Distribution of residual long-lived radioactivity in the inner concrete walls of a compact medical cyclotron vault room.

PubMed

Fujibuchi, Toshioh; Nohtomi, Akihiro; Baba, Shingo; Sasaki, Masayuki; Komiya, Isao; Umedzu, Yoshiyuki; Honda, Hiroshi

2015-01-01

Compact medical cyclotrons have been set up to generate the nuclides necessary for positron emission tomography. In accelerator facilities, neutrons activate the concrete used to construct the vault room; this activation increases with the use of an accelerator. The activation causes a substantial radioactive waste management problem when facilities are decommissioned. In the present study, several concrete cores from the walls, ceiling and floor of a compact medical cyclotron vault room were samples 2 years after the termination of operations, and the radioactivity concentrations of radionuclides were estimated. Cylindrical concrete cores 5 cm in diameter and 10 cm in length were bored from the concrete wall, ceiling and floor. Core boring was performed at 18 points. The gamma-ray spectrum of each sample was measured using a high-purity germanium detector. The degree of activation of the concrete in the cyclotron vault room was analyzed, and the range and tendency toward activation in the vault room were examined. (60)Co and (152)Eu were identified by gamma-ray spectrometry of the concrete samples. (152)Eu and (60)Co are produced principally from the stable isotopes of europium and cobalt by neutron capture reactions. The radioactivity concentration did not vary much between the surface of the concrete and at a depth of 10 cm. Although the radioactivity concentration near the target was higher than the clearance level for radioactive waste indicated in IAEA RS-G-1.7, the mean radioactivity concentration in the walls and floor was lower than the clearance level. The radioactivity concentration of the inner concrete wall of the medical cyclotron vault room was not uniform. The areas exceeding the clearance level were in the vicinity of the target, but most of the building did not exceed the clearance levels.

In-house cyclotron production of high-purity Tc-99m and Tc-99m radiopharmaceuticals.

PubMed

Martini, Petra; Boschi, Alessandra; Cicoria, Gianfranco; Zagni, Federico; Corazza, Andrea; Uccelli, Licia; Pasquali, Micòl; Pupillo, Gaia; Marengo, Mario; Loriggiola, Massimo; Skliarova, Hanna; Mou, Liliana; Cisternino, Sara; Carturan, Sara; Melendez-Alafort, Laura; Uzunov, Nikolay M; Bello, Michele; Alvarez, Carlos Rossi; Esposito, Juan; Duatti, Adriano

2018-05-30

In the last years, the technology for producing the important medical radionuclide technetium-99m by cyclotrons has become sufficiently mature to justify its introduction as an alternative source of the starting precursor [ 99m Tc][TcO 4 ] - ubiquitously employed for the production of 99m Tc-radiopharmaceuticals in hospitals. These technologies make use almost exclusively of the nuclear reaction 100 Mo(p,2n) 99m Tc that allows direct production of Tc-99m. In this study, it is conjectured that this alternative production route will not replace the current supply chain based on the distribution of 99 Mo/ 99m Tc generators, but could become a convenient emergency source of Tc-99m only for in-house hospitals equipped with a conventional, low-energy, medical cyclotron. On this ground, an outline of the essential steps that should be implemented for setting up a hospital radiopharmacy aimed at the occasional production of Tc-99m by a small cyclotron is discussed. These include (1) target production, (2) irradiation conditions, (3) separation/purification procedures, (4) terminal sterilization, (5) quality control, and (6) Mo-100 recovery. To address these issues, a comprehensive technology for cyclotron-production of Tc-99m, developed at the Legnaro National Laboratories of the Italian National Institute of Nuclear Physics (LNL-INFN), will be used as a reference example. Copyright © 2018 Elsevier Ltd. All rights reserved.

Feasibility study of a cyclotron complex for hadron therapy

NASA Astrophysics Data System (ADS)

Smirnov, V.; Vorozhtsov, S.

2018-04-01

An accelerator complex for hadron therapy based on a chain of cyclotrons is under development at JINR (Dubna, Russia), and the corresponding conceptual design is under preparation. The complex mainly consists of two superconducting cyclotrons. The first accelerator is a compact cyclotron used as an injector to the main accelerator, which is a six-fold separated sector machine. The facility is intended for generation of protons and carbon beams. The H2+ and 12C6+ ions from the corresponding ECR ion sources are accelerated in the injector-cyclotron up to the output energy of 70 MeV/u. Then, the H2+ ions are extracted from the injector by a stripping foil, and the resulting proton beam with the energy of 70 MeV is used for medical purposes. After acceleration in the main cyclotron, the carbon beam can be either used directly for therapy or introduced to the main cyclotron for obtaining the final energy of 400 MeV/u. The basic requirements to the project are the following: compliance to medical requirements, compact size, feasible design, and high reliability of all systems of the complex. The advantages of the dual cyclotron design can help reaching these goals. The initial calculations show that this design is technically feasible with acceptable beam dynamics. The accelerator complex with a relatively compact size can be a good solution for medical applications. The basic parameters of the facility and detailed investigation of the magnetic system and beam dynamics are described.

Cyclotron produced radiopharmaceuticals

NASA Astrophysics Data System (ADS)

Kopička, K.; Fišer, M.; Hradilek, P.; Hanč, P.; Lebeda, O.

2003-01-01

Some of the cyclotron-produced radionuclides may serve as important materials for the production of radiopharmaceuticals. This lecture deals with basic information relating to various aspects of these compounds. In comparison with radionuclides/compounds used for non-medical purposes, radiopharmaceuticals are subject to a broader scale of regulations, both from the safety and efficacy point of view; besides that, there are both radioactive and medical aspects that must be taken into account for any radiopharmaceutical. According to the regulations and in compliance with general rules of work with radioactivity, radiopharmaceuticals should only be prepared/manufactured under special conditions, using special areas and special equipment and applying special procedures (e.g. sterilisation, disinfection, aseptic work). Also, there are special procedures for cleaning and maintenance. Sometimes the requirements for the product safety clash with those for the safety of the personnel; several examples of solutions pertaining to these cases are given in the lecture. Also, the specific role of cyclotron radiopharmaceuticals is discussed.

Recent achievements in Tc-99m radiopharmaceutical direct production by medical cyclotrons.

PubMed

Boschi, Alessandra; Martini, Petra; Pasquali, Micol; Uccelli, Licia

2017-09-01

99m Tc is the most commonly used radionuclide in the field of diagnostic imaging, a noninvasive method intended to diagnose a disease, assess the disease state and monitor the effects of treatments. Annually, the use of 99m Tc, covers about 85% of nuclear medicine applications. This isotope releases gamma rays at about the same wavelength as conventional X-ray diagnostic equipment, and owing to its short half-life (t ½  = 6 h) is ideal for diagnostic nuclear imaging. A patient can be injected with a small amount of 99m Tc and within 24 h almost 94% of the injected radionuclide would have decayed and left the body, limiting the patient's radiation exposure. 99m Tc is usually supplied to hospitals through a 99 Mo/ 99m Tc radionuclide generator system where it is produced from the β decay of the parent nuclide 99 Mo (t ½  = 66 h), which is produced in nuclear reactors via neutron fission. Recently, the interruption of the global supply chain of reactor-produced 99 Mo, has forced the scientific community to investigate alternative production routes for 99m Tc. One solution was to consider cyclotron-based methods as potential replacement of reactor-based technology and the nuclear reaction 100 Mo(p,2n) 99m Tc emerged as the most worthwhile approach. This review reports some achievements about 99m Tc produced by medical cyclotrons. In particular, the available technologies for target design, the most efficient extraction and separation procedure developed for the purification of 99m Tc from the irradiated targets, the preparation of high purity 99m Tc radiopharmaceuticals and the first clinical studies carried out with cyclotron produced 99m Tc are described.

NACA Researcher Examines the Cyclotron

NASA Image and Video Library

1951-02-21

Researcher James Blue examines the new cyclotron at the National Advisory Committee for Aeronautics (NACA) Lewis Flight Propulsion Laboratory. Researchers at NACA Lewis began postulating about the use of atomic power for propulsion immediately after World War II. The NACA concentrated its efforts on the study of high temperature materials and heat transfer since it did not have access to the top secret fission information. The military studied the plausibility of nuclear propulsion for aircraft in the late 1940s. The military program was cancelled after four years without any breakthroughs, but the Atomic Energy Commission took on the effort in 1951. The NACA Lewis laboratory was expanding its nuclear-related research during this period. In 1948, Lewis engineers were assigned to the Oak Ridge National Laboratory to obtain expertise in high temperature heat transfer and advanced materials technology. The following year a new 80-person Nuclear Reactor Division was created, and an in-house nuclear school was established to train these researchers. The cyclotron was built behind the Materials and Structures Laboratory to support thermodynamic and materials research for both nuclear aircraft and nuclear rockets. The original NACA Lewis cyclotron was used to accelerate two kinds of particles. To better match the space radiation environment, the cyclotron was later modified to accelerate particles of the newly-discovered Van Allen radiation belts.

Planned development of a radioactive beam capability at the LBNL 88-inch cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Haustein, P.E.; Moltz, D.M.; Norman, E.B.

1997-12-31

Planned development of low-Z, proton-rich, radioactive beams ({sup 11}C, {sup 13}N, {sup 14}, {sup 15}O, and {sup 18}F) at the 88 inch Cyclotron of the Lawrence Berkeley National Lab is described. Based on the {open_quotes}coupled cyclotron method{close_quotes}, isotopes produced by (p,n) and (p,a) reactions at a high-current (30 mA), low-energy (10 MeV) medical cyclotron will be transferred {approximately}300 meters by high-speed gas-jet transport to the ECR ion-source at the 88 inch Cyclotron. Important features of this approach are its low cost, use of simple and well tested technology, applicability to nearly all elements, and avoidance of lengthy (chemical or physical)more » isotopic release delays at the production target. Developmental progress is reported for various operational components. Based on conservative estimates, e.g. 1% ECR ion-yield, extracted radioactive ion beams are projected to exceed 10{sup 6} ions/sec. Experiments which will use these beams include studies of the scattering of mirror nuclei, single and mutual excitation in inelastic scattering and single nucleon transfer reactions.« less

Cyclotron in the Materials and Stresses Building

NASA Image and Video Library

1976-11-21

Researchers check the cyclotron in the Materials and Stresses Building at the National Aeronautics and Space Administration (NASA) Lewis Research Center. The Materials and Stresses Building, built in 1949, contained a number of laboratories to test the strength, diffusion, and other facets of materials. The materials could be subjected to high temperatures, high stresses, corrosion, irradiation, and hot gasses. The Physics of Solids Laboratory included a cyclotron, cloud chamber, helium cryostat, and metallurgy cave. The cyclotron was built in the early 1950s to test the effects of radiation on different materials so that the proper materials could be used to construct a nuclear aircraft engine and other components. By the late 1950s, the focus had shifted to similar studies for rockets. NASA cancelled its entire nuclear program in January 1973, and the cyclotron was mothballed. In 1975 the Cleveland Clinic Foundation partnered with NASA Lewis to use the cyclotron to treat cancer patients with a new type of radiation therapy. The cyclotron split beryllium atoms which caused neutrons to be released. The neutrons were streamed directly at the patient’s tumor. Over the course of five years, the cyclotron was used to treat 1200 patients. The program was terminated in 1980 as the Clinic shifted its efforts to concentrate on non-radiation treatments. The Lewis cyclotron was mothballed for a number of years before being demolished.

An analytical approach of thermodynamic behavior in a gas target system on a medical cyclotron.

PubMed

Jahangiri, Pouyan; Zacchia, Nicholas A; Buckley, Ken; Bénard, François; Schaffer, Paul; Martinez, D Mark; Hoehr, Cornelia

2016-01-01

An analytical model has been developed to study the thermo-mechanical behavior of gas targets used to produce medical isotopes, assuming that the system reaches steady-state. It is based on an integral analysis of the mass and energy balance of the gas-target system, the ideal gas law, and the deformation of the foil. The heat transfer coefficients for different target bodies and gases have been calculated. Excellent agreement is observed between experiments performed at TRIUMF's 13 MeV cyclotron and the model. Copyright © 2015 Elsevier Ltd. All rights reserved.

Performance test of electron cyclotron resonance ion sources for the Hyogo Ion Beam Medical Center

NASA Astrophysics Data System (ADS)

Sawada, K.; Sawada, J.; Sakata, T.; Uno, K.; Okanishi, K.; Harada, H.; Itano, A.; Higashi, A.; Akagi, T.; Yamada, S.; Noda, K.; Torikoshi, M.; Kitagawa, A.

2000-02-01

Two electron cyclotron resonance (ECR) ion sources were manufactured for the accelerator facility at the Hyogo Ion Beam Medical Center. H2+, He2+, and C4+ were chosen as the accelerating ions because they have the highest charge to mass ratio among ion states which satisfy the required intensity and quality. The sources have the same structure as the 10 GHz ECR source at the Heavy Ion Medical Accelerator in Chiba except for a few improvements in the magnetic structure. Their performance was investigated at the Sumitomo Heavy Industries factory before shipment. The maximum intensity was 1500 μA for H2+, 1320 μA for He2+, and 580 μA for C4+ at the end of the ion source beam transport line. These are several times higher than required. Sufficient performance was also observed in the flatness and long-term stability of the pulsed beams. These test results satisfy the requirements for medical use.

Direct Production of 99mTc via 100Mo(p,2n) on Small Medical Cyclotrons

NASA Astrophysics Data System (ADS)

Schaffer, P.; Bénard, F.; Bernstein, A.; Buckley, K.; Celler, A.; Cockburn, N.; Corsaut, J.; Dodd, M.; Economou, C.; Eriksson, T.; Frontera, M.; Hanemaayer, V.; Hook, B.; Klug, J.; Kovacs, M.; Prato, F. S.; McDiarmid, S.; Ruth, T. J.; Shanks, C.; Valliant, J. F.; Zeisler, S.; Zetterberg, U.; Zavodszky, P. A.

From the efforts of a number of Canadian institutions and private industry collaborations, direct production of 99mTc using medical cyclotrons has recently been advanced from a 1970's academic exercise to a commercial, economically viable solution for regional production. Using GE PETtrace 880 machines our team has established preliminary saturated yields of 2.7 GBq/μA, translating to approximately 174 GBq after a 6 hour irradiation. The team is in the process of assessing the accuracy and reliability of this production value with a goal of optimizing yields by up to 50%.

Ernest Orlando Lawrence (1901-1958), Cyclotron and Medicine

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chu, William T.

On August 8, 2001, Lawrence Berkeley National Laboratory celebrated the centennial of the birth of its founder (and namesake), Ernest Orlando Lawrence. For the occasion, many speeches were given and old speeches were remembered. We recall the words of the late Luis Alvarez, a Nobel Laureate and one of the Lawrence's closest colleagues: ''Lawrence will always be remembered as the inventor of the cyclotron, but more importantly, he should be remembered as the inventor of the modern way of doing science''. J. L. Heilbron and R. W. Seidel, in the introduction of their book, ''Lawrence and His Laboratory'' stated, ''Themore » motives and mechanisms that shaped the growth of the Laboratory helped to force deep changes in the scientific estate and in the wider society. In the entrepreneurship of its founder, Ernest Orlando Lawrence, these motives, mechanisms, and changes came together in a tight focus. He mobilized great and small philanthropists, state and local governments, corporations, and plutocrats, volunteers and virtuosos. The work they supported, from astrophysics and atomic bombs, from radiochemistry to nuclear medicine, shaped the way we observe, control, and manipulate our environment.'' Indeed, all over the civilized world, the ways we do science changed forever after Lawrence built his famed Radiation Laboratory. In this editorial, we epitomize his legacy of changing the way we do medicine, thereby affecting the health and well being of all humanity. This year marks the 75th anniversary of the invention of the cyclotron by Ernest Orlando Lawrence at the University of California at Berkeley. Lawrence conceived the idea of the cyclotron early in 1929 after reading an article by Rolf Wideroe on high-energy accelerators. In the spring of 1930 one of his students, Nels Edlefsen, constructed two crude models of a cyclotron. Later in the fall of the same year, another student, M. Stanley Livingston, constructed a 13-cm diameter model that had all the features of

Cyclotron Provides Neutron Therapy for Cancer Patients

NASA Image and Video Library

1978-01-21

A cancer patient undergoes treatment in the Neutron Therapy Treatment Facility, or Cylotron, at the National Aeronautics and Space Administration (NASA) Lewis Research Center. After World War II Lewis researchers became interested in nuclear energy for propulsion. The focused their efforts on thermodynamics and strength of materials after radiation. In 1950 an 80-person Nuclear Reactor Division was created, and a cyclotron was built behind the Materials and Structures Laboratory. An in-house nuclear school was established to train these researchers in their new field. NASA cancelled its entire nuclear program in January 1973, just as the cyclotron was about to resume operations after a major upgrade. In 1975 the Cleveland Clinic Foundation partnered with NASA Lewis to use the cyclotron for a new type of radiation treatment for cancer patients. The cyclotron split beryllium atoms which caused neutrons to be released. The neutrons were streamed directly at the patient’s tumor. The facility had a dual-beam system that could target the tumor both vertically and horizontally. Over the course of five years, the cyclotron was used to treat 1200 patients. It was found to be particularly effective on salivary gland, prostrate, and other tumors. It was not as successful with tumors of the central nervous system. The program was terminated in 1980 as the Clinic began concentrating on non-radiation treatments.

Digital Data Acquisition System for experiments with segmented detectors at National Superconducting Cyclotron Laboratory

NASA Astrophysics Data System (ADS)

Starosta, K.; Vaman, C.; Miller, D.; Voss, P.; Bazin, D.; Glasmacher, T.; Crawford, H.; Mantica, P.; Tan, H.; Hennig, W.; Walby, M.; Fallu-Labruyere, A.; Harris, J.; Breus, D.; Grudberg, P.; Warburton, W. K.

2009-11-01

A 624-channel Digital Data Acquisition System capable of instrumenting the Segmented Germanium Array at National Superconducting Cyclotron Laboratory has been implemented using Pixie-16 Digital Gamma Finder modules by XIA LLC. The system opens an opportunity for determination of the first interaction position of a γ ray in a SeGA detector from implementation of γ-ray tracking. This will translate into a significantly improved determination of angle of emission, and in consequence much better Doppler corrections for experiments with fast beams. For stopped-beam experiments the system provides means for zero dead time measurements of rare decays, which occur on time scales of microseconds.

National cyclotron centre at the Institute for Nuclear Research and Nuclear Energy

NASA Astrophysics Data System (ADS)

Tonev, D.; Goutev, N.; Asova, G.; Artinyan, A.; Demerdjiev, A.; Georgiev, L. S.; Yavahchova, M.; Bashev, V.; Genchev, S. G.; Geleva, E.; Mincheva, M.; Nikolov, A.; Dimitrov, D. T.

2018-05-01

An accelerator laboratory is presently under construction in Sofia at the Institute for Nuclear Research and Nuclear Energy. The laboratory will use a TR24 type of cyclotron, which provides a possibility to accelerate a proton beam with an energy of 15 to 24 MeV and current of up to 0.4 mA. An accelerator with such parameters allows to produce a large variety of radioisotopes for development of radiopharmaceuticals. The most common radioisotopes that can be produced with such a cyclotron are PET isotopes like: 11C, 13N, 15O, 18F, 124I, 64Cu, 68Ge/68Ga, and SPECT isotopes like: 123I, 111In, 67Ga, 57Co, 99mTc. Our aim is to use the cyclotron facility for research in the fields of radiopharmacy, radiochemistry, radiobiology, nuclear physics, materials sciences, applied research, new materials and for education in all these fields including nuclear energy. Presently we perform investigations in the fields of target design for production of radioisotopes, shielding and radioprotection, new ion sources etc.

Design of a new electron cyclotron resonance ion source at Oshima National College of Maritime Technology

DOE Office of Scientific and Technical Information (OSTI.GOV)

Asaji, T., E-mail: asaji@oshima-k.ac.jp; Hirabara, N.; Izumihara, T.

A new electron cyclotron resonance ion/plasma source has been designed and will be built at Oshima National College of Maritime Technology by early 2014. We have developed an ion source that allows the control of the plasma parameters over a wide range of electron temperatures for material research. A minimum-B magnetic field composed of axial mirror fields and radial cusp fields was designed using mainly Nd-Fe-B permanent magnets. The axial magnetic field can be varied by three solenoid coils. The apparatus has 2.45 GHz magnetron and 2.5–6.0 GHz solid-state microwave sources.

Design study of an ultra-compact superconducting cyclotron for isotope production

NASA Astrophysics Data System (ADS)

Smirnov, V.; Vorozhtsov, S.; Vincent, J.

2014-11-01

A 12.5 MeV, 25 μA, proton compact superconducting cyclotron for medical isotope production has been designed and is currently in fabrication. The machine is initially aimed at producing 13N ammonia for Positron Emission Tomography (PET) cardiology applications. With an ultra-compact size and cost-effective price point, this system will offer clinicians unprecedented access to the preferred radiopharmaceutical isotope for cardiac PET imaging. A systems approach that carefully balanced the subsystem requirements coupled to precise beam dynamics calculations was followed. The system is designed to irradiate a liquid target internal to the cyclotron and to minimize the need for radiation shielding. The main parameters of the cyclotron, its design, and principal steps of the development work are presented here.

The cyclotron laboratory and the RFQ accelerator in Bern

NASA Astrophysics Data System (ADS)

Braccini, S.; Ereditato, A.; Kreslo, I.; Nirkko, M.; Scampoli, P.; von Bremen, K.; Weber, M.

2013-07-01

Two proton accelerators have been recently put in operation in Bern: an 18 MeV cyclotron and a 2 MeV RFQ linac. The commercial IBA 18/18 cyclotron, equipped with a specifically conceived 6 m long external beam line ending in a separate bunker, will provide beams for routine 18-F and other PET radioisotope production as well as for novel detector, radiation biophysics, radioprotection, radiochemistry and radiopharmacy developments. The accelerator is embedded into a complex building hosting two physics laboratories and four Good Manufacturing Practice (GMP) laboratories. This project is the result of a successful collaboration between the Inselspital, the University of Bern and private investors, aiming at the constitution of a combined medical and research centre able to provide the most cutting-edge technologies in medical imaging and cancer radiation therapy. The cyclotron is complemented by the RFQ with the primary goals of elemental analysis via Particle Induced Gamma Emission (PIGE), and the detection of potentially dangerous materials with high nitrogen content using the Gamma-Resonant Nuclear Absorption (GRNA) technique. In this context, beam instrumentation devices have been developed, in particular an innovative beam profile monitor based on doped silica fibres and a setup for emittance measurements using the pepper-pot technique. On this basis, the establishment of a proton therapy centre on the campus of the Inselspital is in the phase of advanced study.

The National Disaster Medical System

NASA Technical Reports Server (NTRS)

Reutershan, Thomas P.

1991-01-01

The Emergency Mobilization Preparedness Board developed plans for improved national preparedness in case of major catastrophic domestic disaster or the possibility of an overseas conventional conflict. Within the health and medical arena, the working group on health developed the concept and system design for the National Disaster Medical System (NDMS). A description of NDMS is presented including the purpose, key components, medical response, patient evacuation, definitive medical care, NDMS activation and operations, and summary and benefits.

Applications of high-energy heavy-ions from superconducting cyclotrons

DOE Office of Scientific and Technical Information (OSTI.GOV)

Grimm, T. L.

1999-06-10

The superconducting cyclotrons of the National Superconducting Cyclotron Laboratory (NSCL), a major nuclear physics facility, can provide ions of any element from hydrogen to uranium. A major upgrade to the NSCL is underway and will consist of an electron cyclotron resonance (ECR) ion source followed by two large superconducting cyclotrons (K500 and K1200). Ions can be extracted at any point along this chain allowing a large range of energies and charge states. The ion energies range from a few keV to over 20 GeV, and charge states up to fully stripped {sup 197}Au{sup 79+} and two electron {sup 238}U{sup 90+}more » are possible. The long range of the high-energy heavy-ions allows them to penetrate deeply into a target that is placed in air, outside a vacuum chamber. The ion beams have already been used for a number of applications including; ion implantation, atomic physics, single event effects in integrated circuits, DNA radiation studies, radiation detector studies, flux pinning in high-T{sub c} superconductors, calibration of a space-based spectrometer, isotropic ratio measurements, material wear studies, and continuous positron emission tomography imaging.« less

The cyclotron laboratory and the RFQ accelerator in Bern

DOE Office of Scientific and Technical Information (OSTI.GOV)

Braccini, S.; Ereditato, A.; Kreslo, I.

2013-07-18

Two proton accelerators have been recently put in operation in Bern: an 18 MeV cyclotron and a 2 MeV RFQ linac. The commercial IBA 18/18 cyclotron, equipped with a specifically conceived 6 m long external beam line ending in a separate bunker, will provide beams for routine 18-F and other PET radioisotope production as well as for novel detector, radiation biophysics, radioprotection, radiochemistry and radiopharmacy developments. The accelerator is embedded into a complex building hosting two physics laboratories and four Good Manufacturing Practice (GMP) laboratories. This project is the result of a successful collaboration between the Inselspital, the University ofmore » Bern and private investors, aiming at the constitution of a combined medical and research centre able to provide the most cutting-edge technologies in medical imaging and cancer radiation therapy. The cyclotron is complemented by the RFQ with the primary goals of elemental analysis via Particle Induced Gamma Emission (PIGE), and the detection of potentially dangerous materials with high nitrogen content using the Gamma-Resonant Nuclear Absorption (GRNA) technique. In this context, beam instrumentation devices have been developed, in particular an innovative beam profile monitor based on doped silica fibres and a setup for emittance measurements using the pepper-pot technique. On this basis, the establishment of a proton therapy centre on the campus of the Inselspital is in the phase of advanced study.« less

Fourier Transform Ion Cyclotron Resonance Mass Spectrometry at the Cyclotron Frequency.

PubMed

Nagornov, Konstantin O; Kozhinov, Anton N; Tsybin, Yury O

2017-04-01

The phenomenon of ion cyclotron resonance allows for determining mass-to-charge ratio, m/z, of an ensemble of ions by means of measurements of their cyclotron frequency, ω c . In Fourier transform ion cyclotron resonance mass spectrometry (FT-ICR MS), the ω c quantity is usually unavailable for direct measurements: the resonant state is located close to the reduced cyclotron frequency (ω + ), whereas the ω c and the corresponding m/z values may be calculated via theoretical derivation from an experimental estimate of the ω + quantity. Here, we describe an experimental observation of a new resonant state, which is located close to the ω c frequency and is established because of azimuthally-dependent trapping electric fields of the recently developed ICR cells with narrow aperture detection electrodes. We show that in mass spectra, peaks close to ω + frequencies can be reduced to negligible levels relative to peaks close to ω c frequencies. Due to reduced errors with which the ω c quantity is obtained, the new resonance provides a means of cyclotron frequency measurements with precision greater than that achieved when ω + frequency peaks are employed. The described phenomenon may be considered for a development into an FT-ICR MS technology with increased mass accuracy for applications in basic research, life, and environmental sciences. Graphical Abstract ᅟ.

All-magnetic extraction for cyclotron beam reacceleration

DOEpatents

Hudson, E.D.; Mallory, M.L.

1975-07-22

An isochronous cyclotron can be modified to provide an initial electron stripping stage, a complete acceleration of the stripped ions through the cyclotron to a first energy state, means for returning the ions to an intermediate cyclotron orbit through a second stripping stage, further acceleration of the now higher energy stripped ions through the cyclotron to their final energy, and final extraction of the ions from the cyclotron. (auth)

Bloch equations applied to ion cyclotron resonance spectroscopy: Broadband interconversion between magnetron and cyclotron motion for ion axialization

NASA Astrophysics Data System (ADS)

Guan, Shenheng; Marshall, Alan G.

1993-03-01

Conversion of magnetron motion to cyclotron motion combined with collisional cooling of the cyclotron motion provides an efficient way to reduce the kinetic energy of trapped heavy ions and to reduce their magnetron radii in an ion cyclotron resonance (ICR) ion trap. The coupling of magnetron and cyclotron motion can be realized by azimuthal quadrupolar excitation. Theoretical understanding of the coupling process has until now been based on resonant single-frequency quadrupolar excitation at the combination frequency ωc=ω++ω-, in which ωc is the ion cyclotron orbital frequency in the absence of electrostatic field; and ω+ and ω- are the reduced cyclotron and magnetron frequencies in the presence of an electrostatic trapping potential. In this work, we prove that the magnetron/cyclotron coupling is closely related to a two energy level system whose behavior is described by the well-known Bloch equations. By means of a special transformation, the equations of motion for the coupling may be expressed in Bloch-type equations in spherical coordinates. We show that magnetron-to-cyclotron conversion by single-frequency quadrupolar excitation in ICR is analogous to a 180° pulse in nuclear magnetic resonance (NMR). We go on to show that simultaneous magnetron-to-cyclotron conversion of ions over a finite mass-to-charge ratio range may be produced by quadrupolar frequency-sweep excitation, by analogy to adiabatic rapid passage in magnetic resonance. Axialization by broadband magnetron-to-cyclotron conversion followed by cyclotron cooling is successfully demonstrated experimentally for a crude oil distillate sample.

Central region of SKKUCY-9 compact cyclotron

NASA Astrophysics Data System (ADS)

Jung, S. Y.; Kim, H. W.; Ghergherehchi, M.; Park, J. K.; Chai, J. S.; Kim, S. H.

2014-04-01

The development of a 9 MeV compact cyclotron for the production of radioisotopes for medical applications has been recently completed. The machine accelerates negative hydrogen ions generated from an internal PIG (Penning Ion Gauge) ion source following spiral orbits. Some of the structures designed for early beam acceleration, including a pair of center poles providing ions a circular direction, the head of the ion source, and the electrodes, are located in the center of the cyclotron. In this paper we discuss and evaluate the design of the central region that pulls the ions from the chimney of the ion source and directs them into the equilibrium orbit. The magnetic field produced by the center poles was analyzed using the magnetic solver in OPERA-3D TOSCA, and the phase error and ion equilibrium orbit, which is dependent on the kinetic energy within the designed field, were calculated using CYCLONE v8.4. The electric field produced in the acceleration gap was designed using an electrostatic solver. Then, the single beam trajectory was calculated by our own Cyclotron Beam Dynamics (CBD) code. The early orbits, vertical oscillation, acceptable RF phase and the energy gain during the early turns was evaluated. Final goal was to design the central region by the iterative optimization process and verify it with 1 MeV beam experiment.

Status of ion sources at National Institute of Radiological Sciences.

PubMed

Kitagawa, A; Fujita, T; Goto, A; Hattori, T; Hamano, T; Hojo, S; Honma, T; Imaseki, H; Katagiri, K; Muramatsu, M; Sakamoto, Y; Sekiguchi, M; Suda, M; Sugiura, A; Suya, N

2012-02-01

The National Institute of Radiological Sciences (NIRS) maintains various ion accelerators in order to study the effects of radiation of the human body and medical uses of radiation. Two electrostatic tandem accelerators and three cyclotrons delivered by commercial companies have offered various life science tools; these include proton-induced x-ray emission analysis (PIXE), micro beam irradiation, neutron exposure, and radioisotope tracers and probes. A duoplasmatron, a multicusp ion source, a penning ion source (PIG), and an electron cyclotron resonance ion source (ECRIS) are in operation for these purposes. The Heavy-Ion Medical Accelerator in Chiba (HIMAC) is an accelerator complex for heavy-ion radiotherapy, fully developed by NIRS. HIMAC is utilized not only for daily treatment with the carbon beam but also for fundamental experiments. Several ECRISs and a PIG at HIMAC satisfy various research and clinical requirements.

Status of ion sources at National Institute of Radiological Sciencesa)

NASA Astrophysics Data System (ADS)

Kitagawa, A.; Fujita, T.; Goto, A.; Hattori, T.; Hamano, T.; Hojo, S.; Honma, T.; Imaseki, H.; Katagiri, K.; Muramatsu, M.; Sakamoto, Y.; Sekiguchi, M.; Suda, M.; Sugiura, A.; Suya, N.

2012-02-01

The National Institute of Radiological Sciences (NIRS) maintains various ion accelerators in order to study the effects of radiation of the human body and medical uses of radiation. Two electrostatic tandem accelerators and three cyclotrons delivered by commercial companies have offered various life science tools; these include proton-induced x-ray emission analysis (PIXE), micro beam irradiation, neutron exposure, and radioisotope tracers and probes. A duoplasmatron, a multicusp ion source, a penning ion source (PIG), and an electron cyclotron resonance ion source (ECRIS) are in operation for these purposes. The Heavy-Ion Medical Accelerator in Chiba (HIMAC) is an accelerator complex for heavy-ion radiotherapy, fully developed by NIRS. HIMAC is utilized not only for daily treatment with the carbon beam but also for fundamental experiments. Several ECRISs and a PIG at HIMAC satisfy various research and clinical requirements.

Measurements and evaluation of the risks due to external radiation exposures and to intake of activated elements for operational staff engaged in the maintenance of medical cyclotrons.

PubMed

Calandrino, R; del Vecchio, A; Parisi, R; Todde, S; De Felice, P; Savi, A; Pepe, A; Mrskova, A

2010-06-01

The aim of this paper is to assess the activation phenomena and to evaluate the risk of external exposure and intake doses for the maintenance staff of two medical cyclotrons. Two self-shielded cyclotrons are currently operating in the facility for the routine production of (11)C and (18)F. Four radiochemistry laboratories are linked to the cyclotrons by means of shielded radioisotope delivery lines. Radiopharmaceuticals are prepared both for the PET Diagnostic Department, where four CT-PET scanners are operating with a mean patient workload of 40 d(-1) and for [(18)F]FDG external distribution, to provide radiopharmaceuticals for other institutions. In spite of the fact that air contamination inside the radiochemistry laboratories during the synthesis represents the largest 'slice of the pie' in the evaluation of annual intake dose, potential contamination due to the activated particulate, generated during cyclotron irradiation by micro-corrosion of targets and other components potentially struck by the proton beam and generated neutrons, should be considered. In this regard, the most plausible long-lived (T(1/2) > 30 d) radioisotopes formed are: (97)Tc, (56)Co, (57)Co, (58)Co, (60)Co, (49)V, (55)Fe, (109)Cd, (65)Zn and (22)Na. The results for the operating personnel survey has revealed only low-level contamination for (65)Zn in one test, together with minor (18)F intake, probably due to the environmental dispersion of the radioisotope during the [(18)F]FDG synthesis.

Source terms, shielding calculations and soil activation for a medical cyclotron.

PubMed

Konheiser, J; Naumann, B; Ferrari, A; Brachem, C; Müller, S E

2016-12-01

Calculations of the shielding and estimates of soil activation for a medical cyclotron are presented in this work. Based on the neutron source term from the 18 O(p,n) 18 F reaction produced by a 28 MeV proton beam, neutron and gamma dose rates outside the building were estimated with the Monte Carlo code MCNP6 (Goorley et al 2012 Nucl. Technol. 180 298-315). The neutron source term was calculated with the MCNP6 code and FLUKA (Ferrari et al 2005 INFN/TC_05/11, SLAC-R-773) code as well as with supplied data by the manufacturer. MCNP and FLUKA calculations yielded comparable results, while the neutron yield obtained using the manufacturer-supplied information is about a factor of 5 smaller. The difference is attributed to the missing channels in the manufacturer-supplied neutron source terms which considers only the 18 O(p,n) 18 F reaction, whereas the MCNP and FLUKA calculations include additional neutron reaction channels. Soil activation was performed using the FLUKA code. The estimated dose rate based on MCNP6 calculations in the public area is about 0.035 µSv h -1 and thus significantly below the reference value of 0.5 µSv h -1 (2011 Strahlenschutzverordnung, 9 Auflage vom 01.11.2011, Bundesanzeiger Verlag). After 5 years of continuous beam operation and a subsequent decay time of 30 d, the activity concentration of the soil is about 0.34 Bq g -1 .

Commercial and PET radioisotope manufacturing with a medical cyclotron

NASA Astrophysics Data System (ADS)

Boothe, T. E.; McLeod, T. F.; Plitnikas, M.; Kinney, D.; Tavano, E.; Feijoo, Y.; Smith, P.; Szelecsényi, F.

1993-06-01

Mount Sinai has extensive experience in producing radionuclides for commercial sales and for incorporation into radiopharmaceuticals, including PET. Currently, an attempt is being made to supply radiochemicals to radiopharmaceutical manufacturers outside the hospital, to prepare radiopharmaceuticals for in-house use, and to prepare PET radiopharmaceuticals, such as 2-[F-18] FDG, for outside sales. This use for both commercial and PET manufacturing is atypical for a hospital-based cyclotron. To accomplish PET radiopharmaceutical sales, the hospital operates a nuclear pharmacy. A review of operational details for the past several years shows a continuing dependence on commercial sales which is reflected in research and developmental aspects and in staffing. Developmental efforts have centered primarily on radionuclide production, target development, and radiochemical processing optimization.

45 CFR 303.32 - National Medical Support Notice.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 2 2014-10-01 2012-10-01 true National Medical Support Notice. 303.32 Section 303... SERVICES STANDARDS FOR PROGRAM OPERATIONS § 303.32 National Medical Support Notice. (a) Mandatory State... specified under paragraph (c) of this section for the use, where appropriate, of the National Medical...

Commercial compact cyclotrons in the 90`s

DOE Office of Scientific and Technical Information (OSTI.GOV)

Milton, B.F.

1995-09-01

Cyclotrons continue to be efficient accelerators for radio-isotope production. In recent years, developments in the accelerator technology have greatly increased the practical beam current in these machines while also improving the overall system reliability. These developments combined with the development of new isotopes for medicine and industry, and a retiring of older machines indicate a strong future for commercial cyclotrons. In this paper the authors will survey recent developments in the areas of cyclotron technology, as they relate to the new generation of commercial cyclotrons. Design criteria for the different types of commercial cyclotrons will be presented, with reference tomore » those demands that differ from those in a research oriented cyclotron project. The authors also discuss the possibility of systems designed for higher energies and capable of extracted beam currents of up to 2.0 mA.« less

Method and apparatus for ion cyclotron spectrometry

DOEpatents

Dahl, David A [Idaho Falls, ID; Scott, Jill R [Idaho Falls, ID; McJunkin, Timothy R [Idaho Falls, ID

2010-08-17

An ion cyclotron spectrometer may include a vacuum chamber that extends at least along a z-axis and means for producing a magnetic field within the vacuum chamber so that a magnetic field vector is generally parallel to the z-axis. The ion cyclotron spectrometer may also include means for producing a trapping electric field within the vacuum chamber that includes at least a first section that induces a first magnetron effect that increases a cyclotron frequency of an ion and at least a second section that induces a second magnetron effect that decreases the cyclotron frequency of an ion. The cyclotron frequency changes induced by the first and second magnetron effects substantially cancel one another so that an ion traversing the at least first and second sections will experience no net change in cyclotron frequency.

Overview of the future upgrade of the INFN-LNS superconducting cyclotron

NASA Astrophysics Data System (ADS)

Calabretta, Luciano; Calanna, Alessandra; Cuttone, Giacomo; D'Agostino, Grazia; Rifuggiato, Danilo; Domenico Russo, Antonio

2017-06-01

The LNS Superconducting Cyclotron, named “Ciclotrone Superconduttore” (CS), has been in operation for more than 20 years. A wide range of ion species from hydrogen to lead, with energy in the range 10 to 80 AMeV, have been delivered to users. The maximum beam power is limited to 100 W due to the beam dissipation on the electrostatic deflectors. To fulfil the demand of users aiming at studying rare processes in nuclear physics, an upgrade of the cyclotron is necessarily intended to increase the intensity of ion beams with mass lower than 40 a.m.u. up to a power 10 kW. This will be achieved by means of extraction by stripping. This solution needs to replace the cryostat including the superconducting coils. The present capability of the cyclotron will be maintained, i.e. all the ion species allowed by the operating diagram will be available, being extracted by electrostatic extraction. In addition to the high power beams for nuclear physics, it will be possible to produce medical radioisotopes like 211At using an internal target.

Compact injector with alternating phase focusing-interdigital H-mode linac and superconducting electron cyclotron resonance ion source for heavy ion cancer therapy

NASA Astrophysics Data System (ADS)

Hayashizaki, Noriyosu; Hattori, Toshiyuki; Matsui, Shinjiro; Tomizawa, Hiromitsu; Yoshida, Toru; Isokawa, Katsushi; Kitagawa, Atsushi; Muramatsu, Masayuki; Yamada, Satoru; Okamura, Masahiro

2000-02-01

We have researched a compact medical accelerator with low investment and running cost for the popularization of heavy ion cancer therapy. As the first step, the compact injector system has been investigated for a Heavy Ion Medical Accelerator in Chiba at National Institute of Radiological Sciences. The proposed new injector system consists of a 6 MeV/u interdigital H-mode (IH) linac of 3.1 m long and a 18 GHz superconducting electron cyclotron resonance (ECR) (SC-ECR) ion source. The IH linac with high power efficiency is appropriate to a medical and industrial injector system. Its beam trajectory was simulated and a prototype has been constructed. The SC-ECR ion source has been designed to realize lightweight and low power consumption and the mirror field distribution was estimated.

Accelerator Production of Isotopes for Medical Use

NASA Astrophysics Data System (ADS)

Lapi, Suzanne

2014-03-01

The increase in use of radioisotopes for medical imaging and therapy has led to the development of novel routes of isotope production. For example, the production and purification of longer-lived position emitting radiometals has been explored to allow for nuclear imaging agents based on peptides, antibodies and nanoparticles. These isotopes (64Cu, 89Zr, 86Y) are typically produced via irradiation of solid targets on smaller medical cyclotrons at dedicated facilities. Recently, isotope harvesting from heavy ion accelerator facilities has also been suggested. The Facility for Rare Isotope Beams (FRIB) will be a new national user facility for nuclear science to be completed in 2020. Radioisotopes could be produced by dedicated runs by primary users or may be collected synergistically from the water in cooling-loops for the primary beam dump that cycle the water at flow rates in excess of hundreds of gallons per minute. A liquid water target system for harvesting radioisotopes at the National Superconducting Cyclotron Laboratory (NSCL) was designed and constructed as the initial step in proof-of-principle experiments to harvest useful radioisotopes in this manner. This talk will provide an overview of isotope production using both dedicated machines and harvesting from larger accelerators typically used for nuclear physics. Funding from Department of Energy under DESC0007352 and DESC0006862.

Production of copper-64 and gallium-68 with a medical cyclotron using liquid targets

NASA Astrophysics Data System (ADS)

Alves, F.; Alves, V. H. P.; Do Carmo, S. J. C.; Neves, A. C. B.; Silva, M.; Abrunhosa, A. J.

2017-06-01

This work describes the production of two clinically relevant metal radioisotopes 64Cu and 68Ga with a medical cyclotron by the irradiation of liquid targets. New results are presented for the implementation of this methodology in a fully automated system, using commercially available equipment. Liquid target solutions containing enriched 64Ni and 68Zn were loaded, bombarded and transferred to synthesis modules where a purified solution containing the desired radiometal is obtained and can then be used to further radiolabeling within only one hour after End-Of-Bombardment (EOB). Typical production runs using enriched material lead to the production of 5 GBq and 6 GBq (0.14 MBq/(μAh ṡ mg) and 1.5 MBq/(μAh ṡ mg)) of 64Cu and 68Ga; although the technique can be used to obtain up to 25 GBq and 40 GBq, respectively, by simply scaling up the amount of the enriched material. Purified solutions containing 64Cu and 68Ga were obtained within 30 min after EOB and used to produce 64Cu-ATSM and 68Ga-DOTA-NOC, respectively, with quality parameters suitable for human use.

29 CFR 2590.609-2 - National Medical Support Notice.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 9 2014-07-01 2014-07-01 false National Medical Support Notice. 2590.609-2 Section 2590..., Qualified Medical Child Support Orders, Coverage for Adopted Children § 2590.609-2 National Medical Support Notice. (a) This section promulgates the National Medical Support Notice (the Notice), as mandated by...

29 CFR 2590.609-2 - National Medical Support Notice.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 9 2013-07-01 2013-07-01 false National Medical Support Notice. 2590.609-2 Section 2590..., Qualified Medical Child Support Orders, Coverage for Adopted Children § 2590.609-2 National Medical Support Notice. (a) This section promulgates the National Medical Support Notice (the Notice), as mandated by...

EBCO Technologies TR Cyclotrons, Dynamics, Equipment, and Applications

DOE Office of Scientific and Technical Information (OSTI.GOV)

Johnson, R.R.; Univ British Columbia; Erdman, K. L.

2003-08-26

The Ebco Technologies TR cyclotrons have a common parent in the 500 MeV negative ion cyclotron at TRIUMF in Vancouver. As such, the TR cyclotrons have features that can be adapted for specific application. The cyclotron design is modularized into ion source and injection system, central region and then extraction. The cyclotron ion source is configured for cyclotron beam currents ranging from 50 microAmps to 2 milliAmps. The injection line can be operated in either continuous (CW) or in pulsed mode. The center region of the cyclotron is configured to match the ion source configuration. The extracted beams are directedmore » either to a local target station or to beam lines and thence to target stations. There has been development both in solid, liquid and gas targets. There has been development in radioisotope handling techniques, target material recovery and radiochemical synthesis.« less

76 FR 28403 - National Registry of Certified Medical Examiners

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-17

... [Docket No. FMCSA-2008-0363] RIN 2126-AA97 National Registry of Certified Medical Examiners ACTION: Notice... by training providers in implementing the National Registry of Certified Medical Examiners (National... included minimum training requirements for medical examiners. The draft guidance announced by this notice...

Cyclotron Phase-Coherent Ion Spatial Dispersion in a Non-Quadratic Trapping Potential is Responsible for FT-ICR MS at the Cyclotron Frequency

NASA Astrophysics Data System (ADS)

Nagornov, Konstantin O.; Kozhinov, Anton N.; Tsybin, Yury O.

2018-01-01

Fourier transform ion cyclotron resonance mass spectrometry (FT-ICR MS) at the cyclotron frequency instead of the reduced cyclotron frequency has been experimentally demonstrated using narrow aperture detection electrode (NADEL) ICR cells. Here, based on the results of SIMION simulations, we provide the initial mechanistic insights into the cyclotron frequency regime generation in FT-ICR MS. The reason for cyclotron frequency regime is found to be a new type of a collective motion of ions with a certain dispersion in the initial characteristics, such as pre-excitation ion velocities, in a highly non-quadratic trapping potential as realized in NADEL ICR cells. During ion detection, ions of the same m/z move in phase for cyclotron ion motion but out of phase for magnetron (drift) ion motion destroying signals at the fundamental and high order harmonics that comprise reduced cyclotron frequency components. After an initial magnetron motion period, ion clouds distribute into a novel type of structures - ion slabs, elliptical cylinders, or star-like structures. These structures rotate at the Larmor (half-cyclotron) frequency on a plane orthogonal to the magnetic field, inducing signals at the true cyclotron frequency on each of the narrow aperture detection electrodes. To eliminate the reduced cyclotron frequency peak upon dipolar ion detection, a number of slabs or elliptical cylinders organizing a star-like configuration are formed. In a NADEL ICR cell with quadrupolar ion detection, a single slab or an elliptical cylinder is sufficient to minimize the intensity of the reduced cyclotron frequency components, particularly the second harmonic. [Figure not available: see fulltext.

45 CFR 303.32 - National Medical Support Notice.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 2 2011-10-01 2011-10-01 false National Medical Support Notice. 303.32 Section... HUMAN SERVICES STANDARDS FOR PROGRAM OPERATIONS § 303.32 National Medical Support Notice. (a) Mandatory... Medical Support Notice (NMSN), to enforce the provision of health care coverage for children of...

Cyclotrons and positron emitting radiopharmaceuticals

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wolf, A.P.; Fowler, J.S.

1984-01-01

The state of the art of Positron Emission Tomography (PET) technology as related to cyclotron use and radiopharmaceutical production is reviewed. The paper discusses available small cyclotrons, the positron emitters which can be produced and the yields possible, target design, and radiopharmaceutical development and application. 97 refs., 12 tabs. (ACR)

Status of the Milan superconducting cyclotron project

DOE Office of Scientific and Technical Information (OSTI.GOV)

Acerbi, E.

1983-08-01

This paper presents an updated status report on the Superconducting Cyclotron, under construction at the University of Milan during the past two years, with funding chiefly provided by the Italian National Institute for Nuclear Physics. The cyclotron is designed for a K of 800 and a K /SUB FOC/ of 200 and thus yields maximum energies of 100 MeV/n for fully stripped light ions and 20 MeV/n for uranium and other heavy ions. The pole radius is 90 cm with three sectors having an average spiral constant of 1/45.7 rad/cm. The average magnetic field will span between 22 and 48more » K Gauss with a corresponding R.F. frequency range between 15 and 48 MHz. The anticipated peak dee voltage is 100 KV with harmonic operation from h = 1 to h = 4. The operating modes include the use of an internal PIG source, injection from a 16 MV tandem, and axial injection from an external ion source. This paper presents the design parameters and outlines the progress made so far.« less

Cyclotron transitions of bound ions

NASA Astrophysics Data System (ADS)

Bezchastnov, Victor G.; Pavlov, George G.

2017-06-01

A charged particle in a magnetic field possesses discrete energy levels associated with particle rotation around the field lines. The radiative transitions between these levels are the well-known cyclotron transitions. We show that a bound complex of particles with a nonzero net charge displays analogous transitions between the states of confined motion of the entire complex in the field. The latter bound-ion cyclotron transitions are affected by a coupling between the collective and internal motions of the complex and, as a result, differ from the transitions of a "reference" bare ion with the same mass and charge. We analyze the cyclotron transitions for complex ions by including the coupling within a rigorous quantum approach. Particular attention is paid to comparison of the transition energies and oscillator strengths to those of the bare ion. Selection rules based on integrals of collective motion are derived for the bound-ion cyclotron transitions analytically, and the perturbation and coupled-channel approaches are developed to study the transitions quantitatively. Representative examples are considered and discussed for positive and negative atomic and cluster ions.

Electron cyclotron emission from nonthermal tokamak plasmas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Harvey, R.W.; O'Brien, M.R.; Rozhdestvensky, V.V.

1993-02-01

Electron cyclotron emission can be a sensitive indicator of nonthermal electron distributions. A new, comprehensive ray-tracing and cyclotron emission code that is aimed at predicting and interpreting the cyclotron emission from tokamak plasmas is described. The radiation transfer equation is solved along Wentzel--Kramers--Brillouin (WKB) rays using a fully relativistic calculation of the emission and absorption from electron distributions that are gyrotropic and toroidally symmetric, but may be otherwise arbitrary functions of the constants of motion. Using a radial array of electron distributions obtained from a bounce-averaged Fokker--Planck code modeling dc electron field and electron cyclotron heating effects, the cyclotron emissionmore » spectra are obtained. A pronounced strong nonthermal cyclotron emission feature that occurs at frequencies relativistically downshifted to second harmonic cyclotron frequencies outside the tokamak is calculated, in agreement with experimental results from the DIII-D [J. L. Luxon and L. G. Davies, Fusion Technol. [bold 8], 441 (1985)] and FT-1 [D. G. Bulyginsky [ital et] [ital al]., in [ital Proceedings] [ital of] [ital the] 15[ital th] [ital European] [ital Conference] [ital on] [ital Controlled] [ital Fusion] [ital and] [ital Plasma] [ital Heating], Dubrovnik, 1988 (European Physical Society, Petit-Lancy, 1988), Vol. 12B, Part II, p. 823] tokamaks. The calculations indicate the presence of a strong loss mechanism that operates on electrons in the 100--150 keV energy range.« less

The instrument for investigating magnetic fields of isochronous cyclotrons

NASA Astrophysics Data System (ADS)

Avreline, N. V.

2017-12-01

A new instrument was designed and implemented in order to increase the measurement accuracy of magnetic field maps for isochronous Cyclotrons manufactured by Advanced Cyclotron Systems Inc. This instrument uses the Hall Probe (HP) from New Zealand manufacturer Group3. The specific probe used is MPT-141 HP and can measure magnetic field in the range from 2G to 21kG. Use of a fast ADC NI9239 module and error reduction algorithms, based on a polynomial regression method, allowed to reduce the noise to 0.2G. The design of this instrument allows to measure high gradient magnetic fields, as the resolution of the HP arm angle is within 0.0005° and the radial position resolution is within 25μm. A set of National Instrument interfaces connected to a desktop computer through a network are used as base control and data acquisition systems.

Advanced Accelerators for Medical Applications

NASA Astrophysics Data System (ADS)

Uesaka, Mitsuru; Koyama, Kazuyoshi

We review advanced accelerators for medical applications with respect to the following key technologies: (i) higher RF electron linear accelerator (hereafter “linac”); (ii) optimization of alignment for the proton linac, cyclotron and synchrotron; (iii) superconducting magnet; (iv) laser technology. Advanced accelerators for medical applications are categorized into two groups. The first group consists of compact medical linacs with high RF, cyclotrons and synchrotrons downsized by optimization of alignment and superconducting magnets. The second group comprises laser-based acceleration systems aimed of medical applications in the future. Laser plasma electron/ion accelerating systems for cancer therapy and laser dielectric accelerating systems for radiation biology are mentioned. Since the second group has important potential for a compact system, the current status of the established energy and intensity and of the required stability are given.

Advanced Accelerators for Medical Applications

NASA Astrophysics Data System (ADS)

Uesaka, Mitsuru; Koyama, Kazuyoshi

We review advanced accelerators for medical applications with respect to the following key technologies: (i) higher RF electron linear accelerator (hereafter "linac"); (ii) optimization of alignment for the proton linac, cyclotron and synchrotron; (iii) superconducting magnet; (iv) laser technology. Advanced accelerators for medical applications are categorized into two groups. The first group consists of compact medical linacs with high RF, cyclotrons and synchrotrons downsized by optimization of alignment and superconducting magnets. The second group comprises laserbased acceleration systems aimed of medical applications in the future. Laser plasma electron/ion accelerating systems for cancer therapy and laser dielectric accelerating systems for radiation biology are mentioned. Since the second group has important potential for a compact system, the current status of the established energy and intensity and of the required stability are given.

Use of cyclotrons in medicine

NASA Astrophysics Data System (ADS)

Qaim, S. M.

2004-10-01

Cyclotrons are versatile ion-accelerating machines which find many applications in medicine. In this short review their use in hadron therapy is briefly discussed. Proton therapy is gaining significance because of its capability to treat deep-lying tumours. A strong area of application of cyclotrons involves the production of short-lived neutron deficient radiotracers for use in emission tomography, especially positron emission tomography. This fast and quantitative in vivo diagnostic technique is being increasingly used in neurology, cardiology and oncology. Besides routine patient care, considerable interdisciplinary work on development of new positron emitters is under way. A short account of those efforts is given. The use of cyclotrons in the production of radionuclides for internal radiotherapy is also briefly described.

Precision phase control for the radio frequency system of K500 superconducting cyclotron at Variable Energy Cyclotron Centre, Kolkata

DOE Office of Scientific and Technical Information (OSTI.GOV)

Som, Sumit; Ghosh, Surajit; Seth, Sudeshna

2013-11-15

Variable Energy Cyclotron Centre (VECC) has commissioned K500 Superconducting cyclotron (SCC) based on MSU and Texas A and M university cyclotrons. The radio frequency (RF) system of SCC has been commissioned with the stringent requirement of various RF parameters. The three-phase RF system of Superconducting cyclotron has been developed in the frequency range 9–27 MHz with amplitude and phase stability of 100 ppm and ±0.1°, respectively. The phase control system has the option to change the relative phase difference between any two RF cavities and maintain the phase stability within ±0.1° during round-the-clock cyclotron operation. The said precision phase loopmore » consists of both analogue In-phase/Quadrature modulator to achieve faster response and also Direct Digital Synthesis based phase shifter to achieve wide dynamic range as well. This paper discusses detail insights into the various issues of phase control for the K500 SCC at VECC, Kolkata.« less

Electron cyclotron harmonic wave acceleration

NASA Technical Reports Server (NTRS)

Karimabadi, H.; Menyuk, C. R.; Sprangle, P.; Vlahos, L.

1987-01-01

A nonlinear analysis of particle acceleration in a finite bandwidth, obliquely propagating electromagnetic cyclotron wave is presented. It has been suggested by Sprangle and Vlahos in 1983 that the narrow bandwidth cyclotron radiation emitted by the unstable electron distribution inside a flaring solar loop can accelerate electrons outside the loop by the interaction of a monochromatic wave propagating along the ambient magnetic field with the ambient electrons. It is shown here that electrons gyrating and streaming along a uniform, static magnetic field can be accelerated by interacting with the fundamental or second harmonic of a monochromatic, obliquely propagating cyclotron wave. It is also shown that the acceleration is virtually unchanged when a wave with finite bandwidth is considered. This acceleration mechanism can explain the observed high-energy electrons in type III bursts.

Method and apparatuses for ion cyclotron spectrometry

DOEpatents

Dahl, David A [Idaho Falls, ID; Scott, Jill R [Idaho Falls, ID; McJunkin, Timothy R [Idaho Falls, ID

2012-03-06

An ion cyclotron spectrometer may include a vacuum chamber that extends at least along a z-axis and means for producing a magnetic field within the vacuum chamber so that a magnetic field vector is generally parallel to the z-axis. The ion cyclotron spectrometer may also include means for producing a trapping electric field within the vacuum chamber. The trapping electric field may comprise a field potential that, when taken in cross-section along the z-axis, includes at least one section that is concave down and at least one section that is concave up so that ions traversing the field potential experience a net magnetron effect on a cyclotron frequency of the ions that is substantially equal to zero. Other apparatuses and a method for performing ion cyclotron spectrometry are also disclosed herein.

Low energy cyclotron for radiocarbon dating

DOE Office of Scientific and Technical Information (OSTI.GOV)

Welch, J.J.

1984-12-01

The measurement of naturally occurring radioisotopes whose half lives are less than a few hundred million years but more than a few years provides information about the temporal behavior of geologic and climatic processes, the temporal history of meteoritic bodies as well as the production mechanisms of these radioisotopes. A new extremely sensitive technique for measuring these radioisotopes at tandem Van de Graaff and cyclotron facilities has been very successful though the high cost and limited availability have been discouraging. We have built and tested a low energy cyclotron for radiocarbon dating similar in size to a conventional mass spectrometer.more » These tests clearly show that with the addition of a conventional ion source, the low energy cyclotron can perform the extremely high sensitivity /sup 14/C measurements that are now done at accelerator facilities. We found that no significant background is present when the cyclotron is tuned to accelerate /sup 14/C negative ions and the transmission efficiency is adequate to perform radiocarbon dating on milligram samples of carbon. The internal ion source used did not produce sufficient current to detect /sup 14/C directly at modern concentrations. We show how a conventional carbon negative ion source, located outside the cyclotron magnet, would produce sufficient beam and provide for quick sampling to make radiocarbon dating milligram samples with a modest laboratory instrument feasible.« less

Bureaucratization and medical professionals' values: A cross-national analysis.

PubMed

Racko, Girts

2017-05-01

Understanding the impact of the bureaucratization of governance systems on the occupational values of medical professionals is a fundamental concern of the sociological research of healthcare professions. While previous studies have examined the impact of bureaucratized management, organizations, and healthcare fields on medical professionals' values, there is a lack of cross-national research on the normative impact of the bureaucratized systems of national governance. Using the European Social Survey data for 29 countries, this study examines the impact of the bureaucratization of national governance systems on the occupational values of medical professionals. The findings indicate that medical professionals who are employed in countries with the more bureaucratized systems of national governance are less concerned with openness to change values, that emphasize autonomy and creativity, and self-transcendence values, that emphasize common good. The findings also indicate that the negative effect of the bureaucratization of national governance on the openness to change values is stronger for medical professionals in more bureaucratized organizations with more rationalized administration systems. Copyright © 2017 Elsevier Ltd. All rights reserved.

Radiation protection aspects of the operation in a cyclotron facility

NASA Astrophysics Data System (ADS)

Silva, P. P. N.; Carneiro, J. C. G. G.

2014-02-01

The activated accelerator cyclotron components and the radioisotope production may impact on the personnel radiation exposure of the workers during the routine maintenance and emergency repair procedures and any modification of the equipment. Since the adherence of the principle of ALARA (as low as reasonable achievable) constitutes a major objective of the cyclotron management, it has become imperative to investigate the radiation levels at the workplace and the probable health effects to the worker caused by radiation exposure. The data analysis in this study was based on the individual monitoring records during the period from 2007 to 2011. Monitoring of the workplace was also performed using gamma and neutron detectors to determine the dose rate in various predetermined spots. The results of occupational radiation exposures were analysed and compared with the values established in national standards and international recommendations. Important guidelines have been developed to reduce the individual dose.

Emergency medical dispatch : national standard curriculum ready

DOT National Transportation Integrated Search

1996-05-01

This Traffic Tech describes the recently updated "Emergency Medical Dispatch: National Standard Curriculum," which was developed in 1972. Emergency service providers use these uniform standards to develop or select an emergency medical dispatch progr...

Cyclotron emission near stellar mass black holes

NASA Technical Reports Server (NTRS)

Apparao, K. M. V.

1984-01-01

Cyclotron emission in the inner regions of an accretion disk around a matter accreting black hole can be appreciable. In the case of the X-ray source Cyg X-1, cyclotron emission may provide the soft photons needed for 'Comptonization' to produce high energy X-rays. The inverse correlation between the fluxes of high energy and low energy X-rays during the 'high' and 'low' states of Cyg X-1, may be understood as a result of the variation of the rate of accretion and the Compton scattering of the cyclotron photons. In the case of the X-ray source GX 339-4, the observed optical flux during the high states does not seem to be due to cyclotron emission, but probably due to reprocessing of high energy X-rays by the outer regions of the disk.

Whistler and Alfvén Mode Cyclotron Masers in Space

NASA Astrophysics Data System (ADS)

Trakhtengerts, V. Y.; Rycroft, M. J.

2012-10-01

Preface; 1. Introduction; 2. Basic theory of cyclotron masers (CMs); 3. Linear theory of the cyclotron instability (CI); 4. Backward wave oscillator (BWO) regime in CMs; 5. Nonlinear cyclotron wave-particle interactions for a quasi-monochromatic wave; 6. Nonlinear interaction of quasi-monochromatic whistler mode waves with gyroresonant electrons in an in homogeneous plasma; 7. Wavelet amplification in an inhomogeneous plasma; 8. Quasi-linear theory of cyclotron masers; 9. Nonstationary generation regimes, and modulation effects; 10. ELF/VLF noise-like emissions and electrons in the Earth's radiation belts; 11. Generation of discrete ELF/VLF whistler mode emissions; 12. Cyclotron instability of the proton radiation belts; 13. Cyclotron masers elsewhere in the solar system and in laboratory plasma devices; Epilogue; Glossary of terms; List of acronyms; References; Index.

A real-time beam-profile monitor for a PET cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hoehr, C.; Uittenbosch, T.; Verzilov, V.

2012-12-19

Beam profiles in medical cyclotrons are traditionally measured using techniques that do not provide any information about short-term fluctuations of the beam shape or beam intensity. To overcome this, we have developed a real-time harp beam profile monitor which can withstand beam power in excess of 300 W. The monitor and electronics were constructed and applied toward a 13 MeV proton beam with current of up to 25 {mu}A. Herein are reported preliminary beam-profile measurement results.

A real-time beam-profile monitor for a PET cyclotron

NASA Astrophysics Data System (ADS)

Hoehr, C.; Uittenbosch, T.; Verzilov, V.; English, W.; Buckley, K.; Gray, D.; Kellog, S.; Cameron, D.; Schaffer, P.

2012-12-01

Beam profiles in medical cyclotrons are traditionally measured using techniques that do not provide any information about short-term fluctuations of the beam shape or beam intensity. To overcome this, we have developed a real-time harp beam profile monitor which can withstand beam power in excess of 300 W. The monitor and electronics were constructed and applied toward a 13 MeV proton beam with current of up to 25 μA. Herein are reported preliminary beam-profile measurement results.

88-Inch Cyclotron

Science.gov Websites

, commercial, and international institutions use these beams to understand the effect of radiation on microelectronics, optics, materials, and cells. Click here to see the 88-Inch Cyclotron's contributions to space

A review of ion sources for medical accelerators (invited)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Muramatsu, M.; Kitagawa, A.

2012-02-15

There are two major medical applications of ion accelerators. One is a production of short-lived isotopes for radionuclide imaging with positron emission tomography and single photon emission computer tomography. Generally, a combination of a source for negative ions (usually H- and/or D-) and a cyclotron is used; this system is well established and distributed over the world. Other important medical application is charged-particle radiotherapy, where the accelerated ion beam itself is being used for patient treatment. Two distinctly different methods are being applied: either with protons or with heavy-ions (mostly carbon ions). Proton radiotherapy for deep-seated tumors has become widespreadmore » since the 1990s. The energy and intensity are typically over 200 MeV and several 10{sup 10} pps, respectively. Cyclotrons as well as synchrotrons are utilized. The ion source for the cyclotron is generally similar to the type for production of radioisotopes. For a synchrotron, one applies a positive ion source in combination with an injector linac. Carbon ion radiotherapy awakens a worldwide interest. About 6000 cancer patients have already been treated with carbon beams from the Heavy Ion Medical Accelerator in Chiba at the National Institute of Radiological Sciences in Japan. These clinical results have clearly verified the advantages of carbon ions. Heidelberg Ion Therapy Center and Gunma University Heavy Ion Medical Center have been successfully launched. Several new facilities are under commissioning or construction. The beam energy is adjusted to the depth of tumors. It is usually between 140 and 430 MeV/u. Although the beam intensity depends on the irradiation method, it is typically several 10{sup 8} or 10{sup 9} pps. Synchrotrons are only utilized for carbon ion radiotherapy. An ECR ion source supplies multi-charged carbon ions for this requirement. Some other medical applications with ion beams attract developer's interests. For example, the several types of

Cyclotron-based neutron source for BNCT

NASA Astrophysics Data System (ADS)

Mitsumoto, T.; Yajima, S.; Tsutsui, H.; Ogasawara, T.; Fujita, K.; Tanaka, H.; Sakurai, Y.; Maruhashi, A.

2013-04-01

Kyoto University Research Reactor Institute (KURRI) and Sumitomo Heavy Industries, Ltd. (SHI) have developed a cyclotron-based neutron source for Boron Neutron Capture Therapy (BNCT). It was installed at KURRI in Osaka prefecture. The neutron source consists of a proton cyclotron named HM-30, a beam transport system and an irradiation & treatment system. In the cyclotron, H- ions are accelerated and extracted as 30 MeV proton beams of 1 mA. The proton beams is transported to the neutron production target made by a beryllium plate. Emitted neutrons are moderated by lead, iron, aluminum and calcium fluoride. The aperture diameter of neutron collimator is in the range from 100 mm to 250 mm. The peak neutron flux in the water phantom is 1.8×109 neutrons/cm2/sec at 20 mm from the surface at 1 mA proton beam. The neutron source have been stably operated for 3 years with 30 kW proton beam. Various pre-clinical tests including animal tests have been done by using the cyclotron-based neutron source with 10B-p-Borono-phenylalanine. Clinical trials of malignant brain tumors will be started in this year.

The 88-Inch Cyclotron: A One-Stop Facility for Electronics Radiation and Detector Testing

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kireeff Covo, M.; Albright, R. A.; Ninemire, B. F.

In outer space down to the altitudes routinely flown by larger aircrafts, radiation can pose serious issues for microelectronics circuits. The 88-Inch Cyclotron at Lawrence Berkeley National Laboratory is a sector-focused cyclotron and home of the Berkeley Accelerator Space Effects Facility, where the effects of energetic particles on sensitive microelectronics are studied with the goal of designing electronic systems for the space community. This paper describes the flexibility of the facility and its capabilities for testing the bombardment of electronics by heavy ions, light ions, and neutrons. Experimental capabilities for the generation of neutron beams from deuteron breakups and radiationmore » testing of carbon nanotube field effect transistor will be discussed.« less

NORTICA—a new code for cyclotron analysis

NASA Astrophysics Data System (ADS)

Gorelov, D.; Johnson, D.; Marti, F.

2001-12-01

The new package NORTICA (Numerical ORbit Tracking In Cyclotrons with Analysis) of computer codes for beam dynamics simulations is under development at NSCL. The package was started as a replacement for the code MONSTER [1] developed in the laboratory in the past. The new codes are capable of beam dynamics simulations in both CCF (Coupled Cyclotron Facility) accelerators, the K500 and K1200 superconducting cyclotrons. The general purpose of this package is assisting in setting and tuning the cyclotrons taking into account the main field and extraction channel imperfections. The computer platform for the package is Alpha Station with UNIX operating system and X-Windows graphic interface. A multiple programming language approach was used in order to combine the reliability of the numerical algorithms developed over the long period of time in the laboratory and the friendliness of modern style user interface. This paper describes the capability and features of the codes in the present state.

Can dimensions of national culture predict cross-national differences in medical communication?

PubMed

Meeuwesen, Ludwien; van den Brink-Muinen, Atie; Hofstede, Geert

2009-04-01

This study investigated at a country level how cross-national differences in medical communication can be understood from the first four of Hofstede's cultural dimensions, i.e. power distance, uncertainty avoidance, individualism/collectivism and masculinity/femininity, together with national wealth. A total of 307 general practitioners (GPs) and 5820 patients from Belgium, Estonia, Germany, Great Britain, the Netherlands, Poland, Romania, Spain, Sweden and Switzerland participated in the study. Medical communication was videotaped and assessed using Roter's interaction analysis system (RIAS). Additional context information of physicians (gender, job satisfaction, risk-taking and belief of psychological influence on diseases) and patients (gender, health condition, diagnosis and medical encounter expectations) was gathered by using questionnaires. Countries differ considerably form each other in terms of culture dimensions. The larger a nation's power distance, the less room there is for unexpected information exchange and the shorter the consultations are. Roles are clearly described and fixed. The higher the level of uncertainty avoidance, the less attention is given to rapport building, e.g. less eye contact. In 'masculine' countries there is less instrumental communication in the medical interaction, which was contrary to expectations. In wealthy countries, more attention is given to psychosocial communication. The four culture dimensions, together with countries' wealth, contribute importantly to the understanding of differences in European countries' styles of medical communication. Their predictive power reaches much further than explanations along the north/south or east/west division of Europe. The understanding of these cross-national differences is a precondition for the prevention of intercultural miscommunication. Improved understanding may occur at microlevel in the medical encounter, as well as on macrolevel in pursuing more effective cooperation and

Intensity limits of the PSI Injector II cyclotron

NASA Astrophysics Data System (ADS)

Kolano, A.; Adelmann, A.; Barlow, R.; Baumgarten, C.

2018-03-01

We investigate limits on the current of the PSI Injector II high intensity separate-sector isochronous cyclotron, in its present configuration and after a proposed upgrade. Accelerator Driven Subcritical Reactors, neutron and neutrino experiments, and medical isotope production all benefit from increases in current, even at the ∼ 10% level: the PSI cyclotrons provide relevant experience. As space charge dominates at low beam energy, the injector is critical. Understanding space charge effects and halo formation through detailed numerical modelling gives clues on how to maximise the extracted current. Simulation of a space-charge dominated low energy high intensity (9.5 mA DC) machine, with a complex collimator set up in the central region shaping the bunch, is not trivial. We use the OPAL code, a tool for charged-particle optics calculations in large accelerator structures and beam lines, including 3D space charge. We have a precise model of the present (production) Injector II, operating at 2.2 mA current. A simple model of the proposed future (upgraded) configuration of the cyclotron is also investigated. We estimate intensity limits based on the developed models, supported by fitted scaling laws and measurements. We have been able to perform more detailed analysis of the bunch parameters and halo development than any previous study. Optimisation techniques enable better matching of the simulation set-up with Injector II parameters and measurements. We show that in the production configuration the beam current scales to the power of three with the beam size. However, at higher intensities, 4th power scaling is a better fit, setting the limit of approximately 3 mA. Currents of over 5 mA, higher than have been achieved to date, can be produced if the collimation scheme is adjusted.

Considerations, measurements and logistics associated with low-energy cyclotron decommissioning

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sunderland, J. J.; Erdahl, C. E.; Bender, B. R.

2012-12-19

The University of Iowa's 20-year-old 17 MeV Scanditronix cyclotron underwent decommissioning in the summer of 2011. To satisfy local, state and federal regulations defining removal, transportation and long-term safe and environmentally secure disposal of the 22 ton activated cyclotron, a series of nuclear spectroscopic measurements were performed to characterize the nature and extent of proton and neutron activation of the 22-ton cyclotron, its associated targets, and the concrete wall that was demolished to remove the old cyclotron. Neutron activation of the concrete wall was minimal and below exempt concentrations resulting in standard landfill disposal. The cyclotron assessment revealed the expectedmore » array of short and medium-lived radionuclides. Subsequent calculations suggest that meaningful levels residual activity will have decayed virtually to background after 15 years, with the total residual activity of the entire cyclotron dropping below 37 MBq (1 mCi).« less

Ionospheric modification at twice the electron cyclotron frequency.

PubMed

Djuth, F T; Pedersen, T R; Gerken, E A; Bernhardt, P A; Selcher, C A; Bristow, W A; Kosch, M J

2005-04-01

In 2004, a new transmission band was added to the HAARP high-frequency ionospheric modification facility that encompasses the second electron cyclotron harmonic at altitudes between approximately 220 and 330 km. Initial observations indicate that greatly enhanced airglow occurs whenever the transmission frequency approximately matches the second electron cyclotron harmonic at the height of the upper hybrid resonance. This is the reverse of what happens at higher electron cyclotron harmonics. The measured optical emissions confirm the presence of accelerated electrons in the plasma.

The electron-cyclotron maser for astrophysical application

NASA Astrophysics Data System (ADS)

Treumann, Rudolf A.

2006-08-01

The electron-cyclotron maser is a process that generates coherent radiation from plasma. In the last two decades, it has gained increasing attention as a dominant mechanism of producing high-power radiation in natural high-temperature magnetized plasmas. Originally proposed as a somewhat exotic idea and subsequently applied to include non-relativistic plasmas, the electron-cyclotron maser was considered as an alternative to turbulent though coherent wave-wave interaction which results in radio emission. However, when it was recognized that weak relativistic corrections had to be taken into account in the radiation process, the importance of the electron-cyclotron maser rose to the recognition it deserves. Here we review the theory and application of the electron-cyclotron maser to the directly accessible plasmas in our immediate terrestrial and planetary environments. In situ access to the radiating plasmas has turned out to be crucial in identifying the conditions under which the electron-cyclotron maser mechanism is working. Under extreme astrophysical conditions, radiation from plasmas may provide a major energy loss; however, for generating the powerful radiation in which the electron-cyclotron maser mechanism is capable, the plasma must be in a state where release of susceptible amounts of energy in the form of radiation is favorable. Such conditions are realized when the plasma is unable to digest the available free energy that is imposed from outside and stored in its particle distribution. The lack of dissipative processes is a common property of collisionless plasmas. When, in addition, the plasma density becomes so low that the amount of free energy per particle is large, direct emission becomes favorable. This can be expressed as negative absorption of the plasma which, like in conventional masers, leads to coherent emission even though no quantum correlations are involved. The physical basis of this formal analogy between a quantum maser and the

Theory of unfolded cyclotron accelerator

NASA Astrophysics Data System (ADS)

Rax, J.-M.; Robiche, J.

2010-10-01

An acceleration process based on the interaction between an ion, a tapered periodic magnetic structure, and a circularly polarized oscillating electric field is identified and analyzed, and its potential is evaluated. A Hamiltonian analysis is developed in order to describe the interplay between the cyclotron motion, the electric acceleration, and the magnetic modulation. The parameters of this universal class of magnetic modulation leading to continuous acceleration without Larmor radius increase are expressed analytically. Thus, this study provides the basic scaling of what appears as a compact unfolded cyclotron accelerator.

Cyclotron-based neutron source for BNCT

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mitsumoto, T.; Yajima, S.; Tsutsui, H.

2013-04-19

Kyoto University Research Reactor Institute (KURRI) and Sumitomo Heavy Industries, Ltd. (SHI) have developed a cyclotron-based neutron source for Boron Neutron Capture Therapy (BNCT). It was installed at KURRI in Osaka prefecture. The neutron source consists of a proton cyclotron named HM-30, a beam transport system and an irradiation and treatment system. In the cyclotron, H- ions are accelerated and extracted as 30 MeV proton beams of 1 mA. The proton beams is transported to the neutron production target made by a beryllium plate. Emitted neutrons are moderated by lead, iron, aluminum and calcium fluoride. The aperture diameter of neutronmore » collimator is in the range from 100 mm to 250 mm. The peak neutron flux in the water phantom is 1.8 Multiplication-Sign 109 neutrons/cm{sup 2}/sec at 20 mm from the surface at 1 mA proton beam. The neutron source have been stably operated for 3 years with 30 kW proton beam. Various pre-clinical tests including animal tests have been done by using the cyclotron-based neutron source with {sup 10}B-p-Borono-phenylalanine. Clinical trials of malignant brain tumors will be started in this year.« less

Characterization of 41Ar production in air at a PET cyclotron facility

NASA Astrophysics Data System (ADS)

Cicoria, Gianfranco; Cesarini, Francesco; Infantino, Angelo; Vichi, Sara; Zagni, Federico; Marengo, Mario

2017-06-01

In the production of Positron Emission Tomography (PET) nuclides at a medical cyclotron facility 41Ar (T1/2 = 109.34 m) is produced by the activation of air due to the neutron flux, according to the 40Ar(n, γ)41Ar reaction. In this work, we describe a relatively inexpensive and readily reproducible methodology of air sampling that can be used for quantification of 41Ar during the routine production of PET nuclides. We report the results of an extensive measurement campaign in the cyclotron bunker and in the ducts of the ventilation system, before and after final filtering of the extracted air. Air Samples were analyzed using a gamma-ray spectrometry system equipped with HPGe detector, with proper correction of the efficiency calibration to account for the samples density. The results of measurement were then used to evaluate the Total Effective Dose (TED) to the population living in the surrounding areas, due to routine emissions in the operation of the cyclotron. The average 41Ar saturation yield per one liter of air emitted in the environment resulted to be (0.044 ± 0.007) Bq/(μA ṡ dm3). The maximum value of TED for the critical group of the population, even considering an overestimated workload, was less than 0.19 μSv/year, well below the level of radiological relevance.

Phase-resolved cyclotron spectroscopy of polars

NASA Astrophysics Data System (ADS)

Campbell, Ryan

In this thesis we use phase-resolved cyclotron spectroscopy to study polars. Polars are a subset of cataclysmic variables where the primary WD is highly magnetic. In this case, the accretion flow is constrained along the magnetic field lines and eventually deposited on the WD, where the accreting material interacts with the atmosphere, forming a standing hydrodynamic shock at a location termed the accretion region, and emitting cyclotron radiation. Due to its field strength, cyclotron radiation from polars falls at either UV, optical or NIR wavelengths. While a substantial amount of optical cyclotron spectra have been published on polars, the NIR remains relatively unstudied. In this thesis, we present NIR spectroscopy for fifteen polars. Additionally, while a single cyclotron spectrum is needed to constrain the shock parameters, phase- resolved spectroscopy allows for a more in-depth analysis of the shock structure and the geometry of the accretion region. Of the fifteen polars observed, eight yielded spectra of adequate quality to be modeled in this manner: EF Eri, EQ Cet, AN UMa, VV Pup, AM Her, ST LMi, MR Ser, and MQ Dra. Initially, we used the industry standard "Constant Lambda (CL)" code to model each object. The code is fast, but produces only globally averaged values of the salient shock parameters: B - the magnetic field strength, kT - the plasma temperature, logL - the "size parameter" of the accretion column, and TH- the viewing angle between the observer and the magnetic field. For each object we present CL models for our NIR phase-resolved cyclotron spectra. Subsequently, we use a more advanced "Structured-Shock" code built by Fischer & Beuermann (2001)("F&B") to remodel three objects: EQ Cet, MQ Dra, and EF Eri. The F&B code allows for input of more physical parameters and most importantly does ray tracing through a simulated one-dimensional accretion column. To determine the outgoing spectrum, temperature and velocity profiles are needed to

National Institute of General Medical Sciences

MedlinePlus

... Over Navigation Links National Institute of General Medical Sciences Site Map Staff Search My Order Search the ... NIGMS Website Research Funding Research Training News & Meetings Science Education About NIGMS Feature Slides View All Slides ...

Building 211 cyclotron characterization survey report

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1998-03-30

The Building 211 Cyclotron Characterization Survey includes an assessment of the radioactive and chemical inventory of materials stored within the facility; an evaluation of the relative distribution of accelerator-produced activation products within various cyclotron components and adjacent structures; measurement of the radiation fields throughout the facility; measurement and assessment of internal and external radioactive surface contamination on various equipment, facility structures, and air-handling systems; and an assessment of lead (Pb) paint and asbestos hazards within the facility.

Hole-cyclotron instability in semiconductor quantum plasmas

NASA Astrophysics Data System (ADS)

Areeb, F.; Rasheed, A.; Jamil, M.; Siddique, M.; Sumera, P.

2018-01-01

The excitation of electrostatic hole-cyclotron waves generated by an externally injected electron beam in semiconductor plasmas is examined using a quantum hydrodynamic model. The quantum effects such as tunneling potential, Fermi degenerate pressure, and exchange-correlation potential are taken care of. The growth rate of the wave is analyzed on varying the parameters normalized by hole-plasma frequency, like the angle θ between propagation vector and B0∥z ̂ , speed of the externally injected electron beam v0∥k , thermal temperature of the electron beam τ, external magnetic field B0∥z ̂ that modifies the hole-cyclotron frequency, and finally, the semiconductor electron number density. The instability of the hole-cyclotron wave seeks its applications in semiconductor devices.

Experimental measurement and Monte Carlo assessment of Argon-41 production in a PET cyclotron facility.

PubMed

Infantino, Angelo; Valtieri, Lorenzo; Cicoria, Gianfranco; Pancaldi, Davide; Mostacci, Domiziano; Marengo, Mario

2015-12-01

In a medical cyclotron facility, (41)Ar (t1/2 = 109.34 m) is produced by the activation of air due to the neutron flux during irradiation, according to the (40)Ar(n,γ)(41)Ar reaction; this is particularly relevant in widely diffused high beam current cyclotrons for the production of PET radionuclides. While theoretical estimations of the (41)Ar production have been published, no data are available on direct experimental measurements for a biomedical cyclotron. In this work, we describe a sampling methodology and report the results of an extensive measurement campaign. Furthermore, the experimental results are compared with Monte Carlo simulations performed with the FLUKA code. To measure (41)Ar activity, air samples were taken inside the cyclotron bunker in sealed Marinelli beakers, during the routine production of (18)F with a 16.5 MeV GE-PETtrace cyclotron; this sampling thus reproduces a situation of absence of air changes. Samples analysis was performed in a gamma-ray spectrometry system equipped with HPGe detector. Monte Carlo assessment of the (41)Ar saturation yield was performed directly using the standard FLUKA score RESNUCLE, and off-line by the convolution of neutron fluence with cross section data. The average (41)Ar saturation yield per one liter of air of (41)Ar, measured in gamma-ray spectrometry, resulted to be 3.0 ± 0.6 Bq/µA*dm(3) while simulations gave a result of 6.9 ± 0.3 Bq/µA*dm(3) in the direct assessment and 6.92 ± 0.22 Bq/µA*dm(3) by the convolution neutron fluence-to-cross section. Copyright © 2015 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

Statistical fluctuations in cooperative cyclotron radiation

NASA Astrophysics Data System (ADS)

Anishchenko, S. V.; Baryshevsky, V. G.

2018-01-01

Shot noise is the cause of statistical fluctuations in cooperative cyclotron radiation generated by an ensemble of electrons oscillating in magnetic field. Autophasing time - the time required for the cooperative cyclotron radiation power to peak - is the critical parameter characterizing the dynamics of electron-oscillators interacting via the radiation field. It is shown that premodulation of charged particles leads to a considerable narrowing of the autophasing time distribution function for which the analytic expression is obtained. When the number of particles Ne exceeds a certain value that depends on the degree to which the particles have been premodulated, the relative root-mean-square deviation (RMSD) of the autophasing time δT changes from a logarithmic dependence on Ne (δT ∼ 1 / lnNe) to square-root (δT ∼ 1 /√{Ne }). A slight energy spread (∼4%) results in a twofold drop of the maximum attainable power of cooperative cyclotron radiation.

Improving cancer treatment with cyclotron produced radionuclides

DOE Office of Scientific and Technical Information (OSTI.GOV)

Larson, S.M. Finn, R.D.

1992-08-04

This report describes the author's continuing long term goal of promoting nuclear medicine applications by improving the scientific basis for tumor diagnosis treatment and treatment follow-up based on the use of cyclotron produced radiotracers in oncology. The program has 3 interactive components: Radiochemistry /Cyclotron; Pharmacology; and Immunology. An essential strategy is as follows: novel radionuclides and radiotracers developed in the Radiochemistry/Cyclotron section under the DOE grant during the 1989--1992 grant period, will be employed in the Pharmacology and Immunology sections of the DOE grant during the 1992--1995 grant period. The development of novel radionuclides and tracers is of course usefulmore » in and of itself, but their utility is greatly enhanced by the interaction with the immunology and pharmacology components of the program.« less

Electromagnetic Ion Cyclotron Waves in the Helium Branch Induced by Multiple Electromagnetic Ion Cyclotron Triggered Emissions

NASA Astrophysics Data System (ADS)

Shoji, M.; Omura, Y.; Grison, B.; Pickett, J. S.; Dandouras, I. S.; Engebretson, M. J.

2011-12-01

Electromagnetic ion cyclotron (EMIC) triggered emissions with rising tones between the H+ and He+ cyclotron frequencies were found in the inner magnetosphere by the recent Cluster observations. Another type of EMIC wave with a constant frequency is occasionally observed below the He+ cyclotron frequency after the multiple EMIC triggered emissions. We performed a self-consistent hybrid simulation with a one-dimensional cylindrical magnetic flux model approximating the dipole magnetic field of the Earth's inner magnetosphere. In the presence of energetic protons with a sufficient density and temperature anisotropy, multiple EMIC triggered emissions are reproduced due to the nonlinear wave growth mechanism of rising-tone chorus emissions, and a constant frequency wave in the He+ EMIC branch is subsequently generated. Through interaction with the multiple EMIC rising-tone emissions, the velocity distribution function of the energetic protons is strongly modified. Because of the pitch angle scattering of the protons, the gradient of the distribution in velocity phase space is enhanced along the diffusion curve of the He+ branch wave, resulting in the linear growth of the EMIC wave in the He+ branch.

Electromagnetic ion cyclotron waves in the helium branch induced by multiple electromagnetic ion cyclotron triggered emissions

NASA Astrophysics Data System (ADS)

Shoji, Masafumi; Omura, Yoshiharu; Grison, Benjamin; Pickett, Jolene; Dandouras, Iannis; Engebretson, Mark

2011-09-01

Electromagnetic ion cyclotron (EMIC) triggered emissions with rising tones between the H+ and He+ cyclotron frequencies were found in the inner magnetosphere by the recent Cluster observations. Another type of EMIC wave with a constant frequency is occasionally observed below the He+ cyclotron frequency after the multiple EMIC triggered emissions. We performed a self-consistent hybrid simulation with a one-dimensional cylindrical magnetic flux model approximating the dipole magnetic field of the Earth's inner magnetosphere. In the presence of energetic protons with a sufficient density and temperature anisotropy, multiple EMIC triggered emissions are reproduced due to the nonlinear wave growth mechanism of rising-tone chorus emissions, and a constant frequency wave in the He+ EMIC branch is subsequently generated. Through interaction with the multiple EMIC rising-tone emissions, the velocity distribution function of the energetic protons is strongly modified. Because of the pitch angle scattering of the protons, the gradient of the distribution in velocity phase space is enhanced along the diffusion curve of the He+ branch wave, resulting in the linear growth of the EMIC wave in the He+ branch.

29 CFR 2590.609-2 - National Medical Support Notice.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Retirement Income Security Act (ERISA), the Notice is deemed to be a qualified medical child support order....609-2 Labor Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION..., Qualified Medical Child Support Orders, Coverage for Adopted Children § 2590.609-2 National Medical Support...

High intensity proton beam transportation through fringe field of 70 MeV compact cyclotron to beam line targets

NASA Astrophysics Data System (ADS)

Zhang, Xu; Li, Ming; Wei, Sumin; Xing, Jiansheng; Hu, Yueming; Johnson, Richard R.; Piazza, Leandro; Ryjkov, Vladimir

2016-06-01

From the stripping points, the high intensity proton beam of a compact cyclotron travels through the fringe field area of the machine to the combination magnet. Starting from there the beams with various energy is transferred to the switching magnet for distribution to the beam line targets. In the design of the extraction and transport system for the compact proton cyclotron facilities, such as the 70 MeV in France and the 100 MeV in China, the space charge effect as the beam crosses the fringe field has not been previously considered; neither has the impact on transverse beam envelope coupled from the longitudinal direction. Those have been concerned much more with the higher beam-power because of the beam loss problem. In this paper, based on the mapping data of 70 MeV cyclotron including the fringe field by BEST Cyclotron Inc (BEST) and combination magnet field by China Institute of Atomic Energy (CIAE), the beam extraction and transport are investigated for the 70 MeV cyclotron used on the SPES project at Istituto Nazionale di Fisica Nucleare, Laboratori Nazionali di Legnaro (INFN-LNL). The study includes the space charge effect and longitudinal and transverse coupling mentioned above, as well as the matching of beam optics using the beam line for medical isotope production as an example. In addition, the designs of the ±45° switching magnets and the 60° bending magnet for the extracted beam with the energy from 35 MeV to 70 MeV have been made. Parts of the construction and field measurements of those magnets have been done as well. The current result shows that, the design considers the complexity of the compact cyclotron extraction area and fits the requirements of the extraction and transport for high intensity proton beam, especially at mA intensity levels.

Mass Measurements with the CSS2 and CIME cyclotrons at GANIL

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gomez Hornillos, M. B.; Chartier, M.; Demonchy, C. E.

2006-03-13

This paper presents two original direct mass-measurement techniques developed at GANIL using the CSS2 and CIME cyclotrons as high-resolution mass spectrometers. The mass measurement with the CSS2 cyclotron is based on a time-of-flight method along the spiral trajectory of the ions inside the cyclotron. The atomic mass excesses of 68Se and 80Y recently measured with this technique are -53.958(246) MeV and -60.971(180) MeV, respectively. The new mass-measurement technique with the CIME cyclotron is based on the sweep of the acceleration radio-frequency of the cyclotron. Tests with stable beams have been performed in order to study the accuracy of this newmore » mass-measurement method and to understand the systematic errors.« less

Toward a System-Based Approach to Electromagnetic Ion Cyclotron Waves in Earth's Magnetosphere

NASA Astrophysics Data System (ADS)

Gamayunov, K. V.; Engebretson, M. J.; Rassoul, H.

2015-12-01

We consider a nonlinear wave energy cascade from the low frequency range into the higher frequency domain of electromagnetic ion cyclotron (EMIC) wave generation as a possible source of seed fluctuations for EMIC wave growth due to the ion cyclotron instability in Earth's magnetosphere. The theoretical analysis shows that energy cascade from the Pc 4-5 frequency range (2-22 mHz) into the range of Pc 1-2 pulsations (0.1-5 Hz) is able to supply the level of seed fluctuations that guarantees growth of EMIC waves up to an observable level during one pass through the near equatorial region where the ion cyclotron instability takes place. We also analyze magnetic field data from the Polar and Van Allen Probes spacecraft to test this nonlinear mechanism. We restrict our analysis to magnetic spectra only. We do not analyze the third-order moment for total energy of the magnetic and velocity fluctuations, but judge whether a nonlinear energy cascade is present or whether it is not by only analyzing the appearance of power-law distributions in the low frequency part of the magnetic field spectra. While the power-law spectrum alone does not guarantee that a nonlinear cascade is present, the power-law distribution is a strong indication of the possible development of a nonlinear cascade. Our data analysis shows that a nonlinear energy cascade is indeed observed in both the outer and inner magnetosphere, and EMIC waves are growing from this nonthermal background. All the analyzed data are in good agreement with the theoretical model presented in this study. Overall, the results of this study support a nonlinear energy cascade in Earth's magnetosphere as a mechanism which is responsible for supplying seed fluctuating energy in the higher frequency domain where EMIC waves grow due to the ion cyclotron instability. Keywords: nonlinear energy cascade, ultra low frequency waves, electromagnetic ion cyclotron waves, seed fluctuationsAcknowledgments: This paper is based upon work

Shielding design of the Mayo Clinic Scottsdale cyclotron vault

NASA Astrophysics Data System (ADS)

Riper, Kenneth A. Van; Metzger, Robert L.; Nelson, Kevin

2017-09-01

Mayo Clinic Scottsdale (Scottsdale, Arizona) is building a cyclotron vault containing a cyclotron with adjacent targets and a beam line leading to an external target. The targets are irradiated by high energy (15 to 16.5 MeV) protons for the production of radioisotopes. We performed Monte Carlo radiation transport simulations to calculate the radiation dose outside of the vault during irradiation of the cyclotron and external targets. We present the Monte Carlo model including the geometry, sources, and variance reduction methods. Mesh tallies surrounding the vault show the external dose rate is within acceptable limits.

76 FR 14366 - National Registry of Certified Medical Examiners

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-16

... [Docket No. FMCSA-2008-0363] RIN 2126-AA97 National Registry of Certified Medical Examiners AGENCY... Certified Medical Examiners (NRCME) published on December 1, 2008. In the comments on the NPRM, a commenter inquired as to what a motor carrier had to do to verify that a medical examiner's certificate had been...

Cyclotrons and FFAG Accelerators as Drivers for ADS

DOE PAGES

Calabretta, Luciano; Méot, François

2015-01-01

Our review summarizes projects and studies on circular accelerators proposed for driving subcritical reactors. The early isochronous cyclotron cascades, proposed about 20 years ago, and the evolution of these layouts up to the most recent solutions or designs based on cyclotrons and fixed field alternating gradient accelerators, are reported. Additionally, the newest ideas and their prospects for development are discussed.

78 FR 9899 - National Committee on Foreign Medical Education and Accreditation

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-12

... DEPARTMENT OF EDUCATION National Committee on Foreign Medical Education and Accreditation AGENCY: Office of Postsecondary Education, U.S. Department of Education, National Committee on Foreign Medical Education and Accreditation. ACTION: The purpose of this notice is to announce the upcoming meeting of the...

Development of a fast scintillator based beam phase measurement system for compact superconducting cyclotrons

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bhattacharjee, Tanushyam; Kanti Dey, Malay; Dhara, Partha

2013-05-15

In an isochronous cyclotron, measurements of central phase of the ion beam with respect to rf and the phase width provide a way to tune the cyclotron for maximum energy gain per turn and efficient extraction. We report here the development of a phase measurement system and the measurements carried out at the Variable Energy Cyclotron Centre's (VECC's) K= 500 superconducting cyclotron. The technique comprises detecting prompt {gamma}-rays resulting from the interaction of cyclotron ion beam with an aluminium target mounted on a radial probe in coincidence with cyclotron rf. An assembly comprising a fast scintillator and a liquid light-guidemore » inserted inside the cyclotron was used to detect the {gamma}-rays and to transfer the light signal outside the cyclotron where a matching photo-multiplier tube was used for light to electrical signal conversion. The typical beam intensity for this measurement was a few times 10{sup 11} pps.« less

Interpretive Experiments: An Interpretive Experiment in Ion Cyclotron Resonance Spectroscopy.

ERIC Educational Resources Information Center

Burnier, R. C.; Freiser, B. S.

1979-01-01

Provides a discussion which is intended for chemistry college students on the ion cyclotron resonance (ICR) spectroscopy, the physical basis for ion cyclotron resonance, and the experimental methodology employed by ICR spectroscopists. (HM)

National Costs Of The Medical Liability System

PubMed Central

Mello, Michelle M.; Chandra, Amitabh; Gawande, Atul A.; Studdert, David M.

2011-01-01

Concerns about reducing the rate of growth of health expenditures have reignited interest in medical liability reforms and their potential to save money by reducing the practice of defensive medicine. It is not easy to estimate the costs of the medical liability system, however. This article identifies the various components of liability system costs, generates national estimates for each component, and discusses the level of evidence available to support the estimates. Overall annual medical liability system costs, including defensive medicine, are estimated to be $55.6 billion in 2008 dollars, or 2.4 percent of total health care spending. PMID:20820010

Single-electron detection and spectroscopy via relativistic cyclotron radiation

DOE PAGES

Asner, D. M.; Bradley, R. F.; de Viveiros, L.; ...

2015-04-20

Since 1897, we've understood that accelerating charges must emit electromagnetic radiation. Cyclotron radiation, the particular form of radiation emitted by an electron orbiting in a magnetic field, was first derived in 1904. Despite the simplicity of this concept, and the enormous utility of electron spectroscopy in nuclear and particle physics, single-electron cyclotron radiation has never been observed directly. We demonstrate single-electron detection in a novel radiofrequency spec- trometer. Here, we observe the cyclotron radiation emitted by individual magnetically-trapped electrons that are produced with mildly-relativistic energies by a gaseous radioactive source. The relativistic shift in the cyclotron frequency permits a precisemore » electron energy measurement. Precise beta electron spectroscopy from gaseous radiation sources is a key technique in modern efforts to measure the neutrino mass via the tritium decay endpoint, and this work demonstrates a fundamentally new approach to precision beta spectroscopy for future neutrino mass experiments.« less

77 FR 46802 - National Emergency Medical Services Advisory Council (NEMSAC); Notice of Federal Advisory...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-06

...-0100] National Emergency Medical Services Advisory Council (NEMSAC); Notice of Federal Advisory... Transportation (DOT). ACTION: Meeting Notice--National Emergency Medical Services Advisory Council. SUMMARY: The... NEMSAC is to provide a nationally recognized council of emergency medical services representatives and...

Technical Note: Defining cyclotron-based clinical scanning proton machines in a FLUKA Monte Carlo system.

PubMed

Fiorini, Francesca; Schreuder, Niek; Van den Heuvel, Frank

2018-02-01

Cyclotron-based pencil beam scanning (PBS) proton machines represent nowadays the majority and most affordable choice for proton therapy facilities, however, their representation in Monte Carlo (MC) codes is more complex than passively scattered proton system- or synchrotron-based PBS machines. This is because degraders are used to decrease the energy from the cyclotron maximum energy to the desired energy, resulting in a unique spot size, divergence, and energy spread depending on the amount of degradation. This manuscript outlines a generalized methodology to characterize a cyclotron-based PBS machine in a general-purpose MC code. The code can then be used to generate clinically relevant plans starting from commercial TPS plans. The described beam is produced at the Provision Proton Therapy Center (Knoxville, TN, USA) using a cyclotron-based IBA Proteus Plus equipment. We characterized the Provision beam in the MC FLUKA using the experimental commissioning data. The code was then validated using experimental data in water phantoms for single pencil beams and larger irregular fields. Comparisons with RayStation TPS plans are also presented. Comparisons of experimental, simulated, and planned dose depositions in water plans show that same doses are calculated by both programs inside the target areas, while penumbrae differences are found at the field edges. These differences are lower for the MC, with a γ(3%-3 mm) index never below 95%. Extensive explanations on how MC codes can be adapted to simulate cyclotron-based scanning proton machines are given with the aim of using the MC as a TPS verification tool to check and improve clinical plans. For all the tested cases, we showed that dose differences with experimental data are lower for the MC than TPS, implying that the created FLUKA beam model is better able to describe the experimental beam. © 2017 The Authors. Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists

German MedicalTeachingNetwork (MDN) implementing national standards for teacher training.

PubMed

Lammerding-Koeppel, M; Ebert, T; Goerlitz, A; Karsten, G; Nounla, C; Schmidt, S; Stosch, C; Dieter, P

2016-01-01

An increasing demand for proof of professionalism in higher education strives for quality assurance (QA) and improvement in medical education. A wide range of teacher trainings is available to medical staff in Germany. Cross-institutional approval of individual certificates is usually a difficult and time consuming task for institutions. In case of non-acceptance it may hinder medical teachers in their professional mobility. The faculties of medicine aimed to develop a comprehensive national framework, to promote standards for formal faculty development programmes across institutions and to foster professionalization of medical teaching. Addressing the above challenges in a joint approach, the faculties set up the national MedicalTeacherNetwork (MDN). Great importance is attributed to work out nationally concerted standards for faculty development and an agreed-upon quality control process across Germany. Medical teachers benefit from these advantages due to portability of faculty development credentials from one faculty of medicine to another within the MDN system. The report outlines the process of setting up the MDN and the national faculty development programme in Germany. Success factors, strengths and limitations are discussed from an institutional, individual and general perspective. Faculties engaged in similar developments might be encouraged to transfer the MDN concept to their countries.

Electrostatic waves in the warm magnetoplasma at the cyclotron harmonic frequencies

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gwal, A.K.; Misra, K.D.

1977-09-01

Mode conversion and collisionless absorption of electromagnetic wave at the cyclotron harmonic frequencies in an inhomogeneous non-Maxwellian magnetoplasma have been studied. Under suitable energy transfer condition the converted electrostatic wave (plasma wave) either grows or damps. The expressions for the growth/damping rates of this wave have been derived and studied at the cyclotron harmonic frequencies. The effect of the temperature anisotropy on the growth/damping rate of the electrostatic wave at the second cyclotron harmonic frequency has been shown. Growth of such electrostatic waves at ionospheric heights may explain the observed upper hybrid resonance (UHR) echoes and noise bands at themore » second cyclotron harmonic frequency.« less

77 FR 66625 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-06

...: Helen R. Sunshine, Ph.D., Chief, Office of Scientific Review, National Institute of General Medical...: Robert Horowits, Ph.D., Senior Investigator, National Institute of General Medical Sciences, National... Chemistry Research; 93.862, Genetics and [[Page 66626

Multi-Species Test of Ion Cyclotron Resonance Heating at High Altitudes

NASA Technical Reports Server (NTRS)

Persoon, A. M.; Peterson, W. K.; Andre, M.; Chang, T.; Gurnett, D. A.; Retterer, J. M.; Crew, G. B.

1997-01-01

Observations of ion distributions and plasma waves obtained by the Dynamics Explorer 1 satellite in the high-altitude, nightside auroral zone are used to study ion energization for three ion species. A number of theoretical models have been proposed to account for the transverse heating of these ion populations. One of these, the ion cyclotron resonance heating (ICRH) mechanism, explains ion conic formation through ion cyclotron resonance with broadband electromagnetic wave turbulence in the vicinity of the characteristic ion cyclotron frequency. The cyclotron resonant heating of the ions by low- frequency electromagnetic waves is an important energy source for the transport of ions from the ionosphere to the magnetosphere. In this paper we test the applicability of the ICRH mechanism to three simultaneously heated and accelerated ion species by modelling the ion conic formation in terms of a resonant wave-particle interaction in which the ions extract energy from the portion of the broadband electromagnetic wave spectrum which includes the ion cyclotron frequency. Using a Monte Carlo technique we evaluate the ion heating produced by the electromagnetic turbulence at low frequencies and find that the wave amplitudes near the ion cyclotron frequencies are sufficient to explain the observed ion energies.

Multi-Species Test of Ion Cyclotron Resonance Heating at High Altitudes

NASA Technical Reports Server (NTRS)

Persoon, A. M.; Peterson, W. K.; Andre, M.; Chang, T.; Gurnett, D. A.; Retterer, J. M.; Crew, G. B.

1997-01-01

Observations of ion distributions and plasma waves obtained by the Dynamics Explorer 1 satellite in the high-altitude, nightside auroral zone are used to study ion energization for three ion species. A number of theoretical models have been proposed to account for the transverse heating of these ion populations. One of these, the ion cyclotron resonance heating (ICRH) mechanism, explains ion conic formation through ion cyclotron resonance with broadband electromagnetic wave turbulence in the vicinity of the characteristic ion cyclotron frequency. The cyclotron resonant heating of the ions by low-frequency electromagnetic waves is an important energy source for the transport of ions from the ionosphere to the magnetosphere. In this paper we test the applicability of the ICRH mechanism to three simultaneously heated and accelerated ion species by modelling the ion conic formation in terms of a resonant wave-particle interaction in which the ions extract energy from the portion of the broadband electromagnetic wave spectrum which includes the ion cyclotron frequency. Using a Monte Carlo technique we evaluate the ion heating produced by the electromagnetic turbulence at low frequencies and find that the wave amplitudes near the ion cyclotron frequencies are sufficient to explain the observed ion energies.

A solvent-extraction module for cyclotron production of high-purity technetium-99m.

PubMed

Martini, Petra; Boschi, Alessandra; Cicoria, Gianfranco; Uccelli, Licia; Pasquali, Micòl; Duatti, Adriano; Pupillo, Gaia; Marengo, Mario; Loriggiola, Massimo; Esposito, Juan

2016-12-01

The design and fabrication of a fully-automated, remotely controlled module for the extraction and purification of technetium-99m (Tc-99m), produced by proton bombardment of enriched Mo-100 molybdenum metallic targets in a low-energy medical cyclotron, is here described. After dissolution of the irradiated solid target in hydrogen peroxide, Tc-99m was obtained under the chemical form of 99m TcO 4 - , in high radionuclidic and radiochemical purity, by solvent extraction with methyl ethyl ketone (MEK). The extraction process was accomplished inside a glass column-shaped vial especially designed to allow for an easy automation of the whole procedure. Recovery yields were always >90% of the loaded activity. The final pertechnetate saline solution Na 99m TcO 4 , purified using the automated module here described, is within the Pharmacopoeia quality control parameters and is therefore a valid alternative to generator-produced 99m Tc. The resulting automated module is cost-effective and easily replicable for in-house production of high-purity Tc-99m by cyclotrons. Copyright © 2016 Elsevier Ltd. All rights reserved.

Testing a potential national strategy for cost-effective medical technology

NASA Astrophysics Data System (ADS)

Fitch, J. Patrick

1995-10-01

The Center for Healthcare Technologies at Lawrence Livermore National Laboratory is a partnership among government, industry, and universities that focuses on improving healthcare through development of cost-effective technology. With the guidance of healthcare providers, medical institutions, and medical instrument manufacturers, technology can be harnessed to reduce healthcare costs. The partnership is a miniature test case for a potential national strategy for development and adoption of technology specifically to reduce costs.

Improving cancer treatment with cyclotron produced radionuclides. Progress report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Larson, S.M.; Finn, R.D.

1993-11-01

This report describes our continuing long term goal of promoting nuclear medicine applications by improving the scientific basis for tumor diagnosis, treatment and treatment follow-up based on the use of cyclotron produced radiotracers in oncology. The program includes 3 interactive components: Radiochemistry/Cyclotron; Pharmacology; and Immunology. An essential strategy is as follows: novel radionuclides and radiotracers developed in the Radiochemistry/Cyclotron section will be employed in the Pharmacology and Immunology sections during the next year. The development of novel radionuclides and tracers is of course useful in and of itself, but their utility is greatly enhanced by the interaction with the immunologymore » and pharmacology components of the program.« less

Cyclotron maser emission of auroral Z mode radiation

NASA Technical Reports Server (NTRS)

Melrose, D. B.; Hewitt, R. G.; Dulk, G. A.

1983-01-01

Results are presented suggesting that loss cone driven cyclotron maser emission by upgoing electrons, closely analogous to auroral kilometric radiation (AKR), may be the mechanism behind the observed Z mode radiation. With this hypothesis, the lack of a strong correlation between the Z mode radiation and AKR is not surprising; the ray paths for the X mode and the Z mode are markedly different, with the former directed upward and the latter downward. In addition, it is expected that the generation of the Z mode will be favored only in regions where the ratio of the plasma frequency to the electron cyclotron frequency is greater than or approximately equal to 0.3, that is, where the X mode radiation is suppressed. If the fraction of the radiation generated that crosses the cyclotron layer is large, then the argument in favor of the loss cone driven cyclotron maser as the source of the observed Z mode radiation is a strong one. The spatial growth rates are fairly large in comparison with those for the X mode, and there seems to be little doubt that Z mode radiation should be generated under conditions that differ only slightly from those for the generation of X mode radiation in AKR.

Cyclotron maser emission of auroral Z mode radiation

NASA Astrophysics Data System (ADS)

Melrose, D. B.; Hewitt, R. G.; Dulk, G. A.

1983-12-01

Results are presented suggesting that loss cone driven cyclotron maser emission by upgoing electrons, closely analogous to auroral kilometric radiation (AKR), may be the mechanism behind the observed Z mode radiation. With this hypothesis, the lack of a strong correlation between the Z mode radiation and AKR is not surprising; the ray paths for the X mode and the Z mode are markedly different, with the former directed upward and the latter downward. In addition, it is expected that the generation of the Z mode will be favored only in regions where the ratio of the plasma frequency to the electron cyclotron frequency is greater than or approximately equal to 0.3, that is, where the X mode radiation is suppressed. If the fraction of the radiation generated that crosses the cyclotron layer is large, then the argument in favor of the loss cone driven cyclotron maser as the source of the observed Z mode radiation is a strong one. The spatial growth rates are fairly large in comparison with those for the X mode, and there seems to be little doubt that Z mode radiation should be generated under conditions that differ only slightly from those for the generation of X mode radiation in AKR.

Electron Plasmas Cooled by Cyclotron-Cavity Resonance

DOE PAGES

Povilus, A. P.; DeTal, N. D.; Evans, L. T.; ...

2016-10-21

We observe that high-Q electromagnetic cavity resonances increase the cyclotron cooling rate of pure electron plasmas held in a Penning-Malmberg trap when the electron cyclotron frequency, controlled by tuning the magnetic field, matches the frequency of standing wave modes in the cavity. For certain modes and trapping configurations, this can increase the cooling rate by factors of 10 or more. In this paper, we investigate the variation of the cooling rate and equilibrium plasma temperatures over a wide range of parameters, including the plasma density, plasma position, electron number, and magnetic field.

Lawson criterion in cyclotron heating

DOE Office of Scientific and Technical Information (OSTI.GOV)

Demutskii, V.P.; Polovin, R.V.

1975-07-01

Stochastic heating of plasma particles is of great interest for controlled thermonuclear reactions. The ion velocity distribution function is described for the case of cyclotron heating. The Lawson criterion applied to this distribution is described. (MOW)

References from Brazilian medical journals in national publications.

PubMed

Teixeira, Renan Kleber Costa; Botelho, Nara Macedo; Petroianu, Andy

2013-01-01

To assess whether there is a preference for international journal citation to the detriment of national ones in ten Brazilian medical journals, in two different periods. All references in the articles published in Arquivos Brasileiros de Oftalmologia, Revista Brasileira de Cirurgia Cardiovascular, Revista da Associação Médica Brasileira, São Paulo Medical Journal, Arquivos Brasileiros de Endocrinologia e Metabologia, Clinics, Jornal Brasileiro de Pneumologia, Revista da Sociedade Brasileira de Medicina Tropical, Revista Brasileira de Psiquiatria e Acta Ortopédica Brasileira in the years 2011 and 2007 were analyzed, assessing the number of articles published in national and international journals. A total of 36,125 references from 1,462 articles published in the 10 aforementioned journals were analyzed. Of the total number, 4.242 (11.74%) were from Brazilian journals. There was no significant difference between the two analyzed periods. A total of 453 (30,98%) of the articles studied non-cited brazilian papers,and 81 (5.54%) articles had more Brazilian than international references. Of total references analyzed, 11.74% were related to articles published in Brazilian journals. This number, when compared to the percentage of Brazilian articles published in the medical area, demonstrates a good number of citations of national articles. Copyright © 2012 Elsevier Editora Ltda. All rights reserved.

PET - radiopharmaceutical facilities at Washington University Medical School - an overview

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dence, C.S.; Welch, M.J.

1994-12-31

The PET program at Washington University has evolved over more than three decades of research and development in the use of positron-emitting isotopes in medicine and biology. In 1962 the installation of the first hospital cyclotron in the USA was accomplished. This first machine was an Allis Chalmers (AC) cyclotron and it was operated until July, 1990. Simultaneously with this cyclotron the authors also ran a Cyclotron Corporation (TCC) CS-15 cyclotron that was purchased in 1977. Both of these cyclotrons were maintained in-house and operated with a relatively small downtime (approximately 3.5%). After the dismantling of the AC machine inmore » 1990, a Japanese Steel Works 16/8 (JSW-16/8) cyclotron was installed in the vault. Whereas the AC cyclotron could only accelerate deuterons (6.2 MeV), the JSW - 16/8 machine can accelerate both protons and deuterons, so all of the radiopharmaceuticals can be produced on either of the two presently owned accelerators. At the end of May 1993, the medical school installed the first clinical Tandem Cascade Accelerator (TCA) a collaboration with Science Research Laboratories (SRL) of Somerville, MA. Preliminary target testing, design and development are presently under way. In 1973, the University installed the first operational PETT device in the country, and at present there is a large basic science and clinical research program involving more than a hundred staff in nuclear medicine, radiation sciences, neurology, neurosurgery, psychiatry, cardiology, pulmonary medicine, oncology, and surgery.« less

Metadata - National Hospital Ambulatory Medical Care Survey (NHAMCS)

EPA Pesticide Factsheets

The National Hospital Ambulatory Medical Care Survey (NHAMCS) is designed to collect information on the services provided in hospital emergency and outpatient departments and in ambulatory surgery centers.

CYCLOTRON-WAVE INSTABILITIES,

DTIC Science & Technology

Interactions of waves on electron streams or plasmas are studied for several geometric configurations of finite cross section in a finite magnetic...velocity parallel to the magnetic field. It is further assumed that either macroscopic neutrality exists or static spacecharge forces are negligible. For...the most part the quasi-static analysis is used. For the case of two drifting streams cyclotron waves act to giveinstabilities which are either

Static harmonization of dynamically harmonized Fourier transform ion cyclotron resonance cell.

PubMed

Zhdanova, Ekaterina; Kostyukevich, Yury; Nikolaev, Eugene

2017-08-01

Static harmonization in the Fourier transform ion cyclotron resonance cell improves the resolving power of the cell and prevents dephasing of the ion cloud in the case of any trajectory of the charged particle, not necessarily axisymmetric cyclotron (as opposed to dynamic harmonization). We reveal that the Fourier transform ion cyclotron resonance cell with dynamic harmonization (paracell) is proved to be statically harmonized. The volume of the statically harmonized potential distribution increases with an increase in the number of trap segments.

Technical Note: Building a combined cyclotron and MRI facility: Implications for interference

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hofman, Mark B. M.; Kuijer, Joost P. A.; Ridder, Jan Willem de

2013-01-15

Purpose: With the introduction of hybrid PET/MRI systems, it has become more likely that the cyclotron and MRI systems will be located close to each other. This study considered the interference between a cyclotron and a superconducting MRI system. Methods: Interactions between cyclotrons and MRIs are theoretically considered. The main interference is expected to be the perturbation of the magnetic field in the MRI due to switching on or off the magnetic field of the cyclotron. MR imaging is distorted by a dynamic spatial gradient of an external inplane magnetic field larger than 0.5-0.04 {mu}T/m, depending on the specific MRmore » application. From the design of a cyclotron, it is expected that the magnetic fringe field at large distances behaves as a magnetic dipolar field. This allows estimation of the full dipolar field and its spatial gradients from a single measurement. Around an 18 MeV cyclotron (Cyclone, IBA), magnetic field measurements were performed on 5 locations and compared with calculations based upon a dipolar field model. Results: At the measurement locations the estimated and measured values of the magnetic field component and its spatial gradients of the inplane component were compared, and found to agree within a factor 1.1 for the magnetic field and within a factor of 1.5 for the spatial gradients of the field. In the specific case of the 18 MeV cyclotron with a vertical magnetic field and a 3T superconducting whole body MR system, a minimum distance of 20 m has to be considered to prevent interference. Conclusions: This study showed that a dipole model is sufficiently accurate to predict the interference of a cyclotron on a MRI scanner, for site planning purposes. The cyclotron and a whole body MRI system considered in this study need to be placed more than 20 m apart, or magnetic shielding should be utilized.« less

Saving tourists: the status of emergency medical services in California's National Parks.

PubMed

Heggie, Travis W; Heggie, Tracey M

2009-01-01

Providing emergency medical services (EMS) in popular tourist destinations such as National Parks requires an understanding of the availability and demand for EMS. This study examines the EMS workload, EMS transportation methods, EMS funding, and EMS provider status in California's National Park Service units. A retrospective review of data from the 2005 Annual Emergency Medical Services Report for National Park Service (NPS) units in California. Sixteen NPS units in California reported EMS activity. EMS program funding and training costs totaled USD $1,071,022. During 2005 there were 84 reported fatalities, 910 trauma incidents, 663 non-cardiac medicals, 129 cardiac incidents, and 447 first aid incidents. Sequoia and Kings Canyon National Parks, Yosemite National Park, Golden Gate National Recreation Area, and Death Valley National Park accounted for 83% of the total EMS case workload. Ground transports accounted for 85% of all EMS transports and Emergency Medical Technicians with EMT-basic (EMT-B) training made up 76% of the total 373 EMS providers. Providing EMS for tourists can be a challenging task. As tourist endeavors increase globally and move into more remote environments, the level of EMS operations in California's NPS units can serve as a model for developing EMS operations serving tourist populations.

Electromagnetic Cyclotron Waves in the Solar Wind: Wind Observation and Wave Dispersion Analysis

NASA Technical Reports Server (NTRS)

Jian, L. K.; Moya, P. S.; Vinas, A. F.; Stevens, M.

2016-01-01

Wind observed long-lasting electromagnetic cyclotron waves near the proton cyclotron frequency on 11 March 2005, in the descending part of a fast wind stream. Bi-Maxwellian velocity distributions are fitted for core protons, beam protons, and alpha-particles. Using the fitted plasma parameters we conduct kinetic linear dispersion analysis and find ion cyclotron and/or firehose instabilities grow in six of 10 wave intervals. After Doppler shift, some of the waves have frequency and polarization consistent with observation, thus may be correspondence to the cyclotron waves observed.

Electromagnetic cyclotron waves in the solar wind: Wind observation and wave dispersion analysis

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jian, L. K., E-mail: lan.jian@nasa.gov; Heliophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771; Moya, P. S.

2016-03-25

Wind observed long-lasting electromagnetic cyclotron waves near the proton cyclotron frequency on 11 March 2005, in the descending part of a fast wind stream. Bi-Maxwellian velocity distributions are fitted for core protons, beam protons, and α-particles. Using the fitted plasma parameters we conduct kinetic linear dispersion analysis and find ion cyclotron and/or firehose instabilities grow in six of 10 wave intervals. After Doppler shift, some of the waves have frequency and polarization consistent with observation, thus may be correspondence to the cyclotron waves observed.

Development of national competency-based learning objectives "Medical Informatics" for undergraduate medical education.

PubMed

Röhrig, R; Stausberg, J; Dugas, M

2013-01-01

The aim of this project is to develop a catalogue of competency-based learning objectives "Medical Informatics" for undergraduate medical education (abbreviated NKLM-MI in German). The development followed a multi-level annotation and consensus process. For each learning objective a reason why a physician needs this competence was required. In addition, each objective was categorized according to the competence context (A = covered by medical informatics, B = core subject of medical informatics, C = optional subject of medical informatics), the competence level (1 = referenced knowledge, 2 = applied knowledge, 3 = routine knowledge) and a CanMEDS competence role (medical expert, communicator, collaborator, manager, health advocate, professional, scholar). Overall 42 objectives in seven areas (medical documentation and information processing, medical classifications and terminologies, information systems in healthcare, health telematics and telemedicine, data protection and security, access to medical knowledge and medical signal-/image processing) were identified, defined and consented. With the NKLM-MI the competences in the field of medical informatics vital to a first year resident physician are identified, defined and operationalized. These competencies are consistent with the recommendations of the International Medical Informatics Association (IMIA). The NKLM-MI will be submitted to the National Competence-Based Learning Objectives for Undergraduate Medical Education. The next step is implementation of these objectives by the faculties.

Emergency medical technician-basic : national standard curriculum (instructor's course guide)

DOT National Transportation Integrated Search

1994-01-01

The curriculum, Emergency Medical Technician-Basic: National Standard Curriculum, : is the cornerstone of EMS prehospital training. Presented here is the : instructor's guide. This new curriculum parallels the recommendations of the : National EMS Ed...

Nonlinear analysis of a relativistic beam-plasma cyclotron instability

NASA Technical Reports Server (NTRS)

Sprangle, P.; Vlahos, L.

1986-01-01

A self-consistent set of nonlinear and relativistic wave-particle equations are derived for a magnetized beam-plasma system interacting with electromagnetic cyclotron waves. In particular, the high-frequency cyclotron mode interacting with a streaming and gyrating electron beam within a background plasma is considered in some detail. This interaction mode may possibly find application as a high-power source of coherent short-wavelength radiation for laboratory devices. The background plasma, although passive, plays a central role in this mechanism by modifying the dielectric properties in which the magnetized electron beam propagates. For a particular choice of the transverse beam velocity (i.e., the speed of light divided by the relativistic mass factor), the interaction frequency equals the nonrelativistic electron cyclotron frequency times the relativistic mass factor. For this choice of transverse beam velocity the detrimental effects of a longitudinal beam velocity spread is virtually removed. Power conversion efficiencies in excess of 18 percent are both analytically calculated and obtained through numerical simulations of the wave-particle equations. The quality of the electron beam, degree of energy and pitch angle spread, and its effect on the beam-plasma cyclotron instability is studied.

The need for national medical licensing examination in Saudi Arabia

PubMed Central

Bajammal, Sohail; Zaini, Rania; Abuznadah, Wesam; Al-Rukban, Mohammad; Aly, Syed Moyn; Boker, Abdulaziz; Al-Zalabani, Abdulmohsen; Al-Omran, Mohammad; Al-Habib, Amro; Al-Sheikh, Mona; Al-Sultan, Mohammad; Fida, Nadia; Alzahrani, Khalid; Hamad, Bashir; Al Shehri, Mohammad; Abdulrahman, Khalid Bin; Al-Damegh, Saleh; Al-Nozha, Mansour M; Donnon, Tyrone

2008-01-01

Background Medical education in Saudi Arabia is facing multiple challenges, including the rapid increase in the number of medical schools over a short period of time, the influx of foreign medical graduates to work in Saudi Arabia, the award of scholarships to hundreds of students to study medicine in various countries, and the absence of published national guidelines for minimal acceptable competencies of a medical graduate. Discussion We are arguing for the need for a Saudi national medical licensing examination that consists of two parts: Part I (Written) which tests the basic science and clinical knowledge and Part II (Objective Structured Clinical Examination) which tests the clinical skills and attitudes. We propose this examination to be mandated as a licensure requirement for practicing medicine in Saudi Arabia. Conclusion The driving and hindering forces as well as the strengths and weaknesses of implementing the licensing examination are discussed in details in this debate. PMID:19032779

Coupling of electrostatic ion cyclotron and ion acoustic waves in the solar wind

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sreeraj, T., E-mail: sreerajt13@iigs.iigm.res.in; Singh, S. V., E-mail: satyavir@iigs.iigm.res.in; Lakhina, G. S., E-mail: gslakhina@gmail.com

2016-08-15

The coupling of electrostatic ion cyclotron and ion acoustic waves is examined in three component magnetized plasma consisting of electrons, protons, and alpha particles. In the theoretical model relevant to solar wind plasma, electrons are assumed to be superthermal with kappa distribution and protons as well as alpha particles follow the fluid dynamical equations. A general linear dispersion relation is derived for such a plasma system which is analyzed both analytically and numerically. For parallel propagation, electrostatic ion cyclotron (proton and helium cyclotron) and ion acoustic (slow and fast) modes are decoupled. For oblique propagation, coupling between the cyclotron andmore » acoustic modes occurs. Furthermore, when the angle of propagation is increased, the separation between acoustic and cyclotron modes increases which is an indication of weaker coupling at large angle of propagation. For perpendicular propagation, only cyclotron modes are observed. The effect of various parameters such as number density and temperature of alpha particles and superthermality on dispersion characteristics is examined in details. The coupling between various modes occurs for small values of wavenumber.« less

The new solid target system at UNAM in a self-shielded 11 MeV cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zarate-Morales, A.; Gaspar-Carcamo, R. E.; Lopez-Rodriguez, V.

2012-12-19

A dual beam line (BL) self-shielded RDS 111 cyclotron for radionuclide production was installed at the School of Medicine of the National Autonomous University of Mexico in 2001. One of the BL's was upgraded to Eclipse HP (Siemens) in 2008 and the second BL was recently upgraded (June 2011) to the same version with the option for the irradiation of solid targets for the production of metallic radioisotopes.

The new solid target system at UNAM in a self-shielded 11 MeV cyclotron

NASA Astrophysics Data System (ADS)

Zarate-Morales, A.; Gaspar-Carcamo, R. E.; Lopez-Rodriguez, V.; Flores-Moreno, A.; Trejo-Ballado, F.; Avila-Rodriguez, Miguel A.

2012-12-01

A dual beam line (BL) self-shielded RDS 111 cyclotron for radionuclide production was installed at the School of Medicine of the National Autonomous University of Mexico in 2001. One of the BL's was upgraded to Eclipse HP (Siemens) in 2008 and the second BL was recently upgraded (June 2011) to the same version with the option for the irradiation of solid targets for the production of metallic radioisotopes.

77 FR 52742 - Public Meeting-Strengthening the National Medical Device Postmarket Surveillance System; Request...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-30

...] Public Meeting--Strengthening the National Medical Device Postmarket Surveillance System; Request for... ``Public Meeting--Strengthening the National Medical Device Postmarket Surveillance System.'' The purpose of the meeting is to solicit public feedback regarding the medical device postmarket surveillance...

Ascertainment of Outpatient Visits by Patients with Diabetes: The National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS)

PubMed Central

Asao, Keiko; McEwen, Laura N.; Lee, Joyce M.; Herman, William H.

2015-01-01

Aims To estimate and evaluate the sensitivity and specificity of providers’ diagnosis codes and medication lists to identify outpatient visits by patients with diabetes. Methods We used data from the 2006 to 2010 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey. We assessed the sensitivity and specificity of providers’ diagnoses and medication lists to identify patients with diabetes, using the checkbox for diabetes as the gold standard. We then examined differences in sensitivity by patients’ characteristics using multivariate logistic regression models. Results The checkbox identified 12,647 outpatient visits by adults with diabetes among the 70,352 visits used for this analysis. The sensitivity and specificity of providers’ diagnoses or listed diabetes medications were 72.3% (95% CI: 70.8% to 73.8%) and 99.2% (99.1% to 99.4%), respectively. Diabetic patients ≥75 years pf age, women, non-Hispanics, and those with private insurance or Medicare were more likely to be missed by providers’ diagnoses and medication lists. Diabetic patients who had more diagnosis codes and medications recorded, had glucose or hemoglobin A1c measured, or made office- rather than hospital-outpatient visits were less likely to be missed. Conclusions Providers’ diagnosis codes and medication lists fail to identify approximately one quarter of outpatient visits by patients with diabetes. PMID:25891975

The national e-medication approaches in Germany, Switzerland and Austria: A structured comparison.

PubMed

Gall, Walter; Aly, Amin-Farid; Sojer, Reinhold; Spahni, Stéphane; Ammenwerth, Elske

2016-09-01

Recent studies show that many patients are harmed due to missing or erroneous information on prescribed and taken medication. Many countries are thus introducing eHealth solutions to improve the availability of this medication information on a national scale (often called "e-medication"). The objective of this study is to analyse and compare the national e-medication solutions just being introduced in Germany, Switzerland and Austria. Information on the situation in the three countries was collected within an expert group and complemented by an analysis of recent literature and legislation in each country. All three countries formulate comparable goals for the national eHealth solutions, focusing on improving medication safety. All three countries do not have a national e-prescription system. In all three countries, the implementation process was slower than expected and e-medication is not yet fully available. Differences of the three countries exist regarding chosen architectures, used standards, offered functionalities, and degree of voluntariness of participation. Nationwide e-medication systems and cross-border harmonization are acknowledged as important goals towards medication safety, but they develop slowly mainly due to privacy and security requirements, the need for law amendments and last but not least political interests. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Optimized calculation of the synergy conditions between electron cyclotron current drive and lower hybrid current drive on EAST

NASA Astrophysics Data System (ADS)

Wei, Wei; Bo-Jiang, Ding; Y, Peysson; J, Decker; Miao-Hui, Li; Xin-Jun, Zhang; Xiao-Jie, Wang; Lei, Zhang

2016-01-01

The optimized synergy conditions between electron cyclotron current drive (ECCD) and lower hybrid current drive (LHCD) with normal parameters of the EAST tokamak are studied by using the C3PO/LUKE code based on the understanding of the synergy mechanisms so as to obtain a higher synergistic current and provide theoretical reference for the synergistic effect in the EAST experiment. The dependences of the synergistic effect on the parameters of two waves (lower hybrid wave (LHW) and electron cyclotron wave (ECW)), including the radial position of the power deposition, the power value of the LH and EC waves, and the parallel refractive indices of the LHW (N∥) are presented and discussed. Project supported by the National Magnetic Confinement Fusion Science Program of China (Grant Nos. 2011GB102000, 2012GB103000, and 2013GB106001), the National Natural Science Foundation of China (Grant Nos. 11175206 and 11305211), the JSPS-NRF-NSFC A3 Foresight Program in the Field of Plasma Physics (Grant No. 11261140328), and the Fundamental Research Funds for the Central Universities of China (Grant No. JZ2015HGBZ0472).

78 FR 49332 - National Emergency Medical Services Advisory Council (NEMSAC); Notice of Federal Advisory...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-13

...-0091] National Emergency Medical Services Advisory Council (NEMSAC); Notice of Federal Advisory... Transportation (DOT). ACTION: Meeting Notice--National Emergency Medical Services Advisory Council. SUMMARY: The... emergency medical services representatives and consumers, is to advise and consult with DOT and the Federal...

[Historical origins between National Medical Association of China and Boji Hospital in Guangzhou].

PubMed

Liu, Pinming

2015-09-01

In 2015, National Medical Association of China, now being called the Chinese Medical Association, celebrates its centennial and Boji Hospital in Guangzhou ( also known as Canton Hospital, or the Canton Pok Tsai Hospital, and now Sun Yat-sen Memorial Hospital of Sun Yat-sen University ) marks its 180th anniversary. Three major historical events establish the role of Boji Hospital in the founding and development of the National Medical Association of China during the last 100 years, viz.: ①hosting and participating in the establishment of the Medical Missionary Association of China and its official journal: the China Medical Missionary Journal; ②holding the 11th scientific sessions of the National Medical Association of China; ③nominating Dr. Wu Lien-teh as a candidate for the Nobel Prize in Physiology or Medicine in 1935 by William Warder Cadbury, the president of Boji Hospital.

Joint Task Force National Capital Region Medical: Integration of Education, Training, and Research

DTIC Science & Technology

2009-05-01

Defense established the Joint Task Force National Capital Region Medical (JTF CapMed ) on the National Naval Medical Center campus in Bethesda, Maryland in...transfor- mation of military health services in the National Capital Area including education, training, and research activities. JTF CAPMED ...BACKGROUND JTF CapMed was established to lead the integration of mili- tary health care in the National Capital Region. The Command is charged with overseeing

Electromagnetic ion cyclotron waves observed near the oxygen cyclotron frequency by ISEE 1 and 2

NASA Technical Reports Server (NTRS)

Fraser, B. J.; Samson, J. C.; Hu, Y. D.; Mcpherron, R. L.; Russell, C. T.

1992-01-01

The first results of observations of ion cyclotron waves by the elliptically orbiting ISEE 1 and 2 pair of spacecraft are reported. The most intense waves (8 nT) were observed in the outer plasmasphere where convection drift velocities were largest and the Alfven velocity was a minimum. Wave polarization is predominantly left-handed with propagation almost parallel to the ambient magnetic field, and the spectral slot and polarization reversal predicted by cold plasma propagation theory are identified in the wave data. Computations of the experimental wave spectra during the passage through the plasmapause show that the spectral slots relate to the local plasma parameters, possibly suggesting an ion cyclotron wave growth source near the spacecraft. A regular wave packet structure seen over the first 30 min of the event is attributed to the modulation of this energy source by the Pc 5 waves seen at the same time.

Optimized magnet for a 250 MeV proton radiotherapy cyclotron

NASA Astrophysics Data System (ADS)

Kim, J.; Blosser, H.

2001-12-01

The NSCL accelerator group in 1993 carried out an extensive design study [1] for a K250 superconducting cyclotron for advanced cancer therapy. A private company ACCEL now offers cyclotrons based on this study on a commercial basis, and actual construction of a first such cyclotron is likely in the near future. In view of this, further optimization of the design of the superconducting magnet is currently underway. The configuration of the cyclotron has many similarities with previous NSCL-built superconducting cyclotrons—notable differences are the peak average field of 3 T (required by the focusing limit for protons) vs the 5 tesla of other MSU designs, and the use of four sectors rather than three to avoid the νr=3/2 stopband. The further optimization of the magnetic design described here keys on using the true 3D magnetic field program to more precisely match the design to an optimized orbital frequency configuration and to explore reducing the amount of spiral in the hills which then shortens the linear length of the rf elements and therefore reduces capacity and power consumption.

Knowledge of medical students on National Health Care System: A French multicentric survey.

PubMed

Feral-Pierssens, A-L; Jannot, A-S

2017-09-01

Education on national health care policy and costs is part of our medical curriculum explaining how our health care system works. Our aim was to measure French medical students' knowledge about national health care funding, costs and access and explore association with their educational and personal background. We developed a web-based survey exploring knowledge on national health care funding, access and costs through 19 items and measured success score as the number of correct answers. We also collected students' characteristics and public health training. The survey was sent to undergraduate medical students and residents from five medical universities between July and November 2015. A total of 1195 students from 5 medical universities responded to the survey. Most students underestimated the total amount of annual medical expenses, hospitalization costs and the proportion of the general population not benefiting from a complementary insurance. The knowledge score was not associated with medical education level. Three students' characteristics were significantly associated with a better knowledge score: male gender, older age, and underprivileged status. Medical students have important gaps in knowledge regarding national health care funding, coverage and costs. This knowledge was not associated with medical education level but with some of the students' personal characteristics. All these results are of great concern and should lead us to discussion and reflection about medical and public health training. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Evaluation of neutron skyshine from a cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Huyashi, K.; Nakamura, T.

1984-06-01

The dose distribution and the spectrum variation of neutrons due to the skyshine effect have been measured with various detectors in the environment surrounding the cyclotron of the Institute for Nuclear Study, University of Tokyo. The source neutrons were produced by stopping a 52-MeV proton beam into a carbon beam stopper and were extracted upward from the opening in the concrete shield surrounding the cyclotron and then leaked into the atmosphere through the cyclotron building. The dose distribution and the spectrum of neutrons near the beam stopper were also measured in order to get information on the skyshine source. Themore » measured skyshine neutron spectra and dose distribution were analyzed with two codes, MMCR2 and SKYSHINE-II, with the result that the calculated results are in good agreement with the experiment. Valuable characteristics of this experiment are the determination of the energy spectrum and dose distribution of source neutron and the measurement of skyshine neutrons from an actual large-scale accelerator building to the exclusion of direct neutrons transported through the air. This experiment must be useful as a kind of benchmark experiment on the skyshine phenomenon.« less

Ion Cyclotron Heating on Proto-MPEX

NASA Astrophysics Data System (ADS)

Goulding, R. H.; Caughman, J. B. O.; Rapp, J.; Biewer, T. M.; Campbell, I. H.; Caneses, J. F.; Kafle, N.; Ray, H. B.; Showers, M. A.; Piotrowicz, P. A.

2016-10-01

Ion cyclotron heating will be used on Proto-MPEX (Prototype Material Plasma Exposure eXperiment) to increase heat flux to the target, to produce varying ion energies without substrate biasing, and to vary the extent of the magnetic pre-sheath for the case of a tilted target. A 25 cm long, 9 cm diameter dual half-turn helical ion cyclotron antenna has been installed in the device located at the magnetic field maximum. It couples power to ions via single pass damping of the slow wave at the fundamental resonance, and operates with ω 0.8ωci at the antenna location. It is designed to operate at power levels up to 30 kW, with a later 200 kW upgrade planned. Near term experiments include measuring RF loading at low power as a function of frequency and antenna gap. The plasma is generated by a helicon plasma source that has achieved ne > 5 ×1019m-3 operating with deuterium, as measured downstream from the ion cyclotron antenna location. Measurements will be compared with 1-D and 2-D models of RF coupling. The latest results will be presented. This manuscript has been authored by UT-Battelle, LLC, under Contract No. DE-AC05-00OR22725 with the U.S. Department of Energy.

Cyclotron Lines in Accreting Neutron Star Spectra

NASA Astrophysics Data System (ADS)

Wilms, Jörn; Schönherr, Gabriele; Schmid, Julia; Dauser, Thomas; Kreykenbohm, Ingo

2009-05-01

Cyclotron lines are formed through transitions of electrons between discrete Landau levels in the accretion columns of accreting neutron stars with strong (1012 G) magnetic fields. We summarize recent results on the formation of the spectral continuum of such systems, describe recent advances in the modeling of the lines based on a modification of the commonly used Monte Carlo approach, and discuss new results on the dependence of the measured cyclotron line energy from the luminosity of transient neutron star systems. Finally, we show that Simbol-X will be ideally suited to build and improve the observational database of accreting and strongly magnetized neutron stars.

Quantum non demolition measurement of cyclotron excitations in a Penning trap

NASA Technical Reports Server (NTRS)

Marzoli, Irene; Tombesi, Paolo

1993-01-01

The quantum non-demolition measurement of the cyclotron excitations of an electron confined in a Penning trap could be obtained by measuring the resonance frequency of the axial motion, which is coupled to the cyclotron motion through the relativistic shift of the electron mass.

Electrostatic ion cyclotron velocity shear instability

NASA Technical Reports Server (NTRS)

Lemons, D. S.; Winske, D.; Gary, S. P.

1992-01-01

A local electrostatic dispersion equation is derived for a shear flow perpendicular to an ambient magnetic field, which includes all kinetic effects and involves only one important parameter. The dispersion equation is cast in the form of Gordeyev integrals and is solved numerically. Numerical solutions indicate that an ion cyclotron instability is excited. The instability occurs roughly at multiples of the ion cyclotron frequency (modified by the shear), with the growth rate or the individual harmonics overlapping in the wavenumber. At large values of the shear parameter, the instability is confined to long wavelengths, but at smaller shear, a second distinct branch at shorter wavelengths also appears. The properties of the instability obtained are compared with those obtained in the nonlocal limit by Ganguli et al. (1985, 1988).

Development of a 20 mA negative hydrogen ion source for cyclotrons

NASA Astrophysics Data System (ADS)

Etoh, H.; Onai, M.; Arakawa, Y.; Aoki, Y.; Mitsubori, H.; Sakuraba, J.; Kato, T.; Mitsumoto, T.; Yajima, S.; Hatayama, A.; Okumura, Y.

2017-08-01

A cesiated DC negative ion source has been developed for proton cyclotrons in medical applications. A continuous H- beam of 23 mA was stably extracted at an arc power of 3 kW. The beam current gradually decreases with a constant arc power and without additional Cs injection and the decay rate was about 0.03 mA (0.14%) per hour. A feed-back control system that automatically adjusts the arc power to stabilize the beam current is able to keep the beam current constant at ±0.04 mA (±0.2%).

High current DC negative ion source for cyclotron.

PubMed

Etoh, H; Onai, M; Aoki, Y; Mitsubori, H; Arakawa, Y; Sakuraba, J; Kato, T; Mitsumoto, T; Hiasa, T; Yajima, S; Shibata, T; Hatayama, A; Okumura, Y

2016-02-01

A filament driven multi-cusp negative ion source has been developed for proton cyclotrons in medical applications. In Cs-free operation, continuous H(-) beam of 10 mA and D(-) beam of 3.3 mA were obtained stably at an arc-discharge power of 3 kW and 2.4 kW, respectively. In Cs-seeded operation, H(-) beam current reached 22 mA at a lower arc power of 2.6 kW with less co-extracted electron current. The optimum gas flow rate, which gives the highest H(-) current, was 15 sccm in the Cs-free operation, while it decreased to 4 sccm in the Cs-seeded operation. The relationship between H(-) production and the design/operating parameters has been also investigated by a numerical study with KEIO-MARC code, which gives a reasonable explanation to the experimental results of the H(-) current dependence on the arc power.

Emergency Medical Dispatch. National Standard Curriculum. Instructor Guide. Trainee Guide.

ERIC Educational Resources Information Center

National Highway Traffic Safety Administration (DOT), Washington, DC.

This guide contains all instructor materials and requirements for the National Highway Traffic Safety Administration (NHTSA), Emergency Medical Dispatch (EMD) National Standard Curriculum. It includes lesson plans, instructional aids, and tools and supporting information designed to elevate trained and experienced public safety telecommunicators…

78 FR 66369 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-05

... General Medical Sciences; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory... Sciences Initial Review Group Training and Workforce Development Subcommittee--D. Date: November 7, 2013... Review Officer, Office of Scientific Review, National Institute of General Medical Sciences, National...

76 FR 10911 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-28

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; Review of Minority Biomedical Research Support Applications. Date: March... Review, National Institute of General Medical Sciences, National Institutes of Health, 45 Center Drive...

78 FR 66367 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-05

... General Medical Sciences; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory... Sciences Initial Review Group; Training and Workforce Development Subcommittee--A. Date: November 21, 2013... Review Officer, Office of Scientific Review, National Institute of General Medical Sciences, National...

Funding of Medical Research in Australia by the National Health & Medical Research Council.

ERIC Educational Resources Information Center

McCloskey, Ian

1994-01-01

The role of Australia's National Health and Medical Research Council, an independent statutory body, in distribution of funds for research projects, programs, units, and major institutes. The agency's evaluation system, resource allocation practices, and training and career support system are described briefly. (MSE)

The cyclotron maser theory of AKR and Z-mode radiation. [Auroral Kilometric Radiation

NASA Technical Reports Server (NTRS)

Wu, C. S.

1985-01-01

The cyclotron maser mechanism which may be responsible for the generation of auroral kilometric radiation and Z-mode radiation is discussed. Emphasis is placed on the basic concepts of the cyclotron maser theory, particularly the relativistic effect of the cyclotron resonance condition. Recent development of the theory is reviewed. Finally, the results of a computer simulation study which helps to understand the nonlinear saturation of the maser instability are reported.

Multi-ion, multi-event test of ion cyclotron resonance heating

NASA Technical Reports Server (NTRS)

Persoon, Ann M.

1993-01-01

The multi-ion, multi-event study of ion cyclotron resonance heating has been funded to study ion energization through ion cyclotron resonance with low frequency broadband electromagnetic turbulence. The modeling algorithm for the ion cyclotron resonance heating (ICRH) of oxygen ions was presented in Crew et al. (1990). Crew and his co-authors developed a two-parameter representation of selected oxygen conic distributions and modelled the conic formation in terms of resonance heating. The first year of this study seeks to extend the work of Crew and his co-authors by testing the applicability of the ICRH mechanism to helium ion conic distributions, using data obtained from the Energetic Ion Composition Spectrometer and the Plasma Wave Instrument on Dynamics Explorer 1.

Medical Isotope Production at TRIUMF - from Imaging to Treatment

NASA Astrophysics Data System (ADS)

Hoehr, C.; Bénard, F.; Buckley, K.; Crawford, J.; Gottberg, A.; Hanemaayer, V.; Kunz, P.; Ladouceur, K.; Radchenko, V.; Ramogida, C.; Robertson, A.; Ruth, T.; Zacchia, N.; Zeisler, S.; Schaffer, P.

TRIUMF has a long history of medical isotope production. For more than 40 years, the Life Sciences Division at TRIUMF has produced isotopes for Positron Emission Tomography (PET) for the local hospitals. Recently, the division has taken on the challenge to expand the facility's isotope repertoire to isotopes for imaging to treatment. At the smallest cyclotron at TRIUMF with energy of 13 MeV, radiometals are being produced in a liquid target which is typically used for PET isotope production. This effort makes radiometals available for early stage research and preclinical trials. At beam energy of 24 MeV, we produce 99mTc from 100Mo with a cyclotron, the most common isotope for Single-Photon-Emission-Computed-Tomography (SPECT) and the most common isotope for nuclear imaging. The use of a cyclotron bypasses the common production route via a nuclear reactor as well as enriched uranium. And finally, at our 500 MeV cyclotron we have demonstrated the production of α emitters useful for targeted alpha therapy. Herein, these efforts are summarized.

The importance of plasma effects on electron-cyclotron maser-emission from flaring loops

NASA Technical Reports Server (NTRS)

Sharma, R. R.; Vlahos, L.; Papadopoulos, K.

1982-01-01

Electron cyclotron maser instability has been suggested as the cause of the observed short (10-20 msec), intense (an approximate brightness temperature of 10 to the 15th K) and up to 100% polarized microwave solar emission. It is shown that plasma effects and thermal cyclotron damping, ignored in previous theories, play an important role in controlling the frequency range of the emission. The radio emission is suppressed for ratios of the plasma frequency to the cyclotron frequency smaller than 0.4. An examination of the cyclotron damping, reveals that the maser action is suppressed unless a large fraction (i.e., over 10%) of the accelerated electrons participates in the emission process.

NIH's National Institute of General Medical Sciences celebrates 45 years of Discovery for Health

MedlinePlus

... Alison Davis NIH's National Institute of General Medical Sciences celebrates 45 years of Discovery for Health The National Institute of General Medical Sciences (NIGMS) is the NIH institute that primarily supports ...

78 FR 66370 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-05

... General Medical Sciences; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; Peer Review of SCORE Grant Applications. Date: November 15, 2013. Time: 8... Officer, Office of Scientific Review, National Institute of General Medical Sciences, National Institutes...

77 FR 19678 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-02

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; NIH Loan Repayment Program for Clinical and Pediatric Research. Date... Scientific Review, National Institute of General Medical Sciences, National Institutes of Health, 45 Center...

Research Plan for the National Center for Medical Rehabilitation Research.

ERIC Educational Resources Information Center

National Inst. of Child Health and Human Development (NIH), Bethesda, MD.

This research plan describes a framework for defining and developing the field of rehabilitation sciences and research opportunities for the National Center for Medical Rehabilitation Research (NCMRR) and other agencies funding medical rehabilitation research. The plan addresses the needs of both persons who are involved in habilitation and in…

[Professional medical identities in contention: The National Practitioners' Congress, Brazil (1922)].

PubMed

Pereira Neto, A d

2000-01-01

The object of this paper is the debate among the Brazilian medical elite during the National Practitioners' Congress (Congresso Nacional dos Práticos - 1922). The article begins by analyzing a specific moment in the medical profession's history in early 20th-century Brazil, specifically Rio de Janeiro's 1922 National Practitioners' Congress. The author presents three profiles of medical practice observed in that context: generalists, specialists, and hygienists. He further analyzes their characteristics, similarities, and differences, as well as the strategies for professional affirmation adopted by physicians with these profiles. The article addresses the following issues: What were the relationships between the specialization process, forms of remuneration, and the construction of new professional identities? What identities did medical doctors create for themselves? What were the rivalries between these different professional identities? How did they portray outside competitors, such as the so-called traditional healers? Finally, the author presents several methodological suggestions that may contribute to historical research on the medical profession.

75 FR 71134 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-22

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; Conference Grants Review. Date: December 13, 2010. Time: 1 p.m. to 6 p.m..., Office of Scientific Review, National Institute of General Medical Sciences, National Institutes of...

78 FR 70311 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-25

... General Medical Sciences; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; Review of R-13 Conference Grant Applications. Date: December 3, 2013. Time..., National Institute of General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3An.22...

78 FR 45917 - National Committee on Foreign Medical Education and Accreditation Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-30

... United States medical schools. Comparability of the applicable accreditation standards is an eligibility... comparable to the standards of accreditation applied to medical schools in the United States and/or reports... DEPARTMENT OF EDUCATION National Committee on Foreign Medical Education and Accreditation Meeting...

Evolution of the axial electron cyclotron maser instability, with applications to solar microwave spikes

NASA Technical Reports Server (NTRS)

Vlahos, Loukas; Sprangle, Phillip

1987-01-01

The nonlinear evolution of cyclotron radiation from streaming and gyrating electrons in an external magnetic field is analyzed. The nonlinear dynamics of both the fields and the particles are treated fully relativistically and self-consistently. The model includes a background plasma and electrostatic effects. The analytical and numerical results show that a substantial portion of the beam particle energy can be converted to electromagnetic wave energy at frequencies far above the electron cyclotron frequency. In general, the excited radiation can propagate parallel to the magnetic field and, hence, escape gyrothermal absorption at higher cyclotron harmonics. The high-frequency Doppler-shifted cyclotron instability can have saturation efficiencies far higher than those associated with well-known instabilities of the electron cyclotron maser type. Although the analysis is general, the possibility of using this model to explain the intense radio emission observed from the sun is explored in detail.

Understanding Medical Words: A Tutorial from the National Library of Medicine

MedlinePlus

... Understanding Medical Words: A Tutorial from the National Library of Medicine To use the sharing features on ... MedlinePlus Connect for EHRs For Developers U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 ...

78 FR 39741 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-02

... General Medical Sciences; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; SCORE Grant Applications. Date: July 23, 2013. Time: 8:00 a.m. to 5:00 p.m..., Office of Scientific Review, National Institute of General Medical Sciences, National Institutes of...

76 FR 36932 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-23

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel, MBRS Score. Date: July 18-19, 2011. Time: 8 a.m. to 5 p.m. Agenda: To..., Office of Scientific Review, National Institute of General Medical Sciences, National Institutes of...

Evaluation of induced activity in various components of a PET-cyclotron

NASA Astrophysics Data System (ADS)

Toyoda, A.; Yoshida, G.; Matsumura, H.; Masumoto, K.; Nakabayashi, T.; Yagishita, T.; Sasaki, H.

2018-06-01

For decommissioning a cyclotron facility, it is important to evaluate the induced activity of the various components of the cyclotron; however, activation of the metal components has been rarely investigated. In this study, two types of cyclotrons were examined; one is a proton acceleration type using a deflector, and another is a hydride ion (H-) acceleration type using a carbon stripper foil for beam extraction to the target port. The samples were obtained from various metal components such as the yoke, sector magnet, coil, and vacuum chamber by the core boring method, and the depth distribution of the radioactivity was determined via a germanium semiconductor detector. The activities of 54Mn and 60Co were detected from the surface to a deeper site of the yoke and sector magnet. Most of the observed activities of the cyclotron components were higher than the clearance levels, suggesting that a clearance system should not be applied to the yoke and sector magnet. In the case of a high-activity sample, we have to wait for 30 years to reach the clearance level.

Cyclotron Line Measurements with INTEGRAL

NASA Technical Reports Server (NTRS)

Pottschmidt, K.; Kreykenbohm, I.; Caballero, I.; Fritz, S.; Schoenherr, G.; Kretschmar, P.; Wilms, J.; McBride, V. A.; Suchy, S.; Rothschild, R. E.

2008-01-01

Due to its broadband energy coverage, INTEGRAL has made important contributions to observing and interpreting cyclotron lines, which are present in the 10-100 keV range of a sample of accreting pulsars. In these systems photons with energies fulfilling the resonance condition inelastically Compton scatter off electrons quantized in the accretion column above the neutron star's magnetic pole(s). This process gives rise to the broad, absorption-like lines or 'cyclotron resonant scattering features' (CRSF). The observed lines allow to directly measure the B-fields of these sources, resulting in values of a few times 1E12G. In this overview I will present recent highlights regarding CRSF observations as well as discuss current ideas and models for the physical conditions in the accretion column. Among the former are the stability of the spectrum of Vela X-1 during giant flares in 2003, the observation of three cyclotron lines during the 2004 outburst of V0332+53, the confirmation of the fundamental line at approximately 45 keV during a 2005 normal outburst of A0535-26, and the simultaneous detection of the two lines in the dipping source 4U 1907+09 (for which also a torque reversal was detected for the first time). Through these and other observations it has become increasingly apparent that two types of observations can potentially be used to constrain the accretion column geometry: the determination of energy ratios for multiple harmonic lines (only two sources with greater than 2 lines are known), was well as the evolution of the fundamental line centroid, which, for different sources, may or may not be correlated with flux. Furthermore, first steps have been taken away from the usual phenomenological description of the lines, towards a physical approach based on self-consistent CRSF modeling. Initial applications are presented.

First charge breeding of a rare-isotope beam with the electron-beam ion trap of the ReA post-accelerator at the National Superconducting Cyclotron Laboratory.

PubMed

Lapierre, A; Schwarz, S; Baumann, T M; Cooper, K; Kittimanapun, K; Rodriguez, A J; Sumithrarachchi, C; Williams, S J; Wittmer, W; Leitner, D; Bollen, G

2014-02-01

An electron-beam ion trap (EBIT) charge breeder is being brought into operation at the National Superconducting Cyclotron Laboratory at Michigan State University. The EBIT is part of the ReA post-accelerator for reacceleration of rare isotopes, which are thermalized in a gas "stopping" cell after being produced at high energy by projectile fragmentation. The ReA EBIT has a distinctive design; it is characterized by a high-current electron gun and a two-field superconducting magnet to optimize the capture and charge-breeding efficiency of continuously injected singly charged ion beams. Following a brief overview of the reaccelerator system and the ReA EBIT, this paper presents the latest commissioning results, particularly, charge breeding and reacceleration of the highly charged rare isotopes, (76)Ga(24 +, 25 +).

Do we need a national incident reporting system for medical imaging?

PubMed

Itri, Jason N; Krishnaraj, Arun

2012-05-01

The essential role of an incident reporting system as a tool to improve safety and reliability has been described in high-risk industries such as aviation and nuclear power, with anesthesia being the first medical specialty to successfully integrate incident reporting into a comprehensive quality improvement strategy. Establishing an incident reporting system for medical imaging that effectively captures system errors and drives improvement in the delivery of imaging services is a key component of developing and evaluating national quality improvement initiatives in radiology. Such a national incident reporting system would be most effective if implemented as one piece of a comprehensive quality improvement strategy designed to enhance knowledge about safety, identify and learn from errors, raise standards and expectations for improvement, and create safer systems through implementation of safe practices. The potential benefits of a national incident reporting system for medical imaging include reduced morbidity and mortality, improved patient and referring physician satisfaction, reduced health care expenses and medical liability costs, and improved radiologist satisfaction. The purposes of this article are to highlight the positive impact of external reporting systems, discuss how similar advancements in quality and safety can be achieved with an incident reporting system for medical imaging in the United States, and describe current efforts within the imaging community toward achieving this goal. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Cyclotron resonance of interacting quantum Hall droplets

NASA Astrophysics Data System (ADS)

Widmann, M.; Merkt, U.; Cortés, M.; Häusler, W.; Eberl, K.

1998-06-01

The line shape and position of cyclotron resonance in gated GaAs/GaAlAs heterojunctions with δ-doped layers of negatively charged beryllium acceptors, that provide strong potential fluctuations in the channels of the quasi-two-dimensional electron systems, are examined. Specifically, the magnetic quantum limit is considered when the electrons are localized in separate quantum Hall droplets in the valleys of the disorder potential. A model treating disorder and electron-electron interaction on an equal footing accounts for all of the principal experimental findings: blue shifts from the unperturbed cyclotron frequency that decrease when the electron density is reduced, surprisingly narrow lines in the magnetic quantum limit, and asymmetric lines due to additional oscillator strength on their high-frequency sides.

77 FR 31627 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-29

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel COBRE (P20). Date: June 19-20, 2012. Time: 8:00 a.m. to 5:00 p.m. Agenda... Review Officer, Office of Scientific Review, National Institute of General Medical Sciences, National...

77 FR 33471 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-06

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel MBRS SCORE Grant Applications. Date: June 27, 2012. Time: 8:00 a.m. to 5:00..., National Institute of General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3An.18...

In-situ determination of residual specific activity in activated concrete walls of a PET-cyclotron room

NASA Astrophysics Data System (ADS)

Matsumura, H.; Toyoda, A.; Masumoto, K.; Yoshida, G.; Yagishita, T.; Nakabayashi, T.; Sasaki, H.; Matsumura, K.; Yamaya, Y.; Miyazaki, Y.

2018-06-01

In the decommissioning work for concrete walls of PET-cyclotron rooms, an in-situ measurement is expected to be useful for obtaining a contour map of the specific activity on the walls without destroying the structure. In this study, specific activities of γ-ray-emitting radionuclides in concrete walls were determined by using an in-situ measurement method employing a portable Ge semiconductor detector, and compared with the specific activity obtained using the sampling measurement method, at the Medical and Pharmacological Research Center Foundation in Hakui, Ishikawa, Japan. Accordingly, the specific activity could be determined by the in-situ determination method. Since there is a clear correlation between the total specific activity of γ-ray-emitting radionuclides and contact dose rate, the specific activity can be determined approximately by contact dose-rate measurement using a NaI scintillation survey meter. The specific activity of each γ-ray-emitting radionuclide can also be estimated from the contact dose rate using a NaI scintillation survey meter. The in-situ measurement method is a powerful tool for the decommissioning of the PET cyclotron room.

Ion cyclotron resonance cell

DOEpatents

Weller, R.R.

1995-02-14

An ion cyclotron resonance cell is disclosed having two adjacent sections separated by a center trapping plate. The first section is defined by the center trapping plate, a first end trapping plate, and excitation and detector electrodes. The second section includes a second end trapping plate spaced apart from the center plate, a mirror, and an analyzer. The analyzer includes a wavelength-selective light detector, such as a detector incorporating an acousto-optical device (AOD) and a photodetector. One or more ion guides, grounded plates with holes for the ion beam, are positioned within the vacuum chamber of the mass spectrometer between the ion source and the cell. After ions are trapped and analyzed by ion cyclotron resonance techniques in the first section, the ions of interest are selected according to their mass and passed into the second section for optical spectroscopic studies. The trapped ions are excited by light from a laser and caused thereby to fluoresce. The fluorescent light emitted by the excited ions is reflected by the mirror and directed onto the detector. The AOD is scanned, and the photodetector output is recorded and analyzed. The ions remain in the second section for an extended period, enabling multiple studies to be carried out on the same ensemble of ions. 5 figs.

Ion cyclotron resonance cell

DOEpatents

Weller, Robert R.

1995-01-01

An ion cyclotron resonance cell having two adjacent sections separated by a center trapping plate. The first section is defined by the center trapping plate, a first end trapping plate, and excitation and detector electrodes. The second section includes a second end trapping plate spaced apart from the center plate, a mirror, and an analyzer. The analyzer includes a wavelength-selective light detector, such as a detector incorporating an acousto-optical device (AOD) and a photodetector. One or more ion guides, grounded plates with holes for the ion beam, are positioned within the vacuum chamber of the mass spectrometer between the ion source and the cell. After ions are trapped and analyzed by ion cyclotron resonance techniques in the first section, the ions of interest are selected according to their mass and passed into the second section for optical spectroscopic studies. The trapped ions are excited by light from a laser and caused thereby to fluoresce. The fluorescent light emitted by the excited ions is reflected by the mirror and directed onto the detector. The AOD is scanned, and the photodetector output is recorded and analyzed. The ions remain in the second section for an extended period, enabling multiple studies to be carried out on the same ensemble of ions.

CLOVERLEAF CYCLOTRON

DOEpatents

McMillan, E.M.; Judd, D.L.

1959-02-01

A cyclotron is presented embodying a unique magnetic field configuration, which configuration increases in intensity with radius and therefore compensates for the reltivistic mass effect, the field having further convolutions productive of axial stability in the particle beam. By reconciling the seemingly opposed requirements of mass increase compensation on one hand and anial stability on the other, the production of extremely high current particle beams in the relativistie energy range is made feasible. Certain further advantages inhere in the invention, notably an increase in the usable magnet gap, simplified and more efficient extraction of the beam from the accelerator, and ready adaptation to the use of multiply phased excitation as contrasted with the single phased systems herstofore utilized. General

High Power Ion Cyclotron Heating in the VASIMR

NASA Astrophysics Data System (ADS)

Longmier, B. W.; Brukardt, M. S.; Bering, E. A.; Chang Diaz, F.; Squire, J.

2009-12-01

The Variable Specific Impulse Magnetoplasma Rocket (VASIMR®) is an electric propulsion system under development at Ad Astra Rocket Company that utilizes several processes of ion acceleration and heating that occur in the Birkeland currents of an auroral arc system. Among these processes are parallel electric field acceleration, lower hybrid resonance heating, and ion cyclotron resonance heating. The VASIMR® is capable of laboratory simulation of electromagnetic ion cyclotron wave heating during a single pass of ions through the resonance region. The plasma is generated by a helicon discharge of 35 kW then passes through a 176 kW RF booster stage that couples left hand polarized slow mode waves from the high field side of the resonance. VX-200 auroral simulation results from the past year are discussed. Ambipolar acceleration has been shown to produce 35eV argon ions in the helicon exhaust. The effects on the ion exhaust with an addition of 150-200 kW of ion cyclotron heating are presented. The changes to the VASIMR® experiment at Ad Astra Rocket Company's new facility in Webster, Texas will also be discussed, including the possibility of collaborative experiments.

Development of a pepper-pot device to determine the emittance of an ion beam generated by electron cyclotron resonance ion sources

DOE Office of Scientific and Technical Information (OSTI.GOV)

Strohmeier, M.; University of Applied Sciences Karlsruhe, Moltkestr. 30, 76133 Karlsruhe; Benitez, J. Y.

2010-02-15

This paper describes the recent development and commissioning of a pepper-pot emittance meter at the Lawrence Berkeley National Laboratory (LBNL). It is based on a potassium bromide (KBr) scintillator screen in combination with a charged coupled device camera. Pepper-pot scanners record the full four-dimensional transverse phase space emittances which are particularly interesting for electron cyclotron resonance ion sources. The strengths and limitations of evaluating emittances using optical pepper-pot scanners are described and systematic errors induced by the optical data acquisition system will be presented. Light yield tests of KBr exposed to different ion species and first emittance measurement data usingmore » ion beams extracted from the 6.4 GHz LBNL electron cyclotron resonance ion source are presented and discussed.« less

Improving cancer treatment with cyclotron produced radionuclides

DOE Office of Scientific and Technical Information (OSTI.GOV)

Larson, S.M.; Finn, R.D.

1992-08-04

Our goal is to improve the scientific basis for tumor diagnosis, treatment and treatment follow-up based on the use of cyclotron produced radiotracers in oncology. The grant includes 3 interactive components: Radiochemistry/Cyclotron; Pharmacology; and Immunology. The radiochemistry group seeks to develop innovative cyclotron targetry, radiopharmaceuticals, and radiolabeled antibodies, which are then used to assess important unanswered questions in tumor pharmacology and immunology. Examples include selected positron emitting radionuclides, such as Iodine-124, and Ga-66; I-124, I-123, I-131 labeled iododeoxyuridine, C-11 colchicine, and antimetabolites, like C-11 methotrexate; and radiolabeled antibodies, 3F8, M195, A33, and MRK16 for application in the pharmacology and immunologymore » projects. The pharmacology program studies tumor resistance to chemotherapy, particularly the phenomenon of multidrug resistance and the relationship between tumor uptake and retention and the tumor response for anti-metabolite drugs. The immunology program studies the physiology of antibody localization at the tissue level as the basis for novel approaches to improving tumor localization such as through the use of an artificial lymphatic system which mechanically reduces intratumoral pressures in tumors in vivo. Quantitative imaging approaches based on PET and SPECT in radioimmunotherapy are studied to give greater insight into the physiology of tumor localization and dosimetry.« less

77 FR 24724 - National Institute of General Medical Sciences; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-25

... Medical Sciences Council. The meeting will be open to the public as indicated below, with attendance... Committee: National Advisory General Medical Sciences Council. Date: May 24-25, 2012. Closed: May 24, 2012... General Medical Sciences; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee...

A review of emergency medical services events in US national parks from 2007 to 2011.

PubMed

Declerck, Matthieu P; Atterton, Laurie M; Seibert, Thomas; Cushing, Tracy A

2013-09-01

Outdoor recreation is growing in the United States, with more than 279 million annual visitors to areas controlled by the National Park Service (NPS). Emergency medical needs in these parks are overseen by the National Park's rangers within the NPS Emergency Medical Services (EMS) system. This study examines medical and traumatic emergencies throughout the NPS over a 5-year period to better understand the types of events and fatalities rangers encounter, both regionally and on a national scale. This is a retrospective review of the annual EMS reports published by the 7 NPS regions from 2007 to 2011. The following were compared and examined at a regional and national level: medical versus traumatic versus first aid events, cardiac events and outcomes, use of automated external defibrillators, and medical versus traumatic fatalities. The national incidence of EMS events was 45.9 events per 1 million visitors. Medical, traumatic, and first aid events composed 29%, 28%, and 43% of reports, respectively. Of medical episodes, 1.8% were cardiac arrests, of which 64.2% received automated external defibrillator treatment; 29.1% of cardiac arrests survived to hospital discharge. Of fatalities, 61.4% were traumatic in nature and the remaining 38.5% were nontraumatic (medical). Regional differences were found for all variables. On a national level, the NPS experiences an equal number of medical and traumatic EMS events. This differs from past observed trends that reported a higher incidence of traumatic events than medical events in wilderness settings. Cardiac events and automated external defibrillator usage are relatively infrequent. Traumatic fatalities are more common than medical fatalities in the NPS. Regional variations in events likely reflect differences in terrain, common activities, proximity to urban areas, and access to definitive care between regions. These data can assist the NPS in targeting the regions with the greatest number of incidents and fatalities for

A national role delineation study of FMCSA medical examiners

DOT National Transportation Integrated Search

2007-08-01

In passing the 2005 Safe, Accountable, Flexible, Efficient Transportation Act: A Legacy for Users (SAFETEA-LU), Congress required the Secretary of the United States Department of Transportation (DOT) to establish a national registry of medical examin...

Method and apparatus for preventing cyclotron breakdown in partially evacuated waveguide

DOEpatents

Moeller, Charles P.

1987-01-01

Cyclotron breakdown is prevented in a partially evacuated waveguide by providing a section of waveguide having an axial cut therein in order to apply a potential across the two halves of the waveguide. This section is positioned in the waveguide crossing the area of electron cyclotron resonance. The potential applied across the waveguide halves is used to deflect seed electrons into the wall of the waveguide in order to prevent ionization of gas molecules and creation of more electron ion pairs which would result in cyclotron breakdown. Support means is also disclosed for electrically isolating the waveguide halves and transition means is provided between the section of the waveguide with the axial cut and the solid waveguide at either end thereof.

mA beam acceleration efforts on 100 MeV H- cyclotron at CIAE

NASA Astrophysics Data System (ADS)

Zhang, Tianjue; An, Shizhong; Lv, Yinlong; Ge, Tao; Jia, Xianlu; Ji, Bin; Yin, Zhiguo; Pan, Gaofeng; Cao, Lei; Guan, Fengping; Yang, Jianjun; Li, Zhenguo; Zhao, Zhenlu; Wu, Longcheng; Zhang, He; Wang, Jingfeng; Zhang, Yiwang; Liu, Jingyuan; Li, Shiqiang; Lu, Xiaotong; Liu, Zhenwei; Li, Yaoqian; Guo, Juanjuan; Cao, Xuelong; Guan, Leilei; Wang, Fei; Wang, Yang; Yang, Guang; Zhang, Suping; Hou, Shigang; Wang, Feng

2017-09-01

Various technologies for high current compact H- cyclotron have been developed at CIAE since 1990s. A 375 μA proton beam was extracted from a 30 MeV compact H- cyclotron CYCIAE-30 at the end of 1994. A central region model cyclotron CYCIAE-CRM was developed for the design verification of a 100 MeV high current compact H- cyclotron CYCIAE-100. It is also a 10 MeV proton machine as a prototype for PET application. A 430 μA beam was achieved in 2009. The first beam was extracted from the CYCIAE-100 cyclotron on July 4, 2014, the operation stability has been improved and beam current has been increased gradually. A 1.1 mA proton beam was measured on the internal target in July 2016. The effort for an increasing of proton beam has continued till now. In this paper, the effort on several aspects for mA beam development will be presented, including the multi-cusp source, buncher, matching from the energy of the injected beam, vertical beam line and central region, beam loading of the RF system and instrumentation for beam diagnostics etc.

A national medical register: balancing public transparency and professional privacy.

PubMed

Healy, Judith M; Maffi, Costanza L; Dugdale, Paul

2008-02-18

The first aim of a medical registration scheme should be to protect patients. Medical registration boards currently offer variable information to the public on doctors' registration status. Current reform proposals for a national registration scheme should include free public access to professional profiles of registered medical practitioners. Practitioner profiles should include: practitioner's full name and practice address; type of qualifications; year first registered, and duration and type of registration; any conditions on registration and practice; any disciplinary action taken; and participation in continuing professional education.

Comparison of Iranian National Medical Library with digital libraries of selected countries

PubMed Central

Zare-Farashbandi, Firoozeh; Najafi, Nayere Sadat Soleimanzade; Atashpour, Bahare

2014-01-01

Introduction: The important role of information and communication technologies and their influence on methods of storing, retrieving information in digital libraries, has not only changed the meanings behind classic library activates but has also created great changes in their services. However, it seems that not all digital libraries provide their users with similar services and only some of them are successful in fulfilling their role in digital environment. The Iranian National Medical library is among those that appear to come short compared to other digital libraries around the world. By knowing the different services provided by digital libraries worldwide, one can evaluate the services provided by Iranian National Medical library. The goal of this study is a comparison between Iranian National Medical library and digital libraries of selected countries. Materials and Methods: This is an applied study and uses descriptive – survey method. The statistical population is the digital libraries around the world which were actively providing library services between October and December 2011 and were selected by using the key word “Digital Library” in Google search engine. The data-gathering tool was direct access to the websites of these digital libraries. The statistical study is descriptive and Excel software was used for data analysis and plotting of the charts. Results: The findings showed that among the 33 digital libraries investigated worldwide, most of them provided Browse (87.87%), Search (84.84%), and Electronic information retrieval (57.57%) services. The “Help” in public services (48/48%) and “Interlibrary Loan” in traditional services (27/27%) had the highest frequency. The Iranian National Medical library provides more digital services compared to other libraries but has less classic and public services and has less than half of possible public services. Other than Iranian National Medical library, among the 33 libraries investigated

Comparison of Iranian National Medical Library with digital libraries of selected countries.

PubMed

Zare-Farashbandi, Firoozeh; Najafi, Nayere Sadat Soleimanzade; Atashpour, Bahare

2014-01-01

The important role of information and communication technologies and their influence on methods of storing, retrieving information in digital libraries, has not only changed the meanings behind classic library activates but has also created great changes in their services. However, it seems that not all digital libraries provide their users with similar services and only some of them are successful in fulfilling their role in digital environment. The Iranian National Medical library is among those that appear to come short compared to other digital libraries around the world. By knowing the different services provided by digital libraries worldwide, one can evaluate the services provided by Iranian National Medical library. The goal of this study is a comparison between Iranian National Medical library and digital libraries of selected countries. This is an applied study and uses descriptive - survey method. The statistical population is the digital libraries around the world which were actively providing library services between October and December 2011 and were selected by using the key word "Digital Library" in Google search engine. The data-gathering tool was direct access to the websites of these digital libraries. The statistical study is descriptive and Excel software was used for data analysis and plotting of the charts. The findings showed that among the 33 digital libraries investigated worldwide, most of them provided Browse (87.87%), Search (84.84%), and Electronic information retrieval (57.57%) services. The "Help" in public services (48/48%) and "Interlibrary Loan" in traditional services (27/27%) had the highest frequency. The Iranian National Medical library provides more digital services compared to other libraries but has less classic and public services and has less than half of possible public services. Other than Iranian National Medical library, among the 33 libraries investigated, the leaders in providing different services are Library of

Cyclotron laboratory of the Institute for Nuclear Research and Nuclear Energy

NASA Astrophysics Data System (ADS)

Tonev, D.; Goutev, N.; Georgiev, L. S.

2016-06-01

An accelerator laboratory is presently under construction in Sofia at the Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences. The laboratory will use a TR24 type of cyclotron, which provides a possibility to accelerate a proton beam with an energy of 15 to 24 MeV and current of up to 0.4 mA. An accelerator with such parameters allows to produce a large variety of radioisotopes for development of radiopharmaceuticals. The most common radioisotopes that could be produced with such a cyclotron are PET isotopes like: 11C, 13N, 15O, 18F, 124I, 64Cu, 68Ge/68Ga, and SPECT isotopes like: 123I, 111In, 67Ga, 57Co, 99m Tc. Our aim is to use the cyclotron facility for research in the fields of radiopharmacy, radiochemistry, radiobiology, nuclear physics, solid state physics, applied research, new materials and for education in all these fields including nuclear energy. The building of the laboratory will be constructed nearby the Institute for Nuclear Research and Nuclear Energy and the cyclotron together with all the equipment needed will be installed there.

Medical Assessment of Late Effects of National Socialist Persecution

PubMed Central

Grobin, W.

1965-01-01

Emotional involvement of the examiner, hostility and mistrust on the part of the examinees and the long interval since the original events comprise some of the problems facing medical assessors of survivors of National Socialist persecution. Experience with over 100 such persons confirmed the high incidence of irreversible and usually disabling disorders, mainly functional and psychiatric—“late damage” as it has been designated in recent reports on this subject. The most common disorders encountered in the assessments of 70 survivors are reviewed. A number of organic diseases such as organic brain damage, active tuberculosis and fractures were revealed only after careful search. Recent findings by psychiatric assessors are reviewed; their plea for greater familiarity with late effects in survivors of National Socialist persecution is echoed, and the need for medical, psychiatric and social support of these unfortunate individuals is emphasized. PMID:14289139

Electrostatic ion-cyclotron waves in a nonuniform magnetic field

NASA Technical Reports Server (NTRS)

Cartier, S. L.; Dangelo, N.; Merlino, R. L.

1985-01-01

The properties of electrostatic ion-cyclotron waves excited in a single-ended cesium Q machine with a nonuniform magnetic field are described. The electrostatic ion-cyclotron waves are generated in the usual manner by drawing an electron current to a small exciter disk immersed in the plasma column. The parallel and perpendicular (to B) wavelengths and phase velocities are determined by mapping out two-dimensional wave phase contours. The wave frequency f depends on the location of the exciter disk in the nonuniform magnetic field, and propagating waves are only observed in the region where f is approximately greater than fci, where fci is the local ion-cyclotron frequency. The parallel phase velocity is in the direction of the electron drift. From measurements of the plasma properties along the axis, it is inferred that the electron drift velocity is not uniform along the entire current channel. The evidence suggests that the waves begin being excited at that axial position where the critical drift velocity is first exceeded, consistent with a current-driven excitation mechanism.

Emergency Medical Services Instructor Training Program of the National Standard Curriculum Revised

DOT National Transportation Integrated Search

1996-05-01

In 1986, the National Highway Traffic Safety Administration (NHTSA) developed the first edition of the "Emergency Medical Services Instructor Training Program" to teach instructor skills to Emergency Medical Services (EMS) experts. In 1990, NHTSA rev...

[Issues related to national university medical schools: focusing on the low wages of university hospital physicians].

PubMed

Takamuku, Masatoshi

2015-01-01

University hospitals, bringing together the three divisions of education, research, and clinical medicine, could be said to represent the pinnacle of medicine. However, when compared with physicians working at public and private hospitals, physicians working at university hospitals and medical schools face extremely poor conditions. This is because physicians at national university hospitals are considered to be "educators." Meanwhile, even after the privatization of national hospitals, physicians working for these institutions continue to be perceived as "medical practitioners." A situation may arise in which physicians working at university hospitals-performing top-level medical work while also being involved with university and postgraduate education, as well as research-might leave their posts because they are unable to live on their current salaries, especially in comparison with physicians working at national hospitals, who focus solely on medical care. This situation would be a great loss for Japan. This potential loss can be prevented by amending the classification of physicians at national university hospitals from "educators" to "medical practitioners." In order to accomplish this, the Japan Medical Association, upon increasing its membership and achieving growth, should act as a mediator in negotiations between national university hospitals, medical schools, and the government.

Realistic simulations of a cyclotron spiral inflector within a particle-in-cell framework

NASA Astrophysics Data System (ADS)

Winklehner, Daniel; Adelmann, Andreas; Gsell, Achim; Kaman, Tulin; Campo, Daniela

2017-12-01

We present an upgrade to the particle-in-cell ion beam simulation code opal that enables us to run highly realistic simulations of the spiral inflector system of a compact cyclotron. This upgrade includes a new geometry class and field solver that can handle the complicated boundary conditions posed by the electrode system in the central region of the cyclotron both in terms of particle termination, and calculation of self-fields. Results are benchmarked against the analytical solution of a coasting beam. As a practical example, the spiral inflector and the first revolution in a 1 MeV /amu test cyclotron, located at Best Cyclotron Systems, Inc., are modeled and compared to the simulation results. We find that opal can now handle arbitrary boundary geometries with relative ease. Simulated injection efficiencies and beam shape compare well with measured efficiencies and a preliminary measurement of the beam distribution after injection.

Effect of ion clouds micromotion on measured signal in Fourier transform ion cyclotron resonance: Computer simulation.

PubMed

Vladimirov, Gleb; Kostyukevich, Yury; Kharybin, Oleg; Nikolaev, Eugene

2017-08-01

Particle-in-cell-based realistic simulation of Fourier transform ion cyclotron resonance experiments could be used to generate ion trajectories and a signal induced on the detection electrodes. It has been shown recently that there is a modulation of "reduced" cyclotron frequencies in ion cyclotron resonance signal caused by Coulomb interaction of ion clouds. In this work it was proposed to use this modulation in order to determine frequency difference between an ion of known m/z and all other ions generating signal in ion cyclotron resonance cell. It is shown that with an increase of number of ions in ion cyclotron resonance trap, the modulation index increases, which lead to a decrease in the accuracy of determination of peak intensities by super Fourier transform resolution methods such as filter diagonalization method.

Single-Electron Detection and Spectroscopy via Relativistic Cyclotron Radiation.

PubMed

Asner, D M; Bradley, R F; de Viveiros, L; Doe, P J; Fernandes, J L; Fertl, M; Finn, E C; Formaggio, J A; Furse, D; Jones, A M; Kofron, J N; LaRoque, B H; Leber, M; McBride, E L; Miller, M L; Mohanmurthy, P; Monreal, B; Oblath, N S; Robertson, R G H; Rosenberg, L J; Rybka, G; Rysewyk, D; Sternberg, M G; Tedeschi, J R; Thümmler, T; VanDevender, B A; Woods, N L

2015-04-24

It has been understood since 1897 that accelerating charges must emit electromagnetic radiation. Although first derived in 1904, cyclotron radiation from a single electron orbiting in a magnetic field has never been observed directly. We demonstrate single-electron detection in a novel radio-frequency spectrometer. The relativistic shift in the cyclotron frequency permits a precise electron energy measurement. Precise beta electron spectroscopy from gaseous radiation sources is a key technique in modern efforts to measure the neutrino mass via the tritium decay end point, and this work demonstrates a fundamentally new approach to precision beta spectroscopy for future neutrino mass experiments.

Prevalence of At-Risk Drinking among a National Sample of Medical Students

ERIC Educational Resources Information Center

Shah, Ameet Arvind; Bazargan-Hejazi, Shahrzad; Lindstrom, Richard W.; Wolf, Kenneth E.

2009-01-01

As limited research exists on medical students' substance use patterns, including over-consumption of alcohol, the objective of this study was to determine prevalence and correlates of at-risk drinking among a national sample of medical students, using a cross-sectional, anonymous, Web-based survey. A total of 2710 medical students from 36 U.S.…

Linear analysis of ion cyclotron interaction in a multicomponent plasma

NASA Technical Reports Server (NTRS)

Gendrin, R.; Ashour-Abdalla, M.; Omura, Y.; Quest, K.

1984-01-01

The mechanism by which hot anisotropic protons generate electromagnetic ion cyclotron waves in a plasma containing cold H(+) and He(+) ions is quantitatively studied. Linear growth rates (both temporal and spatial) are computed for different plasma parameters: concentration, temperature,and anisotropy of cold He(+) ions and of hot protons. It is shown that: (1) for parameters typical of the geostationary altitude the maximum growth rates are not drastically changed when a small proportion (about 1 to 20 percent) of cold He(+) ions is present; (2) because of the important cyclotron absorption by thermal He(+) ions in the vicinity of the He(+) gyrofrequency, waves which could resonate with the bulk of the He(+) distribution cannot be generated. Therefore quasi-linear effects, in a homogeneous medium at least, cannot be responsible for the heating of He(+) ions which is often observed in conjunction with ion cyclotron waves. The variation of growth rate versus wave number is also studied for its importance in selecting suitable parameters in numerical simulation experiments.

Building a national electronic medical record exchange system - experiences in Taiwan.

PubMed

Li, Yu-Chuan Jack; Yen, Ju-Chuan; Chiu, Wen-Ta; Jian, Wen-Shan; Syed-Abdul, Shabbir; Hsu, Min-Huei

2015-08-01

There are currently 501 hospitals and about 20,000 clinics in Taiwan. The National Health Insurance (NHI) system, which is operated by the NHI Administration, uses a single-payer system and covers 99.9% of the nation's total population of 23,000,000. Taiwan's NHI provides people with a high degree of freedom in choosing their medical care options. However, there is the potential concern that the available medical resources will be overused. The number of doctor consultations per person per year is about 15. Duplication of laboratory tests and prescriptions are not rare either. Building an electronic medical record exchange system is a good method of solving these problems and of improving continuity in health care. In November 2009, Taiwan's Executive Yuan passed the 'Plan for accelerating the implementation of electronic medical record systems in medical institutions' (2010-2012; a 3-year plan). According to this plan, a patient can, at any hospital in Taiwan, by using his/her health insurance IC card and physician's medical professional IC card, upon signing a written agreement, retrieve all important medical records for the past 6 months from other participating hospitals. The focus of this plan is to establish the National Electronic Medical Record Exchange Centre (EEC). A hospital's information system will be connected to the EEC through an electronic medical record (EMR) gateway. The hospital will convert the medical records for the past 6 months in its EMR system into standardized files and save them on the EMR gateway. The most important functions of the EEC are to generate an index of all the XML files on the EMR gateways of all hospitals, and to provide search and retrieval services for hospitals and clinics. The EEC provides four standard inter-institution EMR retrieval services covering medical imaging reports, laboratory test reports, discharge summaries, and outpatient records. In this system, we adopted the Health Level 7 (HL7) Clinical Document

Medical students call for national standards in anatomical education.

PubMed

Farey, John E; Sandeford, Jonathan C; Evans-McKendry, Greg D

2014-11-01

The diminishing number of hours dedicated to formal instruction in anatomy has led to a debate within medical education as to the level required for safe clinical practice. We provide a review of the current state of anatomical education in Australian medical schools and state the case for national standards. In light of the review presented, council members of the Australian Medical Students' Association voted to affirm that consideration should be given to developing undergraduate learning goals for anatomy, providing a codified medical student position on the teaching of anatomy in Australian medical schools. Crucially, the position states that time-intensive methods of instruction such as dissection should be a rite of passage for medical students in the absence of evidence demonstrating the superiority of modern teaching methods. We believe the bodies with a vested interest in the quality of medical graduates, namely the Australian Medical Council, Medical Deans Australia & New Zealand, and the postgraduate colleges should collaborate and develop clear guidelines that make explicit the core knowledge of anatomy expected of medical graduates at each stage of their career with a view to safe clinical practice. In addition, Australian universities have a role to play in conducting further research into contemporary learning styles and the most efficacious methods of delivering anatomical education. © 2014 Royal Australasian College of Surgeons.

Harvesting (67)Cu from the Collection of a Secondary Beam Cocktail at the National Superconducting Cyclotron Laboratory.

PubMed

Mastren, Tara; Pen, Aranh; Loveless, Shaun; Marquez, Bernadette V; Bollinger, Elizabeth; Marois, Boone; Hubley, Nicholas; Brown, Kyle; Morrissey, David J; Peaslee, Graham F; Lapi, Suzanne E

2015-10-20

Isotope harvesting is a promising new method to obtain isotopes for which there is no reliable continuous supply at present. To determine the possibility of obtaining radiochemically pure radioisotopes from an aqueous beam dump at a heavy-ion fragmentation facility, preliminary experiments were performed to chemically extract a copper isotope from a large mixture of projectile fragmentation products in an aqueous medium. In this work a 93 MeV/u secondary beam cocktail was collected in an aqueous beam stop at the National Superconducting Cyclotron Laboratory (NSCL) located on the Michigan State University (MSU) campus. The beam cocktail consisted of ∼2.9% (67)Cu in a large mixture of co-produced isotopes ranging in atomic number from ∼19 to 34. The chemical extraction of (67)Cu was achieved via a two-step process: primary extraction using a divalent metal chelation disk followed by anion-exchange chromatography. A significant fraction (74 ± 4%) of the (67)Cu collected in the aqueous beam stop was recovered with >99% radiochemical purity. To illustrate the utility of this product, the purified (67)Cu material was then used to radiolabel an anti-EGFR antibody, Panitumumab, and injected into mice bearing colon cancer xenografts. The tumor uptake at 5 days postinjection was found to be 12.5 ± 0.7% which was in very good agreement with previously reported studies with this radiolabeled antibody. The present results demonstrate that harvesting isotopes from a heavy-ion fragmentation facility could be a promising new method for obtaining high-quality isotopes that are not currently available by traditional methods.

The rare isotope beams production at the Texas A and M university Cyclotron Institute

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tabacaru, G.; May, D. P.; Chubarian, G.

2013-04-19

The Cyclotron Institute at Texas A and M initiated an upgrade project for the production of radioactive-ion beams that incorporates a light-ion guide (LIG) and a heavy-ion guide coupled (HIG) with an Electron Cyclotron Resonance Ion Source (ECRIS) constructed for charge-boosting (CB-ECRIS). This scheme is intended to produce radioactive beams suitable for injection into the K500 superconducting cyclotron. The current status of the project and details on the ion sources and devices used in the project is presented.

76 FR 19104 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-06

... Pharmacology, Physiology, and Biological Chemistry, National Institute of General Medical Sciences, National... Support; 93.821, Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and Biological...

Disasters and Impact of Sleep Quality and Quantity on National Guard Medical Personnel

DTIC Science & Technology

2018-04-30

Impact of Sleep Quality & Quantity on National Guard Medical Personnel Sb. GRANT NUMBER Sc. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Sd. PROJECT NUMBER...Std. 239.18 Adobe Professional 7 .0 Approved for Public Release ~••Unlmlted Disasters & Impact of Sleep Quality & Quantity on National Guard...College of Nursing 4/11/2018 6 Methods • Measures • Critical skills questions • Medication calculations +Licensed • Basic Life Support (BLS

78 FR 13689 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-28

... Person: Brian R. Pike, Ph.D., Scientific Review Officer, Office of Scientific Review, National Institute... R. Pike, Ph.D., Scientific Review Officer, National Institute of General Medical Sciences, National..., Cell Biology and Biophysics Research; 93.859, Pharmacology, Physiology, and Biological Chemistry...

Developing drug formularies for the "National Medical Holding" JSC.

PubMed

Akhmadyar, N S; Khairulin, B E; Amangeldy-Kyzy, S; Ospanov, M A

2015-01-01

One of the main problems of drug provision of multidisciplinary hospitals is the necessity to improve the efficiency of budget spending. Despite the efforts undertaken in Kazakhstan for improving the mechanism of drug distribution (creation of the Kazakhstan National Formulary, Unified National Health System, the handbook of medicines (drugs) costs in the electronic register of inpatients (ERI), having a single distributor), the number of unresolved issues still remain."National Medical Holding" JSC (NMH) was established in 2008 and unites 6 innovational healthcare facilities with up to 1431 beds (700 children and 731 adults), located in the medical cluster - which are "National Research Center for Maternal and Child Health" JSC (NRCMC), "Republic Children's Rehabilitation Center" JSC (RCRC), "Republican Diagnostic Center" JSC (RDC), "National Centre for Neurosurgery" JSC (NCN), "National Research Center for Oncology and Transplantation" JSC (NRCOT) and "National Research Cardiac Surgery Center" JSC (NRCSC). The main purpose of NMH is to create an internationally competitive "Hospital of the Future", which will provide the citizens of Kazakhstan and others with a wide range of medical services based on advanced medical technology, modern hospital management, international quality and safety standards. These services include emergency care, outpatient diagnostic services, obstetrics and gynecology, neonatal care, internal medicine, neurosurgery, cardiac surgery, transplantation, cancer care for children and adults, as well as rehabilitation treatment. To create a program of development of a drug formulary of NMH and its subsidiaries. In order to create drug formularies of NMH, analytical, software and statistical methods were used.AII subsidiary organizations of NMH (5 out of 6) except for the NRCOT have been accredited by Joint Commission International (JCI) standards, which ensure the safety of patients and clinical staff, by improving the technological

First two operational years of the electron-beam ion trap charge breeder at the National Superconducting Cyclotron Laboratory

NASA Astrophysics Data System (ADS)

Lapierre, A.; Bollen, G.; Crisp, D.; Krause, S. W.; Linhardt, L. E.; Lund, K.; Nash, S.; Rencsok, R.; Ringle, R.; Schwarz, S.; Steiner, M.; Sumithrarachchi, C.; Summers, T.; Villari, A. C. C.; Williams, S. J.; Zhao, Q.

2018-05-01

The electron-beam ion trap (EBIT) charge breeder of the ReA post-accelerator, located at the National Superconducting Cyclotron Laboratory (Michigan State University), started on-line operation in September 2015. Since then, the EBIT has delivered many pilot beams of stable isotopes and several rare-isotope beams. An operating aspect of the ReA EBIT is the breeding of high charge states to reach high reaccelerated beam energies. Efficiencies in single charge states of more than 20% were measured with K39 15 + , Rb85 27 + , K47 17 + , and Ar34 15 + . Producing high charge states demands long breeding times. This reduces the ejection frequency and, hence, increases the number of ions ejected per pulse. Another operating aspect is the ability to spread the distribution in time of the ejected ion pulses to lower the instantaneous rate delivered to experiments. Pulse widths were stretched from a natural 25 μ s up to ˜70 ms . This publication reviews the progress of the ReA EBIT system over the years and presents the results of charge-breeding efficiency measurements and pulse-stretching tests obtained with stable- and rare-isotope beams. Studies performed with high sensitivity to identify and quantify stable-isotope contaminants from the EBIT are also presented, along with a novel method for purifying beams.

Radioactive by-products of a self-shielded cyclotron and the liquid target system for F-18 routine production.

PubMed

Kambali, I; Suryanto, H; Parwanto

2016-06-01

Routine production of F-18 radionuclide using proton beams accelerated in a cyclotron could potentially generate residual radioisotopes in the cyclotron vicinity which eventually become major safety concerns over radiation exposure to the workers. In this investigation, a typical 11-MeV proton, self-shielded cyclotron has been assessed for its residual radiation sources in the cyclotron's shielding, tank/chamber, cave wall as well as target system. Using a portable gamma ray spectroscopy system, the radiation measurement in the cyclotron environment has been carried out. Experimental results indicate that relatively long-lived radioisotopes such as Mn-54, Zn-65 and Eu-152 are detected in the inner and outer surface of the cyclotron shielding respectively while Mn-54 spectrum is observed around the cyclotron chamber. Weak intensity of Eu-152 radioisotope is again spotted in the inner and outer surface of the cyclotron cave wall. Angular distribution measurement of the Eu-152 shows that the intensity slightly drops with increasing observation angle relative to the proton beam incoming angle. In the target system, gamma rays from Co-56, Mn-52, Co-60, Mn-54, Ag-110 m are identified. TALYS-calculated nuclear cross-section data are used to study the origins of the radioactive by-products.

Nonlinear heating of ions by electron cyclotron frequency waves

NASA Astrophysics Data System (ADS)

Zestanakis, P. A.; Hizanidis, K.; Ram, A. K.; Kominis, Y.

2010-11-01

We study the nonlinear interaction of ions with electron cyclotron (EC) wave packets in a magnetized plasma. Previous studies have shown that such interactions with high frequency electrostatic lower hybrid waves can lead to coherent energization of ions. It requires the frequency bandwidth of the wave packet to be broader than the ion cyclotron frequency [1,2]. For the electromagnetic high frequency EC waves we have developed a more general theory, based on the Lie transform canonical perturbation method [3,4]. We apply the theory to the case of two overlapping EC beams. The wave frequency of each beam is assumed to be frequency modulated with a modulation bandwidth comparable to the ion cyclotron frequency. We present results for both X-mode and O-mode and illustrate the conditions for ion energization. [4pt] [1] D. Benisti, A. K. Ram, and A. Bers, Phys. Plasmas 5, 3224 (1998). [0pt] [2] A. K. Ram, A. Bers, and D. Benisti , J. Geophys. Res. 103, 9431 (1998). [0pt] [3] J.R. Cary and A.N. Kaufman, Phys. Fluids 24, 1238 (1981). [0pt] [4] R.L. Dewar, J. Phys A-Math. Gen 9, 2043 (1976).

Adherence to the Australian National Inpatient Medication Chart: the efficacy of a uniform national drug chart on improving prescription error.

PubMed

Atik, Alp

2013-10-01

In 2006, the National Inpatient Medication Chart (NIMC) was introduced as a uniform medication chart in Australian public hospitals with the aim of reducing prescription error. The rate of regular medication prescription error in the NIMC was assessed. Data was collected using the NIMC Audit Tool and analyzed with respect to causes of error per medication prescription and per medication chart. The following prescription requirements were assessed: date, generic drug name, route of administration, dose, frequency, administration time, indication, signature, name and contact details. A total of 1877 medication prescriptions were reviewed. 1653 prescriptions (88.07%) had no contact number, 1630 (86.84%) did not have an indication, 1230 and 675 (35.96%) used a drug's trade name. Within 261 medication charts, all had at least one entry, which did not include an indication, 258 (98.85%) had at least one entry, which did not have a contact number and 200 (76.63%) had at least one entry, which used a trade name. The introduction of a uniform national medication chart is a positive step, but more needs to be done to address the root causes of prescription error. © 2012 John Wiley & Sons Ltd.

High current DC negative ion source for cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Etoh, H., E-mail: Hrh-Etoh@shi.co.jp; Aoki, Y.; Mitsubori, H.

2016-02-15

A filament driven multi-cusp negative ion source has been developed for proton cyclotrons in medical applications. In Cs-free operation, continuous H{sup −} beam of 10 mA and D{sup −} beam of 3.3 mA were obtained stably at an arc-discharge power of 3 kW and 2.4 kW, respectively. In Cs-seeded operation, H{sup −} beam current reached 22 mA at a lower arc power of 2.6 kW with less co-extracted electron current. The optimum gas flow rate, which gives the highest H{sup −} current, was 15 sccm in the Cs-free operation, while it decreased to 4 sccm in the Cs-seeded operation. Themore » relationship between H{sup −} production and the design/operating parameters has been also investigated by a numerical study with KEIO-MARC code, which gives a reasonable explanation to the experimental results of the H{sup −} current dependence on the arc power.« less

National Apprenticeship and Training Standards for Emergency Medical Technicians.

ERIC Educational Resources Information Center

Employment and Training Administration (DOL), Washington, DC.

Developed jointly by several professional organizations and government agencies, these national standards depict the essential skills, knowledge, and ability required of certified emergency medical technicians (EMT) to provide optimal prehospital care and transportation to the sick and injured. Topics covered include definitions of terms EMT's…

Generation of cyclotron harmonic waves in the ionospheric modification experiments

DOE Office of Scientific and Technical Information (OSTI.GOV)

Janabi, A.H.A.; Kumar, A.; Sharma, R.P.

1994-02-01

In the present paper, the parametric decay instability of the pump X-mode into electron Bernstein wave (EBW) near second harmonics of electron cyclotron frequency and IBW at different harmonics ([omega] < n[omega][sub ci];n = 2, 3, 4) is examined. Expressions are derived for homogeneous threshold, growth rate and convective threshold for this instability. Applications and relevances of the present investigation to ionospheric modification experiment in the F-layer of the ionosphere as well as during intense electron cyclotron resonance heating in the upcoming MTX tokamak have been given.

Fluid equations in the presence of electron cyclotron current drive

NASA Astrophysics Data System (ADS)

Jenkins, Thomas G.; Kruger, Scott E.

2012-12-01

Two-fluid equations, which include the physics imparted by an externally applied radiofrequency source near electron cyclotron resonance, are derived in their extended magnetohydrodynamic forms using the formalism of Hegna and Callen [Phys. Plasmas 16, 112501 (2009)]. The equations are compatible with the closed fluid/drift-kinetic model developed by Ramos [Phys. Plasmas 17, 082502 (2010); 18, 102506 (2011)] for fusion-relevant regimes with low collisionality and slow dynamics, and they facilitate the development of advanced computational models for electron cyclotron current drive-induced suppression of neoclassical tearing modes.

Fluid equations in the presence of electron cyclotron current drive

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jenkins, Thomas G.; Kruger, Scott E.

Two-fluid equations, which include the physics imparted by an externally applied radiofrequency source near electron cyclotron resonance, are derived in their extended magnetohydrodynamic forms using the formalism of Hegna and Callen [Phys. Plasmas 16, 112501 (2009)]. The equations are compatible with the closed fluid/drift-kinetic model developed by Ramos [Phys. Plasmas 17, 082502 (2010); 18, 102506 (2011)] for fusion-relevant regimes with low collisionality and slow dynamics, and they facilitate the development of advanced computational models for electron cyclotron current drive-induced suppression of neoclassical tearing modes.

The nonmedical use of prescription ADHD medications: results from a national Internet panel

PubMed Central

Novak, Scott P; Kroutil, Larry A; Williams, Rick L; Van Brunt, David L

2007-01-01

Background Emerging evidence suggests that nonmedical use (NMU) of prescription attention deficit/hyperactivity disorder (ADHD) medications is rising, but many previous investigations have used clinical or regionally based samples or limited their investigations to stimulants rather than to medications specifically used to treat ADHD. Using an Internet-based epidemiological survey, this paper advances understanding of the prevalence and correlates of NMU of medications used to treat ADHD, sources of diverted medications, motivations for use, and consumption patterns. Methods The study used a self-administered Internet survey of civilian, noninstitutionalized adults (N = 4,297) aged 18 to 49 in the United States. National-level estimates were created using propensity scoring methods and weighting procedures using data from three nationally representative probability surveys: a random-digit dialed telephone survey, the current U.S. Census, and the National Survey on Drug Use and Health (NSDUH). Results Past-year prevalence of NMU of ADHD medications was approximately 2%, with 4.3% reported among those aged 18 to 25 and 1.3% among those aged 26 to 49. Most respondents reporting NMU used on multiple occasions. Receipt of medications for ADHD was a significant correlate of past-year NMU, though most nonmedical users never had a prescription. Among persons who had never been prescribed medication to treat ADHD, friends or family members were the most common source. Productivity was the most frequently endorsed reason for NMU. Alcohol was the substance most commonly used in combination with ADHD drugs. Conclusion Because most prescription ADHD medications currently are highly regulated, policy options for supply-side reduction of nonmedical use may include identifying those medications with lower abuse liability for inclusion on insurance formularies. Patient and physician education programs also may be useful tools to heighten awareness of intentional and unintentional

Manipulation of the micro and macro-structure of beams extracted from cyclotrons

DOE Office of Scientific and Technical Information (OSTI.GOV)

Laxdal, R.E.

1995-09-01

It is standard practice in cyclotrons to alter the extracted micro-pulse width by using center-region slits and/or by chopping the beam before injection. The macro-structure can also be varied by means of pulsed or sinusoidal deflection devices before injection and/or after extraction. All above methods, however, involve cutting away the unwanted beam, thus reducing the time-averaged intensity. This paper will focus on some methods used to alter the time structure of extracted beams without significant beam loss. For example radial gradients in the accelerating fields from rf cavities can be utilized to compress, expand or even split longitudinally the circulatingmore » particle bunches. The macro-structure of the extracted beam can be altered by employing resonant extraction methods and replacing the static magnetic bump with either a pulsed or a sinusoidal transverse perturbation. The methods are most suitable for H cyclotrons but may also be considered in a limited scope for cyclotrons using direct extraction. Results of computer simulations and beam tests on the TRIUMF 500 MeV H{sup {minus}} cyclotron will be presented.« less

Comparative study of ion cyclotron waves at Mars, Venus and Earth

NASA Astrophysics Data System (ADS)

Wei, H. Y.; Russell, C. T.; Zhang, T. L.; Blanco-Cano, X.

2011-08-01

Ion cyclotron waves are generated in the solar wind when it picks up freshly ionized planetary exospheric ions. These waves grow from the free energy of the highly anisotropic distribution of fresh pickup ions, and are observed in the spacecraft frame with left-handed polarization and a wave frequency near the ion's gyrofrequency. At Mars and Venus and in the Earth's polar cusp, the solar wind directly interacts with the planetary exospheres. Ion cyclotron waves with many similar properties are observed in these diverse plasma environments. The ion cyclotron waves at Mars indicate its hydrogen exosphere to be extensive and asymmetric in the direction of the interplanetary electric field. The production of fast neutrals plays an important role in forming an extended exosphere in the shape and size observed. At Venus, the region of exospheric proton cyclotron wave production may be restricted to the magnetosheath. The waves observed in the solar wind at Venus appear to be largely produced by the solar-wind-Venus interaction, with some waves at higher frequencies formed near the Sun and carried outward by the solar wind to Venus. These waves have some similarity to the expected properties of exospherically produced proton pickup waves but are characterized by magnetic connection to the bow shock or by a lack of correlation with local solar wind properties respectively. Any confusion of solar derived waves with exospherically derived ion pickup waves is not an issue at Mars because the solar-produced waves are generally at much higher frequencies than the local pickup waves and the solar waves should be mostly absorbed when convected to Mars distance as the proton cyclotron frequency in the plasma frame approaches the frequency of the solar-produced waves. In the Earth's polar cusp, the wave properties of ion cyclotron waves are quite variable. Spatial gradients in the magnetic field may cause this variation as the background field changes between the regions in which

National standards in pathology education: developing competencies for integrated medical school curricula.

PubMed

Sadofsky, Moshe; Knollmann-Ritschel, Barbara; Conran, Richard M; Prystowsky, Michael B

2014-03-01

Medical school education has evolved from department-specific memorization of facts to an integrated curriculum presenting knowledge in a contextual manner across traditional disciplines, integrating information, improving retention, and facilitating application to clinical practice. Integration occurs throughout medical school using live data-sharing technologies, thereby providing the student with a framework for lifelong active learning. Incorporation of educational teams during medical school prepares students for team-based patient care, which is also required for pay-for-performance models used in accountable care organizations. To develop learning objectives for teaching pathology to medical students. Given the rapid expansion of basic science knowledge of human development, normal function, and pathobiology, it is neither possible nor desirable for faculty to teach, and students to retain, this vast amount of information. Courses teaching the essentials in context and engaging students in the learning process enable them to become lifelong learners. An appreciation of pathobiology and the role of laboratory medicine underlies the modern practice of medicine. As such, all medical students need to acquire 3 basic competencies in pathology: an understanding of disease mechanisms, integration of mechanisms into organ system pathology, and application of pathobiology to diagnostic medicine. We propose the development of 3 specific competencies in pathology to be implemented nationwide, aimed at disease mechanisms/processes, organ system pathology, and application to diagnostic medicine. Each competency will include learning objectives and a means to assess acquisition, integration, and application of knowledge. The learning objectives are designed to be a living document managed (curated) by a group of pathologists representing Liaison Committee on Medical Education-accredited medical schools nationally. Development of a coherent set of learning objectives will

RF control hardware design for CYCIAE-100 cyclotron

NASA Astrophysics Data System (ADS)

Yin, Zhiguo; Fu, Xiaoliang; Ji, Bin; Zhao, Zhenlu; Zhang, Tianjue; Li, Pengzhan; Wei, Junyi; Xing, Jiansheng; Wang, Chuan

2015-11-01

The Beijing Radioactive Ion-beam Facility project is being constructed by BRIF division of China Institute of Atomic Energy. In this project, a 100 MeV high intensity compact proton cyclotron is built for multiple applications. The first successful beam extraction of CYCIAE-100 cyclotron was done in the middle of 2014. The extracted proton beam energy is 100 MeV and the beam current is more than 20 μA. The RF system of the CYCIAE-100 cyclotron includes two half-wavelength cavities, two 100 kW tetrode amplifiers and power transmission line systems (all above are independent from each other) and two sets of Low Level RF control crates. Each set of LLRF control includes an amplitude control unit, a tuning control unit, a phase control unit, a local Digital Signal Process control unit and an Advanced RISC Machines based EPICS IOC unit. These two identical LLRF control crates share one common reference clock and take advantages of modern digital technologies (e.g. DSP and Direct Digital Synthesizer) to achieve closed loop voltage and phase regulations of the dee-voltage. In the beam commission, the measured dee-voltage stability of RF system is better than 0.1% and phase stability is better than 0.03°. The hardware design of the LLRF system will be reviewed in this paper.

On a nonlinear state of the electromagnetic ion/ion cyclotron instability

NASA Astrophysics Data System (ADS)

Cremer, M.; Scholer, M.

We have investigated the nonlinear properties of the electromagnetic ion/ion cyclotron instability (EMIIC) by means of hybrid simulations (macroparticle ions, massless electron fluid). The instability is driven by the relative (super-Alfvénic) streaming of two field-aligned ion beams in a low beta plasma (ion thermal pressure to magnetic field pressure) and may be of importance in the plasma sheet boundary layer. As shown in previously reported simulations the waves propagate obliquely to the magnetic field and heat the ions in the perpendicular direction as the relative beam velocity decreases. By running the simulation to large times it can be shown that the large temperature anisotropy leads to the ion cyclotron instability (IC) with parallel propagating Alfvén ion cyclotron waves. This is confirmed by numerically solving the electromagnetic dispersion relation. An application of this property to the plasma sheet boundary layer is discussed.

Minimalist Medical Diplomacy - Do Engagements Achieve US National Strategy Global Health Security Objectives?

DTIC Science & Technology

2015-04-01

AU/ACSC/KELLETT, N/AY15      AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY Minimalist Medical Diplomacy – Do Engagements Achieve US National...DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE Minimalist Medical Diplomacy - Do Engagements Achieve US National Strategy Global...Engagements……………………………...4 Historical Minimalist Medical Diplomacy Experiences and Challenges……………...7 Methods…………………………………………………………………………………...15

Study of electrostatic electron cyclotron parallel flow velocity shear instability in the magnetosphere of Saturn

NASA Astrophysics Data System (ADS)

Kandpal, Praveen; Pandey, R. S.

2018-05-01

In the present paper, the study of electrostatic electron cyclotron parallel flow velocity shear instability in presence of perpendicular inhomogeneous DC electric field has been carried out in the magnetosphere of Saturn. Dimensionless growth rate variation of electron cyclotron waves has been observed with respect to k⊥ ρe for various plasma parameters. Effect of velocity shear scale length (Ae), inhomogeneity (P/a), the ratio of ion to electron temperature (Ti/Te) and density gradient (ɛnρe) on the growth of electron cyclotron waves in the inner magnetosphere of Saturn has been studied and analyzed. The mathematical formulation and computation of dispersion relation and growth rate have been done by using the method of characteristic solution and kinetic approach. This theoretical analysis has been done taking the relevant data from the Cassini spacecraft in the inner magnetosphere of Saturn. We have considered ambient magnetic field data and other relevant data for this study at the radial distance of ˜4.82-5.00 Rs. In our study velocity shear and ion to electron temperature ratio have been observed to be the major sources of free energy for the electron cyclotron instability. The inhomogeneity of electric field caused a small noticeable impact on the growth rate of electrostatic electron cyclotron instability. Density gradient has been observed playing stabilizing effect on electron cyclotron instability.

Effective dose to immuno-PET patients due to metastable impurities in cyclotron produced zirconium-89

NASA Astrophysics Data System (ADS)

Alfuraih, Abdulrahman; Alzimami, Khalid; Ma, Andy K.; Alghamdi, Ali; Al Jammaz, Ibrahim

2014-11-01

Immuno-PET is a nuclear medicine technique that combines positron emission tommography (PET) with radio-labeled monoclonal antibodies (mAbs) for tumor characterization and therapy. Zirconium-89 (89Zr) is an emerging radionuclide for immuno-PET imaging. Its long half-life (78.4 h) gives ample time for the production, the administering and the patient uptake of the tagged radiopharmaceutical. Furthermore, the nuclides will remain in the tumor cells after the mAbs are catabolized so that time series studies are possible without incurring further administration of radiopharmarceuticals. 89Zr can be produced in medical cyclotrons by bombarding an yttrium-89 (89Y) target with a proton beam through the 89Y(p,n)89Zr reaction. In this study, we estimated the effective dose to the head and neck cancer patients undergoing 89Zr-based immune-PET procedures. The production of 89Zr and the impurities from proton irradiation of the 89Y target in a cyclotron was calculated with the Monte Carlo code MCNPX and the nuclear reaction code TALYS. The cumulated activities of the Zr isotopes were derived from real patient data in literature and the effective doses were estimated using the MIRD specific absorbed fraction formalism. The estimated effective dose from 89Zr is 0.5±0.2 mSv/MBq. The highest organ dose is 1.8±0.2 mSv/MBq in the liver. These values are in agreement with those reported in literature. The effective dose from 89mZr is about 0.2-0.3% of the 89Zr dose in the worst case. Since the ratio of 89mZr to 89Zr depends on the cooling time as well as the irradiation details, contaminant dose estimation is an important aspect in optimizing the cyclotron irradiation geometry, energy and time.

Developing a national role description for medical directors in long-term care

PubMed Central

Rahim-Jamal, Sherin; Quail, Patrick; Bhaloo, Tajudaullah

2010-01-01

OBJECTIVE To develop a national role description for medical directors in long-term care (LTC) based on role functions drawn from the literature and the LTC industry. DESIGN A questionnaire about the role functions identified from the literature was mailed or e-mailed to randomly selected medical directors, directors of care or nursing (DOCs), and administrators in LTC facilities. SETTING Long-term care facilities in Canada randomly selected from regional clusters. PARTICIPANTS Medical directors, DOCs, and administrators in LTC facilities; a national advisory group of medical directors from the Long Term Care Medical Directors Association of Canada; and a volunteer group of medical directors. MAIN OUTCOME MEASURES Respondents were asked to indicate, from the list of identified functions, 1) whether medical directors spent any time on each activity; 2) whether medical directors should spend time on each activity; and 3) if medical directors should spend time on an activity, whether the activity was “essential” or “desirable.” RESULTS An overall response rate of 37% was obtained. At least 80% of the respondents from all 3 groups (medical directors, DOCs, and administrators) highlighted 24 functions they deemed to be “essential” or “desirable,” which were then included in the role description. In addition, the advisory group expanded the role description to include 5 additional responsibilities from the remaining 18 functions originally identified. A volunteer group of medical directors confirmed the resulting role description. CONCLUSION The role description developed as a result of this study brings clarity to the medical director’s role in Canadian LTC facilities; the functions outlined are considered important for medical directors to undertake. The role description could be a useful tool in negotiations pertaining to time commitment and expectations of a medical director and fair compensation for services rendered. PMID:20090058

Electromagnetic ion beam instabilities - Growth at cyclotron harmonic wave numbers

NASA Technical Reports Server (NTRS)

Smith, Charles W.; Gary, S. Peter

1987-01-01

The linear theory of electromagnetic ion beam instabilities for arbitrary angles of propagation is studied, with an emphasis on the conditions necessary to generate unstable modes at low harmonics of the ion cyclotron resonance condition. The present results extend the analysis of Smith et al. (1985). That paper considered only the plasma parameters at a time during which harmonic wave modes were observed in the earth's foreshock. The parameters of that paper are used as the basis of parametric variations here to establish the range of beam properties which may give rise to observable harmonic spectra. It is shown that the growth rates of both left-hand and right-hand cyclotron harmonic instabilities are enhanced by an increase in the beam temperature anisotropy and/or the beam speed. Decreases in the beam density and/or the core-ion beta reduce the overall growth of the cyclotron harmonic instabilities but favor the growth of these modes over the growth of the nonresonant instability and thereby enhance the observability of the harmonics.

Observation of Poincaré-Andronov-Hopf Bifurcation in Cyclotron Maser Emission from a Magnetic Plasma Trap

NASA Astrophysics Data System (ADS)

Shalashov, A. G.; Gospodchikov, E. D.; Izotov, I. V.; Mansfeld, D. A.; Skalyga, V. A.; Tarvainen, O.

2018-04-01

We report the first experimental evidence of a controlled transition from the generation of periodic bursts of electromagnetic radiation into the continuous-wave regime of a cyclotron maser formed in magnetically confined nonequilibrium plasma. The kinetic cyclotron instability of the extraordinary wave of weakly inhomogeneous magnetized plasma is driven by the anisotropic electron population resulting from electron cyclotron plasma heating in a MHD-stable minimum-B open magnetic trap.

Modeling of a cyclotron target for the production of 11C with Geant4.

PubMed

Chiappiniello, Andrea; Zagni, Federico; Infantino, Angelo; Vichi, Sara; Cicoria, Gianfranco; Morigi, Maria Pia; Marengo, Mario

2018-04-12

In medical cyclotron facilities, 11C is produced according to the 14N(p,α)11C reaction and widely employed in studies of prostate and brain cancers by Positron Emission Tomography. It is known from literature [1] that the 11C-target assembly shows a reduction in efficiency during time, meaning a decrease of activity produced at the end of bombardment. This effect might depend on aspects still not completely known. Possible causes of the loss of performance of the 11C-target assembly were addressed by Monte Carlo simulations. Geant4 was used to model the 11C-target assembly of a GE PETtrace cyclotron. The physical and transport parameters to be used in the energy range of medical applications were extracted from literature data and 11C routine productions. The Monte Carlo assessment of 11C saturation yield was performed varying several parameters such as the proton energy and the angle of the target assembly with respect to the proton beam. The estimated 11C saturation yield is in agreement with IAEA data at the energy of interest, while is about the 35% greater than experimental value. A more comprehensive modeling of the target system, including thermodynamic effect, is required. The energy absorbed in the inner layer of the target chamber was up to 46.5 J/mm2 under typical irradiation conditions. This study shows that Geant4 is potentially a useful tool to design and optimize targetry for PET radionuclide productions. Tests to choose the Geant4 physics libraries should be performed before using this tool with different energies and materials. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Note: control of liquid helium supply to cryopanels of Kolkata superconducting cyclotron.

PubMed

Bhattacharyya, T K; Pal, G

2015-02-01

The Kolkata superconducting cyclotron utilises liquid helium to cool the main magnet niobium-titanium (NbTi) coil and the cryopanels. Three liquid helium cooled cryopanels, placed inside the dees of the radio-frequency system, maintain the high vacuum in the acceleration region of the superconducting cyclotron. The small cryostat placed inside the cryogenic distribution manifold located at the basement of the superconducting cyclotron building supplies liquid helium in parallel branches to three cold heads, used for cooling their associated cryopanels. The level in the cryostat has to be maintained at an optimum value to ensure uninterrupted flow of liquid helium to these three cold heads. This paper describes the transfer function of the overall system, its tuning parameters, and discusses the actual control of cryostat level by using these parameters.

Note: Control of liquid helium supply to cryopanels of Kolkata superconducting cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bhattacharyya, T. K., E-mail: tamal@vecc.gov.in; Pal, G.

2015-02-15

The Kolkata superconducting cyclotron utilises liquid helium to cool the main magnet niobium-titanium (NbTi) coil and the cryopanels. Three liquid helium cooled cryopanels, placed inside the dees of the radio-frequency system, maintain the high vacuum in the acceleration region of the superconducting cyclotron. The small cryostat placed inside the cryogenic distribution manifold located at the basement of the superconducting cyclotron building supplies liquid helium in parallel branches to three cold heads, used for cooling their associated cryopanels. The level in the cryostat has to be maintained at an optimum value to ensure uninterrupted flow of liquid helium to these threemore » cold heads. This paper describes the transfer function of the overall system, its tuning parameters, and discusses the actual control of cryostat level by using these parameters.« less

Influence of national culture on the adoption of integrated medical curricula.

PubMed

Jippes, Mariëlle; Majoor, Gerard D

2011-03-01

Integrated curricula have been implemented in medical schools all over the world. However, among countries different relative numbers of schools with integrated curricula are found. This study aims to explore the possible correlation between the percentage of medical schools with integrated curricula in a country and that country's cultural characteristics. Curricula were defined as not integrated if in the first 2 years of the program at least two out of the three monodisciplinary courses Anatomy, Physiology and Biochemistry were identified. Culture was defined using Hofstede's dimensions Power distance, Uncertainty avoidance, Masculinity/Femininity, and Individualism/Collectivism. Consequently, this study had to be restricted to the 63 countries included in Hofstede's studies which harbored 1,195 medical schools. From each country we randomly sampled a maximum of 15 schools yielding 484 schools to be investigated. In total 91% (446) of the curricula were found. Correlation of percent integrated curricula and each dimension of culture was determined by calculating Spearman's Rho. A high score on the Power distance index and a high score on the Uncertainty avoidance index correlated with a low percent integrated curricula; a high score on the Individualism index correlated with a high percent integrated curricula. The percentage integrated curricula in a country did not correlate with its score on the Masculinity index. National culture is associated with the propensity of medical schools to adopt integrated medical curricula. Consequently, medical schools considering introduction of integrated and problem-based medical curricula should take into account dimensions of national culture which may hinder the innovation process.

Converting an AEG Cyclotron to H- Acceleration and Extraction

NASA Astrophysics Data System (ADS)

Ramsey, Fred; Carroll, Lewis; Rathmann, Tom; Huenges, Ernst; Bechtold, Matthias Mentler Volker

2009-03-01

Clinical Trials are under way to evaluate agents labeled with the nuclide 225Ac and its decay product 213Bi, in targeted alpha-immuno-therapy [1]. 225Ac can be produced on a medium-energy cyclotron via the nuclear reaction 226Ra(p,n)225Ac. To demonstrate proof-of-principle, a vintage AEG cyclotron, Model E33 [2], with an internal target, had been employed in a pilot production program at the Technical University of Munich (TUM). To enhance production capability and further support the clinical studies, the TUM facility has recently been refurbished and upgraded, adding a new external beam-line, automated target irradiation and transport systems, new laboratories, hot cells, etc. [3]. An improved high-power rotating target has been built and installed [4]. The AEG cyclotron itself has also been modified and upgraded to accelerate and extract H- ions. We have designed, built, and tested a new axial Penning-type ion source which is optimized for the production of H- ions. The ion source has continued to evolve through experiment and experience. Steady improvements in materials and mechanics have led to enhanced source stability, life-time, and H- production. We have also designed and built a precision H- charge-exchange beam-extraction system which is equipped with a vacuum lock. To fit within the tight mechanical constraint imposed by the narrow magnet gap, the system incorporates a novel chain-drive foil holder and foil-changer mechanism. The reconfigured cyclotron system has now been in operation for more than 1 year. Three long-duration target irradiations have been conducted. The most recent bombardment ran 160 continuous hours at a beam on target of ˜80 microamperes for a total yield of ˜70 milli-curies of 225Ac.

Canadian National Guidelines and Recommendations for Integrating Career Advising Into Medical School Curricula.

PubMed

Howse, Kelly; Harris, June; Dalgarno, Nancy

2017-11-01

Career planning, decision making about specialty choice, and preparation for residency matching are significant sources of stress for medical students. Attempts have been made to structure and formalize career advising by including it in accreditation standards. There is an expressed need for national guidelines on career advising for medical students. The Future of Medical Education in Canada Postgraduate (FMEC PG) Implementation Project was created to ensure Canadian medical trainees receive the best education possible. From this, a diverse sub-working group (SWG), representing different Canadian regions, was formed to review career advising processes across the country. The SWG developed, through a modified formal consensus methodology, a strategy for medical student career advising that is adaptable to all schools in alignment with existing accreditation standards. The SWG outlined five guiding principles and five essential elements for Canadian universities offering an MD degree with recommendations on how to integrate the elements into each school's career advising system. The five essential elements are a structured approach to career advising, information about available career options, elective guidance, preparation for residency applications, and social accountability. This Perspective endorses the view of the FMEC PG Implementation Project that national guidelines are important to ensure Canadian medical schools are consistently meeting accreditation standards by providing reliable and quality career advising to all medical students. The SWG's position, based on national and provincial feedback, is that these guidelines will stimulate discourse and action regarding the requirements and processes to carry out these recommendations nationwide and share across borders.

Canadian National Guidelines and Recommendations for Integrating Career Advising Into Medical School Curricula

PubMed Central

Harris, June; Dalgarno, Nancy

2017-01-01

Career planning, decision making about specialty choice, and preparation for residency matching are significant sources of stress for medical students. Attempts have been made to structure and formalize career advising by including it in accreditation standards. There is an expressed need for national guidelines on career advising for medical students. The Future of Medical Education in Canada Postgraduate (FMEC PG) Implementation Project was created to ensure Canadian medical trainees receive the best education possible. From this, a diverse sub-working group (SWG), representing different Canadian regions, was formed to review career advising processes across the country. The SWG developed, through a modified formal consensus methodology, a strategy for medical student career advising that is adaptable to all schools in alignment with existing accreditation standards. The SWG outlined five guiding principles and five essential elements for Canadian universities offering an MD degree with recommendations on how to integrate the elements into each school’s career advising system. The five essential elements are a structured approach to career advising, information about available career options, elective guidance, preparation for residency applications, and social accountability. This Perspective endorses the view of the FMEC PG Implementation Project that national guidelines are important to ensure Canadian medical schools are consistently meeting accreditation standards by providing reliable and quality career advising to all medical students. The SWG’s position, based on national and provincial feedback, is that these guidelines will stimulate discourse and action regarding the requirements and processes to carry out these recommendations nationwide and share across borders. PMID:28445219

MMS Observations of Harmonic Electromagnetic Cyclotron Waves

NASA Astrophysics Data System (ADS)

Usanova, M.; Ahmadi, N.; Ergun, R.; Trattner, K. J.; Fuselier, S. A.; Torbert, R. B.; Mauk, B.; Le Contel, O.; Giles, B. L.; Russell, C. T.; Burch, J.; Strangeway, R. J.

2017-12-01

Harmonically related electromagnetic ion cyclotron waves with the fundamental frequency near the O+ cyclotron frequency were observed by the four MMS spacecraft on May 20, 2016. The wave activity was detected by the spacecraft on their inbound passage through the Earth's morning magnetosphere during generally quiet geomagnetic conditions but enhanced solar wind dynamic pressure. It was also associated with an enhancement of energetic H+ and O+ ions. The waves are seen in both magnetic and electric fields, formed by over ten higher order harmonics, most pronounced in the electric field. The wave activity lasted for about an hour with some wave packets giving rise to short-lived structures extending from Hz to kHz range. These observations are particularly interesting since they suggest cross-frequency coupling between the lower and higher frequency modes. Further work will focus on examining the nature and role of these waves in the energetic particle dynamics from a theoretical perspective.

MM-wave cyclotron auto-resonance maser for plasma heating

NASA Astrophysics Data System (ADS)

Ceccuzzi, S.; Dattoli, G.; Di Palma, E.; Doria, A.; Gallerano, G. P.; Giovenale, E.; Mirizzi, F.; Spassovsky, I.; Ravera, G. L.; Surrenti, V.; Tuccillo, A. A.

2014-02-01

Heating and Current Drive systems are of outstanding relevance in fusion plasmas, magnetically confined in tokamak devices, as they provide the tools to reach, sustain and control burning conditions. Heating systems based on the electron cyclotron resonance (ECRH) have been extensively exploited on past and present machines DEMO, and the future reactor will require high frequencies. Therefore, high power (≥1MW) RF sources with output frequency in the 200 - 300 GHz range would be necessary. A promising source is the so called Cyclotron Auto-Resonance Maser (CARM). Preliminary results of the conceptual design of a CARM device for plasma heating, carried out at ENEA-Frascati will be presented together with the planned R&D development.

Study of the Polarization Strategy for Electron Cyclotron Heating Systems on HL-2M

NASA Astrophysics Data System (ADS)

Zhang, F.; Huang, M.; Xia, D. H.; Song, S. D.; Wang, J. Q.; Huang, B.; Wang, H.

2016-06-01

As important components integrated in transmission lines of electron cyclotron heating systems, polarizers are mainly used to obtain the desired polarization for highly efficient coupling between electron cyclotron waves and plasma. The polarization strategy for 105-GHz electron cyclotron heating systems of HL-2M tokamak is studied in this paper. Considering the polarizers need high efficiency, stability, and low loss to realize any polarization states, two sinusoidal-grooved polarizers, which include a linear polarizer and an elliptical polarizer, are designed with the coordinate transformation method. The parameters, the period p and the depth d, of two sinusoidal-grooved polarizers are optimized by a phase difference analysis method to achieve an almost arbitrary polarization. Finally, the optimized polarizers are manufactured and their polarization characteristics are tested with a low-power test platform. The experimental results agree well with the numerical calculations, indicating that the designed polarizers can meet the polarization requirements of the electron cyclotron heating systems of HL-2M tokamak.

Emergency Medical Technician-Ambulance: National Standard Curriculum. Student Study Guide (Third Edition).

ERIC Educational Resources Information Center

National Highway Traffic Safety Administration (DOT), Washington, DC.

This student study guide is one of three documents prepared for the Emergency Medical Technician (EMT), National Standard Curriculum. The course is designed to develop skills in symptom recognition and in all emergency care procedures and techniques currently considered to be within the responsibilities of an EMT providing emergency medical care…

Emergency Medical Technician-Ambulance: National Standard Curriculum. Instructor's Lesson Plans (Third Edition).

ERIC Educational Resources Information Center

National Highway Traffic Safety Administration (DOT), Washington, DC.

This set of instructor's lesson plans is one of three documents prepared for the Emergency Medical Technician (EMT) National Standard Curriculum. It contains detailed outlines of course content and guidance for teaching each course lesson. The training course contains 33 lessons covering all emergency medical techniques currently considered to be…

Broadcast Advertising of Medical Products and Services: Its Regulation by Other Nations.

ERIC Educational Resources Information Center

Powell, Jon T.

1972-01-01

Restraints imposed on medical advertising through the broadcast media reflect a worldwide concern for public protection in a sensitive area, where problems of ignorance and misrepresentation are enlarged by false hope. The author examines the broadcast codes of seventeen free-world nations, with respect to their provisions on medical advertising.…

Medical Pluralism among American Women: Results of a National Survey

PubMed Central

Chao, Maria; Kronenberg, Fredi; Cushman, Linda; Kalmuss, Debra

2008-01-01

Abstract Background Medical pluralism can be defined as the employment of more than one medical system or the use of both conventional and complementary and alternative medicine (CAM) for health and illness. American women use a variety of health services and practices for women's health conditions, yet no national study has specifically characterized women's medical pluralism. Our objective was to describe medical pluralism among American women. Methods A nationally representative telephone survey of 808 women ≥18 years of age was conducted in 2001. Cross-sectional observations of the use of 11 CAM domains and the use of an additional domain—spirituality, religion, or prayer for health—during the past year are reported. Women's health conditions, treatments used, reasons for use, and disclosure to conventional physicians are described, along with predictors of CAM use. Results Over half (53%) of respondents used CAM for health conditions, especially for those involving chronic pain. The majority of women disclosed such practices at clinical encounters with conventional providers. Biologically based CAM therapies, such as nutritional supplements and herbs, were commonly used with prescription and over-the-counter (OTC) pharmaceuticals for health conditions. Conclusions Medical pluralism is common among women and should be accepted as a cultural norm. Although disclosure rates of CAM use to conventional providers were higher than in previous population-based studies, disclosure should be increased, especially for women who are pregnant and those with heart disease and cancer. The health risks and benefits of polypharmacy should be addressed at multiple levels of the public health system. PMID:18537484

Cyclotron decay time of a two-dimensional electron gas from 0.4 to 100 K

NASA Astrophysics Data System (ADS)

Curtis, Jeremy A.; Tokumoto, Takahisa; Hatke, A. T.; Cherian, Judy G.; Reno, John L.; McGill, Stephen A.; Karaiskaj, Denis; Hilton, David J.

2016-04-01

We have studied the cyclotron decay time of a Landau-quantized two-dimensional electron gas as a function of temperature (0.4-100 K) at a fixed magnetic field (±1.25 T ) using terahertz time-domain spectroscopy in a gallium arsenide quantum well with a mobility of μd c=3.6 ×106cm2V-1s-1 and a carrier concentration of ns=2 ×1011cm-2 . We find a cyclotron decay time that is limited by superradiant decay of the cyclotron ensemble and a temperature dependence that may result from both dissipative processes as well as a decrease in ns below 1.5 K . Shubnikov-de Haas characterization determines a quantum lifetime, τq=1.1 ps , which is significantly faster than the corresponding dephasing time, τs=66.4 ps , in our cyclotron data. This is consistent with small-angle scattering as the dominant contribution in this sample, where scattering angles below θ ≤13∘ do not efficiently contribute to dephasing. Above 50 K , the cyclotron oscillations show a strong reduction in both the oscillation amplitude and lifetime that result from polar optical phonon scattering.

A Michelson Interferometer for Electron Cyclotron Emission Measurements on EAST

NASA Astrophysics Data System (ADS)

Liu, Yong; Stefan, Schmuck; Zhao, Hailin; John, Fessey; Paul, Trimble; Liu, Xiang; Zhu, Zeying; Zang, Qing; Hu, Liqun

2016-12-01

A Michelson interferometer, on loan from EFDA-JET (Culham, United Kingdom) has recently been commissioned on the experimental advanced superconducting tokamak (EAST, ASIPP, Hefei, China). Following a successful in-situ absolute calibration the instrument is able to measure the electron cyclotron emission (ECE) spectrum, from 80 GHz to 350 GHz in extraordinary mode (X-mode) polarization, with high accuracy. This allows the independent determination of the electron temperature profile from observation of the second harmonic ECE and the possible identification of non-Maxwellian features by comparing higher harmonic emission with numerical simulations. The in-situ calibration results are presented together with the initial measured temperature profiles. These measurements are then discussed and compared with other independent temperature profile measurements. This paper also describes the main hardware features of the diagnostic and the associated commissioning test results. supported by National Natural Science Foundation of China (Nos. 11405211, 11275233), and the National Magnetic Confinement Fusion Science Program of China (Nos. 2013GB106002, 2015GB101000), and the RCUK Energy Programme (No. EP/I501045), partly supported by the JSPS-NRF-NSFC A3 Foresight Program in the Field of Plasma Physics (NSFC: No. 11261140328)

Cyclotron emission from AM Herculis

NASA Technical Reports Server (NTRS)

Chanmugam, G.

1981-01-01

The cyclotron absorption coefficients in the ordinary and extraordinary modes are calculated for the shock heated region of AM Her. The equations of radiative transfer are solved and the intensity of the emitted UV radiation determined as a function of angle. The average spectrum is shown to have deviations from the previously predicted Rayleigh-Jeans spectrum and the magnetic field of AM Her is deduced to be roughly 5 x 10 to the 7th power gauss.

Activities of the National Institute of Radiological Sciences

NASA Astrophysics Data System (ADS)

1994-01-01

This annual report presents activities at the National Institute of Radiological Sciences (NIRS) in Japan during the period April 1992-March 1993. The activities are divided into research, technical aids, training, medical services, management, library or editing, and international cooperation. Research activities are arranged with twelve sections. The first section on special researches deals with continuing research projects entitled: (1) 'Biological Risk Evaluation in Public Exposure'; (2) 'Exposure Assessment in the Environment and the Public Through Food Chain'; (3) 'Medical Use of Accelerated Heavy Ions'; and (4) 'Preliminary Study for the Demonstration of Dose-Response Relationships in Low-Dose Range'. All projects except for project (4) will be finished up to March 1993. The section of assigned researches covers four titles. The section of ordinary researches covers physics (four titles), pharmacochemistry (four), biology (three), genetics (four), physiopathology (four), cytological radiation injuries (three), internal exposure (four), environmental science (four), clinical research (four), clinical research for radiation injuries (three), medical use of heavy particles (three), environmental radiation ecology (three), and aquatic radiation ecology (two). The section on technical aids gives an overview of technical services, radiation safety, animal and plant management, and cyclotron management. Appendices give the information on personnel in NIRS.

An overview of intravenous-related medication administration errors as reported to MEDMARX, a national medication error-reporting program.

PubMed

Hicks, Rodney W; Becker, Shawn C

2006-01-01

Medication errors can be harmful, especially if they involve the intravenous (IV) route of administration. A mixed-methodology study using a 5-year review of 73,769 IV-related medication errors from a national medication error reporting program indicates that between 3% and 5% of these errors were harmful. The leading type of error was omission, and the leading cause of error involved clinician performance deficit. Using content analysis, three themes-product shortage, calculation errors, and tubing interconnectivity-emerge and appear to predispose patients to harm. Nurses often participate in IV therapy, and these findings have implications for practice and patient safety. Voluntary medication error-reporting programs afford an opportunity to improve patient care and to further understanding about the nature of IV-related medication errors.

Ion Cyclotron Waves in the VASIMR

NASA Astrophysics Data System (ADS)

Brukardt, M. S.; Bering, E. A.; Chang-Diaz, F. R.; Squire, J. P.; Longmier, B.

2008-12-01

The Variable Specific Impulse Magnetoplasma Rocket is an electric propulsion system under development at Ad Astra Rocket Company that utilizes several processes of ion acceleration and heating that occur in the Birkeland currents of an auroral arc system. Among these processes are parallel electric field acceleration, lower hybrid resonance heating, and ion cyclotron resonance heating. The VASIMR is capable of laboratory simulation of electromagnetic ion cyclotron wave heating during a single pass of the plasma through the resonance region. The plasma is generated by a helicon discharge of about 25 kW then passes through an RF booster stage that shoots left hand polarized slow mode waves from the high field side of the resonance. This paper will focus on the upgrades to the VX-200 test model over the last year. After summarizing the VX- 50 and VX-100 results, the new data from the VX-200 model will be presented. Lastly, the changes to the VASIMR experiment due to Ad Astra Rocket Company's new facility in Webster, Texas will also be discussed, including the possibility of collaborative experiments at the new facility.

Graduate Medical Education Viewed from the National Intern and Resident Matching Program

ERIC Educational Resources Information Center

Graettinger, John S.

1976-01-01

The total number of applicants for first-year programs in graduate medical education through the National Intern and Resident Matching Program in 1976 exceeded the number of positions offered for the second consecutive year. There were deficits in the number of openings offered in the primary care specialties and surfeits in medical and surgical…

A National Medical Information System for Senegal: Architecture and Services.

PubMed

Camara, Gaoussou; Diallo, Al Hassim; Lo, Moussa; Tendeng, Jacques-Noël; Lo, Seynabou

2016-01-01

In Senegal, great amounts of data are daily generated by medical activities such as consultation, hospitalization, blood test, x-ray, birth, death, etc. These data are still recorded in register, printed images, audios and movies which are manually processed. However, some medical organizations have their own software for non-standardized patient record management, appointment, wages, etc. without any possibility of sharing these data or communicating with other medical structures. This leads to lots of limitations in reusing or sharing these data because of their possible structural and semantic heterogeneity. To overcome these problems we have proposed a National Medical Information System for Senegal (SIMENS). As an integrated platform, SIMENS provides an EHR system that supports healthcare activities, a mobile version and a web portal. The SIMENS architecture proposes also a data and application integration services for supporting interoperability and decision making.

[Problems in career planning for novice medical technologists in Japanese national hospitals].

PubMed

Ogasawara, Shu; Tsutaya, Shoji; Akimoto, Hiroyuki; Kojima, Keiya; Yabaka, Hiroyuki

2012-12-01

Skills and knowledge regarding many different types of test are required for medical technologists (MTs) to provide accurate information to help doctors and other medical specialists. In order to become an efficient MT, specialized training programs are required. Certification in specialized areas of clinical laboratory sciences or a doctoral degree in medical sciences may help MTs to realize career advancement, a higher earning potential, and expand the options in their career. However, most young MTs in national university hospitals are employed as part-time workers on a three-year contract, which is too short to obtain certifications or a doctoral degree. We have to leave the hospital without expanding our future. We need to take control of our own development in order to enhance our employability within the period. As teaching and training hospitals, national university hospitals in Japan are facing a difficult dilemma in nurturing MTs. I hope, as a novice medical technologist, that at least university hospitals in Japan create an appropriate workplace environment for novice MTs.

[Microeconomics of introduction of a PET system based on the revised Japanese National Insurance reimbursement system].

PubMed

Abe, Katsumi; Kosuda, Shigeru; Kusano, Shoichi; Nagata, Masayoshi

2003-11-01

It is crucial to evaluate an annual balance before-hand when an institution installs a PET system because the revised Japanese national insurance reimbursement system set the cost of a FDG PET study as 75,000 yen. A break-even point was calculated in an 8-hour or a 24-hour operation of a PET system, based on the total costs reported. The break-even points were as follows: 13.4, 17.7, 22.1 studies per day for the 1 cyclotron-1 PET camera, 1 cyclotron-2 PET cameras, 1 cyclotron-3 PET cameras system, respectively, in an ordinary PET system operation of 8 hours. The break-even points were 19.9, 25.5, 31.2 studies per day for the 1 cyclotron-1 PET camera, 1 cyclotron-2 PET cameras, 1 cyclotron-3 PET cameras system, respectively, in a full PET system operation of 24 hours. The results indicate no profit would accrue in an ordinary PET system operation of 8 hours. The annual profit and break-even point for the total cost including the initial investment would be respectively 530 million yen and 2.8 years in a 24-hour operation with 1 cyclotron-3 PET cameras system.

75 FR 55805 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-14

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Initial Review Group, Biomedical Research and Research Training Review Subcommittee A. Date... General Medical Sciences, National Institutes of Health, Natcher Building, Room 3AN18, Bethesda, MD 20892...

Ion cyclotron production by a four-wave interaction with a helicon pump.

PubMed

Sutherland, O; Giles, M; Boswell, R

2005-05-27

Ion cyclotron waves at approximately 0.7 the ion gyrofrequency have been observed experimentally in the large volume helicon reactor WOMBAT. These waves are highly localized along the axis of the device where a 8 cm diameter, 2 m long. Ar II plasma column is produced. Spectral measurements reveal a four-wave interaction where energy is down-converted to the ion cyclotron mode from the helicon pump. The experimental results are explained in terms of a filamentation type instability.

A Comprehensive Analysis of Ion Cyclotron Waves in the Equatorial Magnetosphere of Saturn

NASA Astrophysics Data System (ADS)

Meeks, Z. C.; Simon, S.

2016-12-01

We present a comprehensive analysis of ion cyclotron waves in the equatorial magnetosphere of Saturn, considering all magnetic field data collected during the Cassini era (totaling to over 4 years of data from the equatorial plane). This dataset includes eight targeted flybys of Enceladus, three targeted flybys of Dione, and three targeted flybys of Rhea. Because all remaining orbits of Cassini are high-inclination, our study provides the complete map of ion cyclotron waves in Saturn's equatorial magnetosphere during the Cassini era. We provide catalogs of the radial and longitudinal dependencies of the occurrence rate and amplitude of the ion cyclotron fundamental and first harmonic wave modes. The fundamental wave mode is omnipresent between the orbits of Enceladus and Dione and evenly distributed across all Local Times. The occurrence rate of the fundamental mode displays a Fermi-Dirac-like profile with respect to radial distance from Saturn. Detection of the first harmonic mode is a rare event occurring in only 0.49% of measurements taken and always in conjunction with the fundamental mode. We also search for a dependency of the ion cyclotron wave field on the orbital positions of the icy moons Enceladus, Dione, and Rhea. On magnetospheric length scales, the wave field is independent of the moons' orbital positions. For Enceladus, we analyze wave amplitude profiles of seven close flybys (E9, E12, E13, E14, E17, E18, and E19), which occurred during the studied trajectory segments, to look for any local effects of Enceladan plume variability on the wave field. We find that even in the close vicinity of Enceladus, the wave amplitudes display no discernible dependency on Enceladus' angular distance to its orbital apocenter. Thus, the correlation between plume activity and angular distance to apocenter proposed by Hedman et al. (2013) does not leave a clearly distinguishable imprint in the ion cyclotron wave field. Reference: Meeks, Z., Simon, S., Kabanovic, S

78 FR 37557 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-21

...: Margaret J. Weidman, Ph.D., Scientific Review Officer, Office of Scientific Review, National Institute of..., Ph.D., Scientific Review Officer, Office of Scientific Review, National Institute of General Medical..., and Biological Chemistry Research; 93.862, Genetics and Developmental Biology Research; 93.88...

Fabrication of the Superferric Cyclotron Gas-stopper Magnet at NSCL at Michigan State University

NASA Astrophysics Data System (ADS)

Chouhan, S. S.; Bollen, G.; DeKamp, J.; Green, M. A.; Lawton, D.; Magsig, C.; Morrissey, D. J.; Ottarson, J.; Schwarz, S.; Zeller, A. F.

2014-05-01

The magnet for the cyclotron gas stopper is a newly designed, large warm-iron superconducting cyclotron sector gradient dipole. The maximum field in the centre (gap = 0.18 m) is 2.7 T. The outer diameter of magnet yoke is 4.0 m, with a pole radius of 1.1 m and B*ρ = 1.8 T m. The fabrication and assembly of the iron return yoke and twelve pole pieces is complete. Separate coils are mounted on the return yokes that have a total mass of about 167 metric tons of iron. This paper illustrates the design and the fabrication process for the cyclotron gas-stopper magnet that is being fabricated at MSU.

National awareness campaign to prevent medication-overuse headache in Denmark.

PubMed

Carlsen, Louise Ninett; Westergaard, Maria Lurenda; Bisgaard, Mette; Schytz, Julie Brogaard; Jensen, Rigmor Højland

2017-01-01

Background Medication-overuse headache is prevalent, but in principle preventable. Objective To describe the Danish national awareness campaign for medication-overuse headache. Methods The Danish Headache Center, the Association of Danish Pharmacies, and headache patient organizations implemented a four-month medication-overuse headache awareness campaign in 2016. Target groups were the general public, general practitioners, and pharmacists. Key messages were: Overuse of pain-medication can worsen headaches; pain-medication should be used rationally; and medication-overuse headache is treatable. A range of communication technologies was used. A survey on the public's awareness of medication-overuse headache was conducted. Results The Danish adult population is 4.2 million. Online videos were viewed 297,000 times in three weeks. All 400 pharmacies received campaign materials. Over 28,000 leaflets were distributed. Two radio interviews were conducted. A television broadcast about headache reached an audience of 520,000. Forty articles were published in print media. Information was accessible at 32 reputable websites and five online news agencies. Three scientific papers were published. Information was available at an annual conference of general practitioners, including a headache lecture. The survey showed an increase in percentage of the public who knew about medication-overuse headache (from 31% to 38%). Conclusion A concerted campaign to prevent medication-overuse headache can be implemented through involvement of key stakeholders.

76 FR 19105 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-06

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; NIGMS Legacy Community-Wide Scientific Resources. Date: April 12, 2011... Institute of General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3AN18, Bethesda...

76 FR 62083 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-06

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel, Review of Minority Biomedical Research Support Behavioral Applications... Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3AN18C, Bethesda, MD 20892, 301-594...

Improving cancer treatment with cyclotron produced radionuclides. Progress report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Larson, S.M.; Finn, R.D.

1992-08-04

Our goal is to improve the scientific basis for tumor diagnosis, treatment and treatment follow-up based on the use of cyclotron produced radiotracers in oncology. The grant includes 3 interactive components: Radiochemistry/Cyclotron; Pharmacology; and Immunology. The radiochemistry group seeks to develop innovative cyclotron targetry, radiopharmaceuticals, and radiolabeled antibodies, which are then used to assess important unanswered questions in tumor pharmacology and immunology. Examples include selected positron emitting radionuclides, such as Iodine-124, and Ga-66; I-124, I-123, I-131 labeled iododeoxyuridine, C-11 colchicine, and antimetabolites, like C-11 methotrexate; and radiolabeled antibodies, 3F8, M195, A33, and MRK16 for application in the pharmacology and immunologymore » projects. The pharmacology program studies tumor resistance to chemotherapy, particularly the phenomenon of multidrug resistance and the relationship between tumor uptake and retention and the tumor response for anti-metabolite drugs. The immunology program studies the physiology of antibody localization at the tissue level as the basis for novel approaches to improving tumor localization such as through the use of an artificial lymphatic system which mechanically reduces intratumoral pressures in tumors in vivo. Quantitative imaging approaches based on PET and SPECT in radioimmunotherapy are studied to give greater insight into the physiology of tumor localization and dosimetry.« less

Ion cyclotron emission studies: Retrospects and prospects

DOE PAGES

Gorelenkov, N. N.

2016-06-05

Ion cyclotron emission (ICE) studies emerged in part from the papers by A.B. Mikhailovskii published in the 1970s. Among the discussed subjects were electromagnetic compressional Alfv,nic cyclotron instabilities with the linear growth rate similar ~ √(n α/n e) driven by fusion products, -particles which draw a lot of attention to energetic particle physics. The theory of ICE excited by energetic particles was significantly advanced at the end of the 20th century motivated by first DT experiments on TFTR and subsequent JET experimental studies which we highlight. Recently ICE theory was advanced by detailed theoretical and experimental studies on spherical torusmore » (ST) fusion devices where the instability signals previously indistinguishable in high aspect ratio tokamaks due to high toroidal magnetic field became the subjects of experiments. Finally, we discuss prospects of ICE theory applications for future burning plasma (BP) experiments such as those to be conducted in ITER device in France, where neutron and gamma rays escaping the plasma create extremely challenging conditions fusion alpha particle diagnostics.« less

Ion cyclotron emission studies: Retrospects and prospects

NASA Astrophysics Data System (ADS)

Gorelenkov, N. N.

2016-05-01

Ion cyclotron emission (ICE) studies emerged in part from the papers by A.B. Mikhailovskii published in the 1970s. Among the discussed subjects were electromagnetic compressional Alfvénic cyclotron instabilities with the linear growth rate √ {n_α /n_e } driven by fusion products, -particles which draw a lot of attention to energetic particle physics. The theory of ICE excited by energetic particles was significantly advanced at the end of the 20th century motivated by first DT experiments on TFTR and subsequent JET experimental studies which we highlight. More recently ICE theory was advanced by detailed theoretical and experimental studies on spherical torus (ST) fusion devices where the instability signals previously indistinguishable in high aspect ratio tokamaks due to high toroidal magnetic field became the subjects of experiments. We discuss further prospects of ICE theory applications for future burning plasma (BP) experiments such as those to be conducted in ITER device in France, where neutron and gamma rays escaping the plasma create extremely challenging conditions fusion alpha particle diagnostics.

Calculation of the spontaneous cyclotron emissivity using the complete relativistic resonance condition

NASA Technical Reports Server (NTRS)

Freund, H. P.; Wu, C. S.; Gaffey, J. D., Jr.

1984-01-01

An expression for the spectral emissivity of spontaneous synchrotron radiation for a plasma which consists of both thermal and suprathermal electron components is derived using the complete relativistic cyclotron resonance condition. The expression is valid over all angles of propagation. The result is applied to the study of the emission of radiation from an energetic population of electrons with a loss-cone distribution in a relatively low-density plasma (i.e., the electron plasma frequency is less than the cyclotron frequency).

Do national drug control laws ensure the availability of opioids for medical and scientific purposes?

PubMed Central

Brown, Marty Skemp; Maurer, Martha A

2014-01-01

Abstract Objective To determine whether national drug control laws ensure that opioid drugs are available for medical and scientific purposes, as intended by the 1972 Protocol amendment to the 1961 Single Convention on Narcotic Drugs. Methods The authors examined whether the text of a convenience sample of drug laws from 15 countries: (i) acknowledged that opioid drugs are indispensable for the relief of pain and suffering; (ii) recognized that government was responsible for ensuring the adequate provision of such drugs for medical and scientific purposes; (iii) designated an administrative body for implementing international drug control conventions; and (iv) acknowledged a government’s intention to implement international conventions, including the Single Convention. Findings Most national laws were found not to contain measures that ensured adequate provision of opioid drugs for medical and scientific purposes. Moreover, the model legislation provided by the United Nations Office on Drugs and Crime did not establish an obligation on national governments to ensure the availability of these drugs for medical use. Conclusion To achieve consistency with the Single Convention, as well as with associated resolutions and recommendations of international bodies, national drug control laws and model policies should be updated to include measures that ensure drug availability to balance the restrictions imposed by the existing drug control measures needed to prevent the diversion and nonmedical use of such drugs. PMID:24623904

Consequences of narrow cyclotron emission from Hercules X-1

NASA Technical Reports Server (NTRS)

Weaver, R. P.

1978-01-01

The implications of the recent observations of a narrow cyclotron line in the hard X-ray spectrum of Hercules X-1 are studied. A Monte Carlo code is used to simulate the X-ray transfer of an intrinsically narrow feature at approximately 56 keV through an opaque, cold magnetospheric shell. The results of this study indicate that if a narrow line can be emitted by the source region, then only about 10% of the photons remain in a narrow feature after scattering through the shell. The remaining photons are scattered into a broad feature (FWHM approximately 30 keV) that peaks near 20 keV. Thus, these calculations indicate that the intrinsic source luminosity of the cyclotron line is at least an order of magnitude greater than the observed luminosity.

Comparative electron temperature measurements of Thomson scattering and electron cyclotron emission diagnostics in TCABR plasmas.

PubMed

Alonso, M P; Figueiredo, A C A; Borges, F O; Elizondo, J I; Galvão, R M O; Severo, J H F; Usuriaga, O C; Berni, L A; Machida, M

2010-10-01

We present the first simultaneous measurements of the Thomson scattering and electron cyclotron emission radiometer diagnostics performed at TCABR tokamak with Alfvén wave heating. The Thomson scattering diagnostic is an upgraded version of the one previously installed at the ISTTOK tokamak, while the electron cyclotron emission radiometer employs a heterodyne sweeping radiometer. For purely Ohmic discharges, the electron temperature measurements from both diagnostics are in good agreement. Additional Alfvén wave heating does not affect the capability of the Thomson scattering diagnostic to measure the instantaneous electron temperature, whereas measurements from the electron cyclotron emission radiometer become underestimates of the actual temperature values.

76 FR 2914 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-18

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; PSI Materials Repository Review. Date: February 11, 2011. Time: 2 p.m. to... General Medical Sciences, National Institutes of Health, Natcher Building, Room 3AN18K, Bethesda, MD 20892...

76 FR 60059 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-28

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel, Research Centers in Wound Healing. Date: October 19, 2011. Time: 12 p.m... General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3AN18, Bethesda, MD 20892...

Marriage and Family Therapists and Psychotropic Medications: Practice Patterns from a National Study

ERIC Educational Resources Information Center

Hernandez, Barbara Couden; Doherty, William J.

2005-01-01

A national sample of marriage and family therapists (MFTs) was used to describe practice patterns of MFTs whose clients use psychotropics and to compare medicated and nonmedicated clients. Marriage and Family Therapists (n = 283) reported on 195 medicated and 483 nonmedicated adult clients. Clients (n = 375) rated their improvement and…

Social Work Roles and Activities Regarding Psychiatric Medication: Results of a National Survey

ERIC Educational Resources Information Center

Bentley, Kia J.; Walsh, Joseph; Farmer, Rosemary L.

2005-01-01

This article reports the findings of a 2001 national survey of social workers regarding their everyday practice roles and activities regarding psychiatric medication. The results of this quantitative study indicate variability in the types of roles carried out by social workers with regard to psychiatric medication, but that perceptions of…

Topological model of composite fermions in the cyclotron band generator picture: New insights

NASA Astrophysics Data System (ADS)

Staśkiewicz, Beata

2018-03-01

A combinatorial group theory in the braid groups is correlated with the unusual "anyon" statistic of particles in 2D Hall system in the fractional quantum regime well. On this background has been derived cyclotron band generator as a modification and generalization band generator, first established to solve the word and conjugacy problems in the braid group terms. Topological commensurability condition has been embraced by canonical factors - like, based on the concept of parallel descending cycles. Owing to this we can mathematically capture the general hierarchy of correlated states in the lowest Landau level, describing the fractional quantum Hall effect hierarchy, in terms of cyclotron band generators, especially for those being beyond conventional composite fermions model. It has been also shown that cyclotron braid subgroups, developed for interpretation of Laughlin correlations, are a special case of the right-angled Artin groups.

Public opinion and medical cannabis policies: examining the role of underlying beliefs and national medical cannabis policies.

PubMed

Sznitman, Sharon R; Bretteville-Jensen, Anne Line

2015-10-14

Debate about medical cannabis legalization are typically informed by three beliefs: (1) cannabis has medical effects, (2) medical cannabis is addictive and (3) medical cannabis legalization leads to increased used of cannabis for recreational purposes (spillover effects). We examined how strongly these beliefs are associated with public support for medical cannabis legalization and whether this association differs across divergent medical cannabis policy regimes. Robust regression analysis was used to analyse data derived from two nationally representative samples of adults participating in comparable cross-sectional online surveys in one country where medical cannabis smoking is illegal (Norway, n = 2175, 51 % male) and in one country where medical cannabis smoking is legal (Israel, n = 648, 49 % male). The belief that cannabis has medical benefits was more strongly related to support for medical cannabis legalization than were beliefs about addiction and spillover effects. While the support for medical cannabis legalization was stronger in Israel than in Norway (78 vs. 51 %, p < 0.01), the belief variables had, in general, more impact on the policy stand in Norway. The belief that cannabis has medical benefits is particularly salient for support for medical cannabis legalization. It is possible that the recent surge in evidence supporting the medical benefits of cannabis will increase the belief about medical benefits of cannabis in the general population which may in turn increase public support for medical cannabis legalization. Results also suggest that once medical cannabis is legalized, factors beyond cannabis-specific beliefs will increasingly influence medical cannabis legalization support. These conclusions are, however, only suggestive as the current study is based on cross-sectional data. Hopefully, future research will be able to capitalize on changes in medical cannabis policies and conduct longitudinal studies that enable an

76 FR 10911 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-28

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; Research Centers in Wound Healing. Date: March 22, 2011. Time: 1 p.m. to 4... General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3AN18, Bethesda, MD 20892...

78 FR 38997 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-28

... General Medical Sciences; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; Clinical Trials of Pain Treatment. Date: July 19, 2013. Time: 1:00 p.m. to... Institute of General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3An.18K...

75 FR 55804 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-14

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel, Phase II Clinical Trial in Septic Shock. Date: October 7, 2010. Time: 8:30... General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3AN18K, Bethesda, MD 20892...

75 FR 69092 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-10

... Sciences Special Emphasis Panel MBRS Behavioral Science Panel. Date: December 2, 2010. Time: 11 a.m. to 1 p... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... General Medical Sciences, National Institutes of Health, Natcher Building, Room 3AN18C, Bethesda, MD 20892...

National burden of preventable adverse drug events associated with inpatient injectable medications: healthcare and medical professional liability costs.

PubMed

Lahue, Betsy J; Pyenson, Bruce; Iwasaki, Kosuke; Blumen, Helen E; Forray, Susan; Rothschild, Jeffrey M

2012-11-01

Harmful medication errors, or preventable adverse drug events (ADEs), are a prominent quality and cost issue in healthcare. Injectable medications are important therapeutic agents, but they are associated with a greater potential for serious harm than oral medications. The national burden of preventable ADEs associated with inpatient injectable medications and the associated medical professional liability (MPL) costs have not been previously described in the literature. To quantify the economic burden of preventable ADEs related to inpatient injectable medications in the United States. Medical error data (MedMarx 2009-2011) were utilized to derive the distribution of errors by injectable medication types. Hospital data (Premier 2010-2011) identified the numbers and the types of injections per hospitalization. US payer claims (2009-2010 MarketScan Commercial and Medicare 5% Sample) were used to calculate the incremental cost of ADEs by payer and by diagnosis-related group (DRG). The incremental cost of ADEs was defined as inclusive of the time of inpatient admission and the following 4 months. Actuarial calculations, assumptions based on published literature, and DRG proportions from 17 state discharge databases were used to derive the probability of preventable ADEs per hospitalization and their annual costs. MPL costs were assessed from state- and national-level industry reports, premium rates, and from closed claims databases between 1990 and 2011. The 2010 American Hospital Association database was used for hospital-level statistics. All costs were adjusted to 2013 dollars. Based on this medication-level analysis of reported harmful errors and the frequency of inpatient administrations with actuarial projections, we estimate that preventable ADEs associated with injectable medications impact 1.2 million hospitalizations annually. Using a matched cohort analysis of healthcare claims as a basis for evaluating incremental costs, we estimate that inpatient

National Burden of Preventable Adverse Drug Events Associated with Inpatient Injectable Medications: Healthcare and Medical Professional Liability Costs

PubMed Central

Lahue, Betsy J.; Pyenson, Bruce; Iwasaki, Kosuke; Blumen, Helen E.; Forray, Susan; Rothschild, Jeffrey M.

2012-01-01

Background Harmful medication errors, or preventable adverse drug events (ADEs), are a prominent quality and cost issue in healthcare. Injectable medications are important therapeutic agents, but they are associated with a greater potential for serious harm than oral medications. The national burden of preventable ADEs associated with inpatient injectable medications and the associated medical professional liability (MPL) costs have not been previously described in the literature. Objective To quantify the economic burden of preventable ADEs related to inpatient injectable medications in the United States. Methods Medical error data (MedMarx 2009–2011) were utilized to derive the distribution of errors by injectable medication types. Hospital data (Premier 2010–2011) identified the numbers and the types of injections per hospitalization. US payer claims (2009–2010 MarketScan Commercial and Medicare 5% Sample) were used to calculate the incremental cost of ADEs by payer and by diagnosis-related group (DRG). The incremental cost of ADEs was defined as inclusive of the time of inpatient admission and the following 4 months. Actuarial calculations, assumptions based on published literature, and DRG proportions from 17 state discharge databases were used to derive the probability of preventable ADEs per hospitalization and their annual costs. MPL costs were assessed from state- and national-level industry reports, premium rates, and from closed claims databases between 1990 and 2011. The 2010 American Hospital Association database was used for hospital-level statistics. All costs were adjusted to 2013 dollars. Results Based on this medication-level analysis of reported harmful errors and the frequency of inpatient administrations with actuarial projections, we estimate that preventable ADEs associated with injectable medications impact 1.2 million hospitalizations annually. Using a matched cohort analysis of healthcare claims as a basis for evaluating incremental

Graphical user interface for yield and dose estimations for cyclotron-produced technetium

NASA Astrophysics Data System (ADS)

Hou, X.; Vuckovic, M.; Buckley, K.; Bénard, F.; Schaffer, P.; Ruth, T.; Celler, A.

2014-07-01

The cyclotron-based 100Mo(p,2n)99mTc reaction has been proposed as an alternative method for solving the shortage of 99mTc. With this production method, however, even if highly enriched molybdenum is used, various radioactive and stable isotopes will be produced simultaneously with 99mTc. In order to optimize reaction parameters and estimate potential patient doses from radiotracers labeled with cyclotron produced 99mTc, the yields for all reaction products must be estimated. Such calculations, however, are extremely complex and time consuming. Therefore, the objective of this study was to design a graphical user interface (GUI) that would automate these calculations, facilitate analysis of the experimental data, and predict dosimetry. The resulting GUI, named Cyclotron production Yields and Dosimetry (CYD), is based on Matlab®. It has three parts providing (a) reaction yield calculations, (b) predictions of gamma emissions and (c) dosimetry estimations. The paper presents the outline of the GUI, lists the parameters that must be provided by the user, discusses the details of calculations and provides examples of the results. Our initial experience shows that the proposed GUI allows the user to very efficiently calculate the yields of reaction products and analyze gamma spectroscopy data. However, it is expected that the main advantage of this GUI will be at the later clinical stage when entering reaction parameters will allow the user to predict production yields and estimate radiation doses to patients for each particular cyclotron run.

Graphical user interface for yield and dose estimations for cyclotron-produced technetium.

PubMed

Hou, X; Vuckovic, M; Buckley, K; Bénard, F; Schaffer, P; Ruth, T; Celler, A

2014-07-07

The cyclotron-based (100)Mo(p,2n)(99m)Tc reaction has been proposed as an alternative method for solving the shortage of (99m)Tc. With this production method, however, even if highly enriched molybdenum is used, various radioactive and stable isotopes will be produced simultaneously with (99m)Tc. In order to optimize reaction parameters and estimate potential patient doses from radiotracers labeled with cyclotron produced (99m)Tc, the yields for all reaction products must be estimated. Such calculations, however, are extremely complex and time consuming. Therefore, the objective of this study was to design a graphical user interface (GUI) that would automate these calculations, facilitate analysis of the experimental data, and predict dosimetry. The resulting GUI, named Cyclotron production Yields and Dosimetry (CYD), is based on Matlab®. It has three parts providing (a) reaction yield calculations, (b) predictions of gamma emissions and (c) dosimetry estimations. The paper presents the outline of the GUI, lists the parameters that must be provided by the user, discusses the details of calculations and provides examples of the results. Our initial experience shows that the proposed GUI allows the user to very efficiently calculate the yields of reaction products and analyze gamma spectroscopy data. However, it is expected that the main advantage of this GUI will be at the later clinical stage when entering reaction parameters will allow the user to predict production yields and estimate radiation doses to patients for each particular cyclotron run.

Conversion of National Health Insurance Service-National Sample Cohort (NHIS-NSC) Database into Observational Medical Outcomes Partnership-Common Data Model (OMOP-CDM).

PubMed

You, Seng Chan; Lee, Seongwon; Cho, Soo-Yeon; Park, Hojun; Jung, Sungjae; Cho, Jaehyeong; Yoon, Dukyong; Park, Rae Woong

2017-01-01

It is increasingly necessary to generate medical evidence applicable to Asian people compared to those in Western countries. Observational Health Data Sciences a Informatics (OHDSI) is an international collaborative which aims to facilitate generating high-quality evidence via creating and applying open-source data analytic solutions to a large network of health databases across countries. We aimed to incorporate Korean nationwide cohort data into the OHDSI network by converting the national sample cohort into Observational Medical Outcomes Partnership-Common Data Model (OMOP-CDM). The data of 1.13 million subjects was converted to OMOP-CDM, resulting in average 99.1% conversion rate. The ACHILLES, open-source OMOP-CDM-based data profiling tool, was conducted on the converted database to visualize data-driven characterization and access the quality of data. The OMOP-CDM version of National Health Insurance Service-National Sample Cohort (NHIS-NSC) can be a valuable tool for multiple aspects of medical research by incorporation into the OHDSI research network.

A Suzaku View of Cyclotron Line Sources and Candidates

NASA Technical Reports Server (NTRS)

Pottschmidt, K.; Suchy, S.; Rivers, E.; Rothschild, R. E.; Marcu, D. M.; Barragan, L.; Kuehnel, M.; Fuerst, F.; Schwarm, F.; Kreykenbohm, I.;

Psychotropic Medication Treatment of Adolescents: Results from the National Comorbidity Survey-Adolescent Supplement

ERIC Educational Resources Information Center

Olfson, Mark; He, Jian-ping; Merikangas, Kathleen Ries

2013-01-01

Objective: To examine the 12-month prevalence of psychotropic medication use among adolescents, and the match between mental disorder diagnoses and past-year antidepressant and stimulant use. Method: Data are from the National Comorbidity Survey--Adolescent Supplement (2002-2004), a nationally representative survey of 10,123 adolescents aged 13 to…

Cyclotron Resonance of Electrons Trapped in a Microwave Cavity

ERIC Educational Resources Information Center

Elmore, W. C.

1975-01-01

Describes an experiment in which the free-electron cyclotron resonance of electrons trapped in a microwave cavity by a Penning trap is observed. The experiment constitutes an attractive alternative to one of the Gardner-Purcell variety. (Author/GS)

76 FR 3918 - National Institute of General Medical Sciences; Amended Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-21

... General Medical Sciences; Amended Notice of Meeting Notice is hereby given of a change in the meeting of the National Advisory General Medical Sciences Council, January 27, 2011, 8:30 a.m. to January 28... of Federal Advisory Committee Policy. [FR Doc. 2011-1198 Filed 1-20-11; 8:45 am] BILLING CODE 4140-01...

[Evaluation of using statistical methods in selected national medical journals].

PubMed

Sych, Z

1996-01-01

The paper covers the performed evaluation of frequency with which the statistical methods were applied in analyzed works having been published in six selected, national medical journals in the years 1988-1992. For analysis the following journals were chosen, namely: Klinika Oczna, Medycyna Pracy, Pediatria Polska, Polski Tygodnik Lekarski, Roczniki Państwowego Zakładu Higieny, Zdrowie Publiczne. Appropriate number of works up to the average in the remaining medical journals was randomly selected from respective volumes of Pol. Tyg. Lek. The studies did not include works wherein the statistical analysis was not implemented, which referred both to national and international publications. That exemption was also extended to review papers, casuistic ones, reviews of books, handbooks, monographies, reports from scientific congresses, as well as papers on historical topics. The number of works was defined in each volume. Next, analysis was performed to establish the mode of finding out a suitable sample in respective studies, differentiating two categories: random and target selections. Attention was also paid to the presence of control sample in the individual works. In the analysis attention was also focussed on the existence of sample characteristics, setting up three categories: complete, partial and lacking. In evaluating the analyzed works an effort was made to present the results of studies in tables and figures (Tab. 1, 3). Analysis was accomplished with regard to the rate of employing statistical methods in analyzed works in relevant volumes of six selected, national medical journals for the years 1988-1992, simultaneously determining the number of works, in which no statistical methods were used. Concurrently the frequency of applying the individual statistical methods was analyzed in the scrutinized works. Prominence was given to fundamental statistical methods in the field of descriptive statistics (measures of position, measures of dispersion) as well as

National outpatient medication profiling: medications associated with outpatient fractures in community-dwelling elderly veterans

PubMed Central

French, Dustin D; Campbell, Robert; Spehar, Andrea; Rubenstein, Laurence Z; Branch, Laurence G; Cunningham, Francesca

2007-01-01

What is already known about this subject Polypharmacy, to include a subissue of potentially inappropriate prescribing, in community-dwelling elderly is widespread. The objective of this study was to identify the magnitude of problematic outpatient drug prescribing and its potential association as a risk factor for injuries. What this study adds This is the first national study of outpatient injuries in elderly veterans. The results are consistent with previous published literature highlighting the risks associated with prescribing central nervous system drugs in the elderly. Aims The primary objective of this retrospective case–control study in an elderly veteran population was to assess the impact of specific medications with recognized side-effects that increase the risk of a fall and were prescribed prior to fractures treated in the outpatient setting compared with patients treated for nonspecific chest pain. Methods Two national Veterans Health Administration (VHA) databases were used to identify 17 273 unique patients, aged ≥65 years, treated in outpatient settings with a fracture in fiscal year 2005, and for whom we could link to all of their outpatient prescriptions (809 536). For comparison, we identified other elderly patients with outpatient clinic visits for nonspecific chest pain (N = 62 331) for whom we could link with their 2 987 394 outpatient prescriptions. We categorized the fall-related medications as drugs that primarily affect the cardiovascular (CVS), the central nervous (CNS) or the muscular skeletal system (MSS). Results Significant differences in the two patient groups occurred in the CNS category. Approximately 41% of the patients with fracture-coded encounters were prescribed CNS drugs compared with 31% of the patients in the comparison group (P < 0.0003). Finally, the use of muscle relaxants in the MSS category was significantly higher in the fracture group than in the nonspecific chest pain group. Conclusions Studies using

Single-turn extraction from a K110 AVF cyclotron by flat-top acceleration

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kurashima, Satoshi; Miyawaki, Nobumasa; Okumura, Susumu

2009-03-15

Single-turn extraction from the Japan Atomic Energy Agency AVF cyclotron with a K number of 110 using a flat-top (FT) acceleration system has been achieved to reduce the energy spread of an ion beam for microbeam formation with energy up to hundreds of MeV and to increase extraction efficiency from the cyclotron. In order to generate a FT waveform voltage using the fifth-harmonic frequency on a dee electrode, a FT resonator was designed using MAFIA code to achieve downsizing and low power consumption. The FT resonator, coupled to the main resonator through a coupling capacitor, covered the full range ofmore » the fifth harmonic frequency from 55 to 110 MHz. Various ion beams, accelerated using different acceleration harmonic modes of h=1 and 2, such as 220 MeV {sup 12}C{sup 5+} (h=2), 260 MeV {sup 20}Ne{sup 7+} (h=2), and 45 MeV H{sup +} (h=1), were developed by FT acceleration. A clear turn separation of the beam bunches was successfully observed at the extraction region of the large-scale AVF cyclotron with number of revolutions greater than 200. As a result, high extraction efficiency (over 95%) from the cyclotron was achieved. Single-turn extraction was confirmed by counting the number of beam bunches out of the cyclotron for an injected beam pulsed by a beam chopping system in the injection line. The energy spread of the 260 MeV {sup 20}Ne{sup 7+} beam was measured using an analyzing magnet, and we verified a reduction in the energy spread from {delta}E/E=0.1% to 0.05% by single-turn extraction after FT acceleration.« less

A Clinical Decision Support Engine Based on a National Medication Repository for the Detection of Potential Duplicate Medications: Design and Evaluation.

PubMed

Yang, Cheng-Yi; Lo, Yu-Sheng; Chen, Ray-Jade; Liu, Chien-Tsai

2018-01-19

A computerized physician order entry (CPOE) system combined with a clinical decision support system can reduce duplication of medications and thus adverse drug reactions. However, without infrastructure that supports patients' integrated medication history across health care facilities nationwide, duplication of medication can still occur. In Taiwan, the National Health Insurance Administration has implemented a national medication repository and Web-based query system known as the PharmaCloud, which allows physicians to access their patients' medication records prescribed by different health care facilities across Taiwan. This study aimed to develop a scalable, flexible, and thematic design-based clinical decision support (CDS) engine, which integrates a national medication repository to support CPOE systems in the detection of potential duplication of medication across health care facilities, as well as to analyze its impact on clinical encounters. A CDS engine was developed that can download patients' up-to-date medication history from the PharmaCloud and support a CPOE system in the detection of potential duplicate medications. When prescribing a medication order using the CPOE system, a physician receives an alert if there is a potential duplicate medication. To investigate the impact of the CDS engine on clinical encounters in outpatient services, a clinical encounter log was created to collect information about time, prescribed drugs, and physicians' responses to handling the alerts for each encounter. The CDS engine was installed in a teaching affiliate hospital, and the clinical encounter log collected information for 3 months, during which a total of 178,300 prescriptions were prescribed in the outpatient departments. In all, 43,844/178,300 (24.59%) patients signed the PharmaCloud consent form allowing their physicians to access their medication history in the PharmaCloud. The rate of duplicate medication was 5.83% (1843/31,614) of prescriptions. When

National Assessment of Quality Programs in Emergency Medical Services.

PubMed

Redlener, Michael; Olivieri, Patrick; Loo, George T; Munjal, Kevin; Hilton, Michael T; Potkin, Katya Trudeau; Levy, Michael; Rabrich, Jeffrey; Gunderson, Michael R; Braithwaite, Sabina A

2018-01-01

This study aims to understand the adoption of clinical quality measurement throughout the United States on an EMS agency level, the features of agencies that do participate in quality measurement, and the level of physician involvement. It also aims to barriers to implementing quality improvement initiatives in EMS. A 46-question survey was developed to gather agency level data on current quality improvement practices and measurement. The survey was distributed nationally via State EMS Offices to EMS agencies nation-wide using Surveymonkey©. A convenience sample of respondents was enrolled between August and November, 2015. Univariate, bivariate and multiple logistic regression analyses were conducted to describe demographics and relationships between outcomes of interest and their covariates using SAS 9.3©. A total of 1,733 surveys were initiated and 1,060 surveys had complete or near-complete responses. This includes agencies from 45 states representing over 6.23 million 9-1-1 responses annually. Totals of 70.5% (747) agencies reported dedicated QI personnel, 62.5% (663) follow clinical metrics and 33.3% (353) participate in outside quality or research program. Medical director hours varied, notably, 61.5% (649) of EMS agencies had <5 hours of medical director time per month. Presence of medical director time was correlated with tracking of QI measures. Air medical [OR 9.64 (1.13, 82.16)] and hospital-based EMS agencies [OR 2.49 (1.36, 4.59)] were more likely to track quality measures compared to fire-based agencies. Agencies in rural only environments were less likely to follow clinical quality metrics. (OR 0.47 CI 0.31 -0.72 p < 0.0004). For those that track QI measures, the most common are; Response Time (Emergency) (68.3%), On-Scene Time (66.4%), prehospital stroke screen (64.6%), aspirin administration (64.5%), and 12 lead ECG in chest pain patients (63.0%). EMS agencies in the United States have significant practice variability with regard to quality

Receipt of Post-Rape Medical Care in a National Sample of Female Victims

PubMed Central

Zinzow, Heidi M.; Resnick, Heidi S.; Barr, Simone C.; Danielson, Carla K.; Kilpatrick, Dean G.

2014-01-01

Background It is important for rape victims to receive medical care to prevent and treat rape-related diseases and injuries, access forensic exams, and connect to needed resources. Few victims seek care, and factors associated with post-rape medical care–seeking are poorly understood. Purpose The current study examined prevalence and factors associated with post-rape medical care–seeking in a national sample of women who reported a most-recent or only incident of forcible rape, and drug- or alcohol-facilitated/incapacitated rape when they were aged ≥14 years. Methods A national sample of U.S. adult women (N=3001) completed structured telephone interviews in 2006, and data for this study were analyzed in 2011. Logistic regression analyses examined demographic variables, health, rape characteristics, and post-rape concerns in relation to post-rape medical care–seeking among 445 female rape victims. Results A minority of rape victims (21%) sought post-rape medical attention following the incident. In the final multivariate model, correlates of medical care included black race, rape-related injury, concerns about sexually transmitted diseases, pregnancy concerns, and reporting the incident to police. Conclusions Women who experience rapes consistent with stereotypic scenarios, acknowledge the rape, report the rape, and harbor health concerns appear to be more likely to seek post-rape medical services. Education is needed to increase rape acknowledgment, awareness of post-rape services that do not require formal reporting, and recognition of the need to treat rape-related health problems. PMID:22813683

Research of the Electron Cyclotron Emission with Vortex Property excited by high power high frequency Gyrotron

NASA Astrophysics Data System (ADS)

Goto, Yuki; Kubo, Shin; Tsujimura, Tohru; Takubo, Hidenori

2017-10-01

Recently, it has been shown that the radiation from a single electron in cyclotron motion has vortex property. Although the cyclotron emission exists universally in nature, the vortex property has not been featured because this property is normally cancelled out due to the randomness in gyro-phase of electrons and the development of detection of the vortex property has not been well motivated. In this research, we are developing a method to generate the vortex radiation from electrons in cyclotron motion with controlled gyro-phase. Electron that rotates around the uniform static magnetic field is accelerated by right-hand circular polarized (RHCP) radiation resonantly when the cyclotron frequency coincides with the applied RHCP radiation frequency. A large number of electrons can be coherently accelerated in gyro-phase by a RHCP high power radiation so that these electrons can radiate coherent emission with vortex feature. We will show that vortex radiation created by purely rotating electrons for the first time.

Vortex Dynamics and Shear-Layer Instability in High-Intensity Cyclotrons.

PubMed

Cerfon, Antoine J

2016-04-29

We show that the space-charge dynamics of high-intensity beams in the plane perpendicular to the magnetic field in cyclotrons is described by the two-dimensional Euler equations for an incompressible fluid. This analogy with fluid dynamics gives a unified and intuitive framework to explain the beam spiraling and beam breakup behavior observed in experiments and in simulations. Specifically, we demonstrate that beam breakup is the result of a classical instability occurring in fluids subject to a sheared flow. We give scaling laws for the instability and predict the nonlinear evolution of beams subject to it. Our work suggests that cyclotrons may be uniquely suited for the experimental study of shear layers and vortex distributions that are not achievable in Penning-Malmberg traps.

Characterization of Graphene Stripper Foils in 11-MeV Cyclotrons

NASA Astrophysics Data System (ADS)

Korenev, Sergey; Dishman, Rick; Yebra, Alberto; Meshcheryakov, Nikolay; Smirnov, Ilya; Pavlovsky, Igor; Fink, Richard

An experimental study of the use of graphene as an extractor (stripper) foil in the 11-MeV Siemens Eclipse Cyclotron is discussed in this paper. The main advantage of graphene is its high thermal conductivity compared to that of amorphous carbon films. Graphene also has significant mechanical strength. The lifetime of the graphene foils under proton bombardment exceeded 16,000 μAh. Graphene-based stripper foils demonstrated a significant increase in the transmission factor (defined as the ratio of the beam current on the target to the beam current on the stripper foil), which was approximately 90%. Fabrication of the graphene-based foils is discussed. The pros and cons of using the graphene material as a stripper foil in cyclotrons are analyzed.

PROTON HEATING BY PICK-UP ION DRIVEN CYCLOTRON WAVES IN THE OUTER HELIOSPHERE: HYBRID EXPANDING BOX SIMULATIONS

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hellinger, Petr; Trávníček, Pavel M., E-mail: petr.hellinger@asu.cas.cz

Using a one-dimensional hybrid expanding box model, we investigate properties of the solar wind in the outer heliosphere. We assume a proton–electron plasma with a strictly transverse ambient magnetic field and, aside from the expansion, we take into account the influence of a continuous injection of cold pick-up protons through the charge-exchange process between the solar wind protons and hydrogen of interstellar origin. The injected cold pick-up protons form a ring distribution function, which rapidly becomes unstable, and generate Alfvén cyclotron waves. The Alfvén cyclotron waves scatter pick-up protons to a spherical shell distribution function that thickens over that timemore » owing to the expansion-driven cooling. The Alfvén cyclotron waves heat solar wind protons in the perpendicular direction (with respect to the ambient magnetic field) through cyclotron resonance. At later times, the Alfvén cyclotron waves become parametrically unstable and the generated ion-acoustic waves heat protons in the parallel direction through Landau resonance. The resulting heating of the solar wind protons is efficient on the expansion timescale.« less

Task force St. Bernard: operational issues and medical management of a National Guard disaster response operation.

PubMed

Bonnett, Carl J; Schock, Tony R; McVaney, Kevin E; Colwell, Christopher B; Depass, Christopher

2007-01-01

After Hurricane Katrina struck the Gulf Coast of the United States on 29 August 2005, it became obvious that the country was facing an enormous national emergency. With local resources overwhelmed, governors across the US responded by deploying thousands of National Guard soldiers and airmen. The National Guard has responded to domestic disasters due to natural hazards since its inception, but an event with the magnitude of Hurricane Katrina was unprecedented. The deployment of >900 Army National Guard soldiers to St. Bernard Parish, Louisiana in the aftermath of the Hurricane was studied to present some of the operational issues involved with providing medical support for this type of operation. In doing so, the authors attempt to address some of the larger issues of how the National Guard can be incorporated into domestic disaster response efforts. A number of unforeseen issues with regards to medical operations, medical supply, communication, preventive medicine, legal issues, and interactions with civilians were encountered and are reviewed. A better understanding of the National Guard and how it can be utilized more effectively in future disaster response operations can be developed.

A Clinical Decision Support Engine Based on a National Medication Repository for the Detection of Potential Duplicate Medications: Design and Evaluation

PubMed Central

Yang, Cheng-Yi; Lo, Yu-Sheng; Chen, Ray-Jade

2018-01-01

Background A computerized physician order entry (CPOE) system combined with a clinical decision support system can reduce duplication of medications and thus adverse drug reactions. However, without infrastructure that supports patients’ integrated medication history across health care facilities nationwide, duplication of medication can still occur. In Taiwan, the National Health Insurance Administration has implemented a national medication repository and Web-based query system known as the PharmaCloud, which allows physicians to access their patients’ medication records prescribed by different health care facilities across Taiwan. Objective This study aimed to develop a scalable, flexible, and thematic design-based clinical decision support (CDS) engine, which integrates a national medication repository to support CPOE systems in the detection of potential duplication of medication across health care facilities, as well as to analyze its impact on clinical encounters. Methods A CDS engine was developed that can download patients’ up-to-date medication history from the PharmaCloud and support a CPOE system in the detection of potential duplicate medications. When prescribing a medication order using the CPOE system, a physician receives an alert if there is a potential duplicate medication. To investigate the impact of the CDS engine on clinical encounters in outpatient services, a clinical encounter log was created to collect information about time, prescribed drugs, and physicians’ responses to handling the alerts for each encounter. Results The CDS engine was installed in a teaching affiliate hospital, and the clinical encounter log collected information for 3 months, during which a total of 178,300 prescriptions were prescribed in the outpatient departments. In all, 43,844/178,300 (24.59%) patients signed the PharmaCloud consent form allowing their physicians to access their medication history in the PharmaCloud. The rate of duplicate medication was 5

Assessment of the neutron dose field around a biomedical cyclotron: FLUKA simulation and experimental measurements.

PubMed

Infantino, Angelo; Cicoria, Gianfranco; Lucconi, Giulia; Pancaldi, Davide; Vichi, Sara; Zagni, Federico; Mostacci, Domiziano; Marengo, Mario

2016-12-01

In the planning of a new cyclotron facility, an accurate knowledge of the radiation field around the accelerator is fundamental for the design of shielding, the protection of workers, the general public and the environment. Monte Carlo simulations can be very useful in this process, and their use is constantly increasing. However, few data have been published so far as regards the proper validation of Monte Carlo simulation against experimental measurements, particularly in the energy range of biomedical cyclotrons. In this work a detailed model of an existing installation of a GE PETtrace 16.5MeV cyclotron was developed using FLUKA. An extensive measurement campaign of the neutron ambient dose equivalent H ∗ (10) in marked positions around the cyclotron was conducted using a neutron rem-counter probe and CR39 neutron detectors. Data from a previous measurement campaign performed by our group using TLDs were also re-evaluated. The FLUKA model was then validated by comparing the results of high-statistics simulations with experimental data. In 10 out of 12 measurement locations, FLUKA simulations were in agreement within uncertainties with all the three different sets of experimental data; in the remaining 2 positions, the agreement was with 2/3 of the measurements. Our work allows to quantitatively validate our FLUKA simulation setup and confirms that Monte Carlo technique can produce accurate results in the energy range of biomedical cyclotrons. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

The European Federation of Organisations for Medical Physics Policy Statement No. 6.1: Recommended Guidelines on National Registration Schemes for Medical Physicists.

PubMed

Christofides, Stelios; Isidoro, Jorge; Pesznyak, Csilla; Bumbure, Lada; Cremers, Florian; Schmidt, Werner F O

2016-01-01

This EFOMP Policy Statement is an update of Policy Statement No. 6 first published in 1994. The present version takes into account the European Union Parliament and Council Directive 2013/55/EU that amends Directive 2005/36/EU on the recognition of professional qualifications and the European Union Council Directive 2013/59/EURATOM laying down the basic safety standards for protection against the dangers arising from exposure to ionising radiation. The European Commission Radiation Protection Report No. 174, Guidelines on Medical Physics Expert and the EFOMP Policy Statement No. 12.1, Recommendations on Medical Physics Education and Training in Europe 2014, are also taken into consideration. The EFOMP National Member Organisations are encouraged to update their Medical Physics registration schemes where these exist or to develop registration schemes taking into account the present version of this EFOMP Policy Statement (Policy Statement No. 6.1"Recommended Guidelines on National Registration Schemes for Medical Physicists"). Copyright © 2016. Published by Elsevier Ltd.

Research priorities in medical education: A national study.

PubMed

Tootoonchi, Mina; Yamani, Nikoo; Changiz, Tahereh; Yousefy, Alireza

2012-01-01

One preliminary step to strengthen medical education research would be determining the research priorities. The aim of this study was to determine the research priorities of medical education in Iran in 2007-2008. This descriptive study was carried out in two phases. Phase one was performed in 3 stages and used Delphi technique among academic staffs of Isfahan University of Medical Sciences. The three stages included a brainstorming workshop for 140 faculty members and educational experts resulting in a list of research priorities, then, in the second and third stages 99 and 76 questionnaires were distributed among faculty members. In the second phase, the final questionnaires were mailed to educational research center managers of universities type I, II and III, and were distributed among 311 academic members and educational experts to rate the items on a numerical scale ranging from 1 to 10. The most important research priorities included faculty members' development methods, faculty members' motives, satisfaction and welfare, criteria and procedures of faculty members' promotion, teaching methods and learning techniques, job descriptions and professional skills of graduates, quality management in education, second language, clinical education, science production in medicine, faculty evaluation and information technology. This study shows the medial education research priorities in national level and in different types of medical universities in Iran. It is recommended that faculty members and research administrators consider the needs and requirements of education and plan the researches in education according to these priorities.

Research priorities in medical education: A national study

PubMed Central

Tootoonchi, Mina; Yamani, Nikoo; Changiz, Tahereh; Yousefy, Alireza

2012-01-01

BACKGROUND: One preliminary step to strengthen medical education research would be determining the research priorities. The aim of this study was to determine the research priorities of medical education in Iran in 2007-2008. METHODS: This descriptive study was carried out in two phases. Phase one was performed in 3 stages and used Delphi technique among academic staffs of Isfahan University of Medical Sciences. The three stages included a brainstorming workshop for 140 faculty members and educational experts resulting in a list of research priorities, then, in the second and third stages 99 and 76 questionnaires were distributed among faculty members. In the second phase, the final questionnaires were mailed to educational research center managers of universities type I, II and III, and were distributed among 311 academic members and educational experts to rate the items on a numerical scale ranging from 1 to 10. RESULTS: The most important research priorities included faculty members’ development methods, faculty members’ motives, satisfaction and welfare, criteria and procedures of faculty members’ promotion, teaching methods and learning techniques, job descriptions and professional skills of graduates, quality management in education, second language, clinical education, science production in medicine, faculty evaluation and information technology. CONCLUSIONS: This study shows the medial education research priorities in national level and in different types of medical universities in Iran. It is recommended that faculty members and research administrators consider the needs and requirements of education and plan the researches in education according to these priorities. PMID:23248661

Specialty preferences and motivating factors: A national survey on medical students from five uae medical schools.

PubMed

Abdulrahman, Mahera; Makki, Maryam; Shaaban, Sami; Al Shamsi, Maryam; Venkatramana, Manda; Sulaiman, Nabil; Sami, Manal M; Abdelmannan, Dima K; Salih, AbdulJabbar M A; AlShaer, Laila

2016-01-01

Workforce planning is critical for being able to deliver appropriate health service and thus is relevant to medical education. It is, therefore, important to understand medical students' future specialty choices and the factors that influence them. This study was conducted to identify, explore, and analyze the factors influencing specialty preferences among medical students of the United Arab Emirates (UAE). A multiyear, multicenter survey of medical student career choice was conducted with all five UAE medical schools. The questionnaire consisted of five sections. Chi-squared tests, regression analysis, and stepwise logistic regression were performed. The overall response rate was 46% (956/2079). Factors that students reported to be extremely important when considering their future career preferences were intellectual satisfaction (87%), work-life balance (71%), having the required talent (70%), and having a stable and secure future (69%). The majority of students (60%) preferred internal medicine, surgery, emergency medicine, or family Medicine. The most common reason given for choosing a particular specialty was personal interest (21%), followed by flexibility of working hours (17%). The data show that a variety of factors inspires medical students in the UAE in their choice of a future medical specialty. These factors can be used by health policymakers, university mentors, and directors of residency training programs to motivate students to choose specialties that are scarce in the UAE and therefore better serve the health-care system and the national community.

Electromagnetic Ion Cyclotron Waves Detected by Kaguya and Geotail in the Earth's Magnetotail

NASA Astrophysics Data System (ADS)

Nakagawa, Tomoko; Nishino, Masaki N.; Tsunakawa, Hideo; Takahashi, Futoshi; Shibuya, Hidetoshi; Shimizu, Hisayoshi; Matsushima, Masaki; Saito, Yoshifumi

2018-02-01

Narrowband electromagnetic ion cyclotron waves first discovered by the Apollo 15 and 16 Lunar Surface Magnetometers were surveyed in the magnetic field data obtained by the Kaguya satellite at an altitude of ˜100 km above the Moon in the tail lobe and plasma sheet boundary layer of the Earth's magnetosphere. The frequencies of the waves were typically 0.7 times the local proton cyclotron frequency, and 75% of the waves were left hand polarized with respect to the background magnetic field. They had a significant compressional component and comprised several discrete packets. They were detected on the dayside, nightside, and above the terminator of the Moon, irrespective of the lunar magnetic anomaly, or the magnetic connection to the lunar surface. The waves with the same characteristics were detected by Geotail in the absence of the Moon in the magnetotail. The most likely energy source of the electromagnetic ion cyclotron waves is the ring beam ions in the plasma sheet boundary layer.

National health policy: a draft prepared by the Indian Medical Association.

PubMed

1979-03-16

The draft of the Indian national health policy deals with health as a fundamental right, the expenses of health, health as an integral part of national development, the health movement, the role of indigenous systems, priority in health care, and the infrastructure of health care delivery. The principles outlined in the policy focus on improvement of living conditions, health education and the health movement, preventive and promotive health, coverage of the felt needs of the people, primary health care, continuing medical education, pharmaceuticals, medical education curriculum, biomedical engineering, legislation, coordination, health insurance, and nationalization. In order for this policy to be implemented, proper strategy and planning needs to be carried out after identifying short-term and long-tern goals. The short-term goals include the following: declaration by the government that enjoyment of health is a fundamental right; 2) eradication/control of communicable diseases; 3) provision of adequate nutrition and rational health care in the rural areas and urban slums; 4) organization of a health movement and health education of the people and spread the message of health and family welfare; and 5) identification of the different areas of indigenous system of medicine to initiate scientific scrutiny of these areas for incorporation in the modern scientific system.

Ensemble Simulations of Proton Heating in the Solar Wind via Turbulence and Ion Cyclotron Resonance

NASA Astrophysics Data System (ADS)

Cranmer, Steven R.

2014-07-01

Protons in the solar corona and heliosphere exhibit anisotropic velocity distributions, violation of magnetic moment conservation, and a general lack of thermal equilibrium with the other particle species. There is no agreement about the identity of the physical processes that energize non-Maxwellian protons in the solar wind, but a traditional favorite has been the dissipation of ion cyclotron resonant Alfvén waves. This paper presents kinetic models of how ion cyclotron waves heat protons on their journey from the corona to interplanetary space. It also derives a wide range of new solutions for the relevant dispersion relations, marginal stability boundaries, and nonresonant velocity-space diffusion rates. A phenomenological model containing both cyclotron damping and turbulent cascade is constructed to explain the suppression of proton heating at low alpha-proton differential flow speeds. These effects are implemented in a large-scale model of proton thermal evolution from the corona to 1 AU. A Monte Carlo ensemble of realistic wind speeds, densities, magnetic field strengths, and heating rates produces a filled region of parameter space (in a plane described by the parallel plasma beta and the proton temperature anisotropy ratio) similar to what is measured. The high-beta edges of this filled region are governed by plasma instabilities and strong heating rates. The low-beta edges correspond to weaker proton heating and a range of relative contributions from cyclotron resonance. On balance, the models are consistent with other studies that find only a small fraction of the turbulent power spectrum needs to consist of ion cyclotron waves.

Ultra-strong coupling with spin-split heavyhole cyclotron resonances in sGe QWs (Conference Presentation)

NASA Astrophysics Data System (ADS)

Keller, Janine; Scalari, Giacomo; Maissen, Curdin; Paravicini-Bagliani, Gian Lorenzo; Haase, Johannes; Failla, Michele; Myronov, Maksym; Leadley, David R.; Lloyd-Hughes, James; Faist, Jérôme

2017-02-01

We study the ultra-strong coupling (USC) of Landau level transitions in strained Germanium quantum wells (sGe QW) to THz metasurfaces. The spin-splitting of the heavy-hole cyclotron resonance in sGe QWs due to the Rashba spin-orbit interaction in magnetic field offers an excellent platform to investigate ultra-strong coupling to a non-parabolic system. THz split ring resonators can be tuned to coincide with the single cyclotron transition (around 0.4 THz and a magnetic field of 1.5 T) or the spin-resolved transitions of the sGe QWs (at 1.3 THz and 4.5 T). Coupling to the single cyclotron yields a normalized USC rate of 25%, resulting from fitting with a Hopfield-like Hamiltonian model. Coupling to two or three cyclotron resonances in sGe QWs lead to the observation of multiple polaritons branches, one polariton branch for each oscillator involved in the system. An adaption of the theory allows to also describe this multiple-oscillator system and to determine the coupling strengths. The different Rabi-splittings for the multiple cyclotrons coupling to the same resonator mode relate to the underlying differences in the material. Furthermore, the visibility of an additional transition, possibly a light hole transition with very low carrier density, is strongly enhanced due to the coupling to the LC-resonance with a normalized strong coupling ratio of 4.7%. Future perspectives include controlling spin-flip transitions in USC and studying the impact of non-parabolicity on the ultra-strong coupling physics.

Dispatcher Recognition of Stroke Using the National Academy Medical Priority Dispatch System

PubMed Central

Buck, Brian H; Starkman, Sidney; Eckstein, Marc; Kidwell, Chelsea S; Haines, Jill; Huang, Rainy; Colby, Daniel; Saver, Jeffrey L

2009-01-01

Background Emergency Medical Dispatchers (EMDs) play an important role in optimizing stroke care if they are able to accurately identify calls regarding acute cerebrovascular disease. This study was undertaken to assess the diagnostic accuracy of the current national protocol guiding dispatcher questioning of 911 callers to identify stroke, QA Guide v 11.1 of the National Academy Medical Priority Dispatch System (MPDS). Methods We identified all Los Angeles Fire Department paramedic transports of patients to UCLA Medical Center during the 12 month period from January to December 2005 in a prospectively maintained database. Dispatcher-assigned MPDS codes for each of these patient transports were abstracted from the paramedic run sheets and compared to final hospital discharge diagnosis. Results Among 3474 transported patients, 96 (2.8%) had a final diagnosis of stroke or transient ischemic attack. Dispatchers assigned a code of potential stroke to 44.8% of patients with a final discharge diagnosis of stroke or TIA. Dispatcher identification of stroke showed a sensitivity of 0.41, specificity of 0.96, positive predictive value of 0.45, and negative predictive value of 0.95. Conclusions Dispatcher recognition of stroke calls using the widely employed MPDS algorithm is suboptimal, with failure to identify more than half of stroke patients as likely stroke. Revisions to the current national dispatcher structured interview and complaint identification algorithm for stroke may facilitate more accurate recognition of stroke by EMDs. PMID:19390065

Cyclotron resonance in InAs/AlSb quantum wells in magnetic fields up to 45 T

DOE Office of Scientific and Technical Information (OSTI.GOV)

Spirin, K. E., E-mail: spirink@ipmras.ru; Krishtopenko, S. S.; Sadofyev, Yu. G.

Electron cyclotron resonance in InAs/AlSb heterostructures with quantum wells of various widths in pulsed magnetic fields up to 45 T are investigated. Our experimental cyclotron energies are in satisfactory agreement with the results of theoretical calculations performed using the eight-band kp Hamiltonian. The shift of the cyclotron resonance (CR) line, which corresponds to the transition from the lowest Landau level to the low magnetic-field region, is found upon varying the electron concentration due to the negative persistent photoconductivity effect. It is shown that the observed shift of the CR lines is associated with the finite width of the density ofmore » states at the Landau levels.« less

Status of Simulations for the Cyclotron Laboratory at the Institute for Nuclear Research and Nuclear Energy

NASA Astrophysics Data System (ADS)

Asova, G.; Goutev, N.; Tonev, D.; Artinyan, A.

2018-05-01

The Institute for Nuclear Research and Nuclear Energy is preparing to operate a high-power cyclotron for production of radioisotopes for nuclear medicine, research in radiochemistry, radiobiology, nuclear physics, solid state physics. The cyclotron is a TR24 produced by ASCI, Canada, capable to deliver proton beams in the energy range of 15 to 24 MeV with current as high as 400 µA. Multiple extraction lines can be fed. The primary goal of the project is the production of PET and SPECT isotopes as 18F, 67,68Ga, 99mTc, etc. This contribution reports the status of the project. Design considerations for the cyclotron vault will be discussed for some of the target radioisotopes.

Conceptual design of the superconducting magnet for the 250 MeV proton cyclotron.

PubMed

Ren, Yong; Liu, Xiaogang; Gao, Xiang

2016-01-01

The superconducting cyclotron is of great importance to treat cancer parts of the body. To reduce the operation costs, a superconducting magnet system for the 250 MeV proton cyclotron was designed to confirm the feasibility of the superconducting cyclotron. The superconducting magnet system consists of a pair of split coils, the cryostat and a pair of binary high temperature superconductor current leads. The superconducting magnet can reach a central magnetic field of about 1.155 T at 160 A. The three GM cryocooler with cooling capacities of 1.5 W at 4.5 K and 35 W at 50 K and one GM cryocooler of 100 W at 50 K were adopted to cool the superconducting magnet system through the thermosiphon technology. The four GM cryocoolers were used to cool the superconducting magnet to realize zero evaporation of the liquid helium.

Effects of Coulomb collisions on cyclotron maser and plasma wave growth in magnetic loops

NASA Technical Reports Server (NTRS)

Hamilton, Russell J.; Petrosian, Vahe

1990-01-01

The evolution of nonthermal electrons accelerated in magnetic loops is determined by solving the kinetic equation, including magnetic field convergence and Coulomb collisions in order to determine the effects of these interactions on the induced cyclotron maser and plasma wave growth. It is found that the growth rates are larger and the possibility of cyclotron maser action is stronger for smaller loop column density, for larger magnetic field convergence, for a more isotropic injected electron pitch angle distribution, and for more impulsive acceleration. For modest values of the column density in the coronal portion of a flaring loop, the growth rates of instabilities are significantly reduced, and the reduction is much larger for the cyclotron modes than for the plasma wave modes. The rapid decrease in the growth rates with increasing loop column density suggests that, in flare loops when such phenomena occur, the densities are lower than commonly accepted.

Whistlers, Helicons, Lower Hybrid Waves: the Physics of RF Wave Absorption Without Cyclotron Resonances

NASA Astrophysics Data System (ADS)

Pinsker, R. I.

2014-10-01

In hot magnetized plasmas, two types of linear collisionless absorption processes are used to heat and drive noninductive current: absorption at ion or electron cyclotron resonances and their harmonics, and absorption by Landau damping and the transit-time-magnetic-pumping (TTMP) interactions. This tutorial discusses the latter process, i.e., parallel interactions between rf waves and electrons in which cyclotron resonance is not involved. Electron damping by the parallel interactions can be important in the ICRF, particularly in the higher harmonic region where competing ion cyclotron damping is weak, as well as in the Lower Hybrid Range of Frequencies (LHRF), which is in the neighborhood of the geometric mean of the ion and electron cyclotron frequencies. On the other hand, absorption by parallel processes is not significant in conventional ECRF schemes. Parallel interactions are especially important for the realization of high current drive efficiency with rf waves, and an application of particular recent interest is current drive with the whistler or helicon wave at high to very high (i.e., the LHRF) ion cyclotron harmonics. The scaling of absorption by parallel interactions with wave frequency is examined and the advantages and disadvantages of fast (helicons/whistlers) and slow (lower hybrid) waves in the LHRF in the context of reactor-grade tokamak plasmas are compared. In this frequency range, both wave modes can propagate in a significant fraction of the discharge volume; the ways in which the two waves can interact with each other are considered. The use of parallel interactions to heat and drive current in practice will be illustrated with examples from past experiments; also looking forward, this tutorial will provide an overview of potential applications in tokamak reactors. Supported by the US Department of Energy under DE-FC02-04ER54698.

Cyclotron maser instability and its applications

NASA Astrophysics Data System (ADS)

Wu, C. S.

The possible application of cyclotron maser theory to a variety of radio sources is considered, with special attention given to the theory of auroral kilometric radiation (AKR) of Wu and Lee (1979). The AKR model assumes a loss-cone distribution function for the reflected electrons, along with the depletion of low-energy electrons by the parallel electric field. Other topics considered include fundamental AKR, second-harmonic AKR, the generation of Z-mode radiation, and the application of maser instability to other sources than AKR.

Progress in the development of an H{sup −} ion source for cyclotrons

DOE Office of Scientific and Technical Information (OSTI.GOV)

Etoh, H., E-mail: Hrh-Etoh@shi.co.jp; Aoki, Y.; Mitsubori, H.

2015-04-08

A multi-cusp DC H{sup −} ion source has been developed for cyclotrons in medical use. Beam optics of the H{sup −} ion beam is studied using a 2D beam trajectory code. The simulation results are compared with the experimental results obtained in the Mark I source, which has produced up to 16 mA H{sup −} ion beams. The optimum extraction voltages show good agreement between the calculation and the experimental results. A new ion source, Mark II source, is designed to achieve the next goal of producing an H{sup −} beam of 20 mA. The magnetic field configurations and the plasma electrodemore » design are optimized for Cs-seeded operation. Primary electron trajectory simulation shows that primary electrons are confined well and the magnetic filter prevents the primary electrons from entering into the extraction region.« less

A comprehensive analysis of ion cyclotron waves in the equatorial magnetosphere of Saturn

NASA Astrophysics Data System (ADS)

Meeks, Zachary; Simon, Sven; Kabanovic, Slawa

2016-09-01

We present a comprehensive analysis of ion cyclotron waves in the equatorial magnetosphere of Saturn, considering all magnetic field data collected during the Cassini era (totaling to over 4 years of data from the equatorial plane). This dataset includes eight targeted flybys of Enceladus, three targeted flybys of Dione, and three targeted flybys of Rhea. Because all remaining orbits of Cassini are high-inclination, our study provides the complete map of ion cyclotron waves in Saturn's equatorial magnetosphere during the Cassini era. We provide catalogs of the radial and longitudinal dependencies of the occurrence rate and amplitude of the ion cyclotron fundamental and first harmonic wave modes. The fundamental wave mode is omnipresent between the orbits of Enceladus and Dione and evenly distributed across all Local Times. The occurrence rate of the fundamental mode displays a Fermi-Dirac-like profile with respect to radial distance from Saturn. Detection of the first harmonic mode is a rare event occurring in only 0.49% of measurements taken and always in conjunction with the fundamental mode. We also search for a dependency of the ion cyclotron wave field on the orbital positions of the icy moons Enceladus, Dione, and Rhea. On magnetospheric length scales, the wave field is independent of the moons' orbital positions. For Enceladus, we analyze wave amplitude profiles of seven close flybys (E9, E12, E13, E14, E17, E18, and E19), which occurred during the studied trajectory segments, to look for any local effects of Enceladan plume variability on the wave field. We find that even in the close vicinity of Enceladus, the wave amplitudes display no discernible dependency on Enceladus' angular distance to its orbital apocenter. Thus, the correlation between plume activity and angular distance to apocenter proposed by Hedman et al. (2013) does not leave a clearly distinguishable imprint in the ion cyclotron wave field.

Fourier Transfrom Ion Cyclotron Resonance Mass Spectrometry at High Magnetic Field

NASA Astrophysics Data System (ADS)

Marshall, Alan G.

1998-03-01

At high magnetic field (9.4 tesla at NHMFL), Fourier transform ion cyclotron resonance mass spectrometry performance improves dramatically: mass resolving power, axialization efficiency, and scan speed (each proportional to B), maximum ion mass, dynamic range, ion trapping period, kinetic energy, and electron self-cooling rate for sympathetic cooling (each proportional to B^2), and ion coalescence tendency (proportional 1/B^2). These advantages may apply singly (e.g., unit mass resolution for proteins of >100,000 Da), or compound (e.g., 10-fold improvement in S/N ratio for 9.4 T vs. 6 T at the same resolving power). Examples range from direct determination of molecular formulas of diesel fuel components by accurate mass measurement (=B10.1 ppm) to protein structure and dynamics probed by H/D exchange. This work was supported by N.S.F. (CHE-93-22824; CHE-94-13008), N.I.H. (GM-31683), Florida State University, and the National High Magnetic Field Laboratory in Tallahassee, FL.

HRSA's collaborative efforts with national organizations to expand primary care for the medically underserved.

PubMed Central

Crane, A B

1991-01-01

As the Federal agency that provides leadership in expanding access to primary health care, the Health Resources and Services Administration (HRSA) manages some 50 programs directed toward the delivery of services and strengthening the base of national health resources. An enabling element of the agency's strategy is the expansion of partnerships with national associations, private foundations, and other entities that share a concern for the health care of the medically underserved. Cooperative efforts with national organizations are intended to promote the integration of public and private resources and encourage adoption of efficient approaches to organizing and financing health care. Medical education in the primary care specialties, State programs for women and children, involvement of managed care organizations with low-income populations, and programs concerning the uninsured are the foci of some of these collaborative relationships. PMID:1899932

Results of RIKEN superconducting electron cyclotron resonance ion source with 28 GHz.

PubMed

Higurashi, Y; Ohnishi, J; Nakagawa, T; Haba, H; Tamura, M; Aihara, T; Fujimaki, M; Komiyama, M; Uchiyama, A; Kamigaito, O

2012-02-01

We measured the beam intensity of highly charged heavy ions and x-ray heat load for RIKEN superconducting electron cyclotron resonance ion source with 28 GHz microwaves under the various conditions. The beam intensity of Xe(20+) became maximum at B(min) ∼ 0.65 T, which was ∼65% of the magnetic field strength of electron cyclotron resonance (B(ECR)) for 28 GHz microwaves. We observed that the heat load of x-ray increased with decreasing gas pressure and field gradient at resonance zone. It seems that the beam intensity of highly charged heavy ions with 28 GHz is higher than that with 18 GHz at same RF power.

Responding to the Medical Malpractice Insurance Crisis: A National Risk Management Information System

PubMed Central

Wess, Bernard P.; Jacobson, Gary

1987-01-01

In the process of forming a new medical malpractice reinsurance company, the authors analyzed thousands of medical malpractice cases, settlements, and verdicts. The evidence of those analyses indicated that the medical malpractice crisis is (1)emerging nation- and world-wide, (2)exacerbated by but not primarily a result of “predatory” legal action, (3)statistically determined by a small percentage of physicians and procedures, (4)overburdened with data but poor on information, (5)subject to classic forms of quality control and automation. The management information system developed to address this problem features a tiered data base architecture to accommodate medical, administrative, procedural, statistical, and actuarial analyses necessary to predict claims from untoward events, not merely to report them.

Simulation, design, and testing of a high power collimator for the RDS-112 cyclotron.

PubMed

Peeples, Johanna L; Stokely, Matthew H; Poorman, Michael C; Bida, Gerald T; Wieland, Bruce W

2015-03-01

A high power [F-18] fluoride target package for the RDS-112 cyclotron has been designed, tested, and commercially deployed. The upgrade includes the CF-1000 target, a 1.3kW water target with an established commercial history on RDS-111/Eclipse cyclotrons, and a redesigned collimator with improved heat rejection capabilities. Conjugate heat transfer analyses were employed to both evaluate the existing collimator capabilities and design a suitable high current replacement. Copyright © 2014 Elsevier Ltd. All rights reserved.

Glow plasma trigger for electron cyclotron resonance ion sources.

PubMed

Vodopianov, A V; Golubev, S V; Izotov, I V; Nikolaev, A G; Oks, E M; Savkin, K P; Yushkov, G Yu

2010-02-01

Electron cyclotron resonance ion sources (ECRISs) are particularly useful for nuclear, atomic, and high energy physics, as unique high current generators of multicharged ion beams. Plasmas of gas discharges in an open magnetic trap heated by pulsed (100 micros and longer) high power (100 kW and higher) high-frequency (greater than 37.5 GHz) microwaves of gyrotrons is promising in the field of research in the development of electron cyclotron resonance sources for high charge state ion beams. Reaching high ion charge states requires a decrease in gas pressure in the magnetic trap, but this method leads to increases in time, in which the microwave discharge develops. The gas breakdown and microwave discharge duration becomes greater than or equal to the microwave pulse duration when the pressure is decreased. This makes reaching the critical plasma density initiate an electron cyclotron resonance (ECR) discharge during pulse of microwave gyrotron radiation with gas pressure lower than a certain threshold. In order to reduce losses of microwave power, it is necessary to shorten the time of development of the ECR discharge. For fast triggering of ECR discharge under low pressure in an ECRIS, we initially propose to fill the magnetic trap with the plasmas of auxiliary pulsed discharges in crossed ExB fields. The glow plasma trigger of ECR based on a Penning or magnetron discharge has made it possible not only to fill the trap with plasma with density of 10(12) cm(-3), required for a rapid increase in plasma density and finally for ECR discharge ignition, but also to initially heat the plasma electrons to T(e) approximately = 20 eV.

Experimental observation of acoustic emissions generated by a pulsed proton beam from a hospital-based clinical cyclotron.

PubMed

Jones, Kevin C; Vander Stappen, François; Bawiec, Christopher R; Janssens, Guillaume; Lewin, Peter A; Prieels, Damien; Solberg, Timothy D; Sehgal, Chandra M; Avery, Stephen

2015-12-01

To measure the acoustic signal generated by a pulsed proton spill from a hospital-based clinical cyclotron. An electronic function generator modulated the IBA C230 isochronous cyclotron to create a pulsed proton beam. The acoustic emissions generated by the proton beam were measured in water using a hydrophone. The acoustic measurements were repeated with increasing proton current and increasing distance between detector and beam. The cyclotron generated proton spills with rise times of 18 μs and a maximum measured instantaneous proton current of 790 nA. Acoustic emissions generated by the proton energy deposition were measured to be on the order of mPa. The origin of the acoustic wave was identified as the proton beam based on the correlation between acoustic emission arrival time and distance between the hydrophone and proton beam. The acoustic frequency spectrum peaked at 10 kHz, and the acoustic pressure amplitude increased monotonically with increasing proton current. The authors report the first observation of acoustic emissions generated by a proton beam from a hospital-based clinical cyclotron. When modulated by an electronic function generator, the cyclotron is capable of creating proton spills with fast rise times (18 μs) and high instantaneous currents (790 nA). Measurements of the proton-generated acoustic emissions in a clinical setting may provide a method for in vivo proton range verification and patient monitoring.

Differentiating Fragmentation Pathways of Cholesterol by Two-Dimensional Fourier Transform Ion Cyclotron Resonance Mass Spectrometry.

PubMed

van Agthoven, Maria A; Barrow, Mark P; Chiron, Lionel; Coutouly, Marie-Aude; Kilgour, David; Wootton, Christopher A; Wei, Juan; Soulby, Andrew; Delsuc, Marc-André; Rolando, Christian; O'Connor, Peter B

2015-12-01

Two-dimensional Fourier transform ion cyclotron resonance mass spectrometry is a data-independent analytical method that records the fragmentation patterns of all the compounds in a sample. This study shows the implementation of atmospheric pressure photoionization with two-dimensional (2D) Fourier transform ion cyclotron resonance mass spectrometry. In the resulting 2D mass spectrum, the fragmentation patterns of the radical and protonated species from cholesterol are differentiated. This study shows the use of fragment ion lines, precursor ion lines, and neutral loss lines in the 2D mass spectrum to determine fragmentation mechanisms of known compounds and to gain information on unknown ion species in the spectrum. In concert with high resolution mass spectrometry, 2D Fourier transform ion cyclotron resonance mass spectrometry can be a useful tool for the structural analysis of small molecules. Graphical Abstract ᅟ.

Developing a national role description for medical directors in long-term care: survey-based approach.

PubMed

Rahim-Jamal, Sherin; Quail, Patrick; Bhaloo, Tajudaullah

2010-01-01

To develop a national role description for medical directors in long-term care (LTC) based on role functions drawn from the literature and the LTC industry. A questionnaire about the role functions identified from the literature was mailed or e-mailed to randomly selected medical directors, directors of care or nursing (DOCs), and administrators in LTC facilities. Long-term care facilities in Canada randomly selected from regional clusters. Medical directors, DOCs, and administrators in LTC facilities; a national advisory group of medical directors from the Long Term Care Medical Directors Association of Canada; and a volunteer group of medical directors. Respondents were asked to indicate, from the list of identified functions, 1) whether medical directors spent any time on each activity; 2) whether medical directors should spend time on each activity; and 3) if medical directors should spend time on an activity, whether the activity was "essential" or "desirable." An overall response rate of 37% was obtained. At least 80% of the respondents from all 3 groups (medical directors, DOCs, and administrators) highlighted 24 functions they deemed to be "essential" or "desirable," which were then included in the role description. In addition, the advisory group expanded the role description to include 5 additional responsibilities from the remaining 18 functions originally identified. A volunteer group of medical directors confirmed the resulting role description. The role description developed as a result of this study brings clarity to the medical director's role in Canadian LTC facilities; the functions outlined are considered important for medical directors to undertake. The role description could be a useful tool in negotiations pertaining to time commitment and expectations of a medical director and fair compensation for services rendered.

The Implementation of Medical Informatics in the National Competence Based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM).

PubMed

Behrends, Marianne; Steffens, Sandra; Marschollek, Michael

2017-01-01

The National Competence Based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM) describes medical skills and attitudes without being ordered by subjects or organs. Thus, the NKLM enables systematic curriculum mapping and supports curricular transparency. In this paper we describe where learning objectives related to Medical Informatics (MI) in Hannover coincide with other subjects and where they are taught exclusively in MI. An instance of the web-based MERLIN-database was used for the mapping process. In total 52 learning objectives overlapping with 38 other subjects could be allocated to MI. No overlap exists for six learning objectives describing explicitly topics of information technology or data management for scientific research. Most of the overlap was found for learning objectives relating to documentation and aspects of data privacy. The identification of numerous shared learning objectives with other subjects does not mean that other subjects teach the same content as MI. Identifying common learning objectives rather opens up the possibility for teaching cooperations which could lead to an important exchange and hopefully an improvement in medical education. Mapping of a whole medical curriculum offers the opportunity to identify common ground between MI and other medical subjects. Furthermore, in regard to MI, the interaction with other medical subjects can strengthen its role in medical education.

The State of Leadership Education in Emergency Medical Services: A Multi-national Qualitative Study.

PubMed

Leggio, William Joseph

2014-10-01

This study investigated how leadership is learned in Emergency Medical Services (EMS) from a multi-national perspective by interviewing EMS providers from multiple nations working in Riyadh, Kingdom of Saudi Arabia. A phenomenological, qualitative methodology was developed and 19 EMS providers from multiple nations were interviewed in June 2013. Interview questions focused on how participants learned EMS leadership as an EMS student and throughout their careers as providers. Data were analyzed to identify themes, patterns, and codes to be used for final analysis to describe findings. Emergency Medical Services leadership is primarily learned from informal mentoring and on-the-job training in less than supportive environments. Participants described learning EMS leadership during their EMS education. A triangulation of EMS educational resources yielded limited results beyond being a leader of patient care. The only course that yielded results from triangulation was EMS Management. The need to develop EMS leadership courses was supported by the findings. Findings also supported the need to include leadership education as part of continuing medical education and training. Emergency Medical Services leadership education that prepares students for the complexities of the profession is needed. Likewise, the need for EMS leadership education and training to be part of continuing education is supported. Both are viewed as a way to advance the EMS profession. A need for further research on the topic of EMS leadership is recognized, and supported, with a call for action on suggested topics identified within the study.

National Biomedical Tracer Facility: Project definition study

DOE Office of Scientific and Technical Information (OSTI.GOV)

Heaton, R.; Peterson, E.; Smith, P.

The Los Alamos National Laboratory is an ideal institution and New Mexico is an ideal location for siting the National Biomedical Tracer Facility (NBTF). The essence of the Los Alamos proposal is the development of two complementary irradiation facilities that combined with our existing radiochemical processing hot cell facilities and waste handling and disposal facilities provide a low cost alternative to other proposals that seek to satisfy the objectives of the NBTF. We propose the construction of a 30 MeV cyclotron facility at the site of the radiochemical facilities, and the construction of a 100 MeV target station at LAMPFmore » to satisfy the requirements and objectives of the NBTF. We do not require any modifications to our existing radiochemical processing hot cell facilities or our waste treatment and disposal facilities to accomplish the objectives of the NBTF. The total capital cost for the facility defined by the project definition study is $15.2 M. This cost estimate includes $9.9 M for the cyclotron and associated facility, $2.0 M for the 100 MeV target station at LAMPF, and $3.3 M for design.« less

Comparison of Dispersion Model of Magneto-Acoustic Cyclotron Instability with Experimental Observation of 3He Ion Cyclotron Emission on JT-60U

NASA Astrophysics Data System (ADS)

Sumida, Shuhei; Shinohara, Kouji; Ikezoe, Ryuya; Ichimura, Makoto; Sakamoto, Mizuki; Hirata, Mafumi; Ide, Shunsuke

2017-12-01

The Magneto-acoustic Cyclotron Instability (MCI) is a possible emission mechanism for Ion Cyclotron Emissions (ICEs). A dispersion model of the MCI driven by a drifting-ring-type ion velocity distribution has been proposed. In this study, the model was compared with the experimental observations of 3He ICEs [ICEs(3He)] on JT-60U. For this purpose, at first, velocity distributions of deuterium-deuterium fusion produced fast 3He ions at the time of an appearance of the ICE(3He) were evaluated by using a fast ion orbit following code under a realistic condition. The calculated distribution at the edge of the plasma on the midplane on the low field side is shown to have an inverted population and strong anisotropy. This distribution can be reasonably approximated by the drifting-ring-type distribution. Next, dispersions of the MCIs driven by the drifting-ring-type distribution were compared with those of observed ICEs(3He). The comparison shows that toroidal wavenumbers and frequencies of the calculated MCIs agree with those of the observed ICEs(3He).

Ion-cyclotron instability in plasmas described by product-bi-kappa distributions

DOE Office of Scientific and Technical Information (OSTI.GOV)

Santos, M. S. dos; Ziebell, L. F., E-mail: luiz.ziebell@ufrgs.br; Gaelzer, R., E-mail: rudi.gaelzer@ufrgs.br

The dispersion relation for parallel propagating waves in the ion-cyclotron branch is investigated numerically by considering that the velocity distribution of the ion population is a function of type product-bi-kappa. We investigate the effects of the non-thermal features and of the anisotropy associated with this type of distribution on the ion-cyclotron instability, as well as the influence of different forms of the electron distribution, by considering Maxwellian distributions, bi-kappa distributions, and product-bi-kappa distributions. The cases of ions described by either Maxwellian or bi-kappa distributions are also considered, for comparison. The results of the numerical analysis show that the increase inmore » the non-thermal character associated with the anisotropic kappa distributions for ions contributes to enhance the instability as compared to that obtained in the Maxwellian case, in magnitude and in wave number range, with more significant enhancement for the case of ion product-bi-kappa distributions than for the case of ion bi-kappa distributions. It is also shown that the ion-cyclotron instability is decreased if the electrons are described by product-bi-kappa distributions, while electrons described by bi-kappa distributions lead to growth rates which are very similar to those obtained considering a Maxwellian distribution for the electron population.« less

German Ambulatory Care Physicians' Perspectives on Continuing Medical Education--A National Survey

ERIC Educational Resources Information Center

Kempkens, Daniela; Dieterle, Wilfried E.; Butzlaff, Martin; Wilson, Andrew; Bocken, Jan; Rieger, Monika A.; Wilm, Stefan; Vollmar, Horst C.

2009-01-01

Introduction: This survey aimed to investigate German ambulatory physicians' opinions about mandatory continuing medical education (CME) and CME resources shortly before the introduction of mandatory CME in 2004. Methods: A structured national telephone survey of general practitioners and specialists was conducted. Main outcome measures were…

Nonlinear sub-cyclotron resonance as a formation mechanism for gaps in banded chorus

DOE PAGES

Fu, Xiangrong; Guo, Zehua; Dong, Chuanfei; ...

2015-05-14

An interesting characteristic of magnetospheric chorus is the presence of a frequency gap at ω ≃ 0.5Ω e, where Ω e is the electron cyclotron angular frequency. Recent chorus observations sometimes show additional gaps near 0.3Ω e and 0.6Ω e. Here we present a novel nonlinear mechanism for the formation of these gaps using Hamiltonian theory and test particle simulations in a homogeneous, magnetized, collisionless plasma. We find that an oblique whistler wave with frequency at a fraction of the electron cyclotron frequency can resonate with electrons, leading to effective energy exchange between the wave and particles.

Development of an 18 GHz superconducting electron cyclotron resonance ion source at RCNP.

PubMed

Yorita, Tetsuhiko; Hatanaka, Kichiji; Fukuda, Mitsuhiro; Kibayashi, Mitsuru; Morinobu, Shunpei; Okamura, Hiroyuki; Tamii, Atsushi

2008-02-01

An 18 GHz superconducting electron cyclotron resonance ion source has recently been developed and installed in order to extend the variety and the intensity of ions at the RCNP coupled cyclotron facility. Production of several ions such as O, N, Ar, Kr, etc., is now under development and some of them have already been used for user experiments. For example, highly charged heavy ion beams like (86)Kr(21+,23+) and intense (16)O(5+,6+) and (15)N(6+) ion beams have been provided for experiments. The metal ion from volatile compounds method for boron ions has been developed as well.

Medical clerks in a national university hospital: improving the quality of medical care with a focus on spinal surgery.

PubMed

Kobayashi, Kazuyoshi; Ando, Kei; Noda, Makiko; Ishiguro, Naoki; Imagama, Shiro

2018-02-01

In our institution, which is a national university hospital, medical clerks were introduced in 2009 to improve the doctor's working environment. Seventeen clerks were assigned to 9 separate departments and the work content differed greatly among departments, but sufficient professional work was not done efficiently. The purpose of this study is to investigate the effects of the work of medical clerks on improvement of medical quality in recent years. In 2011, we established a central clerk desk on our outpatient floor to improve efficiency and centralize the clerk work. Since 2013, periodic education of clerks on spine disease has been provided by spine doctors, and this has facilitated sharing of information on spinal surgery from diagnosis to surgical treatment. This has allowed medical clerks to ask patients questions, leading to more efficient medical treatment and a potential reduction of doctors' work. In 2016, a revision of the insurance system by the Ministry of Health, Labour and Welfare of Japan increased the amount of medical work that clerks can perform, and it became possible to increase the number of medical clerks. Currently, we have 30 medical clerks, and this has allowed establishment of new clerk desks in other departments to handle patients. A training curriculum will be developed to reduce the burden on doctors further and to improve the quality of medical treatment.

Source of seed fluctuations for electromagnetic ion cyclotron waves in Earth's magnetosphere

NASA Astrophysics Data System (ADS)

Gamayunov, K. V.; Engebretson, M. J.; Zhang, M.; Rassoul, H. K.

2015-06-01

We consider a nonlinear wave energy cascade from the low frequency range into the higher frequency domain of electromagnetic ion cyclotron (EMIC) wave generation as a possible source of seed fluctuations for EMIC wave growth due to the ion cyclotron instability in Earth's magnetosphere. The presented theoretical analysis shows that energy cascade from the Pc 4-5 frequency range (2-22 mHz) into the range of Pc 1-2 pulsations (0.1-5 Hz), i.e. into the frequency range of EMIC waves, is able to supply the needed level of seed fluctuations that guarantees growth of EMIC waves up to the observable level during one pass through the near equatorial region where the ion cyclotron instability takes place. We also analyze the magnetic field data from the Polar and Van Allen Probes spacecraft to test the suggested nonlinear mechanism. In this initial study we restrict our analysis to magnetic fluctuation spectra only. We do not analyze the third-order structure function, but judge whether a nonlinear energy cascade is present or whether it is not by only analyzing the appearance of power-law distributions in the low-frequency part of the magnetic field spectra. While the power-law spectrum alone does not guarantee that a nonlinear cascade is present, the power-law distribution is a strong indication of the possible development of a nonlinear cascade. Our analysis shows that a nonlinear energy cascade is indeed observed in both the outer and inner magnetosphere data, and EMIC waves are growing from this nonthermal background. All the analyzed data are in good agreement with the theoretical model presented in this study. Overall, the results of this study support a nonlinear energy cascade in Earth's magnetosphere as a mechanism which is responsible for supplying seed fluctuating energy in the higher frequency domain where EMIC waves grow due to the ion cyclotron instability.

Cyclotron Production of Radionuclides for Nuclear Medicine at Academic Centers

NASA Astrophysics Data System (ADS)

Lapi, Suzanne

2016-09-01

The increase in use of radioisotopes for medical imaging has led to the development of new accelerator targetry and separation techniques for isotope production. For example, the development of longer-lived position emitting radionuclides has been explored to allow for nuclear imaging agents based on peptides, antibodies and nanoparticles. These isotopes (64Cu, 89Zr, 86Y) are typically produced via irradiation of solid targets on smaller cyclotrons (10-25 MeV) at academic or hospital based facilities. Recent research has further expanded the toolbox of PET tracers to include additional isotopes such as 52Mn, 55Co, 76Br and others. The smaller scale of these types of facilities can enable the straightforward involvement of students, thus adding to the next generation of nuclear science leaders. Research pertaining to development of robust and larger scale production technologies including solid target systems and remote systems for transport and purification of these isotopes has enabled both preclinical and clinical imaging research for many diseases. In particular, our group has focused on the use of radiolabeled antibodies for imaging of receptor expression in preclinical models and in a clinical trial of metastatic breast cancer patients.

Neutron spectra due (13)N production in a PET cyclotron.

PubMed

Benavente, J A; Vega-Carrillo, H R; Lacerda, M A S; Fonseca, T C F; Faria, F P; da Silva, T A

2015-05-01

Monte Carlo and experimental methods have been used to characterize the neutron radiation field around PET (Positron Emission Tomography) cyclotrons. In this work, the Monte Carlo code MCNPX was used to estimate the neutron spectra, the neutron fluence rates and the ambient dose equivalent (H*(10)) in seven locations around a PET cyclotron during (13)N production. In order to validate these calculations, H*(10) was measured in three sites and were compared with the calculated doses. All the spectra have two peaks, one above 0.1MeV due to the evaporation neutrons and another in the thermal region due to the room-return effects. Despite the relatively large difference between the measured and calculated H*(10) for one point, the agreement was considered good, compared with that obtained for (18)F production in a previous work. Copyright © 2015 Elsevier Ltd. All rights reserved.

Magneto-optical absorption and cyclotron-phonon resonance in graphene monolayer

NASA Astrophysics Data System (ADS)

Hoi, Bui Dinh; Phuong, Le Thi Thu; Phong, Tran Cong

2018-03-01

The optical absorption power by Dirac fermions in a graphene monolayer subjected to a perpendicular magnetic field is calculated using a projection operator technique. The electron-optical phonon interaction with optical deformation potential is taken into account. By varying the photon frequency (energy), we observe in the absorption power a series of cyclotron-phonon resonance (CPR) peaks (i.e., the phonon-assisted cyclotron resonance). It is seen that the resonant photon energy is linearly proportional to the square root of the magnetic field. Also, the half width at half maximum (HWHM) of CPR peaks depends on the magnetic field by the law HWHM = 7.42 √{B } but does not depend on the temperature. In particular, the magnetic field and temperature dependences of the position and HWHM of CPR peaks are in good agreement with those obtained recently by the perturbation theory and an experiment in graphene.

Comparing adults who use cannabis medically with those who use recreationally: Results from a national sample.

PubMed

Lin, Lewei A; Ilgen, Mark A; Jannausch, Mary; Bohnert, Kipling M

2016-10-01

Cannabis has been legalized for medical use in almost half of the states in the U.S. Although laws in these states make the distinction between medical and recreational use of cannabis, the prevalence of people using medical cannabis and how distinct this group is from individuals using cannabis recreationally is unknown at a national level. Data came from the 2013 National Survey on Drug Use and Health (NSDUH). All adults endorsing past year cannabis use who reported living in a state that had legalized medical cannabis were divided into recreational cannabis use only and medical cannabis use. Demographic and clinical characteristics were compared across these two groups. 17% of adults who used cannabis in the past year used cannabis medically. There were no significant differences between those who used medically versus recreationally in race, education, past year depression and prevalence of cannabis use disorders. In adjusted analyses, those with medical cannabis use were more likely to have poorer health and lower levels of alcohol use disorders and non-cannabis drug use. A third of those who reported medical cannabis use endorsed daily cannabis use compared to 11% in those who reported recreational use exclusively. Adults who use medical and recreational cannabis shared some characteristics, but those who used medical cannabis had higher prevalence of poor health and daily cannabis use. As more states legalize cannabis for medical use, it is important to better understand similarities and differences between people who use cannabis medically and recreationally. Copyright © 2016 Elsevier Ltd. All rights reserved.

Comparing adults who use cannabis medically with those who use recreationally: Results from a national sample

PubMed Central

Lin, Lewei A.; Ilgen, Mark A.; Jannausch, Mary; Bohnert, Kipling M.

2016-01-01

Objectives Cannabis has been legalized for medical use in almost half of the states in the U.S. Although laws in these states make the distinction between medical and recreational use of cannabis, the prevalence of people using medical cannabis and how distinct this group is from individuals using cannabis recreationally is unknown at a national level. Methods Data came from the 2013 National Survey on Drug Use and Health (NSDUH). All adults endorsing past year cannabis use who reported living in a state that had legalized medical cannabis were divided into recreational cannabis use only and medical cannabis use. Demographic and clinical characteristics were compared across these two groups. Results 17% of adults who used cannabis in the past year used cannabis medically. There were no significant differences between those who used medically versus recreationally in race, education, past year depression and prevalence of cannabis use disorders. In adjusted analyses, those with medical cannabis use were more likely to have poorer health and lower levels of alcohol use disorders and non-cannabis drug use. A third of those who reported medical cannabis use endorsed daily cannabis use compared to 11% in those who reported recreational use exclusively. Conclusions Adults who use medical and recreational cannabis shared some characteristics, but those who used medical cannabis had higher prevalence of poor health and daily cannabis use. As more states legalize cannabis for medical use, it is important to better understand similarities and differences between people who use cannabis medically and recreationally. PMID:27262964

Gold nanoparticles production using reactor and cyclotron based methods in assessment of (196,198)Au production yields by (197)Au neutron absorption for therapeutic purposes.

PubMed

Khorshidi, Abdollah

2016-11-01

Medical nano-gold radioisotopes is produced regularly using high-flux nuclear reactors, and an accelerator-driven neutron activator can turn out higher yield of (197)Au(n,γ)(196,198)Au reactions. Here, nano-gold production via radiative/neutron capture was investigated using irradiated Tehran Research Reactor flux and also simulated proton beam of Karaj cyclotron in Iran. (197)Au nano-solution, including 20nm shaped spherical gold and water, was irradiated under Tehran reactor flux at 2.5E+13n/cm(2)/s for (196,198)Au activity and production yield estimations. Meanwhile, the yield was examined using 30MeV proton beam of Karaj cyclotron via simulated new neutron activator containing beryllium target, bismuth moderator around the target, and also PbF2 reflector enclosed the moderator region. Transmutation in (197)Au nano-solution samples were explored at 15 and 25cm distances from the target. The neutron flux behavior inside the water and bismuth moderators was investigated for nano-gold particles transmutation. The transport of fast neutrons inside bismuth material as heavy nuclei with a lesser lethargy can be contributed in enhanced nano-gold transmutation with long duration time than the water moderator in reactor-based method. Cyclotron-driven production of βeta-emitting radioisotopes for brachytherapy applications can complete the nano-gold production technology as a safer approach as compared to the reactor-based method. Copyright © 2016 Elsevier B.V. All rights reserved.

The Institutional Foundations of Medicalization: A Cross-national Analysis of Mental Health and Unemployment.

PubMed

Buffel, Veerle; Beckfield, Jason; Bracke, Piet

2017-09-01

In this study, we question (1) whether the relationship between unemployment and mental healthcare use, controlling for mental health status, varies across European countries and (2) whether these differences are patterned by a combination of unemployment and healthcare generosity. We hypothesize that medicalization of unemployment is stronger in countries where a low level of unemployment generosity is combined with a high level of healthcare generosity. A subsample of 36,306 working-age respondents from rounds 64.4 (2005-2006) and 73.2 (2010) of the cross-national survey Eurobarometer was used. Country-specific logistic regression and multilevel analyses, controlling for public disability spending, changes in government spending, economic capacity, and unemployment rate, were performed. We find that unemployment is medicalized, at least to some degree, in the majority of the 24 nations surveyed. Moreover, the medicalization of unemployment varies substantially across countries, corresponding to the combination of the level of unemployment and of healthcare generosity.

Stability of drift-cyclotron loss-cone waves in H-mode plasmas

DOE PAGES

Farmer, W. A.; Morales, G. J.

2016-05-24

The drift-cyclotron loss-cone mode was first studied in mirror machines. In such devices, particles with small pitch angles are not confined, creating a hole in the velocity distribution function that is a source of free energy and leads to micro-instabilities in the cyclotron-range of frequencies. In the edge region of tokamak devices operating under H-mode conditions, ion loss also occurs. In this case, gradient drift carries ions moving opposite to the plasma current preferentially into the divertor, creating a one-sided loss cone. A simple analysis shows that for the quiescent H-mode plasmas in DIII-D the critical gradient for instability ismore » exceeded within 2 cm of the separatrix, and the maximum growth rate at the separatrix is 3×10 7 s -1.« less

Improving cancer treatment with cyclotron produced radionuclides. Comprehensive progress report, February 1, 1990--January 31, 1993

DOE Office of Scientific and Technical Information (OSTI.GOV)

Larson, S.M. Finn, R.D.

1992-08-04

This report describes the author`s continuing long term goal of promoting nuclear medicine applications by improving the scientific basis for tumor diagnosis treatment and treatment follow-up based on the use of cyclotron produced radiotracers in oncology. The program has 3 interactive components: Radiochemistry /Cyclotron; Pharmacology; and Immunology. An essential strategy is as follows: novel radionuclides and radiotracers developed in the Radiochemistry/Cyclotron section under the DOE grant during the 1989--1992 grant period, will be employed in the Pharmacology and Immunology sections of the DOE grant during the 1992--1995 grant period. The development of novel radionuclides and tracers is of course usefulmore » in and of itself, but their utility is greatly enhanced by the interaction with the immunology and pharmacology components of the program.« less

Relativistic electromagnetic ion cyclotron instabilities

NASA Astrophysics Data System (ADS)

Chen, K. R.; Huang, R. D.; Wang, J. C.; Chen, Y. Y.

2005-03-01

The relativistic instabilities of electromagnetic ion cyclotron waves driven by MeV ions are analytically and numerically studied. As caused by wave magnetic field and in sharp contrast to the electrostatic case, interesting characteristics such as Alfvénic behavior and instability transition are discovered and illuminated in detail. The instabilities are reactive and are raised from the coupling of slow ions’ first-order resonance and fast ions’ second-order resonance, that is an essential extra mechanism due to relativistic effect. Because of the wave magnetic field, the nonresonant plasma dielectric is usually negative and large, that affects the instability conditions and scaling laws. A negative harmonic cyclotron frequency mismatch between the fast and slow ions is required for driving a cubic (and a coupled quadratic) instability; the cubic (square) root scaling of the peak growth rate makes the relativistic effect more important than classical mechanism, especially for low fast ion density and Lorentz factor being close to unity. For the cubic instability, there is a threshold (ceiling) on the slow ion temperature and density (the external magnetic field and the fast ion energy); the Alfvén velocity is required to be low. This Alfvénic behavior is interesting in physics and important for its applications. The case of fast protons in thermal deuterons is numerically studied and compared with the analytical results. When the slow ion temperature or density (the external magnetic field or the fast ion energy) is increased (reduced) to about twice (half) the threshold (ceiling), the same growth rate peak transits from the cubic instability to the coupled quadratic instability and a different cubic instability branch appears. The instability transition is an interesting new phenomenon for instability.

Studies of electromagnetic ion cyclotron waves using AMPTE/CCE and Dynamics Explorer

NASA Technical Reports Server (NTRS)

Erlandson, Robert E.

1993-01-01

The principal activity during the past six months has involved the analysis of ion cyclotron waves recorded from DE-2 using the magnetic field experiment and electric field experiment. The results of this study have been published in the Geophysical Research Letters (GRL). The primary finding of this paper is that ion cyclotron waves were found to heat electrons, as observed in the DE-2 Langmuir probe data, through a Landau damping process. A second activity, which was started during the last six months, involves the study of large amplitude approximately one Hz electric and magnetic field oscillations recorded in the nightside auroral zone at substorm onset. Work is under way to determine the properties of these waves and investigate any association these waves may have with the substorm initiation process. A third activity under way involves a comprehensive study of ion cyclotron waves recorded at ionospheric altitudes by DE-2. This study will be an extension of the work reported in the GRL paper and will involve a larger sampling of wave events. This paper will focus on wave properties at ionospheric altitudes. A fourth activity involves a more in-depth analysis of the acceleration mechanisms and the resulting electron distributions based on the observations presented in the GRL paper.

National Incidence of Medication Error in Surgical Patients Before and After Accreditation Council for Graduate Medical Education Duty-Hour Reform.

PubMed

Vadera, Sumeet; Griffith, Sandra D; Rosenbaum, Benjamin P; Chan, Alvin Y; Thompson, Nicolas R; Kshettry, Varun R; Kelly, Michael L; Weil, Robert J; Bingaman, William; Jehi, Lara

2015-01-01

The Accreditation Council for Graduate Medical Education (ACGME) established duty-hour regulations for accredited residency programs on July 1, 2003. It is unclear what changes occurred in the national incidence of medication errors in surgical patients before and after ACGME regulations. Patient and hospital characteristics for pre- and post-duty-hour reform were evaluated, comparing teaching and nonteaching hospitals. A difference-in-differences study design was used to assess the association between duty-hour reform and medication errors in teaching hospitals. We used the Nationwide Inpatient Sample database, which consists of approximately annual 20% stratified sample of all the United States nonfederal hospital inpatient admissions. A query of the database, including 4 years before (2000-2003) and 8 years after (2003-2011) the ACGME duty-hour reform of July 2003, was performed to extract surgical inpatient hospitalizations (N = 13,933,326). The years 2003 and 2004 were discarded in the analysis to allow for a wash-out period during duty-hour reform (though we still provide medication error rates). The Nationwide Inpatient Sample estimated the total national surgical inpatients (N = 135,092,013) in nonfederal hospitals during these time periods with 68,736,863 patients in teaching hospitals and 66,355,150 in nonteaching hospitals. Shortly after duty-hour reform (2004 and 2006), teaching hospitals had a statistically significant increase in rate of medication error (p = 0.019 and 0.006, respectively) when compared with nonteaching hospitals even after accounting for trends across all hospitals during this period. After 2007, no further statistically significant difference was noted. After ACGME duty-hour reform, medication error rates increased in teaching hospitals, which diminished over time. This decrease in errors may be related to changes in training program structure to accommodate duty-hour reform. Copyright © 2015 Association of Program Directors in

An all permanent magnet electron cyclotron resonance ion source for heavy ion therapy.

PubMed

Cao, Yun; Li, Jia Qing; Sun, Liang Ting; Zhang, Xue Zhen; Feng, Yu Cheng; Wang, Hui; Ma, Bao Hua; Li, Xi Xia

2014-02-01

A high charge state all permanent Electron Cyclotron Resonance ion source, Lanzhou All Permanent ECR ion source no. 3-LAPECR3, has been successfully built at IMP in 2012, which will serve as the ion injector of the Heavy Ion Medical Machine (HIMM) project. As a commercial device, LAPECR3 features a compact structure, small size, and low cost. According to HIMM scenario more than 100 eμA of C(5+) ion beam should be extracted from the ion source, and the beam emittance better than 75 π*mm*mrad. In recent commissioning, about 120 eμA of C(5+) ion beam was got when work gas was CH4 while about 262 eμA of C(5+) ion beam was obtained when work gas was C2H2 gas. The design and construction of the ion source and its low-energy transportation beam line, and the preliminary commissioning results will be presented in detail in this paper.

Experimental observation of acoustic emissions generated by a pulsed proton beam from a hospital-based clinical cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jones, Kevin C.; Solberg, Timothy D.; Avery, Stephen, E-mail: Stephen.Avery@uphs.upenn.edu

Purpose: To measure the acoustic signal generated by a pulsed proton spill from a hospital-based clinical cyclotron. Methods: An electronic function generator modulated the IBA C230 isochronous cyclotron to create a pulsed proton beam. The acoustic emissions generated by the proton beam were measured in water using a hydrophone. The acoustic measurements were repeated with increasing proton current and increasing distance between detector and beam. Results: The cyclotron generated proton spills with rise times of 18 μs and a maximum measured instantaneous proton current of 790 nA. Acoustic emissions generated by the proton energy deposition were measured to be onmore » the order of mPa. The origin of the acoustic wave was identified as the proton beam based on the correlation between acoustic emission arrival time and distance between the hydrophone and proton beam. The acoustic frequency spectrum peaked at 10 kHz, and the acoustic pressure amplitude increased monotonically with increasing proton current. Conclusions: The authors report the first observation of acoustic emissions generated by a proton beam from a hospital-based clinical cyclotron. When modulated by an electronic function generator, the cyclotron is capable of creating proton spills with fast rise times (18 μs) and high instantaneous currents (790 nA). Measurements of the proton-generated acoustic emissions in a clinical setting may provide a method for in vivo proton range verification and patient monitoring.« less

Cast Study: National Naval Medical Center, A Graduate Management Project

DTIC Science & Technology

2002-06-10

USNR 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. pPDV^-- -’" !nDf-AxTT7ATION NATIONAL NAVAL MEDICAL CENTER BETHESDA 8901 WISCONSIN AVE...reinvented itself on July 3, 2000 when it transformed from a traditional stovepipe organization into a service line health care delivery system. In less...many diverse projects throughout the organization . Commander Steve Griffitts, USN... for your continual cooperation and flexibility as I pursued my

Biomedical research with cyclotron produced radionuclides. Progress report, October 1, 1977--September 30, 1978

DOE Office of Scientific and Technical Information (OSTI.GOV)

Laughlin, J.S.; Benua, R.S.; Tilbury, R.S.

1978-09-30

Progress is reported on biomedical studies using cyclotron-produced /sup 18/F, /sup 15/O, /sup 11/C, /sup 13/N, /sup 52/Fe, /sup 38/K, /sup 206/Bi, /sup 73/Se, /sup 53/Co, and /sup 43/K. The following research projects are described: tumor detection and diagnosis; neurological studies; radiopharmaceutical development; /sup 38/K as an indicator of blood flow to the myocardium; dosimetry for internally deposited isotopes in animals and man; cyclotron development; positron tomographic imaging with the TOKIM System; and review of positron emission transaxial tomograph instruments. (HLW)

National Undergraduate Medical Core Curriculum in Turkey: Evaluation of Residents

PubMed Central

Budakoğlu, Işıl İrem; Coşkun, Özlem; Ergün, Mehmet Ali

2014-01-01

Background: There is very little information available on self-perceived competence levels of junior medical doctors with regard to definitions by the National Core Curriculum (NCC) for Undergraduate Medical Education. Aims: This study aims to determine the perceived level of competence of residents during undergraduate medical education within the context of the NCC. Study Design: Descriptive study. Methods: The survey was conducted between February 2010 and December 2011; the study population comprised 450 residents. Of this group, 318 (71%) participated in the study. Self-assessment questionnaires on competencies were distributed and residents were asked to assess their own competence in different domains by scoring them on a scale of 1 to 10. Results: Nearly half of the residents reported insufficient experience of putting clinical skills into practice when they graduated. In the theoretical part of NCC, the lowest competency score was reported for health-care administration, while the determination of level of chlorine in water, delivering babies, and conducting forensic examinations had the lowest perceived levels of competency in the clinical skills domain. Conclusion: Residents reported low levels of perceived competency in skills they rarely performed outside the university hospital. They were much more confident in skills they performed during their medical education. PMID:25207163

Cyclotron maser and plasma wave growth in magnetic loops

NASA Technical Reports Server (NTRS)

Hamilton, Russell J.; Petrosian, Vahe

1990-01-01

Cyclotron maser and plasma wave growth which results from electrons accelerated in magnetic loops are studied. The evolution of the accelerated electron distribution is determined by solving the kinetic equation including Coulomb collisions and magnetic convergence. It is found that for modest values of the column depth of the loop the growth rates of instabilities are significantly reduced and that the reduction is much larger for the cyclotron modes than for the plasma wave modes. The large decrease in the growth rate with column depth suggests that solar coronal densities must be much lower than commonly accepted in order for the cyclotron maser to operate. The density depletion has to be similar to that which occurs during auroral kilometric radiation events in the magnetosphere. The resulting distributions are much more complicated than the idealized distributions used in many theoretical studies, but the fastest growing mode can still simply be determined by the ratio of electron plasma to gyrofrequency, U=omega(sub p)/Omega(sub e). However, the dominant modes are different than for the idealized situations with growth of the z-mode largest for U approximately less than 0.5, and second harmonic x-mode (s=2) or fundamental o-mode (s=1) the dominant modes for 0.5 approximately less than U approximately less than 1. The electron distributions typically contain more than one inverted feature which could give rise to wave growth. It is shown that this can result in simultaneous amplification of more than one mode with each mode driven by a different feature and can be observed, for example, by differences in the rise times of the right and left circularly polarized components of the associated spike bursts.

High current H{sub 2}{sup +} cyclotrons for neutrino physics: The IsoDAR and DAE{delta}ALUS projects

DOE Office of Scientific and Technical Information (OSTI.GOV)

Alonso, Jose R.; Collaboration: DAE delta ALUS Collaboration

2013-04-19

Using H{sub 2}{sup +} ions is expected to mitigate the two major impediments to accelerating very high currents in cyclotrons, due to lower space charge at injection, and stripping extraction. Planning for peak currents of 10 particle milliamps at 800 MeV/amu, these cyclotrons can generate adequate neutrino fluxes for Decay-At-Rest (DAR) studies of neutrino oscillation and CP violation. The Injector Cyclotron, at 60 MeV/amu can also provide adequate fluxes of electron antineutrinos from {sup 8}Li decay for sterile neutrino searches in existing liquid scintillator detectors at Kam LAND or SNO+. This paper outlines programs for designing and building these machines.

Cyclotron resonance in bilayer graphene.

PubMed

Henriksen, E A; Jiang, Z; Tung, L-C; Schwartz, M E; Takita, M; Wang, Y-J; Kim, P; Stormer, H L

2008-02-29

We present the first measurements of cyclotron resonance of electrons and holes in bilayer graphene. In magnetic fields up to B=18 T, we observe four distinct intraband transitions in both the conduction and valence bands. The transition energies are roughly linear in B between the lowest Landau levels, whereas they follow square root[B] for the higher transitions. This highly unusual behavior represents a change from a parabolic to a linear energy dispersion. The density of states derived from our data generally agrees with the existing lowest order tight binding calculation for bilayer graphene. However, in comparing data to theory, a single set of fitting parameters fails to describe the experimental results.

Effect of high energy electrons on H⁻ production and destruction in a high current DC negative ion source for cyclotron.

PubMed

Onai, M; Etoh, H; Aoki, Y; Shibata, T; Mattei, S; Fujita, S; Hatayama, A; Lettry, J

2016-02-01

Recently, a filament driven multi-cusp negative ion source has been developed for proton cyclotrons in medical applications. In this study, numerical modeling of the filament arc-discharge source plasma has been done with kinetic modeling of electrons in the ion source plasmas by the multi-cusp arc-discharge code and zero dimensional rate equations for hydrogen molecules and negative ions. In this paper, main focus is placed on the effects of the arc-discharge power on the electron energy distribution function and the resultant H(-) production. The modelling results reasonably explains the dependence of the H(-) extraction current on the arc-discharge power in the experiments.

Observations of single-pass ion cyclotron heating in a trans-sonic flowing plasma

NASA Astrophysics Data System (ADS)

Bering, E. A.; Díaz, F. R. Chang; Squire, J. P.; Glover, T. W.; Carter, M. D.; McCaskill, G. E.; Longmier, B. W.; Brukardt, M. S.; Chancery, W. J.; Jacobson, V. T.

2010-04-01

The VAriable Specific Impulse Magnetoplasma Rocket (VASIMR®) is a high power electric spacecraft propulsion system, capable of Isp/thrust modulation at constant power [F. R. Chang Díaz et al., Proceedings of the 39th AIAA Aerospace Sciences Meeting and Exhibit, Reno, NV, 8-11 Jan. 2001]. The VASIMR® uses a helicon discharge to generate plasma. This plasma is energized by an rf booster stage that uses left hand polarized slow mode waves launched from the high field side of the ion cyclotron resonance. In the experiments reported in this paper, the booster uses 2-4 MHz waves with up to 50 kW of power. This process is similar to the ion cyclotron heating (ICH) in tokamaks, but in the VASIMR® the ions only pass through the resonance region once. The rapid absorption of ion cyclotron waves has been predicted in recent theoretical studies. These theoretical predictions have been supported with several independent measurements in this paper. The single-pass ICH produced a substantial increase in ion velocity. Pitch angle distribution studies showed that this increase took place in the resonance region where the ion cyclotron frequency was roughly equal to the frequency on the injected rf waves. Downstream of the resonance region the perpendicular velocity boost should be converted to axial flow velocity through the conservation of the first adiabatic invariant as the magnetic field decreases in the exhaust region of the VASIMR®. This paper will review all of the single-pass ICH ion acceleration data obtained using deuterium in the first VASIMR® physics demonstrator machine, the VX-50. During these experiments, the available power to the helicon ionization stage increased from 3 to 20+ kW. The increased plasma density produced increased plasma loading of the ICH coupler. Starting with an initial demonstration of single-pass ion cyclotron acceleration, the experiments demonstrate significant improvements in coupler efficiency and in ion heating efficiency. In

Teaching medical students how to teach: a national survey of students-as-teachers programs in U.S. medical schools.

PubMed

Soriano, Rainier P; Blatt, Benjamin; Coplit, Lisa; CichoskiKelly, Eileen; Kosowicz, Lynn; Newman, Linnie; Pasquale, Susan J; Pretorius, Richard; Rosen, Jonathan M; Saks, Norma S; Greenberg, Larrie

2010-11-01

A number of U.S. medical schools started offering formal students-as-teachers (SAT) training programs to assist medical students in their roles as future teachers. The authors report results of a national survey of such programs in the United States. In 2008, a 23-item survey was sent to 130 MD-granting U.S. schools. Responses to selective choice questions were quantitatively analyzed. Open-ended questions about benefits and barriers to SAT programs were given qualitative analyses. Ninety-nine U.S. schools responded. All used their medical students as teachers, but only 44% offered a formal SAT program. Most (95%) offered formal programs in the senior year. Common teaching strategies included small-group work, lectures, role-playing, and direct observation. Common learning content areas were small-group facilitation, feedback, adult learning principles, and clinical skills teaching. Assessment methods included evaluations from student-learners (72%) and direct observation/videotaping (59%). From the qualitative analysis, benefit themes included development of future physician-educators, enhancement of learning, and teaching assistance for faculty. Obstacles were competition with other educational demands, difficulty in faculty recruitment/retention, and difficulty in convincing others of program value. Formal SAT programs exist for 43 of 99 U.S. medical school respondents. Such programs should be instituted in all schools that use their students as teachers. National teaching competencies, best curriculum methods, and best methods to conduct skills reinforcement need to be determined. Finally, the SAT programs' impacts on patient care, on selection decisions of residency directors, and on residents' teaching effectiveness are areas for future research.

Evaluating ambulatory care training in Firoozgar hospital based on Iranian national standards of undergraduate medical education

PubMed Central

Sabzghabaei, Foroogh; Salajeghe, Mahla; Soltani Arabshahi, Seyed Kamran

2017-01-01

Background: In this study, ambulatory care training in Firoozgar hospital was evaluated based on Iranian national standards of undergraduate medical education related to ambulatory education using Baldrige Excellence Model. Moreover, some suggestions were offered to promote education quality in the current condition of ambulatory education in Firoozgar hospital and national standards using the gap analysis method. Methods: This descriptive analytic study was a kind of evaluation research performed using the standard check lists published by the office of undergraduate medical education council. Data were collected through surveying documents, interviewing, and observing the processes based on the Baldrige Excellence Model. After confirming the validity and reliability of the check lists, we evaluated the establishment level of the national standards of undergraduate medical education in the clinics of this hospital in the 4 following domains: educational program, evaluation, training and research resources, and faculty members. Data were analyzed according to the national standards of undergraduate medical education related to ambulatory education and the Baldrige table for scoring. Finally, the quality level of the current condition was determined as very appropriate, appropriate, medium, weak, and very weak. Results: In domains of educational program 62%, in evaluation 48%, in training and research resources 46%, in faculty members 68%, and in overall ratio, 56% of the standards were appropriate. Conclusion: The most successful domains were educational program and faculty members, but evaluation and training and research resources domains had a medium performance. Some domains and indicators were determined as weak and their quality needed to be improved, so it is suggested to provide the necessary facilities and improvements by attending to the quality level of the national standards of ambulatory education PMID:29951400

National health and medical services response to incidents of chemical and biological terrorism.

PubMed

Tucker, J B

1997-08-06

In response to the growing threat of terrorism with chemical and biological weapons, the US government has developed a national concept of operations for emergency health and medical services response. This capability was developed and tested for the first time during the Atlanta Olympic Games in the summer of 1996. In the event of a chemical or biological terrorist incident that exceeded local and state-level response capabilities, federal agencies would provide specialized teams and equipment to help manage the consequences of the attack and treat, decontaminate, and evacuate casualties. The US Congress has also established a Domestic Preparedness Program that provides for enhanced training of local first-responders and the formation of metropolitan medical strike teams in major cities around the country. While these national response capabilities are promising, their implementation to date has been problematic and their ultimate effectiveness is uncertain.

Ion cyclotron instability at Io: Hybrid simulation results compared to in situ observations

NASA Astrophysics Data System (ADS)

Šebek, Ondřej; Trávníček, Pavel M.; Walker, Raymond J.; Hellinger, Petr

2016-08-01

We present analysis of global three-dimensional hybrid simulations of Io's interaction with Jovian magnetospheric plasma. We apply a single-species model with simplified neutral-plasma chemistry and downscale Io in order to resolve the ion kinetic scales. We consider charge exchange, electron impact ionization, and photoionization by using variable rates of these processes to investigate their impact. Our results are in a good qualitative agreement with the in situ magnetic field measurements for five Galileo flybys around Io. The hybrid model describes ion kinetics self-consistently. This allows us to assess the distribution of temperature anisotropies around Io and thereby determine the possible triggering mechanism for waves observed near Io. We compare simulated dynamic spectra of magnetic fluctuations with in situ observations made by Galileo. Our results are consistent with both the spatial distribution and local amplitude of magnetic fluctuations found in the observations. Cyclotron waves, triggered probably by the growth of ion cyclotron instability, are observed mainly downstream of Io and on the flanks in regions farther from Io where the ion pickup rate is relatively low. Growth of the ion cyclotron instability is governed mainly by the charge exchange rate.

Ranking Spain's medical schools by their performance in the national residency examination.

PubMed

Lopez-Valcarcel, B G; Ortún, V; Barber, P; Harris, J E; García, B

2013-12-01

Medical school graduates in Spain must take a uniform national exam (called "examen MIR") in order to enter postgraduate training in a specialty. Its results offer a unique opportunity to rank medical schools according to this exam. We measured differences in the MIR exam results among Spanish medical schools and assessed the stability of the MIR-based rankings for the period 2003-2011. In the year 2011 a total of 6873 residency positions nationwide were offered by the Spanish Ministry of Health, Social Services and Equality. These positions covered 47 specialties distributed over 231 training centers. A total of 11,550 medical graduates (including 1997 foreign graduates) took the MIR examination. Marked differences among medical schools were evident. The median graduate from medical school #1 and #29 occupied the positions 1477 and 5383, respectively. These figures correspond to a standardized ranking of 21 out of 100 for medical school #1 (that is, 1477/6873; half of medical school #1 obtained better [below position 21%] and half worse [over position 21%] results) and a standardized ranking of 70 out of 100 for medical school #29. While 81% of the medical school #1 graduates were amongst the best 3000 MIR exams and only 5% above the 5000 position the corresponding figures for medical school #29 graduates were 21% and 44%, respectively. The ranking position of the 29 medical schools was very stable between the years 2003 and 2011. There are marked differences in medical schools in Spain and these differences are very consistent over the years 2003-2011. Copyright © 2013 Elsevier España, S.L. All rights reserved.

Modeling of electron cyclotron resonance discharges

DOE Office of Scientific and Technical Information (OSTI.GOV)

Meyyappan, M.; Govindan, T.R.

The current trend in plasma processing is the development of high density plasma sources to achieve high deposition and etch rates, uniformity over large ares, and low wafer damage. Here, is a simple model to predict the spatially-averaged plasma characteristics of electron cyclotron resonance (ECR) reactors is presented. The model consists of global conservation equations for species concentration, electron density and energy. A gas energy balance is used to predict the neutral temperature self-consistently. The model is demonstrated for an ECR argon discharge. The predicted behavior of the discharge as a function of system variables agrees well with experimental observations.

Method of enhancing cyclotron beam intensity

DOEpatents

Hudson, Ed D.; Mallory, Merrit L.

1977-01-01

When an easily ionized support gas such as xenon is added to the cold cathode in sources of the Oak Ridge Isochronous Cyclotron, large beam enhancements are produced. For example, .sup.20 Ne.sup.7+ is increased from 0.05 enA to 27 enA, and .sup.16 O.sup.5+ intensities in excess of 35 e.mu.A have been extracted for periods up to 30 minutes. Approximately 0.15 cc/min of the easily ionized support gas is supplied to the ion source through a separate gas feed line and the primary gas flow is reduced by about 30%.

Cyclotron resonance in HgTe/CdTe-based heterostructures in high magnetic fields

PubMed Central

2012-01-01

Cyclotron resonance study of HgTe/CdTe-based quantum wells with both inverted and normal band structures in quantizing magnetic fields was performed. In semimetallic HgTe quantum wells with inverted band structure, a hole cyclotron resonance line was observed for the first time. In the samples with normal band structure, interband transitions were observed with wide line width due to quantum well width fluctuations. In all samples, impurity-related magnetoabsorption lines were revealed. The obtained results were interpreted within the Kane 8·8 model, the valence band offset of CdTe and HgTe, and the Kane parameter EP being adjusted. PMID:23013642

Electron-cyclotron wave scattering by edge density fluctuations in ITER

NASA Astrophysics Data System (ADS)

Tsironis, Christos; Peeters, Arthur G.; Isliker, Heinz; Strintzi, Dafni; Chatziantonaki, Ioanna; Vlahos, Loukas

2009-11-01

The effect of edge turbulence on the electron-cyclotron wave propagation in ITER is investigated with emphasis on wave scattering, beam broadening, and its influence on localized heating and current drive. A wave used for electron-cyclotron current drive (ECCD) must cross the edge of the plasma, where density fluctuations can be large enough to bring on wave scattering. The scattering angle due to the density fluctuations is small, but the beam propagates over a distance of several meters up to the resonance layer and even small angle scattering leads to a deviation of several centimeters at the deposition location. Since the localization of ECCD is crucial for the control of neoclassical tearing modes, this issue is of great importance to the ITER design. The wave scattering process is described on the basis of a Fokker-Planck equation, where the diffusion coefficient is calculated analytically as well as computed numerically using a ray tracing code.

Institutional factors affecting participation in national faculty development programs: a nation-wide investigation of medical schools.

PubMed

Kim, Do-Hwan; Hwang, Jinyoung; Lee, Seunghee; Shin, Jwa-Seop

2017-02-28

Medical schools have used faculty development programs as an essential means to improve the instruction of faculty members. Thus far, however, participating in such programs has been largely voluntary for individuals even though a certain degree of participation is required to achieve practical effectiveness. In addition, the learning behaviors of faculty members are known to be influenced by organizational contexts such as a hidden curriculum. Therefore, this study explored the organizational characteristics of medical schools affecting attendance at faculty development programs. Forty medical schools in South Korea were included in this study. In total, 1,667 faculty members attended the faculty development programs at the National Teacher Training Center for Health Personnel between 2007 and 2015. For independent variables, information on the basic characteristics and the educational states was collected from all the medical schools. Themes were identified from their educational goals and objectives by inductive content analysis. The number of nine-year cumulative attendees from medical schools ranged from 8 to 104. The basic characteristics of the medical schools had little influence on faculty development program attendance, while several themes in the educational goals and objectives, including "cooperation", "serving various societies", and "dealing with a changing future" showed a significant difference in participation. The number of full-time faculty showed a significant positive correlation when it was smaller than the median, and the proportion of alumni faculty showed a significant negative correlation when it was higher than 50%. This study adds to existing knowledge on factors affecting attendance at faculty development programs by identifying related institutional factors that influence attendance. While the variations depending on the basic characteristics were minimal, the organizational environment surrounding medical education significantly

National Biomedical Tracer Facility. Project definition study

DOE Office of Scientific and Technical Information (OSTI.GOV)

Schafer, R.

We request a $25 million government-guaranteed, interest-free loan to be repaid over a 30-year period for construction and initial operations of a cyclotron-based National Biomedical Tracer Facility (NBTF) in North Central Texas. The NBTF will be co-located with a linear accelerator-based commercial radioisotope production facility, funded by the private sector at approximately $28 million. In addition, research radioisotope production by the NBTF will be coordinated through an association with an existing U.S. nuclear reactor center that will produce research and commercial radioisotopes through neutron reactions. The combined facilities will provide the full range of technology for radioisotope production and research:more » fast neutrons, thermal neutrons, and particle beams (H{sup -}, H{sup +}, and D{sup +}). The proposed NBTF facility includes an 80 MeV, 1 mA H{sup -} cyclotron that will produce proton-induced (neutron deficient) research isotopes.« less

Investigations of Cyclotron Resonance in InSb and PbTe: Intraband Transitions between Landau Levels

NASA Astrophysics Data System (ADS)

Burstein, Elias

2005-06-01

We describe the investigations of cyclotron resonance, and its formulation in terms of intraband transitions between Landau levels, that were carried out at the Naval Research Laboratory and the University of Pennsylvania in the 1950's and 1960's. Measurements were carried out as a function of magnetic field at fixed wavelength in the infrared in both the Faraday and Voigt configurations on an intrinsic sample of InSb sample for which ωP << ωC, and on doped n-type samples for which ωP is comparable to ωC. Azbel'-Kaner cyclotron resonance, which is also observed in the Voigt configuration, was investigated at microwave frequencies in degenerate p-type PbTe where the cyclotron orbit of the carriers is comparable to the skin depth. The results showed that AK-CR is a particularly effective tool for determining the effective mass of carriers in semiconductors at microwave frequencies when ωP cannot be made smaller than ωC.

The negative hydrogen Penning ion gauge ion source for KIRAMS-13 cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

An, D. H.; Jung, I. S.; Kang, J.

2008-02-15

The cold-cathode-type Penning ion gauge (PIG) ion source for the internal ion source of KIRAMS-13 cyclotron has been used for generation of negative hydrogen ions. The dc H-beam current of 650 {mu}A from the PIG ion source with the Dee voltage of 40 kV and arc current of 1.0 A is extrapolated from the measured dc extraction beam currents at the low extraction dc voltages. The output optimization of PIG ion source in the cyclotron has been carried out by using various chimneys with different sizes of the expansion gap between the plasma boundary and the chimney wall. This papermore » presents the results of the dc H-extraction measurement and the expansion gap experiment.« less

Lorentz force in water: evidence that hydronium cyclotron resonance enhances polymorphism.

PubMed

D'Emilia, E; Giuliani, L; Lisi, A; Ledda, M; Grimaldi, S; Montagnier, L; Liboff, A R

2015-01-01

There is an ongoing question regarding the structure forming capabilities of water at ambient temperatures. To probe for different structures, we studied effects in pure water following magnetic field exposures corresponding to the ion cyclotron resonance of H3O(+). Included were measurements of conductivity and pH. We find that under ion cyclotron resonance (ICR) stimulation, water undergoes a transition to a form that is hydroxonium-like, with the subsequent emission of a transient 48.5 Hz magnetic signal, in the absence of any other measurable field. Our results indicate that hydronium resonance stimulation alters the structure of water, enhancing the concentration of EZ-water. These results are not only consistent with Del Giudice's model of electromagnetically coherent domains, but they can also be interpreted to show that these domains exist in quantized spin states.

Trends in Outpatient Visits for Insomnia, Sleep Apnea, and Prescriptions for Sleep Medications among US Adults: Findings from the National Ambulatory Medical Care Survey 1999-2010

PubMed Central

Ford, Earl S.; Wheaton, Anne G.; Cunningham, Timothy J.; Giles, Wayne H.; Chapman, Daniel P.; Croft, Janet B.

2014-01-01

Study Objective: To examine recent national trends in outpatient visits for sleep related difficulties in the United States and prescriptions for sleep medications. Design: Trend analysis. Setting: Data from the National Ambulatory Medical Care Survey from 1999 to 2010. Participants: Patients age 20 y or older. Measurements and Results: The number of office visits with insomnia as the stated reason for visit increased from 4.9 million visits in 1999 to 5.5 million visits in 2010 (13% increase), whereas the number with any sleep disturbance ranged from 6,394,000 visits in 1999 to 8,237,000 visits in 2010 (29% increase). The number of office visits for which a diagnosis of sleep apnea was recorded increased from 1.1 million visits in 1999 to 5.8 million visits in 2010 (442% increase), whereas the number of office visits for which any sleep related diagnosis was recorded ranged from 3.3 million visits in 1999 to 12.1 million visits in 2010 (266% increase). The number of prescriptions for any sleep medication ranged from 5.3 in 1999 to 20.8 million in 2010 (293% increase). Strong increases in the percentage of office visits resulting in a prescription for nonbenzodiazepine sleep medications (∼350%), benzodiazepine receptor agonists (∼430%), and any sleep medication (∼200%) were noted. Conclusions: Striking increases in the number and percentage of office visits for sleep related problems and in the number and percentage of office visits accompanied by a prescription for a sleep medication occurred from 1999-2010. Citation: Ford ES, Wheaton AG, Cunningham TJ, Giles WH, Chapman DP, Croft JB. Trends in outpatient visits for insomnia, sleep apnea, and prescriptions for sleep medications among US adults: findings from the National Ambulatory Medical Care Survey 1999-2010. SLEEP 2014;37(8):1283-1293. PMID:25083008

From the National Academies: Medical School Admissions Requirements and Undergraduate Science Education

ERIC Educational Resources Information Center

Labov, Jay B.

2005-01-01

This article focuses on a series of issues that may be of interest to college and university science faculty who educate undergraduates: requirements and policies for admission to medical school and their possible influences on undergraduate science education. The Center for Education of the National Research Council (NRC) and the Institute of…

National Medical Association

MedlinePlus

... Updates Health Care Reform Policy Letters & Statements Health Information Technology Mazique Symposium Resources Policy Beat Links Contact Us Education About NMA CME Continuing Medical Education CME Mission Statement About William ... Information Appointments Meeting and Delegate Criteria HOD Private Page ...

An empirical assessment of high-performing medical groups: results from a national study.

PubMed

Shortell, Stephen M; Schmittdiel, Julie; Wang, Margaret C; Li, Rui; Gillies, Robin R; Casalino, Lawrence P; Bodenheimer, Thomas; Rundall, Thomas G

2005-08-01

The performance of medical groups is receiving increased attention. Relatively little conceptual or empirical work exists that examines the various dimensions of medical group performance. Using a national database of 693 medical groups, this article develops a scorecard approach to assessing group performance and presents a theory-driven framework for differentiating between high-performing versus low-performing medical groups. The clinical quality of care, financial performance, and organizational learning capability of medical groups are assessed in relation to environmental forces, resource acquisition and resource deployment factors, and a quality-centered culture. Findings support the utility of the performance scorecard approach and identification of a number of key factors differentiating high-performing from low-performing groups including, in particular, the importance of a quality-centered culture and the requirement of outside reporting from third party organizations. The findings hold a number of important implications for policy and practice, and the framework presented provides a foundation for future research.

A simple thick target for production of 89Zr using an 11MeV cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Link, Jeanne M.; Krohn, Kenneth A.; O'Hara, Matthew J.

2017-04-01

The growing interest but limited availability of 89Zr for PET led us to test targets for the 89(p,n) reaction. The goal was an easily constructed target for an 11 MeV Siements cyclotron. Yttrium foils were tested at different thicknesses, angles and currents. A 90 degree foil tolerated 41 microAmp without damage and produced ~800 MBq/hr, >20 mCi, an amount adequate for radiochemistry research and human doses in a widely available accelerator. This method should translate to higher energy cyclotrons.

Vacuum system of the cyclotrons in VECC, Kolkata

DOE Office of Scientific and Technical Information (OSTI.GOV)

Roy, Anindya; Bhole, R.B.; Akhtar, J.

2011-07-01

The vacuum system of the K=130 Room Temperature Cyclotron (RTC) (operational since 1978) has been recently modernized and the same of the K{sub bend}=520 Superconducting Cyclotron (SCC), currently under commissioning, is being deployed for remote monitoring and control. The vacuum system of RTC is designed to achieve and maintain vacuum level of 2 X 10{sup -6} mbar inside 23 m{sup 3} volume of Resonator tank and DEE tank. This has been upgraded by replacing several valves, Freon units, gauges and pumps. The relay based manual control system has been replaced by PLC based automated system. The SCC vacuum system alsomore » has an elaborate arrangement comprising of turbo molecular pumping modules with associated isolation valves and characteristic gauges. This paper describes essential elements, typically used to obtain high (1X10{sup -7} mbar) vacuum using rotary pumps, diffusion pumps and cold traps/turbo-molecular pumps and other system components such as valves, gauges and baffles. The supervisory control methodology/scheme of both the vacuum systems, developed in-house using EPICS (Experimental Physics and Industrial Control System), a standard open-source software tool for designing distributed control system, is also elaborated here. (author)« less

Electromagnetic Electron Cyclotron Instability in the Solar Wind

NASA Astrophysics Data System (ADS)

Lazar, M.; Yoon, P. H.; López, R. A.; Moya, P. S.

2018-01-01

The abundant reports on the existence of electromagnetic high-frequency fluctuations in space plasmas have increased the expectations that theoretical modeling may help understand their origins and implications (e.g., kinetic instabilities and dissipation). This paper presents an extended quasi-linear approach of the electromagnetic electron cyclotron instability in conditions typical for the solar wind, where the anisotropic electrons (T⊥>T∥) exhibit a dual distribution combining a bi-Maxwellian core and bi-Kappa halo. Involving both the core and halo populations, the instability is triggered by the cumulative effects of these components, mainly depending of their anisotropies. The instability is not very sensitive to the shape of halo distribution function conditioned in this case by the power index κ. This result seems to be a direct consequence of the low density of electron halo, which is assumed more dilute than the core component in conformity with the observations in the ecliptic. Quasi-linear time evolutions predicted by the theory are confirmed by the particle-in-cell simulations, which also suggest possible explanations for the inherent differences determined by theoretical constraints. These results provide premises for an advanced methodology to characterize, realistically, the electromagnetic electron cyclotron instability and its implication in the solar wind.

78 FR 63231 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-23

... Wisconsin Avenue, Bethesda, MD 20814. Contact Person: Nina Sidorova, Ph.D., Scientific Review Officer..., Ph.D., Scientific Review Officer, Office of Scientific Review, National Institute of General Medical... Biological Chemistry Research; 93.862, Genetics and Developmental Biology Research; 93.88, Minority Access to...

78 FR 13364 - National Institute of General Medical Sciences; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-27

... Committee: National Institute of General Medical Sciences Special Emphasis Panel; Systems Biology Grant... Program Nos. 93.375, Minority Biomedical Research Support; 93.821, Cell Biology and Biophysics Research... Developmental Biology Research; 93.88, Minority Access to Research Careers; 93.96, Special Minority Initiatives...

A national survey of inpatient medication systems in English NHS hospitals

PubMed Central

2014-01-01

Background Systems and processes for prescribing, supplying and administering inpatient medications can have substantial impact on medication administration errors (MAEs). However, little is known about the medication systems and processes currently used within the English National Health Service (NHS). This presents a challenge for developing NHS-wide interventions to increase medication safety. We therefore conducted a cross-sectional postal census of medication systems and processes in English NHS hospitals to address this knowledge gap. Methods The chief pharmacist at each of all 165 acute NHS trusts was invited to complete a questionnaire for medical and surgical wards in their main hospital (July 2011). We report here the findings relating to medication systems and processes, based on 18 closed questions plus one open question about local medication safety initiatives. Non-respondents were posted another questionnaire (August 2011), and then emailed (October 2011). Results One hundred (61% of NHS trusts) questionnaires were returned. Most hospitals used paper-based prescribing on the majority of medical and surgical inpatient wards (87% of hospitals), patient bedside medication lockers (92%), patients’ own drugs (89%) and ‘one-stop dispensing’ medication labelled with administration instructions for use at discharge as well as during the inpatient stay (85%). Less prevalent were the use of ward pharmacy technicians (62% of hospitals) or pharmacists (58%) to order medications on the majority of wards. Only 65% of hospitals used drug trolleys; 50% used patient-specific inpatient supplies on the majority of wards. Only one hospital had a pharmacy open 24 hours, but all had access to an on-call pharmacist. None reported use of unit-dose dispensing; 7% used an electronic drug cabinet in some ward areas. Overall, 85% of hospitals had a double-checking policy for intravenous medication and 58% for other specified drugs. “Do not disturb” tabards

A national survey of inpatient medication systems in English NHS hospitals.

PubMed

McLeod, Monsey; Ahmed, Zamzam; Barber, Nick; Franklin, Bryony Dean

2014-02-27

Systems and processes for prescribing, supplying and administering inpatient medications can have substantial impact on medication administration errors (MAEs). However, little is known about the medication systems and processes currently used within the English National Health Service (NHS). This presents a challenge for developing NHS-wide interventions to increase medication safety. We therefore conducted a cross-sectional postal census of medication systems and processes in English NHS hospitals to address this knowledge gap. The chief pharmacist at each of all 165 acute NHS trusts was invited to complete a questionnaire for medical and surgical wards in their main hospital (July 2011). We report here the findings relating to medication systems and processes, based on 18 closed questions plus one open question about local medication safety initiatives. Non-respondents were posted another questionnaire (August 2011), and then emailed (October 2011). One hundred (61% of NHS trusts) questionnaires were returned. Most hospitals used paper-based prescribing on the majority of medical and surgical inpatient wards (87% of hospitals), patient bedside medication lockers (92%), patients' own drugs (89%) and 'one-stop dispensing' medication labelled with administration instructions for use at discharge as well as during the inpatient stay (85%). Less prevalent were the use of ward pharmacy technicians (62% of hospitals) or pharmacists (58%) to order medications on the majority of wards. Only 65% of hospitals used drug trolleys; 50% used patient-specific inpatient supplies on the majority of wards. Only one hospital had a pharmacy open 24 hours, but all had access to an on-call pharmacist. None reported use of unit-dose dispensing; 7% used an electronic drug cabinet in some ward areas. Overall, 85% of hospitals had a double-checking policy for intravenous medication and 58% for other specified drugs. "Do not disturb" tabards/overalls were routinely used during nurses

Preparing Academic Medical Centers for the Clinical Learning Environment Review: Alliance of Independent Academic Medical Centers National Initiative IV Outcomes and Evaluation

PubMed Central

Wehbe-Janek, Hania; Markova, Tsveti; Polis, Rachael L.; Peters, Marguerite; Liu, Yang

2016-01-01

Background: Driven by changes to improve quality in patient care and population health while reducing costs, evolvement of the health system calls for restructuring health professionals' education and aligning it with the healthcare delivery system. In response to these changes, the Accreditation Council for Graduate Medical Education's Clinical Learning Environment Review (CLER) encourages the integration of health system leadership, faculty, and residents in restructuring graduate medical education (GME). Innovative approaches to achieving this restructuring and the CLER objectives are essential. Methods: The Alliance of Independent Academic Medical Centers National Initiative (NI) IV provided a multiinstitutional learning collaborative focused on supporting GME redesign. From October 2013 through March 2015, participants conducted relevant projects, attended onsite meetings, and participated in teleconferences and webinars addressing the CLER areas. Participants shared best practices, resources, and experiences. We designed a pre/post descriptive study to examine outcomes. Results: Thirty-three institutions completed NI IV, and at its conclusion, the majority reported greater CLER readiness compared with baseline. Twenty-two (88.0%) institutions reported that NI IV had a great impact on advancing their efforts in the CLER area of their project focus, and 15 (62.5%) reported a great impact in other CLER focus areas. Opportunities to share progress with other teams and the national group meetings were reported to contribute to teams' success. Conclusion: The NI IV learning collaborative prepared institutions for CLER, suggesting successful integration of the clinical and educational enterprises. We propose that national learning collaboratives of GME-sponsoring health systems enable advancement of their education mission, leading ultimately to better healthcare outcomes. This learning model may be generalizable to newfound programs for academic medical centers

Self-reported study habits for enhancing medical students’ performance in the National Medical Unified Examination

PubMed Central

Idris, Amr; Al Saadi, Tareq; Edris, Basel; Sawaf, Bisher; Zakaria, Mhd. Ismael; Alkhatib, Mahmoud; Turk, Tarek

2016-01-01

Background: The National Medical Unified Examination (NMUE) is currently required for graduation, joining postgraduate medical training, and practicing medicine in Syria. Objective: To investigate self-reported study habits that correlate with high performance on the NMUE. Methods: First through 3rd year residents at the three main hospitals in Damascus, Syria, were asked to complete a retrospective cross-sectional survey investigating their study habits and previous scores. Results: Significantly higher score was associated with >15 study h/day and allocating 1–40% of study time for practicing questions. Mean NMUE score was not significantly different in relation to preparation months for examination or for those who reported spending all their time studying alone compared with spending any amount of time in a group setting. Scores of 231–240 on the Syrian scientific high school exam correlated with significantly higher NMUE performance compared with fewer scores, except scores of 221–230. For every 10 point increase in medical school cumulative grades, the NMUE score increased 3.6 (95% confidence interval 2.5–4.8). Conclusion: The NMUE score was significantly affected by hours spent studying per day, number of practice questions completed, percentage of study time allocated for doing questions, Syrian scientific high school exam scores, and the cumulative medical school class grades. It was not significantly affected by preparation months or studying in a group setting. More studies are needed to further describe and investigate the factors that might affect performance in the NMUE. PMID:27144140

Medical countermeasures for national security: a new government role in the pharmaceuticalization of society.

PubMed

Elbe, Stefan; Roemer-Mahler, Anne; Long, Christopher

2015-04-01

How do governments contribute to the pharmaceuticalization of society? Whilst the pivotal role of industry is extensively documented, this article shows that governments too are accelerating, intensifying and opening up new trajectories of pharmaceuticalization in society. Governments are becoming more deeply invested in pharmaceuticals because their national security strategies now aspire to defend populations against health-based threats like bioterrorism and pandemics. To counter those threats, governments are acquiring and stockpiling a panoply of 'medical countermeasures' such as antivirals, next-generation vaccines, antibiotics and anti-toxins. More than that, governments are actively incentivizing the development of many new medical countermeasures--principally by marshaling the state's unique powers to introduce exceptional measures in the name of protecting national security. At least five extraordinary policy interventions have been introduced by governments with the aim of stimulating the commercial development of novel medical countermeasures: (1) allocating earmarked public funds, (2) granting comprehensive legal protections to pharmaceutical companies against injury compensation claims, (3) introducing bespoke pathways for regulatory approval, (4) instantiating extraordinary emergency use procedures allowing for the use of unapproved medicines, and (5) designing innovative logistical distribution systems for mass drug administration outside of clinical settings. Those combined efforts, the article argues, are spawning a new, government-led and quite exceptional medical countermeasure regime operating beyond the conventional boundaries of pharmaceutical development and regulation. In the first comprehensive analysis of the pharmaceuticalization dynamics at play in national security policy, this article unearths the detailed array of policy interventions through which governments too are becoming more deeply imbricated in the pharmaceuticalization of

Medical teachers' perception of professional roles in the framework of the German National Competence-Based Learning Objectives for Undergraduate Medical Education (NKLM)-A multicenter study.

PubMed

Griewatz, Jan; Wiechers, Steffen; Ben-Karacobanim, Hadiye; Lammerding-Koeppel, Maria

2016-11-01

Based on CanMEDS and others, the German National Competence-Based Learning Objectives for Undergraduate Medical Education (NKLM) were recently consented. International studies recommend integrating national and cultural context when transferring a professional roles framework in different countries. Teachers' misconceptions may establish barriers in role understanding and implementation. The aim is to analyze medical teachers' rating and perception of NKLM roles in order to reveal differences to official definitions. A two-step sequential mixed methods design was used including a survey and focus groups with N = 80 medical teachers from four German universities. Most of the teachers highly valued the importance of the role "Medical Expert" and understood comprehensively. The Communicator and the Collaborator were rated fairly and perceived to a large extent. Other intrinsic roles like Health Advocate and Scholar showed more deficits in perception and less importance by the participants. This was seen generally problematic and should be considered carefully. Manager and professional showed one-sided weaknesses either in importance or perception. Medical teachers considered NKLM roles relevant for medical practice, although their role perception differed considerably. The value and risk matrix visualizes the specific role profile and offers strategic implications for NKLM communication and handling, thus supporting change management.

Dispersion equation for electrostatic ion cyclotron instability under the effect of ionization in a dusty plasma

NASA Astrophysics Data System (ADS)

Singh, Sukhmander

2018-05-01

In the present paper we derive the plasma dispersion equation under the effect of ionization rate in a dust plasma to investigate the electrostatic ion cyclotron instability, where dust charge fluctuation is absent. It has one of the lowest threshold drift velocities among all the current-driven instabilities in isothermal plasma. The Electrostatic ion cyclotron instability in a dusty plasma containing electrons, light ions, and massive negatively charged dust grains which can be investigated both experimentally and theoretically.

Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention.

PubMed

Harris, Yael; Hu, Dale J; Lee, Christine; Mistry, Mishale; York, Andrew; Johnson, Tisha K

2015-08-01

Adverse drug events (ADEs) are important contributors to preventable morbidity and mortality, comprising one third of all hospital adverse events. In response to growing evidence detailing the high prevalence of ADEs, particularly among vulnerable older adults, Congress requested that the Secretary of the Department of Health and Human Services (HHS) convene a Federal Interagency Steering Committee to establish a National Action Plan to focus on ADE prevention. In August 2014, the Office of Disease Prevention and Health Promotion released the final version of the National Action Plan for Adverse Drug Event Prevention. The Action Plan directly supports the goals of the HHS Strategic Plan and the Patient Protection and Affordable Care Act by providing guidance on tracking and preventing ADEs, as well as describing evidence-based tools and resources to enhance medication safety. ADE ACTION PLAN CONTENT: The Federal Interagency Steering Committee focused the Action Plan on ADEs that are clinically significant, account for the greatest number of measurable harms as identified by using existing surveillance tools, and are largely preventable. As such, the decision was made to target three medication classes: anticoagulants, diabetes agents (insulin and oral hypoglycemic agents), and opioids. The Action Plan is organized around four key areas: surveillance; evidence-based prevention; payment, policy incentives, and oversight; and research opportunities to advance medication safety. One measure of the ADE Action Plan's success will be the wider dissemination of information and educational resources to providers and patients (or consumers) regarding the risks associated with medications. Future Action Plan iterations are likely to consider other high-priority medication classes and update the recommendations.

A simple thick target for production of 89Zr using an 11 MeV cyclotron

PubMed Central

Link, Jeanne M.; Krohn, Kenneth A.; O’Hara, Matthew J.

2017-01-01

The growing interest but limited availability of 89Zr for PET led us to test targets for the 89Y(p,n) reaction. The goal was an easily constructed target for an 11 MeV Siemens cyclotron. Yttrium foils were tested at different thicknesses, angles and currents. A 90° foil tolerated 41 μA without damage and produced ~800 MBq/h, > 20 mCi, an amount adequate for radiochemistry research and human doses in a widely available accelerator. This method should translate to higher energy cyclotrons. PMID:28187357

Does the UKCAT predict performance on exit from medical school? A national cohort study

PubMed Central

Cleland, J A; Ayansina, D; Nicholson, S

2016-01-01

Objectives Most UK medical programmes use aptitude tests during student selection, but large-scale studies of predictive validity are rare. This study assesses the UK Clinical Aptitude Test (UKCAT: http://www.ukcat.ac.uk), and 4 of its subscales, along with individual and contextual socioeconomic background factors, as predictors of performance during, and on exit from, medical school. Methods This was an observational study of 6294 medical students from 30 UK medical programmes who took the UKCAT from 2006 to 2008, for whom selection data from the UK Foundation Programme (UKFPO), the next stage of UK medical education training, were available in 2013. We included candidate demographics, UKCAT (cognitive domains; total scores), UKFPO Educational Performance Measure (EPM) and national exit situational judgement test (SJT). Multilevel modelling was used to assess relationships between variables, adjusting for confounders. Results The UKCAT—as a total score and in terms of the subtest scores—has significant predictive validity for performance on the UKFPO EPM and SJT. UKFPO performance was also affected positively by female gender, maturity, white ethnicity and coming from a higher social class area at the time of application to medical school An inverse pattern was seen for a contextual measure of school, with those attending fee-paying schools performing significantly more weakly on the EPM decile, the EPM total and the total UKFPO score, but not the SJT, than those attending other types of school. Conclusions This large-scale study, the first to link 2 national databases—UKCAT and UKFPO, has shown that UKCAT is a predictor of medical school outcome. The data provide modest supportive evidence for the UKCAT's role in student selection. The conflicting relationships of socioeconomic contextual measures (area and school) with outcome adds to wider debates about the limitations of these measures, and indicates the need for further research. PMID:27855088

Further dissemination of medical education projects after presentation at a pediatric national meeting (1998-2008).

PubMed

Smith, Sherilyn; Kind, Terry; Beck, Gary; Schiller, Jocelyn; McLauchlan, Heather; Harris, Mitchell; Gigante, Joseph

2014-01-01

Further dissemination of medical education work presented at national meetings is limited. The purpose of this study was to explore dissemination outcomes of scholarly work in pediatric medical education. Council on Medical Student Education in Pediatrics (COMSEP) members who presented at COMSEP national meetings from 1998 to 2008 received a questionnaire about scholarly dissemination outcomes. Descriptive statistics and chi-square analysis explored variables related to dissemination. Qualitative analysis of free text comments explored barriers to dissemination. Outcomes were determined for 81% of presentations (138/171). The dissemination rate was 67% (92/138 presentations), with 47 publications (34%). Dissemination rates did not vary by presentation type (poster vs. oral) or project type. There was no relationship between presentation type, project type, and dissemination method. Barriers included perceived inadequate time, mentorship, and methodological skills for scholarly work. Most projects were further disseminated. Additional resources including mentoring and protected time for scholarly work are needed by educators to optimize dissemination.

Ion cyclotron waves near comet C/2013 A1 (Siding Spring) and Mars

NASA Astrophysics Data System (ADS)

Crary, F. J.; Dols, V. J.; Connerney, J. E. P.; Espley, J. R.

2014-12-01

On October 19, 2014, comet C/2013 A1 (Siding Spring) passed approximately 135,000 km from Mars. Previously,we predicted the amplitude of ion cyclotron waves which might be observed during the Siding Spring encounter. Ioncyclotron waves have been observed both in the vicinity of comets and of Mars. These waves are generated by theionization of neutrals in the flowing solar wind, which produces an unstable ring-beam velocity distribution. We estimated that, for a production rate of 2x1028 s-1, ion cyclotron wave with amplitudes over 0.1 nT would be present within ‡5 hours (1.2 million km) of closest approach. We will compare the actual observations made by the MAVEN spacecraft with these predictions. The spacecraft was close to or downstream of the martian bow shock, which complicates the interpretation of the data. Taking thisinto account, we will describe the observations and their implications for wave activity and cometary neutral production. We also present updated hybrid simulations of ion cyclotron wave generation. The simulations use our best estimate of solar wind conditions at the time of the encounter and a variable injection of 18 AMU pickup ions, at a rates consistent a model of the cometary neutrals.

National Estimates of Antidepressant Medication Use among U.S. Children, 1997-2002

ERIC Educational Resources Information Center

Vitiello, Benedetto; Zuvekas, Samuel H.; Norquist, Grayson S.

2006-01-01

Objective: A threefold increase in the use of antidepressants has been reported among children (18 years old and younger) between 1987 (0.3%) and 1996 (1.0%). The aim of this study was to determine whether pediatric use of antidepressants continued to rise at a national level during the period 1997-2002. Method: The Medical Expenditure Panel…

Discrepancies between the electronic medical record, the prescriptions in the Swedish national prescription repository and the current medication reported by patients.

PubMed

Ekedahl, Anders; Brosius, Helen; Jönsson, Julia; Karlsson, Hanna; Yngvesson, Maria

2011-11-01

To study discrepancies between (i) the prescribed current treatment stated by patients with congestive heart failure (CHF) compared with patients with other chronic diseases, (ii) the data in the medication list (ML) in the electronic medical record and (iii) the data in the prescription list (PL) on the prescriptions stored in the national prescription repository in Sweden, to determine current, noncurrent, duplicate and missing prescriptions. At one healthcare centre, a random sample of patients 18 years and older with a diagnosis of CHF, diabetes mellitus (DM) or osteoarthritis (OA) provided written informed consent to participate. Participants were interviewed by telephone on the prescribed current treatment. Of 161 invited patients (61 CHF, 50 DM and 50 OA), 66 patients were included. More than 80% of the patients had at least one discrepancy, a noncurrent, a duplicate or a missing prescription, in the ML and PL. The overall congruence for unique prescriptions on current treatment between the ML and the PL was only 55%. Patients with CHF had overall more discrepancies and patients with DM fewer discrepancies in the ML. Prescriptions for noncurrent treatment, duplicates and missing prescriptions are common in both the ML in the electronic medical record and the list on prescriptions stored in the Swedish National Prescription Repository. Patients with CHF had more discrepancies in the ML. The risk for medication errors in primary care due to incorrect information on prescribed treatment may be substantial. Copyright © 2011 John Wiley & Sons, Ltd.

Influence of Continuing Medical Education on Rheumatologists' Performance on National Quality Measures for Rheumatoid Arthritis.

PubMed

Sapir, Tamar; Rusie, Erica; Greene, Laurence; Yazdany, Jinoos; Robbins, Mark L; Ruderman, Eric M; Carter, Jeffrey D; Patel, Barry; Moreo, Kathleen

2015-12-01

In recent years researchers have reported deficits in the quality of care provided to patients with rheumatoid arthritis (RA), including low rates of performance on quality measures. We sought to determine the influence of a quality improvement (QI) continuing education program on rheumatologists' performance on national quality measures for RA, along with other measures aligned with National Quality Strategy priorities. Performance was assessed through baseline and post-education chart audits. Twenty community-based rheumatologists across the United States were recruited to participate in the QI education program and chart audits. Charts were retrospectively audited before (n = 160 charts) and after (n = 160 charts) the rheumatologists participated in a series of accredited QI-focused educational activities that included private audit feedback, small-group webinars, and online- and mobile-accessible print and video activities. The charts were audited for patient demographics and the rheumatologists' documented performance on the 6 quality measures for RA included in the Physician Quality Reporting System (PQRS). In addition, charts were abstracted for documentation of patient counseling about medication benefits/risks and adherence, lifestyle modifications, and quality of life; assessment of RA medication side effects; and assessment of RA medication adherence. Mean rates of documented performance on 4 of the 6 PQRS measures for RA were significantly higher in the post-education versus baseline charts (absolute increases ranged from 9 to 24% of patient charts). In addition, after the intervention, significantly higher mean rates were observed for patient counseling about medications and quality of life, and for assessments of medication side effects and adherence (absolute increases ranged from 9 to 40% of patient charts). This pragmatic study provides preliminary evidence for the positive influence of QI-focused education in helping rheumatologists improve

Status of the cyclotron/P.E.T. facility at the State University of New York at Buffalo

DOE Office of Scientific and Technical Information (OSTI.GOV)

Toorongian, S.A.; Haka, M.S.

1994-12-31

A new P.E.T./Cyclotron facility has been constructed on the Main St. campus of the State University of New York at Buffalo to service the needs of Nuclear Medicine departments in Buffalo and throughout the Western New York area. This facility is jointly funded and operated by S.U.N.Y. and the Veterans Administration. The cyclotron, as well as the research labs and a nuclear pharmacy to prepare non-positron emitting radiopharmaceuticals, are located in a newly constructed facility on campus. The P.E.T. scanner is located in the Veterans Administration Hospital adjacent to the campus. The two annexes are connected by a pneumatic transportmore » {open_quotes}rabbit{close_quotes} system. The cyclotron and all radiopharmaceutical synthesis apparatus have been purchased from Ion Beam Applications s.a. of Lovain-la-Neuve Belgium.« less

A Summary of Expenditures and Sources of Payment for Personal Health Services from the National Medical Care Expenditure Survey: Data Preview 24. National Health Care Expenditure Study.

ERIC Educational Resources Information Center

Kasper, Judith A.; And Others

The National Center for Health Services Research and Health Care Technology Assessment conducted a study to examine how Americans use health care services and to determine national patterns of health expenditures and insurance coverage. Data were obtained from the National Medical Care Expenditure Survey interviews conducted with 14,000 randomly…

Use of a krypton isotope for rapid ion changeover at the Lawrence Berkeley Laboratory 88-inch cyclotron

NASA Technical Reports Server (NTRS)

Soli, George A.; Nichols, Donald K.

1989-01-01

An isotope of krypton, Kr86, has been combined with a mix of Ar, Ne, and N ions at the electron cyclotron resonance (ECR) source, at the Lawrence Berkeley Laboratory cyclotron, to provide rapid ion changeover in Single Event Phenomena (SEP) testing. The new technique has been proved out successfully by a recent Jet Propulsion Laboratory (JPL) test in which it was found that there was no measurable contamination from other isotopes.

The rising level of medical student debt: potential risk for a national default.

PubMed

Ariyan, S

2000-04-01

At the turn of the 20th century, mostly as a result of the Flexner report, medical education changed dramatically by establishing a scientific basis for the study of medicine within the institutions of the major universities. There have been major and dramatic changes in medicine during the past 80 years that have improved medical education in the United States, but these changes have also placed major economic strains on students who have educational debts. If medicine is a social responsibility to the public, then the public should share the responsibility of identifying and supporting new approaches to funding and financially managing the teaching of future physicians. There is no universal solution because there are various approaches institutions may take to structure these financial responsibilities. This article describes trends in medical student educational debt, identifies the financial needs of medical students, and proposes ways of addressing those needs to avert a possible national financial crisis among medical students. We must invest in medical students because they will be the leaders we need to help care for our society and our own families in the next century.

STEREO and Wind Observations of Intense Cyclotron Harmonic Waves at the Earth's Bow Shock and Inside the Magnetosheath

NASA Technical Reports Server (NTRS)

Breneman, A. W.; Cattell, C.

2013-01-01

We present the first observations of electron cyclotron harmonic waves at the Earth's bow shock from STEREO and Wind burst waveform captures. These waves are observed at magnetic field gradients at a variety of shock geometries ranging from quasi-parallel to nearly perpendicular along with whistler mode waves, ion acoustic waves, and electrostatic solitary waves. Large amplitude cyclotron harmonic waveforms are also observed in the magnetosheath in association with magnetic field gradients convected past the bow shock. Amplitudes of the cyclotron harmonic waves range from a few tens to more than 500 millivolts/meter peak-peak. A comparison between the short (15 meters) and long (100 meters) Wind spin plane antennas shows a similar response at low harmonics and a stronger response on the short antenna at higher harmonics. This indicates that wavelengths are not significantly larger than 100 meters, consistent with the electron cyclotron radius. Waveforms are broadband and polarizations are distinctively comma-shaped with significant power both perpendicular and parallel to the magnetic field. Harmonics tend to be more prominent in the perpendicular directions. These observations indicate that the waves consist of a combination of perpendicular Bernstein waves and field-aligned waves without harmonics. A likely source is the electron cyclotron drift instability which is a coupling between Bernstein and ion acoustic waves. These waves are the most common type of high-frequency wave seen by STEREO during bow shock crossings and magnetosheath traversals and our observations suggest that they are an important component of the high-frequency turbulent spectrum in these regions.

Nonlinear collisionless electron cyclotron interaction in the pre-ionisation stage

NASA Astrophysics Data System (ADS)

Farina, D.

2018-06-01

Electron cyclotron (EC) wave-particle interaction is theoretically investigated in the pre-ionisation phase, much before collisions and other mechanisms can play a role. In the very first phase of a plasma discharge with EC-assisted breakdown, the motion of an electron at room temperature in a static magnetic field under the action of a localised microwave beam is nonlinear, and transition to states of larger energy can occur via wave trapping. Within a Hamiltonian adiabatic formalism, the conditions at which the particles gain energy in single beam crossing are derived in a rigorous way, and the energy variation is characterized quantitatively as a function of the wave frequency, harmonic number, polarisation and EC power and beam width. Estimates of interest for applications to tokamak start-up are obtained for the first, second and third cyclotron harmonic. The investigation confirms that electrons can easily gain energies well above the ionisation energy in most conditions at the first two harmonics, while not at the third harmonic, as observed in experiments.

The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States.

PubMed

Slight, Sarah P; Seger, Diane L; Franz, Calvin; Wong, Adrian; Bates, David W

2018-06-22

To estimate the national cost of ADEs resulting from inappropriate medication-related alert overrides in the U.S. inpatient setting. We used three different regression models (Basic, Model 1, Model 2) with model inputs taken from the medical literature. A random sample of 40 990 adult inpatients at the Brigham and Women's Hospital (BWH) in Boston with a total of 1 639  294 medication orders was taken. We extrapolated BWH medication orders using 2014 National Inpatient Sample (NIS) data. Using three regression models, we estimated that 29.7 million adult inpatient discharges in 2014 resulted in between 1.02 billion and 1.07 billion medication orders, which in turn generated between 75.1 million and 78.8 million medication alerts, respectively. Taking the basic model (78.8 million), we estimated that 5.5 million medication-related alerts might have been inappropriately overridden, resulting in approximately 196 600 ADEs nationally. This was projected to cost between $871 million and $1.8 billion for treating preventable ADEs. We also estimated that clinicians and pharmacists would have jointly spent 175 000 hours responding to 78.8 million alerts with an opportunity cost of $16.9 million. These data suggest that further optimization of hospitals computerized provider order entry systems and their associated clinical decision support is needed and would result in substantial savings. We have erred on the side of caution in developing this range, taking two conservative cost estimates for a preventable ADE that did not include malpractice or litigation costs, or costs of injuries to patients.

Design and Weighting Methods for a Nationally Representative Sample of HIV-infected Adults Receiving Medical Care in the United States-Medical Monitoring Project

PubMed Central

Iachan, Ronaldo; H. Johnson, Christopher; L. Harding, Richard; Kyle, Tonja; Saavedra, Pedro; L. Frazier, Emma; Beer, Linda; L. Mattson, Christine; Skarbinski, Jacek

2016-01-01

Background: Health surveys of the general US population are inadequate for monitoring human immunodeficiency virus (HIV) infection because the relatively low prevalence of the disease (<0.5%) leads to small subpopulation sample sizes. Objective: To collect a nationally and locally representative probability sample of HIV-infected adults receiving medical care to monitor clinical and behavioral outcomes, supplementing the data in the National HIV Surveillance System. This paper describes the sample design and weighting methods for the Medical Monitoring Project (MMP) and provides estimates of the size and characteristics of this population. Methods: To develop a method for obtaining valid, representative estimates of the in-care population, we implemented a cross-sectional, three-stage design that sampled 23 jurisdictions, then 691 facilities, then 9,344 HIV patients receiving medical care, using probability-proportional-to-size methods. The data weighting process followed standard methods, accounting for the probabilities of selection at each stage and adjusting for nonresponse and multiplicity. Nonresponse adjustments accounted for differing response at both facility and patient levels. Multiplicity adjustments accounted for visits to more than one HIV care facility. Results: MMP used a multistage stratified probability sampling design that was approximately self-weighting in each of the 23 project areas and nationally. The probability sample represents the estimated 421,186 HIV-infected adults receiving medical care during January through April 2009. Methods were efficient (i.e., induced small, unequal weighting effects and small standard errors for a range of weighted estimates). Conclusion: The information collected through MMP allows monitoring trends in clinical and behavioral outcomes and informs resource allocation for treatment and prevention activities. PMID:27651851

Implicit and explicit weight bias in a national sample of 4,732 medical students: the medical student CHANGES study.

PubMed

Phelan, Sean M; Dovidio, John F; Puhl, Rebecca M; Burgess, Diana J; Nelson, David B; Yeazel, Mark W; Hardeman, Rachel; Perry, Sylvia; van Ryn, Michelle

2014-04-01

To examine the magnitude of explicit and implicit weight biases compared to biases against other groups; and identify student factors predicting bias in a large national sample of medical students. A web-based survey was completed by 4,732 1st year medical students from 49 medical schools as part of a longitudinal study of medical education. The survey included a validated measure of implicit weight bias, the implicit association test, and 2 measures of explicit bias: a feeling thermometer and the anti-fat attitudes test. A majority of students exhibited implicit (74%) and explicit (67%) weight bias. Implicit weight bias scores were comparable to reported bias against racial minorities. Explicit attitudes were more negative toward obese people than toward racial minorities, gays, lesbians, and poor people. In multivariate regression models, implicit and explicit weight bias was predicted by lower BMI, male sex, and non-Black race. Either implicit or explicit bias was also predicted by age, SES, country of birth, and specialty choice. Implicit and explicit weight bias is common among 1st year medical students, and varies across student factors. Future research should assess implications of biases and test interventions to reduce their impact. Copyright © 2013 The Obesity Society.

Electron cyclotron maser instability in the solar corona - The role of superthermal tails

NASA Technical Reports Server (NTRS)

Vlahos, L.; Sharma, R. R.

1985-01-01

The effect of a superthermal component of electrons on the loss-cone-driven electron cyclotron maser instability is analyzed. It is found that for a superthermal tail with temperature about 10 KeV, the first harmonic (X- and O-mode) is suppressed for n(t)/n(r) of about 1 (n/t/ and n/r/ are the densities of superthermal tail and loss-cone electrons) and the second harmonic (X- and O-modes) is suppressed for n(t)/n(r) less than about 0.1. A qualitative discussion on the formation of superthermal tails is presented and it is suggested that superthermal tails play an important role on the observed or available power, at microwave frequencies, from the electron cyclotron maser instability in the solar corona.

Quantifying Fusion Born Ion Populations in Magnetically Confined Plasmas using Ion Cyclotron Emission

NASA Astrophysics Data System (ADS)

Carbajal, L.; Dendy, R. O.; Chapman, S. C.; Cook, J. W. S.

2017-03-01

Ion cyclotron emission (ICE) offers a unique promise as a diagnostic of the fusion born alpha-particle population in magnetically confined plasmas. Pioneering observations from JET and TFTR found that ICE intensity PICE scales approximately linearly with the measured neutron flux from fusion reactions, and with the inferred concentration, nα/ni, of fusion born alpha particles confined within the plasma. We present fully nonlinear self-consistent kinetic simulations that reproduce this scaling for the first time. This resolves a long-standing question in the physics of fusion alpha-particle confinement and stability in magnetic confinement fusion plasmas. It confirms the magnetoacoustic cyclotron instability as the likely emission mechanism and greatly strengthens the basis for diagnostic exploitation of ICE in future burning plasmas.

Quantifying Fusion Born Ion Populations in Magnetically Confined Plasmas using Ion Cyclotron Emission.

PubMed

Carbajal, L; Dendy, R O; Chapman, S C; Cook, J W S

2017-03-10

Ion cyclotron emission (ICE) offers a unique promise as a diagnostic of the fusion born alpha-particle population in magnetically confined plasmas. Pioneering observations from JET and TFTR found that ICE intensity P_{ICE} scales approximately linearly with the measured neutron flux from fusion reactions, and with the inferred concentration, n_{α}/n_{i}, of fusion born alpha particles confined within the plasma. We present fully nonlinear self-consistent kinetic simulations that reproduce this scaling for the first time. This resolves a long-standing question in the physics of fusion alpha-particle confinement and stability in magnetic confinement fusion plasmas. It confirms the magnetoacoustic cyclotron instability as the likely emission mechanism and greatly strengthens the basis for diagnostic exploitation of ICE in future burning plasmas.

Household out-of-pocket medical expenditures and national health insurance in Taiwan: income and regional inequality

PubMed Central

Chu, Tu-Bin; Liu, Tsai-Ching; Chen, Chin-Shyan; Tsai, Yi-Wen; Chiu, Wen-Ta

2005-01-01

Background Unequal geographical distribution of medical care resources and insufficient healthcare coverage have been two long-standing problems with Taiwan's public health system. The implementation of National Health Insurance (NHI) attempted to mitigate the inequality in health care use. This study examines the degree to which Taiwan's National Health Insurance (NHI) has reduced out-of-pocket medical expenditures in households in different regions and varying levels of income. Methods Data used in this study were drawn from the 1994 and 1996 Surveys of Family Income and Expenditure. We pooled the data from 1994 and 1996 and included a year dummy variable (NHI), equal to 1 if the household data came from 1996 in order to assess the impact of NHI on household out-of-pocket medical care expenditures shortly after its implementation in 1995. Results An individual who was older, female, married, unemployed, better educated, richer, head of a larger family household, or living in the central and eastern areas was more likely to have greater household out-of-pocket medical expenditures. NHI was found to have effectively reduced household out-of-pocket medical expenditures by 23.08%, particularly for more affluent households. With the implementation of NHI, lower and middle income quintiles had smaller decreases in out-of-pocket medical expenditure. NHI was also found to have reduced household out-of-pocket medical expenditures more for households in eastern Taiwan. Conclusion Although NHI was established to create free medical care for all, further effort is needed to reduce the medical costs for certain disadvantaged groups, particularly the poor and aborigines, if equality is to be achieved. PMID:16137336

Cyclotron resonance spectroscopy in a high mobility two dimensional electron gas using characteristic matrix methods.

PubMed

Hilton, David J

2012-12-31

We develop a new characteristic matrix-based method to analyze cyclotron resonance experiments in high mobility two-dimensional electron gas samples where direct interference between primary and satellite reflections has previously limited the frequency resolution. This model is used to simulate experimental data taken using terahertz time-domain spectroscopy that show multiple pulses from the substrate with a separation of 15 ps that directly interfere in the time-domain. We determine a cyclotron dephasing lifetime of 15.1 ± 0.5 ps at 1.5 K and 5.0 ± 0.5 ps at 75 K.

78 FR 11896 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-20

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Initial Review Group Training and Workforce Development Subcommittee D. Date: March 14-15, 2013... Sciences, National Institutes of Health, 45 Center Drive, Room 3An.18C, Bethesda, MD 20892, 301-594-2771...

An all permanent magnet electron cyclotron resonance ion source for heavy ion therapy

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cao, Yun, E-mail: caoyun@impcas.ac.cn; Li, Jia Qing; Sun, Liang Ting

2014-02-15

A high charge state all permanent Electron Cyclotron Resonance ion source, Lanzhou All Permanent ECR ion source no. 3-LAPECR3, has been successfully built at IMP in 2012, which will serve as the ion injector of the Heavy Ion Medical Machine (HIMM) project. As a commercial device, LAPECR3 features a compact structure, small size, and low cost. According to HIMM scenario more than 100 eμA of C{sup 5+} ion beam should be extracted from the ion source, and the beam emittance better than 75 π*mm*mrad. In recent commissioning, about 120 eμA of C{sup 5+} ion beam was got when work gasmore » was CH{sub 4} while about 262 eμA of C{sup 5+} ion beam was obtained when work gas was C{sub 2}H{sub 2} gas. The design and construction of the ion source and its low-energy transportation beam line, and the preliminary commissioning results will be presented in detail in this paper.« less

Electron cyclotron resonance ion source experience at the Heidelberg Ion Beam Therapy Centera)

NASA Astrophysics Data System (ADS)

Winkelmann, T.; Cee, R.; Haberer, T.; Naas, B.; Peters, A.; Scheloske, S.; Spädtke, P.; Tinschert, K.

2008-02-01

Radiotherapy with heavy ions is an upcoming cancer treatment method with to date unparalleled precision. It associates higher control rates particularly for radiation resistant tumor species with reduced adverse effects compared to conventional photon therapy. The accelerator beam lines and structures of the Heidelberg Ion Beam Therapy Center (HIT) have been designed under the leadership of GSI, Darmstadt with contributions of the IAP Frankfurt. Currently, the accelerator is under commissioning, while the injector linac has been completed. When the patient treatment begins in 2008, HIT will be the first medical heavy ion accelerator in Europe. This presentation will provide an overview about the project, with special attention given to the 14.5GHz electron cyclotron resonance (ECR) ion sources in operation with carbon, hydrogen, helium, and oxygen, and the experience of one year of continuous operation. It also displays examples for beam emittances, measured in the low energy beam transport. In addition to the outlook of further developments at the ECR ion sources for a continuously stable operation, this paper focuses on some of the technical processings of the past year.

Career choices of medical students: a national survey of 1780 students.

PubMed

Lefevre, Jérémie H; Roupret, Morgan; Kerneis, Solen; Karila, Laurent

2010-06-01

OBJECTIVES Many factors influence the career specialty decisions made by medical students. The aim of this study was to broaden consideration of the determinants of specialty choice in a large population of medical students in their sixth year of study. METHODS A total of 2588 students distributed across all of the 39 medical schools in France participated in a National Practice Examination in December 2008, after which an electronic questionnaire was administered. Study criteria were: population characteristics; demographics, and motivation for and drawbacks to medical specialty choice. RESULTS A total of 1780 students (1111 women, 62%) responded to the questionnaire (69% response rate). The mean age of respondents was 23.8 years (22-35 years). Of these, 1555 students (87%) stated their preferred medical specialty. Surgical and medical specialties were the two specialties selected most frequently by students (n = 729, 47%). General practice was chosen by 20%. Gender influenced the choice of specialty: 88% of future paediatricians, 82% of gynaecologists and 77% of general practitioners (GPs) were women (p < 0.05). Main motivating factors included interesting diseases, opportunities for private practice and patient contact. Main drawbacks limiting the choice of other specialties were poor quality of life, an exclusively hospital-based career and loss of patient contact. Gender was the criterion most associated with significant differences in factors of motivation for or discouragement from a career. Patient contact and opportunities for private practice were significantly highlighted by future GPs compared with students opting for the medical or surgical specialties (p < 0.0001). CONCLUSIONS Students' career choices regarding specialties or general practice result from the interplay among several factors. Career interest in general practice is particularly low. Initiatives to address the factors affecting student career choices regarding less favoured specialties

Accurate Monte Carlo modeling of cyclotrons for optimization of shielding and activation calculations in the biomedical field

NASA Astrophysics Data System (ADS)

Infantino, Angelo; Marengo, Mario; Baschetti, Serafina; Cicoria, Gianfranco; Longo Vaschetto, Vittorio; Lucconi, Giulia; Massucci, Piera; Vichi, Sara; Zagni, Federico; Mostacci, Domiziano

2015-11-01

Biomedical cyclotrons for production of Positron Emission Tomography (PET) radionuclides and radiotherapy with hadrons or ions are widely diffused and established in hospitals as well as in industrial facilities and research sites. Guidelines for site planning and installation, as well as for radiation protection assessment, are given in a number of international documents; however, these well-established guides typically offer analytic methods of calculation of both shielding and materials activation, in approximate or idealized geometry set up. The availability of Monte Carlo codes with accurate and up-to-date libraries for transport and interactions of neutrons and charged particles at energies below 250 MeV, together with the continuously increasing power of nowadays computers, makes systematic use of simulations with realistic geometries possible, yielding equipment and site specific evaluation of the source terms, shielding requirements and all quantities relevant to radiation protection. In this work, the well-known Monte Carlo code FLUKA was used to simulate two representative models of cyclotron for PET radionuclides production, including their targetry; and one type of proton therapy cyclotron including the energy selection system. Simulations yield estimates of various quantities of radiological interest, including the effective dose distribution around the equipment, the effective number of neutron produced per incident proton and the activation of target materials, the structure of the cyclotron, the energy degrader, the vault walls and the soil. The model was validated against experimental measurements and comparison with well-established reference data. Neutron ambient dose equivalent H*(10) was measured around a GE PETtrace cyclotron: an average ratio between experimental measurement and simulations of 0.99±0.07 was found. Saturation yield of 18F, produced by the well-known 18O(p,n)18F reaction, was calculated and compared with the IAEA recommended

RELATIVISTIC CYCLOTRON INSTABILITY IN ANISOTROPIC PLASMAS

DOE Office of Scientific and Technical Information (OSTI.GOV)

López, Rodrigo A.; Moya, Pablo S.; Muñoz, Víctor

2016-11-20

A sufficiently large temperature anisotropy can sometimes drive various types of electromagnetic plasma micro-instabilities, which can play an important role in the dynamics of relativistic pair plasmas in space, astrophysics, and laboratory environments. Here, we provide a detailed description of the cyclotron instability of parallel propagating electromagnetic waves in relativistic pair plasmas on the basis of a relativistic anisotropic distribution function. Using plasma kinetic theory and particle-in-cell simulations, we study the influence of the relativistic temperature and the temperature anisotropy on the collective and noncollective modes of these plasmas. Growth rates and dispersion curves from the linear theory show amore » good agreement with simulations results.« less

ARRONAX, a high-energy and high-intensity cyclotron for nuclear medicine.

PubMed

Haddad, Ferid; Ferrer, Ludovic; Guertin, Arnaud; Carlier, Thomas; Michel, Nathalie; Barbet, Jacques; Chatal, Jean-François

2008-07-01

This study was aimed at establishing a list of radionuclides of interest for nuclear medicine that can be produced in a high-intensity and high-energy cyclotron. We have considered both therapeutic and positron emission tomography radionuclides that can be produced using a high-energy and a high-intensity cyclotron such as ARRONAX, which will be operating in Nantes (France) by the end of 2008. Novel radionuclides or radionuclides of current limited availability have been selected according to the following criteria: emission of positrons, low-energy beta or alpha particles, stable or short half-life daughters, half-life between 3 h and 10 days or generator-produced, favourable dosimetry, production from stable isotopes with reasonable cross sections. Three radionuclides appear well suited to targeted radionuclide therapy using beta ((67)Cu, (47)Sc) or alpha ((211)At) particles. Positron emitters allowing dosimetry studies prior to radionuclide therapy ((64)Cu, (124)I, (44)Sc), or that can be generator-produced ((82)Rb, (68)Ga) or providing the opportunity of a new imaging modality ((44)Sc) are considered to have a great interest at short term whereas (86)Y, (52)Fe, (55)Co, (76)Br or (89)Zr are considered to have a potential interest at middle term. Several radionuclides not currently used in routine nuclear medicine or not available in sufficient amount for clinical research have been selected for future production. High-energy, high-intensity cyclotrons are necessary to produce some of the selected radionuclides and make possible future clinical developments in nuclear medicine. Associated with appropriate carriers, these radionuclides will respond to a maximum of unmet clinical needs.

A mechanism for beam-driven excitation of ion cyclotron harmonic waves in the Tokamak Fusion Test Reactor

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dendy, R.O.; McClements, K.G.; Lashmore-Davies, C.N.

1994-10-01

A mechanism is proposed for the excitation of waves at harmonics of the injected ion cyclotron frequencies in neutral beam-heated discharges in the Tokamak Fusion Test Reactor (TFTR) [[ital Proceedings] [ital of] [ital the] 17[ital th] [ital European] [ital Conference] [ital on] [ital Controlled] [ital Fusion] [ital and] [ital Plasma] [ital Heating] (European Physical Society, Petit-Lancy, Switzerland, 1990), p. 1540]. Such waves are observed to originate from the outer midplane edge of the plasma. It is shown that ion cyclotron harmonic waves can be destabilized by a low concentration of sub-Alfvenic deuterium or tritium beam ions, provided these ions havemore » a narrow distribution of speeds parallel to the magnetic field. Such a distribution is likely to occur in the edge plasma, close to the point of beam injection. The predicted instability gives rise to wave emission at propagation angles lying almost perpendicular to the field. In contrast to the magnetoacoustic cyclotron instability proposed as an excitation mechanism for fusion-product-driven ion cyclotron emission in the Joint European Torus (JET) [Phys. Plasmas [bold 1], 1918 (1994)], the instability proposed here does not involve resonant fast Alfven and ion Bernstein waves, and can be driven by sub-Alfvenic energetic ions. It is concluded that the observed emission from TFTR can be driven by beam ions.« less

[(Inter)national and regional health goals in academic social-medical education conception for teaching medical students at the Eberhard Karls University Tuebingen].

PubMed

Simoes, E; Hildenbrand, S; Rieger, M A

2012-07-01

Social medicine deals with the specific interactions between medicine and society within a constantly changing social environment. The Institute of Occupational and Social Medicine, University Hospital Tuebingen, focuses on this relationship within the academic teaching of the Medical Faculty. Many of the issues thus directly affect the national health objectives and especially the health targets of the state of Baden-Württemberg, summarised in the Health Strategy Baden-Wuerttemberg. In addition to the recommendations of the German Society for Social Medicine and Prevention (DGSMP) for the social medicine curriculum and the specific definition of the content by the Tuebingen medical faculty, national and regional health-care goals are also taken into account in the teaching conception. Classes are increasingly offered as training courses in small groups (seminars, group work with practical training), instead of classic lectures. These teaching methods allow the students to take part more actively in social medicine issues and to think and act within a comprehensive understanding of health management based on societal goals and the needs of a good health system. The concept is supported by the curriculum design element "log-book skills" of the Medical Faculty of Tuebingen. Feedback elements for teachers and students shape the further development of the concept. In dealing with real system data, practical experience on site and case vignettes, the students experience the links between societal influences, political objectives and medical action as well as the importance of accessibility of medical services for equity in health chances. The fact that advice and expertise play a crucial role in accessibility is a component to which too little attention is paid and calls for emphasis in the teaching concept. This teaching approach will deepen the understanding of the influence of psychosocial context factors and the conditions of the structural framework on the medical

Vacuum Ultraviolet Photodissociation and Fourier Transform-Ion Cyclotron Resonance (FT-ICR) Mass Spectrometry: Revisited.

PubMed

Shaw, Jared B; Robinson, Errol W; Paša-Tolić, Ljiljana

2016-03-15

We revisited the implementation of 193 nm ultraviolet photodissociation (UVPD) within the ion cyclotron resonance (ICR) cell of a Fourier transform-ion cyclotron resonance (FT-ICR) mass spectrometer. UVPD performance characteristics were examined in the context of recent developments in the understanding of UVPD and in-cell tandem mass spectrometry. Efficient UVPD and photo-ECD of a model peptide and proteins within the ICR cell of a FT-ICR mass spectrometer are accomplished through appropriate modulation of laser pulse timing, relative to ion magnetron motion and the potential applied to an ion optical element upon which photons impinge. It is shown that UVPD yields efficient and extensive fragmentation, resulting in excellent sequence coverage for model peptide and protein cations.

National Survey of Medical Spanish Curriculum in U.S. Medical Schools.

PubMed

Morales, Raymond; Rodriguez, Lauren; Singh, Angad; Stratta, Erin; Mendoza, Lydia; Valerio, Melissa A; Vela, Monica

2015-10-01

Patients with limited English proficiency (LEP) may be at risk for medical errors and worse health outcomes. Language concordance between patient and provider has been shown to improve health outcomes for Spanish-speaking patients. Nearly 40 % of Hispanics, a growing population in the United States, are categorized as having limited English proficiency. Many medical schools have incorporated a medical Spanish curriculum to prepare students for clinical encounters with LEP patients. To describe the current state of medical Spanish curricula at United States medical schools. The Latino Medical Student Association distributed an e-mail survey comprising 39 items to deans from each U.S. medical school from July 2012 through July 2014. This study was IRB-exempt. Eighty-three percent (110/132) of the U.S. medical schools completed the survey. Sixty-six percent (73/110) of these schools reported offering a medical Spanish curriculum. In addition, of schools with no curriculum, 32 % (12/37) planned to incorporate the curriculum within the next two years. Most existing curricula were elective, not eligible for course credit, and taught by faculty or students. Teaching modalities included didactic instruction, role play, and immersion activities. Schools with the curriculum reported that the diverse patient populations in their respective service areas and/or student interest drove course development. Barriers to implementing the curriculum included lack of time in students' schedules, overly heterogeneous student language skill levels, and a lack of financial resources. Few schools reported the use of validated instruments to measure language proficiency after completion of the curriculum. Growing LEP patient populations and medical student interest have driven the implementation of medical Spanish curricula at U.S. medical schools, and more schools have plans to incorporate this curriculum in the near future. Studies are needed to reveal best practices for developing and

Improved ion optics for introduction of ions into a 9.4-T Fourier transform ion cyclotron resonance mass spectrometer

DOE PAGES

Chen, Yu; Leach, Franklin E.; Kaiser, Nathan K.; ...

2015-01-19

Fourier transform ion cyclotron resonance (FT-ICR) mass spectrometry provides unparalleled mass accuracy and resolving power.[1],[2] With electrospray ionization (ESI), ions are typically transferred into the mass spectrometer through a skimmer, which serves as a conductance-limiting orifice. However, the skimmer allows only a small fraction of incoming ions to enter the mass spectrometer. An ion funnel, originally developed by Smith and coworkers at Pacific Northwest National Laboratory (PNNL)[3-5] provides much more efficient ion focusing and transfer. The large entrance aperture of the ion funnel allows almost all ions emanating from a heated capillary to be efficiently captured and transferred, resulting inmore » nearly lossless transmission.« less

Experimental observation of ion-cyclotron turbulence in the presence of transverse-velocity shear. Ph.D. Thesis

DOE Office of Scientific and Technical Information (OSTI.GOV)

Amatucci, W.E.

1994-01-01

This laboratory investigation documents the influence of transverse, localized, dc electric fields (TLE) on the excitation of ion-cyclotron waves driven by magnetic field-aligned current (FAC) in a Q-machine plasma device. A segmented disk electrode, located on axis at the end of the plasma column, is used to independently control TLE and FAC in the plasma (potassium plasma, n approximately equals 10(exp 9) cm(exp {minus}3), rho(i) approximately equals 0.2 cm, T(e) = T(i) approximately equals 0.2 eV). Ion-cyclotron waves have been characterized in both the weak-TLE and large-FAC regime and the strong-TLE and small-FAC regime. The existence of a new categorymore » of oscillation identified as the inhomogeneous energy-density driven (IEDD) instability is verified based on the properties of the waves in the latter regime. In the weak-TLE regime, current-driven electrostatic ion-cyclotron (CDEIC) waves with features in qualitative agreement with previous laboratory results have been observed at sufficiently large FAC. These waves have a frequency spectrum with a single narrow spectral feature located slightly above the ion-cyclotron frequency (omega approximately equals 1.2 Omega(i)). The waves are standing in the radial direction with peak oscillation amplitude located in the center of the FAC channel and are azimuthally symmetric (m = 0). Small magnitude TLE were found to have negligible effect on the characteristics of the waves. In the strong-TLE regime, a decrease in the threshold FAC level is observed. This transition in the instability threshold is accompanied by changes in the frequency spectra, propagation characteristics, and mode amplitude profiles. In the presence of strong-TLE, the ion-cyclotron waves propagate azimuthally in the E x B direction with k(theta) rho(i) = 0.4 and m = 1. The frequency spectrum becomes broadband and spiky, and shifts with the applied TLE strength.« less

Energy transfer between energetic ring current H(+) and O(+) by electromagnetic ion cyclotron waves

NASA Technical Reports Server (NTRS)

Thorne, Richard M.; Horne, Richard B.

1994-01-01

Electromagnetic ion cyclotron (EMIC) waves in the frequency range below the helium gyrofrequency can be excited in the equatorial region of the outer magnetosphere by cyclotron resonant instability with anisotropic ring current H(+) ions. As the unducted waves propagate to higher latitudes, the wave normal should become highly inclined to the ambient magnetic field. Under such conditions, wave energy can be absorbed by cyclotron resonant interactions with ambient O(+), leading to ion heating perpendicular to the ambient magnetic field. Resonant wave absorption peaks in the vicinity of the bi-ion frequency and the second harmonic of the O(+) gyrofrequrency. This absorption should mainly occur at latitudes between 10 deg and 30 deg along auroral field lines (L is greater than or equal to 7) in the postnoon sector. The concomitant ion heating perpendicular to the ambient magnetic field can contribute to the isotropization and geomagnetic trapping of collapsed O(+) ion conics (or beams) that originate from a low-altitude ionospheric source region. During geomagnetic storms when the O(+) content of the magnetosphere is significantly enhanced, the absorption of EMIC waves should become more efficient, and it may contribute to the observed acceleration of O(+) ions of ionospheric origin up to ring current energies.

Electron cyclotron thruster new modeling results preparation for initial experiments

NASA Technical Reports Server (NTRS)

Hooper, E. Bickford

1993-01-01

The following topics are discussed: a whistler-based electron cyclotron resonance heating (ECRH) thruster; cross-field coupling in the helicon approximation; wave propagation; wave structure; plasma density; wave absorption; the electron distribution function; isothermal and adiabatic plasma flow; ECRH thruster modeling; a PIC code model; electron temperature; electron energy; and initial experimental tests. The discussion is presented in vugraph form.

Electron cyclotron resonance ion sources in use for heavy ion cancer therapy.

PubMed

Tinschert, K; Iannucci, R; Lang, R

2008-02-01

The use of electron cyclotron resonance (ECR) ion sources for producing ion beams for heavy ion cancer therapy has been established for more than ten years. After the Heavy Ion Medical Accelerator (HIMAC) at Chiba, Japan started therapy of patients with carbon ions in 1994 the first carbon ion beam for patient treatment at the accelerator facility of GSI was delivered in 1997. ECR ion sources are the perfect tool for providing the required ion beams with good stability, high reliability, and easy maintenance after long operating periods. Various investigations were performed at GSI with different combinations of working gas and auxiliary gas to define the optimal beam conditions for an extended use of further ion species for the dedicated Heidelberg Ion Beam Therapy (HIT) facility installed at the Radiological University Hospital Heidelberg, Germany. Commercially available compact all permanent magnet ECR ion sources operated at 14.5 GHz were chosen for this facility. Besides for (12)C(4+) these ion sources are used to provide beams of (1)H(3)(1+), (3)He(1+), and (16)O(6+). The final commissioning at the HIT facility could be finished at the end of 2006.

Solar off-limb line widths: Alfvén waves, ion-cyclotron waves, and preferential heating

NASA Astrophysics Data System (ADS)

Dolla, L.; Solomon, J.

2008-05-01

Context: Alfvén waves and ion-cyclotron absorption of high-frequency waves are frequently brought into models devoted to coronal heating and fast solar-wind acceleration. Signatures of ion-cyclotron resonance have already been observed in situ in the solar wind (HELIOS spacecrafts) and, recently, in the upper corona (UVCS/SOHO remote-sensing results). Aims: We propose a method to constrain both the Alfvén wave amplitude and the preferential heating induced by ion-cyclotron resonance, above a partially developed polar coronal hole observed with the SUMER/SOHO spectrometer. Methods: The instrumental stray light contribution is first substracted from the spectra. By supposing that the non-thermal velocity is related to the Alfvén wave amplitude, it is constrained through a density diagnostic and the gradient of the width of the Mg X 625 Å line. The temperatures of several coronal ions, as functions of the distance above the limb, are then determined by substracting the non-thermal component to the observed line widths. Results: The effect of stray light explains the apparent decrease with height in the width of several spectral lines, this decrease usually starting about 0.1-0.2 R_⊙ above the limb. This result rules out any direct evidence of damping of the Alfvén waves, often suggested by other authors. We also find that the ions with the smallest charge-to-mass ratios are the hottest ones at a fixed altitude and that they are subject to a stronger heating, as compared to the others, between 57´´ and 102´´ above the limb. This constitutes a serious clue to ion-cyclotron preferential heating.

Towards a better understanding of high-energy electron pitch-angle scattering by electromagnetic ion cyclotron waves

NASA Astrophysics Data System (ADS)

Vincena, S.; Gekelman, W.; Pribyl, P.; Tang, S., W.,; Papadopoulos, K.

2017-10-01

Shear Alfven waves are a fundamental mode in magnetized plasmas. Propagating near the ion cyclotron frequency, these waves are often termed electromagnetic ion cyclotron (EMIC) waves and can involve multiple ion species. Near the earth, for example, the wave may interact resonantly with oxygen ions at altitudes ranging from 1000 to 2000 km. The waves may either propagate from space towards the earth (possibly involving mode conversion), or be generated by RF transmitters on the ground. These preliminary experiments are motivated by theoretical predictions that such waves can pitch-angle scatter relativistic electrons trapped in the earth's dipole field. EMIC waves are launched in the Large Plasma Device at UCLA's Basic Plasma Science Facility in plasmas with single and multiple ion species into magnetic field gradients where ion cyclotron resonance is satisfied. We report here on the frequency and k-spectra in the critical layer and how they compare with theoretical predictions in computing an effective diffusion coefficient for high-energy electrons. Funding is provided by the NSF, DoE, and AFSOR.

Antidepressant medication use for primary care patients with and without medical comorbidities: a national electronic health record (EHR) network study.

PubMed

Gill, James M; Klinkman, Michael S; Chen, Ying Xia

2010-01-01

Because comorbid depression can complicate medical conditions (eg, diabetes), physicians may treat depression more aggressively in patients who have these conditions. This study examined whether primary care physicians prescribe antidepressant medications more often and in higher doses for persons with medical comorbidities. This secondary data analysis of electronic health record data was conducted in the Centricity Health Care User Research Network (CHURN), a national network of ambulatory practices that use a common outpatient electronic health record. Participants included 209 family medicine and general internal medicine providers in 40 primary care CHURN offices in 17 US states. Patients included adults with a new episode of depression that had been diagnosed during the period October 2006 through July 2007 (n = 1513). Prescription of antidepressant medication and doses of antidepressant medication were compared for patients with and without 6 comorbid conditions: diabetes, coronary heart disease, congestive heart failure, cerebrovascular disease, chronic obstructive pulmonary disease, and cancer. 20.7% of patients had at least one medical comorbidity whereas 5.8% had multiple comorbidities. Overall, 77% of depressed patients were prescribed antidepressant medication. After controlling for age and sex, patients with multiple comorbidities were less likely to be prescribed medication (adjusted odds ratio, 0.58; 95% CI, 0.35-0.96), but there was no significant difference by individual comorbidities. Patients with cerebrovascular disease were less likely to be prescribed a full dose of medication (adjusted odds ratio, 0.26; 95% CI, 0.08-0.88), but there were no differences for other comorbidities or for multiple comorbidities, and there was no difference for any comorbidities in the prescription of minimally effective doses. Patients with new episodes of depression who present to a primary care practice are not treated more aggressively if they have medical

National variation of ADHD diagnostic prevalence and medication use: health care providers and education policies.

PubMed

Fulton, Brent D; Scheffler, Richard M; Hinshaw, Stephen P; Levine, Peter; Stone, Susan; Brown, Timothy T; Modrek, Sepideh

2009-08-01

Attention-deficit hyperactivity disorder (ADHD) diagnostic prevalence and medication use vary across U.S. census regions, but little is known about state-level variation. The purpose of this study was to estimate this variation across states and examine whether a state's health care provider characteristics and education policies are associated with this variation. Logistic regression models were estimated with 69,505 children aged four to 17 from the state-stratified and nationally representative 2003 National Survey of Children's Health, conducted by the Centers for Disease Control and Prevention. Diagnostic prevalence was higher in the South (odds ratio [OR]=1.42, p<.001) than in the West; among children with ADHD diagnoses, medication use was higher in the South (OR=1.60, p<.01) and the Midwest (OR=1.53, p<.01) versus the West. On these measures, several states differed from the U.S. averages, including some states that, on the basis of the regional patterns found above, would not be expected to differ: Michigan had a high diagnostic prevalence; Vermont, South Dakota, and Nebraska had low diagnostic prevalences; and Connecticut, New Jersey, and Kentucky had low medication rates. Both diagnosis and medication status were associated with the number, age, and type of physicians within a state, particularly pediatricians. However, state education policies were not significantly associated with either diagnostic prevalence or medication rates. To better understand the association between a state's health care provider characteristics and both diagnostic prevalence and medication use, it may be fruitful to examine the content of provider continuing education programs, including the recommendations of major health professional organization guidelines to treat ADHD.

The road to an academic medicine career: a national cohort study of male and female U.S. medical graduates.

PubMed

Andriole, Dorothy A; Jeffe, Donna B

2012-12-01

To explore the relationship between gender and full-time faculty appointment in a national cohort of contemporary U.S. medical school graduates. The authors analyzed deidentified, individual records for the 1998-2004 national cohort of U.S. medical graduates using multivariate logistic regression to identify predictors of full-time faculty appointment through July 2009. They reported adjusted odds ratios (aOR) significant at P < .05. Of 66,889 graduates, 12,038 (18.0%) had held full-time faculty appointments. Among all graduates, women (aOR = 1.21) were more likely than men to have held faculty appointments. Among only male graduates, those who participated in research during college (aOR = 1.08), who entered medical school with greater planned career involvement in research (aOR = 1.08), and who authored/coauthored a research paper during medical school (aOR = 1.12) were more likely, and those with higher debt were less likely (aOR = 0.96), to have held faculty appointments. Among only faculty appointees, higher proportions of men than women had participated in medical school research electives (63.5% [3,899/6,138] versus 54.2% [3,197/5,900]; P < .001) and authored/coauthored research papers during medical school (44.1% [2,707/6,138] versus 33.6% [1,981/5,900]; P < .001); female faculty had reported higher debt at medical school graduation than had male faculty (P = .014). In this national cohort of U.S. medical graduates, women were more likely than men to have held full-time faculty appointments. However, male and female faculty appointees entered academic medicine with different research experiences and debt, possibly impacting their academic medicine career trajectories.

Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead

PubMed Central

Sharma, Surendra K.; Mohan, Alladi; Chauhan, L.S.; Narain, J.P.; Kumar, P.; Behera, D.; Sachdeva, K.S.; Kumar, Ashok

2013-01-01

Medical college faculty, who are academicians are seldom directly involved in the implementation of national public health programmes. More than a decade ago for the first time in the global history of tuberculosis (TB) control, medical colleges of India were involved in the Revised National TB Control Programme (RNTCP) of Government of India (GOI). This report documents the unique and extraordinary course of events that led to the involvement of medical colleges in the RNTCP of GOI. It also reports the contributions made by the medical colleges to TB control in India. For more than a decade, medical colleges have been providing diagnostic services (Designated Microscopy Centres), treatment [Directly Observed Treatment (DOT) Centres] referral for treatment, recording and reporting data, carrying out advocacy for RNTCP and conducting operational research relevant to RNTCP. Medical colleges are contributing to diagnosis and treatment of human immunodeficiency virus (HIV)-TB co-infection and development of laboratory infrastructure for early diagnosis of multidrug-resistant and/or extensively drug-resistant TB (M/XDR-TB) and DOTS-Plus sites for treatment of MDR-TB cases. Overall, at a national level, medical colleges have contributed to 25 per cent of TB suspects referred for diagnosis; 23 per cent of ‘new smear-positives’ diagnosed; 7 per cent of DOT provision within medical college; and 86 per cent treatment success rate among new smear-positive patients. As the Programme widens its scope, future challenges include sustenance of this contribution and facilitating universal access to quality TB care; greater involvement in operational research relevant to the Programme needs; and better co-ordination mechanisms between district, state, zonal and national level to encourage their involvement. PMID:23563371

Survey of Medical Oncology Status in Korea (SOMOS-K): A National Survey of Medical Oncologists in the Korean Association for Clinical Oncology (KACO).

PubMed

Kim, Do Yeun; Lee, Yun Gyoo; Kim, Bong-Seog

2017-07-01

This study was conducted to investigate the current role of medical oncologists in cancer care with a focus on increasing the recognition of medical oncology as an independent specialty. Questionnaires modified from the Medical Oncology Status in Europe Survey dealing with oncology structure, resources, research, and patterns of care given by medical oncologists were selected. Several modifications were made to the questionnaire after feedback from the insurance and policy committee of the Korean Association for Clinical Oncology (KACO). The online survey was then sent to KACO members. A total of 214 medical oncologists (45.8% of the total inquiries), including 71 directors of medical oncology institutions, took the survey. Most institutions had various resources, including a medical oncology department (94.1%) and a department of radiation oncology (82.4%). There was an average of four medical oncologists at each institution. Medical oncologists were involved in various treatments from diagnosis to end-of-life care. They were also chemotherapy providers from a wide range of institutions that treated many types of solid cancers. In addition, 86.2% of the institutions conducted research. This is the first national survey in Korea to show that medical oncologists are involved in a wide range of cancer treatments and care. This survey emphasizes the contributions and proper roles of medical oncologists in the evolving health care environment in Korea.

BEARS: Radioactive ion beams at LBNL

DOE Office of Scientific and Technical Information (OSTI.GOV)

Powell, J.; Guo, F.Q.; Haustein, P.E.

1998-07-01

BEARS (Berkeley Experiments with Accelerated Radioactive Species) is an initiative to develop a radioactive ion-beam capability at Lawrence Berkeley National Laboratory. The aim is to produce isotopes at an existing medical cyclotron and to accelerate them at the 88 inch Cyclotron. To overcome the 300-meter physical separation of these two accelerators, a carrier-gas transport system will be used. At the terminus of the capillary, the carrier gas will be separated and the isotopes will be injected into the 88 inch Cyclotron`s Electron Cyclotron Resonance (ECR) ion source. The first radioactive beams to be developed will include 20-min {sup 11}C andmore » 70-sec {sup 14}O, produced by (p,n) and (p,{alpha}) reactions on low-Z targets. A test program is currently being conducted at the 88 inch Cyclotron to develop the parts of the BEARS system. Preliminary results of these tests lead to projections of initial {sup 11}C beams of up to 2.5 {times} 10{sup 7} ions/sec and {sup 14}O beams of 3 {times} 10{sup 5} ions/sec.« less

Australian Twin Registry: a nationally funded resource for medical and scientific research, incorporating match and WATCH.

PubMed

Hopper, John L; Treloar, Susan A; de Klerk, Nicholas H; Morley, Ruth

2006-12-01

The Australian Twin Registry (ATR) has, since the late 1970s, enrolled more than 30,000 pairs of all zygosity types and ages willing to consider participation in approved research studies. Its core functions are the recruitment to, and maintenance of, an up-to-date database containing contact details and baseline information, and the management of fair and equitable access so as to enhance medical and scientific research. The ATR has facilitated more than 430 studies producing 525 peer-reviewed publications using a variety of designs including classic biometrical twin and twin family studies, co-twin control studies, intervention studies, longitudinal studies, and studies of issues relevant specifically to twins. The ATR is supported for 2004 to 2009 by an Australian National Health and Medical Research Council (NHMRC) Enabling Grant, a new form of funding which recognizes the importance of long-term support for shared national resources. New initiatives include: integration with the Western Australian Twin Child Health (WATCH) cohort and the new Western Australian Twin Registry (WATR); foundation of a cohort of mothers and their twin children recruited from the time of diagnosis of the multiple gestation (match); a national Twins Festival run in collaboration with the Australian Multiple Birth Association (AMBA); promotion of the ATR at medical conferences; and fostering an active network of researchers from a range of disciplines and providing financial support for new researchers to attend international twin research workshops. Consistent with its mission statement, the long-term goal of the ATR is to make twin studies a standard component of medical and scientific research.

Status of the PHOENIX electron cyclotron resonance charge breeder at ISOLDE, CERN.

PubMed

Barton, Charles; Cederkall, Joakim; Delahaye, Pierre; Kester, Oliver; Lamy, Thierry; Marie-Jeanne, Mélanie

2008-02-01

We report here on the last progresses made with the PHOENIX electron cyclotron resonance charge breeder test bench at ISOLDE. Recently, an experiment was performed to test the trapping of (61)Fe daughter nuclides from the decay of (61)Mn nuclides. Preliminary results are given.

Thermal Cyclotron Absorption Coefficients. II. Opacities in the Stokes Formalism

NASA Astrophysics Data System (ADS)

Vaeth, H. M.; Chanmugam, G.

1995-05-01

We extend the discussion of the calculation of the cyclotron opacities α± of the ordinary and extraordinary mode (Chanmugam et al.) to the opacities κ, q, υ in the Stokes formalism. We derive formulae with which a can be calculated from κ, q, υ. We are hence able to compare our calculations of the opacities, which are based on the single-particle method, with results obtained with the dielectric tensor method of Tam or. Excellent agreement is achieved. We present extensive tables of the opacities in the Stokes formalism for frequencies up to 25ωc, where ωc is the cyclotron frequency, and temperatures kT = 5, 10,20, 30,40, and 50 keV. Furthermore, we derive approximate formulae with which κ, q, υ can be calculated from α± and hence use the Robinson & Melrose analytic formulae for α± in order to calculate the opacities in the Stokes formalism. We compare these opacities to accurate numerical opacities and find that the analytic formulae can reproduce the qualitative behavior of the opacities in the regions where the harmonic structure is unimportant.

Characteristics comparison between a cyclotron-based neutron source and KUR-HWNIF for boron neutron capture therapy

NASA Astrophysics Data System (ADS)

Tanaka, H.; Sakurai, Y.; Suzuki, M.; Masunaga, S.; Kinashi, Y.; Kashino, G.; Liu, Y.; Mitsumoto, T.; Yajima, S.; Tsutsui, H.; Maruhashi, A.; Ono, K.

2009-06-01

At Kyoto University Research Reactor Institute (KURRI), 275 clinical trials of boron neutron capture therapy (BNCT) have been performed as of March 2006, and the effectiveness of BNCT has been revealed. In order to further develop BNCT, it is desirable to supply accelerator-based epithermal-neutron sources that can be installed near the hospital. We proposed the method of filtering and moderating fast neutrons, which are emitted from the reaction between a beryllium target and 30-MeV protons accelerated by a cyclotron accelerator, using an optimum moderator system composed of iron, lead, aluminum and calcium fluoride. At present, an epithermal-neutron source is under construction from June 2008. This system consists of a cyclotron accelerator, beam transport system, neutron-yielding target, filter, moderator and irradiation bed. In this article, an overview of this system and the properties of the treatment neutron beam optimized by the MCNPX Monte Carlo neutron transport code are presented. The distribution of biological effect weighted dose in a head phantom compared with that of Kyoto University Research Reactor (KUR) is shown. It is confirmed that for the accelerator, the biological effect weighted dose for a deeply situated tumor in the phantom is 18% larger than that for KUR, when the limit dose of the normal brain is 10 Gy-eq. The therapeutic time of the cyclotron-based neutron sources are nearly one-quarter of that of KUR. The cyclotron-based epithermal-neutron source is a promising alternative to reactor-based neutron sources for treatments by BNCT.

National Clinical Skills Competition: an effective simulation-based method to improve undergraduate medical education in China.

PubMed

Jiang, Guanchao; Chen, Hong; Wang, Qiming; Chi, Baorong; He, Qingnan; Xiao, Haipeng; Zhou, Qinghuan; Liu, Jing; Wang, Shan

2016-01-01

The National Clinical Skills Competition has been held in China for 5 consecutive years since 2010 to promote undergraduate education reform and improve the teaching quality. The effects of the simulation-based competition will be analyzed in this study. Participation in the competitions and the compilation of the questions used in the competition finals are summarized, and the influence and guidance quality are further analyzed. Through the nationwide distribution of questionnaires in medical colleges, the effects of the simulation-based competition on promoting undergraduate medical education reform were evaluated. The results show that approximately 450 students from more than 110 colleges (accounting for 81% of colleges providing undergraduate clinical medical education in China) participated in the competition each year. The knowledge, skills, and attitudes were comprehensively evaluated by simulation-based assessment. Eight hundred and eighty copies of the questionnaires were distributed to 110 participating medical schools in 2015. In total, 752 valid responses were received across 95 schools. The majority of the interviewees agreed or strongly agreed that competition promoted the adoption of advanced educational principles (76.8%), updated the curriculum model and instructional methods (79.8%), strengthened faculty development (84.0%), improved educational resources (82.1%), and benefited all students (53.4%). The National Clinical Skills Competition is widely accepted in China. It has effectively promoted the reform and development of undergraduate medical education in China.

National Clinical Skills Competition: an effective simulation-based method to improve undergraduate medical education in China.

PubMed

Jiang, Guanchao; Chen, Hong; Wang, Qiming; Chi, Baorong; He, Qingnan; Xiao, Haipeng; Zhou, Qinghuan; Liu, Jing; Wang, Shan

2016-01-01

Background The National Clinical Skills Competition has been held in China for 5 consecutive years since 2010 to promote undergraduate education reform and improve the teaching quality. The effects of the simulation-based competition will be analyzed in this study. Methods Participation in the competitions and the compilation of the questions used in the competition finals are summarized, and the influence and guidance quality are further analyzed. Through the nationwide distribution of questionnaires in medical colleges, the effects of the simulation-based competition on promoting undergraduate medical education reform were evaluated. Results The results show that approximately 450 students from more than 110 colleges (accounting for 81% of colleges providing undergraduate clinical medical education in China) participated in the competition each year. The knowledge, skills, and attitudes were comprehensively evaluated by simulation-based assessment. Eight hundred and eighty copies of the questionnaires were distributed to 110 participating medical schools in 2015. In total, 752 valid responses were received across 95 schools. The majority of the interviewees agreed or strongly agreed that competition promoted the adoption of advanced educational principles (76.8%), updated the curriculum model and instructional methods (79.8%), strengthened faculty development (84.0%), improved educational resources (82.1%), and benefited all students (53.4%). Conclusions The National Clinical Skills Competition is widely accepted in China. It has effectively promoted the reform and development of undergraduate medical education in China.

Characteristics of pediatric chemotherapy medication errors in a national error reporting database.

PubMed

Rinke, Michael L; Shore, Andrew D; Morlock, Laura; Hicks, Rodney W; Miller, Marlene R

2007-07-01

Little is known regarding chemotherapy medication errors in pediatrics despite studies suggesting high rates of overall pediatric medication errors. In this study, the authors examined patterns in pediatric chemotherapy errors. The authors queried the United States Pharmacopeia MEDMARX database, a national, voluntary, Internet-accessible error reporting system, for all error reports from 1999 through 2004 that involved chemotherapy medications and patients aged <18 years. Of the 310 pediatric chemotherapy error reports, 85% reached the patient, and 15.6% required additional patient monitoring or therapeutic intervention. Forty-eight percent of errors originated in the administering phase of medication delivery, and 30% originated in the drug-dispensing phase. Of the 387 medications cited, 39.5% were antimetabolites, 14.0% were alkylating agents, 9.3% were anthracyclines, and 9.3% were topoisomerase inhibitors. The most commonly involved chemotherapeutic agents were methotrexate (15.3%), cytarabine (12.1%), and etoposide (8.3%). The most common error types were improper dose/quantity (22.9% of 327 cited error types), wrong time (22.6%), omission error (14.1%), and wrong administration technique/wrong route (12.2%). The most common error causes were performance deficit (41.3% of 547 cited error causes), equipment and medication delivery devices (12.4%), communication (8.8%), knowledge deficit (6.8%), and written order errors (5.5%). Four of the 5 most serious errors occurred at community hospitals. Pediatric chemotherapy errors often reached the patient, potentially were harmful, and differed in quality between outpatient and inpatient areas. This study indicated which chemotherapeutic agents most often were involved in errors and that administering errors were common. Investigation is needed regarding targeted medication administration safeguards for these high-risk medications. Copyright (c) 2007 American Cancer Society.

A structured teaching curriculum for medical students improves their performance on the National Board of Medical Examiners shelf examination in surgery.

PubMed

Wirth, Keith; Malone, Bethany; Turner, Christopher; Schulze, Robert; Widmann, Warren; Sanni, Aliu

2015-04-01

The aim of this study was to evaluate the effect of a resident-driven, student taught educational curriculum on the medical students' performance on the National Board of Medical Examiners surgery subject examination (NBME). On daily morning rounds, medical students or the chief resident delivered preassigned brief presentations on 1 or 2 of the 30 common surgical topics selected for the curriculum. An initial assessment of student knowledge and an end-rotation in-house examination (multiple choice question examination) were conducted. The mean scores on the NBME examination were compared between students in teams using this teaching curriculum and those without it. A total of 57 third-year medical students participated in the study. The mean score on the in-house postclerkship multiple choice question examination was increased by 23.5% (P < .05). The mean NBME scores were significantly higher in the students who underwent the teaching curriculum when compared with their peers who were not exposed to the teaching curriculum (78 vs 72, P < .05). The implementation of a resident-driven structured teaching curriculum improved performance of medical students on the NBME examination. Copyright © 2015 Elsevier Inc. All rights reserved.

Energy limit in cyclotron autoresonance acceleration

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wang, C.; Hirshfield, J.L.

1995-03-01

A multimegawatt gyroharmonic converter depends critically on the parameters of a spatiotemporally modulated gyrating electron beam prepared using a cyclotron autoresonance accelerator (CARA). This paper extends a prior analysis of CARA [B. Hafizi, P. Sprangle, and J. L. Hirshfield, Phys. Rev. E 50, 3077 (1994)] to identify an approximate constant of the motion and, therefore, to give limits to the beam energy from CARA that can be utilized in a harmonic converter. It is also shown that particles are strongly phase trapped during acceleration in CARA and thus are insensitive to deviations from exact autoresonance. This fact could simplify constructionmore » of the up-tapered guide magnetic field in the device and augurs well for production of high-quality multimegawatt beams using CARA.« less

Monograph support provided by the National Library of Medicine and its regional medical libraries in the medical behavioral sciences.

PubMed Central

Saye, J D; Griffith, B C

1988-01-01

The National Library of Medicine's (NLM) monographic resources in the medical behavioral sciences (MBS) were examined to assess NLM's ability to support the needs of researchers writing in this area. A sample of 239 representative monographs derived from citations in MBS-related articles published in 61 journals in 1981 were evaluated. These monographs were limited to works published between 1978 and 1981, inclusive. The subject distribution of the sample included fourteen of the twenty-one main classes in the LC classification, although BF (psychology), H (social sciences), and R (medicine) constituted 80.3% of the sample. The study revealed that NLM held 48.5% of the sample. The holdings of ten research medical libraries, including six of the seven regional medical libraries, were also evaluated in order to gauge NLM's ability to support that element of the medical library network. The holding rates of these libraries ranged widely (9.6% to 36%), although NLM was found to have far more extensive holdings overall, and when assessed against classes BF, H, and R. Overall, NLM could have supplied from 28.8% to 44.5% of the monographs not held by the medical libraries. In only a few cases were the ten medical libraries able to provide access to monographs not held by NLM. The findings of the study indicate that, regardless of NLM's indication of support to the MBS area, the holdings of more general research and academic libraries are essential to support the monograph needs of MBS researchers. PMID:3224221

Effect of high energy electrons on H{sup −} production and destruction in a high current DC negative ion source for cyclotron

DOE Office of Scientific and Technical Information (OSTI.GOV)

Onai, M., E-mail: onai@ppl.appi.keio.ac.jp; Fujita, S.; Hatayama, A.

2016-02-15

Recently, a filament driven multi-cusp negative ion source has been developed for proton cyclotrons in medical applications. In this study, numerical modeling of the filament arc-discharge source plasma has been done with kinetic modeling of electrons in the ion source plasmas by the multi-cusp arc-discharge code and zero dimensional rate equations for hydrogen molecules and negative ions. In this paper, main focus is placed on the effects of the arc-discharge power on the electron energy distribution function and the resultant H{sup −} production. The modelling results reasonably explains the dependence of the H{sup −} extraction current on the arc-discharge powermore » in the experiments.« less