Respectful Alignment of Programs as a Possible Factor in Remedial Writers' Pass Rates
ERIC Educational Resources Information Center
McDonald, Mary
2017-01-01
For over four years, students enrolled in remedial writing classes who attended eight writing center tutorials directly linked to their assignments had an average pass rate of 95.6 percent, whereas students who did not attend any writing center tutorials had an average pass rate of 39.4 percent. These correlations are just that--correlations that…
SU-F-T-301: Planar Dose Pass Rate Inflation Due to the MapCHECK Measurement Uncertainty Function
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bailey, D; Spaans, J; Kumaraswamy, L
Purpose: To quantify the effect of the Measurement Uncertainty function on planar dosimetry pass rates, as analyzed with Sun Nuclear Corporation analytic software (“MapCHECK” or “SNC Patient”). This optional function is toggled on by default upon software installation, and automatically increases the user-defined dose percent difference (%Diff) tolerance for each planar dose comparison. Methods: Dose planes from 109 IMRT fields and 40 VMAT arcs were measured with the MapCHECK 2 diode array, and compared to calculated planes from a commercial treatment planning system. Pass rates were calculated within the SNC analytic software using varying calculation parameters, including Measurement Uncertainty onmore » and off. By varying the %Diff criterion for each dose comparison performed with Measurement Uncertainty turned off, an effective %Diff criterion was defined for each field/arc corresponding to the pass rate achieved with MapCHECK Uncertainty turned on. Results: For 3%/3mm analysis, the Measurement Uncertainty function increases the user-defined %Diff by 0.8–1.1% average, depending on plan type and calculation technique, for an average pass rate increase of 1.0–3.5% (maximum +8.7%). For 2%, 2 mm analysis, the Measurement Uncertainty function increases the user-defined %Diff by 0.7–1.2% average, for an average pass rate increase of 3.5–8.1% (maximum +14.2%). The largest increases in pass rate are generally seen with poorly-matched planar dose comparisons; the MapCHECK Uncertainty effect is markedly smaller as pass rates approach 100%. Conclusion: The Measurement Uncertainty function may substantially inflate planar dose comparison pass rates for typical IMRT and VMAT planes. The types of uncertainties incorporated into the function (and their associated quantitative estimates) as described in the software user’s manual may not accurately estimate realistic measurement uncertainty for the user’s measurement conditions. Pass rates listed in published reports or otherwise compared to the results of other users or vendors should clearly indicate whether the Measurement Uncertainty function is used.« less
Li, Guangjun; Wu, Kui; Peng, Guang; Zhang, Yingjie; Bai, Sen
2014-01-01
Volumetric-modulated arc therapy (VMAT) is now widely used clinically, as it is capable of delivering a highly conformal dose distribution in a short time interval. We retrospectively analyzed patient-specific quality assurance (QA) of VMAT and examined the relationships between the planning parameters and the QA results. A total of 118 clinical VMAT cases underwent pretreatment QA. All plans had 3-dimensional diode array measurements, and 69 also had ion chamber measurements. Dose distribution and isocenter point dose were evaluated by comparing the measurements and the treatment planning system (TPS) calculations. In addition, the relationship between QA results and several planning parameters, such as dose level, control points (CPs), monitor units (MUs), average field width, and average leaf travel, were also analyzed. For delivered dose distribution, a gamma analysis passing rate greater than 90% was obtained for all plans and greater than 95% for 100 of 118 plans with the 3%/3-mm criteria. The difference (mean ± standard deviation) between the point doses measured by the ion chamber and those calculated by TPS was 0.9% ± 2.0% for all plans. For all cancer sites, nasopharyngeal carcinoma and gastric cancer have the lowest and highest average passing rates, respectively. From multivariate linear regression analysis, the dose level (p = 0.001) and the average leaf travel (p < 0.001) showed negative correlations with the passing rate, and the average field width (p = 0.003) showed a positive correlation with the passing rate, all indicating a correlation between the passing rate and the plan complexity. No statistically significant correlation was found between MU or CP and the passing rate. Analysis of the results of dosimetric pretreatment measurements as a function of VMAT plan parameters can provide important information to guide the plan parameter setting and optimization in TPS. Copyright © 2014 American Association of Medical Dosimetrists. Published by Elsevier Inc. All rights reserved.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Li, Guangjun; Wu, Kui; Peng, Guang
2014-01-01
Volumetric-modulated arc therapy (VMAT) is now widely used clinically, as it is capable of delivering a highly conformal dose distribution in a short time interval. We retrospectively analyzed patient-specific quality assurance (QA) of VMAT and examined the relationships between the planning parameters and the QA results. A total of 118 clinical VMAT cases underwent pretreatment QA. All plans had 3-dimensional diode array measurements, and 69 also had ion chamber measurements. Dose distribution and isocenter point dose were evaluated by comparing the measurements and the treatment planning system (TPS) calculations. In addition, the relationship between QA results and several planning parameters,more » such as dose level, control points (CPs), monitor units (MUs), average field width, and average leaf travel, were also analyzed. For delivered dose distribution, a gamma analysis passing rate greater than 90% was obtained for all plans and greater than 95% for 100 of 118 plans with the 3%/3-mm criteria. The difference (mean ± standard deviation) between the point doses measured by the ion chamber and those calculated by TPS was 0.9% ± 2.0% for all plans. For all cancer sites, nasopharyngeal carcinoma and gastric cancer have the lowest and highest average passing rates, respectively. From multivariate linear regression analysis, the dose level (p = 0.001) and the average leaf travel (p < 0.001) showed negative correlations with the passing rate, and the average field width (p = 0.003) showed a positive correlation with the passing rate, all indicating a correlation between the passing rate and the plan complexity. No statistically significant correlation was found between MU or CP and the passing rate. Analysis of the results of dosimetric pretreatment measurements as a function of VMAT plan parameters can provide important information to guide the plan parameter setting and optimization in TPS.« less
Colletti, Thomas P; Salisbury, Helen; Hertelendy, Attila J; Tseng, Tina
2016-03-01
This study was conducted to examine the relationship between physician assistant (PA) educational program length and PA programs' 5-year average Physician Assistant National Certifying Examination (PANCE) first-time pass rates. This was a retrospective correlational study that analyzed previously collected data from a nonprobability purposive sample of accredited PA program Web sites. Master's level PA programs (n = 108) in the United States with published average PANCE scores for 5 consecutive classes were included. Provisional and probationary programs were excluded (n = 4). Study data were not normally distributed per the Kolmogorov-Smirnov test, P = .00. There was no relationship between program length and PANCE pass rates, ρ (108) = -0.04, P = .68. Further analyses examining a possible relationship between program phase length (didactic and clinical) and PANCE pass rates also demonstrated no differences (ρ [107] = -0.05, P = .60 and ρ [107] = 0.02, P = .80, respectively). The results of this study suggest that shorter length PA programs perform similarly to longer programs in preparing students to pass the PANCE. In light of rapid expansion of PA educational programs, educators may want to consider these findings when planning the length of study for new and established programs.
Statistical variability and confidence intervals for planar dose QA pass rates
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bailey, Daniel W.; Nelms, Benjamin E.; Attwood, Kristopher
Purpose: The most common metric for comparing measured to calculated dose, such as for pretreatment quality assurance of intensity-modulated photon fields, is a pass rate (%) generated using percent difference (%Diff), distance-to-agreement (DTA), or some combination of the two (e.g., gamma evaluation). For many dosimeters, the grid of analyzed points corresponds to an array with a low areal density of point detectors. In these cases, the pass rates for any given comparison criteria are not absolute but exhibit statistical variability that is a function, in part, on the detector sampling geometry. In this work, the authors analyze the statistics ofmore » various methods commonly used to calculate pass rates and propose methods for establishing confidence intervals for pass rates obtained with low-density arrays. Methods: Dose planes were acquired for 25 prostate and 79 head and neck intensity-modulated fields via diode array and electronic portal imaging device (EPID), and matching calculated dose planes were created via a commercial treatment planning system. Pass rates for each dose plane pair (both centered to the beam central axis) were calculated with several common comparison methods: %Diff/DTA composite analysis and gamma evaluation, using absolute dose comparison with both local and global normalization. Specialized software was designed to selectively sample the measured EPID response (very high data density) down to discrete points to simulate low-density measurements. The software was used to realign the simulated detector grid at many simulated positions with respect to the beam central axis, thereby altering the low-density sampled grid. Simulations were repeated with 100 positional iterations using a 1 detector/cm{sup 2} uniform grid, a 2 detector/cm{sup 2} uniform grid, and similar random detector grids. For each simulation, %/DTA composite pass rates were calculated with various %Diff/DTA criteria and for both local and global %Diff normalization techniques. Results: For the prostate and head/neck cases studied, the pass rates obtained with gamma analysis of high density dose planes were 2%-5% higher than respective %/DTA composite analysis on average (ranging as high as 11%), depending on tolerances and normalization. Meanwhile, the pass rates obtained via local normalization were 2%-12% lower than with global maximum normalization on average (ranging as high as 27%), depending on tolerances and calculation method. Repositioning of simulated low-density sampled grids leads to a distribution of possible pass rates for each measured/calculated dose plane pair. These distributions can be predicted using a binomial distribution in order to establish confidence intervals that depend largely on the sampling density and the observed pass rate (i.e., the degree of difference between measured and calculated dose). These results can be extended to apply to 3D arrays of detectors, as well. Conclusions: Dose plane QA analysis can be greatly affected by choice of calculation metric and user-defined parameters, and so all pass rates should be reported with a complete description of calculation method. Pass rates for low-density arrays are subject to statistical uncertainty (vs. the high-density pass rate), but these sampling errors can be modeled using statistical confidence intervals derived from the sampled pass rate and detector density. Thus, pass rates for low-density array measurements should be accompanied by a confidence interval indicating the uncertainty of each pass rate.« less
Is USMLE Step 1 score a valid predictor of success in surgical residency?
Sutton, Erica; Richardson, James David; Ziegler, Craig; Bond, Jordan; Burke-Poole, Molly; McMasters, Kelly M
2014-12-01
Many programs rely extensively on United States Medical Licensing Examination (USMLE) scores for interviews/selection of surgical residents. However, their predictive ability remains controversial. We examined the association between USMLE scores and success in surgical residency. We compared USMLE scores for 123 general surgical residents who trained in the past 20 years and their performance evaluation. Scores were normalized to the mean for the testing year and expressed as a ratio (1 = mean). Performances were evaluated by (1) rotation evaluations; (2) "dropouts;" (3) overall American Board of Surgery pass rate; (4) first-time American Board of Surgery pass rate; and (5) a retrospective comprehensive faculty evaluation. For the latter, 16 surgeons (average faculty tenure 22 years) rated residents on a 1 to 4 score (1 = fair; 4 = excellent). Rotation evaluations by faculty and "drop out" rates were not associated with USMLE score differences (dropouts had average above the mean). One hundred percent of general surgery practitioners achieved board certification regardless of USMLE score but trainees with an average above the mean had a higher first-time pass rate (P = .04). Data from the comprehensive faculty evaluations were conflicting: there was a moderate degree of correlation between board scores and faculty evaluations (r = .287, P = .001). However, a score above the mean was associated with a faculty ranking of 3 to 4 in only 51.7% of trainees. Higher USMLE scores were associated with higher faculty evaluations and first-time board pass rates. However, their positive predictive value was only 50% for higher faculty evaluations and a high overall board pass rate can be achieved regardless of USMLE scores. USMLE Step 1 score is a valid tool for selecting residents but caution might be indicated in using it as a single selection factor. Copyright © 2014 Elsevier Inc. All rights reserved.
ERIC Educational Resources Information Center
Das, Prasun; Mukherjee, Srabanti; Roy, Suprabir Dutta
2016-01-01
Historically low average pass rate has been a perennial challenge for the universities and provincialised colleges in the North-Eastern states of India (Assam, Meghalaya, Mizoram, Nagaland, Tripura, Manipur and Arunachal Pradesh). Pass rate refers to the proportion of students promoted from one semester to the next and also the proportion of…
NASA Astrophysics Data System (ADS)
Nottingham, Mary E.
The purpose of this study was to investigate the impact of a 2-year professional development model in math and science on the self-efficacy of the teacher and its effects on teacher practice and student outcomes. Further, this study sought to incorporate the instructional use of Inquiry-Based Learning methods of Problem-Based Learning, Japanese Lesson Study, and Action Research. Additionally, this study examined the impacts of these interventions on teacher efficacy and student outcomes. Thirty-eight collaborating participants were purposefully selected by the Math and Science Teacher Academy (MASTA) project grant co-directors because of their content-focused classrooms of mathematics and science. This quasi-experimental study included mathematics and science in-service teachers working on their masters in education. The 2-year, bi-monthly professional development model included collaborating Inquiry-Based Learning communities with in-depth focus on Japanese Lesson Study, Problem-Based Learning instruction, and Action Research. A chi-square analysis was conducted by grade on the difference in passing rate from the Texas Assessment of Knowledge and Skills mathematics and science tests between the MASTA participants and the state passing average. In mathematics there were significant v differences only at grades 3 and 7 where the state passing average was significantly higher than the MASTA students' passing rate. Only at grade 5 was the MASTA students' passing rate higher than the state, but the difference was not significantly different. The science passing rate received from three grade 5 MASTA participants was compared to the state average and a chi-squared was conducted. Although the passing rate for the grade 5 science test was 6% higher for MASTA student that the state, the difference was not statistically significant. However, after analyzing the qualitative participant responses from data gathered during the 2-year MASTA grant the data clearly reflected that teachers participating in the MASTA grant felt the professional development helped to improve their own teacher-efficacy and knowledge in their content areas.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wang, J; Peng, J; Xie, J
2015-06-15
Purpose: The purpose of this study is to investigate the sensitivity of the planar quality assurance to MLC errors with different beam complexities in intensity-modulate radiation therapy. Methods: sixteen patients’ planar quality assurance (QA) plans in our institution were enrolled in this study, including 10 dynamic MLC (DMLC) IMRT plans measured by Portal Dosimetry and 6 static MLC (SMLC) IMRT plans measured by Mapcheck. The gamma pass rate was calculated using vender’s software. The field numbers were 74 and 40 for DMLC and SMLC, respectively. A random error was generated and introduced to these fields. The modified gamma pass ratemore » was calculated by comparing the original measured fluence and modified fields’ fluence. A decreasing gamma pass rate was acquired using the original gamma pass rate minus the modified gamma pass rate. Eight complexity scores were calculated in MATLAB based on the fluence and MLC sequence of these fields. The complexity scores include fractal dimension, monitor unit of field, modulation index, fluence map complexity, weighted average of field area, weighted average of field perimeter, and small aperture ratio ( <5cm{sup 2} and <50cm{sup 2}). The Spearman’s rank correlation coefficient was implemented to analyze the correlation between these scores and decreasing gamma rate. Results: The relation between the decreasing gamma pass rate and field complexity was insignificant for most complexity scores. The most significant complexity score was fluence map complexity for SMLC, which have ρ =0.4274 (p-value=0.0063). For DMLC, the most significant complex score was fractal dimension, which have ρ=−0.3068 (p-value=0.0081). Conclusions: According to the primarily Result of this study, the sensitivity gamma pass rate was not strongly relate to the field complexity.« less
ERIC Educational Resources Information Center
Everett, Katherine E.
2013-01-01
Purpose. The purpose of this replication study was to describe the extent to which seven collaborative behaviors were demonstrated by general education teachers assigned students with disabilities, education specialists, and their administrators in selected California high schools that exceeded the state average pass rate for 10th-grade students…
ERIC Educational Resources Information Center
García, Rolando; Morales, Juan C.; Rivera, Gloribel
2014-01-01
This paper describes a highly successful peer tutoring program that has resulted in an improvement in the passing rates of mathematics placement exams from 16% to 42%, on average. Statistical analyses were conducted using a Chi-Squared (?[superscript 2]) test for independence and the results were statistically significant (p-value much less than…
Yao, Ruan; Li-Ying, Wang; Ting-Jun, Zhu; Men-Bao, Qian; Chun-Li, Cao; Yu-Wan, Hao; Tian, Tian; Shi-Zhu, Li
2017-03-01
To assess the theoretical knowledge and practical skills of parasitic diseases among technicians from disease control and prevention institutions. The Assessment on National Parasitic Disease Control and Prevention Techniques was organized in September, 2015. Together, 124 subjects from disease control and prevention institutions at province, prefecture or county levels in 31 provinces joined the assessment. A database was built consisting of subjects' basic information and assessment scores. Statistical analysis was used to analyze the scores by gender, age, professional title, institutions and places of participants. The average total score of all the subjects was 123.3, with a passing rate of 57.3%. The average scores of male subjects (48 subjects) and female subjects (76 subjects) were 125.9 and 121.7 respectively; the average scores of the subjects aged under 30 years (57 subjects), between 30 and 40 years (61 subjects) and above 40 years (6 subjects) were 119.6, 128.1 and 111.2 respectively; the average scores of persons with junior (94 subjects), intermediate (28 subjects) and senior (2 subjects) professional titles were 119.2, 135.9 and 140.5 respectively. The average theoretical assessment score of all the subjects was 61.9, with a passing rate of 62.9%. The average practical skill assessment score of all the subjects was 61.4, with a passing rate of 58.1%. The theoretical assessment results range widely. The theoretical knowledge results of technicians from disease control and prevention institutions are low in general. Therefore, the specific training based on daily work needs to be enhanced.
Sun, Jun; Duan, Yizhou; Li, Jiangtao; Liu, Jiaying; Guo, Zongming
2013-01-01
In the first part of this paper, we derive a source model describing the relationship between the rate, distortion, and quantization steps of the dead-zone plus uniform threshold scalar quantizers with nearly uniform reconstruction quantizers for generalized Gaussian distribution. This source model consists of rate-quantization, distortion-quantization (D-Q), and distortion-rate (D-R) models. In this part, we first rigorously confirm the accuracy of the proposed source model by comparing the calculated results with the coding data of JM 16.0. Efficient parameter estimation strategies are then developed to better employ this source model in our two-pass rate control method for H.264 variable bit rate coding. Based on our D-Q and D-R models, the proposed method is of high stability, low complexity and is easy to implement. Extensive experiments demonstrate that the proposed method achieves: 1) average peak signal-to-noise ratio variance of only 0.0658 dB, compared to 1.8758 dB of JM 16.0's method, with an average rate control error of 1.95% and 2) significant improvement in smoothing the video quality compared with the latest two-pass rate control method.
Brown, David C; Singley, Joseph M; Kowalewski, Katie; Guelzow, James; Vitali, Victoria
2010-11-22
We report what we believe to be record performance for a high average power Yb:YAG cryogenic laser system with sustained output power. In a CW oscillator-single-pass amplifier configuration, 963 W of output power was measured. In a second configuration, a two amplifier Yb:YAG cryogenic system was driven with a fiber laser picosecond ultrafast oscillator at a 50 MHz repetition rate, double-passed through the first amplifier and single-passed through the second, resulting in 758 W of average power output. Pulses exiting the system have a FWHM pulsewidth of 12.4 ps, an energy/pulse of 15.2 μJ, and a peak power of 1.23 MW. Both systems are force convection-cooled with liquid nitrogen and have been demonstrated to run reliably over long time periods.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Knill, C; Wayne State University School of Medicine, Detroit, MI; Snyder, M
Purpose: PTW’s Octavius 1000 SRS array performs IMRT QA measurements with liquid filled ionization chambers (LICs). Collection efficiencies of LICs have been shown to change during IMRT delivery as a function of LINAC pulse frequency and pulse dose, which affects QA results. In this study, two methods were developed to correct changes in collection efficiencies during IMRT QA measurements, and the effects of these corrections on QA pass rates were compared. Methods: For the first correction, Matlab software was developed that calculates pulse frequency and pulse dose for each detector, using measurement and DICOM RT Plan files. Pulse information ismore » converted to collection efficiency and measurements are corrected by multiplying detector dose by ratios of calibration to measured collection efficiencies. For the second correction, MU/min in daily 1000 SRS calibration was chosen to match average MU/min of the VMAT plan. Usefulness of derived corrections were evaluated using 6MV and 10FFF SBRT RapidArc plans delivered to the OCTAVIUS 4D system using a TrueBeam equipped with an HD- MLC. Effects of the two corrections on QA results were examined by performing 3D gamma analysis comparing predicted to measured dose, with and without corrections. Results: After complex Matlab corrections, average 3D gamma pass rates improved by [0.07%,0.40%,1.17%] for 6MV and [0.29%,1.40%,4.57%] for 10FFF using [3%/3mm,2%/2mm,1%/1mm] criteria. Maximum changes in gamma pass rates were [0.43%,1.63%,3.05%] for 6MV and [1.00%,4.80%,11.2%] for 10FFF using [3%/3mm,2%/2mm,1%/1mm] criteria. On average, pass rates of simple daily calibration corrections were within 1% of complex Matlab corrections. Conclusion: Ion recombination effects can potentially be clinically significant for OCTAVIUS 1000 SRS measurements, especially for higher pulse dose unflattened beams when using tighter gamma tolerances. Matching daily 1000 SRS calibration MU/min to average planned MU/min is a simple correction that greatly reduces ion recombination effects, improving measurements accuracy and gamma pass rates. This work was supported by PTW.« less
Poster - 22: Retrospective analysis of portal dosimetry based QA of Prostate VMAT Plans
DOE Office of Scientific and Technical Information (OSTI.GOV)
Badu, Shyam; Darko, Johnson; Fleck, Andre
2016-08-15
Purpose: The purpose of this study is to retrospectively analyze the portal dosimetry based quality assurance of prostate VMAT plans. Methods: Our standard quality assurance of VMAT treatment plans are performed using EPID installed on Varian TrueBeam Linac. In our current study we analyzed 84 prostate pretreatment VMAT plans. All plans consisted of two arcs, 7800cGy in 39 fractions with a 6MV beam. For each of these VMAT plans, the measured fluence for each arc is compared with the reference fluence using gamma index analysis. Results: We have compared the gamma passing rates for three criteria; 3%/3mm, 2%/2mm and 1%/1mm.more » Out of 168 arcs measured, the number below the gamma passing rate 95% using the area, Field+1cm, are 0, 2, and 124 for 3%/3mm, 2%/2mm and 1%/1mm criteria respectively. Corresponding numbers for MLC CIAO are 0, 2, and 139 respectively. The average gamma passing rate for all arcs measured using Field+1cm are 99.9±0.4, 99.6±1.2, and 90.9±6.5 for 3%/3mm, 2%/2mm and 1%/1mm respectively. Similarly if the MLC CIAO area is analyzed, a passing rate of 99.9±0.2, 99.2±1.2 and 87.2±8.5 respectively was observed. The average of the maximum gamma was also found to increase with tighter criteria. Conclusion: Analysis of prostate VMAT quality assurance plans indicate that the gamma passing rate is sensitive to the criteria and the area analyzed.« less
SU-F-T-271: Comparing IMRT QA Pass Rates Before and After MLC Calibration
DOE Office of Scientific and Technical Information (OSTI.GOV)
Mazza, A; Perrin, D; Fontenot, J
Purpose: To compare IMRT QA pass rates before and after an in-house MLC leaf calibration procedure. Methods: The MLC leaves and backup jaws on four Elekta linear accelerators with MLCi2 heads were calibrated using the EPID-based RIT Hancock Test as the means for evaluation. The MLCs were considered to be successfully calibrated when they could pass the Hancock Test with criteria of 1 mm jaw position tolerance, and 1 mm leaf position tolerance. IMRT QA results were collected pre- and postcalibration and analyzed using gamma analysis with 3%/3mm DTA criteria. AAPM TG-119 test plans were also compared pre- and post-calibration,more » at both 2%/2mm DTA and 3%/3mm DTA. Results: A weighted average was performed on the results for all four linear accelerators. The pre-calibration IMRT QA pass rate was 98.3 ± 0.1%, compared with the post-calibration pass rate of 98.5 ± 0.1%. The TG-119 test plan results showed more of an improvement, particularly at the 2%/2mm criteria. The averaged results were 89.1% pre and 96.1% post for the C-shape plan, 94.8% pre and 97.1% post for the multi-target plan, 98.6% pre and 99.7% post for the prostate plan, 94.7% pre and 94.8% post for the head/neck plan. Conclusion: The patient QA results did not show statistically significant improvement at the 3%/3mm DTA criteria after the MLC calibration procedure. However, the TG-119 test cases did show significant improvement at the 2%/2mm level.« less
Ajao, O G; Ajao, O O; Ugwu, B T; Yawe, Kdt; Ezeome, E R
2014-01-01
The general surgery results of the West African College of Surgeons (WACS) post-graduate fellowship examination could not be regarded as satisfactory when compared with the results of similar post-graduate examinations in some developed countries. For example the pass rate of the West African College of Surgeons examination was usually under 40% whereas the pass rate in oral examination in a similar post-graduate examination, the American Board of Surgery was 84% in 2006, 73% in 2012. The first time pass rate in general surgery of final year general surgery residents at the American Board of Surgery qualifying and certifying examinations were 74% - 78% between 2000 and 2007. To identify the factors responsible for the high failure rate at the general surgery fellowship examinations of the West African College of Surgeons. Descriptive study .We studied and analyzed the West African College of Surgeons examination results for April 2012, October 2012, April 2013 and October 2013 with emphasis on the results, the conduct of the examination and the opinion from fellows about the examiners. Well structured questionnaires were sent to fellows who had passed all the various fellowship examinations of the West African College of Surgeons in general surgery to indicate their opinion about the examination, and the examiners. University College Hospital, Ibadan, and Jos University Teaching Hospital, Jos, Nigeria. The first part of the study dealt with an analysis of each section of the examination prospectively studied over a 2-year period. This consisted of four sets of examination results. The second part was a questionnaire-based study administered to Fellows who had passed the WACS final fellowship examination in general surgery. The questionnaire had three sections: primary, part 1 and part 2 and included basic demographics, date at attempts in each grade of the examinations and the outcome. It also included the views of the respondents on the conduct of the examination and outcome. The data were analyzed using Microsoft Excel. A total of 720 candidates with age range of 28 - 39 years and a mean of 33.2 years sat for the Part 1 Fellowship examinations in 2012 and 2013 with an average of 180 candidate per examination. At the Part 2 fellowship examination, 84 candidates with the age range of 31 - 42 year and a mean of 36.5 years sat the Part 2 Fellowship examination with an average of 21 candidates for each Part 2 examination in general surgery during the same period. The examinations held in April and October of each year. While an average of 28.8% of the candidates passed, an average of 71.2% of the candidates failed the Part 1 Fellowship examinations in 2012 and 2013. The aggregate clinical score was responsible for failure in 59.5% of the candidates. In the Part 2 Fellowship examination in general surgery during the same period, 31.5% of the candidates passed while an average of 68.5% of the candidates failed per examination. The aggregate clinical score was responsible for 53.3% of the candidates who failed the Part 2 examination. Furthermore, 60 - 69.7% of the candidates had a favourable opinion about the conduct of the examination, 54.5 - 63.6% rated the professionalism of the examiners high, even though the pass rate at the first attempts of the various grades of the examination by the respondents was about 50 percent. The clinical part of the examination is a major factor responsible for the high failure rate in the general surgery fellowship examinations of the West African College of Surgeons. In order to mitigate this, residents in training should be exposed to the clinical management of a wide range of cases in the discipline with majority of the operations performed by them under the direct supervision of their consultants.
TU-G-BRD-05: Results From Multi-Institutional Measurements with An Anthropomorphic Spine Phantom
DOE Office of Scientific and Technical Information (OSTI.GOV)
Molineu, A; Hernandez, N; Alvarez, P
Purpose: To analyze the results from an anthropomorphic spine phantom used for credentialing institutions for National Cancer Institute (NCI) sponsored clinical trial. Methods: An anthropomorphic phantom that contains left and right lungs, a heart, an esophagus, spinal cord, bony material and a PTV was sent to institutions wishing to be credentialed for NCI trials. The PTV holds 4 TLD and radiochromic film in the axial and sagittal planes. The heart holds one TLD. Institutions created IMRT plans to cover ≥90% of the PTV with 6 Gy and limit the cord dose to <0.35cc receiving 3.75 Gy and <1.2cc receiving 2.63more » Gy. They were instructed to treat the phantom as they would a patient, including making plan specific IMRT/SBRT QA measurements before treatment. The TLD results in the PTV were required to be within ±7% of the plan dose. A gamma calculation was performed using the film results and the submitted DICOM plan. ≥85% of the analyzed region was required to pass a 5%/3 mm criteria. Results: 176 institutions irradiated the spine phantom for a total of 255 results. The pass rate was 73% (187 irradiations) overall. 44 irradiations failed only the gamma criteria, 2 failed only the dose criteria and 22 failed both. The most used planning systems were Eclipse (116) and Pinnacle (52) and they had pass rates of 76% and 71%, respectively. The AAA algorithm had a pass rate of 77% while superposition type algorithms had a 71% pass rate. The average TLD measurement to institution calculation ratio was 0.99 (0.04 std dev.). The average percent pixels passing the gamma criteria for films was 89% (12% std dev.) Conclusion: Results show that this phantom is an important part of credentialing and that we have room for improvement in IMRT/SBRT spine treatments. This work was supported by PHS CA180803 and CA037422 awarded by NCI, DHHS.« less
NASA Astrophysics Data System (ADS)
Grois, Dan; Marpe, Detlev; Nguyen, Tung; Hadar, Ofer
2014-09-01
The popularity of low-delay video applications dramatically increased over the last years due to a rising demand for realtime video content (such as video conferencing or video surveillance), and also due to the increasing availability of relatively inexpensive heterogeneous devices (such as smartphones and tablets). To this end, this work presents a comparative assessment of the two latest video coding standards: H.265/MPEG-HEVC (High-Efficiency Video Coding), H.264/MPEG-AVC (Advanced Video Coding), and also of the VP9 proprietary video coding scheme. For evaluating H.264/MPEG-AVC, an open-source x264 encoder was selected, which has a multi-pass encoding mode, similarly to VP9. According to experimental results, which were obtained by using similar low-delay configurations for all three examined representative encoders, it was observed that H.265/MPEG-HEVC provides significant average bit-rate savings of 32.5%, and 40.8%, relative to VP9 and x264 for the 1-pass encoding, and average bit-rate savings of 32.6%, and 42.2% for the 2-pass encoding, respectively. On the other hand, compared to the x264 encoder, typical low-delay encoding times of the VP9 encoder, are about 2,000 times higher for the 1-pass encoding, and are about 400 times higher for the 2-pass encoding.
Staffing Subsidies and the Quality of Care in Nursing Homes
Foster, Andrew D.; Lee, Yong Suk
2015-01-01
Concerns about the quality of state-financed nursing home care has led to the wide-scale adoption by states of pass-through subsidies, in which Medicaid reimbursement rates are directly tied to staffing expenditure. We examine the effects of Medicaid pass-through on nursing home staffing and quality of care by adapting a two-step FGLS method that addresses clustering and state-level temporal autocorrelation. We find that pass-through subsidies increases staffing by about 1% on average and 2.7% in nursing homes with a low share of Medicaid patients. Furthermore, pass-through subsidies reduce the incidences of pressure ulcer worsening by about 0.9%. PMID:25814437
Njeh, Christopher F; Salmon, Howard W; Schiller, Claire
2017-01-01
Intensity-modulated radiation therapy (IMRT) delivery using "step-and-shoot" technique on Varian C-Series linear accelerator (linac) is influenced by the communication frequency between the multileaf collimator and linac controllers. Hence, the dose delivery accuracy is affected by the dose rate. Our aim was to quantify the impact of using two dose rates on plan quality assurance (QA). Twenty IMRT patients were selected for this study. The plan QA was measured at two different dose rates. A gamma analysis was performed, and the degree of plan modulation on the QA pass rate was also evaluated in terms of average monitor unit per segment (MU/segment) and the total number of segments. The mean percentage gamma pass rate of 94.9% and 93.5% for 300 MU/min and 600 MU/min dose rate, respectively, was observed. There was a significant ( P = 0.001) decrease in percentage gamma pass rate when the dose rate was increased from 300 MU/min to 600 MU/min. There was a weak, but significant association between the percentage pass rate at both dose rate and total number of segments. The total number of MU was significantly correlated to the total number of segments ( r = 0.59). We found a positive correlation between the percentage pass rate and mean MU/segment, r = 0.52 and r = 0.57 for 300 MU/min and 600 MU/min, respectively. IMRT delivery using step-and-shoot technique on Varian 2300CD is impacted by the dose rate and the total amount of segments.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Mooney, K; Zhao, T; Green, O
Purpose: To assess the performance of the deformable image registration algorithm used for MRI-guided adaptive radiation therapy using image feature analysis. Methods: MR images were collected from five patients treated on the MRIdian (ViewRay, Inc., Oakwood Village, OH), a three head Cobalt-60 therapy machine with an 0.35 T MR system. The images were acquired immediately prior to treatment with a uniform 1.5 mm resolution. Treatment sites were as follows: head/neck, lung, breast, stomach, and bladder. Deformable image registration was performed using the ViewRay software between the first fraction MRI and the final fraction MRI, and the DICE similarity coefficient (DSC)more » for the skin contours was reported. The SIFT and Harris feature detection and matching algorithms identified point features in each image separately, then found matching features in the other image. The target registration error (TRE) was defined as the vector distance between matched features on the two image sets. Each deformation was evaluated based on comparison of average TRE and DSC. Results: Image feature analysis produced between 2000–9500 points for evaluation on the patient images. The average (± standard deviation) TRE for all patients was 3.3 mm (±3.1 mm), and the passing rate of TRE<3 mm was 60% on the images. The head/neck patient had the best average TRE (1.9 mm±2.3 mm) and the best passing rate (80%). The lung patient had the worst average TRE (4.8 mm±3.3 mm) and the worst passing rate (37.2%). DSC was not significantly correlated with either TRE (p=0.63) or passing rate (p=0.55). Conclusions: Feature matching provides a quantitative assessment of deformable image registration, with a large number of data points for analysis. The TRE of matched features can be used to evaluate the registration of many objects throughout the volume, whereas DSC mainly provides a measure of gross overlap. We have a research agreement with ViewRay Inc.« less
WE-D-BRA-06: IMRT QA with ArcCHECK: The MD Anderson Experience
DOE Office of Scientific and Technical Information (OSTI.GOV)
Aristophanous, M; Suh, Y; Chi, P
Purpose: The objective of this project was to report our initial IMRT QA results and experience with the SunNuclear ArcCHECK. Methods: Three thousand one-hundred and sixteen cases were treated with IMRT or VMAT at our institution between October 2013 and September 2014. All IMRT/VMAT treatment plans underwent Quality Assurance (QA) using ArcCHECK prior to therapy. For clinical evaluation, a Gamma analysis is performed following QA delivery using the SNC Patient software (Sun Nuclear Corp) at the 3%/3mm level. QA Gamma pass rates were analyzed based on categories of treatment site, technique, and type of MLCs. Our current clinical threshold formore » passing a QA (Tclin) is set at a Gamma pass rate greater than 90%. We recorded the percent of failures for each category, as well as the Gamma pass rate threshold that would Result in 95% of QAs to pass (T95). Results: Using Tclin a failure rate of 5.9% over all QAs was observed. The highest failure rate was observed for gynecological (22%) and the lowest for CNS (0.9%) treatments. T95 was 91% over all QAs and ranged from 73% (gynecological) to 96.5% (CNS) for individual treatments sites. T95 was lower for IMRT and non-HD (high definition) MLCs at 88.5% and 94.5%, respectively, compared to 92.4% and 97.1% for VMAT and HD MLC treatments, respectively. There was a statistically significant difference between the passing rates for IMRT vs. VMAT and for HD MLCs vs. non-HD MLCs (p-values << 0.01). Gynecological, IMRT, and HD MLC treatments typically include more plans with larger field sizes. Conclusion: On average, Tclin with ArcCHECK was consistent with T95, as well as the 90% action level reported in TG-119. However, significant variations between the examined categories suggest a link between field size and QA passing rates and may warrant field size-specific passing rate thresholds.« less
Deal, Shanley B; Alseidi, Adnan A
2017-12-01
Online videos are among the most common resources for case preparation. Using crowd sourcing, we evaluated the relationship between operative quality and viewing characteristics of online laparoscopic cholecystectomy videos. We edited 160 online videos of laparoscopic cholecystectomy to 60 seconds or less. Crowd workers (CW) rated videos using Global Objective Assessment of Laparoscopic Skills (GOALS), the critical view of safety (CVS) criteria, and assigned overall pass/fail ratings if CVS was achieved; linear mixed effects models derived average ratings. Views, likes, dislikes, subscribers, and country were recorded for subset analysis of YouTube videos. Spearman correlation coefficient (SCC) assessed correlation between performance measures. One video (0.06%) achieved a passing CVS score of ≥5; 23%, ≥4; 44%, ≥3; 79%, ≥2; and 100% ≥1. Pass/fail ratings correlated to CVS, SCC 0.95 (p < 0.001) and to GOALS, SCC 0.79 (p < 0.001). YouTube videos (n = 139) with higher views, likes, or subscribers did not correlate with better quality. The average CVS and GOALS scores were no different for videos with >20,000 views (22%) compared with those with <20,000 (78%). There is an incredibly low frequency of CVS and average GOALS technical performance in frequently used online surgical videos of LC. Favorable characteristics, such as number of views or likes, do not translate to higher quality. Copyright © 2017 American College of Surgeons. Published by Elsevier Inc. All rights reserved.
Drake, Sean M; Qureshi, Waqas; Morse, William; Baker-Genaw, Kimberly
2015-01-01
The American Board of Internal Medicine (ABIM) exam's pass rate is considered a quality measure of a residency program, yet few interventions have shown benefit in reducing the failure rate. We developed a web-based Directed Reading (DR) program with an aim to increase medical knowledge and reduce ABIM exam failure rate. Internal medicine residents at our academic medical center with In-Training Examination (ITE) scores ≤ 35 th percentile from 2007 to 2013 were enrolled in DR. The program matches residents to reading assignments based on their own ITE-failed educational objectives and provides direct electronic feedback from their teaching physicians. ABIM exam pass rates were analyzed across various groups between 2002 and 2013 to examine the effect of the DR program on residents with ITE scores ≤ 35 percentile pre- (2002-2006) and post-intervention (2007-2013). A time commitment survey was also given to physicians and DR residents at the end of the study. Residents who never scored ≤ 35 percentile on ITE were the most likely to pass the ABIM exam on first attempt regardless of time period. For those who ever scored ≤ 35 percentile on ITE, 91.9% of residents who participated in DR passed the ABIM exam on first attempt vs 85.2% of their counterparts pre-intervention (p < 0.001). This showed an improvement in ABIM exam pass rate for this subset of residents after introduction of the DR program. The time survey showed that faculty used an average of 40±18 min per week to participate in DR and residents required an average of 25 min to search/read about the objective and 20 min to write a response. Although residents who ever scored ≤ 35 percentile on ITE were more likely to fail ABIM exam on first attempt, those who participated in the DR program were less likely to fail than the historical control counterparts. The web-based teaching method required little time commitment by faculty.
Drake, Sean M.; Qureshi, Waqas; Morse, William; Baker-Genaw, Kimberly
2015-01-01
Aim The American Board of Internal Medicine (ABIM) exam's pass rate is considered a quality measure of a residency program, yet few interventions have shown benefit in reducing the failure rate. We developed a web-based Directed Reading (DR) program with an aim to increase medical knowledge and reduce ABIM exam failure rate. Methods Internal medicine residents at our academic medical center with In-Training Examination (ITE) scores ≤35th percentile from 2007 to 2013 were enrolled in DR. The program matches residents to reading assignments based on their own ITE-failed educational objectives and provides direct electronic feedback from their teaching physicians. ABIM exam pass rates were analyzed across various groups between 2002 and 2013 to examine the effect of the DR program on residents with ITE scores ≤35 percentile pre- (2002–2006) and post-intervention (2007–2013). A time commitment survey was also given to physicians and DR residents at the end of the study. Results Residents who never scored ≤35 percentile on ITE were the most likely to pass the ABIM exam on first attempt regardless of time period. For those who ever scored ≤35 percentile on ITE, 91.9% of residents who participated in DR passed the ABIM exam on first attempt vs 85.2% of their counterparts pre-intervention (p<0.001). This showed an improvement in ABIM exam pass rate for this subset of residents after introduction of the DR program. The time survey showed that faculty used an average of 40±18 min per week to participate in DR and residents required an average of 25 min to search/read about the objective and 20 min to write a response. Conclusions Although residents who ever scored ≤35 percentile on ITE were more likely to fail ABIM exam on first attempt, those who participated in the DR program were less likely to fail than the historical control counterparts. The web-based teaching method required little time commitment by faculty. PMID:26521767
Drake, Sean M; Qureshi, Waqas; Morse, William; Baker-Genaw, Kimberly
2015-01-01
Aim The American Board of Internal Medicine (ABIM) exam's pass rate is considered a quality measure of a residency program, yet few interventions have shown benefit in reducing the failure rate. We developed a web-based Directed Reading (DR) program with an aim to increase medical knowledge and reduce ABIM exam failure rate. Methods Internal medicine residents at our academic medical center with In-Training Examination (ITE) scores ≤35th percentile from 2007 to 2013 were enrolled in DR. The program matches residents to reading assignments based on their own ITE-failed educational objectives and provides direct electronic feedback from their teaching physicians. ABIM exam pass rates were analyzed across various groups between 2002 and 2013 to examine the effect of the DR program on residents with ITE scores ≤35 percentile pre- (2002-2006) and post-intervention (2007-2013). A time commitment survey was also given to physicians and DR residents at the end of the study. Results Residents who never scored ≤35 percentile on ITE were the most likely to pass the ABIM exam on first attempt regardless of time period. For those who ever scored ≤35 percentile on ITE, 91.9% of residents who participated in DR passed the ABIM exam on first attempt vs 85.2% of their counterparts pre-intervention (p<0.001). This showed an improvement in ABIM exam pass rate for this subset of residents after introduction of the DR program. The time survey showed that faculty used an average of 40±18 min per week to participate in DR and residents required an average of 25 min to search/read about the objective and 20 min to write a response. Conclusions Although residents who ever scored ≤35 percentile on ITE were more likely to fail ABIM exam on first attempt, those who participated in the DR program were less likely to fail than the historical control counterparts. The web-based teaching method required little time commitment by faculty.
Bankhead-Kendall, Brittany; Slama, Eliza; Truitt, Michael S
2016-12-01
This comparative study aims to identify the differences between high and low performing programs as defined by their ABS board pass rates. We identified programs in the top 5% (TP) and lower 5% (LP) for 1st time QE/CE pass rates during the study period with resident and program related variables. All data was pooled and analyzed. TP had more U.S. graduates, higher average USMLE Step 1/2 scores, and all residents took the exam within a year of graduation. TP were more likely to rotate at a Level 1 trauma center, spent more time with simulation, and had numerous fellowship programs. They ascribed their success to mock oral exams, mature curricula, and group educational activities. Graduates of TP chose general surgery twice as often (40% vs 19%). Program related factors (Level 1 trauma, excellent didactics, higher number of fellowships, increased group educational activities, higher percentage of graduates into general surgery) are associated with TP. Our data suggests there may be modifiable program related variables that positively impact QE/CE pass rates. Copyright © 2016 Elsevier Inc. All rights reserved.
Chang, Li-Yin; Chen, Yu-Chih; Huang, Kuang-Chi; Huang, Jui-Lan; Lee, Tso-Ying
2015-04-01
Nursing projects are a key part of N4 professional competency training for nursing personnel. Low passage rates for these projects have been shown to negatively affect the intent of nursing personnel to advance further in the nursing ladder system. This study analyzes the scores for nursing projects between 2011 and 2013, the passage rate for these projects, and the differences in passage rates between different types of projects. This retrospective and descriptive study collected data on nursing projects conducted under the auspices of the Taiwan Nurses Association between 2011 and 2013. Furthermore, the comments of reviewers on 100 nursing projects were randomly selected and subjected to content analysis. A total of 3,359 nursing projects were examined. Eliminating unqualified nursing projects left a total of 3,246 projects for the dataset. A total of 1,099 projects were scored with passing grades, giving a passing rate of 33.9%. The authors of these passing projects worked primarily in northern Taiwan, worked in medical centers, and worked in intensive care departments. The projects submitted by authors in central Taiwan had the highest average score and passing rate, while those living in offshore islands had the lowest average score and passing rate. Most of the project topics belonged to the category: "improvement of nursing service skills or quality" (77.3%). Items with the lowest scores were: validation of questions, analysis of the current situation, and evaluation of results. The topics of nursing projects did not relate significantly to passing rate. However, years of experience, geographic location of hospital, level of institution, and department each had a statistically significant impact on the passage rate. A content analysis of reviewer comments was used to extract common problems. Most of the positive comments were related to the category of "literature review and reference", while most of the negative comments were related to the categories of "literature review and reference", "analysis of current situation", "problem result and process", "evaluation of results", and "validation of questions". This study analyzed the types of nursing projects, the trends in submission, and the comments of project reviewers. The results indicate that the validation of problems in project writing and current situation analysis and the evaluation of results should be improved. These findings may be referenced by nursing personnel for executing projects in the future and for developing improved criteria / methodologies for the clinical ladder system for nursing personnel.
MO-FG-202-09: Virtual IMRT QA Using Machine Learning: A Multi-Institutional Validation
DOE Office of Scientific and Technical Information (OSTI.GOV)
Valdes, G; Scheuermann, R; Solberg, T
Purpose: To validate a machine learning approach to Virtual IMRT QA for accurately predicting gamma passing rates using different QA devices at different institutions. Methods: A Virtual IMRT QA was constructed using a machine learning algorithm based on 416 IMRT plans, in which QA measurements were performed using diode-array detectors and a 3%local/3mm with 10% threshold. An independent set of 139 IMRT measurements from a different institution, with QA data based on portal dosimetry using the same gamma index and 10% threshold, was used to further test the algorithm. Plans were characterized by 90 different complexity metrics. A weighted poisonmore » regression with Lasso regularization was trained to predict passing rates using the complexity metrics as input. Results: In addition to predicting passing rates with 3% accuracy for all composite plans using diode-array detectors, passing rates for portal dosimetry on per-beam basis were predicted with an error <3.5% for 120 IMRT measurements. The remaining measurements (19) had large areas of low CU, where portal dosimetry has larger disagreement with the calculated dose and, as such, large errors were expected. These beams need to be further modeled to correct the under-response in low dose regions. Important features selected by Lasso to predict gamma passing rates were: complete irradiated area outline (CIAO) area, jaw position, fraction of MLC leafs with gaps smaller than 20 mm or 5mm, fraction of area receiving less than 50% of the total CU, fraction of the area receiving dose from penumbra, weighted Average Irregularity Factor, duty cycle among others. Conclusion: We have demonstrated that the Virtual IMRT QA can predict passing rates using different QA devices and across multiple institutions. Prediction of QA passing rates could have profound implications on the current IMRT process.« less
Choulakian, Mazen Y; Li, Jennifer Y; Ramos, Samuel; Mannis, Mark J
2016-01-01
To evaluate the predictability and reproducibility of stromal bed thickness for single-pass donor Descemet stripping automated endothelial keratoplasty (DSAEK) tissue preparation, using the ML7 Microkeratome Donor Cornea System (Med-logics Inc, Athens, TX). In this retrospective chart review of 256 consecutive corneal tissue preparations for DSAEK surgery, from June 2013 to August 2014, tissue thicknesses were divided into 3 groups, depending on surgeon preference: <91 μm (group A), 90 to 120 μm (group B), and 120 to 160 μm (group C). Precut and postcut data were recorded. Average postcut donor corneal thickness was 114 ± 30 μm (range 60-183 μm), whereas the average in group A was 97 ± 23 μm (range 60-128), in group B was 113 ± 21 μm (range 77-179), and in group C was 134 ± 43 (range 89-183). Average postcut endothelial cell density was very adequate at 3013 ± 250 cells per square millimeter. There were a total of 7 failed procedures from 256 attempts, which represents a rate of 2.7%. This rate decreases to 1.5% when analyzing the last 200 cuts. The ML7 Microkeratome Donor Cornea System allows for reliable and reproducible DSAEK tissue preparation. Ultrathin DSAEK tissues can be prepared with a single-pass. Aiming for a graft thickness between 90 and 120 μm seems to be most reliable.
Herwiningsih, Sri; Hanlon, Peta; Fielding, Andrew
2014-12-01
A Monte Carlo model of an Elekta iViewGT amorphous silicon electronic portal imaging device (a-Si EPID) has been validated for pre-treatment verification of clinical IMRT treatment plans. The simulations involved the use of the BEAMnrc and DOSXYZnrc Monte Carlo codes to predict the response of the iViewGT a-Si EPID model. The predicted EPID images were compared to the measured images obtained from the experiment. The measured EPID images were obtained by delivering a photon beam from an Elekta Synergy linac to the Elekta iViewGT a-Si EPID. The a-Si EPID was used with no additional build-up material. Frame averaged EPID images were acquired and processed using in-house software. The agreement between the predicted and measured images was analyzed using the gamma analysis technique with acceptance criteria of 3 %/3 mm. The results show that the predicted EPID images for four clinical IMRT treatment plans have a good agreement with the measured EPID signal. Three prostate IMRT plans were found to have an average gamma pass rate of more than 95.0 % and a spinal IMRT plan has the average gamma pass rate of 94.3 %. During the period of performing this work a routine MLC calibration was performed and one of the IMRT treatments re-measured with the EPID. A change in the gamma pass rate for one field was observed. This was the motivation for a series of experiments to investigate the sensitivity of the method by introducing delivery errors, MLC position and dosimetric overshoot, into the simulated EPID images. The method was found to be sensitive to 1 mm leaf position errors and 10 % overshoot errors.
Baek, Tae Seong; Chung, Eun Ji; Son, Jaeman; Yoon, Myonggeun
2014-12-04
The aim of this study is to evaluate the ability of transit dosimetry using commercial treatment planning system (TPS) and an electronic portal imaging device (EPID) with simple calibration method to verify the beam delivery based on detection of large errors in treatment room. Twenty four fields of intensity modulated radiotherapy (IMRT) plans were selected from four lung cancer patients and used in the irradiation of an anthropomorphic phantom. The proposed method was evaluated by comparing the calculated dose map from TPS and EPID measurement on the same plane using a gamma index method with a 3% dose and 3 mm distance-to-dose agreement tolerance limit. In a simulation using a homogeneous plastic water phantom, performed to verify the effectiveness of the proposed method, the average passing rate of the transit dose based on gamma index was high enough, averaging 94.2% when there was no error during beam delivery. The passing rate of the transit dose for 24 IMRT fields was lower with the anthropomorphic phantom, averaging 86.8% ± 3.8%, a reduction partially due to the inaccuracy of TPS calculations for inhomogeneity. Compared with the TPS, the absolute value of the transit dose at the beam center differed by -0.38% ± 2.1%. The simulation study indicated that the passing rate of the gamma index was significantly reduced, to less than 40%, when a wrong field was erroneously irradiated to patient in the treatment room. This feasibility study suggested that transit dosimetry based on the calculation with commercial TPS and EPID measurement with simple calibration can provide information about large errors for treatment beam delivery.
Ductility Improvement of an AZ61 Magnesium Alloy through Two-Pass Submerged Friction Stir Processing
Luo, Xicai; Cao, Genghua; Zhang, Wen; Qiu, Cheng; Zhang, Datong
2017-01-01
Friction stir processing (FSP) has been considered as a novel technique to refine the grain size and homogenize the microstructure of metallic materials. In this study, two-pass FSP was conducted under water to enhance the cooling rate during processing, and an AZ61 magnesium alloy with fine-grained and homogeneous microstructure was prepared through this method. Compared to the as-cast material, one-pass FSP resulted in grain refinement and the β-Mg17Al12 phase was broken into small particles. Using a smaller stirring tool and an overlapping ratio of 100%, a finer and more uniform microstructure with an average grain size of 4.6 μm was obtained through two-pass FSP. The two-pass FSP resulted in a significant improvement in elongation of 37.2% ± 4.3%, but a slight decrease in strength compared with one-pass FSP alloy. Besides the microstructure refinement, the texture evolution in the stir zone is also considered responsible for the ductility improvement. PMID:28772614
100J-level nanosecond pulsed Yb:YAG cryo-cooled DPSSL amplifier
NASA Astrophysics Data System (ADS)
Smith, J. M.; Butcher, T. J.; Mason, P. D.; Ertel, K.; Phillips, P. J.; Banerjee, S.; De Vido, M.; Chekhlov, O.; Divoky, M.; Pilar, J.; Shaikh, W.; Hooker, C.; Lucianetti, A.; Hernandez Gomez, C.; Mocek, T.; Edwards, C.; Collier, J. L.
2018-02-01
We report on the successful demonstration of the world's first kW average power, 100 Joule-class, high-energy, nanosecond pulsed diode-pumped solid-state laser (DPSSL), DiPOLE100. Results from the first long-term test for amplification will be presented; the system was operated for 1 hour with 10 ns duration pulses at 10 Hz pulse repetition rate and an average output energy of 105 J and RMS energy stability of approximately 1%. The laser system is based on scalable cryogenic gas-cooled multi-slab ceramic Yb:YAG amplifier technology. The DiPOLE100 system comprises three major sub-systems, a spatially and temporally shaped front end, a 10 J cryo-amplifier and a 100 J cryo-amplifier. The 10 J cryo-amplifier contain four Yb:YAG ceramic gain media slabs, which are diode pumped from both sides, while a multi-pass architecture configured for seven passes enables 10 J of energy to be extracted at 10 Hz. This seeds the 100 J cryo-amplifier, which contains six Yb:YAG ceramic gain media slabs with the multi-pass configured for four passes. Our future development plans for this architecture will be introduced including closed-loop pulse shaping, increased energy, higher repetition rates and picosecond operation. This laser architecture unlocks the potential for practical applications including new sources for industrial materials processing and high intensity laser matter studies as envisioned for ELI [1], HiLASE [2], and the European XFEL [3]. Alternatively, it can be used as a pump source for higher repetition rate PW-class amplifiers, which can themselves generate high-brightness secondary radiation and ion sources leading to new remote imaging and medical applications.
SU-E-T-472: Improvement of IMRT QA Passing Rate by Correcting Angular Dependence of MatriXX
DOE Office of Scientific and Technical Information (OSTI.GOV)
Chen, Q; Watkins, W; Kim, T
2015-06-15
Purpose: Multi-channel planar detector arrays utilized for IMRT-QA, such as the MatriXX, exhibit an incident-beam angular dependent response which can Result in false-positive gamma-based QA results, especially for helical tomotherapy plans which encompass the full range of beam angles. Although MatriXX can use with gantry angle sensor to provide automatically angular correction, this sensor does not work with tomotherapy. The purpose of the study is to reduce IMRT-QA false-positives by correcting for the MatriXX angular dependence. Methods: MatriXX angular dependence was characterized by comparing multiple fixed-angle irradiation measurements with corresponding TPS computed doses. For 81 Tomo-helical IMRT-QA measurements, two differentmore » correction schemes were tested: (1) A Monte-Carlo dose engine was used to compute MatriXX signal based on the angular-response curve. The computed signal was then compared with measurement. (2) Uncorrected computed signal was compared with measurements uniformly scaled to account for the average angular dependence. Three scaling factor (+2%, +2.5%, +3%) were tested. Results: The MatriXX response is 8% less than predicted for a PA beam even when the couch is fully accounted for. Without angular correction, only 67% of the cases pass the >90% points γ<1 (3%, 3mm). After full angular correction, 96% of the cases pass the criteria. Of three scaling factors, +2% gave the highest passing rate (89%), which is still less than the full angular correction method. With a stricter γ(2%,3mm) criteria, the full angular correction method was still able to achieve the 90% passing rate while the scaling method only gives 53% passing rate. Conclusion: Correction for the MatriXX angular dependence reduced the false-positives rate of our IMRT-QA process. It is necessary to correct for the angular dependence to achieve the IMRT passing criteria specified in TG129.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Mehrens, H; Lewis, B; Lujano, C
2016-06-15
Purpose: To describe the results of IROC Houston’s international and domestic end-to-end QA phantom irradiations. Methods: IROC Houston has anthropomorphic lung, liver, head and neck, prostate, SRS and spine phantoms that are used for credentialing and quality assurance purposes. The phantoms include structures that closely mimic targets and organs at risk and are made from tissue equivalent materials: high impact polystyrene, solid water, cork and acrylic. Motion tables are used to mimic breathing motion for some lung and liver phantoms. Dose is measured with TLD and radiochromic film in various planes within the target of the phantoms. Results: The mostmore » common phantom requested is the head and neck followed by the lung phantom. The head and neck phantom was sent to 800 domestic and 148 international sites between 2011 and 2015, with average pass rates of 89% and 92%, respectively. During the past five years, a general upward trend exists regarding demand for the lung phantom for both international and domestic sites with international sites more than tripling from 5 (2011) to 16 (2015) and domestic sites doubling from 66 (2011) to 152 (2015). The pass rate for lung phantoms has been consistent from year to year despite this large increase in the number of phantoms irradiated with an average pass rate of 85% (domestic) and 95% (international) sites. The percentage of lung phantoms used in combination with motions tables increased from 38% to 79% over the 5 year time span. Conclusion: The number of domestic and international sites irradiating the head and neck and lung phantoms continues to increase and the pass rates remained constant. These end-to-end QA tests continue to be a crucial part of clinical trial credentialing and institution quality assurance. This investigation was supported by IROC grant CA180803 awarded by the NCI.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ahmad, I; Quinn, K; Seebach, A
2015-06-15
Purpose: This study evaluates the dosimetric differences using volumetric modulated arc therapy (VMAT) in patients previously treated with intensity modulated radiation therapy IMRT for stereotactic body radiotherapy (SBRT) in early stage lung cancer. Methods: We evaluated 9 consecutive medically inoperable lung cancer patients at the start of the SBRT program who were treated with IMRT from November 2010 to October 2011. These patients were treated using 6 MV energy. The 9 cases were then re-planned with VMAT performed with arc therapy using 6 MV flattening filter free (FFF) energy with the same organs at risk (OARS) constraints. Data collected formore » the treatment plans included target coverage, beam on time, dose to OARS and gamma pass rate. Results: Five patients were T1N0 and four patients were T2N0 with all tumors less than 5 cm. The average GTV was 13.02 cm3 (0.83–40.87) and average PTV was 44.65 cm3 (14.06–118.08). The IMRT plans had a mean of 7.2 angles (6–9) and 5.4 minutes (3.6–11.1) per plan. The VMAT plans had a mean of 2.8 arcs (2–3) and 4.0 minutes (2.2–6.0) per plan. VMAT had slightly more target coverage than IMRT with average increase in D95 of 2.68% (1.24–5.73) and D99 of 3.65% (0.88–8.77). VMAT produced lower doses to all OARs. The largest reductions were in maximum doses to the spinal cord with an average reduction of 24.1%, esophagus with an average reduction of 22.1%, and lung with an average reduction in the V20 of 16.3% The mean gamma pass rate was 99.8% (99.2–100) at 3 mm and 3% for VMAT with comparable values for IMRT. Conclusion: These findings suggest that using VMAT for SBRT in early stage lung cancer is superior to IMRT in terms of dose coverage, OAR dose and a lower treatment delivery time with a similar gamma pass rate.« less
Detection of IMRT delivery errors based on a simple constancy check of transit dose by using an EPID
NASA Astrophysics Data System (ADS)
Baek, Tae Seong; Chung, Eun Ji; Son, Jaeman; Yoon, Myonggeun
2015-11-01
Beam delivery errors during intensity modulated radiotherapy (IMRT) were detected based on a simple constancy check of the transit dose by using an electronic portal imaging device (EPID). Twenty-one IMRT plans were selected from various treatment sites, and the transit doses during treatment were measured by using an EPID. Transit doses were measured 11 times for each course of treatment, and the constancy check was based on gamma index (3%/3 mm) comparisons between a reference dose map (the first measured transit dose) and test dose maps (the following ten measured dose maps). In a simulation using an anthropomorphic phantom, the average passing rate of the tested transit dose was 100% for three representative treatment sites (head & neck, chest, and pelvis), indicating that IMRT was highly constant for normal beam delivery. The average passing rate of the transit dose for 1224 IMRT fields from 21 actual patients was 97.6% ± 2.5%, with the lower rate possibly being due to inaccuracies of patient positioning or anatomic changes. An EPIDbased simple constancy check may provide information about IMRT beam delivery errors during treatment.
Physical and hydrologic characteristics of Matlacha Pass, southwestern Florida
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kane, R.L.; Russell, G.M.
1994-03-01
Matlacha Pass is part of the connected inshore waters of the Charlotte Harbor estuary in southwestern Florida. Bathymetry indicates that depths in the main channel of the pass range from 4 to 14 feet below sea level. The channel averages about 8 feet deep in the northern part of the pass and about 5 feet deep in the southern part. Additionally, depths average about 4 feet in a wide section of the middle of the pass and about 2 feet along the mangrove swamps near the shoreline. Tidal flow within Matlacha Pass varies depending on aquatic vegetation densities, oyster beds,more » and tidal flats. Surface-water runoff occurs primarily during the wet season (May to September), with most of the flow entering the Matlacha Pass through two openings in the spreader canal system near the city of Matlacha. Freshwater flow into the pass from the north Cape Coral spreader canal system averaged 113 cubic feet per second from October 1987 to September 1992. Freshwater inflow from the Aries Canal of the south Cape Coral spreader canal system averaged 14.1 cubic feet per second from October 1989 to September 1992. Specific conductance throughout Matlacha Pass ranged from less than 1,000 to 57,000 microsiemens per centimeter. Specific conductance, collected from a continuous monitoring data logger in the middle of the pass from February to September 1992, averaged 36,000 microsiemens per centimeter at 2 feet below the water surface and 40,000 microsiemens per centimeter at 2 feet above the bottom. During both the wet and dry seasons, specific conductance indicated that the primary mixing of tidal waters and freshwater inflow occurs in the mangrove swamps along the shoreline.« less
Picosecond laser system with 30-W average power via cavity dumping and amplifying
NASA Astrophysics Data System (ADS)
Fu, J.; Pang, Q. S.; Chang, L.; Bai, Z. A.; Ai, Q. K.; Chen, L. Y.; Chen, M.; Li, G.; Ma, Y. F.; Fan, Z. W.; Niu, G.; Yu, J.; Liu, Y.; Zhang, X.; Kang, W. Y.; He, K.
2011-06-01
We present a picosecond laser system with high energy by technologies of cavity dumping and amplifying. Firstly, pulses with 10 ps and ˜520 nJ were obtained by cavity-dumped mode-locked laser at 10 kHz repetition rate. Secondly those pulses were seeded into a side-pumped regenerative amplifier (RA). Then pulses output from the regenerative amplifier were amplified by two four-pass post amplifiers. From the laser system pulses with an average power of 30 W corresponding to 3 mJ pulse energy were achieved with the pulse-width of 25.4 ps at repetition rate of 10 kHz.
Kumar, S Chaitanya; Casals, J Canals; Wei, Junxiong; Ebrahim-Zadeh, M
2015-10-19
We report a systematic study on the performance characteristics of a high-power, high-repetition-rate, picosecond ultraviolet (UV) source at 266 nm based on β-BaB2O4 (BBO). The source, based on single-pass fourth harmonic generation (FHG) of a compact Yb-fiber laser in a two-crystal spatial walk-off compensation scheme, generates up to 2.9 W of average power at 266 nm at a pulse repetition rate of ~80 MHz with a single-pass FHG efficiency of 35% from the green to UV. Detrimental issues such as thermal effects have been studied and confirmed by performing relevant measurements. Angular and temperature acceptance bandwidths in BBO for FHG to 266 nm are experimentally determined, indicating that the effective interaction length is limited by spatial walk-off and thermal gradients under high-power operation. The origin of dynamic color center formation due to two-photon absorption in BBO is investigated by measurements of intensity-dependent transmission at 266 nm. Using a suitable theoretical model, two-photon absorption coefficients as well as the color center densities have been estimated at different temperatures. The measurements show that the two-photon absorption coefficient in BBO at 266 nm is ~3.5 times lower at 200°C compared to that at room temperature. The long-term power stability as well as beam pointing stability is analyzed at different output power levels and focusing conditions. Using cylindrical optics, we have circularized the generated elliptic UV beam to a circularity of >90%. To our knowledge, this is the first time such high average powers and temperature-dependent two-photon absorption measurements at 266 nm are reported at repetition rates as high as ~80 MHz.
Incentive Pass-through for Residential Solar Systems in California
DOE Office of Scientific and Technical Information (OSTI.GOV)
Dong, C. G.; Wiser, Ryan; Rai, Varun
2014-10-01
The deployment of solar photovoltaic (PV) systems has grown rapidly over the last decade, partly because of various government incentives. In the United States, among the largest and longest-running incentives have been those established in California. Building on past research, this report addresses the still-unanswered question: to what degree have the direct PV incentives in California been passed through from installers to consumers? This report helps address this question by carefully examining the residential PV market in California (excluding a certain class of third-party-owned PV systems) and applying both a structural-modeling approach and a reduced-form regression analysis to estimate themore » incentive pass-through rate. The results suggest an average pass-through rate of direct incentives of nearly 100%, though with regional differences among California counties. While these results could have multiple explanations, they suggest a relatively competitive market and well-functioning subsidy program. Further analysis is required to determine whether similar results broadly apply to other states, to other customer segments, to all third-party-owned PV systems, or to all forms of financial incentives for solar (considering not only direct state subsidies, but also utility electric bill savings and federal tax incentives).« less
Development of high repetition rate nitric oxide planar laser induced fluorescence imaging
NASA Astrophysics Data System (ADS)
Jiang, Naibo
This thesis has documented the development of a MHz repitition rate pulse burst laser system. Second harmonic and third harmonic efficiencies are improved by adding a Phase Conjugate Mirror to the system. Some high energy fundamental, second harmonic, and third harmonic burst sequences consisting of 1--12 pulses separated in time by between 4 and 12 microseconds are now routinely obtained. The reported burst envelopes are quite uniform. We have also demonstrated the ability to generate ultra-high frequency sequences of broadly wavelength tunable, high intensity laser pulses using a home built injection seeded Optical Parametric Oscillator (OPO), pumped by the second and third harmonic output of the pulse burst laser. Typical OPO output burst sequences consist of 6--10 pulses, separated in time by between 6 and 10 microseconds. With third harmonic pumping of the OPO system, we studied four conditions, two-crystal Singly Resonant OPO (SRO) cavity, three-crystal OPO cavity, single pass two-crystal Doubly Resonant OPO (DRO) cavity and double pass two-crystal OPO cavity. The double pass two-crystal OPO cavity gives the best operation in burst mode. For single pass OPO, the average total OPO conversion efficiency is approximately 25%. For double pass OPO, the average total OPO conversion efficiency is approximately 35%. As a preliminary work, we studied 532nm pumping of a single crystal OPO cavity. With single pulse pumping, the conversion efficiency can reach 30%. For both 355nm and 532nm pumping OPO, we have demonstrated injection seeding. The OPO output light linewidth is significantly narrowed. Some preliminary etalon traces are also reported. By mixing the OPO signal output at 622nm with residual third harmonic at 355nm, we obtained 226nm burst sequences with average pulse energy of ˜0.2 mJ. Injection seeding of the OPO increases the energy achieved by a factor of ˜2. 226nm burst sequences with reasonably uniform burst envelopes are reported. Using the system we have obtained, for the first time by any known optical method, Planar Laser Induced Fluorescence (PLIF) image sequences at ultrahigh (≥100kHz) frame rates, in particular NO PLIF image sequences, have been obtained in a Mach 2 jet. We also studied the possibility of utilizing a 250 kHz pulsed Nd:YVO 4 laser as the master oscillator. 10-pulse-10-mus spacing burst sequences with reasonably uniform burst envelope have been obtained. The total energy of the burst sequence is ˜2.5J.
Chung, Heeteak; Li, Jonathan; Samant, Sanjiv
2011-04-08
Two-dimensional array dosimeters are commonly used to perform pretreatment quality assurance procedures, which makes them highly desirable for measuring transit fluences for in vivo dose reconstruction. The purpose of this study was to determine if an in vivo dose reconstruction via transit dosimetry using a 2D array dosimeter was possible. To test the accuracy of measuring transit dose distribution using a 2D array dosimeter, we evaluated it against the measurements made using ionization chamber and radiochromic film (RCF) profiles for various air gap distances (distance from the exit side of the solid water slabs to the detector distance; 0 cm, 30 cm, 40 cm, 50 cm, and 60 cm) and solid water slab thicknesses (10 cm and 20 cm). The backprojection dose reconstruction algorithm was described and evaluated. The agreement between the ionization chamber and RCF profiles for the transit dose distribution measurements ranged from -0.2% ~ 4.0% (average 1.79%). Using the backprojection dose reconstruction algorithm, we found that, of the six conformal fields, four had a 100% gamma index passing rate (3%/3 mm gamma index criteria), and two had gamma index passing rates of 99.4% and 99.6%. Of the five IMRT fields, three had a 100% gamma index passing rate, and two had gamma index passing rates of 99.6% and 98.8%. It was found that a 2D array dosimeter could be used for backprojection dose reconstruction for in vivo dosimetry.
Bi-Xian, Ni; Xiang-Zhen, Xu; Xiao-Ting, Wang; Ming-Xue, Sheng; Yang, Dai; Xiao-Lin, Jin
2017-07-24
To evaluate the effect of the prevention and control technique training of human important parasitic diseases for basic professional and technical personnel in Jiangsu Province in 2017. A workshop including theory courses and practical operations was carried out for the basic professional and technical personnel. At the end of the workshop, the effects were evaluated through the theoretical and microscopic examinations. There were 132 trainees from 13 cities, and all of them took part in the final examinations. The average score of total was 118.36. There were significant differences among different regions ( χ 2 = 13.38, P < 0.01). The pass rate of the theory test was 92.4% with the average score of 79.05. There were significant differences of theory scores among different regions ( χ 2 =14.51, P < 0.01). The theory score of Northern Jiangsu Province was significantly higher than the scores of Southern and Central Jiangsu Province ( P < 0.001, P = 0.009). The pass rate of microscopic examinations was 89.4% with the average score of 39.32. There was no significant difference of micro-scopic examination scores among different regions ( F = 2.37, P = 0.09). Among the total 7 species, the detection rate of Paragonimus westermani was the highest (75%) and the rates of Schistosoma japonicum and Fasciolopsis buski were only 51.5% and 54.5% respectively. The detection rates of eggs of Trichuris trichiura , unfertilized Ascaris lumbricoides , Clonorchis sinensis and Taenia solium were 71.2%, 65.9%, 72.7% and 72.0% respectively. The training course has promoted the capability of prevention and control of parasitic diseases for basic technical personnel. Also it provides the technical supports for parasitic disease monitoring, control and risk assessment in the next step.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Giaddui, T; Hardin, M; Keller, J
Purpose: To evaluate patient specific quality assurance (PSQA) for the delivery of volumetric modulated arc therapy (VMAT) by disease site. To compare planning-delivery system (PDS) PSQA pass rates in a dual vendor institution. Methods: PSQA is performed for VMAT plans using a ScandiDos Delta4 phantom. Verification plans are calculated using Varian Eclipse and Elekta Monaco treatment planning systems (TPS) for patients treated using Varian Truebeam and Elekta linear accelerators respectively. Individual arcs are delivered to the Delta4 phantoms and assessed using the gamma index pass criterion(3% Dose Deviation(DD%), 3mm Distance to Agreement(DTA),10% dose threshold and 90% gamma index). Results: Amore » total of 287 VMAT plans and 680 arcs were analyzed. The passing rates for VMAT QA plans were 95% and 98% for head/neck and pelvis/prostate plans respectively, and 100% for chest/abdomen, spine, lung Stereotactic Body Radiotherapy (SBRT) and Stereotactic Radiosurgery(SRS) plans. Average gamma indices were: (99 ± 2) % for pelvis/prostate, chest/abdomen and lung SBRT plans, (97 ± 4) % for head and neck plans and (98 ± 3) % for spine plans. The average DD% and DTA pass rates ranged from 82% to 90% and 98% to 99% respectively for plans in different disease sites. Paired t-test analysis (two tails) indicated no significant differences in the gamma indices between plans delivered using different PDS; the P values were: 0.08, 0.45, and 0.94 for lung SBRT, head/neck and pelvis/prostate plans respectively. The statistical power for comparing PDS in different disease sites with an alpha of 0.05 is 1. Conclusion: The Gamma indices based on 3% DD%, 3 mm DTA and 10% dose threshold for the VMAT QA plans in all disease sites were well above 90%, suggesting the possibility of using a more stringent PSQA criterion. No significant differences were observed in the QA of VMAT plans delivered using different PDS.« less
Simulation and analysis of traffic flow based on cellular automaton
NASA Astrophysics Data System (ADS)
Ren, Xianping; Liu, Xia
2018-03-01
In this paper, single-lane and two-lane traffic model are established based on cellular automaton. Different values of vehicle arrival rate at the entrance and vehicle departure rate at the exit are set to analyze their effects on density, average speed and traffic flow. If the road exit is unblocked, vehicles can pass through the road smoothly despite of the arrival rate at the entrance. If vehicles enter into the road continuously, the traffic condition is varied with the departure rate at the exit. To avoid traffic jam, reasonable vehicle departure rate should be adopted.
Comparing Student Performance on the Old vs New Versions of the NAPLEX.
Welch, Adam C; Karpen, Samuel C
2018-04-01
Objective. To determine if the new 2016 version of the North American Pharmacy Licensure Examination (NAPLEX) affected scores when controlling for student performance on other measures using data from one institution. Methods. There were 201 records from the classes of 2014-2016. Doubly robust estimation using weighted propensity scores was used to compare NAPLEX scaled scores and pass rates while considering student performance on other measures. Of the potential controllers of student performance: Pharmacy Curricular Outcomes Assessment (PCOA), scaled composite scores from the Pharmacy College Admission Test (PCAT), and P3 Grade Point Average (GPA). Only PCOA and P3 GPA were found to be appropriate for propensity scoring. Results. The weighted NAPLEX scaled scores did not significantly drop from the old (2014-2015) to the new (2016) version of NAPLEX. The change in pass rates between the new and old versions of NAPLEX were also non-significant. Conclusion. Using data from one institution, the new version itself of the NAPLEX did not have a significant effect on NAPLEX scores or first-time pass rates when controlling for student performance on other measures. Colleges are encouraged to repeat this analysis with pooled data and larger sample sizes.
School Turnaround in North Carolina: A Regression Discontinuity Analysis. Working Paper 156
ERIC Educational Resources Information Center
Heissel, Jennifer A.; Ladd, Helen F.
2016-01-01
This paper examines the effect of school turnaround in North Carolina elementary and middle schools. Using a regression discontinuity design, we find that turnaround led to a drop in average school-level math and reading passing rates and an increased concentration of low-income students in treated schools. We use teacher survey data to examine…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Morrison, Bridger
J-U-B ENGINEERS, Inc. (J-U-B) performed seepage tests on the CFA Wastewater Lagoons 1, 2, and 3 between August 26th and September 22nd, 2014. The lagoons were tested to satisfy the Idaho Department of Environmental Quality (DEQ) Rules (IDAPA 58.01.16) that require all lagoons be tested at a frequency of every 10 years and the Compliance Activity CA-141-03 in the DEQ Wastewater Reuse Permit for the CFA Sewage Treatment Plant (LA-000141-03). The lagoons were tested to determine if the average seepage rates are less than 0.25 in/day, the maximum seepage rate allowed for lagoons built prior to April 15, 2007. Themore » average seepage rates were estimated for each lagoon and are given in Table-ES1. The average seepage rates for Lagoons 1 and 2 are less than the allowable seepage rate of 0.25 in/day. Lagoon 1 and 2 passed the seepage test and will not have to be tested again until the year 20241. However, the average seepage rate for Lagoon 3 appears to exceed the allowable seepage rate of 0.25 in/day which means the potential source for the excessive leakage should be investigated further.« less
NASA Astrophysics Data System (ADS)
Heermance, Richard V.; Yule, Doug
2017-06-01
The San Gorgonio Pass (SGP) in southern California contains a 40 km long region of structural complexity where the San Andreas Fault (SAF) bifurcates into a series of oblique-slip faults with unknown slip history. We combine new 10Be exposure ages (Qt4: 8600 (+2100, -2200) and Qt3: 5700 (+1400, -1900) years B.P.) and a radiocarbon age (1260 ± 60 years B.P.) from late Holocene terraces with scarp displacement of these surfaces to document a Holocene slip rate of 5.7 (+2.7, -1.5) mm/yr combined across two faults. Our preferred slip rate is 37-49% of the average slip rates along the SAF outside the SGP (i.e., Coachella Valley and San Bernardino sections) and implies that strain is transferred off the SAF in this area. Earthquakes here most likely occur in very large, throughgoing SAF events at a lower recurrence than elsewhere on the SAF, so that only approximately one third of SAF ruptures penetrate or originate in the pass.
Yang, Yali; Huang, Lihui; Cheng, Xiaohua; Fu, Xinxing; Liu, Jiaxing; Ni, Tingting
2014-11-01
To explore the found ways and first diagnosis age of children with large vestibular aqueduct, and their relations with hearing loss. Medical histories of 122 cases of children diagnosed with large vestibular aqueduct by HRCT or MRI had been collected from January 2009 to April 2014 in our hospital children's hearing diagnosis center clinic. Found ways comprise of accepting universal newborn hearing screening (UNHS) group and unaccepting UNHS group. Accepting UNHS children were divided into two ears unpassing group, single ear unpassing group and passing group. The patients in unaccepting UNHS group were divided into not sensitive to sounds, speech stunting, sudden hearing loss, and other group. Analysis the relationship between the found ways and first diagnosis age and their relations with hearing loss. There are 84 cases (68.85%) accepting UNHS, the average age of first diagnosis was (17.24 ± 17.08) months; 37 cases (31.15%) are not accepting UNHS. The average age of first diagnosis was (30.92 ± 18.21) months. The average first diagnosis age of accepting UNHS group was more earlier than the unaccepting UNHS group. The difference was statistically signif- icant (P < 0.01). There were 57 cases (67.85%) whose two ears not pass UNHS; 15 cases (17.86%) single ear not pass; namely the referral rate was 85.71%; 12 cases (14.29%) pass the test. The first diagnosis age of passing UNHS group was more later than two ears unpassing group (P < 0.001). In the unaccepting UNHS group, the average first diagnosis age of not sensitive to sounds group (19.69 ± 11.16 months) was more earlier than words dysplasia group (37.13 ± 15.62 months) and sudden hearing loss group (47.40 ± 24.70 months) (P < 0.01). The difference in the degree of hearing loss between accepting UNHS and unaccepting UNHS group had no statistical significance (P > 0.05). In unaccepting UNHS group ,the average first diagnosis age of the mild-to-moderate hearing loss group was later than the very severe hearing loss group (P < 0.01). Most of large vestibular aqueduct children can be found and receive diagnosis early by UNHS. But part of these patients with late-onset or progressive hearing loss, especially these with mild-to-moderate hearing loss cannot be found early, which should arouse our attention.
Valenta, Kim; Fedigan, Linda M
2009-04-01
One of the key measures of the effectiveness of primary seed dispersal by animals is the quality of seed dispersal (Schupp: Plant Ecol 107/108 [1993] 15-29). We present data on quality of seed dispersal by two groups of white-faced capuchins (Cebus capucinus) in Costa Rica to test the hypothesis that capuchin seed handling results in effective primary dispersal for some fruit species they consume. We examined seed handling for 27 plant species, and germination rates of 18 species consumed by capuchins. For five of the most commonly swallowed seed species, we determined germination rates and average time to germination (latency) for seeds ingested and defecated by capuchins and compared these to seeds removed directly from fruit and planted. For the same five species, we compared germination rates and latency for passed seeds planted in capuchin feces to those cleaned of feces and planted in soil. For three of five species, differences in proportion of germinated seeds were significantly higher for gut passed seeds than for controls. For four of five species, germination latency was significantly faster for gut passed seeds than for controls. Feces had either no effect on seed germination rate or precluded germination. Data presented here support the hypothesis that white-faced capuchins are effective primary dispersers.
2007-09-01
Power Control and Filter Boards (PCFB) are powered. The anticipated temperature range is based on a model, and like all models, it is subject to...voltage regulation, filtering , or averaging at room temperature , and with no rate applied. This data was taken at 1K samples/sec, and resulted in an...buffering or amplification should be done as near to the signal source as possible. The low pass filter was added to the rate, BIT, and temperature
Lee, Kiyoung; Slavcev, Andrea; Nicas, Mark
2004-01-01
In preparing to fit test a large workforce, a respirator program manager needs to initially choose respirators that will fit the greatest proportion of employees and achieve the best fits. This article discusses our strategy in selecting respirators from an initial array of seven NIOSH-certified Type N95 filtering-facepiece devices for a respiratory protection program against Mycobacterium tuberculosis (M. tb) aerosol. The seven respirators were screened based on manufacturer-provided fit test data, comfort, and cost. From these 7 devices, 5 were chosen for quantitative fit testing on 40 subjects who were a convenience sample from a cohort of approximately 30,000 workers scheduled to undergo fit testing. Across the five brands, medium/regular-size respirators fit from 8% to 95% of the subjects; providing another size of the same brand improved the pass rates slightly. Gender was not found to significantly affect fit test pass rates for any respirator brand. Among test panel members, an Aearo Corporation respirator (TC 84A-2630) and a 3M Company respirator (TC 84A-0006) provided the highest overall pass rates of 98% and 90%, respectively. We selected these two brands for fit testing in the larger worker cohort. To date, these two respirators have provided overall pass rates of 98% (1793/1830) and 88% (50/57), respectively, which are similar to the test panel results. Among 1850 individuals who have been fit tested, 1843 (99.6%) have been successfully fitted with one or the other brand. In a separate analysis, we used the test panel pass rates to estimate the reduction in M. tb infection risk afforded by the medium/regular-size of five filtering-facepiece respirators. We posed a low-exposure versus a high-exposure scenario for health care workers and assumed that respirators could be assigned without conducting fit testing, as proposed by many hospital infection control practitioners. Among those who would pass versus fail the fit test, we assumed an average respirator penetration (primarily due to faceseal leakage) of .04 and 0.3, respectively. The respirator with the highest overall pass rate (95%) reduced M. tb infection risk by 95%, while the respirator with the lowest pass rate (8%) reduced M. tb infection risk by only 70%. To promote the marketing of respirators that will successfully fit the highest proportion of wearers, and to increase protection for workers who might use respirators without the benefit of being fit tested, we recommend that fit testing be part of the NIOSH certification process for negative-pressure air-purifying respirators with tightly fitting facepieces. At a minimum, we recommend that respirator manufacturers generate and provide pass rate data to assist in selecting candidate respirators. In any event, program managers can initially select candidate respirators by comparing quantitative fit tests for a representative sample of their employee population.
Daily Mini Quizzes as Means for Improving Student Performance in Anatomy Course
Poljičanin, Ana; Čarić, Ana; Vilović, Katarina; Košta, Vana; Marinović Guić, Maja; Aljinović, Jure; Grković, Ivica
2009-01-01
Aim To evaluate daily-written 10-question quizzes in a medical anatomy course as a way to integrate assessment into the course and to evaluate their effect on the course success. Methods Students answering correctly 8/10 or more questions were awarded 0.5 points per quiz. There were 34 quizzes with a maximum point score 17. Measurable outcomes of academic progress in anatomy course (pass rates on 4 examination terms, total pass rate, and average marks) were calculated, and 2007/08 academic year was compared with the previous academic year in which daily written quizzes were not a part of the course. The relationship between cumulative points on daily quizzes and 3 components of the final examination (written, practical, and oral) for 2007/08 academic year was assessed by non-parametric correlation testing. Results Individual scores on quizzes ranged from 1.5 to 13.5 points. There was a positive correlation between scores on quizzes and grades on 3 components of the final examination: written (Spearman ρ = 0.784, P < 0.001, n = 79), practical (Spearman ρ = 0.342, P < 0.002, n = 79), and oral (Spearman ρ = 0.683, P < 0.001, n = 79) part. Compared with students in the previous academic year, students attending the course with daily quizzes significantly improved their academic achievement, expressed as the pass rate at the first examination term (39% vs 62%, respectively, χ2 test, P = 0.006) and the average course grade (2.71 ± 1.08 vs 3.38 ± 1.26, respectively; t test, P < 0.001). Conclusion Despite their frequency and possible associated stress, daily quizzes were associated with better academic success in the anatomy course. PMID:19260145
Quantitative evaluation of patient-specific quality assurance using online dosimetry system
NASA Astrophysics Data System (ADS)
Jung, Jae-Yong; Shin, Young-Ju; Sohn, Seung-Chang; Min, Jung-Whan; Kim, Yon-Lae; Kim, Dong-Su; Choe, Bo-Young; Suh, Tae-Suk
2018-01-01
In this study, we investigated the clinical performance of an online dosimetry system (Mobius FX system, MFX) by 1) dosimetric plan verification using gamma passing rates and dose volume metrics and 2) error-detection capability evaluation by deliberately introduced machine error. Eighteen volumetric modulated arc therapy (VMAT) plans were studied. To evaluate the clinical performance of the MFX, we used gamma analysis and dose volume histogram (DVH) analysis. In addition, to evaluate the error-detection capability, we used gamma analysis and DVH analysis utilizing three types of deliberately introduced errors (Type 1: gantry angle-independent multi-leaf collimator (MLC) error, Type 2: gantry angle-dependent MLC error, and Type 3: gantry angle error). A dosimetric verification comparison of physical dosimetry system (Delt4PT) and online dosimetry system (MFX), gamma passing rates of the two dosimetry systems showed very good agreement with treatment planning system (TPS) calculation. For the average dose difference between the TPS calculation and the MFX measurement, most of the dose metrics showed good agreement within a tolerance of 3%. For the error-detection comparison of Delta4PT and MFX, the gamma passing rates of the two dosimetry systems did not meet the 90% acceptance criterion with the magnitude of error exceeding 2 mm and 1.5 ◦, respectively, for error plans of Types 1, 2, and 3. For delivery with all error types, the average dose difference of PTV due to error magnitude showed good agreement between calculated TPS and measured MFX within 1%. Overall, the results of the online dosimetry system showed very good agreement with those of the physical dosimetry system. Our results suggest that a log file-based online dosimetry system is a very suitable verification tool for accurate and efficient clinical routines for patient-specific quality assurance (QA).
Li, Jonathan; Samant, Sanjiv
2011-01-01
Two‐dimensional array dosimeters are commonly used to perform pretreatment quality assurance procedures, which makes them highly desirable for measuring transit fluences for in vivo dose reconstruction. The purpose of this study was to determine if an in vivo dose reconstruction via transit dosimetry using a 2D array dosimeter was possible. To test the accuracy of measuring transit dose distribution using a 2D array dosimeter, we evaluated it against the measurements made using ionization chamber and radiochromic film (RCF) profiles for various air gap distances (distance from the exit side of the solid water slabs to the detector distance; 0 cm, 30 cm, 40 cm, 50 cm, and 60 cm) and solid water slab thicknesses (10 cm and 20 cm). The backprojection dose reconstruction algorithm was described and evaluated. The agreement between the ionization chamber and RCF profiles for the transit dose distribution measurements ranged from ‐0.2%~ 4.0% (average 1.79%). Using the backprojection dose reconstruction algorithm, we found that, of the six conformal fields, four had a 100% gamma index passing rate (3%/3 mm gamma index criteria), and two had gamma index passing rates of 99.4% and 99.6%. Of the five IMRT fields, three had a 100% gamma index passing rate, and two had gamma index passing rates of 99.6% and 98.8%. It was found that a 2D array dosimeter could be used for backprojection dose reconstruction for in vivo dosimetry. PACS number: 87.55.N‐
Fixing New York's State Education Aid Dinosaur: A Proposal. Policy Brief.
ERIC Educational Resources Information Center
Yinger, John
New York State provides aid to local schools in a way that is unfair to the neediest school districts with high educational needs or low property wealth. Proposed in this policy brief is a new formula for state aid based on a comprehensive educational cost index and a school performance index that reflects an average passing rate on the new…
Code of Federal Regulations, 2010 CFR
2010-07-01
... until the leak check is passed. Post-test leak check ≤4% of average sampling rate After sampling ** See... the test site. The sorbent media must be obtained from a source that can demonstrate the quality...-traceable calibration gas standards and reagents shall be used for the tests and procedures required under...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-09
... rate that Direct Edge ECN LLC (d/b/a DE Route) (``DE Route''), the Exchange's affiliated routing broker... daily average volume of at least 50,000 shares from $0.0002 per share to $0.0005 per share). The... the financial markets. The Exchange believes that its proposal to pass through a rebate of $0.0005 per...
A new metric for assessing IMRT modulation complexity and plan deliverability.
McNiven, Andrea L; Sharpe, Michael B; Purdie, Thomas G
2010-02-01
To evaluate the utility of a new complexity metric, the modulation complexity score (MCS), in the treatment planning and quality assurance processes and to evaluate the relationship of the metric with deliverability. A multisite (breast, rectum, prostate, prostate bed, lung, and head and neck) and site-specific (lung) dosimetric evaluation has been completed. The MCS was calculated for each beam and the overall treatment plan. A 2D diode array (MapCHECK, Sun Nuclear, Melbourne, FL) was used to acquire measurements for each beam. The measured and planned dose (PINNACLE3, Phillips, Madison, WI) was evaluated using different percent differences and distance to agreement (DTA) criteria (3%/ 3 mm and 2%/ 1 mm) and the relationship between the dosimetric results and complexity (as measured by the MCS or simple beam parameters) assessed. For the multisite analysis (243 plans total), the mean MCS scores for each treatment site were breast (0.92), rectum (0.858), prostate (0.837), prostate bed (0.652), lung (0.631), and head and neck (0.356). The MCS allowed for compilation of treatment site-specific statistics, which is useful for comparing different techniques, as well as for comparison of individual treatment plans with the typical complexity levels. For the six plans selected for dosimetry, the average diode percent pass rate was 98.7% (minimum of 96%) for 3%/3 mm evaluation criteria. The average difference in absolute dose measurement between the planned and measured dose was 1.7 cGy. The detailed lung analysis also showed excellent agreement between the measured and planned dose, as all beams had a diode percentage pass rate for 3%/3 mm criteria of greater than 95.9%, with an average pass rate of 99.0%. The average absolute maximum dose difference for the lung plans was 0.7 cGy. There was no direct correlation between the MCS and simple beam parameters which could be used as a surrogate for complexity level (i.e., number of segments or MU). An evaluation criterion of 2%/ 1 mm reliably allowed for the identification of beams that are dosimetrically robust. In this study we defined a robust beam or plan as one that maintained a diode percentage pass rate greater than 90% at 2%/ 1 mm, indicating delivery that was deemed accurate when compared to the planned dose, even under stricter evaluation criterion. MCS and MU threshold criteria were determined by defining a required specificity of 1.0. A MCS threshold of 0.8 allowed for identification of robust deliverability with a sensitivity of 0.36. In contrast, MU had a lower sensitivity of 0.23 for a threshold of 50 MU. The MCS allows for a quantitative assessment of plan complexity, on a fixed scale, that can be applied to all treatment sites and can provide more information related to dose delivery than simple beam parameters. This could prove useful throughout the entire treatment planning and QA process.
Is current surgery resident and GI fellow training adequate to pass FES?
Gardner, Aimee K; Scott, Daniel J; Willis, Ross E; Van Sickle, Kent; Truitt, Michael S; Uecker, John; Brown, Kimberly M; Marks, Jeffrey M; Dunkin, Brian J
2017-01-01
The purpose of this study was to assess the adequacy of current surgical residency and gastroenterology (GI) fellowship flexible endoscopy training as measured by performance on the FES examination. Fifth-year general surgery residents and GI fellows across six institutions were invited to participate. All general surgery residents had met ACGME/ABS case volume requirements as well as additional institution-specific requirements for endoscopy. All participants completed FES testing at the end of their respective academic year. Procedure volumes were obtained from ACGME case logs. Curricular components for each specialty and institution were recorded. Forty-eight (28 surgery and 20 GI) trainees completed the examination. Average case numbers for residents were 76 ± 26 colonoscopies and 45 ± 12 EGDs. Among GI fellows, PGY4 s (N = 10) reported 99 ± 64 colonoscopies and 147 ± 79 EGDs. PGY5 s (N = 3) reported 462 ± 307 colonoscopies and 411 ± 260 EGDs. PGY6 GI fellows (N = 7) reported 515 ± 111 colonoscopies and 418 ± 146 EGDs. The overall pass rate for all participants was 75 %, with 68 % of residents and 85 % of fellows passing both the cognitive and skills components. For surgery residents, pass rates were 75 % for manual skills and 85.7 % for cognitive. On the skills examination, Task 2 (loop reduction) was associated with the lowest performance. Skills scores correlated with both colonoscopy (r = 0.46, p < 0.001) and EGD experience (r = 0.46, p < 0.001). Receiver operating characteristics curves were examined among the resident cohort. The minimum number of total cases associated with passing the FES skills component was 103. Significant variability existed in curricular components across institutions. These data suggest that current flexible endoscopy training may not be sufficient for all trainees to pass the examination. Implementing additional components of the FEC may prove beneficial in achieving more uniform pass rates on the FES examination.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Liu, S; Mazur, T; Li, H
Purpose: The aim of this paper was to demonstrate the feasibility and creditability of computing and verifying 3D fluencies to assure IMRT and VMAT treatment deliveries, by correlating the passing rates of the 3D fluence-based QA (P(ά)) to the passing rates of 2D dose measurementbased QA (P(Dm)). Methods: 3D volumetric primary fluencies are calculated by forward-projecting the beam apertures and modulated by beam MU values at all gantry angles. We first introduce simulated machine parameter errors (MU, MLC positions, jaw, gantry and collimator) to the plan. Using passing rates of voxel intensity differences (P(Ir)) and 3D gamma analysis (P(γ)), calculatedmore » 3D fluencies, calculated 3D delivered dose, and measured 2D planar dose in phantom from the original plan are then compared with those from corresponding plans with errors, respectively. The correlations of these three groups of resultant passing rates, i.e. 3D fluence-based QA (P(ά,Ir) and P(ά,γ)), calculated 3D dose (P(Dc,Ir) and P(Dc,γ)), and 2D dose measurement-based QA (P(Dm,Ir) and P(Dm,γ)), will be investigated. Results: 20 treatment plans with 5 different types of errors were tested. Spearman’s correlations were found between P(ά,Ir) and P(Dc,Ir), and also between P(ά,γ) and P(Dc,γ), with averaged p-value 0.037, 0.065, and averaged correlation coefficient ρ-value 0.942, 0.871 respectively. Using Matrixx QA for IMRT plans, Spearman’s correlations were also obtained between P(ά,Ir) and P(Dm,Ir) and also between P(ά,γ) and P(Dm,γ), with p-value being 0.048, 0.071 and ρ-value being 0.897, 0.779 respectively. Conclusion: The demonstrated correlations improve the creditability of using 3D fluence-based QA for assuring treatment deliveries for IMRT/VMAT plans. Together with advantages of high detection sensitivity and better visualization of machine parameter errors, this study further demonstrates the accuracy and feasibility of 3D fluence based-QA in pre-treatment QA and daily QA. Research reported in this study is supported by the Agency for Healthcare Research and Quality (AHRQ) under award 1R01HS0222888. The senior author received research grants from ViewRay Inc. and Varian Medical System.« less
Associations between quality indicators of internal medicine residency training programs
2011-01-01
Background Several residency program characteristics have been suggested as measures of program quality, but associations between these measures are unknown. We set out to determine associations between these potential measures of program quality. Methods Survey of internal medicine residency programs that shared an online ambulatory curriculum on hospital type, faculty size, number of trainees, proportion of international medical graduate (IMG) trainees, Internal Medicine In-Training Examination (IM-ITE) scores, three-year American Board of Internal Medicine Certifying Examination (ABIM-CE) first-try pass rates, Residency Review Committee-Internal Medicine (RRC-IM) certification length, program director clinical duties, and use of pharmaceutical funding to support education. Associations assessed using Chi-square, Spearman rank correlation, univariate and multivariable linear regression. Results Fifty one of 67 programs responded (response rate 76.1%), including 29 (56.9%) community teaching and 17 (33.3%) university hospitals, with a mean of 68 trainees and 101 faculty. Forty four percent of trainees were IMGs. The average post-graduate year (PGY)-2 IM-ITE raw score was 63.1, which was 66.8 for PGY3s. Average 3-year ABIM-CE pass rate was 95.8%; average RRC-IM certification was 4.3 years. ABIM-CE results, IM-ITE results, and length of RRC-IM certification were strongly associated with each other (p < 0.05). PGY3 IM-ITE scores were higher in programs with more IMGs and in programs that accepted pharmaceutical support (p < 0.05). RRC-IM certification was shorter in programs with higher numbers of IMGs. In multivariable analysis, a higher proportion of IMGs was associated with 1.17 years shorter RRC accreditation. Conclusions Associations between quality indicators are complex, but suggest that the presence of IMGs is associated with better performance on standardized tests but decreased duration of RRC-IM certification. PMID:21651768
Analysis of large system black box verification test data
NASA Technical Reports Server (NTRS)
Clapp, Kenneth C.; Iyer, Ravishankar Krishnan
1993-01-01
Issues regarding black box, large systems verification are explored. It begins by collecting data from several testing teams. An integrated database containing test, fault, repair, and source file information is generated. Intuitive effectiveness measures are generated using conventional black box testing results analysis methods. Conventional analysts methods indicate that the testing was effective in the sense that as more tests were run, more faults were found. Average behavior and individual data points are analyzed. The data is categorized and average behavior shows a very wide variation in number of tests run and in pass rates (pass rates ranged from 71 percent to 98 percent). The 'white box' data contained in the integrated database is studied in detail. Conservative measures of effectiveness are discussed. Testing efficiency (ratio of repairs to number of tests) is measured at 3 percent, fault record effectiveness (ratio of repairs to fault records) is measured at 55 percent, and test script redundancy (ratio of number of failed tests to minimum number of tests needed to find the faults) ranges from 4.2 to 15.8. Error prone source files and subsystems are identified. A correlational mapping of test functional area to product subsystem is completed. A new adaptive testing process based on real-time generation of the integrated database is proposed.
SU-F-T-313: Clinical Results of a New Customer Acceptance Test for Elekta VMAT
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rusk, B; Fontenot, J
Purpose: To report the results of a customer acceptance test (CAT) for VMAT treatments for two matched Elekta linear accelerators. Methods: The CAT tests were performed on two clinically matched Elekta linear accelerators equipped with a 160-leaf MLC. Functional tests included performance checks of the control system during dynamic movements of the diaphragms, MLC, and gantry. Dosimetric tests included MLC picket fence tests at static and variable dose rates and a diaphragm alignment test, all performed using the on-board EPID. Additionally, beam symmetry during arc delivery was measured at the four cardinal angles for high and low dose rate modesmore » using a 2D detector array. Results of the dosimetric tests were analyzed using the VMAT CAT analysis tool. Results: Linear accelerator 1 (LN1) met all stated CAT tolerances. Linear accelerator 2 (LN2) passed the geometric, beam symmetry, and MLC position error tests but failed the relative dose average test for the diaphragm abutment and all three picket fence fields. Though peak doses in the abutment regions were consistent, the average dose was below the stated tolerance corresponding to a leaf junction that was too narrow. Despite this, no significant differences in patient specific VMAT quality assurance measured were observed between the accelerators and both passed monthly MLC quality assurance performed with the Hancock test. Conclusion: Results from the CAT showed LN2 with relative dose averages in the abutment regions of the diaphragm and MLC tests outside the tolerances resulting from differences in leaf gap distances. Tolerances of the dose average tests from the CAT may be small enough to detect MLC errors which do not significantly affect patient QA or the routine MLC tests.« less
Reponen, Tiina; Lee, Shu-An; Grinshpun, Sergey A; Johnson, Erik; McKay, Roy
2011-04-01
This study investigated particle-size-selective protection factors (PFs) of four models of N95 filtering facepiece respirators (FFRs) that passed and failed fit testing. Particle size ranges were representative of individual viruses and bacteria (aerodynamic diameter d(a) = 0.04-1.3 μm). Standard respirator fit testing was followed by particle-size-selective measurement of PFs while subjects wore N95 FFRs in a test chamber. PF values obtained for all subjects were then compared to those obtained for the subjects who passed the fit testing. Overall fit test passing rate for all four models of FFRs was 67%. Of these, 29% had PFs <10 (the Occupational Safety and Health Administration Assigned Protection Factor designated for this type of respirator). When only subjects that passed fit testing were included, PFs improved with 9% having values <10. On average, the PFs were 1.4 times (29.5/21.5) higher when only data for those who passed fit testing were included. The minimum PFs were consistently observed in the particle size range of 0.08-0.2 μm. Overall PFs increased when subjects passed fit testing. The results support the value of fit testing but also show for the first time that PFs are dependent on particle size regardless of fit testing status.
Passively mode-locked diode-pumped Nd:YVO4 oscillator operating at an ultralow repetition rate.
Papadopoulos, D N; Forget, S; Delaigue, M; Druon, F; Balembois, F; Georges, P
2003-10-01
We demonstrate the operation of an ultralow-repetition-rate, high-peak-power, picosecond diode-pumped Nd:YVO4 passively mode-locked laser oscillator. Repetition rates lower than 1 MHz were achieved with the use of a new design for a multiple-pass cavity and a semiconductor saturable absorber. Long-term stable operation at 1.2 MHz with a pulse duration of 16.3 ps and an average output power of 470 mW, corresponding to 24-kW peak-power pulses, is reported. These are to our knowledge the lowest-repetition-rate high-peak-power pulses ever generated directly from apicosecond laser resonator without cavity dumping.
Effects of dose scaling on delivery quality assurance in tomotherapy
Nalichowski, Adrian; Burmeister, Jay
2012-01-01
Delivery quality assurance (DQA) of tomotherapy plans is routinely performed with silver halide film which has a limited range due to the effects of saturation. DQA plans with dose values exceeding this limit require the dose of the entire plan to be scaled downward if film is used, to evaluate the dose distribution in two dimensions. The potential loss of fidelity between scaled and unscaled DQA plans as a function of dose scaling is investigated. Three treatment plans for 12 Gy fractions designed for SBRT of the lung were used to create DQA procedures that were scaled between 100% and 10%. The dose was measured with an ionization chamber array and compared to values from the tomotherapy treatment planning system. Film and cylindrical ion chamber measurements were also made for one patient for scaling factors of 50% to 10% to compare with the ionization chamber array measurements. The array results show the average gamma pass rate is ≥99% from 100% to 30% scaling. The average gamma pass rate falls to 93.6% and 51.1% at 20% and 10% scaling, respectively. Film analysis yields similar pass rates. Cylindrical ion chambers did not exhibit significant variation with dose scaling, but only represent points in the low gradient region of the dose distribution. Scaling the dose changes the mechanics of the radiation delivery, as well as the signal‐to‐noise ratio. Treatment plans which exhibit parameters that differ significantly from those common to DQA plans studied in this paper may exhibit different behavior. Dose scaling should be limited to the smallest degree possible. Planar information, such as that from film or a detector array, is required. The results show that it is not necessary to perform both a scaled and unscaled DQA plan for the treatment plans considered here. PACS numbers: 87.55.km, 87.55.Qr PMID:22231213
NASA Astrophysics Data System (ADS)
Karczewicz, Marta; Chen, Peisong; Joshi, Rajan; Wang, Xianglin; Chien, Wei-Jung; Panchal, Rahul; Coban, Muhammed; Chong, In Suk; Reznik, Yuriy A.
2011-01-01
This paper describes video coding technology proposal submitted by Qualcomm Inc. in response to a joint call for proposal (CfP) issued by ITU-T SG16 Q.6 (VCEG) and ISO/IEC JTC1/SC29/WG11 (MPEG) in January 2010. Proposed video codec follows a hybrid coding approach based on temporal prediction, followed by transform, quantization, and entropy coding of the residual. Some of its key features are extended block sizes (up to 64x64), recursive integer transforms, single pass switched interpolation filters with offsets (single pass SIFO), mode dependent directional transform (MDDT) for intra-coding, luma and chroma high precision filtering, geometry motion partitioning, adaptive motion vector resolution. It also incorporates internal bit-depth increase (IBDI), and modified quadtree based adaptive loop filtering (QALF). Simulation results are presented for a variety of bit rates, resolutions and coding configurations to demonstrate the high compression efficiency achieved by the proposed video codec at moderate level of encoding and decoding complexity. For random access hierarchical B configuration (HierB), the proposed video codec achieves an average BD-rate reduction of 30.88c/o compared to the H.264/AVC alpha anchor. For low delay hierarchical P (HierP) configuration, the proposed video codec achieves an average BD-rate reduction of 32.96c/o and 48.57c/o, compared to the H.264/AVC beta and gamma anchors, respectively.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Zakjevskii, V; Knill, C; Rakowski, J
2014-06-01
Purpose: To develop a comprehensive end-to-end test for Varian's TrueBeam linear accelerator for head and neck IMRT using a custom phantom designed to utilize multiple dosimetry devices. Methods: The initial end-to-end test and custom H and N phantom were designed to yield maximum information in anatomical regions significant to H and N plans with respect to: i) geometric accuracy, ii) dosimetric accuracy, and iii) treatment reproducibility. The phantom was designed in collaboration with Integrated Medical Technologies. A CT image was taken with a 1mm slice thickness. The CT was imported into Varian's Eclipse treatment planning system, where OARs and themore » PTV were contoured. A clinical template was used to create an eight field static gantry angle IMRT plan. After optimization, dose was calculated using the Analytic Anisotropic Algorithm with inhomogeneity correction. Plans were delivered with a TrueBeam equipped with a high definition MLC. Preliminary end-to-end results were measured using film and ion chambers. Ion chamber dose measurements were compared to the TPS. Films were analyzed with FilmQAPro using composite gamma index. Results: Film analysis for the initial end-to-end plan with a geometrically simple PTV showed average gamma pass rates >99% with a passing criterion of 3% / 3mm. Film analysis of a plan with a more realistic, ie. complex, PTV yielded pass rates >99% in clinically important regions containing the PTV, spinal cord and parotid glands. Ion chamber measurements were on average within 1.21% of calculated dose for both plans. Conclusion: trials have demonstrated that our end-to-end testing methods provide baseline values for the dosimetric and geometric accuracy of Varian's TrueBeam system.« less
Orthopedic stretcher with average-sized person can pass through 18-inch opening
NASA Technical Reports Server (NTRS)
Lothschuetz, F. X.
1966-01-01
Modified Robinson stretcher for vertical lifting and carrying, will pass through an opening 18 inches in diameter, while containing a person of average height and weight. A subject 6 feet tall and weighing 200 pounds was lowered and raised out of an 18 inch diameter opening in a tank to test the stretcher.
Wang, Chunhua; Liu, Chong; Shen, Lifeng; Zhao, Zhiliang; Liu, Bin; Jiang, Hongbo
2016-03-20
In this paper a delicately designed double-passing end-pumped Nd:YVO4 rod amplifier is reported that produces 10.2 W average laser output when seeded by a 6 mW Nd:YVO4 microchip laser at a repetition rate of 70 kHz with pulse duration of 90 ps. A pulse peak power of ∼1.6 MW and pulse energy of ∼143 μJ is achieved. The beam quality is well preserved by a double-passing configuration for spherical-aberration compensation. The laser-beam size in the amplifier is optimized to prevent the unwanted damage from the high pulse peak-power density. This study provides a simple and robust picosecond all-solid-state master oscillator power amplifier system with both high peak power and high beam quality, which shows great potential in the micromachining.
ERIC Educational Resources Information Center
Sweeney, Irene O.
2014-01-01
The inquiry to be addressed in this Action Research Study (ARS) is the effective teaching modality that will increase the class average pass rate and reduce the percent of students who do not score 850 or above on the HESI-RN exams. The researcher's intent was to provide data in support of a collaborative teaching environment in which to…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gräfe, James; Khan, Rao; Meyer, Tyler
2014-08-15
In this study we investigate the deliverability of dosimetric plans generated by the irregular surface compensator (ISCOMP) algorithm for 6 MV photon beams in Eclipse (Varian Medical System, CA). In contrast to physical tissue compensation, the electronic ISCOMP uses MLCs to dynamically modulate the fluence of a photon beam in order to deliver a uniform dose at a user defined plane in tissue. This method can be used to shield critical organs that are located within the treatment portal or improve dose uniformity by tissue compensation in inhomogeneous regions. Three site specific plans and a set of test fields weremore » evaluated using the γ-metric of 3%/ 3 mm on Varian EPID, MapCHECK, and Gafchromic EBT3 film with a clinical tolerance of >95% passing rates. Point dose measurements with an NRCC calibrated ionization chamber were also performed to verify the absolute dose delivered. In all cases the MapCHECK measured plans met the gamma criteria. The mean passing rate for the six EBT3 film field measurements was 96.2%, with only two fields at 93.4 and 94.0% passing rates. The EPID plans passed for fields encompassing the central ∼10 × 10 cm{sup 2} region of the detector; however for larger fields and greater off-axis distances discrepancies were observed and attributed to the profile corrections and modeling of backscatter in the portal dose calculation. The magnitude of the average percentage difference for 21 ion chamber point dose measurements and 17 different fields was 1.4 ± 0.9%, and the maximum percentage difference was −3.3%. These measurements qualify the algorithm for routine clinical use subject to the same pre-treatment patient specific QA as IMRT.« less
Passing particle toroidal precession induced by electric field in a tokamak
DOE Office of Scientific and Technical Information (OSTI.GOV)
Andreev, V. V.; Ilgisonis, V. I.; Sorokina, E. A.
2013-12-15
Characteristics of a rotation of passing particles in a tokamak with radial electric field are calculated. The expression for time-averaged toroidal velocity of the passing particle induced by the electric field is derived. The electric-field-induced additive to the toroidal velocity of the passing particle appears to be much smaller than the velocity of the electric drift calculated for the poloidal magnetic field typical for the trapped particle. This quantity can even have the different sign depending on the azimuthal position of the particle starting point. The unified approach for the calculation of the bounce period and of the time-averaged toroidalmore » velocity of both trapped and passing particles in the whole volume of plasma column is presented. The results are obtained analytically and are confirmed by 3D numerical calculations of the trajectories of charged particles.« less
Anatomy of the obturator region: relations to a trans-obturator sling.
Whiteside, James L; Walters, Mark D
2004-01-01
Our objective was to determine the relationships between a trans-obturator sling and anatomic structures within the obturator region. The obturator regions of six cadavers were dissected and distances from the mid-point of the ischiopubic ramus to the muscles, nerves, and vessels of the region were measured. A trans-obturator sling was placed and distances from the device to the same anatomic structures were determined. Four additional cadavers were dissected to determine the device route of passage. The obturator canal is on average 4.4 cm from the midpoint of the ischiopubic rami. The trans-obturator sling passes on average 2.4 cm inferior-medial to the obturator canal. The anterior and posterior divisions of the obturator nerve are on average 3.4 and 2.8 cm, respectively, from a passed trans-obturator device. The device passed on average 1.1 cm from the most medial branch of the obturator vessels. Vascular and nerve structures are within 1-3 cm of the path of any device passed through the obturator foramen. A trans-obturator sling risks injury to these structures, although the small caliber of the vessels and the confined space in which they would bleed make the consequences of injury uncertain.
NASA Technical Reports Server (NTRS)
Green, L. M.; Murray, D. K.; Tran, D. T.; Nelson, G. A.; Shah, M. M.; Luben, R. A.
2001-01-01
In this study we examine changes in the cellular properties of FRTL-5 cells as a function of passage number, with particular emphasis on gap junction expression, karyotype, morphology, growth rate and thyroxine (T(4)) release. Early passage FRTL-5 follicular cells transfer dye through gap junctions from injected cell(s) to third-order neighboring cells and beyond within their respective follicles and have immuno-detectable connexin32 (Cx32) type gap junctional plaques in their lateral contacting plasma membranes. By contrast, FRTL-5 cells established as monolayers, or as follicles from cultures passed more than 15 times, did not transfer microinjected Lucifer Yellow dye to contiguous neighboring cells and did not express any immuno-detectable rat thyroid specific connexins (Cx43, Cx32 or Cx26). Western blots confirmed that total, membrane and cytosolic Cx32 protein was present only in early pass follicular cultures. To better understand the passage-dependent loss of Cx32 expression, RT-PCR primers were made to the most unique sequences of the rat Cx32 molecule, the cytoplasmic and carboxyl-terminal regions. These primers were used to screen FRTL-5 RNA from cultures of various passage numbers. The results revealed that later passage cultures had a single base deletion in the middle of the Cx32 cytoplasmic loop region at nucleotide position 378. This base deletion was in the middle position of the codon for amino acid 116, which is normally a CAC (histidine) but read with the frame shift was a CCC (proline). The four amino acids that followed this deletion were also altered with the fourth one becoming UAA, the ochre translation stop codon. This premature stopping of translation resulted in a truncation of 60% of the protein, which included the remaining cytoplasmic loop, third and fourth transmembrane regions and the carboxyl-terminus. The later passage cultures did not produce a carboxyl-terminal RT-PCR product, indicating that the mRNA was also truncated. These regions of the Cx32 molecule contain the sequences and epitopes to which probes and antibodies are directed, and as such alterations of these regions with repeated passage explains reports by others that FRTL-5 cells do not express Cx32, and implies that cultures used for these assessments were passed more than 15 times. To determine if genetic or epigenetic abnormalities existed in FRTL-5 cells we performed chromosome spreads from various passage cultures. FRTL-5 cells have been reported to be diploid and more recently non-diploid; however, we found them to be fully tetraploid. This tetraploidy appears to be unstable in that later passes are tetraploid plus two or three extra chromosomes. There were no obvious translocations, breaks or large-scale interstitial deletions of any chromosomes in the FRTL-5 cultures tested. As FRTL-5 cells were repeatedly passed their morphology changed. Monolayer areas spread from beneath the follicles, and the follicles became flattened in appearance. These physical changes were coincident with dramatically increased growth rates. Early cultures (passed 3-12 times) divided on average every 49+/-1 h, whereas later passes (passes 20-25) divided every 28+/-3 h. To correlate these changes with a measure of thyroid function we assayed T(4) output. Early passage follicular cultures incubated for 6 h with sodium iodide, released on average 5.27+/- 0.33 ng/ml of T(4)/100 follicles. Later passes, or early passes treated with heptanol to down-regulate Cx32, released an average of 3.84+/-0.50 ng/ml of T(4)/100 follicles. There was a 27% difference in T(4) release between early follicular cultures, that were coupled by Cx32, and late or down-regulated early follicular cultures, that were uncoupled (P<0.0001). Collectively, the physical changes documented in this study were coincident with the loss of functional Cx32. This implies a relationship between the loss of intercellular communication and changes in morphogenic appearance, growth rate and reduced thyroid function and supports the previously postulated, tumor-suppressor role for Cx32. FRTL-5 cultures from low passage numbers are an excellent model of primary thyroid cells. However, many reports in the literature ascribe features to FRTL-5 cells that are mutually inconsistent. These differences may be resolved in the future by addressing the passage number and the conditional differences of the cultures being studied.
Background Conditions for the October 29, 2003 Solar Flare by the AVS-F Apparatus Data
NASA Astrophysics Data System (ADS)
Arkhangelskaja, I. V.; Arkhangelskiy, A. I.; Lyapin, A. R.; Troitskaya, E. V.
The background model for AVS-F apparatus onboard CORONAS-F satellite for the October 29, 2003 X10-class solar flare is discussed in the presented work. This background model developed for AVS-F counts rate in the low- and high-energy spectral ranges in both individual channels and summarized. Count rate were approximated by polynomials of high order taking into account the mean count rate in the geomagnetic equatorial region at the different orbits parts and Kp-index averaged on 5 bins in time interval from -24 to -12 hours before the time of geomagnetic equator passing. The observed averaged counts rate on equator in the region of geomagnetic latitude ±5o and estimated minimum count rate values are in coincidence within statistical errors for all selected orbits parts used for background modeling. This model will used to refine the estimated energy of registered during the solar flare spectral features and detailed analysis of their temporal profiles behavior both in corresponding energy bands and in summarized energy range.
Insular and submarine ferromanganese mineralization of the Tonga-Lau region
Hein, J.R.; Schulz, M.S.; Jung-Keuk, Kang
1990-01-01
Ferromanganese oxides in the Tonga-Lau region are divided into crusts and stratabound deposits. Crusts were collected from the Tonga and Lau Ridges and have Fe/Mn ratios greater than 1, and an average Co content of 0.25%. The crusts average less than 10 mm thick with a maximum of 50 mm, and growth rates of tens of millimeters per million years. The thickest crust is probably less than a million years old. Crusts formed by both hydrogenetic and hydrothermal precipitation, with the hydrothermal input averaging 76%. Stratabound deposits are divided into three types. The source rocks through which the circulating fluids passed controlled the dominant minor element compositions of the stratabound deposits from each area: Valu Fa Ridge, Mo; Tonga Ridge Ti; Tonumea, Sr and Eua, V. -from Authors
Sadick, Neil S; Alexiades-Armenakas, Macrene; Bitter, Patrick; Hruza, George; Mulholland, R Stephen
2005-01-01
The authors previously reported their experience achieving non-ablative skin enhancement with serial, full-face, intense pulsed light treatments in a large series of patients. A new method for skin renewal electro-optical synergy (ELOS), which combines intense pulsed optical energy and conducted bipolar radiofrequency (RF) energy into a single pulse, has been recently introduced. Intense pulsed optical energy and bipolar RF energy have been used in dermatologic surgery for many years; however, this study represents the therapeutic impact of the combined energies. The authors report their experience using an ELOS system (Aurora SR, Syneron, Yokneam, Israel) on 108 consecutive patients treated with a series of full-face procedures. Patients received 5 full-face treatments every 3 weeks. Each treatment consisted of 1 to 8 full-face and segmental passes. The number of passes, specific wavelength of pulsed optical energy, and RF energy were determined by the patient's skin type, dyschromia, wrinkle pathology, and presence of a tan. A total of 540 treatments were performed on 108 subjects. All patients had pre- and post-procedural photographs. Results were assessed by double-blinded physician photographic evaluation and patient satisfaction scales. Overall skin improvement was rated at 75.3%. Overall average wrinkle improvement was 41.2%, with an average Class 1 wrinkle improvement of 64.7%, Class 2 wrinkle improvement of 38.6%, and Class 3 wrinkle improvement of 20.4%. Improvement in skin laxity was rated at 62.9%. Skin texture was reported to improve 74.1%. Improvement in the appearance of pore size was rated at 65.1%. Average improvement in erythema and telangiectasia was 68.4%. Average improvement in hyperpigmentation and dyschromia was 79.3%. Overall patient satisfaction was 92%. The overall minor complication rate, including blistering, crusting, and stripping was 8.3%, and the major complication rate was less than 1%. One small, depressed nasal scar was observed in one patient. This study demonstrates the safety and efficacy of a new technology using combined optical and conducted bipolar RF energies for noninvasive skin rejuvenation. The results show improvement in wrinkle reduction and amelioration of erythema, telangiectasia, and hyperpigmentation comparable to that reported for other intense pulsed light technologies.
ERIC Educational Resources Information Center
Oliphant, Jennifer A.
2011-01-01
In the original "No Pass/No Play" legislation (enacted by Texas State Legislature in 1985), students had to pass all classes with at least a 70% average to participate in sports or extracurricular activities. Since then, no pass/no play regulations have been enacted across the nation with little evidence regarding their effectiveness. Questions…
ERIC Educational Resources Information Center
Felder, Nathaniel L.
The grading system at the University of North Carolina at Asheville before fall 1978 provided four designations: H (honors); G (good or well above average); P (pass or satisfactory); and F (failure). This range does not provide a grade for unsatisfactory but passing work. It was suspected that this led teachers to give "average" grades…
Performance of a multi leaf collimator system for MR-guided radiation therapy.
Cai, Bin; Li, Harold; Yang, Deshan; Rodriguez, Vivian; Curcuru, Austen; Wang, Yuhe; Wen, Jie; Kashani, Rojano; Mutic, Sasa; Green, Olga
2017-12-01
The purpose of this study was to investigate and characterize the performance of a Multi Leaf Collimator (MLC) designed for Cobalt-60 based MR-guided radiation therapy system in a 0.35 T magnetic field. The MLC design and unique assembly features in the ViewRay MRIdian system were first reviewed. The RF cage shielding of MLC motor and cables were evaluated using ACR phantoms with real-time imaging and quantified by signal-to-noise ratio. The dosimetric characterizations, including the leaf transmission, leaf penumbra, tongue-and-groove effect, were investigated using radiosensitive films. The output factor of MLC-defined fields was measured with ionization chambers for both symmetric fields from 2.1 × 2.1 cm 2 to 27.3 × 27.3 cm 2 and asymmetric fields from 10.5 × 10.5 cm 2 to 10.5 × 2.0 cm 2 . Multi leaf collimator (MLC) positional accuracy was assessed by delivering either a picket fence (PF) style pattern on radiochromic films with wire-jig phantom or double and triple-rectangular patterns on ArcCheck-MR (Sun Nuclear, Melbourne, FL, USA) with gamma analysis as the pass/fail indicator. Leaf speed tests were performed to assess the capability of full range leaf travel within manufacture's specifications. Multi leaf collimator plan delivery reproducibility was tested by repeatedly delivering both open fields and fields with irregular shaped segments over 1-month period. Comparable SNRs within 4% were observed for MLC moving and stationary plans on vendor-reconstructed images, and the direct k-space reconstructed images showed that the three SNRs are within 1%. The maximum leaf transmission for all three MLCs was less than 0.35% and the average leakage was 0.153 ± 0.006%, 0.151 ± 0.008%, and 0.159 ± 0.015% for head 1, 2, and 3, respectively. Both the leaf edge and leaf end penumbra showed comparable values within 0.05 cm, and the measured values are within 0.1 cm with TPS values. The leaf edge TG effect indicated 10% underdose and the leaf end TG showed a shifted dose distribution with 0.3 cm offset. The leaf positioning test showed a 0.2 cm accuracy in the PF style test, and a gamma passing rate above 96% was observed with a 3%/2 mm criteria when comparing the measured double/triple-rectangular pattern fluence with TPS calculated fluence. The average leaf speed when executing the test plan fell in a range from 1.86 to 1.95 cm/s. The measured and TPS calculated output factors were within 2% for squared fields and within 3% for rectangular fields. The reproducibility test showed the deviation of output factors were well within 2% for square fields and the gamma passing rate within 1.5% for fields with irregular segments. The Monte Carlo predicted output factors were within 2% compared to TPS values. 15 out of the 16 IMRT plans have gamma passing rate more than 98% compared to the TPS fluence with an average passing rate of 99.1 ± 0.6%. The MRIdian MLC has a good RF noise shielding design, low radiation leakage, good positioning accuracy, comparable TG effect, and can be modeled by an independent Monte Carlo calculation platform. © 2017 American Association of Physicists in Medicine.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Arai, K; Tohoku University Graduate School of Medicine, Sendal, Miyagi; Kadoya, N
Purpose: The aim of this study was to confirm On-Board Imager cone-beam computed tomography (CBCT) using a histogram-matching algorithm as a useful method for proton dose calculation in head and neck radiotherapy. Methods: We studied one head and neck phantom and ten patients with head and neck cancer treated using intensity-modulated radiation therapy (IMRT) and proton beam therapy. We modified Hounsfield unit (HU) values of CBCT (mCBCT) using a histogram-matching algorithm. In order to evaluate the accuracy of the proton dose calculation, we compared dose differences in dosimetric parameters (Dmean) for clinical target volume (CTV), planning target volume (PTV) andmore » left parotid and proton ranges (PR) between the planning CT (reference) and CBCT or mCBCT, and gamma passing rates of CBCT and mCBCT. To minimize the effect of organ deformation, we also performed image registration. Results: For patients, the average differences in Dmean for CTV, PTV, and left parotid between planning CT and CBCT were 1.63 ± 2.34%, 3.30 ± 1.02%, and 5.42 ± 3.06%, respectively. Similarly, the average differences between planning CT and mCBCT were 0.20 ± 0.19%, 0.58 ±0.43%, and 3.53 ±2.40%, respectively. The average differences in PR between planning CT and CBCT or mCBCT of a 50° beam for ten patients were 2.1 ± 2.1 mm and 0.3 ± 0.5 mm, respectively. Similarly, the average differences in PR of a 120° beam were 2.9 ± 2.6 mm and 1.1 ± 0.9 mm, respectively. The average dose and PR differences of mCBCT were smaller than those of CBCT. Additionally, the average gamma passing rates of mCBCT were larger than those of CBCT. Conclusion: We evaluated the accuracy of the proton dose calculation in CBCT and mCBCT with the image registration for ten patients. Our results showed that HU modification using a histogram-matching algorithm could improve the accuracy of the proton dose calculation.« less
Effect of Various SPD Techniques on Structure and Superplastic Deformation of Two Phase MgLiAl Alloy
NASA Astrophysics Data System (ADS)
Dutkiewicz, Jan; Bobrowski, Piotr; Rusz, Stanislav; Hilser, Ondrej; Tański, Tomasz A.; Borek, Wojciech; Łagoda, Marek; Ostachowski, Paweł; Pałka, Paweł; Boczkal, Grzegorz; Kuc, Dariusz; Mikuszewski, Tomasz
2018-03-01
MgLiAl alloy containing 9 wt% Li and 1.5% Al composed of hexagonal α and bcc β phases was cast under protecting atmosphere and hot extruded. Various methods of severe plastic deformation were applied to study their effect on structure and grain refinement. Rods were subjected to 1-3 passes of Twist Channel Angular Pressing TCAP (with helical component), cyclic compression to total strain ɛ = 5 using MAXStrain Gleeble equipment, both performed at temperature interval 160-200 °C and, as third SPD method, KOBO type extrusion at RT. The TCAP pass resulted in grain refinement of α phase from 30 μm down to about 2 μm and that of β phase from 12 to 5 μm. Maxstrain cycling 10 × up to ɛ = 5 led to much finer grain size of 300 nm. KOBO method performed at RT caused average grain size refinement of α and β phases down to about 1 μm. Hardness of alloy decreased slightly with increasing number of TCAP passes due to increase of small void density. It was higher after MAXStrain cycling and after KOBO extrusion. TEM studies after TCAP passes showed higher dislocation density in the β region than in the α phase. Crystallographic relationship (001) α|| (110) β indicated parallel positioning of slip planes of both phases. Electron diffraction technique confirmed increase of grain misorientation with number of TCAP passes. Stress/strain curves recorded at temperature 200 °C showed superplastic forming after 1st and 3rd TCAP passes with better superplastic properties due to higher elongation with increasing number of passes. Values of strain rate sensitivity coefficient m were calculated at 0.29 after 3rd TCAP pass for strain rate range 10-5 to 5 × 10-3 s-1. Deformation by MAXStrain cycling caused much more effective grain refinement with fine microtwins in α phase. Superplastic deformation was also observed in alloy deformed by KOBO method, however the value of m = 0.21 was obtained at lower temperature of deformation equal to 160 °C and deformation rate in the range 10-5 to 5 × 10-3. Tensile samples deformed superplastically showed grain growth and void formation caused by grain boundary slip. Summarizing, all methods applied resulted in sufficient grain refinement to obtain the effect of superplastic deformation for alloys of two phase α + β structure.
Does every US smoker bear the same cigarette tax?
Xu, Xin; Malarcher, Ann; O’Halloran, Alissa; Kruger, Judy
2015-01-01
Aims To evaluate state cigarette excise tax pass-through rates for selected price-minimizing strategies. Design Multivariate regression analysis of current smokers from a stratified, national, dual-frame telephone survey. Setting United States. Participants A total of 16 542 adult current smokers aged 18 years or older. Measurements Cigarette per pack prices paid with and without coupons were obtained for pack versus carton purchase, use of generic brands versus premium brands, and purchase from Indian reservations versus outside Indian reservations. Findings The average per pack prices paid differed substantially by price-minimizing strategy. Smokers who used any type of price-minimizing strategies paid substantially less than those who did not use these strategies (P < 0.05). Premium brand users who purchased by pack in places outside Indian reservations paid the entire amount of the excise tax, together with an additional premium of 7–10 cents per pack for every $1 increase in excise tax (pass-through rate of 1.07–1.10, P < 0.05). In contrast, carton purchasers, generic brand users or those who were likely to make their purchases on Indian reservations paid only 30–83 cents per pack for every $1 tax increase (pass-through rate of 0.30–0.83, P < 0.05). Conclusions Many smokers in the United States are able to avoid the full impact of state excise tax on cost of smoking by buying cartons, using generic brands and buying from Indian reservations. PMID:24861973
DOE Office of Scientific and Technical Information (OSTI.GOV)
Knill, Cory, E-mail: knillcor@gmail.com; Snyder, Michael; Rakowski, Joseph T.
Purpose: PTW’s Octavius 1000 SRS array performs IMRT quality assurance (QA) measurements with liquid-filled ionization chambers (LICs) to allow closer detector spacing and higher resolution, compared to air-filled QA devices. However, reduced ion mobility in LICs relative to air leads to increased ion recombination effects and reduced collection efficiencies that are dependent on Linac pulse frequency and pulse dose. These pulse parameters are variable during an IMRT delivery, which affects QA results. In this study, (1) 1000 SRS collection efficiencies were measured as a function of pulse frequency and pulse dose, (2) two methods were developed to correct changes inmore » collection efficiencies during IMRT QA measurements, and the effects of these corrections on QA pass rates were compared. Methods: To obtain collection efficiencies, the OCTAVIUS 1000 SRS was used to measure open fields of varying pulse frequency, pulse dose, and beam energy with results normalized to air-filled chamber measurements. Changes in ratios of 1000 SRS to chamber measured dose were attributed to changing collection efficiencies, which were then correlated to pulse parameters using regression analysis. The usefulness of the derived corrections was then evaluated using 6 MV and 10FFF SBRT RapidArc plans delivered to the OCTAVIUS 4D system using a TrueBeam (Varian Medical Systems) linear accelerator equipped with a high definition multileaf collimator. For the first correction, MATLAB software was developed that calculates pulse frequency and pulse dose for each detector, using measurement and DICOM RT Plan files. Pulse information is converted to collection efficiency, and measurements are corrected by multiplying detector dose by ratios of calibration to measured collection efficiencies. For the second correction the MU/min in the daily 1000 SRS calibration was chosen to match the average MU/min of the volumetric modulated arc therapy plan. Effects of the two corrections on QA results were examined by performing 3D gamma analysis comparing predicted to measured dose, with and without corrections. Results: Collection efficiencies correlated linearly to pulse dose, while correlations with pulse frequency were less defined, generally increasing as pulse frequency decreased. After complex MATLAB corrections, average 3D gamma pass rates improved by [0.07%,0.40%,1.17%] for 6 MV and [0.29%,1.40%,4.57%] for 10FFF using [3%/3 mm,2%/2 mm,1%/1 mm] criteria. Maximum changes in gamma pass rates were [0.43%,1.63%,3.05%] for 6 MV and [1.00%,4.80%,11.2%] for 10FFF using [3%/3 mm,2%/2 mm,1%/1 mm] criteria. On average, pass rates of simple daily calibration corrections were within 1% of complex MATLAB corrections. Conclusions: OCTAVIUS 1000 SRS ion recombination effects have little effect on 6 MV measurements. However, the effect could potentially be clinically significant for higher pulse dose unflattened beams when using tighter gamma tolerances, especially when small aperture sizes are used, as is common for SRS/SBRT. In addition, ion recombination effects are strongly correlated to changing MU/min, therefore MU/min used in daily 1000 SRS calibrations should be matched to the expected average MU/min of the IMRT plan.« less
Microstructure, Texture and Mechanical Properties of Titanium Grade 2 Processed by ECAP (Route C)
NASA Astrophysics Data System (ADS)
Wroński, M.; Wierzbanowski, K.; Wojtas, D.; Szyfner, E.; Valiev, R. Z.; Kawałko, J.; Berent, K.; Sztwiertnia, K.
2018-03-01
In the present work the properties of titanium grade 2 after ECAP processing with original route and regimes (route C, channel angle Φ= 120°, deformation temperature 300 °C, number of passes up to 8) were examined. Texture development and microstructure parameters after ECAP processing and after recrystallization were determined using electron back scatter diffraction and analysed. A significant increase of the mechanical strength accompanied by some increase of ductility was observed in the deformed samples. The kernel average misorientation and average grain orientation spread were strongly increased after deformation, which confirms the material refinement and fragmentation. The proportion of low angle boundaries increased after four ECAP passes, but after four consecutive passes high angle grain boundaries became predominant. No deformation twins were observed after four and eight ECAP passes. The material recrystallized after deformation retained a fine grain microstructure. The textures of deformed and recrystallized samples were determined. It was found that texture after 8 passes is more homogeneous that that after 4 passes, which partly explains higher ductility of this first sample.
NASA Astrophysics Data System (ADS)
Dong, Min; Dong, Chenghui; Guo, Miao; Wang, Zhe; Mu, Xiaomin
2018-04-01
Multiresolution-based methods, such as wavelet and Contourlet are usually used to image fusion. This work presents a new image fusion frame-work by utilizing area-based standard deviation in dual tree Contourlet trans-form domain. Firstly, the pre-registered source images are decomposed with dual tree Contourlet transform; low-pass and high-pass coefficients are obtained. Then, the low-pass bands are fused with weighted average based on area standard deviation rather than the simple "averaging" rule. While the high-pass bands are merged with the "max-absolute' fusion rule. Finally, the modified low-pass and high-pass coefficients are used to reconstruct the final fused image. The major advantage of the proposed fusion method over conventional fusion is the approximately shift invariance and multidirectional selectivity of dual tree Contourlet transform. The proposed method is compared with wavelet- , Contourletbased methods and other the state-of-the art methods on common used multi focus images. Experiments demonstrate that the proposed fusion framework is feasible and effective, and it performs better in both subjective and objective evaluation.
NASA Technical Reports Server (NTRS)
Barlow, Douglas A.; Baird, James K.; Su, Ching-Hua
2003-01-01
More than 75 years ago, von Weimarn summarized his observations of the dependence of the average crystal size on the initial relative concentration supersaturation prevailing in a solution from which crystals were growing. Since then, his empirically derived rules have become part of the lore of crystal growth. The first of these rules asserts that the average crystal size measured at the end of a crystallization increases as the initial value of the relative supersaturation decreases. The second rule states that for a given crystallization time, the average crystal size passes through a maximum as a function of the initial relative supersaturation. Using a theory of nucleation and growth due to Buyevich and Mansurov, we calculate the average crystal size as a function of the initial relative supersaturation. We confirm the von Weimarn rules for the case where the nucleation rate is proportional to the third power or higher of the relative supersaturation.
Are false-positive rates leading to an overestimation of noise-induced hearing loss?
Schlauch, Robert S; Carney, Edward
2011-04-01
To estimate false-positive rates for rules proposed to identify early noise-induced hearing loss (NIHL) using the presence of notches in audiograms. Audiograms collected from school-age children in a national survey of health and nutrition (the Third National Health and Nutrition Examination Survey [NHANES III]; National Center for Health Statistics, 1994) were examined using published rules for identifying noise notches at various pass-fail criteria. These results were compared with computer-simulated "flat" audiograms. The proportion of these identified as having a noise notch is an estimate of the false-positive rate for a particular rule. Audiograms from the NHANES III for children 6-11 years of age yielded notched audiograms at rates consistent with simulations, suggesting that this group does not have significant NIHL. Further, pass-fail criteria for rules suggested by expert clinicians, applied to NHANES III audiometric data, yielded unacceptably high false-positive rates. Computer simulations provide an effective method for estimating false-positive rates for protocols used to identify notched audiograms. Audiometric precision could possibly be improved by (a) eliminating systematic calibration errors, including a possible problem with reference levels for TDH-style earphones; (b) repeating and averaging threshold measurements; and (c) using earphones that yield lower variability for 6.0 and 8.0 kHz--2 frequencies critical for identifying noise notches.
Jin, X; Yan, H; Han, C; Zhou, Y; Yi, J; Xie, C
2015-03-01
To investigate comparatively the percentage gamma passing rate (%GP) of two-dimensional (2D) and three-dimensional (3D) pre-treatment volumetric modulated arc therapy (VMAT) dosimetric verification and their correlation and sensitivity with percentage dosimetric errors (%DE). %GP of 2D and 3D pre-treatment VMAT quality assurance (QA) with different acceptance criteria was obtained by ArcCHECK® (Sun Nuclear Corporation, Melbourne, FL) for 20 patients with nasopharyngeal cancer (NPC) and 20 patients with oesophageal cancer. %DE were calculated from planned dose-volume histogram (DVH) and patients' predicted DVH calculated by 3DVH® software (Sun Nuclear Corporation). Correlation and sensitivity between %GP and %DE were investigated using Pearson's correlation coefficient (r) and receiver operating characteristics (ROCs). Relatively higher %DE on some DVH-based metrics were observed for both patients with NPC and oesophageal cancer. Except for 2%/2 mm criterion, the average %GPs for all patients undergoing VMAT were acceptable with average rates of 97.11% ± 1.54% and 97.39% ± 1.37% for 2D and 3D 3%/3 mm criteria, respectively. The number of correlations for 3D was higher than that for 2D (21 vs 8). However, the general correlation was still poor for all the analysed metrics (9 out of 26 for 3D 3%/3 mm criterion). The average area under the curve (AUC) of ROCs was 0.66 ± 0.12 and 0.71 ± 0.21 for 2D and 3D evaluations, respectively. There is a lack of correlation between %GP and %DE for both 2D and 3D pre-treatment VMAT dosimetric evaluation. DVH-based dose metrics evaluation obtained from 3DVH will provide more useful analysis. Correlation and sensitivity of %GP with %DE for VMAT QA were studied for the first time.
Jin, X; Yan, H; Han, C; Zhou, Y; Yi, J
2015-01-01
Objective: To investigate comparatively the percentage gamma passing rate (%GP) of two-dimensional (2D) and three-dimensional (3D) pre-treatment volumetric modulated arc therapy (VMAT) dosimetric verification and their correlation and sensitivity with percentage dosimetric errors (%DE). Methods: %GP of 2D and 3D pre-treatment VMAT quality assurance (QA) with different acceptance criteria was obtained by ArcCHECK® (Sun Nuclear Corporation, Melbourne, FL) for 20 patients with nasopharyngeal cancer (NPC) and 20 patients with oesophageal cancer. %DE were calculated from planned dose–volume histogram (DVH) and patients' predicted DVH calculated by 3DVH® software (Sun Nuclear Corporation). Correlation and sensitivity between %GP and %DE were investigated using Pearson's correlation coefficient (r) and receiver operating characteristics (ROCs). Results: Relatively higher %DE on some DVH-based metrics were observed for both patients with NPC and oesophageal cancer. Except for 2%/2 mm criterion, the average %GPs for all patients undergoing VMAT were acceptable with average rates of 97.11% ± 1.54% and 97.39% ± 1.37% for 2D and 3D 3%/3 mm criteria, respectively. The number of correlations for 3D was higher than that for 2D (21 vs 8). However, the general correlation was still poor for all the analysed metrics (9 out of 26 for 3D 3%/3 mm criterion). The average area under the curve (AUC) of ROCs was 0.66 ± 0.12 and 0.71 ± 0.21 for 2D and 3D evaluations, respectively. Conclusions: There is a lack of correlation between %GP and %DE for both 2D and 3D pre-treatment VMAT dosimetric evaluation. DVH-based dose metrics evaluation obtained from 3DVH will provide more useful analysis. Advances in knowledge: Correlation and sensitivity of %GP with %DE for VMAT QA were studied for the first time. PMID:25494412
Impact cratering through geologic time
Shoemaker, E.M.; Shoemaker, C.S.
1998-01-01
New data on lunar craters and recent discoveries about craters on Earth permit a reassessment of the bombardment history of Earth over the last 3.2 billion years. The combined lunar and terrestrial crater records suggest that the long-term average rate of production of craters larger than 20 km in diameter has increased, perhaps by as much as 60%, in the last 100 to 200 million years. Production of craters larger than 70 km in diameter may have increased, in the same time interval, by a factor of five or more over the average for the preceding three billion years. A large increase in the flux of long-period comets appears to be the most likely explanation for such a long-term increase in the cratering rate. Two large craters, in particular, appear to be associated with a comet shower that occurred about 35.5 million years ago. The infall of cosmic dust, as traced by 3He in deep sea sediments, and the ages of large craters, impact glass horizons, and other stratigraphic markers of large impacts seem to be approximately correlated with the estimated times of passage of the Sun through the galactic plane, at least for the last 65 million years. Those are predicted times for an increased near-Earth flux of comets from the Oort Cloud induced by the combined effects of galactic tidal perturbations and encounters of the Sun with passing stars. Long-term changes in the average comet flux may be related to changes in the amplitude of the z-motion of the Sun perpendicular to the galactic plane or to stripping of the outer Oort cloud by encounters with large passing stars, followed by restoration from the inner Oort cloud reservoir.
NASA Astrophysics Data System (ADS)
Wang, Chunhua; Shen, Lifeng; Zhao, Zhiliang; Liu, Bin; Jiang, Hongbo; Chen, Jun; Liu, Chong
2016-11-01
A semiconductor saturable absorber mirror (SESAM) based passively Q-switched microchip Nd:YVO4 seed laser with pulse duration of 90 ps at repetition rate of 100 kHz is amplified by single-passing a Nd:YVO4 bounce amplifier with varying seed input power from 20 μW to 10 mW. The liquid pure metal greasy thermally conductive material is used to replace the traditional thin indium foil as the thermal contact material for better heat load transfer of the Nd:YVO4 bounce amplifier. Temperature distribution at the pump surface is measured by an infrared imager to compare with the numerically simulated results. A highest single-passing output power of 11.3 W is obtained for 10 mW averaged seed power, achieving a pulse peak power of ~1.25 MW and pulse energy of ~113 μJ. The beam quality is well preserved with M2 ≤1.25. The simple configuration of this bounce laser amplifier made the system flexible, robust and cost-effective, showing attractive potential for further applications.
Falcone, John L; Gonzalo, Jed D
2014-01-19
To determine Internal Medicine residency program compliance with the Accreditation Council for Graduate Medical Education 80% pass-rate standard and the correlation between residency program size and performance on the American Board of Internal Medicine Certifying Examination. Using a cross-sectional study design from 2010-2012 American Board of Internal Medicine Certifying Examination data of all Internal Medicine residency pro-grams, comparisons were made between program pass rates to the Accreditation Council for Graduate Medical Education pass-rate standard. To assess the correlation between program size and performance, a Spearman's rho was calculated. To evaluate program size and its relationship to the pass-rate standard, receiver operative characteristic curves were calculated. Of 372 Internal Medicine residency programs, 276 programs (74%) achieved a pass rate of =80%, surpassing the Accreditation Council for Graduate Medical Education minimum standard. A weak correlation was found between residency program size and pass rate for the three-year period (p=0.19, p<0.001). The area underneath the receiver operative characteristic curve was 0.69 (95% Confidence Interval [0.63-0.75]), suggesting programs with less than 12 examinees/year are less likely to meet the minimum Accreditation Council for Graduate Medical Education pass-rate standard (sensitivity 63.8%, specificity 60.4%, positive predictive value 82.2%, p<0.001). Although a majority of Internal Medicine residency programs complied with Accreditation Council for Graduate Medical Education pass-rate standards, a quarter of the programs failed to meet this requirement. Program size is positively but weakly associated with American Board of Internal Medicine Certifying Examination performance, suggesting other unidentified variables significantly contribute to program performance.
Sutton, S C; Rinaldi, M T; Vukovinsky, K E
2001-01-01
This study was undertaken to determine whether the gravimetric method provided an accurate measure of water flux correction and to compare the gravimetric method with methods that employ nonabsorbed markers (eg, phenol red and 14C-PEG-3350). Phenol red,14C-PEG-3350, and 4-[2-[[2-(6-amino-3-pyridinyl)-2-hydroxyethyl]amino]ethoxy]-, methyl ester, (R)-benzene acetic acid (Compound I) were co-perfused in situ through the jejunum of 9 anesthetized rats (single-pass intestinal perfusion [SPIP]). Water absorption was determined from the phenol red,14C-PEG-3350, and gravimetric methods. The absorption rate constant (ka) for Compound I was calculated. Both phenol red and 14C-PEG-3350 were appreciably absorbed, underestimating the extent of water flux in the SPIP model. The average +/- SD water flux microg/h/cm) for the 3 methods were 68.9 +/- 28.2 (gravimetric), 26.8 +/- 49.2 (phenol red), and 34.9 +/- 21.9 (14C-PEG-3350). The (average +/- SD) ka for Compound I (uncorrected for water flux) was 0.024 +/- 0.005 min(-1). For the corrected, gravimetric method, the average +/- SD was 0.031 +/- 0.001 min(-1). The gravimetric method for correcting water flux was as accurate as the 2 "nonabsorbed" marker methods.
Heat input and accumulation for ultrashort pulse processing with high average power
NASA Astrophysics Data System (ADS)
Finger, Johannes; Bornschlegel, Benedikt; Reininghaus, Martin; Dohrn, Andreas; Nießen, Markus; Gillner, Arnold; Poprawe, Reinhart
2018-05-01
Materials processing using ultrashort pulsed laser radiation with pulse durations <10 ps is known to enable very precise processing with negligible thermal load. However, even for the application of picosecond and femtosecond laser radiation, not the full amount of the absorbed energy is converted into ablation products and a distinct fraction of the absorbed energy remains as residual heat in the processed workpiece. For low average power and power densities, this heat is usually not relevant for the processing results and dissipates into the workpiece. In contrast, when higher average powers and repetition rates are applied to increase the throughput and upscale ultrashort pulse processing, this heat input becomes relevant and significantly affects the achieved processing results. In this paper, we outline the relevance of heat input for ultrashort pulse processing, starting with the heat input of a single ultrashort laser pulse. Heat accumulation during ultrashort pulse processing with high repetition rate is discussed as well as heat accumulation for materials processing using pulse bursts. In addition, the relevance of heat accumulation with multiple scanning passes and processing with multiple laser spots is shown.
DOE Office of Scientific and Technical Information (OSTI.GOV)
James, Joshua, E-mail: joshua.james@louisville.edu; Dunlap, Neal E.; Nguyen, Vi Nhan
Purpose: Tracking soft-tissue targets has recently been cleared as a new application of Calypso, an electromagnetic wireless transponder tracking system, allowing for gated treatment of the liver based on the motion of the target volume itself. The purpose of this study is to describe the details of validating the Calypso system for wireless transponder tracking of the liver and to present the clinical workflow for using it to deliver gated stereotactic ablative radiotherapy (SABR). Methods: A commercial 3D diode array motion system was used to evaluate the dynamic tracking accuracy of Calypso when tracking continuous large amplitude motion. It wasmore » then used to perform end-to-end tests to evaluate the dosimetric accuracy of gated beam delivery for liver SABR. In addition, gating limits were investigated to determine how large the gating window can be while still maintaining dosimetric accuracy. The gating latency of the Calypso system was also measured using a customized motion phantom. Results: The average absolute difference between the measured and expected positional offset was 0.3 mm. The 2%/2 mm gamma pass rates for the gated treatment delivery were greater than 97%. When increasing the gating limits beyond the known extent of planned motion, the gamma pass rates decreased as expected. The 2%/2 mm gamma pass rate for a 1, 2, and 3 mm increase in gating limits was measured to be 97.8%, 82.9%, and 61.4%, respectively. The average gating latency was measured to be 63.8 ms for beam-hold and 195.8 ms for beam-on. Four liver patients with 17 total fractions have been successfully treated at our institution. Conclusions: Wireless transponder tracking was validated as a dosimetrically accurate way to provide gated SABR of the liver. The dynamic tracking accuracy of the Calypso system met manufacturer’s specification, even for continuous large amplitude motion that can be encountered when tracking liver tumors close to the diaphragm. The measured beam-hold gating latency was appropriate for targets that will traverse the gating limit each respiratory cycle causing the beam to be interrupted constantly throughout treatment delivery.« less
Instantaneous Velocity Using Photogate Timers
ERIC Educational Resources Information Center
Wolbeck, John
2010-01-01
Photogate timers are commonly used in physics laboratories to determine the velocity of a passing object. In this application a card attached to a moving object breaks the beam of the photogate timer providing the time for the card to pass. The length L of the passing card can then be divided by this time to yield the average velocity (or speed)…
Does every US smoker bear the same cigarette tax?
Xu, Xin; Malarcher, Ann; O'Halloran, Alissa; Kruger, Judy
2014-10-01
To evaluate state cigarette excise tax pass-through rates for selected price-minimizing strategies. Multivariate regression analysis of current smokers from a stratified, national, dual-frame telephone survey. United States. A total of 16 542 adult current smokers aged 18 years or older. Cigarette per pack prices paid with and without coupons were obtained for pack versus carton purchase, use of generic brands versus premium brands, and purchase from Indian reservations versus outside Indian reservations. The average per pack prices paid differed substantially by price-minimizing strategy. Smokers who used any type of price-minimizing strategies paid substantially less than those who did not use these strategies (P < 0.05). Premium brand users who purchased by pack in places outside Indian reservations paid the entire amount of the excise tax, together with an additional premium of 7-10 cents per pack for every $1 increase in excise tax (pass-through rate of 1.07-1.10, P < 0.05). In contrast, carton purchasers, generic brand users or those who were likely to make their purchases on Indian reservations paid only 30-83 cents per pack for every $1 tax increase (pass-through rate of 0.30-0.83, P < 0.05). Many smokers in the United States are able to avoid the full impact of state excise tax on cost of smoking by buying cartons, using generic brands and buying from Indian reservations. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.
Delivery quality assurance with ArcCHECK
DOE Office of Scientific and Technical Information (OSTI.GOV)
Neilson, Christopher; Klein, Michael; Barnett, Rob
2013-04-01
Radiation therapy requires delivery quality assurance (DQA) to ensure that treatment is accurate and closely follows the plan. We report our experience with the ArcCHECK phantom and investigate its potential optimization for the DQA process. One-hundred seventy DQA plans from 84 patients were studied. Plans were classified into 2 groups: those with the target situated on the diodes of the ArcCHECK (D plans) and those with the target situated at the center (C plans). Gamma pass rates for 8 target sites were examined. The parameters used to analyze the data included 3%/3 mm with the Van Dyk percent difference criteriamore » (VD) on, 3%/3 mm with the VD off, 2%/2 mm with the VD on, and x/3 mm with the VD on and the percentage dosimetric agreement “x” for diode plans adjusted. D plans typically displayed maximum planned dose (MPD) on the cylindrical surface containing ArcCHECK diodes than center plans, resulting in inflated gamma pass rates. When this was taken into account by adjusting the percentage dosimetric agreement, C plans outperformed D plans by an average of 3.5%. ArcCHECK can streamline the DQA process, consuming less time and resources than radiographic films. It is unnecessary to generate 2 DQA plans for each patient; a single center plan will suffice. Six of 8 target sites consistently displayed pass rates well within our acceptance criteria; the lesser performance of head and neck and spinal sites can be attributed to marginally lower doses and increased high gradient of plans.« less
Measuring Ambiguity in HLA Typing Methods
Madbouly, Abeer; Freeman, John; Maiers, Martin
2012-01-01
In hematopoietic stem cell transplantation, donor selection is based primarily on matching donor and patient HLA genes. These genes are highly polymorphic and their typing can result in exact allele assignment at each gene (the resolution at which patients and donors are matched), but it can also result in a set of ambiguous assignments, depending on the typing methodology used. To facilitate rapid identification of matched donors, registries employ statistical algorithms to infer HLA alleles from ambiguous genotypes. Linkage disequilibrium information encapsulated in haplotype frequencies is used to facilitate prediction of the most likely haplotype assignment. An HLA typing with less ambiguity produces fewer high-probability haplotypes and a more reliable prediction. We estimated ambiguity for several HLA typing methods across four continental populations using an information theory-based measure, Shannon's entropy. We used allele and haplotype frequencies to calculate entropy for different sets of 1,000 subjects with simulated HLA typing. Using allele frequencies we calculated an average entropy in Caucasians of 1.65 for serology, 1.06 for allele family level, 0.49 for a 2002-era SSO kit, and 0.076 for single-pass SBT. When using haplotype frequencies in entropy calculations, we found average entropies of 0.72 for serology, 0.73 for allele family level, 0.05 for SSO, and 0.002 for single-pass SBT. Application of haplotype frequencies further reduces HLA typing ambiguity. We also estimated expected confirmatory typing mismatch rates for simulated subjects. In a hypothetical registry with all donors typed using the same method, the entropy values based on haplotype frequencies correspond to confirmatory typing mismatch rates of 1.31% for SSO versus only 0.08% for SBT. Intermediate-resolution single-pass SBT contains the least ambiguity of the methods we evaluated and therefore the most certainty in allele prediction. The presented measure objectively evaluates HLA typing methods and can help define acceptable HLA typing for donor recruitment. PMID:22952712
SU-F-T-345: Quasi-Dead Beams: Clinical Relevance and Implications for Automatic Planning
DOE Office of Scientific and Technical Information (OSTI.GOV)
Price, R; Veltchev, I; Lin, T
Purpose: Beam direction selection for fixed-beam IMRT planning is typically a manual process. Severe dose-volume limits on critical structures in the thorax often result in atypical selection of beam directions as compared to other body sites. This work demonstrates the potential consequences as well as clinical relevance. Methods: 21 thoracic cases treated with 5–7 beam directions, 6 cases including non-coplanar arrangements, with fractional doses of 150–411cGy were analyzed. Endpoints included per-beam modulation scaling factor (MSF), variation from equal weighting, and delivery QA passing rate. Results: During analysis of patient-specific delivery QA a sub-standard passing rate was found for a singlemore » 5-field plan (90.48% of pixels evaluated passing 3% dose, 3mm DTA). During investigation it was found that a single beam demonstrated a MSF of 34.7 and contributed only 2.7% to the mean dose of the target. In addition, the variation from equal weighting for this beam was 17.3% absolute resulting in another beam with a MSF of 4.6 contributing 41.9% to the mean dose to the target; a variation of 21.9% from equal weighting. The average MSF for the remaining 20 cases was 4.0 (SD 1.8) with an average absolute deviation of 2.8% from equal weighting (SD 3.1%). Conclusion: Optimization in commercial treatment planning systems typically results in relatively equally weighted beams. Extreme variation from this can result in excessively high MSFs (very small segments) and potential decreases in agreement between planned and delivered dose distributions. In addition, the resultant beam may contribute minimal dose to the target (quasi-dead beam); a byproduct being increased treatment time and associated localization uncertainties. Potential ramifications exist for automatic planning algorithms should they allow for user-defined beam directions. Additionally, these quasi-dead beams may be embedded in the libraries for model-based systems potentially resulting in inefficient and less accurate deliveries.« less
Gulzari, Usman Ali; Sajid, Muhammad; Anjum, Sheraz; Agha, Shahrukh; Torres, Frank Sill
2016-01-01
A Mesh topology is one of the most promising architecture due to its regular and simple structure for on-chip communication. Performance of mesh topology degraded greatly by increasing the network size due to small bisection width and large network diameter. In order to overcome this limitation, many researchers presented modified Mesh design by adding some extra links to improve its performance in terms of network latency and power consumption. The Cross-By-Pass-Mesh was presented by us as an improved version of Mesh topology by intelligent addition of extra links. This paper presents an efficient topology named Cross-By-Pass-Torus for further increase in the performance of the Cross-By-Pass-Mesh topology. The proposed design merges the best features of the Cross-By-Pass-Mesh and Torus, to reduce the network diameter, minimize the average number of hops between nodes, increase the bisection width and to enhance the overall performance of the network. In this paper, the architectural design of the topology is presented and analyzed against similar kind of 2D topologies in terms of average latency, throughput and power consumption. In order to certify the actual behavior of proposed topology, the synthetic traffic trace and five different real embedded application workloads are applied to the proposed as well as other competitor network topologies. The simulation results indicate that Cross-By-Pass-Torus is an efficient candidate among its predecessor's and competitor topologies due to its less average latency and increased throughput at a slight cost in network power and energy for on-chip communication.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ebbers, C
The primary focus this year was to operate the system with two amplifiers populated with and pumped by eight high power diode arrays. The system was operated for extended run periods which enabled average power testing of components, diagnostics, and controls. These tests were highly successful, with a demonstrated energy level of over 55 joules for 4 cumulative hours at a repetition rate of 10 Hz (average power 0.55 kW). In addition, high average power second harmonic generation was demonstrated, achieving 227 W of 523.5 nm light (22.7 J, 10 Hz, 15 ns, 30 minutes) Plans to achieve higher energymore » levels and average powers are in progress. The dual amplifier system utilizes a 4-pass optical arrangement. The Yb:S-FAP slabs were mounted in aerodynamic aluminum vane structures to allow turbulent helium gas flow across the faces. Diagnostic packages that monitored beam performance were deployed during operation. The laser experiments involved injecting a seed beam from the front end into the system and making four passes through both amplifiers. Beam performance diagnostics monitored the beam on each pass to assess system parameters such as gain and nearfield intensity profiles. This year, an active mirror and wavefront sensor were procured and demonstrated in an off-line facility. The active mirror technology can correct for low order phase distortions at user specified operating conditions (such as repetition rates different than 10 Hz) and is a complementary technology to the static phase plates used in the system for higher order distortions. A picture of the laser system with amplifier No.2 (foreground) and amplifier No.1 (background) is shown in Fig. 1.0.1.1. The control system and diagnostics were recently enhanced for faster processing and allow remote operation of the system. The growth and fabrication of the Yb:S-FAP slabs constituted another major element of our program objectives. Our goal was to produce at least fourteen 4x6 cm2 crystalline slabs. These goals were met. Nine crystal boules were successfully grown to produce 14 slabs. In addition, we have prepared the way to scale the Yb:S-FAP crystals to the next growth diameter (10-inch diameter as opposed to 7-inch diameter). An outside contract was placed with Northrop-Grumman to scaleup the Yb:S-FAP crystal size. The following sections discuss the above accomplishments in more technical detail and are followed by plans and a budget request for FY2006.« less
Lange, Rael T; Pancholi, Sonal; Bhagwat, Aditya; Anderson-Barnes, Victoria; French, Louis M
2012-01-01
The purpose of this study was to examine the influence of poor effort on neuropsychological test performance in military personnel following mild traumatic brain injury (MTBI). Participants were 143 U.S. service members who sustained a TBI, divided into three groups based on injury severity and performance on the Word Memory Test and four embedded markers of poor effort: MTBI-pass (n = 87), MTBI-fail (n = 21), and STBI-pass (n = 35; where STBI denotes severe TBI). Patients were evaluated at the Walter Reed Army Medical Center on average 3.9 months (SD = 3.4) post injury. The majority of the sample was Caucasian (84.6%), was male (93.0%), and had 12+ years of education (96.5%). Measures included the Personality Assessment Inventory (PAI) and 13 common neurocognitive measures. Patients in the MTBI-fail group performed worse on the majority of neurocognitive measures, followed by the Severe TBI-Pass group and the MTBI-pass group. Using a criterion of three or more low scores <10th percentile, the MTBI-fail group had the greatest rate of impairment (76.2%), followed by the Severe TBI-Pass group (34.3%) and MTBI-pass group (16.1%). On the PAI, the MTBI-fail group had higher scores on the majority of clinical scales (p < .05). There were a greater number of elevated scales (e.g., 5 or more elevated mild or higher) in the MTBI-fail group (71.4%) than in the MTBI-pass group (32.2%) and Severe TBI-Pass group (17.1%). Effort testing is an important component of postacute neuropsychological evaluations following combat-related MTBI. Those who fail effort testing are likely to be misdiagnosed as having severe cognitive impairment, and their symptom reporting is likely to be inaccurate.
Evidence for a Right-Ear Advantage in Newborn Hearing Screening Results.
Ari-Even Roth, Daphne; Hildesheimer, Minka; Roziner, Ilan; Henkin, Yael
2016-12-06
The aim of the present study was to investigate the effect of ear asymmetry, order of testing, and gender on transient-evoked otoacoustic emission (TEOAE) pass rates and response levels in newborn hearing screening. The screening results of 879 newborns, of whom 387 (study group) passed screening successfully in only one ear in the first TEOAE screening, but passed screening successfully in both ears thereafter, and 492 (control group) who passed screening successfully in both ears in the first TEOAE, were retrospectively examined for pass rates and TEOAE characteristics. Results indicated a right-ear advantage, as manifested by significantly higher pass rates in the right ear (61% and 39% for right and left ears, respectively) in the study group, and in 1.75 dB greater TEOAE response amplitudes in the control group. The right-ear advantage was enhanced when the first tested ear was the right ear (76%). When the left ear was tested first, pass rates were comparable in both ears. The right-ear advantage in pass rates was similar in females versus males, but manifested in 1.5 dB higher response amplitudes in females compared with males, regardless of the tested ear and order of testing in both study and control groups. The study provides further evidence for the functional lateralization of the auditory system at the cochlear level already apparent soon after birth in both males and females. While order of testing plays a significant role in the asymmetry in pass rates, the innate right-ear advantage seems to be a more dominant contributor. © The Author(s) 2016.
Evidence for a Right-Ear Advantage in Newborn Hearing Screening Results
Hildesheimer, Minka; Roziner, Ilan; Henkin, Yael
2016-01-01
The aim of the present study was to investigate the effect of ear asymmetry, order of testing, and gender on transient-evoked otoacoustic emission (TEOAE) pass rates and response levels in newborn hearing screening. The screening results of 879 newborns, of whom 387 (study group) passed screening successfully in only one ear in the first TEOAE screening, but passed screening successfully in both ears thereafter, and 492 (control group) who passed screening successfully in both ears in the first TEOAE, were retrospectively examined for pass rates and TEOAE characteristics. Results indicated a right-ear advantage, as manifested by significantly higher pass rates in the right ear (61% and 39% for right and left ears, respectively) in the study group, and in 1.75 dB greater TEOAE response amplitudes in the control group. The right-ear advantage was enhanced when the first tested ear was the right ear (76%). When the left ear was tested first, pass rates were comparable in both ears. The right-ear advantage in pass rates was similar in females versus males, but manifested in 1.5 dB higher response amplitudes in females compared with males, regardless of the tested ear and order of testing in both study and control groups. The study provides further evidence for the functional lateralization of the auditory system at the cochlear level already apparent soon after birth in both males and females. While order of testing plays a significant role in the asymmetry in pass rates, the innate right-ear advantage seems to be a more dominant contributor. PMID:27927982
DOE Office of Scientific and Technical Information (OSTI.GOV)
Patton, T; Du, K; Bayouth, J
Purpose: Ventilation change caused by radiation therapy (RT) can be predicted using four-dimensional computed tomography (4DCT) and image registration. This study tested the dependency of predicted post-RT ventilation on effort correction and pre-RT lung function. Methods: Pre-RT and 3 month post-RT 4DCT images were obtained for 13 patients. The 4DCT images were used to create ventilation maps using a deformable image registration based Jacobian expansion calculation. The post-RT ventilation maps were predicted in four different ways using the dose delivered, pre-RT ventilation, and effort correction. The pre-RT ventilation and effort correction were toggled to determine dependency. The four different predictedmore » ventilation maps were compared to the post-RT ventilation map calculated from image registration to establish the best prediction method. Gamma pass rates were used to compare the different maps with the criteria of 2mm distance-to-agreement and 6% ventilation difference. Paired t-tests of gamma pass rates were used to determine significant differences between the maps. Additional gamma pass rates were calculated using only voxels receiving over 20 Gy. Results: The predicted post-RT ventilation maps were in agreement with the actual post-RT maps in the following percentage of voxels averaged over all subjects: 71% with pre-RT ventilation and effort correction, 69% with no pre-RT ventilation and effort correction, 60% with pre-RT ventilation and no effort correction, and 58% with no pre-RT ventilation and no effort correction. When analyzing only voxels receiving over 20 Gy, the gamma pass rates were respectively 74%, 69%, 65%, and 55%. The prediction including both pre- RT ventilation and effort correction was the only prediction with significant improvement over using no prediction (p<0.02). Conclusion: Post-RT ventilation is best predicted using both pre-RT ventilation and effort correction. This is the only prediction that provided a significant improvement on agreement. Research support from NIH grants CA166119 and CA166703, a gift from Roger Koch, and a Pilot Grant from University of Iowa Carver College of Medicine.« less
The 150 Credit-Hour Requirement and CPA Examination Pass Rates--A Four Year Study
ERIC Educational Resources Information Center
Briggs, Gary P.; He, Lerong
2012-01-01
Debate concerning the minimum educational requirements of certified public accountant (CPA) candidates in the USA has been taking place for decades. This paper compares the sectional pass rates of CPA candidates from jurisdictions requiring 150 credit hours of college study with the pass rates of candidates from jurisdictions not requiring 150…
Impact of Online Summer Mathematics Bridge Program on Placement Scores and Pass Rates
ERIC Educational Resources Information Center
Frost, Jodi L.; Dreher, J. P.
2017-01-01
An online four-week summer mathematics bridge program was implemented at a Midwest university with historically low pass rates in College Algebra and Remedial Mathematics. Students who completed the four week program significantly increased their mathematics placement exam scores. These students also had a higher pass rate in their initial college…
The Dubious Utility of the Value-Added Concept in Higher Education: The Case of Accounting
ERIC Educational Resources Information Center
Yunker, J.A.
2005-01-01
Using data on CPA exam pass rates and various institutional variables, this research examines the potential usefulness of the value-added concept in accounting higher education. For a sample of 548 US colleges and universities, predicted pass rates were computed from regression equations relating observed pass rates to institutional variables. The…
NASA Technical Reports Server (NTRS)
Badhwar, G. D.; Konradi, A.; Atwell, W.; Golightly, M. J.; Cucinotta, F. A.; Wilson, J. W.; Petrov, V. M.; Tchernykh, I. V.; Shurshakov, V. A.; Lobakov, A. P.
1996-01-01
A tissue equivalent proportional counter designed to measure the linear energy transfer spectra (LET) in the range 0.2-1250 keV/micrometer was flown in the Kvant module on the Mir orbital station during September 1994. The spacecraft was in a 51.65 degrees inclination, elliptical (390 x 402 km) orbit. This is nearly the lower limit of its flight altitude. The total absorbed dose rate measured was 411.3 +/- 4.41 microGy/day with an average quality factor of 2.44. The galactic cosmic radiation (GCR) dose rate was 133.6 microGy/day with a quality factor of 3.35. The trapped radiation belt dose rate was 277.7 microGy/day with an average quality factor of 1.94. The peak rate through the South Atlantic Anomaly was approximately 12 microGy/min and nearly constant from one pass to another. A detailed comparison of the measured LET spectra has been made with radiation transport models. The GCR results are in good agreement with model calculations; however, this is not the case for radiation belt particles and again points to the need for improving the AP8 omni-directional trapped proton models.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Harnish, Ryan A.; Colotelo, Alison HA; Li, Xinya
2014-12-01
In 2012 and 2013, Pacific Northwest National Laboratory conducted a study that summarized the passage proportions and route-specific survival rates of steelhead kelts that passed through Federal Columbia River Power System (FCRPS) dams. To accomplish this, a total of 811 steelhead kelts were tagged with Juvenile Salmon Acoustic Telemetry System (JSATS) transmitters. Acoustic receivers, both autonomous and cabled, were deployed throughout the FCRPS to monitor the downstream movements of tagged-kelts. Kelts were also tagged with Passive Integrated Transponder tags to monitor passage through juvenile bypass systems and detect returning fish. The current study evaluated data collected in 2012 and 2013more » to identify individual, behavioral, environmental and dam operation variables that were related to passage and survival of steelhead kelts that passed through FCRPS dams. Bayesian model averaging of multivariable logistic regression models was used to identify the environmental, temporal, operational, individual, and behavioral variables that had the highest probability of influencing the route of passage and the route-specific survival probabilities for kelts that passed Lower Granite (LGR), Little Goose (LGS), and Lower Monumental (LMN) dams in 2012 and 2013. The posterior probabilities of the best models for predicting route of passage ranged from 0.106 for traditional spill at LMN to 0.720 for turbine passage at LGS. Generally, the behavior (depth and near-dam searching activity) of kelts in the forebay appeared to have the greatest influence on their route of passage. Shallower-migrating kelts had a higher probability of passing via the weir and deeper-migrating kelts had a higher probability of passing via the JBS and turbines than other routes. Kelts that displayed a higher level of near-dam searching activity had a higher probability of passing via the spillway weir and those that did less near-dam searching had a higher probability of passing via the JBS and turbines. The side of the river in which kelts approached the dam and dam operations also affected route of passage. Dam operations and the size and condition of kelts were found to have the greatest effect on route-specific survival probabilities for fish that passed via the spillway at LGS. That is, longer kelts and those in fair condition had a lower probability of survival for fish that passed via the spillway weir. The survival of spillway weir- and deep-spill passed kelts was positively correlated with the percent of the total discharge that passed through turbine unit 4. Too few kelts passed through the traditional spill, JBS, and turbine units to evaluate survival through these routes. The information gathered in this study describes Snake River steelhead kelt passage behavior, rates, and distributions through the FCRPS as well as provide information to biologists and engineers about the dam operations and abiotic conditions that are related to passage and survival of steelhead kelts.« less
McNeill, Marjorie H
2009-01-01
The purpose of this research study was to determine whether the administration of a comprehensive examination before graduation increases the percentage of students passing the Registered Health Information Administrator certification examination. A t-test for independent means yielded a statistically significant difference between the Registered Health Information Administrator certification examination pass rates of health information administration programs that administer a comprehensive examination and programs that do not administer a comprehensive examination. Programs with a high certification examination pass rate do not require a comprehensive examination when compared with those programs with a lower pass rate. It is concluded that health information administration faculty at the local level should perform program self-analysis to improve student progress toward achievement of learning outcomes and entry-level competencies.
Thermal effectiveness of multiple shell and tube pass TEMA E heat exchangers
DOE Office of Scientific and Technical Information (OSTI.GOV)
Pignotti, A.; Tamborenea, P.I.
1988-02-01
The thermal effectiveness of a TEMAE shell-and-tube heat exchanger, with one shell pass and an arbitrary number of tube passes, is determined under the usual simplifying assumptions of perfect transverse mixing of the shell fluid, no phase change, and temperature independence of the heat capacity rates and the heat transfer coefficient. A purely algebraic solution is obtained for the effectiveness as a functions of the heat capacity rate ratio and the number of heat transfer units. The case with M shell passes and N tube passes is easily expressed in terms of the single-shell-pass case.
Gerdel, Katharina; Spielmann, Felix Maximilian; Hammerle, Albin; Wohlfahrt, Georg
2017-01-01
The trace gas carbonyl sulphide (COS) has lately received growing interest in the eddy covariance (EC) community due to its potential to serve as an independent approach for constraining gross primary production and canopy stomatal conductance. Thanks to recent developments of fast-response high-precision trace gas analysers (e.g. quantum cascade laser absorption spectrometers (QCLAS)), a handful of EC COS flux measurements have been published since 2013. To date, however, a thorough methodological characterisation of QCLAS with regard to the requirements of the EC technique and the necessary processing steps has not been conducted. The objective of this study is to present a detailed characterization of the COS measurement with the Aerodyne QCLAS in the context of the EC technique, and to recommend best EC processing practices for those measurements. Data were collected from May to October 2015 at a temperate mountain grassland in Tyrol, Austria. Analysis of the Allan variance of high-frequency concentration measurements revealed sensor drift to occur under field conditions after an averaging time of around 50 s. We thus explored the use of two high-pass filtering approaches (linear detrending and recursive filtering) as opposed to block averaging and linear interpolation of regular background measurements for covariance computation. Experimental low-pass filtering correction factors were derived from a detailed cospectral analysis. The CO2 and H2O flux measurements obtained with the QCLAS were compared against those obtained with a closed-path infrared gas analyser. Overall, our results suggest small, but systematic differences between the various high-pass filtering scenarios with regard to the fraction of data retained in the quality control and flux magnitudes. When COS and CO2 fluxes are combined in the so-called ecosystem relative uptake rate, systematic differences between the high-pass filtering scenarios largely cancel out, suggesting that this relative metric represents a robust key parameter comparable between studies relying on different post-processing schemes. PMID:29093762
Gerdel, Katharina; Spielmann, Felix Maximilian; Hammerle, Albin; Wohlfahrt, Georg
2017-09-26
The trace gas carbonyl sulphide (COS) has lately received growing interest in the eddy covariance (EC) community due to its potential to serve as an independent approach for constraining gross primary production and canopy stomatal conductance. Thanks to recent developments of fast-response high-precision trace gas analysers (e.g. quantum cascade laser absorption spectrometers (QCLAS)), a handful of EC COS flux measurements have been published since 2013. To date, however, a thorough methodological characterisation of QCLAS with regard to the requirements of the EC technique and the necessary processing steps has not been conducted. The objective of this study is to present a detailed characterization of the COS measurement with the Aerodyne QCLAS in the context of the EC technique, and to recommend best EC processing practices for those measurements. Data were collected from May to October 2015 at a temperate mountain grassland in Tyrol, Austria. Analysis of the Allan variance of high-frequency concentration measurements revealed sensor drift to occur under field conditions after an averaging time of around 50 s. We thus explored the use of two high-pass filtering approaches (linear detrending and recursive filtering) as opposed to block averaging and linear interpolation of regular background measurements for covariance computation. Experimental low-pass filtering correction factors were derived from a detailed cospectral analysis. The CO 2 and H 2 O flux measurements obtained with the QCLAS were compared against those obtained with a closed-path infrared gas analyser. Overall, our results suggest small, but systematic differences between the various high-pass filtering scenarios with regard to the fraction of data retained in the quality control and flux magnitudes. When COS and CO 2 fluxes are combined in the so-called ecosystem relative uptake rate, systematic differences between the high-pass filtering scenarios largely cancel out, suggesting that this relative metric represents a robust key parameter comparable between studies relying on different post-processing schemes.
NASA Astrophysics Data System (ADS)
Gerdel, Katharina; Spielmann, Felix Maximilian; Hammerle, Albin; Wohlfahrt, Georg
2017-09-01
The trace gas carbonyl sulfide (COS) has lately received growing interest from the eddy covariance (EC) community due to its potential to serve as an independent approach for constraining gross primary production and canopy stomatal conductance. Thanks to recent developments of fast-response high-precision trace gas analysers (e.g. quantum cascade laser absorption spectrometers, QCLAS), a handful of EC COS flux measurements have been published since 2013. To date, however, a thorough methodological characterisation of QCLAS with regard to the requirements of the EC technique and the necessary processing steps has not been conducted. The objective of this study is to present a detailed characterisation of the COS measurement with the Aerodyne QCLAS in the context of the EC technique and to recommend best EC processing practices for those measurements. Data were collected from May to October 2015 at a temperate mountain grassland in Tyrol, Austria. Analysis of the Allan variance of high-frequency concentration measurements revealed the occurrence of sensor drift under field conditions after an averaging time of around 50 s. We thus explored the use of two high-pass filtering approaches (linear detrending and recursive filtering) as opposed to block averaging and linear interpolation of regular background measurements for covariance computation. Experimental low-pass filtering correction factors were derived from a detailed cospectral analysis. The CO2 and H2O flux measurements obtained with the QCLAS were compared with those obtained with a closed-path infrared gas analyser. Overall, our results suggest small, but systematic differences between the various high-pass filtering scenarios with regard to the fraction of data retained in the quality control and flux magnitudes. When COS and CO2 fluxes are combined in the ecosystem relative uptake rate, systematic differences between the high-pass filtering scenarios largely cancel out, suggesting that this relative metric represents a robust key parameter comparable between studies relying on different post-processing schemes.
A Short Note on the Relationship between Pass Rate and Multiple Attempts
ERIC Educational Resources Information Center
Cheng, Ying; Liu, Cheng
2016-01-01
For a certification, licensure, or placement exam, allowing examinees to take multiple attempts at the test could effectively change the pass rate. Change in the pass rate can occur without any change in the underlying latent trait, and can be an artifact of multiple attempts and imperfect reliability of the test. By deriving formulae to compute…
Grønhaug, Gudmund; Østerås, Nina; Hagen, Kåre Birger
2014-11-25
Osteoarthritis (OA) is one of the most common causes of pain and disability in the adult population. Several studies have documented discordance between general practioners (GP) practice and management recommendations, but there is limited published information about patient reported experience of quality of care. The primary aim of this study was to assess the patient perceived quality of OA management in primary health care. Secondly, we wanted to explore the factors associated with the perceived quality of OA care. A cross-sectional survey in six general practices in the county of Nord-Trøndelag in Norway, patients with radiologically diagnosed OA, according to ICPC codes L89, L90 or L91 or clinical signs and symptoms corresponding to OA in the hip or knee and patient-reported quality of OA care on the 17-item OsteoArthritis Quality Indicator questionnaire (OA-QI). OA-QI summary pass rates were calculated, in which the numerator represents the number with indicators passed and the denominator represents the total number of eligible persons. Associations with summary pass rates were explored with demographic, disease related and health care related factors as independent variables. A total of 119 patients were included (response rate 42%). The median summary QI pass rate for all 17 QIs was 47% (Inter Quartile Range 33-65%), but there were large variation between the different items. The referral for weight reduction had the lowest pass rate (8%), whereas the highest pass rate was having received information about the importance of physical activity and exercise (84%). The median summary QI pass rates for both non-pharmacological- (QIs 1-11) and pharmacological (QIs 13-16) treatments were 50% (IQR 25-75). In bivariate regression analyses, only overall treatment satisfaction was significantly associated with QI pass rate (p = 0.001), with unstandardized beta = 6.1 (95% CI 2.7 to 9.5), i.e. a one-point increase on the five-point satisfaction scale was associated with a 6% increase in pass rate. Considering that the median summary QI pass rate was 47%, there might be room for improvement in OA care. Advice and the referral of OA patients in need of weight reduction seem to have the greatest potential for improvement.
A case study of experimental passing zones on Route 8 in Patrick County.
DOT National Transportation Integrated Search
1982-01-01
This study examined the operational characteristics of the four-mile section of Route 8 between Routes 57 and 58. It was noted that these characteristics were significantly improved after provision of the experimental passing zones. Average and 85th ...
NASA Technical Reports Server (NTRS)
Burkard, R.; Jones, S.; Jones, T.
1994-01-01
Rate-dependent changes in the chick brain-stem auditory evoked response (BAER) using conventional averaging and a cross-correlation technique were investigated. Five 15- to 19-day-old white leghorn chicks were anesthetized with Chloropent. In each chick, the left ear was acoustically stimulated. Electrical pulses of 0.1-ms duration were shaped, attenuated, and passed through a current driver to an Etymotic ER-2 which was sealed in the ear canal. Electrical activity from stainless-steel electrodes was amplified, filtered (300-3000 Hz) and digitized at 20 kHz. Click levels included 70 and 90 dB peSPL. In each animal, conventional BAERs were obtained at rates ranging from 5 to 90 Hz. BAERs were also obtained using a cross-correlation technique involving pseudorandom pulse sequences called maximum length sequences (MLSs). The minimum time between pulses, called the minimum pulse interval (MPI), ranged from 0.5 to 6 ms. Two BAERs were obtained for each condition. Dependent variables included the latency and amplitude of the cochlear microphonic (CM), wave 2 and wave 3. BAERs were observed in all chicks, for all level by rate combinations for both conventional and MLS BAERs. There was no effect of click level or rate on the latency of the CM. The latency of waves 2 and 3 increased with decreasing click level and increasing rate. CM amplitude decreased with decreasing click level, but was not influenced by click rate for the 70 dB peSPL condition. For the 90 dB peSPL click, CM amplitude was uninfluenced by click rate for conventional averaging. For MLS BAERs, CM amplitude was similar to conventional averaging for longer MPIs.(ABSTRACT TRUNCATED AT 250 WORDS).
SU-G-BRB-16: Vulnerabilities in the Gamma Metric
DOE Office of Scientific and Technical Information (OSTI.GOV)
Neal, B; Siebers, J
Purpose: To explore vulnerabilities in the gamma index metric that undermine its wide use as a radiation therapy quality assurance tool. Methods: 2D test field pairs (images) are created specifically to achieve high gamma passing rates, but to also include gross errors by exploiting the distance-to-agreement and percent-passing components of the metric. The first set has no requirement of clinical practicality, but is intended to expose vulnerabilities. The second set exposes clinically realistic vulnerabilities. To circumvent limitations inherent to user-specific tuning of prediction algorithms to match measurements, digital test cases are manually constructed, thereby mimicking high-quality image prediction. Results: Withmore » a 3 mm distance-to-agreement metric, changing field size by ±6 mm results in a gamma passing rate over 99%. For a uniform field, a lattice of passing points spaced 5 mm apart results in a passing rate of 100%. Exploiting the percent-passing component, a 10×10 cm{sup 2} field can have a 95% passing rate when an 8 cm{sup 2}=2.8×2.8 cm{sup 2} highly out-of-tolerance (e.g. zero dose) square is missing from the comparison image. For clinically realistic vulnerabilities, an arc plan for which a 2D image is created can have a >95% passing rate solely due to agreement in the lateral spillage, with the failing 5% in the critical target region. A field with an integrated boost (e.g whole brain plus small metastases) could neglect the metastases entirely, yet still pass with a 95% threshold. All the failure modes described would be visually apparent on a gamma-map image. Conclusion: The %gamma<1 metric has significant vulnerabilities. High passing rates can obscure critical faults in hypothetical and delivered radiation doses. Great caution should be used with gamma as a QA metric; users should inspect the gamma-map. Visual analysis of gamma-maps may be impractical for cine acquisition.« less
SU-F-T-236: Comparison of Two IMRT/VMAT QA Systems Using Gamma Index Analysis
DOE Office of Scientific and Technical Information (OSTI.GOV)
Dogan, N; Denissova, S
2016-06-15
Purpose: The goal of this study is to assess differences in the Gamma index pass rates when using two commercial QA systems and provide optimum Gamma index parameters for pre-treatment patient specific QA. Methods: Twenty-two VMAT cases that consisted of prostate, lung, head and neck, spine, brain and pancreas, were included in this study. The verification plans have been calculated using AcurosXB(V11) algorithm for different dose grids (1.5mm, 2.5mm, 3mm). The measurements were performed on TrueBeam(Varian) accelerator using both EPID(S1000) portal imager and ArcCheck(SunNuclearCorp) devices. Gamma index criteria variation of 3%/3mm, 2%/3mm, 2%/2mm and threshold (TH) doses of 5% tomore » 50% were used in analysis. Results: The differences in Gamma pass rates between two devices are not statistically significant for 3%/3mm, yielding pass rate higher than 95%. Increase of lower dose TH showed reduced pass rates for both devices. ArcCheck’s more pronounced effect can be attributed to higher contribution of lower dose region spread. As expected, tightening criteria to 2%/2mm (TH: 10%) decreased Gamma pass rates below 95%. Higher EPID (92%) pass rates compared to ArcCheck (86%) probably due to better spatial resolution. Portal Dosimetry results showed lower Gamma pass rates for composite plans compared to individual field pass rates. This may be due to the expansion in the analyzed region which includes pixels not included in the separate field analysis. Decreasing dose grid size from 2.5mm to 1.5mm did not show statistically significant (p<0.05) differences in Gamma pass rates for both QA devices. Conclusion: Overall, both system measurements agree well with calculated dose when using gamma index criteria of 3%/3mm for a variety of VMAT cases. Variability between two systems increases using different dose GRID, TH and tighter gamma criteria and must be carefully assessed prior to clinical use.« less
Aggregate Interview Method of ranking orthopedic applicants predicts future performance.
Geissler, Jacqueline; VanHeest, Ann; Tatman, Penny; Gioe, Terence
2013-07-01
This article evaluates and describes a process of ranking orthopedic applicants using what the authors term the Aggregate Interview Method. The authors hypothesized that higher-ranking applicants using this method at their institution would perform better than those ranked lower using multiple measures of resident performance. A retrospective review of 115 orthopedic residents was performed at the authors' institution. Residents were grouped into 3 categories by matching rank numbers: 1-5, 6-14, and 15 or higher. Each rank group was compared with resident performance as measured by faculty evaluations, the Orthopaedic In-Training Examination (OITE), and American Board of Orthopaedic Surgery (ABOS) test results. Residents ranked 1-5 scored significantly better on patient care, behavior, and overall competence by faculty evaluation (P<.05). Residents ranked 1-5 scored higher on the OITE compared with those ranked 6-14 during postgraduate years 2 and 3 (P⩽.5). Graduates who had been ranked 1-5 had a 100% pass rate on the ABOS part 1 examination on the first attempt. The most favorably ranked residents performed at or above the level of other residents in the program; they did not score inferiorly on any measure. These results support the authors' method of ranking residents. The rigorous Aggregate Interview Method for ranking applicants consistently identified orthopedic resident candidates who scored highly on the Accreditation Council for Graduate Medical Education resident core competencies as measured by faculty evaluations, performed above the national average on the OITE, and passed the ABOS part 1 examination at rates exceeding the national average. Copyright 2013, SLACK Incorporated.
Design and clinical use of a rotational phantom for dosimetric verification of IMRT/VMAT treatments.
Grams, Michael P; de Los Santos, Luis E Fong
2018-06-01
To describe the design and clinical use of a rotational phantom for dosimetric verification of IMRT/VMAT treatment plans using radiochromic film. A solid water cylindrical phantom was designed with separable upper and lower halves and rests on plastic bearings allowing for 360° rotation about its central axis. The phantom accommodates a half sheet of radiochromic film, and by rotating the cylinder, the film can be placed in any plane between coronal and sagittal. Calculated dose planes coinciding with rotated film measurements are exported by rotating the CT image and dose distribution within the treatment planning system. The process is illustrated with 2 rotated film measurements of an SRS treatment plan involving 4 separate targets. Additionally, 276 patient specific QA measurements were obtained with the phantom and analyzed with a 2%/2 mm gamma criterion. The average 2%/2 mm gamma passing rate for all 276 plans was 99.3%. Seventy-two of the 276 plans were measured with the plane of the film rotated between the coronal and sagittal planes and had an average passing rate of 99.4%. The rotational phantom allows for accurate film measurements in any plane. With this technique, regions of a dose distribution which might otherwise require multiple sagittal or coronal measurements can be verified with as few as a single measurement. This increases efficiency and, in combination with the high spatial resolution inherent to film dosimetry, makes the rotational technique an attractive option for patient-specific QA. Copyright © 2018 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.
Tanooka, Masao; Doi, Hiroshi; Miura, Hideharu; Inoue, Hiroyuki; Niwa, Yasue; Takada, Yasuhiro; Fujiwara, Masayuki; Sakai, Toshiyuki; Sakamoto, Kiyoshi; Kamikonya, Norihiko; Hirota, Shozo
2013-11-01
We validated 3D radiochromic film dosimetry for volumetric modulated arc therapy (VMAT) using a newly developed spiral water phantom. The phantom consists of a main body and an insert box, each of which has an acrylic wall thickness of 3 mm and is filled with water. The insert box includes a spiral film box used for dose-distribution measurement, and a film holder for positioning a radiochromic film. The film holder has two parallel walls whose facing inner surfaces are equipped with spiral grooves in a mirrored configuration. The film is inserted into the spiral grooves by its side edges and runs along them to be positioned on a spiral plane. Dose calculation was performed by applying clinical VMAT plans to the spiral water phantom using a commercial Monte Carlo-based treatment-planning system, Monaco, whereas dose was measured by delivering the VMAT beams to the phantom. The calculated dose distributions were resampled on the spiral plane, and the dose distributions recorded on the film were scanned. Comparisons between the calculated and measured dose distributions yielded an average gamma-index pass rate of 87.0% (range, 91.2-84.6%) in nine prostate VMAT plans under 3 mm/3% criteria with a dose-calculation grid size of 2 mm. The pass rates were increased beyond 90% (average, 91.1%; range, 90.1-92.0%) when the dose-calculation grid size was decreased to 1 mm. We have confirmed that 3D radiochromic film dosimetry using the spiral water phantom is a simple and cost-effective approach to VMAT dose verification.
Schmidt, Robert L; Howard, Kirsten; Hall, Brian J; Layfield, Lester J
2012-12-01
Sample adequacy is an important aspect of overall fine-needle aspiration cytology (FNAC) performance. FNAC effectiveness is augmented by an increasing number of needle passes, but increased needle passes are associated with higher costs and greater risk of adverse events. The objective of this study was to compare the impact of several different sampling policies on FNAC effectiveness and adverse event rates using discrete event simulation. We compared 8 different sampling policies in 12 different sampling environments. All sampling policies were effective when the per-pass accuracy is high (>80%). Rapid on-site evaluation (ROSE) improves FNAC effectiveness when the per-pass adequacy rate is low. ROSE is unlikely to be cost-effective in sampling environments in which the per-pass adequacy is high. Alternative ROSE assessors (eg, cytotechnologists) may be a cost-effective alternative to pathologists when the per-pass adequacy rate is moderate (60%-80%) or when the number of needle passes is limited.
Bondmass, Mary D; Moonie, Sheniz; Kowalski, Susan
2008-01-01
In the United States, nursing programs are commonly evaluated by their graduates success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this paper is to describe a change in NCLEX-RN success rates following the addition of standardized exams throughout our program's curriculum, and to compare these exam scores between graduates who pass NCLEX-RN and those who do not. Our results indicate an 8.5% change (p < 0.000) in the NCLEX-RN pass rate from our previous 5-year mean pass rate, and significant differences in standardized test scores for those who pass the NCLEX-RN compared to those who do not (p < 0.03). We conclude that our selected standardized exam scores are able to significantly identify graduates who are more likely to pass NCLEX-RN than not.
Covington, Kyle; McCallum, Christine; Engelhard, Chalee; Landry, Michel D; Cook, Chad
2016-01-01
The rising cost of health professions education is well documented and a growing concern among educators; however, little is known about the implications of resource investment on student success. The objective of this study was to determine whether programs with higher National Physical Therapist Exam (NPTE) pass rates invested significantly more on programmatic resources. This observational study used data from the Commission on Accreditation in Physical Therapy Education's (CAPTE) Annual Accreditation Report including all accredited physical therapist programs from the United States who graduated physical therapist students in 2011. Resource expenditures were recorded as both raw and as an index variable (resources per student). Descriptive statistics and comparisons (using chi-square and t-tests) among programs with <100% and 100% pass rates were analyzed from 2009-2011. An ANCOVA was used to determine differences in raw resource expenditures and resource expenditures per student. There were no differences in raw resource expenditures between programs with <100% and 100% pass rates. Programs with 100% pass rates were provided more resource expenditures per student for personnel, overall budget, and core faculty. The results of this study suggest programs with 100% pass rates invested significantly more per student for selected resources.
Falcone, John L; Middleton, Donald B
2013-01-01
The Accreditation Council for Graduate Medical Education (ACGME) sets residency performance standards for the American Board of Family Medicine Certification Examination. This study aims are to describe the compliance of residency programs with ACGME standards and to determine whether residency pass rates depend on program size and location. In this retrospective cohort study, residency performance from 2007 to 2011 was compared with the ACGME performance standards. Simple linear regression was performed to see whether program pass rates were dependent on program size. Regional differences in performance were compared with χ(2) tests, using an α level of 0.05. Of 429 total residency programs, there were 205 (47.8%) that violate ACGME performance standards. Linear regression showed that program pass rates were positively correlated and dependent on program size (P < .001). The median pass rate per state was 86.4% (interquartile range, 82.0-90.8. χ(2) Tests showed that states in the West performed higher than the other 3 US Census Bureau Regions (all P < .001). Approximately half of the family medicine training programs do not meet the ACGME examination performance standards. Pass rates are associated with residency program size, and regional variation occurs. These findings have the potential to affect ACGME policy and residency program application patterns.
The statistical validity of nursing home survey findings.
Woolley, Douglas C
2011-11-01
The Medicare nursing home survey is a high-stakes process whose findings greatly affect nursing homes, their current and potential residents, and the communities they serve. Therefore, survey findings must achieve high validity. This study looked at the validity of one key assessment made during a nursing home survey: the observation of the rate of errors in administration of medications to residents (med-pass). Statistical analysis of the case under study and of alternative hypothetical cases. A skilled nursing home affiliated with a local medical school. The nursing home administrators and the medical director. Observational study. The probability that state nursing home surveyors make a Type I or Type II error in observing med-pass error rates, based on the current case and on a series of postulated med-pass error rates. In the common situation such as our case, where med-pass errors occur at slightly above a 5% rate after 50 observations, and therefore trigger a citation, the chance that the true rate remains above 5% after a large number of observations is just above 50%. If the true med-pass error rate were as high as 10%, and the survey team wished to achieve 75% accuracy in determining that a citation was appropriate, they would have to make more than 200 med-pass observations. In the more common situation where med pass errors are closer to 5%, the team would have to observe more than 2000 med-passes to achieve even a modest 75% accuracy in their determinations. In settings where error rates are low, large numbers of observations of an activity must be made to reach acceptable validity of estimates for the true rates of errors. In observing key nursing home functions with current methodology, the State Medicare nursing home survey process does not adhere to well-known principles of valid error determination. Alternate approaches in survey methodology are discussed. Copyright © 2011 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
Klier, C M; Grylli, C; Amon, S; Fiala, C; Weizmann-Henelius, G; Pruitt, S L; Putkonen, H
2013-03-01
To assess rates of neonaticide after the implementation of a preventative 'anonymous delivery' law in mid-2001 in Austria. Women are allowed to access antenatal care and give birth in a hospital anonymously, without showing any ID and free of charge. Retrospective study. A complete census of police-reported neonaticides was obtained from the police statistics of Austria, Sweden and Finland. All neonaticides reported to the police, 1991-2009. Neonaticide rates before (1991-2001) and after (2002-2009) the introduction of anonymous delivery legislation per 100 000 births. The Mann-Whitney U-test for two independent samples was used to compare neonaticide rates in the period before the new law was introduced with the rates observed after the implementation of the new law for each country. On average the rate of police-reported neonaticides was 7.2 per 100 000 births (SD 3.5, median 7.1) in Austria prior to the new law being passed, and 3.1 per 100 000 births (SD 2.1, median 2.6) after the law was passed. A significant decrease in neonaticide was observed in Austria after the implementation of anonymous delivery (Mann-Whitney U-test P = 0.017). Whereas the Finnish and Swedish rates were lower than the Austrian rates before and after the implementation of the Austrian law, they remained unchanged over the study period. Our data demonstrate a significant decrease in the number of police-reported neonaticides in Austria after the implementation of anonymous delivery. Even though underlying factors associated with neonaticide are complex, the findings could indicate an effect of anonymous delivery in the prevention of this crime. © 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.
Ferrero, Fernando; Yulitta, Horacio; Molina, María Paz; Valli, Raúl
2011-08-01
Professional certification guarantees professional's performance, but the examination tool must be periodically evaluated. To describe the result of the pediatric certifying examination (PCE) of the Sociedad Argentina de Pediatría (SAP), between 2001-2010 analyzing the impact of the age and the elapsed time since the graduation and to describe the performance of training institutions in this period. Cross-section study. Data were obtained from the records of Board of Pediatrics of the SAP. The results of the PCE, were analyzed assessing examination pass rate and training institutions (2001-2010), and age and elapsed time since graduation of the examined professionals (2001-2005). Of 2527 professionals from 138 institutions, 69.6% passed. Those that passed were younger (31.7 ± 4.1 vs. 35.6 ± 6.2 years; p <0.0001) and had less years since graduation (6.3 ± 4.0 vs. 9.0 ± 5.9; p <0.0001) than those who did not pass. The examination pass rate was higher in institutions accredited by SAP (78.4% vs. 48.8%; OR= 3,8 IC95%= 3,1-4,7; p <0.001). The pass rate was significantly higher in institutions with accredited programs for 5 years than those not accredited (78.4% vs. 48.8%, OR= 3.8 95% CI= 3.1 to 4.7, p <0.001). The pass rate at accredited institutions for 3 years (53.7%) and 1 year (48.7%) showed no statistically significant differences with non-accredited institutions. The certifying examination pass rate was 68.5%. Younger professionals with fewer years since graduation, and trained in SAP 5 years accredited programs were significantly more likely to pass the examination.
Modeling a maintenance simulation of the geosynchronous platform
NASA Technical Reports Server (NTRS)
Kleiner, A. F., Jr.
1980-01-01
A modeling technique used to conduct a simulation study comparing various maintenance routines for a space platform is dicussed. A system model is described and illustrated, the basic concepts of a simulation pass are detailed, and sections on failures and maintenance are included. The operation of the system across time is best modeled by a discrete event approach with two basic events - failure and maintenance of the system. Each overall simulation run consists of introducing a particular model of the physical system, together with a maintenance policy, demand function, and mission lifetime. The system is then run through many passes, each pass corresponding to one mission and the model is re-initialized before each pass. Statistics are compiled at the end of each pass and after the last pass a report is printed. Items of interest typically include the time to first maintenance, total number of maintenance trips for each pass, average capability of the system, etc.
Higgins, Rana M; Deal, Rebecca A; Rinewalt, Daniel; Hollinger, Edward F; Janssen, Imke; Poirier, Jennifer; Austin, Delores; Rendina, Megan; Francescatti, Amanda; Myers, Jonathan A; Millikan, Keith W; Luu, Minh B
2016-02-01
Determine the utility of mock oral examinations in preparation for the American Board of Surgery certifying examination (ABS CE). Between 2002 and 2012, blinded data were collected on 63 general surgery residents: 4th and 5th-year mock oral examination scores, first-time pass rates on ABS CE, and an online survey. Fifty-seven residents took the 4th-year mock oral examination: 30 (52.6%) passed and 27 (47.4%) failed, with first-time ABS CE pass rates 93.3% and 81.5% (P = .238). Fifty-nine residents took the 5th-year mock oral examination: 28 (47.5%) passed and 31 (52.5%) failed, with first-time ABS CE pass rates 82.1% and 93.5% (P = .240). Thirty-eight responded to the online survey, 77.1% ranked mock oral examinations as very or extremely helpful with ABS CE preparation. Although mock oral examinations and ABS CE passing rates do not directly correlate, residents perceive the mock oral examinations to be helpful. Copyright © 2016 Elsevier Inc. All rights reserved.
Transition from Longitudinal to Block Structure of Preclinical Courses: Outcomes and Experiences
Marinović, Darko; Hren, Darko; Sambunjak, Dario; Rašić, Ivan; Škegro, Ivan; Marušić, Ana; Marušić, Matko
2009-01-01
Aim To evaluate the transition from a longitudinal to block/modular structure of preclinical courses in a medical school adapting to the process of higher education harmonization in Europe. Methods Average grades and the exam pass rates were compared for 11 preclinical courses before and after the transition from the longitudinal (academic years 1999/2000 to 2001/2002) to block/modular curriculum (academic years 2002/2003 to 2004/2005) at Zagreb University School of Medicine, Croatia. Attitudes of teachers toward the 2 curriculum structures were assessed by a semantic differential scale, and the experiences during the transition were explored in focus groups of students and teachers. Results With the introduction of the block/modular curriculum, average grades mostly increased, except in 3 major courses: Anatomy, Physiology, and Pathology. The proportion of students who passed the exams at first attempt decreased in most courses, but the proportion of students who successfully passed the exam by the end of the summer exam period increased. Teachers generally had more positive attitudes toward the longitudinal (median [C]±intequartile range [Q], 24 ± 16) than block/modular curriculum (C±Q, 38 ± 26) (P = 0.001, Wilcoxon signed rank test). The qualitative inquiry indicated that the dissatisfaction of students and teachers with the block/modular preclinical curriculum was caused by perceived hasty introduction of the reform under pressure and without much adaptation of the teaching program and materials, which reflected negatively on the learning processes and outcomes. Conclusion Any significant alteration in the temporal structure of preclinical courses should be paralleled by a change in the content and teaching methodology, and carefully planned and executed in order to achieve better academic outcomes. PMID:19839073
Good sleep quality is associated with better academic performance among Sudanese medical students.
Mirghani, Hyder Osman; Mohammed, Osama Salih; Almurtadha, Yahia Mohamed; Ahmed, Moneir Siddig
2015-11-23
There is increasing awareness about the association of sleep quality and academic achievement among university students. However, the relationship between sleep quality and academic performance has not been examined in Sudan; this study assessed the relationship between sleep quality and academic performance among Sudanese medical students. A case-control study was conducted among 165 male and female medical students at two Sudanese universities. Excellent (A) and pass (C) academic groups were invited to respond to a self-administered questionnaire, using the Pittsburgh Sleep Quality Index (PSQI). Students also completed a diary detailing their sleep habits for 2 weeks prior to filling out the questionnaire. Various parameters of sleep quality were then compared between the two groups. A significant difference (p < 0.001) between the excellent and average groups was found for overall sleep quality, subjective sleep rating, bedtime later than midnight, sleep latency, and daytime dysfunction (during driving, preparing a meal, etc.). No differences were found between groups for the use of sleep medications. The mean sleeping hours was (7 ± 1.9) and (6.3 ± 1.9) for the excellent and pass groups respectively (p < 0.05). A significant difference (p < 0.001) between the excellent and average groups was found for weekday and weekend bedtime, weekend wake-up time, and weekend wake-up delay. No differences were found between groups for the weekday's wake- up time, and bedtime delay during weekends. Besides, snoring was present in 9.2 % of the excellent group versus 28 % in pass group (p < 0.005).
SU-F-T-465: Two Years of Radiotherapy Treatments Analyzed Through MLC Log Files
DOE Office of Scientific and Technical Information (OSTI.GOV)
Defoor, D; Kabat, C; Papanikolaou, N
Purpose: To present treatment statistics of a Varian Novalis Tx using more than 90,000 Varian Dynalog files collected over the past 2 years. Methods: Varian Dynalog files are recorded for every patient treated on our Varian Novalis Tx. The files are collected and analyzed daily to check interfraction agreement of treatment deliveries. This is accomplished by creating fluence maps from the data contained in the Dynalog files. From the Dynalog files we have also compiled statistics for treatment delivery times, MLC errors, gantry errors and collimator errors. Results: The mean treatment time for VMAT patients was 153 ± 86 secondsmore » while the mean treatment time for step & shoot was 256 ± 149 seconds. Patient’s treatment times showed a variation of 0.4% over there treatment course for VMAT and 0.5% for step & shoot. The average field sizes were 40 cm2 and 26 cm2 for VMAT and step & shoot respectively. VMAT beams contained and average overall leaf travel of 34.17 meters and step & shoot beams averaged less than half of that at 15.93 meters. When comparing planned and delivered fluence maps generated using the Dynalog files VMAT plans showed an average gamma passing percentage of 99.85 ± 0.47. Step & shoot plans showed an average gamma passing percentage of 97.04 ± 0.04. 5.3% of beams contained an MLC error greater than 1 mm and 2.4% had an error greater than 2mm. The mean gantry speed for VMAT plans was 1.01 degrees/s with a maximum of 6.5 degrees/s. Conclusion: Varian Dynalog files are useful for monitoring machine performance treatment parameters. The Dynalog files have shown that the performance of the Novalis Tx is consistent over the course of a patients treatment with only slight variations in patient treatment times and a low rate of MLC errors.« less
NASA Astrophysics Data System (ADS)
Sari, Ataallah; Sabziani, Javad
2017-06-01
Modeling and CFD simulation of a three-dimensional microreactor includes thirteen structured parallel channels is performed to study the hydrogen production via methanol steam reforming reaction over a Cu/ZnO/Al2O3 catalyst. The well-known Langmuir-Hinshelwood macro kinetic rate expressions reported by Peppley and coworkers [49] are considered to model the methanol steam reforming reactions. The effects of inlet steam to methanol ratio, pre-heat temperature, channels geometry and size, and the level of external heat flux on the hydrogen quality and quantity (i.e., hydrogen flow rate and CO concentration) are investigated. Moreover, the possibility of reducing the CO concentration by passing the reactor effluent through a water gas shift channel placed in series with the methanol reformer is studied. Afterwards, the simulation results are compared with the experimental data reported in the literature considering two different approaches of mixture-averaged and Maxwell-Stefan formulations to evaluate the diffusive flux of mass. The results indicate that the predictions of the Maxwell-Stefan model is in better agreement with experimental data than mixture-averaged one, especially at the lower feed flow rates.
Course Pass Rates in Fall 1987. Enrollment Analysis Report EA88-6.
ERIC Educational Resources Information Center
Clagett, Craig A.; Diehl, Patricia K.
A study was conducted at Prince George's Community College (PGCC) in Maryland to determine the percentage of students enrolled in courses in fall 1987 who received passing grades, and to examine these pass rates with respect to academic discipline, and student gender, age, race, and admission status. Study findings included the following: (1) the…
Preparing underemployed Latino U.S. nurses through the Mexico NCLEX-RN Success Program.
Lujan, Josefina; Little, Kermit
2010-12-01
The critical nursing shortage in U.S. communities along the United States-Mexico border is compounded by the need for nurses who are linguistically and culturally concordant with the growing number of Latinos in these communities. The innovative 16-week Mexico NCLEX-RN Success Program responds to this need by helping underemployed Latino nurses, who were educated in Mexico and live in the United States, adapt linguistically and culturally to multiple-choice testing. Ten of the program students have taken the NCLEX-RN with a 50% pass rate, which is twice as high as the internationally educated candidate passing average. This demonstrates potential for the program to build the human capacity of U.S. communities along the United States-Mexico border by infusing linguistically and culturally concordant nurses into the workforce and materializing the dream of underemployed Latino nurses to implement their hard-earned and urgently needed nursing skills. Lessons learned from the program are discussed. Copyright 2010, SLACK Incorporated.
Andrews, J.T.; Milliman, John D.; Jennings, A.E.; Rynes, N.; Dwyer, J.
1994-01-01
We compared measured and estimated sediment budgets in heavily glaciated fjords in East Greenland. Mass balance calculations and regional glacio-climatic conditions suggest that the sediment flux to the seafloor in Kangerdlugssuaq and Nansen fjords should be dominated by iceberg rafting and not by the rain-out of suspended particulates in meltwater, as the glacier calving flux is estimated at 15 and $2 km^{3}/yr$, compared to meltwater volumes of 4.4 and $1.7 km^{3}/yr$, respectively. Gravity cores in the three fjords indicate that the uppermost 1-2.5 m of sediment consists of diamictons or fine-grained laminated muds. AMS radiocarbon dates on calcareous foramininfera or shells (16 total) indicate sedimentation rates of 110 to 340 cm/ka within the fjords over the last 1 ka, and 10-20 cm/ka during the Holecene on the inner and middle shelf. Annual sediment discharge is around $0.67 \\times 10^{6}$ tonnes/yr within the Kangerdlugssuaq Fjord and Trough system, which translates into an average basin-wide rate of denudation of 0.01 mm/yr (0.01 m/ka). Air gun and deep-towed (Huntec) seismic profiling was carried out in Kangerdlugssuaq and Nansen fjords, East Greenland, and showed that sediment fills averaged 500 and 350 m respectively; they consist primarily of acoustically stratified sediments. If the sediment fills are entirely Holocene in age then the required average sediment accumulation rates of 35-50 m/ka are an order of magnitude larger than the $^{14}C $controlled rates of the last 1-2 ka. This raises the possibility that fjord sediments may be by-passed and not always recycled during glacial advances; this will affect sedimentation rates on adjacent shelves and deep-sea areas during successive glaciations
NASA Astrophysics Data System (ADS)
Sabbaghian, M.; Mahmudi, R.
2016-05-01
Microstructural evolution, hardness, and shear strength of the cast plates of GZ31 magnesium alloy were investigated after friction stir processing (FSP). Due to severe plastic deformation and dynamic recrystallization, FSP breaks the dendrites and results in a fine homogenous structure in the stirred zone (SZ) having average grain sizes of about 4.0 and 2.5 μm in the one and two-pass FSPed plates, respectively. As a novel approach, strength of the processed plates was examined by shear punch testing in three regions of the SZ on the surface layer, namely, center line (CL), retreating side (RS), and advancing side (AS). FSP showed great potential in the enhancement of SZ ultimate shear strength from 114 to about 152 and 155 MPa in the one and two-pass FSPed materials, respectively. The same trend was observed in hardness values of the SZ, where the average hardness of the base material increased from 41 to 60 and 68 Vickers after one and two passes of FSP, respectively. The variations in the shear strength of the CL, RS, and AS zones of the SZ were about 5% for the first pass of FSP, the effect which was decreased to less than 2% after two passes of FSP.
NASA Technical Reports Server (NTRS)
Alsdorf, Douglas E.; Vonfrese, Ralph R. B.
1994-01-01
The FORTRAN programs supplied in this document provide a complete processing package for statistically extracting residual core, external field and lithospheric components in Magsat observations. To process the individual passes: (1) orbits are separated into dawn and dusk local times and by altitude, (2) passes are selected based on the variance of the magnetic field observations after a least-squares fit of the core field is removed from each pass over the study area, and (3) spatially adjacent passes are processed with a Fourier correlation coefficient filter to separate coherent and non-coherent features between neighboring tracks. In the second state of map processing: (1) data from the passes are normalized to a common altitude and gridded into dawn and dusk maps with least squares collocation, (2) dawn and dusk maps are correlated with a Fourier correlation efficient filter to separate coherent and non-coherent features; the coherent features are averaged to produce a total field grid, (3) total field grids from all altitudes are continued to a common altitude, correlation filtered for coherent anomaly features, and subsequently averaged to produce the final total field grid for the study region, and (4) the total field map is differentially reduced to the pole.
Podolsky, Dale J; Fisher, David M; Wong Riff, Karen W; Szasz, Peter; Looi, Thomas; Drake, James M; Forrest, Christopher R
2018-06-01
This study assessed technical performance in cleft palate repair using a newly developed assessment tool and high-fidelity cleft palate simulator through a longitudinal simulation training exercise. Three residents performed five and one resident performed nine consecutive endoscopically recorded cleft palate repairs using a cleft palate simulator. Two fellows in pediatric plastic surgery and two expert cleft surgeons also performed recorded simulated repairs. The Cleft Palate Objective Structured Assessment of Technical Skill (CLOSATS) and end-product scales were developed to assess performance. Two blinded cleft surgeons assessed the recordings and the final repairs using the CLOSATS, end-product scale, and a previously developed global rating scale. The average procedure-specific (CLOSATS), global rating, and end-product scores increased logarithmically after each successive simulation session for the residents. Reliability of the CLOSATS (average item intraclass correlation coefficient (ICC), 0.85 ± 0.093) and global ratings (average item ICC, 0.91 ± 0.02) among the raters was high. Reliability of the end-product assessments was lower (average item ICC, 0.66 ± 0.15). Standard setting linear regression using an overall cutoff score of 7 of 10 corresponded to a pass score for the CLOSATS and the global score of 44 (maximum, 60) and 23 (maximum, 30), respectively. Using logarithmic best-fit curves, 6.3 simulation sessions are required to reach the minimum standard. A high-fidelity cleft palate simulator has been developed that improves technical performance in cleft palate repair. The simulator and technical assessment scores can be used to determine performance before operating on patients.
Modeling of the static recrystallization for 7055 aluminum alloy by cellular automaton
NASA Astrophysics Data System (ADS)
Zhang, Tao; Lu, Shi-hong; Zhang, Jia-bin; Li, Zheng-fang; Chen, Peng; Gong, Hai; Wu, Yun-xin
2017-09-01
In order to simulate the flow behavior and microstructure evolution during the pass interval period of the multi-pass deformation process, models of static recovery (SR) and static recrystallization (SRX) by the cellular automaton (CA) method for the 7055 aluminum alloy were established. Double-pass hot compression tests were conducted to acquire flow stress and microstructure variation during the pass interval period. With the basis of the material constants obtained from the compression tests, models of the SR, incubation period, nucleation rate and grain growth were fitted by least square method. A model of the grain topology and a statistical computation of the CA results were also introduced. The effects of the pass interval time, temperature, strain, strain rate and initial grain size on the microstructure variation for the SRX of the 7055 aluminum alloy were studied. The results show that a long pass interval time, large strain, high temperature and large strain rate are beneficial for finer grains during the pass interval period. The stable size of the static recrystallized grain is not concerned with the initial grain size, but mainly depends on the strain rate and temperature. The SRX plays a vital role in grain refinement, while the SR has no effect on the variation of microstructure morphology. Using flow stress and microstructure comparisons of the simulated and experimental CA results, the established CA models can accurately predict the flow stress and microstructure evolution during the pass interval period, and provide guidance for the selection of optimized parameters for the multi-pass deformation process.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Dieterich, S; Trestrail, E; Holt, R
2015-06-15
Purpose: To assess if the TrueBeam HD120 collimator is delivering small IMRT fields accurately and consistently throughout the course of treatment using the SunNuclear PerFraction software. Methods: 7-field IMRT plans for 8 canine patients who passed IMRT QA using SunNuclear Mapcheck DQA were selected for this study. The animals were setup using CBCT image guidance. The EPID fluence maps were captured for each treatment field and each treatment fraction, with the first fraction EPID data serving as the baseline for comparison. The Sun Nuclear PerFraction Software was used to compare the EPID data for subsequent fractions using a Gamma (3%/3mm)more » pass rate of 90%. To simulate requirements for SRS, the data was reanalyzed using a Gamma (3%/1mm) pass rate of 90%. Low-dose, low- and high gradient thresholds were used to focus the analysis on clinically relevant parts of the dose distribution. Results: Not all fractions could be analyzed, because during some of the treatment courses the DICOM tags in the EPID images intermittently change from CU to US (unspecified), which would indicate a temporary loss of EPID calibration. This technical issue is still being investigated. For the remaining fractions, the vast majority (7/8 of patients, 95% of fractions, and 96.6% of fields) are passing the less stringent Gamma criteria. The more stringent Gamma criteria caused a drop in pass rate (90 % of fractions, 84% of fields). For the patient with the lowest pass rate, wet towel bolus was used. Another patient with low pass rates experienced masseter muscle wasting. Conclusion: EPID dosimetry using the PerFraction software demonstrated that the majority of fields passed a Gamma (3%/3mm) for IMRT treatments delivered with a TrueBeam HD120 MLC. Pass rates dropped for a DTA of 1mm to model SRS tolerances. PerFraction pass rates can flag missing bolus or internal shields. Sanjeev Saini is an employee of Sun Nuclear Corporation. For this study, a pre-release version of PerFRACTION 1.1 software from Sun Nuclear Corporation was used.« less
Best fit refractive index of matching liquid for 3D NIPAM gel dosimeters using optical CT
NASA Astrophysics Data System (ADS)
Chen, Chin-Hsing; Wu, Jay; Hsieh, Bor-Tsung; Chen, De-Shiou; Wang, Tzu-Hwei; Chien, Sou-Hsin; Chang, Yuan-Jen
2014-11-01
The accuracy of an optical computed tomography (CT)-based dosimeter is significantly affected by the refractive index (RI) of the matching liquid. Mismatched RI induces reflection and refraction as the laser beam passes through the gel phantom. Moreover, the unwanted light rays collected by the photodetector produce image artifacts after image reconstruction from the collected data. To obtain the best image quality, this study investigates the best-fit RI of the matching liquid for a 3D NIPAM gel dosimeter. The three recipes of NIPAM polymer gel used in this study consisted of 5% gelatin, 5% NIPAM and 3% N,N'-methylene bisacrylamide, which were combined with three compositions (5, 10, and 20 mM) of Tetrakis (hydroxymethyl) phosphonium chloride. Results were evaluated using a quantitative evaluation method of the gamma evaluation technique. Results showed that the best-fit RI for the non-irradiated NIPAM gel ranges from 1.340 to 1.346 for various NIPAM recipes with sensitivities ranging from 0.0113 to 0.0227. The greatest pass rate of 88.00% is achieved using best-fit RI=1.346 of the matching liquid. The adoption of mismatching RI decreases the gamma pass rate by 2.63% to 16.75% for all three recipes of NIPAM gel dosimeters. In addition, the maximum average deviation is less than 0.1% for the red and transparent matching liquids. Thus, the color of the matching liquid does not affect the measurement accuracy of the NIPAM gel dosimeter, as measured by optical CT.
A Review of Vehicles Speed on School Safety Zone Areas in Pekanbaru City
NASA Astrophysics Data System (ADS)
Dwi Putri, Lusi; Soehardi, Fitridawati; Saleh, Alfian
2017-12-01
School Safety Zone is a location or region on particular roads that are time-based speed zone to set the speed of the vehicle in the school environment. The maximum speed limit permits entering a School Safety Zone, especially in Pekanbaru City is 25 km / h and an outline of the speed limit permit vehicles that pass through the School Safety Zone in Indonesia is generally 20-30 km / h. However, the vehicles speeds that pass School Safety Zone are higher than permit speeds.To ensure the level of vehicle offense across the territory of the School Safety Zone so it is necessary a primary data which is taken randomly based on field survey for 3 days at schools that has that facility ie SDN 3 Jalan Kesehatan Pekanbaru City, SDN 68 Jalan Balam Ujung Kota Pekanbaru and SDN 143 Jalan Taskurun Kota Pekanbaru. Furthermore, the data were taken in good condition that is at 6:30 to 7:30 am and at 12:00 to 13:00 pm. In addition, the data obtained is mileage and travel time of the vehicle. Both of these data can generate good speed value that passes through the area of School Safety Zone. Based on the research findings, the vehicle speed passing through the area of School Safety Zone is incompatible with speed permit at 35 km / h with a maximum average percentage of the rate of offense in the area of the school zone is 91.7%. This indicates that the vehicle passes School Safety Zone not following the rules of the maximum limit area and can be potentially harmful to elementary school students.
Standardized Testing Practices: Effect on Graduation and NCLEX® Pass Rates.
Randolph, Pamela K
The use standardized testing in pre-licensure nursing programs has been accompanied by conflicting reports of effective practices. The purpose of this project was to describe standardized testing practices in one states' nursing programs and discover if the use of a cut score or oversight of remediation had any effect on (a) first time NCLEX® pass rates, (b) on-time graduation (OTG) or (c) the combination of (a) and (b). Administrators of 38 nursing programs in one Southwest state were sent surveys; surveys were returned by 34 programs (89%). Survey responses were compared to each program's NCLEX pass rate and on-time graduation rate; t-tests were conducted for significant differences associated with a required minimum score (cut score) and oversight of remediation. There were no significant differences in NCLEX pass or on-time graduation rates related to establishment of a cut score. There was a significant difference when the NCLEX pass rate and on-time graduation rate were combined (Outcome Index "OI") with significantly higher program outcomes (P=.02.) for programs without cut-scores. There were no differences associated with faculty oversight of remediation. The results of this study do not support establishment of a cut-score when implementing a standardized testing. Copyright © 2016. Published by Elsevier Inc.
Encoding of sound envelope transients in the auditory cortex of juvenile rats and adult rats.
Lu, Qi; Jiang, Cuiping; Zhang, Jiping
2016-02-01
Accurate neural processing of time-varying sound amplitude and spectral information is vital for species-specific communication. During postnatal development, cortical processing of sound frequency undergoes progressive refinement; however, it is not clear whether cortical processing of sound envelope transients also undergoes age-related changes. We determined the dependence of neural response strength and first-spike latency on sound rise-fall time across sound levels in the primary auditory cortex (A1) of juvenile (P20-P30) rats and adult (8-10 weeks) rats. A1 neurons were categorized as "all-pass", "short-pass", or "mixed" ("all-pass" at high sound levels to "short-pass" at lower sound levels) based on the normalized response strength vs. rise-fall time functions across sound levels. The proportions of A1 neurons within each of the three categories in juvenile rats were similar to that in adult rats. In general, with increasing rise-fall time, the average response strength decreased and the average first-spike latency increased in A1 neurons of both groups. At a given sound level and rise-fall time, the average normalized neural response strength did not differ significantly between the two age groups. However, the A1 neurons in juvenile rats showed greater absolute response strength, longer first-spike latency compared to those in adult rats. In addition, at a constant sound level, the average first-spike latency of juvenile A1 neurons was more sensitive to changes in rise-fall time. Our results demonstrate the dependence of the responses of rat A1 neurons on sound rise-fall time, and suggest that the response latency exhibit some age-related changes in cortical representation of sound envelope rise time. Copyright © 2015 Elsevier Ltd. All rights reserved.
Global analysis of depletion and recovery of seabed biota after bottom trawling disturbance.
Hiddink, Jan Geert; Jennings, Simon; Sciberras, Marija; Szostek, Claire L; Hughes, Kathryn M; Ellis, Nick; Rijnsdorp, Adriaan D; McConnaughey, Robert A; Mazor, Tessa; Hilborn, Ray; Collie, Jeremy S; Pitcher, C Roland; Amoroso, Ricardo O; Parma, Ana M; Suuronen, Petri; Kaiser, Michel J
2017-08-01
Bottom trawling is the most widespread human activity affecting seabed habitats. Here, we collate all available data for experimental and comparative studies of trawling impacts on whole communities of seabed macroinvertebrates on sedimentary habitats and develop widely applicable methods to estimate depletion and recovery rates of biota after trawling. Depletion of biota and trawl penetration into the seabed are highly correlated. Otter trawls caused the least depletion, removing 6% of biota per pass and penetrating the seabed on average down to 2.4 cm, whereas hydraulic dredges caused the most depletion, removing 41% of biota and penetrating the seabed on average 16.1 cm. Median recovery times posttrawling (from 50 to 95% of unimpacted biomass) ranged between 1.9 and 6.4 y. By accounting for the effects of penetration depth, environmental variation, and uncertainty, the models explained much of the variability of depletion and recovery estimates from single studies. Coupled with large-scale, high-resolution maps of trawling frequency and habitat, our estimates of depletion and recovery rates enable the assessment of trawling impacts on unprecedented spatial scales.
Global analysis of depletion and recovery of seabed biota after bottom trawling disturbance
Hiddink, Jan Geert; Jennings, Simon; Sciberras, Marija; Szostek, Claire L.; Hughes, Kathryn M.; Ellis, Nick; Rijnsdorp, Adriaan D.; McConnaughey, Robert A.; Mazor, Tessa; Hilborn, Ray; Collie, Jeremy S.; Pitcher, C. Roland; Amoroso, Ricardo O.; Parma, Ana M.; Suuronen, Petri; Kaiser, Michel J.
2017-01-01
Bottom trawling is the most widespread human activity affecting seabed habitats. Here, we collate all available data for experimental and comparative studies of trawling impacts on whole communities of seabed macroinvertebrates on sedimentary habitats and develop widely applicable methods to estimate depletion and recovery rates of biota after trawling. Depletion of biota and trawl penetration into the seabed are highly correlated. Otter trawls caused the least depletion, removing 6% of biota per pass and penetrating the seabed on average down to 2.4 cm, whereas hydraulic dredges caused the most depletion, removing 41% of biota and penetrating the seabed on average 16.1 cm. Median recovery times posttrawling (from 50 to 95% of unimpacted biomass) ranged between 1.9 and 6.4 y. By accounting for the effects of penetration depth, environmental variation, and uncertainty, the models explained much of the variability of depletion and recovery estimates from single studies. Coupled with large-scale, high-resolution maps of trawling frequency and habitat, our estimates of depletion and recovery rates enable the assessment of trawling impacts on unprecedented spatial scales. PMID:28716926
Tanooka, Masao; Doi, Hiroshi; Miura, Hideharu; Inoue, Hiroyuki; Niwa, Yasue; Takada, Yasuhiro; Fujiwara, Masayuki; Sakai, Toshiyuki; Sakamoto, Kiyoshi; Kamikonya, Norihiko; Hirota, Shozo
2013-01-01
We validated 3D radiochromic film dosimetry for volumetric modulated arc therapy (VMAT) using a newly developed spiral water phantom. The phantom consists of a main body and an insert box, each of which has an acrylic wall thickness of 3 mm and is filled with water. The insert box includes a spiral film box used for dose-distribution measurement, and a film holder for positioning a radiochromic film. The film holder has two parallel walls whose facing inner surfaces are equipped with spiral grooves in a mirrored configuration. The film is inserted into the spiral grooves by its side edges and runs along them to be positioned on a spiral plane. Dose calculation was performed by applying clinical VMAT plans to the spiral water phantom using a commercial Monte Carlo-based treatment-planning system, Monaco, whereas dose was measured by delivering the VMAT beams to the phantom. The calculated dose distributions were resampled on the spiral plane, and the dose distributions recorded on the film were scanned. Comparisons between the calculated and measured dose distributions yielded an average gamma-index pass rate of 87.0% (range, 91.2–84.6%) in nine prostate VMAT plans under 3 mm/3% criteria with a dose-calculation grid size of 2 mm. The pass rates were increased beyond 90% (average, 91.1%; range, 90.1–92.0%) when the dose-calculation grid size was decreased to 1 mm. We have confirmed that 3D radiochromic film dosimetry using the spiral water phantom is a simple and cost-effective approach to VMAT dose verification. PMID:23685667
Fingeret, Abbey L; Arnell, Tracey; McNelis, John; Statter, Mindy; Dresner, Lisa; Widmann, Warren
We sought to determine whether sequential participation in a multi-institutional mock oral examination affected the likelihood of passing the American Board of Surgery Certifying Examination (ABSCE) in first attempt. Residents from 3 academic medical centers were able to participate in a regional mock oral examination in the fall and spring of their fourth and fifth postgraduate year from 2011 to 2014. Candidate׳s highest composite score of all mock orals attempts was classified as risk for failure, intermediate, or likely to pass. Factors including United States Medical Licensing Examination steps 1, 2, and 3, number of cases logged, American Board of Surgery In-Training Examination performance, American Board of Surgery Qualifying Examination (ABSQE) performance, number of attempts, and performance in the mock orals were assessed to determine factors predictive of passing the ABSCE. A total of 128 mock oral examinations were administered to 88 (71%) of 124 eligible residents. The overall first-time pass rate for the ABSCE was 82%. There was no difference in pass rates between participants and nonparticipants. Of them, 16 (18%) residents were classified as at risk, 47 (53%) as intermediate, and 25 (29%) as likely to pass. ABSCE pass rate for each group was as follows: 36% for at risk, 84% for intermediate, and 96% for likely pass. The following 4 factors were associated with first-time passing of ABSCE on bivariate analysis: mock orals participation in postgraduate year 4 (p = 0.05), sequential participation in mock orals (p = 0.03), ABSQE performance (p = 0.01), and best performance on mock orals (p = 0.001). In multivariable logistic regression, the following 3 factors remained associated with ABSCE passing: ABSQE performance, odds ratio (OR) = 2.9 (95% CI: 1.3-6.1); mock orals best performance, OR = 1.7 (1.2-2.4); and participation in multiple mock oral examinations, OR = 1.4 (1.1-2.7). Performance on a multi-institutional mock oral examination can identify residents at risk for failure of the ABSCE. Sequential participation in mock oral examinations is associated with improved ABSCE first-time pass rate. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
EMISSIONS FROM OUTDOOR WOOD-BURNING RESIDENTIAL HOT WATER FURNACES
The report gives results of measurements of emissions from a single-pass and a double-pass furnace at average heat outputs of 15,000 and 30,000 Btu/hr (4.4 and 8.8 kW) while burning typical oak cordwood fuel. One furnace was also tested once at each heat output while fitted with ...
Radar range data signal enhancement tracker
NASA Technical Reports Server (NTRS)
1975-01-01
The design, fabrication, and performance characteristics are described of two digital data signal enhancement filters which are capable of being inserted between the Space Shuttle Navigation Sensor outputs and the guidance computer. Commonality of interfaces has been stressed so that the filters may be evaluated through operation with simulated sensors or with actual prototype sensor hardware. The filters will provide both a smoothed range and range rate output. Different conceptual approaches are utilized for each filter. The first filter is based on a combination low pass nonrecursive filter and a cascaded simple average smoother for range and range rate, respectively. Filter number two is a tracking filter which is capable of following transient data of the type encountered during burn periods. A test simulator was also designed which generates typical shuttle navigation sensor data.
Martin, B A; Sigal, A; Kurtzberg, D; Stapells, D R
1997-03-01
This study investigated the effects of decreased audibility produced by high-pass noise masking on cortical event-related potentials (ERPs) N1, N2, and P3 to the speech sounds /ba/and/da/presented at 65 and 80 dB SPL. Normal-hearing subjects pressed a button in response to the deviant sound in an oddball paradigm. Broadband masking noise was presented at an intensity sufficient to completely mask the response to the 65-dB SPL speech sounds, and subsequently high-pass filtered at 4000, 2000, 1000, 500, and 250 Hz. With high-pass masking noise, pure-tone behavioral thresholds increased by an average of 38 dB at the high-pass cutoff and by 50 dB one octave above the cutoff frequency. Results show that as the cutoff frequency of the high-pass masker was lowered, ERP latencies to speech sounds increased and amplitudes decreased. The cutoff frequency where these changes first occurred and the rate of the change differed for N1 compared to N2, P3, and the behavioral measures. N1 showed gradual changes as the masker cutoff frequency was lowered. N2, P3, and behavioral measures showed marked changes below a masker cutoff of 2000 Hz. These results indicate that the decreased audibility resulting from the noise masking affects the various ERP components in a differential manner. N1 is related to the presence of audible stimulus energy, being present whether audible stimuli are discriminable or not. In contrast, N2 and P3 were absent when the stimuli were audible but not discriminable (i.e., when the second formant transitions were masked), reflecting stimulus discrimination. These data have implications regarding the effects of decreased audibility on cortical processing of speech sounds and for the study of cortical ERPs in populations with hearing impairment.
Clemency, Brian; Martin-Gill, Christian; Rall, Nicole; May, Paul; Lubin, Jeffrey; Cooley, Craig; Van Dillen, Christine; Silvestri, Salvatore; Portela, Roberto; Cooney, Derek; Knutsen, Christian; March, Juan
2017-01-01
A board review question bank was created to assist candidates in their preparation for the 2015 EMS certification examination. We aimed to describe the development of this question bank and evaluate its successes in preparing candidates to obtain EMS subspecialty board certification. An online question bank was developed by 13 subject matter experts who participated as item writers, representing eight different EMS fellowship programs. The online question bank consisted of four practice tests, with each of the tests comprised of 100 questions. The number of candidates who participated in and completed the question bank was calculated. The passing rate among candidates who completed the question bank was calculated and compared to the publicly reported statistics for all candidates. The relationship between candidates' performance on the question bank and subspecialty exam pass rates was determined. A total of 252 candidates took at least one practice test and, of those, 225 candidates completed all four 100-question practice tests. The pass rate on the 2015 EMS certification exam was 79% (95%CI 74-85%) among candidates who completed the question bank, which is 12% higher than the overall pass rate (p = 0.003). Candidates' performance on the question bank was positively associated with overall success on the exam (X 2 = 75.8, p < 0.0001). Achieving a score of ≥ 70% on the question bank was associated with a higher likelihood of passing the exam (OR = 17.8; 95% CI: 8.0-39.6). Completing the question bank program was associated with improved pass rates on the EMS certification exam. Strong performance on the question bank correlated with success on the exam.
Comparison of Airway Management Methods in Entrapped Patients: A Manikin Study.
Martin, Andrew B; Lingg, Jim; Lubin, Jeffrey S
2016-01-01
Endotracheal intubation remains one of the most challenging skills in prehospital care. There is a minimal amount of data on the optimal technique to use when managing the airway of an entrapped patient. We hypothesized that use of a blindly placed device would result in both the shortest time to airway management and highest success rate. A difficult airway manikin was placed in a cervical collar and secured upside down in an overturned vehicle. Experienced paramedics and prehospital registered nurses used four different methods to secure the airway: direct laryngoscopy, digital intubation, King LT-D, and CMAC video laryngoscopy. Each participant was given three opportunities to secure the airway using each technique in random order. A study investigator timed each attempt and confirmed successful placement, which was determined upon inflation of the manikin's lungs. Intubation success rates were analyzed using a general estimating equations model to account for repeated measures and a linear mixed effects model for average time. Twenty-two prehospital providers participated in the study. The one-pass success rate for the King LT-D was significantly higher than direct laryngoscopy (OR 0.048, CI 0.006-0.351, p < 0.01) and digital intubation (OR 0.040, CI 0.005-0.297, p < 0.01). However, there was no statistical difference between the one-pass success rate of the King LT-D and CMAC video laryngoscopy (OR 0.302, 95% CI 0.026-3.44, p = 0.33). The one-pass median placement time of the King LT-D (22 seconds, IQR 17-26) was significantly lower (p < 0.001) than direct laryngoscopy (60 seconds, IQR 42-75), digital intubation (38 seconds, IQR 26-74), and the CMAC (51 seconds, IQR 43-76). In this study, while the King LT-D offered the quickest airway placement, success rates were not significantly greater than intubation using the CMAC video laryngoscope. Intubation using direct laryngoscopy and digital intubation were less successful and took more time. Use of a blindly placed device or a video laryngoscope may provide the best avenues for airway management of entrapped patients.
Burns, Karen E A; Jacob, Sonu Karottaiyamvelil; Aguirre, Valeria; Gomes, Janice; Mehta, Sangeeta; Rizvi, Leena
2016-11-01
Stakeholder engagement in research is expected to provide unique insights, make research investments more accountable and transparent, and ensure that future research is applicable to patients and family members. To inform the design of a trial of strategies for weaning from mechanical ventilation, we sought to identify preferences of patient visitors regarding outcome and treatment measures. We conducted an interviewer-administered questionnaire of visitors of critically ill patients in two family waiting rooms serving three intensive care units (ICUs) in Toronto, Canada. Respondents rated the importance of general and ventilation-related outcomes in two hypothetical scenarios (before a first spontaneous breathing trial, and after a failed spontaneous breathing trial) and selected a preferred technique for the breathing trials. With regard to the patient they were visiting, respondents identified the most important outcome to them at ICU admission, during the ICU stay, and at ICU discharge. We analyzed 322 questionnaires (95.5% response rate). All outcomes were highly rated (average range: 7.82-9.74). Across scenarios, outcomes rated as most important were ICU and hospital survival (9.72, 9.70), avoiding complications (9.45), quality of life (9.394), patient comfort (9.393), and returning to previous living arrangements (9.31). Overall, the most important ventilation-related outcomes were being ventilator-free (8.95), avoiding reintubation (8.905), and passing a spontaneous breathing trial (8.903). Passing a spontaneous breathing trial assumed greater importance after an initial failed attempt. "Time to event" outcomes were less important to visitors. We did not identify a preferred spontaneous breathing trial technique. Although ICU survival was the most important outcome at ICU admission and during the ICU stay, visitors rated quality of life higher than hospital survival at ICU discharge. Visitors to critically ill patients prioritized two general outcomes (ICU and hospital survival) and three ventilation-related outcomes (being ventilator free, avoiding reintubation, passing a spontaneous breathing trial), and valued avoiding complications, maintaining quality of life, comfort, and returning to previous living arrangements. The outcomes preferences of the survey respondents evolved temporally during the ICU stay.
Strategies for lowering attrition rates and raising NCLEX-RN pass rates.
Higgins, Bonnie
2005-12-01
This study was designed to determine strategies to raise the NCLEX-RN pass rate and lower the attrition rate in a community college nursing program. Ex-post facto data were collected from 213 former nursing student records. Qualitative data were collected from 10 full-time faculty, 30 new graduates, and 45 directors of associate degree nursing programs in Texas. The findings linked the academic variables of two biology courses and three components of the preadmission test to completion of the nursing program. A relationship was found between one biology course, the science component of the preadmission test, the HESI Exit Examination score, and the nursing skills course to passing the NCLEX-RN. Qualitative data indicated preadmission requirements, campus counselors, remediation, faculty, test-item writing, and teaching method were instrumental in completion of the program and passing the NCLEX-RN.
Systematic Analysis of Dynamic Earthquake Triggering Using the EarthScope's USArray Data
NASA Astrophysics Data System (ADS)
Cerda, I.; Gonzalez-Huizar, H.; Velasco, A. A.; Kilb, D. L.; Pankow, K. L.
2011-12-01
Advances are continually made in our understanding of the physics governing earthquake triggering, yet many questions remain. Here, we investigate if there exists a minimum dynamic stress threshold (i.e., in amplitude, frequency or both) required to trigger remote earthquakes using data collected by >400 stations in EarthScope's USArray Transportable Array (USArray TA) network, supplemented by data from ~100 local seismic network stations when available. We also assess if remote triggering is enhanced if the orientation of the passing seismic waves aligns favorably with the local stress field and/or orientation of faults in the local triggered region. The uniform spacing of the USArray TA stations across the contiguous USA allows us to examine these types of characteristics of remote triggering within a variety of tectonic provinces, background seismicity rates, and within regions of both documented cases of triggered earthquakes and areas of no known triggered earthquakes. Our work focuses on assessing remote triggering capabilities of two teleseismic megatrust events (Japan M=9.0 2011 and Chile M=8.8 2010) and two large regional events (Baja California M=7.2 2010 and Wells Nevada M=6.0 2008). These events provide a range of seismic wave amplitudes and orientations across the footprint of the USArray TA stations. We use the Antelope software to develop an automated detection algorithm that computes the short-term (1 s) average (STA) to long-term (10 s) average (LTA) ratio, which we apply to 5 Hz high pass filtered data. Using a threshold ratio of 3.5 we apply this algorithm to data spanning ±5 hours from the mainshock's P-wave arrival time. We find that for each of our four mainshocks our algorithm nets, on average, hundreds of detections within the 10 hour time windows. Results suggest the orientation of the passing seismic waves can play a role in the high (or low) number of detections in select regions (e.g., western part of Texas), but in other regions there is no apparent correlation.
Quantum cluster variational method and message passing algorithms revisited
NASA Astrophysics Data System (ADS)
Domínguez, E.; Mulet, Roberto
2018-02-01
We present a general framework to study quantum disordered systems in the context of the Kikuchi's cluster variational method (CVM). The method relies in the solution of message passing-like equations for single instances or in the iterative solution of complex population dynamic algorithms for an average case scenario. We first show how a standard application of the Kikuchi's CVM can be easily translated to message passing equations for specific instances of the disordered system. We then present an "ad hoc" extension of these equations to a population dynamic algorithm representing an average case scenario. At the Bethe level, these equations are equivalent to the dynamic population equations that can be derived from a proper cavity ansatz. However, at the plaquette approximation, the interpretation is more subtle and we discuss it taking also into account previous results in classical disordered models. Moreover, we develop a formalism to properly deal with the average case scenario using a replica-symmetric ansatz within this CVM for quantum disordered systems. Finally, we present and discuss numerical solutions of the different approximations for the quantum transverse Ising model and the quantum random field Ising model in two-dimensional lattices.
Video laryngoscopy in pre-hospital critical care - a quality improvement study.
Rhode, Marianne Grønnebæk; Vandborg, Mads Partridge; Bladt, Vibeke; Rognås, Leif
2016-06-13
Pre-hospital endotracheal intubation is challenging and repeated endotracheal intubation is associated with increased morbidity and mortality. We investigated whether the introduction of the McGrath MAC video laryngoscope as the primary device for pre-hospital endotracheal intubation could improve first-pass success rate in our anaesthesiologist-staffed pre-hospital critical care services. We also investigated the incidence of failed pre-hospital endotracheal intubation, the use of airway adjuncts and back-up devices and problems encountered using the McGrath MAC video laryngoscope. Prospective quality improvement study collecting data from all adult pre-hospital endotracheal intubation performed by four anaesthesiologist-staffed pre-hospital critical care teams between December 15(th) 2013 and December 15(th) 2014. We registered data from 273 consecutive patients. When using the McGrath MAC video laryngoscope the overall pre-hospital endotracheal intubation first-pass success rate was 80.8 %. Following rapid sequence intubation (RSI) it was 88.9 %. This was not significantly different from previously reported first-pass success rates in our system (p = 0.27 and p = 0.41). During the last nine months of the study period the overall first-pass success rate was 80.1 (p = 0.47) but the post-RSI first-pass success rate improved to 94.4 % (0.048). The overall pre-hospital endotracheal intubation success rate with the McGrath MAC video laryngoscope was 98.9 % (p = 0.17). Gastric content, blood or secretion in the airway resulted in reduced vision when using the McGrath MAC video laryngoscope. In this study of video laryngoscope implementation in a Scandinavian anaesthesiologist-staffed pre-hospital critical care service, overall pre-hospital endotracheal first pass success rate did not change. The post-RSI first-pass success rate was significantly higher during the last nine months of our 12-month study compared with our results from before introducing McGrath MAC video laryngoscope. The implementation of the Standard Operating Procedure and check list for pre-hospital anaesthesia during the study period may have influenced the first-pass success rate and constitutes a potential confounder. The potential limitations of the McGrath MAC video laryngoscope when there are gastric content, blood and secretions in the airways need to be further investigated before the McGrath MAC video laryngoscope can be recommended as the primary device in all pre-hospital endotracheal intubations.
NASA Astrophysics Data System (ADS)
Rodin, Aleksej M.; Grishin, Mikhail; Michailovas, Andrejus
2016-01-01
We report results of design and optimization of high average output power picosecond and nanosecond laser operating at 1342 nm wavelength. Developed for selective micromachining, this DPSS laser is comprised of master oscillator, regenerative amplifier and output pulse control module. Passively mode-locked by means of semiconductor saturable absorber mirror and pumped with 808 nm wavelength Nd:YVO4 master oscillator emits 12.5 ps pulses at repetition rate of 55 MHz with average output power of ∼100 mW. The four-pass confocal delay line forms a longest part of the oscillator cavity in order to suppress thermo-mechanical misalignment. Picked from the train seed pulses were injected to the cavity of regenerative amplifier based on composite Nd:YVO4 crystal with diffusion-bonded segments of multiple Nd doping concentration end-pumped at 880 nm wavelength. Laser produces pulses of ∼13 ps duration at 300 kHz repetition rate with average output power of 11 W and nearly diffraction limited beam quality of M2∼1.03. Attained high peak power ∼2.8 MW facilitates conversion to the 2nd, 3rd and 6th harmonics at 671 nm, 447 nm and 224 nm wavelengths with 80%, 50% and 15% efficiency respectively. Without seeding the regenerative amplifier transforms to electro-optically cavity-dumped Q-switched laser providing 10 ns output pulses at high repetition rates with beam propagation factor of M2∼1.06.
Regional Myocardial Blood Volume and Flow: First-Pass MR Imaging with Polylysine-Gd-DTPA
Wilke, Norbert; Kroll, Keith; Merkle, Hellmut; Wang, Ying; Ishibashi, Yukata; Xu, Ya; Zhang, Jiani; Jerosch-Herold, Michael; Mühler, Andreas; Stillman, Arthur E.; Bassingthwaighte, James B.; Bache, Robert; Ugurbil, Kamil
2010-01-01
The authors investigated the utility of an intravascular magnetic resonance (MR) contrast agent, poly-L-lysine-gadolinium diethylenetriaminepentaacetic acid (DTPA), for differentiating acutely ischemic from normally perfused myocardium with first-pass MR imaging. Hypoperfused regions, identified with microspheres, on the first-pass images displayed significantly decreased signal intensities compared with normally perfused myocardium (P < .0007). Estimates of regional myocardial blood content, obtained by measuring the ratio of areas under the signal intensity-versus-time curves in tissue regions and the left ventricular chamber, averaged 0.12 mL/g ± 0.04 (n = 35), compared with a value of 0.11 mL/g ± 0.05 measured with radiolabeled albumin in the same tissue regions. To obtain MR estimates of regional myocardial blood flow, in situ calibration curves were used to transform first-pass intensity-time curves into content-time curves for analysis with a multiple-pathway, axially distributed model. Flow estimates, obtained by automated parameter optimization, averaged 1.2 mL/min/g ± 0.5 [n = 29), compared with 1.3 mL/min/g ± 0.3 obtained with tracer microspheres in the same tissue specimens at the same time. The results represent a combination of T1-weighted first-pass imaging, intravascular relaxation agents, and a spatially distributed perfusion model to obtain absolute regional myocardial blood flow and volume. PMID:7766986
77 FR 74452 - Bus Testing: Calculation of Average Passenger Weight and Test Vehicle Weight
Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-14
... require FTA to work with bus manufacturers and transit agencies to establish a new pass/ fail standard for... buses from the current value of 150 pounds to a new value of 175 pounds. This increase was proposed to... new pass/fail standards that require a more comprehensive review of its overall bus testing program...
ERIC Educational Resources Information Center
Cunningham, Thomas R.; Austin, John
2007-01-01
We evaluated the effects of a behavioral treatment on the safe passing of sharp instruments using the hands-free technique among hospital operating room personnel during surgical procedures. Treatment consisted of participative goal setting, task clarification, and feedback. The average percentage of sharp instruments passed safely increased from…
Zhang, Ao; Liu, Tingting; Zheng, Kaiyuan; Liu, Ningbo; Huang, Fei; Li, Weidong; Liu, Tong; Fu, Weihua
2017-01-01
Abstract Laparoscopic colorectal surgery had been widely used for colorectal cancer patient and showed a favorable outcome on the postoperative morbidity rate. We attempted to evaluate physiological status of patients by mean of Estimation of physiologic ability and surgical stress (E-PASS) system and to analyze the difference variation of postoperative morbidity rate of open and laparoscopic colorectal cancer surgery in patients with different physiological status. In total 550 colorectal cancer patients who underwent surgery treatment were included. E-PASS and some conventional scoring systems were reviewed to examine their mortality prediction ability. The preoperative risk score (PRS) in the E-PASS system was used to evaluate the physiological status of patients. The difference of postoperative morbidity rate between open and laparoscopic colorectal cancer surgeries was analyzed respectively in patients with different physiological status. E-PASS had better prediction ability than other conventional scoring systems in colorectal cancer surgeries. Postoperative morbidities were developed in 143 patients. The parameters in the E-PASS system had positive correlations with postoperative morbidity. The overall postoperative morbidity rate of laparoscopic surgeries was lower than open surgeries (19.61% and 28.46%), but the postoperative morbidity rate of laparoscopic surgeries increased more significantly than in open surgery as PRS increased. When PRS was more than 0.7, the postoperative morbidity rate of laparoscopic surgeries would exceed the postoperative morbidity rate of open surgeries. The E-PASS system was capable to evaluate the physiological and surgical risk of colorectal cancer surgery. PRS could assist preoperative decision-making on the surgical method. Colorectal cancer patients who were assessed with a low physiological risk by PRS would be safe to undergo laparoscopic surgery. On the contrary, surgeons should make decisions prudently on the operation method for patient with a high physiological risk. PMID:28816959
NASA Astrophysics Data System (ADS)
Jia, Weitao; Tang, Yan; Ning, Fangkun; Le, Qichi; Cui, Jianzhong
2018-04-01
Different rolling operations of as-cast AZ31B alloy were performed under different rolling speed (18 ∼ 72 m min‑1) and rolling pass conditions at 400 °C. Microstructural studies, tensile testing and formability evaluation relevant to each rolling operation were investigated. For 1-pass rolling, coarse average grain size (CAGS) region gradually approached the center layer as the rolling speed increased. Moreover, twins, shear bands and coarse-grain structures were the dominant components in the microstructure of plates rolled at 18, 48 and 72 m min‑1, respectively, indicating the severe deformation inhomogeneity under the high reduction per pass condition. For 2-pass rolling and 4-pass rolling, dynamic recrystallization was observed to be well and CAGS region has substantially disappeared, indicating the significant improvement in deformation uniformity and further the grain homogenization under the conditions. Microstructure uniformity degree of 2-pass rolled plates did not vary much as the rolling speed varied. On this basis, shear band distribution dominated the deformation behavior during the uniaxial tension of the 2-pass rolled plates. However, microstructure uniformity accompanied by twin distribution played a leading role in stretching the 4-pass rolled plates.
The effects and outcomes of electrolyte disturbances and asphyxia on newborns hearing
Liang, Chun; Hong, Qi; Jiang, Tao-Tao; Gao, Yan; Yao, Xiao-Fang; Luo, Xiao-Xing; Zhuo, Xiu-Hui; Shinn, Jennifer B.; Jones, Raleigh O.; Zhao, Hong-Bo; Lu, Guang-Jin
2013-01-01
Objective To determine the effect of electrolyte disturbances (ED) and asphyxia on infant hearing and hearing outcomes. Study Design We conducted newborn hearing screening with transient evoked otoacoustic emission (TEOAE) test on a large scale (>5,000 infants). The effects of ED and asphyxia on infant hearing and hearing outcomes were evaluated. Result The pass rate of TEOAE test was significantly reduced in preterm infants with ED (83.1%, multiple logistic regression analysis: P<0.01) but not in full-term infants with ED (93.6%, P=0.41). However, there was no significant reduction in the pass rate in infants with asphyxia (P=0.85). We further found that hypocalcaemia significantly reduced the pass rate of TEOAE test (86.8%, P<0.01). In the follow-up recheck at 3 months of age, the pass rate remained low (44.4%, P<0.01). Conclusion ED is a high-risk factor for preterm infant hearing. Hypocalcaemia can produce more significant impairment with a low recovery rate. PMID:23648318
Adeniyi, Olasupo Stephen; Ogli, Sunday Adakole; Ojabo, Cecelia Omaile; Musa, Danladi Ibrahim
2013-01-01
Background: This study was carried out to assess the relationship between thevarious assessment parameters, viz. continuous assessment (CA), multiple choice questions (MCQ), essay, practical, oral with the overall performance in the first professional examination in Physiology. Materials and Methods: The results of all 244 students that sat for the examination over 4 years were used. The CA, MCQ, essay, practical, oral and overall performance scores were obtained. All the scores were rounded up to 100% to give each parameter equal weighting. Results: Analysis showed that the average overall performance was 50.8 ± 5.3. The best average performance was in practical (55.5 ± 9.1), while the least was in MCQ (44.1 ± 7.8). In the study, 81.1% of students passed orals, 80.3% passed practical, 72.5% passed CA, 58.6% passed essay, 22.5% passed MCQ and 71.7% of students passed on the overall performance. All assessment parameters significantly correlated with overall performance. Continuous assessment had the best correlation (r = 0.801, P = 0.000), while oral had the least correlation (r = 0.277, P = 0.000) with overall performance. Essay was the best predictor of overall performance (β = 0.421, P = 000), followed by MCQ (β = 0.356, P = 000), while practical was the least predictor of performance (β = 0.162, P = 000). Conclusion: We suggest that the department should uphold the principle of continuous assessment and more effort be made in the design of MCQ so that performance can improve. PMID:24403705
Evaluation of a single-scan protocol for radiochromic film dosimetry.
Shimohigashi, Yoshinobu; Araki, Fujio; Maruyama, Masato; Nakaguchi, Yuji; Kuwahara, Satoshi; Nagasue, Nozomu; Kai, Yudai
2015-03-08
The purpose of this study was to evaluate a single-scan protocol using Gafchromic EBT3 film (EBT3) by comparing it with the commonly used 24-hr measurement protocol for radiochromic film dosimetry. Radiochromic film is generally scanned 24 hr after film exposure (24-hr protocol). The single-scan protocol enables measurement results within a short time using only the verification film, one calibration film, and unirradiated film. The single-scan protocol was scanned 30 min after film irradiation. The EBT3 calibration curves were obtained with the multichannel film dosimetry method. The dose verifications for each protocol were performed with the step pattern, pyramid pattern, and clinical treatment plans for intensity-modulated radiation therapy (IMRT). The absolute dose distributions for each protocol were compared with those calculated by the treatment planning system (TPS) using gamma evaluation at 3% and 3 mm. The dose distribution for the single-scan protocol was within 2% of the 24-hr protocol dose distribution. For the step pattern, the absolute dose discrepancies between the TPS for the single-scan and 24-hr protocols were 2.0 ± 1.8 cGy and 1.4 ± 1.2 cGy at the dose plateau, respectively. The pass rates were 96.0% for the single-scan protocol and 95.9% for the 24-hr protocol. Similarly, the dose discrepancies for the pyramid pattern were 3.6 ± 3.5cGy and 2.9 ± 3.3 cGy, respectively, while the pass rates for the pyramid pattern were 95.3% and 96.4%, respectively. The average pass rates for the four IMRT plans were 96.7% ± 1.8% for the single-scan protocol and 97.3% ± 1.4% for the 24-hr protocol. Thus, the single-scan protocol measurement is useful for dose verification of IMRT, based on its accuracy and efficiency.
Evaluation of a single‐scan protocol for radiochromic film dosimetry
Araki, Fujio; Maruyama, Masato; Nakaguchi, Yuji; Kuwahara, Satoshi; Nagasue, Nozomu; Kai, Yudai
2015-01-01
The purpose of this study was to evaluate a single‐scan protocol using Gafchromic EBT3 film (EBT3) by comparing it with the commonly used 24‐hr measurement protocol for radiochromic film dosimetry. Radiochromic film is generally scanned 24 hr after film exposure (24‐hr protocol). The single‐scan protocol enables measurement results within a short time using only the verification film, one calibration film, and unirradiated film. The single‐scan protocol was scanned 30 min after film irradiation. The EBT3 calibration curves were obtained with the multichannel film dosimetry method. The dose verifications for each protocol were performed with the step pattern, pyramid pattern, and clinical treatment plans for intensity‐modulated radiation therapy (IMRT). The absolute dose distributions for each protocol were compared with those calculated by the treatment planning system (TPS) using gamma evaluation at 3% and 3 mm. The dose distribution for the single‐scan protocol was within 2% of the 24‐hr protocol dose distribution. For the step pattern, the absolute dose discrepancies between the TPS for the single‐scan and 24‐hr protocols were 2.0±1.8 cGy and 1.4±1.2 cGy at the dose plateau, respectively. The pass rates were 96.0% for the single‐scan protocol and 95.9% for the 24‐hr protocol. Similarly, the dose discrepancies for the pyramid pattern were 3.6±3.5 cGy and 2.9±3.3 cGy, respectively, while the pass rates for the pyramid pattern were 95.3% and 96.4%, respectively. The average pass rates for the four IMRT plans were 96.7%±1.8% for the single‐scan protocol and 97.3%±1.4% for the 24‐hr protocol. Thus, the single‐scan protocol measurement is useful for dose verification of IMRT, based on its accuracy and efficiency. PACS number: 87.55.Qr PMID:26103194
DOE Office of Scientific and Technical Information (OSTI.GOV)
Patton, T; Du, K; Bayouth, J
Purpose: Four-dimensional computed tomography (4DCT) can be used to evaluate longitudinal changes in pulmonary function. The sensitivity of such measurements to identify function change may be improved with reproducible breathing patterns. The purpose of this study was to determine if inhale was more consistent than exhale, i.e., lung expansion during inhalation compared to lung contraction during exhalation. Methods: Repeat 4DCT image data acquired within a short time interval from 8 patients. Using a tissue volume preserving deformable image registration algorithm, Jacobian ventilation maps in two scanning sessions were computed and compared on the same coordinate for reproducibility analysis. Equivalent lungmore » volumes (ELV) were used for 5 subjects and equivalent title volumes (ETV) for the 3 subjects who experienced a baseline shift between scans. In addition, gamma pass rate was calculated from a modified gamma index evaluation between two ventilation maps, using acceptance criterions of 2mm distance-to-agreement and 5% ventilation difference. The gamma pass rates were then compared using paired t-test to determine if there was a significant difference. Results: Inhalation was more reproducible than exhalation. In the 5 ELV subjects 78.5% of the lung voxels met the gamma criteria for expansion during inhalation when comparing the two scans, while significantly fewer (70.9% of the lung voxels) met the gamma criteria for contraction during exhalation (p = .027). In the 8 total subjects analyzed the average gamma pass rate for expansion during inhalation was 75.2% while for contraction during exhalation it was 70.3%; which trended towards significant (p = .064). Conclusion: This work implies inhalation is more reproducible than exhalation, when equivalent respiratory volumes are considered. The reason for this difference is unknown. Longitudinal investigation of pulmonary function change based on inhalation images appears appropriate for Jacobian-based measure of lung tissue expansion. NIH Grant: R01 CA166703.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wang, Guohui; Um, Wooyong; Wang, Zheming
The reaction of acidic radioactive waste with sediments can induce mineral transformation reactions that, in turn, control contaminant fate. Here, sediment weathering by synthetic uranium-containing acid solutions was investigated using bench-scale experiments to simulate waste disposal conditions at Hanford’s cribs, USA. During acid weathering, the presence of phosphate exerted a strong influence over uranium mineralogy and a rapidly precipitated, crystalline uranium phosphate phase (meta-ankoleite [K(UO2)(PO4)·3H2O]) was identified using spectroscopic and diffraction-based techniques. In phosphate-free system, uranium oxyhydroxide minerals such as K-compreignacite [K2(UO2)6O4(OH)6·7H2O] were formed. Single-pass flow-through (SPFT) and column leaching experiments using synthetic Hanford pore water showed that uranium precipitatedmore » as meta-ankoleite during acid weathering was strongly retained in the sediments, with an average release rate of 2.67E-12 mol g-1 s-1. In the absence of phosphate, uranium release was controlled by dissolution of uranium oxyhydroxide (compreignacite-type) mineral with a release rate of 1.05-2.42E-10 mol g-1 s-1. The uranium mineralogy and release rates determined for both systems in this study support the development of accurate U-release models for prediction of contaminant transport. These results suggest that phosphate minerals may be a good candidate for uranium remediation approaches at contaminated sites.« less
Wang, Guohui; Um, Wooyong; Wang, Zheming; Reinoso-Maset, Estela; Washton, Nancy M; Mueller, Karl T; Perdrial, Nicolas; O'Day, Peggy A; Chorover, Jon
2017-10-03
The reaction of acidic radioactive waste with sediments can induce mineral transformation reactions that, in turn, control contaminant fate. Here, sediment weathering by synthetic uranium-containing acid solutions was investigated using bench-scale experiments to simulate waste disposal conditions at Hanford's cribs (Hanford, WA). During acid weathering, the presence of phosphate exerted a strong influence over uranium mineralogy and a rapidly precipitated, crystalline uranium phosphate phase (meta-ankoleite [K(UO 2 )(PO 4 )·3H 2 O]) was identified using spectroscopic and diffraction-based techniques. In phosphate-free system, uranium oxyhydroxide minerals such as K-compreignacite [K 2 (UO 2 ) 6 O 4 (OH) 6 ·7H 2 O] were formed. Single-pass flow-through (SPFT) and column leaching experiments using synthetic Hanford pore water showed that uranium precipitated as meta-ankoleite during acid weathering was strongly retained in the sediments, with an average release rate of 2.67 × 10 -12 mol g -1 s -1 . In the absence of phosphate, uranium release was controlled by dissolution of uranium oxyhydroxide (compreignacite-type) mineral with a release rate of 1.05-2.42 × 10 -10 mol g -1 s -1 . The uranium mineralogy and release rates determined for both systems in this study support the development of accurate U-release models for the prediction of contaminant transport. These results suggest that phosphate minerals may be a good candidate for uranium remediation approaches at contaminated sites.
Pangerc, Urška; Jager, Franc
2015-08-01
In this work, we present the development, architecture and evaluation of a new and robust heart beat detector in multimodal records. The detector uses electrocardiogram (ECG) signals, and/or pulsatile (P) signals, such as: blood pressure, artery blood pressure and pulmonary artery pressure, if present. The base approach behind the architecture of the detector is collecting signal energy (differentiating and low-pass filtering, squaring, integrating). To calculate the detection and noise functions, simple and fast slope- and peak-sensitive band-pass digital filters were designed. By using morphological smoothing, the detection functions were further improved and noise intervals were estimated. The detector looks for possible pacemaker heart rate patterns and repairs the ECG signals and detection functions. Heart beats are detected in each of the ECG and P signals in two steps: a repetitive learning phase and a follow-up detecting phase. The detected heart beat positions from the ECG signals are merged into a single stream of detected ECG heart beat positions. The merged ECG heart beat positions and detected heart beat positions from the P signals are verified for their regularity regarding the expected heart rate. The detected heart beat positions of a P signal with the best match to the merged ECG heart beat positions are selected for mapping into the noise and no-signal intervals of the record. The overall evaluation scores in terms of average sensitivity and positive predictive values obtained on databases that are freely available on the Physionet website were as follows: the MIT-BIH Arrhythmia database (99.91%), the MGH/MF Waveform database (95.14%), the augmented training set of the follow-up phase of the PhysioNet/Computing in Cardiology Challenge 2014 (97.67%), and the Challenge test set (93.64%).
Ross, Pamela; Ponsford, Jennie L; Di Stefano, Marilyn; Charlton, Judith; Spitz, Gershon
2016-01-01
To examine pre- and post-injury self-reported driver behaviour and safety in individuals with traumatic brain injury (TBI) who returned to driving after occupational therapy driver assessment and on-road rehabilitation. A self-report questionnaire, administered at an average of 4.5 years after completing an on-road driver assessment, documenting pre- and post-injury crash rates, near-crashes, frequency of driving, distances driven, driving conditions avoided and navigation skills, was completed by 106 participants, who had either passed the initial driver assessment (pass group n = 74), or required driver rehabilitation, prior to subsequent assessments (rehabilitation group n = 32). No significant difference was found between pre- and post-injury crash rates. Compared to pre-injury, 36.8% of drivers reported limiting driving time, 40.6% drove more slowly, 41.5% reported greater difficulty with navigating and 20.0% reported more near-crashes. The rehabilitation group (with greater injury severity) was significantly more likely to drive less frequently, shorter distances, avoid: driving with passengers, busy traffic, night and freeway driving than the pass group. Many drivers with moderate/severe TBI who completed a driver assessment and rehabilitation program at least 3 months post-injury, reported modifying their driving behaviour, and did not report more crashes compared to pre-injury. On-road driver training and training in navigation may be important interventions in driver rehabilitation programs. Driver assessment and on-road retraining are important aspects of rehabilitation following traumatic brain injury. Many drivers with moderate/severe TBI, reported modifying their driving behaviour to compensate for ongoing impairment and continued to drive safely in the longer term. Navigational difficulties were commonly experienced following TBI, suggesting that training in navigation may be an important aspect of driver rehabilitation.
ERIC Educational Resources Information Center
Holmes, Jason Edward, Jr.
2011-01-01
In order to meet the federal mandate specified by the No Child Left Behind Act to demonstrate content competency for teaching certification, students must pass a written examination. Missouri and 37 other states chose the Praxis II to satisfy requirements. Presently, schools of education advertise the passing rate of the Praxis II as 100%, since…
ERIC Educational Resources Information Center
Kadhi, T.; Holley, D.; Palasota, A.; Garrison, P.; Green, T.
2010-01-01
The following analysis was done to investigate the findings of the Correlational Relationship (R) between the Bar Passing Rates and GPAs of the Years 2005-2009. This report of findings was done to see if there are any significant relationships between the three variables (Bar Pass/Fail/Unknown, Overall GPA, and Bar GPA). The following procedures…
New equations for predicting postoperative risk in patients with hip fracture.
Hirose, Jun; Ide, Junji; Irie, Hiroki; Kikukawa, Kenshi; Mizuta, Hiroshi
2009-12-01
Predicting the postoperative course of patients with hip fractures would be helpful for surgical planning and risk management. We therefore established equations to predict the morbidity and mortality rates in candidates for hip fracture surgery using the Estimation of Physiologic Ability and Surgical Stress (E-PASS) risk-scoring system. First we evaluated the correlation between the E-PASS scores and postoperative morbidity and mortality rates in all 722 patients surgically treated for hip fractures during the study period (Group A). Next we established equations to predict morbidity and mortality rates. We then applied these equations to all 633 patients with hip fractures treated at seven other hospitals (Group B) and compared the predicted and actual morbidity and mortality rates to assess the predictive ability of the E-PASS and Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) systems. The ratio of actual to predicted morbidity and mortality rates was closer to 1.0 with the E-PASS than the POSSUM system. Our data suggest the E-PASS scoring system is useful for defining postoperative risk and its underlying algorithm accurately predicts morbidity and mortality rates in patients with hip fractures before surgery. This information then can be used to manage their condition and potentially improve treatment outcomes. Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
ERIC Educational Resources Information Center
Mzuza, Maureen Kapute; Yudong, Yang; Kapute, Fanuel
2014-01-01
Factors that cause poor examination passing rates and high dropout rates among primary school girls in Malawi were analysed. First hand data was collected by conducting a survey in all the three regions of Malawi. The respondents to the questionnaire were girls (402) who are repeating the last class in primary schools (Standard 8), primary school…
Signal evaluations using singular value decomposition for Thomson scattering diagnostics.
Tojo, H; Yamada, I; Yasuhara, R; Yatsuka, E; Funaba, H; Hatae, T; Hayashi, H; Itami, K
2014-11-01
This paper provides a novel method for evaluating signal intensities in incoherent Thomson scattering diagnostics. A double-pass Thomson scattering system, where a laser passes through the plasma twice, generates two scattering pulses from the plasma. Evaluations of the signal intensities in the spectrometer are sometimes difficult due to noise and stray light. We apply the singular value decomposition method to Thomson scattering data with strong noise components. Results show that the average accuracy of the measured electron temperature (Te) is superior to that of temperature obtained using a low-pass filter (<20 MHz) or without any filters.
Signal evaluations using singular value decomposition for Thomson scattering diagnostics
DOE Office of Scientific and Technical Information (OSTI.GOV)
Tojo, H., E-mail: tojo.hiroshi@jaea.go.jp; Yatsuka, E.; Hatae, T.
2014-11-15
This paper provides a novel method for evaluating signal intensities in incoherent Thomson scattering diagnostics. A double-pass Thomson scattering system, where a laser passes through the plasma twice, generates two scattering pulses from the plasma. Evaluations of the signal intensities in the spectrometer are sometimes difficult due to noise and stray light. We apply the singular value decomposition method to Thomson scattering data with strong noise components. Results show that the average accuracy of the measured electron temperature (T{sub e}) is superior to that of temperature obtained using a low-pass filter (<20 MHz) or without any filters.
McCowan, Peter M; Asuni, Ganiyu; Van Uytven, Eric; VanBeek, Timothy; McCurdy, Boyd M C; Loewen, Shaun K; Ahmed, Naseer; Bashir, Bashir; Butler, James B; Chowdhury, Amitava; Dubey, Arbind; Leylek, Ahmet; Nashed, Maged
2017-04-01
To report findings from an in vivo dosimetry program implemented for all stereotactic body radiation therapy patients over a 31-month period and discuss the value and challenges of utilizing in vivo electronic portal imaging device (EPID) dosimetry clinically. From December 2013 to July 2016, 117 stereotactic body radiation therapy-volumetric modulated arc therapy patients (100 lung, 15 spine, and 2 liver) underwent 602 EPID-based in vivo dose verification events. A developed model-based dose reconstruction algorithm calculates the 3-dimensional dose distribution to the patient by back-projecting the primary fluence measured by the EPID during treatment. The EPID frame-averaging was optimized in June 2015. For each treatment, a 3%/3-mm γ comparison between our EPID-derived dose and the Eclipse AcurosXB-predicted dose to the planning target volume (PTV) and the ≥20% isodose volume were performed. Alert levels were defined as γ pass rates <85% (lung and liver) and <80% (spine). Investigations were carried out for all fractions exceeding the alert level and were classified as follows: EPID-related, algorithmic, patient setup, anatomic change, or unknown/unidentified errors. The percentages of fractions exceeding the alert levels were 22.6% for lung before frame-average optimization and 8.0% for lung, 20.0% for spine, and 10.0% for liver after frame-average optimization. Overall, mean (± standard deviation) planning target volume γ pass rates were 90.7% ± 9.2%, 87.0% ± 9.3%, and 91.2% ± 3.4% for the lung, spine, and liver patients, respectively. Results from the clinical implementation of our model-based in vivo dose verification method using on-treatment EPID images is reported. The method is demonstrated to be valuable for routine clinical use for verifying delivered dose as well as for detecting errors. Copyright © 2017 Elsevier Inc. All rights reserved.
DOE Office of Scientific and Technical Information (OSTI.GOV)
McCowan, Peter M., E-mail: pmccowan@cancercare.mb.ca; Asuni, Ganiyu; Van Uytven, Eric
Purpose: To report findings from an in vivo dosimetry program implemented for all stereotactic body radiation therapy patients over a 31-month period and discuss the value and challenges of utilizing in vivo electronic portal imaging device (EPID) dosimetry clinically. Methods and Materials: From December 2013 to July 2016, 117 stereotactic body radiation therapy–volumetric modulated arc therapy patients (100 lung, 15 spine, and 2 liver) underwent 602 EPID-based in vivo dose verification events. A developed model-based dose reconstruction algorithm calculates the 3-dimensional dose distribution to the patient by back-projecting the primary fluence measured by the EPID during treatment. The EPID frame-averaging was optimized in Junemore » 2015. For each treatment, a 3%/3-mm γ comparison between our EPID-derived dose and the Eclipse AcurosXB–predicted dose to the planning target volume (PTV) and the ≥20% isodose volume were performed. Alert levels were defined as γ pass rates <85% (lung and liver) and <80% (spine). Investigations were carried out for all fractions exceeding the alert level and were classified as follows: EPID-related, algorithmic, patient setup, anatomic change, or unknown/unidentified errors. Results: The percentages of fractions exceeding the alert levels were 22.6% for lung before frame-average optimization and 8.0% for lung, 20.0% for spine, and 10.0% for liver after frame-average optimization. Overall, mean (± standard deviation) planning target volume γ pass rates were 90.7% ± 9.2%, 87.0% ± 9.3%, and 91.2% ± 3.4% for the lung, spine, and liver patients, respectively. Conclusions: Results from the clinical implementation of our model-based in vivo dose verification method using on-treatment EPID images is reported. The method is demonstrated to be valuable for routine clinical use for verifying delivered dose as well as for detecting errors.« less
Spike Phase Locking in CA1 Pyramidal Neurons depends on Background Conductance and Firing Rate
Broiche, Tilman; Malerba, Paola; Dorval, Alan D.; Borisyuk, Alla; Fernandez, Fernando R.; White, John A.
2012-01-01
Oscillatory activity in neuronal networks correlates with different behavioral states throughout the nervous system, and the frequency-response characteristics of individual neurons are believed to be critical for network oscillations. Recent in vivo studies suggest that neurons experience periods of high membrane conductance, and that action potentials are often driven by membrane-potential fluctuations in the living animal. To investigate the frequency-response characteristics of CA1 pyramidal neurons in the presence of high conductance and voltage fluctuations, we performed dynamic-clamp experiments in rat hippocampal brain slices. We drove neurons with noisy stimuli that included a sinusoidal component ranging, in different trials, from 0.1 to 500 Hz. In subsequent data analysis, we determined action potential phase-locking profiles with respect to background conductance, average firing rate, and frequency of the sinusoidal component. We found that background conductance and firing rate qualitatively change the phase-locking profiles of CA1 pyramidal neurons vs. frequency. In particular, higher average spiking rates promoted band-pass profiles, and the high-conductance state promoted phase-locking at frequencies well above what would be predicted from changes in the membrane time constant. Mechanistically, spike-rate adaptation and frequency resonance in the spike-generating mechanism are implicated in shaping the different phase-locking profiles. Our results demonstrate that CA1 pyramidal cells can actively change their synchronization properties in response to global changes in activity associated with different behavioral states. PMID:23055508
Low-cycle fatigue of Fe-20%Cr alloy processed by equal- channel angular pressing
NASA Astrophysics Data System (ADS)
Kaneko, Yoshihisa; Tomita, Ryuji; Vinogradov, Alexei
2014-08-01
Low-cycle fatigue properties were investigated on Fe-20%Cr ferritic stainless steel processed by equal channel angular pressing (ECAP). The Fe-20%Cr alloy bullets were processed for one to four passes via Route-Bc. The ECAPed samples were cyclically deformed at the constant plastic strain amplitude ɛpl of 5x10-4 at room temperature in air. After the 1-pass ECAP, low-angle grain boundaries were dominantly formed. During the low-cycle fatigue test, the 1-pass sample revealed the rapid softening which continued until fatigue fracture. Fatigue life of the 1-pass sample was shorter than that of a coarse-grained sample. After the 4-pass ECAP, the average grain size reduced down to about 1.5 μm. At initial stage of the low-cycle fatigue tests, the stress amplitude increased with increasing ECAP passes. At the samples processed for more than 2 passes, the cyclic softening was relatively moderate. It was found that fatigue life of the ECAPed Fe-20%Cr alloy excepting the 1-pass sample was improved as compared to the coarse-grained sample, even under the strain controlled fatigue condition.
Ultrasonic propulsion of kidney stones: preliminary results of human feasibility study.
Bailey, Michael; Cunitz, Bryan; Dunmire, Barbrina; Paun, Marla; Lee, Franklin; Ross, Susan; Lingeman, James; Coburn, Michael; Wessells, Hunter; Sorensen, Mathew; Harper, Jonathan
2014-09-03
One in 11 Americans has experienced kidney stones, with a 50% average recurrence rate within 5-10 years. Ultrasonic propulsion (UP) offers a potential method to expel small stones or residual fragments before they become a recurrent problem. Reported here are preliminary findings from the first investigational use of UP in humans. The device uses a Verasonics ultrasound engine and Philips HDI C5-2 probe to generate real-time B-mode imaging and targeted "push" pulses on demand. There are three arms of the study: de novo stones, post-lithotripsy fragments, and the preoperative setting. A pain questionnaire is completed prior to and following the study. Movement is classified based on extent. Patients are followed for 90 days. Ten subjects have been treated to date: three de novo , five post-lithotripsy, and two preoperative. None of the subjects reported pain associated with the treatment or a treatment related adverse event, beyond the normal discomfort of passing a stone. At least one stone was moved in all subjects. Three of five post-lithotripsy subjects passed a single or multiple stones within 1-2 weeks following treatment; one subject passed two (1-2 mm) fragments before leaving clinic. In the pre-operative studies we successfully moved 7 - 8 mm stones. In four subjects, UP revealed multiple stone fragments where the clinical image and initial ultrasound examination indicated a single large stone.
ERIC Educational Resources Information Center
Clagett, Craig A.
Prince George's Community College (PGCC) created a Student Outcomes Report in December 1996 that measures course completion, retention, student achievement, program completion, transfer, and certification. Findings indicated that though the course pass rate was 75%, individual course completion ranged from 44% to 100%. Divisional pass rates ranged…
NASA Astrophysics Data System (ADS)
Noufal, Manthala Padannayil; Abdullah, Kallikuzhiyil Kochunny; Niyas, Puzhakkal; Subha, Pallimanhayil Abdul Raheem
2017-12-01
Aim: This study evaluates the impacts of using different evaluation criteria on gamma pass rates in two commercially available QA methods employed for the verification of VMAT plans using different hypothetical planning target volumes (PTVs) and anatomical regions. Introduction: Volumetric modulated arc therapy (VMAT) is a widely accepted technique to deliver highly conformal treatment in a very efficient manner. As their level of complexity is high in comparison to intensity-modulated radiotherapy (IMRT), the implementation of stringent quality assurance (QA) before treatment delivery is of paramount importance. Material and Methods: Two sets of VMAT plans were generated using Eclipse planning systems, one with five different complex hypothetical three-dimensional PTVs and one including three anatomical regions. The verification of these plans was performed using a MatriXX ionization chamber array embedded inside a MultiCube phantom and a Varian EPID dosimetric system attached to a Clinac iX. The plans were evaluated based on the 3%/3 mm, 2%/2 mm, and 1%/1 mm global gamma criteria and with three low-dose threshold values (0%, 10%, and 20%). Results: The gamma pass rates were above 95% in all VMAT plans, when the 3%/3mm gamma criterion was used and no threshold was applied. In both systems, the pass rates decreased as the criteria become stricter. Higher pass rates were observed when no threshold was applied and they tended to decrease for 10% and 20% thresholds. Conclusion: The results confirm the suitability of the equipments used and the validity of the plans. The study also confirmed that the threshold settings greatly affect the gamma pass rates, especially for lower gamma criteria.
Lungren, Matthew P; Lindquester, Will S; Seidel, Frank Glen; Kothary, Nishita; Monroe, Eric J; Shivaram, Giri; Gill, Anne E; Hawkins, Matthew C
2016-12-01
The aim of the study was to describe and assess the technical success and safety of ultrasound-guided liver biopsy with gelatin sponge pledget tract embolization technique in infants <10 kg across 3 tertiary pediatric hospitals. There were 67 pediatric patients weighing <10 kg (36 boys; 31 girls; average age 202 days; average weight 6 kg, range 1.5-9.9 kg) referred for liver biopsy performed with ultrasound guidance and gelatin sponge pledget tract embolization during a 2-year period. Patient history, procedural records, and clinical follow-up documents were retrospectively reviewed. A total of 67 procedures were included. There was 100% technical success rate and all samples obtained provided adequate tissue for histological assessment. Average number of 18 G biopsy passes was 3 (range 1-6). There were no procedure-related deaths. There was 1 complication (1%) in a 5-kg infant who was readmitted 36 hours after biopsy with a fever and fully recovered after antibiotics were administered. Biliary atresia was the most common underlying diagnosis (20%), whereas others included acute rejection (16%) and biliary obstruction (7%). Ultrasound-guided percutaneous liver biopsy with gelatin sponge pledget tract embolization technique in children weighing <10 kg is safe, effective, and use of this technique may lead to a reduction in rates of adverse events reported in other pediatric series.
Heart rate measurement based on a time-lapse image.
Takano, Chihiro; Ohta, Yuji
2007-10-01
Using a time-lapse image acquired from a CCD camera, we developed a non-contact and non-invasive device, which could measure both the respiratory and pulse rate simultaneously. The time-lapse image of a part of the subject's skin was consecutively captured, and the changes in the average image brightness of the region of interest (ROI) were measured for 30s. The brightness data were processed by a series of operations of interpolation as follows a first-order derivative, a low pass filter of 2 Hz, and a sixth-order auto-regressive (AR) spectral analysis. Fourteen sound and healthy female subjects (22-27 years of age) participated in the experiments. Each subject was told to keep a relaxed seating posture with no physical restriction. At the same time, heart rate was measured by a pulse oximeter and respiratory rate was measured by a thermistor placed at the external naris. Using AR spectral analysis, two clear peaks could be detected at approximately 0.3 and 1.2 Hz. The peaks were thought to correspond to the respiratory rate and the heart rate. Correlation coefficients of 0.90 and 0.93 were obtained for the measurement of heart rate and respiratory rate, respectively.
The influence of Oort clouds on the mass and chemical balance of the interstellar medium
NASA Technical Reports Server (NTRS)
Stern, S. Alan; Shull, J. Michael
1990-01-01
The contribution of stellar encounters and interstellar erosion to comet cloud mass injection to the ISM is calculated. It is shown that evaporative mass loss from passing stars and SNe results in an average Galactic mass injection rate of up to 10 to the -5th solar mass/yr if such clouds are frequent around solar-type stars. Cometary erosion by interstellar grains produces an injection rate of 10 to the -5th to 10 to the -4th solar mass/yr. An injection rate of 2 x 10 to the -5th solar mass/yr is calculated. Each of these rates could be increased by a factor of about 15 if the comet clouds contain a significant amount of smaller debris. It is concluded that the total mass injection rate of material to the ISM by comet clouds is small compared to other ISM mass injection sources. Comet cloud mass loss to the ISM could be responsible for a sizeable fraction of the metal and dust abundances of the ISM if Oort clouds are common.
GBAS Ionospheric Anomaly Monitoring Based on a Two-Step Approach
Zhao, Lin; Yang, Fuxin; Li, Liang; Ding, Jicheng; Zhao, Yuxin
2016-01-01
As one significant component of space environmental weather, the ionosphere has to be monitored using Global Positioning System (GPS) receivers for the Ground-Based Augmentation System (GBAS). This is because an ionospheric anomaly can pose a potential threat for GBAS to support safety-critical services. The traditional code-carrier divergence (CCD) methods, which have been widely used to detect the variants of the ionospheric gradient for GBAS, adopt a linear time-invariant low-pass filter to suppress the effect of high frequency noise on the detection of the ionospheric anomaly. However, there is a counterbalance between response time and estimation accuracy due to the fixed time constants. In order to release the limitation, a two-step approach (TSA) is proposed by integrating the cascaded linear time-invariant low-pass filters with the adaptive Kalman filter to detect the ionospheric gradient anomaly. The performance of the proposed method is tested by using simulated and real-world data, respectively. The simulation results show that the TSA can detect ionospheric gradient anomalies quickly, even when the noise is severer. Compared to the traditional CCD methods, the experiments from real-world GPS data indicate that the average estimation accuracy of the ionospheric gradient improves by more than 31.3%, and the average response time to the ionospheric gradient at a rate of 0.018 m/s improves by more than 59.3%, which demonstrates the ability of TSA to detect a small ionospheric gradient more rapidly. PMID:27240367
Antosh, Danielle D; Auguste, Tamika; George, Elizabeth A; Sokol, Andrew I; Gutman, Robert E; Iglesia, Cheryl B; Desale, Sameer Y; Park, Amy J
2013-01-01
To determine the pass rate for the Fundamentals of Laparoscopic Surgery (FLS) examination among senior gynecology residents and fellows and to find whether there is an association between FLS scores and previous laparoscopic experience as well as laparoscopic intraoperative (OR) skills assessment. Prospective cohort study (Canadian Task Force classification II-2). Three gynecology residency training programs. Third- and fourth-year gynecology residents and urogynecology fellows. All participants participated in the FLS curriculum, written and manual skills examination, and completed a survey reporting baseline characteristics and opinions. Fourth-year residents and fellows underwent unblinded and blinded pre- and post-FLS OR assessments. Objective OR assessments of fourth-year residents after FLS were compared with those of fourth-year resident controls who were not FLS trained. Twenty-nine participants were included. The overall pass rate was 76%. The pass rate for third- and fourth-year residents and fellows were 62%, 85%, and 100%, respectively. A trend toward improvement in OR assessments was observed for fourth-year residents and fellows for pre-FLS curriculum compared with post-FLS testing, and FLS-trained fourth-year residents compared with fourth-year resident controls; however, this did not reach statistical significance. Self-report of laparoscopic case load experience of >20 cases was the only baseline factor significantly associated with passing the FLS examination (p = .03). The FLS pass rate for senior residents and fellows was 76%, with higher pass rates associated with increasing levels of training and laparoscopic case experience. Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Lee, Jae-Seung; Im, In-Chul; Kang, Su-Man; Goo, Eun-Hoe; Baek, Seong-Min
2013-11-01
The purpose of this study is to present a new method of quality assurance (QA) in order to ensure effective evaluation of the accuracy of respiratory-gated radiotherapy (RGR). This would help in quantitatively analyzing the patient's respiratory cycle and respiration-induced tumor motion and in performing a subsequent comparative analysis of dose distributions, using the gamma-index method, as reproduced in our in-house developed respiration-simulating phantom. Therefore, we designed a respiration-simulating phantom capable of reproducing the patient's respiratory cycle and respiration-induced tumor motion and evaluated the accuracy of RGR by estimating its pass rates. We applied the gamma index passing criteria of accepted error ranges of 3% and 3 mm for the dose distribution calculated by using the treatment planning system (TPS) and the actual dose distribution of RGR. The pass rate clearly increased inversely to the gating width chosen. When respiration-induced tumor motion was 12 mm or less, pass rates of 85% and above were achieved for the 30-70% respiratory phase, and pass rates of 90% and above were achieved for the 40-60% respiratory phase. However, a respiratory cycle with a very small fluctuation range of pass rates failed to prove reliable in evaluating the accuracy of RGR. Therefore, accurate and reliable outcomes of radiotherapy will be obtainable only by establishing a novel QA system using the respiration-simulating phantom, the gamma-index analysis, and a quantitative analysis of diaphragmatic motion, enabling an indirect measurement of tumor motion.
Nelissen, Ellen; Ersdal, Hege; Ostergaard, Doris; Mduma, Estomih; Broerse, Jacqueline; Evjen-Olsen, Bjørg; van Roosmalen, Jos; Stekelenburg, Jelle
2014-03-01
To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. Educational intervention study. Rural referral hospital in Northern Tanzania. Clinicians, nurse-midwives, medical attendants, and ambulance drivers involved in maternity care. In March 2012, health care workers were trained in HMS BAB, a half-day simulation-based training, using a train-the-trainer model. The training focused on basic delivery care, active management of third stage of labor, and treatment of postpartum hemorrhage, including bimanual uterine compression. Evaluation questionnaires provided information on course perception. Knowledge, skills, and confidence of facilitators and learners were tested before and after training. Four master trainers trained eight local facilitators, who subsequently trained 89 learners. After training, all facilitators passed the knowledge test, but pass rates for the skills test were low (29% pass rate for basic delivery and 0% pass rate for management of postpartum hemorrhage). Evaluation revealed that HMS BAB training was considered acceptable and feasible, although more time should be allocated for training, and teaching materials should be translated into the local language. Knowledge, skills, and confidence of learners increased significantly immediately after training. However, overall pass rates for skills tests of learners after training were low (3% pass rate for basic delivery and management of postpartum hemorrhage). The HMS BAB simulation-based training has potential to contribute to education of health care providers. We recommend a full day of training and validation of the facilitators to improve the training. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.
Disruption rates for one vulnerable soil in Organ Pipe Cactus National Monument, Arizona, USA
Webb, Robert H.; Esque, Todd C.; Nussear, Kenneth E.; Sturm, Mark
2013-01-01
Rates of soil disruption from hikers and vehicle traffic are poorly known, particularly for arid landscapes. We conducted an experiment in Organ Pipe Cactus National Monument (ORPI) in western Arizona, USA, on an air-dry very fine sandy loam that is considered to be vulnerable to disruption. We created variable-pass tracks using hikers, an all-terrain vehicle (ATV), and a four-wheel drive vehicle (4WD) and measured changes in cross-track topography, penetration depth, and bulk density. Hikers (one pass = 5 hikers) increased bulk density and altered penetration depth but caused minimal surface disruption up to 100 passes; a minimum of 10 passes were required to overcome surface strength of this dry soil. Both ATV and 4WD traffic significantly disrupted the soil with one pass, creating deep ruts with increasing passes that rendered the 4WD trail impassable after 20 passes. Despite considerable soil loosening (dilation), bulk density increased in the vehicle trails, and lateral displacement created berms of loosened soil. This soil type, when dry, can sustain up to 10 passes of hikers but only one vehicle pass before significant soil disruption occurs; greater disruption is expected when soils are wet. Bulk density increased logarithmically with applied pressure from hikers, ATV, and 4WD.
dos Reis, Helena França Correia; Almeida, Mônica Lajana Oliveira; da Silva, Mário Ferreira; Moreira, Julião Oliveira; Rocha, Mário de Seixas
2013-01-01
Objective To investigate the association between the rapid shallow breathing index and successful extubation in patients with traumatic brain injury. Methods This study was a prospective study conducted in patients with traumatic brain injury of both genders who underwent mechanical ventilation for at least two days and who passed a spontaneous breathing trial. The minute volume and respiratory rate were measured using a ventilometer, and the data were used to calculate the rapid shallow breathing index (respiratory rate/tidal volume). The dependent variable was the extubation outcome: reintubation after up to 48 hours (extubation failure) or not (extubation success). The independent variable was the rapid shallow breathing index measured after a successful spontaneous breathing trial. Results The sample comprised 119 individuals, including 111 (93.3%) males. The average age of the sample was 35.0±12.9 years old. The average duration of mechanical ventilation was 8.1±3.6 days. A total of 104 (87.4%) participants achieved successful extubation. No association was found between the rapid shallow breathing index and extubation success. Conclusion The rapid shallow breathing index was not associated with successful extubation in patients with traumatic brain injury. PMID:24213084
Learning Style as a Predictor of First-Time NCLEX-RN Success: Implications for Nurse Educators.
Lown, Susan G; Hawkins, Lee Ann
Improving NCLEX-RN® pass rates remains a priority for nursing programs. Many programs collect learning style inventory data, yet few studies have looked at relationships between these data and NCLEX-RN pass/fail rates. Learning style preferences (visual, auditory, tactile, individual, group) and NCLEX pass/fail results were examined for 532 undergraduates in a Midwestern university. A significant correlation between preference for group learning and failure of the NCLEX was found (χ = 5.99, P = .05).
Schwartz, Lindsay F; Lineberry, Matthew; Park, Yoon Soo; Kamin, Carol S; Hyderi, Abbas A
2018-01-01
Studies have documented performance on the United States Medical Licensing Examination® (USMLE) Step 1 exam as an important factor that residency program directors consider when deciding which applicants to interview and rank. Therefore, success on this exam, though only one aspect of applicant evaluation, is important in determining future career prospects for medical students. Unfortunately, mean test scores at the University of Illinois College of Medicine at Chicago (UIC) have historically been below the national average. This retrospective and quasi-experimental mixed-methods study describes the development, evaluation, and effects of a student-initiated USMLE Step 1 preparatory program at UIC. The program provided second year students with First Aid for the USMLE Step 1 at the beginning of the academic year, as well as a six month subscription to the USMLE World question bank midyear. In addition, optional peer review sessions covering basic sciences and organ systems were taught by high-performing upperclassmen. The goals of the program were to raise mean USMLE Step 1 exam scores and increase the percentage of students passing the exam on their first time. The program premiered during the 2012-13 academic year. Data from this cohort as well as four others (N = 830; 2010-2014 examinees) were gathered. Performances between preintervention (2010-12 examinees) and postintervention (2013-14 examinees) cohorts of students were compared. Focus groups and interviews with staff and students were conducted, recorded, and analyzed to investigate the impact that the program had on student interactions and perceptions of the learning environment. There was a significant difference in exam performance pre- versus postintervention, with average USMLE Step 1 scores improving by 8.82 points following the implementation of the student-initiated program, t(5.61) = 828, p < .001. The average first-attempt pass rate also increased significantly by 8%, χ 2 (1) = 23.13, p < .001. Taking age, sex, Medical College Admission Test® scores, and undergraduate grade point average into account, students who participated in the program scored 6.57 points higher than students who did not participate in the program (R 2 = 0.3), F(5, 886) = 76.71, p < .01, and had higher odds of passing USMLE Step 1 (odds ratio = 3.08, SE = 1.07, p < .01). Students and staff commented on the sense of community and empowerment the program created as well as the unique student-driven nature of the program. This study demonstrates the efficacy of a student-initiated curriculum and provides guidance for development and implementation of examination preparatory efforts at other institutions.
Health-Related Fitness of Youths with Visual Impairments
ERIC Educational Resources Information Center
Lieberman, Lauren J.; Byrne, Heidi; Mattern, Craig O.; Watt, Celia A.; Fernandez-Vivo, Margarita
2010-01-01
This study analyzed the passing rates on five health-related fitness items on the Brockport Physical Fitness Test of youths aged 10-17 with visual impairments. It found that the youths had low passing rates on upper-body strength, cardiovascular endurance, and body composition. (Contains 2 tables.)
Dong, Yingbo; Lin, Hai; He, Yinhai
2017-03-01
The physicochemical properties of the 24 modified clinoptilolite samples and their ammonia-nitrogen removal rates were measured to investigate the correlation between them. The modified clinoptilolites obtained by acid modification, alkali modification, salt modification, and thermal modification were used to adsorb ammonia-nitrogen. The surface area, average pore width, macropore volume, mecropore volume, micropore volume, cation exchange capacity (CEC), zeta potential, silicon-aluminum ratios, and ammonia-nitrogen removal rate of the 24 modified clinoptilolite samples were measured. Subsequently, the linear regression analysis method was used to research the correlation between the physicochemical property of the different modified clinoptilolite samples and the ammonia-nitrogen removal rate. Results showed that the CEC was the major physicochemical property affecting the ammonia-nitrogen removal performance. According to the impacts from strong to weak, the order was CEC > silicon-aluminum ratios > mesopore volume > micropore volume > surface area. On the contrary, the macropore volume, average pore width, and zeta potential had a negligible effect on the ammonia-nitrogen removal rate. The relational model of physicochemical property and ammonia-nitrogen removal rate of the modified clinoptilolite was established, which was ammonia-nitrogen removal rate = 1.415[CEC] + 173.533 [macropore volume] + 0.683 [surface area] + 4.789[Si/Al] - 201.248. The correlation coefficient of this model was 0.982, which passed the validation of regression equation and regression coefficients. The results of the significance test showed a good fit to the correlation model.
Mortazavi, Forough; Mortazavi, Saideh S; Khosrorad, Razieh
2015-09-01
Procrastination is a common behavior which affects different aspects of life. The procrastination assessment scale-student (PASS) evaluates academic procrastination apropos its frequency and reasons. The aims of the present study were to translate, culturally adapt, and validate the Farsi version of the PASS in a sample of Iranian medical students. In this cross-sectional study, the PASS was translated into Farsi through the forward-backward method, and its content validity was thereafter assessed by a panel of 10 experts. The Farsi version of the PASS was subsequently distributed among 423 medical students. The internal reliability of the PASS was assessed using Cronbach's alpha. An exploratory factor analysis (EFA) was conducted on 18 items and then 28 items of the scale to find new models. The construct validity of the scale was assessed using both EFA and confirmatory factor analysis. The predictive validity of the scale was evaluated by calculating the correlation between the academic procrastination scores and the students' average scores in the previous semester. The corresponding reliability of the first and second parts of the scale was 0.781 and 0.861. An EFA on 18 items of the scale found 4 factors which jointly explained 53.2% of variances: The model was marginally acceptable (root mean square error of approximation [RMSEA] =0.098, standardized root mean square residual [SRMR] =0.076, χ(2) /df =4.8, comparative fit index [CFI] =0.83). An EFA on 28 items of the scale found 4 factors which altogether explained 42.62% of variances: The model was acceptable (RMSEA =0.07, SRMR =0.07, χ(2)/df =2.8, incremental fit index =0.90, CFI =0.90). There was a negative correlation between the procrastination scores and the students' average scores (r = -0.131, P =0.02). The Farsi version of the PASS is a valid and reliable tool to measure academic procrastination in Iranian undergraduate medical students.
State-Specific Liquor Excise Taxes and Retail Prices in Eight U.S. States, 2012
Siegel, Michael; Grundman, Jody; DeJong, William; Naimi, Timothy S.; King, Charles; Albers, Alison B.; Williams, Rebecca S.; Jernigan, David H.
2013-01-01
We investigated the relationship between state excise taxes and liquor prices in eight states, using 2012 data for 45 brands. We made 6,042 price observations among 177 liquor stores with online prices. Using a hierarchical model, we examined the relationship between excise taxes and product prices. State excise taxes were significantly related to liquor prices, with an estimated pass-through rate of 0.93. The proportion of price accounted for by excise taxes averaged 7.0%. We find that excise taxes do increase the price of alcohol, but states are not taking advantage of this opportunity to reduce alcohol-related morbidity and mortality. PMID:24159914
State-specific liquor excise taxes and retail prices in 8 US states, 2012.
Siegel, Michael; Grundman, Jody; DeJong, William; Naimi, Timothy S; King, Charles; Albers, Alison B; Williams, Rebecca S; Jernigan, David H
2013-01-01
The authors investigated the relationship between state excise taxes and liquor prices in 8 states, using 2012 data for 45 brands. The authors made 6042 price observations among 177 liquor stores with online prices. Using a hierarchical model, the authors examined the relationship between excise taxes and product prices. State excise taxes were significantly related to liquor prices, with an estimated pass-through rate of 0.93. The proportion of price accounted for by excise taxes averaged 7.0%. The authors find that excise taxes do increase the price of alcohol, but states are not taking advantage of this opportunity to reduce alcohol-related morbidity and mortality.
Analysing surface deformation in Surabaya from sentinel-1A data using DInSAR method
NASA Astrophysics Data System (ADS)
Anjasmara, Ira Mutiara; Yusfania, Meiriska; Kurniawan, Akbar; Resmi, Awalina L. C.; Kurniawan, Roni
2017-07-01
The rapid population growth and increasing industrial space in the urban area of Surabaya have caused an excessive ground water use and load of infrastructures. This condition triggers surface deformation, especially the vertical deformation (subsidence or uplift), in Surabaya and its surroundings. The presence of dynamic processes of the Earth and geological form of Surabaya area can also fasten the rate of the surface deformation. In this research, Differential Interferometry Synthetic Aperture Radar (DInSAR) method is chosen to infer the surface deformation over Surabaya area. The DInSAR processing utilized Sentinel 1A satellite images from May 2015 to September 2016 using two-pass interferometric. Two-pass interferometric method is a method that uses two SAR imageries and Digital Elevation Model (DEM). The results from four pairs of DInSAR processing indicate the occurrence of surface deformation in the form of land subsidence and uplift based on the displacement Line of Sight (LOS) in Surabaya. The average rate of surface deformation from May 2015 to September 2016 varies from -3.52 mm/4months to +2.35 mm/4months. The subsidence mostly occurs along the coastal area. However, the result still contains errors from the processing of displacement, due to the value of coherence between the image, noise, geometric distortion of a radar signal and large baseline on image pair.
NASA Astrophysics Data System (ADS)
Andini, S.; Fitriana, L.; Budiyono
2018-03-01
This study presents partial result from the project “Geometry in Flipbook Multimedia: A Technology Role in Improving Mathematical Learning Quality in Madiun”, which was undertaken to explore the skill of geometry and passing rate of van Hiele’s geometric thinking level, especially for the first three level. The material focus of the study is a two-dimensional figure and reviewed from basic skill aspect of geometry (visual, verbal, drawing, logic, and application). The participants were 30 students in the 6 grade of elementary school in Madiun, East Java. The data collecting technique for this study there are a test instrument of van Hiele geometry (VHG) and an interview’s instrument about characteristics geometry basic skill. After the test, twelve students from participants were randomly selected interviewed to determine their geometry basic skill. This study found that (1) most of the students of 6 grade can only reach the first level is about 69%, the passing rate at the second level test is about 49%, and at the third level, the average of students' achievement is 35%, (2) if viewed from five basic skills of geometry, most of the students have a low mastery, and (3) the achievement of grade six students are inclined high in first level and low in third level based on van Hiele’s Geometric Thinking Level.
NASA Astrophysics Data System (ADS)
Korelin, Ivan A.; Porshnev, Sergey V.
2018-01-01
The paper demonstrates the possibility of calculating the characteristics of the flow of visitors to objects carrying out mass events passing through checkpoints. The mathematical model is based on the non-stationary queuing system (NQS) where dependence of requests input rate from time is described by the function. This function was chosen in such way that its properties were similar to the real dependencies of speed of visitors arrival on football matches to the stadium. A piecewise-constant approximation of the function is used when statistical modeling of NQS performing. Authors calculated the dependencies of the queue length and waiting time for visitors to service (time in queue) on time for different laws. Time required to service the entire queue and the number of visitors entering the stadium at the beginning of the match were calculated too. We found the dependence for macroscopic quantitative characteristics of NQS from the number of averaging sections of the input rate.
Kuchar, Ernest; Ludwikowska, Kamila; Antczak, Adam; Nitsch-Osuch, Aneta
2018-01-01
In Poland, the seasonal influenza vaccination rate is just barely 3% which may be related to the unsatisfactory knowledge of influenza among healthcare professionals, poor recognition of the benefits of influenza immunization and the fear of side effects. To address these issues, we surveyed healthcare professionals through an online questionnaire consisting of 18 closed-ended items. The questionnaire was completed by 495 healthcare professionals, mostly physicians (83%). The results revealed gaps in the knowledge concerning influenza diagnosis, complications, risk groups, and prognostic factors. On average, respondents only answered 4.8 of the 18 questions correctly (27%). Only 10% of respondents passed the threshold of 50% correct answers. The knowledge of contraindications to vaccination far outweighed the knowledge of indications for vaccination. Poor knowledge with a focus on the adverse effects of immunization may be a significant factor responsible for the low vaccination rate in Poland. To increase vaccination rate, healthcare professionals need to be educated about influenza-related risks and benefits of vaccination.
NASA Technical Reports Server (NTRS)
Quir, Kevin J.; Gin, Jonathan W.; Nguyen, Danh H.; Nguyen, Huy; Nakashima, Michael A.; Moision, Bruce E.
2012-01-01
A decoder was developed that decodes a serial concatenated pulse position modulation (SCPPM) encoded information sequence. The decoder takes as input a sequence of four bit log-likelihood ratios (LLR) for each PPM slot in a codeword via a XAUI 10-Gb/s quad optical fiber interface. If the decoder is unavailable, it passes the LLRs on to the next decoder via a XAUI 10-Gb/s quad optical fiber interface. Otherwise, it decodes the sequence and outputs information bits through a 1-GB/s Ethernet UDP/IP (User Datagram Protocol/Internet Protocol) interface. The throughput for a single decoder unit is 150-Mb/s at an average of four decoding iterations; by connecting a number of decoder units in series, a decoding rate equal to that of the aggregate rate is achieved. The unit is controlled through a 1-GB/s Ethernet UDP/IP interface. This ground station decoder was developed to demonstrate a deep space optical communication link capability, and is unique in the scalable design to achieve real-time SCPP decoding at the aggregate data rate.
Binocular glaucomatous visual field loss and its impact on visual exploration--a supermarket study.
Sippel, Katrin; Kasneci, Enkelejda; Aehling, Kathrin; Heister, Martin; Rosenstiel, Wolfgang; Schiefer, Ulrich; Papageorgiou, Elena
2014-01-01
Advanced glaucomatous visual field loss may critically interfere with quality of life. The purpose of this study was to (i) assess the impact of binocular glaucomatous visual field loss on a supermarket search task as an example of everyday living activities, (ii) to identify factors influencing the performance, and (iii) to investigate the related compensatory mechanisms. Ten patients with binocular glaucoma (GP), and ten healthy-sighted control subjects (GC) were asked to collect twenty different products chosen randomly in two supermarket racks as quickly as possible. The task performance was rated as "passed" or "failed" with regard to the time per correctly collected item. Based on the performance of control subjects, the threshold value for failing the task was defined as μ+3σ (in seconds per correctly collected item). Eye movements were recorded by means of a mobile eye tracker. Eight out of ten patients with glaucoma and all control subjects passed the task. Patients who failed the task needed significantly longer time (111.47 s ±12.12 s) to complete the task than patients who passed (64.45 s ±13.36 s, t-test, p < 0.001). Furthermore, patients who passed the task showed a significantly higher number of glances towards the visual field defect (VFD) area than patients who failed (t-test, p < 0.05). According to these results, glaucoma patients with defects in the binocular visual field display on average longer search times in a naturalistic supermarket task. However, a considerable number of patients, who compensate by frequent glancing towards the VFD, showed successful task performance. Therefore, systematic exploration of the VFD area seems to be a "time-effective" compensatory mechanism during the present supermarket task.
A pilot study of EUS-guided through-the-needle forceps biopsy (with video).
Nakai, Yousuke; Isayama, Hiroyuki; Chang, Kenneth J; Yamamoto, Natsuyo; Mizuno, Suguru; Mohri, Dai; Kogure, Hirofumi; Matsubara, Saburo; Tada, Minoru; Koike, Kazuhiko
2016-07-01
In EUS-guided FNA (EUS-FNA), small-caliber needles are preferable for optimal cytologic yield, whereas large ones are preferable when histologic specimens are needed. Because of the rigidity and friction induced by its large caliber, however, technical limitation does exist in a 19-gauge FNA needle. Recent development of miniature biopsy forceps enables EUS-guided through-the-needle forceps biopsy (EUS-TTNFB). The aim of this study is to evaluate safety and efficacy of EUS-TTNFB. Eighteen sessions of EUS-TTNFB in 17 patients with solid lesions were performed by using a 0.75-mm biopsy forceps through a 19-gauge FNA needle. Technical feasibility, safety, and diagnostic yield of EUS-TTNFB were retrospectively studied. A total of 49 passes, a median of 3 passes per session, were performed, and the needle puncture, advancement and removal of the biopsy forceps, and subsequent EUS-FNA were technically successful in all patients. No adverse events were observed other than one case with hyperamylasemia without pancreatitis. Macroscopic histologic core by EUS-TTNFB was obtained at a rate of 71% per pass. The tissue acquisition rate by EUS-TTNFB alone was 67% per pass and 100% per session. When EUS-TTNFB and subsequent EUS-FNA were combined, the tissue acquisition rate was 94% per pass. The accuracy of combined EUS-TTNFB and EUS-FNA to diagnose malignancy was 88% per pass and 94% per session. With a single pass of EUS-TTNFB and EUS-FNA, the tissue acquisition rate was 89%, and the accuracy to diagnose malignancy was 83%. EUS-TTNFB was safe and technically feasible and provided additional tissue acquisition with a single puncture of a 19-gauge FNA needle. Copyright © 2016 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Tsai, YC; Lu, SH; Chen, LH
2016-06-15
Purpose: Patient-specific quality assurance (QA) is necessary to accurately deliver high dose radiation to the target, especially for stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT). Unlike previous 2 dimensional (D) array QA devices, Delta{sup 4} can verify the dose delivery in 3D. In this study, the difference between calculated and measured dose distribution was compared with two QA devices (MATRIXX and Delta{sup 4}) to evaluate the delivery accuracy. Methods: Twenty-seven SRS/SBRT plans with VMAT were verified with point-dose and dose-map analysis. We use an ion chamber (A1SL, 0.053cc) for point-dose measurement. For verification of the dose map, themore » differences between the calculated and measured doses were analyzed with a gamma index using MATRIXX and Delta{sup 4} devices. The passing criteria for gamma evaluation were set at 3 mm for distance-to-agreement (DTA) and 3% for dose-difference. A gamma index less than 1 was defined as the verification passing the criteria and satisfying at least 95% of the points. Results: The mean prescribed dose and fraction was 40 ± 14.41 Gy (range: 16–60) and 10 ± 2.35 fractions (range: 1–8), respectively. In point dose analysis, the differences between the calculated and measured doses were all less than 5% (mean: 2.12 ± 1.13%; range: −0.55% to 4.45%). In dose-map analysis, the average passing rates were 99.38 ± 0.96% (range: 95.31–100%) and 100 ± 0.12% (range: 99.5%–100%) for MATRIXX and Delta{sup 4}, respectively. Even using criteria of 2%/2 mm, the passing rate of Delta{sup 4} was still more than 95% (mean: 99 ± 1.08%; range: 95.6%–100%). Conclusion: Both MATRIXX and Delta{sup 4} offer accurate and efficient verification for SRS/SBRT plans. The results measured by MATRIXX and Delta{sup 4} dosimetry systems are similar for SRS/SBRT performed with the VMAT technique.« less
Menzies, Lara; Minson, Susan; Brightwell, Alexandra; Davies-Muir, Anna; Long, Andrew; Fertleman, Caroline
2015-02-01
To determine if demographic factors are associated with outcome in a multiple-choice, electronically marked paediatric postgraduate examination. Retrospective analysis of pass rates of UK trainees sitting Membership of the Royal College of Paediatrics and Child Health (MRCPCH) part 1B from 2007 to 2011. Data collected by the RCPCH from examination candidates were analysed to assess the effects of gender, age, and country and university of medical qualification on examination outcome. At first attempt at MRCPCH part 1B, the overall pass rate from 2007 to 2011 was 843/2056 (41.0%). In univariate analysis, passing the examination was associated with being a UK graduate (649/1376 (47.2%)) compared with being an international medical graduate (130/520 (25.0%)) (OR 2.68 (95% CI 2.14 to 3.36), p<0.001). There was strong evidence that the proportion of candidates passing the examination differed for graduates of the 19 different UK medical schools (Fisher's exact test p<0.001). In multivariate logistic regression analysis, after adjustment for age, sex and whether the part 1A examination was taken concurrently, being a UK graduate was still strongly associated with passing the examination (OR 3.17 (95% CI 2.41 to 4.17), p<0.001). UK graduates performed best at 26-27 years of age (52.4% pass rate), whereas overseas graduates performed best at ≥38 years of age (50.8% pass rate). MRCPCH part 1B outcome was related to place of primary medical qualification, with a significantly lower pass rate for international medical graduates compared with UK graduates, as well as significant variation in examination outcome between graduates from different UK medical schools. These data may be used to guide new initiatives to improve support and education for these trainees and to inform development of undergraduate curricula and help trainees prepare more successfully for postgraduate examinations. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Keenan, Kevin G.; Valero-Cuevas, Francisco J.
2008-01-01
Researchers and clinicians routinely rely on interference electromyograms (EMGs) to estimate muscle forces and command signals in the neuromuscular system (e.g., amplitude, timing, and frequency content). The amplitude cancellation intrinsic to interference EMG, however, raises important questions about how to optimize these estimates. For example, what should the length of the epoch (time window) be to average an EMG signal to reliably estimate muscle forces and command signals? Shorter epochs are most practical, and significant reductions in epoch have been reported with high-pass filtering and whitening. Given that this processing attenuates power at frequencies of interest (< 250 Hz), however, it is unclear how it improves the extraction of physiologically-relevant information. We examined the influence of amplitude cancellation and high-pass filtering on the epoch necessary to accurately estimate the “true” average EMG amplitude calculated from a 28 s EMG trace (EMGref) during simulated constant isometric conditions. Monte Carlo iterations of a motor-unit model simulating 28 s of surface EMG produced 245 simulations under 2 conditions: with and without amplitude cancellation. For each simulation, we calculated the epoch necessary to generate average full-wave rectified EMG amplitudes that settled within 5% of EMGref. For the no-cancellation EMG, the necessary epochs were short (e.g., < 100 ms). For the more realistic interference EMG (i.e., cancellation condition), epochs shortened dramatically after using high-pass filter cutoffs above 250 Hz, producing epochs short enough to be practical (i.e., < 500 ms). We conclude that the need to use long epochs to accurately estimate EMG amplitude is likely the result of unavoidable amplitude cancellation, which helps to clarify why high-pass filtering (> 250 Hz) improves EMG estimates. PMID:19081815
ERIC Educational Resources Information Center
American Sports Inst., Mill Valley, CA.
This report presents data on a study of the Promoting Achievement in School through Sport (PASS) program as implemented over three years in eight different schools. The study used grade point average (GPA) as the evaluation element. PASS is a daily, year-long high school course using positive aspects of sports culture to enhance academic…
Experimental study of combustion in a turbulent free shear layer formed at a rearward facing step
NASA Technical Reports Server (NTRS)
Pitz, R. W.; Daily, J. W.
1981-01-01
A premixed propane-air flame is stabilized in a turbulent free shear layer formed at a rearward facing step. The mean and rms averages of the turbulent velocity flow field are determined by LDV for both reacting (equivalence ratio 0.57) and nonreacting flows (Reynolds number 15,000-37,000 based on step height). The effect of combustion is to shift the layer toward the recirculation zone and reduce the flame spread. For reacting flow, the growth rate is unchanged except very near the step. The probability density function of the velocity is bimodial near the origin of the reacting layer and single-peaked but often skewed elsewhere. Large-scale structures dominate the reacting shear layer. Measurements of their passing frequency from LDV are consistent with high-speed Schlieren movies of the reacting layer and indicate that the coalescence rate of the eddies in the shear layer is reduced by combustion.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Phan, Thien Q.; Levine, Lyle E.; Lee, I-Fang
Synchrotron X-ray microbeam diffraction was used to measure the full elastic long range internal strain and stress tensors of low dislocation density regions within the submicrometer grain/subgrain structure of equal-channel angular pressed (ECAP) aluminum alloy AA1050 after 1, 2, and 8 passes using route B C. This is the first time that full tensors were measured in plastically deformed metals at this length scale. The maximum (most tensile or least compressive) principal elastic strain directions for the unloaded 1 pass sample for the grain/subgrain interiors align well with the pressing direction, and are more random for the 2 and 8more » pass samples. The measurements reported here indicate that the local stresses and strains become increasingly isotropic (homogenized) with increasing ECAP passes using route BC. The average maximum (in magnitude) LRISs are -0.43 σ a for 1 pass, -0.44 σ a for 2 pass, and 0.14 σ a for the 8 pass sample. Furthermore, these LRISs are larger than those reported previously because those earlier measurements were unable to measure the full stress tensor. Significantly, the measured stresses are inconsistent with the two-component composite model.« less
Phan, Thien Q.; Levine, Lyle E.; Lee, I-Fang; ...
2016-04-23
Synchrotron X-ray microbeam diffraction was used to measure the full elastic long range internal strain and stress tensors of low dislocation density regions within the submicrometer grain/subgrain structure of equal-channel angular pressed (ECAP) aluminum alloy AA1050 after 1, 2, and 8 passes using route B C. This is the first time that full tensors were measured in plastically deformed metals at this length scale. The maximum (most tensile or least compressive) principal elastic strain directions for the unloaded 1 pass sample for the grain/subgrain interiors align well with the pressing direction, and are more random for the 2 and 8more » pass samples. The measurements reported here indicate that the local stresses and strains become increasingly isotropic (homogenized) with increasing ECAP passes using route BC. The average maximum (in magnitude) LRISs are -0.43 σ a for 1 pass, -0.44 σ a for 2 pass, and 0.14 σ a for the 8 pass sample. Furthermore, these LRISs are larger than those reported previously because those earlier measurements were unable to measure the full stress tensor. Significantly, the measured stresses are inconsistent with the two-component composite model.« less
Rosenthal, Madelyn E; Castellvi, Antonio O; Goova, Mouza T; Hollett, Lisa A; Dale, Jarrod; Scott, Daniel J
2009-11-01
We previously reported a proficiency-based Fundamentals of Laparoscopic Surgery (FLS) curriculum that uniformly resulted in passing the technical skills certification criteria. We hypothesized that pretraining using the Southwestern (SW) videotrainer stations would decrease costs and training time and maintain benefits. Group I (2nd-year medical student, n = 10) underwent FLS pretesting (Pretest 1), SW station proficiency-based training, repeat FLS testing (Pretest 2), FLS proficiency-based training, and final FLS testing (Posttest). These data were compared with a historic control, group II (2nd-year medical student, n = 10), which underwent FLS pretesting (Pretest 1), proficiency-based training, and final FLS testing (Posttest). During training, group I achieved proficiency (85.4 + or - 26.2 repetitions) for all SW tasks. For both groups, proficiency was achieved for 96% of the FLS tasks, with substantial differences detected for group I and group II repetitions (100.5 + or - 15.9 versus 114 + or - 25.5) and training time (6.0 + or - 1.5 versus 9.2 + or - 2.2 hours), respectively. Per-person material costs were considerably different for groups I and II ($827 + or - 116 versus $1,108 + or - 393). Group I demonstrated significant improvement from Pretest 1 (149 + or - 39; 0% FLS pass rate) to Pretest 2 (293 + or - 83; p < 0.001; 60% FLS pass rate), and to Posttest (444 + or - 60; p < 0.001; 100% FLS pass rate). Group II demonstrated significant improvement from Pretest 1 (158 + or - 78; 0% FLS pass rate) to Posttest (469.7 + or - 12.0; p < 0.001; 100% FLS pass rate). Pretraining on SW stations decreases training time for FLS skill acquisition and maintains educational benefits. This strategy decreases costs associated with using consumable materials for training.
Underground storage of imported water in the San Gorgonio Pass area, southern California
Bloyd, Richard M.
1971-01-01
The San Gorgonio Pass ground-water basin is divided into the Beaumont, Banning, Cabazon, San Timoteo, South Beaumont, Banning Bench, and Singleton storage units. The Beaumont storage unit, centrally located in the agency area, is the largest in volume of the storage units. Estimated long-term average annual precipitation in the San Gorgonio Pass Water Agency drainage area is 332,000 acre-feet, and estimated average annual recoverable water is 24,000 acre-feet, less than 10 percent of the total precipitation. Estimated average annual surface outflow is 1,700 acre-feet, and estimated average annual ground-water recharge is 22,000 acre-feet. Projecting tack to probable steady-state conditions, of the 22.000 acre-feet of recharge, 16,003 acre-feet per year became subsurface outflow into Coachella Valley, 6,000 acre-feet into the Redlands area, and 220 acre-feet into Potrero Canyon. After extensive development, estimated subsurface outflow from the area in 1967 was 6,000 acre-feet into the Redlands area, 220 acre-feet into Potrero Canyon, and 800 acre-feet into the fault systems south of the Banning storage unit, unwatered during construction of a tunnel. Subsurface outflow into Coachella Valley in 1967 is probably less than 50 percent of the steady-state flow. An anticipated 17,000 .acre-feet of water per year will be imported by 1980. Information developed in this study indicates it is technically feasible to store imported water in the eastern part of the Beaumont storage unit without causing waterlogging in the storage area and without losing any significant quantity of stored water.
The JLab high power ERL light source
NASA Astrophysics Data System (ADS)
Neil, G. R.; Behre, C.; Benson, S. V.; Bevins, M.; Biallas, G.; Boyce, J.; Coleman, J.; Dillon-Townes, L. A.; Douglas, D.; Dylla, H. F.; Evans, R.; Grippo, A.; Gruber, D.; Gubeli, J.; Hardy, D.; Hernandez-Garcia, C.; Jordan, K.; Kelley, M. J.; Merminga, L.; Mammosser, J.; Moore, W.; Nishimori, N.; Pozdeyev, E.; Preble, J.; Rimmer, R.; Shinn, M.; Siggins, T.; Tennant, C.; Walker, R.; Williams, G. P.; Zhang, S.
2006-02-01
A new THz/IR/UV photon source at Jefferson Lab is the first of a new generation of light sources based on an Energy-Recovered, (superconducting) Linac (ERL). The machine has a 160 MeV electron beam and an average current of 10 mA in 75 MHz repetition rate hundred femtosecond bunches. These electron bunches pass through a magnetic chicane and therefore emit synchrotron radiation. For wavelengths longer than the electron bunch the electrons radiate coherently a broadband THz ˜ half cycle pulse whose average brightness is >5 orders of magnitude higher than synchrotron IR sources. Previous measurements showed 20 W of average power extracted [Carr, et al., Nature 420 (2002) 153]. The new facility offers simultaneous synchrotron light from the visible through the FIR along with broadband THz production of 100 fs pulses with >200 W of average power. The FELs also provide record-breaking laser power [Neil, et al., Phys. Rev. Lett. 84 (2000) 662]: up to 10 kW of average power in the IR from 1 to 14 μm in 400 fs pulses at up to 74.85 MHz repetition rates and soon will produce similar pulses of 300-1000 nm light at up to 3 kW of average power from the UV FEL. These ultrashort pulses are ideal for maximizing the interaction with material surfaces. The optical beams are Gaussian with nearly perfect beam quality. See www.jlab.org/FEL for details of the operating characteristics; a wide variety of pulse train configurations are feasible from 10 ms long at high repetition rates to continuous operation. The THz and IR system has been commissioned. The UV system is to follow in 2005. The light is transported to user laboratories for basic and applied research. Additional lasers synchronized to the FEL are also available. Past activities have included production of carbon nanotubes, studies of vibrational relaxation of interstitial hydrogen in silicon, pulsed laser deposition and ablation, nitriding of metals, and energy flow in proteins. This paper will present the status of the system and discuss some of the discoveries we have made concerning the physics performance, design optimization, and operational limitations of such a first generation high power ERL light source.
An investigation into the optimal number of distractors in single-best answer exams.
Kilgour, James M; Tayyaba, Saadia
2016-08-01
In UK medical schools, five-option single-best answer (SBA) questions are the most widely accepted format of summative knowledge assessment. However, writing SBA questions with four effective incorrect options is difficult and time consuming, and consequently, many SBAs contain a high frequency of implausible distractors. Previous research has suggested that fewer than five-options could hence be used for assessment, without deterioration in quality. Despite an existing body of empirical research in this area however, evidence from undergraduate medical education is sparse. The study investigated the frequency of non-functioning distractors in a sample of 480 summative SBA questions at Cardiff University. Distractor functionality was analysed, and then various question models were tested to investigate the impact of reducing the number of distractors per question on examination difficulty, reliability, discrimination and pass rates. A survey questionnaire was additionally administered to 108 students (33 % response rate) to gain insight into their perceptions of these models. The simulation of various exam models revealed that, for four and three-option SBA models, pass rates, reliability, and mean item discrimination remained relatively constant. The average percentage mark however consistently increased by 1-3 % with the four and three-option models, respectively. The questionnaire survey revealed that the student body had mixed views towards the proposed format change. This study is one of the first to comprehensively investigate distractor performance in SBA examinations in undergraduate medical education. It provides evidence to suggest that using three-option SBA questions would maximise efficiency whilst maintaining, or possibly improving, psychometric quality, through allowing a greater number of questions per exam paper.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Vibhakorn, Shusang; Cholongitas, Evangelos; Kalambokis, George
2009-05-15
Recently, it has been shown that transjugular liver biopsy (TJLB) with three passes gives comparable specimens to percutaneous liver biopsy (PLB). The aim of this study was to evaluate the adequacy of TJLB using four passes in a consecutive series of patients, and whether using a supportive cassette can prevent fragmentation. One hundred consecutive TJLBs in 92 patients (48 transplanted), always using four passes (19-G Tru-Cut), were compared to three-pass TJLBs. The four-pass TJLB specimens were randomized at a 1:1 ratio of liver cores placed in a cassette versus not. The four-pass TJLBs, compared to three-pass TJLBs, resulted in bettermore » specimens for length ({>=}25 mm: 50% vs. 35%; p = 0.026) and number of complete portal tracts (CPTs) ({>=}11: 40% vs. 26%; p = 0.027), without a higher complication rate. The four-pass TJLB with {>=}11 CPTs had a median length of 27 mm, and 57% of them longer than 28 mm contained {>=}11 CPTs. Putting the liver biopsy cores into a cassette did not improve the fragmentation rate or adequacy of the specimen (length and number of CPTs) of TJLB. We conclude that at least four passes with TJLB should be performed when liver specimens are needed for grading and staging. Using a supportive cassette did not reduce fragmentation.« less
Rotor noise due to blade-turbulence interaction
NASA Astrophysics Data System (ADS)
Ishimaru, K.
1983-01-01
The time-averaged intensity density function of the acoustic radiation from rotating blades is derived by replacing blades with rotating dipoles. This derivation is done under the following turbulent inflow conditions: turbulent ingestion with no inlet strut wakes, inflow turbulence elongation and contraction with no inlet strut wakes, and inlet strut wakes. Dimensional analysis reveals two non-dimensional parameters which play important roles in generating the blade-passing frequency tone and its multiples. The elongation and contraction of inflow turbulence has a strong effect on the generation of the blade-passing frequency tone and its multiples. Increasing the number of rotor blades widens the peak at the blade-passing frequency and its multiples. Increasing the rotational speed widens the peak under the condition that the non-dimensional parameter involving the rotational speed is fixed. The number of struts and blades should be chosen so that (the least common multiple of them)-(rotational speed) is in the cutoff range of Sears' function, in order to minimize the effect of the mean flow deficit on the time averaged intensity density function.
Dumas, F; Le Gendre, R; Thomas, Y; Andréfouët, S
2012-01-01
Hydrodynamic functioning and water circulation of the semi-closed deep lagoon of Ahe atoll (Tuamotu Archipelago, French Polynesia) were investigated using 1 year of field data and a 3D hydrodynamical model. Tidal amplitude averaged less than 30 cm, but tide generated very strong currents (2 ms(-1)) in the pass, creating a jet-like circulation that partitioned the lagoon into three residual circulation cells. The pass entirely flushed excess water brought by waves-induced radiation stress. Circulation patterns were computed for climatological meteorological conditions and summarized with stream function and flushing time. Lagoon hydrodynamics and general overturning circulation was driven by wind. Renewal time was 250 days, whereas the e-flushing time yielded a lagoon-wide 80-days average. Tide-driven flush through the pass and wind-driven overturning circulation designate Ahe as a wind-driven, tidally and weakly wave-flushed deep lagoon. The 3D model allows studying pearl oyster larvae dispersal in both realistic and climatological conditions for aquaculture applications. Copyright © 2012 Elsevier Ltd. All rights reserved.
SU-E-T-543: Is It Feasible to Tighten the Criteria for IROC's Anthropomorphic Phantoms?
DOE Office of Scientific and Technical Information (OSTI.GOV)
Molineu, A; Alvarez, P; Kry, S
Purpose: To analyze results of IROC Houston QA center's (RPC) H and N and prostate IMRT phantoms to determine the effect that tightening criteria would have on the phantom pass rate. Methods: IROC Houston's anthropomorphic H and N and prostate phantoms are used to credential institution's to participate in NCI clinical trials that allow the use of IMRT. The phantoms are shipped to institutions where they are filled with water and undergo imaging, treatment planning, and irradiation as a patient would. Each phantom houses targets and organs at risk. They also hold film and TLD. Dosimeter results are compared tomore » the institution's treatment plan using the criteria of 7% for PTV TLD doses and ≥85% pixels must pass 7%/4 mm global gamma analyses. Pass rates for the H and N and prostate phantoms were recalculated using the following tighter criteria options: 1) 5% TLD and 85% pixels 7%/4 gamma2) 5% TLD and 90% pixels 7%/4 gamma3) 5% TLD and 85% pixels 5%/4 gammaGamma analysis was repeated for the 30 most recent irradiations of each phantom to estimate results for criteria 3. Results: Pass rates using current criteria for the H and N and prostate phantoms are 84% and 85% respectively. Pass rates since gamma criteria were introduced in 2012 are 90% and 87%. Criteria 1 applied to all irradiations drops pass rates to 78% and 82%. Applying it to only irradiations with gamma results give 77% and 84%. Applying criteria 2 to only phantoms with gamma results drops pass rates to 80% and 74% and they fall to 83% and 67% respectively using criteria 3. Conclusion: Applying tighter criteria to phantom results has potential to increase quality in clinical trials. The results of the 30 most recent irradiations indicate that there may be room to tighten H and N phantom criteria in the future. Work supported by PHS grant CA10953 and CA081647 (NCI, DHHS)« less
NASA Astrophysics Data System (ADS)
Sharifullin, A.; Gusarov, A.; Gafurov, A.; Essuman-Quainoo, B.
2018-01-01
A general trend of erosion processes over the last 50-60 years can be estimated by dating sediments washed off from arable lands and accumulated in the first-order dry valleys bottoms. Three small (first-order) catchments were chosen as objects of the study. They are located, respectively, in the southern part of the taiga zone, the zone of temperate broad-leaf forests and the forest-steppe zone of the Russian Plain. To date the sediments accumulated in the bottoms the radioactive caesium-137 (137Cs) of global (since 1954) and Chernobyl origin (1986) had been used as a chronomarker. The average (for all the catchments) sedimentation rates during the global 137Cs fallout period (1963(1954)-1986) are at least 0.88-2.71 cm per year.For the period that has passed since the Chernobyl accident (1986-2015(2016)) the average rates were 0.15-1.07 cm per year. The greatest reduction in the sedimentation rates is observed in the subzone of the southern taiga, the lowest one is in the forest-steppe zone of the Russian Plain. The main reason for such significant reduction in the rates of sedimentation of the soil erosion products in the dry valley bottoms was a reduction of surface runoff within the catchments during a snowmelt period, as well as crop-rotation changes there.
NASA Astrophysics Data System (ADS)
Eidelman, K.; Gudkov, D.; Segbefia, O.; Ageev, E.; Krivonosov, A.; Matuhina, A.
2017-11-01
In this work, Si and SiO2, nanoparticles (NPs) was prepared by pulsed laser ablation (PLA) in distilled water. The radiation of a ytterbium fiber laser (repetition rate f = 50 kHz, wavelength λ = 1064 nm and pulse duration τ = 8 ns and 100 ns) at different laser intensities was utilized to ablate the Si target (99.999%, cubic, 7×7 mm2) under liquid layer to synthesize and to fragment the silicon colloidal NPs. Studies of morphology and size distribution of silica NPs were conducted using Transmission Electron Microscopy (TEM). The NPs of crystalline and amorphous phases were founded. Most of the NPs in the nano colloids were found to have dimensions less than 100 nm, and a few of them were between 100 nm and 700 nm. Dependence of average NP size on the number of laser passes was revealed. The average size of the nanoparticles obtained by TEM was confirmed by dynamic light scattering (DLS) measurements.
A guide to understanding the variation in premiums in rural health insurance marketplaces.
Barker, Abigail R; McBride, Timothy D; Kemper, Leah M; Mueller, Keith
2014-05-01
Key Findings. (1) State-level decisions in implementing the Patient Protection and Affordable Care Act of 2010 (ACA) have led to significant state variation in the design of Health Insurance Marketplace (HIM) rating areas. In some designs, rural counties are grouped together, while in others, rural and urban counties have been deliberately mixed. (2) Urban counties have, on average, approximately one more firm participating in the marketplaces, representing about 11 more plan offerings, than rural counties have. (3) The highest-valued "platinum" plan types are less likely to be available in rural areas. Thus, the overall mix of plan types should be factored into the reporting of average premiums. (4) Levels of competition are likely to have a greater impact on the decisions of firms considering whether to operate in higher-cost areas or not, as those firms must determine how they can pass such costs on to consumers, conditional on the market share they are likely to control.
Measurement of respiratory acoustical signals. Comparison of sensors.
Pasterkamp, H; Kraman, S S; DeFrain, P D; Wodicka, G R
1993-11-01
We assessed the performance of three air-coupled and four contact sensors under standardized conditions of lung sound recording. Recordings were obtained from three of the investigators at the best site on the posterior lower chest as determined by auscultation. Lung sounds were band-pass filtered between 100 and 2,000 Hz and sampled simultaneously with calibrated airflow at a rate of 10 kHz. Fourier techniques were used for power spectral analysis. Average spectra for inspiratory sounds at flows of 2 +/- 0.5 L/s were referenced against background noise at zero flow. Air-coupled and contact sensors had comparable maximum signal-to-noise ratios and gave similar values for most spectral parameters. Unexpectedly, less sensitivity (lower signal-to-noise ratio) at high frequencies was observed in the air-coupled devices. Sensor performance needs to be characterized in studies of lung sounds. We suggest that lung sound spectra should be averaged at known airflows over several breaths and that all measurements should be reported relative to sounds recorded at zero flow.
Enhancing "Mathematics for Informatics" and its Correlation with Student Pass Rates
ERIC Educational Resources Information Center
Divjak, B.; Erjavec, Z.
2008-01-01
In this article, changes in "Mathematics for Informatics" at the Faculty of Organisation and Informatics in the University of Zagreb are described, and correlated with students pass rates. Students at the Faculty work in an interdisciplinary field, studying Informatics within a business context. The main reason for introducing the…
In Search of a New Developmental-Education Pedagogy
ERIC Educational Resources Information Center
Mellow, Gail O.; Woolis, Diana D.; Laurillard, Diana
2011-01-01
Nationwide, pass rates of developmental education students barely reach 60 percent, cutting short the promise of higher education for too many students. The authors believe that a national pass rate of 80 percent or better is possible; indeed, it is a national imperative. In this article, the authors describe an ongoing project that aims to…
Shuford, Veronica P.; DiVall, Margarita V.; Daugherty, Kimberly K.; Rudolph, Michael J.
2017-01-01
Objective. To examine the extent of financial and faculty resources dedicated to preparing students for NAPLEX and PCOA examinations, and how these investments compare with NAPLEX pass rates. Methods. A 23-item survey was administered to assessment professionals in U.S. colleges and schools of pharmacy (C/SOPs). Institutions were compared by type, age, and student cohort size. Institutional differences were explored according to the costs and types of NAPLEX and PCOA preparation provided, if any, and mean NAPLEX pass rates. Results. Of 134 C/SOPs that received the survey invitation, 91 responded. Nearly 80% of these respondents reported providing some form of NAPLEX preparation. Significantly higher 2015 mean NAPLEX pass rates were found in public institutions, schools that do not provide NAPLEX prep, and schools spending less than $10,000 annually on NAPLEX prep. Only 18 schools reported providing PCOA preparation. Conclusion. Investment in NAPLEX and PCOA preparation resources vary widely across C/SOPs but may increase in the next few years, due to dropping NAPLEX pass rates and depending upon how PCOA data are used. PMID:29109557
Lebovitz, Lisa; Shuford, Veronica P; DiVall, Margarita V; Daugherty, Kimberly K; Rudolph, Michael J
2017-09-01
Objective. To examine the extent of financial and faculty resources dedicated to preparing students for NAPLEX and PCOA examinations, and how these investments compare with NAPLEX pass rates. Methods. A 23-item survey was administered to assessment professionals in U.S. colleges and schools of pharmacy (C/SOPs). Institutions were compared by type, age, and student cohort size. Institutional differences were explored according to the costs and types of NAPLEX and PCOA preparation provided, if any, and mean NAPLEX pass rates. Results. Of 134 C/SOPs that received the survey invitation, 91 responded. Nearly 80% of these respondents reported providing some form of NAPLEX preparation. Significantly higher 2015 mean NAPLEX pass rates were found in public institutions, schools that do not provide NAPLEX prep, and schools spending less than $10,000 annually on NAPLEX prep. Only 18 schools reported providing PCOA preparation. Conclusion. Investment in NAPLEX and PCOA preparation resources vary widely across C/SOPs but may increase in the next few years, due to dropping NAPLEX pass rates and depending upon how PCOA data are used.
1998 Annual Tropical Cyclone Report
1998-01-01
1998 ANNUAL TROPICAL CYCLONE REPORT Microwave imagery of Typhoon Rex (06W) as it passed through the Bonin Islands, taken at 0800Z on 28 August... DAVE ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160 5.3 TESTING AND RESULTS...weighting the forecasts given by XTRP and CLIM. 5.2.5.2 DYNAMIC AVERAGE ( DAVE ) A simple average of all dynamic forecast aids: NOGAPS (NGPS), Bracknell
Analysis of the NASA/MSFC airborne Doppler lidar results from San Gorgonio Pass, California
NASA Technical Reports Server (NTRS)
Cliff, W. C.; Skarda, J. R.; Renne, D. S.; Sandusky, W. F.
1985-01-01
The NASA/MSFC Airborne Doppler Lidar System was flown in July 1981 aboard the NASA/Ames Convair 990 on the east side of San Gorgonio Pass California, near Palm Springs, to measure and investigate the accelerated atmospheric wind field discharging from the pass. At this region, the maritime layer from the west coast accelerates through the pass and spreads out over the valley floor on the east side of the pass. The experiment was selected in order to study accelerated flow in and at the exit of the canyon. Ground truth wind data taken concurrently with the flight data were available from approximately 12 meteorological towers and 3 tala kites for limited comparison purposes. The experiment provided the first spatial data for ensemble averaging of spatial correlations to compute lateral and longitudinal length scales in the lateral and longitudinal directions for both components, and information on atmospheric flow in this region of interest from wind energy resource considerations.
Real-time digital signal recovery for a multi-pole low-pass transfer function system.
Lee, Jhinhwan
2017-08-01
In order to solve the problems of waveform distortion and signal delay by many physical and electrical systems with multi-pole linear low-pass transfer characteristics, a simple digital-signal-processing (DSP)-based method of real-time recovery of the original source waveform from the distorted output waveform is proposed. A mathematical analysis on the convolution kernel representation of the single-pole low-pass transfer function shows that the original source waveform can be accurately recovered in real time using a particular moving average algorithm applied on the input stream of the distorted waveform, which can also significantly reduce the overall delay time constant. This method is generalized for multi-pole low-pass systems and has noise characteristics of the inverse of the low-pass filter characteristics. This method can be applied to most sensors and amplifiers operating close to their frequency response limits to improve the overall performance of data acquisition systems and digital feedback control systems.
Ming-Zhen, He; Yi-Qing, Xie; Yan-Li, Guo; Hong, Chen; Yong-Gen, Zou; Shi-Ying, Zhu; You, Zhang
2016-12-21
To understand the status of knowledge, attitude, and practice of schistosomiasis prevention and control and infection status in Armed Police Forces stationed along the Yangtze River, so as to provide the reference for formulating the schistosomiasis prevention and control measures in Armed Police Forces. A questionnaire survey was conducted in the Armed Police Forces along the Yangtze River in Jiangsu Province, and the investigation content included social demographic data, schistosomiasis prevention knowledge, attitude and behavior. All the subjects were examined for Schistosoma japonicum infection. Totally 376 soldiers were investigated in 2 sites. The total passing rate of schistosomiasis knowledge was 72.87%. The passing rate among different age groups had no significant difference ( χ 2 =0.26, P > 0.05). The passing rate of soldiers from endemic areas was significantly higher than that of the soldiers from non-endemic areas ( χ 2 =4.71, P < 0.05). The passing rate of officers was significantly higher than that of the soldiers ( χ 2 = 4.21, P < 0.05). The passing rate of soldiers with the education levels of junior school, high school, college, undergraduate and above increased gradually, with a significant difference ( χ 2 =8.16, P < 0.05). The soldiers with positive attitude accounted for 93.88%. Among the water contact behaviors, training accounted for 17.55% and participating in the task (such as flood fighting and water work) accounted for 86.44%. When launching, the rate of taking protective measures was 52.93%. The rate of taking protective measures in the knowledge passing group was much higher than that in the knowledge failed group ( χ 2 =10.55, P < 0.05). The stool was harmlessly treated in the two camps. Among 376 soldiers, the positive rate of blood examinations was 0.53%, but the stool examinations were all negative. The overall level of knowledge and correct behavior of schistosomiasis prevention in the Armed Police Forces along the Yangtze River still should be improved. The better health education and behavior intervention are crucial to schistosomiasis prevention in the army.
Kim, Jung-in; Choi, Chang Heon; Wu, Hong-Gyun; Kim, Jin Ho; Kim, Kyubo; Park, Jong Min
2017-01-01
The aim of this work was to investigate correlations between 2D and quasi-3D gamma passing rates. A total of 20 patients (10 prostate cases and 10 head and neck cases, H&N) were retrospectively selected. For each patient, both intensity-modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) plans were generated. For each plan, 2D gamma evaluation with radiochromic films and quasi-3D gamma evaluation with fluence measurements were performed with both 2%/2 mm and 3%/3 mm criteria. Gamma passing rates were grouped together according to delivery techniques and treatment sites. Statistical analyses were performed to examine the correlation between 2D and quasi-3D gamma evaluations. Statistically significant difference was observed between delivery techniques only in the quasi-3D gamma passing rates with 2%/2 mm. Statistically significant differences were observed between treatment sites in the 2D gamma passing rates (differences of less than 8%). No statistically significant correlations were observed between 2D and quasi-3D gamma passing rates except the VMAT group and the group including both IMRT and VMAT with 3%/3 mm (r = 0.564 with p = 0.012 for theVMAT group and r = 0.372 with p = 0.020 for the group including both IMRT and VMAT), however, those were not strong. No strong correlations were observed between 2D and quasi-3D gamma evaluations. PMID:27690300
NASA Astrophysics Data System (ADS)
Maloney, J. M.; Bentley, S. J.; Xu, K.; Georgiou, I. Y.; Miner, M. D.
2016-02-01
The Mississippi River delta system is undergoing unprecedented changes due to the effects of climate change and anthropogenic alterations to the river and its delta. Since the 1950s, the suspended sediment load of the Mississippi River has decreased by approximately 50% due to the construction of >50,000 dams in the Mississippi basin. The impact of this decreased sediment load has been observed in subaerial environments, but the impact on sedimentation and geomorphology of the subaqueous delta front has yet to be examined. To identify historic trends in sedimentation patterns, we compiled bathymetric datasets, including historical charts, industry and academic surveys, and NOAA data, collected between 1764 and 2009. Sedimentation rates are variable across the delta front, but are highest near the mouth of Southwest Pass, which carries the largest percentage of Mississippi River flow and sediment into the Gulf of Mexico. The progradation rate of Southwest Pass (measured at the 10 m depth contour) has slowed from 67 m/yr between 1764 and 1940 to 26 m/yr between 1940 and 1979, with evidence of further deceleration from 1979-2009. Decreased rates of progradation are also observed at South Pass and Pass A Loutre, with the 10 m contour retreating at rates >20 m/yr at both passes. Advancement of the delta front also decelerated in deeper water (15-90 m) offshore from Southwest Pass. In this area, from 1940-1979, depth contours advanced seaward 30 m/yr, but rates declined from 1979-2005. Furthermore, over the same area, the sediment accumulation rate decreased by 81% for the same period. The Mississippi River delta front appears to be entering a phase of decline, which will likely be accelerated by future upstream management practices. This decline has implications for offshore ecosystems, biogeochemical cycling, pollutant dispersal, mudflow hazard, and the continued use of the delta as an economic and population center.
Charcoal Regeneration. Part 1. Mechanism of TNT Adsorption
1977-11-01
cycle and particle size 29 6 Electron spectra of virgin FS300 as received 30 ii=_ 7 Electron spectrum of TNT standard 31 8 Electron spectrum of TNT in...ground in a mortar and pestle and passed through a series of US standard sieves. The ground charcoal passing through a 325 sieve (average particle...every case were crushed manually in a mortar and pestle and dis- persed ultrasonically in order to obtain a dispersion suitable for measurement. Mass
Comparison of storm-time changes of geomagnetic field at ground and at MAGSAT altitudes, part 3
NASA Technical Reports Server (NTRS)
Dejesusparada, N. (Principal Investigator); Kane, R. P.; Trivedi, N. B.
1982-01-01
The latitudinal distributions of delta H, delta X, delta Y, and delta Z were studied for quiet and disturbed periods. For quiet periods, the average patterns showed some variations common to dusk and dawn, thus indicating probable ground anomaly. However, there were significant differences too between dusk and dawn, indicating considerable diurnal variation effects. Particularly in delta Y, these effects were large and were symmetric about the dip equator. For disturbed day passes, the quiet day patterns were considered as base levels and the latter were subtracted from the former. The resulting residual latitudinal patterns were, on the average, symmetric about the geographical equator. However, individual passes showed considerable north-south asymmetries, probably indicating meanderings of the central plane of the magnetospheric ring current.
14 CFR 61.35 - Knowledge test: Prerequisites and passing grades.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Knowledge test: Prerequisites and passing....35 Knowledge test: Prerequisites and passing grades. (a) An applicant for a knowledge test must have... part for the certificate or rating sought and is prepared for the knowledge test; and (2) Proper...
14 CFR 61.35 - Knowledge test: Prerequisites and passing grades.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 2 2012-01-01 2012-01-01 false Knowledge test: Prerequisites and passing....35 Knowledge test: Prerequisites and passing grades. (a) An applicant for a knowledge test must have... part for the certificate or rating sought and is prepared for the knowledge test; and (2) Proper...
14 CFR 61.35 - Knowledge test: Prerequisites and passing grades.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 2 2013-01-01 2013-01-01 false Knowledge test: Prerequisites and passing....35 Knowledge test: Prerequisites and passing grades. (a) An applicant for a knowledge test must have... part for the certificate or rating sought and is prepared for the knowledge test; and (2) Proper...
DOT National Transportation Integrated Search
2017-12-01
Due to the relatively high crash rates attributed to two lane highways in Alaska, solutions have been explored to improve safety by providing passing lanes to give drivers a better chance to pass the slow moving vehicles. Drivers of slow moving vehic...
Ultrashort pulse amplification in cryogenically cooled amplifiers
Backus, Sterling J.; Kapteyn, Henry C.; Murnane, Margaret Mary
2004-10-12
A laser amplifier system amplifies pulses in a single "stage" from .about.10.sup.-9 joules to more than 10.sup.-3 joules, with average power of 1-10 watts, and beam quality M.sup.2 <2. The laser medium is cooled substantially below room temperature, as a means to improve the optical and thermal characteristics of the medium. This is done with the medium inside a sealed, evacuated or purged cell to avoid moisture or other materials condensing on the surface. A "seed" pulse from a separate laser is passed through the laser medium, one or more times, in any of a variety of configurations including single-pass, multiple-pass, and regenerative amplifier configurations.
Living in the country and studying in the city. The art of passing exams and remaining sane.
Grant, Cameron C; Pinnock, Ralph; Asher, M Innes; Sullivan, Michael James
2008-10-01
Doctors working in smaller centres have fewer resources available to help them pass the specialist examination components of their training. To describe the delivery of a teaching programme that helps paediatricians in training in both peripheral and regional centres in New Zealand (NZ) to successfully prepare for their specialist written examinations. The teaching programme was initially developed for paediatricians in training in Auckland and then developed into a national teaching resource. Real-time visual and auditory communication among the various teaching sites was established by the NZ Telepaediatric Service. The sessions were also available for subsequent review, initially as a DVD recording or via a Telepaediatric service videoconferencing unit and, since 2007, as a webcast. In association with the development of this teaching programme, the percentage pass rate for the paediatric specialist examinations has increased significantly for those exam candidates that access the teaching sessions remotely from other NZ centres (60% vs. 82%, chi(1)(2) = 4.28, P = 0.04). Between 80 and 90% of NZ candidates now pass the examination. In comparison, the pass rate for Australian candidates sitting the identical examination remains between 60 and 70%. Telepaediatrics has enabled interactive sessions to be conducted with students in peripheral and the other regional centres as well as those attending in person in Auckland. Its development has enabled examination pass rates in smaller centres to increase.
Horwatich, Judy A.; Bannerman, Roger T.; Pearson, Robert
2011-01-01
The treatment efficiencies of two prefabricated stormwater-treatment devices were tested at a freeway site in a high-density urban part of Milwaukee, Wisconsin. One treatment device is categorized as a hydrodynamic-settling device (HSD), which removes pollutants by sedimentation and flotation. The other treatment device is categorized as a stormwater-filtration device (SFD), which removes pollutants by filtration and sedimentation. During runoff events, flow measurements were recorded and water-quality samples were collected at the inlet and outlet of each device. Efficiency-ratio and summation-of-load (SOL) calculations were used to estimate the treatment efficiency of each device. Event-mean concentrations and loads that were decreased by passing through the HSD include total suspended solids (TSS), suspended sediment (SS), total phosphorus (TP), total copper (TCu), and total zinc (TZn). The efficiency ratios for these constituents were 42, 57, 17, 33, and 23 percent, respectively. The SOL removal rates for these constituents were 25, 49, 10, 27, and 16 percent, respectively. Event-mean concentrations and loads that increased by passing through the HSD include chloride (Cl), total dissolved solids (TDS), and dissolved zinc (DZn). The efficiency ratios for these constituents were -347, -177, and 20 percent, respectively. Four constituents—dissolved phosphorus (DP), chemical oxygen demand (COD), total polycyclic aromatic hydrocarbon (PAH), and dissolved copper (DCu)—are not included in the list of computed efficiency ratio and SOL because the variability between sampled inlet and outlet pairs were not significantly different. Event-mean concentrations and loads that decreased by passing through the SFD include TSS, SS, TP, DCu, TCu, DZn, TZn, and COD. The efficiency ratios for these constituents were 59, 90, 40, 21, 66, 23, 66, and 18, respectively. The SOLs for these constituents were 50, 89, 37, 19, 60, 20, 65, and 21, respectively. Two constituents—DP and PAH—are not included in the lists of computed efficiency ratio and SOL because the variability between sampled inlet and outlet pairs were not significantly different. Similar to the HSD, the average efficiency ratios and SOLs for TDS and Cl were negative. Flow rates, high concentrations of SS, and particle-size distributions (PSD) can affect the treatment efficacies of the two devices. Flow rates equal to or greater than the design flow rate of the HSD had minimal or negative removal efficiencies for TSS and SS loads. Similar TSS removal efficiencies were observed at the SFD, but SS was consistently removed throughout the flow regime. Removal efficiencies were high for both devices when concentrations of SS and TSS approached 200 mg/L. A small number of runoff events were analyzed for PSD; the average sand content at the HSD was 33 percent and at the SFD was 71 percent. The 71-percent sand content may reflect the 90-percent removal efficiency of SS at the SFD. Particles retained at the bottom of both devices were largely sand-size or greater.
SU-F-T-279: Impact of Beam Energy Drifts On IMRT Delivery Accuracy
DOE Office of Scientific and Technical Information (OSTI.GOV)
Goddu, S; Kamal, G; Herman, A
Purpose: According to TG-40 percent-depth-dose (PDD) tolerance is ±2% but TG-142 is ±1%. Now the question is, which one is relevant in IMRT era? The primary objective of this study is to evaluate dosimetric impact of beam-energy-drifts on IMRT-delivery. Methods: Beam-energy drifts were simulated by adjusting Linac’s bending-magnet-current (BMC) followed by tuning the pulse-forming network and adjusting gun-current. PDD change of −0.6% and +1.2% were tested. Planar-dosimetry measurements were performed using an ionization-chamber-array in solid-water phantoms. Study includes 10-head-and-neck and 3-breast cancer patients. en-face beam-deliveries were also tested at 1.3cm and 5.3cm depths. Composite and single-field dose-distributions were compared againstmore » the plans to determine %Gamma pass-rates (%GPRs). For plan dose comparisons, changes in %Gamma pass-rates (cPGPRs) were computed/reported to exclude the differences between dose-computation and delivery. Dose distributions of the drifted-energies were compared against their baseline measurements to determine the% GPRs. A Gamma criteria of 3%/3mm was considered for plan-dose comparisons while 3%/1mm used for measured dose intercomparisons. Results: For composite-dose delivery, average cPGPRs were 0.41%±2.48% and −2.54%±3.65% for low-energy (LE) and high-energy (HE) drifts, respectively. For measured dose inter-comparisons, the average%GPRs were 98.4%±2.2% (LE-drift) and 95.8%±4.0 (HE-drift). The average %GPR of 92.6%±4.3% was noted for the worst-case scenario comparing LE-drift to HE-drift. All en-face beams at 5.3 cm depth have cPGPRs within ±4% of the baseline-energy measurements. However, greater variations were noted for 1.3cm depth. Average %GPRs for drifted energies were >99% at 5.3cm and >97% at 1.3cm depths. However, for the worst-case scenario (LE-drift to HE-drift) these numbers dropped to 95.2% at 5.3cm and 93.1% at 1.3cm depths. Conclusion: The dosimetric impact of beam-energy drifts was found to be within clinically acceptable tolerance. However, this study includes a single energy with limited range of PDD change. Further studies are on going and the results will be presented. Received funding from Varian Medical Systems, Palo Alto, CA.« less
A Report on Student Achievement in a Pilot Program for Developmental Students.
ERIC Educational Resources Information Center
Best, Linda; Fung, Terry Y.
2001-01-01
Reports on the first phase of a two-year pilot study of a university-level mathematics requirement that accommodates the needs of developmental students. Finds that the 84% pass rate for this new class format is substantially higher than the 43% pass rate for traditional developmental mathematics courses offered during the same semester. (Contains…
Degree/Graduation Outcomes: Ohio Public and Private Colleges and Universities. 2008 Report
ERIC Educational Resources Information Center
Ohio Board of Regents, 2008
2008-01-01
This report displays, in tabular format, the following information: (1) Degrees and Certificates Awarded in Fiscal Years 2002-2006 at Ohio's Public, Independent, and Proprietary Institutions; (2) PRAXIS II and PRAXIS III Pass Rates--2005 Academic Year; (3) Three Year Pass Rates (2005-2007) on Health Care Examinations for First-Time Test-Takers;…
ERIC Educational Resources Information Center
Kassile, Telemu
2014-01-01
This paper examines regional differentials in pass rates in Primary School Leaving Examination (PSLE) in Mainland Tanzania. In particular, the paper investigates the effects of pupil-teacher ratio (PTR), pupil-latrine ratio (PLR), pupil-classroom ratio (PCR), availability of electricity in schools, and secondary school and above education of women…
ERIC Educational Resources Information Center
Chesney, Anita M.
2010-01-01
This qualitative multiple-case study research explored and described differences as well as NCLEX-RN preparation strategies used by Historically Black College and University (HBCU) baccalaureate nursing programs with consistent NCLEX pass rates versus those with inconsistent pass rates. Two of the four selected programs had a history of consistent…
Candidate Performance on the Business Environment and Concepts Section of the CPA Exam
ERIC Educational Resources Information Center
Lindsay, D. H.; Tan, K. B.; Campbell, Annhenrie
2009-01-01
This paper examines how differences in curricular design of undergraduate accounting programs influence pass rates on the Business Environment and Concepts Section of the CPA Exam. The association of the pass rate of a school's accounting graduates to the design of the schools accounting program and to other school characteristics was examined…
Measuring fire spread rates from repeat pass airborne thermal infrared imagery
Douglas A. Stow; Philip J. Riggan; Emanual A. Storey; Lloyd L. Coulter
2014-01-01
The objective is to evaluate procedures for direct measurement of fire spread rates (FSRs) based on archived repeat pass airborne thermal infrared (ATIR) imagery and to identify requirements for more refined measurements of FSR and environmental factors that influence FSR. Flaming front positions are delineated on sequential FireMapper ATIR images captured at...
Academic Performance and Pass Rates: Comparison of Three First-Year Life Science Courses
ERIC Educational Resources Information Center
Downs, C. T.
2009-01-01
First year students' academic performance in three Life Science courses (Botany, Zoology and Bioscience) was compared. Pass rates, as well as the means and distributions of final marks were analysed. Of the three components (coursework, practical and theory examinations) contributing to the final mark of each course, students performed best in the…
Dynamical features of hazardous near-Earth objects
NASA Astrophysics Data System (ADS)
Emel'yanenko, V. V.; Naroenkov, S. A.
2015-07-01
We discuss the dynamical features of near-Earth objects moving in dangerous proximity to Earth. We report the computation results for the motions of all observed near-Earth objects over a 600-year-long time period: 300 years in the past and 300 years in the future. We analyze the dynamical features of Earth-approaching objects. In particular, we established that the observed distribution of geocentric velocities of dangerous objects depends on their size. No bodies with geocentric velocities smaller that 5 kms-1 have been found among hazardous objects with absolute magnitudes H <18, whereas 9% of observed objects with H <27 pass near Earth moving at such velocities. On the other hand, we found a tendency for geocentric velocities to increase at H >29. We estimated the distribution of absolute magnitudes of hazardous objects based on our analysis of the data for the asteroids that have passed close to Earth. We inferred the Earth-impact frequencies for objects of different sizes. Impacts of objects with H <18 with Earth occur on average once every 0.53 Myr, and impacts of objects with H <27—once every 130-240 years. We show that currently about 0.1% of all near-Earth objects with diameters greater than 10 m have been discovered. We point out the discrepancies between the estimates of impact rates of Chelyabinsk-type objects, determined from fireball observations and from the data of telescopic asteroid tracking surveys. These estimates can be reconciled assuming that Chelyabinsk-sized asteroids have very low albedos (about 0.02 on average).
NASA Astrophysics Data System (ADS)
Cottledge, Michael Christopher
Objective of the Study: The objective of this research study was to investigate whether an association exists between teacher demographic factors (years of teaching experience and gender), 2 educational factors (certification type and certification pathway) and the percent passing rate of tenth grade African American male students on the 2010 science TAKS. Answers to the following questions were sought: 1. Is there an association between teacher demographic factors and the percent passing rate of their tenth grade African American male students on the 2010 science TAKS? 2. Is there an association between teacher educational factors and the percent passing rate of their tenth grade African American male students on the 2010 science TAKS? 3. Is there an association between teacher demographic factors, educational factors and the percent passing rate of their tenth grade African American male students on the 2010 science TAKS? Status of the Question: According to the Bureau of Labor Statistics (BLS), science and engineering jobs in the U.S. have increased steadily over recent years and by the year 2016 the number of STEM (Science, Technology, Engineering and Math) jobs will have grown by more than 21 percent. This increase in science and engineering jobs will double the growth rate of all other workforce sectors combined. The BLS also reports that qualified minority applicants needed to fill these positions will be few and far between. African Americans, Latinos, and other minorities constitute 24 percent of the U.S. population but only 13 percent of college graduates and just 10 percent of people with college degrees who work in science and engineering (Education Trust, 2009). Drawing on the above information, I proposed the following hypotheses to the research questions: H01: There will be no significant statistical association between the demographic factors teacher gender and years of teaching experience and the percent passing rate of their tenth grade African American male students on the 2010 science TAKS. H02: There will be no significant statistical association between the educational factors teacher certification type (composite or content specific) and teacher certification pathway and the percent passing rate of their tenth grade African American male students on the 2010 science TAKS. H03: There will be no significant statistical association between a teachers' demographic factors, educational factors and the percent passing rate of their tenth grade African American male students on the 2010 science TAKS. The researcher employed the assistance of the human resource departments of participating districts to generate a demographic report identifying the sex, years of experience, certification types and pathways of the teachers of record for African American male students who took the 10th grade Science TAKS during the 2009-2010 school year. Data ascertained from the demographic report was entered in the Statistical Package for the Social Sciences Software (SPSS). A linear regression statistical analysis was used to establish the following: 1). the degree of association between demographic factors and the percent passing rate of their African American male students on the 10th grade science TAKS , 2) the degree of association between educational factors and the percent passing rate of their African American male students on the 10th grade science TAKS, 3) the degree of association between demographic and educational factors and the percent passing rate of their African American male students on the 10th grade science TAKS Conclusion: Constantine et al (2009) concluded that although individual teachers appear to have an effect on student achievement, their study could not identify what about a teacher affects student achievement. Similar to Constatine, the researcher did not find any association between the demographic and educational factors of teachers and the science academic achievement of African American males. (Abstract shortened by UMI.)
Method and apparatus for controlling the flow rate of mercury in a flow system
Grossman, Mark W.; Speer, Richard
1991-01-01
A method for increasing the mercury flow rate to a photochemical mercury enrichment utilizing an entrainment system comprises the steps of passing a carrier gas over a pool of mercury maintained at a first temperature T1, wherein the carrier gas entrains mercury vapor; passing said mercury vapor entrained carrier gas to a second temperature zone T2 having temperature less than T1 to condense said entrained mercury vapor, thereby producing a saturated Hg condition in the carrier gas; and passing said saturated Hg carrier gas to said photochemical enrichment reactor.
SU-E-T-20: A Correlation Study of 2D and 3D Gamma Passing Rates for Prostate IMRT Plans
DOE Office of Scientific and Technical Information (OSTI.GOV)
Zhang, D; Sun Yat-sen University Cancer Center, Guangzhou, Guangdong; Wang, B
2015-06-15
Purpose: To investigate the correlation between the two-dimensional gamma passing rate (2D %GP) and three-dimensional gamma passing rate (3D %GP) in prostate IMRT quality assurance. Methods: Eleven prostate IMRT plans were randomly selected from the clinical database and were used to obtain dose distributions in the phantom and patient. Three types of delivery errors (MLC bank sag errors, central MLC errors and monitor unit errors) were intentionally introduced to modify the clinical plans through an in-house Matlab program. This resulted in 187 modified plans. The 2D %GP and 3D %GP were analyzed using different dose-difference and distance-toagreement (1%-1mm, 2%-2mm andmore » 3%-3mm) and 20% dose threshold. The 2D %GP and 3D %GP were then compared not only for the whole region, but also for the PTVs and critical structures using the statistical Pearson’s correlation coefficient (γ). Results: For different delivery errors, the average comparison of 2D %GP and 3D %GP showed different conclusions. The statistical correlation coefficients between 2D %GP and 3D %GP for the whole dose distribution showed that except for 3%/3mm criterion, 2D %GP and 3D %GP of 1%/1mm criterion and 2%/2mm criterion had strong correlations (Pearson’s γ value >0.8). Compared with the whole region, the correlations of 2D %GP and 3D %GP for PTV were better (the γ value for 1%/1mm, 2%/2mm and 3%/3mm criterion was 0.959, 0.931 and 0.855, respectively). However for the rectum, there was no correlation between 2D %GP and 3D %GP. Conclusion: For prostate IMRT, the correlation between 2D %GP and 3D %GP for the PTV is better than that for normal structures. The lower dose-difference and DTA criterion shows less difference between 2D %GP and 3D %GP. Other factors such as the dosimeter characteristics and TPS algorithm bias may also influence the correlation between 2D %GP and 3D %GP.« less
Patient-Specific QA of Spot-Scanning Proton Beams using Radiochromic Film.
Chan, Maria F; Chen, Chin-Cheng; Shi, Chengyu; Li, Jingdong; Tang, Xiaoli; Li, Xiang; Mah, Dennis
2017-05-01
Radiochromic film for spot-scanning QA provides high spatial resolution and efficiency gains from one-shot irradiation for multiple depths. However, calibration can be a tedious procedure which may limit widespread use. Moreover, since there may be an energy dependence, which manifests as a depth dependence, this may require additional measurements for each patient. We present a one-scan protocol to simplify the procedure. A calibration using an EBT3 film, exposed by a 6-level step-wedge plan on a Proteus ® PLUS proton system (IBA, Belgium), was performed at depths of 18, 20, 24cm using Plastic Water ® (CIRS, Norfolk, VA). The calibration doses ranged from 65-250 cGy(RBE) (relative biological effectiveness) for proton energies of 170-200 MeV. A clinical prostate+nodes plan was used for validation. The planar doses at selected depths were measured with EBT3 films and analyzed using One-scan protocol (one-scan digitization of QA film and at least one film exposed to a known dose). The gamma passing rates, dose-difference maps, and profiles of 2D planar doses measured with EBT3 film and IBA MatriXX-PT, versus the RayStation TPS calculations were analyzed and compared. The EBT3 film measurement results matched well with the TPS calculation data with an average passing rate of ~95% for 2%/2mm and slightly lower passing rates were obtained from an ion chamber array detector. We were able to demonstrate that the use of a proton step-wedge provided clinically acceptable results and minimized variations between film-scanner orientation, inter-scan, and scanning conditions. Furthermore, for relative dosimetry (calibration is not done at the time of experiment) it could be derived from no more than two films exposed to known doses (one could be zero) for rescaling the master calibration curve at each depth. The sensitivity of the calibration to depth variations has been explored. One-scan protocol results appear to be comparable to that of the ion chamber array detector. The use of a proton step-wedge for calibration of EBT3 film potentially increases efficiency in patient-specific QA of proton beams.
SU-F-T-173: One-Scan Protocol: Verifying the Delivery of Spot-Scanning Proton Beam
DOE Office of Scientific and Technical Information (OSTI.GOV)
Chan, M; Li, J; Chen, C
Purpose: Radiochromic film for spot-scanning QA provides high spatial resolution and efficiency gains from one-shot irradiation for multiple depths. However, calibration can be a tedious procedure which may limit widespread use. Moreover, since there may be an energy dependence, which manifests as a depth dependence, this may require additional measurements for each patient. We present a one-scan protocol to simplify the procedure. Methods: We performed the calibration using an EBT3 film at depths of 18, 20, 24cm of Plastic Water exposed by a 6-level step-wedge plan on a Proteus Plus proton system (IBA, Belgium). The calibration doses ranged 65–250 cGy(RBE)more » for proton energies of 170–200MeV. A clinical prostate+nodes plan was used for validation. The planar doses at selected depths were measured with EBT3 films and analyzed using one-scan protocol (one-scan digitization of QA film and at least one film exposed to known dose). The Gamma passing rates, dose-difference maps, and profiles of 2D planar doses measured with EBT3 film, IBA MatriXX PT, versus TPS calculations were analyzed and compared. Results: The EBT3 film measurement results matched well with the TPS calculation data with an average passing rate of ∼95% for 2%/2mm and slightly lower passing rates were obtained from an ion chamber array detector. We were able to demonstrate that the use of a proton step-wedge provided clinically acceptable results and minimized variations between film-scanner orientation, inter-scan, and scanning conditions. Furthermore, it could be derived from no more than two films exposed to known doses (one could be zero) for rescaling the master calibration curve at each depth. Conclusion: The use of a proton step-wedge for calibration of EBT3 film increases efficiency. The sensitivity of the calibration to depth variations has been explored. One-scan protocol results appear to be comparable to that of the ion chamber array detector. One author has a research grant from Ashland Inc., the manufacturer of the GafChromic film.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Liu, G; Qin, A; Zhang, J
Purpose: With the implementation of Cone-beam Computed-Tomography (CBCT) in proton treatment, we introduces a quick and effective tool to verify the patient’s daily setup and geometry changes based on the Water-Equivalent-Thickness Projection-Image(WETPI) from individual beam angle. Methods: A bilateral head neck cancer(HNC) patient previously treated via VMAT was used in this study. The patient received 35 daily CBCT during the whole treatment and there is no significant weight change. The CT numbers of daily CBCTs were corrected by mapping the CT numbers from simulation CT via Deformable Image Registration(DIR). IMPT plan was generated using 4-field IMPT robust optimization (3.5% rangemore » and 3mm setup uncertainties) with beam angle 60, 135, 300, 225 degree. WETPI within CTV through all beam directions were calculated. 3%/3mm gamma index(GI) were used to provide a quantitative comparison between initial sim-CT and mapped daily CBCT. To simulate an extreme case where human error is involved, a couch bar was manually inserted in front of beam angle 225 degree of one CBCT. WETPI was compared in this scenario. Results: The average of GI passing rate of this patient from different beam angles throughout the treatment course is 91.5 ± 8.6. In the cases with low passing rate, it was found that the difference between shoulder and neck angle as well as the head rest often causes major deviation. This indicates that the most challenge in treating HNC is the setup around neck area. In the extreme case where a couch bar is accidently inserted in the beam line, GI passing rate drops to 52 from 95. Conclusion: WETPI and quantitative gamma analysis give clinicians, therapists and physicists a quick feedback of the patient’s setup accuracy or geometry changes. The tool could effectively avoid some human errors. Furthermore, this tool could be used potentially as an initial signal to trigger plan adaptation.« less
"Which pass is better?" Novel approaches to assess passing effectiveness in elite soccer.
Rein, Robert; Raabe, Dominik; Memmert, Daniel
2017-10-01
Passing behaviour is a key property of successful performance in team sports. Previous investigations however have mainly focused on notational measurements like total passing frequencies which provide little information about what actually constitutes successful passing behaviour. Consequently, this has hampered the transfer of research findings into applied settings. Here we present two novel approaches to assess passing effectiveness in elite soccer by evaluating their effects on majority situations and space control in front of the goal. Majority situations are assessed by calculating the number of defenders between the ball carrier and the goal. Control of space is estimated using Voronoi-diagrams based on the player's positions on the pitch. Both methods were applied to position data from 103 German First division games from the 2011/2012, 2012/2013 and 2014/2015 seasons using a big data approach. The results show that both measures are significantly related to successful game play with respect to the number of goals scored and to the probability of winning a game. The results further show that on average passes from the mid-field into the attacking area are most effective. The presented passing efficiency measures thereby offer new opportunities for future applications in soccer and other sports disciplines whilst maintaining practical relevance with respect to tactical training regimes or game performances analysis. Copyright © 2017 Elsevier B.V. All rights reserved.
NASA Astrophysics Data System (ADS)
Shukla, Mukesh Kumar; Kumar, Samir; Das, Ritwick
2016-05-01
We report 48 % efficient single-pass second harmonic generation of high-power ultrashort-pulse ({≈ }250 fs) Yb-fiber laser by utilizing type-I phase matching in LiB_3O_5 (LBO) crystal. The choice of LBO among other borate crystals for high-power frequency doubling is essentially motivated by large thermal conductivity, low birefringence and weak group velocity dispersion. By optimally focussing the beam in a 4-mm-long LBO crystal, we have generated about 2.3 W of average power at 532 nm using 4.8 W of available pump power at 1064 nm. The ultrashort green pulses were found out to be near-transform limited sech^2 pulses with a pulse width of Δ τ ≈ 150 fs and being delivered at 78 MHz repetition rate. Due to appreciably low spatial walk-off angle for LBO ({≈ }0.4°), we obtain M^2<1.26 for the SH beam which signifies marginal distortion in comparison with the pump beam (M^2<1.15). We also discuss the impact of third-order optical nonlinearity of the LBO crystal on the generated ultrashort SH pulses.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Beanland, S.; Clark, M.M.
1993-04-01
The right-lateral Owens Valley fault zone (OVFZ) in eastern California extends north about 100 km from near the northwest shore of Owens Lake to beyond Big Pine. It passes through Lone Pine near the eastern base of the Alabama Hills and follows the floor of Owens Valley northward to the Poverty Hills, where it steps 3 km to the left and continues northwest across Crater Mountain and through Big Pine. Data from one site suggest an average net slip rate for the OVFZ of 1.5 [+-] 1 mm/yr for the past 300 ky. Several other sites yield an average Holocenemore » net slip rate of 2 [+-] 1 mm/yr. The OVFZ apparently has experienced three major Holocene earthquakes. The minimum average recurrence interval is 5,000 years at the subsidiary Lone Pine fault, whereas it is 3,300 to 5,000 years elsewhere along the OVFZ. The prehistoric earthquakes are not dated, so an average recurrence interval need not apply. However, roughly equal (characteristic) displacement apparently happened during each Holocene earthquake. The Owens Valley fault zone accommodates some of the relative motion (dextral shear) between the North American and Pacific plates along a discrete structure. This shear occurs in the Walker Lane belt of normal and strike-slip faults within the mainly extensional Basin and Range Province. In Owens Valley displacement is partitioned between the OVFZ and the nearby, subparallel, and purely normal range-front faults of the Sierra Nevada. Compared to the OVFZ, these range-front normal faults are very discontinuous and have smaller Holocene slip rates of 0.1 to 0.8 mm/yr, dip slip. Contemporary activity on adjacent faults of such contrasting styles suggests large temporal fluctuations in the relative magnitudes of the maximum and intermediate principal stresses while the extension direction remains consistently east-west.« less
The Odds of Success: Predicting Registered Health Information Administrator Exam Success
Dolezel, Diane; McLeod, Alexander
2017-01-01
The purpose of this study was to craft a predictive model to examine the relationship between grades in specific academic courses, overall grade point average (GPA), on-campus versus online course delivery, and success in passing the Registered Health Information Administrator (RHIA) exam on the first attempt. Because student success in passing the exam on the first attempt is assessed as part of the accreditation process, this study is important to health information management (HIM) programs. Furthermore, passing the exam greatly expands the graduate's job possibilities because the demand for credentialed graduates far exceeds the supply of credentialed graduates. Binary logistic regression was utilized to explore the relationships between the predictor variables and success in passing the RHIA exam on the first attempt. Results indicate that the student's cumulative GPA, specific HIM course grades, and course delivery method were predictive of success. PMID:28566994
Perception of differences in naturalistic dynamic scenes, and a V1-based model.
To, Michelle P S; Gilchrist, Iain D; Tolhurst, David J
2015-01-16
We investigate whether a computational model of V1 can predict how observers rate perceptual differences between paired movie clips of natural scenes. Observers viewed 198 pairs of movies clips, rating how different the two clips appeared to them on a magnitude scale. Sixty-six of the movie pairs were naturalistic and those remaining were low-pass or high-pass spatially filtered versions of those originals. We examined three ways of comparing a movie pair. The Spatial Model compared corresponding frames between each movie pairwise, combining those differences using Minkowski summation. The Temporal Model compared successive frames within each movie, summed those differences for each movie, and then compared the overall differences between the paired movies. The Ordered-Temporal Model combined elements from both models, and yielded the single strongest predictions of observers' ratings. We modeled naturalistic sustained and transient impulse functions and compared frames directly with no temporal filtering. Overall, modeling naturalistic temporal filtering improved the models' performance; in particular, the predictions of the ratings for low-pass spatially filtered movies were much improved by employing a transient impulse function. The correlations between model predictions and observers' ratings rose from 0.507 without temporal filtering to 0.759 (p = 0.01%) when realistic impulses were included. The sustained impulse function and the Spatial Model carried more weight in ratings for normal and high-pass movies, whereas the transient impulse function with the Ordered-Temporal Model was most important for spatially low-pass movies. This is consistent with models in which high spatial frequency channels with sustained responses primarily code for spatial details in movies, while low spatial frequency channels with transient responses code for dynamic events. © 2015 ARVO.
Vector velocity profiles of the solar wind within expanding magnetic clouds at 1 AU: Some surprises
NASA Astrophysics Data System (ADS)
Wu, C.; Lepping, R. P.; Berdichevsky, D.; Ferguson, T.; Lazarus, A. J.
2002-12-01
We investigated the average vector velocity profile of 36 carefully chosen WIND interplanetary magnetic clouds occurring over about a 7 year period since spacecraft launch, to see if a differential pattern of solar wind flow exists. Particular cases were chosen of clouds whose axes were generally within 45 degrees of the ecliptic plane and of relatively well determined characteristics obtained from cloud-parameter (cylindrically symmetric force free) fitting. This study was motivated by the desire to understand the manner in which magnetic clouds expand, a well know phenomenon revealed by most cloud speed-profiles at 1 AU. One unexpected and major result was that, even though cloud expansion was confirmed, it was primarily along the Xgse axis; i.e., neither the Ygse or Zgse velocity components reveal any noteworthy pattern. After splitting the full set of clouds into a north-passing set (spacecraft passing above the cloud, where Nn = 21) and south-passing set (Ns = 15), to study the plasma expansion of the clouds with respect to the position of the observer, it was seen that the Xgse component of velocity differs for these two sets in a rather uniform and measurable way for most of the average cloud's extent. This does not appear to be the case for the Ygse or Zgse velocity components where little measurable differences exists, and clearly no pattern, across the average cloud between the north and south positions. It is not clear why such a remarkably non-axisymmetric plasma flow pattern within the "average magnetic cloud" at 1 AU should exist. The study continues from the perspective of magnetic cloud coordinate representation. ~ ~ ~
The natural history of nonobstructing asymptomatic renal stones managed with active surveillance.
Dropkin, Benjamin M; Moses, Rachel A; Sharma, Devang; Pais, Vernon M
2015-04-01
We documented the natural history of asymptomatic nonobstructing renal calculi managed with active surveillance and explored factors predicting stone related events to better inform shared decision making. Patients with asymptomatic nonobstructing renal calculi electing active surveillance of their stone(s) were retrospectively reviewed. Stone characteristics, patient characteristics, and stone related events were collected. We evaluated the effects of stone size and location on development of symptoms, spontaneous passage, requirement for surgical intervention, and stone growth. We identified 160 stones with an average size of 7.0 ± 4.2 mm among 110 patients with average followup of 41 ± 19 months. Forty-five (28% of total) stones caused symptoms during followup. Notably 3 stones (3% of asymptomatic subgroup, 2% of total stones) caused painless silent obstruction necessitating intervention after an average of 37 ± 17 months. The only significant predictor of spontaneous passage or symptom development was location. Upper pole/mid renal stones were more likely than lower pole stones to become symptomatic (40.6% vs 24.3%, p = 0.047) and to pass spontaneously (14.5% vs 2.9%, p = 0.016). Among asymptomatic nonobstructing renal calculi managed with active surveillance, most remained asymptomatic through an average followup of more than 3 years. Less than 30% caused renal colic, less than 20% were operated on for pain and 7% spontaneously passed. Lower poles stones were significantly less likely to cause symptoms or pass spontaneously. Despite 3 stones causing silent hydronephrosis suggestive of obstruction, regular followup imaging facilitated interventions that prevented renal loss. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Burt, Jenni; Abel, Gary; Barclay, Matt; Evans, Robert; Benson, John; Gurnell, Mark
2016-10-11
To investigate the association between student performance in undergraduate objective structured clinical examinations (OSCEs) and the examination schedule to which they were assigned to undertake these examinations. Analysis of routinely collected data. One UK medical school. 2331 OSCEs of 3 different types (obstetrics OSCE, paediatrics OSCE and simulated clinical encounter examination OSCE) between 2009 and 2013. Students were not quarantined between examinations. (1) Pass rates by day examination started, (2) pass rates by day station undertaken and (3) mean scores by day examination started. We found no evidence that pass rates differed according to the day on which the examination was started by a candidate in any of the examinations considered (p>0.1 for all). There was evidence (p=0.013) that students were more likely to pass individual stations on the second day of the paediatrics OSCE (OR 1.27, 95% CI 1.05 to 1.54). In the cases of the simulated clinical encounter examination and the obstetrics and gynaecology OSCEs, there was no (p=0.42) or very weak evidence (p=0.099), respectively, of any such variation in the probability of passing individual stations according to the day they were attempted. There was no evidence that mean scores varied by day apart from the paediatric OSCE, where slightly higher scores were achieved on the second day of the examination. There is little evidence that different examination schedules have a consistent effect on pass rates or mean scores: students starting the examinations later were not consistently more or less likely to pass or score more highly than those starting earlier. The practice of quarantining students to prevent communication with (and subsequent unfair advantage for) subsequent examination cohorts is unlikely to be required. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
NASA Astrophysics Data System (ADS)
Gopi, K. R.; Nayaka, H. Shivananda; Sahu, Sandeep
2016-09-01
Magnesium alloy Mg-Al-Mn (AM70) was processed by equal channel angular pressing (ECAP) at 275 °C for up to 4 passes in order to produce ultrafine-grained microstructure and improve its mechanical properties. ECAP-processed samples were characterized for microstructural analysis using optical microscopy, scanning electron microscopy, and transmission electron microscopy. Microstructural analysis showed that, with an increase in the number of ECAP passes, grains refined and grain size reduced from an average of 45 to 1 µm. Electron backscatter diffraction analysis showed the transition from low angle grain boundaries to high angle grain boundaries in ECAP 4 pass sample as compared to as-cast sample. The strength and hardness values an showed increasing trend for the initial 2 passes of ECAP processing and then started decreasing with further increase in the number of ECAP passes, even though the grain size continued to decrease in all the successive ECAP passes. However, the strength and hardness values still remained quite high when compared to the initial condition. This behavior was found to be correlated with texture modification in the material as a result of ECAP processing.
Migratory delay leads to reduced passage success of Atlantic salmon smolts at a hydroelectric dam
Nyqvist, Daniel; Greenberg, L.; Goerig, E.; Calles, O.; Bergman, E.; Ardren, William R.; Castro-Santos, Theodore R.
2017-01-01
Passage of fish through hydropower dams is associated with mortality, delay, increased energy expenditure and migratory failure for migrating fish and the need for remedial measures for both upstream and downstream migration is widely recognised. A functional fish passage must ensure safe and timely passage routes that a substantial portion of migrating fish will use. Passage solutions must address not only the number or percentage of fish that successfully pass a barrier, but also the time it takes to pass. Here, we used radiotelemetry to study the functionality of a fish bypass for downstream-migrating wild-caught and hatchery-released Atlantic salmon smolts. We used time-to-event analysis to model the influence of fish characteristics and environmental variables on the rates of a series of events associated with dam passage. Among the modelled events were approach rate to the bypass entry zone, retention rates in both the forebay and the entry zone and passage rates. Despite repeated attempts, only 65% of the tagged fish present in the forebay passed the dam. Fish passed via the bypass (33%), via spill (18%) and via turbines (15%). Discharge was positively related to approach, passage and retention rates. We did not detect any differences between wild and hatchery fish. Even though individual fish visited the forebay and the entry zone on multiple occasions, most fish passed during the first exposures to these zones. This study underscores the importance of timeliness to passage success and the usefulness of time-to-event analysis for understanding factors governing passage performance.
Mortazavi, Forough; Mortazavi, Saideh S.; Khosrorad, Razieh
2015-01-01
Background: Procrastination is a common behavior which affects different aspects of life. The procrastination assessment scale-student (PASS) evaluates academic procrastination apropos its frequency and reasons. Objectives: The aims of the present study were to translate, culturally adapt, and validate the Farsi version of the PASS in a sample of Iranian medical students. Patients and Methods: In this cross-sectional study, the PASS was translated into Farsi through the forward-backward method, and its content validity was thereafter assessed by a panel of 10 experts. The Farsi version of the PASS was subsequently distributed among 423 medical students. The internal reliability of the PASS was assessed using Cronbach’s alpha. An exploratory factor analysis (EFA) was conducted on 18 items and then 28 items of the scale to find new models. The construct validity of the scale was assessed using both EFA and confirmatory factor analysis. The predictive validity of the scale was evaluated by calculating the correlation between the academic procrastination scores and the students’ average scores in the previous semester. Results: The corresponding reliability of the first and second parts of the scale was 0.781 and 0.861. An EFA on 18 items of the scale found 4 factors which jointly explained 53.2% of variances: The model was marginally acceptable (root mean square error of approximation [RMSEA] =0.098, standardized root mean square residual [SRMR] =0.076, χ2 /df =4.8, comparative fit index [CFI] =0.83). An EFA on 28 items of the scale found 4 factors which altogether explained 42.62% of variances: The model was acceptable (RMSEA =0.07, SRMR =0.07, χ2/df =2.8, incremental fit index =0.90, CFI =0.90). There was a negative correlation between the procrastination scores and the students’ average scores (r = -0.131, P =0.02). Conclusions: The Farsi version of the PASS is a valid and reliable tool to measure academic procrastination in Iranian undergraduate medical students. PMID:26473078
Dusek, Davorka; Dolovcak, Svjetlana; Kljaković-Gaspić, Marko
2004-02-01
To assess the academic performance of students who transferred to the Zagreb School of Medicine from other three medical schools in Croatia. Academic performance of medical students who moved from Rijeka, Osijek, or Split University Medical Schools to the Zagreb University School of Medicine at the second or third year was compared with academic performance of students enrolled at the Zagreb University School of Medicine. Using the Zagreb Medical School's registry, we made a list of 57 transfer students to Zagreb Medical School in the 1985-1994 period. Control group was formed of students enrolled at the Zagreb School of Medicine in the same period, whose names followed in alphabetical order after the names of transfer students. Students' performance was analyzed according to their grade average before transfer, grade average in the first year after transfer, total grade average after transfer, overall grade average, and duration of studies. We also analyzed the proportion of students in each group who did not pass the admission test at the Zagreb School of Medicine in the year before the enrollment in Zagreb, Osijek, Rijeka, and Split Medical Schools. Nineteen transfer students, transferred between 1985 and 1988, and their controls were excluded from the analysis because of incomplete data. Transfer students had significantly lower grade average before transfer (3.2-/+0.6 vs 3.5-/+0.7, p=0.03, Student t-test), lower grade average in the first year after transfer (3.2-/+0.6 vs 3.5-/+0.7, p=0.03), lower total grade average after transfer (3.6-/+0.5 vs 4.0-/+0.6, p<0.001), and lower overall grade average (3.5-/+0.5 vs 3.9-/+0.6, p<0.001) than control students. Median time to graduate for transfer students was 7 years (range, 5-9) and 6 years (range, 5-9) for control students (p=0.375, Mann-Whitney test). There were significantly more students among transfer students who did not pass the admission test at the Zagreb School of Medicine in the year before the final enrollment than their controls (15/38 vs 4/38, p=0.009, chi-square test). Transfer students had poorer academic performance than students who passed the admission test and were enrolled at the Zagreb School of Medicine from the first year of studies.
Variations in storm response along a microtidal transgressive barrier-island arc
NASA Astrophysics Data System (ADS)
Kahn, J. H.; Roberts, H. H.
1982-10-01
Storm response along the transgressive Chandeleur barrier-island arc southeast of the Mississippi delta plain is variable because of local differences in sediment supply, shoreline orientation and barrier morphology. A study of the morphological impact of Hurricane Frederic (1979) affirmed that tropical storms are the primary agents causing erosion and migration of this barrier arc. Frederic's greatest impact was in the duneless southern Chandeleurs, where sheet-flow overwash caused flattening of the barrier profile, destruction of a strip of marsh 50-100 m wide, and shoreline retreat of approximately 30 m. In contrast, overwash in the northern Chandeleurs was confined between dunes in channels established by previous storms. This channelized overwash breached the northern Chandeleur barriers in nineteen places. As Frederic passed, return flow through these channels transported overwashed sediment back to the nearshore zone. These ebb deposits were a source for longshore drift sediments, which quickly sealed storm channels, reestablishing a coherent northern Chandeleur barrier arc. These storm response patterns may help explain long-term changes in barrier morphology. During an 84-yr period (1885-1969) the southern Chandeleurs decreased 41 % in area, with an average retreat rate of 9.1 m yr -1, compared to a 15% increase in area and an average shoreline retreat rate of 7.2 m yr -1 for the northern Chandeleurs.
The influence of weather on Golden Eagle migration in northwestern Montana
Yates, R.E.; McClelland, B.R.; Mcclelland, P.T.; Key, C.H.; Bennetts, R.E.
2001-01-01
We analyzed the influence of 17 weather factors on migrating Golden Eagles (Aquila chrysaetos) near the Continental Divide in Glacier National Park, Montana, U.S.A. Local weather measurements were recorded at automated stations on the flanks of two peaks within the migration path. During a total of 506 hr of observation, the yearly number of Golden Eagles in autumn counts (1994-96) averaged 1973; spring counts (1995 and 1996) averaged 605 eagles. Mean passage rates (eagles/hr) were 16.5 in autumn and 8.2 in spring. Maximum rates were 137 in autumn and 67 in spring. Using generalized linear modeling, we tested for the effects of weather factors on the number of eagles counted. In the autumn model, the number of eagles increased with increasing air temperature, rising barometric pressure, decreasing relative humidity, and interactions among those factors. In the spring model, the number of eagles increased with increasing wind speed, barometric pressure, and the interaction between these factors. Our data suggest that a complex interaction among weather factors influenced the number of eagles passing on a given day. We hypothesize that in complex landscapes with high topographic relief, such as Glacier National Park, numerous weather factors produce different daily combinations to which migrating eagles respond opportunistically. ?? 2001 The Raptor Research Foundation, Inc.
Differentiating Instruction through Multiple Intelligences in a Middle School Mathematics Classroom
ERIC Educational Resources Information Center
Jones, Marcella
2017-01-01
Eighth grade students at a middle school in a southern state were required a mathematics pass rate of 67.6% to meet annual yearly progress (AYP). Black and Hispanic students performed below the required pass rate on state assessments; thus, the school did not make AYP from 2007-2010. In an attempt to address low test scores in mathematics, the…
ERIC Educational Resources Information Center
Cramer, Eric; Mokher, Christine
2015-01-01
This study examines Kentucky high school students' participation and pass rates in college preparatory transition courses, voluntary remedial courses in math and reading offered to grade 12 students. These courses are targeted to students scoring just below the state's college readiness benchmarks on the ACT in grade 11. The study found that:…
The Effects of Recorded Lectures on Passing Rates in Online Math Courses
ERIC Educational Resources Information Center
Fital-Akelbek, Sandra; Akelbek, Mahmud
2018-01-01
In this mixed method study we investigate the impact of recorded lectures on passing rates in an online math course. For three years, we collected data from approximately 380 students enrolled in a first-year undergraduate online course, College Algebra. The data was used to compare the amount of time students spent watching recorded lectures and…
ERIC Educational Resources Information Center
Simpson, Janis Lee
2013-01-01
The purpose of this quantitative research study was to determine the degree to which Licensed Practical Nursing programmatic variables positively correlate with select Tennessee Technology Center institution pass rates on the licensure examination--NCLEX-PNRTM. This study investigated the relationship between the dependent variable of NCLEX-PNRTM…
ERIC Educational Resources Information Center
Gabe, LiAnne C.
A study was conducted at Broward Community College (BCC) to compare the performance on the College Level Academic Skills Test (CLAST) of examinees with college preparatory experience to that of examinees without this experience. Data were drawn from CLAST tapes for the 1988-89 academic year and from BCC's admissions file. Passing rates for each…
A Case Study on Mathematics Anxiety for Mathematics of Finance Course
ERIC Educational Resources Information Center
Abidin, Rabiatul Alawiyah Zainal; Alwi, Fatimah; Jaafar, Noor Faiza M.
2010-01-01
The DIIA (Diploma in Investment Analysis) students from the FBM (Faculty of Business Management) were required to undertake several MOF (Mathematic of Finance) courses. The passing rates for all of the MOF courses were good except for one course. There are many factors for this low passing rate phenomenon for this particular MOF course. One of the…
A tool to include gamma analysis software into a quality assurance program.
Agnew, Christina E; McGarry, Conor K
2016-03-01
To provide a tool to enable gamma analysis software algorithms to be included in a quality assurance (QA) program. Four image sets were created comprising two geometric images to independently test the distance to agreement (DTA) and dose difference (DD) elements of the gamma algorithm, a clinical step and shoot IMRT field and a clinical VMAT arc. The images were analysed using global and local gamma analysis with 2 in-house and 8 commercially available software encompassing 15 software versions. The effect of image resolution on gamma pass rates was also investigated. All but one software accurately calculated the gamma passing rate for the geometric images. Variation in global gamma passing rates of 1% at 3%/3mm and over 2% at 1%/1mm was measured between software and software versions with analysis of appropriately sampled images. This study provides a suite of test images and the gamma pass rates achieved for a selection of commercially available software. This image suite will enable validation of gamma analysis software within a QA program and provide a frame of reference by which to compare results reported in the literature from various manufacturers and software versions. Copyright © 2015. Published by Elsevier Ireland Ltd.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rao, M; Chen, F; Cotrutz, C
2015-06-15
Purpose: To investigate the influence of respiratory motion on the delivered dose in lung stereotactic body radiotherapy (SBRT) using Cyberknife (CK) 0-View tracking mode. Methods: CT scans at inspiration and expiration of an anthropomorphic motion phantom were fused base on the spine and an internal target volume (ITV) was created. A 5mm expansion around the ITV resulted in the planning target volume. Three CK plans were generated in Accuray MultiPlan using Lung Optimization Tracking 0-View technique with the minimum MU per beam set to (a) 5MU, (b) 15MU and (c) 30MU, respectively. Doses were calculated on the expiration CT usingmore » Monte-Carlo algorithm. Each plan was delivered 5 times with a range of different starting phases in the respiratory cycle to assess the dose variation due to interplay effect. The delivered dose was measured with EBT3 Gafchromic film which was inserted in the moving target of the phantom. The target motion range is 3 cm in superior-inferior (SI) direction with the breathing period of 5 seconds. Results: The gamma analysis (5%/2mm) of the dose with the films in the transverse plane resulted in average passing rate of 95.5±4.1%, 96.7±2.6%, and 96.2±2.5% for plan (a), (b), and (c), respectively. For the sagittal films, the average passing rate was 91.1±4.9%, 92.1±3.6%, and 92.3±2.9% for the three plans, respectively. The disagreement between measurement and dose calculations were mostly on the target edges in SI direction. The mean measured versus calculated dose differences at the edge of target in SI direction were (a) 3.9±4.8%, (b) 2.4±3.3%, and (c) 2.2±3.2% for the three plans, respectively. Conclusions: The plans with low-MU beams (below 10MU) tend to cause slightly larger dose variation. However in terms of target coverage, the overall clinical dosimetric impact of the intrafraction respiratory motion in lung SBRT is insignificant when averaged over 3∼5 fractions.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Berry, Sean L., E-mail: BerryS@MSKCC.org; Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, New York; Polvorosa, Cynthia
Purpose: To prospectively evaluate a 2-dimensional transit dosimetry algorithm's performance on a patient population and to analyze the issues that would arise in a widespread clinical adoption of transit electronic portal imaging device (EPID) dosimetry. Methods and Materials: Eleven patients were enrolled on the protocol; 9 completed and were analyzed. Pretreatment intensity modulated radiation therapy (IMRT) patient-specific quality assurance was performed using a stringent local 3%, 3-mm γ criterion to verify that the planned fluence had been appropriately transferred to and delivered by the linear accelerator. Transit dosimetric EPID images were then acquired during treatment and compared offline with predictedmore » transit images using a global 5%, 3-mm γ criterion. Results: There were 288 transit images analyzed. The overall γ pass rate was 89.1% ± 9.8% (average ± 1 SD). For the subset of images for which the linear accelerator couch did not interfere with the measurement, the γ pass rate was 95.7% ± 2.4%. A case study is presented in which the transit dosimetry algorithm was able to identify that a lung patient's bilateral pleural effusion had resolved in the time between the planning CT scan and the treatment. Conclusions: The EPID transit dosimetry algorithm under consideration, previously described and verified in a phantom study, is feasible for use in treatment delivery verification for real patients. Two-dimensional EPID transit dosimetry can play an important role in indicating when a treatment delivery is inconsistent with the original plan.« less
Calculating inspector probability of detection using performance demonstration program pass rates
NASA Astrophysics Data System (ADS)
Cumblidge, Stephen; D'Agostino, Amy
2016-02-01
The United States Nuclear Regulatory Commission (NRC) staff has been working since the 1970's to ensure that nondestructive testing performed on nuclear power plants in the United States will provide reasonable assurance of structural integrity of the nuclear power plant components. One tool used by the NRC has been the development and implementation of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section XI Appendix VIII[1] (Appendix VIII) blind testing requirements for ultrasonic procedures, equipment, and personnel. Some concerns have been raised, over the years, by the relatively low pass rates for the Appendix VIII qualification testing. The NRC staff has applied statistical tools and simulations to determine the expected probability of detection (POD) for ultrasonic examinations under ideal conditions based on the pass rates for the Appendix VIII qualification tests for the ultrasonic testing personnel. This work was primarily performed to answer three questions. First, given a test design and pass rate, what is the expected overall POD for inspectors? Second, can we calculate the probability of detection for flaws of different sizes using this information? Finally, if a previously qualified inspector fails a requalification test, does this call their earlier inspections into question? The calculations have shown that one can expect good performance from inspectors who have passed appendix VIII testing in a laboratory-like environment, and the requalification pass rates show that the inspectors have maintained their skills between tests. While these calculations showed that the PODs for the ultrasonic inspections are very good under laboratory conditions, the field inspections are conducted in a very different environment. The NRC staff has initiated a project to systematically analyze the human factors differences between qualification testing and field examinations. This work will be used to evaluate and prioritize potential human factors issues that may degrade performance in the field.
Two-dimensional convolute integers for analytical instrumentation
NASA Technical Reports Server (NTRS)
Edwards, T. R.
1982-01-01
As new analytical instruments and techniques emerge with increased dimensionality, a corresponding need is seen for data processing logic which can appropriately address the data. Two-dimensional measurements reveal enhanced unknown mixture analysis capability as a result of the greater spectral information content over two one-dimensional methods taken separately. It is noted that two-dimensional convolute integers are merely an extension of the work by Savitzky and Golay (1964). It is shown that these low-pass, high-pass and band-pass digital filters are truly two-dimensional and that they can be applied in a manner identical with their one-dimensional counterpart, that is, a weighted nearest-neighbor, moving average with zero phase shifting, convoluted integer (universal number) weighting coefficients.
Impact of some low-cost interventions on students' performance in a Nigerian medical school.
Anyaehie, U B; Okeke, T; Nwagha, U; Orizu, I; Iyare, E; Dim, C; Okafor, C
2014-01-01
Students' poor performance in physiology examinations has been worrisome to the university community. Reported preference of peer-tutoring to didactic lectures at the University of Nigeria Medical School has not been investigated. The aim of this work is to design/implement low-cost interventions to improve teaching and learning of physiology. This is a postintervention retrospective review of medical Student's performance in 2 nd Bachelor of Medicine and Bachelor of Surgery examinations physiology. Data were collected and analyzed by descriptive and inferential statistics using the MedCalc Statistical software (Turkey). The odds ratio (OR) was used to determine the chances of passing before and after the intervention. The level of significance was set at P < 0.05. A total of 2152 students sat for the professional examination over the study period, and 1485 students passed the examination at first attempt giving an overall pass rate of 69%. The pass rate from 2008 when our interventions started was significantly higher than the pass rate before this reform (OR: 0.53; 95% confidence interval: 0.43-0.64; P < 0.0001). Results support the engagement of teachers with strong translational interests and clinicians to augment existing faculty in basic sciences, innovative alternatives to passive lecture formats and students involvement in program evaluation.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wu, H.L.; Spronsen, G. van; Klaus, E.H.
A simulation model of the dynamics of a by-pass pig and related two-phase flow behavior along with field trials of the pig in a dry-gas pipeline have revealed significant gains in use of a by-pass pig in modifying gas and liquid production rates. The method can widen the possibility of applying two-phase flow pipeline transportation to cases in which separator or slug-catcher capacity is limited by practicality or cost. Pigging two-phase pipelines normally generates large liquid slug volumes in front of the pig. These require large separators or slug catchers. Using a high by-pass pig to disperse the liquid andmore » reduce the maximum liquid production rate before pig arrival has been investigated by Shell Exploration and Production companies. A simulation model of the dynamics of the pig and related two-phase flow behavior in the pipeline was used to predict the performance of by-pass pigs. Field trials in a dry-gas pipeline were carried out to provide friction data and to validate the model. The predicted mobility of the high by-pass pig in the pipeline and risers was verified and the beneficial effects due to the by-pass concept exceeded the prediction of the simplified model.« less
Training less-experienced faculty improves reliability of skills assessment in cardiac surgery.
Lou, Xiaoying; Lee, Richard; Feins, Richard H; Enter, Daniel; Hicks, George L; Verrier, Edward D; Fann, James I
2014-12-01
Previous work has demonstrated high inter-rater reliability in the objective assessment of simulated anastomoses among experienced educators. We evaluated the inter-rater reliability of less-experienced educators and the impact of focused training with a video-embedded coronary anastomosis assessment tool. Nine less-experienced cardiothoracic surgery faculty members from different institutions evaluated 2 videos of simulated coronary anastomoses (1 by a medical student and 1 by a resident) at the Thoracic Surgery Directors Association Boot Camp. They then underwent a 30-minute training session using an assessment tool with embedded videos to anchor rating scores for 10 components of coronary artery anastomosis. Afterward, they evaluated 2 videos of a different student and resident performing the task. Components were scored on a 1 to 5 Likert scale, yielding an average composite score. Inter-rater reliabilities of component and composite scores were assessed using intraclass correlation coefficients (ICCs) and overall pass/fail ratings with kappa. All components of the assessment tool exhibited improvement in reliability, with 4 (bite, needle holder use, needle angles, and hand mechanics) improving the most from poor (ICC range, 0.09-0.48) to strong (ICC range, 0.80-0.90) agreement. After training, inter-rater reliabilities for composite scores improved from moderate (ICC, 0.76) to strong (ICC, 0.90) agreement, and for overall pass/fail ratings, from poor (kappa = 0.20) to moderate (kappa = 0.78) agreement. Focused, video-based anchor training facilitates greater inter-rater reliability in the objective assessment of simulated coronary anastomoses. Among raters with less teaching experience, such training may be needed before objective evaluation of technical skills. Published by Elsevier Inc.
Quantification and probabilistic modeling of CRT obsolescence for the State of Delaware
DOE Office of Scientific and Technical Information (OSTI.GOV)
Schumacher, Kelsea A., E-mail: kschum@udel.edu; Schumacher, Thomas, E-mail: schumact@udel.edu; Agbemabiese, Lawrence, E-mail: agbe@udel.edu
2014-11-15
Highlights: • We modeled the obsolescence of cathode ray tube devices in the State of Delaware. • 411,654 CRT units or ∼16,500 metric tons have been recycled in Delaware since 2002. • The peak of the CRT obsolescence in Delaware passed by 2012. • The Delaware average CRT recycling rate between 2002 and 13 was approximately 27.5%. • CRTs will continue to infiltrate the system likely until 2033. - Abstract: The cessation of production and replacement of cathode ray tube (CRT) displays with flat screen displays have resulted in the proliferation of CRTs in the electronic waste (e-waste) recycle stream.more » However, due to the nature of the technology and presence of hazardous components such as lead, CRTs are the most challenging of electronic components to recycle. In the State of Delaware it is due to this challenge and the resulting expense combined with the large quantities of CRTs in the recycle stream that electronic recyclers now charge to accept Delaware’s e-waste. Therefore it is imperative that the Delaware Solid Waste Authority (DSWA) understand future quantities of CRTs entering the waste stream. This study presents the results of an assessment of CRT obsolescence in the State of Delaware. A prediction model was created utilizing publicized sales data, a variety of lifespan data as well as historic Delaware CRT collection rates. Both a deterministic and a probabilistic approach using Monte Carlo Simulation (MCS) were performed to forecast rates of CRT obsolescence to be anticipated in the State of Delaware. Results indicate that the peak of CRT obsolescence in Delaware has already passed, although CRTs are anticipated to enter the waste stream likely until 2033.« less
Wei, Cai-Jie; Wu, Wei-Zhong
2018-09-01
Two kinds of hybrid two-step multi-soil-layering (MSL) systems loaded with different filter medias (zeolite-ceramsite MSL-1 and ceramsite-red clay MSL-2) were set-up for the low-(C/N)-ratio polluted river water treatment. A long-term pollutant removal performance of these two kinds of MSL systems was evaluated for 214 days. By-pass was employed in MSL systems to evaluate its effect on nitrogen removal enhancement. Zeolite-ceramsite single-pass MSL-1 system owns outstanding ammonia removal capability (24 g NH 4 + -Nm -2 d -1 ), 3 times higher than MSL-2 without zeolite under low aeration rate condition (0.8 × 10 4 L m -2 .h -1 ). Aeration rate up to 1.6 × 10 4 L m -2 .h -1 well satisfied the requirement of complete nitrification in first unit of both two MSLs. However, weak denitrification in second unit was commonly observed. By-pass of 50% influent into second unit can improve about 20% TN removal rate for both MSL-1 and MSL-2. Complete nitrification and denitrification was achieved in by-pass MSL systems after addition of carbon source with the resulting C/N ratio up to 2.5. The characters of biofilms distributed in different sections inside MSL-1 system well illustrated the nitrogen removal mechanism inside MSL systems. Two kinds of MSLs are both promising as an appealing nitrifying biofilm reactor. Recirculation can be considered further for by-pass MSL-2 system to ensure a complete ammonia removal. Copyright © 2018 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Fattah-alhosseini, Arash; Imantalab, Omid
2016-01-01
In this study, passivation behavior of ultrafine-grained (UFG) pure copper fabricated by ARB process in 0.01 M borax solution has been investigated. Before any electrochemical measurements, evaluation of microstructure was obtained by transmission electron microscopy (TEM). TEM observations revealed that with increasing the number of ARB passes, the grain size of specimens decrease. Also, TEM images showed that UFGs with average size of below 100 nm appeared after 7 passes of ARB. To investigate the passivation behavior of the specimens, electrochemical impedance spectroscopy (EIS) and Mott-Schottky analysis was carried out. For this purpose, three potentials within the passive region were chosen for potentiostatic passive film growth. EIS results showed that both passive film and charge-transfer resistance increases with increasing the number of ARB passes. Moreover, Mott-Schottky analysis revealed that with increasing the number of ARB passes, the acceptor density of the passive films decreased. In conclusion, increasing the number of ARB passes offers better conditions for forming the passive films with higher protection behavior, due to the growth of a much thicker and less defective films.
Analysis of the NASA/MSFC Airborne Doppler Lidar results from San Gorgonio Pass, California
NASA Technical Reports Server (NTRS)
Cliff, W. C.; Skarda, J. R.; Renne, D. S.; Sandusky, W. F.
1984-01-01
Two days during July of 1981 the NASA/MSFC Airborne Doppler Lidar System (ADLS) was flown aboard the NASA/AMES Convair 990 on the east side of San Gorgonio Pass California, near Palm Springs, to measure and investigate the accelerated atmospheric wind field discharging from the pass. The vertical and horizontal extent of the fast moving atmospheric flow discharging from the San Gorgonio Pass were examined. Conventional ground measurements were also taken during the tests to assist in validating the ADLS results. This particular region is recognized as a high wind resource region and, as such, a knowledge of the horizontal and vertical extent of this flow was of interest for wind energy applications. The statistics of the atmospheric flow field itself as it discharges from the pass and then spreads out over the desert were also of scientific interests. This data provided the first spatial data for ensemble averaging of spatial correlations to compute longitudinal and lateral integral length scales in the longitudinal and lateral directions for both components.
Sharp, T G
1984-02-01
The study was designed to determine whether any one of seven selected variables or a combination of the variables is predictive of performance on the State Board Test Pool Examination. The selected variables studied were: high school grade point average (HSGPA), The University of Tennessee, Knoxville, College of Nursing grade point average (GPA), and American College Test Assessment (ACT) standard scores (English, ENG; mathematics, MA; social studies, SS; natural sciences, NSC; composite, COMP). Data utilized were from graduates of the baccalaureate program of The University of Tennessee, Knoxville, College of Nursing from 1974 through 1979. The sample of 322 was selected from a total population of 572. The Statistical Analysis System (SAS) was designed to accomplish analysis of the predictive relationship of each of the seven selected variables to State Board Test Pool Examination performance (result of pass or fail), a stepwise discriminant analysis was designed for determining the predictive relationship of the strongest combination of the independent variables to overall State Board Test Pool Examination performance (result of pass or fail), and stepwise multiple regression analysis was designed to determine the strongest predictive combination of selected variables for each of the five subexams of the State Board Test Pool Examination. The selected variables were each found to be predictive of SBTPE performance (result of pass or fail). The strongest combination for predicting SBTPE performance (result of pass or fail) was found to be GPA, MA, and NSC.
ERIC Educational Resources Information Center
Adamba, Clement
2018-01-01
The paper used district level students' pass rate in a nationally conducted basic education certification examination to assess the effect of school electrification on learning outcomes. The results show that school electrification in addition to the traditional school-level inputs, such as class size, pupil-teacher ratio, ratio of core textbook…
Implementing statistical equating for MRCP(UK) Parts 1 and 2.
McManus, I C; Chis, Liliana; Fox, Ray; Waller, Derek; Tang, Peter
2014-09-26
The MRCP(UK) exam, in 2008 and 2010, changed the standard-setting of its Part 1 and Part 2 examinations from a hybrid Angoff/Hofstee method to statistical equating using Item Response Theory, the reference group being UK graduates. The present paper considers the implementation of the change, the question of whether the pass rate increased amongst non-UK candidates, any possible role of Differential Item Functioning (DIF), and changes in examination predictive validity after the change. Analysis of data of MRCP(UK) Part 1 exam from 2003 to 2013 and Part 2 exam from 2005 to 2013. Inspection suggested that Part 1 pass rates were stable after the introduction of statistical equating, but showed greater annual variation probably due to stronger candidates taking the examination earlier. Pass rates seemed to have increased in non-UK graduates after equating was introduced, but was not associated with any changes in DIF after statistical equating. Statistical modelling of the pass rates for non-UK graduates found that pass rates, in both Part 1 and Part 2, were increasing year on year, with the changes probably beginning before the introduction of equating. The predictive validity of Part 1 for Part 2 was higher with statistical equating than with the previous hybrid Angoff/Hofstee method, confirming the utility of IRT-based statistical equating. Statistical equating was successfully introduced into the MRCP(UK) Part 1 and Part 2 written examinations, resulting in higher predictive validity than the previous Angoff/Hofstee standard setting. Concerns about an artefactual increase in pass rates for non-UK candidates after equating were shown not to be well-founded. Most likely the changes resulted from a genuine increase in candidate ability, albeit for reasons which remain unclear, coupled with a cognitive illusion giving the impression of a step-change immediately after equating began. Statistical equating provides a robust standard-setting method, with a better theoretical foundation than judgemental techniques such as Angoff, and is more straightforward and requires far less examiner time to provide a more valid result. The present study provides a detailed case study of introducing statistical equating, and issues which may need to be considered with its introduction.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Motie, Iman; Bokaeeyan, Mahyar, E-mail: Mehyar9798@gmail.com
2015-02-15
A close analysis of dust charging process in the presence of radio frequency (RF) discharge on low pressure and fully ionized plasma for both weak and strong discharge's electric field is considered. When the electromagnetic waves pass throughout fully ionized plasma, the collision frequency of the plasma is derived. Moreover, the disturbed distribution function of plasma particles in the presence of the RF discharge is obtained. In this article, by using the Krook model, we separate the distribution function in two parts, the Maxwellian part and the perturbed part. The perturbed part of distribution can make an extra current, so-calledmore » the accretion rate of electron (or ion) current, towards a dust particle as a function of the average electron-ion collision frequency. It is proven that when the potential of dust grains increases, the accretion rate of electron current experiences an exponential reduction. Furthermore, the accretion rate of electron current for a strong electric field is relatively smaller than that for a weak electric field. The reasons are elaborated.« less
UWB multi-burst transmit driver for averaging receivers
Dallum, Gregory E
2012-11-20
A multi-burst transmitter for ultra-wideband (UWB) communication systems generates a sequence of precisely spaced RF bursts from a single trigger event. There are two oscillators in the transmitter circuit, a gated burst rate oscillator and a gated RF burst or RF power output oscillator. The burst rate oscillator produces a relatively low frequency, i.e., MHz, square wave output for a selected transmit cycle, and drives the RF burst oscillator, which produces RF bursts of much higher frequency, i.e., GHz, during the transmit cycle. The frequency of the burst rate oscillator sets the spacing of the RF burst packets. The first oscillator output passes through a bias driver to the second oscillator. The bias driver conditions, e.g., level shifts, the signal from the first oscillator for input into the second oscillator, and also controls the length of each RF burst. A trigger pulse actuates a timing circuit, formed of a flip-flop and associated reset time delay circuit, that controls the operation of the first oscillator, i.e., how long it oscillates (which defines the transmit cycle).
DOE Office of Scientific and Technical Information (OSTI.GOV)
Chen, S; Zhang, H; Zhang, B
2015-06-15
Purpose: To clinically evaluate the differences in volumetric modulated arc therapy (VMAT) treatment plan and delivery between two commercial treatment planning systems. Methods: Two commercial VMAT treatment planning systems with different VMAT optimization algorithms and delivery approaches were evaluated. This study included 16 clinical VMAT plans performed with the first system: 2 spine, 4 head and neck (HN), 2 brain, 4 pancreas, and 4 pelvis plans. These 16 plans were then re-optimized with the same number of arcs using the second treatment planning system. Planning goals were invariant between the two systems. Gantry speed, dose rate modulation, MLC modulation, planmore » quality, number of monitor units (MUs), VMAT quality assurance (QA) results, and treatment delivery time were compared between the 2 systems. VMAT QA results were performed using Mapcheck2 and analyzed with gamma analysis (3mm/3% and 2mm/2%). Results: Similar plan quality was achieved with each VMAT optimization algorithm, and the difference in delivery time was minimal. Algorithm 1 achieved planning goals by highly modulating the MLC (total distance traveled by leaves (TL) = 193 cm average over control points per plan), while maintaining a relatively constant dose rate (dose-rate change <100 MU/min). Algorithm 2 involved less MLC modulation (TL = 143 cm per plan), but greater dose-rate modulation (range = 0-600 MU/min). The average number of MUs was 20% less for algorithm 2 (ratio of MUs for algorithms 2 and 1 ranged from 0.5-1). VMAT QA results were similar for all disease sites except HN plans. For HN plans, the average gamma passing rates were 88.5% (2mm/2%) and 96.9% (3mm/3%) for algorithm 1 and 97.9% (2mm/2%) and 99.6% (3mm/3%) for algorithm 2. Conclusion: Both VMAT optimization algorithms achieved comparable plan quality; however, fewer MUs were needed and QA results were more robust for Algorithm 2, which more highly modulated dose rate.« less
Taking the Easy Way Out: How the GED Testing Program Induces Students to Drop Out.
Heckman, James J; Humphries, John Eric; Lafontaine, Paul A; Rodríguez, Pedro L
2012-07-01
The option to obtain a General Education Development (GED) certificate changes the incentives facing high school students. This paper evaluates the effect of three different GED policy innovations on high school graduation rates. A six point decrease in the GED pass rate due to an increase in passing standards produced a 1.3 point decline in overall dropout rates. The introduction of a GED certification program in high schools in Oregon produced a four percent decrease in graduation rates. Introduction of GED certificates in California increased dropout rates by 3 points. The GED program induces high school students to drop out.
Taking the Easy Way Out: How the GED Testing Program Induces Students to Drop Out
Heckman, James J.; Humphries, John Eric; LaFontaine, Paul A.; Rodríguez, Pedro L.
2011-01-01
The option to obtain a General Education Development (GED) certificate changes the incentives facing high school students. This paper evaluates the effect of three different GED policy innovations on high school graduation rates. A six point decrease in the GED pass rate due to an increase in passing standards produced a 1.3 point decline in overall dropout rates. The introduction of a GED certification program in high schools in Oregon produced a four percent decrease in graduation rates. Introduction of GED certificates in California increased dropout rates by 3 points. The GED program induces high school students to drop out. PMID:24634564
Glacial versus interglacial sedimentation rates and turbidite frequency in the Bahamas
NASA Astrophysics Data System (ADS)
Droxler, Andre W.; Schlager, Wolfgang
1985-11-01
The southern Tongue of the Ocean is a 1300-m-deep, flat-floored basin in the Bahamas that receives large amounts of sediment from the carbonate platforms surrounding it on three sides. We have examined five 8 13-m-long piston cores and determined bulk sedimentation rates, turbidite frequency, and turbidite accumulation rates for the past two glacial and interglacial periods. The mean of bulk sedimentation rates is four to six times higher in interglacial periods; average accumulation rates of recognizable turbidites are higher by a factor of 21 to 45, and interglacial turbidite frequency is higher by a factor of 6 to 14. Sediment composition indicates that increased interglacial rates are due to higher accumulation of platform-derived material. Additional data from other Bahamian basins as well as published material from the Caribbean strongly suggest that highstand shedding is a general trend in pure carbonate depositional systems. Carbonate platforms without a siliciclastic component export more material during highstands of sea level when the platform tops are flooded and produce sediment. The response of carbonate platforms to Quaternary sea-level cycles is opposed to that of siliciclastic ocean margins, where sediment is stored on the inner shelf during highstands and passed on to continental rises and abyssal plains during lowstands of sea level.
Okrainec, Allan; Soper, Nathaniel J; Swanstrom, Lee L; Fried, Gerald M
2011-04-01
FLS is an educational program developed by the Society of American Gastrointestinal and Endoscopic Surgeons and endorsed by the American College of Surgeons. The goal of the FLS program is to teach and assess the basic cognitive and psychomotor skills required to perform laparoscopic surgery. The purpose of this study is to review the results from the first 5 years of FLS certification testing. FLS test data were prospectively collected for all participants taking the FLS certification examination since its inception. Deidentified data were reviewed and analyzed using standard descriptive statistics. The FLS examination was taken by 2,689 participants between October 2004 and December 2009. There was a yearly increase in the number of individuals seeking FLS certification. Complete demographic information was available for 1,882 participants: 12% were junior residents (PGY 1-3), 69% were senior residents (PGY 4-5) or fellows, and 19% were attending surgeons. A breakdown of participants by specialty revealed that 88% were general surgeons, 4% were gynecologists, 2% were urologists, and 6% were labeled as "other." The mean (standard deviation, SD) score on the cognitive examination was 519 (157), with a 93% pass rate. The mean score on the technical skills examination was 525 (117), with a 92% pass rate. After combining both scores, the overall FLS certification pass rate was 88%. The FLS certification examination has gained widespread acceptance among laparoscopic surgeons in training and practice, with a marked increase in testing since the American Board of Surgery mandate for certification was announced. The overall pass rate of 88% on the examination approaches the target pass rate of 90% established during the test-setting process.
Counselman, Francis L; Kowalenko, Terry; Marco, Catherine A; Joldersma, Kevin B; Korte, Robert C; Reisdorff, Earl J
2016-10-01
In 2003, the Accreditation Council for Graduate Medical Education (ACGME) instituted requirements that limited the number of hours residents could spend on duty, and in 2011, it revised these requirements. This study explored whether the implementation of the 2003 and 2011 duty hour limits was associated with a change in emergency medicine residents' performance on the American Board of Emergency Medicine (ABEM) Qualifying Examination (QE). Beginning with the 1999 QE and ending with the 2014 QE, candidates for whom all training occurred without duty hour requirements (Group A), candidates under the first set of duty hour requirements (Group C), and candidates under the second set of duty hour requirements (Group E) were compared. Comparisons included mean scores and pass rates. In Group A, 5690 candidates completed the examination, with a mean score of 82.8 and a 90.2% pass rate. In Group C, 8333 candidates had a mean score of 82.4 and a 90.5% pass rate. In Group E, there were 1269 candidates, with a mean score of 82.5 and an 89.4% pass rate. There was a small but statistically significant decrease in the mean scores (0.04, P < .001) after implementation of the first duty hour requirements, but this difference did not occur after implementation of the 2011 standards. There was no difference among pass rates for any of the study groups (χ 2 = 1.68, P = .43). We did not identify an association between the 2003 and 2011 ACGME duty hour requirements and performance of test takers on the ABEM QE.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Taylor, Paige A., E-mail: pataylor@mdanderson.org; Kry, Stephen F.; Alvarez, Paola
Purpose: The purpose of this study was to summarize the findings of anthropomorphic proton phantom irradiations analyzed by the Imaging and Radiation Oncology Core Houston QA Center (IROC Houston). Methods and Materials: A total of 103 phantoms were irradiated by proton therapy centers participating in clinical trials. The anthropomorphic phantoms simulated heterogeneous anatomy of a head, liver, lung, prostate, and spine. Treatment plans included those for scattered, uniform scanning, and pencil beam scanning beam delivery modalities using 5 different treatment planning systems. For every phantom irradiation, point doses and planar doses were measured using thermoluminescent dosimeters (TLD) and film, respectively. Differencesmore » between measured and planned doses were studied as a function of phantom, beam delivery modality, motion, repeat attempt, treatment planning system, and date of irradiation. Results: The phantom pass rate (overall, 79%) was high for simple phantoms and lower for phantoms that introduced higher levels of difficulty, such as motion, multiple targets, or increased heterogeneity. All treatment planning systems overestimated dose to the target, compared to TLD measurements. Errors in range calculation resulted in several failed phantoms. There was no correlation between treatment planning system and pass rate. The pass rates for each individual phantom are not improving over time, but when individual institutions received feedback about failed phantom irradiations, pass rates did improve. Conclusions: The proton phantom pass rates are not as high as desired and emphasize potential deficiencies in proton therapy planning and/or delivery. There are many areas for improvement with the proton phantom irradiations, such as treatment planning system dose agreement, range calculations, accounting for motion, and irradiation of multiple targets.« less
Bjørnshave, Katrine; Krogh, Lise Q; Hansen, Svend B; Nebsbjerg, Mette A; Thim, Troels; Løfgren, Bo
2018-02-01
Laypersons often hesitate to perform basic life support (BLS) and use an automated external defibrillator (AED) because of self-perceived lack of knowledge and skills. Training may reduce the barrier to intervene. Reduced training time and costs may allow training of more laypersons. The aim of this study was to compare BLS/AED skills' acquisition and self-evaluated BLS/AED skills after instructor-led training with a two-stage versus a four-stage teaching technique. Laypersons were randomized to either two-stage or four-stage teaching technique courses. Immediately after training, the participants were tested in a simulated cardiac arrest scenario to assess their BLS/AED skills. Skills were assessed using the European Resuscitation Council BLS/AED assessment form. The primary endpoint was passing the test (17 of 17 skills adequately performed). A prespecified noninferiority margin of 20% was used. The two-stage teaching technique (n=72, pass rate 57%) was noninferior to the four-stage technique (n=70, pass rate 59%), with a difference in pass rates of -2%; 95% confidence interval: -18 to 15%. Neither were there significant differences between the two-stage and four-stage groups in the chest compression rate (114±12 vs. 115±14/min), chest compression depth (47±9 vs. 48±9 mm) and number of sufficient rescue breaths between compression cycles (1.7±0.5 vs. 1.6±0.7). In both groups, all participants believed that their training had improved their skills. Teaching laypersons BLS/AED using the two-stage teaching technique was noninferior to the four-stage teaching technique, although the pass rate was -2% (95% confidence interval: -18 to 15%) lower with the two-stage teaching technique.
Novel Radiobiological Gamma Index for Evaluation of 3-Dimensional Predicted Dose Distribution
DOE Office of Scientific and Technical Information (OSTI.GOV)
Sumida, Iori, E-mail: sumida@radonc.med.osaka-u.ac.jp; Yamaguchi, Hajime; Kizaki, Hisao
2015-07-15
Purpose: To propose a gamma index-based dose evaluation index that integrates the radiobiological parameters of tumor control (TCP) and normal tissue complication probabilities (NTCP). Methods and Materials: Fifteen prostate and head and neck (H&N) cancer patients received intensity modulated radiation therapy. Before treatment, patient-specific quality assurance was conducted via beam-by-beam analysis, and beam-specific dose error distributions were generated. The predicted 3-dimensional (3D) dose distribution was calculated by back-projection of relative dose error distribution per beam. A 3D gamma analysis of different organs (prostate: clinical [CTV] and planned target volumes [PTV], rectum, bladder, femoral heads; H&N: gross tumor volume [GTV], CTV,more » spinal cord, brain stem, both parotids) was performed using predicted and planned dose distributions under 2%/2 mm tolerance and physical gamma passing rate was calculated. TCP and NTCP values were calculated for voxels with physical gamma indices (PGI) >1. We propose a new radiobiological gamma index (RGI) to quantify the radiobiological effects of TCP and NTCP and calculate radiobiological gamma passing rates. Results: The mean RGI gamma passing rates for prostate cases were significantly different compared with those of PGI (P<.03–.001). The mean RGI gamma passing rates for H&N cases (except for GTV) were significantly different compared with those of PGI (P<.001). Differences in gamma passing rates between PGI and RGI were due to dose differences between the planned and predicted dose distributions. Radiobiological gamma distribution was visualized to identify areas where the dose was radiobiologically important. Conclusions: RGI was proposed to integrate radiobiological effects into PGI. This index would assist physicians and medical physicists not only in physical evaluations of treatment delivery accuracy, but also in clinical evaluations of predicted dose distribution.« less
NASA Astrophysics Data System (ADS)
Harrington, Seán T.; Harrington, Joseph R.
2013-03-01
This paper presents an assessment of the suspended sediment rating curve approach for load estimation on the Rivers Bandon and Owenabue in Ireland. The rivers, located in the South of Ireland, are underlain by sandstone, limestones and mudstones, and the catchments are primarily agricultural. A comprehensive database of suspended sediment data is not available for rivers in Ireland. For such situations, it is common to estimate suspended sediment concentrations from the flow rate using the suspended sediment rating curve approach. These rating curves are most commonly constructed by applying linear regression to the logarithms of flow and suspended sediment concentration or by applying a power curve to normal data. Both methods are assessed in this paper for the Rivers Bandon and Owenabue. Turbidity-based suspended sediment loads are presented for each river based on continuous (15 min) flow data and the use of turbidity as a surrogate for suspended sediment concentration is investigated. A database of paired flow rate and suspended sediment concentration values, collected between the years 2004 and 2011, is used to generate rating curves for each river. From these, suspended sediment load estimates using the rating curve approach are estimated and compared to the turbidity based loads for each river. Loads are also estimated using stage and seasonally separated rating curves and daily flow data, for comparison purposes. The most accurate load estimate on the River Bandon is found using a stage separated power curve, while the most accurate load estimate on the River Owenabue is found using a general power curve. Maximum full monthly errors of - 76% to + 63% are found on the River Bandon with errors of - 65% to + 359% found on the River Owenabue. The average monthly error on the River Bandon is - 12% with an average error of + 87% on the River Owenabue. The use of daily flow data in the load estimation process does not result in a significant loss of accuracy on either river. Historic load estimates (with a 95% confidence interval) were hindcast from the flow record and average annual loads of 7253 ± 673 tonnes on the River Bandon and 1935 ± 325 tonnes on the River Owenabue were estimated to be passing the gauging stations.
7 CFR 3560.402 - Loan payment processing.
Code of Federal Regulations, 2010 CFR
2010-01-01
... paragraph (c) of this section, must be closed and serviced using the PASS. (b) Required conversion to PASS... action on the account involves a change in the loan rates or terms or whenever a subsequent loan to the...
Identification of Anisomerous Motor Imagery EEG Signals Based on Complex Algorithms
Zhang, Zhiwen; Duan, Feng; Zhou, Xin; Meng, Zixuan
2017-01-01
Motor imagery (MI) electroencephalograph (EEG) signals are widely applied in brain-computer interface (BCI). However, classified MI states are limited, and their classification accuracy rates are low because of the characteristics of nonlinearity and nonstationarity. This study proposes a novel MI pattern recognition system that is based on complex algorithms for classifying MI EEG signals. In electrooculogram (EOG) artifact preprocessing, band-pass filtering is performed to obtain the frequency band of MI-related signals, and then, canonical correlation analysis (CCA) combined with wavelet threshold denoising (WTD) is used for EOG artifact preprocessing. We propose a regularized common spatial pattern (R-CSP) algorithm for EEG feature extraction by incorporating the principle of generic learning. A new classifier combining the K-nearest neighbor (KNN) and support vector machine (SVM) approaches is used to classify four anisomerous states, namely, imaginary movements with the left hand, right foot, and right shoulder and the resting state. The highest classification accuracy rate is 92.5%, and the average classification accuracy rate is 87%. The proposed complex algorithm identification method can significantly improve the identification rate of the minority samples and the overall classification performance. PMID:28874909
Improving performance in thermodynamics: Integrating learning by teaching pedagogy
NASA Astrophysics Data System (ADS)
Campagni, Jamie Anthony
Historically, Thermo is perceived to be the most challenging course in the MET Curriculum at UNC Charlotte. The complexity and difficulties of this course have contributed to the some of the highest DFW rates compared to any other courses offered within the MET program. One hypothesis contributing to high DFW rates is the pedagogy in which Thermo is taught, which is the foundation of this study. Implementation of LBT in the spring 2014 offering of Thermo was deemed a success. The DFW rate in spring 2014 was reduced by 19 percentage points compared to the DFW rate in spring 2013, which exceeded the target of 10 percentage points. However, only cumulative GPA was a significant predictor of whether a student passed or failed the course. The semester in which students took Thermo was not a significant predictor. Students in the spring 2014 semester also exhibited statistically significant higher final exam averages compared to the 2012 and 2013 semesters. In general, students felt that LBT activities enhanced their learning and application of Thermodynamic concepts. Students had a very positive perception of LBT compared to traditional lecture in that 100% of students would recommend this teaching style to other students.
Variations in magma supply rate at Kilauea Volcano, Hawaii
Dvorak, John J.; Dzurisin, Daniel
1993-01-01
When an eruption of Kilauea lasts more than 4 months, so that a well-defined conduit has time to develop, magma moves freely through the volcano from a deep source to the eruptive site at a constant rate of 0.09 km3/yr. At other times, the magma supply rate to Kilauea, estimated from geodetic measurements of surface displacements, may be different. For example, after a large withdrawal of magma from the summit reservoir, such as during a rift zone eruption, the magma supply rate is high initially but then lessens and exponentially decays as the reservoir refills. Different episodes of refilling may have different average rates of magma supply. During four year-long episodes in the 1960s, the annual rate of refilling varied from 0.02 to 0.18 km3/yr, bracketing the sustained eruptive rate of 0.09 km3/yr. For decade-long or longer periods, our estimate of magma supply rate is based on long-term changes in eruptive rate. We use eruptive rate because after a few dozen eruptions the volume of magma that passes through the summit reservoir is much larger than the net change of volume of magma stored within Kilauea. The low eruptive rate of 0.009 km3/yr between 1840 and 1950, compared to an average eruptive rate of 0.05 km3/yr since 1950, suggests that the magma supply rate was lower between 1840 and 1950 than it has been since 1950. An obvious difference in activity before and since 1950 was the frequency of rift zone eruptions: eight rift zone eruptions occurred between 1840 and 1950, but more than 20 rift zone eruptions have occurred since 1950. The frequency of rift zone eruptions influences magma supply rate by suddenly lowering pressure of the summit magma reservoir, which feeds magma to rift zone eruptions. A temporary drop of reservoir pressure means a larger-than-normal pressure difference between the reservoir and a deeper source, so magma is forced to move upward into Kilauea at a faster rate.
Chen, Hsiu-Chin; Bennett, Sean
2016-08-01
Little evidence shows the use of decision-tree algorithms in identifying predictors and analyzing their associations with pass rates for the NCLEX-RN(®) in associate degree nursing students. This longitudinal and retrospective cohort study investigated whether a decision-tree algorithm could be used to develop an accurate prediction model for the students' passing or failing the NCLEX-RN. This study used archived data from 453 associate degree nursing students in a selected program. The chi-squared automatic interaction detection analysis of the decision trees module was used to examine the effect of the collected predictors on passing/failing the NCLEX-RN. The actual percentage scores of Assessment Technologies Institute®'s RN Comprehensive Predictor(®) accurately identified students at risk of failing. The classification model correctly classified 92.7% of the students for passing. This study applied the decision-tree model to analyze a sequence database for developing a prediction model for early remediation in preparation for the NCLEXRN. [J Nurs Educ. 2016;55(8):454-457.]. Copyright 2016, SLACK Incorporated.
Melt density and the average composition of basalt
NASA Technical Reports Server (NTRS)
Stolper, E.; Walker, D.
1980-01-01
Densities of residual liquids produced by low pressure fractionation of olivine-rich melts pass through a minimum when pyroxene and plagioclase joint the crystallization sequence. The observation that erupted basalt compositions cluster around the degree of fractionation from picritic liquids corresponding to the density minimum in the liquid line of descent may thus suggest that the earth's crust imposes a density fiber on the liquids that pass through it, favoring the eruption of the light liquids at the density minimum over the eruption of denser more fractionated and less fractionated liquids.
Stolzenberg, Lisa; D'Alessio, Stewart J
2007-02-01
The state of California passed the Smoke-Free Workplace Act on January 1, 1995. This legislation effectively banned indoor smoking in all public and private workplaces including restaurants. Many restaurant owners, especially owners of restaurants that served alcohol, opposed the ban for fear that their businesses would be affected adversely because of the loss of patrons who smoked. Using an interrupted times-series autoregressive integrative moving average study design, the authors assess the effect of California's indoor smoking ban on revenue rates for all restaurants, for non-alcohol-serving restaurants, and for alcohol-serving restaurants. Results showed that revenues for alcohol-serving restaurants dropped by about 4% immediately following the establishment of the indoor smoking ban. However, this reduction was temporary because revenues for alcohol-serving restaurants quickly returned to normal levels. Findings also revealed that the indoor smoking ban had little observable impact on the revenue rate for restaurants overall and for non-alcohol-serving restaurants.
1997 Annual Tropical Cyclone Report
1997-01-01
caused much loss of life and great destruction at their respective landfall sites in China andVietnam. Mainland Japan, the Ryukyu Islands, the Bonin ...Aside from passing through the Volcano Islands and the Bonin Islands of Japan, Nestor remained over water. Nestor did produce some high waves on...DYNAMIC AVERAGE ( DAVE ) A simple average of all dynamic forecast aids: NOGAPS (NGPS), Bracknell (EGRR), Japanese Typhoon Model (JTYM), JT92, FBAM, OTCM
Statistical analysis of loopy belief propagation in random fields
NASA Astrophysics Data System (ADS)
Yasuda, Muneki; Kataoka, Shun; Tanaka, Kazuyuki
2015-10-01
Loopy belief propagation (LBP), which is equivalent to the Bethe approximation in statistical mechanics, is a message-passing-type inference method that is widely used to analyze systems based on Markov random fields (MRFs). In this paper, we propose a message-passing-type method to analytically evaluate the quenched average of LBP in random fields by using the replica cluster variation method. The proposed analytical method is applicable to general pairwise MRFs with random fields whose distributions differ from each other and can give the quenched averages of the Bethe free energies over random fields, which are consistent with numerical results. The order of its computational cost is equivalent to that of standard LBP. In the latter part of this paper, we describe the application of the proposed method to Bayesian image restoration, in which we observed that our theoretical results are in good agreement with the numerical results for natural images.
Average Weighted Receiving Time of Weighted Tetrahedron Koch Networks
NASA Astrophysics Data System (ADS)
Dai, Meifeng; Zhang, Danping; Ye, Dandan; Zhang, Cheng; Li, Lei
2015-07-01
We introduce weighted tetrahedron Koch networks with infinite weight factors, which are generalization of finite ones. The term of weighted time is firstly defined in this literature. The mean weighted first-passing time (MWFPT) and the average weighted receiving time (AWRT) are defined by weighted time accordingly. We study the AWRT with weight-dependent walk. Results show that the AWRT for a nontrivial weight factor sequence grows sublinearly with the network order. To investigate the reason of sublinearity, the average receiving time (ART) for four cases are discussed.
Pulsed dye laser double-pass treatment of patients with resistant capillary malformations.
Rajaratnam, Ratna; Laughlin, Sharyn A; Dudley, Denis
2011-07-01
The pulsed dye laser is an effective and established treatment for port-wine stains and has become the generally accepted standard of care. However, in many cases, complete clearance cannot be achieved as a significant proportion of lesions become resistant to treatment. Multiple passes or pulse-stacking techniques have been used to improve the extent and rate of fading, but concerns over increased adverse effects have limited this clinical approach. In this work, a double-pass technique with the pulsed dye laser has been described, which may allow for increased depth of vascular injury, greater efficacy, and an acceptable risk profile. Our aim was to determine the efficacy and the rate of side-effects for a double-pass protocol with a pulsed dye laser (PDL) to treat patients previously treated with PDL and/or other laser modalities. A retrospective chart review was conducted of 26 patients treated with a minimum of three double-pass treatments alone, or in combination, with single pass conventional PDL. Almost half of the patients (n = 12) showed either a moderate or significant improvement in fading compared to pre-treatment photographs with the double-pass technique. In a further 12 patients, there was a mild improvement. In two patients, there was no change. Sixteen patients developed mild side-effects: blisters (n = 5), dry scabs (n = 11) and transient hyperpigmentation (n = 4). This preliminary experience suggests that a double-pass technique at defined intervals between the first and second treatment with PDL can further lighten some port-wine stains, which are resistant to conventional single-pass treatments. This technique may be a useful addition to the laser treatment of PWS and deserves further scrutiny with randomized prospective studies and histological analysis to confirm the increased depth of vascular injury.
Past incompleteness of a bouncing multiverse
DOE Office of Scientific and Technical Information (OSTI.GOV)
Vilenkin, Alexander; Zhang, Jun, E-mail: vilenkin@cosmos.phy.tufts.edu, E-mail: jun.zhang@tufts.edu
2014-06-01
According to classical GR, Anti-de Sitter (AdS) bubbles in the multiverse terminate in big crunch singularities. It has been conjectured, however, that the fundamental theory may resolve these singularities and replace them by nonsingular bounces. This may have important implications for the beginning of the multiverse. Geodesics in cosmological spacetimes are known to be past-incomplete, as long as the average expansion rate along the geodesic is positive, but it is not clear that the latter condition is satisfied if the geodesic repeatedly passes through crunching AdS bubbles. We investigate this issue in a simple multiverse model, where the spacetime consistsmore » of a patchwork of FRW regions. The conclusion is that the spacetime is still past-incomplete, even in the presence of AdS bounces.« less
The impact of the legalization of recreational marijuana on college students.
Jones, Jacob; Nicole Jones, K; Peil, Jenny
2018-02-01
In January of 2014 the Regulate Marijuana like Alcohol Act or, Amendment 64, went into effect in Colorado. Even though it was the first state to enact recreational legalization, attitudes towards marijuana use have been changing for decades. Prompted by medical marijuana legalization, studies have found mixed results in regards to the impact that legalization has on frequency of use and abuse. With college students having the highest rates of use in the United States (U.S.), whether legal or not, it was important to explore the impact that legalization has on this population. In the current study, rates of marijuana and alcohol use in college students before and after recreational legalization were explored. Data was collected in four waves from October 2013 to March 2015, to be able to determine the trends in marijuana and alcohol use, and relationship between the substances. In addition, grade point average was measured as a possible consequence of marijuana use. We found the frequency of marijuana use in Colorado college students is much higher than the national average t(94445)=24.424, p<0.001, especially the percentage of daily or almost daily users, t(2191)=10.373, p<0.001. There were significant differences between the marijuana non-users and the once a week or more often but not daily marijuana users in grade point average, F(6, 227)=2.935, p<0.001. In addition, it seems that the relationship between alcohol and marijuana use in general is decreasing since the passing of Amendment 64, but not among the binge drinkers. Copyright © 2017 Elsevier Ltd. All rights reserved.
Rock Island Dam Smolt Monitoring; 1994-1995 Annual Report.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Truscott, Keith B.; Fielder, Paul C.
1995-10-01
Downstream migrating salmon and steelhead trout (Oncorhynchus spp.) smolts were monitored at the Rock Island Dam bypass trap from April 1 - August 31, 1954. This was the tenth consecutive year that the bypass trap was monitored. Data collected included: (1) number of fish caught by species, (2) number of adipose clipped and/or Passive Integrated Transponder (PIT) tagged fish caught by species, (3) daily average riverflow, (4) daily average powerhouse No. 1 and No. 2 flows and daily average spill. These data were transmitted to the Fish Passage Center, which manages the Smolt Monitoring Program throughout the Columbia River Basin.more » The Smolt Monitoring Program is used to manage the {open_quotes}water budget{close_quotes}, releasing upstream reservoir water storage allocated to supplement river flows to enhance survival of downstream migrating juvenile salmonids. The Rock Island Dam trapping facility collected 37,795 downstream migrating salmonids in 1994. Collected fish included 4 yearling and 4 sub-yearling chinook salmon (O. tshawytscha) that had been previously PIT tagged to help determine migration rates. Additionally, 1,132 sub-yearling chinook, 4,185 yearling chinook, 6,627 steelhead, (O. mykiss) and 422 sockeye (O. nerka) with clipped adipose fins were collected. The middle 80% of the 1994 spring migration (excluding sub-yearling chinooks) passed Rock Island Dam during a 34 day period, April 25 - May 28. Passage rates of chinook and steelhead smolts released from hatcheries and the downstream migration timing of all salmonids are presented. The spring migration timing of juvenile salmonids is strongly influenced by hatchery releases above Rock Island Dam.« less
NASA Technical Reports Server (NTRS)
Allen, C. P.; Martin, C. F.
1977-01-01
The SEAHT program is designed to process multiple passes of altimeter data with intersecting ground tracks, with the estimation of corrections for orbital errors to each pass such that the data has the best overall agreement at the crossover points. Orbit error for each pass is modeled as a polynomial in time, with optional orders of 0, 1, or 2. One or more passes may be constrained in the adjustment process, thus allowing passes with the best orbits to provide the overall level and orientation of the estimated sea surface heights. Intersections which disagree by more than an input edit level are not used in the error parameter estimation. In the program implementation, passes are grouped into South-North passes and North-South passes, with the North-South passes partitioned out for the estimation of orbit error parameters. Computer core utilization is thus dependent on the number of parameters estimated for the set of South-North arcs, but is independent on the number of North-South passes. Estimated corrections for each pass are applied to the data at its input data rate and an output tape is written which contains the corrected data.
Impacts of PM concentrations on visibility impairment
NASA Astrophysics Data System (ADS)
Jie, Guo; Wang, Mei-mei; Han, Ye-Xing; Yu, Zhi-Wei; Tang, Huai-Wu
2016-11-01
In the paper, an accurate and sensitive cavity attenuated phase shift spectroscopy (CAPS) sensor was used to monitor the atmospheric visibility. The CAPS system mainly includes a LED light source, a band-pass filter, an optical resonant cavity (composed of two high mirror, reflectivity is greater than 99.99%), a photoelectric detector and a lock-in amplifier. The 2L/min flow rate, the optical sensor rise and fall response time is about 15 s, so as to realize the fast measurement of visibility. An Allan variance analysis was carried out evaluating the optical system stability (and hence the maximum averaging time for the minimum detection limit) of the CAPS system. The minima ( 0.1 Mm-1) in the Allan plots show the optimum average time ( 100s) for optimum detection performance of the CAPS system. During this period, the extinction coefficient was correlated with PM2.5 mass (0.88), the extinction coefficient was correlated with PM10 mass (0.85). The atmospheric visibility was correlated with PM2.5 mass (0.74). The atmospheric visibility was correlated with PM10 mass (0.66).
Natural History of Conservatively Managed Ureteral Stones: Analysis of 6600 Patients.
Yallappa, Sachin; Amer, Tarik; Jones, Patrick; Greco, Francesco; Tailly, Thomas; Somani, Bhaskar K; Umez-Eronini, Nkem; Aboumarzouk, Omar M
2018-05-01
Ureteral colic has a lifetime prevalence of 10%-15% and is one of the most common emergency urologic presentations. Current European Association of Urology recommends conservative management for "small" (<6 mm) ureteral stones if active removal is not indicated. It is important to understand the natural history of ureteral stone disease to help counsel patients with regard to their likelihood of stone passage and anticipated time frame with which they could be safely observed. We aimed to conduct a systematic review to better establish the natural history of stone expulsion. Literature search was performed using Cochrane and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. Outcome measures were patient and stone demographics, expulsion rates, expulsion times, and side effect of the medication. A cumulative analysis, with subgroup analysis, was performed on stone location and size. The results were depicted as percentages and an intention-to-treat basis was used. The literature search identified 70 studies and a total of 6642 patients, with a median age of 46 and range of 18-74 years. Overall, 64% of patients successfully passed their stones spontaneously. About 49% of upper ureteral stones, 58% of midureteral stones, and 68% of distal ureteral stones passed spontaneously. Almost 75% of stones <5 mm and 62% of stones ≥5 mm passed spontaneously. The average time to stone expulsion was about 17 days (range 6-29 days). Nearly 5% of participants required rehospitalization due to a deterioration of their condition and only about 1% of patients experienced side effects from analgesia provided. We believe this current review is the largest study for the evaluation of natural history of ureteral stones. The evidence suggests that ureteral stones will pass without intervention in 64% of patients, however, this varies from nearly 50%-75% depending on the size and location, in the span of 1-4 weeks.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kumar, Syam; Anjana
Purpose: To evaluate the fluence for the midline and lateralized tumors for VMAT technique using 2D seven29 detector array combined with the Octavius phantom. Methods: 60 cases that are already being treated with volumetric modulated arc therapy (VMAT) have selected for this study. This includes tumors situated at the medial and lateral. Medial refers to the tumor situated at the midline of the body and lateral means toward the side or away from the midline of the body. Verification plans were created for each treatment plan in Varian Eclipse treatment planning system (version10, Varian medical systems, Palo Alto,CA) with themore » 2D Seven29 detector array and the Octavius phantom(PTW, Freiburg, Germany). Measurements were performed on a Varian Clinac 2100 iX, linear accelerator equipped with a millennium 120 leaf collimator. Analysis was done by comparing the fluence measured for the tumors situated on the midline and tumors situated laterally. Results: Fluence measured for all the delivered plans were analyzed using Verisoft software (PTW, Freiburg, Germany). The gamma pass percentage for midline tumors were found to be higher compared with the lateralized ones. The standard deviation between gamma values for midline and lateralized tumors is 2.18 and 3.5 respectively. Also the standard deviation between the point doses for midline and lateralized tumors is 0.38 and 0.29 respectively. The average gamma passing rate for midline tumors is 96.55% and for lateralized tumors are 94.94% for 3%DD and 3mm DTA criteria. From the T test, it was found that there is no significant difference between the gamma pass percentage between midline and lateralized tumors with p value of 0.28. Conclusion: There is no particular correlation found in the gamma pass criteria for midline and lateralized tumors.« less
Cook, Chad; Learman, Ken; Houghton, Steve; Showalter, Christopher; O'Halloran, Bryan
2014-02-01
Shoulder impingement syndrome (SIS) is a complex, multi-factorial problem that is treated with a variety of different conservative options. One conservative option that has shown effectiveness is manual therapy to the thoracic spine. Another option, manual therapy to the cervical spine, has been studied only once with good results, evaluating short-term outcomes, in a small sample size. The purpose of this study was to investigate the benefit of neck manual therapy for patients with SIS. The study was a randomised, single blinded, clinical trial where both groups received pragmatic, evidence-based treatment to the shoulder and one group received neck manual therapy. Subjects with neck pain were excluded from the study. Comparative pain, disability, rate of recovery and patient acceptable symptom state (PASS) measures were analyzed on the 68 subjects seen over an average of 56.1 days (standard deviation (SD)=55.4). Eighty-six percent of the sample reported an acceptable change on the PASS at discharge. There were no between-groups differences in those who did or did not receive neck manual therapy; however, both groups demonstrated significant within-groups improvements. On average both groups improved 59.7% (SD=25.1) for pain and 53.5% (SD=40.2) for the Quick Disabilities of the Shoulder and Hand Questionnaire (QuickDASH) from baseline. This study found no value when neck manual therapy was added to the treatment of SIS. Reasons may include the lack of therapeutic dosage provided for the manual therapy approach or the lack of benefit to treating the neck in subjects with SIS who do not have concomitant neck problems. Copyright © 2013 Elsevier Ltd. All rights reserved.
Factors affecting the strength of multipass low-alloy steel weld metal
NASA Technical Reports Server (NTRS)
Krantz, B. M.
1972-01-01
The mechanical properties of multipass high-strength steel weld metals depend upon several factors, among the most important being: (1) The interaction between the alloy composition and weld metal cooling rate which determines the as-deposited microstructure; and (2) the thermal effects of subsequent passes on each underlying pass which alter the original microstructure. The bulk properties of a multipass weld are therefore governed by both the initial microstructure of each weld pass and its subsequent thermal history. Data obtained for a high strength low alloy steel weld metal confirmed that a simple correlation exists between mechanical properties and welding conditions if the latter are in turn correlated as weld cooling rate.
[Courses in microsurgical techniques in France and abroad].
Alzakri, A; Al-Rajeh, M; Liverneaux, P A; Facca, S
2014-06-01
The objective of this work was to determine the state of current training programs for microsurgery in France and abroad. Our survey of microsurgery training programs determined the registration volume, program contents, and number of students in France, and looked at registration volume and teaching time for programs abroad. Data were obtained from the Internet, university administration, those responsible for university diploma programs, and students. There were 18 university diploma programs in microsurgery in France. The average list price was €1,129 for an average of 19 hours of theoretical training and 100 hours of practice. Evaluation methods varied, but all required at least vascular anastomosis in rats. In 2011-2012, 148 students were enrolled and 126 graduated (85% passing rate). Abroad, 16 basic courses were listed in the USA, Europe and Asia. Nine advanced courses were offered. The average price was $1,346 for 36 hours of practice in the basic courses and $1,955 for over 50 hours of training in advanced courses. None of these courses gave out a diploma. Our results show that in France, university diploma programs in microsurgery are heterogeneous and the French College should consider updating them. Globally, a study is underway by the International Microsurgical Simulation Society. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
When Is Rapid On-Site Evaluation Cost-Effective for Fine-Needle Aspiration Biopsy?
Schmidt, Robert L.; Walker, Brandon S.; Cohen, Michael B.
2015-01-01
Background Rapid on-site evaluation (ROSE) can improve adequacy rates of fine-needle aspiration biopsy (FNAB) but increases operational costs. The performance of ROSE relative to fixed sampling depends on many factors. It is not clear when ROSE is less costly than sampling with a fixed number of needle passes. The objective of this study was to determine the conditions under which ROSE is less costly than fixed sampling. Methods Cost comparison of sampling with and without ROSE using mathematical modeling. Models were based on a societal perspective and used a mechanistic, micro-costing approach. Sampling policies (ROSE, fixed) were compared using the difference in total expected costs per case. Scenarios were based on procedure complexity (palpation-guided or image-guided), adequacy rates (low, high) and sampling protocols (stopping criteria for ROSE and fixed sampling). One-way, probabilistic, and scenario-based sensitivity analysis was performed to determine which variables had the greatest influence on the cost difference. Results ROSE is favored relative to fixed sampling under the following conditions: (1) the cytologist is accurate, (2) the total variable cost ($/hr) is low, (3) fixed costs ($/procedure) are high, (4) the setup time is long, (5) the time between needle passes for ROSE is low, (6) when the per-pass adequacy rate is low, and (7) ROSE stops after observing one adequate sample. The model is most sensitive to variation in the fixed cost, the per-pass adequacy rate, and the time per needle pass with ROSE. Conclusions Mathematical modeling can be used to predict the difference in cost between sampling with and without ROSE. PMID:26317785
Fundamentals of Laparoscopic Surgery: A Surgical Skills Assessment Tool in Gynecology
Arden, Deborah; Dodge, Laura E.; Zheng, Bin; Ricciotti, Hope A.
2011-01-01
Objective: To describe our experience with the Fundamentals of Laparoscopic Surgery (FLS) program as a teaching and assessment tool for basic laparoscopic competency among gynecology residents. Methods: A prospective observational study was conducted at a single academic institution. Before the FLS program was introduced, baseline FLS testing was offered to residents and gynecology division directors. Test scores were analyzed by training level and self-reported surgical experience. After implementing a minimally invasive gynecologic surgical curriculum, third-year residents were retested. Results: The pass rates for baseline FLS skills testing were 0% for first-year residents, 50% for second-year residents, and 75% for third- and fourth-year residents. The pass rates for baseline cognitive testing were 60% for first- and second-year residents, 67% for third-year residents, and 40% for fourth-year residents. When comparing junior and senior residents, there was a significant difference in pass rates for the skills test (P=.007) but not the cognitive test (P=.068). Self-reported surgical experience strongly correlated with skills scores (r-value=0.97, P=.0048), but not cognitive scores (r-value=0.20, P=.6265). After implementing a curriculum, 100% of the third-year residents passed the skills test, and 92% passed the cognitive examination. Conclusions: The FLS skills test may be a valuable assessment tool for gynecology residents. The cognitive test may need further adaptation for applicability to gynecologists. PMID:21902937
2017-01-01
In the present work, an aluminum metal matrix reinforced with (Al2O3) nanoparticles was fabricated as a surface composite sheet using friction stir processing (FSP). The effects of processing parameters on mechanical properties, hardness, and microstructure grain were investigated. The results revealed that multi-pass FSP causes a homogeneous distribution and good dispersion of Al2O3 in the metal matrix, and consequently an increase in the hardness of the matrix composites. A finer grain is observed in the microstructure examination in specimens subjected to second and third passes of FSP. The improvement in the grain refinement is 80% compared to base metal. The processing parameters, particularly rotational tool speed and pass number in FSP, have a major effect on strength properties and surface hardness. The ultimate tensile strength (UTS) and the average hardness are improved by 25% and 46%, respectively, due to presence of reinforcement Al2O3 nanoparticles. PMID:28885575
Two-dimensional, average velocity field across the Asal Rift, Djibouti from 1997-2008 RADARSAT data
NASA Astrophysics Data System (ADS)
Tomic, J.; Doubre, C.; Peltzer, G.
2009-12-01
Located at the western end of the Aden ridge, the Asal Rift is the first emerged section of the ridge propagating into Afar, a region of intense volcanic and tectonic activity. We construct a two-dimensional surface velocity map of the 200x400 km2 region covering the rift using the 1997-2008 archive of InSAR data acquired from ascending and descending passes of the RADARSAT satellite. The large phase signal due to turbulent troposphere conditions over the Afar region is mostly removed from the 11-year average line of sight (LOS) velocity maps, revealing a clear deformation signal across the rift. We combine the ascending and descending pass LOS velocity fields with the Arabia-Somalia pole of rotation adjusted to regional GPS velocities (Vigny et al., 2007) to compute the fields of the vertical and horizontal, GPS-parallel components of the velocity over the rift. The vertical velocity field shows a ~40 km wide zone of doming centered over the Fieale caldera associated with shoulder uplift and subsidence of the rift inner floor. Differential movement between shoulders and floor is accommodated by creep at 6 mm/yr on Fault γ and 2.7 mm/yr on Fault E. The horizontal field shows that the two shoulders open at a rate of ~15 mm/yr, while the horizontal velocity decreases away from the rift to the plate motion rate of ~11 mm/yr. Part of the opening is concentrated on faults γ (5 mm/yr) and E (4 mm/yr) and about 4 mm/yr is distributed between Fault E and Fault H in the southern part of the rift. The observed velocity field along a 60 km-long profile across the eastern part of the rift can be explained with a 2D mechanical model involving a 5-9 km-deep, vertical dyke expanding horizontally at a rate of 5 cm/yr, a 2 km-wide, 7 km-deep sill expanding vertically at 1cm/yr, and down-dip and opening of faults γ and E. Results from 3D rift models describing along-strike velocity decrease away from the Goubbet Gulf and the effects of a pressurized magma chamber will be presented.
MO-F-16A-02: Simulation of a Medical Linear Accelerator for Teaching Purposes
DOE Office of Scientific and Technical Information (OSTI.GOV)
Carlone, M; Lamey, M; Anderson, R
Purpose: Detailed functioning of linear accelerator physics is well known. Less well developed is the basic understanding of how the adjustment of the linear accelerator's electrical components affects the resulting radiation beam. Other than the text by Karzmark, there is very little literature devoted to the practical understanding of linear accelerator functionality targeted at the radiotherapy clinic level. The purpose of this work is to describe a simulation environment for medical linear accelerators with the purpose of teaching linear accelerator physics. Methods: Varian type lineacs were simulated. Klystron saturation and peak output were modelled analytically. The energy gain of anmore » electron beam was modelled using load line expressions. The bending magnet was assumed to be a perfect solenoid whose pass through energy varied linearly with solenoid current. The dose rate calculated at depth in water was assumed to be a simple function of the target's beam current. The flattening filter was modelled as an attenuator with conical shape, and the time-averaged dose rate at a depth in water was determined by calculating kerma. Results: Fifteen analytical models were combined into a single model called SIMAC. Performance was verified systematically by adjusting typical linac control parameters. Increasing klystron pulse voltage increased dose rate to a peak, which then decreased as the beam energy was further increased due to the fixed pass through energy of the bending magnet. Increasing accelerator beam current leads to a higher dose per pulse. However, the energy of the electron beam decreases due to beam loading and so the dose rate eventually maximizes and the decreases as beam current was further increased. Conclusion: SIMAC can realistically simulate the functionality of a linear accelerator. It is expected to have value as a teaching tool for both medical physicists and linear accelerator service personnel.« less
Ward, David L.; O'neill, Matthew W.; Ka'apu-Lyons, Cassie
2015-01-01
Electrofishing is commonly used when renovating small streams to remove nuisance fishes but the likelihood of complete eradication of unwanted species, particularly warm-water fishes, is unknown. In October of 2008, we electrofished Bonita Creek, a small stream with base flows (<0.56 m3/s) in southern Arizona, and then treated the stream with rotenone to kill all of the remaining fish and quantify the effectiveness of single and multiple-pass electro fishing. Six, 100-m transects were electro fished on three consecutive days followed by a single treatment with rotenone. Fish caught using electrofishing were identified, counted and removed from each transect daily and then compared to numbers of dead fish collected during the subsequent rotenone application. Electrofishing effectiveness was highly variable among transects. Single-pass electrofishing caught an average of 23% (95% CI=5 to 40%) of the fish present, and three-pass electrofishing on consecutive days caught on average 55% (95% CI=28 to 83%) of the fish in each transect. Native Arizona fishes were more susceptible to electrofishing (77 % captured) than non-native species (54% captured), though native fish were rare. Transects in Bonita Creek averaged 3.6±1.5 m wide and 0.25±0.20 m deep (max depth 1.2 m). Bonita Creek is a small first-order stream which exhibits ideal conditions for backpack electrofishing, yet we captured a relatively small percentage of the fish present. This suggests that complete removal of non-native warm-water fishes using backpack electrofishing is not likely to be successful, especially in larger more complex streams.
Squires, Allison; Ojemeni, Melissa T; Jones, Simon
2016-06-30
No study has examined the longitudinal trends in National Council Licensure Exam for Registered Nurse (NCLEX-RN) applicants and pass rates among internationally-educated nurses (IENs) seeking to work in the United States, nor has any analysis explored the impact of specific events on these trends, including changes to the NCLEX-RN exam, the role of the economic crisis, or the passing of the WHO Code on the International Recruitment of Health Personnel. This study seeks to understand the impact of the three aforementioned factors that may be influencing current and future IEN recruitment patterns in the United States. In this random effects panel data analysis, we analyzed 11 years (2003-2013) of annual IEN applicant numbers and pass rates for registered nurse credentialing. Data were obtained from publicly available reports on exam pass rates. With the global economic crisis and NCLEX-RN changes in 2008 coupled with the WHO Code passage in 2010, we sought to compare if (1) the number of applicants changed significantly after those 2 years and (2) if pass rates changed following exam modifications implemented in 2008 and 2011. A total of 177 countries were eligible for inclusion in this analysis, representing findings from 200,453 IEN applicants to the United States between 2003 and 2013. The majority of applicants were from the Philippines (58 %) and India (11 %), with these two countries combined representing 69 % of the total. Candidates from Sub-Saharan African countries totalled 7133 (3 % of all applications) over the study period, with half of these coming from Nigeria alone. No significant changes were found in the number of candidates following the 2008 economic crisis or the 2010 WHO Code, although pass rates decreased significantly following the 2008 exam modifications and the WHO Code implementation. This study suggests that, while the WHO Code has had an influence on overall IEN migration dynamics to the United States by decreasing candidate numbers, in most cases, the WHO Code was not the single cause of these fluctuations. Indeed, the impact of the NCLEX-RN exam changes appears to exert a larger influence.
Using the arthroscopic surgery skill evaluation tool as a pass-fail examination.
Koehler, Ryan J; Nicandri, Gregg T
2013-12-04
Examination of arthroscopic skill requires evaluation tools that are valid and reliable with clear criteria for passing. The Arthroscopic Surgery Skill Evaluation Tool was developed as a video-based assessment of technical skill with criteria for passing established by a panel of experts. The purpose of this study was to test the validity and reliability of the Arthroscopic Surgery Skill Evaluation Tool as a pass-fail examination of arthroscopic skill. Twenty-eight residents and two sports medicine faculty members were recorded performing diagnostic knee arthroscopy on a left and right cadaveric specimen in our arthroscopic skills laboratory. Procedure videos were evaluated with use of the Arthroscopic Surgery Skill Evaluation Tool by two raters blind to subject identity. Subjects were considered to pass the Arthroscopic Surgery Skill Evaluation Tool when they attained scores of ≥ 3 on all eight assessment domains. The raters agreed on a pass-fail rating for fifty-five of sixty videos rated with an interclass correlation coefficient value of 0.83. Ten of thirty participants were assigned passing scores by both raters for both diagnostic arthroscopies performed in the laboratory. Receiver operating characteristic analysis demonstrated that logging more than eighty arthroscopic cases or performing more than thirty-five arthroscopic knee cases was predictive of attaining a passing Arthroscopic Surgery Skill Evaluation Tool score on both procedures performed in the laboratory. The Arthroscopic Surgery Skill Evaluation Tool is valid and reliable as a pass-fail examination of diagnostic arthroscopy of the knee in the simulation laboratory. This study demonstrates that the Arthroscopic Surgery Skill Evaluation Tool may be a useful tool for pass-fail examination of diagnostic arthroscopy of the knee in the simulation laboratory. Further study is necessary to determine whether the Arthroscopic Surgery Skill Evaluation Tool can be used for the assessment of multiple arthroscopic procedures and whether it can be used to evaluate arthroscopic procedures performed in the operating room.
NASA Astrophysics Data System (ADS)
Marshall, Nicole R.; Piper, David J. W.; Saint-Ange, Francky; Campbell, D. Calvin
2014-10-01
Contourite drifts of alternating sand and mud, shaped by the Labrador Current, formed during the late Quaternary in Flemish Pass seaward of the Grand Banks of Newfoundland, Canada. The drifts preserve a record of Labrador Current flow variations through the last glacial maximum. A high-resolution seismic profile and a transect of four cores were collected across Beothuk drift on the southeast side of Flemish Pass. Downcore and lateral trends in grain size and sedimentation rate provide evidence that, between 16 and 13 ka, sediment was partitioned across Beothuk drift and the adjacent Flemish Pass floor by a strong current flow but, from 29 to 16 ka, sedimentation was more of a blanketing style, represented by draped reflections interpreted as being due to a weaker current. The data poorly resolve the low sedimentation rates since 13 ka, but the modern Labrador Current in Flemish Pass is the strongest it has been in at least the past 29 ka. Pre-29 ka current flow is interpreted based on reflection architecture in seismic profiles. A prominent drift on the southwestern side of Flemish Pass formed above a mid-Miocene erosion surface, but was buried by a mass-transport deposit after the penultimate glacial maximum and after drift deposition switched to eastern Flemish Pass. These findings illustrate the temporal complexity of drift sedimentation and provide the first detailed proxy for Labrador Current flow since the last glacial maximum.
Static Recrystallization Behavior of Z12CN13 Martensite Stainless Steel
NASA Astrophysics Data System (ADS)
Luo, Min; Zhou, Bing; Li, Rong-bin; Xu, Chun; Guo, Yan-hui
2017-09-01
In order to increase the hot workability and provide proper hot forming parameters of forging Z12CN13 martensite stainless steel for the simulation and production, the static recrystallization behavior has been studied by double-pass hot compression tests. The effects of deformation temperature, strain rate and inter-pass time on the static recrystallization fraction by the 2% offset method are extensively studied. The results indicate that increasing the inter-pass time and the deformation temperature as well as strain rate appropriately can increase the fraction of static recrystallization. At the temperature of 1050-1150 °C, inter-pass time of 30-100 s and strain rate of 0.1-5 s-1, the static recrystallization behavior is obvious. In addition, the kinetics of static recrystallization behavior of Z12CN13 steel has been established and the activation energy of static recrystallization is 173.030 kJ/mol. The substructure and precipitates have been studied by TEM. The results reveal that the nucleation mode is bulging at grain boundary. Undissolved precipitates such as MoNi3 and Fe3C have a retarding effect on the recrystallization kinetics. The effect is weaker than the accelerating effect of deformation temperature.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Blake, S; Thwaites, D; Hansen, C
2015-06-15
Purpose: This study evaluated the plan quality and dose delivery accuracy of stereotactic body radiotherapy (SBRT) helical Tomotherapy (HT) treatments for lung cancer. Results were compared with those previously reported by our group for flattening filter (FF) and flattening filter free (FFF) VMAT treatments. This work forms part of an ongoing multicentre and multisystem planning and dosimetry audit on FFF beams for lung SBRT. Methods: CT datasets and DICOM RT structures delineating the target volume and organs at risk for 6 lung cancer patients were selected. Treatment plans were generated using the HT treatment planning system. Tumour locations were classifiedmore » as near rib, near bronchial tree or in free lung with prescribed doses of 48Gy/4fr, 50Gy/5fr and 54Gy/3fr respectively. Dose constraints were specified by a modified RTOG0915 protocol used for an Australian SBRT phase II trial. Plan quality was evaluated using mean PTV dose, PTV volume receiving 100% of the prescribed dose (V100%), target conformity (CI=VD100%/VPTV) and low dose spillage (LDS=VD50%/VPTV). Planned dose distributions were compared to those measured using an ArcCheck phantom. Delivery accuracy was evaluated using a gamma-index pass rate of 95% with 3% (of max dose) and 3mm criteria. Results: Treatment plans for all patients were clinically acceptable in terms of quality and accuracy of dose delivery. The following DVH metrics are reported as averages (SD) of all plans investigated: mean PTV dose was 115.3(2.4)% of prescription, V100% was 98.8(0.9)%, CI was 1.14(0.03) and LDS was 5.02(0.37). The plans had an average gamma-index passing rate of 99.3(1.3)%. Conclusion: The results reported in this study for HT agree within 1 SD to those previously published by our group for VMAT FF and FFF lung SBRT treatments. This suggests that HT delivers lung SBRT treatments of comparable quality and delivery accuracy as VMAT using both FF and FFF beams.« less
NASA Astrophysics Data System (ADS)
Waghorn, Ben J.; Shah, Amish P.; Ngwa, Wilfred; Meeks, Sanford L.; Moore, Joseph A.; Siebers, Jeffrey V.; Langen, Katja M.
2010-07-01
Intra-fraction organ motion during intensity-modulated radiation therapy (IMRT) treatment can cause differences between the planned and the delivered dose distribution. To investigate the extent of these dosimetric changes, a computational model was developed and validated. The computational method allows for calculation of the rigid motion perturbed three-dimensional dose distribution in the CT volume and therefore a dose volume histogram-based assessment of the dosimetric impact of intra-fraction motion on a rigidly moving body. The method was developed and validated for both step-and-shoot IMRT and solid compensator IMRT treatment plans. For each segment (or beam), fluence maps were exported from the treatment planning system. Fluence maps were shifted according to the target position deduced from a motion track. These shifted, motion-encoded fluence maps were then re-imported into the treatment planning system and were used to calculate the motion-encoded dose distribution. To validate the accuracy of the motion-encoded dose distribution the treatment plan was delivered to a moving cylindrical phantom using a programmed four-dimensional motion phantom. Extended dose response (EDR-2) film was used to measure a planar dose distribution for comparison with the calculated motion-encoded distribution using a gamma index analysis (3% dose difference, 3 mm distance-to-agreement). A series of motion tracks incorporating both inter-beam step-function shifts and continuous sinusoidal motion were tested. The method was shown to accurately predict the film's dose distribution for all of the tested motion tracks, both for the step-and-shoot IMRT and compensator plans. The average gamma analysis pass rate for the measured dose distribution with respect to the calculated motion-encoded distribution was 98.3 ± 0.7%. For static delivery the average film-to-calculation pass rate was 98.7 ± 0.2%. In summary, a computational technique has been developed to calculate the dosimetric effect of intra-fraction motion. This technique has the potential to evaluate a given plan's sensitivity to anticipated organ motion. With knowledge of the organ's motion it can also be used as a tool to assess the impact of measured intra-fraction motion after dose delivery.
MO-A-BRD-05: Evaluation of Composed Lung Ventilation with 4DCT and Image Registration
DOE Office of Scientific and Technical Information (OSTI.GOV)
Du, K; Bayouth, J; Reinhardt, J
Purpose: Regional pulmonary function can be derived using fourdimensional computed tomography (4DCT) combined with deformable image registration. However, only peak inhale and exhale phases have been used thus far while the lung ventilation during intermediate phases is not considered. In our previous work, we have investigated the spatiotemporal heterogeneity of lung ventilation and its dependence on respiration effort. In this study, composed ventilation is introduced using all inspiration phases and compared to direct ventilation. Both methods are evaluated against Xe-CT derived ventilation. Methods: Using an in-house tissue volume preserving deformable image registration, unlike the direct ventilation method, which computes frommore » end expiration to end inspiration, Jacobian ventilation maps were computed from one inhale phase to the next and then composed from all inspiration steps. The two methods were compared in both patients prior to RT and mechanically ventilated sheep subjects. In addition, they wereassessed for the correlation with Xe-CT derived ventilation in sheep subjects. Annotated lung landmarks were used to evaluate the accuracy of original and composed deformation field. Results: After registration, the landmark distance for composed deformation field was always higher than that for direct deformation field (0IN to 100IN average in human: 1.03 vs 1.53, p=0.001, and in sheep: 0.80 vs0.94, p=0.009), and both increased with longer phase interval. Direct and composed ventilation maps were similar in both sheep (gamma pass rate 87.6) and human subjects (gamma pass rate 71.9),and showed consistent pattern from ventral to dorsal when compared to Xe-CT derived ventilation. Correlation coefficient between Xe-CT and composed ventilation was slightly better than the direct method but not significant (average 0.89 vs 0.85, p=0.135). Conclusion: More strict breathing control in sheep subjects may explain higher similarity between direct and composed ventilation. When compared to Xe-CT ventilation, no significant difference was found for the composed method. NIH Grant: R01 CA166703.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Choi, Y; Cho, B; Kwak, J
2014-06-01
Purpose: We implemented the Gafchromic film-based patient specific QA of volumetric modulated arc therapy (VMAT) with flattening-filter free (FFF) beams for spine metastases and validated the accuracy of fast arc delivery. Methods: EBT3 films and a homemade cylindrical QA phantom were employed for dosimetric verification of VMATs. For 14 FFF VMAT plans (10 with 10-MV FFF beams and 4 with 6-MV FFF beams), the doses were recalculated on the phantom and delivered by a TrueBeam STx accelerator equipped with a high-definition 120 leaf MLC. The EBT3 films were scanned using an Epson 10000XL scanner through the FilmQA Pro software. Allmore » the irradiated film images were converted to dose map using a calibration response curve. The resulting dose map of film measurement was compared with treatment plan and evaluated using gamma analysis with dose tolerance of 2% within 2 mm. In addition, the point-dose measurement in the phantom using an ion chamber was evaluated as a reference in a ratio of measured and planned doses. Results: The gamma pass rates averaged over all FFF plans for composite-field measurements were 96.0 ± 3.6% (88.9%–99.5%). When adopting a tolerance level of 3% - 3 mm, the gamma pass rates were improved with the ranges from 98% to 100%. In addition, dose profiles and dose distributions showed that spinal cord was protected by the rapid dose fall-off and by delivering the treatment with high precision. In point-dose measurements, the average differences between the measured and planned doses were 0.5% ± 1.0% of the prescription dose. Conclusion: We demonstrated that Gafchromic EBT3 film would be an effective patient-specific QA tool, especially for VMAT of spine SBRT with treatment of small fields and highly gradient dose distributions. The results of film QA verified that the dosimetric accuracy of spine SBRT utilizing RapidArc with FFF beams in our institution is reliable.« less
Scarola, Kenneth; Jamison, David S.; Manazir, Richard M.; Rescorl, Robert L.; Harmon, Daryl L.
1998-01-01
A method for generating a validated measurement of a process parameter at a point in time by using a plurality of individual sensor inputs from a scan of said sensors at said point in time. The sensor inputs from said scan are stored and a first validation pass is initiated by computing an initial average of all stored sensor inputs. Each sensor input is deviation checked by comparing each input including a preset tolerance against the initial average input. If the first deviation check is unsatisfactory, the sensor which produced the unsatisfactory input is flagged as suspect. It is then determined whether at least two of the inputs have not been flagged as suspect and are therefore considered good inputs. If two or more inputs are good, a second validation pass is initiated by computing a second average of all the good sensor inputs, and deviation checking the good inputs by comparing each good input including a present tolerance against the second average. If the second deviation check is satisfactory, the second average is displayed as the validated measurement and the suspect sensor as flagged as bad. A validation fault occurs if at least two inputs are not considered good, or if the second deviation check is not satisfactory. In the latter situation the inputs from each of all the sensors are compared against the last validated measurement and the value from the sensor input that deviates the least from the last valid measurement is displayed.
Code of Federal Regulations, 2010 CFR
2010-07-01
... Director of the National Park Service, who will likewise supervise the marking of examination papers and the rating of applicants. (d) The names of applicants who successfully pass the examination will be...) , having successfully passed the examination prescribed for license, is hereby licensed to offer his...
76 FR 9349 - Jim Woodruff Project
Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-17
... month. Southeastern would compute its purchased power obligation for each delivery point monthly... rates to include a pass-through of purchased power expenses. The capacity and energy charges to preference customers can be reduced because purchased power expenses will be recovered in a separate, pass...
Determination of MLC model parameters for Monaco using commercial diode arrays.
Kinsella, Paul; Shields, Laura; McCavana, Patrick; McClean, Brendan; Langan, Brian
2016-07-08
Multileaf collimators (MLCs) need to be characterized accurately in treatment planning systems to facilitate accurate intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT). The aim of this study was to examine the use of MapCHECK 2 and ArcCHECK diode arrays for optimizing MLC parameters in Monaco X-ray voxel Monte Carlo (XVMC) dose calculation algorithm. A series of radiation test beams designed to evaluate MLC model parameters were delivered to MapCHECK 2, ArcCHECK, and EBT3 Gafchromic film for comparison. Initial comparison of the calculated and ArcCHECK-measured dose distributions revealed it was unclear how to change the MLC parameters to gain agreement. This ambiguity arose due to an insufficient sampling of the test field dose distributions and unexpected discrepancies in the open parts of some test fields. Consequently, the XVMC MLC parameters were optimized based on MapCHECK 2 measurements. Gafchromic EBT3 film was used to verify the accuracy of MapCHECK 2 measured dose distributions. It was found that adjustment of the MLC parameters from their default values resulted in improved global gamma analysis pass rates for MapCHECK 2 measurements versus calculated dose. The lowest pass rate of any MLC-modulated test beam improved from 68.5% to 93.5% with 3% and 2 mm gamma criteria. Given the close agreement of the optimized model to both MapCHECK 2 and film, the optimized model was used as a benchmark to highlight the relatively large discrepancies in some of the test field dose distributions found with ArcCHECK. Comparison between the optimized model-calculated dose and ArcCHECK-measured dose resulted in global gamma pass rates which ranged from 70.0%-97.9% for gamma criteria of 3% and 2 mm. The simple square fields yielded high pass rates. The lower gamma pass rates were attributed to the ArcCHECK overestimating the dose in-field for the rectangular test fields whose long axis was parallel to the long axis of the ArcCHECK. Considering ArcCHECK measurement issues and the lower gamma pass rates for the MLC-modulated test beams, it was concluded that MapCHECK 2 was a more suitable detector than ArcCHECK for the optimization process. © 2016 The Authors
Continuous Passive Sampling of Solutes from Agricultural Subsurface Drainage Tubes
NASA Astrophysics Data System (ADS)
Lindblad Vendelboe, Anders; de Jonge, Hubert; Rozemeijer, Joachim; Wollesen de Jonge, Lis
2015-04-01
Agricultural subsurface tube drain systems play an important role in water and solute transport. One study, focusing on lowland agricultural catchments, showed that subsurface tube drainage contributed up to 80% of the annual discharge and 90% of the annual NO3 load from agricultural fields to the receiving water bodies. Knowledge of e.g. nutrient loads and drainage volumes, based on measurements and modelling, are important for adequate water quality management. Despite the importance of tube drain transport of solutes, monitoring data are scarce. This scarcity is a result of the existing monitoring techniques for flow and contaminant load from tube drains being expensive and labor-extensive. The study presented here aimed at developing a cheap, simple, and robust method to monitor solute loads from tube drains. The method is based on the newly developed Flowcap, which can be attached to existing tube drain outlets and can measure total flow, contaminant load and flow-averaged concentrations of solutes in the drainage. The Flowcap builds on the existing Sorbicell principle, a passive sampling system that measures average concentrations over longer periods of time (days to months) for various compounds. The Sorbicell consists of two compartments permeable to water. One compartment contains an adsorbent and one contains a tracer. When water passes through the Sorbicell the compound of interest is absorbed while a tracer is released. Using the tracer loss to calculate the volume of water that has passed the Sorbicell it is possible to calculate the average concentration of the compound. When mounting Sorbicells in the Flowcap, a flow-proportional part of the drainage is sampled from the main stream. To accommodate the wide range of drainage flow rates two Flowcaps with different capacities were tested in the laboratory: one with a capacity of 25 L min-1 (Q25) and one with a capacity of 256 L min-1 (Q256). In addition, Sorbicells with two different hydraulic resistances were tested, again to accommodate a large range of potential drainage flows rates. The experiment was continued until the Sorbicell's capacity was exhausted, which gave experimentation times from 6 to 34 days, while continuously changing the drainage flow rate to simulate field drainage conditions, and to test the range of the Flowcap. The laboratory testing yielded a very good linear correlation between drainage flow rates and Sorbicell sampling rates, giving r = 0.99 for both the Q25 and the Q256 Flowcap. The Sorbicells in this experiment were designed to measure NO3, but the Flowcap can be used with any Sorbicell and thus be used to measure any compound of interest. The Flowcap does not need housing, electricity, or maintenance and continuously register drainage volumes and contaminant loads for periods up to one month. This, in addition to the low cost of the monitoring system, enables large-scale monitoring of contaminant loads via tube drains, giving valuable data for the improvement of contaminant transport models. Further, these data will help select and evaluate the different mitigation option to improve water quality.
NASA Astrophysics Data System (ADS)
Atiq, Maria; Atiq, Atia; Iqbal, Khalid; Shamsi, Quratul ain; Andleeb, Farah; Buzdar, Saeed Ahmad
2017-12-01
Objective: The Gamma Index is prerequisite to estimate point-by-point difference between measured and calculated dose distribution in terms of both Distance to Agreement (DTA) and Dose Difference (DD). This study aims to inquire what percentage of pixels passing a certain criteria assure a good quality plan and suggest gamma index as efficient mechanism for dose verification of Simultaneous Integrated Boost Intensity Modulated Radiotherapy plans. Method: In this study, dose was calculated for 14 head and neck patients and IMRT Quality Assurance was performed with portal dosimetry using the Eclipse treatment planning system. Eclipse software has a Gamma analysis function to compare measured and calculated dose distribution. Plans of this study were deemed acceptable when passing rate was 95% using tolerance for Distance to agreement (DTA) as 3mm and Dose Difference (DD) as 5%. Result and Conclusion: Thirteen cases pass tolerance criteria of 95% set by our institution. Confidence Limit for DD is 9.3% and for gamma criteria our local CL came out to be 2.0% (i.e., 98.0% passing). Lack of correlation was found between DD and γ passing rate with R2 of 0.0509. Our findings underline the importance of gamma analysis method to predict the quality of dose calculation. Passing rate of 95% is achieved in 93% of cases which is adequate level of accuracy for analyzed plans thus assuring the robustness of SIB IMRT treatment technique. This study can be extended to investigate gamma criteria of 5%/3mm for different tumor localities and to explore confidence limit on target volumes of small extent and simple geometry.
Dye laser amplifier including a low turbulence, stagnation-free dye flow configuration
Davin, J.
1992-12-01
A large (high flow rate) dye laser amplifier in which a continuous replenished supply of dye is excited by a first light beam, specifically a copper vapor laser beam, in order to amplify the intensity of a second different light beam, specifically a dye beam, passing through the dye is disclosed herein. This amplifier includes a dye cell defining a dye chamber through which a continuous stream of dye is caused to pass at a flow rate of for example 30 gallons/minute, a specifically designed support vessel for containing the dye cell and a screen device for insuring that the dye stream passes into the dye cell in a substantially turbulent free, stagnation-free manner. 9 figs.
Stability of the Martian atmosphere: Is heterogeneous catalysis essential?
NASA Technical Reports Server (NTRS)
Atreya, Sushil K.; Gu, Zhen Gang
1994-01-01
A comprehensive homogeneous gas phase photochemical model is developed to study the problem of stability of the Martian atmosphere. The one-dimensional model extends from the ground up to 220 km, passing through the homopause at 125 km. The model thus couples the lower (neutral) atmosphere to the ionosphere above which provides significant downward flux of carbon monoxide and oxygen atoms. It is concluded on the basic of currently accepted values for globally and seasonally averaged water vapor abundance, dust opacity and the middle atmospheric eddy mixing coefficient, as well as the relevant laboratory data (particularly the temperature dependence of CO2 absorption cross section and the rate constant for CO+OH reaction), that the rate of re-formation of carbon dioxide exceeds its photolytic destruction rate by about 40%. Furthermore, it is found that this result is virtually independent of the choice of eddy mixing coefficient, unless its value in the middle atmosphere exceeds 10(exp 8) sq cm/sec or is far smaller than 10(exp 5)sq cm/sec, or the dust opacity, unless it exceeds unity, or the water vapor mixing ratio at the surface, unless it is far smaller (less than or = 1 ppm) or far greater (greater than or = 500 ppm) than the average value (approximately 150 ppm). Since none of these extremes represent globally and seasonally averaged conditions on Mars, we propose that the present model requires existence of a mechanism to throttle down the recycling rate of carbon dioxide on Mars. Therefore, it is suggested that a heterogeneous process which provides a sink to the species that participate in the recycling of CO2, i.e., H2O, H2O2, OH, CO or O, in particular, may be necessary to bring about the balance between the CO2 recycling rate and its photolytic destruction rate. Aerosols of dust or ice (pure or doped water or carbon dioxide ice present in the atmosphere of Mars) can provide the appropriate adsorption sites for the above heterogeneous process. Despite our conclusion that some heterogeneous process may be needed, it is important to recognize that one-dimensional models can only provide first-order results which, most likely, represent globally and seasonally averaged conditions. However, it is only after actual temporal, latitudinal and longitudinal variations of relevant atmospheric parameters are included in the model that one can determine fuly whether the problem of atmospheric stabiltiy still continues to persist and whether some heterogeneous process is required to correct it.
Liu, Xiaochuan; Freitas, Jaime; Zheng, Dinghai; Oliveira, Marta S; Hoque, Mainul; Martins, Torcato; Henriques, Telmo; Tian, Bin; Moreira, Alexandra
2017-12-01
Alternative polyadenylation (APA) is a mechanism that generates multiple mRNA isoforms with different 3'UTRs and/or coding sequences from a single gene. Here, using 3' region extraction and deep sequencing (3'READS), we have systematically mapped cleavage and polyadenylation sites (PASs) in Drosophila melanogaster , expanding the total repertoire of PASs previously identified for the species, especially those located in A-rich genomic sequences. Cis -element analysis revealed distinct sequence motifs around fly PASs when compared to mammalian ones, including the greater enrichment of upstream UAUA elements and the less prominent presence of downstream UGUG elements. We found that over 75% of mRNA genes in Drosophila melanogaster undergo APA. The head tissue tends to use distal PASs when compared to the body, leading to preferential expression of APA isoforms with long 3'UTRs as well as with distal terminal exons. The distance between the APA sites and intron location of PAS are important parameters for APA difference between body and head, suggesting distinct PAS selection contexts. APA analysis of the RpII215 C4 mutant strain, which harbors a mutant RNA polymerase II (RNAPII) with a slower elongation rate, revealed that a 50% decrease in transcriptional elongation rate leads to a mild trend of more usage of proximal, weaker PASs, both in 3'UTRs and in introns, consistent with the "first come, first served" model of APA regulation. However, this trend was not observed in the head, suggesting a different regulatory context in neuronal cells. Together, our data expand the PAS collection for Drosophila melanogaster and reveal a tissue-specific effect of APA regulation by RNAPII elongation rate. © 2017 Liu et al.; Published by Cold Spring Harbor Laboratory Press for the RNA Society.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lu, SH; Tsai, YC; Lan, HT
2016-06-15
Purpose: Intensity-modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT) have been widely investigated for use in radiotherapy and found to have a highly conformal dose distribution. Delta{sup 4} is a novel cylindrical phantom consisting of 1069 p-type diodes with true treatments measured in the 3D target volume. The goal of this study was to compare the performance of a Delta{sup 4} diode array for IMRT and VMAT planning with ion chamber and MapCHECK2. Methods: Fifty-four IMRT (n=9) and VMAT (n=45) plans were imported to Philips Pinnacle Planning System 9.2 for recalculation with a solid water phantom, MapCHECK2, and themore » Delta4 phantom. To evaluate the difference between the measured and calculated dose, we used MapCHECK2 and Delta{sup 4} for a dose-map comparison and an ion chamber (PTW 31010 Semiflex 0.125 cc) for a point-dose comparison. Results: All 54 plans met the criteria of <3% difference for the point dose (at least two points) by ion chamber. The mean difference was 0.784% with a standard deviation of 1.962%. With a criteria of 3 mm/3% in a gamma analysis, the average passing rates were 96.86%±2.19% and 98.42%±1.97% for MapCHECK2 and Delta{sup 4}, respectively. The student t-test of MapCHECK2/Delta{sup 4}, ion chamber/Delta{sup 4}, and ion chamber/MapCHECK2 were 0.0008, 0.2944, and 0.0002, respectively. There was no significant difference in passing rates between MapCHECK2 and Delta{sup 4} for the IMRT plan (p = 0.25). However, a higher pass rate was observed in Delta{sup 4} (98.36%) as compared to MapCHECK2 (96.64%, p < 0.0001) for the VMAT plan. Conclusion: The Pinnacle planning system can accurately calculate doses for VMAT and IMRT plans. The Delta{sup 4} shows a similar result when compared to ion chamber and MapCHECK2, and is an efficient tool for patient-specific quality assurance, especially for rotation therapy.« less
NASA Astrophysics Data System (ADS)
Lee, Eun Seok
2000-10-01
An improved aerodynamics performance of a turbine cascade shape can be achieved by an understanding of the flow-field associated with the stator-rotor interaction. In this research, an axial gas turbine airfoil cascade shape is optimized for improved aerodynamic performance by using an unsteady Navier-Stokes solver and a parallel genetic algorithm. The objective of the research is twofold: (1) to develop a computational fluid dynamics code having faster convergence rate and unsteady flow simulation capabilities, and (2) to optimize a turbine airfoil cascade shape with unsteady passing wakes for improved aerodynamic performance. The computer code solves the Reynolds averaged Navier-Stokes equations. It is based on the explicit, finite difference, Runge-Kutta time marching scheme and the Diagonalized Alternating Direction Implicit (DADI) scheme, with the Baldwin-Lomax algebraic and k-epsilon turbulence modeling. Improvements in the code focused on the cascade shape design capability, convergence acceleration and unsteady formulation. First, the inverse shape design method was implemented in the code to provide the design capability, where a surface transpiration concept was employed as an inverse technique to modify the geometry satisfying the user specified pressure distribution on the airfoil surface. Second, an approximation storage multigrid method was implemented as an acceleration technique. Third, the preconditioning method was adopted to speed up the convergence rate in solving the low Mach number flows. Finally, the implicit dual time stepping method was incorporated in order to simulate the unsteady flow-fields. For the unsteady code validation, the Stokes's 2nd problem and the Poiseuille flow were chosen and compared with the computed results and analytic solutions. To test the code's ability to capture the natural unsteady flow phenomena, vortex shedding past a cylinder and the shock oscillation over a bicircular airfoil were simulated and compared with experiments and other research results. The rotor cascade shape optimization with unsteady passing wakes was performed to obtain an improved aerodynamic performance using the unsteady Navier-Stokes solver. Two objective functions were defined as minimization of total pressure loss and maximization of lift, while the mass flow rate was fixed. A parallel genetic algorithm was used as an optimizer and the penalty method was introduced. Each individual's objective function was computed simultaneously by using a 32 processor distributed memory computer. One optimization took about four days.
TU-FG-201-06: Remote Dosimetric Auditing for Clinical Trials Using EPID Dosimetry: A Pilot Study
DOE Office of Scientific and Technical Information (OSTI.GOV)
Miri, N; Legge, K; Greer, P
2016-06-15
Purpose: To perform a pilot study for remote dosimetric credentialing of intensity modulated radiation therapy (IMRT) based clinical trials. The study introduces a novel, time efficient and inexpensive dosimetry audit method for multi-center credentialing. The method employs electronic portal imaging device (EPID) to reconstruct delivered dose inside a virtual flat/cylindrical water phantom. Methods: Five centers, including different accelerator types and treatment planning systems (TPS), were asked to download two CT data sets of a Head and Neck (H&N) and Postprostatectomy (P-P) patients to produce benchmark plans. These were then transferred to virtual flat and cylindrical phantom data sets that weremore » also provided. In-air EPID images of the plans were then acquired, and the data sent to the central site for analysis. At the central site, these were converted to DICOM format, all images were used to reconstruct 2D and 3D dose distributions inside respectively the flat and cylindrical phantoms using inhouse EPID to dose conversion software. 2D dose was calculated for individual fields and 3D dose for the combined fields. The results were compared to corresponding TPS doses. Three gamma criteria were used, 3%3mm-3%/2mm–2%/2mm with a 10% dose threshold, to compare the calculated and prescribed dose. Results: All centers had a high pass rate for the criteria of 3%/3 mm. For 2D dose, the average of centers mean pass rate was 99.6% (SD: 0.3%) and 99.8% (SD: 0.3%) for respectively H&N and PP patients. For 3D dose, 3D gamma was used to compare the model dose with TPS combined dose. The mean pass rate was 97.7% (SD: 2.8%) and 98.3% (SD: 1.6%). Conclusion: Successful performance of the method for the pilot centers establishes the method for dosimetric multi-center credentialing. The results are promising and show a high level of gamma agreement and, the procedure is efficient, consistent and inexpensive. Funding has been provided from Department of Radiation Oncology, TROG Cancer Research and the University of Newcastle. Narges Miri is a recipient of a University of Newcastle postgraduate scholarship.« less
Investigation of distributor vane jets to decrease the unsteady load on hydro turbine runner blades
NASA Astrophysics Data System (ADS)
Lewis, B. J.; Cimbala, J. M.; Wouden, A. M.
2012-11-01
As the runner blades of a Francis hydroturbine pass though the wakes created from the wicket gates, they experience a significant change in absolute velocity, flow angle, and pressure. The concept of adding jets to the trailing edge of the wicket gates is proposed as a method for reducing the dynamic load on the hydroturbine runner blades. Computational experiments show a decrease in velocity variation experienced by the runner blade with the addition of the jets. The decrease in velocity variation resulted in a 43% decrease in global torque variation at the runner passing frequency. However, an increased variation was observed at the wicket gate passing frequency. Also, a 5.7% increase in average global torque was observed with the addition of blowing from the trailing-edge of the wicket gates.
Colchero, M Arantxa; Zavala, J Alejandro; Batis, Carolina; Shamah-Levy, Teresa; Rivera-Dommarco, Juan A
2017-01-01
To estimate changes in prices associated with the implementation of the tax to sugar sweetened beverages (SSB) and to nonessential energy dense food in 2014. Price data were collected in rural and semi-rural areas in December 2013, and April and December 2014. Fixed effects models were used to estimate changes in prices of beverages and nonessential energy dense food, stratified by region, retailer and package size. The SSB tax did not pass completely through prices: prices increased on average 0.73 pesos per liter. For nonessential energy dense food, the tax passed completely or was overshifted for cookies, cereal bars and cereal boxes. The potential effect of the taxes on consumption could be attenuated in rural areas as the pass through prices was incomplete.
Eisenlohr-Moul, Tory A.; Girdler, Susan S.; Schmalenberger, Katja M.; Dawson, Danyelle N.; Surana, Pallavi; Johnson, Jacqueline L.; Rubinow, David R.
2016-01-01
Objective Despite evidence for the validity of premenstrual dysphoric disorder (PMDD) and its recent inclusion in DSM-5, variable diagnostic practices compromise the construct validity of the diagnosis and threaten the clarity of efforts to understand and treat its underlying pathophysiology. In an effort to hasten and streamline the translation of the new DSM-5 criteria for PMDD into terms compatible with existing research practices, we present the development and initial validation of the Carolina Premenstrual Assessment Scoring System (C-PASS). The C-PASS is a standardized scoring system for making DSM-5 PMDD diagnoses using 2 or more menstrual cycles of daily symptom ratings using the Daily Record of Severity of Problems (DRSP). Method Two hundred women recruited for retrospectively-reported premenstrual emotional symptoms provided 2–4 menstrual cycles of daily symptom ratings on the DRSP. Diagnoses were made by expert clinician and the C-PASS. Results Agreement of C-PASS diagnosis with expert clinical diagnosis was excellent; overall correct classification by the C-PASS was estimated at 98%. Consistent with previous evidence, retrospective reports of premenstrual symptom increases were a poor predictor of prospective C-PASS diagnosis. Conclusions The C-PASS (available as a worksheet, Excel macro, and SAS macro) is a reliable and valid companion protocol to the DRSP that standardizes and streamlines the complex, multilevel diagnosis of DSM-5 PMDD. Consistent use of this robust diagnostic method would result in more clearly-defined, homogeneous samples of women with PMDD, thereby improving the clarity of studies seeking to characterize or treat the underlying pathophysiology of the disorder. PMID:27523500
Effects of diluting medium and holding time on sperm motility analysis by CASA in ram.
Mostafapor, Somayeh; Farrokhi Ardebili, Farhad
2014-01-01
The aim of this study was to evaluate the effects of dilution rate and holding time on various motility parameters using computer-assisted sperm analysis (CASA). The semen samples were collected from three Ghezel rams. Samples were diluted in seminal plasma (SP), phosphate-buffered saline (PBS) containing 1% bovine serum albumin (BSA) and Bioexcell. The motility parameters that computed and recorded by CASA include curvilinear velocity (VCL), straight line velocity (VSL), average path velocity (VAP), straightness (STR), linearity (LIN), amplitude of lateral head displacement (ALH), and beat cross frequency (BCF). In all diluters, there was a decrease in the average of all three parameters of sperms movement velocity as the time passed, but density of this decrease was more intensive in SP. The average of ALH between diluters indicated a significant difference, as it was more in Bioexcell in comparison with the similar amount in SP and PBS. The average of LIN in the diluted sperms in Bioexcell was less than two other diluters in all three times. The motility parameters of the diluted sperms in Bioexcell and PBS indicated an important and considerable difference with the diluted sperms in SP. According to the gained results, the Bioexcell has greater ability in preserving motility of sperm in comparison with the other diluters but as SP is considered as physiological environment for sperm. It seems that the evaluation of the motility parameters in Bioexcell and PBS cannot be an accurate and comparable evaluation with SP.
Greenwood, Charles R.; Hops, Hyman; Walker, Hill M.; Guild, Jacqueline J.; Stokes, Judith; Young, K. Richard; Keleman, Kenneth S.; Willardson, Marlyn
1979-01-01
A comprehensive validation study was conducted of the Program for Academic Survival Skills (PASS), a consultant-based, teacher-mediated program for student classroom behavior. The study addressed questions related to: (a) brief consultant training, (b) subsequent teacher training by consultants using PASS manuals, (c) contrasts between PASS experimental teachers and students and equivalent controls on measures of teacher management skills, student classroom behavior, teacher ratings of student problem behaviors, and academic achievement, (d) reported satisfaction of participants, and (e) replication of effects across two separate school sites. Results indicated that in both sites significant effects were noted in favor of the PASS experimental group for (a) teacher approval, (b) student appropriate classroom behavior, and (c) four categories of student inappropriate behavior. Program satisfaction ratings of students, teachers, and consultants were uniformly positive, and continued use of the program was reported a year later. Discussion focused upon issues of cost-effectiveness, differential site effects, and the relationship between appropriate classroom behavior and academic achievement. PMID:16795604
Blocking Mechanism Study of Self-Compacting Concrete Based on Discrete Element Method
NASA Astrophysics Data System (ADS)
Zhang, Xuan; Li, Zhida; Zhang, Zhihua
2017-11-01
In order to study the influence factors of blocking mechanism of Self-Compaction Concrete (SCC), Roussel’s granular blocking model was verified and extended by establishing the discrete element model of SCC. The influence of different parameters on the filling capacity and blocking mechanism of SCC were also investigated. The results showed that: it was feasible to simulate the blocking mechanism of SCC by using Discrete Element Method (DEM). The passing ability of pebble aggregate was superior to the gravel aggregate and the passing ability of hexahedron particles was bigger than tetrahedron particles, while the tetrahedron particle simulation results were closer to the actual situation. The flow of SCC as another significant factor affected the passing ability that with the flow increased, the passing ability increased. The correction coefficient λ of the steel arrangement (channel section shape) and flow rate γ in the block model were introduced that the value of λ was 0.90-0.95 and the maximum casting rate was 7.8 L/min.
Greenwood, C R; Hops, H; Walker, H M; Guild, J J; Stokes, J; Young, K R; Keleman, K S; Willardson, M
1979-01-01
A comprehensive validation study was conducted of the Program for Academic Survival Skills (PASS), a consultant-based, teacher-mediated program for student classroom behavior. The study addressed questions related to: (a) brief consultant training, (b) subsequent teacher training by consultants using PASS manuals, (c) contrasts between PASS experimental teachers and students and equivalent controls on measures of teacher management skills, student classroom behavior, teacher ratings of student problem behaviors, and academic achievement, (d) reported satisfaction of participants, and (e) replication of effects across two separate school sites. Results indicated that in both sites significant effects were noted in favor of the PASS experimental group for (a) teacher approval, (b) student appropriate classroom behavior, and (c) four categories of student inappropriate behavior. Program satisfaction ratings of students, teachers, and consultants were uniformly positive, and continued use of the program was reported a year later. Discussion focused upon issues of cost-effectiveness, differential site effects, and the relationship between appropriate classroom behavior and academic achievement.
Effect of rib angle on local heat/mass transfer distribution in a two-pass rib-roughened channel
NASA Technical Reports Server (NTRS)
Chandra, P. R.; Han, J. C.; Lau, S. C.
1987-01-01
The naphthalene sublimation technique is used to investigate the heat transfer characteristics of turbulent air flow in a two-pass channel. A test section that resembles the internal cooling passages of gas turbine airfoils is employed. The local Sherwood numbers on the ribbed walls were found to be 1.5-6.5 times those for a fully developed flow in a smooth square duct. Depending on the rib angle-of-attack and the Reynolds number, the average ribbed-wall Sherwood numbers were 2.5-3.5 times higher than the fully developed values.
High energy, high average power solid state green or UV laser
Hackel, Lloyd A.; Norton, Mary; Dane, C. Brent
2004-03-02
A system for producing a green or UV output beam for illuminating a large area with relatively high beam fluence. A Nd:glass laser produces a near-infrared output by means of an oscillator that generates a high quality but low power output and then multi-pass through and amplification in a zig-zag slab amplifier and wavefront correction in a phase conjugator at the midway point of the multi-pass amplification. The green or UV output is generated by means of conversion crystals that follow final propagation through the zig-zag slab amplifier.
NASA Astrophysics Data System (ADS)
Srivastava, Manu; Rathee, Sandeep; Maheshwari, Sachin; Siddiquee, Arshad Noor
2018-06-01
Friction stir processing (FSP) is a relatively newly developed solid-state process involving surface modifications for fabricating metal matrix surface composites. Obtaining metal matrix nano-composites with uniform dispersion of reinforcement particles via FSP route is an intricate task to accomplish. In this work, AA5059/SiC nano surface composites (SCs) were developed. Effect of multiple FSP passes and SiC addition on microstructure and mechanical properties of fabricated SCs during underwater condition was investigated. Results reflected that the average microhardness value of base metal (BM) increases from 85 Hv to 159 Hv in stir zone of four pass underwater friction stir processed (FSPed) SC. Highest ultimate tensile strength (UTS) achieved during four pass FSPed sample was 377 MPa that is higher than UTS of BM (321 MPa) and four pass FSPed sample developed at ambient air FSP conditions (347 MPa). An appreciably narrower heat affected zone is obtained owing to fast cooling and reduced heat conduction during underwater FSP, amounting to higher UTS as compared to BM and SC at ambient conditions. Thus, it can be concluded that surrounding medium and number of FSP passes have significant impact on mechanical properties of fabricated SCs. Analysis of microstructures and distribution of SiC particles in fabricated SCs were studied by optical microscope and FESEM respectively and found in good corroboration with the mechanical properties.
JPEG 2000 Encoding with Perceptual Distortion Control
NASA Technical Reports Server (NTRS)
Watson, Andrew B.; Liu, Zhen; Karam, Lina J.
2008-01-01
An alternative approach has been devised for encoding image data in compliance with JPEG 2000, the most recent still-image data-compression standard of the Joint Photographic Experts Group. Heretofore, JPEG 2000 encoding has been implemented by several related schemes classified as rate-based distortion-minimization encoding. In each of these schemes, the end user specifies a desired bit rate and the encoding algorithm strives to attain that rate while minimizing a mean squared error (MSE). While rate-based distortion minimization is appropriate for transmitting data over a limited-bandwidth channel, it is not the best approach for applications in which the perceptual quality of reconstructed images is a major consideration. A better approach for such applications is the present alternative one, denoted perceptual distortion control, in which the encoding algorithm strives to compress data to the lowest bit rate that yields at least a specified level of perceptual image quality. Some additional background information on JPEG 2000 is prerequisite to a meaningful summary of JPEG encoding with perceptual distortion control. The JPEG 2000 encoding process includes two subprocesses known as tier-1 and tier-2 coding. In order to minimize the MSE for the desired bit rate, a rate-distortion- optimization subprocess is introduced between the tier-1 and tier-2 subprocesses. In tier-1 coding, each coding block is independently bit-plane coded from the most-significant-bit (MSB) plane to the least-significant-bit (LSB) plane, using three coding passes (except for the MSB plane, which is coded using only one "clean up" coding pass). For M bit planes, this subprocess involves a total number of (3M - 2) coding passes. An embedded bit stream is then generated for each coding block. Information on the reduction in distortion and the increase in the bit rate associated with each coding pass is collected. This information is then used in a rate-control procedure to determine the contribution of each coding block to the output compressed bit stream.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Iwahana, Go; Uchida, Masao; Liu, Lin
Thermokarst is the process of ground subsidence caused by either the thawing of ice-rich permafrost or the melting of massive ground ice. The consequences of permafrost degradation associated with thermokarst for surface ecology, landscape evolution, and hydrological processes have been of great scientific interest and social concern. Part of a tundra patch affected by wildfire in northern Alaska (27.5 km 2) was investigated here, using remote sensing and in situ surveys to quantify and understand permafrost thaw dynamics after surface disturbances. A two-pass differential InSAR technique using L-band ALOS-PALSAR has been shown capable of capturing thermokarst subsidence triggered by amore » tundra fire at a spatial resolution of tens of meters, with supporting evidence from field data and optical satellite images. We have introduced a calibration procedure, comparing burned and unburned areas for InSAR subsidence signals, to remove the noise due to seasonal surface movement. In the first year after the fire, an average subsidence rate of 6.2 cm/year (vertical) was measured. Subsidence in the burned area continued over the following two years, with decreased rates. The mean rate of subsidence observed in our interferograms (from 24 July 2008 to 14 September 2010) was 3.3 cm/year, a value comparable to that estimated from field surveys at two plots on average (2.2 cm/year) for the six years after the fire. These results suggest that this InSAR-measured ground subsidence is caused by the development of thermokarst, a thawing process supported by surface change observations from high-resolution optical images and in situ ground level surveys.« less
Deep nets vs expert designed features in medical physics: An IMRT QA case study.
Interian, Yannet; Rideout, Vincent; Kearney, Vasant P; Gennatas, Efstathios; Morin, Olivier; Cheung, Joey; Solberg, Timothy; Valdes, Gilmer
2018-03-30
The purpose of this study was to compare the performance of Deep Neural Networks against a technique designed by domain experts in the prediction of gamma passing rates for Intensity Modulated Radiation Therapy Quality Assurance (IMRT QA). A total of 498 IMRT plans across all treatment sites were planned in Eclipse version 11 and delivered using a dynamic sliding window technique on Clinac iX or TrueBeam Linacs. Measurements were performed using a commercial 2D diode array, and passing rates for 3%/3 mm local dose/distance-to-agreement (DTA) were recorded. Separately, fluence maps calculated for each plan were used as inputs to a convolution neural network (CNN). The CNNs were trained to predict IMRT QA gamma passing rates using TensorFlow and Keras. A set of model architectures, inspired by the convolutional blocks of the VGG-16 ImageNet model, were constructed and implemented. Synthetic data, created by rotating and translating the fluence maps during training, was created to boost the performance of the CNNs. Dropout, batch normalization, and data augmentation were utilized to help train the model. The performance of the CNNs was compared to a generalized Poisson regression model, previously developed for this application, which used 78 expert designed features. Deep Neural Networks without domain knowledge achieved comparable performance to a baseline system designed by domain experts in the prediction of 3%/3 mm Local gamma passing rates. An ensemble of neural nets resulted in a mean absolute error (MAE) of 0.70 ± 0.05 and the domain expert model resulted in a 0.74 ± 0.06. Convolutional neural networks (CNNs) with transfer learning can predict IMRT QA passing rates by automatically designing features from the fluence maps without human expert supervision. Predictions from CNNs are comparable to a system carefully designed by physicist experts. © 2018 American Association of Physicists in Medicine.
TH-CD-209-01: A Greedy Reassignment Algorithm for the PBS Minimum Monitor Unit Constraint
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lin, Y; Kooy, H; Craft, D
2016-06-15
Purpose: To investigate a Greedy Reassignment algorithm in order to mitigate the effects of low weight spots in proton pencil beam scanning (PBS) treatment plans. Methods: To convert a plan from the treatment planning system’s (TPS) to a deliverable plan, post processing methods can be used to adjust the spot maps to meets the minimum MU constraint. Existing methods include: deleting low weight spots (Cut method), or rounding spots with weight above/below half the limit up/down to the limit/zero (Round method). An alternative method called Greedy Reassignment was developed in this work in which the lowest weight spot in themore » field was removed and its weight reassigned equally among its nearest neighbors. The process was repeated with the next lowest weight spot until all spots in the field were above the MU constraint. The algorithm performance was evaluated using plans collected from 190 patients (496 fields) treated at our facility. The evaluation criteria were the γ-index pass rate comparing the pre-processed and post-processed dose distributions. A planning metric was further developed to predict the impact of post-processing on treatment plans for various treatment planning, machine, and dose tolerance parameters. Results: For fields with a gamma pass rate of 90±1%, the metric has a standard deviation equal to 18% of the centroid value. This showed that the metric and γ-index pass rate are correlated for the Greedy Reassignment algorithm. Using a 3rd order polynomial fit to the data, the Greedy Reassignment method had 1.8 times better metric at 90% pass rate compared to other post-processing methods. Conclusion: We showed that the Greedy Reassignment method yields deliverable plans that are closest to the optimized-without-MU-constraint plan from the TPS. The metric developed in this work could help design the minimum MU threshold with the goal of keeping the γ-index pass rate above an acceptable value.« less
32 CFR 220.8 - Reasonable charges.
Code of Federal Regulations, 2012 CFR
2012-07-01
... pass through payments). Additional adjustments are made for long stay outlier cases. Like the CHAMPUS... diagnosis involved. The average charge per case shall be published annually as an inpatient standardized... standardized amounts, one for large urban, other urban/rural, and overseas area, utilizing the same...
DETERMINATION OF HENRY'S LAW CONSTANTS OF SELECTED PRIORITY POLLUTANTS
The Henry's law constants (H) for 41 selected priority pollutants were determined to characterize these pollutants and provide information on their fate as they pass through wastewater treatment systems. All experimental values presented for H are averages of two or more replicat...
Pitchford, Nicola J.; Kamchedzera, Elizabeth; Hubber, Paula J.; Chigeda, Antonie L.
2018-01-01
Interactive apps delivered on touch-screen tablets can be effective at supporting the acquisition of basic skills in mainstream primary school children. This technology may also be beneficial for children with Special Educational Needs and Disabilities (SEND) as it can promote high levels of engagement with the learning task and an inclusive learning environment. However, few studies have measured extent of learning for SEND pupils when using interactive apps, so it has yet to be determined if this technology is effective at raising attainment for these pupils. We report the first observational study of a group of 33 pupils with SEND from two primary schools in Malawi that are implementing a new digital technology intervention which uses touch-screen tablets to deliver interactive apps designed to teach basic mathematical skills. The apps contain topics that align to the national curriculum. To assess learning gains, rate of progress (minutes per topic) for each pupil was determined by calculating the average time taken to complete a topic. Progress rate was then correlated with teacher ratings of extent of disability and independent ratings of pupil engagement with the apps. Results showed SEND pupils could interact with the apps and all pupils passed at least one topic. Average progress rate for SEND pupils was twice as long as mainstream peers. Stepwise regression revealed extent of disability significantly predicted progress rate. Further exploratory correlations revealed pupils with moderate to severe difficulties with hearing and/or language made slower progress through the apps than those with greater functionality in these two domains because the use of verbal instructions within the apps limited their capacity to learn. This original quantitative analysis demonstrates that interactive apps can raise learning standards in pupils with SEND but may have limited utility for pupils with severe difficulties. Software modifications are needed to address specific areas of difficulty preventing pupils from progressing. PMID:29559940
Pitchford, Nicola J; Kamchedzera, Elizabeth; Hubber, Paula J; Chigeda, Antonie L
2018-01-01
Interactive apps delivered on touch-screen tablets can be effective at supporting the acquisition of basic skills in mainstream primary school children. This technology may also be beneficial for children with Special Educational Needs and Disabilities (SEND) as it can promote high levels of engagement with the learning task and an inclusive learning environment. However, few studies have measured extent of learning for SEND pupils when using interactive apps, so it has yet to be determined if this technology is effective at raising attainment for these pupils. We report the first observational study of a group of 33 pupils with SEND from two primary schools in Malawi that are implementing a new digital technology intervention which uses touch-screen tablets to deliver interactive apps designed to teach basic mathematical skills. The apps contain topics that align to the national curriculum. To assess learning gains, rate of progress (minutes per topic) for each pupil was determined by calculating the average time taken to complete a topic. Progress rate was then correlated with teacher ratings of extent of disability and independent ratings of pupil engagement with the apps. Results showed SEND pupils could interact with the apps and all pupils passed at least one topic. Average progress rate for SEND pupils was twice as long as mainstream peers. Stepwise regression revealed extent of disability significantly predicted progress rate. Further exploratory correlations revealed pupils with moderate to severe difficulties with hearing and/or language made slower progress through the apps than those with greater functionality in these two domains because the use of verbal instructions within the apps limited their capacity to learn. This original quantitative analysis demonstrates that interactive apps can raise learning standards in pupils with SEND but may have limited utility for pupils with severe difficulties. Software modifications are needed to address specific areas of difficulty preventing pupils from progressing.
Binocular Glaucomatous Visual Field Loss and Its Impact on Visual Exploration - A Supermarket Study
Aehling, Kathrin; Heister, Martin; Rosenstiel, Wolfgang; Schiefer, Ulrich; Papageorgiou, Elena
2014-01-01
Advanced glaucomatous visual field loss may critically interfere with quality of life. The purpose of this study was to (i) assess the impact of binocular glaucomatous visual field loss on a supermarket search task as an example of everyday living activities, (ii) to identify factors influencing the performance, and (iii) to investigate the related compensatory mechanisms. Ten patients with binocular glaucoma (GP), and ten healthy-sighted control subjects (GC) were asked to collect twenty different products chosen randomly in two supermarket racks as quickly as possible. The task performance was rated as “passed” or “failed” with regard to the time per correctly collected item. Based on the performance of control subjects, the threshold value for failing the task was defined as μ+3σ (in seconds per correctly collected item). Eye movements were recorded by means of a mobile eye tracker. Eight out of ten patients with glaucoma and all control subjects passed the task. Patients who failed the task needed significantly longer time (111.47 s ±12.12 s) to complete the task than patients who passed (64.45 s ±13.36 s, t-test, p<0.001). Furthermore, patients who passed the task showed a significantly higher number of glances towards the visual field defect (VFD) area than patients who failed (t-test, p<0.05). According to these results, glaucoma patients with defects in the binocular visual field display on average longer search times in a naturalistic supermarket task. However, a considerable number of patients, who compensate by frequent glancing towards the VFD, showed successful task performance. Therefore, systematic exploration of the VFD area seems to be a “time-effective” compensatory mechanism during the present supermarket task. PMID:25162522
NASA Astrophysics Data System (ADS)
Takatsuka, Kazuo; Seko, Chihiro
1996-12-01
The validity of the physical premise of the Rice-Ramsperger-Kassel-Marcus (RRKM) theory is investigated in terms of the classical dynamics of isomerization reaction in Ar7-like molecules (clusters). The passage times of classical trajectories through the potential basins of isomers in the structural transitions are examined. In the high energy region corresponding to the so-called liquidlike phase, remarkable uniformity of the average passage times has been found. That is, the average passage time is characterized only by a basin through which a trajectory is currently passing and, hence, does not depend on the next visiting basins. This behavior is out of accord with the ordinary chemical law in that the ``reaction rates'' do not seem to depend on the height of the individual potential barriers. We ascribe this seemingly strange uniformity to the strong mixing (chaos) lying behind the rate process. That is, as soon as a classical path enters a basin, it gets involved into a chaotic zone in which many paths having different channels are entangled among each other, and effectively (in the statistical sense) loses its memory about which basin it came from and where it should visit next time. This model is verified by confirming that the populations of the lifetime of transition from one basin to others are expressed in exponential functions, which should have very similar exponents to each other in each passing-through basin. The inverse of the exponent is essentially proportional to the average passage time, and consequently brings about the uniformity. These populations set a foundation for the multichannel generalization of the RRKM theory. Two cases of the non-RRKM behaviors have been studied. One is a nonstatistical behavior in the low energy region such as the so-called coexistence phase. The other is the short-time behavior. It is well established [M. Berblinger and C. Schlier, J. Chem. Phys. 101, 4750 (1994)] that in a relatively simple and small system such as H+3, the so-called direct paths, which lead to dissociation before the phase-space mixing is completed, increase the probability of short-time passage. In contrast, we have found in our Ar7-like molecules that trajectories of short passage time are fewer than expected by the statistical theory. It is conceived that somewhat a long time in the initial stage of the isomerization is spent by a trajectory to find its ways out to the next basins.
Sequential CFAR detectors using a dead-zone limiter
NASA Astrophysics Data System (ADS)
Tantaratana, Sawasd
1990-09-01
The performances of some proposed sequential constant-false-alarm-rate (CFAR) detectors are evaluated. The observations are passed through a dead-zone limiter, the output of which is -1, 0, or +1, depending on whether the input is less than -c, between -c and c, or greater than c, where c is a constant. The test statistic is the sum of the outputs. The test is performed on a reduced set of data (those with absolute value larger than c), with the test statistic being the sum of the signs of the reduced set of data. Both constant and linear boundaries are considered. Numerical results show a significant reduction of the average number of observations needed to achieve the same false alarm and detection probabilities as a fixed-sample-size CFAR detector using the same kind of test statistic.
Horstkotte, Burkhard; Duarte, Carlos M; Cerdà, Víctor
2011-07-15
In this article, a simple, economic, and miniature flow analyzer for ammonium in seawater based on the solenoid micropumps is presented. A single reagent of sodium tetraborate, ortho-phthaldialdehyde (OPA), and sodium sulfite was used and optimized applying the modified SIMPLEX method. A special-made detection cell for fluorescence detection of the reaction product isoindol-1-sulfonat was made and combined with a commercial photomultiplier tube, a long-pass optical filter, and an UV-LED as excitation light source. A LOD down to 13 nmol/L was achieved. The fabrication and application of a miniature reaction coil heating device for reaction rate enhancement is further described. The system featured an injection frequency of 32 h(-1) at average standard deviation of 3%. Copyright © 2011 Elsevier B.V. All rights reserved.
On the Helicity in 3D-Periodic Navier-Stokes Equations II: The Statistical Case
NASA Astrophysics Data System (ADS)
Foias, Ciprian; Hoang, Luan; Nicolaenko, Basil
2009-09-01
We study the asymptotic behavior of the statistical solutions to the Navier-Stokes equations using the normalization map [9]. It is then applied to the study of mean energy, mean dissipation rate of energy, and mean helicity of the spatial periodic flows driven by potential body forces. The statistical distribution of the asymptotic Beltrami flows are also investigated. We connect our mathematical analysis with the empirical theory of decaying turbulence. With appropriate mathematically defined ensemble averages, the Kolmogorov universal features are shown to be transient in time. We provide an estimate for the time interval in which those features may still be present. Our collaborator and friend Basil Nicolaenko passed away in September of 2007, after this work was completed. Honoring his contribution and friendship, we dedicate this article to him.
Levels and indoor-outdoor relationships of PM 10 and soluble inorganic ions in Beirut, Lebanon
NASA Astrophysics Data System (ADS)
Saliba, N. A.; Atallah, M.; Al-Kadamany, G.
2009-03-01
PM 10, which is considered among the major indoor and outdoor pollutants, was measured in several residential homes and corresponding outdoor environments in the Great Beirut area over the summer and winter seasons of 2005. Few studies on PM 10 levels indoors in Beirut are restricted to short-term periods in public places. In this study, 78 PM 10 samples were collected on Teflon filters using an active sampler at a flow rate of 5 L/min. PM 10 mass concentrations were determined by gravimetric analysis, and inorganic chemical speciation was carried out using ion chromatography. Outdoors, PM 10 elevated mass concentrations correlated well with high traffic density. The observed high intra-site temporal variation (minimum of 34 and a maximum of 120 μg/m 3) was attributed to the dynamic air masses passing over the Eastern Mediterranean region. Indoors, PM 10 levels were highly affected by outdoor levels, but were enhanced over those of outdoors when smoking activities were recorded. In winter, the overall average outdoor concentration dropped by 19%, whereas the average indoor concentration increased by 50% over the ones calculated for the summer. Ventilation and air exchange rates were found to be approximately equal to unity during summer since most doors and windows remain open. This rate drops to almost half during winter. As for particulate ions namely nitrates and sulfates, the former showed concentrations that are higher than the values reported in the region in both winter and summer seasons, suggesting high emissions from local vehicles. However, SO 42- average concentrations were comparable to values reported in other studies conducted in Eastern Mediterranean sites. Soluble particulate nitrates and sulfates exhibited similar indoor and outdoor levels in non-smoking homes (IO ~ 1), but in smoking homes the drop in nitrate concentrations reached around 70%, indicating a high anionic reactivity with tobacco smokes.
The Dark Side of Saturn's Gravity
NASA Astrophysics Data System (ADS)
Iess, L.; Racioppa, P.; Durante, D.; Mariani, M., Jr.; Anabtawi, A.; Armstrong, J. W.; Gomez Casajus, L.; Tortora, P.; Zannoni, M.
2017-12-01
On July 19, 2017 the Cassini spacecraft successfully completed its sixth and last pericenter pass devoted to the investigation of Saturn's interior structure and rings. During each pass the spacecraft was tracked for about 24 hours by the antennas of NASA's Deep Space Network and ESA's ESTRACK network, providing high quality measurements of the spacecraft range rate. We report on a preliminary estimate of Saturn's gravity field and ring mass inferred from range rate observables, and discuss the surprising features of our findings.
Setting and validating the pass/fail score for the NBDHE.
Tsai, Tsung-Hsun; Dixon, Barbara Leatherman
2013-04-01
This report describes the overall process used for setting the pass/fail score for the National Board Dental Hygiene Examination (NBDHE). The Objective Standard Setting (OSS) method was used for setting the pass/fail score for the NBDHE. The OSS method requires a panel of experts to determine the criterion items and proportion of these items that minimally competent candidates would answer correctly, the percentage of mastery and the confidence level of the error band. A panel of 11 experts was selected by the Joint Commission on National Dental Examinations (Joint Commission). Panel members represented geographic distribution across the U.S. and had the following characteristics: full-time dental hygiene practitioners with experience in areas of preventive, periodontal, geriatric and special needs care, and full-time dental hygiene educators with experience in areas of scientific basis for dental hygiene practice, provision of clinical dental hygiene services and community health/research principles. Utilizing the expert panel's judgments, the pass/fail score was set and then the score scale was established using the Rasch measurement model. Statistical and psychometric analysis shows the actual failure rate and the OSS failure rate are reasonably consistent (2.4% vs. 2.8%). The analysis also showed the lowest error of measurement, an index of the precision at the pass/fail score point and that the highest reliability (0.97) are achieved at the pass/fail score point. The pass/fail score is a valid guide for making decisions about candidates for dental hygiene licensure. This new standard was reviewed and approved by the Joint Commission and was implemented beginning in 2011.
Kallidaikurichi Srinivasan, Karthikeyan; Iohom, Gabriella; Loughnane, Frank; Lee, Peter J
2015-10-01
Multiple passes and attempts while administering spinal anesthesia are associated with a greater incidence of postdural puncture headache, paraesthesia, and spinal hematoma. We hypothesized that the routine use of a preprocedural ultrasound-guided paramedian technique for spinal anesthesia would reduce the number of passes required to achieve entry into the subarachnoid space when compared with the conventional landmark-guided midline approach. One hundred consenting patients scheduled for elective total joint replacements (hip and knee) were randomized into group C (conventional) and group P (preprocedural ultrasound-guided paramedian technique) with 50 in each group. The patients were blinded to the study group. All spinal anesthetics were administered by a consultant anesthesiologist. In group C, spinal anesthetic was done via the midline approach using clinically palpated landmarks. In group P, a preprocedural ultrasound scan was used to mark the paramedian insertion site, and spinal anesthetic was performed via the paramedian approach. The average number of passes (defined as the number of forward advancements of the spinal needle in a given interspinous space, i.e., withdrawal and redirection of spinal needle without exiting the skin) in group P was approximately 0.34 times that in group C, a difference that was statistically significant (P = 0.01). Similarly, the average number of attempts (defined as the number of times the spinal needle was withdrawn from the skin and reinserted) in group P was approximately 0.25 times that of group C (P = 0.0021). In group P, on an average, it took 81.5 (99% confidence interval, 68.4-97 seconds) seconds longer to identify the landmarks than in group C (P = 0.0002). All other parameters, including grading of palpated landmarks, time taken for spinal anesthetic injection, periprocedural pain scores, periprocedural patient discomfort visual analog scale score, conversion to general anesthetic, paresthesia, and radicular pain during needle insertion, were similar between the 2 groups. Routine use of paramedian spinal anesthesia in the orthopedic patient population undergoing joint replacement surgery, guided by preprocedure ultrasound examination, significantly decreases the number of passes and attempts needed to enter the subarachnoid space.
Tokuda, Yasuharu; Goto, Eiji; Otaki, Junji; Jacobs, Joshua; Omata, Fumio; Obara, Haruo; Shapiro, Mina; Soejima, Kumiko; Ishida, Yasushi; Ohde, Sachiko; Takahashi, Osamu; Fukui, Tsuguya
2010-05-20
We investigated the views of newly graduating physicians on their preparedness for postgraduate clinical training, and evaluated the relationship of preparedness with the educational environment and the pass rate on the National Medical Licensure Examination (NMLE). Data were obtained from 2429 PGY-1 physicians-in-training (response rate, 36%) using a mailed cross-sectional survey. The Dundee Ready Education Environment Measure (DREEM) inventory was used to assess the learning environment at 80 Japanese medical schools. Preparedness was assessed based on 6 clinical areas related to the Association of American Medical Colleges Graduation Questionnaire. Only 17% of the physicians-in-training felt prepared in the area of general clinical skills, 29% in basic knowledge of diagnosis and management of common conditions, 48% in communication skills, 19% in skills associated with evidence-based medicine, 54% in professionalism, and 37% in basic skills required for a physical examination. There were substantial differences among the medical schools in the perceived preparedness of their graduates. Significant positive correlations were found between preparedness for all clinical areas and a better educational environment (all p < 0.01), but there were no significant associations between the pass rate on the NMLE and perceived preparedness for any clinical area, as well as pass rate and educational environment (all p > 0.05). Different educational environments among universities may be partly responsible for the differences in perceived preparedness of medical students for postgraduate clinical training. This study also highlights the poor correlation between self-assessed preparedness for practice and the NMLE.
2010-01-01
Background We investigated the views of newly graduating physicians on their preparedness for postgraduate clinical training, and evaluated the relationship of preparedness with the educational environment and the pass rate on the National Medical Licensure Examination (NMLE). Methods Data were obtained from 2429 PGY-1 physicians-in-training (response rate, 36%) using a mailed cross-sectional survey. The Dundee Ready Education Environment Measure (DREEM) inventory was used to assess the learning environment at 80 Japanese medical schools. Preparedness was assessed based on 6 clinical areas related to the Association of American Medical Colleges Graduation Questionnaire. Results Only 17% of the physicians-in-training felt prepared in the area of general clinical skills, 29% in basic knowledge of diagnosis and management of common conditions, 48% in communication skills, 19% in skills associated with evidence-based medicine, 54% in professionalism, and 37% in basic skills required for a physical examination. There were substantial differences among the medical schools in the perceived preparedness of their graduates. Significant positive correlations were found between preparedness for all clinical areas and a better educational environment (all p < 0.01), but there were no significant associations between the pass rate on the NMLE and perceived preparedness for any clinical area, as well as pass rate and educational environment (all p > 0.05). Conclusion Different educational environments among universities may be partly responsible for the differences in perceived preparedness of medical students for postgraduate clinical training. This study also highlights the poor correlation between self-assessed preparedness for practice and the NMLE. PMID:20487536
Computational simulation of weld microstructure and distortion by considering process mechanics
NASA Astrophysics Data System (ADS)
Mochizuki, M.; Mikami, Y.; Okano, S.; Itoh, S.
2009-05-01
Highly precise fabrication of welded materials is in great demand, and so microstructure and distortion controls are essential. Furthermore, consideration of process mechanics is important for intelligent fabrication. In this study, the microstructure and hardness distribution in multi-pass weld metal are evaluated by computational simulations under the conditions of multiple heat cycles and phase transformation. Because conventional CCT diagrams of weld metal are not available even for single-pass weld metal, new diagrams for multi-pass weld metals are created. The weld microstructure and hardness distribution are precisely predicted when using the created CCT diagram for multi-pass weld metal and calculating the weld thermal cycle. Weld distortion is also investigated by using numerical simulation with a thermal elastic-plastic analysis. In conventional evaluations of weld distortion, the average heat input has been used as the dominant parameter; however, it is difficult to consider the effect of molten pool configurations on weld distortion based only on the heat input. Thus, the effect of welding process conditions on weld distortion is studied by considering molten pool configurations, determined by temperature distribution and history.
Zhang, Li; Li, Shi-Zhu; Li, Yu; Wang, Qiang; Fu, Qing; Liu, Wei; Zhu, Hong-Qing; Xu, Jing; Chen, Ying-Dan; Chen, Shao-Hong; Chen, Jia-Xu; Chen, Zhao; Wang, Li-Ying; Zhou, Xiao-Nong
2012-08-30
To understand the comprehensive capability of helminth detection among professionals at different level of parasitic disease control institutions and promote the overall strength of diagnosis. Four professionals from each parasitic diseases control institutions were selected as contestant (age < 45 and at least two contestant from county-level institution). The content of contest included making stool slides with Kato-Katz method (five slides in thirty minutes, a total score of 15 and 9 as passing score) and identification of eleven common helminth eggs with microscopy (ten slides, five minutes per slide, a total score of 60, 36 as passing score). The average score of making slides in 119 contestants from 30 provinces was 11.4, and 119 contestants passed accounted for 93.3%. The average score of film-reading was 22.0, and 20 contestants passed accounted for 16.8%. There were no statistically significant differences between the results in different gender, age (< or = 30, 31-40, > 40), job title (the junior, intermediate, and senior), institution level (provincial, municipal, and county level) (P > 0.05). By Kato-Katz slide-making and film-reading, the scores in contestants from provinces with schistosomiasis control task (12.1 +/- 1.7, 32.1 +/- 11.5, respectively) were better than contestants from other provinces (11.1 +/- 1.8, 18.1 +/- 10.5, respectively). The scores in contestants from western (18.4 +/- 11.4) were lower than those from eastern (25.2 +/- 12.4) and central (24.1 +/- 13.1) for film-reading. The overall capability of parasitic disease examination is unbalanced among regions, and evidently there is a need to strengthen the capacity of pathogen detection in the disease control programs.
NASA Astrophysics Data System (ADS)
Maloney, J. M.; Bentley, S. J.; Obelcz, J.; Xu, K.; Miner, M. D.; Georgiou, I. Y.; Hanegan, K.; Keller, G.
2014-12-01
Subaqueous mudflows are known to be ubiquitous across the Mississippi River delta front (MRDF) and have been identified as a hazard to offshore infrastructure. Among other factors, sediment accumulation rates and patterns play an important role in governing the stability of delta front sediment. High sedimentation rates result in underconsolidation, slope steepening, and increased biogenic gas production, which are all known to decrease stability. Sedimentation rates are highly variable across the MRDF, but are highest near the mouth of Southwest Pass, which carries the largest percentage of Mississippi River sediment into the Gulf of Mexico. Since the 1950s, the sediment load of the Mississippi River has decreased by ~50% due to dam construction upstream. The impact of this decreased sediment load on MRDF mudflow dynamics has yet to be examined. We compiled MRDF bathymetric datasets, including historical charts, industry and academic surveys, and NOAA data, collected between 1764 and 2009, in order to identify historic trends in sedimentation patterns. The progradation of Southwest Pass (measured at 10 m depth contour) has slowed from ~66 m/yr between 1764 and 1940 to ~25 m/yr between 1940 and 1979, with evidence of further deceleration from 1979-2009. Decreased rates of progradation are also observed at South Pass and Pass A Loutre. Advancement of the delta also decelerated in deeper water (15-90 m) offshore from Southwest Pass. In this area, from 1940-1979, depth contours advanced seaward ~25 m/yr, but did not advance from 1979-2005. Furthermore, over the same area and time ranges, the sediment accumulation rate decreased by ~82%. We expect these sedimentation trends are occurring across the delta front, with potential impacts on spatial and temporal patterns of subaqueous mudflows. The MRDF appears to be entering a phase of decline, which will likely be accelerated by future upstream sediment diversion projects. New geophysical data will be required to assess potential mudflow hazards associated with new MRDF sedimentation rates and patterns (See Part 2, Obelcz et al.).
NASA Astrophysics Data System (ADS)
Artemov, V. I.; Minko, K. B.; Yan'kov, G. G.; Kiryukhin, A. V.
2016-05-01
A mathematical model was developed to be used for numerical analysis of heat and mass transfer processes in the experimental section of the air condenser (ESAC) created in the Scientific Production Company (SPC) "Turbocon" and mounted on the territory of the All-Russia Thermal Engineering Institute. The simulations were performed using the author's CFD code ANES. The verification of the models was carried out involving the experimental data obtained in the tests of ESAC. The operational capability of the proposed models to calculate the processes in steam-air mixture and cooling air and algorithms to take into account the maldistribution in the various rows of tube bundle was shown. Data on the influence of temperature and flow rate of the cooling air on the pressure in the upper header of ESAC, effective heat transfer coefficient, steam flow distribution by tube rows, and the dimensions of the ineffectively operating zones of tube bundle for two schemes of steam-air mixture flow (one-pass and two-pass ones) were presented. It was shown that the pressure behind the turbine (in the upper header) increases significantly at increase of the steam flow rate and reduction of the flow rate of cooling air and its temperature rise, and the maximum value of heat transfer coefficient is fully determined by the flow rate of cooling air. Furthermore, the steam flow rate corresponding to the maximum value of heat transfer coefficient substantially depends on the ambient temperature. The analysis of the effectiveness of the considered schemes of internal coolant flow was carried out, which showed that the two-pass scheme is more effective because it provides lower pressure in the upper header, despite the fact that its hydraulic resistance at fixed flow rate of steam-air mixture is considerably higher than at using the one-pass schema. This result is a consequence of the fact that, in the two-pass scheme, the condensation process involves the larger internal surface of tubes, results in lower values of Δ t (the temperature difference between internal and external coolant) for a given heat load.
Increasing the efficiency of digitization workflows for herbarium specimens.
Tulig, Melissa; Tarnowsky, Nicole; Bevans, Michael; Anthony Kirchgessner; Thiers, Barbara M
2012-01-01
The New York Botanical Garden Herbarium has been databasing and imaging its estimated 7.3 million plant specimens for the past 17 years. Due to the size of the collection, we have been selectively digitizing fundable subsets of specimens, making successive passes through the herbarium with each new grant. With this strategy, the average rate for databasing complete records has been 10 specimens per hour. With 1.3 million specimens databased, this effort has taken about 130,000 hours of staff time. At this rate, to complete the herbarium and digitize the remaining 6 million specimens, another 600,000 hours would be needed. Given the current biodiversity and economic crises, there is neither the time nor money to complete the collection at this rate.Through a combination of grants over the last few years, The New York Botanical Garden has been testing new protocols and tactics for increasing the rate of digitization through combinations of data collaboration, field book digitization, partial data entry and imaging, and optical character recognition (OCR) of specimen images. With the launch of the National Science Foundation's new Advancing Digitization of Biological Collections program, we hope to move forward with larger, more efficient digitization projects, capturing data from larger portions of the herbarium at a fraction of the cost and time.
Increasing the efficiency of digitization workflows for herbarium specimens
Tulig, Melissa; Tarnowsky, Nicole; Bevans, Michael; Anthony Kirchgessner; Thiers, Barbara M.
2012-01-01
Abstract The New York Botanical Garden Herbarium has been databasing and imaging its estimated 7.3 million plant specimens for the past 17 years. Due to the size of the collection, we have been selectively digitizing fundable subsets of specimens, making successive passes through the herbarium with each new grant. With this strategy, the average rate for databasing complete records has been 10 specimens per hour. With 1.3 million specimens databased, this effort has taken about 130,000 hours of staff time. At this rate, to complete the herbarium and digitize the remaining 6 million specimens, another 600,000 hours would be needed. Given the current biodiversity and economic crises, there is neither the time nor money to complete the collection at this rate. Through a combination of grants over the last few years, The New York Botanical Garden has been testing new protocols and tactics for increasing the rate of digitization through combinations of data collaboration, field book digitization, partial data entry and imaging, and optical character recognition (OCR) of specimen images. With the launch of the National Science Foundation’s new Advancing Digitization of Biological Collections program, we hope to move forward with larger, more efficient digitization projects, capturing data from larger portions of the herbarium at a fraction of the cost and time. PMID:22859882
NASA Technical Reports Server (NTRS)
Barszcz, Eric; Mosher, Marianne; Huff, Edward M.
2004-01-01
Healthwatch-2 (HW-2) is a research tool designed to facilitate the development and testing of in-flight health monitoring algorithms. HW-2 software is written in C/C++ and executes on an x86-based computer running the Linux operating system. The executive module has interfaces for collecting various signal data, such as vibration, torque, tachometer, and GPS. It is designed to perform in-flight time or frequency averaging based on specifications defined in a user-supplied configuration file. Averaged data are then passed to a user-supplied algorithm written as a Matlab function. This allows researchers a convenient method for testing in-flight algorithms. In addition to its in-flight capabilities, HW-2 software is also capable of reading archived flight data and processing it as if collected in-flight. This allows algorithms to be developed and tested in the laboratory before being flown. Currently HW-2 has passed its checkout phase and is collecting data on a Bell OH-58C helicopter operated by the U.S. Army at NASA Ames Research Center.
NASA Technical Reports Server (NTRS)
Langel, R. A.
1974-01-01
A complete survey of the near-earth magnetic field magnitude was carried out by the Polar Orbiting Geophysical Observatories (Ogo 2, 4, and 6). The average properties of variations in total magnetic field strength at invariant latitudes greater than 55 deg are given. Data from all degrees of magnetic disturbance are included, the emphasis being on periods when Kp = 2- to 3+. Although individual satellite passes at low altitudes confirm the existence of electrojet currents, neither individual satellite passes nor contours of average delta B are consistent with latitudinally narrow electrojet currents as the principal source of delta B at the satellite. The total field variations at the satellite form a region of positive delta B between about 2200 and 1000 MLT and a region of negative delta B between about 1000 and 2200 MLT. The ratio of delta B magnitudes in these positive and negative regions is variable.
Variability of Passing Grades in Undergraduate Nursing Education Programs in New York State.
Reynolds, Diane
2015-01-01
The purpose of this descriptive study was to provide information about passing grades and their corresponding numeric grades for undergraduate nursing programs in New York State. An additional purpose was to report on differences in grading between faculty teaching in associate versus baccalaureate nursing programs, full-time versus adjunct faculty, and tenured versus nontenured faculty. There is a paucity of research on grade variability in undergraduate nursing programs. Three hundred eighty-four full-time and 96 adjunct faculty responded to an invitation to complete an online survey. Grades are not uniformly awarded across institutions. Passing grades ranged from 70 to 85 percent (C- to B+, respectively), with a mean of 74.79 percent. Wide variations in grades in different institutions across the country may undermine grade point average as a reliable measure of education, making it difficult to evaluate individual student performance.
Expected antenna utilization and overload
NASA Technical Reports Server (NTRS)
Posner, Edward C.
1991-01-01
The trade-offs between the number of antennas at Deep Space Network (DSN) Deep-Space Communications Complex and the fraction of continuous coverage provided to a set of hypothetical spacecraft, assuming random placement of the space craft passes during the day. The trade-offs are fairly robust with respect to the randomness assumption. A sample result is that a three-antenna complex provides an average of 82.6 percent utilization of facilities and coverage of nine spacecraft that each have 8-hour passes, whereas perfect phasing of the passes would yield 100 percent utilization and coverage. One key point is that sometimes fewer than three spacecraft are visible, so an antenna is idle, while at other times, there aren't enough antennas, and some spacecraft do without service. This point of view may be useful in helping to size the network or to develop a normalization for a figure of merit of DSN coverage.
Horizontal Conflict Resolution Maneuvers with a Cockpit Display of Traffic Information
NASA Technical Reports Server (NTRS)
Palmer, E.; Jago, S.; Dubord, M.
1981-01-01
Pilot resolution of potential conflicts in the horizontal plane when the only information available on the other aircraft was presented on a Cockpit Display of Traffic Information (CDTI) is investigated. The pilot's task was to assess the situation and if necessary maneuver so as to avoid the other aircraft. No instructions were given on evasive strategy or on what was considered to be an acceptable minimum separation. The results indicate that pilots had a strong bias of turning toward the intruder aircraft in order to pass behind it. In more than 50% of the encounters with a 90 degree crossing angle in which the intruder aircraft was programmed to pass behind the aircraft, the pilots maneuvered so as to pass behind the intruder. This bias was not as strong with the display which showed a prediction of the intruder's relative velocity. The average miss distance for all encounters was about 4500 feet.
Multiband product rule and consonant identification.
Li, Feipeng; Allen, Jont B
2009-07-01
The multiband product rule, also known as band-independence, is a basic assumption of articulation index and its extension, the speech intelligibility index. Previously Fletcher showed its validity for a balanced mix of 20% consonant-vowel (CV), 20% vowel-consonant (VC), and 60% consonant-vowel-consonant (CVC) sounds. This study repeats Miller and Nicely's version of the hi-/lo-pass experiment with minor changes to study band-independence for the 16 Miller-Nicely consonants. The cut-off frequencies are chosen such that the basilar membrane is evenly divided into 12 segments from 250 to 8000 Hz with the high-pass and low-pass filters sharing the same six cut-off frequencies in the middle. Results show that the multiband product rule is statistically valid for consonants on average. It also applies to subgroups of consonants, such as stops and fricatives, which are characterized by a flat distribution of speech cues along the frequency. It fails for individual consonants.
Heat profiles of laser-irradiated nails
NASA Astrophysics Data System (ADS)
Paasch, Uwe; Nenoff, Pietro; Seitz, Anna-Theresa; Wagner, Justinus A.; Kendler, Michael; Simon, Jan C.; Grunewald, Sonja
2014-01-01
Onychomycosis is a worldwide problem with no tendency for self-healing, and existing systemic treatments achieve disease-free nails in only 35 to 76% of cases. Recently, treatment of nail fungus with a near-infrared laser has been introduced. It is assumed that fungal eradication is mediated by local heat. To investigate if laser treatment has the potential to eradicate fungal hyphae and arthrospores, laser heat application and propagation needs to be studied in detail. This study aimed to measure nail temperatures using real-time videothermography during laser irradiation. Treatment was performed using 808- and 980-nm linear scanning diode lasers developed for hair removal, enabling contact-free homogeneous irradiation of a human nail plate in one pass. Average and peak temperatures increased pass by pass, while the laser beam moved along the nail plates. The achieved mean peak temperatures (808 nm: 74.1 to 112.4°C, 980 nm: 45.8 to 53.5°C), as well as the elevation of average temperatures (808 nm: 29.5 to 38.2°C, 980 nm: 27.1 to 32.6°C) were associated with pain that was equivalent to that of hair removal procedures and was not significantly different for various wavelengths. The linear scanning laser devices provide the benefits of contact-free homogeneous heating of the human nail while ensuring adequate temperature rises.
Heat profiles of laser-irradiated nails.
Paasch, Uwe; Nenoff, Pietro; Seitz, Anna-Theresa; Wagner, Justinus A; Kendler, Michael; Simon, Jan C; Grunewald, Sonja
2014-01-01
Onychomycosis is a worldwide problem with no tendency for self-healing, and existing systemic treatments achieve disease-free nails in only 35 to 76% of cases. Recently, treatment of nail fungus with a near-infrared laser has been introduced. It is assumed that fungal eradication is mediated by local heat. To investigate if laser treatment has the potential to eradicate fungal hyphae and arthrospores, laser heat application and propagation needs to be studied in detail. This study aimed to measure nail temperatures using real-time videothermography during laser irradiation. Treatment was performed using 808- and 980-nm linear scanning diode lasers developed for hair removal, enabling contact-free homogeneous irradiation of a human nail plate in one pass. Average and peak temperatures increased pass by pass, while the laser beam moved along the nail plates. The achieved mean peak temperatures (808 nm: 74.1 to 112.4°C, 980 nm: 45.8 to 53.5°C), as well as the elevation of average temperatures (808 nm: 29.5 to 38.2°C, 980 nm: 27.1 to 32.6°C) were associated with pain that was equivalent to that of hair removal procedures and was not significantly different for various wavelengths. The linear scanning laser devices provide the benefits of contact-free homogeneous heating of the human nail while ensuring adequate temperature rises.
Xin-Ye, Ni; Ren, Lei; Yan, Hui; Yin, Fang-Fang
2016-12-01
This study aimed to detect the sensitivity of Delt 4 on ordinary field multileaf collimator misalignments, system misalignments, random misalignments, and misalignments caused by gravity of the multileaf collimator in stereotactic body radiation therapy. (1) Two field sizes, including 2.00 cm (X) × 6.00 cm (Y) and 7.00 cm (X) × 6.00 cm (Y), were set. The leaves of X1 and X2 in the multileaf collimator were simultaneously opened. (2) Three cases of stereotactic body radiation therapy of spinal tumor were used. The dose of the planning target volume was 1800 cGy with 3 fractions. The 4 types to be simulated included (1) the leaves of X1 and X2 in the multileaf collimator were simultaneously opened, (2) only X1 of the multileaf collimator and the unilateral leaf were opened, (3) the leaves of X1 and X2 in the multileaf collimator were randomly opened, and (4) gravity effect was simulated. The leaves of X1 and X2 in the multileaf collimator shifted to the same direction. The difference between the corresponding 3-dimensional dose distribution measured by Delt 4 and the dose distribution in the original plan made in the treatment planning system was analyzed with γ index criteria of 3.0 mm/3.0%, 2.5 mm/2.5%, 2.0 mm/2.0%, 2.5 mm/1.5%, and 1.0 mm/1.0%. (1) In the field size of 2.00 cm (X) × 6.00 cm (Y), the γ pass rate of the original was 100% with 2.5 mm/2.5% as the statistical standard. The pass rate decreased to 95.9% and 89.4% when the X1 and X2 directions of the multileaf collimator were opened within 0.3 and 0.5 mm, respectively. In the field size of 7.00 (X) cm × 6.00 (Y) cm with 1.5 mm/1.5% as the statistical standard, the pass rate of the original was 96.5%. After X1 and X2 of the multileaf collimator were opened within 0.3 mm, the pass rate decreased to lower than 95%. The pass rate was higher than 90% within the 3 mm opening. (2) For spinal tumor, the change in the planning target volume V 18 under various modes calculated using treatment planning system was within 1%. However, the maximum dose deviation of the spinal cord was high. In the spinal cord with a gravity of -0.25 mm, the maximum dose deviation minimally changed and increased by 6.8% than that of the original. In the largest opening of 1.00 mm, the deviation increased by 47.7% than that of the original. Moreover, the pass rate of the original determined through Delt 4 was 100% with 3 mm/3% as the statistical standard. The pass rate was 97.5% in the 0.25 mm opening and higher than 95% in the 0.5 mm opening A, 0.25 mm opening A, whole gravity series, and 0.20 mm random opening. Moreover, the pass rate was higher than 90% with 2.0 mm/2.0% as the statistical standard in the original and in the 0.25 mm gravity. The difference in the pass rates was not statistically significant among the -0.25 mm gravity, 0.25 mm opening A, 0.20 mm random opening, and original as calculated using SPSS 11.0 software with P > .05. Different analysis standards of Delt 4 were analyzed in different field sizes to improve the detection sensitivity of the multileaf collimator position on the basis of 90% throughout rate. In stereotactic body radiation therapy of spinal tumor, the 2.0 mm/2.0% standard can reveal the dosimetric differences caused by the minor multileaf collimator position compared with the 3.0 mm/3.0% statistical standard. However, some position derivations of the misalignments that caused high dose amount to the spinal cord cannot be detected. However, some misalignments were not detected when a large number of multileaf collimator were administered into the spinal cord. © The Author(s) 2015.
Lewis, Alex J.; Borole, Abhijeet P.
2016-06-16
We investigated the effect of flow rate and recycle on the conversion of a biomass-derived pyrolysis aqueous phase in amicrobial electrolysis cell (MEC) to demonstrate production of renewable hydrogen in biorefinery. A continuous MEC operation was investigated under one-pass and recycle conditions usingthe complex, biomass-derived, fermentable, mixed substrate feed at a constant concentration of 0.026 g/L,while testing flow rates ranging from 0.19 to 3.6 mL/min. This corresponds to an organic loading rate (OLR) of 0.54₋10 g/L-day. Mass transfer issues observed at low flow rates were alleviated using high flow rates.Increasing the flow rate to 3.6 mL/min (3.7 min HRT) duringmore » one-pass operation increased the hydrogen productivity 3-fold, but anode conversion efficiency (ACE) decreased from 57.9% to 9.9%. Recycle of the anode liquid helped to alleviate kinetic limitations and the ACE increased by 1.8-fold and the hydrogen productivity by 1.2-fold compared to the one-pass condition at the flow rate of 3.6 mL/min (10 g/L-d OLR). High COD removal was also achieved under recycle conditions, reaching 74.2 1.1%, with hydrogen production rate of 2.92 ± 0.51 L/L-day. This study demonstrates the advantages of combining faster flow rates with a recycle process to improve rate of hydrogen production from a switchgrass-derived stream in the biorefinery.« less
Gheza, Federico; Raimondi, Paolo; Solaini, Leonardo; Coccolini, Federico; Baiocchi, Gian Luca; Portolani, Nazario; Tiberio, Guido Alberto Massimo
2018-04-11
Outside the US, FLS certification is not required and its teaching methods are not well standardized. Even if the FLS was designed as "stand alone" training system, most of Academic Institution offer support to residents during training. We present the first systematic application of FLS in Italy. Our aim was to evaluate the role of mentoring/coaching on FLS training in terms of the passing rate and global performance in the search for resource optimization. Sixty residents in general surgery, obstetrics & gynecology, and urology were selected to be enrolled in a randomized controlled trial, practicing FLS with the goal of passing a simulated final exam. The control group practiced exclusively with video material from SAGES, whereas the interventional group was supported by a mentor. Forty-six subjects met the requirements and completed the trial. For the other 14 subjects no results are available for comparison. One subject for each group failed the exam, resulting in a passing rate of 95.7%, with no obvious differences between groups. Subgroup analysis did not reveal any difference between the groups for FLS tasks. We confirm that methods other than video instruction and deliberate FLS practice are not essential to pass the final exam. Based on these results, we suggest the introduction of the FLS system even where a trained tutor is not available. This trial is the first single institution application of the FLS in Italy and one of the few experiences outside the US. Trial Number: NCT02486575 ( https://www.clinicaltrials.gov ).
Beeman, John W.; Hansen, Amy C.; Evans, Scott D.; Haner, Philip V.; Hansel, Hal C.; Smith, Collin D.
2012-01-01
Cougar Dam near Springfield, Oregon, is one of several federally owned and operated flood-control projects within the Willamette Valley of western Oregon that were determined by the National Oceanic and Atmospheric Administration’s National Marine Fisheries Service in 2008 to impact the long-term viability of several salmonid stocks. In response to this ruling, the U.S. Army Corps of Engineers is looking for means to reduce impacts to salmonids, including improving downstream passage of juvenile salmonids at Cougar Dam. This study of juvenile Chinook salmon (Oncorhynchus tshawytscha) passage at Cougar Dam was conducted to inform decisions about potential improvements for downstream fish passage. The primary objective of the study was to estimate route-specific passage probabilities of yearling Chinook salmon at Cougar Dam. The study was conducted using fish from a nearby hatchery surgically implanted with radio transmitters and passive integrated transponder (PIT) tags and released near the entrance of a temperature control tower through which all water going through the dam must pass. Water passing through the temperature control tower may be routed through a penstock to a powerhouse with two Francis turbines, or to a spillway-like structure called the regulating outlet. Secondary objectives of the study were to estimate the probability that fish enter a bypass at a non-federal facility downstream, and to estimate dam-passage and in-river fish survival. Dam operating conditions during the study included an average forebay elevation of 1,580 feet (National Geodetic Vertical Datum of 1929) and an average of 48.2 percent of the total dam discharge of 1,106 cubic feet per second passing through a regulating outlet opening of 1.25 feet. Dam passage probability was greatest at night (0.8741 standard error [SE] 0.0265) and primarily through the regulating outlet (0.8896 SE 0.0617 day; 0.9417 SE 0.0175 night). The joint probability of entering the bypass at Leaburg Dam and being detected at the PIT system within the bypass was 0.0755 (SE 0.0363), but some fish were known to pass the PIT system undetected, indicating that the true probability of entering the bypass was underestimated. The estimated survival of fish passing through the temperature control tower, through the dam, and to a site at a bridge over the South Fork of the McKenzie River 3.9 kilometers downstream was 0.3680 (SE 0.1322) for fish passing through the powerhouse, and 0.4247 (SE 0.0440) for fish passing through the regulating outlet. The estimated in-river survival through the 37.3 kilometers from the bridge to a site at Leaburg Hatchery on the McKenzie River was 0.5857 (SE 0.2227) for fish that had passed through the powerhouse, and 0.4537 (SE 0.0551) for fish that had passed through the regulating outlet.
NASA Technical Reports Server (NTRS)
Goss, W. C.; Mann, W. A.; Goldstein, R.
1985-01-01
Technique yields joints with average transmissivity of 91.6 percent. Electric arc passed over butted fiber ends to melt them together. Maximum optical transmissivity of joint achieved with optimum choice of discharge current, translation speed, and axial compression of fibers. Practical welding machine enables delicate and tedious joining operation performed routinely.
40 CFR 85.2217 - Loaded test-EPA 91.
Code of Federal Regulations, 2010 CFR
2010-07-01
....2217 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... determinations is a simple running average of the measurements taken over five seconds. (2) Pass/fail... measurements are voided if the measured concentration of CO plus CO2 falls below six percent or the vehicle's...
Sander, Oliver; Schmidt, Regine; Rehkämper, Gerd; Lögters, Tim; Zilkens, Christoph; Schneider, Matthias
2016-01-01
Introduction: Interprofessional learning is a critical pre-requisite for future interprofessional work. Structural adaptations in education offer possibilities to introduce new concepts. Rheumatic and musculoskeletal diseases (RMD) are both prevented and treated by physicians and physiotherapists but the development of interprofessional roles is seldom part of curricula. Project description: A complex, longitudinal interprofessional educational approach for future doctors and physiotherapists was designed and implanted at various stages (anatomy, physical examination, pathology, therapy). Most segments of the RMD curriculum are now based on interprofessional classes. Student satisfaction with learning is continually and comparatively evaluated. Learning success is assessed with practical and written exams. Results: Interprofessional teaching was first introduced in 2013 for 420 first-year and 360 fourth-year medical students, along with 40 first- and third-year physiotherapy majors. The satisfaction with teaching and learning is high and distinctly above average for all teaching areas (satisfaction RMD rated as 2.4; average for all is 3.3). The percentage of those who pass the final exam is 94%. 100% of the students surveyed support the continuation of this interprofessional unit. Conclusion: Interprofessional teaching of RMD can be successfully implemented for future physicians and physiotherapists at different learning levels. PMID:27280126
Sander, Oliver; Schmidt, Regine; Rehkämper, Gerd; Lögters, Tim; Zilkens, Christoph; Schneider, Matthias
2016-01-01
Interprofessional learning is a critical pre-requisite for future interprofessional work. Structural adaptations in education offer possibilities to introduce new concepts. Rheumatic and musculoskeletal diseases (RMD) are both prevented and treated by physicians and physiotherapists but the development of interprofessional roles is seldom part of curricula. A complex, longitudinal interprofessional educational approach for future doctors and physiotherapists was designed and implanted at various stages (anatomy, physical examination, pathology, therapy). Most segments of the RMD curriculum are now based on interprofessional classes. Student satisfaction with learning is continually and comparatively evaluated. Learning success is assessed with practical and written exams. Interprofessional teaching was first introduced in 2013 for 420 first-year and 360 fourth-year medical students, along with 40 first- and third-year physiotherapy majors. The satisfaction with teaching and learning is high and distinctly above average for all teaching areas (satisfaction RMD rated as 2.4; average for all is 3.3). The percentage of those who pass the final exam is 94%. 100% of the students surveyed support the continuation of this interprofessional unit. Interprofessional teaching of RMD can be successfully implemented for future physicians and physiotherapists at different learning levels.
Wang, Bing; Liu, Lei; Huang, Guohe
2017-11-01
Using the Environmental Kuznets Curve (EKC) hypothesis, this study explored the dynamic trends of water use and point source pollution in Urumqi (2000-2014) from an economic perspective. Retrospective analysis results indicated that total GDP and GDP per capita increased around tenfold and a fivefold since 2000. Total, municipal and industrial water use had average annual growth rates of 3.96, 7.01, and 3.69%, respectively. However, agricultural water use, emissions of COD and NH 3 -N showed average annual decreases of 3.06, 12.40, and 4.74%. Regression models reveal that total water demand in Urumqi would keep monotonically increasing relationships with GDP and GDP per capita in the foreseeable years. However, the relations of specific water usage and economic growth showed diverse trends. In the future, the discharge of COD and NH 3 -N would further reduce with economic growth. It could be concluded that Urumqi has almost passed the stage where economic growth had caused serious environment deterioration, but the increasing water demand in Urumqi is still an urgent problem. The obtained results would be helpful for water resources management and pollution control in the future.
Wake losses from averaged and time-resolved power measurements at full scale wind turbines
NASA Astrophysics Data System (ADS)
Castellani, Francesco; Astolfi, Davide; Mana, Matteo; Becchetti, Matteo; Segalini, Antonio
2017-05-01
This work deals with the experimental analysis of wake losses fluctuations at full-scale wind turbines. The test case is a wind farm sited on a moderately complex terrain: 4 turbines are installed, having 2 MW of rated power each. The sources of information are the time-resolved data, as collected from the OPC server, and the 10-minutes averaged SCADA data. The objective is to compare the statistical distributions of wake losses for far and middle wakes, as can be observed through the “fast” lens of time-resolved data, for certain selected test-case time series, and through the “slow” lens of SCADA data, on a much longer time basis that allow to set the standards of the mean wake losses along the wind farm. Further, time-resolved data are used for an insight into the spectral properties of wake fluctuations, highlighting the role of the wind turbine as low-pass filter. Summarizing, the wind rose, the layout of the site and the structure of the data sets at disposal allow to study middle and far wake behavior, with a “slow” and “fast” perspective.
Clean Indoor Air Ordinance Coverage in the Appalachian Region of the United States
Liber, Alex; Pennell, Michael; Nealy, Darren; Hammer, Jana; Berman, Micah
2010-01-01
Objectives. We sought to quantitatively examine the pattern of, and socioeconomic factors associated with, adoption of clean indoor air ordinances in Appalachia. Methods. We collected and reviewed clean indoor air ordinances in Appalachian communities in 6 states and rated the ordinances for completeness of coverage in workplaces, restaurants, and bars. Additionally, we computed a strength score to measure coverage in 7 locations. We fit mixed-effects models to determine whether the presence of a comprehensive ordinance and the ordinance strength were related to community socioeconomic disadvantage. Results. Of the 332 communities included in the analysis, fewer than 20% had adopted a comprehensive workplace, restaurant, or bar ordinance. Most ordinances were weak, achieving on average only 43% of the total possible points. Communities with a higher unemployment rate were less likely and those with a higher education level were more likely to have a strong ordinance. Conclusions. The majority of residents in these communities are not protected from secondhand smoke. Efforts to pass strong statewide clean indoor air laws should take priority over local initiatives in these states. PMID:20466957
NASA Astrophysics Data System (ADS)
Tone, Tetsuya; Kohara, Kazuhiro
We have investigated ways to reduce congestion in a theme park with multi-agents. We constructed a theme park model called Digital Park 1.0 with twenty-three attractions similar in form to Tokyo Disney Sea. We consider not only congestion information (number of vistors standing in line at each attraction) but also the advantage of a priority boarding pass, like Fast Pass which is used at Tokyo Disney Sea. The congestion-information-usage ratio, which reflects the ratio of visitors who behave according to congestion information, was changed from 0% to 100% in both models, with and without priority boarding pass. The “mean stay time of visitors" is a measure of satisfaction. The smaller mean stay time, the larger degree of satisfaction. Here, a short stay time means a short wait time. The resluts of each simulation are averaged over ten trials. The main results are as follows. (1) When congestion-information-usage ratio increased, the mean stay time decreases. When 20% of visitors behaved according to congestion information, the mean stay time was reduced by 30%. (2) A priority boarding pass reduced congestion, and mean stay time was reduced by 15%. (3) When visitors used congestion information and a priority boarding pass, mean stay time was further reduced. When the congestion-information-usage ratio was 20%, mean stay time was reduced by 35%. (4) When congestion-information-usage ratio was over 50%, the congestion reduction effects reached saturation.
A scalable, micropore, platelet rich plasma separation device.
Dickson, Mary Nora; Amar, Levy; Hill, Michael; Schwartz, Joseph; Leonard, Edward F
2012-12-01
We have designed a novel, low energy platelet-rich-plasma (PRP) separator capable of producing 50 mL of PRP in 30 min, intended for military and emergency applications. Blood flows over a 3 mm length of sieve at high rates of shear. A plasma-platelet filtrate passes through the sieve's pores while erythrocytes remain. The filtrate is flowed over a second 3 mm length of smaller-pored sieve that withdraws plasma. Bulk blood volume is maintained by returning platelet-free plasma to the erythrocyte pool, enabling a nearly complete multi-pass platelet extraction. The total percentage of platelets extracted is:θ(T)=1-exp (-V(f)(T)Φ(P)/V) where V is the original plasma volume, V ( f )(T) is the total filtered volume, and ϕ ( P ) is platelet passage ratio (filtrate concentration/bulk average concentration) taken to be constant. Maximum θ(T) occurs at maximum V ( f )(T)× ϕ ( P ) Test microsieves, 3 mm long × 3 mm wide, were used. ϕ ( P ) values measured at various filtrate flow rates (20-100 uL/min) and utilizing various filter pore sizes (1.2-3.5 μm), was as high as 150 %. Maximum V ( f )(T)× ϕ ( P ) was achieved utilizing the 3.5 um filters at the highest flow rate, 100 uL/min. Erythrocyte leakages were always below 2,000/uL, far below the allowable limit stipulated by the American Association of Blood Banking. These data imply that a 13.7 cm(2) filter area is sufficient to achieve the target separation of 50 mL of platelet concentrate in 30 min. The filtration cartridge would consist of multiple microporous strips of 3 mm width arranged in parallel so that each element would see the conditions used in the prototype experiments presented here. Other microfiltration schemes suggest no method of scaling to practical levels.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hubley, Emily; Pierce, Greg; Ploquin, Nicolas
Purpose: To develop and validate a computational method to simulate craniocaudal respiratory motion in a VMAT treatment plan. Methods: Three 4DCTs of the QUASAR respiratory motion phantom were acquired with a 2cm water-density spherical tumour embedded in cedar to simulate lung. The phantom was oscillating sinusoidally with an amplitude of 2cm and periods of 3, 4, and 5 seconds. An ITV was contoured and 5mm PTV margin was added. High and a low modulation factor VMAT plans were created for each scan. An in-house program was developed to simulate respiratory motion in the treatment plans by shifting the MLC leafmore » positions relative to the phantom. Each plan was delivered to the phantom and the dose was measured using Gafchromic film. The measured and calculated plans were compared using an absolute dose gamma analysis (3%/3mm). Results: The average gamma pass rate for the low modulation plan and high modulation plans were 91.1% and 51.4% respectively. The difference between the high and low modulation plans gamma pass rates is likely related to the different sampling frequency of the respiratory curve and the higher MLC leaf speeds in the high modulation plan. A high modulation plan has a slower gantry speed and therefore samples the breathing cycle at a coarser frequency leading to inaccuracies between the measured and planned doses. Conclusion: A simple program, including a novel method for increasing sampling frequency beyond the control point frequency, has been developed to simulate respiratory motion in VMAT plans by shifting the MLC leaf positions.« less
46 CFR 64.83 - Hydrostatic test.
Code of Federal Regulations, 2010 CFR
2010-10-01
..., the heating coil passing a hydrostatic test at a pressure of 200 psig or more or 50 percent or more above the rated pressure of the coil, whichever is greater. (b) If the tank passes the hydrostatic test... 46 Shipping 2 2010-10-01 2010-10-01 false Hydrostatic test. 64.83 Section 64.83 Shipping COAST...
76 FR 6606 - Combined Notice of Filings
Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-07
... Wednesday, February 09, 2011. Docket Numbers: RP11-1737-000. Applicants: Golden Pass Pipeline LLC. Description: Golden Pass Pipeline LLC submits tariff filing per 154.203: CP11-34-000 Amended Initial Rates to... submits tariff filing per 154.203: Medford Lateral Annual Report Year Ending 10-31-10 to be effective N/A...
Subcutaneous ICD screening with the Boston Scientific ZOOM programmer versus a 12-lead ECG machine.
Chang, Shu C; Patton, Kristen K; Robinson, Melissa R; Poole, Jeanne E; Prutkin, Jordan M
2018-02-24
The subcutaneous implantable cardioverter-defibrillator (S-ICD) requires preimplant screening to ensure appropriate sensing and reduce risk of inappropriate shocks. Screening can be performed using either an ICD programmer or a 12-lead electrocardiogram (ECG) machine. It is unclear whether differences in signal filtering and digital sampling change the screening success rate. Subjects were recruited if they had a transvenous single-lead ICD without pacing requirements or were candidates for a new ICD. Screening was performed using both a Boston Scientific ZOOM programmer (Marlborough, MA, USA) and General Electric MAC 5000 ECG machine (Fairfield, CT, USA). A pass was defined as having at least one lead that fit within the screening template in both supine and sitting positions. A total of 69 subjects were included and 27 sets of ECG leads had differing screening results between the two machines (7%). Of these sets, 22 (81%) passed using the ECG machine but failed using the programmer and five (19%) passed using the ECG machine but failed using the programmer (P < 0.001). Four subjects (6%) passed screening using the ECG machine but failed using the programmer. No subject passed screening with the programmer but failed with the ECG machine. There can be occasional disagreement in S-ICD patient screening between an ICD programmer and ECG machine, all of whom passed with the ECG machine but failed using the programmer. On a per lead basis, the ECG machine passes more subjects. It is unknown what the inappropriate shock rate would be if an S-ICD was implanted. Clinical judgment should be used in borderline cases. © 2018 Wiley Periodicals, Inc.
NASA Astrophysics Data System (ADS)
van der Zee, Saskia C.; Dijkema, Marieke B. A.; van der Laan, Jorrit; Hoek, Gerard
2012-08-01
In Amsterdam, many inhabitants reside in proximity to inland waters. The aim of this study was to assess the impact of passing inland ships and recreational boats, including touring boats, on the air quality near houses close to the water. A measurement campaign was performed at five sites in Amsterdam. Two sites were located along the inland waterways used by cargo ships and recreational boats. The other three sites were located along the canals in the historical city centre, used by touring boats and private recreational boats. At each site, measurements were performed at the waterside and at the facade of houses. Nitrogen oxides (NO and NO2) and ultrafine particles (particle number (PN) concentration), were measured continuously during one afternoon per site, while time and type of passing ships and road traffic was registered. Linear regression analysis was used to analyze the association between passing ships and concentration, adjusted for passing road traffic. There was substantial variation in the impact of passing ships on concentrations at each measuring site, as well as between sites. On average, cargo ships contributed 5 and 4 μg m-3 to NO and NO2, respectively, and 3000 particles cm-3 to PN concentration near houses during the sampling period. Peak concentrations were occasionally substantially higher. Emissions from touring boats had a small but significant impact on NO concentration near houses but not on NO2, with the exception of one site located near the edge of two canals, where boats use extra power to travel around the bent. At this site, touring boats contributed 5 μg m-3 to the local NO2 concentration. No consistent impact of touring boats on PN concentration was observed. Emissions from private recreational boats were not consistently associated with increased NOx or PN concentration. Road traffic intensity was low at the selected measurement sites. Nevertheless, a significant impact of passing diesel-operated delivery vans on house adjacent concentrations of both NOx and PN concentrations was found. On average, mopeds had a small but significant impact on PN concentration by 1100 particles cm-3 In conclusion, this study provides evidence that ship exhausts has an impact on air quality near houses along waterways.
De Champlain, Andre F; Boulais, Andre-Philippe; Dallas, Andrew
2016-01-01
The aim of this research was to compare different methods of calibrating multiple choice question (MCQ) and clinical decision making (CDM) components for the Medical Council of Canada's Qualifying Examination Part I (MCCQEI) based on item response theory. Our data consisted of test results from 8,213 first time applicants to MCCQEI in spring and fall 2010 and 2011 test administrations. The data set contained several thousand multiple choice items and several hundred CDM cases. Four dichotomous calibrations were run using BILOG-MG 3.0. All 3 mixed item format (dichotomous MCQ responses and polytomous CDM case scores) calibrations were conducted using PARSCALE 4. The 2-PL model had identical numbers of items with chi-square values at or below a Type I error rate of 0.01 (83/3,499 or 0.02). In all 3 polytomous models, whether the MCQs were either anchored or concurrently run with the CDM cases, results suggest very poor fit. All IRT abilities estimated from dichotomous calibration designs correlated very highly with each other. IRT-based pass-fail rates were extremely similar, not only across calibration designs and methods, but also with regard to the actual reported decision to candidates. The largest difference noted in pass rates was 4.78%, which occurred between the mixed format concurrent 2-PL graded response model (pass rate= 80.43%) and the dichotomous anchored 1-PL calibrations (pass rate= 85.21%). Simpler calibration designs with dichotomized items should be implemented. The dichotomous calibrations provided better fit of the item response matrix than more complex, polytomous calibrations.
Lear jet boundary layer/shear layer laser propagation experiments
NASA Technical Reports Server (NTRS)
Gilbert, K.
1980-01-01
Optical degradations of aircraft turbulent boundary layers with shear layers generated by aerodynamic fences are analyzed. A collimated 2.5 cm diameter helium-neon laser (0.63 microns) traversed the approximate 5 cm thick natural aircraft boundary layer in double pass via a reflective airfoil. In addition, several flights examined shear layer-induced optical degradation. Flight altitudes ranged from 1.5 to 12 km, while Mach numbers were varied from 0.3 to 0.8. Average line spread function (LSF) and Modulation Transfer Function (MTF) data were obtained by averaging a large number of tilt-removed curves. Fourier transforming the resulting average MTF yields an LSF, thus affording a direct comparison of the two optical measurements. Agreement was good for the aerodynamic fence arrangement, but only fair in the case of a turbulent boundary layer. Values of phase variance inferred from the LSF instrument for a single pass through the random flow and corrected for a large aperture ranged from 0.08 to 0.11 waves (lambda = .63 microns) for the boundary layer. Corresponding values for the fence vary from 0.08 to 0.16 waves. Extrapolation of these values to 10.6 microns suggests negligible degradation for a CO2 laser transmitted through a 5 cm thick, subsonic turbulent boundary layer.
Effect of Tape Burnishing and Drive Use on Head Wear in Rotary Tape Drives
NASA Astrophysics Data System (ADS)
Bhushan, Bharat; Anderson, Reid M.; Koinkar, Vilas N.
Three types of 12.7-mm wide metal particle tapes were studied. One of the tapes was calendered, whereas the other two tapes were additionally burnished one or two times using a proprietary process. Each type of tape was studied after 100 passes in the BetaCam SP drive and also in the virgin (0 pass) state. It was reported that in the case of the unburnished tape, head wear was high in the first pass and decreased during use. However, head wear for the double burnished tape was low for the first pass and increased during use. Whereas in the single burnished tape, head wear was low in the first pass and remained low. The objective of this study is to understand the mechanisms for loss and growth of head wear by correlating the surface characteristics of the tapes to head wear rate and to determine the changes in the surface characteristics occurring from 0 to 100 passes in the drive. It was found that summit density, mean and rms summit height, and mean and rms summit curvature correlate well to the head wear data. During manufacture and use in the drive, as the summit density, mean and rms summit height, and mean and rms summit curvature decrease, the head wear rate decreases. The mechanism for head wear is the initial ploughing of dense, sharp and high tape asperities into the surface of the head material resulting in a high head wear rate and a high coefficient of friction. Double burnishing during manufacturing removes high asperities, thus making the tape very smooth and possibly results in high adhesion and head wear growth with use. Chemical changes of the tape surface during double burnishing (not part of this study) also may be responsible for head wear growth during use.
Cyclone-cyclone Interactions through the Ocean Pathway
DOE Office of Scientific and Technical Information (OSTI.GOV)
Balaguru, Karthik; Taraphdar, Sourav; Leung, Lai-Yung R.
The intense SST (Sea Surface Temperature) cooling caused by hurricane-induced mixing is restored at timescales on the order of weeks(1) and thus may persist long enough to influence a later hurricane passing over it. Though many studies have evaluated the effects of SST cool-ing induced by a hurricane on its own intensification(2, 3), none has looked at its effect on later storms. Using an analysis of observations and numerical model simulations, we demonstrate that hurricanes may influence the intensity of later hurricanes that pass over their linger-ing wakes. On average, when hurricanes encounter cold wakes, they experience SSTs that aremore » ~0.4oC lower than when they do not encounter wakes and consequently decay(intensify) at a rate that is nearly three times faster(slower). In the region of warm SSTs (* 26.5oC) where the most intense and damaging hurricanes tend to occur, the percentage of hurricanes that encounter lingering cold wakes increases with hurricane frequency and was found to be as high as 40%. Furthermore, we estimate that the cumulative power dissipated(4) by the most energetic hurricanes has been reduced by as much as ~7% in a season through this effect. As the debate on changes in Atlantic hurricane activity associated with global warming(5) continues, the negative feedback between hurricane frequency and intensity resulting from hurricane-hurricane interactions through the ocean pathway deserves attention.« less
Walder, J.S.; Driedger, C.L.
1994-01-01
As part of a hazards-assessment study, we examined the nature and rate of geomorphic change caused by outburst floods and debris flows along Tahoma Creek. Mount Rainier, since 1967. Archival aerial photographs of the area proved to be a rich source of qualitative geomorphic information. On the basis of limited direct evidence and considerations of stream hydrology, we conclude that nearly all of these debris flows began as outburst floods from South Tahoma Glacier. The water floods transformed to debris flows by incorporating large masses of sediment in a 2-km-long channel reach where the stream has incised proglacial sediments and debris-rich, stagnant glacier ice. Comparison of topographic maps for 1970 and 1991 shows that the average sediment flux out of the incised reach has been about 2 to 4 × 105 m3 a-1 corresponding to an average denudation rate in the upper part of the Tahoma Creek drainage basin of about 20 to 40 mm a-1, a value exceeded only rarely in basins affected by debris flows. However, little of this sediment has yet passed out of the Tahoma Creek basin. Comparison of geomorphic change at Tahoma Creek to that in two other alpine basins affected by outburst floods suggests that debris-rich stagnant ice can be an important source of sediment for debris flows as long as floods are frequent or channel slope is great.
NASA Astrophysics Data System (ADS)
Talingdan, J. A.; Trinidad, J. T., Jr.; Palaoag, T. D.
2018-03-01
Alternative Learning System (ALS) is a subsystem of Depatment of Education (DepEd) that serves as an option of learners who cannot afford to go in a formal education. The research focuses on the data exploration and analysis of ALS accreditation and equivalency test result using data mining. The ALS 2014 to 2016 A & E test results in the secondary level were used as data sets in the study. The A & E test results revealed that the passing rate is doubled per year. The results were clustered using k- means clustering algorithm and they were grouped into good, medium, and low standard learners to identify students need exceptional stuff for enhancement. From the clustered data, it was found out that the strand they are weak in is strand 4 which is the Development of Self and a Sense of Community with a general average of 84.23. It also revealed that the essay type of exam got the lowest score with a general average of 2.14 compared to the multiple type of exam that covers the five learning strands. Furthermore, decision tree and naive bayes were also employed in the study to predict the performance of the learners in the A & E test and determine which is better to use for prediction. It was concluded that naive bayes performs better because the accuracy rate is higher than the decision tree algorithm.
1981-10-01
SOLDER FILLET. SOLD R FILET.S CURRENT TORQUE INPUT [] SCALE FACTOR SELECT RESISTOR 5NP BETWEEN PINS 10 & 11. 6 SIGNAL OUTPUT 1.UNIT WEIGHT : 200 ± 10...The engineers at Contraves Goerz Corporation have recently applied a high range IADS as a high pass compensation element in a rate table control...frequency, since at that frequency the low pass signal phase is -900 and the high pass signal phase is +90". Contraves Goerz has solved that system
DOE Office of Scientific and Technical Information (OSTI.GOV)
Heebner, John E.; Sridharan, Arun K.; Dawson, Jay Walter
Cladding-pumped Raman fiber lasers and amplifiers provide high-efficiency conversion efficiency at high brightness enhancement. Differential loss is applied to both single-pass configurations appropriate for pulsed amplification and laser oscillator configurations applied to high average power cw source generation.
NASA Technical Reports Server (NTRS)
Chesters, Dennis; Keyser, Dennis A.; Larko, David E.; Uccellini, Louis W.
1988-01-01
In 1982, the VISSR Atmospheric Sounder (VAS) on the GOES satellite performed the Atmospheric Variability Experiment (AVE) to verify VAS's mesoscale-sounding capabilities. Attention is given to the AVE network in the late afternoon of March 6, 1982, after a winter storm had passed over Texas, in order to ascertain whether such temperature profile deviations from the average lapse rate as a midlevel cold pool (which should decrease the brightness of several IR channels) can be retrieved from VAS radiances. Two simple enhancements are introduced: the regression matrix is calculated using the AVE asynoptic radiosondes launched from NWS sites in the region, and a change of the statistical conditioning factor from the conservative 10/1 SNR to a more optimistic 100/1 for those VAS channels that are more sensitive to tropospheric temperature.
Estimating Relative Positions of Outer-Space Structures
NASA Technical Reports Server (NTRS)
Balian, Harry; Breckenridge, William; Brugarolas, Paul
2009-01-01
A computer program estimates the relative position and orientation of two structures from measurements, made by use of electronic cameras and laser range finders on one structure, of distances and angular positions of fiducial objects on the other structure. The program was written specifically for use in determining errors in the alignment of large structures deployed in outer space from a space shuttle. The program is based partly on equations for transformations among the various coordinate systems involved in the measurements and on equations that account for errors in the transformation operators. It computes a least-squares estimate of the relative position and orientation. Sequential least-squares estimates, acquired at a measurement rate of 4 Hz, are averaged by passing them through a fourth-order Butterworth filter. The program is executed in a computer aboard the space shuttle, and its position and orientation estimates are displayed to astronauts on a graphical user interface.
Nagasako, Tetsuro; Kawashima, Tohru; Takada, Tetsuya
2012-06-01
The recognition mechanism is composed of seven groups that conduct qualifying examinations within each region. The average pass rate in three qualifying examination areas conducted by JAMT is 77.2%. It is necessary to integrate similar qualifying examinations in the future and the new "Integrated management technologist system" has a key role from the aspect of personnel training. Requirements for the integrated management inspection technologist are as follows: 1) Person who obtains many positive evaluations; 2) Excellent personality; 3) Person with a sense of justice; 4) Person with resolution-making abilities and decision; 5) Person who can see the heart of an issue; 6) Person who has the potential to become a leader; 7) Person with crisis-management ability. Also, selected personnel are expected to become leaders not only in their field of expertise but also within their hospital and JAMT management.
Anis, Samsudin; Zainal, Z A
2013-12-01
This study focused on improving the producer gas quality using radio frequency (RF) tar thermocatalytic treatment reactor. The producer gas containing tar, particles and water was directly passed at a particular flow rate into the RF reactor at various temperatures for catalytic and thermal treatments. Thermal treatment generates higher heating value of 5.76 MJ Nm(-3) at 1200°C. Catalytic treatments using both dolomite and Y-zeolite provide high tar and particles conversion efficiencies of about 97% on average. The result also showed that light poly-aromatic hydrocarbons especially naphthalene and aromatic compounds particularly benzene and toluene were still found even at higher reaction temperatures. Low energy intensive RF tar thermocatalytic treatment was found to be effective for upgrading the producer gas quality to meet the end user requirements and increasing its energy content. Copyright © 2013 Elsevier Ltd. All rights reserved.
Fog as a fresh-water resource: overview and perspectives.
Klemm, Otto; Schemenauer, Robert S; Lummerich, Anne; Cereceda, Pilar; Marzol, Victoria; Corell, David; van Heerden, Johan; Reinhard, Dirk; Gherezghiher, Tseggai; Olivier, Jana; Osses, Pablo; Sarsour, Jamal; Frost, Ernst; Estrela, María J; Valiente, José A; Fessehaye, Gebregiorgis Mussie
2012-05-01
The collection of fog water is a simple and sustainable technology to obtain fresh water for afforestation, gardening, and as a drinking water source for human and animal consumption. In regions where fresh water is sparse and fog frequently occurs, it is feasible to set up a passive mesh system for fog water collection. The mesh is directly exposed to the atmosphere, and the foggy air is pushed through the mesh by the wind. Fog droplets are deposited on the mesh, combine to form larger droplets, and run down passing into a storage tank. Fog water collection rates vary dramatically from site to site but yearly averages from 3 to 10 l m(-2) of mesh per day are typical of operational projects. The scope of this article is to review fog collection projects worldwide, to analyze factors of success, and to evaluate the prospects of this technology.
NASA Astrophysics Data System (ADS)
Yu, Yajun; Sanchez, Nancy P.; Yi, Fan; Zheng, Chuantao; Ye, Weilin; Wu, Hongpeng; Griffin, Robert J.; Tittel, Frank K.
2017-05-01
A sensor system capable of simultaneous measurements of NO and NO2 was developed using a wavelength modulation-division multiplexing (WMDM) scheme and multi-pass absorption spectroscopy. A continuous wave (CW), distributed-feedback (DFB) quantum cascade laser (QCL) and a CW external-cavity (EC) QCL were employed for targeting a NO absorption doublet at 1900.075 cm-1 and a NO2 absorption line at 1630.33 cm-1, respectively. Simultaneous detection was realized by modulating both QCLs independently at different frequencies and demodulating the detector signals with LabView-programmed lock-in amplifiers. The sensor operated at a reduced pressure of 40 Torr and a data sampling rate of 1 Hz. An Allan-Werle deviation analysis indicated that the minimum detection limits of NO and NO2 can reach sub-ppbv concentration levels with averaging times of 100 and 200 s, respectively.
Cattail rhizome-derived alcohol interim report
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gabrielson, J.E.
1981-05-30
During the first six months of this project over 600 pounds of rhizomes, weighted wet and dirty were harvested and air dried. Average yields, on low land, were 1.9 tons/acre. Yields from areas in ponds may have been higher but it is difficult to estimate the areas. Sixteen fermentations were made. The results show that the rhizomes do not ferment well unless they are finely ground, and saccharified with acid, malt or enzymes. Grinding and screening so the feed passes a 40 mesh screen and then saccharifying with two enzymes produced the best results. Over 50% of the solids weremore » converted to alcohol and carbon dioxide, 25% yield of alcohol based on dry weight of solids. Based on the maximum land harvest rate and the best alcohol yield production of 285 gallons of alcohol/acre of cattails are projected. This is a very good potential use of what is today marginal land.« less
Managing Radiation Degradation of CCDs on the Chandra X-Ray Observatory--III
NASA Technical Reports Server (NTRS)
O'Dell, Stephen L.; Aldcroft, Thomas L.; Blackwell, William C.; Bucher, Sabina L.; Chappell, Jon H.; DePasquale, Joseph M.; Grant, Catherine E.; Juda, Michael; Martin, Eric R.; Minow, Joseph I.;
2007-01-01
The CCDs on the Chandra X-ray Observatory are vulnerable to radiation damage from low-energy protons scattered off the telescope's mirrors onto the focal plane. Following unexpected damage incurred early in the mission, the Chandra team developed, implemented, and maintains a radiation-protection program. This program--involving scheduled radiation safing during radiation-belt passes, intervention based upon real-time space-weather conditions and radiation-environment modeling, and on-board radiation monitoring with autonomous radiation safing--has successfully managed the radiation damage to the CCDs. Since implementing the program, the charge-transfer inefficiency (CTI) has increased at an average annual rate of only 3.2x 10(exp -6) (2.3 percent) for the front-illuminated CCDs and 1.0x10(exp -6) (6.7 percent) for the back-illuminated CCDs. This paper describes the current status of the Chandra radiation-management program, emphasizing enhancements implemented since the previous papers.
French Norms for the Harvard Group Scale of Hypnotic Susceptibility, Form A.
Anlló, Hernán; Becchio, Jean; Sackur, Jérôme
2017-01-01
The authors present French norms for the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS:A). They administered an adapted translation of Shor and Orne's original text (1962) to a group of 126 paid volunteers. Participants also rated their own responses following our translation of Kihlstrom's Scale of Involuntariness (2006). Item pass rates, score distributions, and reliability were calculated and compared with several other reference samples. Analyses show that the present French norms are congruous with the reference samples. Interestingly, the passing rate for some items drops significantly if "entirely voluntary" responses (as identified by Kihlstrom's scale) are scored as "fail." Copies of the translated scales and response booklet are available online.
Wotton, J M; Ferragamo, M J
2011-10-01
Anuran auditory nerve fibers (ANF) tuned to low frequencies display unusual frequency-dependent adaptation which results in a more phasic response to signals above best frequency (BF) and a more tonic response to signals below. A network model of the first two layers of the anuran auditory system was used to test the contribution of this dynamic peripheral adaptation on two-tone suppression and amplitude modulation (AM) tuning. The model included a peripheral sandwich component, leaky-integrate-and-fire cells and adaptation was implemented by means of a non-linear increase in threshold weighted by the signal frequency. The results of simulations showed that frequency-dependent adaptation was both necessary and sufficient to produce high-frequency-side two-tone suppression for the ANF and cells of the dorsal medullary nucleus (DMN). It seems likely that both suppression and this dynamic adaptation share a common mechanism. The response of ANFs to AM signals was influenced by adaptation and carrier frequency. Vector strength synchronization to an AM signal improved with increased adaptation. The spike rate response to a carrier at BF was the expected flat function with AM rate. However, for non-BF carrier frequencies the response showed a weak band-pass pattern due to the influence of signal sidebands and adaptation. The DMN received inputs from three ANFs and when the frequency tuning of inputs was near the carrier, then the rate response was a low-pass or all-pass shape. When most of the inputs were biased above or below the carrier, then band-pass responses were observed. Frequency-dependent adaptation enhanced the band-pass tuning for AM rate, particularly when the response of the inputs was predominantly phasic for a given carrier. Different combinations of inputs can therefore bias a DMN cell to be especially well suited to detect specific ranges of AM rates for a particular carrier frequency. Such selection of inputs would clearly be advantageous to the frog in recognizing distinct spectral and temporal parameters in communication calls. Copyright © 2011 Elsevier B.V. All rights reserved.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wu, X; Wang, Y
Purpose: Due to limited commissioning time, we previously only released our True beam non-FFF mode for prostate treatment. Clinical demand now pushes us to release the non-FFF mode for SRT/SBRT treatment. When re-planning on True beam previously treated SRT/SBRT cases on iX machine we found the patient specific QA pass rate was worse than iX’s, though the 2Gy/fx prostate Result had been as good. We hypothesize that in TPS the True beam DLG and MLC transmission values, of those measured during commissioning could not yet provide accurate SRS/SBRT dosimetry. Hence this work is to investigate how the TPS DLG andmore » transmission value affects Rapid Arc plans’ dosimetric accuracy. Methods: We increased DLG and transmission value of True beam in TPS such that their percentage differences against the measured matched those of iX’s. We re-calculated 2 SRT, 1 SBRT and 2 prostate plans, performed patient specific QA on these new plans and compared the results to the previous. Results: With DLG and transmission value set respectively 40 and 8% higher than the measured, the patient specific QA pass rate (at 3%/3mm) improved from 95.0 to 97.6% vs previous iX’s 97.8% in the case of SRT. In the case of SBRT, the pass rate improved from 75.2 to 93.9% vs previous iX’s 92.5%. In the case of prostate, the pass rate improved from 99.3 to 100%. The maximum dose difference in plans before and after adjusting DLG and transmission was approximately 1% of the prescription dose among all plans. Conclusion: The impact of adjusting DLG and transmission value on dosimetry might be the same among all Rapid Arc plans regardless hypofractionated or not. The large variation observed in patient specific QA pass rate might be due to the data analysis method in the QA software being more sensitive to hypofractionated plans.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lamb, J; Ginn, J; O’Connell, D
Purpose: Magnetic resonance image (MRI) guided radiotherapy enables gating directly on target position for soft-tissue targets in the lung and abdomen. We present a dosimetric evaluation of a commercially-available FDA-approved MRI-guided radiotherapy system’s gating performance using a MRI-compatible respiratory motion phantom and radiochromic film. Methods: The MRI-compatible phantom was capable of one-dimensional motion. The phantom consisted of a target rod containing high-contrast target inserts which moved inside a body structure containing background contrast material. The target rod was equipped with a radiochromic film insert. Treatment plans were generated for a 3 cm diameter spherical target, and delivered to the phantommore » at rest and in motion with and without gating. Both sinusoidal and actual tumor trajectories (two free-breathing trajectories and one repeated-breath hold) were used. Gamma comparison at 5%/3mm was used to measure fidelity to the static target dose distribution. Results: Without gating, gamma pass rates were 24–47% depending on motion trajectory. Using our clinical standard of repeated breath holds and a gating window of 3 mm with 10% of the target allowed outside the gating boundary, the gamma pass rate was 99.6%. Relaxing the gating window to 5 mm resulted in gamma pass rate of 98.6% with repeated breath holds. For all motion trajectories gated with 3 mm margin and 10% allowed out, gamma pass rates were between 64–100% (mean:87.5%). For a 5 mm margin and 10% allowed out, gamma pass rates were between 57–98% (mean: 82.49%), significantly lower than for 3 mm by paired t-test (p=0.01). Conclusion: We validated the performance of respiratory gating based on real-time cine MRI images with the only FDA-approved MRI-guided radiotherapy system. Our results suggest that repeated breath hold gating should be used when possible for best accuracy. A 3 mm gating margin is statistically significantly more accurate than a 5 mm gating margin.« less
Photochemical escape of oxygen from Mars: First results from MAVEN in situ data
NASA Astrophysics Data System (ADS)
Lillis, Robert J.; Deighan, Justin; Fox, Jane L.; Bougher, Stephen W.; Lee, Yuni; Combi, Michael R.; Cravens, Thomas E.; Rahmati, Ali; Mahaffy, Paul R.; Benna, Mehdi; Elrod, Meredith K.; McFadden, James P.; Ergun, Robert. E.; Andersson, Laila; Fowler, Christopher M.; Jakosky, Bruce M.; Thiemann, Ed; Eparvier, Frank; Halekas, Jasper S.; Leblanc, François; Chaufray, Jean-Yves
2017-03-01
Photochemical escape of atomic oxygen is thought to be one of the dominant channels for Martian atmospheric loss today and played a potentially major role in climate evolution. Mars Atmosphere and Volatile Evolution Mission (MAVEN) is the first mission capable of measuring, in situ, the relevant quantities necessary to calculate photochemical escape fluxes. We utilize 18 months of data from three MAVEN instruments: Langmuir Probe and Waves, Neutral Gas and Ion Mass Spectrometer, and SupraThermal And Thermal Ion Composition. From these data, we calculate altitude profiles of the production rate of hot oxygen atoms from the dissociative recombination of O2+ and the probability that such atoms will escape the Mars atmosphere. From this, we determine escape fluxes for 815 periapsis passes. Derived average dayside hot O escape rates range from 1.2 to 5.5 × 1025 s-1, depending on season and EUV flux, consistent with several pre-MAVEN predictions and in broad agreement with estimates made with other MAVEN measurements. Hot O escape fluxes do not vary significantly with dayside solar zenith angle or crustal magnetic field strength but depend on CO2 photoionization frequency with a power law whose exponent is 2.6 ± 0.6, an unexpectedly high value which may be partially due to seasonal and geographic sampling. From this dependence and historical EUV measurements over 70 years, we estimate a modern-era average escape rate of 4.3 × 1025 s-1. Extrapolating this dependence to early solar system, EUV conditions gives total losses of 13, 49, 189, and 483 mbar of oxygen over 1-3 and 3.5 Gyr, respectively, with uncertainties significantly increasing with time in the past.
Occupational eye injury and risk reduction: Kentucky workers' compensation claim analysis 1994-2003.
McCall, B P; Horwitz, I B; Taylor, O A
2009-06-01
Occupational eye injuries are a significant source of injury in the workplace. Little population-based research in the area has been conducted, and is necessary for developing and prioritizing effective interventions. Workers' compensation data from the state of Kentucky for the years 1994-2003 were analysed by demographics, injury nature and cause, cost, and occupational and industrial characteristics. The US Bureau of Labor Statistics' Current Population Survey was utilised to compute injury rates for demographic and occupational groups. There were 10,545 claims of ocular injury, representing 6.29 claims per 10,000 workers on average annually. A substantial drop in the claim rate was found after the state passed monetary penalties for injuries caused by employer negligence or OSHA violations. Claims by men were over three times more likely than those by women to have associated claim costs (OR 0.52; 95% CI 0.32 to 0.85; p = 0.009). The highest eye injury rates per 10,000 of 13.46 (95% CI 12.86 to 14.07) were found for the helpers/labourers occupation, and of 19.95 (95% CI 18.73 to 21.17) for the construction industry. The total cost of claim payments over the period was over $3,480,000, and average cost per claim approximated $331. Eye injuries remain a significant risk to worker health, especially among men in jobs requiring intensive manual labour. Evidence showed that increased legislative regulation led to a decline in eye injuries, which was consistent with other recent findings in the area. Additionally, targeting groups most at risk, increasing worker training, providing effective eye protection equipment, and developing workplace safety cultures may together reduce occupational eye injuries.
InSAR Detection and Field Evidence for Thermokarst after a Tundra Wildfire, Using ALOS-PALSAR
Iwahana, Go; Uchida, Masao; Liu, Lin; ...
2016-03-08
Thermokarst is the process of ground subsidence caused by either the thawing of ice-rich permafrost or the melting of massive ground ice. The consequences of permafrost degradation associated with thermokarst for surface ecology, landscape evolution, and hydrological processes have been of great scientific interest and social concern. Part of a tundra patch affected by wildfire in northern Alaska (27.5 km 2) was investigated here, using remote sensing and in situ surveys to quantify and understand permafrost thaw dynamics after surface disturbances. A two-pass differential InSAR technique using L-band ALOS-PALSAR has been shown capable of capturing thermokarst subsidence triggered by amore » tundra fire at a spatial resolution of tens of meters, with supporting evidence from field data and optical satellite images. We have introduced a calibration procedure, comparing burned and unburned areas for InSAR subsidence signals, to remove the noise due to seasonal surface movement. In the first year after the fire, an average subsidence rate of 6.2 cm/year (vertical) was measured. Subsidence in the burned area continued over the following two years, with decreased rates. The mean rate of subsidence observed in our interferograms (from 24 July 2008 to 14 September 2010) was 3.3 cm/year, a value comparable to that estimated from field surveys at two plots on average (2.2 cm/year) for the six years after the fire. These results suggest that this InSAR-measured ground subsidence is caused by the development of thermokarst, a thawing process supported by surface change observations from high-resolution optical images and in situ ground level surveys.« less
Calculation of single-pass gain for laser ceramics with losses
NASA Astrophysics Data System (ADS)
Vatnik, S. M.
2018-04-01
Rate equations describing the single-pass gain in an active medium with losses are analytically solved. The found relations illustrate the dependences of the amplification efficiency of Nd : YAG ceramics on the pump power density and specific losses. It is concluded that specific losses can be estimated from comparative measurements of unsaturated and saturated gains.
46 CFR 12.401 - General requirements for able seaman (A/B) endorsements.
Code of Federal Regulations, 2014 CFR
2014-10-01
... must— (1) Be at least 18 years of age; (2) Pass the prescribed physical and medical examination requirements specified in 46 CFR, part 10, subpart C; (3) Present evidence of having passed a chemical test for... appropriate. (3) The A/B endorsement will clearly describe the type of rating that it represents (see...
Predictors of NCLEX-RN Success of Associate Degree Graduates: A Correlational Study
ERIC Educational Resources Information Center
Kehm, Bonny J.
2013-01-01
The outcome of Associate Degree Nursing (ADN) students not passing the initial National Council of Licensure Examination for Registered Nursing (NCLEX-RN) can adversely affect schools of nursing. This failure also adversely affects the national nursing shortage. The declining national pass rates on the NCLEX-RN for ADN graduates and the increasing…
Alternate biomass harvesting systems using conventional equipment
Bryce J. Stokes; William F. Watson; I. Winston Savelle
1985-01-01
Three harvesting methods were field tested in two stand types. Costs and stand utilization rates were developed for a conventional harvesting system, without energy wood recovery; a two-pass roundwood and energy wood system; and a one-pass system that harvests roundwood and energy wood. The systems harvested 20-acre test blocks in two pine pulpwood plantations and in a...
Competing Discourses of Academic Spanish in the Texas-Mexico Borderlands
ERIC Educational Resources Information Center
Guerrero, Michael D.; Guerrero, Maria Consuelo
2017-01-01
In this descriptive study the efforts of a faculty to prepare a cohort of pre-service bilingual education teachers to pass a newly adopted state certification test of academic Spanish are presented. The faculty's efforts were aimed at offsetting a low pass rate on this test, but unfortunately efforts fell short. To unpack this outcome, the authors…
The Effects of Cultural Transmission Are Modulated by the Amount of Information Transmitted
ERIC Educational Resources Information Center
Griffiths, Thomas L.; Lewandowsky, Stephan; Kalish, Michael L.
2013-01-01
Information changes as it is passed from person to person, with this process of cultural transmission allowing the minds of individuals to shape the information that they transmit. We present mathematical models of cultural transmission which predict that the amount of information passed from person to person should affect the rate at which that…
ERIC Educational Resources Information Center
Gray, Katti
2011-01-01
Howard University School of Law had a problem, and school officials knew it. Over a 20-year period, 40 percent of its graduates who took the Maryland bar exam failed it on their first try. During the next 24 months--the time frame required to determine its "eventual pass rate"--almost 90 percent of the students did pass. What they did…
NASA Astrophysics Data System (ADS)
Reed, Krystal Astra
The "Advancement via Individual Determination (AVID) program was designed to provide resources and strategies that enable underrepresented minority students to attend 4-year colleges" (AVID Center, 2013, p. 2). These students are characterized as the forgotten middle in that they have high test scores, average-to-low grades, minority or low socioeconomic status, and will be first-generation college students (AVID, 2011). Research indicates (Huerta, Watt, & Butcher, 2013) that strict adherence to 11 program components supports success of students enrolled in AVID, and AVID certification depends on districts following those components. Several studies (AVID Center, 2013) have investigated claims about the AVID program through qualitative analyses; however, very few have addressed this program quantitatively. This researcher sought to determine whether differences existed between student achievement and attendance rates between AVID and non-AVID middle schools. To achieve this goal, the researcher compared eighth-grade science and seventh- and eighth-grade mathematics scores from the 2007 to 2011 Texas Assessment of Knowledge and Skills (TAKS) and overall attendance rates in demographically equivalent AVID and non-AVID middle schools. Academic Excellence Indicator System (AEIS) reports from the Texas Education Agency (TEA) were used to obtain 2007 to 2011 TAKS results and attendance information for the selected schools. The results indicated a statistically significant difference between AVID demonstration students and non-AVID students in schools with similar CI. No statistically significant differences were found on any component of the TAKS for AVID economically disadvantaged students. The mean scores indicated an achievement gap between non-AVID and AVID demonstration middle schools. The findings from the other three research questions indicated no statistically significant differences between AVID and non-AVID student passing rates on the seventh- and eighth-grade TAKS math tests or on overall attendance rates. The mean scores on the eighth-grade TAKS science test revealed some positive results in the academic performance of economically disadvantaged in non-AVID demonstration middle schools. Specifically, the results indicated that the mean passing percentage of AVID demonstration was lower than that of non-AVID middle schools. The TAKS scores showed a small achievement gap between non-AVID and AVID demonstration middle schools.
Assessment of a new undergraduate module in musculoskeletal medicine.
Queally, Joseph M; Cummins, Fionnan; Brennan, Stephen A; Shelly, Martin J; O'Byrne, John M
2011-02-02
Despite the high prevalence of musculoskeletal disorders seen by primary care physicians, numerous studies have demonstrated deficiencies in the adequacy of musculoskeletal education at multiple stages of medical education. The aim of this study was to assess a newly developed module in musculoskeletal medicine for use at European undergraduate level (i.e., the medical-school level). A two-week module in musculoskeletal medicine was designed to cover common musculoskeletal disorders that are typically seen in primary care. The module incorporated an integrated approach, including core lectures, bedside clinical examination, and demonstration of basic practical procedures. A previously validated examination in musculoskeletal medicine was used to assess the cognitive knowledge of ninety-two students on completion of the module. A historical control group (seventy-two students) from a prior course was used for comparison. The new module group (2009) performed significantly better than the historical (2006) control group in terms of score (62.3% versus 54.3%, respectively; p < 0.001) and pass rate (38.4% versus 12.5%, respectively; p = 0.0002). In a subgroup analysis of the new module group, students who enrolled in the graduate entry program (an accelerated four-year curriculum consisting of students who have already completed an undergraduate university degree) were more likely to perform better in terms of average score (72.2% versus 57%, respectively; p < 0.001) and pass rates (70.9% versus 21.4%, respectively; p < 0.001) compared with students who had enrolled via the traditional undergraduate route. In terms of satisfaction rates, the new module group reported a significantly higher satisfaction rate than that reported by the historical control group (63% versus 15%, respectively; p < 0.001). In conclusion, the musculoskeletal module described in this paper represents an educational advance at undergraduate (i.e., medical-school) level as demonstrated by the improvement in scores in a validated examination. As pressure on medical curricula grows to accommodate advancing medical knowledge, it is important to continue to improve, assess, and consolidate the position of musculoskeletal medicine in contemporary medical education.
Comparison of two methods of standard setting: the performance of the three-level Angoff method.
Jalili, Mohammad; Hejri, Sara M; Norcini, John J
2011-12-01
Cut-scores, reliability and validity vary among standard-setting methods. The modified Angoff method (MA) is a well-known standard-setting procedure, but the three-level Angoff approach (TLA), a recent modification, has not been extensively evaluated. This study aimed to compare standards and pass rates in an objective structured clinical examination (OSCE) obtained using two methods of standard setting with discussion and reality checking, and to assess the reliability and validity of each method. A sample of 105 medical students participated in a 14-station OSCE. Fourteen and 10 faculty members took part in the MA and TLA procedures, respectively. In the MA, judges estimated the probability that a borderline student would pass each station. In the TLA, judges estimated whether a borderline examinee would perform the task correctly or not. Having given individual ratings, judges discussed their decisions. One week after the examination, the procedure was repeated using normative data. The mean score for the total test was 54.11% (standard deviation: 8.80%). The MA cut-scores for the total test were 49.66% and 51.52% after discussion and reality checking, respectively (the consequent percentages of passing students were 65.7% and 58.1%, respectively). The TLA yielded mean pass scores of 53.92% and 63.09% after discussion and reality checking, respectively (rates of passing candidates were 44.8% and 12.4%, respectively). Compared with the TLA, the MA showed higher agreement between judges (0.94 versus 0.81) and a narrower 95% confidence interval in standards (3.22 versus 11.29). The MA seems a more credible and reliable procedure with which to set standards for an OSCE than does the TLA, especially when a reality check is applied. © Blackwell Publishing Ltd 2011.
Asymmetry in growth and decay of the geomagnetic dipole revealed in seafloor magnetization
NASA Astrophysics Data System (ADS)
Avery, Margaret S.; Gee, Jeffrey S.; Constable, Catherine G.
2017-06-01
Geomagnetic intensity fluctuations provide important constraints on time-scales associated with dynamical processes in the outer core. PADM2M is a reconstructed time series of the 0-2 Ma axial dipole moment (ADM). After smoothing to reject high frequency variations PADM2M's average growth rate is larger than its decay rate. The observed asymmetry in rates of change is compatible with longer term diffusive decay of the ADM balanced by advective growth on shorter time scales, and provides a potentially useful diagnostic for evaluating numerical geodynamo simulations. We re-analyze the PADM2M record using improved low-pass filtering to identify asymmetry and quantify its uncertainty via bootstrap methods before applying the new methodology to other kinds of records. Asymmetry in distribution of axial dipole moment derivatives is quantified using the geomagnetic skewness coefficient, sg. A positive value indicates the distribution has a longer positive tail and the average growth rate is greater than the average decay rate. The original asymmetry noted by Ziegler and Constable (2011) is significant and does not depend on the specifics of the analysis. A long-term record of geomagnetic intensity should also be preserved in the thermoremanent magnetization of oceanic crust recovered by inversion of stacked profiles of marine magnetic anomalies. These provide an independent means of verifying the asymmetry seen in PADM2M. We examine three near-bottom surveys: a 0 to 780 ka record from the East Pacific Rise at 19°S, a 0 to 5.2 Ma record from the Pacific Antarctic Ridge at 51°S, and a chron C4Ar-C5r (9.3-11.2 Ma) record from the NE Pacific. All three records show an asymmetry similar in sense to PADM2M with geomagnetic skewness coefficients, sg > 0. Results from PADM2M and C4Ar-C5r are most robust, reflecting the higher quality of these geomagnetic records. Our results confirm that marine magnetic anomalies can carry a record of the asymmetric geomagnetic field behavior first found for 0-2 Ma in PADM2M, and show that it was also present during the earlier time interval from 9.3-11.2 Ma.
Ikama, M S; Nsitou, B M; Makani, J; Nkalla-Lambi, M; Passi-Louamba, C
2015-04-01
To evaluate the rate control in the hypertensive patients and to identify the predictive factors of non-control. It was about a cross-sectional study with prospective collection of data over a period of 36 months. It has been held in Brazzaville, and included a consecutive series of 620 hypertensive patients known and treated for at least 6 weeks, having profited from an ambulatory blood pressure monitoring (ABPM) with therapeutic aiming. We used the TONOPORT V and the software Cardiosoft 6.51 of GE Health Care, respectively for the recording and the data analysis. The threshold fixed on the average of 24-hour was BP<130/80 mmHg, and the patients divided into two groups according to whether they were or not controlled. They were 352 men (56.8%) and 268 women (43.2%), old on average of 53.8 ± 9.7 years (ranges: 29 and 89 years). The standard of living of the patients was average in 330 cases (53.2%), weak in 132 cases (21.3%), and high in 71 cases (11.5%). The other associated risk factors were sedentariness in 275 cases (44.4%), overweight/obesity in 134 cases (21.6%), dyslipidemia in 121 cases (19.5%), diabetes mellitus in 90 cases (14.5%), and tobacco addiction in 25 cases (4%). The hypertension, old of 5.8 ± 5.7 years on average, was controlled among 215 patients (34.7%). The 24- hour BP average was 139 ± 14 mmHg for the SBP and 88.2 ± 10.2 mmHg for the DBP. The awake and asleep BP averages were respectively 141 ± 14 mmHg and 133 ± 16.2 mmHg for the SBP, 90.5 ± 10.5 and 81.2 ± 11.1 mmHg for the DBP. The antihypertensive protocol used was a monotherapy in 130 cases (21%), bitherapy in 287 cases (46.3%), tritherapy in 154 cases (24.8%), quadritherapy or more in 27 cases (4.3%). Prevalence of non-dipping was 43%. Age and male gender were the significant predictors of poor control. The rate control of hypertension in our study population remains low. Its improvement passes by the education of the hypertensive patients and the improvement of their living conditions. Copyright © 2015 Elsevier Masson SAS. All rights reserved.
de Montbrun, Sandra; Roberts, Patricia L; Satterthwaite, Lisa; MacRae, Helen
2016-07-01
To implement the Colorectal Objective Structured Assessment of Technical skill (COSATS) into American Board of Colon and Rectal Surgery (ABCRS) certification and build evidence of validity for the interpretation of the scores of this high stakes assessment tool. Currently, technical skill assessment is not a formal component of board certification. With the technical demands of surgical specialties, documenting competence in technical skill at the time of certification with a valid tool is ideal. In September 2014, the COSATS was a mandatory component of ABCRS certification. Seventy candidates took the examination, with their performance evaluated by expert colorectal surgeons using a task-specific checklist, global rating scale, and overall performance scale. Passing scores were set and compared using 2 standard setting methodologies, using a compensatory and conjunctive model. Inter-rater reliability and the reliability of the pass/fail decision were calculated using Cronbach alpha and Subkoviak methodology, respectively. Overall COSATS scores and pass/fail status were compared with results on the ABCRS oral examination. The pass rate ranged from 85.7% to 90%. Inter-rater reliability (0.85) and reliability of the pass/fail decision (0.87 and 0.84) were high. A low positive correlation (r= 0.25) was seen between the COSATS and oral examination. All individuals who failed the COSATS passed the ABCRS oral examination. COSATS is the first technical skill examination used in national surgical board certification. This study suggests that the current certification process may be failing to identify individuals who have demonstrated technical deficiencies on this standardized assessment tool.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Liu, X
Purpose: To explore the real-time dose verification method in volumetric modulated arc radiotherapy (VMAT) with a 2D array ion chamber array. Methods: The 2D ion chamber array was fixed on the panel of electronic portal imaging device (EPID). Source-detector distance (SDD)was 140cm. 8mm RW3 solid water was added to the detector panel to achieve maximum readings.The patient plans for esophageal, prostate and liver cancers were selected to deliver on the cylindrical Cheese phantom 5 times in order to validate the reproducibility of doses. Real-time patient transit dose measurements were performed at each fraction. Dose distributions wereevaluated using gamma index criteriamore » of 3mm DTA and 3% dose difference referred to the firsttime Result. Results: The gamma index pass rate in the Cheese phantom were about 98%; The gamma index pass rate for esophageal, liver and prostate cancer patient were about 92%,94%, and 92%, respectively; Gamma pass rate for all single fraction were more than 90%. Conclusion: The 2D array is capable of monitoring the real time transit doses during VMAT delivery. It is helpful to improve the treatment accuracy.« less
Radar remote sensing for archaeology in Hangu Frontier Pass in Xin’an, China
NASA Astrophysics Data System (ADS)
Jiang, A. H.; Chen, F. L.; Tang, P. P.; Liu, G. L.; Liu, W. K.; Wang, H. C.; Lu, X.; Zhao, X. L.
2017-02-01
As a non-invasive tool, remote sensing can be applied to archaeology taking the advantage of large scale covering, in-time acquisition, high spatial-temporal resolution and etc. In archaeological research, optical approaches have been widely used. However, the capability of Synthetic Aperture Radar (SAR) for archaeological detection has not been fully exploded so far. In this study, we chose Hangu Frontier Pass of Han Dynasty located in Henan Province as the experimental site (included into the cluster of Silk Roads World Heritage sites). An exploratory study to detect the historical remains was conducted. Firstly, TanDEM-X SAR data were applied to generate high resolution DEM of Hangu Frontier Pass; and then the relationship between the pass and derived ridge lines was analyzed. Second, the temporal-averaged amplitude SAR images highlighted archaeological traces owing to the depressed speckle noise. For instance, the processing of 20-scene PALSAR data (spanning from 2007 to 2011) enabled us to detect unknown archaeological features. Finally, the heritage remains detected by SAR data were verified by Ground Penetrating Radar (GPR) prospecting, implying the potential of the space-to-ground radar remote sensing for archaeological applications.
The Yermak Pass Branch: A Major Pathway for the Atlantic Water North of Svalbard?
NASA Astrophysics Data System (ADS)
Koenig, Zoé; Provost, Christine; Sennéchael, Nathalie; Garric, Gilles; Gascard, Jean-Claude
2017-12-01
An upward-looking Acoustic Doppler Current Profiler deployed from July 2007 to September 2008 in the Yermak Pass, north of Svalbard, gathered velocity data from 570 m up to 90 m at a location covered by sea ice 10 months out of 12. Barotropic diurnal and semidiurnal tides are the dominant signals in the velocity (more than 70% of the velocity variance). In winter, baroclinic eddies at periods between 5 and 15 days and pulses of 1-2 month periodicity are observed in the Atlantic Water layer and are associated with a shoaling of the pycnocline. Mercator-Ocean global operational model with daily and 1/12° spatial resolution is shown to have skills in representing low-frequency velocity variations (>1 month) in the West Spitsbergen Current and in the Yermak Pass. Model outputs suggest that the Yermak Pass Branch has had a robust winter pattern over the last 10 years, carrying on average 31% of the Atlantic Water volume transport of the West Spitsbergen Current (36% in autumn/winter). However, those figures have to be considered with caution as the model neither simulates tides nor fully resolves eddies and ignores residual mean currents that could be significant.
The reliability of the pass/fail decision for assessments comprised of multiple components.
Möltner, Andreas; Tımbıl, Sevgi; Jünger, Jana
2015-01-01
The decision having the most serious consequences for a student taking an assessment is the one to pass or fail that student. For this reason, the reliability of the pass/fail decision must be determined for high quality assessments, just as the measurement reliability of the point values. Assessments in a particular subject (graded course credit) are often composed of multiple components that must be passed independently of each other. When "conjunctively" combining separate pass/fail decisions, as with other complex decision rules for passing, adequate methods of analysis are necessary for estimating the accuracy and consistency of these classifications. To date, very few papers have addressed this issue; a generally applicable procedure was published by Douglas and Mislevy in 2010. Using the example of an assessment comprised of several parts that must be passed separately, this study analyzes the reliability underlying the decision to pass or fail students and discusses the impact of an improved method for identifying those who do not fulfill the minimum requirements. The accuracy and consistency of the decision to pass or fail an examinee in the subject cluster Internal Medicine/General Medicine/Clinical Chemistry at the University of Heidelberg's Faculty of Medicine was investigated. This cluster requires students to separately pass three components (two written exams and an OSCE), whereby students may reattempt to pass each component twice. Our analysis was carried out using the method described by Douglas and Mislevy. Frequently, when complex logical connections exist between the individual pass/fail decisions in the case of low failure rates, only a very low reliability for the overall decision to grant graded course credit can be achieved, even if high reliabilities exist for the various components. For the example analyzed here, the classification accuracy and consistency when conjunctively combining the three individual parts is relatively low with κ=0.49 or κ=0.47, despite the good reliability of over 0.75 for each of the three components. The option to repeat each component twice leads to a situation in which only about half of the candidates who do not satisfy the minimum requirements would fail the overall assessment, while the other half is able to continue their studies despite having deficient knowledge and skills. The method put forth by Douglas and Mislevy allows the analysis of the decision accuracy and consistency for complex combinations of scores from different components. Even in the case of highly reliable components, it is not necessarily so that a reliable pass/fail decision has been reached - for instance in the case of low failure rates. Assessments must be administered with the explicit goal of identifying examinees that do not fulfill the minimum requirements.
The reliability of the pass/fail decision for assessments comprised of multiple components
Möltner, Andreas; Tımbıl, Sevgi; Jünger, Jana
2015-01-01
Objective: The decision having the most serious consequences for a student taking an assessment is the one to pass or fail that student. For this reason, the reliability of the pass/fail decision must be determined for high quality assessments, just as the measurement reliability of the point values. Assessments in a particular subject (graded course credit) are often composed of multiple components that must be passed independently of each other. When “conjunctively” combining separate pass/fail decisions, as with other complex decision rules for passing, adequate methods of analysis are necessary for estimating the accuracy and consistency of these classifications. To date, very few papers have addressed this issue; a generally applicable procedure was published by Douglas and Mislevy in 2010. Using the example of an assessment comprised of several parts that must be passed separately, this study analyzes the reliability underlying the decision to pass or fail students and discusses the impact of an improved method for identifying those who do not fulfill the minimum requirements. Method: The accuracy and consistency of the decision to pass or fail an examinee in the subject cluster Internal Medicine/General Medicine/Clinical Chemistry at the University of Heidelberg’s Faculty of Medicine was investigated. This cluster requires students to separately pass three components (two written exams and an OSCE), whereby students may reattempt to pass each component twice. Our analysis was carried out using the method described by Douglas and Mislevy. Results: Frequently, when complex logical connections exist between the individual pass/fail decisions in the case of low failure rates, only a very low reliability for the overall decision to grant graded course credit can be achieved, even if high reliabilities exist for the various components. For the example analyzed here, the classification accuracy and consistency when conjunctively combining the three individual parts is relatively low with κ=0.49 or κ=0.47, despite the good reliability of over 0.75 for each of the three components. The option to repeat each component twice leads to a situation in which only about half of the candidates who do not satisfy the minimum requirements would fail the overall assessment, while the other half is able to continue their studies despite having deficient knowledge and skills. Conclusion: The method put forth by Douglas and Mislevy allows the analysis of the decision accuracy and consistency for complex combinations of scores from different components. Even in the case of highly reliable components, it is not necessarily so that a reliable pass/fail decision has been reached – for instance in the case of low failure rates. Assessments must be administered with the explicit goal of identifying examinees that do not fulfill the minimum requirements. PMID:26483855
Fat Imaging via Magnetic Resonance Imaging (MRI) in Young Children (Ages 1-4 Years) without Sedation
Shearrer, Grace E.; House, Benjamin T.; Gallas, Michelle C.; Luci, Jeffrey J.; Davis, Jaimie N.
2016-01-01
Introduction This pilot study developed techniques to perform Magnetic Resonance Imaging (MRI) of specific fat deposition in 18 children (age 18 months to 4 years). Methods The children engaged in a series of practice tests to become acclimated to the scanner noises, reduce claustrophobia, and rehearse holding still for a set time. The practice tests assessed if the child could remain still for two minutes while watching a video, first while lying on a blanket, second, on the blanket with headphones, and third, in the mock scanner. The children who passed the three practice tests were then scanned with a 3T Siemens Skyra magnet. Abdominal fat distribution (region of interest (ROI) from the top of the ileac crest to the bottom of the ribcage) volume was measured using 2-point DIXON technique. This region was chosen to give an indication of the body composition around the liver. Results Twelve out of eighteen participants successfully completed the actual MRI scan. Chi-squared test showed no significant difference between male and female pass-fail rates. The median age of completed scans was 36 months, whereas the median age for children unable to complete a scan was 28 months. The average total trunk fat was 240.9±85.2mL and the average total VAT was 37.7±25.9mLand liver fat was not quantifiable due to physiological motion. Several strategies (modeling, videos, and incentives) were identified to improve pediatric imaging in different age ranges. Conclusion Using an age-specific and tailored protocol, we were able to successfully use MRI for fat imaging in a majority of young children. Development of such protocols enables researchers to better understand the etiology of fat deposition in young children, which can be used to aid in the prevention and treatment of adiposity. PMID:26901881
Shearrer, Grace E; House, Benjamin T; Gallas, Michelle C; Luci, Jeffrey J; Davis, Jaimie N
2016-01-01
This pilot study developed techniques to perform Magnetic Resonance Imaging (MRI) of specific fat deposition in 18 children (age 18 months to 4 years). The children engaged in a series of practice tests to become acclimated to the scanner noises, reduce claustrophobia, and rehearse holding still for a set time. The practice tests assessed if the child could remain still for two minutes while watching a video, first while lying on a blanket, second, on the blanket with headphones, and third, in the mock scanner. The children who passed the three practice tests were then scanned with a 3T Siemens Skyra magnet. Abdominal fat distribution (region of interest (ROI) from the top of the ileac crest to the bottom of the ribcage) volume was measured using 2-point DIXON technique. This region was chosen to give an indication of the body composition around the liver. Twelve out of eighteen participants successfully completed the actual MRI scan. Chi-squared test showed no significant difference between male and female pass-fail rates. The median age of completed scans was 36 months, whereas the median age for children unable to complete a scan was 28 months. The average total trunk fat was 240.9±85.2mL and the average total VAT was 37.7±25.9mLand liver fat was not quantifiable due to physiological motion. Several strategies (modeling, videos, and incentives) were identified to improve pediatric imaging in different age ranges. Using an age-specific and tailored protocol, we were able to successfully use MRI for fat imaging in a majority of young children. Development of such protocols enables researchers to better understand the etiology of fat deposition in young children, which can be used to aid in the prevention and treatment of adiposity.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Sethuraman, TKR; Sherif, M; Subramanian, N
Purpose: The complexity of IMRT delivery requires pre-treatment quality assurance and plan verification. KCCC has implemented IMRT clinically in few sites and will extend to all sites. Recently, our Varian linear accelerator and Eclipse planning system were upgraded from Millennium 80 to 120 Multileaf Collimator (MLC) and from v8.6 to 11.0 respectively. Our preliminary experience on the pre-treatment quality assurance verification is discussed. Methods: Eight Breast, Three Prostate and One Hypopharynx cancer patients were planned with step and shoot IMRT. All breast cases were planned before the upgrade with 60% cases treated. The ICRU 83 recommendations were followed for themore » dose prescription and constraints to OAR for all cases. Point dose measurement was done with CIRS cylindrical phantom and PTW 0.125 cc ionization chamber. Measured dose was compared with calculated dose at the point of measurement. Map CHECK diode array phantom was used for the plan verification. Planned and measured doses were compared by applying gamma index of 3% (dose difference) / 3 mm DTA (average distance to agreement). For all cases, a plan is considered to be successful if more than 95% of the tested diodes pass the gamma test. A prostate case was chosen to compare the plan verification before and after the upgrade. Results: Point dose measurement results were in agreement with the calculated doses. The maximum deviation observed was 2.3%. The passing rate of average gamma index was measured higher than 97% for the plan verification of all cases. Similar result was observed for plan verification of the chosen prostate case before and after the upgrade. Conclusion: Our preliminary experience from the obtained results validates the accuracy of our QA process and provides confidence to extend IMRT to all sites in Kuwait.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Branco, D; Taylor, P; Frank, S
2016-06-15
Purpose: To design a Head and Neck (H&N) anthropomorphic QA phantom that the Imaging and Radiation Oncology Core Houston (IROC-H) can use to verify the quality of intensity modulated proton therapy (IMPT) H&N treatments for institutions participating in NCI clinical trials. Methods: The phantom was created to serve as a remote auditing tool for IROC-H to evaluate an institution’s IMPT planning and delivery abilities. The design was based on the composition, size, and geometry of a generalized oropharyngeal tumor and contains critical structures (parotids and spinal cord). Radiochromic film in the axial and sagittal planes and thermoluminescent dosimeters (TLD)-100 capsulesmore » were embedded in the phantom and used to perform the dose delivery evaluation. A CT simulation was used to create a passive scatter and a spot scanning treatment plan with typical clinical constraints for H&N cancer. The IMPT plan was approved by a radiation oncologist and the phantom was irradiated multiple times. The measured dose distribution using a 7%/4mm gamma analysis (85% of pixels passing) and point doses were compared with the treatment planning system calculations. Results: The designed phantom could not achieve the target dose prescription and organ at risk dose constraints with the passive scatter treatment plan. The target prescription dose could be met but not the parotid dose constraint. The average TLD point dose ratio in the target was 0.975, well within the 5% acceptance criterion. The dose distribution analysis using various acceptance criteria, 5%/4mm, 5%/3mm, 7%/4mm and 7%/5mm, had average pixel passing rates of 85.9%, 81.8%, 89.6% and 91.6%, and respectively. Conclusion: An anthropomorphic IMPT H&N phantom was designed that can assess the dose delivery of proton sites wishing to participate in clinical trials using a 5% TLD dose and 7%/4mm gamma analysis acceptance criteria.« less
Faught, Austin M; Davidson, Scott E; Fontenot, Jonas; Kry, Stephen F; Etzel, Carol; Ibbott, Geoffrey S; Followill, David S
2017-09-01
The Imaging and Radiation Oncology Core Houston (IROC-H) (formerly the Radiological Physics Center) has reported varying levels of agreement in their anthropomorphic phantom audits. There is reason to believe one source of error in this observed disagreement is the accuracy of the dose calculation algorithms and heterogeneity corrections used. To audit this component of the radiotherapy treatment process, an independent dose calculation tool is needed. Monte Carlo multiple source models for Elekta 6 MV and 10 MV therapeutic x-ray beams were commissioned based on measurement of central axis depth dose data for a 10 × 10 cm 2 field size and dose profiles for a 40 × 40 cm 2 field size. The models were validated against open field measurements consisting of depth dose data and dose profiles for field sizes ranging from 3 × 3 cm 2 to 30 × 30 cm 2 . The models were then benchmarked against measurements in IROC-H's anthropomorphic head and neck and lung phantoms. Validation results showed 97.9% and 96.8% of depth dose data passed a ±2% Van Dyk criterion for 6 MV and 10 MV models respectively. Dose profile comparisons showed an average agreement using a ±2%/2 mm criterion of 98.0% and 99.0% for 6 MV and 10 MV models respectively. Phantom plan comparisons were evaluated using ±3%/2 mm gamma criterion, and averaged passing rates between Monte Carlo and measurements were 87.4% and 89.9% for 6 MV and 10 MV models respectively. Accurate multiple source models for Elekta 6 MV and 10 MV x-ray beams have been developed for inclusion in an independent dose calculation tool for use in clinical trial audits. © 2017 American Association of Physicists in Medicine.
Han, Tao; Mikell, Justin K.; Salehpour, Mohammad; Mourtada, Firas
2011-01-01
Purpose: The deterministic Acuros XB (AXB) algorithm was recently implemented in the Eclipse treatment planning system. The goal of this study was to compare AXB performance to Monte Carlo (MC) and two standard clinical convolution methods: the anisotropic analytical algorithm (AAA) and the collapsed-cone convolution (CCC) method. Methods: Homogeneous water and multilayer slab virtual phantoms were used for this study. The multilayer slab phantom had three different materials, representing soft tissue, bone, and lung. Depth dose and lateral dose profiles from AXB v10 in Eclipse were compared to AAA v10 in Eclipse, CCC in Pinnacle3, and EGSnrc MC simulations for 6 and 18 MV photon beams with open fields for both phantoms. In order to further reveal the dosimetric differences between AXB and AAA or CCC, three-dimensional (3D) gamma index analyses were conducted in slab regions and subregions defined by AAPM Task Group 53. Results: The AXB calculations were found to be closer to MC than both AAA and CCC for all the investigated plans, especially in bone and lung regions. The average differences of depth dose profiles between MC and AXB, AAA, or CCC was within 1.1, 4.4, and 2.2%, respectively, for all fields and energies. More specifically, those differences in bone region were up to 1.1, 6.4, and 1.6%; in lung region were up to 0.9, 11.6, and 4.5% for AXB, AAA, and CCC, respectively. AXB was also found to have better dose predictions than AAA and CCC at the tissue interfaces where backscatter occurs. 3D gamma index analyses (percent of dose voxels passing a 2%∕2 mm criterion) showed that the dose differences between AAA and AXB are significant (under 60% passed) in the bone region for all field sizes of 6 MV and in the lung region for most of field sizes of both energies. The difference between AXB and CCC was generally small (over 90% passed) except in the lung region for 18 MV 10 × 10 cm2 fields (over 26% passed) and in the bone region for 5 × 5 and 10 × 10 cm2 fields (over 64% passed). With the criterion relaxed to 5%∕2 mm, the pass rates were over 90% for both AAA and CCC relative to AXB for all energies and fields, with the exception of AAA 18 MV 2.5 × 2.5 cm2 field, which still did not pass. Conclusions: In heterogeneous media, AXB dose prediction ability appears to be comparable to MC and superior to current clinical convolution methods. The dose differences between AXB and AAA or CCC are mainly in the bone, lung, and interface regions. The spatial distributions of these differences depend on the field sizes and energies. PMID:21776802
NASA Astrophysics Data System (ADS)
Snowden, D.; Yelle, R. V.; Cui, J.; Wahlund, J.-E.; Edberg, N. J. T.; Ågren, K.
2013-09-01
We derive vertical temperature profiles from Ion Neutral Mass Spectrometer (INMS) N2 density measurements from 32 Cassini passes. We find that the average temperature of Titan’s thermosphere varies significantly from pass-to-pass between 112 and 175 K. The temperatures from individual temperature profiles also varies considerably, with many passes exhibiting wave-like temperature perturbations and large temperature gradients. Wave-like temperature perturbations have wavelengths between 150 and 420 km and amplitudes between 3% and 22% and vertical wave power spectra of the INMS data and HASI data have a slope between -2 and -3, which is consistent with vertically propagating atmospheric waves. The lack of a strong correlation between temperature and latitude, longitude, solar zenith angle, or local solar time indicates that the thermal structure of Titan’s thermosphere is not primarily determined by the absorption of solar EUV flux. At N2 densities greater than 108 cm-3, Titan’s thermosphere is colder when Titan is observed in Saturn’s magnetospheric lobes compared to Saturn’s plasma sheet as proposed by Westlake et al. (Westlake, J.H. et al. [2011]. J. Geophys. Res. 116, A03318. http://dx.doi.org/10.1029/2010JA016251). This apparent correlation suggests that magnetospheric particle precipitation causes the temperature variability in Titan’s thermosphere; however, at densities smaller than 108 cm-3 the lobe passes are hotter than the plasma sheet passes and we find no correlation between the temperature of Titan’s thermosphere and ionospheric signatures of enhanced particle precipitation, which suggests that the correlation is not indicative of a physical connection. The temperature of Titan’s thermosphere also may have decreased by ∼10 K around mid-2007. Finally, we classify the vertical temperature profiles to show which passes are hot and cold and which passes have the largest temperature variations. In a companion paper (Part II), we estimate the strength of energy sources and sinks in Titan’s thermosphere.
Rotor Noise due to Blade-Turbulence Interaction.
NASA Astrophysics Data System (ADS)
Ishimaru, Kiyoto
The time-averaged intensity density function of the acoustic radiation from rotating blades is derived by replacing blades with rotating dipoles. This derivation is done under the following turbulent inflow conditions: turbulent ingestion with no inlet strut wakes, inflow turbulence elongation and contraction with no inlet strut wakes, and inlet strut wakes. Dimensional analysis reveals two non-dimensional parameters which play important roles in generating the blade-passing frequency tone and its multiples. The elongation and contraction of inflow turbulence has a strong effect on the generation of the blade-passing frequency tone and its multiples. Increasing the number of rotor blades widens the peak at the blade-passing frequency and its multiples. Increasing the rotational speed widens the peak under the condition that the non-dimensional parameter involving the rotational speed is fixed. The number of struts and blades should be chosen so that (the least common multiple of them)(.)(rotational speed) is in the cutoff range of Sears' function, in order to minimize the effect of the mean flow deficit on the time averaged intensity density function. The acoustic intensity density function is not necessarily stationary even if the inflow turbulence is homogeneous and isotropic. The time variation of the propagation path due to the rotation should be considered in the computation of the intensity density function; for instance, in the present rotor specification, the rotor radius is about 0.3 m and the rotational speed Mach number is about 0.2.
LI, FENFANG; WILKENS, LYNNE R.; NOVOTNY, RACHEL; FIALKOWSKI, MARIE K.; PAULINO, YVETTE C.; NELSON, RANDALL; BERSAMIN, ANDREA; MARTIN, URSULA; DEENIK, JONATHAN; BOUSHEY, CAROL J.
2016-01-01
Objectives Anthropometric standardization is essential to obtain reliable and comparable data from different geographical regions. The purpose of this study is to describe anthropometric standardization procedures and findings from the Children’s Healthy Living (CHL) Program, a study on childhood obesity in 11 jurisdictions in the US-Affiliated Pacific Region, including Alaska and Hawai‘i. Methods Zerfas criteria were used to compare the measurement components (height, waist, and weight) between each trainee and a single expert anthropometrist. In addition, intra- and inter-rater technical error of measurement (TEM), coefficient of reliability, and average bias relative to the expert were computed. Results From September 2012 to December 2014, 79 trainees participated in at least 1 of 29 standardization sessions. A total of 49 trainees passed either standard or alternate Zerfas criteria and were qualified to assess all three measurements in the field. Standard Zerfas criteria were difficult to achieve: only 2 of 79 trainees passed at their first training session. Intra-rater TEM estimates for the 49 trainees compared well with the expert anthropometrist. Average biases were within acceptable limits of deviation from the expert. Coefficient of reliability was above 99% for all three anthropometric components. Conclusions Standardization based on comparison with a single expert ensured the comparability of measurements from the 49 trainees who passed the criteria. The anthropometric standardization process and protocols followed by CHL resulted in 49 standardized field anthropometrists and have helped build capacity in the health workforce in the Pacific Region. PMID:26457888
Whittaker, Alana; Shan, Guogen
2017-01-01
Objective. To analyze the modifiable predictors of institution-wide residency match rates. Methods. This was a retrospective analysis of colleges and schools of pharmacy data and school-wide PGY-1 pharmacy residency match rates for 2013 through 2015. Independent variables included NAPLEX passing rates, history of ACPE probation, NIH funding, academic health center affiliation, dual-degree availability, program length, admit-to-applicant ratio, class size, tuition, student-driven research, clinically focused academic tracks, residency affiliation, U.S. News & World Report rankings, and minority enrollment. Results. In a repeated measures model, predictors of match results were NAPLEX pass rate, class size, academic health center affiliation, admit-to-applicant ratio, U.S. News & World Report rankings, and minority enrollment. Conclusion. Indicators of student achievement, college/school reputation, affiliations, and class demographics were significant predictors of institution-wide residency match rates. Further research is needed to understand how changes in these factors may influence overall match rates. PMID:29367773
Whittaker, Alana; Smith, Katherine P; Shan, Guogen
2017-12-01
Objective. To analyze the modifiable predictors of institution-wide residency match rates. Methods. This was a retrospective analysis of colleges and schools of pharmacy data and school-wide PGY-1 pharmacy residency match rates for 2013 through 2015. Independent variables included NAPLEX passing rates, history of ACPE probation, NIH funding, academic health center affiliation, dual-degree availability, program length, admit-to-applicant ratio, class size, tuition, student-driven research, clinically focused academic tracks, residency affiliation, U.S. News & World Report rankings, and minority enrollment. Results. In a repeated measures model, predictors of match results were NAPLEX pass rate, class size, academic health center affiliation, admit-to-applicant ratio, U.S. News & World Report rankings, and minority enrollment. Conclusion. Indicators of student achievement, college/school reputation, affiliations, and class demographics were significant predictors of institution-wide residency match rates. Further research is needed to understand how changes in these factors may influence overall match rates.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rankine, Leith J., E-mail: Leith_Rankine@med.unc.edu; Department of Radiation Oncology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Mein, Stewart
Purpose: To validate the dosimetric accuracy of a commercially available magnetic resonance guided intensity modulated radiation therapy (MRgIMRT) system using a hybrid approach: 3-dimensional (3D) measurements and Monte Carlo calculations. Methods and Materials: We used PRESAGE radiochromic plastic dosimeters with remote optical computed tomography readout to perform 3D high-resolution measurements, following a novel remote dosimetry protocol. We followed the intensity modulated radiation therapy commissioning recommendations of American Association of Physicists in Medicine Task Group 119, adapted to incorporate 3D data. Preliminary tests (“AP” and “3D-Bands”) were delivered to 9.5-cm usable diameter cylindrical PRESAGE dosimeters to validate the treatment planning systemmore » (TPS) for nonmodulated deliveries; assess the sensitivity, uniformity, and rotational symmetry of the PRESAGE dosimeters; and test the robustness of the remote dosimetry protocol. Following this, 4 clinical MRgIMRT plans (“MultiTarget,” “Prostate,” “Head/Neck,” and “C-Shape”) were measured using 13-cm usable diameter PRESAGE dosimeters. For all plans, 3D-γ (3% or 3 mm global, 10% threshold) passing rates were calculated and 3D-γ maps were examined. Point doses were measured with an IBA-CC01 ionization chamber for validation of absolute dose. Finally, by use of an in-house-developed, GPU-accelerated Monte Carlo algorithm (gPENELOPE), we independently calculated dose for all 6 Task Group 119 plans and compared against the TPS. Results: For PRESAGE measurements, 3D-γ analysis yielded passing rates of 98.7%, 99.2%, 98.5%, 98.0%, 99.2%, and 90.7% for AP, 3D-Bands, MultiTarget, Prostate, Head/Neck, and C-Shape, respectively. Ion chamber measurements were within an average of 0.5% (±1.1%) from the TPS dose. Monte Carlo calculations demonstrated good agreement with the TPS, with a mean 3D-γ passing rate of 98.5% ± 1.9% using a stricter 2%/2-mm criterion. Conclusions: We have validated the dosimetric accuracy of a commercial MRgIMRT system using high-resolution 3D techniques. We have demonstrated for the first time that hybrid 3D remote dosimetry is a comprehensive and feasible approach to commissioning MRgIMRT. This may provide better sensitivity in error detection compared with standard 2-dimensional measurements and could be used when implementing complex new magnetic resonance guided radiation therapy technologies.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Vikraman, S; Arun, C; Jain, K Sandeep
2016-06-15
Purpose: The purpose of this study was to assess the potential of 3D dosimetry for flattened and flattened filter free stereotactic rotational delivery in high definition MLC using 729-detector array with Octavius 4D phantom Methods: Twenty rapid arc plans were assessed for this study. For each patient two plans for 6X and 6FFF photon beams were generated with same prescription and critical organ constraints in Eclipse TPS version 13.0 using high definition MLC. Verification plans were generated in scanned Octavius 4D phantom in TPS. 3D dose measurements were collected from 729-ion chamber detector array in Octavius 4D phantom using verisoftmore » software v 6.0. TPS calculated dose was compared with measured 3D dose in verisoft using the following gamma analysis parameters such as 3D volumetric, 3D planar and 2D global gamma in transverse, sagittal and coronal planes for 3mm/3% and 2mm/2% distance to agreement criteria.Passing rate and arithmetic mean of global gamma were analysed for 2D and 3D global gamma in all planes. Results: The average number of dose points passing rate for 2D global gamma with 3mm/3% criteria in transverse, sagittal and coronal planes was 99.06%±2.89%, 98.8%±0.88% and 99.06%±91%, respectively. For 2mm/2% criteria 97.86%±2.26%, 94.49± 2.64% and 94.34%±2.9% was observed. In 3D planar global gamma with 3mm/3% was 99.53%±0.49%, 98.93%±1.03% and 99.29%±1.29%, for 2mm 2% criteria was 97.50%±2.24%, 94.5%±2.5% and 95.38%±4.5%. The maximum arithmetic mean gamma deviation of 0.505%±0.13% was observed in coronal plane for 2D global gamma with 2mm/2% criteria. The 3D volumetric gamma passing rate was observed as 99.61%±0.433% for 3mm /3% and 95.91%±2.51% for 2mm/2%. Conclusion: The objective assessment of 3D dosimetry have demonstrated that the rotational delivery accuracy for flattened and flattened filter free stereotactic plans can be verified by using Octavius system comprising with 729 ion chamber array and Octavius 4D phantom.« less
Dosimetric comparison of different treatment modalities for stereotactic radiotherapy.
Hsu, Shih-Ming; Lai, Yuan-Chun; Jeng, Chien-Chung; Tseng, Chia-Ying
2017-09-16
The modalities for performing stereotactic radiotherapy (SRT) on the brain include the cone-based linear accelerator (linac), the flattening filter-free (FFF) volumetric modulated arc therapy (VMAT) linac, and tomotherapy. In this study, the cone-based linac, FFF-VMAT linac, and tomotherapy modalities were evaluated by measuring the differences in doses delivered during brain SRT and experimentally assessing the accuracy of the output radiation doses through clinical measurements. We employed a homemade acrylic dosimetry phantom representing the head, within which a thermoluminescent dosimeter (TLD) and radiochromic EBT3 film were installed. Using the conformity/gradient index (CGI) and Paddick methods, the quality of the doses delivered by the various SRT modalities was evaluated. The quality indicators included the uniformity, conformity, and gradient indices. TLDs and EBT3 films were used to experimentally assess the accuracy of the SRT dose output. The dose homogeneity indices of all the treatment modalities were lower than 1.25. The cone-based linac had the best conformity for all tumors, regardless of the tumor location and size, followed by the FFF-VMAT linac; tomography was the worst-performing treatment modality in this regard. The cone-based linac had the best gradient, regardless of the tumor location and size, whereas the FFF-VMAT linac had a better gradient than tomotherapy for a large tumor diameter (28 mm). The TLD and EBT3 measurements of the dose at the center of tumors indicated that the average difference between the measurements and the calculated dose was generally less than 4%. When the 3% 3-mm gamma passing rate metric was used, the average passing rates of all three treatment modalities exceeded 98%. Regarding the dose, the cone-based linac had the best conformity and steepest dose gradient for tumors of different sizes and distances from the brainstem. The results of this study suggest that SRT should be performed using the cone-based linac on tumors that require treatment plans with a steep dose gradient, even as the tumor is slightly irregular, we should also consider using a high dose gradient of the cone base to treat and protect the normal tissue. If normal tissues require special protection exist at positions that are superior or inferior to the tumor, we can consider using tomotherapy or Cone base with couch at 0° for treatment.
Liu, Haisong; Li, Jun; Pappas, Evangelos; Andrews, David; Evans, James; Werner-Wasik, Maria; Yu, Yan; Dicker, Adam; Shi, Wenyin
2016-09-08
An automatic brain-metastases planning (ABMP) software has been installed in our institution. It is dedicated for treating multiple brain metastases with radiosurgery on linear accelerators (linacs) using a single-setup isocenter with noncoplanar dynamic conformal arcs. This study is to validate the calculated absolute dose and dose distribution of ABMP. Three types of measurements were performed to validate the planning software: 1, dual micro ion chambers were used with an acrylic phantom to measure the absolute dose; 2, a 3D cylindrical phantom with dual diode array was used to evaluate 2D dose distribution and point dose for smaller targets; and 3, a 3D pseudo-in vivo patient-specific phantom filled with polymer gels was used to evaluate the accuracy of 3D dose distribution and radia-tion delivery. Micro chamber measurement of two targets (volumes of 1.2 cc and 0.9 cc, respectively) showed that the percentage differences of the absolute dose at both targets were less than 1%. Averaged GI passing rate of five different plans measured with the diode array phantom was above 98%, using criteria of 3% dose difference, 1 mm distance to agreement (DTA), and 10% low-dose threshold. 3D gel phantom measurement results demonstrated a 3D displacement of nine targets of 0.7 ± 0.4 mm (range 0.2 ~ 1.1 mm). The averaged two-dimensional (2D) GI passing rate for several region of interests (ROI) on axial slices that encompass each one of the nine targets was above 98% (5% dose difference, 2 mm DTA, and 10% low-dose threshold). Measured D95, the minimum dose that covers 95% of the target volume, of the nine targets was 0.7% less than the calculated D95. Three different types of dosimetric verification methods were used and proved the dose calculation of the new automatic brain metastases planning (ABMP) software was clinical acceptable. The 3D pseudo-in vivo patient-specific gel phantom test also served as an end-to-end test for validating not only the dose calculation, but the treatment delivery accuracy as well. © 2016 The Authors.
Database trial impact on graduate nursing comprehensive exams
Pionke, Katharine; Huckstadt, Alicia
2015-01-01
While the authors were doing a test period of databases, the question of whether or not databases affect outcomes of graduate nursing comprehensive examinations came up. This study explored that question through using citation analysis of exams that were taken during a database trial and exams that were not. The findings showed no difference in examination pass/fail rates. While the pass/fail rates did not change, a great deal was learned in terms of citation accuracy and types of materials that students used, leading to discussions about changing how citation and plagiarism awareness were taught. PMID:26512218
Judgmental Standard Setting Using a Cognitive Components Model.
ERIC Educational Resources Information Center
McGinty, Dixie; Neel, John H.
A new standard setting approach is introduced, called the cognitive components approach. Like the Angoff method, the cognitive components method generates minimum pass levels (MPLs) for each item. In both approaches, the item MPLs are summed for each judge, then averaged across judges to yield the standard. In the cognitive components approach,…
Federal Register 2010, 2011, 2012, 2013, 2014
2011-12-23
... comments, whether submitted electronically or in paper, will be made available for public viewing at www...) and entrainment (where aquatic organisms, eggs, and larvae are taken into the cooling system, passed... Territories. Frequency of response: Annual, every 5 years. Estimated total average number of responses for...
Online Course-Taking and Student Outcomes in California Community Colleges
ERIC Educational Resources Information Center
Hart, Cassandra M. D.; Friedmann, Elizabeth; Hill, Michael
2018-01-01
This paper uses fixed effects analyses to estimate differences in student performance under online versus face-to-face course delivery formats in the California Community College system. On average, students have poorer outcomes in online courses in terms of the likelihood of course completion, course completion with a passing grade, and receiving…
Ultrastable automatic frequency control
NASA Technical Reports Server (NTRS)
Sabourin, D. J.; Furiga, A.
1981-01-01
Center frequency of wideband AFC circuit drifts only hundredths of percent per day. Since circuit responds only to slow frequency drifts and modulation signal has high-pass characteristics, AFC does not interfere with normal FM operation. Stable oscillator, reset circuit, and pulse generator constitute time-averaging discriminator; digital counter in pulse generator replaces usual monostable multivibrator.
Remote auditing of radiotherapy facilities using optically stimulated luminescence dosimeters
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lye, Jessica, E-mail: jessica.lye@arpansa.gov.au; Dunn, Leon; Kenny, John
Purpose: On 1 July 2012, the Australian Clinical Dosimetry Service (ACDS) released its Optically Stimulated Luminescent Dosimeter (OSLD) Level I audit, replacing the previous TLD based audit. The aim of this work is to present the results from this new service and the complete uncertainty analysis on which the audit tolerances are based. Methods: The audit release was preceded by a rigorous evaluation of the InLight® nanoDot OSLD system from Landauer (Landauer, Inc., Glenwood, IL). Energy dependence, signal fading from multiple irradiations, batch variation, reader variation, and dose response factors were identified and quantified for each individual OSLD. The detectorsmore » are mailed to the facility in small PMMA blocks, based on the design of the existing Radiological Physics Centre audit. Modeling and measurement were used to determine a factor that could convert the dose measured in the PMMA block, to dose in water for the facility's reference conditions. This factor is dependent on the beam spectrum. The TPR{sub 20,10} was used as the beam quality index to determine the specific block factor for a beam being audited. The audit tolerance was defined using a rigorous uncertainty calculation. The audit outcome is then determined using a scientifically based two tiered action level approach. Audit outcomes within two standard deviations were defined as Pass (Optimal Level), within three standard deviations as Pass (Action Level), and outside of three standard deviations the outcome is Fail (Out of Tolerance). Results: To-date the ACDS has audited 108 photon beams with TLD and 162 photon beams with OSLD. The TLD audit results had an average deviation from ACDS of 0.0% and a standard deviation of 1.8%. The OSLD audit results had an average deviation of −0.2% and a standard deviation of 1.4%. The relative combined standard uncertainty was calculated to be 1.3% (1σ). Pass (Optimal Level) was reduced to ≤2.6% (2σ), and Fail (Out of Tolerance) was reduced to >3.9% (3σ) for the new OSLD audit. Previously with the TLD audit the Pass (Optimal Level) and Fail (Out of Tolerance) were set at ≤4.0% (2σ) and >6.0% (3σ). Conclusions: The calculated standard uncertainty of 1.3% at one standard deviation is consistent with the measured standard deviation of 1.4% from the audits and confirming the suitability of the uncertainty budget derived audit tolerances. The OSLD audit shows greater accuracy than the previous TLD audit, justifying the reduction in audit tolerances. In the TLD audit, all outcomes were Pass (Optimal Level) suggesting that the tolerances were too conservative. In the OSLD audit 94% of the audits have resulted in Pass (Optimal level) and 6% of the audits have resulted in Pass (Action Level). All Pass (Action level) results have been resolved with a repeat OSLD audit, or an on-site ion chamber measurement.« less
Effect of microfluidization on casein micelle size of bovine milk
NASA Astrophysics Data System (ADS)
Sinaga, H.; Deeth, H.; Bhandari, B.
2018-02-01
The properties of milk are likely to be dependent on the casein micelle size, and various processing technologies produce particular change in the average size of casein micelles. The main objective of this study was to manipulate casein micelle size by subjecting milk to microfluidizer. The experiment was performed as a complete block randomised design with three replications. The sample was passed through the microfluidizer at the set pressure of 83, 97, 112 and 126 MPa for one, two, three, four, five and six cycles, except for the 112 MPa. The results showed that microfluidized milk has smaller size by 3% with pressure up to 126 MPa. However, at each pressure, no further reduction was observed after increasing the passed up to 6 cycles. Although the average casein micelle size was similar, elevating pressure resulted in narrower size distribution. In contrast, increasing the number of cycles had little effect on casein micelle distribution. The finding from this study can be applied for future work to characterize the fundamental and functional properties of the treated milk.
7 CFR 4279.231 - Interest rates.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 7 Agriculture 15 2014-01-01 2014-01-01 false Interest rates. 4279.231 Section 4279.231 Agriculture... Interest rates. The provisions found in § 4279.125 apply to loans guaranteed under this subpart, except as provided in paragraphs (a) through (c) of this section. Lenders are encouraged to pass interest-rate...
7 CFR 4279.231 - Interest rates.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 7 Agriculture 15 2013-01-01 2013-01-01 false Interest rates. 4279.231 Section 4279.231 Agriculture... Interest rates. The provisions found in § 4279.125 apply to loans guaranteed under this subpart, except as provided in paragraphs (a) through (c) of this section. Lenders are encouraged to pass interest-rate...
7 CFR 4279.231 - Interest rates.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 7 Agriculture 15 2012-01-01 2012-01-01 false Interest rates. 4279.231 Section 4279.231 Agriculture... Interest rates. The provisions found in § 4279.125 apply to loans guaranteed under this subpart, except as provided in paragraphs (a) through (c) of this section. Lenders are encouraged to pass interest-rate...
Offering Educational Opportunities to Expelled Students in Wisconsin. Bulletin No. 02030.
ERIC Educational Resources Information Center
Fernan, Steve; Parman, Mary Jo; White, Doug; Wiltrout, Dan
The U.S. Congress bolstered the increase in expulsions by passing into law the federal Gun Free School Act of 1994. All states receiving federal funds were to pass laws requiring schools to expel students who brought firearms to school or to school activities. There is evidence that schools are safer, but expulsion rates continue to climb. With…
A Blueprint for Aligning High School Algebra with State Standards: One School's Journey
ERIC Educational Resources Information Center
Neher, Mallory Jane; Plourde, Lee A.
2012-01-01
This project was a response to the changes in the Washington State math assessments for high school students. The creation of an exit exam for Washington State high school students and the expectation that they pass it to graduate has placed tremendous pressure on high schools that struggled with low passing rates on the Washington State math…