without carbonization. Analyses of the results showed that the laser successfully destructs uterine cervix erosion, endocervicosis, dysplasia, leukoplakia, eritoplakia of uterine cervix, various benignant pathologies and focus degenerative process in ambulate conditions.

  1. Low-energy house in Arctic climate - 5 years of experience

    Vladyková, Petra; Rode, Carsten; Kragh, J.


    The aim of this article is to present and disseminate the experience gained from a low‐energy house in Sisimiut, Greenland, over the 5 years of operation since its inauguration in April 2005. The house was designed to test and present new low‐energy technologies in the Arctic climate and to improve...... sustainability in Greenlandic buildings. The article presents some measurements, analyses and comparisons of theoretical simulations, and also some steps which were taken to improve the house with impacts on the energy consumption. The results include energy consumption, temperatures, and solar heating...... production. Also presented are the results of several investigations carried out in the house, such as blower‐door tests and inspection of the ventilation system. The initial target for the heating demand of the house was that it should be restricted to 80 kWh/(m2⋅a), but in reality it has varied over...

  2. Wastewater infiltration percolation for water reuse and receiving body protection: thirteen years' experience in Spain.

    Brissaud, F; Salgot, M; Folch, M; Auset, M; Huertas, E; Torrens, A


    Infiltration percolation (IP) is an extensive technology to treat primary or secondary effluents of small and middle size communities before reuse or disposal to sensitive receiving bodies. Thirteen years of implementation of IP in Spain has highlighted the necessity to abide by defined design and construction rules and operation conditions in order to achieve consistently the treatment objectives and guarantee a long lasting treatment capacity. From this experience, high care should be taken of (i) the characteristics of the sand constituting the filter, (ii) the drainage conditions, (iii) the influent spreading over the infiltration surface and (iv) the risks related to recurrent overloading. Simple monitoring measures are suggested in order to improve the reliability of IP plants.

  3. Performance of Sub-Array of ARIANNA Detector Stations during First Year of Operation

    Tatar, Joulien Erdintch

    The ARIANNA high energy neutrino telescope is designed to search for ultrahigh energy neutrinos produced by the collision of cosmic rays with the cosmic microwave background. ARIANNA exploits the recent development of low noise, low power data acquisition technology to measure the brief radio pulses created by neutrino-induced charged particle showers in the Ross Ice Shelf of Antarctica. Three stations were installed and commissioned in early December 2012 as part of a pilot program to construct a hexagonal array of 7 radio stations. Each station required only 10 Watts of power and operated autonomously using both solar panels and wind generators. In addition, an environmental station was deployed at the ARIANNA site. Data is stored locally and reliably transmitted from Antarctica over high speed wireless internet and Iridium satellite modem during special transmission windows. The wireless internet ceased operation on March 15, corresponding to the fading light condition just before Austral winter. With the aid of wind generation, the stations operated until late May before winter hibernation. Communication was re-established after winter hibernation on September 11, 2013 for three of the four stations. Overall, the stations operated for 65% of the year. The station acquired three types of events: (1) forced, (2) thermal, and (3) signals from an external transmitter, which are called "heartbeat" events. The forced trigger captures the ambient RF conditions at a random snapshot in time. The thermal trigger configuration usually required any 2 of the 4 antenna channels to exceed a voltage level of ˜ 6 · Vrms, where Vrms is the root mean square of the random voltage fluctuations. Individual channel thresholds were adjusted to account for temperature dependences in the electronics. The vast majority of thermal triggers are consistent random gaussian noise expected from thermal processes in the ice and amplifier. Excess power, but no increase is trigger rates, is

  4. Abdominal masses in children: 12 years experience at Amirkabir Hospital

    Poorang H


    Full Text Available Abdominal mass is one of the commonest clinical findings in children. The purpose of this study was to evaluate abdominal masses in different age groups in a referral children surgical center. We retrospectively reviewed records of 325 patients (57% boys, mean age 37.7 months admitted to Amir Kabir hospital in period of 12 years for abdominal mass surgery. The 4 most common abdominal masses was Wilm's tumor (22.4%, abdominal lymphoma (13.5%, neuroblastoma (12.5% and hydronephrosis (12.3%. These masses composed 60% of abdominal masses and the remaining were: Hydatid cyst of liver, ovarian masses, liver masses, choledochal cyst, mesentery and omental cyst, etc. This results were found to be similar with little differents to results of other centers. 

  5. A Psychodynamic Psychologist in Community Psychiatry: 14 Years of Experience

    Tânia Roquette


    Full Text Available This paper aims to critically review the role of a psychodynamic psychologist integrated in a community outpatient clinic of a Psychiatric Department. It describes the characteristics of a psychodynamic intervention that is complementary to the psychiatric approach while sharing a common goal –the suffering patient – and enhancing the knowledge and understanding of several domains like psychopathology, diagnosis, treatment, rehabilitation and integration. Furthermore it describes how the use of Psychological Assessment led to the formulation of specific individual psychotherapies, spanning 14 years of clinical practice. The paper concludes with some considerations regarding the integration of Psychodynamic Psychology in a multidisciplinary mental health team, addressing issues such as the boundaries between technical characteristics, the appropriateness of language to other disciplines and psychodynamic implications of the different features of this clinical setting.

  6. Organising services for IMD in Thailand: twenty years experience.

    Wasant, Pornswan


    The study of inherited metabolic disorders (IMD) in Thailand is in its infancy when compare with developed countries. Prior to 1987, majority of these disorders were clinically diagnosed since there were only a handful of clinicians and scientists with expertise in inborn errors of metabolism, lack of well-equipped laboratory facilities and government support. In developing countries, inherited metabolic disorders are not considered a priority due to the prevalence of infectious diseases such as HIV infection and congenital infections. A multicentre survey conducted in 1994 and 2001 revealed the existence of numerous cases of IMD from all over the country. Case reports and publications on IMD in Thai (and international) medical journals in past 20 years had undoubtedly raised its awareness among Thai paediatricians and scientists. In 2001, the Genetic Metabolic Centre was first established in Siriraj Hospital Faculty of Medicine, Thailand. Numerous new cases of IMD had been identified since then.

  7. Occupational fluorosis through 50 years: clinical and epidemiological experiences

    Grandjean, P.


    Fifty years ago, in 1932, skeletal fluorosis was discovered as an occupational disease in cryolite workers in Copenhagen, Denmark. Following the initial reports, new cases were identified in other industries, such as the production of aluminum and superphosphate fertilizer. In light cases of fluorosis, the bone changes are often associated with nonspecific joint and muscle pains, but the disease may be entirely asymptomatic. The fluoride-induced osteosclerosis seems to be reversible, but the long-term significance of fluoride accumulation in the body is not known. Family cases of dental fluorosis have been occurred in long-term residents near fluoride-emitting industries, and in hot areas with high, natural fluoride levels in the drinking water. Skeletal fluorosis has only played a minor role in the discussion concerning fluoridation of drinking water, however. Changing and increasing uses of fluorides have led to a renewed interest in this occupational disease.

  8. Cardiac channelopathies in pediatric patients - 7-years single center experience.

    Illikova, V; Hlivak, P; Hatala, R


    Channelopathies are associated with mutations of genes encoding proteins creating or interacting with the specialized ion channels in myocardial cell membranes, thus forming arrhythmogenic substrate predisposing the patient to sudden cardiac death. The study focuses the clinical and ECG presentation and management of children with channelopathies in Slovakia. Twenty-two children with suspected channelopathy were admitted to Children's Cardiac Center Bratislava in the years 2007-2014. Genetic testing was made in 19 patients. Fourteen patients were symptomatic. Long QT syndrome was genetically proven in eight and catecholaminergic polymorphic ventricular tachycardia in five patients. Twenty children are treated with beta-blockers, five in combination with mexiletine or flecainide. Nine patients received implantable cardiac defibrillator and one underwent left cardiac sympathetic denervation. Both clinical presentation and genetic testing must be considered in the diagnostic and therapeutic process of channelopathies. Early diagnosis allows for adequate treatment and lifestyle modification. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Transiting Planets with LSST. III. Detection Rate per Year of Operation

    Jacklin, Savannah R.; Lund, Michael B.; Pepper, Joshua; Stassun, Keivan G.


    The Large Synoptic Survey Telescope (LSST) will generate light curves for approximately 1 billion stars. Our previous work has demonstrated that, by the end of the LSST 10-year mission, large numbers of transiting exoplanetary systems could be recovered using the LSST “deep-drilling” cadence. Here, we extend our previous work to examine how the recoverability of transiting planets over a range of orbital periods and radii evolves per year of LSST operation. As specific example systems, we consider hot Jupiters orbiting solar-type stars and hot Neptunes orbiting K-dwarfs at distances from Earth of several kpc, as well as super-Earths orbiting nearby low-mass M-dwarfs. The detection of transiting planets increases steadily with the accumulation of data over time, generally becoming large (≳10%) after 4–6 years of operation. However, we also find that short-period (≲2 days) hot Jupiters orbiting G-dwarfs and hot Neptunes orbiting K-dwarfs can already be discovered within the first 1–2 years of LSST operation.

  10. The CERN Accelerator Logging Service- 10 Years in Operation: A Look at the Past, Present and Future

    Roderick, C; Kruk, G


    During the 10 years since it's first operational use, the scope and scale of the CERN Accelerator Logging Service (LS) has evolved significantly: from an LHC specific service expected to store 1TB / year; to a CERN-wide service spanning the complete accelerator complex (including related sub-systems and experiments) currently storing more than 50 TB / year on-line for some 1 million signals. Despite the massive increase over initial expectations the LS remains reliable, and highly usable - this can be attested to by the 5 million daily / average number of data extraction requests, from close to 1000 users. Although a highly successful service, demands on the LS are expected to increase significantly as CERN prepares LHC for running at top energy, which is likely to result in at least doubling current data volumes. Furthermore, focus is now shifting firmly towards a need to perform complex analysis on logged data, which in-turn presents new challenges. This paper reflects on 10 years as an operational service,...

  11. Burns in Turkish children and adolescents: nine years of experience.

    Sakallioğlu, A E; Başaran, O; Tarim, A; Türk, E; Kut, A; Haberal, M


    The aim of this study was to describe information about burns that occur in children and adolescents in Turkey. The subjects were 362 patients whom were younger than 18 years who were treated at 3 burn centers in 2 different regions of Turkey between 1997 and 2005. The data collected for each case were age, gender, place of residence, cause and extent of burn, body sites affected, environment in which the injury occurred, interval from injury to arrival at a burn center, hospitalization status (inpatient versus outpatient), surgical treatment, and mortality. The 362 patients comprised 35.5% of all 1021 burn victims admitted during the study period. There were 183 boys and 179 girls (ratio 1:0.98) and the mean total body surface area burned was 17.7+/-16.5%. The highest proportion of patients were in the 1-6 years age group. Non-bath (not immersed) hot water scalding (216 cases, 59.7%) was the leading burn cause. The most common environment in which burn injury occurred was the home. The trunk was the body site most frequently affected (62.7%). 241 (66.6%) subjects lived in urban environments and 121 (33.4%) lived in rural areas. 171 patients (47.2%) were taken directly to the burn units, whereas the others (52.8%) were referred from other medical centers. 124 (34.3%) subjects were treated as outpatients and 238 (65.7%) were hospitalized. The overall mortality rate was 8.6% (31 deaths). Of the 238 inpatients, 92 (38.7%) were treated with daily dressings only, 128 (53.8%) required debridement, and 75 (31.5%) needed both debridement and grafting. Every country needs a nationwide public education system that is aimed at preventing burns and ensuring that burn victims receive proper first aid and age-appropriate, specialized burn care.

  12. [En block hysterectomy. Institutional experience of 6 years].

    Bonfante Ramírez, E; Bolaños Ancona, R; Ambas Argüelles, M; Juárez García, L; Castelazo Morales, E


    On block hysterectomy is defined as the removal of the gravid uterus with its gestational content in situ. The described indications for the realization of this procedure are neoplastic process as the most frequent cause; septic process, persistent trophoblastic diseases, and hemorrhage due to anomalous placentation. This is a retrospective, descriptive study of twelve cases of on block hysterectomy collected from January 1989 to December 1994 at Instituto Nacional de Perinatología. An average age of 33.4 years was found. The number of pregnancies for this patients in average was found to be 4.1. The gestational age was established between 9 to 29 weeks. Four patients with a 4 or more previous miscarriage background. There were two reported cases having a multiple gestation. Among the complications found, there were three cases of hipovolemic shock and one with abcess of vaginal cupula. The average days of hospitalization was 5.3 days. We found no mortality at all in this study, and the histopathologic correlation accorded in 100% of the cases. In this five year review, 12 cases of on block hysterectomy were found, being the most frequent reason for it's realization the persistent trophoblastic diseases; severe hemorrhage in second place, and serious infection process in third. The observed complications were derived from the hemodynamic compromise of each patient. Even though on block hysterectomy is one rarely seen procedure, it most be in mind as an alternative therapeutical instance it most be carried out in third level institutions, with technology and human resources capable of solving any complication derived from this kind of surgery.

  13. The OCC NOAA Data Commons: First Year Experiences

    Flamig, Z.; Patterson, M.; Wells, W.; Grossman, R.


    The Open Commons Consortium (OCC) is one of the five "Data Alliance" anchoring institutions in the NOAA Big Data Project (BDP) that was announced on April 21st, 2015. This study will present lessons learned from the first year of the BDP. The project so far has set up a pilot data commons with some initial datasets and established a digital ID service. Demonstrations on how to work with the digital ID service and the NEXRAD radar data will be shown. The proof of concept for the OCC NOAA Data Commons was established using the level 2 NEXRAD data made available to the BDP partners. Approximately 50 TiB of NEXRAD data representing the year 2015 was incorporated into the data commons. The digital ID service supports a common persistent data ID that can access data from across multiple data locations. Using this digital ID service allows users to access the NEXRAD data from their choice of the OCC NOAA Data Commons or from Amazon's NEXRAD data holdings in the same manner. To demonstrate the concept further, a sample Jupyter notebook was created to utilize the data. The notebook, which uses the Py-ART package, creates an animated loop of the NEXRAD data showing a Mayfly hatch in Wisconsin during June 2015. The notebook also demonstrates how to do a basic quality control procedure on the radar data, in this instance to remove meteorological echoes in favor of showcasing the biological scatters. For grantees on the Open Science Data Cloud there are additional premade resources available such as virtual machine images preloaded with the tools needed to access the NEXRAD data.

  14. Total laparoscopic hysterectomy: our 5-year experience (1998-2002).

    Bonilla, David J; Mains, Lindsay; Rice, Janet; Crawford, Benjamin


    To review our experience performing total laparoscopic hysterectomy since we first introduced this procedure in 1998. A retrospective cohort study was performed for patients undergoing total laparoscopic hysterectomy at Ochsner Clinic Foundation from February 1998 through December 2002. Rates of complications, successful completion, length of hospital stay, readmission, and reoperation were determined for this period. Among 511 patients who underwent attempted total laparoscopic hysterectomy, 487 procedures (95.3%) were completed by laparoscopy. The major intraoperative complication rate was 3.9%, and the major postoperative complication rate was 4.7%. No significant differences were seen in the intraoperative and postoperative complication rates of patients who were morbidly obese (body mass index ≥30 kg/m(2)), patients with enlarged uteri (≥300 g), or patients who underwent concomitant procedures (unilateral or bilateral salpingo-oophorectomy and lysis of adhesions). The readmission rate was 4.1%, and the reoperation rate was 2%. None of the variables studied, including age, medical problems, morbid obesity, concomitant procedures, or enlarged uterus, were found to have an association with readmission or reoperation rates. Total laparoscopic hysterectomy can be performed successfully in most patients with benign indications. Morbidity is comparable to that of other types of hysterectomies, and this technique may be a more reasonable approach under some circumstances.

  15. Total Laparoscopic Hysterectomy: Our 5-Year Experience (1998–2002)

    Bonilla, David J.; Mains, Lindsay; Rice, Janet; Crawford, Benjamin


    Purpose: To review our experience performing total laparoscopic hysterectomy since we first introduced this procedure in 1998. Methods: A retrospective cohort study was performed for patients undergoing total laparoscopic hysterectomy at Ochsner Clinic Foundation from February 1998 through December 2002. Rates of complications, successful completion, length of hospital stay, readmission, and reoperation were determined for this period. Results: Among 511 patients who underwent attempted total laparoscopic hysterectomy, 487 procedures (95.3%) were completed by laparoscopy. The major intraoperative complication rate was 3.9%, and the major postoperative complication rate was 4.7%. No significant differences were seen in the intraoperative and postoperative complication rates of patients who were morbidly obese (body mass index ≥30 kg/m2), patients with enlarged uteri (≥300 g), or patients who underwent concomitant procedures (unilateral or bilateral salpingo-oophorectomy and lysis of adhesions). The readmission rate was 4.1%, and the reoperation rate was 2%. None of the variables studied, including age, medical problems, morbid obesity, concomitant procedures, or enlarged uterus, were found to have an association with readmission or reoperation rates. Conclusions: Total laparoscopic hysterectomy can be performed successfully in most patients with benign indications. Morbidity is comparable to that of other types of hysterectomies, and this technique may be a more reasonable approach under some circumstances. PMID:21603347

  16. The surgical treatment of pectus excavatum: an experience with 90 operations.

    Naef, A P


    Funnel chest, a congenital hereditary deformity, may lead to impairment of cardiopulmonary function. The predominant motives for operation are psychological and cosmetic. Patients with minor deformities amenable to physiotherapy should not be operated upon, but moderately severe defects justify surgical intervention. Objective photographic documentation is essential. Because of their importance to surgical technique and results, the symmetrical, asymmetrical, localized, and extensive deformities should be distinguished. Ninety operations were performed between 1951 and 1974 according to the various techniques known during that period. Results were irregular until the introduction eight years ago of an operation combining extensive resection according to Ravitch and stabilization by a metal strut as recommended by Adkins and others. Of 24 operations performed during the last eight years, 23 have given excellent long-term results.


    Lopez-Nava, Gontrand; Galvão, M P; Bautista-Castaño, I; Fernandez-Corbelle, J P; Trell, M; Lopez, N


    Bariatric endoscopic techniques are minimally invasive and induce gastric volume reduction to treat obesity. Aim : To evaluate endoscopic sleeve gastroplasty (Apollo method) using a suturing method directed at the greater curvature, as well as the perioperative care, two year safety and weight loss. Prospective single-center study over 154 patients (108 females) using the endoscopic sleeve gastroplasty procedure under general anesthesia with overnight inpatient observation. Of the154 initial patients, 143 were available for 1-month of follow-up, 133 for 6-month, 64 for 12-month and 28 completed the 24 month assessment. Follow-up was carried out by a multidisciplinary team (nutritionist and psychologist). Outcomes evaluated were: change in BMI; change in body weight (TBWL); % of loss of initial body weight (%TBWL); % of excess body weight loss (%EWL) (segregated in > or 25% %EWL. There were no mayor adverse events intraprocedure or during the 24 months of follow-up . Endoscopic sleeve gastroplasty with regular monitoring by a multidisciplinary team can be considered an effective, safe and well tolerated procedure for obesity treatment, at least for two years of follow-up. As técnicas de endoscopia bariátrica são minimamente invasivas e induzem à redução do volume gástrico para tratar a obesidade. Avaliar a gastroplastia sleeve endoscópica (método Apollo) usando um método de sutura direcionado para a grande curvatura, bem como os cuidados perioperatórios, segurança em dois anos e perda de peso. Estudo prospectivo em um único centro com 154 pacientes (108 mulheres) usando o procedimento endoscópico de gastroplastia sleeve sob anestesia geral com observação do paciente internado durante a noite. Dos 154 pacientes iniciais, 143 estiveram disponíveis para acompanhamento de um mês, 133 durante seis meses, 64 durante 12 meses e 28 completaram a avaliação de 24 meses. O acompanhamento foi realizado por equipe multidisciplinar (nutricionista e psic

  18. The cold neutron chopper spectrometer at the Spallation Neutron Source—A review of the first 8 years of operation

    Ehlers, G.; Podlesnyak, A. A.; Kolesnikov, A. I.


    The first eight years of operation of the Cold Neutron Chopper Spectrometer (CNCS) at the Spallation Neutron Source in Oak Ridge is being reviewed. The instrument has been part of the facility user program since 2009, and more than 250 individual user experiments have been performed to date. CNCS is an extremely powerful and versatile instrument and offers leading edge performance in terms of beam intensity, energy resolution, and flexibility to trade one for another. Experiments are being routinely performed with the sample at extreme conditions: T ≲ 0.05 K, p ≳ 2 GPa, and B = 8 T can be achieved individually or in combination. In particular, CNCS is in a position to advance the state of the art with inelastic neutron scattering under pressure, and some of the recent accomplishments in this area will be presented in more detail.

  19. The Cold Neutron Chopper Spectrometer at the Spallation Neutron Source - A Review of the first 8 Years of Operation

    Ehlers, Georg; Kolesnikov, Alexander I


    The first eight years of operation of the Cold Neutron Chopper Spectrometer (CNCS) at the Spallation Neutron Source in Oak Ridge is being reviewed. The instrument has been part of the facility user program since 2009, and more than 250 individual user experiments have been performed to date. CNCS is an extremely powerful and versatile instrument and offers leading edge performance in terms of beam intensity, energy resolution, and flexibility to trade one for another. Experiments are being routinely performed with the sample at extreme conditions: T~0.05K, p>=2GPa and B=8T can be achieved individually or in combination. In particular, CNCS is in a position to advance the state of the art with inelastic neutron scattering under pressure, and some of the recent accomplishments in this area will be presented in more detail.

  20. [Integral treatment of children with dyslexia--40 years experience].

    Stošljević, Miodrag; Odović, Gordana; Adamović, Milosav


    Dyslexia represents a significant pediatric problem requiring prompt and appropriate treatment. The aim of this study was to examine the significance of integral rehabilitation approach in treating dyslexia of children. Objectives of the study were accomplished on a sample of 300 children, aged 11-15 years, with etiologically variable dyslexia. The results gained from the integral treatment of children with dyslexia were more successful than those obtained from isolated logaoedic treatment, when compared in 10-15 examined variables; replacement of graphically similar letters (p = 0.000), replacement of syllables (p = 0.010), replacement of words--guessing (p = 0.019), structural errors--displacement or insertion (p = 0.038), adding letters and syllables (p = 0.001), repeating of word parts (p = 0.001), reading of a word in several wrong ways (p = 0.001), omission of words and whole lines (p = 0.000), returning to already read line (p = 0.000), level of dyslexia (p = 0.000). Dyslexia requires a multidisciplinary therapeutic approach in which integral rehabilitation treatment has an exceptionally large significance.

  1. Vertigo/dizziness in pediatric emergency department: Five years' experience.

    Raucci, Umberto; Vanacore, Nicola; Paolino, Maria Chiara; Silenzi, Romina; Mariani, Rosanna; Urbano, Antonella; Reale, Antonino; Villa, Maria Pia; Parisi, Pasquale


    Vertigo/Dizziness in childhood is not a rare cause of visits to the emergency department (ED). We analyzed a selected group with vertigo/dizziness to identify signs and symptoms that may help to guide the diagnostic approach and management. A total of 616 children admitted for vertigo to the ED over a five-year period were retrospectively reviewed. Their medical history, clinical characteristics, laboratory and neuroimaging tests, final diagnoses and management were analyzed. Migraine and syncope were the most frequent causes. Two patients were affected by life-threatening cardiac syncope, while structural life-threatening central nervous system diseases were found in 15 patients, none of whom presented with vertigo as an isolated clinical finding. Most cases of vertigo/dizziness in childhood that consist mainly of migraine and syncope are of benign origin. The prompt identification of neurological or cardiological signs or symptoms associated with vertigo in children is mandatory to rule out life-threatening conditions. © International Headache Society 2015.




    Full Text Available The Republic of Moldova, since independence, decided to consolidate its place among the democratic nations and open to reform economy in order to integrate it in european and international circuit. Reform of national economy was oriented towards substitution of an old, outdated and almost collapsed socioeconomic system by one capable to ensure the continued progress in society. Thus this reform could be done mainly through fiscal legitimacy and enforcement of tax administration, which may best be achieved through establishing clear, transparent, and predictable rules and procedures, especially in the administrative aspects of the tax system. With this paper we aim to examine the tax authority changes for last 25 years. Research methodology is based on the dialectic-conflictual model, whose approaches helped to bring the essence of the debate by applying methods of induction, deduction, observation, analysis and synthesis. The analysis are based on either qualitative or quantitative indicators. Results reveal the weaknesses of Moldovan tax administration system in order to understand its areas of strength. The research can be used by: taxation and regulatory authorities for elaboration of new legislation and improvement of the existing legislation; investors for evaluation of taxation efficiency in investment projects; didactic personnel in teaching specialty disciplines at economy universities.

  3. Filicide: a review of eight years of clinical experience.

    Farooque, Rokeya; Ernst, Frederick A


    Filicide is a form of family violence in which a child is killed by his or her own parent. Most of the literature on filicide addresses the association of mental illness, motivation, and other risk factors with the perpetration of filicide. However, almost no research has addressed the intellectual functioning of perpetrators. We investigated intellectual functioning in a collection of forensic cases seen by the first author over an eight-year period. Nineteen patients who underwent forensic psychiatric evaluation for filicide from August of 1993 to April of 2001 were studied using retrospective case review methodology. Data were obtained from medical and forensic records, reports of family members, legal documents, and other collateral sources. We found that mental illness is common among perpetrators, supporting other findings in the literature. In addition, we found a high frequency of substance abuse among parents who killed their children. However, we also found a significant frequency of intellectual impairment and argue that this factor may have been overlooked in the history of filicide investigations. Familial psychodynamics of filicide will be reviewed and discussed.

  4. Acute pericarditis in childhood: a 10-year experience.

    Roodpeyma, S; Sadeghian, N


    Twenty children, aged 6 months to 13 years, with acute pericarditis admitted between 1987 and 1997 to a university hospital were analyzed retrospectively for their etiology, presentation, management, and prognosis. The most common types of pericarditis were purulent (40%), collagen vascular disease (30%), viral (20%), and neoplastic disease (10%). Most children presented with chest pain, fever, and tachypnea, but cardiac tamponade was not seen in any children. Staphylococcus aureus was the most frequent causative organism of purulent pericarditis and septic arthritis was the most common concurrent infection in the patients. Surgical drainage was performed for 11 cases, 9 underwent subxiphoid pericardial window, and 2 underwent thoracotomy. There was no constrictive pericarditis or reaccumulation of fluid after surgery. Two children died, one of staphylococcal septicemia and the other had a malignant mediastinal tumor. The remaining 18 made a complete recovery. We conclude that subxiphoid pericardial drainage is a simple, safe, and quick procedure and can be done easily in general hospitals by pediatric surgeons. The expensive facilities of cardiac surgeries are not needed.

  5. [Pediamécum: one year of experience].

    Piñeiro Pérez, R; Martínez Fernández-Llamazares, C; Calvo Rey, C; Piñeiro Pérez, A P; Criado Vega, E A; Bravo Acuña, J; Cabrera García, L; Mellado Peña, M J


    In 2011, the Spanish Association of Pediatrics decided to support the most ambitious project of its newly created Committee for Medicinal Products: Pediamécum. This is the first free on-line database with information on medicinal products for pediatric use in Spain. The web page started on December 17 December 2012. One year later, Pediamécum includes 580 registered drugs. The website achieved more than one million page views by the end of 2013. Because of the first anniversary of Pediamécum, a survey was performed to request the feeling of users. Four hundred eighty-three responses were obtained. Ninety-five percent believed that it is easy to navigate through the web, and 74% said that their doubts about the use of medicines in children were always resolved. The overall rating of Pediamécum is 7.5/10. The aims of Pediamécum are being accomplished; which is reflected essentially due to it becoming a useful tool for all professionals who care for children in their daily clinical practice. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  6. Ten-year experience of phototherapy in Yonsei Medical Center.

    Park, S H; Hann, S K; Park, Y K


    Phototherapy with PUVA or UVB has been used to treat a wide variety of diseases such as psoriasis, vitiligo, atopic dermatitis and mycosis fungoides, etc. The present study was performed to investigate the pattern of phototherapy in the phototherapy clinic of Yonsei Medical Center. One thousand six hundred ninety two patients who received PUVA or UVB phototherapy were included in this study. We analyzed the protocols for phototherapy between 1985 and 1994. The number of phototherapy per year increased sharply until 1991 and thereafter it has remained relatively constant. The most common age group at the start of phototherapy was the third decade. The most common indications for PUVA and UVB phototherapy were vitiligo and psoriasis, respectively. Most patients had received less than 50 treatments of PUVA and less than 200 J/cm2 of cumulative UVA. Most patients had received less than 50 treatments with UVB and cumulative UVB doses were variable. We had not found any malignancy in the skin. Since the maximum safe cumulative doses of UVA or UVB have not yet been established, it is difficult to decide when phototherapy should be discontinued. The data presented in this study needs to be further analyzed in correlation with photoaging and cancer development for the safe usage of phototherapy.

  7. Integral treatment of children with dyslexia - 40 years experience

    Stošljević Miodrag


    Full Text Available Introduction. Dyslexia represents a significant pediatric problem requiring prompt and appropriate treatment. Objective. The aim of this study was to examine the significance of integral rehabilitation approach in treating dyslexia of children. Methods. Objectives of the study were accomplished on a sample of 300 children, aged 11-15 years, with etiologically variable dyslexia. Results. The results gained from the integral treatment of children with dyslexia were more successful than those obtained from isolated logaoedic treatment, when compared in 10-15 examined variables; replacement of graphically similar letters (p=0.000, replacement of syllables (p=0.010, replacement of words - guessing (p=0.019, structural errors - displacement or insertion (p=0.038, adding letters and syllables (p=0.001, repeating of word parts (p=0.001, reading of a word in several wrong ways (p=0.001, omission of words and whole lines (p=0.000, returning to already read line (p=0.000, level of dyslexia (p=0.000. Conclusion. Dyslexia requires a multidisciplinary therapeutic approach in which integral rehabilitation treatment has an exceptionally large significance.

  8. Suppurative labyrinthitis associated with otitis media: 26 years' experience

    André Souza de Albuquerque Maranhão


    Full Text Available ABSTRACT INTRODUCTION: Suppurative labyrinthitis continues to result in significant hearing impairment, despite scientific efforts to improve not only its diagnosis but also its treatment. The definitive diagnosis depends on imaging of the inner ear, but it is usually clinically presumed. OBJECTIVE: To analyze the clinical factors and hearing outcomes in patients with labyrinthitis secondary to middle ear infections and to discuss findings based on imaging test results. METHODS: Retrospective cohort study, based on the charts of patients admitted with middle ear infection-associated labyrinthitis. RESULTS: We identified 14 patients, eight (57% of whom were females and six (43% males. Mean age was 40 years. Cholesteatomatous chronic otitis media was diagnosed in six patients (43%, acute suppurative otitis media in six (43%, and chronic otitis media without cholesteatoma was diagnosed in two patients (14%. Besides labyrinthitis, 24 concomitant complications were identified: six cases (25% of labyrinthine fistula, five cases (21% of meningitis, five cases (21% of facial paralysis, five cases (21% of mastoiditis, two cases (8% of cerebellar abscess, and one case (4% of temporal abscess. There was one death. Eight (57% individuals became deaf, while six (43% acquired mixed hearing loss. CONCLUSION: Suppurative labyrinthitis was often associated with other complications; MRI played a role in the definitive diagnosis in the acute phase; the hearing sequel of labyrinthitis was significant.

  9. Extremity vascular trauma. A 7-year experience in Lahore, Pakistan.

    Hussain, Muhammad I; Zahid, Muhammad; Khan, Abdul-Waheed; Askri, Hasan; Khan, AbulFazal A


    To determine the outcome of various techniques of vascular repair in terms of repair related complications and limb salavagibility. From January 1999 to December 2005, this retrospective study was conducted in the Department of General Surgery, Lahore General Hospital, Lahore, Pakistan. The patients, who underwent various surgical interventions for extremity vascular trauma, were included in this study. Those, who underwent primary amputation due to non-salvageable injuries or who presented with late complications of vascular injuries were excluded. Ninety-three patients underwent different surgical procedures for extremity vascular trauma. Majority of the patients were young, (mean, 29.4 years) male (91.3%). Penetrating trauma was the most common mode of injury (77.4%). The median time interval between injury and repair was 4.5 hours. Superficial femoral artery was the most frequently injured artery (26.8%). Graft repair was carried out in 41 patients (46.6%), while (34.1%) of the patients had end-to-end anastomosis. Wound infection was the most common complication (18.2%). Seven patients (7.5%) had secondary amputations and 3 (3.2%) died from other injuries. Vascular reconstruction was successful in 89.3% of the patients. Early revascularization by employing simple repair or interposition autogenous vein graft repair results in successful limb salvage with acceptable complication rate.

  10. Dose calibrators quality controls in Switzerland: six years of experience

    Bochud, F.; Spring, Ph.; Baechler, S. [Institut Universitaire de Radiophysique Appliquee, Lausanne (Switzerland); Twerenbold, D. [METAS, Lindenweg 50, Bern-Wabern (Switzerland); Linder, R. [Bundesamt fur Gesundheit, Abteilung Strahlenschutz, Bern (Switzerland); Leibundgut, F. [Raditec radiation and technology, Schoftland (Switzerland)


    In Switzerland, the legal use of open radioactive sources in nuclear medicine and the general requirements for quality controls are defined in a federal ordinance. The metrological traceability is guaranteed through a directive of the Swiss metrological office (M.E.T.A.S.) that requires each instrument to be monitored at least once a year through either a verification or an intercomparison. The verification is performed onsite by an accredited laboratory with a set of three gamma sources (Co-57, Cs-137 and Co-60) and - if applicable - a beta source (Sr-90/Y- 90). The intercomparison is made through conventional mail. A source of I-131 or Tc- 99 m is measured both in the nuclear medicine department and in an accredited laboratory. The maximum tolerated error is 10% for gamma sources and 20% for beta sources. This methodology guarantees that the instruments have a correct response for most of the energy range used in practice. Not all nuclides are systematically probed and manufacturers are ultimately responsible for the calibration factors. The precision of the measurements performed in Switzerland is satisfactory with only about 6% of the measurements out of the tolerances. This monitoring also allowed us to improve the skills of the personnel and update the park of instruments by getting rid of dose calibrators displaying old units. (authors)

  11. Huntington's disease in Greece: the experience of 14 years.

    Panas, M; Karadima, G; Vassos, E; Kalfakis, N; Kladi, A; Christodoulou, K; Vassilopoulos, D


    A large scale genetic and epidemiological study of Huntington's disease (HD) was carried out in Greece from January 1995 to December 2008. Diagnostic testing was carried out in 461 symptomatic individuals, while 256 were tested for presymptomatic purposes. The diagnosis of HD with a CAG expansion ≥ 36 was confirmed in 278 symptomatic individuals. The prevalence of HD in Greece was estimated at approximately 2.5 to 5.4:100,000, while the mean minimum incidence was estimated at 2.2 to 4.4 per million per year. The molecular diagnosis of HD was confirmed in the majority of patients (84.4%) sent for confirmation. The false-positive cases 15.6% were characterized by the absence of a family history of HD and the presence of an atypical clinical picture. The uptake of predictive testing for HD was 8.6%. A prenatal test was requested in six pregnancies. The findings of our study do not differ significantly from those of similar studies from other European countries despite the relative genetic isolation of Greece. Of interest is the identification of clusters of HD in Greece. The presence or absence of a family history of HD should be interpreted cautiously, during the diagnostic process.

  12. Suppurative labyrinthitis associated with otitis media: 26 years' experience.

    Maranhão, André Souza de Albuquerque; Godofredo, Valeria Romero; Penido, Norma de Oliveira


    Suppurative labyrinthitis continues to result in significant hearing impairment, despite scientific efforts to improve not only its diagnosis but also its treatment. The definitive diagnosis depends on imaging of the inner ear, but it is usually clinically presumed. To analyze the clinical factors and hearing outcomes in patients with labyrinthitis secondary to middle ear infections and to discuss findings based on imaging test results. Retrospective cohort study, based on the charts of patients admitted with middle ear infection-associated labyrinthitis. We identified 14 patients, eight (57%) of whom were females and six (43%) males. Mean age was 40 years. Cholesteatomatous chronic otitis media was diagnosed in six patients (43%), acute suppurative otitis media in six (43%), and chronic otitis media without cholesteatoma was diagnosed in two patients (14%). Besides labyrinthitis, 24 concomitant complications were identified: six cases (25%) of labyrinthine fistula, five cases (21%) of meningitis, five cases (21%) of facial paralysis, five cases (21%) of mastoiditis, two cases (8%) of cerebellar abscess, and one case (4%) of temporal abscess. There was one death. Eight (57%) individuals became deaf, while six (43%) acquired mixed hearing loss. Suppurative labyrinthitis was often associated with other complications; MRI played a role in the definitive diagnosis in the acute phase; the hearing sequel of labyrinthitis was significant. Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  13. Urologist Directed Percutaneous Nephrostomy Tube Placement: 6 Years Experience

    Tarik Yonguc


    Full Text Available Aim: To report our results on percutaneous nephrostomy (PCN and classify our complications with the modified Clavien Classification System (CCS in 6 years. Material and Method: Eight hundred fourteen PCN insertions were performed in 722 patients (538 men and 184 women at our institution. PCN insertion was performed under ultrasound for dilated pelvicalyceal system and ultrasound/fluoroscopy for nondilated system. PCN was considered successful if the catheter was drained urine spontaneously. Number of complications was registered. Results: Primary successful PCN insertion was achieved in 770 of the 814 procedures (94.5%. The success rates for nondilated and dilated systems were 71.1% and 97.7%, respectively. Our overall complication rate was 17.3%. According to the modified CCS grades I, II, III, IV, and V were 9%, 1.2%, 6.2%, 0.3%, 0.3%, 0.4% and 0.1%, respectively. Age, grade of the hydronephrosis, serum creatinine levels, and mean hemoglobin levels were statistically significant parameters for the occurrence of complications. The nondilated system has statistically significant parameter affecting the complication rates. Discussion: Percutaneous nephrostomy is a well-known procedure in the treatment of temporary or permanent drainage of an obstructed system. It is very important to define the complications related to interventions for interpretation of clinical comparisons more accurately. Modified CCS is a reproducible system to evaluate the complications of PCN.

  14. Cytogenetic Analysis for Suspected Chromosomal Abnormalities; A Five Years Experience

    Karra, Vijay Kumar; Jindal, Ankur; Puppala, Madhavi; Singh, Pratiksha; Rawat, Kanchan; Kapoor, Seema


    Introduction Chromosomal abnormalities are the results of alterations in the number or structure of chromosomes causing significant human morbidity and mortality. They are responsible for a large proportion of miscarriages, developmental delay, disorders of sexual development, congenital malformations and mental retardation. Aim The aim of this study was to describe the prevalence of different chromosomal abnormalities in North Indian patients referred for cytogenetic analysis. Materials and Methods Total of 859 patients ranging from newborn to 37 years of age were referred to the division of genetics, Department of Paediatrics between 2010 and 2015, with a variety of clinical disorders; Down syndrome (DS), Turner’s syndrome (TS) and Klinefelter syndrome; amenorrhea; ambiguous sex and multiple congenital malformations. Chromosomal analysis was performed on lymphocyte culture according to standard methods. Results Of the 859 cases studied, 371 (43.1%) had chromosomal abnormalities. The most common autosomal abnormalities were DS 302 (81.4%) and sex chromosomal abnormalities were TS 51 (13.7%). Numerical abnormalities were accounted for 353 (41.0%) and structural abnormalities 18 (2.0%), respectively. Various other chromosomal anomalies were also reported. Conclusion We have reviewed the incidence and distribution of chromosomal abnormalities and found higher rate of chromosomal abnormalities 43.1% in the referred cases. Our data suggest that chromosomal analysis is important tool in the evaluation of genetic disorders and helps clinicians to provide accurate diagnosis and proper genetic counselling. PMID:27790464

  15. Helicopter Scene Response for Stroke Patients: A 5-Year Experience.

    Hawk, Andrew; Marco, Catherine; Huang, Matt; Chow, Bonnie

    The purpose of this study was to examine the usefulness of an emergency medical service (EMS)-requested air medical helicopter response directly to the scene for a patient with clinical evidence of an ischemic cerebrovascular accident (CVA) and transport to a regional comprehensive CVA center. CareFlight, an air medical critical care transportation service, is based in Dayton, OH. The 3 CareFlight helicopters are geographically located and provided transport to all CVA scene patients in this study. A retrospective chart review was completed for all CareFlight CVA scene flights for 5 years (2011-2015). A total of 136 adult patients were transported. EMS criteria included CVA symptom presence for less than 3 hours or awoke abnormal, nonhypoglycemia, and a significantly positive Cincinnati Prehospital Stroke Scale. The majority of patients (75%) met all 3 EMS CVA scene criteria; 27.5% of these patients received peripheral tissue plasminogen activator, and 9.8% underwent a neurointerventional procedure. Using a 3-step EMS triage for acute CVA, air medical transport from the scene to a comprehensive stroke center allowed for the timely administration of tissue plasminogen activator and/or a neurointerventional procedure in a substantive percentage of patients. Further investigation into air medical scene response for acute stroke is warranted. Copyright © 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  16. The sonographic appearance of acute focal pyelonephritis 8 years experience

    Farmer, Kim D.; Gellett, Laura R.; Dubbins, Paul A


    AIM: Acute focal pyelonephritis (AFP) is a variant of pyelonephritis in which single or multiple discrete areas show changes of inflammation. The reported sonographic appearances of AFP are varied but are typically described as being echopoor. The purpose of this study was to review the sonographic appearances of AFP and attempt to explain the range of findings by correlation with clinical details. MATERIALS AND METHODS: We reviewed retrospectively the sonographic findings and medical records of 17 cases of AFP. The study group consisted of 13 women and four men (mean age 20 years). Lesions were designated as echogenic, echopoor or of mixed echogenicity as compared to the adjacent renal cortex, and to the liver or spleen. RESULTS: The abnormal areas were echogenic in 12 patients, echopoor in three and of mixed echogenicity in two. An attempt was made to explain the variation in appearances by correlation with clinical details including the patient's age, the duration of symptoms, the length of antibiotic treatment and the presence of haematuria. CONCLUSION: Areas of acute focal pyelonephritis may be echogenic, echopoor or of mixed echogenicity. Our data would suggest that areas of increased echogenicity are more common. There is no discernible correlation with clinical findings. Farmer, K.D. et al. (2002)

  17. JET-ISX-B beryllium limiter experiment safety analysis report and operational safety requirements

    Edmonds, P.H.


    An experiment to evaluate the suitability of beryllium as a limiter material has been completed on the ISX-B tokamak. The experiment consisted of two phases: (1) the initial operation and characterization in the ISX experiment, and a period of continued operation to the specified surface fluence (10/sup 22/ atoms/cm/sup 2/) of hydrogen ions; and (2) the disassembly, decontamination, or disposal of the ISX facility. During these two phases of the project, the possibility existed for beryllium and/or beryllium oxide powder to be produced inside the vacuum vessel. Beryllium dust is a highly toxic material, and extensive precautions are required to prevent the release of the beryllium into the experimental work area and to prevent the contamination of personnel working on the device. Details of the health hazards associated with beryllium and the appropriate precautions are presented. Also described in appendixes to this report are the various operational safety requirements for the project.

  18. DOE KSU EV Site Operator Program. Year 1, fourth quarter report, April 1--June 30, 1992

    Hague, J.R.; Steinert, R.A.; Nissen-Pfrang, T.


    Kansas State University, with funding from federal, state, public, and private companies, is participating in the DOE Electric Vehicle Site Operator Program. Kansas State is demonstrating, testing, and evaluating electric of hybrid vehicle technology. This will provide organizations the opportunity to examine the latest EHV prototypes under actual operating conditions. KSU proposes to purchase one (1) electric or hybrid van and four(4) electric cars during the first two years of this five-year program. KSU has purchased one G-Van built by Conceptor Industries, Toronto, Canada and has initiated a procurement order to purchase two (2) Soleq 1992 Ford EVcort station wagons. This quarter`s report describes ongoing public relations activities and meetings as well as presenting performance data for the electric vehicles. (GHH)

  19. Electric Vehicle Site Operator Program. Year 1 third quarter report, January 1, 1992--March 31, 1992


    Kansas State University, with funding support from federal, state, public, and private companies, is participating in the Department of Energy`s Electric Vehicle Site Operator Program. Through participation is this program, Kansas State is demonstrating, testing, and evaluating electric or hybrid vehicle technology. This participation will provide organizations the opportunity to examine the latest EHV prototypes under actual operating conditions. KSU proposes to purchase one (1) electric or hybrid van and four (4) electric cars during the first two years of this five year program. KSU has purchased one G-Van built by Conceptor Industries, Toronto, Canada and has initiated a procurement order to purchase two (2) Soleq 1992 Ford EVcort stationwagons.

  20. Absorbed doses and radiation damage during the 11 years of LEP operation

    Schönbacher, H


    During the 11 years of operation of the Large Electron Positron Collider (LEP), synchrotron radiation was emitted in the tunnel. This ionizing radiation induced degradation in organic insulators and structural materials, as well as in electronics. Annual dosimetric measurements have shown that the level of radiation increased with the ninth power of the beam energy. During the machine shut-downs and at the end of the operation, samples of rigid and flexible polymeric insulators (magnet-coil resins and cable insulations) were taken out and checked for their integrity. The test results are compared with the results obtained during the qualification of the materials, 12 to 15 years ago. At that time, lifetime predictions were done; they are now compared with the real time aged materials.

  1. Absorbed doses and radiation damage during the 11 years of LEP operation

    Schönbacher, H.; Tavlet, M.


    During the 11 years of operation of the large electron-positron collider (LEP), synchrotron radiation was emitted in the tunnel. This ionizing radiation induced degradation in organic insulators and structural materials, as well as in electronics. Annual dosimetric measurements have shown that the level of radiation increased with the ninth power of the beam energy. During the machine shutdowns and at the end of the operation, samples of rigid and flexible polymeric insulators (magnet-coil resins and cable insulations) were taken out and checked for their integrity. The test results are compared with the results obtained during the qualification of the materials, 12-15 years ago. At that time, lifetime predictions were made; they are now compared with the real time-aged materials.

  2. Upper gastrointestinal bleeding: Five-year experience from one centre

    Jovanović Ivan


    Full Text Available Introduction Acute upper gastrointestinal bleeding is the commonest emergency managed by gastroenterologists. Objective To assess the frequency of erosive gastropathy and duodenal ulcer as a cause of upper gastrointestinal (GI bleeding as well as its relation to age, gender and known risk factors. METHOD We conducted retrospective observational analysis of emergency endoscopy reports from the records of the Emergency Department of Clinic for Gastroenterology and Hepatology, Clinical Centre of Serbia, during the period from 2000 to 2005. Data consisted of patients' demographics, endoscopic findings and potential risk factors. Results During the period 2000-2005, three thousand nine hundred and fifty four emergency upper endoscopies were performed for acute bleeding. In one quarter of cases, acute gastric erosions were the actual cause of bleeding. One half of them were associated with excessive consumption of salicylates and NSAIDs. In most of the examined cases, bleeding stopped spontaneously, while 7.6% of the cases required endoscopic intervention. Duodenal ulcer was detected as a source of bleeding in 1320 (33.4% patients and was significantly associated with a male gender (71.8% and salicylate or NSAID abuse (59.1% (χ2-test; p=0.007. Conclusion Erosive gastropathy and duodenal ulcer represent a significant cause of upper gastrointestinal bleeding accounting for up to 60% of all cases that required emergency endoscopy during the 5- year period. Consumption of NSAIDs and salicylates was associated more frequently with bleeding from a duodenal ulcer than with erosive gastropathy leading to a conclusion that we must explore other causes of erosive gastropathy more thoroughly. .

  3. BICEP2. II. Experiment and three-year data set

    Ade, P. A. R. [School of Physics and Astronomy, Cardiff University, Cardiff, CF24 3AA (United Kingdom); Aikin, R. W.; Bock, J. J.; Brevik, J. A.; Filippini, J. P.; Golwala, S. R.; Hildebrandt, S. R. [Department of Physics, California Institute of Technology, Pasadena, CA 91125 (United States); Amiri, M.; Davis, G.; Halpern, M.; Hasselfield, M. [Department of Physics and Astronomy, University of British Columbia, Vancouver, BC (Canada); Barkats, D. [Joint ALMA Observatory, ESO, Santiago (Chile); Benton, S. J. [Department of Physics, University of Toronto, Toronto, ON (Canada); Bischoff, C. A.; Buder, I. [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street MS 42, Cambridge, MA 02138 (United States); Bullock, E. [Minnesota Institute for Astrophysics, University of Minnesota, Minneapolis, MN 55455 (United States); Day, P. K.; Dowell, C. D. [Jet Propulsion Laboratory, Pasadena, CA 91109 (United States); Duband, L. [Université Grenoble Alpes, CEA INAC-SBT, F-38000 Grenoble (France); Fliescher, S., E-mail: [Department of Physics, University of Minnesota, Minneapolis, MN 55455 (United States); Collaboration: Bicep2 Collaboration; and others


    We report on the design and performance of the BICEP2 instrument and on its three-year data set. BICEP2 was designed to measure the polarization of the cosmic microwave background (CMB) on angular scales of 1°-5°(ℓ = 40-200), near the expected peak of the B-mode polarization signature of primordial gravitational waves from cosmic inflation. Measuring B-modes requires dramatic improvements in sensitivity combined with exquisite control of systematics. The BICEP2 telescope observed from the South Pole with a 26 cm aperture and cold, on-axis, refractive optics. BICEP2 also adopted a new detector design in which beam-defining slot antenna arrays couple to transition-edge sensor (TES) bolometers, all fabricated on a common substrate. The antenna-coupled TES detectors supported scalable fabrication and multiplexed readout that allowed BICEP2 to achieve a high detector count of 500 bolometers at 150 GHz, giving unprecedented sensitivity to B-modes at degree angular scales. After optimization of detector and readout parameters, BICEP2 achieved an instrument noise-equivalent temperature of 15.8 μK√s. The full data set reached Stokes Q and U map depths of 87.2 nK in square-degree pixels (5.'2 μK) over an effective area of 384 deg{sup 2} within a 1000 deg{sup 2} field. These are the deepest CMB polarization maps at degree angular scales to date. The power spectrum analysis presented in a companion paper has resulted in a significant detection of B-mode polarization at degree scales.

  4. Patch testing in Iranian patients: A ten-year experience

    Davoudi Masoud


    Full Text Available Background: Allergic contact dermatitis is a common inflammatory skin disease, which may occur as a result of exposure to specific allergens. Genetic and allergen exposure variations are determinants of different frequency of sensitization in different countries. The objective of this study was to determine the frequency of sensitization to contact allergens in the Iranian patients with dermatitis. Materials and Methods: We analyzed our patch-test database in a referral skin clinic in Tehran, Iran, retrospectively. All patients patch-testing with a clinical diagnosis of contact dermatitis and/or atopic dermatitis over a 10-year period (1993 to 2002 were included. The 23-allergen European standard series (ESS screening has been used for evaluation in all the patients. Results: Data were available from a total of 222 patients. Out of them, 145 patients (65.3% showed at least one positive reaction and 34 patients (15.3% had more than two positive reactions. The five most common allergens were: nickel sulfate 50 (22.6%, cobalt chloride chloride 32 (14.5%, fragrance mix 30 (13.6%, potassium dichromate 21 (9.5% and neomycin sulfate 20 (9.0%. Contact allergy to nickel sulfate was significantly more common in females and in younger patients ( P < 0.05. Fragrance mix was the most common allergen in male patients, but there was no significant difference in its frequency between males and females. Conclusion: The ESS seems to be suitable for patch testing patients in Iran. Nickel sulfate was found to be the most common contact allergen in Iran, mostly affecting women and younger patients probably due to more exposure.

  5. Radiosurgery as treatment for acoustic neuroma. Ten years' experience.

    Llópez Carratalá, Ignacio; Escorihuela García, Vicente; Orts Alborch, Miguel; de Paula Vernetta, Carlos; Marco Algarra, Jaime


    The acoustic neuroma is a benign tumour that usually affects the vestibular portion of the vestibulocochlear nerve. It represents 8% of all intracranial tumours and 80% of those arising at the cerebellopontine angle. There are 3 treatment options: microsurgery (the technique of choice), radiosurgery and observation. The objective of the study was to evaluate the results and side effects obtained using radiosurgery as treatment for acoustic neuroma. We performed a review of all patients treated with radiosurgery (Gamma Knife and linear accelerator) at doses of 1200-1300 cGy for unilateral acoustic neuroma in our hospital from January 1999 until January 2010. In all patients we evaluated the overall state, tumour growth control rate (tumour smaller or remaining the same size), the involvement of v and vii cranial nerves and central nervous system disorders. We also assessed follow-up time and changes in hearing thresholds after radiosurgery. From a total of 35 patients studied, with a mean age of 58.29 years and lacking statistically significant differences in gender, the tumour growth control rate was over 90%. The main reason for visit (65.71%) was unilateral and progressive hearing loss. After treatment, 34.28% of patients had hearing loss. The involvement of the cranial nerves (v-vii) was transitory in 100% of cases. Gamma Knife radiosurgery was administered in 82.85% of patients. Although microsurgery is the treatment of choice for acoustic neuroma, we consider radiosurgery as a valid alternative in selected patients (elderly, comorbidity, small tumour size and sensorineural hearing loss, among others). Copyright © 2013 Elsevier España, S.L.U. y Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial. All rights reserved.

  6. Naval Petroleum and Oil Shale Reserves. Annual report of operations, Fiscal year 1992


    During fiscal year 1992, the reserves generated $473 million in revenues, a $181 million decrease from the fiscal year 1991 revenues, primarily due to significant decreases in oil and natural gas prices. Total costs were $200 million, resulting in net cash flow of $273 million, compared with $454 million in fiscal year 1991. From 1976 through fiscal year 1992, the Naval Petroleum and Oil Shale Reserves generated more than $15 billion in revenues and a net operating income after costs of $12.5 billion. In fiscal year 1992, production at the Naval Petroleum Reserves at maximum efficient rates yielded 26 million barrels of crude oil, 119 billion cubic feet of natural gas, and 164 million gallons of natural gas liquids. From April to November 1992, senior managers from the Naval Petroleum and Oil Shale Reserves held a series of three workshops in Boulder, Colorado, in order to build a comprehensive Strategic Plan as required by Secretary of Energy Notice 25A-91. Other highlights are presented for the following: Naval Petroleum Reserve No. 1--production achievements, crude oil shipments to the strategic petroleum reserve, horizontal drilling, shallow oil zone gas injection project, environment and safety, and vanpool program; Naval Petroleum Reserve No. 2--new management and operating contractor and exploration drilling; Naval Petroleum Reserve No. 3--steamflood; Naval Oil Shale Reserves--protection program; and Tiger Team environmental assessment of the Naval Petroleum and Oil Shale Reserves in Colorado, Utah, and Wyoming.

  7. Operation and maintenance experiences of DLN combustors for heavy duty gas turbines GE MS9001E (type DLN1) and FIAT 701D (type k point)

    Arrighi, L.; Tirone, G.; Napoli, V.; Errico, R.; Ippolito, V.


    In ENEL at the moment (first half 1998) three 701D FIAT and six MS9001E GE/Nuovo Pignone gas turbines are in operation with DLN combustors; additional four 701D with DLN are in erection stage. The paper contains the operation and maintenance experience after some service years. The result of the combustion inspection of one 701D unit after four years of peak load operation and of two 701D units after two years of base load operation are included; the DLN combustors are ``K-point'' type. The paper contains also the results of the combustion inspection of two MS9001E units after three years of base load operation; the DLN combustors are type ``1''. Encountered problems and adopted repair actions are also included.

  8. A nonsurgical endodontics relational research database: the initial six years of experience.

    Iqbal, Mian K; Shukovsky, Deborah Gortler; Wong, Steven; Vohra, Gayatri


    The purpose of this study was to report results of the initial six years of experience utilizing a nonsurgical root canal treatment (NSRCT) database; to compare patient characteristics, operative procedures, and patient outcomes observed in the database to those observed in other studies; and to discuss the potential benefits of a clinical endodontic database. A total of 7,372 NSRCT cases performed by endodontic residents at the University of Pennsylvania from 2000 to 2006 were evaluated. The odds ratio (OR) for caries and trauma being causative agents for NSRCT in year-olds was 1.4 and 6.7 times, respectively, greater than similar odds in 51+ year-olds. The odds for younger patients presenting with the diagnosis of symptomatic irreversible pulpitis were two times greater than for their older counterparts, who were more likely to present with a diagnosis of pulp necrosis. The reasons necessitating NSRCT were most often caries (57.8 percent) and, second, inadequate prior root canal treatment (22.8 percent). The tooth most commonly treated was the mandibular first molar (20.1 percent). Procedural errors were found in 6.1 percent of cases and were more likely to occur in mandibular molars vs. maxillary molars.

  9. Power-Cooling-Mismatch Test Series Test PCM-7. Experiment operating specifications. [PWR

    Sparks, D.T.; Smith, R.H.; Stanley, C.J.


    The experiment operating specifications for the Power-Cooling-Mismatch (PCM) Test PCM-7 to be conducted in the Power Burst Facility are described. The PCM Test Series was designed on the basis of a parametric evaluation of fuel behavior response with cladding temperature, rod internal pressure, time in film boiling, and test rod power being the variable parameters. The test matrix, defined in the PCM Experiment Requirements Document (ERD), encompasses a wide range of situations extending from pre-CHF (critical heat flux) PCMs to long duration operation in stable film boiling leading to rod failure.

  10. The management of HIV in pregnancy: A 10-year experience.

    Raffe, Sonia F; Savage, Charlotte; Perry, Louisa A; Patel, Amie; Keith, Tricia; Howell, Richard; Bradley, Robert; Bomont, Rob; Fidler, Katy; Gilleece, Yvonne


    The package of care to reduce HIV mother to child transmission (MTCT) has evolved significantly since trials of ante and intrapartum antiretroviral therapy (ART) in 1994. In the UK MTCT rate has fallen from 25.6% in the 1990s to 0.46%. We review the management of HIV in pregnancy in Brighton in the context of evolving guidelines. HIV, obstetric and neonatal notes of all HIV positive women, pregnant between 2003 and 2014, were reviewed. 97 pregnancies in 75 women were identified, resulting in 79 live births. Antenatal HIV diagnosis was made in 22 (28%). The proportion of pregnancies in those with known HIV at conception increased over the time period. At conception 58 (60%) were on ART, 33 (57%) of who continued on their original regimen. 34 (35%) initiated ART following conception: 14 known to be HIV positive, 20 diagnosed during pregnancy. Two did not start ART (1 due to miscarriage, 1 as diagnosed post-delivery) and in three cases ART history was unavailable due to transfer to alternative centres. ART was initiated on average at 22 weeks gestation (range 6-34). 4(5%) received Zidovudine (AZT) monotherapy, all before 2006. Choice of combination ART (cART) varied with time reflecting changing guidelines. Prior to 2008 an AZT containing regimen was used in 83% versus 8% after. Planned mode of delivery was documented in 73: 30(41%) planned a normal vaginal delivery (NVD), 43(59%) a caesarean section (CS). The viral load (VL) was <50copies/mL in 58(76%) at 36 weeks and 64(84%) at delivery. 90% with a detectable VL at 36 weeks delivered via CS. 100% received neonatal post-exposure prophylaxis (PEP): 68(88%) AZT monotherapy, 9(12%) cART. 84% initiated PEP within four hours. 90% completed 28days. 8(10%) babies experienced side effects. In the 10-year review period, one infant (1.3%) was diagnosed HIV positive. Both mother and infant received care in accordance with guidelines, including neonatal PEP within 4hours. Care of the HIV positive pregnant woman in Brighton has

  11. [The thalidomide experience: review of its effects 50 years later].

    Martínez-Frías, Maria Luisa


    This year is the 50(th) anniversary of the discovery that the drug thalidomide causes birth defects and should therefore be considered as a teratogen. However, despite the existence of several other drugs that are also human teratogens, thalidomide continues to cause concern among health professionals as well as the general population. The objectives of this article are to make a short historical review of the discovery that this drug severely alters the embryo development, the critical period of gestation and the identification of the real effect of thalidomide. For the first time an analysis is provided to identify the type of malformations for which thalidomide really increases the risk. The proportions of the different types of malformations groups from the series of patients considered to be affected by thalidomide from the literature were compared with the proportions of the same malformations groups in non-exposed infants from the Spanish Collaborative Study of Congenital Malformation (ECEMC). The aim of the analysis was to calculate the relative frequencies of 13 groups of malformations observed in series of patients exposed to thalidomide, by comparison with the same groups of defects in 1,491 patients with limb malformations from the ECEMC consecutive newborn infants, non-exposed to thalidomide. The results showed that the groups with the most classical limb malformations attributed to thalidomide (phocomelia, thumb absence/hypoplasia) had a significantly very higher frequency in exposed cases than in the ECEMC's cases. However, cases presenting with only lower limb malformations were 3 times less frequent in thalidomide cases than in those of ECEMC. Finally, other groups presented the same frequency as those observed in the ECEMC's cases. The results of the 2 last groups, strongly suggests that they were not due to the effect of thalidomide. In addition to the short historical review of the teratogenicity risk of thalidomide, and their new therapeutic

  12. Lung cancer drug therapy in Hungary – 3-year experience

    Moldvay J


    Full Text Available Judit Moldvay,1 György Rokszin,2 Zsolt Abonyi-Tóth,2 Lajos Katona,3 Katalin Fábián,4 Gábor Kovács5 1Department of Tumor Biology, National Korányi Institute of Pulmonology, Semmelweis University, Budapest, Hungary; 2RxTarget Company Ltd, Szolnok, Hungary; 3Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary; 4Department of Pulmonology, Semmelweis University, Budapest, Hungary; 5National Korányi Institute of Pulmonology and Tuberculosis, Budapest, Hungary Abstract: Hungary is a world leader in lung cancer deaths, so it is of crucial importance that patients have access to modern treatments. The aim of our analysis was to explore how drug treatments are used in Hungary and how they are compatible with international practice. The inpatient and prescription database of the National Health Insurance Fund Administration of Hungary was used to study the frequency of certain chemotherapy protocols and duration of therapies during a 3-year period (2008–2010. During the study period, 12,326 lung cancer patients received first-line chemotherapy, a third of those (n=3,791 received second-line treatment, and a third of the latter (n=1,174 received third-line treatment. The average treatment duration was between 3 and 4 months. The first-line treatment of non-small-cell lung carcinoma mainly consisted of platinum treatment in combination with third-generation cytotoxic agents. A downward trend of gemcitabine, still the most common combination compound, was observed, in parallel with a significantly increased use of paclitaxel, and as a consequence carboplatin replaced cisplatin. Among the new agents, the use of pemetrexed and bevacizumab increased. Pemetrexed appeared mainly in second-line treatment, while erlotinib appeared also in second-line but mostly in third-line treatments. The first-line treatment of small-cell lung carcinoma consisted of a platinum–etoposide combination, while in the second-line setting

  13. Emotional experience improves with age : Evidence based on over 10 years of experience sampling

    Carstensen, L.L.; Turan, B.; Scheibe, S.; Ram, N.; Ersner-Hershfield, H.; Samanez-Larkin, G.R.; Brooks, K.P.; Nesselroade, J.R.


    Recent evidence suggests that emotional well-being improves from early adulthood to old age. This study used experience-sampling to examine the developmental course of emotional experience in a representative sample of adults spanning early to very late adulthood. Participants (N = 184, Wave 1; N =

  14. Site Environmental Report for Calendar Year 1999. DOE Operations at The Boeing Company, Rocketdyne



    OAK A271 Site Environmental Report for Calendar Year 1999. DOE Operations at The Boeing Company, Rocketdyne. This Annual Site Environmental Report (ASER) for 1999 describes the environmental conditions related to work performed for the Department of Energy (DOE) at Area IV of the Rocketdyne Santa Susana Field Laboratory (SSFL). In the past, these operations included development, fabrication, and disassembly of nuclear reactors, reactor fuel, and other radioactive materials under the former Atomics International Division. Other activities included the operation of large-scale liquid metal facilities for testing of liquid metal fast breeder components at the Energy Technology Engineering Center (ETEC), a government-owned, company-operated test facility within Area IV. All nuclear work was terminated in 1988, and subsequently, all radiological work has been directed toward decontamination and decommissioning (D&D) of the previously used nuclear facilities and associated site areas. Large-scale D&D activities of the sodium test facilities began in 1996. This Annual Site Environmental Report provides information showing that there are no indications of any potential impact on public health and safety due to the operations conducted at the SSFL. All measures and calculations of off-site conditions demonstrate compliance with applicable regulations, which provide for protection of human health and the environment.

  15. Two years experience with the 100 kW SOFC Cogeneration Unit at Arnhem

    Sukkel, Jaap [NUON, Arnhem (Netherlands)


    Since January 1998, the 100 kWe EDB/EIsam solid oxide fuel cell cogeneration unit is in operation in Westervoort. The projects objectives are to: 1) demonstrate the high efficiency and low emissions of the Westinghouse SOFC technology on a 100 kWe scale, 2) gain experience on the operation and maintenance of the SOFC as a cogeneration unit, 3) establish technical characteristics (in-/output, availability/durability and low emissions) of the SOFC technology, and 4) determine the technical and economical possibilities of the SOFC technology. In the first half of 1998 the unit operated at nominal power conditions for almost 3700 hours. After a revision in the U.S., the unit started operations in March 1999, and operated for more than 8000 hours (April 2000). The experience with the operation of the unit and some test results are presented in this paper. (author)

  16. CMS Data Transfer operations after the first years of LHC collisions

    Kaselis, Rapolas


    CMS experiment possesses distributed computing infrastructure and its performance heavily depends on the fast and smooth distribution of data between different CMS sites. Data must be transferred from the Tier-0 (CERN) to the Tier-1 for storing and archiving, and time and good quality are vital to avoid overflowing CERN storage buffers. At the same time, processed data has to be distributed from Tier-1 sites to all Tier-2 sites for physics analysis while MonteCarlo simulations synchronized back to Tier-1 sites for further archival. At the core of all transferring machinery is PhEDEx (Physics Experiment Data Export) data transfer system. It is very important to ensure reliable operation of the system, and the operational tasks comprise monitoring and debugging all transfer issues. Based on transfer quality information Site Readiness tool is used to create plans for resources utilization in the future. We review the operational procedures created to enforce reliable data delivery to CMS distributed sites all ov...

  17. Results of the new icetools inquiry on operator's experience with turbine icing

    Durstewitz, M.


    One task within the FP5 project New Icetools has been the development and evaluation of a questionnaire regarding operators experience with iced wind turbines. This questionnaire was sent to turbine operators in European countries by mail, per download from the New Icetools web site and as well as an online form on the Internet. The questionnaire has been available in several languages (English, German, Swedish, Spanish) so that many operators at cold climate sites in Europe can be reached. The questionnaire shall collect specific information about e.g. cold climate sites, icing conditions, turbine equipment and consequences of icing events. Nearly 100 replies from operators were collected and evaluated with respect to icing cases, amount of ice upon blades, duration of icing, downtimes, observed losses etc. The presentation will include an introduction to the questionnaire as well as an analysis of operators replies. (orig.)

  18. U.S. Nuclear Power Plant Operating Cost and Experience Summaries

    Reid, RL


    The ''U.S. Nuclear Power Plant Operating Cost and Experience Summaries'' (NUREG/CR-6577, Supp. 2) report has been prepared to provide historical operating cost and experience information on U.S. commercial nuclear power plants during 2000-2001. Costs incurred after initial construction are characterized as annual production costs, which represent fuel and plant operating and maintenance expenses, and capital expenditures related to facility additions/modifications, which are included in the plant capital asset base. As discussed in the report, annual data for these two cost categories were obtained from publicly available reports and must be accepted as having different degrees of accuracy and completeness. Treatment of inconclusive and incomplete data is discussed. As an aid to understanding the fluctuations in the cost histories, operations summaries for each nuclear unit are provided. The intent of these summaries is to identify important operating events; refueling, major maintenance, and other significant outages; operating milestones; and significant licensing or enforcement actions. Information used in the summaries is condensed from operating reports submitted by the licensees, the Nuclear Regulatory Commission (NRC) database for enforcement actions, and outage reports.

  19. Semi-automated operation of Mars Climate Simulation chamber - MCSC modelled for biological experiments

    Tarasashvili, M. V.; Sabashvili, Sh. A.; Tsereteli, S. L.; Aleksidze, N. D.; Dalakishvili, O.


    The Mars Climate Simulation Chamber (MCSC) (GEO PAT 12 522/01) is designed for the investigation of the possible past and present habitability of Mars, as well as for the solution of practical tasks necessary for the colonization and Terraformation of the Planet. There are specific tasks such as the experimental investigation of the biological parameters that allow many terrestrial organisms to adapt to the imitated Martian conditions: chemistry of the ground, atmosphere, temperature, radiation, etc. MCSC is set for the simulation of the conduction of various biological experiments, as well as the selection of extremophile microorganisms for the possible Settlement, Ecopoesis and/or Terraformation purposes and investigation of their physiological functions. For long-term purposes, it is possible to cultivate genetically modified organisms (e.g., plants) adapted to the Martian conditions for future Martian agriculture to sustain human Mars missions and permanent settlements. The size of the chamber allows preliminary testing of the functionality of space-station mini-models and personal protection devices such as space-suits, covering and building materials and other structures. The reliability of the experimental biotechnological materials can also be tested over a period of years. Complex and thorough research has been performed to acquire the most appropriate technical tools for the accurate engineering of the MCSC and precious programmed simulation of Martian environmental conditions. This paper describes the construction and technical details of the equipment of the MCSC, which allows its semi-automated, long-term operation.

  20. Two years of on-orbit gallium arsenide performance from the LIPS solar cell panel experiment

    Francis, R. W.; Betz, F. E.


    The LIPS on-orbit performance of the gallium arsenide panel experiment was analyzed from flight operation telemetry data. Algorithms were developed to calculate the daily maximum power and associated solar array parameters by two independent methods. The first technique utilizes a least mean square polynomial fit to the power curve obtained with intensity and temperature corrected currents and voltages; whereas, the second incorporates an empirical expression for fill factor based on an open circuit voltage and the calculated series resistance. Maximum power, fill factor, open circuit voltage, short circuit current and series resistance of the solar cell array are examined as a function of flight time. Trends are analyzed with respect to possible mechanisms which may affect successive periods of output power during 2 years of flight operation. Degradation factors responsible for the on-orbit performance characteristics of gallium arsenide are discussed in relation to the calculated solar cell parameters. Performance trends and the potential degradation mechanisms are correlated with existing laboratory and flight data on both gallium arsenide and silicon solar cells for similar environments.

  1. Employee Burnout: A Meta-Analysis of the Relationship between Age or Years of Experience

    Brewer, Ernest W.; Shapard, Leslie


    This study examined the relationship between age or years of experience and employee burnout by performing a meta-analysis on research studies that present findings on relationships between employee burnout and age or years of experience. The problem has practical significance in that the appropriateness of approaches to addressing employee…

  2. Supporting Students in the Margins: Establishing a First-Year Experience for LGBTQA Students

    Squire, Dian; Norris, Lauren


    This paper describes the creation of a comprehensive First-Year Experience program for lesbian, gay, bisexual, transgender, queer, and ally (LGBTQA) students. Background information on First-Year Experience programs, LGBTQA populations, and the benefits of providing this program are described. The authors discuss how to plan and implement this…

  3. Experience Operating an X-band High-Power Test Stand at CERN

    Catalan-Lasheras, N; Doebert, S; Farabolini, W; Kovermann, J; McMonagle, G; Rey, S; Syratchev, I; Timeo, L; Wuensch, W; Woolley, B; Tagg, J


    CERN has constructed and is operating a klystron-based X-band test stand, called Xbox-1, dedicated to the high-gradient testing of prototype accelerating structures for CLIC and other applications such as FELs. The test stand has now been in operation for a year and significant progress has been made in understanding the system, improving its reliability, upgrading hardware and implementing automatic algorithms for conditioning the accelerating structures.

  4. Reflections on the Final Year Learning Experience--Designing a Capstone Experience

    Thomas, Keith; Wong, Kin Chi; Li, Yi Ching; Hung, Ching Yan


    Cross-sector educational reform to be implemented in 2012 in Hong Kong (HK) is intended principally to prepare students for the future workplace. One of the explicit requirements for the new four-year undergraduate curriculum is the inclusion of a capstone course for final year students. This paper explores the uptake and reported effect of the…

  5. Limitations of the inspection and testing concepts for pressurised components from the viewpoint of operating experience

    Schulz, H. [Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) mbH, Garching (Germany)


    The role of in-service inspection and testing is to contribute to a safe and reliable operation of systems, structures and components. It is therefore the objective of inspections and tests to identify malfunctions and degradations at a stage early enough to avoid detrimental impacts on safety as well as on the reliability of the plant. Taking mostly the pressure boundary of German light-water reactors as an example, it is the intention of this paper to analyse how successful present inspection and testing requirements are and to discuss limitations. Based on a review of the world-wide operating experience the following questions of a more generic nature are addressed: - Are the relevant damage mechanisms being addressed in our codes and standards? - What are the criteria to develop a representative scope of inspection? - How to maintain a sufficient level of information for a decreasing number of nuclear power plants in operation? It can be concluded that the revision of codes and standards according to lessons learned from operating experience remains as an ongoing process. Furthermore, the criteria applied to derive a representative scope of inspection need to be addressed in more detail, specifically with respect to corrosion. The continuous evaluation of operating experience of a large number of plants is the most valuable source to identify beginning degradations. (author)

  6. Strategies for reducing the environmental impact of gaseous detector operation at the CERN LHC experiments

    Capeans, M.; Guida, R.; Mandelli, B.


    A wide range of gas mixtures is used for the operation of different gaseous detectors at the Large Hadron Collider (LHC) experiments. Nowadays some of these gases, as C2H2F4, CF4 and SF6, are indicated as greenhouse gases (GHG) and dominate the overall GHG emission from particle detectors at the LHC experiments. The release of GHG is an important subject for the design of future particle detectors as well as for the operation of the current experiments. Different strategies have been adopted at CERN for reducing the GHG emissions. The standard approach is the recirculation of the gas mixture with complex gas systems where system stability and the possible accumulation of impurities need to be attentively evaluated for the good operation and safety of the detectors. A second approach is based on the recuperation of the gas mixture exiting the detectors and the separation of its gas components for re-use. At long-term, the use of less invasive gases is being investigated, especially for the Resistive Plate Chamber (RPC) systems. Operation of RPC with environmentally friendly gas mixtures is demonstrated for streamer mode while avalanche mode operation needs more complex gas mixtures.

  7. Optimization of identity operation in NMR spectroscopy via genetic algorithm: Application to the TEDOR experiment

    Manu, V. S.; Veglia, Gianluigi


    Identity operation in the form of π pulses is widely used in NMR spectroscopy. For an isolated single spin system, a sequence of even number of π pulses performs an identity operation, leaving the spin state essentially unaltered. For multi-spin systems, trains of π pulses with appropriate phases and time delays modulate the spin Hamiltonian to perform operations such as decoupling and recoupling. However, experimental imperfections often jeopardize the outcome, leading to severe losses in sensitivity. Here, we demonstrate that a newly designed Genetic Algorithm (GA) is able to optimize a train of π pulses, resulting in a robust identity operation. As proof-of-concept, we optimized the recoupling sequence in the transferred-echo double-resonance (TEDOR) pulse sequence, a key experiment in biological magic angle spinning (MAS) solid-state NMR for measuring multiple carbon-nitrogen distances. The GA modified TEDOR (GMO-TEDOR) experiment with improved recoupling efficiency results in a net gain of sensitivity up to 28% as tested on a uniformly 13C, 15N labeled microcrystalline ubiquitin sample. The robust identity operation achieved via GA paves the way for the optimization of several other pulse sequences used for both solid- and liquid-state NMR used for decoupling, recoupling, and relaxation experiments.

  8. A New Density Operator Formalism for Describing Nuclear Magnetic Resonance Experiments

    林东海; 吴钦义


    A density operator formalism has been proposed to describe the evolution of two-spin-1/2 systems in nuclear magnetic resonance experiments:The formalism is particularly convenient and has distinct physical meaning for describing the evolution of spin systems under the Hamiltonian containing non-commutable terms. Some examples are presented to demonstrate the new formalism.

  9. Design and operation of a cryogenic charge-integrating preamplifier for the MuSun experiment

    Ryan, R A; Gray, F E; Kammel, P; Nadtochy, A; Peterson, D; van Wechel, T; Gross, E; Gubanich, M; Kochenda, L; Kravtsov, P; Orozco, D; Osofsky, R; Petrov, G E; Stroud, J; Trofimov, V; Vasilyev, A; Vznuzdaev, M


    The central detector in the MuSun experiment is a pad-plane time projection ionization chamber that operates without gas amplification in deuterium at 31 K; it is used to measure the rate of the muon capture process $\\mu^- + d \\rightarrow n + n + \

  10. 42 CFR 417.413 - Qualifying condition: Operating experience and enrollment.


    ... city whose population exceeds 50,000 individuals. (4) A subdivision or subsidiary of an HMO or CMP that... that it has operating experience and an enrolled population sufficient to provide a reasonable basis... the population. (CMS does not grant a waiver that would permit the percentage of Medicare and...

  11. MSFC Doppler Lidar Science experiments and operations plans for 1981 airborne test flight

    Fichtl, G. H.; Bilbro, J. W.; Kaufman, J. W.


    The flight experiment and operations plans for the Doppler Lidar System (DLS) are provided. Application of DLS to the study of severe storms and local weather penomena is addressed. Test plans involve 66 hours of flight time. Plans also include ground based severe storm and local weather data acquisition.

  12. Grupo operativo como estratégia pedagógica em um curso graduação em enfermagem: um continente para as vivências dos alunos quartanistas Grupo operativo como estrategia pedagógica en un curso de graduación en enfermería: un continente para las vivencias de los alumnos del cuarto ano Operative group as a pedagogical strategy in a nursing graduation course: a continent for the fourth-year students' experiences

    Roselma Lucchese


    Full Text Available Este estudo teve como objetivo oferecer um espaço para a expressão vivencial do aluno de quarto ano de graduação em enfermagem. Espaço operacionalizado por meio da técnica de grupo operativo, no qual os sujeitos do estudo, centrados na tarefa trocaram experiências e avaliaram sua participação nos grupos. Para compreender o vivencial dos alunos optou-se pela pesquisa qualitativa, utilizando-se como método a pesquisa-ação. A problemática do estudo envolveu o conceito de que a aprendizagem é um processo de socialização que requer mudanças, sendo mobilizadora de sentimentos do aprendiz. O grupo operativo funcionou como espaço continente das vivências dos alunos que explicitaram sentimentos mobilizados em seu processo de formação, impossíveis de serem ignorados pelo educador em enfermagem.Eate estudio tuvo como obetivo ofrecer un espacio para la expresión vivencial del alumno de cuarto año de la graduación en enfermería. Espacio operacionalizado por medio de la técnica de grupo operativo, en el cual los sujetos el estudio, centrados en la tares, intercambiaron experiencias y evaluaron su participación en los grupos. Para comprender el vivencial de los alumnos fue elegida la pesquisa cualitativa, utilizándose como método la pesquisa-acción. La problemática del estudio implicó el concepto de que el aprendizaje es un proceso de socialización que requiere cambios, siendo capaz de mobilizar los sentimientos del aprendiz. El grupo operativo funcionó como um continente de las vivencias de los alumnos que explicitaron sentimientos estos conocidos por el educador en enfermería.The objetive of this study is to offer a space for the fourth-year students of the nursing school to express their experiences. A space was put in operation by the use of an operative group technique, and the subjects of the study,. centered in the task, exchange experiences and evaluate their participation in the groups. To understand the students

  13. CMS Strip Detector: Operational Experience and Run1 to Run2 Transition

    Butz, Erik Manuel


    The CMS silicon strip tracker is the largest silicon detector ever built. It has an active area of 200~m$^2$ of silicon segmented into almost 10 million readout channels. We describe some operational aspects of the system during its first years of operation during the LHC run 1. During the long shutdown 1 of the LHC an extensive work program was carried out on the strip tracker services in order to facilitate operation of the system at sub-zero temperatures in the LHC run~2 and beyond. We will describe these efforts and give a motivation of the choice of run~2 operating temperature. Finally, a brief outlook on the operation of the system in the upcoming run~2 will be given.

  14. Sixteen years of Terra MODIS on-orbit operation, calibration, and performance

    Xiong, X.; Angal, A.; Wu, A.; Link, D.; Geng, X.; Barnes, W.; Salomonson, V.


    Terra MODIS has successfully operated for more than 16 years since its launch in December 1999. From its observations, many science data products have been generated in support of a broad range of research activities and remote sensing applications. Terra MODIS has operated in a number of configurations and experienced a few anomalies, including spacecraft and instrument related events. MODIS collects data in 36 spectral bands that are calibrated regularly by a set of on-board calibrators for their radiometric, spectral, and spatial performance. Periodic lunar observations and long-term radiometric trending over well-characterized ground targets are also used to support sensor on-orbit calibration. Dedicated efforts made by the MODIS Characterization Support Team (MCST) and continuing support from the MODIS Science Team have contributed to the mission success, enabling well-calibrated data products to be continuously generated and routinely delivered to users worldwide. This paper presents an overview of Terra MODIS mission operations, calibration activities, and instrument performance of the past 16 years. It illustrates and describes the results of key sensor performance parameters derived from on-orbit calibration and characterization, such as signal-to-noise ratio (SNR), noise equivalent temperature difference (NEdT), solar diffuser (SD) degradation, changes in sensor responses, center wavelengths, and band-to-band registration (BBR). Also discussed in this paper are the calibration approaches and strategies developed and implemented in support of MODIS Level 1B data production and re-processing, major challenging issues, and lessons learned.

  15. The South Australian Safe Drinking Water Act: summary of the first year of operation.

    Froscio, Suzanne M; Bolton, Natalie; Cooke, Renay; Wittholz, Michelle; Cunliffe, David


    The Safe Drinking Water Act 2011 was introduced in South Australia to provide clear direction to drinking water providers on how to achieve water safety. The Act requires drinking water providers to register with SA Health and develop a risk management plan (RMP) for their water supply that includes operational and verification monitoring plans and an incident notification and communication protocol. During the first year of operation, 212 drinking water providers registered under the Act, including one major water utility and a range of small to medium sized providers in regional and remote areas of the State. Information was captured on water source(s) used and water treatment. Rainwater was the most frequently reported drinking water source (66%), followed by bore water (13%), on-supply or carting of mains water (13%), mixed source (rainwater with bore water backup) (6%) and surface water (3%). The majority of providers (91%) treated the water supply, 87% used disinfection. During the first year of operation, 16 water quality incidents were formally reported to SA Health. These included both microbial and chemical incidents. Case studies presented highlight how the RMPs are assisting drinking water providers to identify incidents of potential health concern and implement corrective actions.

  16. Medical Support for Aircraft Disaster Search and Recovery Operations at Sea: the RSN Experience.

    Teo, Kok Ann Colin; Chong, Tse Feng Gabriel; Liow, Min Han Lincoln; Tang, Kong Choong


    The maritime environment presents a unique set of challenges to search and recovery (SAR) operations. There is a paucity of information available to guide provision of medical support for SAR operations for aircraft disasters at sea. The Republic of Singapore Navy (RSN) took part in two such SAR operations in 2014 which showcased the value of a military organization in these operations. Key considerations in medical support for similar operations include the resultant casualty profile and challenges specific to the maritime environment, such as large distances of area of operations from land, variable sea states, and space limitations. Medical support planning can be approached using well-established disaster management life cycle phases of preparedness, mitigation, response, and recovery, which all are described in detail. This includes key areas of dedicated training and exercises, force protection, availability of air assets and chamber support, psychological care, and the forensic handling of human remains. Relevant lessons learned by RSN from the Air Asia QZ8501 search operation are also included in the description of these key areas. Teo KAC , Chong TFG , Liow MHL , Tang KC . Medical support for aircraft disaster search and recovery operations at sea: the RSN experience. Prehosp Disaster Med. 2016; 31(3):294-299.

  17. One Year Later: The Influence of Short-Term Study Abroad Experiences on Students

    Rowan-Kenyon, Heather T.; Niehaus, Elizabeth K.


    Using transformational learning as a framework and a case study approach, this study explored how students make meaning of their experiences 1 year after a weeklong study abroad experience and examines how they integrate their study abroad experience into their lives. The findings include that students who had engaged in subsequent learning…

  18. Integration and Operational Experience in CMS Monte Carlo Production in LCG

    Caballero, J; Hernández, Jose M


    This note describes integration and operational aspects of the CMS Monte Carlo production in the LHC Computing Grid (LCG). In 2005 the McRunjob MC production system was ported to LCG-2 in order to make use of the distributed computing and storage resources available in LCG for CMS. The full production chain (generation, simulation, digitization with pile-up, reconstruction, injection in the data transfer system and publication for analysis) was implemented. Experience gained during the implementation and operation of the production system in LCG has been used to build ProdAgent, the new MC production system. ProdAgent takes also advantage of the new CMS event data model, event processing framework and data management services. Integration and operational experience with ProdAgent is also described in this note.

  19. Operating experience feedback report -- turbine-generator overspeed protection systems: Commercial power reactors. Volume 11

    Ornstein, H.L.


    This report presents the results of the US Nuclear Regulatory Commission`s Office for Analysis and Evaluation of Operational Data (AEOD) review of operating experience of main turbine-generator overspeed and overspeed protection systems. It includes an indepth examination of the turbine overspeed event which occurred on November 9, 1991, at the Salem Unit 2 Nuclear Power Plant. It also provides information concerning actions taken by other utilities and the turbine manufacturers as a result of the Salem overspeed event. AEOD`s study reviewed operating procedures and plant practices. It noted differences between turbine manufacturer designs and recommendations for operations, maintenance, and testing, and also identified significant variations in the manner that individual plants maintain and test their turbine overspeed protection systems. AEOD`s study provides insight into the shortcomings in the design, operation, maintenance, testing, and human factors associated with turbine overspeed protection systems. Operating experience indicates that the frequency of turbine overspeed events is higher than previously thought and that the bases for demonstrating compliance with NRC`s General Design Criterion (GDC) 4, Environmental and dynamic effects design bases, may be nonconservative with respect to the assumed frequency.

  20. Experience in operation and maintenance of systems of electrical generation by micro turbine: Transierra S.A.

    Herrera, Franz Miranda [TRANSIERRA S.A., Santa Cruz (Bolivia)


    This work tries to share the experience of throughout six years, turned into experience of operation and maintenance of micro turbines for generation electrical; same those are used in the stations of measurement of Transierra S.A. In the initial stage it would describe to the ways and characteristic operative qualities for each one of the Micro Turbines in each scene that differs throughout the four stations that the GASYRG composes, taking like game the analysis of the thermal efficiency. Next a particular description of happened events would be realized in the six translated years in faults of general and particular way, centering the attention to the analysis of the resources provided by the controllers of the equipment through registry of events. Analyses that finally would be translated in solutions to short and medium term obtaining operative continuity and provision of electrical energy indispensable for the systems of measurement and control of the stations. Finally a description of all the particular solutions and modifications that went giving problems of design which they were not contemplated by the manufacturer emanated of the necessity and shaped with the aid of the same knowledge of the equipment. (author)