Science.gov

Sample records for angiography personnel protection

  1. National Synchrotron Light Source angiography personnel protection interlock

    SciTech Connect

    Gmuer, N.; Larson, R.; Thomlinson, W.

    1992-06-01

    This document has been written to describe the safety system operation at the NSLS X17B2 beamline Synchrotron Medical Research Facility (SMERF). The angiography exposure process involves scanning a patient up and down through dual fixed-position x-ray beams; exposure is controlled by opening and closing a fast-acting Safety Shutter mechanism at precise times in relation to the up and down motion of the scan chair. The fast-acting Safety Shutter mechanism is the primary radiation-stopping element protecting the patient while the chair is at rest and while it is reversing directions during the scan. Its fail-safe and fast operation is essential for the safety of the patient. Operation of X17B2 as a human subject angiography station necessitates the implementation of a personnel protection interlock system that, in conjunction with the Safety Shutters: permits safe access to the patient exposure area while the synchrotron radiation beam is illuminating the upstream dual energy monochromator; allows a patient to be imaged by the monochromatized beam under the supervision of a Responsible Physician, with scan chair motion and precision shutter actuation regulated by an angiography control computer, while providing a suitable number of safeguards against accidental radiation exposure; has different modes of operation to accommodate equipment set-up, test, and calibration; and patient exposure; and ensures the quick extinction of the beam if a potentially unsafe condition is detected. The interlock system which performs these safety functions is called the Angiography Personnel Protection Interlock (APPI). The APPI Document is organized such that the level of detail changes from a general overview to detailed engineering drawings of the hardware system.

  2. Medical personnel and patient dosimetry during coronary angiography and intervention

    NASA Astrophysics Data System (ADS)

    Efstathopoulos, Efstathios P.; Makrygiannis, Stamatis S.; Kottou, Sofia; Karvouni, Evangelia; Giazitzoglou, Eleftherios; Korovesis, Socrates; Tzanalaridou, Efthalia; Raptou, Panagiota D.; Katritsis, Demosthenes G.

    2003-09-01

    Percutaneous coronary interventions are associated with increased radiation exposure compared to most radiological examinations. This prospective study aimed at (1) measuring entrance doses for all in-room personnel, (2) performing an assessment of patient effective dose and intracoronary doses, (3) investigating the contribution of each projection to kerma-area product (KAP) and irradiation time, (4) comparing results with established DRL values in this clinical setting and (5) estimating the risk for fatal cancer to patients and operators. Measurements were performed during 40 consecutive procedures of coronary angiography (CA), half of which were followed by ad hoc coronary angioplasty (PTCA). KAP measurements were used for patients and thermoluminescent dosimetry for the in-room personnel. The mean KAP value per procedure for CA was 29 +/- 9 Gy cm2. Thirty four per cent of KAP was due to fluoroscopy, whereas the remainder (66%) was due to digital cine. Accordingly, the mean KAP value per PTCA procedure was 75 +/- 30 Gy cm2, and contribution of fluoroscopy is 57%. Effective dose per year was estimated to be 0.04-0.05 mSv y-1 for the primary operator, and 0.03-0.04 mSv y-1 for those assisting. Corresponding measurements for radiographer and nurse were below detectable level, implying minimal radiation hazards for them. Regarding radiation exposure, coronary intervention is considered a quite safe procedure for both patients and personnel in laboratories with modern equipment and experienced operators as long as standard safety precautions are considered. Exposure optimization though should be constantly sought through continuous review of procedures.

  3. 10 CFR 95.31 - Protective personnel.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., or other person possesses Secret Restricted Data related to nuclear weapons design, manufacturing and vulnerability information; and certain particularly sensitive Naval Nuclear Propulsion Program information (e.g... 10 Energy 2 2011-01-01 2011-01-01 false Protective personnel. 95.31 Section 95.31 Energy...

  4. 10 CFR 95.31 - Protective personnel.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., or other person possesses Secret Restricted Data related to nuclear weapons design, manufacturing and vulnerability information; and certain particularly sensitive Naval Nuclear Propulsion Program information (e.g... 10 Energy 2 2010-01-01 2010-01-01 false Protective personnel. 95.31 Section 95.31 Energy...

  5. 10 CFR 95.31 - Protective personnel.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., or other person possesses Secret Restricted Data related to nuclear weapons design, manufacturing and vulnerability information; and certain particularly sensitive Naval Nuclear Propulsion Program information (e.g... 10 Energy 2 2014-01-01 2014-01-01 false Protective personnel. 95.31 Section 95.31 Energy...

  6. 10 CFR 95.31 - Protective personnel.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., or other person possesses Secret Restricted Data related to nuclear weapons design, manufacturing and vulnerability information; and certain particularly sensitive Naval Nuclear Propulsion Program information (e.g... 10 Energy 2 2013-01-01 2013-01-01 false Protective personnel. 95.31 Section 95.31 Energy...

  7. 10 CFR 95.31 - Protective personnel.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., or other person possesses Secret Restricted Data related to nuclear weapons design, manufacturing and vulnerability information; and certain particularly sensitive Naval Nuclear Propulsion Program information (e.g... 10 Energy 2 2012-01-01 2012-01-01 false Protective personnel. 95.31 Section 95.31 Energy...

  8. 29 CFR 1910.335 - Safeguards for personnel protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... eyes or face from electric arcs or flashes or from flying objects resulting from electrical explosion... 29 Labor 5 2011-07-01 2011-07-01 false Safeguards for personnel protection. 1910.335 Section 1910....335 Safeguards for personnel protection. (a) Use of protective equipment—(1) Personal...

  9. 29 CFR 1910.335 - Safeguards for personnel protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... eyes or face from electric arcs or flashes or from flying objects resulting from electrical explosion... 29 Labor 5 2013-07-01 2013-07-01 false Safeguards for personnel protection. 1910.335 Section 1910....335 Safeguards for personnel protection. (a) Use of protective equipment—(1) Personal...

  10. 29 CFR 1910.335 - Safeguards for personnel protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... eyes or face from electric arcs or flashes or from flying objects resulting from electrical explosion... 29 Labor 5 2014-07-01 2014-07-01 false Safeguards for personnel protection. 1910.335 Section 1910....335 Safeguards for personnel protection. (a) Use of protective equipment—(1) Personal...

  11. 29 CFR 1910.335 - Safeguards for personnel protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... eyes or face from electric arcs or flashes or from flying objects resulting from electrical explosion... 29 Labor 5 2012-07-01 2012-07-01 false Safeguards for personnel protection. 1910.335 Section 1910....335 Safeguards for personnel protection. (a) Use of protective equipment—(1) Personal...

  12. 21 CFR 892.6500 - Personnel protective shield.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Personnel protective shield. 892.6500 Section 892.6500 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Miscellaneous Devices § 892.6500 Personnel protective shield....

  13. 21 CFR 892.6500 - Personnel protective shield.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Personnel protective shield. 892.6500 Section 892.6500 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Miscellaneous Devices § 892.6500 Personnel protective shield....

  14. 21 CFR 892.6500 - Personnel protective shield.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Personnel protective shield. 892.6500 Section 892.6500 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Miscellaneous Devices § 892.6500 Personnel protective shield....

  15. 21 CFR 892.6500 - Personnel protective shield.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Personnel protective shield. 892.6500 Section 892.6500 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Miscellaneous Devices § 892.6500 Personnel protective shield....

  16. 21 CFR 892.6500 - Personnel protective shield.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Personnel protective shield. 892.6500 Section 892.6500 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Miscellaneous Devices § 892.6500 Personnel protective shield....

  17. 10 CFR 1016.25 - Protective personnel.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) SAFEGUARDING OF RESTRICTED DATA Physical Security § 1016.25... shall: (a) Possess a “Q” or “L” security clearance or access authorization or “Q(X)” or “L(X)” access authorization if the Restricted Data being protected is classified Confidential, or a “Q” security clearance...

  18. NASA Developments in Personnel Protective Equipment

    NASA Technical Reports Server (NTRS)

    Graf, John

    2015-01-01

    NASA has some unique and challenging PPE needs: there are credible threats to air quality (fire, ammonia leak, hydrazine leak)that require a contingency breathing apparatus that operates for many hours - but there is not enough space or up-mass to provide supplied air tanks. We cannot use "Scott Air Tanks" commonly used by firefighters and other first responders. NASA has developed a respirator based emergency breathing device. It uses a "one size fits everybody in the astronaut corps" hooded mask with excellent chemical permeability and fire resistance properties, and a filtering respirator cartridge that protects the wearer from ammonia leaks, hydrazine leaks, or products of combustion. If you need a small, lightweight emergency breathing system that lasts longer than a supplied air system, we should meet and learn if NASA sponsored technology development can help.

  19. [Protection of medical personnel in contemporary armed conflicts].

    PubMed

    Goniewicz, Krzysztof; Goniewicz, Mariusz; Pawłowski, Witold

    2016-01-01

    International humanitarian law provides special protection devices and medical personnel during armed conflicts. In today's wars it became more frequent lack of respect for the protective emblems of the red cross and red crescent and the lack of respect for medical activities. The paper presents selected issues of humanitarian law with a particular emphasis on the rules concerning the protection of medical services and victims of armed conflicts. All countries that have ratified the Geneva Conventions and Additional Protocols, are required to comply in time of war the principles contained in them and their dissemination in peacetime. Education societies in the field of international humanitarian law can help to eliminate attacks on medical facilities and personnel and significantly improve the fate of the victims of armed conflict and mitigate the cruelty of war. Knowledge of humanitarian law does not prevent further wars, but it can cause all parties to any armed conflict will abide by its rules during such activities.

  20. Protecting military personnel from high risk dietary supplements.

    PubMed

    Deuster, Patricia A; Lieberman, Harris R

    2016-01-01

    It is legal tomarketmost naturally occurring substances as dietary supplements in the USA without manufacturers demonstrating they are safe or effective, and an endless variety of ingredients, from esoteric botanicals to unapproved pharmaceuticals, can be found in dietary supplements. Use of certain supplements can pose a risk, but since a robust reporting systemdoes not exist in the USA it is difficult to know which are problematic and the number of adverse events (AE) resulting from their use. Certain populations, includingmilitary personnel, aremore likely to use dietary supplements than the general population. Approximately 70% of military personnel take dietary supplements while about 50% of civilians do. Service members prefer supplements purported to enhance physical performance such as supposedly natural stimulants, protein and amino acids, and combination products. Since some of thesemay be problematic, Servicemembers are probably at higher risk of injury than the general population. Ten percent of military populations appear to be taking potentially risky supplements, and the US Department of Defense (DoD) has taken variousmeasures to protect uniformed personnel including education, policy changes, and restricting sales. Actions taken include launching Operation Supplement Safety (OPSS), introducing a High Risk Supplement list, educating health care professionals on reporting AE thatmight be associated with dietary supplements, recommending policy for reporting AE, and developing an online AE reporting system. OPSS is a DoD-wide effort to educate service members, leaders, health care providers, military families, and retirees on how to safely select supplements

  1. Personnel protection through reconnaissance robotics at Superfund remedial sites

    SciTech Connect

    Frank, U.; Esposito, C.; Sullivan, D.

    1992-01-01

    Investigation, mitigation, and clean-up of hazardous materials at Superfund sites normally require on-site workers to perform hazardous and sometimes potentially dangerous functions. Such functions include site surveys and the reconnaissance for airborne and buried toxic environmental contaminants. Workers conducting on-site air monitoring risk dermal, ocular and inhalation exposure to hazardous chemicals, while those performing excavations also risk in addition the potential exposure to fire, explosion, and other physical injury. EPA's current efforts to protect its workers and mitigate these risks include the use of robotic devices. Using robots offers the ultimate in personnel protection by removing the worker from the site of potential exposure. The paper describes the demonstration of a commercially-available robotic platform modified and equipped for air monitoring and the ongoing research for the development of a ground penetrating radar (GPR) system to detect buried chemical waste drums. These robotic devices can be ultimately routinely deployed in the field for the purpose of conducting inherently safe reconnaissance activities during Superfund/SARA remedial operations.

  2. Comparison of radiation dose to operator between transradial and transfemoral coronary angiography with optimised radiation protection: a phantom study.

    PubMed

    Liu, Huiliang; Jin, Zhigeng; Jing, Limin

    2014-03-01

    A growing concern in applying radial access in cardiac catheterisation is the increased operator radiation exposure. This study used an anthropomorphic phantom to simulate transradial and transfemoral coronary angiography with optimised radiation protection conditions. Operator radiation exposure was measured with thermoluminescent dosemeters at predefined locations. Compared with the femoral route, the radial route was associated with a dose decrease of 15 % at the operator's chest level with optimised radiation shielding. However, radiation exposure to the operator's hand remained significantly higher when applying radial access even with collective protective equipment used (by a factor of 2). Furthermore, the efficiency of operator radiation protection was found to be dependent on the tube incidence. Awareness should be raised about the significant increase of radiation exposure to operators' hands in transradial coronary angiography. Protection to reduce the dose level to the hands is necessary and should be further improved.

  3. Radiation protection to the eye and thyroid during diagnostic cerebral angiography: a phantom study.

    PubMed

    Shortt, C P; Malone, L; Thornton, J; Brennan, P; Lee, M J

    2008-08-01

    We measured radiation doses to the eye and thyroid during diagnostic cerebral angiography to assess the effectiveness of bismuth and lead shields at dose reduction. Phantom head angiographic studies were performed with bismuth (study 1) and lead shields (study 2). In study 1 (12 phantoms), thermoluminescent dosimeters (TLD) were placed over the eyes and thyroid in three groups: (i) no shields (four phantoms); (ii) anterior bismuth shields (four phantoms) and (iii) anterior and posterior bismuth shields (four phantoms). In a second study (eight phantoms), lead shields were placed over the thyroid only and TLD dose measurements obtained in two groups: (i) no shielding (four phantoms) and (ii) thyroid lead shielding (four phantoms). A standard 4-vessel cerebral angiogram was performed on each phantom. Study 1 (bismuth shields) showed higher doses to the eyes compared with thyroid (mean 13.03 vs 5.98 mSv, P < 0.001) and a higher eye dose on the X-ray tube side. Overall, the use of bismuth shielding did not significantly reduce dose to either eyes or thyroid in the measured TLD positions. In study 2, a significant thyroid dose reduction was found with the use of lead shields (47%, mean 2.46 vs 4.62 mSv, P < 0.001). Considerable doses to the eyes and thyroid highlight the need for increased awareness of patient protection. Eye shielding is impractical and interferes with diagnostic capability. Thyroid lead shielding yields significant protection to the thyroid, is not in the field of view and should be used routinely.

  4. 46 CFR 36.05-10 - Protection of personnel-TB/ALL.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 1 2011-10-01 2011-10-01 false Protection of personnel-TB/ALL. 36.05-10 Section 36.05-10 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS ELEVATED TEMPERATURE CARGOES Cargo Tanks § 36.05-10 Protection of personnel—TB/ALL. (a) Decks, bulkheads, or other structures...

  5. 46 CFR 36.05-10 - Protection of personnel-TB/ALL.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Protection of personnel-TB/ALL. 36.05-10 Section 36.05-10 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS ELEVATED TEMPERATURE CARGOES Cargo Tanks § 36.05-10 Protection of personnel—TB/ALL. (a) Decks, bulkheads, or other structures...

  6. [The autonomic system reactivity of airport technical personnel using individual protective devices against noise].

    PubMed

    Soldatov, S K; Chistov, S D; Zinkin, V N; Ryzhenkov, S P; Poliakov, N M

    2014-01-01

    The study covered cardiac rhythm variability and hemodynamic parameters in airfield technical personnel under exposure to aviation noise and with use of individual protective measures against noise. Individual protective means remove unfavorable stressful external effects of noise--that is manifested by more stable parameters of sympathetic nervous system activity.

  7. 33 CFR 150.624 - What are the requirements for protecting personnel from blood-borne pathogens?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... protecting personnel from blood-borne pathogens? 150.624 Section 150.624 Navigation and Navigable Waters... Workplace Safety and Health Blood-Borne Pathogens § 150.624 What are the requirements for protecting personnel from blood-borne pathogens? Measures for protection from the dangers of blood-borne pathogens...

  8. 33 CFR 150.624 - What are the requirements for protecting personnel from blood-borne pathogens?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... protecting personnel from blood-borne pathogens? 150.624 Section 150.624 Navigation and Navigable Waters... Workplace Safety and Health Blood-Borne Pathogens § 150.624 What are the requirements for protecting personnel from blood-borne pathogens? Measures for protection from the dangers of blood-borne pathogens...

  9. 33 CFR 150.624 - What are the requirements for protecting personnel from blood-borne pathogens?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... protecting personnel from blood-borne pathogens? 150.624 Section 150.624 Navigation and Navigable Waters... Workplace Safety and Health Blood-Borne Pathogens § 150.624 What are the requirements for protecting personnel from blood-borne pathogens? Measures for protection from the dangers of blood-borne pathogens...

  10. 33 CFR 150.624 - What are the requirements for protecting personnel from blood-borne pathogens?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... protecting personnel from blood-borne pathogens? 150.624 Section 150.624 Navigation and Navigable Waters... Workplace Safety and Health Blood-Borne Pathogens § 150.624 What are the requirements for protecting personnel from blood-borne pathogens? Measures for protection from the dangers of blood-borne pathogens...

  11. 33 CFR 150.624 - What are the requirements for protecting personnel from blood-borne pathogens?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... protecting personnel from blood-borne pathogens? 150.624 Section 150.624 Navigation and Navigable Waters... Workplace Safety and Health Blood-Borne Pathogens § 150.624 What are the requirements for protecting personnel from blood-borne pathogens? Measures for protection from the dangers of blood-borne pathogens...

  12. Personnel protection systems for electric vehicle charging circuits. Final report

    SciTech Connect

    Skuggevig, W.

    1995-12-01

    The 1996 edition of the National Electrical Code{reg_sign} contains a new Article 625 that covers electric vehicle charging systems. One of the provisions of this article specifies that chargers for electric vehicles will be required to provide protection against electric shock due to ground faults. This report reviews the subject of electric shock by studying the physiological effects of electric current through the human body. A literature search was performed to collect pertinent information, and the information was analyzed. The effects of current magnitude, frequency, duration, alternating and direct current, and supply voltage to ground are included in the study. The physiological effects of muscle tetanization (immobilization or inability to let go) and ventricular fibrillation were considered to be the critical effects from the standpoint of the protection system required by the 1996 Code. A basis for specific safety requirements that can be included in a product safety standard covering electric vehicle charging systems to meet the 1996 Code is suggested by this report.

  13. 77 FR 20743 - Protective Force Personnel Medical, Physical Readiness, Training, and Access Authorization Standards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-06

    ... on the proposed rule to amend the standards for medical, physical performance, training, and access... proposed rule to revise the standards for medical, physical performance, training, and access...; ] DEPARTMENT OF ENERGY 10 CFR Part 1046 RIN 1992-AA40 Protective Force Personnel Medical, Physical...

  14. 77 FR 13206 - Protective Force Personnel Medical, Physical Readiness, Training, and Access Authorization Standards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-06

    ...The Department of Energy (DOE or Department) proposes to revise the regulation governing the standards for medical, physical performance, training, and access authorizations for protective force (PF) personnel employed by contractors providing security services to the Department. The existing version of this regulation was promulgated in 1993 and substantial portions of the regulation date to......

  15. Technical qualification requirements and training programs for radiation protection personnel at Oak Ridge National Laboratory

    SciTech Connect

    Copenhaver, E.D.; Houser, B.S.; Butler, H.M. Jr.; Bogard, J.S.; Fair, M.F.; Haynes, C.E.; Parzyck, D.C.

    1986-04-01

    This document deals with the policies and practices of the Environmental and Occupational Safety Division (EOSD) at the Oak Ridge National Laboratory (ORNL) in regard to the selection, training, qualification, and requalification of radiation protection staff assigned to reactor and nonreactor nuclear facilities. Included are personnel at facilities that: (1) operate reactors or particle accelerators; (2) produce, process, or store radioactive liquid or solid waste; (3) conduct separations operations; (4) engage in research with radioactive materials and radiation sources; and (5) conduct irradiated materials inspection, fuel fabrication, deconamination, or recovery operations. The EOSD personnel also have environmental surveillance and operational and industrial safety responsibilities related to the total Laboratory.

  16. 33 CFR 150.623 - What are the requirements for protecting personnel from hazards associated with confined spaces?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... complies with: (1) 29 CFR 1910.146 for permit-required confined spaces, where applicable; and (2) A... recognized testing laboratory as defined in 29 CFR 1910.7 and that provides levels of personnel protection...

  17. 33 CFR 150.623 - What are the requirements for protecting personnel from hazards associated with confined spaces?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... complies with: (1) 29 CFR 1910.146 for permit-required confined spaces, where applicable; and (2) A... recognized testing laboratory as defined in 29 CFR 1910.7 and that provides levels of personnel protection...

  18. Pulmonary angiography

    MedlinePlus

    ... Pulmonary arteriography; Pulmonary angiogram; Angiogram of the lungs Images Pulmonary arteries References Jackson JE, Meaney JFM. Angiography. ... urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows ...

  19. Campus Protective Services: A Self-Instructional Training Course for Campus Security Personnel.

    ERIC Educational Resources Information Center

    Mullendore, Philip

    While most college campuses use non-sworn personnel, mostly students, to supplement regular security or peace officer personnel, there is no legal requirement or formal strategy for training these non-sworn officers. This handbook presents a self-instructional training course for non-sworn campus security personnel and was prepared to meet…

  20. 33 CFR 150.623 - What are the requirements for protecting personnel from hazards associated with confined spaces?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... associated with entering the port's confined spaces, and develop a confined space safe entry program that... recognized testing laboratory as defined in 29 CFR 1910.7 and that provides levels of personnel protection at... implement the confined space safe entry program, the deepwater port operator must determine the...

  1. Personnel exposure to radiation at some angiographic procedures

    SciTech Connect

    Gustafsson, M.; Lunderquist, A.

    1981-09-01

    Personnel exposure to radiation was investigated during radiological procedures where x-ray shielding is particularly difficult. Ten percutaneous transhepatic cholangiographies, four percutaneous transhepatic portographies, and four coronary angiographies are included in the study. Exposure to radiation was measured at several anatomical sites for both the radiologist and the assisting nurse. Effective dose equivalents as proposed by the International Commisson on Radiological Protection (ICRP) were estimated from the registered absorbed doses.

  2. Personnel exposure to radiation at some angiographic procedures

    SciTech Connect

    Gustafsson, M.; Lunderquist, A.

    1981-09-01

    Personnel exposure to radiation was investigated during radiological procedures where x-ray shielding is particularly difficult. Ten percutaneous transhepatic cholangiographies, four percutaneous transhepatic portographies, and four coronary angiographies are included in the study. Exposure to radiation was measured at several anatomical sites for both the radiologist and the assisting nurse. Effective dose equivalents as proposed by the International Commission on Radiological Protection (ICRP) were estimated from the registered absorbed doses.

  3. Risk assessments for exposure of deployed military personnel to insecticides and personal protective measures used for disease-vector management.

    PubMed

    Macedo, Paula A; Peterson, Robert K D; Davis, Ryan S

    2007-10-01

    Infectious diseases are problematic for deployed military forces throughout the world, and, historically, more military service days have been lost to insect-vectored diseases than to combat. Because of the limitations in efficacy and availability of both vaccines and therapeutic drugs, vector management often is the best tool that military personnel have against most vector-borne pathogens. However, the use of insecticides may raise concerns about the safety of their effects on the health of the military personnel exposed to them. Therefore, our objective was to use risk assessment methodologies to evaluate health risks to deployed U.S. military personnel from vector management tactics. Our conservative tier-1, quantitative risk assessment focused on acute, subchronic, and chronic exposures and cancer risks to military personnel after insecticide application and use of personal protective measures in different scenarios. Exposures were estimated for every scenario, chemical, and pathway. Acute, subchronic, and chronic risks were assessed using a margin of exposure (MOE) approach. Our MOE was the ratio of a no-observed-adverse-effect level (NOAEL) to an estimated exposure. MOEs were greater than the levels of concern (LOCs) for all surface residual and indoor space spraying exposures, except acute dermal exposure to lambda-cyhalothrin. MOEs were greater than the LOCs for all chemicals in the truck-mounted ultra-low-volume (ULV) exposure scenario. The aggregate cancer risk for permethrin exceeded 1 x 10(-6), but more realistic exposure refinements would reduce the cancer risk below that value. Overall, results indicate that health risks from exposures to insecticides and personal protective measures used by military personnel are low.

  4. CT Angiography (CTA)

    MedlinePlus

    ... CT Angiography? Angiography is a minimally invasive medical test that helps physicians diagnose and treat medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection ...

  5. Angiography in the Isolated Perfused Kidney: Radiological Evaluation of Vascular Protection in Tissue Ablation by Nonthermal Irreversible Electroporation

    SciTech Connect

    Wendler, Johann Jakob; Pech, Maciej; Blaschke, Simon; Porsch, Markus; Janitzky, Andreas; Ulrich, Matthias; Dudeck, Oliver; Ricke, Jens; Liehr, Uwe-Bernd

    2012-04-15

    Purpose: The nonthermal irreversible electroporation (NTIRE) is a novel nonthermal tissue ablation technique by local application of high-voltage current within microseconds leading to a delayed apoptosis. The purpose of this experimental study was the first angiographic evaluation of the acute damage of renal vascular structure in NTIRE. Methods: Results of conventional dynamic digital substraction angiography (DSA) and visualization of the terminal vascular bed of renal parenchyma by high-resolution X-ray in mammography technique were evaluated before, during, and after NTIRE of three isolated perfused porcine ex vivo kidneys. Results: In the dedicated investigation, no acute vascular destruction of the renal parenchyma and no dysfunction of the kidney perfusion model were observed during or after NTIRE. Conspicuous were concentric wave-like fluctuations of the DSA contrast agent simultaneous to the NTIRE pulses resulting from NTIRE pulse shock wave. Conclusion: The NTIRE offers an ablation method with no acute collateral vascular damage in angiographic evaluation.

  6. 76 FR 54700 - Protecting the Public and Our Personnel to Ensure Operational Effectiveness

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-02

    ... continue to serve the American people with as little disruption to our operations as possible. DATES... operational disruptions. The Commissioner's authority extends to placing reasonable restrictions on an... our personnel can continue to serve the American people with as little disruption to our operations...

  7. Topics in radiation at accelerators: Radiation physics for personnel and environmental protection

    SciTech Connect

    Cossairt, J.D.

    1993-11-01

    This report discusses the following topics: Composition of Accelerator Radiation Fields; Shielding of Electrons and Photons at Accelerators; Shielding of Hadrons at Accelerators; Low Energy Prompt Radiation Phenomena; Induced Radioactivity at Accelerators; Topics in Radiation Protection Instrumentation at Accelerators; and Accelerator Radiation Protection Program Elements.

  8. Notification: Assessment of the Qualifications of Environmental Protection Agency Personnel With Significant Security Responsibilities

    EPA Pesticide Factsheets

    Project #OMS-FY12-0006, February 15, 2012. The U.S. Environmental Protection Agency (EPA) Office of Inspector General plans to begin preliminary research for the subject project, which will be performed by a contractor.

  9. Organ-specific external dose coefficients and protective apron transmission factors for historical dose reconstruction for medical personnel.

    PubMed

    Simon, Steven L

    2011-07-01

    ICRP/ICRU mono-energetic DCCs and the functions integrated over the air-kerma weighted photon fluence of the 12 defined x-ray spectra. The air kerma-weighted DCCs in this work were developed specifically for an irradiation geometry of anterior to posterior (AP) and for the following tissues: thyroid, breast, ovary, lens of eye, lung, colon, testes, heart, skin (anterior side only), red bone marrow (RBM), and brain. In addition, a series of functional relationships to predict DT Ka-1 values for RBM dependent on body mass index [BMI (kg m-2) ≡ weight per height] and average photon energy were derived from a published analysis. Factors to account for attenuation of radiation by protective lead aprons were also developed. Because lead protective aprons often worn by radiology personnel not only reduce the intensity of x-ray exposure but also appreciably harden the transmitted fluence of bremsstrahlung x-rays, DCCs were separately calculated for organs possibly protected by lead aprons by considering three cases: no apron, 0.25 mm Pb apron, and 0.5 mm Pb apron. For estimation of organ doses from conducting procedures with radioisotopes, continuous functions of the reported mono-energetic values were developed, and DCCs were derived by estimation of the function at relevant energies. By considering the temporal changes in primary exposure-related parameters (e.g., energy distribution), the derived DCCs and transmission factors presented here allow for more realistic historical dose reconstructions for medical personnel when monitoring badge readings are the primary data on which estimation of an individual's organ doses are based.

  10. Topics in radiation at accelerators: Radiation physics for personnel and environmental protection

    SciTech Connect

    Cossairt, J.D.

    1996-10-01

    In the first chapter, terminology, physical and radiological quantities, and units of measurement used to describe the properties of accelerator radiation fields are reviewed. The general considerations of primary radiation fields pertinent to accelerators are discussed. The primary radiation fields produced by electron beams are described qualitatively and quantitatively. In the same manner the primary radiation fields produced by proton and ion beams are described. Subsequent chapters describe: shielding of electrons and photons at accelerators; shielding of proton and ion accelerators; low energy prompt radiation phenomena; induced radioactivity at accelerators; topics in radiation protection instrumentation at accelerators; and accelerator radiation protection program elements.

  11. CDC guidance for evaluating health-care personnel for hepatitis B virus protection and for administering postexposure management.

    PubMed

    Schillie, Sarah; Murphy, Trudy V; Sawyer, Mark; Ly, Kathleen; Hughes, Elizabeth; Jiles, Ruth; de Perio, Marie A; Reilly, Meredith; Byrd, Kathy; Ward, John W

    2013-12-20

    This report contains CDC guidance that augments the 2011 recommendations of the Advisory Committee on Immunization Practices (ACIP) for evaluating hepatitis B protection among health-care personnel (HCP) and administering post-exposure prophylaxis. Explicit guidance is provided for persons working, training, or volunteering in health-care settings who have documented hepatitis B (HepB) vaccination years before hire or matriculation (e.g., when HepB vaccination was received as part of routine infant [recommended since 1991] or catch-up adolescent [recommended since 1995] vaccination). In the United States, 2,890 cases of acute hepatitis B were reported to CDC in 2011, and an estimated 18,800 new cases of hepatitis B occurred after accounting for underreporting of cases and asymptomatic infection. Although the rate of acute hepatitis B virus (HBV) infections have declined approximately 89% during 1990-2011, from 8.5 to 0.9 cases per 100,000 population in the United States, the risk for occupationally acquired HBV among HCP persists, largely from exposures to patients with chronic HBV infection. ACIP recommends HepB vaccination for unvaccinated or incompletely vaccinated HCP with reasonably anticipated risk for blood or body fluid exposure. ACIP also recommends that vaccinated HCP receive postvaccination serologic testing (antibody to hepatitis B surface antigen [anti-HBs]) 1-2 months after the final dose of vaccine is administered (CDC. Immunization of health-care personnel: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR 2011;60 [No. RR-7]). Increasing numbers of HCP have received routine HepB vaccination either as infants (recommended since 1991) or as catch-up vaccination (recommended since 1995) in adolescence. HepB vaccination results in protective anti-HBs responses among approximately 95% of healthy-term infants. Certain institutions test vaccinated HCP by measuring anti-HBs upon hire or matriculation, even when anti

  12. Design of an Analytical System for the Evaluation of Gloves for Protection of Personnel Handling XCSM

    DTIC Science & Technology

    1993-05-13

    protective gloves during the handling of CSM and XCSM is required for personal safety. Although the use of gloves tested for their resistance to CSM is...absence of specific permeation data for XCSM. In order to better define glove needs for XCSM work, the USAMRDC tasked the MREF to test various glove ...materials for XCSM permeation . In preparing for this, parameters needed to test the gloves were evaluated, along with the methods currently used to

  13. The functions of social support as protective factors for suicidal ideation in a sample of air force personnel.

    PubMed

    Bryan, Craig J; Hernandez, Ann Marie

    2013-10-01

    This study examined various functions of social support (i.e., tangible, esteem, belonging, and appraisal) were examined as protective factors for suicidal ideation in a sample of 273 active duty Air Force Security Forces personnel. Generalized linear regression analyses were conducted to determine if various social support functions were differentially associated with the presence and severity of suicidal ideation, both as main effects and as moderators of emotional distress. None of the four social support functions differentiated suicidal from nonsuicidal Airmen, but esteem support (i.e., feeling respected, encouraged, and valued by others) was associated with significantly less severe suicidal ideation (B = -.074, SE = .025, p = .003). A significant interaction of tangible support (i.e., access to material resources) with emotional distress indicated that emotional distress was associated with more severe suicidal ideation only among Airmen reporting low levels of tangible support (B = .006, SE = .003, p = .018). When considered concurrently, both tangible and self-esteem functions of social support are differentially associated with decreased suicidal ideation among Airmen, but belonging (i.e., having someone to do things with) and appraisal (i.e., having someone to talk to about problems) functions were not. Findings suggest that different aspects of social support affect suicidal ideation in different ways.

  14. CT angiography - chest

    MedlinePlus

    Computed tomography angiography - thorax; CTA - lungs; Pulmonary embolism - CTA chest; Thoracic aortic aneurysm - CTA chest; Venous thromboembolism - CTA lung; Blood clot - CTA lung; Embolus - CTA lung; CT ...

  15. Indocyanine green video angiography

    NASA Astrophysics Data System (ADS)

    Frambach, Donald A.

    1994-06-01

    Over the last two years, ophthalmologists have begun to use indocyanine green angiography as a supplement to fluorescein angiography. Unlike fluorescein, indocyanine green absorbs near infrared and emits slightly longer infrared light. Therefore, indocyanine green angiography images structures deeper in the retina and through blood, pigment, and turbid serous fluid that accumulates in a number of diseases. In addition, indocyanine green shows very different properties of dye leakage than does fluorescein and this can be used to identify certain abnormal blood vessels that grow beneath the retinas of patients with macular degeneration. Finally, indocyanine green fluoresces only 4% as efficiently as fluorescein which has presented a major technical problem until highly amplified video systems have become available to ophthalmologists. We have used a scanning laser ophthalmoscope to perform video indocyanine green angiography at the Doheny Eye Institute since November, 1991. In this paper, I will present several clinical cases that demonstrate the clinical usefulness of indocyanine green angiography.

  16. Historical review of personnel dosimetry development and its use in radiation protection programs at Hanford 1944 to the 1980s

    SciTech Connect

    Wilson, R.H.

    1987-02-01

    This document is an account of the personnel dosimetry programs as they were developed and practiced at Hanford from their inception in 1943 to 1944 to the 1980s. This history is divided into sections covering the general categories of external and internal measurement methods, in vivo counting, radiation exposure recordkeeping, and calibration of personnel dosimeters. The reasons and circumstances surrounding the inception of these programs at Hanford are discussed. Information about these programs was obtained from documents, letters, and memos that are available in our historical records; the personnel files of many people who participated in these programs; and from the recollections of many long-time, current, and past Hanford employees. For the most part, the history of these programs is presented chronologically to relate their development and use in routine Hanford operations. 131 refs., 38 figs., 23 tabs.

  17. Interim guidelines for protecting fire-fighting personnel from multiple hazards at nuclear plant sites: Final report

    SciTech Connect

    Klein, A.R.; Bloom, C.W.

    1989-07-01

    This report provides interim guidelines for reducing the impact to fire fighting and other supporting emergency response personnel from the multiple hazards of radiation, heat stress, and trauma when fighting a fire in a United States commercial nuclear power plant. Interim guidelines are provided for fire brigade composition, training, equipment, procedures, strategies, heat stress and trauma. In addition, task definitions are provided to evaluate and further enhance the interim guidelines over the long term. 19 refs.

  18. Guidelines for Use of Personal Protective Equipment by Law Enforcement Personnel During a Terrorist Chemical Agent Incident. Revision 2

    DTIC Science & Technology

    2003-12-01

    Operations in the Warm Zone 19 5.0 SPECIAL PLANNING CONSIDERATIONS 23 5.1 General 23 5.2 Patrol Officers Operations 23 5.3 SWAT Team...the Warm Zone 20 Table 3. Overall PPDFs for Patrol Suit Ensembles 27 Table 4. Overall PPDFs for SWAT Protective Ensembles 32 Table 5...security functions as well as tactical teams that may be called on to perform operations inside of the Warm Zone. Protective clothing options for bomb

  19. The role of protective lead clothing in reducing radiation exposure rates to personnel during equine bone scintigraphy.

    PubMed

    Steyn, Phillip F; Uhrig, John

    2005-01-01

    Bone scintigraphy is often used in horses because of its sensitivity and noninvasive nature. A 99mTc labeled radiopharmaceutical is injected at a dose of between 5.7 and 7.3GBq. Images are acquired immediately postinjection and 2-4h post. People are often in the room with the horse during the acquisition process. Objectives of this study were to (a) document the radiation exposure rates at different distances from various sites of the horse at varying times post injection and (b) study the usefulness of wearing lead aprons to reduce exposure rates to personnel. Radiation exposure rates were measured in at three distances (at skin surface and at 30 and 100 cm from the skin) from three sites (shoulder, thorax, and pelvis) in 19 horses. Exposure rates were measured with and without shielding by a 0.5-mm lead equivalent apron during both the pool and delayed phases. A 0.5mm equivalent lead apron significantly decreases radiation exposure (P<0.05) at these three distances from the three sites during both image acquisition phases. Mean dose reduction factors from the lead apron range from 3.6 to 5.7.

  20. Seasonal Influenza Vaccine and Protection against Pandemic (H1N1) 2009-Associated Illness Among US Military Personnel

    DTIC Science & Technology

    2010-05-01

    severe) outcomes and warrants further investigation. Our findings further complement recent reports among civilian populations in Mexico [13,14] and among...et al. (2009) Infection and death from influenza A H1N1 virus in Mexico : a retrospective analysis. Lancet 374: 2072–2079. 14. Garcia-Garcia L...Valdespino-Gomez JL, Lazcano-Ponce E, Jimenez-Corona A, Higuera- Iglesias A, et al. (2009) Partial protection of seasonal trivalent inactivated vaccine

  1. Educational Personnel Evaluation.

    ERIC Educational Resources Information Center

    Thomas, M. Donald

    1985-01-01

    In this successful 10-year-old Salt Lake City, Utah, personnel evaluation program, every employee is entitled to and guaranteed the protection of due process--shortcomings are identified, assistance provided, and peers involved in employment decisions. Employees who cannot provide satisfactory service or learn the necessary skills are dismissed.…

  2. Angiography and the gastrointestinal bleeder

    SciTech Connect

    Baum, S.

    1982-05-01

    The role of angiography in the diagnosis and treatment of gastrointestinal hemorrhage is discussed. Three categories of gastrointestinal bleeding are considered: upper gastrointestinal bleeding due to gastroesophageal varices, upper gastrointestinal bleeding of arterial or capillary origin, and lower gastrointestinal bleeding. The advantages and disadvantages of angiography are compared with those of radionuclide scanning and endoscopy or colonoscopy. It is anticipated that, as radionuclide scans are more widely employed, angiography will eventually be performed only in those patients with positive scans.

  3. Enclosure Requirements to Protect Personnel from Spinning Rotor Frailures at the Power Electronics and Electric Machinery Research Center

    SciTech Connect

    McKeever, John W

    2007-08-01

    Performance evaluation of electric motors is a major function of the Power Electronics and Electric Machinery Research Center (PEEMRC). Normally these motors have a fixed wire-wound stator and a rotating rotor, which may have conductors embedded in a ferromagnetic core (induction motors), magnets mounted on the surface of the ferromagnetic core with a thin metal or composite cylinder or ring to hold them in place, or magnets embedded in the ferromagnetic core. Most of the work currently involves the last two permanent magnet (PM) configurations. Although the stator of a radial-gap motor can absorb energy from many of the fragments ejected from the rotor during operation, the stator of an axial-gap motor is not positioned to provide significant protection. The housing of each motor can also absorb some of the energy. The most conservative approach, however, is to assume that all fragments from the rotor must be contained by a protective enclosure. An ideal enclosure is transparent. Manufacturers of such plastics as Lexan, Tuffak, and Cyrolon sell different variations of transparent enclosure material. Lexan is a polycarbonate sheet. Lexgard{reg_sign} is a penetration resistant material made by layering polycarbonate material between pieces of ordinary glass. A fragment striking a sheet of enclosure material will pierce the surface layer, but the layered polycarbonate-glass material is able to absorb the fragment's energy before it completes penetration. Tuffak{reg_sign} is Lexan polycarbonate. Cyrolon{reg_sign} bullet resistant material is acrylic sheet. The ability of the enclosure to stop a fragment depends on its thickness as well as the penetration capability of the fragment; for example, a lead fragment has much less penetrating capability than a steel fragment. Enclosure thicknesses are commercially available to provide several levels of protection. These levels depend on the momentum of the fragments and have been evaluated for some common types of ammunition

  4. Optical Coherence Tomography Angiography

    PubMed Central

    Gao, Simon S.; Jia, Yali; Zhang, Miao; Su, Johnny P.; Liu, Gangjun; Hwang, Thomas S.; Bailey, Steven T.; Huang, David

    2016-01-01

    Optical coherence tomography angiography (OCTA) is a noninvasive approach that can visualize blood vessels down to the capillary level. With the advent of high-speed OCT and efficient algorithms, practical OCTA of ocular circulation is now available to ophthalmologists. Clinical investigations that used OCTA have increased exponentially in the past few years. This review will cover the history of OCTA and survey its most important clinical applications. The salient problems in the interpretation and analysis of OCTA are described, and recent advances are highlighted. PMID:27409483

  5. Pediatric digital subtraction angiography

    SciTech Connect

    Amundson, G.M.; Wesenberg, R.L.; Mueller, D.L.; Reid, R.H.

    1984-12-01

    Experience with intravenous digital subtraction angiography (DSA) in infants and children is limited, although its relative rate of performance, low complication rate, and diagnostic accuracy indicate great potential. The authors performed 87 DSA examinations (74 patients) and obtained sufficient detail to facilitate diagnosis in most cases. The major problems of patient movement and overlapping vessels can be minimized by judicious use of sedation and strict attention to technique. Exposure of patients to radiation has not been a limiting factor since our system uses low exposure factors. Our results demonstrate that DSA has wide applicability to many organ systems and is especially useful in intracranial disease and for preoperative evaluation of neoplasms.

  6. Optical projection angiography

    NASA Astrophysics Data System (ADS)

    Liao, Riwei; Wang, Mingyi; Zhang, Fuli; Han, Dingan; Wang, Ruikang K.; Yang, Guojian; Zeng, Yaguang

    2016-11-01

    We propose the optical projection angiography (OPA) based on lateral dynamic scattering light for visualizing a three-dimensional (3D) blood-flow network. In OPA, a pulsed laser source illuminates a live biological sample for eliminating digital camera integration effects. The 2D flow image can be obtained by separating the dynamic and static scattering light signal of each camera pixel in the frequency domain. Flow images at a different angle are combined to reconstruct the 3D volume of the sample to realize OPA. Moreover, as our experiment retains the bright-field optical projection tomography (OPT) setup, the OPA image for the circulatory system and the OPT image for the skeletal structure can simultaneously be reconstructed. The experimental results can potentially be applied in physiological development studies.

  7. Optical coherence angiography

    PubMed Central

    Wylęgała, Adam; Teper, Sławomir; Dobrowolski, Dariusz; Wylęgała, Edward

    2016-01-01

    Abstract Background: Retinal vascular diseases are one of the most common causes of blindness in the developed world. Optical Coherence Tomography Angiography (OCT-A) is a new noninvasive method that uses several algorithms to detect blood movement. This enables the creation of high-resolution vascular images with contrast depicting motionless tissue. Methods: This review presents the results of articles relevant to age-related macular degeneration (AMD), diabetic retinopathy (DR), and OCT-A. The OCT-A technique can successfully be used in the diagnosis of neovascularization, retinal vein occlusion (RVO) and retinal artery occlusion (RAO), vessel abnormalities and even anterior segment neovascularization. OCT-A can also be applied to compute data such as vessel density, and flow index in both superficial and deep plexuses. Results: Many studies have compared fluorescein angiography with OCT-A. Other studies have reported differences in vascular density in AMD patients and have compared them with people having healthy eyes. Although OCT-A offers rapid picture acquisition, high repeatability and resolution, it also has many drawbacks. The most common are: motion artifacts, projections from overlying vessels and limited field of view. An interesting new application is the possibility to assess changes during antivascular endothelial growth factor (anti-VEGF) therapy. Another function of OCT-A is the possible application in the study of choriocapillaries in many fields of ocular pathology. Conclusion: OCT-A is a new promising method that allows the visualization of the retinal vascular network and the counting of blood flow parameters. This technique provides reliable images useful in clinical routines. PMID:27741104

  8. CT angiography - head and neck

    MedlinePlus

    ... medlineplus.gov/ency/article/007677.htm CT angiography - head and neck To use the sharing features on this page, ... create pictures of the blood vessels in the head and neck. How the Test is Performed You will be ...

  9. Technical aspects of CT angiography.

    PubMed

    Kuszyk, B S; Fishman, E K

    1998-10-01

    The basic tasks of spiral CT acquisition, image processing, and image display are the foundations underlying CT angiography regardless of the anatomic region of interest. Volume rendering is a rapidly emerging image processing technique for creating three-dimensional (3D) images from CT datasets, which has important advantages over other 3D rendering techniques including maximum intensity projection and surface rendering. This articles reviews the techniques that are commonly used in CT angiography and key considerations for optimization.

  10. Personnel Launch System definition

    NASA Astrophysics Data System (ADS)

    Piland, William M.; Talay, Theodore A.; Stone, Howard W.

    1990-10-01

    A lifting-body Personnel Launch System (PLS) is defined for assured manned access to space for future U.S. space missions. The reusable craft described is configured for reliable and safe operations, maintainability, affordability, and improved operability, and could reduce life-cycle costs associated with placing personnel into orbit. Flight simulations show the PLS to be a very flyable vehicle with very little control and propellant expenditure required during entry. The attention to crew safety has resulted in the design of a system that provides protection for the crew throughout the mission profile. However, a new operations philosophy for manned space vehicles must be adopted to fully achieve low-cost, manned earth-to-orbit transportation.

  11. Personnel Launch System definition

    NASA Technical Reports Server (NTRS)

    Piland, William M.; Talay, Theodore A.; Stone, Howard W.

    1990-01-01

    A lifting-body Personnel Launch System (PLS) is defined for assured manned access to space for future U.S. space missions. The reusable craft described is configured for reliable and safe operations, maintainability, affordability, and improved operability, and could reduce life-cycle costs associated with placing personnel into orbit. Flight simulations show the PLS to be a very flyable vehicle with very little control and propellant expenditure required during entry. The attention to crew safety has resulted in the design of a system that provides protection for the crew throughout the mission profile. However, a new operations philosophy for manned space vehicles must be adopted to fully achieve low-cost, manned earth-to-orbit transportation.

  12. PERSONNEL DOSIMETER

    DOEpatents

    Birkhoff, R.D.; Hubbell, H.H. Jr.; Johnson, R.M.

    1959-02-24

    A personnel dosimeter sensitive to both gamma and beta radiation is described. The dosimeter consists of an electrical conductive cylinder having a wall thickness of substantially 7 milligrams per square centimeter and an electrode disposed axially within the cylinder and insulated therefrom to maintain a potential impressed between the electrode and the cylinder. A cylindrical perforated shield provided with a known percentage of void area is disposed concentrically about the cylinder. The shield is formed of a material which does not contain more than 15 percent of an element higher than atomic weight 13. The dose actually received is at most the gamma dose plus the beta dose indicated by discharge of the dosimeter divided by the known percentage.

  13. Protective measures and H5N1-seroprevalence among personnel tasked with bird collection during an outbreak of avian influenza A/H5N1 in wild birds, Ruegen, Germany, 2006

    PubMed Central

    2009-01-01

    Background In Germany, the first outbreak of highly pathogenic avian influenza A/H5N1 occurred among wild birds on the island of Ruegen between February and April 2006. The aim of this study was to investigate the use of recommended protective measures and to measure H5N1-seroprevalence among personnel tasked with bird collection. Methods Inclusion criteria of our study were participation in collecting wild birds on Ruegen between February and March 2006. Study participants were asked to complete a questionnaire, and to provide blood samples. For evaluation of the use of protective measures, we developed a personal protective equipment (PPE)-score ranging between 0 and 9, where 9 corresponds to a consistent and complete use of PPE. Sera were tested by plaque neutralization (PN) and microneutralization (MN) assays. Reactive sera were reanalysed in the World Health Organization-Collaborating Centre (WHO-CC) using MN assay. Results Of the eligible personnel, consisting of firemen, government workers and veterinarians, 61% (97/154) participated in the study. Of those, 13% reported having always worn all PPE-devices during bird collection (PPE-score: 9). Adherence differed between firemen (mean PPE-score: 6.6) and government workers (mean PPE-score: 4.5; p = 0.006). The proportion of personnel always adherent to wearing PPE was lowest for masks (19%). Of the participants, 18% had received seasonal influenza vaccination prior to the outbreak. There were no reports of influenza-like illness. Five sera initially H5-reactive by PN assay were negative by WHO-CC confirmatory testing. Conclusion Gaps and variability in adherence demonstrate the risk of exposure to avian influenza under conditions of wild bird collection, and justify serological testing and regular training of task personnel. PMID:19835632

  14. An Evaluation of the Organ Dose Received by Cardiologists Arising From Angiography Examinations in Educational Hospital in Rasht

    PubMed Central

    Shoshtary, Akram; Islamian, Jalil Pirayesh; Asadinezhad, Mohsen; Sadremomtaz, Alireza

    2016-01-01

    Interventional procedures, cine acquisitions and operation of fluoroscopic equipment in high-dose fluoroscopic modes, involve long fluoroscopic times which can lead to high staff doses. Also, Coronary angiography (CA) procedures require the cardiologist and assisting personnel to remain close to the patient, which is the main source of scattered radiation. Thus, radiation exposure is a significant concern for radiation workers and it is important to measure the radiation doses received by personnel and evaluate the parameters concerning total radiation burden. In this research, we investigated radiation doses to 10 cardiologists performing 120 CA procedures. Using thermo luminescent dosimeters doses to the wrists, thyroid and eyes per procedure were measured. Based on the measured dose values, maximum doses to the Left wrist, Right wrist, thyroid and eyes of cardiologist were measured 241.45 µSv, 203.17 µSv, 78.21 µSv and 44.58 µSv, respectively. The results of this study indicate that distance from the source, use of protective equipment’s, procedure complexity, equipment performance, and cardiologist experience are the principal exposure-determining variables. It can be conclude that if adequate radiation protection approaches have been implemented, occupational dose levels to cardiologists would be within the regulated acceptable dose limits. PMID:26925906

  15. Competent human research personnel.

    PubMed

    Arford, Patricia H; Knowles, Marilyn B; Sneed, Nancee V

    2008-12-01

    The process of conducting human research is highly regulated, rigorous, detailed oriented, potentially harmful, and, hopefully, beneficial. Health professionals learn how to critique, design, analyze, and apply human research but have minimal education in how to conduct human research. Successful completion of a 24-hour course was mandated for research support personnel to enhance the protection of human subjects, improve the integrity of data collected, and ensure cost-effective results. Routine audits demonstrated that the course substantially improved the documentation of the informed consent process, source documentation, protocol adherence, and regulatory compliance.

  16. Evaluation of insecticides and repellents for the control of the sand fly Phlebotomus papatasi to protect deployed U.S. Military personnel

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Phlebotomine sand flies, including Phlebotomus papatasi, are important blood feeders and vectors that transmit the disease agents (Leishmania) that cause Leishmaniasis. Deployed U.S. Military Personnel in Iraq and Afghanistan suffered from sand fly bites and the disease they transmit. A USDA-DoD joi...

  17. Innovative technologies targeting vector populations to mitigate the risk of exposure to leishmaniasis and protect deployed U.S. Military personnel in the Middle East

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Phlebotomine sand flies, including Phlebotomus papatasi, are blood feeders and vectors of significant public health importance because they transmit Leishmania spp., which cause leishmaniasis. Deployed U.S. Military personnel in the Middle East suffer from sand fly bites and are at risk of contract...

  18. Innovative technologies targeting vector populations to mitigate the risk of exposure to leishmaniasis and protect deployed U.S. Military personnel in the Middle East

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Phlebotomine sand flies, including Phlebotomus papatasi, are blood feeders and vectors of significant public health importance because they transmit Leishmania spp., which cause leishmaniasis. Deployed U.S. Military personnel in the Middle East suffer from sand fly bites and are at risk of contracti...

  19. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    MedlinePlus

    ... Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography (MRA) Transcript Welcome to Radiology Info ... I’d like to talk with you about magnetic resonance angiography, or as it’s commonly known, MRA. ...

  20. Society for Cardiovascular Angiography and Interventions

    MedlinePlus

    ... jointly produced, collaborated with, or endorsed by the Society of Cardiovascular Angiography and Interventions. Press & News » Review ... SCAI Member? Create an Account Advertisement Advertisement The Society for Cardiovascular Angiography and Interventions Foundation, 1100 17th ...

  1. Personnel emergency carrier vehicle

    NASA Technical Reports Server (NTRS)

    Owens, Lester J. (Inventor); Fedor, Otto H. (Inventor)

    1987-01-01

    A personnel emergency carrier vehicle is disclosed which includes a vehicle frame supported on steerable front wheels and driven rear wheels. A supply of breathing air is connected to quick connect face mask coupling and umbilical cord couplings for supplying breathing air to an injured worker or attendant either with or without a self-contained atmospheric protection suit for protection against hazardous gases at an accident site. A non-sparking hydraulic motion is utilized to drive the vehicle and suitable direction and throttling controls are provided for controlling the delivery of a hydraulic driving fluid from a pressurized hydraulic fluid accumulator. A steering axis is steerable through a handle to steer the front wheels through a linkage assembly.

  2. Mechanical aspects of CO₂ angiography.

    PubMed

    Corazza, Ivan; Rossi, Pier Luca; Feliciani, Giacomo; Pisani, Luca; Zannoli, Sebastiano; Zannoli, Romano

    2013-01-01

    The aim of this paper is to clarify some physical-mechanical aspects involved in the carbon dioxide angiography procedure (CO₂ angiography), with a particular attention to a possible damage of the vascular wall. CO₂ angiography is widely used on patients with iodine intolerance. The injection of a gaseous element, in most cases manually performed, requires a long training period. Automatic systems allow better control of the injection and the study of the mechanical behaviour of the gas. CO₂ injections have been studied by using manual and automatic systems. Pressures, flows and jet shapes have been monitored by using a cardiovascular mock. Photographic images of liquid and gaseous jet have been recorded in different conditions, and the vascular pressure rises during injection have been monitored. The shape of the liquid jet during the catheter washing phase is straight in the catheter direction and there is no jet during gas injection. Gas bubbles are suddenly formed at the catheter's hole and move upwards: buoyancy is the only governing phenomenon and no bubbles fragmentation is detected. The pressure rise in the vessel depends on the injection pressure and volume and in some cases of manual injection it may double the basal vascular pressure values. CO₂ angiography is a powerful and safe procedure which diffusion will certainly increase, although some aspects related to gas injection and chamber filling are not jet well known. The use of an automatic system permits better results, shorter training period and limitation of vascular wall damage risk.

  3. 40 CFR 160.29 - Personnel.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 25 2012-07-01 2012-07-01 false Personnel. 160.29 Section 160.29 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS GOOD LABORATORY... facility shall maintain a current summary of training and experience and job description for...

  4. 40 CFR 160.29 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 24 2011-07-01 2011-07-01 false Personnel. 160.29 Section 160.29 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS GOOD LABORATORY... facility shall maintain a current summary of training and experience and job description for...

  5. 40 CFR 160.29 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Personnel. 160.29 Section 160.29 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS GOOD LABORATORY... facility shall maintain a current summary of training and experience and job description for...

  6. 40 CFR 160.29 - Personnel.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 24 2014-07-01 2014-07-01 false Personnel. 160.29 Section 160.29 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS GOOD LABORATORY... facility shall maintain a current summary of training and experience and job description for...

  7. 40 CFR 160.29 - Personnel.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 25 2013-07-01 2013-07-01 false Personnel. 160.29 Section 160.29 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS GOOD LABORATORY... facility shall maintain a current summary of training and experience and job description for...

  8. Angiography of nonneoplastic retroperitoneal masses

    SciTech Connect

    Lois, J.F.; Levin, D.C.; Hooshmand, I.

    1982-01-01

    Although noninvasive imaging modalities can be used to initially detect retroperitoneal masses, angiography is still desirable for several reasons in those cases in which surgery is contemplated. The latter can forewarn the surgeon as to possible hemorrhagic complications in highly vascular lesions. In some cases it can predict the malignant potential of the lesion. Finally, since these masses may derive blood supply from multiple sources, a vascular ''road map'' is provided to the surgeon. The angiographic findings of malignant retroperitoneal tumors are well known, but very little has been published dealing with benign nonneoplastic retroperitoneal masses. We have performed angiography in 11 surgically proven nonneoplastic retroperitoneal masses (9 inflammatory lesions, 2 hematomas). Major arterial or renal displacement occurred in 10. The 2 hematomas and 3 inflammatory lesions were totally avascular; 6 of the 9 inflammatory lesions revealed fine neovascularity and 5 of these 6 had an associated capillary blush. Sources of vascular supply included the lumbar, renal capsular, superior mesenteric, and gastroduodenal arteries. Although angiography is helpful in preoperative evaluation of retroperitoneal masses for the aforementioned reasons, it may be difficult or impossible to differentiate benign from malignant lesions based on the angiographic findings alone.

  9. Radiation dose measurements in coronary CT angiography

    PubMed Central

    Sabarudin, Akmal; Sun, Zhonghua

    2013-01-01

    Coronary computed tomography (CT) angiography is associated with high radiation dose and this has raised serious concerns in the literature. Awareness of various parameters for dose estimates and measurements of coronary CT angiography plays an important role in increasing our understanding of the radiation exposure to patients, thus, contributing to the implementation of dose-saving strategies. This article provides an overview of the radiation dose quantity and its measurement during coronary CT angiography procedures. PMID:24392190

  10. Neutron personnel dosimetry

    SciTech Connect

    Griffith, R.V.

    1981-06-16

    The current state-of-the-art in neutron personnel dosimetry is reviewed. Topics covered include dosimetry needs and alternatives, current dosimetry approaches, personnel monitoring devices, calibration strategies, and future developments. (ACR)

  11. Personnel Department Automation.

    ERIC Educational Resources Information Center

    Wilkinson, David

    In 1989, the Austin Independent School District's Office of Research and Evaluation was directed to monitor the automation of personnel information and processes in the district's Department of Personnel. Earlier, a study committee appointed by the Superintendent during the 1988-89 school year identified issues related to Personnel Department…

  12. Digital subtraction angiography in children

    SciTech Connect

    Wagner, M.L.; Singleton, E.B.; Egan, M.E.

    1983-01-01

    Preliminary results with digital subtraction angiography in infants and children have shown this to be an excellent screening procedure and often diagnostic. The examination can be performed satisfactorily on outpatients. Sixty patients have undergone this examination for evaluation of suspected abnormalities of the aortic arch and its branches, intracranial arteries, pulmonary arteries, abdominal aorta and its branches, and peripheral vessels. Adequate sedation is mandatory to prevent motion artifacts. While the literature reports increasing use of central venous catheters for delivery of contrast material, the use of short catheters placed in an antecubital vein is satisfactory for the pediatric patient. Techniques of the procedures are described along with seven appropriate case examples.

  13. Protection of Military Personnel Against Vector-Borne Diseases: A Review of Collaborative Work of the Australian and US Military Over the Last 30 Years.

    PubMed

    Frances, Stephen P; Edstein, Michael D; Debboun, Mustapha; Shanks, G Dennis

    2016-01-01

    Australian and US military medical services have collaborated since World War II to minimize vector-borne diseases such as malaria, dengue, and scrub typhus. In this review, collaboration over the last 30 years is discussed. The collaborative projects and exchange scientist programs have resulted in mutually beneficial outcomes in the fields of drug development and personal protection measures against vector-borne diseases.

  14. Transient cortical blindness after coronary artery angiography.

    PubMed

    Terlecki, Michał; Wojciechowska, Wiktoria; Rajzer, Marek; Jurczyszyn, Artur; Bazan-Socha, Stanisława; Bryniarski, Leszek; Czarnecka, Danuta

    2013-01-01

    Coronary angiography is the current gold standard for the diagnosis of ischemic heart disease and therefore the prevalence of percutaneous coronary procedures such as angiography and angioplasty is high. The occurrence of cerebral complications after coronary angiography and coronary angioplasty is low and it mainly includes transient ischemic attack and stroke. The prevalence of transient cortical blindness after X-ray contrast media is low and it is usually seen after cerebral angiography. Until now only a few cases of transient cortical blindness have been described after coronary artery angiography. Regarding the spread of coronary angiography worldwide and in Poland this complication is uniquely rare. A 32-year-old man with multiple extrasystolic ventricular arrhythmia suggesting Brugada syndrome diagnosis according to morphology of the left bundle branch block and with decreased left ventricular ejection fraction was admitted to the First Department of Cardiology and Hypertension, Medical College of the Jagiellonian University in Krakow. Coronary angiography was performed in order to exclude ischemic etiology of the observed abnormalities. No arteriosclerotic lesions were found in coronary arteries. Transient cortical blindness was observed directly after angiography which may have been caused by the neurotoxic effect of the used X-ray contrast medium. In ophthalmologic and neurologic examination as well as in the cerebral computed tomography scan no pathologies were found. Visual impairment disappeared totally within several hours.

  15. 76 FR 52533 - Personnel Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... Official Personnel Folders of Federal employees to clarify the roles and responsibilities of OPM and... Federal Regulations (Personnel Records) to clarify agency responsibilities concerning Official Personnel... the other agencies share responsibility for personnel management in the Executive Branch....

  16. LANSCE personnel access control system

    SciTech Connect

    Sturrock, J.C.; Gallegos, F.R.; Hall, M.J.

    1997-01-01

    The Radiation Security System (RSS) at the Los Alamos Neutron Science Center (LANSCE) provides personnel protection from prompt radiation due to accelerated beam. The Personnel Access Control System (PACS) is a component of the RSS that is designed to prevent personnel access to areas where prompt radiation is a hazard. PACS was designed to replace several older personnel safety systems (PSS) with a single modem unified design. Lessons learned from the operation over the last 20 years were incorporated into a redundant sensor, single-point failure safe, fault tolerant, and tamper-resistant system that prevents access to the beam areas by controlling the access keys and beam stoppers. PACS uses a layered philosophy to the physical and electronic design. The most critical assemblies are battery backed up, relay logic circuits; less critical devices use Programmable Logic Controllers (PLCs) for timing functions and communications. Outside reviewers have reviewed the operational safety of the design. The design philosophy, lessons learned, hardware design, software design, operation, and limitations of the device are described.

  17. "Geyser" leakage on fluorescein angiography.

    PubMed

    Levy, Jaime; Fagan, Xavier J; Lifshitz, Tova; Schneck, Marina

    2013-11-22

    An 82-year-old patient with diabetes was followed up due to moderate nonproliferative diabetic retinopathy with macular edema in the right eye. Visual acuity was 6/36. Focal macular laser was conducted (A). Three years later, the patient presented with blurry vision in the right eye. Visual acuity was 3/60. Vitreous hemorrhage was observed (B), and neovascularization of the disc was suspected (C). Fluorescein angiography (D, mid venous phase; E-F, recirculation phase) confirmed neovascularization of the disc and depicted a striking vertical leakage. Panretinal photocoagulation was started. Possible explanations for the "geyser" leakage may be either a partial posterior vitreous detachment allowing the fluorescein to track upwards but not elsewhere or a pocket of syneretic vitreous allowing the fluorescein passage in which to diffuse, much like the passage the blood would have taken.

  18. Chaplain Personnel Information Guide

    DTIC Science & Technology

    1991-04-15

    documnt may not be Mased for opem pisbiktao. si it hu been deajed by the appropiate miitay svice ot oervmnent qaeny. CHAPLAIN PERSONNEL INFORMATION GUIDE ...Include Security Classification) Chaplain Personnel Information Guide 12 PERSONAL AUTHOR(S) Chaplain (LTC) Jerry W. Black 13a. TYPE OF REPORT 13b...personnel information guide called the "Red Book." This guide contains information papers that are updated annually on subjects frequently discussed among the

  19. [Personnel requirements of medical radiation physics in radiotherapy in comparison to the current guidelines "radiation protection in medicine" : Special consideration of intensity-modulated radiation therapy].

    PubMed

    Leetz, H-K; Eipper, H H; Gfirtner, H; Schneider, P; Welker, K

    2014-08-01

    In 1994 and 1998 reports on staffing levels in medical radiation physics for radiation therapy were published by the "Deutsche Gesellschaft für Medizinische Physik" (DGMP, German Society for Medical Physics). Because of the technical and methodological progress, changes in recommended qualifications of staff and new governmental regulations, it was necessary to establish new staffing levels. The data were derived from a new survey in clinics. Some of the previously established results from the old reports were adapted to the new conditions by conversion.The staffing requirements were normalized to main components as in the earlier reports resulting in a simple method for calculation of staffing levels. The results were compared with the requirements in the "Richtlinie Strahlenschutz in der Medizin" (guidelines on radiation protection in medicine) and showed satisfactory agreement.

  20. Renal angiography with iohexol and metrizoate

    SciTech Connect

    Toernquist, C.; Holtaes, S.

    1984-02-01

    The nephrotoxicity of the ionic contrast medium metrizoate was compared with that of nonionic iohexol when used for renal angiography. Fifteen patients who underwent renal angiography with metrizoate and 15 with iohexol were studied. Serum creatinine level, Cr-51-EDTA clearance, and urine albumin level were recorded before and after angiography. Metrizoate affected renal function, as indicated both by a transient decrease in glomerular filtration rate and by a transient albuminuria. Renal function was unaffected by iohexol. Furthermore, iohexol produced less subjective discomfort than metrizoate. There appeared to be no difference in the quality of the angiograms obtained with the two media.

  1. Digital subtraction angiography of the heart and lungs

    SciTech Connect

    Moodie, D.S.; Yiannikas, J.

    1986-01-01

    This book contains 12 chapters. Some of the chapter titles are: Physical Principles of Cardiac Digital Subtraction Angiography, The Use of Intravenous Digital Subtraction Angiography in Evaluating Patients with Complex Congenital Heart Disease, Exercise Intravenous Digital Subtraction Angiograpny, Cardiomyopathic and Cardiac Neoplastic Disease, Digital Subtraction Angiography in the Catheterization Laboratory, and Cardiac Digital Subtraction Angiography - Future Directions.

  2. Personnel Management Institutes, 1975.

    ERIC Educational Resources Information Center

    Hinman, Stanley B., Jr., Comp.

    This publication is a compilation of five papers presented at the 1975 Personnel Management Institutes held by the New York State School Boards Association. Although the meeting was intended to provide useful information about personnel matters specifically for school board members and school administrators from New York, much of the content of…

  3. Student Personnel "Educators."

    ERIC Educational Resources Information Center

    Knott, J. Eugene

    It is suggested that student personnel workers in higher education have comparable responsibilities to their academic counterparts as "educators" in a literal sense. Each contact with a student by personnel officers should be viewed as an opportunity for facilitating learning and growth. As such, a responsibility for being conversant with and open…

  4. Projecting Personnel Needs.

    ERIC Educational Resources Information Center

    Kelly, Philip T.

    Increased reliance on personnel services is placing school districts' business operations in a no-win situation. This report evaluates methods of student population projection in relation to teacher costs. Educational costs reflect personnel costs in light of a decrease in the number of pupils being served. Increased enrollment projections create…

  5. [Preventive vaccinations for medical personnel].

    PubMed

    Kerwat, Klaus; Goedecke, Marcel; Wulf, Hinnerk

    2014-05-01

    Vaccinations are among the most efficient and important preventive medical procedures. Modern vaccines are well tolerated. In Germany there are no longer laws for mandatory vaccinations, either for the general public or for medical personnel. Vaccinations are now merely "officially recommended" by the top health authorities on the basis of recommendations from the Standing Committee on Vaccinations (STIKO) of the Robert Koch Institute (RKI) according to § 20 para 3 of the Protection against Infection law (IfSG). The management of vaccine damage due to officially recommended vaccinations is guaranteed by the Federal States. Whereas vaccinations in childhood are generally considered to be a matter of course, the willingness to accept them decreases markedly with increasing age. In the medical sector vaccinations against, for example, hepatitis B are well accepted while other vaccinations against, for example, whooping cough or influenza are not considered to be so important. The fact that vaccinations, besides offering protection for the medical personnel, may also serve to protect the patients entrusted to medical care from nosocomial infections is often ignored.

  6. 75 FR 2821 - Personnel Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ...; ] OFFICE OF PERSONNEL MANAGEMENT 5 CFR Part 293 RIN 3206-AM05 Personnel Records AGENCY: U.S. Office of Personnel Management. ACTION: Proposed rule with request for comments. SUMMARY: The U.S. Office of Personnel Management (OPM) is proposing to amend the regulations governing disposition of Official Personnel Folders...

  7. MD CT Angiography and MR Angiography of Nonatherosclerotic Renal Artery Disease

    SciTech Connect

    Flors, Lucia; Leiva-Salinas, Carlos; Ahmad, Ehab Ali; Norton, Patrick T.; Turba, Ulku C.; Bozlar, Ugur; Hagspiel, Klaus D.

    2011-12-15

    We reviewed the computed tomographic and magnetic resonance angiographic appearances of the various nonatherosclerotic renal artery pathologies. Rapid progress in cross-sectional techniques has allowed computed tomography and magnetic resonance angiography to replace digital subtraction angiography in most circumstances. When state-of-the-art equipment and optimized protocols are used, diagnosing a wide range of nonatherosclerotic pathologies is possible.

  8. Comparison of CT angiography and digital subtraction angiography in the diagnosis of aortic coarctation.

    PubMed

    Miabi, Zinat; Pourfathi, Hojjat; Midia, Mehran; Midia, Ramin; Parvizi, Rezayat

    2011-01-01

    There are several methods for the diagnosis and evaluation of coarctation of the aorta. Digital Subtraction Angiography (DSA) is the standard detection method, though it entails complications and side-effects. The aim of the present study was to compare Computed Tomography (CT) angiography with DSA for diagnosing aortic coarctation. We performed a cross-sectional study of 15 patients (11 males and four females aged between two and 30 years) referred to Tabriz Shahid Madani Hospital and Imaging Center between August 2005 and February 2006 with suspected aortic coarctation. All patients were subjected to DSA and CT angiography for diagnosis of aortic coarctation. The mean age of the patients was 14.6 years; 11 were male (74.4%) and four (26.6%) were female. The DSA and CT angiography results were comparable in all patients in terms of diagnosis and the detection of complications, particularly cardiovascular complications. However, CT angiography was less time-consuming to perform than DSA (p < 0.0001). In conclusion, CT angiography, comparableto DSA, diagnosed coarctation of aorta in all the patients. However, CT angiography is a non-invasive, cost effective procedure that takes significantly less time to carry out than DSA. Therefore, CT angiography is recommended as an appropriate method for diagnosing the coarctation of aorta.

  9. 21 CFR 114.10 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Commissioner for giving instruction in food-handling techniques, food-protection principles, personal hygiene... 21 Food and Drugs 2 2011-04-01 2011-04-01 false Personnel. 114.10 Section 114.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR...

  10. A summary of recommendations for occupational radiation protection in interventional cardiology.

    PubMed

    Durán, Ariel; Hian, Sim Kui; Miller, Donald L; Le Heron, John; Padovani, Renato; Vano, Eliseo

    2013-02-01

    The radiation dose received by cardiologists during percutaneous coronary interventions, electrophysiology procedures, and other interventional cardiology procedures can vary by more than an order of magnitude for the same type of procedure and for similar patient doses. There is particular concern regarding occupational dose to the lens of the eye. This document provides recommendations for occupational radiation protection for physicians and other staff in the interventional suite. Simple methods for reducing or minimizing occupational radiation dose include minimizing fluoroscopy time and the number of acquired images; using available patient dose reduction technologies; using good imaging-chain geometry; collimating; avoiding high-scatter areas; using protective shielding; using imaging equipment whose performance is controlled through a quality assurance program; and wearing personal dosimeters so that you know your dose. Effective use of these methods requires both appropriate education and training in radiation protection for all interventional cardiology personnel, and the availability of appropriate protective tools and equipment. Regular review and investigation of personnel monitoring results, accompanied as appropriate by changes in how procedures are performed and equipment used, will ensure continual improvement in the practice of radiation protection in the interventional suite. These recommendations for occupational radiation protection in interventional cardiology and electrophysiology have been endorsed by the Asian Pacific Society of Interventional Cardiology, the European Association of Percutaneous Cardiovascular Interventions, the Latin American Society of Interventional Cardiology, and the Society for Cardiovascular Angiography and Interventions.

  11. Soil contamination standards for protection of personnel

    SciTech Connect

    Rittmann, P.D.

    1998-04-16

    The objective of this report is to recommend soil contamination levels that will ensure that radionuclide intakes by unprotected workers are likely to give internal doses below selected dose limits during the working year. The three internal dose limits are 1, 100, and 500 mrem per year. In addition, photon, beta, and alpha instrument readings are estimated for these soil concentration limits. Two exposure pathways are considered: the first is inhalation of resuspended dust and the second is ingestion of trace amounts of soil. In addition, radioactive decay and ingrowth of progeny during the year of exposure is included. External dose from the soil contamination is not included because monitoring and control of external exposures is carried out independently from internal exposures, which are the focus of this report. The methods used are similar to those used by Carbaugh and Bihl (1993) to set bioassay criteria for such workers.

  12. MSFC Respiratory Protection Services

    NASA Technical Reports Server (NTRS)

    CoVan, James P.

    1999-01-01

    An overview of the Marshall Space Flight Center Respiratory Protection program is provided in this poster display. Respiratory protection personnel, building, facilities, equipment, customers, maintenance and operational activities, and Dynatech fit testing details are described and illustrated.

  13. Transient cortical blindness after coronary angiography.

    PubMed

    Alp, B N; Bozbuğa, N; Tuncer, M A; Yakut, C

    2009-01-01

    Transient cortical blindness is rarely encountered after angiography of native coronary arteries or bypass grafts. This paper reports a case of transient cortical blindness that occurred 72 h after coronary angiography in a 56-year old patient. This was the patient's fourth exposure to contrast medium. Neurological examination demonstrated cortical blindness and the absence of any focal neurological deficit. A non-contrast-enhanced computed tomographic scan of the brain revealed bilateral contrast enhancement in the occipital lobes and no evidence of cerebral haemorrhage, and magnetic resonance imaging of the brain showed no pathology. Sight returned spontaneously within 4 days and his vision gradually improved. A search of the current literature for reported cases of transient cortical blindness suggested that this is a rarely encountered complication of coronary angiography.

  14. Full-field optical micro-angiography

    NASA Astrophysics Data System (ADS)

    Wang, Mingyi; Zeng, Yaguang; Liang, Xianjun; Lu, Xuanlong; Feng, Guanping; Han, Dingan; Yang, Guojian

    2014-02-01

    We present a detailed description of full-field optical micro-angiography on the basis of frequency-domain laser speckle imaging with intensity fluctuation modulation (LSI-IFM). The imaging approach works based on the instantaneous local intensity fluctuation realized via the combination of short exposure and low sampling rate of a camera and appropriate magnification of a microscope. In vivo experiments on mouse ear verify the theoretical description we made for the imaging mechanism and demonstrate the ability of LSI-IFM as optical micro-angiography. By introducing a fundus camera into LSI-IFM system, our approach has a potential application in label-free retina optical micro-angiography.

  15. Digital subtraction angiography of the thoracic aorta

    SciTech Connect

    Grossman, L.B.; Buonocore, E.; Modic, M.T.; Meaney, T.F.

    1984-02-01

    Forty-three patients with acquired and congenital abnormalities of the thoracic aorta were studied using digital subtraction angiography (DSA) after an intravenous bolus injection of 40 ml of contrast material. Abnormalities studied included coarctation, pseudocoarctation, Marfan syndrome, cervical aorta, double aortic arch, aneurysm, dissection, and tumor. Twenty-four patients also had conventional angiography. DSA was accurate in 95% of cases; in the other 5%, involving patients with acute type I dissection, the coronary arteries could not be seen. The authors concluded that in 92% of their patients, DSA could have replaced the standard aortogram.

  16. Digital subtraction angiography of the kidney.

    PubMed

    Gattoni, F; Avogadro, A; Baldini, U; Pozzato, C; Bonfanti, M T; Gandini, D; Franch, L; Uslenghi, C

    1988-09-01

    Intravenous and intra-arterial digital subtraction angiography (DSA) was performed in 88 patients: 34 with tumours, 10 with renal trauma, 26 with suspected renovascular hypertension, 6 with vascular impression on the renal pelvis, 8 with nephrolithiasis and 4 with sonographically abnormal kidneys. Venous and arterial DSA always gave diagnostically useful images. Intravenous DSA is valuable in patients with suspected renovascular hypertension or after vascular surgery, percutaneous transluminal angioplasty and transcatheter embolisation. Arterial DSA is preferable to venous DSA in other clinical situations, particularly in the evaluation of renal tumours, and may be recommended in preference to conventional angiography.

  17. Personnel Retention Model Analysis.

    DTIC Science & Technology

    1980-01-01

    Of01 owee)V fOT public ,ei~ rd a;It _Ltributo su~ntd 11T. mgvOUTMu STATEMET (W10 sme inO" spr on.6 as. MI Afra Sme Bw Active Arumy. Personnel...S30. 1 * *0 .(4 s 5 *a j* IJ’) 531: IFR (JJFK)LTR(jjR ) GC To e02 532: RS ( ji j,,GF , 31 1 * SIJ’@jk K 533: *(J J F, )- K 534: 602 IF(ARS5J4

  18. Unexpected Angiography Findings and Effects on Management

    PubMed Central

    Neill, Matthew; Charles, Hearns W; Gross, Jonathan S; Farquharson, Sean; Deipolyi, Amy R

    2016-01-01

    Despite progress in noninvasive imaging with computed tomography and magnetic resonance imaging, conventional angiography still contributes to the diagnostic workup of oncologic and other diseases. Arteriography can reveal tumors not evident on cross-sectional imaging, in addition to defining aberrant or unexpected arterial supply to targeted lesions. This additional and potentially unanticipated information can alter management decisions during interventional procedures. PMID:27688932

  19. Personnel Management Institutes 1974.

    ERIC Educational Resources Information Center

    Hinman, Stanley B., Jr.

    This report is a compilation of presentations made at the Personnel Management Institutes held by the New York State School Boards Association in the fall of 1974. Included are the following six presentations: "New Laws Affecting School Boards and School Administration," by Bernard T. McGivern; "How to Prepare for Tenure Hearings,…

  20. Personnel Management in Libraries.

    ERIC Educational Resources Information Center

    Rubin, Richard, Ed.

    1989-01-01

    Twelve articles discuss personnel management in libraries. Topics covered include building job commitment among employers, collective bargaining, entry-level recruitment, employee turnover, performance evaluation, managing resistance to change, training problems, productivity, employee stress, compensation systems, and the Allerton Park Institute.…

  1. Evaluating School Personnel Today.

    ERIC Educational Resources Information Center

    Poliakoff, Lorraine L.

    This document, an evaluation of school personnel, is based on a review of the literature on evaluation in the ERIC system. Emphasis is placed on the evaluation of school administrators, teacher evaluation by students, and the teacher's role in evaluation. A 23-item bibliography is included. (MJM)

  2. Personnel Management. Universities.

    ERIC Educational Resources Information Center

    Ohio Board of Regents, Columbus. Management Improvement Program.

    This manual is one of 10 completed in the Ohio Management Improvement Program (MIP) during the 1971-73 biennium. In this project, Ohio's 34 public universities and colleges, in an effort directed and staffed by the Ohio Board of Regents, have developed manuals of management practices, in this case, concerning personnel management. Emphasis in this…

  3. PTSD among military personnel.

    PubMed

    Creamer, Mark; Wade, Darryl; Fletcher, Susan; Forbes, David

    2011-04-01

    Although symptoms characteristic of post-traumatic stress disorder (PTSD) have been noted in military personnel for many centuries, it was not until 1980 that the disorder was formally recognized and became the focus of legitimate study. This paper reviews our current state of knowledge regarding the prevalence and course of this complex condition in past and present members of the defence forces. Although rates vary across conflicts and countries, there is no doubt that PTSD affects substantial numbers of personnel and results in considerable impairment in functioning and quality of life. The paper goes on to discuss recent attempts to build resilience and to promote adjustment following deployment, noting that there is little evidence at this stage upon which to draw firm conclusions. Finally, effective treatment for PTSD is reviewed, with particular reference to the challenges posed by this population in a treatment setting.

  4. Ballistic Testing of Personnel Armor Materials

    DTIC Science & Technology

    1975-01-06

    Identity by block number) 7e)scribes methods for evaluating the resistance of personnel armor material. to perforation by attacking projectile fragments... armor vests, face shields , torso shield , leg armor , and protective suits. It is relatively light in weight, usually between 1/4 and 4 pounds per square...quantitative measures of the ability of body armor materials to completely stop or reduce the velocity (therefore lethality) of attacking fragments of various

  5. Patients with Life-Threatening Arterial Renal Hemorrhage: CT Angiography and Catheter Angiography with Subsequent Superselective Embolization

    SciTech Connect

    Sommer, C. M. Stampfl, U.; Bellemann, N.; Ramsauer, S.; Loenard, B. M.; Haferkamp, A.; Hallscheidt, P.; Richter, G. M.; Kauczor, H. U.; Radeleff, B. A.

    2010-06-15

    The purpose of this study was to evaluate the technical and clinical success of superselective embolization in patients with life-threatening arterial renal hemorrhage undergoing preinterventional CT angiography. Forty-three patients with clinical signs of life-threatening arterial renal hemorrhage underwent CT angiography and catheter angiography. Superselective embolization was indicated in the case of a positive catheter angiography. Primary study goals were technical and clinical success of superselective embolization. Secondary study goals were CT angiographic and catheter angiographic image findings and clinical follow-up. The mean time interval between CT angiography and catheter angiography was 8.3 {+-} 10.3 h (range, 0.2-34.1 h). Arterial renal hemorrhage was identified with CT angiography in 42 of 43 patients (98%) and catheter angiography in 39 of 43 patients (91%) (overview angiography in 4 of 43 patients [9%], selective angiography in 16 of 43 patients [37%], and superselective angiography in 39 of 43 patients [91%]). Superselective embolization was performed in 39 of 43 patients (91%) and technically successful in 37 of 39 patients (95%). Therefore, coil embolization was performed in 13 of 37 patients (35%), liquid embolization in 9 of 37 patients (24%), particulate embolization in 1 of 37 patients (3%), and a combination in 14 of 37 patients (38%). Clinical failure occurred in 8 of 39 patients (21%) and procedure-related complications in 2 of 39 patients (5%). The 30-day mortality rate was 3%. Hemoglobin decreased significantly prior to intervention (P < 0.001) and increased significantly after intervention (P < 0.005). In conclusion, superselective embolization is effective, reliable, and safe in patients with life-threatening arterial renal hemorrhage. In contrast to overview and selective angiography, only superselective angiography allows reliable detection of arterial renal hemorrhage. Preinterventional CT angiography is excellent for detection

  6. Models of Personnel Needs Assessment.

    ERIC Educational Resources Information Center

    Mattson, Beverly

    This report presents samples of models and strategies for determining professional development needs of special education personnel. The following areas are covered: definitions of needs and the needs assessment process; personnel needs assessment regulations under the Comprehensive System of Personnel Development, the Individuals with…

  7. Gadofosveset-enhanced magnetic resonance angiography

    PubMed Central

    Goyen, Mathias

    2008-01-01

    Gadofosveset (Vasovist®, Bayer Schering Pharma AG, Berlin/Germany) is the first intravascular contrast agent approved for use with magnetic resonance angiography in the European Union, Switzerland, Turkey, Canada, and Australia. Gadofosveset reversibly binds to albumin providing extended intravascular enhancement compared wth existing extracellular magnetic resonance contrast agents. Prior to approval, gadofosveset underwent extensive testing to evaluate the safety and efficacy of the drug; the clinical trials show that gadofosveset-enhanced magnetic resonance angiography (MRA) is safe and well tolerated in patients with vascular disease and effective for the detection of vascular stenosis and aneurysms gadofosveset has the potential to open new horizons in diagnostic MRA by increasing the spatial resolution and the robustness of MRA examinations and facilitating the examination of multiple vascular beds. PMID:18629367

  8. Angiography of Liver Transplantation Patients 1

    PubMed Central

    Zajko, Albert B.; Bron, Klaus M.; Starzl, Thomas E.; Van Thiel, David H.; Gartner, J. Carlton; Iwatsuki, Shunzaburo; Shaw, Byers W.; Zitelli, Basil J.; Malatack, J. Jeffrey; Urbach, Andrew H.

    2010-01-01

    Over 45 months, 119 angiographic examinations were performed in 95 patients prior to liver transplantation, and 53 examinations in 44 patients after transplantation. Transplantation feasibility was influenced by patency of the portal vein and inferior vena cava. Selective arterial portography, wedged hepatic venography, and transhepatic portography were used to assess the portal vein if sonography or computed tomography was inconclusive. Major indications for angiography after transplantation included early liver failure, sepsis, unexplained elevation of liver enzyme levels, and delayed bile leakage, all of which may be due to hepatic artery thrombosis. Other indications included gastrointestinal tract bleeding, hemobilia, and evaluation of portal vein patency in patients with chronic rejection who were being considered for retransplantation. Normal radiographic features of hepatic artery and portal vein reconstruction are demonstrated. Complications diagnosed using results of angiography included hepatic artery or portal vein stenoses and thromboses and pancreaticoduodenal aneurysms. Intrahepatic arterial narrowing, attenuation, slow flow, and poor filling were seen in five patients with rejection PMID:3901102

  9. Types of diaphragmatic motion during hepatic angiography.

    PubMed

    Katsuda, T; Kuroda, C; Fujita, M

    1997-01-01

    To determine the types and causes of diaphragmatic motion during hepatic angiography, the authors used transarterial cut-film portography (TAP) to study movement of the diaphragm during breath-holding. Thirty-three TAP sequences were studied, and the patients' diaphragmatic motions were classified into four categories according to the distance their diaphragms moved. Results showed that the diaphragm was stationary in 33% of the TAP studies, while perpetual motion occurred in 15% of the studies, early-phase motion occurred in 12% and late-phase motion occurred in 40%. Ten sequences showed diaphragmatic motion of more than 10 mm, with eight sequences showing caudal motion and two showing cranial motion. This article discusses the cause of diaphragmatic motion during breath-holding for hepatic angiography and presents suggestions to reduce motion artifacts during the exam.

  10. Prognostic utility of coronary computed tomographic angiography

    PubMed Central

    Otaki, Yuka; Berman, Daniel S.; Min, James K.

    2013-01-01

    Coronary computed tomographic angiography (CCTA) employing CT scanners of 64-detector rows or greater represents a noninvasive method that enables accurate detection and exclusion of anatomically obstructive coronary artery disease (CAD), providing excellent diagnostic information when compared to invasive angiography. There are numerous potential advantages of CCTA beyond simply luminal stenosis assessment including quantification of atherosclerotic plaque volume as well as assessment of plaque composition, extent, location and distribution. In recent years, an array of studies has evaluated the prognostic utility of CCTA findings of CAD for the prediction of major adverse cardiac events, all-cause death and plaque instability. This prognostic information enhances risk stratification and, if properly acted upon, may improve medical therapy and/or behavioral changes that may enhance event-free survival. The goal of the present article is to summarize the current status of the prognostic utility of CCTA findings of CAD. PMID:23809386

  11. Cardiac CT Angiography in Congestive Heart Failure.

    PubMed

    Levine, Avi; Hecht, Harvey S

    2015-06-01

    Cardiac CT angiography has become an important tool for the diagnosis and treatment of congestive heart failure. Differentiation of ischemic from nonischemic cardiomyopathy; evaluation of myocardial perfusion; characterization of hypertrophic cardiomyopathy, left ventricular noncompaction, and arrhythmogenic right ventricular dysplasia; and delineation of congenital heart defects and valvular abnormalities are the primary diagnostic applications. Therapeutic use includes visualization of the coronary venous anatomy for optimal implementation of cardiac resynchronization therapy and evaluation of left ventricular assist devices and transplant vasculopathy.

  12. Indocyanine green angiography features of malattia leventinese

    PubMed Central

    Souied, E H; Leveziel, N; Querques, G; Darmon, J; Coscas, G; Soubrane, G

    2006-01-01

    Background/aim Malattia leventinese (ML) is an inherited macular degeneration characterised by the presence of small radial drusen. Despite extensive descriptions of this study of the fundus, angiographic features of ML have been inadequately described. The aim is to describe the indocyanine green angiography (ICG) features observed in ML. Methods 10 eyes from five consecutive ML patients (aged 27–44 years) were prospectively included. A complete ophthalmological examination including colour fundus photographs, autofluorescence, fluorescein angiography (FA), and ICG was performed. Results ICG differentiated two types of drusen. Large round aggregated drusen were consistently hypofluorescent in the early phases and presented as hyperfluorescent spots surrounded by halos of hypofluorescence in the late phases. Conversely, small radial drusen were mostly hyperfluorescent in the early phases with decreased fluorescence in the late phases of the ICG sequence. FA also showed differences in staining between the two types of drusen. Conclusions ICG angiography revealed marked differences between the large round and small radial drusen observed in ML. The large central drusen presented with an unusual pustuliform feature on the late phases of the ICG sequence. This distinct feature may be useful in the diagnosis of late stage disease when drusen consolidation could obscure the radial drusen. PMID:16488948

  13. Diagnostic yield and accuracy of CT angiography, MR angiography, and digital subtraction angiography for detection of macrovascular causes of intracerebral haemorrhage: prospective, multicentre cohort study

    PubMed Central

    Velthuis, Birgitta K; Rinkel, Gabriël J E; Algra, Ale; de Kort, Gérard A P; Witkamp, Theo D; de Ridder, Johanna C M; van Nieuwenhuizen, Koen M; de Leeuw, Frank-Erik; Schonewille, Wouter J; de Kort, Paul L M; Dippel, Diederik W; Raaymakers, Theodora W M; Hofmeijer, Jeannette; Wermer, Marieke J H; Kerkhoff, Henk; Jellema, Korné; Bronner, Irene M; Remmers, Michel J M; Bienfait, Henri Paul; Witjes, Ron J G M; Greving, Jacoba P; Klijn, Catharina J M

    2015-01-01

    Study question What are the diagnostic yield and accuracy of early computed tomography (CT) angiography followed by magnetic resonance imaging/angiography (MRI/MRA) and digital subtraction angiography (DSA) in patients with non-traumatic intracerebral haemorrhage? Methods This prospective diagnostic study enrolled 298 adults (18-70 years) treated in 22 hospitals in the Netherlands over six years. CT angiography was performed within seven days of haemorrhage. If the result was negative, MRI/MRA was performed four to eight weeks later. DSA was performed when the CT angiography or MRI/MRA results were inconclusive or negative. The main outcome was a macrovascular cause, including arteriovenous malformation, aneurysm, dural arteriovenous fistula, and cavernoma. Three blinded neuroradiologists independently evaluated the images for macrovascular causes of haemorrhage. The reference standard was the best available evidence from all findings during one year’s follow-up. Study answer and limitations A macrovascular cause was identified in 69 patients (23%). 291 patients (98%) underwent CT angiography; 214 with a negative result underwent additional MRI/MRA and 97 with a negative result for both CT angiography and MRI/MRA underwent DSA. Early CT angiography detected 51 macrovascular causes (yield 17%, 95% confidence interval 13% to 22%). CT angiography with MRI/MRA identified two additional macrovascular causes (18%, 14% to 23%) and these modalities combined with DSA another 15 (23%, 18% to 28%). This last extensive strategy failed to detect a cavernoma, which was identified on MRI during follow-up (reference strategy). The positive predictive value of CT angiography was 72% (60% to 82%), of additional MRI/MRA was 35% (14% to 62%), and of additional DSA was 100% (75% to 100%). None of the patients experienced complications with CT angiography or MRI/MRA; 0.6% of patients who underwent DSA experienced permanent sequelae. Not all patients with negative CT angiography and

  14. PERSONNEL NEUTRON DOSIMETER

    DOEpatents

    Fitzgerald, J.J.; Detwiler, C.G. Jr.

    1960-05-24

    A description is given of a personnel neutron dosimeter capable of indicating the complete spectrum of the neutron dose received as well as the dose for each neutron energy range therein. The device consists of three sets of indium foils supported in an aluminum case. The first set consists of three foils of indium, the second set consists of a similar set of indium foils sandwiched between layers of cadmium, whereas the third set is similar to the second set but is sandwiched between layers of polyethylene. By analysis of all the foils the neutron spectrum and the total dose from neutrons of all energy levels can be ascertained.

  15. Personal Protective Equipment

    EPA Pesticide Factsheets

    Response personnel must wear the appropriate level of protection whenever near a hazardous release site. Level A is for the greatest exposure potential, and D is the minimum level. Examples range from totally encapsulated suits to hard hats.

  16. Computed Tomographic Angiography of the Abdominal Aorta.

    PubMed

    Hansen, Neil J

    2016-01-01

    Computed tomographic (CT) angiography (CTA) has become the preferred imaging test of choice for various aortic conditions because of its excellent spatial resolution, rapid image acquisition, and its wide availability. CTA provides a robust tool for planning aortic interventions and diagnosing acute and chronic vascular diseases in the abdomen. CTA is the standard for imaging aneurysms before intervention and evaluating the aorta in the acute setting to assess traumatic injury, dissection, and aneurysm rupture. Knowledge of the imaging features of these disease processes, inflammatory vasculitides, and occlusive atherosclerotic disease is essential for guiding surgical and medical management of patients.

  17. Multidetector computed tomography angiography of the abdomen.

    PubMed

    Güven, Koray; Acunaş, Bülent

    2004-10-01

    Multidetector computed tomography (MDCT) angiography has provided excellent opportunities for advancement of computed tomography (CT) technology and clinical applications. It has a wide range of applications in the abdomen including vascular pathologies either occlusive or aneurysmal; enables the radiologist to produce vascular mapping that clearly show tumor invasion of vasculature and the relationship of vessels to mass lesions. MDCTA can be used in preoperative planning for hepatic resection, preoperative evaluation and planning for liver transplantation. MDCTA can also provide extremely valuable information in the evaluation of ischemic bowel disease, active Crohn disease, the extent and location of collateral vessels in cirrhosis.

  18. Personnel electronic neutron dosimeter

    DOEpatents

    Falk, R.B.; Tyree, W.H.

    1982-03-03

    A personnel electronic dosimeter includes a neutron-proton and neutron-alpha converter for providing an electrical signal having a magnitude proportional to the energy of a detected proton or alpha particle produced from the converter, a pulse generator circuit for generating a pulse having a duration controlled by the weighed effect of the amplitude of the electrical signal, an oscillator enabled by the pulse for generating a train of clock pulses for a time dependent upon the pulse length, a counter for counting the clock pulses, and an indicator for providing a direct reading and aural alarm when the count indicates that the wearer has been exposed to a selected level of neutron dose equivalent.

  19. Personnel electronic neutron dosimeter

    DOEpatents

    Falk, Roger B.; Tyree, William H.

    1984-12-18

    A personnel electronic dosimeter includes a neutron-proton and neutron-alpha converter for providing an electrical signal having a magnitude proportional to the energy of a detected proton or alpha particle produced from the converter, a pulse generator circuit for generating a pulse having a duration controlled by the weighed effect of the amplitude of the electrical signal, an oscillator enabled by the pulse for generating a train of clock pulses for a time dependent upon the pulse length, a counter for counting the clock pulses, and an indicator for providing a direct reading and aural alarm when the count indicates that the wearer has been exposed to a selected level of neutron dose equivalent.

  20. Hemodialysis fistula occlusion: demonstration with 64-slice CT angiography.

    PubMed

    Neyman, Edward G; Johnson, Pamela T; Fishman, Elliot K

    2006-01-01

    The speed and resolution of 64-slice CT have resulted in new applications for CT angiography (CTA) owing to rapid data acquisition during the arterial phase, improved visualization of small vessels, and lengthened anatomic coverage. Extremity CT angiography is one such region. This case report shows the utility of multislice CTA for the evaluation of hemodialysis graft dysfunction.

  1. Computed tomography imaging and angiography - principles.

    PubMed

    Kamalian, Shervin; Lev, Michael H; Gupta, Rajiv

    2016-01-01

    The evaluation of patients with diverse neurologic disorders was forever changed in the summer of 1973, when the first commercial computed tomography (CT) scanners were introduced. Until then, the detection and characterization of intracranial or spinal lesions could only be inferred by limited spatial resolution radioisotope scans, or by the patterns of tissue and vascular displacement on invasive pneumoencaphalography and direct carotid puncture catheter arteriography. Even the earliest-generation CT scanners - which required tens of minutes for the acquisition and reconstruction of low-resolution images (128×128 matrix) - could, based on density, noninvasively distinguish infarct, hemorrhage, and other mass lesions with unprecedented accuracy. Iodinated, intravenous contrast added further sensitivity and specificity in regions of blood-brain barrier breakdown. The advent of rapid multidetector row CT scanning in the early 1990s created renewed enthusiasm for CT, with CT angiography largely replacing direct catheter angiography. More recently, iterative reconstruction postprocessing techniques have made possible high spatial resolution, reduced noise, very low radiation dose CT scanning. The speed, spatial resolution, contrast resolution, and low radiation dose capability of present-day scanners have also facilitated dual-energy imaging which, like magnetic resonance imaging, for the first time, has allowed tissue-specific CT imaging characterization of intracranial pathology.

  2. Coronary CT angiography: Beyond morphological stenosis analysis.

    PubMed

    Sun, Zhonghua

    2013-12-26

    Rapid technological developments in computed tomography (CT) imaging technique have made coronary CT angiography an attractive imaging tool in the detection of coronary artery disease. Despite visualization of excellent anatomical details of the coronary lumen changes, coronary CT angiography does not provide hemodynamic changes caused by presence of plaques. Computational fluid dynamics (CFD) is a widely used method in the mechanical engineering field to solve complex problems through analysing fluid flow, heat transfer and associated phenomena by using computer simulations. In recent years, CFD is increasingly used in biomedical research due to high performance hardware and software. CFD techniques have been used to study cardiovascular hemodynamics through simulation tools to assist in predicting the behaviour of circulatory blood flow inside the human body. Blood flow plays a key role in the localization and progression of coronary artery disease. CFD simulation based on 3D luminal reconstructions can be used to analyse the local flow fields and flow profiling due to changes of vascular geometry, thus, identifying risk factors for development of coronary artery disease. The purpose of this article is to provide an overview of the coronary CT-derived CFD applications in coronary artery disease.

  3. Angiography with a multifunctional line scanning ophthalmoscope

    NASA Astrophysics Data System (ADS)

    Hammer, Daniel X.; Ferguson, R. Daniel; Patel, Ankit H.; Vazquez, Vanessa; Husain, Deeba

    2012-02-01

    A multifunctional line scanning ophthalmoscope (mLSO) was designed, constructed, and tested on human subjects. The mLSO could sequentially acquire wide-field, confocal, near-infrared reflectance, fluorescein angiography (FA), and indocyanine green angiography (ICGA) retinal images. The system also included a retinal tracker (RT) and a photodynamic therapy laser treatment port. The mLSO was tested in a pilot clinical study on human subjects with and without retinal disease. The instrument exhibited robust retinal tracking and high-contrast line scanning imaging. The FA and ICGA angiograms showed a similar appearance of hyper- and hypo-pigmented disease features and a nearly equivalent resolution of fine capillaries compared to a commercial flood-illumination fundus imager. An mLSO-based platform will enable researchers and clinicians to image human and animal eyes with a variety of modalities and deliver therapeutic beams from a single automated interface. This approach has the potential to improve patient comfort and reduce imaging session times, allowing clinicians to better diagnose, plan, and conduct patient procedures with improved outcomes.

  4. Optical coherence tomography based angiography [Invited

    PubMed Central

    Chen, Chieh-Li; Wang, Ruikang K.

    2017-01-01

    Optical coherence tomography (OCT)-based angiography (OCTA) provides in vivo, three-dimensional vascular information by the use of flowing red blood cells as intrinsic contrast agents, enabling the visualization of functional vessel networks within microcirculatory tissue beds non-invasively, without a need of dye injection. Because of these attributes, OCTA has been rapidly translated to clinical ophthalmology within a short period of time in the development. Various OCTA algorithms have been developed to detect the functional micro-vasculatures in vivo by utilizing different components of OCT signals, including phase-signal-based OCTA, intensity-signal-based OCTA and complex-signal-based OCTA. All these algorithms have shown, in one way or another, their clinical values in revealing micro-vasculatures in biological tissues in vivo, identifying abnormal vascular networks or vessel impairment zones in retinal and skin pathologies, detecting vessel patterns and angiogenesis in eyes with age-related macular degeneration and in skin and brain with tumors, and monitoring responses to hypoxia in the brain tissue. The purpose of this paper is to provide a technical oriented overview of the OCTA developments and their potential pre-clinical and clinical applications, and to shed some lights on its future perspectives. Because of its clinical translation to ophthalmology, this review intentionally places a slightly more weight on ophthalmic OCT angiography. PMID:28271003

  5. Perfusion Angiography in Acute Ischemic Stroke

    PubMed Central

    Liebeskind, David S.

    2016-01-01

    Visualization and quantification of blood flow are essential for the diagnosis and treatment evaluation of cerebrovascular diseases. For rapid imaging of the cerebrovasculature, digital subtraction angiography (DSA) remains the gold standard as it offers high spatial resolution. This paper lays out a methodological framework, named perfusion angiography, for the quantitative analysis and visualization of blood flow parameters from DSA images. The parameters, including cerebral blood flow (CBF) and cerebral blood volume (CBV), mean transit time (MTT), time-to-peak (TTP), and Tmax, are computed using a bolus tracking method based on the deconvolution of the time-density curve on a pixel-by-pixel basis. The method is tested on 66 acute ischemic stroke patients treated with thrombectomy and/or tissue plasminogen activator (tPA) and also evaluated on an estimation task with known ground truth. This novel imaging tool provides unique insights into flow mechanisms that cannot be observed directly in DSA sequences and might be used to evaluate the impact of endovascular interventions more precisely. PMID:27446232

  6. Readings in Professional Personnel Assessment.

    ERIC Educational Resources Information Center

    International Personnel Management Association, Washington, DC.

    Thirteen papers are presented that discuss issues in public personnel decision making, specifically in the area of personnel selection. After an introduction by James P. Springer, the following papers are presented: (1) "History of Employment Testing" (Matthew Hale); (2) "Job Families: A Review and Discussion of Their Implications for Personnel…

  7. Personnel Practices for Small Colleges.

    ERIC Educational Resources Information Center

    Bouchard, Ronald A.

    Personnel administration in higher education is the focus of this "hands-on, how-to-do-it" guide that provides fundamental materials for developing and maintaining a sound personnel program. Part One (Employment) examines government regulations, employee recruitment and selection, pre-employment inquiries and screening, post-employment process,…

  8. Physical Assault of School Personnel

    ERIC Educational Resources Information Center

    Kajs, Lawrence T.; Schumacher, Gary; Vital, Cheryl A.

    2014-01-01

    Physical assault against school personnel is a serious problem, although not highly publicized. This workplace violence can result in debilitating injury to school employees along with major monetary costs. This article looks at legal issues that address physical assault against school personnel as well as the roles professional associations have…

  9. SCOPE OF PUPIL PERSONNEL SERVICES.

    ERIC Educational Resources Information Center

    ECKERSON, LOUISE OMWAKE; SMITH, HYRUM M.

    PART I OF THIS PAMPHLET DESCRIBES THE INTERPROFESSIONAL RESEARCH COMMISSION ON PUPIL PERSONNEL SERVICES, WHICH WAS STARTED IN 1962 BY THE OFFICE OF EDUCATION AND FINANCED BY THE NATIONAL INSTITUTE OF MENTAL HEALTH FOR A 5-YEAR PROGRAM. THE REST OF THE PAMPHLET DEALS WITH STATISTICS AND SPECIFIC PUPIL PERSONNEL SERVICES. OF THE 60,000…

  10. College Student Personnel Graduate Placement

    ERIC Educational Resources Information Center

    Packwood, William

    1976-01-01

    ACPA's Commission XII surveyed 103 college student personnel training institutions regarding their graduate placement. Graduates were identified according to degree, sex, and race. Percentages of graduates placed, areas within the college student personnel field, types of institutions, and areas of the country were computed. The discussion…

  11. Gadolinium-Enhanced Magnetic Resonance Angiography for Pulmonary Embolism

    PubMed Central

    Stein, Paul D.; Chenevert, Thomas L.; Fowler, Sarah E.; Goodman, Lawrence R.; Gottschalk, Alexander; Hales, Charles A.; Hull, Russell D.; Jablonski, Kathleen A.; Leeper, Kenneth V.; Naidich, David P.; Sak, Daniel J.; Sostman, H. Dirk; Tapson, Victor F.; Weg, John G.; Woodard, Pamela K.

    2011-01-01

    Background The accuracy of gadolinium-enhanced magnetic resonance pulmonary angiography and magnetic resonance venography for diagnosing pulmonary embolism has not been determined conclusively. Objective To investigate performance characteristics of magnetic resonance angiography, with or without magnetic resonance venography, for diagnosing pulmonary embolism. Design Prospective, multicenter study from 10 April 2006 to 30 September 2008. (ClinicalTrials.gov registration number: NCT00241826) Setting 7 hospitals and their emergency services. Patients 371 adults with diagnosed or excluded pulmonary embolism. Measurements Sensitivity, specificity, and likelihood ratios were measured by comparing independently read magnetic resonance imaging with the reference standard for diagnosing pulmonary embolism. Reference standard diagnosis or exclusion was made by using various tests, including computed tomographic angiography and venography, ventilation–perfusion lung scan, venous ultra-sonography, D-dimer assay, and clinical assessment. Results Magnetic resonance angiography, averaged across centers, was technically inadequate in 25% of patients (92 of 371). The proportion of technically inadequate images ranged from 11% to 52% at various centers. Including patients with technically inadequate images, magnetic resonance angiography identified 57% (59 of 104) with pulmonary embolism. Technically adequate magnetic resonance angiography had a sensitivity of 78% and a specificity of 99%. Technically adequate magnetic resonance angiography and venography had a sensitivity of 92% and a specificity of 96%, but 52% of patients (194 of 370) had technically inadequate results. Limitation A high proportion of patients with suspected embolism was not eligible or declined to participate. Conclusion Magnetic resonance pulmonary angiography should be considered only at centers that routinely perform it well and only for patients for whom standard tests are contraindicated. Magnetic

  12. The Personnel Launch System

    NASA Technical Reports Server (NTRS)

    Piland, William M.; Talay, Theodore A.; Stone, Howard W.

    1990-01-01

    NASA has begun to study candidate vehicles for manned access to space in support of the Space Station or other future missions requiring on-demand transportation of people to and from earth orbit. One such system, which would be used to complement the present Shuttle or an upgraded version, is the Personnel Launch System (PLS), which is envisioned as a reusable priority vehicle to place people and small payloads into orbit using an experimental launch vehicle. The design of the PLS is based on a Space Station crew changeout requirement whereby eight passengers and two crew members are flown to the station and a like number are returned within a 72 hour mission duration. Experimental and computational aerothermodynamic heating studies have been conducted using a new two-color thermographic technique that involved coating the model with a phosphor that radiates at varying color intensities as a function of temperature when illuminated with UV light. A full-scale model, the HL-20, has been produced and will be used for man-machine research. Three launch vehicle concepts are being considered, a Titan IV, the Advanced Launch System, and a Shuttle equipped with liquid rocket boosters.

  13. Operation United Assistance: infectious disease threats to deployed military personnel.

    PubMed

    Murray, Clinton K; Yun, Heather C; Markelz, Ana Elizabeth; Okulicz, Jason F; Vento, Todd J; Burgess, Timothy H; Cardile, Anthony P; Miller, R Scott

    2015-06-01

    As part of the international response to control the recent Ebola outbreak in West Africa, the Department of Defense has deployed military personnel to train Liberians to manage the disease and build treatment units and a hospital for health care volunteers. These steps have assisted in providing a robust medical system and augment Ebola diagnostic capability within the affected nations. In order to prepare for the deployment of U.S. military personnel, the infectious disease risks of the regions must be determined. This evaluation allows for the establishment of appropriate force health protection posture for personnel while deployed, as well as management plans for illnesses presenting after redeployment. Our objective was to detail the epidemiology and infectious disease risks for military personnel in West Africa, particularly for Liberia, along with lessons learned from prior deployments.

  14. Pulmonary arterial hypertension: an imaging review comparing MR pulmonary angiography and perfusion with multidetector CT angiography.

    PubMed

    Junqueira, F P; Lima, C M A O; Coutinho, A C; Parente, D B; Bittencourt, L K; Bessa, L G P; Domingues, R C; Marchiori, E

    2012-11-01

    Pulmonary hypertension (PH) is a progressive disease that leads to substantial morbidity and eventual death. Pulmonary multidetector CT angiography (MDCTA), pulmonary MR angiography (MRA) and MR-derived pulmonary perfusion (MRPP) imaging are non-invasive imaging techniques for the differential diagnosis of PH. MDCTA is considered the gold standard for the diagnosis of pulmonary embolism, one of the most common causes of PH. MRA and MRPP are promising techniques that do not require the use of ionising radiation or iodinated contrast material, and can be useful for patients for whom such material cannot be used. This review compares the imaging aspects of pulmonary MRA and 64-row MDCTA in patients with chronic thromboembolic or idiopathic PH.

  15. Pulmonary arterial hypertension: an imaging review comparing MR pulmonary angiography and perfusion with multidetector CT angiography

    PubMed Central

    Junqueira, F P; Lima, C M A O; Coutinho, A C; Parente, D B; Bittencourt, L K; Bessa, L G P; Domingues, R C; Marchiori, E

    2012-01-01

    Pulmonary hypertension (PH) is a progressive disease that leads to substantial morbidity and eventual death. Pulmonary multidetector CT angiography (MDCTA), pulmonary MR angiography (MRA) and MR-derived pulmonary perfusion (MRPP) imaging are non-invasive imaging techniques for the differential diagnosis of PH. MDCTA is considered the gold standard for the diagnosis of pulmonary embolism, one of the most common causes of PH. MRA and MRPP are promising techniques that do not require the use of ionising radiation or iodinated contrast material, and can be useful for patients for whom such material cannot be used. This review compares the imaging aspects of pulmonary MRA and 64-row MDCTA in patients with chronic thromboembolic or idiopathic PH. PMID:22932061

  16. Visual-Functional Mismatch Between Coronary Angiography, Fractional Flow Reserve, and Quantitative Coronary Angiography.

    PubMed

    Safi, Morteza; Eslami, Vahid; Namazi, Mohammad Hasan; Vakili, Hossain; Saadat, Habib; Alipourparsa, Saeid; Adibi, Ali; Movahed, Mohammad Reza

    2016-12-01

    Anatomical and functional mismatches are not uncommon in the assessment of coronary lesions. The aim of this study was to identify clinical and lesion-specific factors affecting angiographic, anatomical, and functional mismatch in intermediate coronary lesions. In patients who underwent coronary angiography for clinical reasons, fractional flow reserve (FFR), and quantitative coronary angiography (QCA) analyses for intermediate stenotic lesions were performed simultaneously. Mismatches between the measured values were analyzed. A total of 95 intermediate lesions were assessed simultaneously by visual angiography, FFR, and QCA. The visual-FFR mismatch was found in 40% of the lesions while reverse visual-FFR mismatch was determined in nearly 14% of the lesions. Mismatch and reverse mismatch between FFR and QCA parameters were observed in 10 and 23% of the lesions. FFR value was significant in 32% of the lesions while visually significant stenosis was shown in 61% of the lesions. Among the visual-FFR reverse mismatch group, the prevalence of culprit lesions within the left anterior descending (LAD) was significantly higher than other vessels (p value < 0.02). There were high frequencies of angiographic, QCA, and functional mismatches in analyses of intermediate coronary lesions. LAD lesions showed the highest mismatch. Angiographic or QCA estimation of lesion severity has consistently resulted in inappropriate stenting of functionally nonsignificant lesions or undertreatment of significant lesions based on FFR.

  17. Fluorescein angiography basic science and engineering.

    PubMed

    Wolfe, D R

    1986-12-01

    Fluorescein angiography is an application of the physical phenomenon of fluorescence, which is phosphorescence in which the quantum mechanical decay curve is so rapid that it appears instantaneous, and it consequently has no afterglow. Sodium fluorescein is excited by light energy between 465 and 490 nm, and it decays into a lower state emitting light energy between 520 and 530 nm as fluorescent radiation. The free electrons available for excitation are reduced by chemical bonding between the fluorescein dye and plasma proteins to which up to 80% of the dye is bound in the bloodstream, thus reducing overall fluorescence. Optimalization of the observed and recorded fluorescence is afforded by providing exciter and barrier filters with as little overlap as possible to reduce or eliminate contrast reducing pseudofluorescence.

  18. [Myocardial perfusion imaging by digital subtraction angiography].

    PubMed

    Kadowaki, H; Ishikawa, K; Ogai, T; Katori, R

    1986-03-01

    Several methods of digital subtraction angiography (DSA) were compared to determine which could better visualize regional myocardial perfusion using coronary angiography in seven patients with myocardial infarction, two with angina pectoris and five with normal coronary arteries. Satisfactory DSA was judged to be achieved if the shape of the heart on the mask film was identical to that on the live film and if both films were exactly superimposed. To obtain an identical mask film in the shape of each live film, both films were selected from the following three phases of the cardiac cycle; at the R wave of the electrocardiogram, 100 msec before the R wave, and 200 msec before the R wave. The last two were superior for obtaining mask and live films which were similar in shape, because the cardiac motion in these phases was relatively small. Using these mask and live films, DSA was performed either with the continuous image mode (CI mode) or the time interval difference mode (TID mode). The overall perfusion of contrast medium through the artery to the vein was adequately visualized using the CI mode. Passage of contrast medium through the artery, capillary and vein was visualized at each phase using TID mode. Subtracted images were displayed and photographed, and the density of the contrast medium was adequate to display contour lines as in a relief map. Using this DSA, it was found that regional perfusion of the contrast medium was not always uniform in normal subjects, depending on the typography of the coronary artery.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. Accuracy of distance measurements in biplane angiography

    NASA Astrophysics Data System (ADS)

    Toennies, Klaus D.; Oishi, Satoru; Koster, David; Schroth, Gerhard

    1997-05-01

    Distance measurements of the vascular system of the brain can be derived from biplanar digital subtraction angiography (2p-DSA). The measurements are used for planning of minimal invasive surgical procedures. Our 90 degree-fixed-angle G- ring angiography system has the potential of acquiring pairs of such images with high geometric accuracy. The sizes of vessels and aneurysms are estimated applying a fast and accurate extraction method in order to select an appropriate surgical strategy. Distance computation from 2p-DSA is carried out in three steps. First, the boundary of the structure to be measured is detected based on zero-crossings and closeness to user-specified end points. Subsequently, the 3D location of the center of the structure is computed from the centers of gravity of its two projections. This location is used to reverse the magnification factor caused by the cone-shaped projection of the x-rays. Since exact measurements of possibly very small structures are crucial to the usefulness in surgical planning, we identified mechanical and computational influences on the geometry which may have an impact on the measurement accuracy. A study with phantoms is presented distinguishing between the different effects and enabling the computation of an optimal overall exactness. Comparing this optimum with results of distance measurements on phantoms whose exact size and shape is known, we found, that the measurement error for structures of size of 20 mm was less than 0.05 mm on average and 0.50 mm at maximum. The maximum achievable accuracy of 0.15 mm was in most cases exceeded by less than 0.15 mm. This accuracy surpasses by far the requirements for the above mentioned surgery application. The mechanic accuracy of the fixed-angle biplanar system meets the requirements for computing a 3D reconstruction of the small vessels of the brain. It also indicates, that simple measurements will be possible on systems being less accurate.

  20. Expert systems for personnel assignment

    SciTech Connect

    Hardee, J.L.; Liepins, G.

    1986-01-01

    In order to reduce stress on assignment personnel (detailers) and ensure maximum fairness and consistency in the Navy's personnel assignment process, The Navy Military Personnel Command (NMPC) has begun to explore the potential use of expert systems to supplement current manual and computerized distribution methods. The Detailer's Assistant expert system is being developed to improve the detailers' ability to satisfy the needs of their constituents and Navy management. An initial prototype of the Detailer's Assistant is now being evaluated. Numerous upgrades and extensions should lead to an operational system in the near future. Further development to a production system will involve additional research in machine learning, intelligent database methods, and cooperating expert systems.

  1. 33 CFR 142.39 - Respiratory protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Respiratory protection. (a) Personnel in an atmosphere specified under ANSI Z88.2, requiring the use of....2 for that atmosphere. (b) Before personnel enter an atmosphere specified under ANSI Z88.2 requiring... personnel entering the atmosphere— (1) Follow the procedures stated in section 6 of ANSI Z88.2...

  2. 33 CFR 142.39 - Respiratory protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Respiratory protection. (a) Personnel in an atmosphere specified under ANSI Z88.2, requiring the use of....2 for that atmosphere. (b) Before personnel enter an atmosphere specified under ANSI Z88.2 requiring... personnel entering the atmosphere— (1) Follow the procedures stated in section 6 of ANSI Z88.2...

  3. 33 CFR 142.39 - Respiratory protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Respiratory protection. (a) Personnel in an atmosphere specified under ANSI Z88.2, requiring the use of....2 for that atmosphere. (b) Before personnel enter an atmosphere specified under ANSI Z88.2 requiring... personnel entering the atmosphere— (1) Follow the procedures stated in section 6 of ANSI Z88.2...

  4. 33 CFR 142.39 - Respiratory protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Respiratory protection. (a) Personnel in an atmosphere specified under ANSI Z88.2, requiring the use of....2 for that atmosphere. (b) Before personnel enter an atmosphere specified under ANSI Z88.2 requiring... personnel entering the atmosphere— (1) Follow the procedures stated in section 6 of ANSI Z88.2...

  5. Transient cortical blindness following vertebral angiography: a case report.

    PubMed

    Lo, Lai Wan; Chan, Ho Fung; Ma, Ka Fai; Cheng, Lik Fai; Chan, Tony Kt

    2015-02-01

    Transient cortical blindness (TCB) is a rare but well-known complication of cerebral angiography. Its pathophysiology remains uncertain. We would like to report a case of TCB in a patient during a follow up vertebral angiogram for post-coil embolization of left posterior inferior cerebellar artery aneurysm. Patient's vision was resumed spontaneously within 24 hours after angiography, with no residual neurological deficit in subsequent clinical follow up. Multi-modality imaging evaluation including vertebral angiography, brain CT and MRI performed on same day are presented.

  6. [Vascular assessment in stroke codes: role of computed tomography angiography].

    PubMed

    Mendigaña Ramos, M; Cabada Giadas, T

    2015-01-01

    Advances in imaging studies for acute ischemic stroke are largely due to the development of new efficacious treatments carried out in the acute phase. Together with computed tomography (CT) perfusion studies, CT angiography facilitates the selection of patients who are likely to benefit from appropriate early treatment. CT angiography plays an important role in the workup for acute ischemic stroke because it makes it possible to confirm vascular occlusion, assess the collateral circulation, and obtain an arterial map that is very useful for planning endovascular treatment. In this review about CT angiography, we discuss the main technical characteristics, emphasizing the usefulness of the technique in making the right diagnosis and improving treatment strategies.

  7. CT angiography in the abdomen: a pictorial review and update.

    PubMed

    Liu, Peter S; Platt, Joel F

    2014-02-01

    The development of multidetector CT technology and helical scanning techniques has revolutionized the use of CT for primary diagnostic evaluation of the abdominal vasculature, particularly the arterial system. CT angiography has numerous benefits relative to conventional catheter angiography, and has largely replaced catheter-based techniques in many clinical algorithms. This pictorial review and update will cover important technical principles related to modern CT angiography (including contrast delivery and dose considerations), discuss relevant anatomy and variants, and illustrate numerous arterial conditions related to the abdominal aorta and branch vessels.

  8. Health Hazards of Hospital Personnel

    PubMed Central

    Clever, Linda Hawes

    1981-01-01

    Health care workers historically have faced serious health problems, such as exposure to patients with tuberculosis. For hospital personnel today, a number of hazards exist. These range from toxic substance exposure to safety hazards presented by patients themselves. PMID:7281652

  9. 19 CFR 148.90 - Foreign military personnel.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Foreign military personnel. 148.90 Section 148.90 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE... International Organizations and Special Treatment for Returning Individuals § 148.90 Foreign military...

  10. 19 CFR 148.90 - Foreign military personnel.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 2 2012-04-01 2012-04-01 false Foreign military personnel. 148.90 Section 148.90 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE... International Organizations and Special Treatment for Returning Individuals § 148.90 Foreign military...

  11. 19 CFR 148.90 - Foreign military personnel.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 2 2014-04-01 2014-04-01 false Foreign military personnel. 148.90 Section 148.90 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE... International Organizations and Special Treatment for Returning Individuals § 148.90 Foreign military...

  12. 19 CFR 148.90 - Foreign military personnel.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Foreign military personnel. 148.90 Section 148.90 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE... International Organizations and Special Treatment for Returning Individuals § 148.90 Foreign military...

  13. Electrostatic forces for personnel restraints

    NASA Technical Reports Server (NTRS)

    Ashby, N.; Ciciora, J.; Gardner, R.; Porter, K.

    1977-01-01

    The feasibility of utilizing electrostatic forces for personnel retention devices on exterior spacecraft surfaces was analyzed. The investigation covered: (1) determination of the state of the art; (2) analysis of potential adhesion surfaces; (3) safety considerations for personnel; (4) electromagnetic force field determination and its effect on spacecraft instrumentation; and (5) proposed advances to current technology based on documentation review, analyses, and experimental test data.

  14. [Morbidity in draft military personnel].

    PubMed

    Mukhametzhanov, A M; Smagulov, N K

    2015-01-01

    Military service activity appeared to influence health state of military personnel. Body strain at initial stages of the service, connected with stress situation, affects general body resistance and manifests in higher general morbidity level with transitory disablement that decreases with adaptation. Based on normalized intensity parameters, the equation enables to ease a procedure of evaluation and forecast of transitory disablement morbidity in draft military personnel.

  15. 5 CFR 736.103 - Protecting the identity of a source.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Protecting the identity of a source. 736.103 Section 736.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PERSONNEL INVESTIGATIONS Scope § 736.103 Protecting the identity of a source. When...

  16. Developments in Decontamination Technologies of Military Personnel and Equipment

    NASA Astrophysics Data System (ADS)

    Sata, Utkarsh R.; Ramkumar, Seshadri S.

    Individual protection is important for warfighters, first responders and civilians to meet the current threat of toxic chemicals and chemical warfare (CW) agents. Within the realm of individual protection, decontamination of warfare agents is not only required on the battlefield but also in laboratory, pilot plants, production and agent destruction sites. It is of high importance to evaluate various decontaminants and decontamination techniques for implementing the best practices in varying scenarios such as decontamination of personnel, sites and sensitive equipment.

  17. Digital subtraction angiography for preoperative evaluation of extremity tumors

    SciTech Connect

    Paushter, D.M.; Borkowski, G.R.; Buonocore, E.; Belhobek, G.H.; Marks, K.E.

    1983-07-01

    A retrospective study was undertaken to evaluate the role of digital subtraction angiography (DSA) in the surgical planning of musculoskeletal neoplasms. Thirteen patients with primary bone and soft-tissue tumors were examined by CT and DSA. Three patients also had conventional angiography. DSA yielded surgically useful information in 10 patients, comparable to that expected from conventional angiography. DSA was most helpful in demonstrating the presence or absence of major vessel involvement by tumor when this could not be ascertained definitely on CT. Demonstration of mass extent by CT was accurate in 11 patients. Results of this study suggest that the combination of CT and DSA is useful in the preoperative evaluation of selected extremity tumors and should diminish the need for conventional angiography.

  18. Army Personnel Complied with the Berry Amendment but Can Improve Compliance with the Buy American Act

    DTIC Science & Technology

    2014-11-07

    to foster and protect American industries and workers. The Act requires, with certain exceptions, that only articles, materials, and supplies that...not procuring Berry Amendment compliant athletic footwear for enlisted personnel. Athletic shoes are subject to the Berry Amendment and the Buy...personnel used market research techniques that consisted mainly of contacting knowledgeable individuals in Government and industry regarding market

  19. 41 CFR Appendix C to Part 60 - 250-Review of Personnel Processes

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true 250-Review of Personnel Processes C Appendix C to Part 60 Public Contracts and Property Management Other Provisions Relating to... PROTECTED VETERANS Pt. 60-250, App. C Appendix C to Part 60-250—Review of Personnel Processes The...

  20. 41 CFR Appendix C to Part 60 - 250-Review of Personnel Processes

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 1 2012-07-01 2009-07-01 true 250-Review of Personnel Processes C Appendix C to Part 60 Public Contracts and Property Management Other Provisions Relating to... PROTECTED VETERANS Pt. 60-250, App. C Appendix C to Part 60-250—Review of Personnel Processes The...

  1. Digital subtraction angiography in pediatric cerebrovascular occlusive disease

    SciTech Connect

    Faerber, E.N.; Griska, L.A.B.; Swartz, J.D.; Capitanio, M.A.; Popky, G.L.

    1984-08-01

    While conventional angiography has been used to demonstrate cerebrovascular occlusive disease in the past, digital subtraction angiography (DSA) is capable of showing progressive vascular involvement with ease, simplicity, and extremely low morbidity, making it particularly well suited for children and outpatients either alone or coordinated with computed tomography. The authors discuss the usefulness and advantages of DSA as demonstrated in 7 infants and children with hemiplegia, 4 of whom had sickle-cell disease.

  2. Aqueous Angiography with Fluorescein and Indocyanine Green in Bovine Eyes

    PubMed Central

    Huang, Alex S.; Saraswathy, Sindhu; Dastiridou, Anna; Begian, Alan; Legaspi, Hanz; Mohindroo, Chirayu; Tan, James C. H.; Francis, Brian A.; Caprioli, Joseph; Hinton, David R.; Weinreb, Robert N.

    2016-01-01

    Purpose We characterize aqueous angiography as a real-time aqueous humor outflow imaging (AHO) modality in cow eyes with two tracers of different molecular characteristics. Methods Cow enucleated eyes (n = 31) were obtained and perfused with balanced salt solution via a Lewicky AC maintainer through a 1-mm side-port. Fluorescein (2.5%) or indocyanine green (ICG; 0.4%) were introduced intracamerally at 10 mm Hg individually or sequentially. With an angiographer, infrared and fluorescent images were acquired. Concurrent anterior segment optical coherence tomography (OCT) was performed, and fixable fluorescent dextrans were introduced into the eye for histologic analysis of angiographically positive and negative areas. Results Aqueous angiography in cow eyes with fluorescein and ICG yielded high-quality images with segmental patterns. Over time, ICG maintained a better intraluminal presence. Angiographically positive, but not negative, areas demonstrated intrascleral lumens with anterior segment OCT. Aqueous angiography with fluorescent dextrans led to their trapping in AHO pathways. Sequential aqueous angiography with ICG followed by fluorescein in cow eyes demonstrated similar patterns. Conclusions Aqueous angiography in model cow eyes demonstrated segmental angiographic outflow patterns with either fluorescein or ICG as a tracer. Translational Relevance Further characterization of segmental AHO with aqueous angiography may allow for intelligent placement of trabecular bypass minimally invasive glaucoma surgeries for improved surgical results. PMID:27847692

  3. Imaging Foveal Microvasculature: Optical Coherence Tomography Angiography Versus Adaptive Optics Scanning Light Ophthalmoscope Fluorescein Angiography

    PubMed Central

    Mo, Shelley; Krawitz, Brian; Efstathiadis, Eleni; Geyman, Lawrence; Weitz, Rishard; Chui, Toco Y. P.; Carroll, Joseph; Dubra, Alfredo; Rosen, Richard B.

    2016-01-01

    Purpose To compare the use of optical coherence tomography angiography (OCTA) and adaptive optics scanning light ophthalmoscope fluorescein angiography (AOSLO FA) for characterizing the foveal microvasculature in healthy and vasculopathic eyes. Methods Four healthy controls and 11 vasculopathic patients (4 diabetic retinopathy, 4 retinal vein occlusion, and 3 sickle cell retinopathy) were imaged with OCTA and AOSLO FA. Foveal perfusion maps were semiautomatically skeletonized for quantitative analysis, which included foveal avascular zone (FAZ) metrics (area, perimeter, acircularity index) and vessel density in three concentric annular regions of interest. On each set of OCTA and AOSLO FA images, matching vessel segments were used for lumen diameter measurement. Qualitative image comparisons were performed by visual identification of microaneurysms, vessel loops, leakage, and vessel segments. Results Adaptive optics scanning light ophthalmoscope FA and OCTA showed no statistically significant differences in FAZ perimeter, acircularity index, and vessel densities. Foveal avascular zone area, however, showed a small but statistically significant difference of 1.8% (P = 0.004). Lumen diameter was significantly larger on OCTA (mean difference 5.7 μm, P < 0.001). Microaneurysms, fine structure of vessel loops, leakage, and some vessel segments were visible on AOSLO FA but not OCTA, while blood vessels obscured by leakage were visible only on OCTA. Conclusions Optical coherence tomography angiography is comparable to AOSLO FA at imaging the foveal microvasculature except for differences in FAZ area, lumen diameter, and some qualitative features. These results, together with its ease of use, short acquisition time, and avoidance of potentially phototoxic blue light, support OCTA as a tool for monitoring ocular pathology and detecting early disease. PMID:27409463

  4. Correlation between magnetic resonance angiography (MRA) and quantitative coronary angiography (QCA) in ectatic coronary vessels.

    PubMed

    Mavrogeni, Sophie I; Manginas, Athanassios; Papadakis, Emmanouil; Foussas, Stefanos; Douskou, Marouso; Baras, Panagiotis; Seimenis, Ioannis; Cokkinos, Dennis V

    2004-01-01

    Coronary artery ectasia (CAE) is defined as a dilatation of an arterial segment to a diameter at least 1.5 times that of the adjacent normal artery. The correct follow-up of ectatic vessels is hampered by the need for repeat angiograms. In this work we compared quantitative coronary angiography (QCA) measurements of the diameter of the proximal most ectatic part of coronary vessels, with corresponding measurements obtained by magnetic resonance angiography (MRA) using both gradient echo and turbo spin echo imaging sequences. Fifteen patients (14 male), aged 45-65 years, with known CAE were prospectively studied. Two electrocardiogram (ECG)-triggered pulse sequences were implemented for coronary magnetic resonance angiography. The first was a three-dimensional (3D), segmented, k-space gradient-echo sequence, employing a T2-weighted preparation prepulse and a frequency-selective, fat-saturation prepulse to enhance "white blood" (WB) contrast of the coronary arteries. The second sequence was an M2D dual Inversion Recovery (IR) Turbo Spin-Echo with a linear k-space acquisition scheme, providing "black-blood" (BB) contrast of the coronaries. All scans were carried out with the patient free breathing using a 2D, real-time Navigator beam, for respiratory motion tracking and gating. All patients underwent QCA, and the diameter of the proximal most ectatic part of each vessel was measured and compared with "white-blood" and "black-blood" MRA measurements. The average length of continuously visualized LM, LAD, LCx, and RCA by MRA was 2.5 +/- 0.3, 5.8 +/- 0.8, 3.9 +/- 1.0, and 7.2 +/- 1.2 cm, respectively. There were no statistically significant differences between diameter measurements of the proximal most ectatic part of each vessel, obtained with WB and BB sequences. There was a close correlation between MRA and QCA measurements (r = 0.87, p < 0.001). Bland-Altman analysis showed no systematic differences between the examined methods, over the whole range of vessel

  5. 48 CFR 752.7007 - Personnel compensation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Personnel compensation... Personnel compensation. The following clause shall be used in all USAID cost-reimbursement contracts. Personnel Compensation (JUL 2007) (a) Direct compensation of the Contractor's personnel will be...

  6. 48 CFR 752.7007 - Personnel compensation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Personnel compensation... Personnel compensation. The following clause shall be used in all USAID cost-reimbursement contracts. Personnel Compensation (JUL 2007) (a) Direct compensation of the Contractor's personnel will be...

  7. 48 CFR 752.7007 - Personnel compensation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Personnel compensation... Personnel compensation. The following clause shall be used in all USAID cost-reimbursement contracts. Personnel Compensation (JUL 2007) (a) Direct compensation of the Contractor's personnel will be...

  8. 48 CFR 752.7007 - Personnel compensation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Personnel compensation... Personnel compensation. The following clause shall be used in all USAID cost-reimbursement contracts. Personnel Compensation (JUL 2007) (a) Direct compensation of the Contractor's personnel will be...

  9. 48 CFR 752.7007 - Personnel compensation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Personnel compensation... Personnel compensation. The following clause shall be used in all USAID cost-reimbursement contracts. Personnel Compensation (JUL 2007) (a) Direct compensation of the Contractor's personnel will be...

  10. 21 CFR 606.20 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Personnel. 606.20 Section 606.20 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS CURRENT GOOD MANUFACTURING PRACTICE FOR BLOOD AND BLOOD COMPONENTS Organization and Personnel § 606.20 Personnel. (a) (b) The personnel responsible for...

  11. 76 FR 81359 - National Security Personnel System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-28

    ... MANAGEMENT 5 CFR Chapter XCIX RIN 3206-AM 53 National Security Personnel System AGENCY: Department of Defense... Defense and Office of Personnel Management regulations concerning the National Security Personnel System... the Department of Defense (DOD) authority to establish a National Security Personnel System (NSPS)...

  12. 21 CFR 21.32 - Personnel records.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... consult system notices applicable to the agency's personnel records that are published by the Office of... the procedures in § 21.33 and subparts D through F of this part, govern systems of personnel records... Personnel Management, i.e., systems that: (i) The Office of Personnel Management maintains. (ii)...

  13. Unusual Congenital Aortic Anomaly with Rare Common Celiamesenteric Trunk Variation: MR Angiography and Digital Substraction Angiography Findings

    SciTech Connect

    Tosun, Ozgur Sanlidilek, Umman; Cetin, Huseyin; Ozdemir, Ozcan; Kurt, Aydin; Sakarya, Mehmet Emin; Tas, Ismet

    2007-09-15

    Magnetic resonance angiography and digital substraction angiography (DSA) findings in a case with a rare congenital thoracoabdominal aortic hypoplasia and common celiamesenteric trunk variation with occlusion of infrarenal abdominal aorta are described here. To our knowledge, this aortic anomaly has not been previously described in the English literature. DSA is the optimum imaging modality for determination of aortic hypoplasia, associated vascular malformations, collateral vessels, and direction of flow within vessels.

  14. Photodynamic therapy monitoring with optical coherence angiography

    NASA Astrophysics Data System (ADS)

    Sirotkina, M. A.; Matveev, L. A.; Shirmanova, M. V.; Zaitsev, V. Y.; Buyanova, N. L.; Elagin, V. V.; Gelikonov, G. V.; Kuznetsov, S. S.; Kiseleva, E. B.; Moiseev, A. A.; Gamayunov, S. V.; Zagaynova, E. V.; Feldchtein, F. I.; Vitkin, A.; Gladkova, N. D.

    2017-02-01

    Photodynamic therapy (PDT) is a promising modern approach for cancer therapy with low normal tissue toxicity. This study was focused on a vascular-targeting Chlorine E6 mediated PDT. A new angiographic imaging approach known as M-mode-like optical coherence angiography (MML-OCA) was able to sensitively detect PDT-induced microvascular alterations in the mouse ear tumour model CT26. Histological analysis showed that the main mechanisms of vascular PDT was thrombosis of blood vessels and hemorrhage, which agrees with angiographic imaging by MML-OCA. Relationship between MML-OCA-detected early microvascular damage post PDT (within 24 hours) and tumour regression/regrowth was confirmed by histology. The advantages of MML-OCA such as direct image acquisition, fast processing, robust and affordable system opto-electronics, and label-free high contrast 3D visualization of the microvasculature suggest attractive possibilities of this method in practical clinical monitoring of cancer therapies with microvascular involvement.

  15. Image quality metrics for optical coherence angiography

    PubMed Central

    Lozzi, Andrea; Agrawal, Anant; Boretsky, Adam; Welle, Cristin G.; Hammer, Daniel X.

    2015-01-01

    We characterized image quality in optical coherence angiography (OCA) en face planes of mouse cortical capillary network in terms of signal-to-noise ratio (SNR) and Weber contrast (Wc) through a novel mask-based segmentation method. The method was used to compare two adjacent B-scan processing algorithms, (1) average absolute difference (AAD) and (2) standard deviation (SD), while varying the number of lateral cross-sections acquired (also known as the gate length, N). AAD and SD are identical at N = 2 and exhibited similar image quality for N<10. However, AAD is relatively less susceptible to bulk tissue motion artifact than SD. SNR and Wc were 15% and 35% higher for AAD from N = 25 to 100. In addition data sets were acquired with two objective lenses with different magnifications to quantify the effect of lateral resolution on fine capillary detection. The lower power objective yielded a significant mean broadening of 17% in Full Width Half Maximum (FWHM) diameter. These results may guide study and device designs for OCA capillary and blood flow quantification. PMID:26203372

  16. Photodynamic therapy monitoring with optical coherence angiography

    PubMed Central

    Sirotkina, M. A.; Matveev, L. A.; Shirmanova, M. V.; Zaitsev, V. Y.; Buyanova, N. L.; Elagin, V. V.; Gelikonov, G. V.; Kuznetsov, S. S.; Kiseleva, E. B.; Moiseev, A. A.; Gamayunov, S. V.; Zagaynova, E. V.; Feldchtein, F. I.; Vitkin, A.; Gladkova, N. D.

    2017-01-01

    Photodynamic therapy (PDT) is a promising modern approach for cancer therapy with low normal tissue toxicity. This study was focused on a vascular-targeting Chlorine E6 mediated PDT. A new angiographic imaging approach known as M-mode-like optical coherence angiography (MML-OCA) was able to sensitively detect PDT-induced microvascular alterations in the mouse ear tumour model CT26. Histological analysis showed that the main mechanisms of vascular PDT was thrombosis of blood vessels and hemorrhage, which agrees with angiographic imaging by MML-OCA. Relationship between MML-OCA-detected early microvascular damage post PDT (within 24 hours) and tumour regression/regrowth was confirmed by histology. The advantages of MML-OCA such as direct image acquisition, fast processing, robust and affordable system opto-electronics, and label-free high contrast 3D visualization of the microvasculature suggest attractive possibilities of this method in practical clinical monitoring of cancer therapies with microvascular involvement. PMID:28148963

  17. 20 CFR 422.902 - Definition of personnel for purposes of this subpart.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... PROCEDURES Protecting the Public and Our Personnel To Ensure Operational Effectiveness § 422.902 Definition... persons responsible for or engaged in carrying out the responsibilities, programs, or services of or...

  18. 33 CFR 142.36 - Protective clothing.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) OUTER CONTINENTAL SHELF ACTIVITIES WORKPLACE SAFETY AND HEALTH Personal Protective Equipment § 142.36 Protective clothing. Personnel in areas where there are flying particles, molten metal, radiant energy,...

  19. 33 CFR 142.36 - Protective clothing.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) OUTER CONTINENTAL SHELF ACTIVITIES WORKPLACE SAFETY AND HEALTH Personal Protective Equipment § 142.36 Protective clothing. Personnel in areas where there are flying particles, molten metal, radiant energy,...

  20. 33 CFR 142.36 - Protective clothing.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) OUTER CONTINENTAL SHELF ACTIVITIES WORKPLACE SAFETY AND HEALTH Personal Protective Equipment § 142.36 Protective clothing. Personnel in areas where there are flying particles, molten metal, radiant energy,...

  1. 33 CFR 142.36 - Protective clothing.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) OUTER CONTINENTAL SHELF ACTIVITIES WORKPLACE SAFETY AND HEALTH Personal Protective Equipment § 142.36 Protective clothing. Personnel in areas where there are flying particles, molten metal, radiant energy,...

  2. Diabetic Macular Ischemia Diagnosis: Comparison between Optical Coherence Tomography Angiography and Fluorescein Angiography

    PubMed Central

    Lima, Talita Toledo; Louzada, Ricardo Noguera; Rassi, Alessandra Thome; Isaac, David Leonardo Cruvinel; Avila, Marcos

    2016-01-01

    Purpose. To compare fluorescein angiography (FA) and optical coherence tomography angiography (OCTA) images of foveal avascular zone (FAZ) in patients with diabetic retinopathy (DR) with and without diabetic macular ischemia (DMI). Methods. The Wilcoxon signed-rank test was used to compare area measurements and p values of <0.05 were considered statistically significant. FA and OCTA images were independently graded by 2 observers that reached agreement regarding quantitative DMI according established protocols. The ischemic area was divided into “large” macular ischemia (superior to 0.32 mm2) and “small” (inferior to 0.32 mm2) groups. Quantitative analyses of the FAZ were performed using custom software. Results. Thirty-four eyes from 34 diabetic patients were enrolled. Subjects with DMI presented a mean area on FA and OCTA of 0.68 ± 0.53 mm2 and 0.58 ± 0.35 mm2, respectively (p = 0.1374). Patients without DMI presented a mean area on FA and OCTA of 0.19 ± 0.67 mm2 and 0.20 ± 0.79 mm2, respectively (p = 0.9594). The ICC for the FAZ measurements between the 2 observers on FA and OCTA was 0.96 and 0.92, respectively. Conclusion. OCTA represents a novel technique for the diagnosis of DMI and it may become an alternative to FA for this purpose. PMID:27891250

  3. Advances in personnel neutron dosimetry

    SciTech Connect

    Vallario, E.; Faust, L.

    1983-07-01

    A program to assess current personnel neutron dosimeter capabilities and to develop improved personnel neutron dosimeters examines the two types of passive dosimeters in use at DOE facilities: NTA film and TLD-albedo dosimeters. Two new neutron dosimeters under development to overcome some of their problems are combination/track-etch dosimeters and pocket rem-meters. The DOE program is investigating new materials and improved manufacturing processes using the CR-39 polymer and that is nearly free of surface defects. 1 figure.

  4. Early surgery after angiography in patients scheduled for valve replacement.

    PubMed

    Dayan, Victor; Stanham, Roberto; Soca, Gerardo; Genta, Fernando; Mariño, Jorge; Lorenzo, Alvaro

    2017-01-01

    Background There are limited data regarding the risks of cardiac surgery early after coronary angiography in patients scheduled for isolated aortic and/or mitral valve replacement. Our aim was to evaluate the risk of early surgery after coronary angiography in these patients. Methods We retrospectively analyzed data of 1044 patients who underwent isolated aortic and/or mitral valve replacement from 2006 to 2014. Baseline, operative, and postoperative variables were collected. The patients were divided into 3 groups based on the interval between coronary angiography and surgery: ≤3 days ( n = 216), 4-7 days ( n = 109), and ≥8 days ( n = 719). We evaluated hospital mortality and postoperative acute kidney injury. Subgroup analysis was performed according to preoperative creatinine clearance. Results Postoperative creatinine clearance was lower in patients who underwent surgery ≤3 days after coronary angiography (63.57 ± 38.52 mL min(-1)) compared to ≥8 days after coronary angiography (74.56 ± 54.25 mL min(-1), p = 0.015). Patients who underwent surgery ≤3 days after coronary angiography had higher hospital mortality when preoperative creatinine clearance was ≤60 mL min(-1) (12% vs. 4% for creatinine clearance ≤and >60 mL min(-1), respectively; p = 0.039). Predictors of hospital mortality were New York Heart Association class and postoperative creatinine clearance. Conclusion Hospital mortality was higher in patients with decreased preoperative renal function who underwent surgery within the first 3 days after coronary angiography. Delaying surgery in this subgroup of patients could be a good strategy.

  5. Patient radiation biological risk in computed tomography angiography procedure.

    PubMed

    Alkhorayef, M; Babikir, E; Alrushoud, A; Al-Mohammed, H; Sulieman, A

    2017-02-01

    Computed tomography angiography (CTA) has become the most valuable imaging modality for the diagnosis of blood vessel diseases; however, patients are exposed to high radiation doses and the probability of cancer and other biological effects is increased. The objectives of this study were to measure the patient radiation dose during a CTA procedure and to estimate the radiation dose and biological effects. The study was conducted in two radiology departments equipped with 64-slice CT machines (Aquilion) calibrated according to international protocols. A total of 152 patients underwent brain, lower limb, chest, abdomen, and pelvis examinations. The effective radiation dose was estimated using ImPACT scan software. Cancer and biological risks were estimated using the International Commission on Radiological Protection (ICRP) conversion factors. The mean patient dose value per procedure (dose length product [DLP], mGy·cm) for all examinations was 437.8 ± 166, 568.8 ± 194, 516.0 ± 228, 581.8 ± 175, and 1082.9 ± 290 for the lower limbs, pelvis, abdomen, chest, and cerebral, respectively. The lens of the eye, uterus, and ovaries received high radiation doses compared to thyroid and testis. The overall patient risk per CTA procedure ranged between 15 and 36 cancer risks per 1 million procedures. Patient risk from CTA procedures is high during neck and abdomen procedures. Special concern should be provided to the lens of the eye and thyroid during brain CTA procedures. Patient dose reduction is an important consideration; thus, staff should optimize the radiation dose during CTA procedures.

  6. Source Book--Nursing Personnel.

    ERIC Educational Resources Information Center

    Spencer, William E.

    This book, organized in six chapters and a bibliography, presents historical and current statistics and references on the supply of nursing personnel within the United States. Chapter 1 includes a discussion of national estimates of the active nurse supply and the distribution of these nurses by field of practice and by academic preparation.…

  7. Occupational hazards to hospital personnel

    SciTech Connect

    Patterson, W.B.; Craven, D.E.; Schwartz, D.A.; Nardell, E.A.; Kasmer, J.; Noble, J.

    1985-05-01

    Hospital personnel are subject to various occupational hazards. Awareness of these risks, compliance with basic preventive measures, and adequate resources for interventions are essential components of an occupational health program. Physical, chemical, and radiation hazards; important infectious risks; and psychosocial problems prevalent in hospital workers are reviewed. A rational approach to managing and preventing these problems is offered. 370 references.

  8. Keratoconus in USAF Flying Personnel

    DTIC Science & Technology

    Despite the rigid screening of all categories of rated personnel for the ability to meet stringent visual standards, cases of keratoconus continue to...entity. Aspects of incidence, early diagnosis, serial progression, and treatment are discussed. Two cases of keratoconus which developed after four years

  9. Health Instruction Packages: Dental Personnel.

    ERIC Educational Resources Information Center

    Hayes, Gary E.; And Others

    Text, illustrations, and exercises are utilized in this set of four learning modules designed to instruct non-professional dental personnel in selected job-related skills. The first module, by Gary E. Hayes, describes how to locate the hinge axis point of the jaw, place and secure a bitefork, and perform a facebow transfer. The second module,…

  10. Personnel Management in Higher Education.

    ERIC Educational Resources Information Center

    Millett, John D.; And Others

    This document on personnel management in higher education contains three papers that are designed to be used as guidelines for educational administrators. The first two papers, by John D. Millett, discuss the scope and problems of higher education administration and the problems associated with collective bargaining and tenure on college campuses.…

  11. College Student Personnel Graduate Placement

    ERIC Educational Resources Information Center

    Greer, Richard M.; And Others

    1978-01-01

    This study reports results of ACPA Commission XII's survey of 101 college student personnel training institutions regarding their graduate placement. Graduates were identified according to degree, race, and sex. Percentages of graduates placed, specialty areas, types of institutions, areas of the country, and time and method of placement were…

  12. Hepatic Artery Angiography and Embolization for Hemobilia Following Laparoscopic Cholecystectomy

    SciTech Connect

    Nicholson, Tony; Travis, Simon; Ettles, Duncan; Dyet, John; Sedman, Peter; Wedgewood, Kevin; Royston, Christopher

    1999-01-15

    Purpose: The effectiveness of angiography and embolization in diagnosis and treatment were assessed in a cohort of patients presenting with upper gastrointestinal hemorrhage secondary to hepatic artery pseudoaneurysm following laparoscopic cholecystectomy. Methods: Over a 6-year period 1513 laparoscopic cholecystectomies were carried out in our region. Nine of these patients (0.6%) developed significant upper gastrointestinal bleeding, 5-43 days after surgery. All underwent emergency celiac and selective right hepatic artery angiography. All were treated by coil embolization of the right hepatic artery proximal and distal to the bleeding point. Results: Pseudoaneurysms of the hepatic artery adjacent to cholecystectomy clips were demonstrated in all nine patients at selective right hepatic angiography. In three patients celiac axis angiography alone failed to demonstrate the pseudoaneurysm. Embolization controlled hemorrhage in all patients with no further bleeding and no further intervention. One patient developed a candidal liver abscess in the post-procedure period. All patients are alive and well at follow-up. Conclusion: Selective right hepatic angiography is vital in the diagnosis of upper gastrointestinal hemorrhage following laparoscopic cholecystectomy. Embolization offers the advantage of minimally invasive treatment in unstable patients, does not disrupt recent biliary reconstruction, allows distal as well as proximal control of the hepatic artery, and is an effective treatment for this potentially life-threatening complication.

  13. Fire Protection Program Manual

    SciTech Connect

    Sharry, J A

    2012-05-18

    This manual documents the Lawrence Livermore National Laboratory (LLNL) Fire Protection Program. Department of Energy (DOE) Orders 420.1B, Facility Safety, requires LLNL to have a comprehensive and effective fire protection program that protects LLNL personnel and property, the public and the environment. The manual provides LLNL and its facilities with general information and guidance for meeting DOE 420.1B requirements. The recommended readers for this manual are: fire protection officers, fire protection engineers, fire fighters, facility managers, directorage assurance managers, facility coordinators, and ES and H team members.

  14. Transient Global Amnesia following Neural and Cardiac Angiography May Be Related to Ischemia

    PubMed Central

    Zhang, Yang; Chen, Ming; Bao, Shengde

    2016-01-01

    Introduction. Transient global amnesia (TGA) following angiography is rare, and the pathogenesis has not been illustrated clearly till now. The aim of this research is to explore the pathogenesis of TGA following angiography by analyzing our data and reviewing the literature. Methods. We retrospectively studied 20836 cases with angiography in our hospital between 2007 and 2015 and found 9 cases with TGA following angiography. The data of these 9 cases were analyzed. Results. We found all 9 cases with TGA following neural angiography (5 in 4360) or cardiac angiography (4 in 8817) and no case with TGA following peripheral angiography (0 in 7659). Statistical difference was found when comparing the neural and cardiac angiography group with peripheral group (p = 0.022). Two cases with TGA were confirmed with small acute infarctions in hippocampus after angiography. This might be related to the microemboli which were rushed into vertebral artery following blood flow during neural angiography or cardiac angiography. There was no statistical difference when comparing the different approaches for angiography (p = 0.82) and different contrast agents (p = 0.619). Conclusion. Based on the positive findings of imaging study and our analysis, we speculate that ischemia in the medial temporal lobe with the involvement of the hippocampus might be an important reason of TGA following angiography. PMID:27419129

  15. Upper Extremity Runoff: Pearls and Pitfalls in Computed Tomography Angiography and Magnetic Resonance Angiography.

    PubMed

    Nagpal, Prashant; Maller, Vinod; Garg, Gunjan; Hedgire, Sandeep; Khandelwal, Ashish; Kalva, Sanjeeva; Steigner, Michael L; Saboo, Sachin S

    Upper extremity vasculature can be affected by various traumatic and nontraumatic pathologies; however, the evaluation of these arteries can be challenging for the radiologists as well as for the clinicians. After an accurate history and clinical examination, imaging plays a vital role in the diagnosis and treatment planning of these patients. Depending on the urgency and the indication, upper extremity arteries may be evaluated by ultrasonography with color Doppler, computed tomography (CT), magnetic resonance imaging (MRI), or digital subtraction angiography. This review article discusses relevant imaging anatomy of the upper extremity arteries, presents CT and MRI protocols, briefly describes the state-of-the-art CT and MRI of various pathologies affecting the upper extremity arteries, and summarizes the important pearls needed for busy practicing radiologist.

  16. Split-spectrum phase-gradient optical coherence tomography angiography

    PubMed Central

    Liu, Gangjun; Jia, Yali; Pechauer, Alex D.; Chandwani, Rahul; Huang, David

    2016-01-01

    A phase gradient angiography (PGA) method is proposed for optical coherence tomography (OCT). This method allows the use of phase information to map the microvasculature in tissue without the correction of bulk motion and laser trigger jitter induced phase artifacts. PGA can also be combined with the amplitude/intensity to improve the performance. Split-spectrum technique can further increase the signal to noise ratio by more than two times. In-vivo imaging of human retinal circulation is shown with a 70 kHz, 840 nm spectral domain OCT system and a 200 kHz, 1050 nm swept source OCT system. Four different OCT angiography methods are compared. The best performance was achieved with split-spectrum amplitude and phase-gradient angiography. PMID:27570689

  17. Coronary plaque imaging by coronary computed tomography angiography

    PubMed Central

    Sato, Akira

    2014-01-01

    Coronary computed tomography angiography (CTA) has become the useful noninvasive imaging modality alternative to the invasive coronary angiography for detecting coronary artery stenoses in patients with suspected coronary artery disease (CAD). With the development of technical aspects of coronary CTA, clinical practice and research are increasingly shifting toward defining the clinical implication of plaque morphology and patients outcomes by coronary CTA. In this review we discuss the coronary plaque morphology estimated by CTA beyond coronary angiography including the comparison to the currently available other imaging modalities used to examine morphological characteristics of the atherosclerotic plaque. Furthermore, this review underlies the value of a combined assessment of coronary anatomy and myocardial perfusion in patients with CAD, and adds to an increasing body of evidence suggesting an added diagnostic value when combining both modalities. We hope that an integrated, multi-modality imaging approach will become the gold standard for noninvasive evaluation of coronary plaque morphology and outcome data in clinical practice. PMID:24876919

  18. Optical Coherence Tomography Angiography in Mice: Comparison with Confocal Scanning Laser Microscopy and Fluorescein Angiography

    PubMed Central

    Giannakaki-Zimmermann, Helena; Kokona, Despina; Wolf, Sebastian; Ebneter, Andreas; Zinkernagel, Martin S.

    2016-01-01

    Purpose Optical coherence tomography angiography (OCT-A) allows noninvasive visualization of retinal vessels in vivo. OCT-A was used to characterize the vascular network of the mouse retina and was compared with fluorescein angiography (FA) and histology. Methods In the present study, OCT-A based on a Heidelberg Engineering Spectralis system was used to investigate the vascular network in mice. Data was compared with FA and confocal microscopy of flat-mount histology stained with isolectin IB4. For quantitative analysis the National Cancer Institute's AngioTool software was used. Vessel density, the number of vessel junctions, and endpoints were measured and compared between the imaging modalities. Results The configuration of the superficial capillary network was comparable with OCT-A and flat-mount histology in BALBc mice. However, vessel density and the number of vessel junctions per region of interest (P = 0.0161 and P = 0.0015, respectively) in the deep vascular network of BALBc mice measured by OCT-A was significantly higher than with flat-mount histology. In C3A.Cg-Pde6b+Prph2Rd2/J mice, where the deep capillary plexus is absent, analysis of the superficial network provided similar results for all three imaging modalities. Conclusion OCT-A is a helpful imaging tool for noninvasive, in vivo imaging of the vascular plexus in mice. It may offer advantages over FA and confocal microscopy especially for imaging the deep vascular plexus. Translational Relevance The present study shows that OCT-A can be employed for small animal imaging to assess the vascular network and offers advantages over flat-mount histology and FA. PMID:27570710

  19. MR pulmonary angiography and perfusion imaging: recent advances.

    PubMed

    Hatabu, H

    1997-10-01

    Recent advances in MR pulmonary angiography and MR perfusion imaging are reviewed, focusing on two principal areas of technical development: (1) the availability of MR scanners equipped with enhanced gradient systems; and (2) new trends in MR angiography using gadolinium contrast agents or labeling of blood with an inversion recovery radiofrequency pulse in place of the more traditional methods using naturally flowing spins as the source of intravascular signal. These recent developments in MR have significant potential for clinical imaging of the pulmonary vasculature, particularly for the diagnosis of pulmonary embolism, and are now opening windows to functional MR imaging of the lung.

  20. Anomalous left main coronary artery detected by CT angiography.

    PubMed

    Forte, Ernesto; Inglese, Marianna; Infante, Teresa; Schiano, Concetta; Napoli, Claudio; Soricelli, Andrea; Salvatore, Marco; Tedeschi, Carlo

    2016-10-01

    The growing improvements of computed tomography have made this technique more and more available for cardiac evaluation. Coronary artery anomalies (CAAs) are often incidental findings in subjects with suspected coronary artery disease (CAD) undergoing coronary angiography or computed tomography coronary angiography (CTCA). In some cases, CAAs can be clinically relevant so their identification could change radically patient management and treatment. We report the case of a 68-year-old male patient with known CAD and associated anomalous origination of the left coronary artery from the opposite sinus.

  1. Technical innovation: Multidimensional computerized software enabled subtraction computed tomographic angiography.

    PubMed

    Bhatia, Mona; Rosset, Antoine; Platon, Alexandra; Didier, Dominique; Becker, Christoph D; Poletti, Pierre-Alexandre

    2010-01-01

    Computed tomographic angiography (CTA) is a frequent noninvasive alternative to digital subtraction angiography. We previously reported the development of a new subtraction software to overcome limitations of adjacent bone and calcification in CT angiographic subtraction. Our aim was to further develop and improve this fast and automated computerized software, universally available for free use and compatible with most CT scanners, thus enabling better delineation of vascular structures, artifact reduction, and shorter reading times with potential clinical benefits. This computer-based free software will be available as an open source in the next release of OsiriX at the Web site http://www.osirix-viewer.com.

  2. Ultra-Wide-Field Fluorescein Angiography in Microscopic Polyangiitis

    PubMed Central

    Philander, Shannon A.; Ter-Zakarian, Anna; Rao, Narsing A.; Rodger, Damien C.

    2016-01-01

    A 25-year-old Hispanic female presented with 5 months of dry eyes and 2 months of bilateral photophobia and decreased vision. On examination, she had bilateral anterior uveitis and mild disc edema of the left eye. A complete infectious and inflammatory work-up was positive for elevated antinuclear antibodies and p-ANCA, leading to a diagnosis of microscopic polyangiitis. One year after initial treatment and steroid taper, an ultra-wide-field fluorescein angiography revealed peripheral vasculitis, outside of the standard traditional field of view, leading to an increase in immunomodulatory therapy and illustrating the utility of wide-field angiography for managing patients with uveitis. PMID:27872779

  3. Personnel Safety for Future Magnetic Fusion Power Plants

    SciTech Connect

    Lee Cadwallader

    2009-07-01

    The safety of personnel at existing fusion experiments is an important concern that requires diligence. Looking to the future, fusion experiments will continue to increase in power and operating time until steady state power plants are achieved; this causes increased concern for personnel safety. This paper addresses four important aspects of personnel safety in the present and extrapolates these aspects to future power plants. The four aspects are personnel exposure to ionizing radiation, chemicals, magnetic fields, and radiofrequency (RF) energy. Ionizing radiation safety is treated well for present and near-term experiments by the use of proven techniques from other nuclear endeavors. There is documentation that suggests decreasing the annual ionizing radiation exposure limits that have remained constant for several decades. Many chemicals are used in fusion research, for parts cleaning, as use as coolants, cooling water cleanliness control, lubrication, and other needs. In present fusion experiments, a typical chemical laboratory safety program, such as those instituted in most industrialized countries, is effective in protecting personnel from chemical exposures. As fusion facilities grow in complexity, the chemical safety program must transition from a laboratory scale to an industrial scale program that addresses chemical use in larger quantity. It is also noted that allowable chemical exposure concentrations for workers have decreased over time and, in some cases, now pose more stringent exposure limits than those for ionizing radiation. Allowable chemical exposure concentrations have been the fastest changing occupational exposure values in the last thirty years. The trend of more restrictive chemical exposure regulations is expected to continue into the future. Other issues of safety importance are magnetic field exposure and RF energy exposure. Magnetic field exposure limits are consensus values adopted as best practices for worker safety; a typical

  4. 5 CFR 293.302 - Establishment of Official Personnel Folder.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Establishment of Official Personnel Folder. 293.302 Section 293.302 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Official Personnel Folder § 293.302 Establishment of Official Personnel...

  5. 5 CFR 293.302 - Establishment of Official Personnel Folder.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Establishment of Official Personnel Folder. 293.302 Section 293.302 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Official Personnel Folder § 293.302 Establishment of Official Personnel...

  6. 5 CFR 293.302 - Establishment of Official Personnel Folder.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Establishment of Official Personnel Folder. 293.302 Section 293.302 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Official Personnel Folder § 293.302 Establishment of Official Personnel...

  7. 5 CFR 293.302 - Establishment of Official Personnel Folder.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Establishment of Official Personnel Folder. 293.302 Section 293.302 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Official Personnel Folder § 293.302 Establishment of Official Personnel...

  8. 5 CFR 293.302 - Establishment of Official Personnel Folder.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Establishment of Official Personnel Folder. 293.302 Section 293.302 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Official Personnel Folder § 293.302 Establishment of Official Personnel...

  9. 40 CFR 792.29 - Personnel.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 792.29 Personnel. (a) Each individual.... (b) Each testing facility shall maintain a current summary of training and experience and...

  10. 40 CFR 792.29 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 792.29 Personnel. (a) Each individual.... (b) Each testing facility shall maintain a current summary of training and experience and...

  11. The Control Process In Personnel Management

    ERIC Educational Resources Information Center

    Tracy, Lane

    1976-01-01

    The concept of human resource planning in personnel administration is gradually reintroducing the need for control over personnel functions as is usually demanded of other functions such as production and finance. (Author/TA)

  12. Personnel Management: A J/A Perspective

    ERIC Educational Resources Information Center

    Tasca, A. J.

    1974-01-01

    Recently, personnel executives and their staffs are being asked to help management solve an increasing number of human resource and business problems. Personnel management must undergo some changes if it is to achieve its full potential. (Author/AJ)

  13. 33 CFR 157.154 - Assistant personnel.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Crude Oil Washing (COW) System on Tank Vessels Personnel § 157.154 Assistant personnel. The owner... the Crude Oil Washing Operations and Equipment Manual approved by the Coast Guard under § 157.112...

  14. Contact dermatitis in military personnel.

    PubMed

    Dever, Tara T; Walters, Michelle; Jacob, Sharon

    2011-01-01

    Military personnel encounter the same allergens and irritants as their civilian counterparts and are just as likely to develop contact dermatitis from common exposures encountered in everyday life. In addition, they face some unique exposures that can be difficult to avoid owing to their occupational duties. Contact dermatitis can be detrimental to a military member's career if he or she is unable to perform core duties or avoid the inciting substances. An uncontrolled contact dermatitis can result in the member's being placed on limited-duty (ie, nondeployable) status, needing a job or rate change, or separation from military service. We present some common causes of contact dermatitis in military personnel worldwide and some novel sources of contact dermatitis in this population that may not be intuitive.

  15. Personnel

    SciTech Connect

    2006-10-13

    Le président du conseil M.Doran explique la décision que le conseil du Cern vient de prendre sur la 4.étape du régime complémentaire des pensions. Le président du comité des finances le Dr.Andersen ainsi que le Prof.Connor(?) prennent aussi la parole

  16. Personnel

    ScienceCinema

    None

    2016-07-12

    Le président du conseil M.Doran explique la décision que le conseil du Cern vient de prendre sur la 4.étape du régime complémentaire des pensions. Le président du comité des finances le Dr.Andersen ainsi que le Prof.Connor(?) prennent aussi la parole

  17. Treatment of arteriovenous malformations with stereotactic radiosurgery employing both magnetic resonance angiography and standard angiography as a database

    SciTech Connect

    Petereit, D.; Mehta, M.; Turski, P.; Levin, A.; Strother, C.; Mistretta, C.; Mackie, R.; Gehring, M.; Kubsad, S.; Kinsella, T. )

    1993-01-15

    Twenty-one arteriovenous malformations were prospectively evaluated using magnetic resonance angiography, compare it to stereotactic angiography, employ magnetic resonance angiography in follow-up, and semiquanitfy flow. A correlative evaluation between flow and response to stereotactic radiosurgery was carried out. Phase contrast angiograms were obtained at flow velocities of 400, 200, 100, 60 and 20 cm/sec. The fractionated velocities provided images that selectively demonstrated the arterial and venous components of the arteriovenous malformations. Qualitative assessment of the velocity within the arteriovenous malformations and the presence of fistulae were also determined by multiple velocity images. In addition, 3-dimensional time-of-flight magnetic resonance angiograms were obtained to define the exact size and shape of the nidus. This technique also permitted evaluation of the nidus and feeding arteries for the the presence of low flow aneurysms. Correlation between the two imaging modalities was carried out by subjective and semiquantitative estimation of flow velocity and estimation of nidus size. The following velocity parameters were employed: fast, intermediate, slow, and none. Early analysis suggests that slower flowing arteriovenous malformations may obliterate faster after stereotactic radiosurgery an flow parameters should be employed to predict response. In conclusion, magnetic resonance angiography permits semiquantitative flow velocity assessment and may therefore be superior to stereotactic angiography. An additional advantage of magnetic resonance angiography is the generation of serial transverse images which can replace the conventional CT scan employed for stereotactic radiosurgery treatment planning. A single diagnostic test may therefore be used for diagnosis, radiosurgical treatment planning, follow-up, and treatment selection by identifying patients likely to respond early to radiosurgical management.

  18. 21 CFR 58.29 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Personnel. 58.29 Section 58.29 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Organization and Personnel § 58.29 Personnel. (a) Each individual engaged...

  19. 21 CFR 58.29 - Personnel.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Personnel. 58.29 Section 58.29 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Organization and Personnel § 58.29 Personnel. (a) Each individual engaged...

  20. 21 CFR 58.29 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Personnel. 58.29 Section 58.29 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Organization and Personnel § 58.29 Personnel. (a) Each individual engaged...

  1. 21 CFR 58.29 - Personnel.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Personnel. 58.29 Section 58.29 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Organization and Personnel § 58.29 Personnel. (a) Each individual engaged...

  2. 21 CFR 58.29 - Personnel.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Personnel. 58.29 Section 58.29 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Organization and Personnel § 58.29 Personnel. (a) Each individual engaged...

  3. The Personnel Office and Computer Services: Tomorrow.

    ERIC Educational Resources Information Center

    Nicely, H. Phillip, Jr.

    1980-01-01

    It is suggested that the director of personnel should be making maximum use of available computer services. Four concerns of personnel directors are cited: number of government reports required, privacy and security, cost of space for personnel records and files, and the additional decision-making tools required for collective bargaining…

  4. 49 CFR 193.2711 - Personnel health.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Personnel health. 193.2711 Section 193.2711 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY...: FEDERAL SAFETY STANDARDS Personnel Qualifications and Training § 193.2711 Personnel health. Each...

  5. 49 CFR 193.2711 - Personnel health.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 3 2012-10-01 2012-10-01 false Personnel health. 193.2711 Section 193.2711 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY...: FEDERAL SAFETY STANDARDS Personnel Qualifications and Training § 193.2711 Personnel health. Each...

  6. 49 CFR 193.2711 - Personnel health.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Personnel health. 193.2711 Section 193.2711 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY...: FEDERAL SAFETY STANDARDS Personnel Qualifications and Training § 193.2711 Personnel health. Each...

  7. 49 CFR 193.2711 - Personnel health.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Personnel health. 193.2711 Section 193.2711 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY...: FEDERAL SAFETY STANDARDS Personnel Qualifications and Training § 193.2711 Personnel health. Each...

  8. 49 CFR 193.2711 - Personnel health.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 3 2013-10-01 2013-10-01 false Personnel health. 193.2711 Section 193.2711 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY...: FEDERAL SAFETY STANDARDS Personnel Qualifications and Training § 193.2711 Personnel health. Each...

  9. 21 CFR 211.28 - Personnel responsibilities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... from contamination. (b) Personnel shall practice good sanitation and health habits. (c) Only personnel... Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS... instructed to report to supervisory personnel any health conditions that may have an adverse effect on...

  10. 29 CFR 1926.1431 - Hoisting personnel.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Environmental conditions. (i) Wind. When wind speed (sustained or gusts) exceeds 20 mph at the personnel platform, a qualified person must determine if, in light of the wind conditions, it is not safe to lift...) Hoisting personnel near power lines. Hoisting personnel within 20 feet of a power line that is up to 350...

  11. 29 CFR 1926.1431 - Hoisting personnel.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) Environmental conditions. (i) Wind. When wind speed (sustained or gusts) exceeds 20 mph at the personnel platform, a qualified person must determine if, in light of the wind conditions, it is not safe to lift...) Hoisting personnel near power lines. Hoisting personnel within 20 feet of a power line that is up to 350...

  12. 14 CFR 145.151 - Personnel requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Personnel requirements. 145.151 Section 145.151 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES REPAIR STATIONS Personnel § 145.151 Personnel requirements....

  13. The Changing World of Personnel Management.

    ERIC Educational Resources Information Center

    Anderson, Eileen R.

    Although personnel management in the public sector has become increasingly difficult because of recent social changes, more worker and middle management involvement in decision-making processes can improve all levels of personnel management. The social changes affecting personnel management have assumed three forms: (1) the entrance into the work…

  14. Multimodality evaluation of dural arteriovenous fistula with CT angiography, MR with arterial spin labeling, and digital subtraction angiography: case report.

    PubMed

    Alexander, Matthew; McTaggart, Ryan; Santarelli, Justin; Fischbein, Nancy; Marks, Michael; Zaharchuk, Greg; Do, Huy

    2014-01-01

    Dural arteriovenous fistulae (DAVF) are cerebrovascular lesions with pathologic shunting into the venous system from arterial feeders. Digital subtraction angiography (DSA) has long been considered the gold standard for diagnosis, but advances in noninvasive imaging techniques now play a role in the diagnosis of these complex lesions. Herein, we describe the case of a patient with right-side pulsatile tinnitus and DAVF diagnosed using computed tomography angiography, magnetic resonance with arterial spin labeling, and DSA. Implications for imaging analysis of DAVFs and further research are discussed.

  15. [A man with vision problems after coronary angiography].

    PubMed

    Salomé, Mariet E; Jansen, Ben P W

    2015-01-01

    A 71-year-old man underwent a coronary angiography (CAG). Afterwards he experienced vision loss. Neurologic examination revealed bilateral cortical blindness. A cerebral CT-scan showed occipital hyperdensity, due to contrast accumulation and oedema. There was complete recovery of vision within 2 days. Transient cortical blindness after CAG is a rare complication of iodinated contrast agents.

  16. Myocardial Scar Detection by Standard CT Coronary Angiography

    PubMed Central

    Jeevarethinam, Anand; Venuraju, Shreenidhi; Mehta, Vishal Shahil; Atwal, Satvir; Raval, Usha; Rakhit, Roby; Davar, Joseph; Lahiri, Avijit

    2014-01-01

    We have described a myocardial infarct scar identified by a standard dual source CT coronary angiography (CTCA). We were able to detect the scar during the routine coronary assessment without contrast late enhancement and without additional radiation exposure. It is therefore feasible to assess chronic scar using a standard CTCA technique.

  17. High-speed lossless compression for angiography image sequences

    NASA Astrophysics Data System (ADS)

    Kennedy, Jonathon M.; Simms, Michael; Kearney, Emma; Dowling, Anita; Fagan, Andrew; O'Hare, Neil J.

    2001-05-01

    High speed processing of large amounts of data is a requirement for many diagnostic quality medical imaging applications. A demanding example is the acquisition, storage and display of image sequences in angiography. The functional performance requirements for handling angiography data were identified. A new lossless image compression algorithm was developed, implemented in C++ for the Intel Pentium/MS-Windows environment and optimized for speed of operation. Speeds of up to 6M pixels per second for compression and 12M pixels per second for decompression were measured. This represents an improvement of up to 400% over the next best high-performance algorithm (LOCO-I) without significant reduction in compression ratio. Performance tests were carried out at St. James's Hospital using actual angiography data. Results were compared with the lossless JPEG standard and other leading methods such as JPEG-LS (LOCO-I) and the lossless wavelet approach proposed for JPEG 2000. Our new algorithm represents a significant improvement in the performance of lossless image compression technology without using specialized hardware. It has been applied successfully to image sequence decompression at video rate for angiography, one of the most challenging application areas in medical imaging.

  18. Preduodenal portal vein in an adult--angiography and CT.

    PubMed

    Sasai, K; Sano, A; Nishizawa, S; Imanaka, K; Kuroda, Y

    1985-01-01

    We report on an adult case of preduodenal portal vein illustrated by computed tomography (CT) and angiography. These diagnostic modalities were initially performed to evaluate a coexisting pancreatic cancer. Contrast-enhanced CT demonstrated unusual positioning of the portal vein ventral to the duodenum. The superior mesenteric-portal vein, which was L-shaped and convexly caudad, strongly suggested this anomalous condition.

  19. Advances in post-mortem CT-angiography

    PubMed Central

    Grimm, J; Dominguez, A; Vanhaebost, J; Mangin, P

    2014-01-01

    Performing a post-mortem multidetector CT (MDCT) scan has already become routine in some institutes of forensic medicine. To better visualize the vascular system, different techniques of post-mortem CT-angiography have been explored, which can essentially be divided into partial- and whole-body angiography techniques. Probably the most frequently applied technique today is the so-called multiphase post-mortem CT-angiography (MPMCTA) a standardized method for investigating the vessels of the head, thorax and abdomen. Different studies exist, describing its use for medicolegal investigations, and its advantages as well as its artefacts and pitfalls. With the aim to investigate the performance of PMCTA and to develop and validate techniques, an international working group was created in 2012 called the “Technical Working Group Post-mortem Angiography Methods” (TWGPAM). Beyond its primary perspective, the goals of this group include creating recommendations for the indication of the investigation and for the interpretation of the images and to distribute knowledge about PMCTA. This article provides an overview about the different approaches that have been developed and tested in recent years and an update about ongoing research in this field. It will explain the technique of MPMCTA in detail and give an outline of its indications, application, advantages and limitations. PMID:24234582

  20. Evaluating Polypoidal Choroidal Vasculopathy With Optical Coherence Tomography Angiography

    PubMed Central

    Wang, Min; Zhou, Yao; Gao, Simon S.; Liu, Wei; Huang, Yongheng; Huang, David; Jia, Yali

    2016-01-01

    Purpose We observed and analyzed the morphologic characteristics of polypoidal lesions and abnormal branching vascular network (BVN) in patients with polypoidal choroidal vasculopathy (PCV) by optical coherence tomography angiography (OCTA). Methods A retrospective observational case series was done of patients with PCV. All patients were scanned with a 70-kHz spectral-domain OCT system using the split-spectrum amplitude-decorrelation angiography (SSADA) algorithm to distinguish blood flow from static tissue. The OCTA images of these patients were compared to those from indocyanine green angiography (ICGA). Semiautomated segmentation was used to further analyze the polypoidal lesion and the BVN. Results We studied 13 eyes of 13 patients 51 to 69 years old. A total of 11 patients were treatment-naive. Two patients had multiple anti-VEGF injections and one underwent photodynamic therapy (PDT). Optical coherence tomography angiography was able to detect the BVN in all cases. Using cross-sectional OCTA, BVN locations were shown to be in the space between the RPE and Bruch's membrane. Using en face OCTA, the BVN vascular pattern could be shown more clearly than by ICGA. Polypoidal lesions showed high flow signals in different patterns in 12 cases in the outer retina slab. Using cross-sectional OCTA, the polyps were shown to be just below the top of the pigment epithelial detachment (PED). In one case, the polypoidal lesion was not detectable at the outer retina slab. Conclusions Optical coherence tomography angiography is a noninvasive imaging tool for detecting vascular changes in PCV. Branching vascular networks showed more clearly on OCTA than on ICGA. Polypoidal lesions had variable patterns on OCTA and were not always detected. The OCTA patterns of the polypoidal lesions and the BVN are helpful in understanding the pathology of PCV. PMID:27472276

  1. 10 CFR 73.38 - Personnel access authorization requirements for irradiated reactor fuel in transit.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... reactor fuel in transit. 73.38 Section 73.38 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) PHYSICAL PROTECTION OF PLANTS AND MATERIALS Physical Protection of Special Nuclear Material in Transit § 73.38 Personnel access authorization requirements for irradiated reactor fuel in transit. (a) General. (1)...

  2. 75 FR 29366 - Hyginus U. Aguzie v. Office of Personnel Management

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-25

    ... BOARD Hyginus U. Aguzie v. Office of Personnel Management AGENCY: Merit Systems Protection Board. ACTION: Notice. SUMMARY: The Merit Systems Protection Board (MSPB) is providing notice of an extension of time in... Management, MSPB Docket Number DC-0731-09-0261-R-1. DATES: All briefs submitted in response to this...

  3. Personnel occupied woven envelope robot

    NASA Technical Reports Server (NTRS)

    Wessling, F. C.

    1986-01-01

    The use of nonmetallic or fabric structures for space application is considered. The following structures are suggested: (1) unpressurized space hangars; (2) extendable tunnels for soft docking; and (3) manned habitat for space stations, storage facilities, and work structures. The uses of the tunnel as a passageway: for personnel and equipment, eliminating extravehicular activity, for access to a control cabin on a space crane and between free flyers and the space station are outlined. The personnal occupied woven envelope robot (POWER) device is shown. The woven envelope (tunnel) acts as part of the boom of a crane. Potential applications of POWER are outlined. Several possible deflection mechanisms and design criteria are determined.

  4. Personnel Security Program. Change 2

    DTIC Science & Technology

    1993-07-14

    administrative action in a personnel security determination. # First Amendment (Ch 2, 7/14/93) 1-3 Jan 87# DoD 5200.2-R 1-312 National Agency Check (NAC) A... First Amendment (Ch 2, 7/14/93) 1-4 Jan 87# DoD 5200.2-R (1) The nature and seriousness of the conduct: (2) The circumstances surrounding the conduct...Acce-ioii For NTiS r(PA&J LI D ’••.:t . ,. ~ F .r...... An. .... # First Amendment (Ch 2, 7/14/93) VI-3 Jan 87# DoD5200.2-R 0 CHAPTER VII ISSUING

  5. BETA-GAMMA PERSONNEL DOSIMETER

    DOEpatents

    Davis, D.M.; Gupton, E.D.; Hart, J.C.; Hull, A.P.

    1961-01-17

    A personnel dosimeter is offered which is sensitive to both gamma and soft beta radiations from all directions within a hemisphere. The device is in the shape of a small pill box which is worn on a worker-s wrist. The top and sides of the device are provided with 50 per cent void areas to give 50 per cent response to the beta rays and complete response to the gamma rays. The device is so constructed as to have a response which will approximate the dose received by the basal layer of the human epidermis.

  6. Personnel Launch System (PLS) study

    NASA Technical Reports Server (NTRS)

    Ehrlich, Carl F., Jr.

    1991-01-01

    NASA is currently studying a personnel launch system (PLS) approach to help satisfy the crew rotation requirements for the Space Station Freedom. Several concepts from low L/D capsules to lifting body vehicles are being examined in a series of studies as a potential augmentation to the Space Shuttle launch system. Rockwell International Corporation, under contract to NASA, analyzed a lifting body concept to determine whether the lifting body class of vehicles is appropriate for the PLS function. The results of the study are given.

  7. [Digital thermo-coronary angiography--development and validation of the method in comparison with conventional cine-coronary angiography].

    PubMed

    Mohr, F W; Grundfest, W; Litvack, F; Forrester, J; Matloff, J; Kirchhoff, P G

    1989-07-01

    We describe the technique-thermal coronary angiography (TCA)-for real-time assessment of coronary anatomy and flow. The goal of this study was to compare thermal coronary angiography to cine coronary angiography and to validate its value for detecting stenoses. We studied the exposed LAD both in beating and arrested hearts in 11 open-chest pigs by TCA and cine angiography. We used an AGA 782 Thermovision system combined with a TIC 8000 digital image processor providing coronary images with 0.1-0.2 mm spatial and 0.1 degrees C thermal resolution, and a CFR x-ray system. The coronary arteries were catheterized via the right carotid artery, using standard 5F catheters. The thermal camera was focused at a 1m-distance to the heart surface and the x-ray was angled to LAO position. We performed simultaneous thermal and cine angiography using Angiovist 370 at different temperatures (10-40 degrees C) and injection rates (1-2.5 ml/s). Different grades of stenoses were created by snares. Thermistor probe readings of the epimyocardium and the left atrial blood were performed to reference the thermal camera measurements. We obtained high resolution TCA images of both the coronaries and of the myocardial perfusion beds whenever there was greater than 4 degrees C difference between injectate and epicardial temperature. The TCA detection of stenoses as compared to cine angiography was 29/30 (96.6%) in arrested and 36/42 (85.7%) in beating hearts. Coronary occlusion produced immediate and dramatic perfusion defects as detected by TCA. TCAs were highly reproducible. Injection rate of 2 ml/s provided optimal thermal coronary images. Thermal angiograms of the LAD were sometimes affected by large crossing coronary veins, myocardial bridges, and excess of fat pretending nonexistent coronary stenosis. TCA is a highly sensitive and reproducible method as compared to standard coronary angiography and allows for detection of coronary stenoses. The image quality was best in arrested hearts.

  8. Risk factors for occupational brucellosis among veterinary personnel in Turkey.

    PubMed

    Kutlu, Murat; Ergonul, Onder; Sayin-Kutlu, Selda; Guven, Tumer; Ustun, Cemal; Alp-Cavus, Sema; Ozturk, Serife Barcın; Acicbe, Ozlem; Akalin, Serife; Tekin, Recep; Tekin-Koruk, Suda; Demiroglu, Yusuf Ziya; Keskiner, Ramazan; Gönen, Ibak; Sapmaz-Karabag, Sevil; Bosnak, Vuslat; Kazak, Esra

    2014-11-01

    Veterinarians and veterinary technicians are at risk for occupational brucellosis. We described the risk factors of occupational brucellosis among veterinary personnel in Turkey. A multicenter retrospective survey was performed among veterinary personnel who were actively working in the field. Of 712 veterinary personnel, 84 (11.8%) had occupational brucellosis. The median number of years since graduation was 7 (interquartile ranges [IQR], 4-11) years in the occupational brucellosis group, whereas this number was 9 (IQR, 4-16) years in the non-brucellosis group (p<0.001). In multivariable analysis, working in the private sector (odds ratio [OR], 2.8; 95% confidence interval [95% CI], 1.55-5.28, p=0.001), being male (OR, 4.5; 95% CI, 1.05-18.84, p=0.041), number of performed deliveries (OR, 1.01; 95% CI, 1.002-1.02, p=0.014), and injury during Brucella vaccine administration (OR, 5.4; 95% CI, 3.16-9.3, p<0.001) were found to be risk factors for occupational brucellosis. We suggest that all veterinary personnel should be trained on brucellosis and the importance of using personal protective equipment in order to avoid this infection.

  9. Risk of blood contamination and injury to operating room personnel.

    PubMed Central

    Quebbeman, E J; Telford, G L; Hubbard, S; Wadsworth, K; Hardman, B; Goodman, H; Gottlieb, M S

    1991-01-01

    The potential for transmission of deadly viral diseases to health care workers exists when contaminated blood is inoculated through injury or when blood comes in contact with nonintact skin. Operating room personnel are at particularly high risk for injury and blood contamination, but data on the specifics of which personnel are at greater risk and which practices change risk in this environment are almost nonexistent. To define these risk factors, experienced operating room nurses were employed solely to observe and record the injuries and blood contaminations that occurred during 234 operations involving 1763 personnel. Overall 118 of the operations (50%) resulted in at least one person becoming contaminated with blood. Cuts or needlestick injuries occurred in 15% of the operations. Several factors were found to significantly alter the risk of blood contamination or injury: surgical specialty, role of each person, duration of the procedure, amount of blood loss, number of needles used, and volume of irrigation fluid used. Risk calculations that use average values to include all personnel in the operating room or all operations performed substantially underestimate risk for surgeons and first assistants, who accounted for 81% of all body contamination and 65% of the injuries. The area of the body contaminated also changed with the surgical specialty. These data should help define more appropriate protection for individuals in the operating room and should allow refinements of practices and techniques to decrease injury. Images Fig. 1. PMID:1953115

  10. Murine fundus fluorescein angiography: An alternative approach using a handheld camera.

    PubMed

    Ehrenberg, Moshe; Ehrenberg, Scott; Schwob, Ouri; Benny, Ofra

    2016-07-01

    In today's modern pharmacologic approach to treating sight-threatening retinal vascular disorders, there is an increasing demand for a compact, mobile, lightweight and cost-effective fluorescein fundus camera to document the effects of antiangiogenic drugs on laser-induced choroidal neovascularization (CNV) in mice and other experimental animals. We have adapted the use of the Kowa Genesis Df Camera to perform Fundus Fluorescein Angiography (FFA) in mice. The 1 kg, 28 cm high camera has built-in barrier and exciter filters to allow digital FFA recording to a Compact Flash memory card. Furthermore, this handheld unit has a steady Indirect Lens Holder that firmly attaches to the main unit, that securely holds a 90 diopter lens in position, in order to facilitate appropriate focus and stability, for photographing the delicate central murine fundus. This easily portable fundus fluorescein camera can effectively record exceptional central retinal vascular detail in murine laser-induced CNV, while readily allowing the investigator to adjust the camera's position according to the variable head and eye movements that can randomly occur while the mouse is optimally anesthetized. This movable image recording device, with efficiencies of space, time, cost, energy and personnel, has enabled us to accurately document the alterations in the central choroidal and retinal vasculature following induction of CNV, implemented by argon-green laser photocoagulation and disruption of Bruch's Membrane, in the experimental murine model of exudative macular degeneration.

  11. Three-dimensional spiral CT angiography in pancreatic surgical planning using non-tailored protocols: comparison with conventional angiography.

    PubMed

    Blomley, M J; Albrecht, T; Williamson, R C; Allison, D J

    1998-03-01

    The aim of this study was to investigate three-dimensional spiral computed tomography (3DCT) as an adjunct to routine pancreatic CT scanning, with particular regard to the identification of surgically important hepatic arterial anomalies, correlated with conventional visceral angiography. 32 patients underwent spiral CT scans prior to pancreatic surgery using established protocols. Oral contrast medium was used throughout. 150 ml of intravenous contrast medium was given at 3 ml s-1 with a 24 s spiral CT sequence starting 35 s after the start of infusion. Two protocols were employed, both with a pitch of 1:3 mm table feed/collimation (n = 17) and 5 mm table feed/collimation (n = 15). Overlapping (1 mm minimum) axial reformats were reconstructed. 3DCT shaded-surface displays of the visceral arteries were assessed for visceral arterial anomalies. Visceral angiography (n = 23) was independently correlated. Satisfactory 3D angiograms were performed in all but one patient, in whom the coeliac axis was missed. (i) 3 mm protocol: 3DCT (n = 17) showed three anomalous right hepatic arteries (ARHA), one trifurcation anomaly and one splenic artery with an aortic origin. Angiography (n = 11) confirmed these findings, although one patient with an ARHA did not have angiography. A left gastric arterial supply to the left liver was not detected. (ii) 5 mm protocol: 3DCT (n = 15) showed two cases of ARHA. While confirming these findings, angiography (n = 12) showed a third case of ARHA, in which the coeliac and superior mesenteric artery had very close origins. A left gastric supply to the left liver was also missed. It is concluded that satisfactory 3DCT is possible without changing existing scanning protocols, although narrow sections are required for the confident assessment of right hepatic arterial anomalies, and any left hepatic supply via the left gastric artery was poorly assessed in this series.

  12. Guidelines for Protection in Evaluation.

    ERIC Educational Resources Information Center

    Mainzer, Richard W.; And Others

    The report examines due process protections and requirements in evaluation as mandated by P.O. 94-142 (The Education for All Handicapped Children Act) and Maryland special education Bylaw. A checklist guide for Admission, Review, and Dismissal (ARD) personnel to ensure protection in evaluation is provided. Self check guidelines touch on 16…

  13. Chemical means of protecting US military personnel from mosquito bites

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Since 1942, the United States Department of Agriculture (USDA) has examined over 30,000 repellents and insecticides for the U.S. military. The repellent research has focused on discovery of repellents that work on clothing, skin, and at a distance (spatial repellents). Borne out of this research is...

  14. 29 CFR 1910.335 - Safeguards for personnel protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... danger of head injury from electric shock or burns due to contact with exposed energized parts. (v... each employee from shock, burns, or other electrically related injuries while that employee is working... could cause injury due to electric shock, burns, or failure of electric equipment parts: (1)...

  15. Developing the Interpretive Niche for Protected Area Personnel.

    ERIC Educational Resources Information Center

    Rodriguez, Donald A.; Wallace, George N.

    1994-01-01

    Examines the role of park guards in the Galapagos National Park in Ecuador, in interpretation and visitor management. Presents strategies for involving the park guards, who function more as rangers, in interpretative activities with local people and national visitors. (LZ)

  16. Effects of Protective Clothing on Personnel Performance--Annotated Index

    DTIC Science & Technology

    1986-08-20

    heart rate. The data were analyzed by analyses of variance of the absolute values of each physiological measure, and also in increments above the mean... Documentaires . No. 58. 2nd Trimester, Pp. 185-193 DATE 0069 ABSTRACT Psychophysiological problems presented by safety glasses are reviewed. Topics

  17. Seventh Personnel Dosimetry Intercomparison Study

    SciTech Connect

    Swaja, R.E.; Sims, C.S.; Greene, R.T.

    1981-12-01

    The Seventh Personnel Dosimetry Intercomparison Study was conducted March 31-April 10, 1981, at the Oak Ridge National Laboratory. Dosimeters from 34 participating agencies were mounted on anthropomorphic phantoms and exposed to a range of low-level dose equivalents (1.5-15.0mSv neutron and 0.1-2.8 mSv gamma) which could be encountered during routine personnel monitoring in mixed radiation fields. The Health Physics Research Reactor, operating in the steady-state mode, served as the source of radiation for two equivalent sets of six separate exposures. Lucite and concrete shields along with the unshielded reactor provided three different neutron and gamma spectra for five of the exposures in each set. Results reported by the participating agencies showed that no single type of neutron dosimeter exhibited acceptable performance characteristics for all mixed-field environments encountered in this study. Film, TLD, and TLD-albed dosimeters were found to be inadequate for neutron dose equivalent measurements when large numbers of slow neutrons are present unless significant corrections are made to measured results. Track dosimeters indicated the least sensitivity to spectral characteristics, but did not always yield to the most accurate results. Gamma dose measurements showed that TLD-700 dosimeters produced significantly more accurate results than film dosimeters which tend to overestimate gamma doses in mixed radiation fields.

  18. 5 CFR 352.508 - Appeals to the Merit Systems Protection Board.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Appeals to the Merit Systems Protection Board. 352.508 Section 352.508 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE... Foreign Assistance Act of 1961 § 352.508 Appeals to the Merit Systems Protection Board. (a) If an...

  19. Current role of hybrid CT/angiography system compared with C-arm cone beam CT for interventional oncology

    PubMed Central

    Arai, Y; Inaba, Y; Inoue, M; Nishiofuku, H; Anai, H; Hori, S; Sakaguchi, H; Kichikawa, K

    2014-01-01

    Hybrid CT/angiography (angiography) system and C-arm cone beam CT provide cross-sectional imaging as an adjunct to angiography. Current interventional oncological procedures can be conducted precisely using these two technologies. In this article, several cases using a hybrid CT/angiography system are shown first, and then the advantages and disadvantages of the hybrid CT/angiography and C-arm cone beam CT are discussed with literature reviews. PMID:24968749

  20. Current role of hybrid CT/angiography system compared with C-arm cone beam CT for interventional oncology.

    PubMed

    Tanaka, T; Arai, Y; Inaba, Y; Inoue, M; Nishiofuku, H; Anai, H; Hori, S; Sakaguchi, H; Kichikawa, K

    2014-09-01

    Hybrid CT/angiography (angiography) system and C-arm cone beam CT provide cross-sectional imaging as an adjunct to angiography. Current interventional oncological procedures can be conducted precisely using these two technologies. In this article, several cases using a hybrid CT/angiography system are shown first, and then the advantages and disadvantages of the hybrid CT/angiography and C-arm cone beam CT are discussed with literature reviews.

  1. Computer-assisted warehouse personnel scheduling

    NASA Astrophysics Data System (ADS)

    Parker, Sandra C.; Malstrom, Eric J.; Usmani, Tariq

    1992-02-01

    A decision support system is developed for personnel scheduling in a multiple warehouse environment. The system incorporates current manpower level, historical data of workers used, empirical load distributions, and performance standards to generate manpower requirements for a specified planning horizon. The software has been developed to be easily adaptable to varying situational details, therefore is widely applicable in different warehouse settings. The system offers personnel managers a valuable tool for evaluating alternative schedules and making intelligent decisions regarding personnel scheduling in warehouses.

  2. Personnel administration can act on cost containment.

    PubMed

    Adams, J

    1980-01-01

    Hosiptal personnel administration programs have the potential to contain costs in a variety of areas, including human resources management, payroll costs, benefits costs, labor turnover, and recruitment costs. Recognizing this, the Maine Society for Hospital Personnel Administration presented a seminar and prepared a guide for trustees and administrators on the role that personnel administration can play in the Voluntary Effort to contain costs. The following article is an adaptation of the information included in the seminar and guide.

  3. Fluorescein angiography in retrolental fibroplasia: experience from 1969-1977.

    PubMed

    Flynn, J T; Cassady, J; Essner, D; Zeskind, J; Merritt, J; Flynn, R; Williams, M J

    1979-10-01

    Acute proliferative retrolental fibroplasia (RLF) has been studied in premature infants employing a Zeiss fundus camera and fluorescein angiography. A total of 164 angiograms have been performed on 122 infants. At the present time, angiography is reserved for studying infants with peculiar or puzzling fundus pictures. A dose of 0.1-0.4 cc of 10% sodium fluoresceinate is employed, depending on the age and the weight of the baby. Fluorescein clearly outlines the major arteriovenous shunt in the retina, which is the hallmark of acute RLF. The shunt fills with fluorescein and leaks it profusely. On regression, a fine brush border of capillaries is seen in the region where the shunt previously had been located. Study of the population susceptible to RLF reveals it to be the smallest sickest babies in the premature nursery.

  4. Neuroradiologic applications of dynamic MR angiography at 3 T.

    PubMed

    Parmar, Hemant; Ivancevic, Marko K; Dudek, Nancy; Gandhi, Dheeraj; Geerts, Liesbeth; Hoogeveen, R; Mukherji, S K; Chenevert, Thomas L

    2009-02-01

    Four-dimensional time-resolved MR angiography (4D-MRA) using keyhole imaging techniques is a new method of performing contrastenhanced vascular imaging. Combining parallel imaging and keyhole imaging techniques, it is possible to obtain dynamic MRA scans up to 60 times faster, thereby achieving subsecond sampling of the contrast hemodynamics. Furthermore, imaging at 3 T gives higher signal, thus affording higher spatial resolution and allowing dynamic 3D MRA to approach the diagnostic performance of conventional digital subtraction angiography. This article presents the authors' clinical experience using 4D-MRA to evaluate various vascular abnormalities in the brain, spine, orbits, and neck at 3 T, demonstrates the imaging findings of this novel technique, and discusses its advantages and use in current neuroradiology practice.

  5. Towards the use of OCT angiography in clinical dermatology

    NASA Astrophysics Data System (ADS)

    Baran, Utku; Choi, Woo June; Wang, Ruikang K.

    2016-02-01

    Optical coherence tomography (OCT) is a popular imaging technique used in ophthalmology, and on the way to become clinically viable alternative in dermatology due to its capability of acquiring histopathology level images of in vivo tissue, noninvasively. In this study, we demonstrate the capabilities of OCT-based angiography (OMAG) in detecting high-resolution, volumetric structural and microvascular features of in vivo human skin with various conditions using a swept source OCT system that operates on a central wavelength of 1310 nm with an A-line rate of 100 kHz. OMAG images provide detailed in vivo visualization of microvasculature of abnormal human skin conditions from face, chest and belly. Moreover, the progress of wound healing on human skin from arm is monitored during longitudinal wound healing process. The presented results promise the clinical use of OCT angiography in treatment of prevalent cutaneous diseases within human skin, in vivo.

  6. Ultrahigh-speed non-invasive widefield angiography

    NASA Astrophysics Data System (ADS)

    Blatter, Cedric; Klein, Thomas; Grajciar, Branislav; Schmoll, Tilman; Wieser, Wolfgang; Andre, Raphael; Huber, Robert; Leitgeb, Rainer A.

    2012-07-01

    Retinal and choroidal vascular imaging is an important diagnostic benefit for ocular diseases such as age-related macular degeneration. The current gold standard for vessel visualization is fluorescence angiography. We present a potential non-invasive alternative to image blood vessels based on functional Fourier domain optical coherence tomography (OCT). For OCT to compete with the field of view and resolution of angiography while maintaining motion artifacts to a minimum, ultrahigh-speed imaging has to be introduced. We employ Fourier domain mode locking swept source technology that offers high quality imaging at an A-scan rate of up to 1.68 MHz. We present retinal angiogram over ˜48 deg acquired in a few seconds in a single recording without the need of image stitching. OCT at 1060 nm allows for high penetration in the choroid and efficient separate characterization of the retinal and choroidal vascularization.

  7. Duplex ultrasound assessment of femorodistal grafts: correlation with angiography.

    PubMed

    McShane, M D; Gazzard, V M; Clifford, P C; Hacking, C N; Fairhurst, J J; Humphries, K N; Birch, S J; Webster, J H; Chant, A D

    1987-12-01

    Fifty-eight grafts have been assessed using duplex scanning and ankle brachial pressure indices. This assessment is compared with the findings by angiography. Eighteen grafts were occluded and 40 patent. Duplex scanning defined graft status with a greater accuracy than pressure indices. Pressure indices alone would not differentiate "satisfactory" grafts from those with localised, haemodynamically significant disease. Only 55% of those grafts with localised stenoses demonstrated a fall of greater than 0.2 in ankle brachial pressure index after exercise. When the information obtained using pressure indices and duplex scanning was combined non-invasive assessment had a sensitivity of 86% and specificity of 94% for detection of localised, haemodynamically significant disease in patent grafts. Haemodynamically significant disease, as defined by angiography, can be detected and localised with duplex scanning complementing the use of pressure indices in graft assessment.

  8. [Hip replacement in military personnel].

    PubMed

    Maksimov, I B; Paniushin, K A; Brizhan', L K; Buriachenko, B P; Varfolomeev, D I; Mimanchev, O V

    2014-01-01

    Hip joint diseases and injuries are common for orthopedic pathology among military personnel. Hip replacement is one of the most frequent operations. Authors evaluated hip replacement in 136 servicemen treated at the center of traumatology and orthopedics of Burdenko General Military Clinical Hospital of the Ministry of Defense of Russia in 2010-2013. On the basis of the conducted analysis the main disease groups were revealed, peculiarities of pathology among this category of patients. Authors proposed surgical doctrine for the treatment of this contingent. Effective surgical treatment, in particular, hip replacement surgery, conducted with the use of the proposed principles, as a rule, fully functionally cured patients and contributes to return them in the system that contributes to the strengthening of defensibility of the country.

  9. 40 CFR 792.29 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Personnel shall take necessary personal sanitation and health precautions designed to avoid contamination of... prevent microbiological, radiological, or chemical contamination of test systems and test, control,...

  10. 33 CFR 127.707 - Security personnel.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED HAZARDOUS GAS Waterfront Facilities Handling Liquefied Natural Gas Security § 127.707 Security personnel. The...

  11. Qualifications and certification of nondestructive testing personnel

    NASA Technical Reports Server (NTRS)

    Kirk, M. K.

    1971-01-01

    Personnel handbook states criteria for test methods including radiation, ultrasonics, eddy current, liquid penetrant, and magnetic particle. Subject categories are thoroughly defined and substructured.

  12. Patient and personnel exposure during extracorporeal lithotripsy.

    PubMed

    Glaze, S; LeBlanc, A D; Bushong, S C; Griffith, D P

    1987-12-01

    Extracorporeal shock wave lithotripsy (ESWL) has provided a nonsurgical approach to treatment of renal stones. The Dornier lithotripter uses dual image intensified x-ray systems to center the stone before treatment. Three imaging modes are offered: a fluoroscopic mode and two video spot filming modes. The average entrance exposure to the stone side of the typical patient at our facility is 2.6 X 10(-3) C kg-1 (10 R) [range: 0.5-7.7 X 10(-3) C kg-1 (2-30 R)] which is comparable and often much less than that reported for percutaneous lithotripsy. Recommendations are made for minimizing patient exposure. Scattered radiation levels in the lithotripter room are presented. We have determined that Pb protective apparel is not required during this procedure provided x-ray operation is temporarily halted should personnel be required to lean directly over the tub to attend to the patient. If the walls of the ESWL room are greater than 1.83 m (6 feet) from the tub, shielding in addition to conventional construction is not required.

  13. Patient and personnel exposure during extracorporeal lithotripsy

    SciTech Connect

    Glaze, S.; LeBlanc, A.D.; Bushong, S.C.; Griffith, D.P.

    1987-12-01

    Extracorporeal shock wave lithotripsy (ESWL) has provided a nonsurgical approach to treatment of renal stones. The Dornier lithotripter uses dual image intensified x-ray systems to center the stone before treatment. Three imaging modes are offered: a fluoroscopic mode and two video spot filming modes. The average entrance exposure to the stone side of the typical patient at our facility is 2.6 X 10(-3) C kg-1 (10 R) (range: 0.5-7.7 X 10(-3) C kg-1 (2-30 R)) which is comparable and often much less than that reported for percutaneous lithotripsy. Recommendations are made for minimizing patient exposure. Scattered radiation levels in the lithotripter room are presented. We have determined that Pb protective apparel is not required during this procedure provided x-ray operation is temporarily halted should personnel be required to lean directly over the tub to attend to the patient. If the walls of the ESWL room are greater than 1.83 m (6 feet) from the tub, shielding in addition to conventional construction is not required.

  14. Risks and Complications of Coronary Angiography: A Comprehensive Review

    PubMed Central

    Tavakol, Morteza; Ashraf, Salman; Brener, Sorin J.

    2012-01-01

    Coronary angiography and heart catheterization are invaluable tests for the detection and quantification of coronary artery disease, identification of valvular and other structural abnormalities, and measurement of hemodynamic parameters. The risks and complications associated with these procedures relate to the patient’s concomitant conditions and to the skill and judgment of the operator. In this review, we examine in detail the major complications associated with invasive cardiac procedures and provide the reader with a comprehensive bibliography for advanced reading. PMID:22980117

  15. Optical Coherence Tomography Angiography of the Optic Disc; an Overview

    PubMed Central

    Akil, Handan; Falavarjani, Khalil Ghasemi; Sadda, Srinivas R.; Sadun, Alfredo A.

    2017-01-01

    Different diseases of the optic disc may be caused by or lead to abnormal vasculature at the optic nerve head. Optical coherence tomography angiography (OCTA) is a novel technology that provides high resolution mapping of the retinal and optic disc vessels. Recent studies have shown the ability of OCTA to visualize vascular abnormalities in different optic neuropathies. In addition, quantified OCTA measurements were found promising for differentiating optic neuropathies from healthy eyes. PMID:28299012

  16. Optical coherence tomography angiography in pediatric choroidal neovascularization

    PubMed Central

    Veronese, Chiara; Maiolo, Chiara; Huang, David; Jia, Yali; Armstrong, Grayson W.; Morara, Mariachiara; Ciardella, Antonio P.

    2016-01-01

    Purpose To report two cases of pediatric choroidal neovascularization (CNV) and the associated neo-vascular and retinal findings identified on Optical Coherence Tomography Angiography (OCTA) imaging. Methods A 14-year-old boy with handheld laser-induced maculopathy-related CNV and a 13-year-old boy with idiopathic CNV were evaluated with visual acuity testing, slit-lamp exam, fundus photography, fluorescein angiography, indocyanine green angiography, spectral domain optical coherence tomography, and OCTA. Results Macular CNV were identified in both pediatric patients using OCTA imaging. The first case demonstrated a classic pediatric type II CNV with a “tree-like” pattern and a single vessel in-growth site, while the second case demonstrated a type I CNV with a “glomerular” pattern. Conclusion Distinct choroidal neovascular patterns were visualized in these two cases of pediatric CNV when compared to adult subtypes. OCTA is a noninvasive imaging modality capable of evaluating and characterizing pediatric CNV and their associated vascular patterns. PMID:27990495

  17. Calibration of optical coherence tomography angiography with a microfluidic chip

    NASA Astrophysics Data System (ADS)

    Su, Johnny P.; Chandwani, Rahul; Gao, Simon S.; Pechauer, Alex D.; Zhang, Miao; Wang, Jie; Jia, Yali; Huang, David; Liu, Gangjun

    2016-08-01

    A microfluidic chip with microchannels ranging from 8 to 96 μm was used to mimic blood vessels down to the capillary level. Blood flow within the microfluidic channels was analyzed with split-spectrum amplitude-decorrelation angiography (SSADA)-based optical coherence tomography (OCT) angiography. It was found that the SSADA decorrelation value was related to both blood flow speed and channel width. SSADA could differentiate nonflowing blood inside the microfluidic channels from static paper. The SSADA decorrelation value was approximately linear with blood flow velocity up to a threshold Vsat of 5.83±1.33 mm/s (mean±standard deviation over the range of channel widths). Beyond this threshold, it approached a saturation value Dsat. Dsat was higher for wider channels, and approached a maximum value Dsm as the channel width became much larger than the beam focal spot diameter. These results indicate that decorrelation values (flow signal) in capillary networks would be proportional to both flow velocity and vessel caliber but would be capped at a saturation value in larger blood vessels. These findings are useful for interpretation and quantification of clinical OCT angiography results.

  18. Mono-Energy Coronary Angiography with a Compact Synchrotron Source

    NASA Astrophysics Data System (ADS)

    Eggl, Elena; Mechlem, Korbinian; Braig, Eva; Kulpe, Stephanie; Dierolf, Martin; Günther, Benedikt; Achterhold, Klaus; Herzen, Julia; Gleich, Bernhard; Rummeny, Ernst; Noёl, Peter B.; Pfeiffer, Franz; Muenzel, Daniela

    2017-02-01

    X-ray coronary angiography is an invaluable tool for the diagnosis of coronary artery disease. However, the use of iodine-based contrast media can be contraindicated for patients who present with chronic renal insufficiency or with severe iodine allergy. These patients could benefit from a reduced contrast agent concentration, possibly achieved through application of a mono-energetic x-ray beam. While large-scale synchrotrons are impractical for daily clinical use, the technology of compact synchrotron sources strongly advanced during the last decade. Here we present a quantitative analysis of the benefits a compact synchrotron source can offer in coronary angiography. Simulated projection data from quasi-mono-energetic and conventional x-ray tube spectra is used for a CNR comparison. Results show that compact synchrotron spectra would allow for a significant reduction of contrast media. Experimentally, we demonstrate the feasibility of coronary angiography at the Munich Compact Light Source, the first commercial installation of a compact synchrotron source.

  19. Understanding the basic concepts of CO2 angiography

    NASA Astrophysics Data System (ADS)

    Zannoli, Romano; Bianchini, David; Rossi, Pier Luca; Caridi, James G.; Corazza, Ivan

    2016-11-01

    The diagnostic quality of carbon dioxide angiography depends both on optimal setting of radiological aspects (X-ray emission and image post-processing) and on the mechanical behavior of the injected gas bubbles. The gas behavior differs in large cavities (d > 12 mm), medium sized vessels (d > 6 mm), and small diameter vessels (d < 6 mm): to optimize the result the operator has to adapt his action to the physical rules governing the phenomenon in the particular situation. In most cases, it is impossible to fill a vessel completely with gas, and to obtain an adequate angiogram, the gas volume and injection pressure must be properly selected, patient's position must be adjusted and radiological image optimization algorithms, like Digital Subtraction Angiography (DSA) and stacking, must be applied. In this optimization process, the cultural and practical intervention of a medical physicist is fundamental. Obtaining a good quality CO2 angiogram is not only a matter of medical operator experience or radiological system performance, but involves matching a wide knowledge of medical physics to particular pathophysiological conditions and to unusual measurement tests. Most medical physicists are used to dealing mainly with radiological problems, and other physical aspects are considered beyond their interest. In CO2 angiography, non-radiological aspects strongly interfere with radiological issues and an optimal result can only be obtained by tackling the two simultaneously.

  20. Computed tomography angiography in patients with active gastrointestinal bleeding.

    PubMed

    Reis, Fatima Regina Silva; Cardia, Patricia Prando; D'Ippolito, Giuseppe

    2015-01-01

    Gastrointestinal bleeding represents a common medical emergency, with considerable morbidity and mortality rates, and a prompt diagnosis is essential for a better prognosis. In such a context, endoscopy is the main diagnostic tool; however, in cases where the gastrointestinal hemorrhage is massive, the exact bleeding site might go undetected. In addition, a trained professional is not always present to perform the procedure. In an emergency setting, optical colonoscopy presents limitations connected with the absence of bowel preparation, so most of the small bowel cannot be assessed. Scintigraphy cannot accurately demonstrate the anatomic location of the bleeding and is not available at emergency settings. The use of capsule endoscopy is inappropriate in the acute setting, particularly in the emergency department at night, and is a highly expensive method. Digital angiography, despite its high sensitivity, is invasive, presents catheterization-related risks, in addition to its low availability at emergency settings. On the other hand, computed tomography angiography is fast, widely available and minimally invasive, emerging as a promising method in the diagnostic algorithm of these patients, being capable of determining the location and cause of bleeding with high accuracy. Based on a critical literature review and on their own experience, the authors propose a computed tomography angiography protocol to assess the patient with gastrointestinal bleeding.

  1. Compton-backscattering x-ray source for coronary angiography

    SciTech Connect

    Blumberg, L.N.

    1992-12-01

    An X-ray source utilizing Compton-backscattered (CB) photons in a 75-MeV electron storage ring containing an infrared FEL is proposed for producing 33.17-keV X-rays (Iodine K-edge) for coronary angiography. The X-ray intensity into a 4-mrad cone is computed as 7.21 {times} 10{sup 14}/sec for a 500-mA electron beam colliding with 0.2-J/bunch, 3.22-{mu}m photons from an in-ring IR-FEL at the 353.21-MHz rate of a SLAC-PEP 500-kW RF system. The resultant average flux at the patient is 6.4 {times} 10{sup 7} photons/pixel/4-msec aver a 12-cm diameter circle at 3-m from the interaction point for the 0.5 {times}0.5-mm{sup 2} pixel size of the present Si(Li) array of the BNL-SMERF Angiography Facility. This flux is 2.1 times larger than obtains at SMERF at a comparable source-to-patient distance and over an area sufficient to encompass the entire coronary region. However, the X-Ray energy spread due to kinematics alone is 2.63-keV, a factor of 35 larger then SMERF, and presents the major difficulty for the digital subtraction angiography method (DSA) envisioned.

  2. Mono-Energy Coronary Angiography with a Compact Synchrotron Source

    PubMed Central

    Eggl, Elena; Mechlem, Korbinian; Braig, Eva; Kulpe, Stephanie; Dierolf, Martin; Günther, Benedikt; Achterhold, Klaus; Herzen, Julia; Gleich, Bernhard; Rummeny, Ernst; Noёl, Peter B.; Pfeiffer, Franz; Muenzel, Daniela

    2017-01-01

    X-ray coronary angiography is an invaluable tool for the diagnosis of coronary artery disease. However, the use of iodine-based contrast media can be contraindicated for patients who present with chronic renal insufficiency or with severe iodine allergy. These patients could benefit from a reduced contrast agent concentration, possibly achieved through application of a mono-energetic x-ray beam. While large-scale synchrotrons are impractical for daily clinical use, the technology of compact synchrotron sources strongly advanced during the last decade. Here we present a quantitative analysis of the benefits a compact synchrotron source can offer in coronary angiography. Simulated projection data from quasi-mono-energetic and conventional x-ray tube spectra is used for a CNR comparison. Results show that compact synchrotron spectra would allow for a significant reduction of contrast media. Experimentally, we demonstrate the feasibility of coronary angiography at the Munich Compact Light Source, the first commercial installation of a compact synchrotron source. PMID:28181544

  3. Computed Tomography Angiography in Microsurgery: Indications, Clinical Utility, and Pitfalls

    PubMed Central

    Lee, Gordon K.; Fox, Paige M.; Riboh, Jonathan; Hsu, Charles; Saber, Sepideh; Rubin, Geoffrey D.; Chang, James

    2013-01-01

    Objective: Computed tomographic angiography (CTA) can be used to obtain 3-dimensional vascular images and soft-tissue definition. The goal of this study was to evaluate the reliability, usefulness, and pitfalls of CTA in preoperative planning of microvascular reconstructive surgery. Methods: A retrospective review of patients who obtained preoperative CTA in preparation for planned microvascular reconstruction was performed over a 5-year period (2001–2005). The influence of CTA on the original operative plan was assessed for each patient, and CTA results were correlated to the operative findings. Results: Computed tomographic angiography was performed on 94 patients in preparation for microvascular reconstruction. In 48 patients (51%), vascular abnormalities were noted on CTA. Intraoperative findings correlated with CTA results in 97% of cases. In 42 patients (45%), abnormal CTA findings influenced the original operative plan, such as the choice of vessels, side of harvest, or nature of the reconstruction (local flap instead of free tissue transfer). Technical difficulties in performing CTA were encountered in 5 patients (5%) in whom interference from external fixation devices was the main cause. Conclusions: This large study of CTA obtained for preoperative planning of reconstructive microsurgery at both donor and recipient sites study demonstrates that CTA is safe and highly accurate. Computed tomographic angiography can alter the surgeon's reconstructive plan when abnormalities are noted preoperatively and consequently improve results by decreasing vascular complication rates. The use of CTA should be considered for cases of microsurgical reconstruction where the vascular anatomy may be questionable. PMID:24023972

  4. Noninvasive coronary artery angiography using electron beam computed tomography

    NASA Astrophysics Data System (ADS)

    Rumberger, John A.; Rensing, Benno J.; Reed, Judd E.; Ritman, Erik L.; Sheedy, Patrick F., II

    1996-04-01

    Electron beam computed tomography (EBCT), also known as ultrafast-CT or cine-CT, uses a unique scanning architecture which allows for multiple high spatial resolution electrocardiographic triggered images of the beating heart. A recent study has demonstrated the feasibility of qualitative comparisons between EBCT derived 3D coronary angiograms and invasive angiography. Stenoses of the proximal portions of the left anterior descending and right coronary arteries were readily identified, but description of atherosclerotic narrowing in the left circumflex artery (and distal epicardial disease) was not possible with any degree of confidence. Although these preliminary studies support the notion that this approach has potential, the images overall were suboptimal for clinical application as an adjunct to invasive angiography. Furthermore, these studies did not examine different methods of EBCT scan acquisition, tomographic slice thicknesses, extent of scan overlap, or other segmentation, thresholding, and interpolation algorithms. Our laboratory has initiated investigation of these aspects and limitations of EBCT coronary angiography. Specific areas of research include defining effects of cardiac orientation; defining the effects of tomographic slice thickness and intensity (gradient) versus positional (shaped based) interpolation; and defining applicability of imaging each of the major epicardial coronary arteries for quantitative definition of vessel size, cross-sectional area, taper, and discrete vessel narrowing.

  5. Computed tomography angiography in patients with active gastrointestinal bleeding*

    PubMed Central

    Reis, Fatima Regina Silva; Cardia, Patricia Prando; D'Ippolito, Giuseppe

    2015-01-01

    Gastrointestinal bleeding represents a common medical emergency, with considerable morbidity and mortality rates, and a prompt diagnosis is essential for a better prognosis. In such a context, endoscopy is the main diagnostic tool; however, in cases where the gastrointestinal hemorrhage is massive, the exact bleeding site might go undetected. In addition, a trained professional is not always present to perform the procedure. In an emergency setting, optical colonoscopy presents limitations connected with the absence of bowel preparation, so most of the small bowel cannot be assessed. Scintigraphy cannot accurately demonstrate the anatomic location of the bleeding and is not available at emergency settings. The use of capsule endoscopy is inappropriate in the acute setting, particularly in the emergency department at night, and is a highly expensive method. Digital angiography, despite its high sensitivity, is invasive, presents catheterization-related risks, in addition to its low availability at emergency settings. On the other hand, computed tomography angiography is fast, widely available and minimally invasive, emerging as a promising method in the diagnostic algorithm of these patients, being capable of determining the location and cause of bleeding with high accuracy. Based on a critical literature review and on their own experience, the authors propose a computed tomography angiography protocol to assess the patient with gastrointestinal bleeding. PMID:26811556

  6. Compton-backscattering x-ray source for coronary angiography

    SciTech Connect

    Blumberg, L.N.

    1992-01-01

    An X-ray source utilizing Compton-backscattered (CB) photons in a 75-MeV electron storage ring containing an infrared FEL is proposed for producing 33.17-keV X-rays (Iodine K-edge) for coronary angiography. The X-ray intensity into a 4-mrad cone is computed as 7.21 [times] 10[sup 14]/sec for a 500-mA electron beam colliding with 0.2-J/bunch, 3.22-[mu]m photons from an in-ring IR-FEL at the 353.21-MHz rate of a SLAC-PEP 500-kW RF system. The resultant average flux at the patient is 6.4 [times] 10[sup 7] photons/pixel/4-msec aver a 12-cm diameter circle at 3-m from the interaction point for the 0.5 [times]0.5-mm[sup 2] pixel size of the present Si(Li) array of the BNL-SMERF Angiography Facility. This flux is 2.1 times larger than obtains at SMERF at a comparable source-to-patient distance and over an area sufficient to encompass the entire coronary region. However, the X-Ray energy spread due to kinematics alone is 2.63-keV, a factor of 35 larger then SMERF, and presents the major difficulty for the digital subtraction angiography method (DSA) envisioned.

  7. Self-contained clothing system provides protection against hazardous environments

    NASA Technical Reports Server (NTRS)

    1966-01-01

    Self-contained clothing system protects personnel against hazardous environments. The clothing has an environmental control system and a complete protection envelope consisting of an outer garment, inner garment, underwear, boots, gloves, and helmet.

  8. Matching of projection imaging and tomographic imaging: application to digital subtracted angiography (DSA) and magnetic resonance angiography (MRA)

    NASA Astrophysics Data System (ADS)

    Vermandel, Maximilien; Kulik, Carine; Leclerc, Xavier; Rousseau, Jean; Vasseur, Christian

    2002-05-01

    This study proposes a new method for matching vascular imaging modalities without the use of external frame or external landmarks. We first perform a 3D reconstruction of a piece of the cerebral vascular tree using Magnetic Resonance Angiography (MRA). Then, this structure is projected on the Digital Subtracted Angiography (DSA) images until its best position and orientation are found. As the 3D structure is known in the MRA referential, this method enables us to match information from DSA and MRA. The complete matching of all the DSA images in many incidences and the MRA set have been obtained. For the DSA images, the epipolar constraint has been verified between all the incidences. This new approach in medical imaging brings a very original method, making easier and more efficient visualization and quantification of vascular information.

  9. Safety, efficacy, and cost of intraoperative indocyanine green angiography compared to intraoperative catheter angiography in cerebral aneurysm surgery.

    PubMed

    Hardesty, Douglas A; Thind, Harjot; Zabramski, Joseph M; Spetzler, Robert F; Nakaji, Peter

    2014-08-01

    Intraoperative angiography in cerebrovascular neurosurgery can drive the repositioning or addition of aneurysm clips. Our institution has switched from a strategy of intraoperative digital subtraction angiography (DSA) universally, to a strategy of indocyanine green (ICG) videoangiography with DSA on an as-needed basis. We retrospectively evaluated whether the rates of perioperative stroke, unexpected postoperative aneurysm residual, or parent vessel stenosis differed in 100 patients from each era (2002, "DSA era"; 2007, "ICG era"). The clip repositioning rate for neck residual or parent vessel stenosis did not differ significantly between the two eras. There were no differences in the rate of perioperative stroke or rate of false-negative studies. The per-patient cost of intraoperative imaging within the DSA era was significantly higher than in the ICG era. The replacement of routine intraoperative DSA with ICG videoangiography and selective intraoperative DSA in cerebrovascular aneurysm surgery is safe and effective.

  10. Multislice CT Angiography in Renal Artery Stent Evaluation: Prospective Comparison with Intra-Arterial Digital Subtraction Angiography

    SciTech Connect

    Raza, Syed A.; Chughtai, Aamer R.; Wahba, Mona; Cowling, Mark G.; Taube, David; Wright, Andrew R.

    2004-01-15

    Purpose: To assess the role of multislice computed tomography angiography (MCTA) in the evaluation of renal artery stents, using intra-arterial digital subtraction angiography (DSA) as the gold standard. Methods: Twenty consecutive patients (15 men, 5 women) with 23 renal artery stents prospectively underwent both MCTA and DSA. Axial images, multiplanar reconstructions and maximum intensity projection images were used for diagnosis. The MCTA and DSA images were each interpreted without reference to the result of the other investigation. Results:The three cases of restenosis on DSA were detected correctly by MCTA; in 19 cases where MCTA showed a fully patent stent, the DSA was also negative. Sensitivity and negative predictive value (NPV) of MCTA were therefore 100%. In four cases, MCTA showed apparently minimal disease which was not shown on DSA. These cases are taken as false positive giving a specificity of 80% and a positive predictive value of 43%. Conclusion: The high sensitivity and NPV suggest MCTA may be useful as a noninvasive screen for renal artery stentrestenosis. MCTA detected mild disease in a few patients which was not confirmed on angiography.

  11. Use of pulmonary angiography for suspected pulmonary embolism: influence of scintigraphic diagnosis

    SciTech Connect

    Sostman, H.D.; Ravin, C.E.; Sullivan, D.C.; Mills, S.R.; Glickman, M.G.; Dorfman, G.S.

    1982-10-01

    The use of pulmonary angiography as related to ventilation-perfusion scintigraphy was studied at two teaching hospitals in 600 patients clinically suspected of having pulmonary embolism, using a combined prospective-retrospective approach. Sixty patients underwent angiography, 30 in each institution. A minority of patients in each scintigraphic diagnostic category underwent angiography, but the scintigraphic diagnosis had a major impact on the frequency of requests for angiography. Inconclusive scintigraphy was the principal reason for requesting angiography, although nearly half of patients in whom scintigraphic assessment was indecisive were managed without further diagnostic measures. Few patients in the low-probability and high-probability scintigraphic categories received angiography. This study also indicates that a substantial patient selection bias may exist in series that correlate scintigraphic and angiographic results.

  12. Key personnel and "long distance" settings: determining who must report financial conflict of interest.

    PubMed

    Lynch, John; Lindsell, Christopher J

    2010-07-01

    Conflicts of interest (COIs) can impact the integrity of scientific research. While public imagination has focused on scientists, regulatory discourse recognizes a broader range of individuals who might have financial COIs. This essay asks, for personnel who enroll subjects at a physical and organizational remove from the primary research team, whether reporting COI to an institutional review board or COI committee protects research integrity. After examining definitions of COI, regulations on COI, and rubrics for evaluating COI policies, we argue that requiring recruitment personnel who work at a distance from the primary research team to report potential COI protects neither research integrity nor human subjects.

  13. Key Personnel and “Long Distance” Settings: Determining Who Must Report Financial Conflict of Interest

    PubMed Central

    Lynch, John; Lindsell, Chris J.

    2010-01-01

    Conflicts of interest can impact the integrity of scientific research. While public imagination has focused on scientists, regulatory discourse recognizes a broader range of individuals who might have financial COIs. This essay asks, for personnel who enroll subjects at a physical and organizational remove from the primary research team, whether reporting COI to an institutional review board or COI committee protects research integrity. After examining definitions of COI, regulations on COI, and rubrics for evaluating COI policies, we argue that requiring recruitment personnel working at a distance from the primary research team to report potential COI protects neither research integrity nor human subjects. PMID:20597019

  14. 10 CFR 39.65 - Personnel monitoring.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Personnel monitoring. 39.65 Section 39.65 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR WELL LOGGING Radiation Safety Requirements § 39.65 Personnel monitoring. (a) The licensee may not permit an individual to act as a...

  15. 10 CFR 39.65 - Personnel monitoring.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Personnel monitoring. 39.65 Section 39.65 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR WELL LOGGING Radiation Safety Requirements § 39.65 Personnel monitoring. (a) The licensee may not permit an individual to act as a...

  16. 10 CFR 39.65 - Personnel monitoring.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Personnel monitoring. 39.65 Section 39.65 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR WELL LOGGING Radiation Safety Requirements § 39.65 Personnel monitoring. (a) The licensee may not permit an individual to act as a...

  17. 10 CFR 39.65 - Personnel monitoring.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Personnel monitoring. 39.65 Section 39.65 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR WELL LOGGING Radiation Safety Requirements § 39.65 Personnel monitoring. (a) The licensee may not permit an individual to act as a...

  18. 21 CFR 606.20 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 7 2011-04-01 2010-04-01 true Personnel. 606.20 Section 606.20 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS CURRENT GOOD MANUFACTURING PRACTICE FOR BLOOD AND BLOOD COMPONENTS Organization and Personnel §...

  19. 21 CFR 211.28 - Personnel responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Personnel responsibilities. 211.28 Section 211.28 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Organization and Personnel §...

  20. 21 CFR 225.10 - Personnel.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Personnel. 225.10 Section 225.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS General Provisions § 225.10 Personnel....

  1. 21 CFR 225.10 - Personnel.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Personnel. 225.10 Section 225.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS General Provisions § 225.10 Personnel....

  2. 21 CFR 225.10 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Personnel. 225.10 Section 225.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS General Provisions § 225.10 Personnel....

  3. 21 CFR 225.10 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Personnel. 225.10 Section 225.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS General Provisions § 225.10 Personnel....

  4. 21 CFR 211.25 - Personnel qualifications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Personnel qualifications. 211.25 Section 211.25 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Organization and Personnel §...

  5. 21 CFR 225.10 - Personnel.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Personnel. 225.10 Section 225.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS General Provisions § 225.10 Personnel....

  6. 10 CFR 39.65 - Personnel monitoring.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Personnel monitoring. 39.65 Section 39.65 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR WELL LOGGING Radiation Safety Requirements § 39.65 Personnel monitoring. (a) The licensee may not permit an individual to act as a...

  7. 21 CFR 820.25 - Personnel.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... QUALITY SYSTEM REGULATION Quality System Requirements § 820.25 Personnel. (a) General. Each manufacturer... their specific jobs. (2) Personnel who perform verification and validation activities shall be made aware of defects and errors that may be encountered as part of their job functions....

  8. 9 CFR 2.32 - Personnel qualifications.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Personnel qualifications. 2.32 Section 2.32 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE REGULATIONS Research Facilities § 2.32 Personnel qualifications. (a) It shall...

  9. 9 CFR 2.32 - Personnel qualifications.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Personnel qualifications. 2.32 Section 2.32 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE REGULATIONS Research Facilities § 2.32 Personnel qualifications. (a) It shall...

  10. 9 CFR 2.32 - Personnel qualifications.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Personnel qualifications. 2.32 Section 2.32 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE REGULATIONS Research Facilities § 2.32 Personnel qualifications. (a) It shall...

  11. 34 CFR 300.207 - Personnel development.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Personnel development. 300.207 Section 300.207 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION... CHILDREN WITH DISABILITIES Local Educational Agency Eligibility § 300.207 Personnel development. The...

  12. The Quiet Revolution in Public Personnel Laws

    ERIC Educational Resources Information Center

    Couturier, Jean J.

    1976-01-01

    Discusses Chicago's recent adoption of a new personnel system patterned closely after the Model Public Personnel Administration Law developed by the National Civil Service League (NCSL). Describes major provisions of NCSL's model law and relates the process used by NCSL to develop, evaluate, and encourage adoption of the model law. (JG)

  13. Management & Supervision Personnel Administration Training; General Reference.

    ERIC Educational Resources Information Center

    United States Government Printing Office, Washington, DC. Training and Career Development Div.

    This report lists 329 books in the library of the Training and Career Development Division of the Personnel Service. The books are listed under six categories. They are: personnel administration (46), management and supervision (60), general reference (57), training (20), American Management Association (AMA) publications (118), and United States…

  14. Managing the Reduction in Military Personnel

    DTIC Science & Technology

    1990-07-01

    second, and possibly third reenlistments; and selection of some personnel for early retirement . A Sustaining Level of Accessions. The long-term size...Air Force might be selected for involuntary early retirement in 1991. This number would represent about 5 percent of personnel eligible for retirement

  15. Personnel Utilization in Libraries, Selected Papers.

    ERIC Educational Resources Information Center

    Rockwood, Ruth H., Ed.

    An institute on the utilization of personnel in libraries was conducted by the Florida State University School of Library Science in October, 1969. Papers presented are grouped into the following three broad categories: (1) changing attitudes toward personnel administration, (2) procedures for selecting middle management and (3) ways and means of…

  16. 33 CFR 127.707 - Security personnel.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Security personnel. 127.707 Section 127.707 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED... Waterfront Facilities Handling Liquefied Natural Gas Security § 127.707 Security personnel. The...

  17. 33 CFR 127.707 - Security personnel.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Security personnel. 127.707 Section 127.707 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED... Waterfront Facilities Handling Liquefied Natural Gas Security § 127.707 Security personnel. The...

  18. 33 CFR 127.707 - Security personnel.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Security personnel. 127.707 Section 127.707 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED... Waterfront Facilities Handling Liquefied Natural Gas Security § 127.707 Security personnel. The...

  19. 33 CFR 127.707 - Security personnel.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Security personnel. 127.707 Section 127.707 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED... Waterfront Facilities Handling Liquefied Natural Gas Security § 127.707 Security personnel. The...

  20. 14 CFR 13.21 - Military personnel.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Military personnel. 13.21 Section 13.21... INVESTIGATIVE AND ENFORCEMENT PROCEDURES Legal Enforcement Actions § 13.21 Military personnel. If a report made... civilian employee of the Department of Defense who is subject to the Uniform Code of Military Justice (10...

  1. 7 CFR 1400.213 - Military personnel.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Military personnel. 1400.213 Section 1400.213... AND SUBSEQUENT CROP, PROGRAM, OR FISCAL YEARS Payment Eligibility § 1400.213 Military personnel. If a person is called to active duty in the military before a determination is made that the person...

  2. 49 CFR 1503.407 - Military personnel.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Military personnel. 1503.407 Section 1503.407... Assessment of Civil Penalties by TSA § 1503.407 Military personnel. If a report made under this part... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter...

  3. 21 CFR 114.10 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Personnel. 114.10 Section 114.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION ACIDIFIED FOODS General Provisions § 114.10 Personnel. All operators of processing and...

  4. 21 CFR 820.25 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Personnel. 820.25 Section 820.25 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES QUALITY SYSTEM REGULATION Quality System Requirements § 820.25 Personnel. (a) General. Each...

  5. United States Health Workforce Personnel Factbook.

    ERIC Educational Resources Information Center

    Health Resources and Services Administration (DHHS/PHS), Rockville, MD. Bureau of Health Professions.

    This factbook is a compilation of data from secondary sources such as the American Medical Association and the Federal Bureau of Labor Statistics. It includes information on the supply of health personnel in several disciplines, including physicians, physician assistants, podiatrists, dentists, nursing personnel, optometrists, pharmacists,…

  6. 14 CFR 13.21 - Military personnel.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Military personnel. 13.21 Section 13.21... INVESTIGATIVE AND ENFORCEMENT PROCEDURES Legal Enforcement Actions § 13.21 Military personnel. If a report made... civilian employee of the Department of Defense who is subject to the Uniform Code of Military Justice (10...

  7. 49 CFR 1503.407 - Military personnel.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 9 2014-10-01 2014-10-01 false Military personnel. 1503.407 Section 1503.407... Assessment of Civil Penalties by TSA § 1503.407 Military personnel. If a report made under this part... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter...

  8. 49 CFR 1503.407 - Military personnel.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 9 2011-10-01 2011-10-01 false Military personnel. 1503.407 Section 1503.407... Assessment of Civil Penalties by TSA § 1503.407 Military personnel. If a report made under this part... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter...

  9. 7 CFR 1400.213 - Military personnel.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Military personnel. 1400.213 Section 1400.213... AND SUBSEQUENT CROP, PROGRAM, OR FISCAL YEARS Payment Eligibility § 1400.213 Military personnel. If a person is called to active duty in the military before a determination is made that the person...

  10. 7 CFR 1400.213 - Military personnel.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Military personnel. 1400.213 Section 1400.213... AND SUBSEQUENT CROP, PROGRAM, OR FISCAL YEARS Payment Eligibility § 1400.213 Military personnel. If a person is called to active duty in the military before a determination is made that the person...

  11. 49 CFR 1503.407 - Military personnel.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 9 2012-10-01 2012-10-01 false Military personnel. 1503.407 Section 1503.407... Assessment of Civil Penalties by TSA § 1503.407 Military personnel. If a report made under this part... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter...

  12. 49 CFR 1503.407 - Military personnel.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 9 2013-10-01 2013-10-01 false Military personnel. 1503.407 Section 1503.407... Assessment of Civil Penalties by TSA § 1503.407 Military personnel. If a report made under this part... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter...

  13. 14 CFR 13.21 - Military personnel.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Military personnel. 13.21 Section 13.21... INVESTIGATIVE AND ENFORCEMENT PROCEDURES Legal Enforcement Actions § 13.21 Military personnel. If a report made... civilian employee of the Department of Defense who is subject to the Uniform Code of Military Justice (10...

  14. 14 CFR 13.21 - Military personnel.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Military personnel. 13.21 Section 13.21... INVESTIGATIVE AND ENFORCEMENT PROCEDURES Legal Enforcement Actions § 13.21 Military personnel. If a report made... civilian employee of the Department of Defense who is subject to the Uniform Code of Military Justice (10...

  15. 7 CFR 1400.213 - Military personnel.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Military personnel. 1400.213 Section 1400.213... AND SUBSEQUENT CROP, PROGRAM, OR FISCAL YEARS Payment Eligibility § 1400.213 Military personnel. If a person is called to active duty in the military before a determination is made that the person...

  16. 14 CFR 13.21 - Military personnel.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Military personnel. 13.21 Section 13.21... INVESTIGATIVE AND ENFORCEMENT PROCEDURES Legal Enforcement Actions § 13.21 Military personnel. If a report made... civilian employee of the Department of Defense who is subject to the Uniform Code of Military Justice (10...

  17. 7 CFR 1400.213 - Military personnel.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Military personnel. 1400.213 Section 1400.213... AND SUBSEQUENT CROP, PROGRAM, OR FISCAL YEARS Payment Eligibility § 1400.213 Military personnel. If a person is called to active duty in the military before a determination is made that the person...

  18. 33 CFR 143.105 - Personnel landings.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Personnel landings. 143.105 Section 143.105 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OUTER CONTINENTAL SHELF ACTIVITIES DESIGN AND EQUIPMENT OCS Facilities § 143.105 Personnel landings....

  19. 20 CFR 404.1621 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Personnel. 404.1621 Section 404.1621 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determinations of Disability Administrative Responsibilities and Requirements § 404.1621 Personnel. (a)...

  20. Modeling Personnel Turnover in the Parametric Organization

    NASA Technical Reports Server (NTRS)

    Dean, Edwin B.

    1991-01-01

    A primary issue in organizing a new parametric cost analysis function is to determine the skill mix and number of personnel required. The skill mix can be obtained by a functional decomposition of the tasks required within the organization and a matrixed correlation with educational or experience backgrounds. The number of personnel is a function of the skills required to cover all tasks, personnel skill background and cross training, the intensity of the workload for each task, migration through various tasks by personnel along a career path, personnel hiring limitations imposed by management and the applicant marketplace, personnel training limitations imposed by management and personnel capability, and the rate at which personnel leave the organization for whatever reason. Faced with the task of relating all of these organizational facets in order to grow a parametric cost analysis (PCA) organization from scratch, it was decided that a dynamic model was required in order to account for the obvious dynamics of the forming organization. The challenge was to create such a simple model which would be credible during all phases of organizational development. The model development process was broken down into the activities of determining the tasks required for PCA, determining the skills required for each PCA task, determining the skills available in the applicant marketplace, determining the structure of the dynamic model, implementing the dynamic model, and testing the dynamic model.

  1. Personnel Management: Stewardship of Human Resources

    ERIC Educational Resources Information Center

    MacLean, Douglas G.

    1976-01-01

    The personnel function of top management is examined by first studying the environment in which top management functions. The basic skills required to perform the function are discussed. Against this background, six elements of personnel management in colleges and universities are considered: goals and objectives, organization for personnel…

  2. The Implementation of the Program Personnel Support

    ERIC Educational Resources Information Center

    Veynbender, Tatyana; Vershinina, Svetlana

    2016-01-01

    The article contains analysis software products used in the preparation of professionals through which they can realize themselves in this industry. The aim of the study is the analysis of personnel petroleum education in specialized university. The result is a sociological study on the question of the need and importance of personnel support…

  3. 33 CFR 154.840 - Personnel training.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Personnel training. 154.840... Personnel training. (a) A person in charge of a transfer operation utilizing a vapor control system must have completed a training program covering the particular system installed at the facility....

  4. Persistent Primitive Trigeminal Artery That Mimics Persistent Primitive Otic Artery on Cerebral Angiography

    PubMed Central

    Lee, Kwangho; Park, Insung; Han, Jongwoo

    2016-01-01

    Persistent primitive trigeminal artery (PPTA) is the most common carotid-basilar anastomosis; on the other hand, persistent primitive otic artery (PPOA) is extremely rare. PPTA is often misdiagnosed as PPOA on cerebral angiography. We present a case of PPTA that mimicked PPOA on cerebral angiography. We further describe the utility of brain computed tomography angiography for differential diagnosis of PPTA from PPOA, together with a review of previous literature. PMID:27790403

  5. Immunity to Diphtheria and Tetanus in Army Personnel and Adult Civilians in Mashhad, Iran.

    PubMed

    Hosseini Shokouh, Seyyed Javad; Mohammadi, Babak; Rajabi, Jalil; Mohammadian Roshan, Ghasem

    2017-03-24

    This study aimed to investigate serologic immunity to diphtheria and tetanus in army personnel and a sample population of adult civilians in Mashhad, Iran. Army personnel (n = 180) and civilians (n = 83) who presented at Mashhad army hospital participated in this study. Diphtheria and tetanus antitoxin levels were determined by enzyme-linked immunosorbent assay. Approximately 77% and 94% of army personnel aged 18-34 years had at least basic protection against diphtheria (antitoxin level ≥0.1 IU/mL) and tetanus (antitoxin level >0.1 IU/mL), respectively. For civilians in this age group, the proportions were 76% for both diseases. Antitoxin levels waned with age. Thus, participants older than 50 years had lower immunity; this decrease in immunity was more pronounced for tetanus than for diphtheria in both army personnel and civilians. For both diseases, geometric mean antitoxin titers and the proportion of participants with at least basic protection were higher in subjects with a history of vaccination in the last 10 years (P < 0.001), higher in men than women, and in army personnel than civilians in each age group. Young army personnel and civilians (18-34 years old) had adequate immunity to diphtheria and tetanus. However, the large number of susceptible older adults (>50 years old) calls for improved booster vaccination protocols.

  6. Exploring Unsubstantiated Reports by Educational Personnel of Suspected Child Abuse and Neglect in New York State Using Geographic Information System Technology: Is There a Disproportionate Impact on African American Children?

    ERIC Educational Resources Information Center

    Krase, Kathryn S.

    2009-01-01

    "Educational personnel" serve as an important conduit for family involvement in child protective services (CPS). Educational personnel are the largest source of reports of suspected child maltreatment in the United States (United States Department of Health and Human Services, 2007). However, reports made by educational personnel are…

  7. Personnel occupied woven envelope robot

    NASA Technical Reports Server (NTRS)

    Wessling, Francis; Teoh, William; Ziemke, M. Carl

    1988-01-01

    The Personnel Occupied Woven Envelope Robot (POWER) provides an alternative to extravehicular activity (EVA) of space suited astronauts and/or use of long slender manipulator arms such as are used in the Shuttle Remote Manipulator System. POWER provides the capability for a shirt sleeved astronaut to perform such work by entering a control pod through air locks at both ends of an inflated flexible bellows (access tunnel). The exoskeleton of the tunnel is a series of six degrees of freedom (Six-DOF) articulated links compressible to 1/6 of their fully extended length. The operator can maneuver the control pod to almost any location within about 50 m of the base attachment to the space station. POWER can be envisioned as a series of hollow Six-DOF manipulator segments or arms wherein each arm grasps the shoulder of the next arm. Inside the hollow arms ia a bellow-type access tunnel. The control pod is the fist of the series of linked hollow arms. The fingers of the fist are conventional manipulator arms under direct visual control of the nearby operator in the pod. The applications and progress to date of the POWER system is given.

  8. Does pelvic hematoma on admission computed tomography predict active bleeding at angiography for pelvic fracture?

    PubMed

    Brown, Carlos V R; Kasotakis, George; Wilcox, Alison; Rhee, Peter; Salim, Ali; Demetriades, Demetrios

    2005-09-01

    Pelvic angiography plays an increasing role in the management of pelvic fractures (PFs). Little has been written regarding the size of pelvic hematoma on admission computed tomography (CT) and how it relates to angiography results after PF. This is a retrospective review of trauma patients with PF who underwent an admission abdominal/pelvic CT scan and pelvic angiography from 2001 to 2003. CT pelvic hematoma was measured and classified as minimal or significant based on hematoma dimensions. Presence of a contrast blush on CT scan was also documented. Thirty-seven patients underwent an admission CT scan and went on to pelvic angiography. Of the 22 patients with significant pelvic hematoma, 73 per cent (n = 16) had bleeding at angiography. Fifteen patients had minimal pelvic hematoma, with 67 per cent (n = 10) showing active bleeding at angiography. In addition, five of six patients (83%) with no pelvic hematoma had active bleeding at angiography. Six patients had a blush on CT scan, with five of these (83%) having a positive angiogram. But, 22 of 31 (71%) patients with no blush on CT scan had bleeding at angiography. The absence of a pelvic hematoma or contrast blush should not alter indications for pelvic angiography, as they do not reliably exclude active pelvic bleeding.

  9. 5 CFR 250.202 - Office of Personnel Management responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Office of Personnel Management responsibilities. 250.202 Section 250.202 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL MANAGEMENT IN AGENCIES Strategic Human Capital Management § 250.202 Office of...

  10. 5 CFR 772.102 - Interim personnel actions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Interim personnel actions. 772.102 Section 772.102 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) INTERIM RELIEF General § 772.102 Interim personnel actions. When an employee...

  11. 5 CFR 772.102 - Interim personnel actions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Interim personnel actions. 772.102 Section 772.102 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) INTERIM RELIEF General § 772.102 Interim personnel actions. When an employee...

  12. 5 CFR 772.102 - Interim personnel actions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Interim personnel actions. 772.102 Section 772.102 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) INTERIM RELIEF General § 772.102 Interim personnel actions. When an employee...

  13. Implication of health care personnel in measles transmission

    PubMed Central

    Torner, Núria; Solano, Ruben; Rius, Cristina; Domínguez, Angela; Surveillance Network of Catalonia, Spain, the Measles Elimination Program

    2014-01-01

    Healthcare personnel (HCP) play an important role in transmission of highly contagious diseases such as measles. Current immunization guidelines in Catalonia include Measles-Mumps-Rubella (MMR) immunization for HCP born after 1967 without evidence of immunity. Despite high vaccination coverage (90%) a high burden of measles cases related to outbreaks have occurred. The aim of this study was to assess the implication of HCP in measles transmission related to healthcare setting. A review of surveillance case data from 2001 to 2013 gathered through the Measles Elimination Program in Catalonia was performed. Twenty six outbreaks involving 797 cases were reported, 52 (6.5%) were HCP aged 21–41 years, 72,5% (38) patient were care personnel (doctors and nurses) and 22,5% (14) other health care related personnel. Forty six 87%) were unvaccinated, 4(10%) had only one dose and 2 had two doses of MMR. In community outbreaks 30 clusters with HCP involved were observed, yet none were identified as index cases. Non-vaccinated HCPs against measles were all under 45 years of age. Vaccination is the only reliable protection against nosocomial spread of measles from HCPs. Assessing vaccination status of HCPs and implementing a 2 dose vaccination in those lacking evidence of immunity is needed in order to set to zero the risk of acquiring and spreading measles in healthcare (HC) settings. PMID:25483548

  14. Symptoms experienced by law enforcement personnel during methamphetamine lab investigations.

    PubMed

    Witter, Roxana Z; Martyny, John W; Mueller, Kathryn; Gottschall, Bibi; Newman, Lee S

    2007-12-01

    This study was conducted to determine if law enforcement personnel experience symptoms associated with methamphetamine lab investigation and to assess those factors that may result in more symptoms. A total of 258 standardized, self-administered surveys were distributed to law enforcement personnel attending national/regional training classes, between June 2004-February 2005. Ninety-three percent of the surveys were returned and used to determine symptoms experienced while investigating clandestine methamphetamine labs, as well as the job duties of the respondent and the personal protective equipment used. More than 70% of respondents reported headaches, central nervous system symptoms, respiratory symptoms, sore throat, and other symptoms. Unadjusted and adjusted risk of symptoms was higher for those who investigated more than 30 labs. Other significant risk factors included time spent in the lab, phase of investigation, presence of active chemical processes, and coexistent disease. Respirator use was not independently associated with the likelihood of reporting symptoms. It was concluded that methamphetamine lab investigation is positively associated with symptom reporting in a high percentage of law enforcement personnel involved in these tasks. For most individuals, the reported symptoms were transitory and diminished in a short time, but some individuals reported needing to seek medical attention with symptoms that persisted.

  15. Dual-Energy CT Angiography in Peripheral Arterial Occlusive Disease

    SciTech Connect

    Brockmann, Carolin Jochum, Susanne; Sadick, Maliha; Huck, Kurt; Ziegler, Peter; Fink, Christian; Schoenberg, Stefan O.; Diehl, Steffen J.

    2009-07-15

    We sought to study the accuracy of dual-energy computed tomographic angiography (DE-CTA) for the assessment of symptomatic peripheral arterial occlusive disease of the lower extremity by using the dual-energy bone removal technique compared with a commercially available conventional bone removal tool. Twenty patients underwent selective digital subtraction angiography and DE-CTA of the pelvis and lower extremities. CTA data were postprocessed with two different applications: conventional bone removal and dual-energy bone removal. All data were reconstructed and evaluated as 3D maximum-intensity projections. Time requirements for reconstruction were documented. Sensitivity, specificity, accuracy, and concordance of DE-CTA regarding degree of stenosis and vessel wall calcification were calculated. A total of 359 vascular segments were analyzed. Compared with digital subtraction angiography, sensitivity, specificity, and accuracy, respectively, of CTA was 97.2%, 94.1%, and 94.7% by the dual-energy bone removal technique. The conventional bone removal tool delivered a sensitivity of 77.1%, a specificity of 70.7%, and an accuracy of 72.0%. Best results for both postprocessing methods were achieved in the vascular segments of the upper leg. In severely calcified segments, sensitivity, specificity, and accuracy stayed above 90% by the dual-energy bone removal technique, whereas the conventional bone removal technique showed a substantial decrease of sensitivity, specificity, and accuracy. DE-CTA is a feasible and accurate diagnostic method in the assessment of symptomatic peripheral arterial occlusive disease. Results obtained by DE-CTA are superior to the conventional bone removal technique and less dependent on vessel wall calcifications.

  16. Quantitative Digital Subtraction Angiography in Pediatric Moyamoya Disease

    PubMed Central

    2015-01-01

    Moyamoya disease is a unique cerebrovascular disorder characterized by idiopathic progressive stenosis at the terminal portion of the internal carotid artery (ICA) and fine vascular network. The aim of this review is to present the clinical application of quantitative digital subtraction angiography (QDSA) in pediatric moyamoya disease. Using conventional angiographic data and postprocessing software, QDSA provides time-contrast intensity curves and then displays the peak time (Tmax) and area under the curve (AUC). These parameters of QDSA can be used as surrogate markers for the hemodynamic evaluation of disease severity and quantification of postoperative neovascularization in moyamoya disease. PMID:26180611

  17. Digital subtraction angiography: principles and pitfalls of image improvement techniques.

    PubMed

    Levin, D C; Schapiro, R M; Boxt, L M; Dunham, L; Harrington, D P; Ergun, D L

    1984-09-01

    The technology of imaging methods in digital subtraction angiography (DSA) is discussed in detail. Areas covered include function of the video camera in both interlaced and sequential scan modes, digitization by the analog-to-digital converter, logarithmic signal processing, dose rates, and acquisition of images using frame integration and pulsed-sequential techniques. Also discussed are various methods of improving image content and quality by both hardware and software modifications. These include the development of larger image intensifiers, larger matrices, video camera improvements, reregistration, hybrid subtraction, matched filtering, recursive filtering, DSA tomography, and edge enhancement.

  18. Fluorescein angiography: insight and serendipity a half century ago.

    PubMed

    Marmor, Michael F; Ravin, James G

    2011-07-01

    It has been 50 years since fluorescein angiography was developed as a clinical procedure by 2 medical students at Indiana University. The story of its discovery and the recognition of its value to ophthalmology involve a combination of insight and serendipity. Fluorescein had been in use clinically for more than half a century, but it took a pulmonary medicine laboratory to provide the stimulus for the development of flash and barrier filters that would make vascular photography practical. The first article was rejected by the ophthalmology literature, but several clinics heard about it and soon documented the enormous diagnostic value of the procedure.

  19. The conundrum of transient cortical blindness following coronary angiography.

    PubMed

    Borghi, Claudia; Saia, Francesco; Marzocchi, Antonio; Branzi, Angelo

    2008-10-01

    We report a case of transient cortical blindness that occurred after coronary angiography and angioplasty performed through the right radial artery. This is a very rare entity, the physiopathology of which remains largely speculative. The most likely mechanism appears to be the local disruption of the blood-brain barrier by the contrast agent, possibly favoured by predisposing factors, which may cause a direct neurotoxic effect. All contrast agents can be associated with this complication, which does not seem to be volume dependent. The outcome is generally favourable, with spontaneous return of sight within 24-48 h and no requirement for specific therapy. Recurrence has never been reported.

  20. Transient Global Amnesia After Cerebral Angiography With Iomeprol

    PubMed Central

    Tiu, Cristina; Terecoasă, Elena Oana; Grecu, Nicolae; Dorobăţ, Bogdan; Marinescu, Andreea Nicoleta; Băjenaru, Ovidiu Alexandru

    2016-01-01

    Abstract Transient global amnesia is now considered a very rare complication of cerebral angiography. Various etiological mechanisms have been suggested to account for this complication, but no consensus has been reached yet. This case report documents one of the few reported cases of cerebral angiography-related transient global amnesia associated with magnetic resonance imaging (MRI) evidence of unilateral hippocampal ischemia, most probably as a consequence of a transient reduction in regional hippocampal blood flow. However, the possibility of a direct neurotoxic effect of the nonionic contrast media Iomeprol on the Cornu ammonis – field 1 neurons cannot be firmly ruled out. We describe the case of a 54-year-old woman admitted to our department for left upper limb weakness with acute onset 8 days before. The brain computed tomography (CT) scan performed at admission revealed subacute ischemic lesions in the right watershed superficial territories and a right thalamic lacunar infarct. Diagnostic digital subtraction cerebral angiography was performed 4 days after admission with the nonionic contrast media Iomeprol. A few minutes after completion of the procedure, the patient developed symptoms suggestive for transient global amnesia. The brain MRI performed 22 hours after the onset of symptoms demonstrated increased signal within the lateral part of the right hippocampus on the diffusion-weighted imaging (DWI) sequences, associated with a corresponding reduction in the apparent diffusion coefficient (ADC) and increased signal on the fluid-attenuated inversion recovery (FLAIR) sequences, consistent with acute hippocampal ischemia and several T2/FLAIR hyperintensities in the right watershed superficial territories and in the right thalamus, corresponding to the lesions already identified on the CT scan performed at admission. A follow-up MRI, performed 2 months later, demonstrated the disappearance of the increased signal within the right hippocampus on the DWI

  1. Conventional Coronary Angiography Induced Takotsubo Cardiomyopathy Complicated with Cardiac Tamponade

    PubMed Central

    Kang, Min Gyu; Kim, Kye-Hwan; Koh, Jin-Sin; Jeong, Young-Hoon; Hwang, Jin-Yong

    2017-01-01

    Takotsubo cardiomyopathy (TCM) is a transient left ventricular dysfunction that typically occurs after emotional or physical stress. TCM has a benign prognosis and serious complications are uncommon. However, though very rarely reported, cardiac tamponade has occurred on some occasions. We hereby report the case of a 70-year-old woman who underwent coronary angiography with an ergonovine provocation test to evaluate recurrent chest pain and was readmitted 7 days later presenting with TCM, followed by left ventricular outflow tract obstruction and cardiac tamponade.

  2. Automated detection of dilated capillaries on optical coherence tomography angiography

    PubMed Central

    Dongye, Changlei; Zhang, Miao; Hwang, Thomas S.; Wang, Jie; Gao, Simon S.; Liu, Liang; Huang, David; Wilson, David J.; Jia, Yali

    2017-01-01

    Automated detection and grading of angiographic high-risk features in diabetic retinopathy can potentially enhance screening and clinical care. We have previously identified capillary dilation in angiograms of the deep plexus in optical coherence tomography angiography as a feature associated with severe diabetic retinopathy. In this study, we present an automated algorithm that uses hybrid contrast to distinguish angiograms with dilated capillaries from healthy controls and then applies saliency measurement to map the extent of the dilated capillary networks. The proposed algorithm agreed well with human grading. PMID:28271005

  3. Peripheral MR Angiography of Klippel-Trenaunay Syndrome

    SciTech Connect

    Fontana, Alessandro; Olivetti, Lucio

    2004-09-15

    Klippel-Trenaunay syndrome (KTS) is a rare congenital vascular disease of unknown etiology that affects one or more limbs. It is characterized clinically by three physical findings (the so-called triad): port-wine stain hemangioma, hypertrophy of the bony and/or soft tissue, and varicose veins. A review of the medical literature in 1999 revealed about 1,000 case studies. We present here the case of a patient with clinical diagnosis of KTS studied using peripheral magnetic resonance angiography.

  4. Congenital left ventricular aneurysm diagnosed by spiral CT angiography

    SciTech Connect

    Beregi, J.P.; Coulette, J.M.; Ducloux, G.

    1996-05-01

    We report a rare case of congenital left ventricular aneurysm, diagnosed by spiral CT angiography. Despite 1 s time acquisition, spiral CT, with adequate acquisition parameters and bolus injection of contrast medium, produced sufficiently good images to permit visualization of the aneurysm. Subsequently, reconstructions (shaded surface display and multiplanar reformation) were performed to demonstrate the relationship of the aneurysm with the remainder of the left ventricle, the wide neck of the aneurysm, and the absence of contractility, therein permitting differentiation from a congenital diverticulum. 6 refs., 3 figs.

  5. Application of image processing techniques to gamma-angiography.

    PubMed

    Romary, D; Lerallut, J F; Fontenier, G

    1985-10-01

    Different image processing techniques have been tested and compared on data derived from gamma-angiography images to detect the boundary of the left ventricle. The method involves a preprocessing step, followed by the edge detection itself. The best preprocessing is a nonlinear "variant" filtering, where each pixel is replaced by the average of the 3 X 3 neighborhood having the smallest variance. The edge detector giving the best contour is a Sobel operator. A second-order high-pass Butterworth filter also provides a good segmentation.

  6. Choriocapillaris evaluation in choroideremia using optical coherence tomography angiography

    PubMed Central

    Gao, Simon S.; Patel, Rachel C.; Jain, Nieraj; Zhang, Miao; Weleber, Richard G.; Huang, David; Pennesi, Mark E.; Jia, Yali

    2016-01-01

    The choriocapillaris plays an important role in supporting the metabolic demands of the retina. Studies of the choriocapillaris in disease states with optical coherence tomography angiography (OCTA) have proven insightful. However, image artifacts complicate the identification and quantification of the choriocapillaris in degenerative diseases such as choroideremia. Here, we demonstrate a supervised machine learning approach to detect intact choriocapillaris based on training with results from an expert grader. We trained a random forest classifier to evaluate en face structural OCT and OCTA information along with spatial image features. Evaluation of the trained classifier using previously unseen data showed good agreement with manual grading. PMID:28101400

  7. Two-Term Survival of Female Personnel.

    DTIC Science & Technology

    1982-02-01

    rI ,AD-AIlS ൱ CENTER FOR NAVAL ANALYSES ALEXANDRIA VA NAVAL STUIE-ETC F/9 5/9 TWO-TERM SURVIVAL OF FEMALE PERSONNEL. (U) FED 82 P N LUPRIE NOOOI-7S...C-OOO1 U N C L ASIFFEE DCRC-460 ’o o ..r... CRC 460 / February 1962 TWO-TERM SURVIVAL OF FEMALE PERSONNEL Philip M. Lure CENTER FOR NAVAL ANALYSES 82...MUNGER CRC 460 -AM j// %___4__ 4. TITLE ts"ubifo) a. TYPE OF REOR A PERIOD COVERED Two-Term Survival of Female Personnel______________ apgnvomuuoo 0

  8. Computed Tomographic Angiography as an Adjunct to Digital Subtraction Angiography for the Pre-Operative Assessment of Cerebral Aneurysms

    PubMed Central

    Farsad, Khashayar; Mamourian, Alexander C; Eskey, Clifford J; Friedman, Jonathan A

    2009-01-01

    Objectives: Computerized tomographic angiography (CTA) has emerged as a valuable diagnostic tool for the management of patients with cerebrovascular disease. The use of CTA in lieu of, or as an adjunct to, conventional cerebral angiography in the management of cerebral aneurysms awaits further experience. In this study, we evaluated the role of CTA specifically for the pre-operative assessment and planning of cerebral aneurysm surgery. Patients and Methods: We reviewed the relevant neuroimaging of all patients treated at Dartmouth Hitchcock Medical Center between January, 2001 and December, 2004 with a diagnosis of cerebral aneurysm and diagnostic evaluation with both CTA and conventional digital subtraction angiography (DSA) using standard imaging protocols. 32 patients underwent both CTA and DSA during the study period for a total of 36 aneurysms. Images were independently re-assesed by two neurosurgeons for information valuable for pre-operative surgical planning. Results: In 26 of 36 aneurysms (72%), the CTA was felt to provide the best image quality in defining the morphology of the aneurysm. In 14 aneurysms (39%), CTA provided clinically valuable anatomic detail not demonstrated on DSA, largely due to better visualization of parent and perforating vessel relationships at the aneurysm neck. There were no instances where a lesion was seen on DSA but missed on CTA. The DSA was of most clinical value in determining flow dynamics, such as the arterial supply of an anterior communicating artery aneurysm and distal anterior cerebral branches via the two A1 segments. Conclusion: CTA with three-dimensional reconstructions is a valuable adjunct to the preoperative evaluation of cerebral aneurysms. We advocate routine use of CTA in all patients in whom surgical aneurysm repair is planned, even when DSA has already been performed. PMID:19452029

  9. Space Shuttle Era: Astronaut Support Personnel

    NASA Video Gallery

    Astronauts rely on other astronauts on launch day to help them get rady for liftoff and the misison ahead. The helpful cadre are known formally as Astronaut Support Personnel but are called ASPs or...

  10. Guidelines for the calibration of personnel dosimeters

    SciTech Connect

    Roberson, P.L.; Holbrook, K.L.

    1984-01-01

    This guide describes minimum acceptable performance levels for personnel dosimetry systems used at Department of Energy (DOE) facilities. The goal is to improve both the quality of radiological calibrations and the methods of comparing reported occupational doses between DOE facilities. Reference calibration techniques are defined. A standard for evaluation of personnel dosimetry systems and recommended design parameters for personnel dosimeters are also included. Approximate intervals for the radiation energies for which these guidelines are appropriate are 15 keV to 2 MeV for photons; above 0.3 MeV for beta particles; and 1 keV to 2 MeV for neutrons. An analysis of ANSI N13.11 was completed using performance evaluations of selected personnel dosimetry systems in use at DOE facilities. The results of this analysis are incorporated in the guidelines.

  11. Personnel occupied woven envelope robot power

    NASA Technical Reports Server (NTRS)

    Wessling, F. C.

    1988-01-01

    The Personnel Occupied Woven Envelope Robot (POWER) concept has evolved over the course of the study. The goal of the project was the development of methods and algorithms for solid modeling for the flexible robot arm.

  12. 42 CFR 485.705 - Personnel qualifications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., educational or vocational guidance, psychology, social work, special education or personnel administration... the requirements in part 484 of this chapter. (6) A social worker must meet the requirements in...

  13. 14 CFR 145.151 - Personnel requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...) Provide qualified personnel to plan, supervise, perform, and approve for return to service the maintenance, preventive maintenance, or alterations performed under the repair station certificate and operations... in the performance of maintenance, preventive maintenance, or alterations authorized by the...

  14. 14 CFR 145.151 - Personnel requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) Provide qualified personnel to plan, supervise, perform, and approve for return to service the maintenance, preventive maintenance, or alterations performed under the repair station certificate and operations... in the performance of maintenance, preventive maintenance, or alterations authorized by the...

  15. 14 CFR 145.151 - Personnel requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...) Provide qualified personnel to plan, supervise, perform, and approve for return to service the maintenance, preventive maintenance, or alterations performed under the repair station certificate and operations... in the performance of maintenance, preventive maintenance, or alterations authorized by the...

  16. 14 CFR 145.151 - Personnel requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...) Provide qualified personnel to plan, supervise, perform, and approve for return to service the maintenance, preventive maintenance, or alterations performed under the repair station certificate and operations... in the performance of maintenance, preventive maintenance, or alterations authorized by the...

  17. 10 CFR 34.47 - Personnel monitoring.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... in place of ion-chamber pocket dosimeters. (2) Each personnel dosimeter must be assigned to and worn... associated with licensed material use until a determination of the individual's radiation exposure has...

  18. 10 CFR 34.47 - Personnel monitoring.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... in place of ion-chamber pocket dosimeters. (2) Each personnel dosimeter must be assigned to and worn... associated with licensed material use until a determination of the individual's radiation exposure has...

  19. 10 CFR 34.47 - Personnel monitoring.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... in place of ion-chamber pocket dosimeters. (2) Each personnel dosimeter must be assigned to and worn... associated with licensed material use until a determination of the individual's radiation exposure has...

  20. 10 CFR 34.47 - Personnel monitoring.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... in place of ion-chamber pocket dosimeters. (2) Each personnel dosimeter must be assigned to and worn... associated with licensed material use until a determination of the individual's radiation exposure has...

  1. 21 CFR 1271.170 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... UNDER CERTAIN OTHER ACTS ADMINISTERED BY THE FOOD AND DRUG ADMINISTRATION HUMAN CELLS, TISSUES, AND CELLULAR AND TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.170 Personnel. (a) General. You...

  2. On The Evolution of Student Personnel Workers

    ERIC Educational Resources Information Center

    Reisser, Linda

    1973-01-01

    This discussion of the evolution of student personnel workers and their plight as budgets have been tightened gives suggestions of ways this group could use their human relations expertise to recover from their current condition of institutional impotence. (JC)

  3. Student Personnel Administration at the Small College.

    ERIC Educational Resources Information Center

    Palm, Richard L.

    1984-01-01

    Compares and contrasts the roles of student personnel administrators at small and large colleges. Defines and explores the background of small colleges and emphasizes the need for administrators to be current with trends in higher education. (JAC)

  4. 76 FR 34720 - Chemical Facility Anti-Terrorism Standards Personnel Surety Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... SECURITY Chemical Facility Anti-Terrorism Standards Personnel Surety Program AGENCY: National Protection... . SUPPLEMENTARY INFORMATION Program Description The Chemical Facility Anti-Terrorism Standards (CFATS), 6 CFR Part... Section 550, the Chemical Facility Anti-Terrorism Standards, 6 CFR Part 27. Section 550 requires that...

  5. Child Maltreatment Reporting by Educational Personnel: Implications for Racial Disproportionality in the Child Welfare System

    ERIC Educational Resources Information Center

    Krase, Kathryn Suzanne

    2015-01-01

    African American children are disproportionally overrepresented in the U.S. child protection system. Because educational personnel are a significant source of reports of suspected child maltreatment across the country and in all states, the present study examines the impact of these reports on racial disproportionality and disparity at the…

  6. 33 CFR 157.154 - Assistant personnel.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Crude Oil Washing (COW) System on Tank Vessels Personnel § 157.154 Assistant personnel. The owner, operator, and master of a tank vessel having a COW system under § 157.10(e), § 157.10a(a)(2), or § 157.10c(b)(2) shall ensure that each member of the crew that has a designated responsibility during...

  7. 33 CFR 157.154 - Assistant personnel.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Crude Oil Washing (COW) System on Tank Vessels Personnel § 157.154 Assistant personnel. The owner, operator, and master of a tank vessel having a COW system under § 157.10(e), § 157.10a(a)(2), or § 157.10c(b)(2) shall ensure that each member of the crew that has a designated responsibility during...

  8. 33 CFR 157.154 - Assistant personnel.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Crude Oil Washing (COW) System on Tank Vessels Personnel § 157.154 Assistant personnel. The owner, operator, and master of a tank vessel having a COW system under § 157.10(e), § 157.10a(a)(2), or § 157.10c(b)(2) shall ensure that each member of the crew that has a designated responsibility during...

  9. 33 CFR 157.154 - Assistant personnel.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Crude Oil Washing (COW) System on Tank Vessels Personnel § 157.154 Assistant personnel. The owner, operator, and master of a tank vessel having a COW system under § 157.10(e), § 157.10a(a)(2), or § 157.10c(b)(2) shall ensure that each member of the crew that has a designated responsibility during...

  10. Reassessing training levels for prehospital EMS personnel.

    PubMed

    Briese, G L

    1983-01-01

    One of the major questions confronting prehospital care services today concerns determining the appropriate level of training for EMS personnel that will provide the most cost effective systems. Unfortunately there are no studies which assess this problem. Various communities have modified or expanded the roles of prehospital personnel beyond the traditional training of EMTs and paramedics. Continuing education and skills maintenance are ongoing problems faced by all EMS systems, which have been addressed in various ways by individual locales.

  11. Virtual dye angiography: flow visualization for MRI-guided interventions.

    PubMed

    George, Ashvin K; Faranesh, Anthony Z; Ratnayaka, Kanishka; Derbyshire, J Andrew; Lederman, Robert J; Hansen, Michael S

    2012-04-01

    In magnetic resonance imaging-guided cardiovascular interventional procedures, it is valuable to be able to visualize blood flow immediately and interactively in selected regions. In particular, it is useful to assess normal or pathological communications between specific heart chambers and vessels. Phase-contrast velocity mapping is not suitable for this purpose as it requires too much data and is not capable of determining directly if blood originating in one location travels to a nearby location. This article presents a novel flow visualization method called virtual dye angiography that enables visualization of blood flow analogous to selective catheter angiography. The method uses two-dimensional radio frequency pulses to achieve interactive, intermittent, targeted saturation of a localized region of the blood pool. The flow of the saturated spins is observed directly on real-time images or, in an enhanced manner, using ECG synchronized background subtraction. The modular nature of the technique allows for easy and seamless integration into a real-time, interactive imaging system with minimal overhead. We present initial results in animals and in a healthy human volunteer.

  12. Clinical application of digital indocyanine green angiography in choroidal neurofibromatosis.

    PubMed

    Rescaldani, C; Nicolini, P; Fatigati, G; Bottoni, F G

    1998-01-01

    Indocyanine green angiography (ICGA) was used to investigate 2 cases of type 1 systemic neurofibromatosis that had appeared at birth with café-au-lait skin spots, gradually developing into multiple cutaneous neurofibromas. Patients underwent periodical visual acuity examinations, the fundus was checked and fluorescein angiography (FA) was done; all findings appeared extremely stable. In 1995 these 2 patients underwent ICGA to check for pathological choroidal involvement. In both cases the initial examination stages showed multiple extensive areas of hypofluorescence, their morphology and extension coinciding with the retinal pigment epithelium (RPE) lesions shown by FA and by ophthalmoscopic examination. In later stages the hypofluorescent areas became smaller, generally shrinking to small isolated dots in the middle of the original areas. These initially hypofluorescent areas appeared to be due to slow focal choroidal filling caused by deep alterations to the walls of the choroidal arterioles induced by the disease. Chronic hypoperfusion of the choriocapillaris results in impairment of the overlying RPE, causing it to atrophy. The late hypofluorescent areas could be either persistent nonperfused lobules of choriocapillaris or neurofibromatose choroidal nodules. ICGA examination showed that the FA lesions described in the literature as choroidal nodules are in fact alterations to the RPE secondary to areas of hypoperfusion in the choriocapillaris.

  13. Safe ex vivo coronary angiography with isosmotic contrast agent.

    PubMed

    Schmit, D B; Kern, J A; Mauney, M C; Kron, I L; Tribble, C G

    1996-08-01

    Plain-film coronary angiography of the cardiac explant on the operating table should be considered when conventional cardiac catheterization is desired but unavailable. We compared the effects of three contrast solutions on cold-preserved, isolated guinea pig hearts. Hearts were excised, perfused for 30 minutes, and arrested with Plegisol solution at 7 degree C. Twenty minutes after arrest, experimental hearts were perfused with one of three solutions: hyperosmolar Hexabrix solution (n = 6), hyperosmolar Renografin-76 solution (n = 6), or diluted, isosmotic Omnipaque solution (n = 8). The hearts were flushed with cold Plegisol solution 5 minutes later. Control hearts received no contrast during arrest (n = 9). The hearts were reperfused after 1 hour of arrest, and coronary blood flow (in millimeters per minute), left ventricular developed pressure (in millimeters of mercury), and rate of developed pressure (in millimeters of mercury per second) were measured. Endothelium-dependent smooth muscle relaxation to bradykinin administration and endothelium-independent relaxation to sodium nitroprusside administration were also assessed. No significant difference in myocardial or endothelial function was noted between control hearts and hearts perfused with Omnipaque solution. Hearts perfused with Renografin solution or Hexabrix solution, however, were found to have significantly impaired endothelial and myocardial function. We conclude that an isosmotic contrast solution should be used for ex vivo coronary angiography in cold-preserved hearts to avoid impairment of endothelial and myocardial function.

  14. Multidetector CT angiography for acute gastrointestinal bleeding: technique and findings.

    PubMed

    Artigas, José M; Martí, Milagros; Soto, Jorge A; Esteban, Helena; Pinilla, Inmaculada; Guillén, Eugenia

    2013-01-01

    Acute gastrointestinal bleeding is a common reason for emergency department admissions and an important cause of morbidity and mortality. Factors that complicate its clinical management include patient debility due to comorbidities; intermittence of hemorrhage; and multiple sites of simultaneous bleeding. Its management, therefore, must be multidisciplinary and include emergency physicians, gastroenterologists, and surgeons, as well as radiologists for diagnostic imaging and interventional therapy. Upper gastrointestinal tract bleeding is usually managed endoscopically, with radiologic intervention reserved as an alternative to be used if endoscopic therapy fails. Endoscopy is often less successful in the management of acute lower gastrointestinal tract bleeding, where colonoscopy may be more effective. The merits of performing bowel cleansing before colonoscopy in such cases might be offset by the resultant increase in response time and should be weighed carefully against the deficits in visualization and diagnostic accuracy that would result from performing colonoscopy without bowel preparation. In recent years, multidetector computed tomographic (CT) angiography has gained acceptance as a first-line option for the diagnosis and management of lower gastrointestinal tract bleeding. In selected cases of upper gastrointestinal tract bleeding, CT angiography also provides accurate information about the presence or absence of active bleeding, its source, and its cause. This information helps shorten the total diagnostic time and minimizes or eliminates the need for more expensive and more invasive procedures.

  15. Equilibrium radionuclide gated angiography in patients with tricuspid regurgitation

    SciTech Connect

    Handler, B.; Pavel, D.G.; Pietras, R.; Swiryn, S.; Byrom, E.; Lam, W.; Rosen, K.M.

    1983-01-15

    Equilibrium gated radionuclide angiography was performed in 2 control groups (15 patients with no organic heart disease and 24 patients with organic heart disease but without right- or left-sided valvular regurgitation) and in 9 patients with clinical tricuspid regurgitation. The regurgitant index, or ratio of left to right ventricular stroke counts, was significantly lower in patients with tricuspid regurgitation than in either control group. Time-activity variation over the liver was used to compute a hepatic expansion fraction which was significantly higher in patients with tricuspid regurgitation than in either control group. Fourier analysis of time-activity variation in each pixel was used to generate amplitude and phase images. Only pixels with values for amplitude at least 7% of the maximum in the image were retained in the final display. All patients with tricuspid regurgitation had greater than 100 pixels over the liver automatically retained by the computer. These pixels were of phase comparable to that of the right atrium and approximately 180 degrees out of phase with the right ventricle. In contrast, no patient with no organic heart disease and only 1 of 24 patients with organic heart disease had any pixels retained by the computer. In conclusion, patients with tricuspid regurgitation were characterized on equilibrium gated angiography by an abnormally low regurgitant index (7 of 9 patients) reflecting increased right ventricular stroke volume, increased hepatic expansion fraction (7 of 9 patients), and increased amplitude of count variation over the liver in phase with the right atrium (9 of 9 patients).

  16. Dynamic CT head phantom for perfusion and angiography studies

    NASA Astrophysics Data System (ADS)

    Russell, K.; Blazeski, A.; Dannecker, K.; Lee, Q. Y.; Holscher, C.; Donahue, C.; van Kampen, W.

    2010-03-01

    Contrast imaging is a compelling enhancement for the portable, flat panel-based brain CT scanner currently under development at Xoran. Due to the relative low temporal resolution of flat panel detectors, enabling tomographic imaging on such platform requires optimizing the imaging and injection protocols. A dynamic CT head phantom was designed to facilitate this task. The Dynamic Perfusion and Angiography Model (PAM), mimics tissue attenuation in CT images, provides physiological timing for angiography and perfusion studies, and moves fluid with properties similar to those of blood. The design consists of an arterial system, which contains bifurcating vessels that feed into perfusion chambers, mimicking blood flow through capillaries and smaller vessels, and a venous system, which is symmetrical to the arterial side and drains the perfusion chambers. The variation of geometry and flow rate in the phantom provides the physiological total time that fluid spends in the head, and the difference in material densities correlates to CT numbers for biological tissues. This paper discusses the design of Dynamic PAM and shows experimental results demonstrating its ability to realistically simulate blood flow. Results of dynamic imaging studies of the phantom are also presented.

  17. Simultaneous technetium-99m MIBI angiography and myocardial perfusion imaging

    SciTech Connect

    Baillet, G.Y.; Mena, I.G.; Kuperus, J.H.; Robertson, J.M.; French, W.J.

    1989-01-01

    Resting first-pass radionuclide angiography (FPRNA) was performed with the myocardial perfusion agent technetium-99m MIBI. In 27 patients, it was compared with technetium-99m diethylenetriamine pentaacetic acid FPRNA. A significant correlation was present in left (r = 0.93, p less than 0.001) as well as right (r = 0.92, p less than 0.001) ventricular ejection fraction measured with both radiopharmaceuticals. In 13 patients, MIBI derived segmental wall motion was compared with contrast ventriculography. A high correlation was present (p less than 0.001), and qualitative agreement was found in 38/52 segments. In 19 patients with myocardial infarction a significant correlation was present between MIBI segmental wall motion and perfusion scores (p less than 0.001). In ten patients with a history of myocardial infarction, 18 myocardial segments demonstrated diseased coronary vessels and impaired wall motion at contrast angiography. These segments were all identified by the MIBI wall motion and perfusion study. We conclude that MIBI is a promising agent for simultaneous evaluation of cardiac function and myocardial perfusion at rest.

  18. Optical Coherence Tomography Angiography of Iris Nevus: A Case Report

    PubMed Central

    Allegrini, Davide; Montesano, Giovanni; Pece, Alfredo

    2016-01-01

    Iris nevus is common: 6% of patients with suspected iris melanoma have lesions other than melanoma, and 36% of them are nevi. Iris nevus turns into melanoma in approximately 8% of cases at a mean of 15 years. This case report provides the first description of an iris tumor examined with iris optical coherence tomography angiography (OCTA) compared to iris fluorescein angiography (IFA). A 60-year-old man with a diagnosis of iris nevus in the left eye was referred to our department for IFA and iris OCTA. The iris vasculature in IFA was visible only in the early phases, but not clearly. OCTA, however, gave visualization of the vascular network and very precisely defined the vessels of the whole lesion, except for the pupillary portion, which was masked by superficial pigment accumulations. IFA and iris OCTA can add information about the vascular architecture compared to slit-lamp biomicroscopy, ultrasound biomicroscopy, and anterior-segment OCT. However, IFA is time-consuming and invasive and can – very occasionally – cause serious adverse reactions. In contrast, OCTA defines the texture of the iris vasculature better. In conclusion, OCTA is a new method, easy to execute, needing no dye injection, and provides useful information on the vascular network of iris lesions. It could therefore be helpful in the diagnosis and follow-up of these lesions. PMID:27790134

  19. Assessment of vessel diameters for MR brain angiography processed images

    NASA Astrophysics Data System (ADS)

    Moraru, Luminita; Obreja, Cristian-Dragos; Moldovanu, Simona

    2015-12-01

    The motivation was to develop an assessment method to measure (in)visible differences between the original and the processed images in MR brain angiography as a method of evaluation of the status of the vessel segments (i.e. the existence of the occlusion or intracerebral vessels damaged as aneurysms). Generally, the image quality is limited, so we improve the performance of the evaluation through digital image processing. The goal is to determine the best processing method that allows an accurate assessment of patients with cerebrovascular diseases. A total of 10 MR brain angiography images were processed by the following techniques: histogram equalization, Wiener filter, linear contrast adjustment, contrastlimited adaptive histogram equalization, bias correction and Marr-Hildreth filter. Each original image and their processed images were analyzed into the stacking procedure so that the same vessel and its corresponding diameter have been measured. Original and processed images were evaluated by measuring the vessel diameter (in pixels) on an established direction and for the precise anatomic location. The vessel diameter is calculated using the plugin ImageJ. Mean diameter measurements differ significantly across the same segment and for different processing techniques. The best results are provided by the Wiener filter and linear contrast adjustment methods and the worst by Marr-Hildreth filter.

  20. The NASA personnel security processing expert system

    SciTech Connect

    Silberberg, D.; Thomas, R.

    1996-12-31

    The NASA Personnel Security Processing Expert System is a tool that automatically determines the appropriate personnel background investigation required for a civil servant or contractor occupying a position of national security or public trust. It also instructs the personnel security processing staff to perform special checks based on a specific position. The system is implemented using a rule-based expert system and a World Wide Web interface. The system design separates the user interface, knowledge base and control structure to simplify system evolution. When one subsystem is modified, the others are impacted minimally. This system provides many benefits to the NASA Personnel Security Program. First, it frees the agency personnel security specialist from trouble-shooting and correcting all investigative problems. It also provides a learning tool for security processing staff at each installation. The system ensures that each installation security office is in compliance with all applicable laws, regulations and policies. Finally, eliminating overlapping, inappropriate and duplicative efforts to process employees saves many resources. The system was deployed less than a year ago. To date, it saved $1.2 million of the $1.5 million agency-wide personnel security budget.

  1. Clinical experience of Hokkaido University-PACS and FCR-angiography.

    PubMed

    Terae, S; Hawkin, S; Sato, Y; Kikuchi, Y; Abe, S; Miyasaka, K

    1994-05-01

    Three years' experience with Hokkaido University-PACS (HU-PACS) is reported. In particular, this paper describes the suitability of FCR-angiography for HU-PACS, which has been in clinical use since March 1991. Image quality of FCR-arteriograms was evaluated in the head-and-face region and the abdominal region independently. The image quality in both regions was excellent. Quality of transferred images to image workstation for HU-PACS with 10:1 data compression was also evaluated, and no appreciable image degradation or loss of information was found in the transferred images. There was no significant difference in the examination time required for one patient in abdominal angiography between conventional angiography and FCR-angiography. In summary, FCR-angiography is suitable for HU-PACS as its image acquisition modality.

  2. 48 CFR 31.205-29 - Plant protection costs.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Plant protection costs. 31....205-29 Plant protection costs. Costs of items such as (a) wages, uniforms, and equipment of personnel engaged in plant protection, (b) depreciation on plant protection capital assets, and (c)...

  3. 48 CFR 31.205-29 - Plant protection costs.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Plant protection costs. 31....205-29 Plant protection costs. Costs of items such as (a) wages, uniforms, and equipment of personnel engaged in plant protection, (b) depreciation on plant protection capital assets, and (c)...

  4. Comparison of computed tomographic angiography and noncontrast magnetic resonance angiography in preoperative evaluation of living renal donors

    PubMed Central

    Patil, Abhijit Dnyandeo; Shailage, K.; Nadarajah, Jeyaseelan; Harigovind, P.; Mohan, R. Krishna

    2017-01-01

    Introduction: The computed tomographic angiography (CTA) renal donor protocol is an established method of preoperative renal vascular pedicle evaluation in prospective renal donors. However, CTA is associated with significant radiation exposure and intravenous contrast administration. The newer noncontrast-enhanced magnetic resonance angiography (NCE-MRA) techniques, especially arterial spin labeling (ASL) with steady-state free precession (SSFP) hold promise as an effective alternative. We prospectively compared CTA with NCE MRA for accuracy in the evaluation of renal arterial anatomy in prospective renal donors. Methods: A total of 43 subjects underwent CTA followed by NCE MRA in a prospective comparative study. The number of renal arteries and early branching of renal arteries were noted in both kidneys in all subjects. Intermodality agreement was calculated using “K” (Kappa) statistics and 95% confidence interval for both modalities. Results: A total of 63 single, 21 double, and 2 triple arteries were detected in 43 subjects on CTA. CTA showed an early branch in 17 kidneys. NCE MRAshowed 64 single arteries, 20 double arteries, and 2 triple arteries. A total of 14 kidneys showed an early branch. Unweighted Kappa statistic of agreement between CTA and NCE MRA for number of renal arteries and for frequency of early branching was 0.9707 and 0.8822, respectively. Conclusions: The newer NCE MRA techniques such as ASL with SSFP among others are potential alternatives for CTA, in the evaluation of prospective renal donors. PMID:28197027

  5. Computed tomography angiography versus digital subtraction angiography in vascular mapping for planning of microsurgical reconstruction of the mandible.

    PubMed

    Lell, Michael; Tomandl, Bernd F; Anders, Katharina; Baum, Ulrich; Nkenke, Emeka

    2005-08-01

    The aim of this work was to compare the potential of computed tomography angiography (CTA) with that of digital subtraction angiography (DSA) in vascular mapping of the external carotid artery (ECA) branches for planning of microvascular reconstructions of the mandible with osteomyocutaneous flaps. In 15 patients CTA and DSA were performed prior to surgery. Selective common carotid angiograms were acquired in two projection for both sides of the neck. Sixteen-slice spiral computed tomography was performed with a dual-phase protocol, using the arterial phase images for 3D CTA reconstruction. Thin-slab maximum intensity projections and volume rendering were employed for postprocessing of CTA data. The detectability of the different ECA branches in CTA and DSA was evaluated by two examiners. No statistically significant differences between CTA and DSA (p=0.097) were found for identifying branches relevant for microsurgery. DSA was superior to CTA if more peripheral ECA branches were included (P=0.030). CTA proved to be a promising alternative to DSA in vascular mapping for planning of microvascular reconstruction of the mandible.

  6. Non-invasive coronary angiography with multi-detector computed tomography: comparison to conventional X-ray angiography.

    PubMed

    Schoenhagen, Paul; Stillman, Arthur E; Halliburton, Sandy S; Kuzmiak, Stacie A; Painter, Tracy; White, Richard D

    2005-02-01

    Selective coronary angiography introduced clinical coronary imaging in the late 1950s. The angiographic identification of high-grade coronary lesions in patients with acute and chronic symptomatic coronary artery disease (CAD) led to the development of surgical and percutaneous coronary revascularization. However, the fact that CAD remains the major cause of death in North America and Europe demonstrates the need for novel, complementary diagnostic strategies. These are driven by the need to characterize both increasingly advanced disease stages but also early, asymptomatic disease development. Complex revascularization techniques for patients with advanced disease stages will initiate a growing demand for 3-dimensional coronary imaging and integration of imaging modalities with new mechanical therapeutic devices. An emerging focus is atherosclerosis imaging with the goal to identify subclinical disease stages as the basis for pharmacological intervention aimed at disease stabilization or reversal. Non-invasive coronary imaging with coronary multidetector computed tomographic angiography (MDCTA) allows both assessment of luminal stenosis and subclinical disease of the arterial wall. Its complementary role in the assessment of early and advanced stages of CAD is increasingly recognized.

  7. Alkali metal protective garment and composite material

    DOEpatents

    Ballif, III, John L.; Yuan, Wei W.

    1980-01-01

    A protective garment and composite material providing satisfactory heat resistance and physical protection for articles and personnel exposed to hot molten alkali metals, such as sodium. Physical protection is provided by a continuous layer of nickel foil. Heat resistance is provided by an underlying backing layer of thermal insulation. Overlying outer layers of fireproof woven ceramic fibers are used to protect the foil during storage and handling.

  8. 5 CFR 315.806 - Appeal rights to the Merit Systems Protection Board.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Appeal rights to the Merit Systems Protection Board. 315.806 Section 315.806 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS CAREER AND CAREER-CONDITIONAL EMPLOYMENT Probation on Initial Appoinment to...

  9. 5 CFR 315.806 - Appeal rights to the Merit Systems Protection Board.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Appeal rights to the Merit Systems Protection Board. 315.806 Section 315.806 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS CAREER AND CAREER-CONDITIONAL EMPLOYMENT Probation on Initial Appoinment to...

  10. Cutting balloon angioplasty for carotid artery in-stent stenosis supported by three-dimensional rotational angiography with automated vessel analysis software.

    PubMed

    Akiyama, Yasuhiko; Moritake, Kouzo; Miyazaki, Takeshi; Kowari, Kentaro; Sato, Hidetoshi; Shimada, Toshio

    2008-05-01

    In-stent stenosis is a possible long-term complication of carotid artery stenting. A simple and safe technique of cutting balloon angioplasty is described for carotid in-stent stenosis. The stented vessel is imaged by three-dimensional (3D) rotational angiography, the acquired projection images are transferred to a workstation, and the stenotic lesion and implanted stent are reconstructed. The diameter of the implanted stent in the stenotic region is measured by automated analysis software. Cutting balloon angioplasty carries the risk of vessel injury by the cutting balloon microblades, but the implanted stent acts as a barrier to protect the vessel. Therefore, cutting balloon inflation up to the stent diameter is safe and results in maximal vessel dilation. The key to success is precise measurement of the stent diameter and choice of a cutting balloon catheter of the appropriate size. 3D rotational angiography provides high-quality images of the vasculature of a stented vessel and a reference for intervention based on absolute measurements. Cutting balloon angioplasty supported by 3D rotational angiography with automated vessel analysis software should be considered as a treatment strategy for high-grade carotid artery in-stent stenosis.

  11. 34 CFR 303.360 - Comprehensive system of personnel development.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Comprehensive system of personnel development. 303.360... Intervention Services Personnel Training and Standards § 303.360 Comprehensive system of personnel development. (a) Each system must include a comprehensive system of personnel development. (b) The...

  12. Aggressive situational cues among Israeli security personnel.

    PubMed

    Bensimon, Moshe

    2015-05-01

    The present study enriches our knowledge on the relationship between security personnel and situational cues that may provoke aggression, such as arms and uniforms. The study examined 259 security personnel who completed an aggression questionnaire (AGQ). The study aimed (a) to compare the tendency toward aggression of security personnel who carry or do not carry arms and/or wear a uniform and (b) to compare the tendency toward aggression of men and women security personnel who carry or do not carry arms and/or wear a uniform. The findings indicated no main effect for aggression cueing classification. However, uniformed men had higher scores of physical aggression than women, and women scored significantly higher on anger than men when not carrying any aggressive cues. The findings also revealed that in general, men security personnel reported much higher physical aggression than women, while women showed slightly higher means of verbal aggression than men. The findings are discussed in light of the gender theory and research.

  13. Personnel Dose Assessment during Active Interrogation

    SciTech Connect

    Miller, Thomas Martin; Akkurt, Hatice; Patton, Bruce W

    2010-01-01

    A leading candidate in the detection of special nuclear material (SNM) is active interrogation (AI). Unlike passive interrogation, AI uses a source to enhance or create a detectable signal from SNM (usually fission), particularly in shielded scenarios or scenarios where the SNM has a low activity. The use of AI thus makes the detection of SNM easier or, in some scenarios, even enables previously impossible detection. During the development of AI sources, significant effort is put into determining the source strength required to detect SNM in specific scenarios. Usually during this process, but not always, an evaluation of personnel dose is also completed. In this instance personnel dose could involve any of the following: (1) personnel performing the AI; (2) unknown stowaways who are inside the object being interrogated; or (3) in clandestine interrogations, personnel who are known to be inside the object being interrogated but are unaware of the interrogation. In most instances, dose to anyone found smuggling SNM will be a secondary issue. However, for the organizations performing the AI, legal if not moral considerations should make dose to the personnel performing the AI, unknown stowaways, or innocent bystanders in clandestine interrogations a serious concern.

  14. Personnel Administration in Higher Education. Handbook of Faculty and Staff Personnel Practices.

    ERIC Educational Resources Information Center

    Fortunato, Ray T.; Waddell, D. Geneva

    Ways to develop and implement personnel policies and procedures are described that should prevent problems from becoming crises in higher education institutions. Based on the authors' more than 40 years of combined experience in higher education personnel administration, this handbook offers a detailed guide to the intricacies of faculty and staff…

  15. Administration of Pupil Personnel Services. Pupil Personnel Services Recommended Practices and Procedures Manual.

    ERIC Educational Resources Information Center

    Irvin, Mari; Whiteside, David

    This volume, part of the Illinois State Board of Education's "Pupil Personnel Services Recommended Practices and Procedures Manual," deals with the administration of pupil personnel services (PPS). After a brief introduction, the following topics are covered: (1) major PPS concepts (including coordination of services, needs assessment,…

  16. A Management Study of Personnel Policies and the Department of Personnel Services.

    ERIC Educational Resources Information Center

    Cresap, McCormick, and Paget, Inc., Chicago, IL.

    The report presents the findings of a management study conducted to review personnel policies and practices in the Montgomery County (Maryland) Public School system. The study, part of a multiyear evaluation of the entire school system's management operation, examines personnel policies, procedures, and operations in the areas of recruitment,…

  17. MR-angiography: the role of contrast agents.

    PubMed

    Goyen, M; Ruehm, S G; Debatin, J F

    2000-06-01

    Contrast-enhanced 3D MR angiography (MRA) permits comprehensive assessment of the supraaortic arteries as well as the arterial system in the chest, abdomen and lower extremities. 3D MRA combines intravenous injection of a non-nephrotoxic, paramagnetic, extracellular contrast agent that increases the signal intensity of blood by shortening its T1 value with the acquisition of a fast 3D data set. High contrast between the vascular lumen and surrounding tissues, inherent three-dimensionality and the ability to collect image data in the chest and abdomen under apnea conditions all contribute to excellent image quality. This review provides clinical applications of 3D MRA in the chest, abdomen and lower extremities based upon the available literature and several clinical examples.

  18. Magnetic resonance angiography in perforator flap breast reconstruction

    PubMed Central

    Levine, Joshua L.

    2016-01-01

    Magnetic resonance angiography (MRA) is an extremely useful preoperative imaging test for evaluation of the vasculature of donor tissue to be used in autologous breast reconstruction. MRA has sufficient spacial resolution to reliably visualize 1 mm perforating vessels and to accurately locate vessels in reference to a patient’s anatomic landmarks without exposing patients to ionizing radiation or iodinated contrast. The use of a blood pool contrast agent and the lack of radiation exposure allow multiple studies of multiple anatomic regions in one examination. The following article is a detailed description of our MRA protocol developed with our radiologists with examples that illustrate the utility of MRA in perforator flap breast reconstruction. PMID:27047787

  19. Dose reduction with adaptive bolus chasing computed tomography angiography.

    PubMed

    Cai, Zhijun; Bai, Er-Wei; Wang, Ge; Sharafuddin, Melhem J; Abada, Hicham T

    2010-01-01

    Computed Tomography (CT) has become an effective diagnosis and evaluating tool in clinical; however, its radiation exposure has drawn great attention as more and more CT scans are performed every year. How to reduce the radiation dose and meanwhile keep the resultant CT images diagnosable becomes an important research topic. In this paper, we propose a dose reduction approach along with the adaptive bolus chasing CT Angiography (CTA) techniques, which are capable of tracking the contrast bolus peak over all the blood vessel segments during the CTA scan. By modulating the tube current (and collimator width) online, we can reduce the total radiation dose and maintain the contrast to noise ratio (CNR) of the blood vessel. Numerical experiments on reference DSA data sets show that by using the proposed dose reduction method, the effective radiation dose can be saved about 39%.

  20. Dose Reduction with Adaptive Bolus Chasing Computed Tomography Angiography

    PubMed Central

    Cai, Zhijun; Bai, Er-Wei; Wang, Ge; Sharafuddin, Melhem J.; Abada, Hicham T.

    2010-01-01

    Computed Tomography (CT) has become an effective diagnosis and evaluating tool in clinical; however, its radiation exposure has drawn great attention as more and more CT scans are performed every year. How to reduce the radiation dose and meanwhile keep the resultant CT images diagnosable becomes an important research topic. In this paper, we propose a dose reduction approach along with the adaptive bolus chasing CT Angiography (CTA) techniques, which are capable of tracking the contrast bolus peak over all the blood vessel segments during the CTA scan. By modulating the tube current (and collimator width) online, we can reduce the total radiation dose and maintain the contrast to noise ratio (CNR) of the blood vessel. Numerical experiments on reference DSA data sets show that by using the proposed dose reduction method, the effective radiation dose can be saved about 39%. PMID:20421701

  1. Hepatic perfusion abnormalities during CT angiography: Detection and interpretation

    SciTech Connect

    Freeny, P.C.; Marks, W.M.

    1986-06-01

    Twenty-seven perfusion abnormalities were detected in 17 of 50 patients who underwent computed tomographic angiography (CTA) of the liver. All but one of the perfusion abnormalities occurred in patients with primary or metastatic liver tumors. Perfusion abnormalities were lobar in nine cases, segmental in 11, and subsegmental in seven; 14 were hypoperfusion and 13 were hyperperfusion abnormalities. The causes for the abnormalities included nonperfusion of a replaced hepatic artery (n = 11), cirrhosis and nodular regeneration (n = 3), altered hepatic hemodynamics (e.g., siphoning, laminar flow) caused by tumor (n = 7), contrast media washout from a nonperfused vessel (n = 1), compression of adjacent hepatic parenchyma (n = 1), and unknown (n = 4). Differentiation of perfusion abnormalities from tumor usually can be made by comparing the morphology of the known tumor with the suspected perfusion abnormality, changes of each on delayed CTA scans, and review of initial angiograms and other imaging studies.

  2. Transvenous coronary angiography in humans with synchrotron radiation

    SciTech Connect

    Thomlinson, W.

    1994-10-01

    The transvenous coronary angiography project at the National Synchrotron Light Source (NSLS) is presently undergoing a significant upgrade to the hardware and software in the synchrotron medical facility. When completed, the project will have reached a level of maturity in the imaging technology which will allow the research team to begin to concentrate on medical research programs. This paper will review the status of the project and imaging technology and will discuss the current upgrades and future advanced technology initiatives. The advantages of using the radiation from a synchrotron, over that from a standard x-ray source, were the motivation for the project. A total of 23 human imaging sessions have been carried out with in the project. The primary goals have been to establish the imaging parameters and protocol necessary to obtain clinically useful images.

  3. Statistical analysis of motion contrast in optical coherence tomography angiography

    NASA Astrophysics Data System (ADS)

    Cheng, Yuxuan; Guo, Li; Pan, Cong; Lu, Tongtong; Hong, Tianyu; Ding, Zhihua; Li, Peng

    2015-11-01

    Optical coherence tomography angiography (Angio-OCT), mainly based on the temporal dynamics of OCT scattering signals, has found a range of potential applications in clinical and scientific research. Based on the model of random phasor sums, temporal statistics of the complex-valued OCT signals are mathematically described. Statistical distributions of the amplitude differential and complex differential Angio-OCT signals are derived. The theories are validated through the flow phantom and live animal experiments. Using the model developed, the origin of the motion contrast in Angio-OCT is mathematically explained, and the implications in the improvement of motion contrast are further discussed, including threshold determination and its residual classification error, averaging method, and scanning protocol. The proposed mathematical model of Angio-OCT signals can aid in the optimal design of the system and associated algorithms.

  4. Hematocrit dependence of flow signal in optical coherence tomography angiography

    PubMed Central

    Yang, Jianlong; Su, Johnny; Wang, Jie; Men, Silu; Jia, Yali; Huang, David; Liu, Gangjun

    2017-01-01

    The hematocrit dependence of flow signal (split-spectrum amplitude decorrelation angiography-SSADA decorrelation value) was investigated in this paper. Based on the normalized field temporal correlation function and concentration dependent particle scattering properties, the relationship between hematocrit and flow signal was analytically derived. Experimental verification of the relationship was performed with custom-designed microfluidic chips and human blood with 45%, 40% and 32% hematocrit. It was found that, in large flow channels and blood vessels, the normal hematocrit is near the decorrelation saturation point and therefore a change in hematocrit has little effect on the SSADA decorrelation value (flow signal). However, in narrow channels in the capillary size range, the effective hematocrit (adjusted for the overlap between OCT beam and channel) is in the range of 6.7-9.5% and therefore variation in hematocrit does significantly affect the flow signal. PMID:28270984

  5. Gadolinium-enhanced magnetic resonance angiography in brain death

    NASA Astrophysics Data System (ADS)

    Luchtmann, M.; Beuing, O.; Skalej, M.; Kohl, J.; Serowy, S.; Bernarding, J.; Firsching, R.

    2014-01-01

    Confirmatory tests for the diagnosis of brain death in addition to clinical findings may shorten observation time required in some countries and may add certainty to the diagnosis under specific circumstances. The practicability of Gadolinium-enhanced magnetic resonance angiography to confirm cerebral circulatory arrest was assessed after the diagnosis of brain death in 15 patients using a 1.5 Tesla MRI scanner. In all 15 patients extracranial blood flow distal to the external carotid arteries was undisturbed. In 14 patients no contrast medium was noted within intracerebral vessels above the proximal level of the intracerebral arteries. In one patient more distal segments of the anterior and middle cerebral arteries (A3 and M3) were filled with contrast medium. Gadolinium-enhanced MRA may be considered conclusive evidence of cerebral circulatory arrest, when major intracranial vessels fail to fill with contrast medium while extracranial vessels show normal blood flow.

  6. Three-dimensional computed tomography angiography for the investigation of superficial temporal artery pseudoaneurysms--two case reports--.

    PubMed

    Higashino, Takuya; Kawashima, Masatou; Mannoji, Hiromichi

    2005-03-01

    An 89-year-old man and a 60-year-old man presented with superficial temporal artery (STA) pseudoaneurysms which developed secondary to trauma. Conventional cerebral angiography and three-dimensional computed tomography (3D CT) angiography clearly demonstrated the STA pseudoaneurysms. The patients underwent surgical excision of the aneurysms based on the conventional cerebral angiography findings in one patient and 3D CT angiography findings in other patient. 3D CT angiography is an excellent noninvasive diagnostic method for detecting extracranial aneurysms such as STA pseudoaneurysm, especially the relationship between the aneurysm and surrounding structures, including the calvarium.

  7. Sac Angiography and Glue Embolization in Emergency Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysm

    SciTech Connect

    Koike, Yuya Nishimura, Jun-ichi Hase, Soichiro Yamasaki, Motoshige

    2015-04-15

    PurposeThe purpose of this study was to demonstrate a sac angiography technique and evaluate the feasibility of N-butyl cyanoacrylate (NBCA) embolization of the ruptured abdominal aortic aneurysm (AAA) sac in emergency endovascular aneurysm repair (EVAR) in hemodynamically unstable patients.MethodsA retrospective case series of three patients in whom sac angiography was performed during emergency EVAR for ruptured AAA was reviewed. After stent graft deployment, angiography within the sac of aneurysm (sac angiography) was performed by manually injecting 10 ml of contrast material through a catheter to identify the presence and site of active bleeding. In two patients, sac angiography revealed active extravasation of the contrast material, and NBCA embolization with a coaxial catheter system was performed to achieve prompt sealing.ResultsSac angiography was successful in all three patients. In the two patients who underwent NBCA embolization for aneurysm sac bleeding, follow-up computed tomography (CT) images demonstrated the accumulation of NBCA consistent with the bleeding site in preprocedural CT images.ConclusionsEVAR is associated with a potential risk of ongoing bleeding from type II or IV endoleaks into the disrupted aneurysm sac in patients with severe coagulopathy. Therefore, sac angiography and NBCA embolization during emergency EVAR may represent a possible technical improvement in the treatment of ruptured AAA in hemodynamically unstable patients.

  8. Iodixanol, a new isosmotic nonionic contrast agent compared with iohexol in cardiac angiography.

    PubMed

    Hill, J A; Cohen, M B; Kou, W H; Mancini, G B; Mansour, M; Fountaine, H; Brinker, J A

    1994-07-01

    Iodixanol, a new ratio 6 nonionic iodinated contrast agent with an osmolality equal to serum, was compared with iohexol in a randomized, double-blind, parallel study. Two hundred patients undergoing elective diagnostic cardiac angiography were randomized to iodixanol (n = 101) or iohexol (n = 99). There were no differences noted between the 2 agents in the mean changes in systolic or diastolic blood pressure or heart rate during or immediately after any angiography. However, significantly more patients had a decrease in diastolic blood pressure of > 20 mm Hg during left coronary angiography with iodixanol. The only significant differences in any electrophysiologic parameter were slightly more PR prolongation during left coronary angiography with iodixanol and more ST-segment depression with iohexol during coronary angiography. Neither was clinically significant. Injection-associated discomfort occurred with both agents, but more patients experienced moderate to severe discomfort with iohexol (52%) than with iodixanol (17%) (p < 0.001). Only 1 potentially serious adverse event, ventricular fibrillation with iohexol, was considered related to contrast, and there were no differences noted between the agents. Overall, angiographic quality was equal with all angiograms being assessed as good or excellent in both groups (p = 0.885). In this low-risk population undergoing cardiac angiography, iodixanol is safe and effective without clinically important differences from iohexol. Additional studies in patients at high risk for complications should help further define the role of iodixanol in cardiac angiography.

  9. Non-clinical factors influencing the selection of patients with acute coronary syndromes for angiography

    PubMed Central

    Quaas, A; Curzen, N; Garratt, C

    2004-01-01

    Objective: To analyse clinical and non-clinical factors determining the selection for coronary angiography in patients with acute coronary syndromes (ACS). Design: Single centre, prospective cohort study. Participants: Eighty consecutive patients admitted with a diagnosis of ACS during the period 21 May 2001 to 4 July 2001. Setting: Coronary care unit of a tertiary referral centre, the Manchester Royal Infirmary. Data collection: Information concerning baseline patient characteristics, clinical presentation, and the selection for angiography was collected from the patient notes. Data analysis: Windows SPSS version 9.0 using cross tabulations with χ2 estimation and binomial logistic regression analysis. Main outcome measure: Selection for angiography in ACS. Results: Cross tabulations with χ2 analysis and logistic regression analysis identified significant non-clinical factors predicting the use of angiography. Although clinical factors such as recurrent ischaemia (odds ratio 5.11) influenced the decision to undergo coronary angiography, non-clinical factors such as young age (odds ratio 6.88 for <65 years old), gender (odds ratio 3.81 for males), admission on a weekday (odds ratio 0.2488 for admission on the weekend), and consultant in charge (odds ratio 0.111 for consultant "2") independently predicted the use of angiography in ACS. Conclusion: The selection of patients for angiography in ACS is not based purely on clinical criteria. Awareness of the apparent sources of bias among clinical decision makers may improve management of these patients. PMID:15254306

  10. Radiation Dose Reduction during Radial Cardiac Catheterization: Evaluation of a Dedicated Radial Angiography Absorption Shielding Drape.

    PubMed

    Ertel, Andrew; Nadelson, Jeffrey; Shroff, Adhir R; Sweis, Ranya; Ferrera, Dean; Vidovich, Mladen I

    2012-01-01

    Objectives. Radiation scatter protection shield drapes have been designed with the goal of decreasing radiation dose to the operators during transfemoral catheterization. We sought to investigate the impact on operator radiation exposure of various shielding drapes specifically designed for the radial approach. Background. Radial access for cardiac catheterization has increased due to improved patient comfort and decreased bleeding complications. There are concerns for increased radiation exposure to patients and operators. Methods. Radiation doses to a simulated operator were measured with a RadCal Dosimeter in the cardiac catheterization laboratory. The mock patient was a 97.5 kg fission product phantom. Three lead-free drape designs were studied. The drapes were placed just proximal to the right wrist and extended medially to phantom's trunk. Simulated diagnostic coronary angiography included 6 minutes of fluoroscopy time and 32 seconds of cineangiography time at 4 standard angulated views (8 s each), both 15 frames/s. ANOVA with Bonferroni correction was used for statistical analysis. Results. All drape designs led to substantial reductions in operator radiation exposure compared to control (P < 0.0001). The greatest decrease in radiation exposure (72%) was with the L-shaped design. Conclusions. Dedicated radial shielding drapes decrease radiation exposure to the operator by up to 72% during simulated cardiac catheterization.

  11. Atherosclerosis and Liver Function Tests in Coronary Angiography Patients

    PubMed Central

    Doganer, YC; Rohrer, JE; Aydogan, U; Agerter, DC; Cayci, T; Barcin, C

    2015-01-01

    ABSTRACT Objective: Elevated aminotransferase levels indicating liver function, even in the normal range, have attracted great concern as potential novel markers of cardiovascular risk assessment. We hypothesized the possibility that liver function test variations in the normal range might be meaningfully associated to coronary artery disease (CAD). Method: Eighty-eight patients were randomly selected from those who underwent coronary angiography from June 2010 to June 2011 after applying to the outpatient cardiology clinic in Gulhane Military Medical Academy. According to the results of angiographies, patients were classified into three groups as normal, non-critical (< 50% involvement in coronaries), and critical (≥ 50% involvement in coronaries). In addition to angiographic intervention, measurements of serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) concentrations, albumin and the other serum parameters were performed in all patients. Results: The patient groups of CAD were balanced (28 critical cases, 30 non-critical cases and 30 normal cases). Mean age was 51.93 ± 9.3 (range 32–65) years and 19.3 per cent (n = 17) were females. Multiple linear regression analysis of all three liver function tests explained a significant portion of the variance, but adjusted r-squares were small (AST = 0.174, ALT = 0.242, albumin = 0.124). Albumin was significantly higher for patients with critical CAD than for patients with no CAD (beta = 3.205, p = 0.002). Non-critical CAD was not significantly different from no CAD for any of the dependent variables. Mean AST was significantly higher for patients taking aspirin (beta = 0.218, p = 0.049), as was mean ALT (beta = 0.264, p = 0.015). Conclusion: Alanine aminotransferase and AST may not be associated with angiographically determined coronary atherosclerosis. Albumin may be more sensitive to demonstrate the burden of atherosclerosis. These results indicate that the association between the liver

  12. Performance of magnetic resonance angiography in suspected acute pulmonary embolism.

    PubMed

    Blum, Alain; Bellou, Abdelouahab; Guillemin, Francis; Douek, Philippe; Laprévote-Heully, Marie-Claude; Wahl, Denis

    2005-03-01

    Pulmonary embolism (PE) is a common and potentially fatal disorder. Non-specific findings make the clinical diagnosis of PE difficult. To assess the diagnostic value and inter-observer agreement of magnetic resonance angiography (MRA) in a cohort of patients with suspected PE, we conducted a prospective clinical study. MRA was compared for sensitivity and specificity to a diagnostic strategy including clinical probability, D-dimer testing, spiral CT, ultrasound leg compression and pulmonary angiography. A total of 89 patients with clinically suspected PE were included: the clinical probability of PE was intermediate or high in 78, and low in the remaining 11. All patients underwent monoor multi-slice spiral CT and MRA with gadolinium injection (both within 24 hours of entry to the study). Anticoagulation was withheld in patients concerned about the strategy. All subjects were followed up for 3 months. MRA was read independently by two experienced teams of radiologists: one local and one from another university centre. Spiral CT was positive in 62 of 63 cases of confirmed PE. No patient with negative CT findings was positive ultrasonographically. Only one patient with a negative CT (and negative ultrasound) had a recurrent thromboembolic event. The first team diagnosed PE with MRA in 47 cases, with a sensitivity of 71% and a specificity of 92%; the second team obtained the diagnosis in 23 cases, with a sensitivity of 31% and a specificity of 85%. Inter-observer agreement between MRA reading was low: Kappa = 0.16 (-0.01 to 0.33); p = 0.07. In conclusion, compared with a non-invasive strategy based on spiral CT, the diagnostic value of MRA is limited by poor inter-observer agreement.

  13. The Hunter pulmonary angiography catheter for a brachiocephalic vein approach.

    PubMed

    Rosen, Galia; Kowalik, Karen J; Ganguli, Suverano; Hunter, David W

    2006-01-01

    The purpose of this work was to describe our experience in performing pulmonary angiography using the Hunter pulmonary catheter, manufactured by Cook, Inc., which is a modified 6F pigtail catheter with a "C-shaped" curve, designed for a brachiocephalic vein approach. One hundred twenty-three patients underwent pulmonary angiograms using the Hunter catheter between August 1997 and January 2002. Operator comments were gathered in 86 (70%) of the cases. The operator was, if possible, the most junior resident on the service. Thirty-nine operators participated in the survey. Efficacy, safety, and ease of use of the catheter were determined by operators' comments and ECG observations during the procedure. Corroborating clinical data were gathered from medical records. In 68 (79%) of the procedures that were commented upon, the operator described insertion into the pulmonary artery (PA) as easy; only 2 (2%) indicated difficulty in accessing the PA. In 41 (63%) of the bilateral angiograms that were commented upon, the operator described accessing the left PA from the right PA as easy; only 6 (9%) rated it as difficult and all were with an older technique in which the catheter was withdrawn to the pulmonary bifurcation without a wire or with only the soft tip of the wire in the pigtail and then rotated to the left main pulmonary artery. Thirty-one of the 41 patients who demonstrated premature ventricular contractions (PVCs) had a previous history of heart disease. Nineteen of the 39 patients who did not have PVCs had a history of heart disease (p = 0.018). The maneuverability and shape of the Hunter catheter make pulmonary angiography an easy procedure, even for operators with minimal experience and limited technical proficiency. PVCs demonstrated a statistically significant correlation with a positive patient history for cardiac disease, rather than being a universal risk.

  14. Automated myocardial perfusion from coronary x-ray angiography

    NASA Astrophysics Data System (ADS)

    Storm, Corstiaan J.; Slump, Cornelis H.

    2010-03-01

    The purpose of our study is the evaluation of an algorithm to determine the physiological relevance of a coronary lesion as seen in a coronary angiogram. The aim is to extract as much as possible information from a standard coronary angiogram to decide if an abnormality, percentage of stenosis, as seen in the angiogram, results in physiological impairment of the blood supply of the region nourished by the coronary artery. Coronary angiography, still the golden standard, is used to determine the cause of angina pectoris based on the demonstration of an important stenose in a coronary artery. Dimensions of a lesion such as length and percentage of narrowing can at present easily be calculated by using an automatic computer algorithm such as Quantitative Coronary Angiography (QCA) techniques resulting in just anatomical information ignoring the physiological relevance of the lesion. In our study we analyze myocardial perfusion images in standard coronary angiograms in rest and in artificial hyperemic phases, using a drug e.g. papaverine intracoronary. Setting a Region of Interest (ROI) in the angiogram without overlying major vessels makes it possible to calculate contrast differences as a function of time, so called time-density curves, in the basal and hyperemic phases. In minimizing motion artifacts, end diastolic images are selected ECG based in basal and hyperemic phase in an identical ROI in the same angiographic projection. The development of new algorithms for calculating differences in blood supply in the region as set are presented together with the results of a small clinical case study using the standard angiographic procedure.

  15. Swept Source OCT Angiography of Neovascular Macular Telangiectasia Type 2

    PubMed Central

    Zhang, Qinqin; Wang, Ruikang K.; Chen, Chieh-Li; Legarreta, Andrew D.; Durbin, Mary K.; An, Lin; Sharma, Utkarsh; Stetson, Paul F.; Legarreta, John E.; Roisman, Luiz; Gregori, Giovanni; Rosenfeld, Philip J.

    2015-01-01

    Objective To image subretinal neovascularization in proliferative macular telangiectasia type 2 (MacTel2) using swept source optical coherence tomography based microangiography (OMAG). Study Design Patients with MacTel2 were enrolled in a prospective, observational study known as the MacTel Project and evaluated using a high-speed 1050nm swept-source OCT (SS-OCT) prototype system. The OMAG algorithm generated en face flow images from three retinal layers, as well as the region bounded by the outer retina and Bruch’s membrane, the choriocapillaris, and the remaining choroidal vasculature. The en face OMAG images were compared to images from fluorescein angiography (FA) and indocyanine green angiography (ICGA). Results Three eyes with neovascular MacTel2 were imaged. The neovascularization was best identified from the en face OMAG images that included a layer between the outer retinal boundary and Bruch’s membrane. OMAG images identified these abnormal vessels better than FA and were comparable to the images obtained using ICGA. In all three cases, OMAG identified choroidal vessels communicating with the neovascularization, and these choroidal vessels were evident in the two cases with ICGA imaging. In one case, monthly injections of bevacizumab reduced the microvascular complexity of the neovascularization, as well as the telangiectatic changes within the retinal microvasculature. In another case, less frequent bevacizumab therapy was associated with growth of the subretinal neovascular complex. Conclusions OMAG imaging provided detailed, depth-resolved information about subretinal neovascularization in MacTel2 eyes demonstrating superiority to FA imaging and similarities to ICGA imaging for documenting the retinal microvascular changes, the size and extent of the neovascular complex, the communications between the neovascular complex and the choroidal circulation, and the response to monthly bevacizumab therapy. PMID:26457402

  16. The Hunter Pulmonary Angiography Catheter for a Brachiocephalic Vein Approach

    SciTech Connect

    Rosen, Galia Kowalik, Karen J.; Ganguli, Suverano; Hunter, David W.

    2006-12-15

    The purpose of this work was to describe our experience in performing pulmonary angiography using the Hunter pulmonary catheter, manufactured by Cook, Inc., which is a modified 6F pigtail catheter with a 'C-shaped' curve, designed for a brachiocephalic vein approach. One hundred twenty-three patients underwent pulmonary angiograms using the Hunter catheter between August 1997 and January 2002. Operator comments were gathered in 86 (70%) of the cases. The operator was, if possible, the most junior resident on the service. Thirty-nine operators participated in the survey. Efficacy, safety, and ease of use of the catheter were determined by operators' comments and ECG observations during the procedure. Corroborating clinical data were gathered from medical records. In 68 (79%) of the procedures that were commented upon, the operator described insertion into the pulmonary artery (PA) as easy; only 2 (2%) indicated difficulty in accessing the PA. In 41 (63%) of the bilateral angiograms that were commented upon, the operator described accessing the left PA from the right PA as easy; only 6 (9%) rated it as difficult and all were with an older technique in which the catheter was withdrawn to the pulmonary bifurcation without a wire or with only the soft tip of the wire in the pigtail and then rotated to the left main pulmonary artery. Thirty-one of the 41 patients who demonstrated premature ventricular contractions (PVCs) had a previous history of heart disease. Nineteen of the 39 patients who did not have PVCs had a history of heart disease (p = 0.018). The maneuverability and shape of the Hunter catheter make pulmonary angiography an easy procedure, even for operators with minimal experience and limited technical proficiency. PVCs demonstrated a statistically significant correlation with a positive patient history for cardiac disease, rather than being a universal risk.

  17. Suicide rate among former Swedish peacekeeping personnel.

    PubMed

    Michel, Per-Olof; Lundin, Tom; Larsson, Gerry

    2007-03-01

    Increased suicide rates for military personnel suffering from post-traumatic stress disorders have been reported in various countries. Although it is known that some peacekeepers are exposed to potentially traumatic events and are thus at risk of suffering from post-traumatic stress reactions, only a few studies have examined suicide rates in this group. Therefore, the aim of this study was to investigate the suicide rate among former Swedish peacekeeping personnel. We compared 39,768 former Swedish peacekeepers to the general population in the National General Population Registry and the Cause-of-Death Registry. A lower number of suicides was found among former Swedish peacekeepers than in the general population. In conclusion, Swedish personnel serving in international peace-keeping operations do not show a higher suicide rate than the general population. Unique problems associated with this research area are discussed.

  18. [Transient cortical blindness--a complication after coronary angiography--case report].

    PubMed

    Borowik, Helena; Kułakowska, Alina; Drozdowski, Wiesław; Dubicki, Artur; Kraśnicki, Paweł

    2008-05-01

    Transient cortical blindness is a very rare complication of cardiovascular and cerebral angiography procedures. We present a case of 63-years-old woman, who developed cortical blindness after coronary angiography. Computed tomography (CT) done immediately after blindness appearance showed bilateral hyperintensive areas (probably due to a leakage of contrast medium) in the occipital and parietal cerebral lobes. All visual symptoms disappeared during 48 hours and CT scan repeated after sight recovery did not show any focal lesions in the brain. A breakdown of the blood-brain barrier with direct contrast neurotoxicity seems to be the causal factor of neurological changes observed in our patient after coronary angiography.

  19. Acoustic angiography: a new high frequency contrast ultrasound technique for biomedical imaging

    NASA Astrophysics Data System (ADS)

    Shelton, Sarah E.; Lindsey, Brooks D.; Gessner, Ryan; Lee, Yueh; Aylward, Stephen; Lee, Hyunggyun; Cherin, Emmanuel; Foster, F. Stuart; Dayton, Paul A.

    2016-05-01

    Acoustic Angiography is a new approach to high-resolution contrast enhanced ultrasound imaging enabled by ultra-broadband transducer designs. The high frequency imaging technique provides signal separation from tissue which does not produce significant harmonics in the same frequency range, as well as high resolution. This approach enables imaging of microvasculature in-vivo with high resolution and signal to noise, producing images that resemble x-ray angiography. Data shows that acoustic angiography can provide important information about the presence of disease based on vascular patterns, and may enable a new paradigm in medical imaging.

  20. High resolution 3 Tesla contrast-enhanced MR angiography of the hands in Raynaud's disease.

    PubMed

    Walcher, J; Strecker, R; Goldacker, S; Winterer, J; Langer, M; Bley, T A

    2007-04-01

    Raynaud's disease is associated with disorders in blood circulation of the hands. The gold standard to visualise pathology of digital arteries is catheter angiography. Contrast-enhanced MR angiography (CE MRA) has developed even more as an alternative non-invasive method to digital subtraction angiography, mostly for pelvic or lower limb vessels. We report a case of primary Raynaud's disease with high-grade stenosis and an occlusion of the digital arteries. This case illustrates the benefit and efficiency of CE MRA at high fields in depicting location and extension of peripheral arterial alterations.

  1. Pulmonary Angiography and Embolization for Severe Hemoptysis Due to Cavitary Pulmonary Tuberculosis

    SciTech Connect

    Sanyika, Charles; Corr, Peter; Royston, Duncan; Blyth, David F.

    1999-11-15

    Purpose: To identify the role of pulmonary angiography in the diagnosis and treatment of severe hemoptysis due to cavitary pulmonary tuberculosis. Methods: Selective pulmonary angiography was performed on eight patients with severe hemoptysis uncontrolled by previous bronchial and systemic arterial embolization. Results: Three (38%) patients had Rasmussen aneurysms, which were successfully embolized with steel coils. Five patients demonstrated pulmonary arterial hypoperfusion in the diseased lung. Conclusions: We recommend pulmonary angiography in cavitary tuberculous patients with severe hemoptysis who do not respond to systemic arterial embolization. Rasmussen aneurysms are effectively treated by steel coil occlusion.

  2. The Full Cost of Military Personnel

    DTIC Science & Technology

    2016-03-01

    Direct costs are clearly linked to the compensation of individuals  Indirect costs cover overhead expenses not tracked to individuals  Current vs...service  In the Defense Department budget vs. in the budget of other government departments 1 Current Direct Costs of Military Personnel Basic...I N S T I T U T E F O R D E F E N S E A N A L Y S E S The Full Cost of Military Personnel Stanley A. Horowitz INSTITUTE FOR DEFENSE ANALYSES

  3. Allied dental personnel: will there be enough?

    PubMed

    Waldman, H Barry; Perlman, Steven P

    2008-11-01

    The escalating number and size of dental practices mean greater dependency on a ready supply of allied dental personnel. However, despite the increasing number of entry places in allied dental training programs, many places remain unfilled and large numbers of individuals do not complete the course of studies. A review of the changes in dental practice sizes and dental assistant, dental hygienist and dental laboratory technician programs raises concerns as to whether there will be enough allied dental personnel to meet the future needs of the profession. The need for increasing attention to this potential eventuality is stressed.

  4. Whole body magnetic resonance angiography and computed tomography angiography in the vascular mapping of head and neck: an intraindividual comparison

    PubMed Central

    2014-01-01

    Introduction The aim of the study was to compare the detectability of neck vessels with contrast enhanced magnetic resonance angiography (MRA) in the setting of a whole-body MRA and multislice computed tomography angiography (CTA) for preoperative vascular mapping of head and neck. Methods In 20 patients MRA was performed prior to microvascular reconstruction of the mandible with osteomyocutaneous flaps. CTA of the neck served as the method of reference. 1.5 T contrast enhanced magnetic resonance angiograms were acquired to visualize the vascular structures of the neck in the setting of a whole-body MRA examination. 64-slice spiral computed tomography was performed with a dual-phase protocol, using the arterial phase images for 3D CTA reconstruction. Maximum intensity projection was employed to visualize MRA and CTA data. To retrieve differences in the detectability of vessel branches between MRA and CTA, a McNemar test was performed. Results All angiograms were of diagnostic quality. There were no statistically significant differences between MRA and CTA for the detection of branches of the external carotid artery that are relevant host vessels for microsurgery (p = 0.118). CTA was superior to MRA if all the external carotid artery branches were included (p < 0.001). Conclusions MRA is a reliable alternative to CTA in vascular mapping of the cervical vasculature for planning of microvascular reconstruction of the mandible. In the setting of whole-body MRA it could serve as a radiation free one-stop-shop tool for preoperative assessment of the arterial system, potentially covering both, the donor and host site in one single examination. PMID:24884580

  5. Early Experience Studying Cerebral Aneurysms with Rotational and Three-dimensional Angiography and Review of CT and MR Angiography Literature

    PubMed Central

    Castaño-Duque, C.H.; Ruscalleda-Nadal, J.; De Juan-Delago, M.; Guardia-Mas, E.; San Roman-Manzanera, L.; Bartomeus-Jene, F.; Molet-Teixido, J.; Tresserras-Ribo, P.; Pares-Muñoz, P.; Clavel Laria, P.

    2002-01-01

    Summary From september 2000 to september 2001, 32 consecutive patients with ruptured intracranial aneurysms were examined with rotational and 3D reconstruction angiography using an Integris V5000 Philips Medical System: 39 aneurysms were detected. After a selective cerebral artery was catheterized with a 5F or 4F-catheter, 35 ml of contrast medium was intra-arterially administered at a rate of 4 ml/s and a 180° rotational angiography was performed in eight seconds. This information was transferred to a computer (Silicon Graphics Octane) with software (Integris 3D-RA, Philips Integris Systems) and a three-dimensional reconstruction was made. The information provided by Angio-3D was useful for evaluating the parent artery, aneurysmal sac, aneurysmal neck and arterial branches. It was also very useful in selecting the therapeutic method. For open surgery, this technique provides preoperative images that are useful for planning microsurgical approaches, especially in cases of large aneurysm showing complex surrounding arteries. For endovascular embolization, various anatomic characteristics of the aneurysm such as neck and sac size, shape, lobularity, parent artery and arterial branches adjacent to the aneurysmal neck must be demonstrated. This is very important to determine the best projection for embolization and to avoid multiple series. This is also essential in the choice of the first coil to create a good basket producing total occlusion. Microaneurysms are demonstrated well with this technique whereas this is difficult to do with conventional arteriography. The Angio-RM and Angio-CT literature show a lower sensitivity and specificity in comparasion with our experience with 3D IA-ROT-DSA. For this reason, we believe that 3D IA-ROT-DSA is now the gold standard for patients presenting intracranial aneurysms. PMID:20594499

  6. Non-diagnostic coronary artery calcification and stenosis: a correlation of coronary computed tomography angiography and invasive coronary angiography.

    PubMed

    Engel, Leif-Christopher; Thai, Wai-Ee; Medina-Zuluaga, Hector; Karolyi, Mihaly; Sidhu, Manavjot S; Maurovich-Horvat, Pal; Margey, Ronan; Pomerantsev, Eugene; Abbara, Suhny; Ghoshhajra, Brian B; Hoffmann, Udo; Liew, Gary Y

    2016-01-01

    Background Heavy coronary artery calcification (CAC) impairs diagnostic accuracy of coronary computed tomography angiography (cCTA) and is considered to be a major limitation. Purpose To investigate the effect of non-evaluable CAC seen on cCTA on clinical decision-making by determining the degree of subsequent invasive testing and to assess the relationship between non-evaluable segments containing CAC and significant stenosis as seen in invasive coronary angiography (ICA). Material and Methods The study comprised of 356 patients who underwent cCTA and subsequent ICA within 2 months between 2005 and 2009. Clinical reports were reviewed to identify the indications for referral to ICA. In a subset of 68 patients where non-diagnostic CAC on cCTA and significant stenosis on ICA were present in the same segment, we correlated and analyzed the underlying stenosis severity of the lesion on ICA to the cCTA. Lesions with CAC were analyzed in a standardized fashion by application of reading rules. Results Non-diagnostic CAC on cCTA prompted ICA in 5.6% of patients. CAC occurred at the site of maximum stenosis in segments with stenosis <50% (95.9% [47/49]), 50-69% (82.4% [28/34]), 70-99% (64.5% [31/48]), and 100% (33.3% [1/3]). At the point of maximum calcium deposit, non-obstructive disease was present in 61.2%. Application of reading rules resulted in a 44% reduction in non-diagnostic cCTA reads. Conclusion Severe CAC may prompt further investigation with ICA. There is less CAC with increasing lesion severity at the point of maximum stenosis. Additional application of reading rules improved non-diagnostic cCTA reads.

  7. Monitoring of health care personnel employee and occupational health immunization program practices in the United States.

    PubMed

    Carrico, Ruth M; Sorrells, Nikka; Westhusing, Kelly; Wiemken, Timothy

    2014-01-01

    Recent studies have identified concerns with various elements of health care personnel immunization programs, including the handling and management of the vaccine. The purpose of this study was to assess monitoring processes that support evaluation of the care of vaccines in health care settings. An 11-question survey instrument was developed for use in scripted telephone surveys. State health departments in all 50 states in the United States and the District of Columbia were the target audience for the surveys. Data from a total of 47 states were obtained and analyzed. No states reported an existing monitoring process for evaluation of health care personnel immunization programs in their states. Our assessment indicates that vaccine evaluation processes for health care facilities are rare to nonexistent in the United States. Identifying existing practice gaps and resultant opportunities for improvements may be an important safety initiative that protects patients and health care personnel.

  8. Risk Factors for Middle East Respiratory Syndrome Coronavirus Infection among Healthcare Personnel

    PubMed Central

    Alraddadi, Basem M.; Al-Salmi, Hanadi S.; Jacobs-Slifka, Kara; Slayton, Rachel B.; Estivariz, Concepcion F.; Geller, Andrew I.; Al-Turkistani, Hanan H.; Al-Rehily, Sanaa S.; Alserehi, Haleema A.; Wali, Ghassan Y.; Alshukairi, Abeer N.; Azhar, Esam I.; Haynes, Lia; Swerdlow, David L.; Jernigan, John A.

    2016-01-01

    Healthcare settings can amplify transmission of Middle East respiratory syndrome coronavirus (MERS-CoV), but knowledge gaps about the epidemiology of transmission remain. We conducted a retrospective cohort study among healthcare personnel in hospital units that treated MERS-CoV patients. Participants were interviewed about exposures to MERS-CoV patients, use of personal protective equipment, and signs and symptoms of illness after exposure. Infection status was determined by the presence of antibodies against MERS-CoV. To assess risk factors, we compared infected and uninfected participants. Healthcare personnel caring for MERS-CoV patients were at high risk for infection, but infection most often resulted in a relatively mild illness that might be unrecognized. In the healthcare personnel cohort reported here, infections occurred exclusively among those who had close contact with MERS-CoV patients. PMID:27767011

  9. 36 CFR 902.56 - Protection of personal privacy.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... privacy. 902.56 Section 902.56 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT... Protection of personal privacy. (a) Any of the following personnel, medical, or similar records is within the... invasion of his personal privacy: (1) Personnel and background records personal to any officer or...

  10. 36 CFR 902.56 - Protection of personal privacy.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... privacy. 902.56 Section 902.56 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT... Protection of personal privacy. (a) Any of the following personnel, medical, or similar records is within the... invasion of his personal privacy: (1) Personnel and background records personal to any officer or...

  11. 36 CFR 902.56 - Protection of personal privacy.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 3 2013-07-01 2012-07-01 true Protection of personal privacy... personal privacy. (a) Any of the following personnel, medical, or similar records is within the statutory... personal privacy: (1) Personnel and background records personal to any officer or employee of...

  12. 36 CFR 902.56 - Protection of personal privacy.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... privacy. 902.56 Section 902.56 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT... Protection of personal privacy. (a) Any of the following personnel, medical, or similar records is within the... invasion of his personal privacy: (1) Personnel and background records personal to any officer or...

  13. 36 CFR 902.56 - Protection of personal privacy.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... privacy. 902.56 Section 902.56 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT... Protection of personal privacy. (a) Any of the following personnel, medical, or similar records is within the... invasion of his personal privacy: (1) Personnel and background records personal to any officer or...

  14. 49 CFR 193.2511 - Personnel safety.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 3 2012-10-01 2012-10-01 false Personnel safety. 193.2511 Section 193.2511 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY LIQUEFIED NATURAL GAS...

  15. 49 CFR 193.2511 - Personnel safety.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Personnel safety. 193.2511 Section 193.2511 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY LIQUEFIED NATURAL GAS...

  16. 49 CFR 193.2511 - Personnel safety.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Personnel safety. 193.2511 Section 193.2511 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY LIQUEFIED NATURAL GAS...

  17. 49 CFR 193.2511 - Personnel safety.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 3 2013-10-01 2013-10-01 false Personnel safety. 193.2511 Section 193.2511 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY LIQUEFIED NATURAL GAS...

  18. 10 CFR 36.55 - Personnel monitoring.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Personnel monitoring. 36.55 Section 36.55 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR IRRADIATORS Operation of Irradiators... requirements of this paragraph, a check of their response to radiation must be done at least...

  19. 10 CFR 36.55 - Personnel monitoring.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Personnel monitoring. 36.55 Section 36.55 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR IRRADIATORS Operation of Irradiators... requirements of this paragraph, a check of their response to radiation must be done at least...

  20. 10 CFR 36.55 - Personnel monitoring.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Personnel monitoring. 36.55 Section 36.55 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR IRRADIATORS Operation of Irradiators... requirements of this paragraph, a check of their response to radiation must be done at least...

  1. 10 CFR 36.55 - Personnel monitoring.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Personnel monitoring. 36.55 Section 36.55 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR IRRADIATORS Operation of Irradiators... requirements of this paragraph, a check of their response to radiation must be done at least...

  2. 10 CFR 36.55 - Personnel monitoring.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Personnel monitoring. 36.55 Section 36.55 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR IRRADIATORS Operation of Irradiators... requirements of this paragraph, a check of their response to radiation must be done at least...

  3. Establishing Competence: Qualification of Power Plant Personnel.

    ERIC Educational Resources Information Center

    Chapman, Colin R.

    1992-01-01

    Discusses the International Atomic Energy Agency's definition of competence for nuclear power plant operations personnel, how competence can be identified with intellectual, physical, and psychological attributes, how levels of competence are determined, how education, training, and experience establish competence, objectives and costs of training…

  4. Evaluation of Computer Center Professional Personnel.

    ERIC Educational Resources Information Center

    LeDuc, Albert L., Jr.

    1985-01-01

    Managers within the computing services environment face interesting management challenges, including technological change. A manager is required to exercise judgment to ensure that people understand organizational performance standards. Correct evaluation is the most crucial part of personnel management. (Author/MLW)

  5. A Training Program for Unlicensed Assistive Personnel

    ERIC Educational Resources Information Center

    Gursky, Beverly S.; Ryser, Barbara J.

    2007-01-01

    In many school districts, school nurses are assigned multiple schools with responsibility for the health care needs of all students at those schools. Because they cannot be physically present at all sites simultaneously, it is necessary to delegate tasks to unlicensed assistive personnel (UAP). Educating and supervising UAP are critical steps in…

  6. 29 CFR 1917.27 - Personnel.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 7 2013-07-01 2013-07-01 false Personnel. 1917.27 Section 1917.27 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED... hearing, or to be suffering from heart disease, epilepsy, or similar ailments that may...

  7. 14 CFR 91.1049 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... operations on program aircraft flight crews meeting § 91.1053 criteria and qualified under the appropriate... (either directly or by contract) an adequate number of pilots per program aircraft. Flight crew staffing... scheduling or flight release personnel are on duty to schedule and release program aircraft during all...

  8. 14 CFR 91.1049 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... operations on program aircraft flight crews meeting § 91.1053 criteria and qualified under the appropriate... (either directly or by contract) an adequate number of pilots per program aircraft. Flight crew staffing... scheduling or flight release personnel are on duty to schedule and release program aircraft during all...

  9. 14 CFR 91.1049 - Personnel.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... operations on program aircraft flight crews meeting § 91.1053 criteria and qualified under the appropriate... (either directly or by contract) an adequate number of pilots per program aircraft. Flight crew staffing... scheduling or flight release personnel are on duty to schedule and release program aircraft during all...

  10. 14 CFR 91.1049 - Personnel.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... operations on program aircraft flight crews meeting § 91.1053 criteria and qualified under the appropriate... (either directly or by contract) an adequate number of pilots per program aircraft. Flight crew staffing... scheduling or flight release personnel are on duty to schedule and release program aircraft during all...

  11. 14 CFR 91.1049 - Personnel.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... operations on program aircraft flight crews meeting § 91.1053 criteria and qualified under the appropriate... (either directly or by contract) an adequate number of pilots per program aircraft. Flight crew staffing... scheduling or flight release personnel are on duty to schedule and release program aircraft during all...

  12. 44 CFR 312.5 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SECURITY PREPAREDNESS USE OF CIVIL DEFENSE PERSONNEL, MATERIALS, AND FACILITIES FOR NATURAL DISASTER... of specific programs, through payment of salaries and benefits of State and local civil defense staff... from attack-related civil defense preparedness: (a) In developing, maintaining, testing and...

  13. 44 CFR 312.5 - Personnel.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SECURITY PREPAREDNESS USE OF CIVIL DEFENSE PERSONNEL, MATERIALS, AND FACILITIES FOR NATURAL DISASTER... of specific programs, through payment of salaries and benefits of State and local civil defense staff... from attack-related civil defense preparedness: (a) In developing, maintaining, testing and...

  14. 44 CFR 312.5 - Personnel.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SECURITY PREPAREDNESS USE OF CIVIL DEFENSE PERSONNEL, MATERIALS, AND FACILITIES FOR NATURAL DISASTER... of specific programs, through payment of salaries and benefits of State and local civil defense staff... from attack-related civil defense preparedness: (a) In developing, maintaining, testing and...

  15. 44 CFR 312.5 - Personnel.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... PREPAREDNESS USE OF CIVIL DEFENSE PERSONNEL, MATERIALS, AND FACILITIES FOR NATURAL DISASTER PURPOSES § 312.5... programs, through payment of salaries and benefits of State and local civil defense staff, and the payment...-related civil defense preparedness: (a) In developing, maintaining, testing and exercising plans,...

  16. 44 CFR 312.5 - Personnel.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SECURITY PREPAREDNESS USE OF CIVIL DEFENSE PERSONNEL, MATERIALS, AND FACILITIES FOR NATURAL DISASTER... of specific programs, through payment of salaries and benefits of State and local civil defense staff... from attack-related civil defense preparedness: (a) In developing, maintaining, testing and...

  17. Personnel radiation dosimetry symposium: program and abstracts

    SciTech Connect

    Not Available

    1984-10-01

    The purpose was to provide applied and research dosimetrists with sufficient information to evaluate the status and direction of their programs relative to the latest guidelines and techniques. A technical program was presented concerning experience, requirements, and advances in gamma, beta, and neutron personnel dosimetry.

  18. 21 CFR 113.10 - Personnel.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 2 2012-04-01 2012-04-01 false Personnel. 113.10 Section 113.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION THERMALLY PROCESSED LOW-ACID FOODS PACKAGED IN HERMETICALLY SEALED CONTAINERS General...

  19. 21 CFR 113.10 - Personnel.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 2 2011-04-01 2011-04-01 false Personnel. 113.10 Section 113.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION THERMALLY PROCESSED LOW-ACID FOODS PACKAGED IN HERMETICALLY SEALED CONTAINERS General...

  20. 21 CFR 113.10 - Personnel.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 2 2013-04-01 2013-04-01 false Personnel. 113.10 Section 113.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION THERMALLY PROCESSED LOW-ACID FOODS PACKAGED IN HERMETICALLY SEALED CONTAINERS General...