Suicide rates in European OECD nations converged during the period 1990-2010.

PubMed

Bremberg, Sven G

2017-05-01

The aim of this study was to investigate, with multiple regression analyses, the effect of selected characteristics on the rate of decrease of suicide rates in 21 OECD (Organisation for Economic Co-operation and Development) nations over the period 1990-2010, with initial levels of suicide rates taken into account. The rate of decrease seems mainly (83%) to be determined by the initial suicide rates in 1990. In nations with relatively high initial rates, the rates decreased faster. The suicide rates also converged. The study indicates that beta convergence alone explained most of the cross-national variations.

A risk assessment of water salinization during the initial impounding period of a proposed reservoir in Tianjin, China.

PubMed

Zhu, Liqin; Jiang, Cuiling; Wang, Youheng; Peng, Yanmei; Zhang, Peng

2013-09-01

Water salinization of coastal reservoirs seriously threatens the safety of their water supply. To elucidate the mechanism of salinization and to quantitatively analyze the risk in the initial period of the impoundment of a proposed reservoir in Tianjin Binhai New Area, laboratory and field simulation experiments were implemented and integrated with the actual operation of Beitang Reservoir, which is located in the same region and has been operational for many years. The results suggested that water salinization of the proposed reservoir was mainly governed by soil saline release, evaporation and leakage. Saline release was the prevailing factor in the earlier stage of the impoundment, then the evaporation and leakage effects gradually became notable over time. By referring to the actual case of Beitang Reservoir, it was predicted that the chloride ion (Cl(-)) concentration of the water during the initial impounding period of the proposed reservoir would exceed the standard for quality of drinking water from surface water sources (250 mg L(-1)), and that the proposed reservoir had a high risk of water salinization.

24 CFR 583.235 - Renewal grants.

Code of Federal Regulations, 2014 CFR

2014-04-01

... as in effect before October 28, 1992, may be renewed on a noncompetitive basis to continue ongoing leasing, operations, and supportive services for additional years beyond the initial funding period. To be considered for renewal funding for leasing, operating costs, or supportive services, recipients must submit a...

24 CFR 583.235 - Renewal grants.

Code of Federal Regulations, 2011 CFR

2011-04-01

... as in effect before October 28, 1992, may be renewed on a noncompetitive basis to continue ongoing leasing, operations, and supportive services for additional years beyond the initial funding period. To be considered for renewal funding for leasing, operating costs, or supportive services, recipients must submit a...

DEVELOPMENT OF AN INSPECTION PLATFORM AND A SUITE OF SENSORS FOR ASSESSING CORROSION AND MECHANICAL DAMAGE ON UNPIGGABLE TRANSMISSION MAINS

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

George C. Vradis

2003-05-01

The present report summarizes the accomplishments of the project during its second three-month period (from January 2003 through March 2003). The project was initiated with delay in February 2003 due to contractual issues that emerged between the NGA and Foster-Miller, Inc. The two organizations are working diligently to maintain the program's pace so that it is completed in time. The efforts of the project focused during this period in the assessment of the tether technology that is intended to be used as the means of communication between robot and operator. Preliminary results indicate that tether is a viable option undermore » certain pipeline operating conditions but not all. The exact range of operating conditions that are viable for tether use are being determined as the study progresses. Work was also initiated regarding the design of the robotic platform.« less

40 CFR 63.2250 - What are the general requirements?

Code of Federal Regulations, 2011 CFR

2011-07-01

... periods of process unit or control device startup, shutdown, and malfunction; prior to process unit initial startup; and during the routine control device maintenance exemption specified in § 63.2251. The... are not operating, or during periods of startup, shutdown, and malfunction. Startup and shutdown...

40 CFR 63.2250 - What are the general requirements?

Code of Federal Regulations, 2010 CFR

2010-07-01

... periods of process unit or control device startup, shutdown, and malfunction; prior to process unit initial startup; and during the routine control device maintenance exemption specified in § 63.2251. The... are not operating, or during periods of startup, shutdown, and malfunction. Startup and shutdown...

47 CFR 76.986 - “A la carte” offerings.

Code of Federal Regulations, 2010 CFR

2010-10-01

... an extended 120 day period (if the franchise authority has requested an additional 90 days) pursuant... to the Commission within 14 days of the initial decision. Operators shall provide notice to franchise... provide notice to franchise authorities of their decision to appeal to the Commission within this period...

47 CFR 76.986 - “A la carte” offerings.

Code of Federal Regulations, 2011 CFR

2011-10-01

... an extended 120 day period (if the franchise authority has requested an additional 90 days) pursuant... to the Commission within 14 days of the initial decision. Operators shall provide notice to franchise... provide notice to franchise authorities of their decision to appeal to the Commission within this period...

47 CFR 76.986 - “A la carte” offerings.

Code of Federal Regulations, 2012 CFR

2012-10-01

... an extended 120 day period (if the franchise authority has requested an additional 90 days) pursuant... to the Commission within 14 days of the initial decision. Operators shall provide notice to franchise... provide notice to franchise authorities of their decision to appeal to the Commission within this period...

47 CFR 76.986 - “A la carte” offerings.

Code of Federal Regulations, 2014 CFR

2014-10-01

... an extended 120 day period (if the franchise authority has requested an additional 90 days) pursuant... to the Commission within 14 days of the initial decision. Operators shall provide notice to franchise... provide notice to franchise authorities of their decision to appeal to the Commission within this period...

47 CFR 76.986 - “A la carte” offerings.

Code of Federal Regulations, 2013 CFR

2013-10-01

... an extended 120 day period (if the franchise authority has requested an additional 90 days) pursuant... to the Commission within 14 days of the initial decision. Operators shall provide notice to franchise... provide notice to franchise authorities of their decision to appeal to the Commission within this period...

Stream biological surveys - self-defense for coal mine operators

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

Hampton, E.L.; Pennington, W.L.; Lackey, J.L.

1979-12-01

According to Section 779.20 of the Permanent Regulatory Program Regulations, Surface Coal Mining and Reclamation Operations, Department of the Interior, office of Surface Mining Reclamation and Enforcement, coal mine operators must provide information on fish and wildlife resources in order to obtain mining permits. Although considered to be a liability by many mine operators, stream biological surveys can, in reality, become a significant asset. When combined with appropriate water quality measurements, stream biological surveys can adequately assess a stream's health. Although initially adding cost, stream biological surveys can actually save money and potential litigation during the mining period. However, streammore » biological surveys must be conducted before any mining activity is initiated and should continue on a periodic basis thereafter. Only in this manner can mine operators be assured that biological measurements made on streams affected by their operation are accurate reflections of pre- and post-mining conditions. Armed with this vital information, mine operators have a basis to defend against any unjustified claims that their operations are having deleterious effects on the stream in question. This paper addresses the purpose, scope, methodology, and interpretation of results of stream biological surveys. Additionally, methods for utilizing information from stream biological surveys will be stressed.« less

Cellular Analogs of Operant Behavior.

DTIC Science & Technology

1992-07-31

confirmed at the behavioral level in parallel studies of hippocampal and intravenous self-administration. The results are consistent with the hypothesis...research is to elucidate the cellular reinforcement mechanisms underlying goal-directed or operant behavior. The specific aim here was to study the... studies and behavioral operant conditioning studies . Most of the research reported was initiated and completed in the present project period. Also

49 CFR Appendix A to Part 232 - Schedule of Civil Penalties 1

Code of Federal Regulations, 2013 CFR

2013-10-01

...) Failure to meet general design requirements 2,500 5,000 (d) Failure to have proper percentage of operative brakes from Class I brake test 5,000 7,500 (e) Operating with less than 85 percent operative brakes 5,000...) Failure to adopt and comply with periodic assessment plan 7,500 11,000 232.205Class I brake test—initial...

49 CFR Appendix A to Part 232 - Schedule of Civil Penalties 1

Code of Federal Regulations, 2012 CFR

2012-10-01

...) Failure to meet general design requirements 2,500 5,000 (d) Failure to have proper percentage of operative brakes from Class I brake test 5,000 7,500 (e) Operating with less than 85 percent operative brakes 5,000...) Failure to adopt and comply with periodic assessment plan 7,500 11,000 232.205Class I brake test—initial...

49 CFR Appendix A to Part 232 - Schedule of Civil Penalties 1

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Failure to meet general design requirements 2,500 5,000 (d) Failure to have proper percentage of operative brakes from Class I brake test 5,000 7,500 (e) Operating with less than 85 percent operative brakes 5,000...) Failure to adopt and comply with periodic assessment plan 7,500 11,000 232.205Class I brake test—initial...

49 CFR Appendix A to Part 232 - Schedule of Civil Penalties 1

Code of Federal Regulations, 2014 CFR

2014-10-01

...) Failure to meet general design requirements 2,500 5,000 (d) Failure to have proper percentage of operative brakes from Class I brake test 5,000 7,500 (e) Operating with less than 85 percent operative brakes 5,000...) Failure to adopt and comply with periodic assessment plan 7,500 11,000 232.205Class I brake test—initial...

Ballistic Transport for Limit-Periodic Jacobi Matrices with Applications to Quantum Many-Body Problems

NASA Astrophysics Data System (ADS)

Fillman, Jake

2017-03-01

We study Jacobi matrices that are uniformly approximated by periodic operators. We show that if the rate of approximation is sufficiently rapid, then the associated quantum dynamics are ballistic in a rather strong sense; namely, the (normalized) Heisenberg evolution of the position operator converges strongly to a self-adjoint operator that is injective on the space of absolutely summable sequences. In particular, this means that all transport exponents corresponding to well-localized initial states are equal to one. Our result may be applied to a class of quantum many-body problems. Specifically, we establish a lower bound on the Lieb-Robinson velocity for an isotropic XY spin chain on the integers with limit-periodic couplings.

78 FR 6097 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Comment...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-29

... NW., Washington, DC 20503. FOR FURTHER INFORMATION CONTACT: Learia Williams, Monitoring, Assistance...) 564-0050; email address: williams[email protected] . SUPPLEMENTARY INFORMATION: EPA has submitted the... operational changes, initial performance tests, and periodic reports and results. Owners or operators are also...

40 CFR 63.11955 - What are my initial and continuous compliance requirements for other emission sources?

Code of Federal Regulations, 2012 CFR

2012-07-01

... times except during periods of maintenance or repair. The standard operating procedures must be... layer; and/or (iv) Floating mats. (3) Each gasholder must have established operating procedures that... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS...

40 CFR 63.11955 - What are my initial and continuous compliance requirements for other emission sources?

Code of Federal Regulations, 2014 CFR

2014-07-01

... times except during periods of maintenance or repair. The standard operating procedures must be... layer; and/or (iv) Floating mats. (3) Each gasholder must have established operating procedures that... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS...

40 CFR 63.11955 - What are my initial and continuous compliance requirements for other emission sources?

Code of Federal Regulations, 2013 CFR

2013-07-01

... times except during periods of maintenance or repair. The standard operating procedures must be... layer; and/or (iv) Floating mats. (3) Each gasholder must have established operating procedures that... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS...

Effects of geldanamycin and thalidomide on the Th1/Th2 cytokine balance in mice subjected to operative trauma.

PubMed

Nakano, Takumi; Araki, Keijiro; Nakatani, Hajime; Kobayashi, Michiya; Sugimoto, Takeki; Furuya, Yasuo; Matsuoka, Takanori; Jin, Toufeng; Hanazaki, Kazuhiro

2007-04-01

Persistence of postoperative immune dysfunction is a critical problem because it increases the risk of serious infectious complications. The mechanisms of the immune dysfunction that occur initially after non-thermal operative injury remain to be fully elucidated. Two mouse models of operative trauma (simple laparotomy to represent minor operative injury and ileocecal resection to represent major operative injury) were used to define the characteristics of initial cytokine synthesis. Geldanamycin and thalidomide were independently added intraperitoneally before and after operative injury to examine the effect on postoperative immune dysfunction. Mice were sacrificed at scheduled times (3, 6, 12, and 24 h after operative injury) and TNF-alpha, IL-2, IL-4, and IL-10 were analyzed. Spleen was used for intracellular cytokines and RT-PCR. Sera were used for ELISA. Major operative injury caused an initial upregulation of IL-10 synthesis with delayed synthesis of TNF-alpha and IL-2. Minor operative injury caused an early induction of IL-2 synthesis preceded by an initial induction of IL-4 synthesis. GA caused a specific early upregulation of TNF-alpha mRNA expression and intracellular TNF-alpha synthesis. The GA and THD groups showed early serum IL-2 production with reduction of IL-10 mRNA expression and intracellular IL-10 synthesis in the early post-operative phase. Major and minor operative injury showed different Th1/Th2 cytokine patterns in the initial post-operative period. Geldanamycin and thalidomide improved the Th1/Th2 imbalance independently after major operative injury.

Summary of operations and performance of the Murdock site restoration project in June 2005-December 2006.

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

LaFreniere, L. M.; Environmental Science Division

This document summarizes the performance of the groundwater and surface water restoration systems installed by the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) at the former CCC/USDA grain storage facility in Murdock, Nebraska, during the initial period of systems operation, from June 2005 through December 2006. In the Murdock project, several innovative technologies are being used to remove carbon tetrachloride contamination from a shallow aquifer underlying the town, as well as from water naturally discharged to the surface at the headwaters of a small creek (a tributary to Pawnee Creek) north of the town (Figure 1.1). Themore » restoration activities at Murdock are being conducted by the CCC/USDA as a non-time-critical removal action under the regulatory authority and supervision of the U.S. Environmental Protection Agency (EPA), Region VII. Argonne National Laboratory assisted the CCC/USDA by providing technical oversight for the restoration effort and facilities during this review period. Included in this report are the results of all sampling and monitoring activities performed in accord with the EPA-approved Monitoring Plan for this site (Argonne 2006), as well as additional investigative activities conducted during the review period. This document presents overviews of the treatment facilities (Section 2) and site operations and activities (Section 3), then describes the groundwater, surface water, vegetation, and atmospheric monitoring results (Section 4) and modifications and costs during the review period (Section 5). Section 6 summarizes the initial period of operation.« less

Flight controller alertness and performance during MOD shiftwork operations

NASA Technical Reports Server (NTRS)

Kelly, Sean M.; Rosekind, Mark R.; Dinges, David F.; Miller, Donna L.; Gillen, Kelly A.; Gregory, Kevin B.; Aguilar, Ronald D.; Smith, Roy M.

1994-01-01

Decreased alertness and performance associated with fatigue, sleep loss, and circadian disruption are issues faced by a diverse range of shiftwork operations. During STS operations, MOD personnel provide 24 hr. coverage of critical tasks. A joint JSC and ARC project was undertaken to examine these issues in flight controllers during MOD shiftwork operations. An initial operational test of procedures and measures was conducted during STS-53 in Dec. 1992. The study measures included a background questionnaire, a subjective daily logbook completed on a 24 hr. basis (to report sleep patterns, work periods, etc.), and an 8 minute performance and mood test battery administered at the beginning, middle, and end of each shift period. Seventeen Flight controllers representing the 3 Orbit shifts participated. The initial results clearly support further data collection during other STS missions to document baseline levels of alertness and performance during MOD shiftwork operations. These issues are especially pertinent for the night shift operations and the acute phase advance required for the transition of day shift personnel into the night for shuttle launch. Implementation and evaluation of the countermeasure strategies to maximize alertness and performance is planned. As STS missions extend to further extended duration orbiters, timelines and planning for 24 circadian disruption will remain highly relevant in the MOD environment.

Over the Beach. US Army Amphibious Operations in the Korean War

DTIC Science & Technology

2008-01-01

target of nuclear attack would result in a large and continuing requirement for logistics-over-the­ shore (LOTS) and amphibious resupply operations...Army Ram Fleet, initially under Porter’s control and later under General Ulysses S. Grant, the brigade conducted operations with mixed results until...same period, the Marine Corps underwent changes that would ultimately result in the adoption of landing force operations as its primary mission. The

40 CFR 63.2840 - What emission requirements must I meet?

Code of Federal Regulations, 2014 CFR

2014-07-01

... entire calendar month in which the source operated under an initial startup period subject to § 63.2850(c... operating months, as determined in § 63.2853. Oilseed = Tons of each oilseed type “i” processed during the... Loss Factors for Determining Allowable HAP Loss Type of oilseed process A source that... Oilseed...

40 CFR 63.2840 - What emission requirements must I meet?

Code of Federal Regulations, 2013 CFR

2013-07-01

... entire calendar month in which the source operated under an initial startup period subject to § 63.2850(c... operating months, as determined in § 63.2853. Oilseed = Tons of each oilseed type “i” processed during the... Loss Factors for Determining Allowable HAP Loss Type of oilseed process A source that... Oilseed...

40 CFR 63.2840 - What emission requirements must I meet?

Code of Federal Regulations, 2012 CFR

2012-07-01

... entire calendar month in which the source operated under an initial startup period subject to § 63.2850(c... operating months, as determined in § 63.2853. Oilseed = Tons of each oilseed type “i” processed during the... Loss Factors for Determining Allowable HAP Loss Type of oilseed process A source that... Oilseed...

Imagining Powerful Co-Operative Schools: Theorising Dynamic Co-Operation with Spinoza

ERIC Educational Resources Information Center

Dennis, Joanna

2018-01-01

The recent expansion of the English academies programme has initiated a period of significant change within the state education system. As established administration has been disrupted, new providers from business and philanthropy have entered the sector with a range of approaches to transform schools. This paper examines the development of…

40 CFR 63.4341 - How do I demonstrate initial compliance?

Code of Federal Regulations, 2011 CFR

2011-07-01

... accurate to within ±2.0 percent of the mass of volatile organic matter recovered. (ii) For each solvent... Equation 2 of § 63.4331. q = Number of controlled web coating/printing operations not using a liquid-liquid... compliance period. The device must be initially certified by the manufacturer to be accurate to within ±2.0...

40 CFR 63.4341 - How do I demonstrate initial compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... accurate to within ±2.0 percent of the mass of volatile organic matter recovered. (ii) For each solvent... Equation 2 of § 63.4331. q = Number of controlled web coating/printing operations not using a liquid-liquid... compliance period. The device must be initially certified by the manufacturer to be accurate to within ±2.0...

40 CFR Table 4 to Subpart Cccc of... - Summary of Reporting Requirements a

Code of Federal Regulations, 2012 CFR

2012-07-01

... requirements • Waste management plan • Anticipated date of initial startup § 60.2190 Startup notification Prior to initial startup • Type of waste to be burned• Maximum design waste burning capacity • Anticipated... occurred during a period of startup, shutdown, or malfunction § 60.2215 and 60.2220 Qualified operator...

40 CFR Table 4 to Subpart Cccc of... - Summary of Reporting Requirements a

Code of Federal Regulations, 2010 CFR

2010-07-01

... requirements • Waste management plan • Anticipated date of initial startup § 60.2190 Startup notification Prior to initial startup • Type of waste to be burned• Maximum design waste burning capacity • Anticipated... occurred during a period of startup, shutdown, or malfunction § 60.2215 and 60.2220 Qualified operator...

40 CFR Table 4 to Subpart Cccc of... - Summary of Reporting Requirements a

Code of Federal Regulations, 2011 CFR

2011-07-01

... requirements • Waste management plan • Anticipated date of initial startup § 60.2190 Startup notification Prior to initial startup • Type of waste to be burned• Maximum design waste burning capacity • Anticipated... occurred during a period of startup, shutdown, or malfunction § 60.2215 and 60.2220 Qualified operator...

The Feasibility of Generalized Acoustic Sensor Operator Training. Final Report for Period February 1974-February 1975.

ERIC Educational Resources Information Center

Daniels, Richard W.; Alden, David G.

The feasibility of generalized approaches to training military personnel in the use of different types of sonar/acoustic warfare systems was explored. The initial phase of the project consisted of the analysis of representative sonar and acoustic equipment to identify training areas and operator performance requirements that could be subjected to…

40 CFR 96.71 - Initial certification and recertification procedures

Code of Federal Regulations, 2010 CFR

2010-07-01

...: replacement of the analyzer, change in location or orientation of the sampling probe or site, or changing of... basis under § 96.74(d); (i) For a unit that has commences operation before its compliance deadline under... control period basis under § 96.74(b)(3)(ii) of this part: (i) For a unit that commenced operation before...

Operative team communication during simulated emergencies: Too busy to respond?

PubMed

Davis, W Austin; Jones, Seth; Crowell-Kuhnberg, Adrianna M; O'Keeffe, Dara; Boyle, Kelly M; Klainer, Suzanne B; Smink, Douglas S; Yule, Steven

2017-05-01

Ineffective communication among members of a multidisciplinary team is associated with operative error and failure to rescue. We sought to measure operative team communication in a simulated emergency using an established communication framework called "closed loop communication." We hypothesized that communication directed at a specific recipient would be more likely to elicit a check back or closed loop response and that this relationship would vary with changes in patients' clinical status. We used the closed loop communication framework to code retrospectively the communication behavior of 7 operative teams (each comprising 2 surgeons, anesthesiologists, and nurses) during response to a simulated, postanesthesia care unit "code blue." We identified call outs, check backs, and closed loop episodes and applied descriptive statistics and a mixed-effects negative binomial regression to describe characteristics of communication in individuals and in different specialties. We coded a total of 662 call outs. The frequency and type of initiation and receipt of communication events varied between clinical specialties (P < .001). Surgeons and nurses initiated fewer and received more communication events than anesthesiologists. For the average participant, directed communication increased the likelihood of check back by at least 50% (P = .021) in periods preceding acute changes in the clinical setting, and exerted no significant effect in periods after acute changes in the clinical situation. Communication patterns vary by specialty during a simulated operative emergency, and the effect of directed communication in eliciting a response depends on the clinical status of the patient. Operative training programs should emphasize the importance of quality communication in the period immediately after an acute change in the clinical setting of a patient and recognize that communication patterns and needs vary between members of multidisciplinary operative teams. Copyright © 2016 Elsevier Inc. All rights reserved.

Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children?

PubMed

Nasir, Abdulrasheed A; Abdur-Rahman, Lukman O; Bamigbola, Kayode T; Oyinloye, Adewale O; Abdulraheem, Nurudeen T; Adeniran, James O

2013-01-01

Adhesive small bowel obstruction (ASBO) is a feared complication after abdominal operations in both children and adults. The optimal management of ASBO in the pediatric population is debated. The aim of the present study was to examine the safety and effectiveness of non-operative management in ASBO. A retrospective review of 33 patients who were admitted for ASBO over a 5-year period was carried out. Follow-up data were available for 29 patients. Demographic, clinical, and operative details and outcomes were collected for these patients. Data analysis was done with SPSS version 15.0. P ≤ 0.05 was regarded as significant. Out of 618 abdominal surgeries within the 5-year period, 34 admissions were recorded from 29 patients at the follow-up period of 1-28 months. There were 19 boys (65.5%). The median age of patients was 4.5 years. Typhoid intestinal perforation (n = 7), intussusception (n = 6), intestinal malrotation (n = 5), and appendicitis (n = 4) were the major indications for a prior abdominal surgery leading to ASBO. Twenty-five patients (73.5%) developed SBO due to adhesions within the first year of the primary procedure. Of the 34 patients admitted with ASBO, 18 (53%) underwent operative intervention and 16 (47%) were successfully managed non-operatively. There were no differences in sex (P = 0.24), initial procedure (P = 0.12), age, duration of symptoms, and time to re-admission between the patients who responded to non-operative management and those who underwent operative intervention. However, the length of hospital stay was significantly shorter in the non-operative group (P < 0.0001). Five (14.7%) patients had small bowel resection. A 43-day-old child who initially underwent Ladd's procedure died within 15 h of re-admission while being prepared for surgery, accounting for the only mortality (3.4%). Non-operative management is still a safe and preferred approach in selected patients with ASBO. However, 53% eventually required surgery.

INTERNAL HAZARDS ANALYSIS FOR LICENSE APPLICATION

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

R.J. Garrett

2005-02-17

The purpose of this internal hazards analysis is to identify and document the internal hazards and potential initiating events associated with preclosure operations of the repository at Yucca Mountain. Internal hazards are those hazards presented by the operation of the facility and by its associated processes that can potentially lead to a radioactive release or cause a radiological hazard. In contrast to external hazards, internal hazards do not involve natural phenomena and external man-made hazards. This internal hazards analysis was performed in support of the preclosure safety analysis and the License Application for the Yucca Mountain Project. The methodology formore » this analysis provides a systematic means to identify internal hazards and potential initiating events that may result in a radiological hazard or radiological release during the repository preclosure period. These hazards are documented in tables of potential internal hazards and potential initiating events (Section 6.6) for input to the repository event sequence categorization process. The results of this analysis will undergo further screening and analysis based on the criteria that apply to the performance of event sequence analyses for the repository preclosure period. The evolving design of the repository will be re-evaluated periodically to ensure that internal hazards that have not been previously evaluated are identified.« less

The Isolation of Motivational, Motoric, and Schedule Effects on Operant Performance: A Modeling Approach

PubMed Central

Brackney, Ryan J; Cheung, Timothy H. C; Neisewander, Janet L; Sanabria, Federico

2011-01-01

Dissociating motoric and motivational effects of pharmacological manipulations on operant behavior is a substantial challenge. To address this problem, we applied a response-bout analysis to data from rats trained to lever press for sucrose on variable-interval (VI) schedules of reinforcement. Motoric, motivational, and schedule factors (effort requirement, deprivation level, and schedule requirements, respectively) were manipulated. Bout analysis found that interresponse times (IRTs) were described by a mixture of two exponential distributions, one characterizing IRTs within response bouts, another characterizing intervals between bouts. Increasing effort requirement lengthened the shortest IRT (the refractory period between responses). Adding a ratio requirement increased the length and density of response bouts. Both manipulations also decreased the bout-initiation rate. In contrast, food deprivation only increased the bout-initiation rate. Changes in the distribution of IRTs over time showed that responses during extinction were also emitted in bouts, and that the decrease in response rate was primarily due to progressively longer intervals between bouts. Taken together, these results suggest that changes in the refractory period indicate motoric effects, whereas selective alterations in bout initiation rate indicate incentive-motivational effects. These findings support the use of response-bout analyses to identify the influence of pharmacological manipulations on processes underlying operant performance. PMID:21765544

Metropolitan model deployment initiative national evaluation strategy

DOT National Transportation Integrated Search

1999-03-01

Deregulation of the motor carrier industry combined with a period of sustained economic growth has resulted in sizeable increases in the number of new motor carriers entering interstate operation. Discussions with key stakeholders in the motor carrie...

Ten-Year Summary and Evaluation of Operations and Performance of the Utica Aquifer and North Lake Basin Wetlands Restoration Project, 2004-2014

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

LaFreniere, Lorraine M.

This document reviews the performance of the groundwater (and wetlands) restoration program implemented by the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) at the former CCC/USDA grain storage facility in Utica, Nebraska, during the first ten years of this initiative (2004-2014). The results of the program for the first five-year period of operation were previously discussed in detail (Argonne 2011). The present report focuses on treatment system operational data and regulatory compliance monitoring results for the site during the second five-year period of operation (2010-2014), together with the results of (1) ongoing monitoring and (2) targeted groundwatermore » sampling for volatile organic compounds (VOCs) analyses conducted at Utica in 2015 (following completion of the tenth year of systems operation), to assess the 10-year progress of the Utica remediation effort.« less

47 CFR 101.63 - Period of construction; certification of completion of construction.

Code of Federal Regulations, 2013 CFR

2013-10-01

... completion of construction. (a) Each Station, except in Multichannel Video Distribution and Data Service... this part must be in operation within 18 months from the initial date of grant. (b) For the 70 GHz, 80...

47 CFR 101.63 - Period of construction; certification of completion of construction.

Code of Federal Regulations, 2010 CFR

2010-10-01

... completion of construction. (a) Each Station, except in Multichannel Video Distribution and Data Service... this part must be in operation within 18 months from the initial date of grant. (b) For the 70 GHz, 80...

47 CFR 101.63 - Period of construction; certification of completion of construction.

Code of Federal Regulations, 2011 CFR

2011-10-01

... completion of construction. (a) Each Station, except in Multichannel Video Distribution and Data Service... this part must be in operation within 18 months from the initial date of grant. (b) For the 70 GHz, 80...

47 CFR 101.63 - Period of construction; certification of completion of construction.

Code of Federal Regulations, 2014 CFR

2014-10-01

... completion of construction. (a) Each Station, except in Multichannel Video Distribution and Data Service... this part must be in operation within 18 months from the initial date of grant. (b) For the 70 GHz, 80...

47 CFR 101.63 - Period of construction; certification of completion of construction.

Code of Federal Regulations, 2012 CFR

2012-10-01

... completion of construction. (a) Each Station, except in Multichannel Video Distribution and Data Service... this part must be in operation within 18 months from the initial date of grant. (b) For the 70 GHz, 80...

NASA industry education initiative. Education programs report, 1991

NASA Technical Reports Server (NTRS)

1991-01-01

Findings from the initial inventory of education programs show that support for the NASA-Industry Education Initiative (NIEI) appears to be strong among the organizations surveyed. In addition, the range, depth and historical baselines of NIEI education programs are encouraging. It is also apparent that there is a significant level of cooperation between NIEI members and other organizations. Heavily focused towards science, engineering, mathematics and technology achievement, NIEI activities appear to be aligned with national education goals. Three criticisms are revealed: (1) the majority of programs are targeted fairly late in the education cycle; (2) the number of initiatives geared towards adult literacy and adult skills-enhancement appears to be relatively low; (3) the majority of NIEI activities involve traditional education-assistance programs, but the number of critical assessment and systematic reform initiatives is low. Four Working Group recommendations resulted from this activity: (1) NIEI Working Group operations should continue for an indefinite period, with participation open to other like-minded private-sector organization; (2) the report should be periodically updated; (3) an analysis of ongoing education programs should be conducted; (4) American corporations should continue to support education and evaluate in-house programs periodically.

40 CFR 63.4320 - By what date must I conduct the initial compliance demonstration?

Code of Federal Regulations, 2010 CFR

2010-07-01

... period, the organic HAP content of each coating and printing material you applied and the mass fraction... applicable limit in Table 1 to this subpart, and documentation that in web coating/printing operations you...

40 CFR 63.4961 - How do I demonstrate initial compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... the compliance period, kg. AI = Total mass of organic HAP in the coatings used in the controlled... coating operation in Equation 1D of this section. ER23MY03.028 Where: AI = Total mass of organic HAP in...

Do first impressions count? Frailty judged by initial clinical impression predicts medium-term mortality in vascular surgical patients.

PubMed

O'Neill, B R; Batterham, A M; Hollingsworth, A C; Durrand, J W; Danjoux, G R

2016-06-01

Recognising frailty during pre-operative assessment is important. Frail patients experience higher mortality rates and are less likely to return to baseline functional status following the physiological insult of surgery. We evaluated the association between an initial clinical impression of frailty and all-cause mortality in 392 patients attending our vascular pre-operative assessment clinic. Prevalence of frailty assessed by the initial clinical impression was 30.6% (95% CI 26.0-35.2%). There were 133 deaths in 392 patients over a median follow-up period of 4 years. Using Cox regression, adjusted for age, sex, revised cardiac risk index and surgery (yes/no), the hazard ratio for mortality for frail vs. not-frail was 2.14 (95% CI 1.51-3.05). The time to 20% mortality was 16 months in the frail group and 33 months in the not-frail group. The initial clinical impression is a useful screening tool to identify frail patients in pre-operative assessment. © 2016 The Association of Anaesthetists of Great Britain and Ireland.

Flight controller alertness and performance during spaceflight shiftwork operations.

PubMed

Kelly, S M; Rosekind, M R; Dinges, D F; Miller, D L; Gillen, K A; Gregory, K B; Aguilar, R D; Smith, R M

1998-09-01

Decreased alertness and performance associated with fatigue, sleep loss, and circadian disruption are issues faced by a diverse range of shiftwork operations personnel. During Space Transportation System (STS) operations, Mission Operations Directorate (MOD) personnel provide 24-hr. coverage of critical tasks. A joint NASA Johnson Space Center and NASA Ames Research Center project was undertaken to examine these issues in flight controllers during MOD shiftwork operations. An initial operational test of procedures and measures was conducted during the STS-53 mission in December 1992. The study measures included a Background Questionnaire, a subjective daily logbook completed on a 24-hour basis (to report sleep patterns, work periods, etc.), and an 8 minute performance and mood test battery administered at the beginning, middle, and end of each shift period. Seventeen flight controllers representing the 3 Orbit shifts participated. The initial results clearly support the need for further data collection during other STS missions to document baseline levels of alertness and performance during MOD shiftwork operations. Countermeasure strategies specific to the MOD environment are being developed to minimize the adverse effects of fatigue, sleep loss, and circadian disruption engendered by shiftwork operations. These issues are especially pertinent for the night shift operations and the acute phase advance required for the transition of day shift personnel into the night for shuttle launch. Implementation and evaluation of the countermeasure strategies to maximize alertness and performance is planned. As STS missions extend to further EDO (extended duration orbiters), and timelines and planning for 24-hour Space Station operations continue, alertness and performance issues related to sleep and circadian disruption will remain highly relevant in the MOD environment.

Initial closed operation of the CELSS Test Facility Engineering Development Unit

NASA Technical Reports Server (NTRS)

Kliss, M.; Blackwell, C.; Zografos, A.; Drews, M.; MacElroy, R.; McKenna, R.; Heyenga, A. G.

2003-01-01

As part of the NASA Advanced Life Support Flight Program, a Controlled Ecological Life Support System (CELSS) Test Facility Engineering Development Unit has been constructed and is undergoing initial operational testing at NASA Ames Research Center. The Engineering Development Unit (EDU) is a tightly closed, stringently controlled, ground-based testbed which provides a broad range of environmental conditions under which a variety of CELSS higher plant crops can be grown. Although the EDU was developed primarily to provide near-term engineering data and a realistic determination of the subsystem and system requirements necessary for the fabrication of a comparable flight unit, the EDU has also provided a means to evaluate plant crop productivity and physiology under controlled conditions. This paper describes the initial closed operational testing of the EDU, with emphasis on the hardware performance capabilities. Measured performance data during a 28-day closed operation period are compared with the specified functional requirements, and an example of inferring crop growth parameters from the test data is presented. Plans for future science and technology testing are also discussed. Published by Elsevier Science Ltd on behalf of COSPAR.

Impact evaluation of Morgantown PRT 1975-1976 ridership: Interim Analysis

DOT National Transportation Integrated Search

1977-06-01

An analysis of the ridership levels of the Morgantown PRT system during its : initial period of operation, the 1975-1976 academic year, is presented. PRT ridership : by day, weekly ridership trends in terms of exogeneous events, the influence of : fe...

7 CFR 1709.123 - Evaluation criteria and weights.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 1709.123 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... project once the grant period has ended. Reviewers must make a finding of operational sustainability for... reduction in energy cost or improvement in service. (5) Coordination with rural development initiatives...

7 CFR 1709.123 - Evaluation criteria and weights.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 1709.123 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... project once the grant period has ended. Reviewers must make a finding of operational sustainability for... reduction in energy cost or improvement in service. (5) Coordination with rural development initiatives...

7 CFR 1709.123 - Evaluation criteria and weights.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 1709.123 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... project once the grant period has ended. Reviewers must make a finding of operational sustainability for... reduction in energy cost or improvement in service. (5) Coordination with rural development initiatives...

7 CFR 1709.123 - Evaluation criteria and weights.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1709.123 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE... project once the grant period has ended. Reviewers must make a finding of operational sustainability for... reduction in energy cost or improvement in service. (5) Coordination with rural development initiatives...

Idaho storm warning system operational test

DOT National Transportation Integrated Search

2000-12-01

The Storm Warning Project was initiated in 1993 as a result of a large number of serious traffic crashes that occurred during periods of low visibility on I-84 in southeastern Idaho between 1988 and 1993. The purpose of the project was to determine i...

50 CFR 270.3 - Submission of application.

Code of Federal Regulations, 2013 CFR

2013-10-01

... ADMINISTRATION, DEPARTMENT OF COMMERCE FISH AND SEAFOOD PROMOTION SPECIES-SPECIFIC SEAFOOD MARKETING COUNCILS....g., cash, donated office space, services, supplies, etc.) available for initial administrative... operation; (x) The maximum amount by which an assessment rate for any period may be raised above the rate...

50 CFR 270.3 - Submission of application.

Code of Federal Regulations, 2011 CFR

2011-10-01

... ADMINISTRATION, DEPARTMENT OF COMMERCE FISH AND SEAFOOD PROMOTION SPECIES-SPECIFIC SEAFOOD MARKETING COUNCILS....g., cash, donated office space, services, supplies, etc.) available for initial administrative... operation; (x) The maximum amount by which an assessment rate for any period may be raised above the rate...

Exploring the initial steps of the testing process: frequency and nature of pre-preanalytic errors.

PubMed

Carraro, Paolo; Zago, Tatiana; Plebani, Mario

2012-03-01

Few data are available on the nature of errors in the so-called pre-preanalytic phase, the initial steps of the testing process. We therefore sought to evaluate pre-preanalytic errors using a study design that enabled us to observe the initial procedures performed in the ward, from the physician's test request to the delivery of specimens in the clinical laboratory. After a 1-week direct observational phase designed to identify the operating procedures followed in 3 clinical wards, we recorded all nonconformities and errors occurring over a 6-month period. Overall, the study considered 8547 test requests, for which 15 917 blood sample tubes were collected and 52 982 tests undertaken. No significant differences in error rates were found between the observational phase and the overall study period, but underfilling of coagulation tubes was found to occur more frequently in the direct observational phase (P = 0.043). In the overall study period, the frequency of errors was found to be particularly high regarding order transmission [29 916 parts per million (ppm)] and hemolysed samples (2537 ppm). The frequency of patient misidentification was 352 ppm, and the most frequent nonconformities were test requests recorded in the diary without the patient's name and failure to check the patient's identity at the time of blood draw. The data collected in our study confirm the relative frequency of pre-preanalytic errors and underline the need to consensually prepare and adopt effective standard operating procedures in the initial steps of laboratory testing and to monitor compliance with these procedures over time.

Analysis of the learning curve for peroral endoscopic myotomy for esophageal achalasia: Single-center, two-operator experience.

PubMed

Lv, Houning; Zhao, Ningning; Zheng, Zhongqing; Wang, Tao; Yang, Fang; Jiang, Xihui; Lin, Lin; Sun, Chao; Wang, Bangmao

2017-05-01

Peroral endoscopic myotomy (POEM) has emerged as an advanced technique for the treatment of achalasia, and defining the learning curve is mandatory. From August 2011 to June 2014, two operators in our institution (A&B) carried out POEM on 35 and 33 consecutive patients, respectively. Moving average and cumulative sum (CUSUM) methods were used to analyze the POEM learning curve for corrected operative time (cOT), referring to duration of per centimeter myotomy. Additionally, perioperative outcomes were compared among distinct learning curve phases. Using the moving average method, cOT reached a plateau at the 29th case and at the 24th case for operators A and B, respectively. CUSUM analysis identified three phases: initial learning period (Phase 1), efficiency period (Phase 2) and mastery period (Phase 3). The relatively smooth state in the CUSUM graph occurred at the 26th case and at the 24th case for operators A and B, respectively. Mean cOT of distinct phases for operator A were 8.32, 5.20 and 3.97 min, whereas they were 5.99, 3.06 and 3.75 min for operator B, respectively. Eckardt score and lower esophageal sphincter pressure significantly decreased during the 1-year follow-up period. Data were comparable regarding patient characteristics and perioperative outcomes. This single-center study demonstrated that expert endoscopists with experience in esophageal endoscopic submucosal dissection reached a plateau in learning of POEM after approximately 25 cases. © 2016 Japan Gastroenterological Endoscopy Society.

Idaho storm warning system operational test : final report

DOT National Transportation Integrated Search

2000-12-01

The Storm Warning Project was initiated in 1993 as a result of a large number of serious traffic crashes that occurred during periods of low visibility on I-84 in southeastern Idaho between 1988 and 1993. The purpose of the project was to determine i...

Periodicity computation of generalized mathematical biology problems involving delay differential equations.

PubMed

Jasim Mohammed, M; Ibrahim, Rabha W; Ahmad, M Z

2017-03-01

In this paper, we consider a low initial population model. Our aim is to study the periodicity computation of this model by using neutral differential equations, which are recognized in various studies including biology. We generalize the neutral Rayleigh equation for the third-order by exploiting the model of fractional calculus, in particular the Riemann-Liouville differential operator. We establish the existence and uniqueness of a periodic computational outcome. The technique depends on the continuation theorem of the coincidence degree theory. Besides, an example is presented to demonstrate the finding.

Investigating the effective range of vacuum ultraviolet-mediated breakdown in high-power microwave metamaterials

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

Liu, Chien-Hao, E-mail: cliu82@wisc.edu; Neher, Joel D., E-mail: jdneher@wisc.edu; Booske, John H., E-mail: booske@engr.wisc.edu

2014-10-14

Metamaterials and periodic structures operating under high-power excitations are susceptible to breakdown. It was recently demonstrated that a localized breakdown created in a given region of a periodic structure can facilitate breakdown in other regions of the structure where the intensity of the incident electromagnetic fields may not be high enough to cause breakdown under normal circumstances. It was also demonstrated that this phenomenon is due to the generation of vacuum ultraviolet radiation at the location of the initial discharge, which propagates to the neighboring regions (e.g., other unit cells in a periodic structure) and facilitates the generation of amore » discharge at a lower incident power level. In this paper, we present the results of an experimental study conducted to determine the effective range of this physical phenomenon for periodic structures that operate in air and in pure nitrogen gas at atmospheric pressure levels. It is demonstrated that when breakdown is induced in a periodic structure using a high-power pulse with a frequency of 9.382 GHz, duration of 0.8 μs, and peak power level of 25 kW, this phenomenon is highly likely to happen in radii of approximately 16–17 mm from the location of the initial discharge under these test conditions. The results of this study are significant in designing metamaterials and periodic structures for high-power microwave applications as they suggest that a localized discharge created in such a periodic structure with a periodicity less than 16–17 mm can spread over a large surface and result in a distributed discharge.« less

SUMO: operation and maintenance management web tool for astronomical observatories

NASA Astrophysics Data System (ADS)

Mujica-Alvarez, Emma; Pérez-Calpena, Ana; García-Vargas, María. Luisa

2014-08-01

SUMO is an Operation and Maintenance Management web tool, which allows managing the operation and maintenance activities and resources required for the exploitation of a complex facility. SUMO main capabilities are: information repository, assets and stock control, tasks scheduler, executed tasks archive, configuration and anomalies control and notification and users management. The information needed to operate and maintain the system must be initially stored at the tool database. SUMO shall automatically schedule the periodical tasks and facilitates the searching and programming of the non-periodical tasks. Tasks planning can be visualized in different formats and dynamically edited to be adjusted to the available resources, anomalies, dates and other constrains that can arise during daily operation. SUMO shall provide warnings to the users notifying potential conflicts related to the required personal availability or the spare stock for the scheduled tasks. To conclude, SUMO has been designed as a tool to help during the operation management of a scientific facility, and in particular an astronomical observatory. This is done by controlling all operating parameters: personal, assets, spare and supply stocks, tasks and time constrains.

The Automatic Meteorological Station System AN/TMQ-30 ( ).

DTIC Science & Technology

1982-08-01

network, the station electronics initiate the above operating sequence. 3.2.1 Meteorological Parameters Vindspeed. Windspeed measurements are made over a...much like a pocket calculator. Provision has been made to enable the operator to set or read the clock of the master station and to * set, modify, or...conditions is occuring during a regular cycle period. A normal report is not made under these conditions. Control is passed to the read data module under

Program level evaluation of ASAP diagnosis, referral and rehabilitation efforts. Volume 3, Analysis of ASAP rehabilitation countermeasures effectiveness

DOT National Transportation Integrated Search

1976-09-01

The present report describes the client flow through rehabilitation systems of the 35 NHTSA funded Alcohol Safety Action Projects (ASAPs) during the 1972-1974 period of project operations, summarizes project initiated analyses of treatment program ef...

24 CFR 578.33 - Renewals.

Code of Federal Regulations, 2014 CFR

2014-04-01

... general. Awards made under this part and title IV of the Act, as in effect before August 30, 2012 (the..., operations, supportive services, rental assistance, HMIS, and administration beyond the initial funding period. To be considered for funding, recipients must submit a request in a form specified by HUD, must...

SNS Cryogenic Test Facility Kinney Vacuum Pump Commissioning and Operation at 2 K

NASA Astrophysics Data System (ADS)

DeGraff, B.; Howell, M.; Kim, S.; Neustadt, T.

2017-12-01

The Spallation Neutron Source (SNS) at Oak Ridge National Laboratory (ORNL) has built and commissioned an independent Cryogenic Test Facility (CTF) in support of testing in the Radio-frequency Test Facility (RFTF). Superconducting Radio-frequency Cavity (SRF) testing was initially conducted with the CTF cold box at 4.5 K. A Kinney vacuum pump skid consisting of a roots blower with a liquid ring backing pump was recently added to the CTF system to provide testing capabilities at 2 K. System design, pump refurbishment and installation of the Kinney pump will be presented. During the commissioning and initial testing period with the Kinney pump, several barriers to achieve reliable operation were experienced. Details of these lessons learned and improvements to skid operations will be presented. Pump capacity data will also be presented.

SNS Cryogenic Test Facility Kinney Vacuum Pump Commissioning and Operation at 2 K

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

Degraff, Brian D.; Howell, Matthew P.; Kim, Sang-Ho

The Spallation Neutron Source (SNS) at Oak Ridge National Laboratory (ORNL) has built and commissioned an independent Cryogenic Test Facility (CTF) in support of testing in the Radio-frequency Test Facility (RFTF). Superconducting Radio-frequency Cavity (SRF) testing was initially conducted with the CTF cold box at 4.5 K. A Kinney vacuum pump skid consisting of a roots blower with a liquid ring backing pump was recently added to the CTF system to provide testing capabilities at 2 K. System design, pump refurbishment and installation of the Kinney pump will be presented. During the commissioning and initial testing period with the Kinneymore » pump, several barriers to achieve reliable operation were experienced. Details of these lessons learned and improvements to skid operations will be presented. Pump capacity data will also be presented.« less

[Phenomenon of preoperative stress in patients with ischemic heart disease. Assessment of its clinical and prognostic significance].

PubMed

Barbarash, O L; Shabalina, L V; Bergen, E I; Guliaeva, E N; Barbarash, N A

1998-01-01

To assess preoperative stress in patients with ischemic heart disease (IHD) and its influence on the course of early intraoperative period. 79 patients scheduled for aortocoronary bypass operation were studied to assess the phenomenon of preoperative psychoemotional stress (clinical characteristics, personal anxiety, humoral and vegetative regulation. 24 hours before operation IHD patients became anxious, coronary insufficiency and arrhythmia aggravated as shown by Holter ECG monitoring. Initial insufficiency of the antioxidant system, disturbances of the platelet-vascular hemostasis, hyperlipidemia and dyslipoproteinemia enhanced. Preoperative changes due to stress reaction affected the course of early intraoperative period. It is necessary to apply individual schemes of stress-limiting preoperative preparation in IHD patients.

12 CFR 575.11 - Operating restrictions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... stockholders other than its parent mutual holding company may repurchase any share of stock within one year of its date of issuance (which may include the time period the shares issued by the savings association were outstanding if the subsidiary holding company was formed after the initial issuance by the savings...

32 CFR Appendix B to Part 50 - Overseas Life Insurance Registration Program

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 1 2010-07-01 2010-07-01 false Overseas Life Insurance Registration Program B... Part 50—Overseas Life Insurance Registration Program A. Registration Criteria 1. Initial Registration a. Insurers must demonstrate continuous successful operation in the life insurance business for a period of...

32 CFR Appendix B to Part 50 - Overseas Life Insurance Registration Program

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 1 2011-07-01 2011-07-01 false Overseas Life Insurance Registration Program B... Part 50—Overseas Life Insurance Registration Program A. Registration Criteria 1. Initial Registration a. Insurers must demonstrate continuous successful operation in the life insurance business for a period of...

Persistence of Change: Fume Hood Campaign Lessons

ERIC Educational Resources Information Center

Feder, Elah; Robinson, Jennifer; Wakefield, Sarah

2012-01-01

Purpose: Sustainability initiatives typically operate for a limited time period, but it is often unclear whether they have lasting effects. The purpose of this paper is to examine a laboratory fume hood campaign, in order to identify factors that might contribute or detract from long-term change persistence. Design/methodology/approach: The…

40 CFR 63.455 - Reporting requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) or a bleaching system specified in § 63.440(d)(3)(ii) shall submit, with the initial notification... modifications during the 2-year period. (c) The owner or operator of each bleaching system complying with § 63... that the daily application rates of chlorine and hypochlorite for that bleaching system have not...

40 CFR 91.316 - Hydrocarbon analyzer calibration.

Code of Federal Regulations, 2010 CFR

2010-07-01

... operating adjustment using the appropriate fuel (see § 91.312) and purified synthetic air or zero-grade nitrogen. (2) One of the following procedures is required for FID or HFID optimization: (i) The procedure...) Initial and periodic calibration. Prior to introduction into service and monthly thereafter, or within one...

40 CFR 63.1192 - What recordkeeping requirements must I meet?

Code of Federal Regulations, 2013 CFR

2013-07-01

... detection system alarms. Include the date and time of the alarm, when corrective actions were initiated, the... operating temperature and results of incinerator inspections. For all periods when the average temperature... microfilm, on a computer, on computer disks, on magnetic tape disks, or on microfiche. (e) Report the...

40 CFR 63.1192 - What recordkeeping requirements must I meet?

Code of Federal Regulations, 2011 CFR

2011-07-01

... detection system alarms. Include the date and time of the alarm, when corrective actions were initiated, the... operating temperature and results of incinerator inspections. For all periods when the average temperature... microfilm, on a computer, on computer disks, on magnetic tape disks, or on microfiche. (e) Report the...

40 CFR 63.1192 - What recordkeeping requirements must I meet?

Code of Federal Regulations, 2014 CFR

2014-07-01

... detection system alarms. Include the date and time of the alarm, when corrective actions were initiated, the... operating temperature and results of incinerator inspections. For all periods when the average temperature... microfilm, on a computer, on computer disks, on magnetic tape disks, or on microfiche. (e) Report the...

40 CFR 63.1192 - What recordkeeping requirements must I meet?

Code of Federal Regulations, 2010 CFR

2010-07-01

... detection system alarms. Include the date and time of the alarm, when corrective actions were initiated, the... operating temperature and results of incinerator inspections. For all periods when the average temperature... microfilm, on a computer, on computer disks, on magnetic tape disks, or on microfiche. (e) Report the...

40 CFR 63.1192 - What recordkeeping requirements must I meet?

Code of Federal Regulations, 2012 CFR

2012-07-01

... detection system alarms. Include the date and time of the alarm, when corrective actions were initiated, the... operating temperature and results of incinerator inspections. For all periods when the average temperature... microfilm, on a computer, on computer disks, on magnetic tape disks, or on microfiche. (e) Report the...

75 FR 39957 - Extension of the Initial Registration Period for Haitians Under the Temporary Protected Status...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-13

... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [CIS No. 2491-10; DHS... the Temporary Protected Status Program AGENCY: U.S. Citizenship and Immigration Services, DHS. ACTION..., Service Center Operations Directorate, U.S. Citizenship and Immigration Services, Department of Homeland...

40 CFR 86.536-78 - Engine starting and restarting.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PROGRAMS (CONTINUED) CONTROL OF EMISSIONS FROM NEW AND IN-USE HIGHWAY VEHICLES AND ENGINES Emission... initial 20 second idle period shall begin when the engine starts. (2) Choke operation. (i) Vehicles... transmission shall be placed in gear 15 seconds after the engine is started. If necessary, braking may be...

Accelerating recovery after trauma with free flaps.

PubMed

Harris, G D; Nagle, D J; Lewis, V L; Bauer, B S

1987-08-01

Free flap versatility and dependability make the final result of microvascular reconstruction highly predictable. Free tissue transplantation should be considered as a primary treatment after trauma. The early use of free tissue transfer will result in fewer operations and a shortened duration of hospitalization in the initial post-trauma period.

Theta-Pinch Thruster for Piloted Deep Space Exploration

NASA Technical Reports Server (NTRS)

LaPointe, Mike R.; Reddy, Dhanireddy (Technical Monitor)

2000-01-01

A new high-power propulsion concept that combines a rapidly pulsed theta-pinch discharge with upstream particle reflection by a magnetic mirror was evaluated under a Phase 1 grant awarded through the NASA Institute for Advanced Concepts. Analytic and numerical models were developed to predict the performance of a theta-pinch thruster operated over a wide range of initial gas pressures and discharge periods. The models indicate that a 1 m radius, 10 m long thruster operated with hydrogen propellant could provide impulse-bits ranging from 1 N-s to 330 N-s with specific impulse values of 7,500 s to 2,500 s, respectively. A pulsed magnetic field strength of 2 T is required to compress and heat the preionized hydrogen over a 10(exp -3) second discharge period, with about 60% of the heated plasma exiting the chamber each period to produce thrust. The unoptimized thruster efficiency is low, peaking at approximately 16% for an initial hydrogen chamber pressure of 100 Torr. The specific impulse and impulse-bit at this operating condition are 3,500 s and 90 N-s, respectively, and the required discharge energy is approximately 9x10(exp 6) J. For a pulse repetition rate of 10 Hz, the engine would produce an average thrust of 900 N at 3,500 s specific impulse. Combined with the electrodeless nature of the device, these performance parameters indicate that theta-pinch thrusters could provide unique, long-life propulsion systems for piloted deep space mission applications.

Final Technical Report

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

Eggeman, Tim; O'Neill, Brian

2016-08-17

ZeaChem Inc. and US DOE successfully demonstrated the ZeaChem process for producing sugars and ethanol from high-impact biomass feedstocks. The project was executed over a 5-year period under a $31.25 million cooperative agreement (80:20 Federal:ZeaChem cost share). The project was managed by dividing it into three budget periods. Activities during Budget Period 1 were limited to planning, permitting, and other pre-construction planning. Budget Period 2 activities included engineering, procurement, construction, commissioning, start-up and initial operations through the Independent Engineer Test Runs. The scope of construction was limited to the Chem Frac and Hydrogenolysis units, as the Core Facility was alreadymore » in place. Construction was complete in December 2012, and the first cellulosic ethanol was produced in February 2013. Additional operational test runs were conducted during Budget Period 3 (completed June 2015) using hybrid poplar, corn stover, and wheat straw feedstocks, resulting in the production of cellulosic ethanol and various other biorefinery intermediates. The research adds to the understanding of the Chem Frac and Hydrogenolysis technologies in that the technical performance of each unit was measured, and the resulting data and operational experience can be used as the basis for engineering designs, thus mitigating risks for deployment in future commercial facilities. The Chem Frac unit was initially designed to be operated as two-stage dilute acid hydrolysis, with first stage conditions selected to remove the hemicellulose fraction of the feedstock, and the second stage conditions selected to remove the cellulose fraction. While the Chem Frac unit met or exceeded the design capacity of 10 ton(dry)/day, the technical effectiveness of the Chem Frac unit was below expectations in its initial two-stage dilute acid configuration. The sugars yields were low, the sugars were dilute, and the sugars had poor fermentability caused by excessive inhibitors from wood breakdown products, resulting in a non-viable process from an economic point of view. Later runs with the Chem Frac unit switched to a configuration that used dilute acid pretreatment followed by enzymatic hydrolysis. This change improved yield, increased sugar concentrations, and improved fermentability of sugars. The Hydrogenolysis unit met or exceeded all expectations with respect to unit capacity, technical performance, and economic performance. The US DOE funds for the project were provided through the American Recovery and Reinvestment Act of 2009. In addition to the scientific/technical merit of the project, this project benefited the public through the creation of approximately 75 onsite direct construction-related jobs, 25 direct on-going operations-related jobs, plus numerous indirect jobs, and thus was well aligned with the goals of the American Recovery and Reinvestment Act of 2009.« less

Robot-assisted radical prostatectomy: a case series of the first 100 patients -constitutional introduction and implementation on the basis of comprehensive department of minimal invasive surgery center-

PubMed Central

2013-01-01

Background Although a very small number of Japanese hospitals had been performing robotic surgery before 2011, the number now using it is increasing rapidly due to the application of health insurance to robotic surgery for prostate cancer (PCa) since April, 2012. We report our initial experience of treating 100 patients by robot-assisted radical prostatectomy (RARP) with a focus on constitutional introduction and implementation based on minimal invasive surgery center (MISC) and patient outcomes. Methods The MISC involved all of the hospital sections related to robotic surgery including four surgery departments, anesthesiology, operating room nurses, medical engineers. The data were prospectively collected from the first 100 consecutive patients who underwent RARP under supervision of MISC for localized PCa from October 2010 to December 2012. Results During the period of our initial 100 cases of RARP, the gynecology, respiratory and digestive surgery departments performed initial cases of 20, 33 and 23 robotic surgeries under control of MISC. Peri-operative complications in RARP appeared to be minimal with no cases of intra-operative open conversion. The positive surgical margin rate was 19% for the entire series. At the median follow-up time of 11.9 months, 91% of patients had undetectable PSA levels, and 76% of patients were not using pads. Sequential urinary functional data indicated a significant beneficial effect on lower urinary tract symptoms beyond cancer control over a period of several months. Although the pre-operative potent patient number was small, the transitions of constant potency recovery at precise time points were shown according to different nerve sparing procedures. Conclusions This is the first report of an initial 100 RARP cases that were implemented using the constitutional framework of an academic institution. The MISC is providing immeasurable benefits from the aspects of patient safety and education for the robotic surgical team. RARP is a safe and efficient method for achieving PCa control together with functional preservation, even during the initial trial for this procedure. PMID:24171923

Robot-assisted radical prostatectomy: a case series of the first 100 patients--constitutional introduction and implementation on the basis of comprehensive department of minimal invasive surgery center.

PubMed

Sejima, Takehiro; Masago, Toshihiko; Morizane, Shuichi; Hikita, Katsuya; Kobayashi, Naoto; Yao, Akihisa; Muraoka, Kuniyasu; Honda, Masashi; Kitano, Hiroya; Takenaka, Atsushi

2013-10-30

Although a very small number of Japanese hospitals had been performing robotic surgery before 2011, the number now using it is increasing rapidly due to the application of health insurance to robotic surgery for prostate cancer (PCa) since April, 2012. We report our initial experience of treating 100 patients by robot-assisted radical prostatectomy (RARP) with a focus on constitutional introduction and implementation based on minimal invasive surgery center (MISC) and patient outcomes. The MISC involved all of the hospital sections related to robotic surgery including four surgery departments, anesthesiology, operating room nurses, medical engineers. The data were prospectively collected from the first 100 consecutive patients who underwent RARP under supervision of MISC for localized PCa from October 2010 to December 2012. During the period of our initial 100 cases of RARP, the gynecology, respiratory and digestive surgery departments performed initial cases of 20, 33 and 23 robotic surgeries under control of MISC. Peri-operative complications in RARP appeared to be minimal with no cases of intra-operative open conversion. The positive surgical margin rate was 19% for the entire series. At the median follow-up time of 11.9 months, 91% of patients had undetectable PSA levels, and 76% of patients were not using pads. Sequential urinary functional data indicated a significant beneficial effect on lower urinary tract symptoms beyond cancer control over a period of several months. Although the pre-operative potent patient number was small, the transitions of constant potency recovery at precise time points were shown according to different nerve sparing procedures. This is the first report of an initial 100 RARP cases that were implemented using the constitutional framework of an academic institution. The MISC is providing immeasurable benefits from the aspects of patient safety and education for the robotic surgical team. RARP is a safe and efficient method for achieving PCa control together with functional preservation, even during the initial trial for this procedure.

Immediate post-operative pain in anterior cruciate ligament reconstruction surgery with bone patellar tendon bone graft versus hamstring graft.

PubMed

Gupta, Ravi; Kapoor, Dheeraj; Kapoor, Love; Malhotra, Anubhav; Masih, Gladson David; Kapoor, Anil; Joshi, Shweta

2016-06-08

Pain in the immediate post-operative period after anterior cruciate ligament (ACL) surgery, apart from an unpleasant experience for the patient, can act as a barrier for static quadriceps contractions and optimum execution of the initial rehabilitation protocol resulting in slow recovery and a later return to full function for a sportsperson. There is no report in the literature comparing pain in the immediate post-operative period after using the two most widely used autografts, bone patellar tendon bone (BPTB) graft and hamstring graft. The present study compared the visual analogue scale (VAS) pain score in the immediate post-operative period after arthroscopic ACL reconstruction with the BPTB and hamstring autografts. Both groups consisted of 50 patients each. The mean age of the BPTB and hamstring cohorts was 26.9 ± 7.3 years (age range 18-59 years) and 26.7 ± 9.0 years (age range 17-52 years), respectively. Unpaired t test was applied to compare pain scores between the BPTB and hamstring cohorts. In the present study, patients in the BPTB cohort showed higher mean pain scores across all the post-operative time intervals except at 6 h. However, the difference in the mean VAS pain score at post-operative 6, 12,18, 24, 36 and 48 h in the two groups was statistically not significant (p value of 1, 0.665, 0.798, 0.377, 0.651 and 0.215 at 6, 12, 18, 24, 36 and 48 h, respectively). Our study concludes that the arthroscopic ACL reconstruction with BPTB autograft and hamstring autograft is associated with similar pain in the immediate post-operative period. As a result, aggressive physiotherapy regime is not affected by the type of graft being used for ACL reconstruction, as the pain scores in the immediate post-operative period are similar for both techniques. Clinical Trials Registry-India, CTRI/2016/01/006502.

Machine & electrical double control air dryer for vehicle air braking system

NASA Astrophysics Data System (ADS)

Zhang, Xuan; Yang, Liu; Wang, Xian Yan; Tan, Xiao Yan; Wang, Wei

2017-09-01

As is known to all, a vehicle air brake system, in which usually contains moisture. To solve the problem, it is common to use air dryer to dry compressed air effectively and completely remove the moisture and oil of braking system. However, the existing air dryer is not suitable for all commercial vehicles. According to the operational status of the new energy vehicles in the initial operating period, the structure design principle of the machine & electric control air dryer is expounded from the aspects of the structure and operating principle, research & development process.

The Gaia mission status

NASA Astrophysics Data System (ADS)

Prusti, T.

2018-04-01

Gaia is an ESA cornerstone mission conducting a full sky survey over its 5 year operational period. Gaia performs astrometric, photometric and spectroscopic measurements. The data processing is entrusted to scientists and engineers who have formed the Gaia Data Processing and Analysis Consortium (DPAC). The photometric science alerts started in 2014. The first intermediate data release (Gaia DR1) took place 14 September 2016 and it has been extensively used by the community. Gaia DR2 is scheduled for April 2018. Gaia is expected to be able to continue observations roughly for another 5 years after the nominal phase. The procedure to grant funding for the extension period has been initiated. In case funding is granted, the total operational time of Gaia may be 10 years.

Operation Enduring Freedom. Joint Center for Operational Analysis Journal, Volume 11, Issue 3, Fall 2009

DTIC Science & Technology

2009-01-01

began a period known as the Great Game , which was a century and a half long competition for Afghanistan by Britain and Russia. Each of the countries...It is yet to be determined whether or not the United States is capable of sustaining initial success, or if the Great Game will continue...showed Malik Noorafzal video footage of the World Trade Center towers collapsing. He had never seen this and it made a deep impression. He had heard

The Convective and Orographically Induced Precipitation Study (COPS): The Scientific Strategy, the Field Phase, and Research Highlights

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

Wulfmeyer, Volker; Behrendt, Andreas; Kottmeir, Christoph

2011-02-24

Within the frame of the international field campaign COPS (Convective and Orographically-induced Precipitation Study), a large suite of state-of-the-art meteorological instrumentation was operated, partially combined for the first time. The COPS field phase was performed from 01 June - 31 August 2007 in a low-mountain area in southwestern Germany/eastern France covering the Vosges Mountains, the Rhine valley and the Black Forest Mountains. The collected data set covers the entire evolution of convective precipitation events in complex terrain from their initiation, to their development and mature phase up to their decay. 18 Intensive Operation Periods (IOPs) with 34 operation days andmore » 8 additional Special Observation Periods (SOPs) were performed providing a comprehensive data set covering different forcing conditions. In this paper an overview of the COPS scientific strategy, the field phase, and its first accomplishments is given. Some highlights of the campaign are illustrated with several measurement examples. It is demonstrated that COPS provided new insight in key processes leading to convection initiation and to the modification of precipitation by orography, in the improvement of QPF by the assimilation of new observations, and in the performance of ensembles of convection permitting models in complex terrain.« less

77 FR 60341 - National Emission Standards for Hazardous Air Pollutants for Reciprocating Internal Combustion...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-03

... compression ignition (CI) RICE on offshore drilling vessels on the Outer Continental Shelf (OCS) that become... raised during the initial public comment period regarding existing engines on offshore vessels. DATES... (comment from Offshore Operators Committee), EPA-HQ- OAR-2008-0708-1105 at p. 6 (comment from American...

CTEPP STANDARD OPERATING PROCEDURE FOR COLLECTION OF FIXED SITE INDOOR AND OUTDOOR AIR SAMPLES FOR PERSISTENT ORGANIC POLLUTANTS (SOP-2.12)

EPA Science Inventory

This SOP describes the procedures to set up, calibrate, initiate and terminate air sampling for persistent organic pollutants. This method is used to sample air, indoors and outdoors, at homes and at day care centers over a 48-hr period.

40 CFR 86.1321-94 - Hydrocarbon analyzer calibration.

Code of Federal Regulations, 2012 CFR

2012-07-01

... to be used for the analysis of natural gas-fueled vehicle hydrocarbon samples, the methane response... following initial and periodic calibration. The HFID used with petroleum-fueled, natural gas-fueled and liquefied petroleum gas-fueled diesel engines shall be operated to a set point ±10 °F (±5.5 °C) between 365...

40 CFR 86.1321-94 - Hydrocarbon analyzer calibration.

Code of Federal Regulations, 2013 CFR

2013-07-01

... to be used for the analysis of natural gas-fueled vehicle hydrocarbon samples, the methane response... following initial and periodic calibration. The HFID used with petroleum-fueled, natural gas-fueled and liquefied petroleum gas-fueled diesel engines shall be operated to a set point ±10 °F (±5.5 °C) between 365...

40 CFR 60.58a - Compliance and performance testing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... period when the affected facility is combusting only a fossil fuel or other non-MSW fuel and no MSW is... to the atmosphere and record the output of the system. (7) Following the date of the initial..., and operate a CEMS for measuring nitrogen oxides discharged to the atmosphere and record the output of...

40 CFR 60.58a - Compliance and performance testing.

Code of Federal Regulations, 2011 CFR

2011-07-01

... period when the affected facility is combusting only a fossil fuel or other non-MSW fuel and no MSW is... to the atmosphere and record the output of the system. (7) Following the date of the initial..., and operate a CEMS for measuring nitrogen oxides discharged to the atmosphere and record the output of...

40 CFR 60.58a - Compliance and performance testing.

Code of Federal Regulations, 2013 CFR

2013-07-01

... period when the affected facility is combusting only a fossil fuel or other non-MSW fuel and no MSW is... to the atmosphere and record the output of the system. (7) Following the date of the initial..., and operate a CEMS for measuring nitrogen oxides discharged to the atmosphere and record the output of...

40 CFR 60.58a - Compliance and performance testing.

Code of Federal Regulations, 2012 CFR

2012-07-01

... period when the affected facility is combusting only a fossil fuel or other non-MSW fuel and no MSW is... to the atmosphere and record the output of the system. (7) Following the date of the initial..., and operate a CEMS for measuring nitrogen oxides discharged to the atmosphere and record the output of...

40 CFR 60.58a - Compliance and performance testing.

Code of Federal Regulations, 2014 CFR

2014-07-01

... period when the affected facility is combusting only a fossil fuel or other non-MSW fuel and no MSW is... to the atmosphere and record the output of the system. (7) Following the date of the initial..., and operate a CEMS for measuring nitrogen oxides discharged to the atmosphere and record the output of...

30 CFR 816.68 - Use of explosives: Records of blasting operations.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... (f) Type of material blasted. (g) Sketches of the blast pattern including number of holes, burden, spacing, decks, and delay pattern. (h) Diameter and depth of holes. (i) Types of explosives used. (j...-millisecond period. (l) Initiation system. (m) Type and length of stemming. (n) Mats or other protections used...

30 CFR 817.68 - Use of explosives: Records of blasting operations.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... (f) Type of material blasted. (g) Sketches of the blast pattern including number of holes, burden, spacing, decks, and delay pattern. (h) Diameter and depth of holes. (i) Types of explosives used. (j...-millisecond period. (l) Initiation system. (m) Type and length of stemming. (n) Mats or other protections used...

30 CFR 817.68 - Use of explosives: Records of blasting operations.

Code of Federal Regulations, 2011 CFR

2011-07-01

.... (f) Type of material blasted. (g) Sketches of the blast pattern including number of holes, burden, spacing, decks, and delay pattern. (h) Diameter and depth of holes. (i) Types of explosives used. (j...-millisecond period. (l) Initiation system. (m) Type and length of stemming. (n) Mats or other protections used...

30 CFR 816.68 - Use of explosives: Records of blasting operations.

Code of Federal Regulations, 2011 CFR

2011-07-01

.... (f) Type of material blasted. (g) Sketches of the blast pattern including number of holes, burden, spacing, decks, and delay pattern. (h) Diameter and depth of holes. (i) Types of explosives used. (j...-millisecond period. (l) Initiation system. (m) Type and length of stemming. (n) Mats or other protections used...

The Use of Pre-Storm Boundary-Layer Baroclinicity in Determining and Operationally Implementing the Atlantic Surface Cyclone Intensification Index

NASA Astrophysics Data System (ADS)

Cione, Joseph; Pietrafes, Leonard J.

The lateral motion of the Gulf Stream off the eastern seaboard of the United States during the winter season can act to dramatically enhance the low-level baroclinicity within the coastal zone during periods of offshore cold advection. The ralative close proximity of the Gulf Stream current off the mid-Atlantic coast can result in the rapid and intense destabilization of the marine atmospheric boundary layer directly above and shoreward of the Gulf Stream within this region. This airmass modification period often precedes either wintertime coastal cyclogenesis or the cyclonic re-development of existing mid-latitude cyclones. A climatological study investigating the relationship between the severity of the pre-storm, cold advection period and subsequent cyclogenic intensification was undertaken by Cione et al. in 1993. Findings from this study illustrate that the thermal structure of the continental airmass as well as the position of the Gulf Stream front relative to land during the pre-storm period (i.e., 24-48 h prior to the initial cyclonic intensification) are linked to the observed rate of surface cyclonic deepening for storms that either advected into or initially developed within the Carolina-southeast Virginia offshore coastal zone. It is a major objective of this research to test the potential operational utility of this pre-storm low level baroclinic linkage to subsequent cyclogenesis in an actual National Weather Service (NWS) coastal winter storm forecast setting.The ability to produce coastal surface cyclone intensity forecasts recently became available to North Carolina State University researchers and NWS forecasters. This statistical forecast guidance utilizes regression relationships derived from a nine-season (January 1982-April 1990), 116-storm study conducted previously. During the period between February 1994 and February 1996, the Atlantic Surface Cyclone Intensification Index (ASCII) was successfully implemented in an operational setting by the NWS at the Raleigh-Durham (RAH) forecast office for 10 winter storms. Analysis of these ASCII forecasts will be presented.

Hearing conservation in the primary aluminium industry

PubMed Central

Frisch, N.; Dixon-Ernst, C.; Chesson, B. J.; Cullen, M. R.

2016-01-01

Background Noise-induced hearing loss has been an intractable problem for heavy industry. Aims To report our experience in reducing the incidence of age-corrected confirmed 10 dB hearing shifts (averaged over 2, 3 and 4kHz) in employees in the primary aluminium industry in Australia over the period 2006–13. Methods We analysed annual audiometric data to determine the number of permanent hearing shifts that occurred in employees in two bauxite mines, three alumina refineries and two aluminium smelters. Annual hearing shift rates were calculated based on the number of employees tested per year. Hearing conservation initiatives undertaken during the study period are described. An assessment of similar exposure group noise exposures was also undertaken to determine the magnitude of noise exposure reduction during the study period. Results Across all operations, hearing shift rates declined from 5.5% per year in 2006 to 1.3% per year in 2013 (P < 0.001). The decline in shift rates was greater in mines and refineries, where baseline shift rates were higher, than in smelter workers. Modest reductions in noise exposure occurred during the study period. Conclusions We observed a substantial decline in hearing shift rates during the study period. We describe the hearing conservation initiatives that were collectively associated with this decline. We suspect these initiatives could be deployed relatively easily and at modest cost in other industries with noise-exposed employees. PMID:26470945

Reoperation for rhegmatogenous retinal detachment as quality indicator for disease management: a register study.

PubMed

Hajari, Javad N; Christensen, Ulrik; Kiilgaard, Jens F; Bek, Toke; la Cour, Morten

2015-09-01

To establish a quality indicator that could be used in optimizing treatment for rhegmatogenous retinal detachment (RRD). The Danish National Patient Registry was used to identify surgery conducted in Denmark for RRD in the period 01 January 2001-31 December 2009. Cases were identified by diagnosis and surgical codes. A total of 6522 cases were operated for a primary RRD in the study period, and 22% (1434 patients) were reoperated for a redetachment. A Cox regression analysis showed that the risk of redetachment was equal to or less than detachment on the fellow eye 1 year after primary surgery with techniques not using silicone oil. The same was true 1.5 years after surgery for techniques using silicone oil. Based on this, we established a quality indicator defining failure as the need for operation for redetachment within 1 year from initial surgery when using techniques without oil and after 1.5 years for techniques using oil. Also the lack of oil removal within 1 year from initial surgery should be noted as an operational failure. We applied the quality indicators on the cohort of 6522 RRDs and found that in Denmark the need for redetachment surgery has decreased over time and also that high-volume departments have better outcome compared to smaller ones. The risk of reoperation for redetachment after initial surgery fulfils the criteria for a good quality indicator and can be used in RRD surgery. This indicator could aid in optimizing the management of RRD patients to minimize morbidity. © 2015 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Intervention-related increases in preoperative physical activity are maintained 6-months after Bariatric surgery: results from the bari-active trial.

PubMed

Bond, D S; Thomas, J G; Vithiananthan, S; Unick, J; Webster, J; Roye, G D; Ryder, B A; Sax, H C

2017-03-01

Higher preoperative physical activity (PA) strongly predicts higher post-operative PA in bariatric surgery (BS) patients, providing rationale for preoperative PA interventions (PAIs). However, whether PAI-related increases can be maintained post-operatively has not been examined. This study compared PA changes across pre- (baseline, post-intervention) and post-operative (6-month follow up) periods in participants randomized to 6 weeks of preoperative PAI or standard care control (SC). Of 75 participants initially randomized, 36 (PAI n=22; SC n=14) underwent BS. Changes in daily bout-related (⩾10-min bouts) moderate-to-vigorous PA (MVPA) and steps were assessed via the SenseWear Armband monitor. PAI received weekly counseling to increase walking exercise. Retention (86%) at post-operative follow up was similar between groups. Intent-to-treat analyses showed that PAI vs SC had greater increases across time (baseline, post-intervention, follow up) in bout-related MVPA minutes/day (4.3±5.1, 26.3±21.3, 28.7±26.3 vs 10.4±22.9, 11.4±16.0, 18.5±28.2; P=0.013) and steps/day (5163±2901, 7950±3286, 7870±3936 vs 5163±2901, 5601±3368, 5087±2603; P<0.001). PAI differed from SC on bout-related MVPA at post-intervention (P=0.016; d=0.91), but not follow up (P=0.15; d=0.41), and steps at post-intervention (P=0.031; d=0.78) and follow up (P=0.024; d=0.84). PAI participants maintained preoperative PA increases post-operatively. Findings support preoperative PAIs and research to test whether PA changes can be sustained and influence surgical outcomes beyond the initial post-operative period.

Initial characterization of the microgravity environment of the international space station: increments 2 through 4

NASA Technical Reports Server (NTRS)

Jules, Kenol; McPherson, Kevin; Hrovat, Kenneth; Kelly, Eric

2004-01-01

The primary objective of the International Space Station (ISS) is to provide a long-term quiescent environment for the conduct of scientific research for a variety of microgravity science disciplines. This paper reports to the microgravity scientific community the results of an initial characterization of the microgravity environment on the International Space Station for increments 2 through 4. During that period almost 70,000 hours of station operations and scientific experiments were conducted. 720 hours of crew research time were logged aboard the orbiting laboratory and over half a terabyte of acceleration data were recorded and much of that was analyzed. The results discussed in this paper cover both the quasi-steady and vibratory acceleration environment of the station during its first year of scientific operation. For the quasi-steady environment, results are presented and discussed for the following: the space station attitudes Torque Equilibrium Attitude and the X-Axis Perpendicular to the Orbital Plane; station docking attitude maneuvers; Space Shuttle joint operation with the station; cabin de-pressurizations and the station water dumps. For the vibratory environment, results are presented for the following: crew exercise, docking events, and the activation/de-activation of both station life support system hardware and experiment hardware. Finally, a grand summary of all the data collected aboard the station during the 1-year period is presented showing where the overall quasi-steady and vibratory acceleration magnitude levels fall over that period of time using a 95th percentile benchmark. Published by Elsevier Ltd.

THE ARMOUR DUST FUELED REACTOR (ADFR). Quarterly Progress Report No. 1 for the Period February 21, 1958 to May 21, 1958

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

Loewe, W.E.; Krucoff, D.

1958-10-31

Work has begun on the ADFR, a reactor using a new fuel form -- fissionable dust carried in an inent gas. Temperatures in the range 2,000 to 3,000 deg F appear feasible in an all-ceramic system. Experimental study of the fuel form was initiated, and a loop to circulate the fuel dust was constructed. Initial operation is encouraging. Theoretical studies were carried on in the areas of reactor physics, heat transfer, and safety. (auth)

Nonuniform Effects of Reinstatement within the Time Window

ERIC Educational Resources Information Center

Galluccio, Llissa; Rovee-Collier, Carolyn

2006-01-01

A time window is a limited period after an event initially occurs in which additional information can be integrated with the memory of that event. It shuts when the memory is forgotten. The time window hypothesis holds that the impact of a manipulation at different points within the time window is nonuniform. In two operant conditioning…

40 CFR Table 2 to Subpart Kkkkk of... - Operating Limits

Code of Federal Regulations, 2010 CFR

2010-07-01

... stack. 2. Kiln equipped with a DIFF or DLS/FF a. If you use a bag leak detection system, initiate corrective action within 1 hour of a bag leak detection system alarm and complete corrective actions in... to the scrubber water, maintain the average scrubber chemical feed rate for each 3-hour block period...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR PERFORMANCE OF COMPUTER SOFTWARE: VERIFICATION AND VALIDATION (IIT-A-2.0)

EPA Science Inventory

The purpose of this SOP is to define the procedures for the initial and periodic verification and validation of computer programs. The programs are used during the Arizona NHEXAS project and Border study at the Illinois Institute of Technology (IIT) site. Keywords: computers; s...

78 FR 26841 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-08

... Application and Initiation Fees, for a defined period of time, in order that certain market making firms may... Exchange at the request of such traders, unless specifically exempted from such quoting (market-making... on market making firms. The Exchange operates in a highly competitive market, comprised of eleven...

76 FR 14658 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Comment...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-17

... Activities; Submission to OMB for Review and Approval; Comment Request; National Emission Standards for... report of any physical or operational changes, initial performance tests, and periodic reports and... Estimates: There is a net decrease in labor hours and a net increase in cost to the Respondents in this ICR...

40 CFR 63.11945 - What performance testing requirements must I meet for process vents?

Code of Federal Regulations, 2012 CFR

2012-07-01

... conduct the initial and periodic performance tests required in § 63.11925(d) and (e) and as specified in... tests under the conditions specified in paragraphs (b)(1) through (3) of this section, as applicable. Upon request, the owner or operator shall make available to the Administrator such records as may be...

40 CFR 63.11945 - What performance testing requirements must I meet for process vents?

Code of Federal Regulations, 2014 CFR

2014-07-01

... conduct the initial and periodic performance tests required in § 63.11925(d) and (e) and as specified in... tests under the conditions specified in paragraphs (b)(1) through (3) of this section, as applicable. Upon request, the owner or operator shall make available to the Administrator such records as may be...

40 CFR 63.11945 - What performance testing requirements must I meet for process vents?

Code of Federal Regulations, 2013 CFR

2013-07-01

... conduct the initial and periodic performance tests required in § 63.11925(d) and (e) and as specified in... tests under the conditions specified in paragraphs (b)(1) through (3) of this section, as applicable. Upon request, the owner or operator shall make available to the Administrator such records as may be...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR PERFORMANCE OF COMPUTER SOFTWARE: VERIFICATION AND VALIDATION (UA-D-2.0)

EPA Science Inventory

The purpose of this SOP is to define the procedures used for the initial and periodic verification and validation of computer programs used during the Arizona NHEXAS project and the "Border" study. Keywords: Computers; Software; QA/QC.

The National Human Exposure Assessment Sur...

Cycling firing method for bypass operation of bridge converters

DOEpatents

Zabar, Zivan

1982-01-01

The bridge converter comprises a number of switching elements and an electronic logic system which regulated the electric power levels by controlling the firing, i.e., the initiation of the conduction period of the switching elements. Cyclic firing of said elements allows the direct current to bypass the alternating current system with high power factor and negligible losses.

The impact of dynamic data assimilation on the numerical simulations of the QE II cyclone and an analysis of the jet streak influencing the precyclogenetic environment

NASA Technical Reports Server (NTRS)

Manobianco, John; Uccellini, Louis W.; Brill, Keith F.; Kuo, Ying-Hwa

1992-01-01

A mesoscale numerical model is combined with a dynamic data assimilation via Newtonian relaxation, or 'nudging', to provide initial conditions for subsequent simulations of the QE II cyclone. Both the nudging technique and the inclusion of supplementary data are shown to have a large positive impact on the simulation of the QE II cyclone during the initial phase of rapid cyclone development. Within the initial development period (from 1200 to 1800 UTC 9 September 1978), the dynamic assimilation of operational and bogus data yields a coherent two-layer divergence pattern that is not well defined in the model run using only the operational data and static initialization. Diagnostic analysis based on the simulations show that the initial development of the QE II storm between 0000 UTC 9 September and 0000 UTC 10 September was embedded within an indirect circulation of an intense 300-hPa jet streak, was related to baroclinic processes extending throughout a deep portion of the troposphere, and was associated with a classic two-layer mass-divergence profile expected for an extratropical cyclone.

Non-operative management of a grade IV pancreatic injury

PubMed Central

Hiremath, Bharati; Hegde, Nishchit

2014-01-01

Isolated pancreatic transection with ductal disruption in blunt abdominal trauma is extremely rare. We report the case of a 14-year-old boy who suffered pancreatic transection at the junction of body and head of the pancreas; yet remarkably recovered after initial conservative management. He was periodically examined clinically and underwent regular abdominal ultrasonography. Nearly 6 months later, endoscopic retrograde cholangiopancreatography with pancreatic duct stenting, pancreatic sphincterotomy and cystogastrostomy for the pseudocyst diagnosed during the follow-up period was performed. Acute surgical management of pancreatic transection is fraught with high mortality and morbidity. Through this effort, we highlight the successful role of non-operative management of a haemodynamically stable patient with grade IV pancreatic injury, thereby avoiding radical surgery in the acute stage and preserving exocrine and endocrine function. PMID:24788631

Development and operating experience of a short-period superconducting undulator at the Advanced Photon Source

DOE PAGES

Ivanyushenkov, Y.; Harkay, K.; Abliz, M.; ...

2015-04-01

In this study, a decade-long effort at the Advanced Photon Source (APS) of Argonne National Laboratory (ANL) on development of superconducting undulators culminated in December 2012 with the installation of the first superconducting undulator “SCU0” into Sector 6 of the APS storage ring. The device was commissioned in January 2013 and has been in user operation since. This paper presents the magnetic and cryogenic design of the SCU0 together with the results of stand-alone cold tests. The initial commissioning and characterization of SCU0 as well as its operating experience in the APS storage ring are described.

[Changes in the work capacity of the operators of command-measuring systems during daily duty].

PubMed

Novikov, V S; Lustin, S I; Blaginin, A A; Kozlov, V P

1997-06-01

Through 12 hours of work the operators of command-measuring complexes had initial signs of exhaustion, showed them-self by decrease of health state, activity, mood, increase of latent period of simple sensorimotor reaction. These changes of a functional condition had no effect on quality of fulfillment of target problems. At the end of daily duty exhaustion, described by deterioration of health state, increase of operators' anxiousness, rapid pulse, reduction of time of delay of breath, increase of time of instability of sensorimotor reactions, amount of faulty actions, reduction of speed of mental processes and distribution of attention were developed.

A combination SMS and transportation reimbursement intervention to improve HIV care following abnormal CD4 test results in rural Uganda: a prospective observational cohort study.

PubMed

Siedner, Mark J; Santorino, Data; Lankowski, Alexander J; Kanyesigye, Michael; Bwana, Mwebesa B; Haberer, Jessica E; Bangsberg, David R

2015-07-06

Up to 50 % of HIV-infected persons in sub-Saharan Africa are lost from care between HIV diagnosis and antiretroviral therapy (ART) initiation. Structural barriers, including cost of transportation to clinic and poor communication systems, are major contributors. We conducted a prospective, pragmatic, before-and-after clinical trial to evaluate a combination mobile health and transportation reimbursement intervention to improve care at a publicly operated HIV clinic in Uganda. Patients undergoing CD4 count testing were enrolled, and clinicians selected a result threshold that would prompt early return for ART initiation or further care. Participants enrolled in the pre-intervention period (January - August 2012) served as a control group. Participants in the intervention period (September 2012 - November 2013) were randomized to receive daily short message service (SMS) messages for up to seven days in one of three formats: 1) messages reporting an abnormal result directly, 2) personal identification number-protected messages reporting an abnormal result, or 3) messages reading "ABCDEFG" to confidentially convey an abnormal result. Participants returning within seven days of their first message received transportation reimbursements (about $6USD). Our primary outcomes of interest were time to return to clinic and time to ART initiation. There were 45 participants in the pre-intervention period and 138 participants in the intervention period (46, 49, and 43 in the direct, PIN, and coded groups, respectively) with low CD4 count results. Median time to clinic return was 33 days (IQR 11-49) in the pre-intervention period and 6 days (IQR 3-16) in the intervention period (P < 0.001); and median time to ART initiation was 47 days (IQR 11-75) versus 12 days (IQR 5-19), (P < 0.001). In multivariable models, participants in the intervention period had earlier return to clinic (AHR 2.32, 95 %CI 1.53 to 3.51) and earlier time to ART initiation (AHR 2.27, 95 %CI 1.38 to 3.72). All three randomized message formats improved time to return to clinic and time to ART initiation (P < 0.01 for all comparisons versus the pre-intervention period). A combination of an SMS laboratory result communication system and transportation reimbursements significantly decreased time to clinic return and time to ART initiation after abnormal CD4 test results. Clinicaltrials.gov NCT01579214 , approved 13 April 2012.

On-Orbit Checkout and Activation of the ISS Oxygen Generation System

NASA Technical Reports Server (NTRS)

Bagdigian, Robert M.; Prokhorov, Kimberlee S.

2007-01-01

NASA has developed and; deployed an Oxygen Generation System (OGS) into the Destiny Module of the International Space Station (ISS). The major. assembly; included in this system is the Oxygen Generator Assembly. (OGA) which was developed under NASA contract by Hamilton Sundstrand Space Systems International (HSSSI), Inc. This paper summarizes the installation of the system into the Destiny Module, its initial checkout and periodic preventative maintenance activities, and its operational activation. Trade studies and analyses that were conducted with the goal of mitigating on-orbit operational risks are also discussed.

Antibiotic concentrations in intestinal mucosa.

PubMed

Malmborg, A S

1985-01-01

The concentrations in the intestinal mucosa after the initial dose of cefoxitin, piperacillin and clindamycin have been studied. The antibiotics were given at the induction of anesthesia as prophylaxis to patients undergoing elective colorectal surgery. The concentrations of the antibiotics in serum and intestinal mucosa taken during the operation were determined by the microbiological agar diffusion method. Therapeutic concentrations in intestinal mucosa were maintained during the major part of the operation period. The mean mucosa/serum concentration ratios were for cefoxitin 0.4, for piperacillin 0.5 and for clindamycin 1.2.

Carbon source and energy harvesting optimization in solid anolyte microbial fuel cells

NASA Astrophysics Data System (ADS)

Adekunle, Ademola; Raghavan, Vijaya; Tartakovsky, Boris

2017-07-01

This work investigates the application of a solid anolyte microbial fuel cell (saMFC) as a long-lasting source of electricity for powering electronic devices. Broadly available biodegradable materials such as humus, cattle manure, peat moss, and sawdust are evaluated as solid anolytes. The initial comparison shows significantly higher power production in the saMFC operated using humus as compared to other solid anolytes. At the same time, power production in the humus-based saMFC is found to decline after about 40 days of operation, while the sawdust MFC demonstrates stable performance over the test period. Following this initial comparison, a combined humus - sawdust anolyte is developed to increase saMFC life span. The optimized saMFC demonstrates stable power production for over nine months. Furthermore, power production in the saMFC is maximized by using an intermittent connection to an electrical load (on/off operation) and optimizing the connection/disconnection times. These results demonstrate the feasibility of utilizing solid anolytes for developing inexpensive and long-lasting biobatteries operated on renewable carbon sources.

Open and endovascular aneurysm repair in the Society for Vascular Surgery Vascular Quality Initiative.

PubMed

Spangler, Emily L; Beck, Adam W

2017-12-01

The Society for Vascular Surgery Vascular Quality Initiative is a patient safety organization and a collection of procedure-based registries that can be utilized for quality improvement initiatives and clinical outcomes research. The Vascular Quality Initiative consists of voluntary participation by centers to collect data prospectively on all consecutive cases within specific registries which physicians and centers elect to participate. The data capture extends from preoperative demographics and risk factors (including indications for operation), through the perioperative period, to outcomes data at up to 1-year of follow-up. Additionally, longer-term follow-up can be achieved by matching with Medicare claims data, providing long-term longitudinal follow-up for a majority of patients within the Vascular Quality Initiative registries. We present the unique characteristics of the Vascular Quality Initiative registries and highlight important insights gained specific to open and endovascular abdominal aortic aneurysm repair. Copyright © 2017 Elsevier Inc. All rights reserved.

Hearing conservation in the primary aluminium industry.

PubMed

Donoghue, A M; Frisch, N; Dixon-Ernst, C; Chesson, B J; Cullen, M R

2016-04-01

Noise-induced hearing loss has been an intractable problem for heavy industry. To report our experience in reducing the incidence of age-corrected confirmed 10 dB hearing shifts (averaged over 2, 3 and 4 kHz) in employees in the primary aluminium industry in Australia over the period 2006-13. We analysed annual audiometric data to determine the number of permanent hearing shifts that occurred in employees in two bauxite mines, three alumina refineries and two aluminium smelters. Annual hearing shift rates were calculated based on the number of employees tested per year. Hearing conservation initiatives undertaken during the study period are described. An assessment of similar exposure group noise exposures was also undertaken to determine the magnitude of noise exposure reduction during the study period. Across all operations, hearing shift rates declined from 5.5% per year in 2006 to 1.3% per year in 2013 (P < 0.001). The decline in shift rates was greater in mines and refineries, where baseline shift rates were higher, than in smelter workers. Modest reductions in noise exposure occurred during the study period. We observed a substantial decline in hearing shift rates during the study period. We describe the hearing conservation initiatives that were collectively associated with this decline. We suspect these initiatives could be deployed relatively easily and at modest cost in other industries with noise-exposed employees. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine.

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

Vlies, C. H. van der, E-mail: c.h.vandervlies@amc.uva.nl; Hoekstra, J.; Ponsen, K. J.

Introduction: Nonoperative management (NOM) has become the treatment of choice for hemodynamically stable patients with blunt splenic injury. Results of outcome after NOM are predominantly based on large-volume studies from level 1 trauma centers in the United States. This study was designed to assess the results of NOM in a relatively low-volume Dutch level 1 trauma center. Methods: An analysis of a prospective trauma registry was performed for a 6-year period before (period 1) and after the introduction and implementation of splenic artery embolization (SAE) (period 2). Primary outcome was the failure rate of initial treatment. Results: A total ofmore » 151 patients were reviewed. An increased use of SAE and a reduction of splenic operations during the second period was observed. Compared with period 1, the failure rate after observation in period 2 decreased from 25% to 10%. The failure rate after SAE in period 2 was 18%. The splenic salvage rate (SSR) after observation increased from 79% in the first period to 100% in the second period. During the second period, all patients with failure after observation were successfully treated with SAE. The SSR after SAE in periods 1 and 2 was respectively 100% and 86%. Conclusions: SAE of patients with blunt splenic injuries is associated with a reduction in splenic operations. The failure and splenic salvage rates in this current study were comparable with the results from large-volume studies of level 1 trauma centers. Nonoperative management also is feasible in a relatively low-volume level 1 trauma center outside the United States.« less

Periodic orbit spectrum in terms of Ruelle-Pollicott resonances

NASA Astrophysics Data System (ADS)

Leboeuf, P.

2004-02-01

Fully chaotic Hamiltonian systems possess an infinite number of classical solutions which are periodic, e.g., a trajectory “p” returns to its initial conditions after some fixed time τp. Our aim is to investigate the spectrum {τ1,τ2,…} of periods of the periodic orbits. An explicit formula for the density ρ(τ)=∑pδ(τ-τp) is derived in terms of the eigenvalues of the classical evolution operator. The density is naturally decomposed into a smooth part plus an interferent sum over oscillatory terms. The frequencies of the oscillatory terms are given by the imaginary part of the complex eigenvalues (Ruelle-Pollicott resonances). For large periods, corrections to the well-known exponential growth of the smooth part of the density are obtained. An alternative formula for ρ(τ) in terms of the zeros and poles of the Ruelle ζ function is also discussed. The results are illustrated with the geodesic motion in billiards of constant negative curvature. Connections with the statistical properties of the corresponding quantum eigenvalues, random-matrix theory, and discrete maps are also considered. In particular, a random-matrix conjecture is proposed for the eigenvalues of the classical evolution operator of chaotic billiards.

Long-term Outcomes after Truncus Arteriosus Repair: A Single-center Experience for More than 40 Years.

PubMed

Asagai, Seiji; Inai, Kei; Shinohara, Tokuko; Tomimatsu, Hirofumi; Ishii, Tetsuko; Sugiyama, Hisashi; Park, In-Sam; Nagashima, Mitsugi; Nakanishi, Toshio

2016-12-01

This study aimed to analyze long-term survival and functional outcomes after truncus arteriosus repair in a single institution with more than 40 years of follow-up. Medical records were analyzed retrospectively in 52 patients who underwent the Rastelli procedure for truncus arteriosus repair between 1974 and 2002. Thirty-five patients survived the initial repair. The median age at the initial operation was 2.8 months (range, 0.1-123 months) and the body weight was 3.9 kg (range, 1.6 to 15.0 kg). The median age at follow-up was 23.6 years (range, 12.4 to 44.5 years). The median follow-up duration was 23.4 years (range, 12.3 to 40.7 years). The actuarial survival rate was 97% at 10 years and 93% at both 20 years and 40 years after the initial operation. At follow-up, most patients were in New York Heart Association (NYHA) functional classes I (73%) and II (24%). Thirty-six percent of patients had full-time jobs, 40% were students, and 21% were unemployed. Most patients (97%) had undergone conduit reoperations. Freedom from reoperation for right ventricular (RV) outflow and pulmonary artery (PA) stenosis was 59% at 5 years, 28% at 10 years, and 3% at 20 years after the initial operation. Freedom from catheter interventions for RV outflow and PA stenosis was 59% at 5 years, 47% at 10 years, and 38% at 20 years after the initial operation. Freedom from truncal valve replacement was 88% at 5 years, 85% at 10 years, and 70% at 20 years after the initial operation. In this single-center retrospective study, with long-term follow-up after repair of truncus arteriosus, long-term survival and functional outcomes were acceptable, despite the requirement for reoperation and multiple catheter interventions for RV outflow and PA stenosis in almost all patients, and the frequent requirement for late truncal valve operations. © 2016 The Authors. Congenital Heart Disease published by Wiley Periodicals, Inc.

The assessment of ionising radiation impact on the cooling pond freshwater ecosystem non-human biota from the Ignalina NPP operation beginning to shut down and initial decommissioning.

PubMed

Mazeika, J; Marciulioniene, D; Nedveckaite, T; Jefanova, O

2016-01-01

The radiological doses to non-human biota of freshwater ecosystem in the Ignalina NPP cooling pond - Lake Druksiai were evaluated for several cases including the plant's operation period and initial decommissioning activities, using the ERICA 1.2 code with IAEA SRS-19 models integrated approach and tool. Among the Lake Druksiai freshwater ecosystem reference organisms investigated the highest exposure dose rate was determined for bottom fauna - benthic organisms (mollusc-bivalves, crustaceans, mollusc-gastropods, insect larvae), and among the other reference organisms - for vascular plants. The mean and maximum total dose rate values due to anthropogenic radionuclide ionising radiation impact in all investigated cases were lower than the ERICA screening dose rate value of 10 μGy/h. The main exposure of reference organisms as a result of Ignalina NPP former effluent to Lake Druksiai is due to ionizing radiation of radionuclides (60)Co and (137)Cs, of predicted releases to Lake Druksiai during initial decommissioning period - due to radionuclides (60)Co, (134)Cs and (137)Cs, and as a result of predicted releases to Lake Druksiai from low- and intermediate-level short-lived radioactive waste disposal site in 30-100 year period - due to radionuclides (99)Tc and (3)H. The risk quotient expected values in all investigated cases were <1, and therefore the risk to non-human biota can be considered negligible with the exception of a conservative risk quotient for insect larvae. Radiological protection of non-human biota in Lake Druksiai, the Ignalina NPP cooling pond, is both feasible and acceptable. Copyright © 2015 Elsevier Ltd. All rights reserved.

Hardware test program for evaluation of baseline range/range rate sensor concept

NASA Technical Reports Server (NTRS)

1985-01-01

The Hardware Test Program for evaluation of the baseline range/range rate sensor concept was initiated 11 September 1984. This ninth report covers the period 12 May through 11 June 1885. A contract amendment adding a second phase has extended the Hardware Test Program through 10 December 1985. The objective of the added program phase is to establish range and range measurement accuracy and radar signature characteristics for a typical spacecraft target. Phase I of the Hardware Test Program was designed to reduce the risks associated with the Range/Range Rate (R/R) Sensor baseline design approach. These risks are associated with achieving the sensor performance required for the two modes of operation, the Interrupted CW (ICW) mode for initial acquisition and tracking to close-in ranges, and the CW mode, providing coverage during the final docking maneuver. The risks associated with these modes of operation have to do with the realization of adequate sensitivity to operate to their individual maximum ranges.

Performance of the dark energy camera liquid nitrogen cooling system

NASA Astrophysics Data System (ADS)

Cease, H.; Alvarez, M.; Alvarez, R.; Bonati, M.; Derylo, G.; Estrada, J.; Flaugher, B.; Flores, R.; Lathrop, A.; Munoz, F.; Schmidt, R.; Schmitt, R. L.; Schultz, K.; Kuhlmann, S.; Zhao, A.

2014-01-01

The Dark Energy Camera, the Imager and its cooling system was installed onto the Blanco 4m telescope at the Cerro Tololo Inter-American Observatory in Chile in September 2012. The imager cooling system is a LN2 two-phase closed loop cryogenic cooling system. The cryogenic circulation processing is located off the telescope. Liquid nitrogen vacuum jacketed transfer lines are run up the outside of the telescope truss tubes to the imager inside the prime focus cage. The design of the cooling system along with commissioning experiences and initial cooling system performance is described. The LN2 cooling system with the DES imager was initially operated at Fermilab for testing, then shipped and tested in the Blanco Coudé room. Now the imager is operating inside the prime focus cage. It is shown that the cooling performance sufficiently cools the imager in a closed loop mode, which can operate for extended time periods without maintenance or LN2 fills.

Zero-power autonomous buoyancy system controlled by microbial gas production

NASA Astrophysics Data System (ADS)

Wu, Peter K.; Fitzgerald, Lisa A.; Biffinger, Justin C.; Spargo, Barry J.; Houston, Brian H.; Bucaro, Joseph A.; Ringeisen, Bradley R.

2011-05-01

A zero-power ballast control system that could be used to float and submerge a device solely using a gas source was built and tested. This system could be used to convey sensors, data loggers, and communication devices necessary for water quality monitoring and other applications by periodically maneuvering up and down a water column. Operational parameters for the system such as duration of the submerged and buoyant states can be varied according to its design. The gas source can be of any origin, e.g., compressed air, underwater gas vent, gas produced by microbes, etc. The zero-power ballast system was initially tested using a gas pump and further tested using gas produced by Clostridium acetobutylicum. Using microbial gas production as the only source of gas and no electrical power during operation, the system successfully floated and submerged periodically with a period of 30 min for at least 24 h. Together with microbial fuel cells, this system opens up possibilities for underwater monitoring systems that could function indefinitely.

Dysfunctional Natural Killer Cells in the Aftermath of Cancer Surgery.

PubMed

Angka, Leonard; Khan, Sarwat T; Kilgour, Marisa K; Xu, Rebecca; Kennedy, Michael A; Auer, Rebecca C

2017-08-17

The physiological changes that occur immediately following cancer surgeries initiate a chain of events that ultimately result in a short pro-, followed by a prolonged anti-, inflammatory period. Natural Killer (NK) cells are severely affected during this period in the recovering cancer patient. NK cells play a crucial role in anti-tumour immunity because of their innate ability to differentiate between malignant versus normal cells. Therefore, an opportunity arises in the aftermath of cancer surgery for residual cancer cells, including distant metastases, to gain a foothold in the absence of NK cell surveillance. Here, we describe the post-operative environment and how the release of sympathetic stress-related factors (e.g., cortisol, prostaglandins, catecholamines), anti-inflammatory cytokines (e.g., IL-6, TGF-β), and myeloid derived suppressor cells, mediate NK cell dysfunction. A snapshot of current and recently completed clinical trials specifically addressing NK cell dysfunction post-surgery is also discussed. In collecting and summarizing results from these different aspects of the surgical stress response, a comprehensive view of the NK cell suppressive effects of surgery is presented. Peri-operative therapies to mitigate NK cell suppression in the post-operative period could improve curative outcomes following cancer surgery.

Dysfunctional Natural Killer Cells in the Aftermath of Cancer Surgery

PubMed Central

Khan, Sarwat T.; Kilgour, Marisa K.; Xu, Rebecca; Kennedy, Michael A.; Auer, Rebecca C.

2017-01-01

The physiological changes that occur immediately following cancer surgeries initiate a chain of events that ultimately result in a short pro-, followed by a prolonged anti-, inflammatory period. Natural Killer (NK) cells are severely affected during this period in the recovering cancer patient. NK cells play a crucial role in anti-tumour immunity because of their innate ability to differentiate between malignant versus normal cells. Therefore, an opportunity arises in the aftermath of cancer surgery for residual cancer cells, including distant metastases, to gain a foothold in the absence of NK cell surveillance. Here, we describe the post-operative environment and how the release of sympathetic stress-related factors (e.g., cortisol, prostaglandins, catecholamines), anti-inflammatory cytokines (e.g., IL-6, TGF-β), and myeloid derived suppressor cells, mediate NK cell dysfunction. A snapshot of current and recently completed clinical trials specifically addressing NK cell dysfunction post-surgery is also discussed. In collecting and summarizing results from these different aspects of the surgical stress response, a comprehensive view of the NK cell suppressive effects of surgery is presented. Peri-operative therapies to mitigate NK cell suppression in the post-operative period could improve curative outcomes following cancer surgery. PMID:28817109

76 FR 184 - Notice of Buy American Waiver Under the American Recovery and Reinvestment Act of 2009

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-03

... a system that is built into a vessel's hull to reduce rolling motion when operating at sea. DATES... vessel to periodically work well beyond the Arctic waters that the hull was initially optimized for. At that time, the design of the ARRV was fairly well advanced. Besides the addition of hull length to...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR PERFORMANCE OF COMPUTER SOFTWARE: VERIFICATION AND VALIDATION (UA-D-2.0)

EPA Science Inventory

The purpose of this SOP is to define the procedures used for the initial and periodic verification and validation of computer programs used during the Arizona NHEXAS project and the Border study. Keywords: Computers; Software; QA/QC.

The U.S.-Mexico Border Program is sponsored ...

Characterization of tobermolite as a bed material for selective growth of methanotrophs in biofiltration.

PubMed

Kim, Tae Gwan; Jeong, So-Yeon; Cho, Kyung-Suk

2014-03-10

Tobermolite was characterized as a bed material for methanotrophic biofiltration. A lab-scale biofilter packed with tobermolite was operated for different operation times under identical conditions. The three different runs showed similar acclimation patterns of methane oxidation, with methane removal efficiency increasing rapidly for the first few days and peaking within three weeks, after which the efficiency remained stable. The mean methane removal capacities ranged from 766gm(-3)d(-1) to 974gm(-3)d(-1) after acclimation. Pyrosequencing indicated that the methanotrophic proportion (methanotroph/bacteria) increased to 71-94% within three weeks. Type I methanotrophs Methylocaldum and Methylosarcina were dominant during the initial growth period, then Methylocaldum alone dominated the methanotrophic community. A community comparison showed that total bacterial and methanotrophic communities were temporally stable after the initial growth period. Quantitative PCR showed that methanotrophic density increased during the first 3-4 weeks, then remained stable over 120 days. Tobermolite can provide a special habitat for the selective growth of methanotrophs, resulting in rapid acclimation. Tobermolite also allows the microbial community and methanotrophic density to remain stable, resulting in stable methane biofiltration. Copyright © 2014 Elsevier B.V. All rights reserved.

The homestake surface-underground scintillators: Initial results

NASA Technical Reports Server (NTRS)

Cherry, M. L.; Corbato, S.; Daily, T.; Fenyves, E. J.; Kieda, D.; Lande, K.; Lee, C. K.

1986-01-01

The first 70 tons of the 140-ton Large Area Scintillation Detector (LASD) have been operating since Jan. 1985 at a depth of 4850 ft. (4200 m.w.e.) in the Homestake Gold Mine, Lead, S.D. A total of 4 x 10(4) high-energy muons (E sub mu is approx. 2.7 TeV at the surface) have been detected. The remainder of the detector is scheduled to be in operation by the Fall of 1985. In addition, a surface air shower array is under construction. The first 27 surface counters, spaced out over an area of 270' x 500', began running in June, 1985. The LASD performance, the potential of the combined shower array and underground muon experiment for detecting point sources, and the initial results of a search for periodic emission from Cygnus X-3 are discussed.

Laparoendoscopic single site (LESS) cholecystectomy.

PubMed

Hodgett, Steven E; Hernandez, Jonathan M; Morton, Connor A; Ross, Sharona B; Albrink, Michael; Rosemurgy, Alexander S

2009-02-01

The journey from conventional "open" operations to truly "minimally invasive" operations naturally includes progression from operations involving multiple trocars and multiple incisions to operations involving access through the umbilicus alone. Laparoscopic operations through the umbilicus alone, laparoendoscopic single site surgery (LESS), offer improved cosmesis and hopes for less pain and improved recovery. This study was undertaken to evaluate our initial experience with LESS cholecystectomy and to compare our initial experience to concurrent outcomes with more conventional multiport, multi-incision laparoscopic cholecystectomy. All patients referred for cholecystectomy over a 6-month period were offered LESS. Outcomes, including blood loss, operative time, complications, and length of stay were recorded. Outcomes with our first LESS cholecystectomies were compared to an uncontrolled group of concurrent patients undergoing multiport, multi-incision laparoscopic cholecystectomy at the same hospital by the same surgeon. Twenty-nine patients of median age 50 years undergoing LESS cholecystectomy from November 2007 until May 2008 were compared to 29* patients, median age 48 years, undergoing standard multiport, multiple-incision laparoscopic cholecystectomy over the same time period. Median operative time for patients undergoing LESS cholecystectomy was 72 min and was not different from that of patients undergoing multiport, multi-incision laparoscopic cholecystectomy (p = 0.81). Median length of hospital stay was 1.0 day for patients undergoing LESS cholecystectomy and was not different from patients undergoing standard laparoscopic cholecystectomy (p = 0.46). Operative estimated blood loss was less than 100 cc for all patients. No patients undergoing attempted LESS cholecystectomy had conversions to "open" operations; two patients had an additional trocar(s) placed distant from the umbilicus to aid in exposure. Three patients undergoing LESS cholecystectomy had complications: two were troubled by pain control and another had urinary retention. LESS cholecystectomy is a safe and effective alternative to standard laparoscopic cholecystectomy. It can be undertaken without the expense of added operative time and provides patients with minimal, if any, apparent scarring. We believe LESS cholecystectomy will be driven by consumer demand, and therefore, laparoscopic surgeons will need to become proficient with LESS procedures.

Feasibility of Optimizing Recovery and Reserves from a Mature and Geological Complex Multiple Turbidite Offshore Calif. Reservoir through the Drilling and Completion of a Trilateral Horizontal Well, Class III

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

Pacific Operators Offshore, Inc.

The intent of this project was to increase production and extend the economic life of this mature field through the application of advanced reservoir characterization and drilling technology, demonstrating the efficacy of these technologies to other small operators of aging fields. Two study periods were proposed; the first to include data assimilation and reservoir characterization and the second to drill the demonstration well. The initial study period showed that a single tri-lateral well would not be economically efficient in redevelopment of Carpinteria's multiple deep water turbidite sand reservoirs, and the study was amended to include the drilling of a seriesmore » of horizontal redrills from existing surplus well bores on Pacific Operators' Platform Hogan.« less

Preventing Delays in First-Case Starts on the Neurosurgery Service: A Resident-Led Initiative at an Academic Institution.

PubMed

Han, Seunggu J; Rolston, John D; Zygourakis, Corinna C; Sun, Matthew Z; McDermott, Michael W; Lau, Catherine Y; Aghi, Manish K

2016-01-01

On-time starts for the first case of the day are critical to maintaining efficiency in operating rooms (ORs). We studied whether a resident-led initiative to ensure on-time site marking and documentation of surgical consent could lead to improved first-case start time. In a resident-led initiative at a large 600-bed academic hospital with 25 ORs, we aimed to complete site marking and surgical consents half an hour before the scheduled start time for all first-case neurosurgical patients. We monitored the occurrence of delayed first starts and the length of delay during our initiative, and compared these cases to neurosurgical cases 3 months before the implementation of the initiative and to first-start nonneurosurgical cases. In the year of the initiative, both site marking and surgical consents were completed 30 minutes before the case start in 97% of neurosurgical cases. The average delay across all first-case starts was reduced to 7.17 minutes (N = 1271), compared with 9.67 minutes before the intervention (N = 345). During the study period, non-neurosurgical cases were delayed on average 10.3 minutes (N = 3592). There was a significant difference in latencies between the study period and the period before the initiative (p < 0.001), and also between neurosurgical cases and nonneurosurgical cases (p < 0.001). There was no reduction in delay times seen on the non-neurosurgical services in the study period when compared to the case 3 months before. Considering its effect across 1271 cases, this initiative over 1 year resulted in a total reduction of 52 hours and 57 minutes in delays. Through a resident-led quality improvement program, neurosurgical trainees successfully reduced delays in first-case starts on a surgical service. Engaging physician trainees in quality improvement and enhancing OR efficiency can be successfully achieved and can have a significant clinical and financial effect. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Design, fabrication and testing of an optical temperature sensor

NASA Technical Reports Server (NTRS)

Morey, W. W.; Glenn, W. H.; Decker, R. O.; Mcclurg, W. C.

1980-01-01

The laboratory breadboard optical temperature sensor based on the temperature dependent absorptive characteristics of a rare earth (europium) doped optical fiber. The principles of operation, materials characterization, fiber and optical component design, design and fabrication of an electrooptic interface unit, signal processing, and initial test results are discussed. Initial tests indicated that, after a brief warmup period, the output of the sensor was stable to approximately 1 C at room temperature or approximately + or - 0.3 percent of point (K). This exceeds the goal of 1 percent of point. Recommendations are presented for further performance improvement.

Time to first take-back operation predicts successful primary fascial closure in patients undergoing damage control laparotomy.

PubMed

Pommerening, Matthew J; DuBose, Joseph J; Zielinski, Martin D; Phelan, Herb A; Scalea, Thomas M; Inaba, Kenji; Velmahos, George C; Whelan, James F; Wade, Charles E; Holcomb, John B; Cotton, Bryan A

2014-08-01

Failure to achieve primary fascial closure (PFC) after damage control laparotomy is costly and carries great morbidity. We hypothesized that time from the initial laparotomy to the first take-back operation would be predictive of successful PFC. Trauma patients managed with open abdominal techniques after damage control laparotomy were prospectively followed at 14 Level 1 trauma centers during a 2-year period. Time to the first take-back was evaluated as a predictor of PFC using hierarchical multivariate logistic regression analysis. A total of 499 patients underwent damage control laparotomy and were included in this analysis. PFC was achieved in 327 (65.5%) patients. Median time to the first take-back operation was 36 hours (interquartile range 24-48). After we adjusted for patient demographics, resuscitation volumes, and operative characteristics, increasing time to the first take-back was associated with a decreased likelihood of PFC. Specifically, each hour delay in return to the operating room (24 hours after initial laparotomy) was associated with a 1.1% decrease in the odds of PFC (odds ratio 0.989; 95% confidence interval 0.978-0.999; P = .045). In addition, there was a trend towards increased intra-abdominal complications in patients returning after 48 hours (odds ratio 1.80; 95% confidence interval 1.00-3.25; P = .05). Data from this prospective, multicenter study demonstrate that delays in returning to the operating room after damage control laparotomy are associated with reductions in PFC. These findings suggest that emphasis should be placed on returning to the operating room within 24 hours after the initial laparotomy if possible (and no later than 48 hours). Copyright © 2014 Mosby, Inc. All rights reserved.

Chapter 5, "License Renewal and Aging Management for Continued Service

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

Naus, Dan J

As of August 2011, there were 104 commercial nuclear power reactors licensed to operate in 31 states in the United States. Initial operating licenses in the United States are granted for a period of 40 years. In order to help assure an adequate energy supply, the USNRC has established a timely license renewal process and clear requirements that are needed to ensure safe plant operation for an extended plant life. The principals of license renewal and the basic requirements that address license renewal are identified as well as additional sources of guidance that can be utilized as part of themore » license renewal process. Aging management program inspections and operating experience related to the concrete and steel containment structures are provided. Finally, several lessons learned are provided based on containment operating experience.« less

Temperature distribution of a hot water storage tank in a simulated solar heating and cooling system

NASA Technical Reports Server (NTRS)

Namkoong, D.

1976-01-01

A 2,300-liter hot water storage tank was studied under conditions simulating a solar heating and cooling system. The initial condition of the tank, ranging from 37 C at the bottom to 94 C at the top, represented a condition midway through the start-up period of the system. During the five-day test period, the water in the tank gradually rose in temperature but in a manner that diminished its temperature stratification. Stratification was found not to be an important factor in the operation of the particular solar system studied.

Periodic Time-Domain Nonlocal Nonreflecting Boundary Conditions for Duct Acoustics

NASA Technical Reports Server (NTRS)

Watson, Willie R.; Zorumski, William E.

1996-01-01

Periodic time-domain boundary conditions are formulated for direct numerical simulation of acoustic waves in ducts without flow. Well-developed frequency-domain boundary conditions are transformed into the time domain. The formulation is presented here in one space dimension and time; however, this formulation has an advantage in that its extension to variable-area, higher dimensional, and acoustically treated ducts is rigorous and straightforward. The boundary condition simulates a nonreflecting wave field in an infinite uniform duct and is implemented by impulse-response operators that are applied at the boundary of the computational domain. These operators are generated by convolution integrals of the corresponding frequency-domain operators. The acoustic solution is obtained by advancing the Euler equations to a periodic state with the MacCormack scheme. The MacCormack scheme utilizes the boundary condition to limit the computational space and preserve the radiation boundary condition. The success of the boundary condition is attributed to the fact that it is nonreflecting to periodic acoustic waves. In addition, transient waves can pass rapidly out of the solution domain. The boundary condition is tested for a pure tone and a multitone source in a linear setting. The effects of various initial conditions are assessed. Computational solutions with the boundary condition are consistent with the known solutions for nonreflecting wave fields in an infinite uniform duct.

DESIGNING AN OPPORTUNITY FUEL WITH BIOMASS AND TIRE-DERIVED FUEL FOR COFIRING AT WILLOW ISLAND GENERATING STATION AND COFIRING SAWDUST WITH COAL AT ALBRIGHT GENERATING STATION

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

K. Payette; D. Tillman

During the period October 1, 2001--December 31, 2001, Allegheny Energy Supply Co., LLC (Allegheny) completed construction of the Willow Island cofiring project. This included completion of the explosion proof electrical wiring, the control system, and the control software. Procedures for system checkout, shakedown, and initial operation were initiated during this period. During this time period the 100-hour test of the Albright Generating Station cofiring facility was completed. The testing demonstrated that cofiring at the Albright Generating Station could reliably contribute to a ''4P Strategy''--reduction of SO{sub 2}, NO{sub x}, mercury, and greenhouse gas emissions over a significant load range. Duringmore » this period of time Allegheny Energy conducted facility tours of both Albright and Willow Island for the Biomass Interest Group of the Electric Power Research Institute. This report summarizes the activities associated with the Designer Opportunity Fuel program, and demonstrations at Willow Island and Albright Generating Stations. It details the completion of construction activities at the Willow Island site along with the 100-hr test at the Albright site.« less

Review of a single surgeon's stapedotomy cases performed with a nickel titanium prosthesis over a 14-year period.

PubMed

Justicz, Natalie; Strickland, Kaitlyn F; Motamedi, Kevin K; Mattox, Douglas E

2017-04-01

Stapes surgery with a nickel titanium prosthesis is a safe and well-tolerated procedure that leads to a significant improvement in hearing outcomes. To identify the efficacy and safety of stapedotomy procedures performed with a nickel titanium prosthesis for patients with otosclerosis. A review of 431 unique stapedotomies performed over 14 years by a single surgeon at an academic tertiary care center yielded 312 cases with nickel titanium prosthesis that met inclusion criteria of otosclerosis diagnosis, initial surgery in operative ear, and presence of pre-operative and post-operative audiograms. Pure-tone averages (PTA) at baseline and 8 weeks after surgery were calculated over four frequencies; 0.5, 1, 2, and 4 kHz. Average air-bone gaps (ABG) were calculated from pre-operative and post-operative audiograms. Average pre-operative baseline PTA was 56.7 dB in the affected ear. Post-operative PTA was 30.1 dB, a 26.6 dB improvement. Initial average ABG was 29.7 dB, while post-operative ABG averaged 5.4 dB, a 24.2 dB improvement. Surgical success (closure of ABG within 10 dB) was achieved in 263 (84%) patients. Rate of surgical success was not correlated with age, gender, race, or affected ear. Complications included recurrent conductive hearing loss (14), progressive SNHL (4), and post-operative BPPV (3).

An approach for finding long period elliptical orbits for precursor SEI missions

NASA Technical Reports Server (NTRS)

Fraietta, Michael F.; Bond, Victor R.

1993-01-01

Precursors for Solar System Exploration Initiative (SEI) missions may require long period elliptical orbits about a planet. These orbits will typically have periods on the order of tens to hundreds of days. Some potential uses for these orbits may include the following: studying the effects of galactic cosmic radiation, parking orbits for engineering and operational test of systems, and ferrying orbits between libration points and low altitude orbits. This report presents an approach that can be used to find these orbits. The approach consists of three major steps. First, it uses a restricted three-body targeting algorithm to determine the initial conditions which satisfy certain desired final conditions in a system of two massive primaries. Then the initial conditions are transformed to an inertial coordinate system for use by a special perturbation method. Finally, using the special perturbation method, other perturbations (e.g., sun third body and solar radiation pressure) can be easily incorporated to determine their effects on the nominal trajectory. An algorithm potentially suitable for on-board guidance will also be discussed. This algorithm uses an analytic method relying on Chebyshev polynomials to compute the desired position and velocity of the satellite as a function of time. Together with navigation updates, this algorithm can be implemented to predict the size and timing for AV corrections.

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR COLLECTION OF PERSONAL AIR SAMPLES FOR ANALYSIS OF PESTICIDES OR METALS (UA-F-14.0)

EPA Science Inventory

The purpose of this SOP is to describe the procedure for sampling personal air for metals and pesticides during a predetermined time period. The SOP includes the set up of the samplers for collection of either a metals sample or a pesticides sample, the calibration and initial c...

Potential of Non Formal Basic Education in Promoting Women Education in Pakistan

ERIC Educational Resources Information Center

Jumani, Nabi Bux; Rahman, Fazal-ur; Bibi, Khadija

2011-01-01

The present study aimed to assess the performance of a non-formal basic education (NFBE) schools project initiated in the province of Punjab with the assistance of the Japan International Co-operation Agency (JICA). The study was conducted in 120 NFBE schools in four districts of Punjab and it lasted for a period of three months. It was a survey…

Report of On-Site Inspection Workshop-19

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

Sweeney, J. J.

2011-07-12

The objective of this workshop was to carry out discussions on the OSI Equipment List for the initial period techniques and to provide further contribution to the development of the OSI Equipment List. The report of the 36th session of WGB included guidance to develop corresponding concepts of operations for the equipment, identify logistics and infrastructure requirements, and to address software issues related to the equipment.

A complete audit cycle of management of third/fourth degree perineal tears.

PubMed

Panigrahy, R; Welsh, J; MacKenzie, F; Owen, P

2008-04-01

We present a complete audit cycle of the management of third/fourth degree perineal tears in the three Glasgow maternity hospitals measured against the recommendations of the Royal College of Obstetricians and Gynaecologists (RCOG) Guideline No. 29 (www.rcog.org.uk). Following an initial 6-month data collection period, shortcomings in the practice were identified, circulated and an operative proforma was designed and introduced. A re-audit demonstrated improved compliance with the RCOG guidelines. We recommend the introduction of an operative proforma to aid management and documentation of third/fourth degree tear repairs.

[Assessment of community health care services delivery during operation "Cast Lead"--a cross sectional survey].

PubMed

Savyon, Michal; Keinan-Boker, Lital; Enav, Teena; Rozentraub, Tammy; Laor, Danny; Shohat, Tamy

2010-12-01

On December 27th, 2008, the Israeli Defense Forces initiated operation "Cast Lead", aiming to strike the infrastructure of the terror organizations in the Gaza Strip. An emergency situation was declared on the home front, allowing the security forces special jurisdiction over the area. The Home Front Command's Medical Operation Center, in cooperation with the Superior National Health Authority of the Ministry of Health, coordinated the delivery of community health services. The objective of this study was to evaluate the delivery of community health services to the Israeli civilian population living in proximity to the Gaza Strip during operation "Cast Lead". A telephone household survey was initiated on the 20th day of the operation until two days after a cease-fire was declared. The sample was drawn from the Jewish population living within a radius of 40 kilometers from the Gaza Strip. Questions included the need and use of health care services, satisfaction with health care services and demographic variables. Overall, 901 interviews were conducted. Findings revealed that: 91.3%, 76.2% and 89.6% of those who needed primary physician, a specialist or a renewal of a drug prescription received these services, respectively; 87.1% of those who needed medical emergency services received them. The reported satisfaction with health care services during the combat period was very high; 91% reported high or very high satisfaction with their HMO's function during that period. The delivery of community health care services during operation "Cast Lead" efficiently addressed the needs of the population in the area. The delivery of medical emergency services and the access to medical specialists should be reassessed. It is important to plan ahead surveys such as the survey described above, and to cooperate with the HMO's and the Israel Defense Forces (IDF) in order to improve emergency preparedness.

Next generation initiation techniques

NASA Technical Reports Server (NTRS)

Warner, Tom; Derber, John; Zupanski, Milija; Cohn, Steve; Verlinde, Hans

1993-01-01

Four-dimensional data assimilation strategies can generally be classified as either current or next generation, depending upon whether they are used operationally or not. Current-generation data-assimilation techniques are those that are presently used routinely in operational-forecasting or research applications. They can be classified into the following categories: intermittent assimilation, Newtonian relaxation, and physical initialization. It should be noted that these techniques are the subject of continued research, and their improvement will parallel the development of next generation techniques described by the other speakers. Next generation assimilation techniques are those that are under development but are not yet used operationally. Most of these procedures are derived from control theory or variational methods and primarily represent continuous assimilation approaches, in which the data and model dynamics are 'fitted' to each other in an optimal way. Another 'next generation' category is the initialization of convective-scale models. Intermittent assimilation systems use an objective analysis to combine all observations within a time window that is centered on the analysis time. Continuous first-generation assimilation systems are usually based on the Newtonian-relaxation or 'nudging' techniques. Physical initialization procedures generally involve the use of standard or nonstandard data to force some physical process in the model during an assimilation period. Under the topic of next-generation assimilation techniques, variational approaches are currently being actively developed. Variational approaches seek to minimize a cost or penalty function which measures a model's fit to observations, background fields and other imposed constraints. Alternatively, the Kalman filter technique, which is also under investigation as a data assimilation procedure for numerical weather prediction, can yield acceptable initial conditions for mesoscale models. The third kind of next-generation technique involves strategies to initialize convective scale (non-hydrostatic) models.

Overview of Research Transition Products

NASA Technical Reports Server (NTRS)

Robinson, John

2014-01-01

Demonstrate increased, more consistent use of Performance- Based Navigation (PBN). Accelerate transfer of NASA scheduling and spacing technologies for inclusion in late mid-term NAS. During high-fidelity human-in-the-loop simulations of Terminal Sequencing and Spacing, air traffic controllers have significantly improved their use of PBN procedures during busy traffic periods without increased workload. Executed an aggressive, short timeframe development schedule. Developed TSS prototype based upon FAA operational systems. Conducted multiple joint FAA/NASA human-in-the-loop simulations. Performed repeated incremental deliveries of tech transfer material to non-traditional RTT stakeholders. Will continue to participate in later phases of FAA acquisition process. ATD-1 transferred Terminal Sequencing and Spacing (TSS) technologies to the FAA. TSS enables routine use of underutilized advanced avionics and PBN procedures. Potential benefits to airlines operating at initial TSS sites estimated to be $300-400M/year. FAA is planning for an initial capability in the NAS in 2018.

Productivity Measures Associated With a Patient Access Initiative

PubMed Central

Gable, William H.; Pappas, Theodore N.; Jacobs, Danny O.; Cutler, Desmond A.; Kuo, Paul C.

2006-01-01

Objective: To assess financial performance associated with a patient 7-day access initiative. Background Data: Patient access to clinical services is frequently an obstacle at academic medical centers. Conflicting surgeon priorities among academic, clinical, educational, and leadership duties often create difficulties for patient entry into the “system.” Methods: The scope and objectives were identified to be: design of a standard, simple new patient appointment process, design of a standard process in cases where an appointment is not available in 7 days, use subspecialty team search capabilities, minimize/eliminate prescheduling requirements, centralize appointment scheduling, and creation and reporting of 7-day access metrics. Following maturation of the process, the 7-day access metrics from the period July 2004 to December 2004 and January 2005 to June 2005 were compared with corresponding time periods from calendar years 2001, 2002, and 2003. Results: Payor mix was unaltered. The median waiting time for a new patient appointment decreased from 21 days to 10 days. When compared with calendar years 2001, 2002, and 2003, respectively, the 2 periods of the 7-day access initiative in calendar years 2004 and 2005 were associated with significantly increased visits, new patients, operative procedures, hospital charges, and physician charges. Conclusions: Implementation of a 7-day access initiative can significantly increase financial productivity of general surgery groups in academic medical centers. We conclude that simplifying access to services can benefit academic surgical practices. Sustaining this level of productivity will continue to prove challenging. PMID:16632994

Large angle magnetic suspension test fixture

NASA Technical Reports Server (NTRS)

Britcher, Colin P.

1993-01-01

Progress made under the subject grant in the period from 1 Nov. 1992 to 31 May 1993 is presented. The research involves the continued development of the Large Angle Magnetic Suspension Test Fixture (LAMSTF) and also the recommissioning of an additional piece of exisiting hardware. During the period in question, the initial configuration of LAMSTF was completed and made routinely and reliably operational. A digital phase advance controller was completed and documented. The goal of a controlled 360 deg rotation was achieved. Work started on the recommissioning of the Annular Suspension and Pointing System (ASPS). Work completed during the report period included: modeling; position sensing; controller; support of the Second International Symposium on Magnetic Suspension Technology; and recommissioning of the Annular Suspension and Pointing System.

Community initiative: elementary and middle school students--a creative approach.

PubMed

Sell, Sandra; Palmer, Laura

2004-04-01

Initiatives to increase the visibility and public awareness of nurse anesthetists have been an ongoing effort of the profession for years. In 2001, the Nurse Anesthesia Program at the University of Pittsburgh designed and implemented a large-scale initiative to target school-aged children. The purpose of the program was to educate the school-aged child about nurse anesthesia and the operating room. It was presented at elementary and middle schools and consisted of a classroom presentation, a mock operating room simulation, and hands-on activities. The program was viewed as a success by all those involved. Teachers were impressed with the school-aged students' interest and level of focus during the events. Many teachers reported that prior to the program they did not know that the nurse anesthesia profession existed. More than 1,000 children and teachers participated in the programs in a 2.5-year period. The ability to have an impact on the school-aged children during their formative years, in addition to educating the teachers about the nurse anesthesia profession, proved to be a dual reward in presenting the program.

Audit of Clinical Coding of Major Head and Neck Operations

PubMed Central

Mitra, Indu; Malik, Tass; Homer, Jarrod J; Loughran, Sean

2009-01-01

INTRODUCTION Within the NHS, operations are coded using the Office of Population Censuses and Surveys (OPCS) classification system. These codes, together with diagnostic codes, are used to generate Healthcare Resource Group (HRG) codes, which correlate to a payment bracket. The aim of this study was to determine whether allocated procedure codes for major head and neck operations were correct and reflective of the work undertaken. HRG codes generated were assessed to determine accuracy of remuneration. PATIENTS AND METHODS The coding of consecutive major head and neck operations undertaken in a tertiary referral centre over a retrospective 3-month period were assessed. Procedure codes were initially ascribed by professional hospital coders. Operations were then recoded by the surgical trainee in liaison with the head of clinical coding. The initial and revised procedure codes were compared and used to generate HRG codes, to determine whether the payment banding had altered. RESULTS A total of 34 cases were reviewed. The number of procedure codes generated initially by the clinical coders was 99, whereas the revised codes generated 146. Of the original codes, 47 of 99 (47.4%) were incorrect. In 19 of the 34 cases reviewed (55.9%), the HRG code remained unchanged, thus resulting in the correct payment. Six cases were never coded, equating to £15,300 loss of payment. CONCLUSIONS These results highlight the inadequacy of this system to reward hospitals for the work carried out within the NHS in a fair and consistent manner. The current coding system was found to be complicated, ambiguous and inaccurate, resulting in loss of remuneration. PMID:19220944

Preliminary assessment of accident-tolerant fuels on LWR performance during normal operation and under DB and BDB accident conditions

NASA Astrophysics Data System (ADS)

Ott, L. J.; Robb, K. R.; Wang, D.

2014-05-01

Following the severe accidents at the Japanese Fukushima Daiichi Nuclear Power Station in 2011, the US Department of Energy initiated research and development on the enhancement of the accident tolerance of light water reactors by the development of fuels/cladding that, in comparison with the standard UO2/Zircaloy (Zr) system, can tolerate loss of active cooling in the core for a considerably longer time period while maintaining or improving the fuel performance during normal operations. Analyses are presented that illustrate the impact of these new candidate fuel/cladding materials on the fuel performance at normal operating conditions and on the reactor system under DB and BDB accident conditions.

Experimental demonstration of plasma startup by coaxial helicity injection

NASA Astrophysics Data System (ADS)

Raman, R.; Jarboe, T. R.; Nelson, B. A.; Hamp, W. T.; Izzo, V. A.; O'Neill, R. G.; Redd, A. J.; Sieck, P. E.; Smith, R. J.

2004-05-01

Experimental results on the transfer of a coaxial-helicity-injection (CHI) produced discharge to inductive operation are reported. CHI assisted plasma startup is more robust than inductive only operation and reduces volt-seconds consumption. After handoff to inductive operation, the initial 100 kA of CHI produced current drops to 50 kA, then ramps up to 180 kA, using only 30 mVs, about 40% higher than that produced by induction alone. Results show that initiation of CHI discharges at lower densities produce higher levels of coupling current. Coupling a CHI produced discharge to induction from a precharged central solenoid has produced record currents of 290 kA using only 52 mWb of central solenoid flux. CHI discharges can also be generated while the central transformer is in the process of being precharged, during which period it induces a negative loop voltage on the CHI discharge. These significant results were obtained on the Helicity Injected Torus-II (HIT-II) [T.R. Jarboe, Fusion Technol. 15, 7 (1989)] spherical torus experiment (major/minor radius of 0.3/0.2 m and elongation of 1.5).

Engineering sciences area and module performance and failure analysis area

NASA Technical Reports Server (NTRS)

Ross, R. G., Jr.; Runkle, L. D.

1982-01-01

Photovoltaic-array/power-conditioner interface studies are updated. An experiment conducted to evaluate different operating-point strategies, such as constant voltage and pilot cells, and to determine array energy losses when the array is operated off the maximum power points is described. Initial results over a test period of three and a half weeks showed a 2% energy loss when the array is operated at a fixed voltage. Degraded-array studies conducted at NE RES that used a range of simulated common types of degraded I-V curves are reviewed. The instrumentation installed at the JPL field-test site to obtain the irradiance data was described. Experiments using an optical filter to adjust the spectral irradiance of the large-area pulsed solar simulator (LAPSS) to AM1.5 are described. Residential-array research activity is reviewed. Voltage isolation test results are described. Experiments performed on one type of module to determine the relationship between leakage current and temperature are reviewed. An encapsulated-cell testing approach is explained. The test program, data reduction methods, and initial results of long-duration module testing are described.

Nonspecific abdominal pain is a safe diagnosis.

PubMed

Pennel, David John Laurie; Goergen, Nina; Driver, Chris P

2014-11-01

The aim of this study is to assess if a clinical diagnosis of nonspecific abdominal pain (NSAP) is safe and if patients with this initial diagnosis are likely to require further investigation or surgical intervention. 3323 patients admitted with NSAP from July 1990 to September 2012 utilizing a prospective database of all surgical admissions were included. Readmission over the period of the study and specifically within 30 days of their initial presentation was identified together with any invasive investigation or surgical intervention. 319 children (9.6%) were subsequently readmitted with abdominal pain at some point during the study period. Of these, 78 (2.3%) were readmitted within 30 days. 118 (3.5%) children subsequently had an operation or invasive investigation some point following their initial admission. Of these 33 (0.6%) had the procedure within 3 months of the initial admission. 13 patients had an appendicectomy within 3 months of the initial presentation. Of these histology confirmed appendicitis in 8 patients. This gives an overall incidence of "missed" appendicitis of 0.2 % (8/3323). This study confirms that a clinical diagnosis of nonspecific abdominal pain (NSAP) is safe in a pediatric population and the risk of "missing" appendicitis is only 0.2%. Patients and/or parents can be confidently reassured that the risk of missing organic pathology is very low. Copyright © 2014 Elsevier Inc. All rights reserved.

GSFC Technical Outreach: The Capitol College Model

NASA Technical Reports Server (NTRS)

Marius, Julio L.; Wagner, David

2008-01-01

In February 2005, as part of the National Aeronautic and Space Administration (NASA) Technical Outreach Program, Goddard Space Flight Center (GSFC) awarded Capitol College of Laurel, Maryland an Educational Grant to establish a Space Operation academic curriculum to meet the future needs of mission operations engineers. This was in part due to the aerospace industry and GSFC concerns that a large number of professional engineers are projected to retire in the near term with evidence showing that current enrollment in engineering schools will not produce sufficient number of space operation trained engineers that will meet industry and government demands. Capitol College, under the agreement of the Educational Grant, established the Space Operations Institute (SOI) with a new curriculum in Space Operations that was approved and certified by the State of Maryland. The SO1 programs focuses on attracting, recruiting, and training a pipeline of highly qualified engineers with experience in mission operations, system engineering and development. The selected students are integrated as members of the engineering support team in any of the missions supported by the institute. The students are mentored by professional engineers from several aerospace companies that support GSFC. Initially, the institute was involved in providing console engineers and mission planning trainees for the Upper Atmosphere Research Satellite (UARS), the Earth Radiation Budget Satellite (ERBS) and the Total Ozone Mapping Spectrometer mission (TOMS). Subsequently, the students were also involved in the technology refresh of the TOMS ground system and other mission operations development. Further mission assignment by GSFC management included participation in the Tropical Rainfall Measuring Mission (TRMM) mission operations and ground system technology refresh. The SOI program has been very successful. Since October 2005, sixty-four students have been enrolled in the SOI program and twenty-five have already graduated from the program, nineteen of whom are employed by company's supporting GSFC. Due to the success of the program, the initial grant period was extended for another period of two years. This paper presents the process that established the SOI as a viable pipeline of mission operations engineers, the lessons learned in the process of dealing with grants, and experience gained in mentoring engineering students that are responsible for particular areas of expertise and functionality. This paper can also be considered a case study and model for integrating a student team with government and industry professionals in the real world of mission operations.

Waste burning and heat recovery characteristics of a mass burn incineration system.

PubMed

Chen, Wei-Hsin

2003-02-01

An experimental investigation on waste combustion characteristics of a mass burn incinerator is conducted in this study. Three different charging modes, including operator manipulation, periodic feeding, and temperature control, are taken into consideration. The results indicate that the burning characteristics in the combustion chambers are closely related to the operating modes. For the operator manipulation where the wastes are sent into the incinerator in two short periods, the entire temperature distribution of the primary combustion chamber can be partitioned into two parts, thereby yielding waste group combustion. Temperature oscillations in both the primary and secondary combustion chambers are characterized for the periodic feeding. However, because of the shorter charging period and smaller amount of waste, the burning interaction between the two chambers is initially weak and becomes notable in the final stage. When temperature control is performed, the burning oscillation of the primary combustion chamber is further amplified so the combustion interaction is drastic. These exhibitions are mainly caused by the competition between endothermic and exothermic reactions. The instantaneous heat exchange efficiency of the cyclone heat recovery system (CHRS) installed in the incineration system is also evaluated to obtain details of energy recovery behaviors. As a result, the efficiency tends to decrease linearly with increasing temperature of hot flue gas. This arises from the fact that heat loss from the gas to the environment is increased when the temperature of the former is higher, even though the temperature gradient across the cyclone is enlarged.

Hand injuries from snow blowers: a report of an epidemic.

PubMed

Tetz, D J; Aghababian, R

1995-01-01

During a record snowfall in Worcester, Massachusetts, 11-13 December 1992, 37 male patients with hand injuries suffered during snow blower operation were seen at three area hospitals. Two previous reports describe 13 patients seen over a 3-year period and 28 patients over a 12-year period. This report describes the largest number of hand injuries from snow blowers that have occurred over a 48-hour period. The snow was unusual because of the high water density in the initial 9 inches (23 cm) that fell at an average temperature of 33 degrees F (0.6 degree C) with the final depth of 30 inches (76 cm), causing the machines to become clogged. Patients admitted to reaching into a running machine in 35/37 (95%) cases, 11/37 (30%) claimed the auger and impeller blades were disengaged, and 2/37 (5%) patients claimed their injuries occurred with the engines turned off. All injuries occurred when the patients placed their hands down the chute, contacting the impeller blades. Injuries involved 32 long, 15 ring, 13 index, and five small fingers and ranged from simple lacerations to partial phalangeal amputations. The majority, 27/37 (73%), were managed in emergency departments without interventions in the operating suites. Infection occurred in one patient who had the lesion repaired in the operating suite. As in previous studies, no differences were found for the variables of snow-blower age, type, or horsepower, or on experience level or age of the operators.(ABSTRACT TRUNCATED AT 250 WORDS)

Oxygen fires, materials compatibility and system contaminants

NASA Astrophysics Data System (ADS)

Barter, Simon A.; Hillen, Lance W.

An evaluation is made of aircraft fires initiated by oxygen systems, giving attention to such systems' mechanical design and materials-selection factors. While many oxygen compatibility tests are conducted on single components, operational systems become contaminated through frequent use and occasional abuse; it is therefore essential for the designer to have information about the oxygen compatibility of the entire spectrum of potential contaminants and their various combinations. Valve designs are noted to be especially sensitive to system contamination. Gaseous oxygen fire severity is fundamentally determined by the period of oxygen flow. There is a clear need for an automatic shut-off device which would operate when abnormal flow conditions occur.

An adaptive controller for enhancing operator performance during teleoperation

NASA Technical Reports Server (NTRS)

Carignan, Craig R.; Tarrant, Janice M.; Mosier, Gary E.

1989-01-01

An adaptive controller is developed for adjusting robot arm parameters while manipulating payloads of unknown mass and inertia. The controller is tested experimentally in a master/slave configuration where the adaptive slave arm is commanded via human operator inputs from a master. Kinematically similar six-joint master and slave arms are used with the last three joints locked for simplification. After a brief initial adaptation period for the unloaded arm, the slave arm retrieves different size payloads and maneuvers them about the workspace. Comparisons are then drawn with similar tasks where the adaptation is turned off. Several simplifications of the controller dynamics are also addressed and experimentally verified.

Open-to-Air Is a Viable Option for Initial Wound Care in Necrotizing Soft Tissue Infection that Allows Early Detection of Recurrence without Need for Painful Dressing Changes or Return to Operating Room.

PubMed

Yang, Derek; Davies, April; Burge, Bailey; Watkins, Phillip; Dissanaike, Sharmila

2018-01-01

The standard treatment of necrotizing soft tissue infection (NSTI) includes extensive surgical debridement. Care of these debridements is challenging because of the size of the wound and associated pain. A potential solution is to leave the wounds open-to-air in the period after the initial debridement, allowing for regular inspection at bedside while reducing pain associated with frequent dressing changes. We evaluated the feasibility of this approach from a pain control standpoint. An audit of wound care modalities used on adult patients with NSTI admitted to a regional burn center between January 2009 and May 2014 was performed. Patients with at least one operation were included. Those opting for palliative care were excluded. Wound care was divided into four categories: open-to-air (OTA), negative-pressure wound therapy (NPWT), packing, and ointment. Wound care, pain score, pain medication use, and number of operations were collected for the first seven days after initial debridement. Pain management was assessed by pain scores. Analgesic use was measured and compared using conversion to morphine milligram equivalents (MME). Ninety-six patients were included; 67% were men with average age of 50 years, resulting in a total of 672 days of wound care evaluated: 69 days of OTA, 127 days of NPWT, 200 days of packing, and 126 days of ointment (150 days were undocumented). Average daily pain score from all wound care modalities was 2.00. Negative pressure wound therapy had the highest reported daily pain score (2.18, p = 0.034), whereas OTA had the lowest pain score (1.63, p < 0.05). Mortality was lower in the OTA cohort but was not statistically significant; there were no other differences in long-term outcome. Leaving wounds OTA is a safe and viable option in the immediate post-debridement period of NSTI to reduce pain, while permitting frequent re-evaluation for quick recognition of disease progression and repeat operative debridement if necessary.

Supporting Private Sector Decision-Making with NOAA's Interim Climate Data Records (ICDRs)

NASA Astrophysics Data System (ADS)

Privette, J. L.; Glance, W. J.; Cecil, D.; Bates, J. J.

2012-12-01

NOAA initiated its Climate Data Record Program (CDRP) in 2009 to operationally provide authoritative satellite Climate Data Records (CDRs) to the government and the private sector. The CDRs are based primarily on 35+ years of meteorological satellite and in situ data collected by NOAA and the Department of Defense. To date, the Program has transitioned 14 CDRs from research to initial operations. In the past year, the CDRP developed and implemented a framework to continuously extend historical CDRs using Interim Climate Data Records (ICDRs). ICDRs are "first batch" CDRs generated within several days of observation using official CDR algorithms and processes. ICDRs are required by decision support systems and other near-term applications which need current data that are fully consistent with homogeneous historical records. For example, an electrical power utility may need temperature and precipitation ICDRs to optimally identify, in both time and space, the "nearest" historical analog period to recent weather. The utility could then use the contemporaneous business data from that period to inform current decision-making. In addition to their homogeneity and consistency, ICDRs are more complete than operational weather products since ICDR processing can await upstream data delays that can negate data value for weather forecasting. However, the operational nature of ICDRs means their uncertainties typically can be improved through reprocessing once better sensor calibration and characterization data become available. Therefore, ICDRs may be considered valuable but temporary placeholders. However, the "trigger" for electing to update a given record involves many considerations, including cost, latency, downstream dependencies and scientific significance. This presentation provides an update on NOAA's CDR Program, focusing on the new CDRs transitioned to operations in 2012 and the ICDR framework -- including update decision criteria -- used to extend CDRs and meet the needs of near-term applications as well as climate monitoring and indicators activities.

Effects of X-ray irradiation on human spermatogenesis

NASA Technical Reports Server (NTRS)

Thorslund, T. W.; Paulsen, C. A.

1972-01-01

Direct cell kill and inhibition of mitosis have been suggested as mechanisms to explain the occurrence of absolute sterility following the irradiation of the testes. In order to obtain information on the existence and dose dependency of the mechanisms for man, a controlled study was initiated. Sixty-four men received a single midorgan dose to both of their testes ranging from 7.5 to 400r (f = .95). It was deduced from resulting pre-sterile period and sterile period data that both cell kill and mitosis halting mechanisms were operating. The maximum observed sterile period was 501 days with eventual recovery observed in each individual where the follow-up was complete. Thus man appears to be highly radiosensitive in regard to temporary sterility but quite radioresistant in regard to permanent sterility.

Phenomenon of period-doubling in holographic periodic structures exposed to UV radiation

NASA Astrophysics Data System (ADS)

Gulyaev, Sergey N.; Isaev, Igor V.

2001-02-01

This paper presents the experimental study of the period- doubling phenomenon occurring during the multi-cycle processing procedure incorporating the exposure of Ag halide photoemulsion with the primary recorded holographic structure to the short-wave UV radiation, washing and drying. It is suggested that the simultaneous presence of two contrary photochemical processes -- photodecomposition and radiation hardening in the gelatin results in instability of the primary holographic structure and in the formation of the spatial subharmonic of the surface relief. The phenomenon may be considered as a process of the self-organization initiated by instability of the macrostructure on a rearrangement of the microstructure on the molecule level. The period-doubling phenomenon has been found to occur in the experiments with the UV sources of a various spectral composition -- the mercury- vapor lamp and the excimer lamps operating on the mixtures of Xe+Cl2 and Kr+Cl2.

Bootstrapping the energy flow in the beginning of life.

PubMed

Hengeveld, R; Fedonkin, M A

2007-01-01

This paper suggests that the energy flow on which all living structures depend only started up slowly, the low-energy, initial phase starting up a second, slightly more energetic phase, and so on. In this way, the build up of the energy flow follows a bootstrapping process similar to that found in the development of computers, the first generation making possible the calculations necessary for constructing the second one, etc. In the biogenetic upstart of an energy flow, non-metals in the lower periods of the Periodic Table of Elements would have constituted the most primitive systems, their operation being enhanced and later supplanted by elements in the higher periods that demand more energy. This bootstrapping process would put the development of the metabolisms based on the second period elements carbon, nitrogen and oxygen at the end of the evolutionary process rather than at, or even before, the biogenetic event.

Infliximab use in Crohn's disease: impact on health care resources in the UK.

PubMed

Jewell, Derek P; Satsangi, Jack; Lobo, Alan; Probert, Christopher; Forbes, Alastair; Ghosh, Subrata; Shaffer, Jon; Frenz, Markus; Drummond, Hazel; Troy, Gill; Turner, Sue; Younge, Lisa; Evans, Lyn; Moosa, Mark; Rodgers-Gray, Barry; Buchan, Scot

2005-10-01

To quantify the impact of infliximab therapy on health care resource utilization in the UK. A retrospective audit was undertaken at seven centres in the UK, which reviewed patient notes for a period of 6 months before and 6 months after an initial infliximab infusion. Details of hospital admissions, outpatient visits, operations, diagnostic procedures, drug usage, and overall efficacy were collected. Results were compared for the two 6 month study periods. A total of 205 patients (62% female, median age 33 years) with moderate/severe Crohn's disease were audited. The majority of patients had chronic active disease (62%) and most received one infusion initially (72%). Clinicians rated 74% of responses as good to excellent and patients 72%. Most patients had concomitant immunosuppression (pre: 75%, post: 75%). Approximately half of the patients (45%) stopped taking steroids, with a further 34% having a dosage reduction. A fall of 1093 inpatient days was seen (1435 vs. 342) in the 6 months following infliximab administration. There were seven fewer operations, 33 fewer examinations under anaesthetic, and 99 fewer diagnostic procedures. Outpatient visits were similar pre- versus post- (555 vs. 534). The total reduction in direct costs amounted to an estimated pounds 591,006. Three hundred and fifty-three infliximab infusions were administered at an estimated cost of pounds 562,719. Thus, there was a net reduction of pounds 28,287 or pounds 137.98 per patient. Infliximab appears to be a potentially cost effective treatment for selected patients based on the reduced number of inpatient stays, examinations under anaesthetic, and diagnostic procedures over a 6 month period.

Measurement Techniques for Flow Diagnostic in ITAM Impulse Wind Tunnels

DTIC Science & Technology

2010-04-01

time of wind - tunnel operation, so that oscillations caused by initial shock loads could decay and a comparatively long time period with constant flow...Flow Diagnostic in ITAM Impulse Wind Tunnels 7 - 4 RTO-EN-AVT-186 A strain-gauge pressure probe is an elastic element (membrane) in a sealed...Diagnostic in ITAM Impulse Wind Tunnels RTO-EN-AVT-186 7 - 5 probes are individually calibrated. Piezoelectric pressure gauges are based

Climatology of North Pacific Tropical Cyclone Tracks

DTIC Science & Technology

1988-11-01

positions before they were used in the analyses and calculations. The interpolation was accomplished by the Akima method.* ( It should be noted that the...constant throughout its life with a heading between 2500 and 3600. A recurver is defined as a tropical cyclone that turned from its initial westward or... belongs to two periods, and in some cases three. The starting date was chosen for classification purposes because, in operational fact, a storm’s

Nevada Training Initiative Environmental Assessment

DTIC Science & Technology

2003-07-01

ALTERNA TIVES The U.S. Air Force. Headquarters Air Combat Command (ACC) proposes t o construct a Military Operations in Urban Terrain (MOUT) Training...facilities along with upgrades of existing fncilities. The MOUT wou ld encompass approximately 97 acres, with construction phased O \\’er a 5-year period...action alternatives and the no- action alternative. Both action alternatives arc located in the South Range o fN1TR and propose placing the MOUT

Operating Experience and Reliability Improvements on the 5 kW CW Klystron at Jefferson Lab

NASA Astrophysics Data System (ADS)

Nelson, R.; Holben, S.

1997-05-01

With substantial operating hours on the RF system, considerable information on reliability of the 5 kW CW klystrons has been obtained. High early failure rates led to examination of the operating conditions and failure modes. Internal ceramic contamination caused premature failure of gun potting material and ultimate tube demise through arcing or ceramic fracture. A planned course of repotting and reconditioning of approximately 300 klystrons, plus careful attention to operating conditions and periodic analysis of operational data, has substantially reduced the failure rate. It is anticipated that implementation of planned supplemental monitoring systems for the klystrons will allow most catastrophic failures to be avoided. By predicting end of life, tubes can be changed out before they fail, thus minimizing unplanned downtime. Initial tests have also been conducted on this same klystron operated at higher voltages with resultant higher output power. The outcome of these tests will provide information to be considered for future upgrades to the accelerator.

A statistical study of decaying kink oscillations detected using SDO/AIA

NASA Astrophysics Data System (ADS)

Goddard, C. R.; Nisticò, G.; Nakariakov, V. M.; Zimovets, I. V.

2016-01-01

Context. Despite intensive studies of kink oscillations of coronal loops in the last decade, a large-scale statistically significant investigation of the oscillation parameters has not been made using data from the Solar Dynamics Observatory (SDO). Aims: We carry out a statistical study of kink oscillations using extreme ultraviolet imaging data from a previously compiled catalogue. Methods: We analysed 58 kink oscillation events observed by the Atmospheric Imaging Assembly (AIA) on board SDO during its first four years of operation (2010-2014). Parameters of the oscillations, including the initial apparent amplitude, period, length of the oscillating loop, and damping are studied for 120 individual loop oscillations. Results: Analysis of the initial loop displacement and oscillation amplitude leads to the conclusion that the initial loop displacement prescribes the initial amplitude of oscillation in general. The period is found to scale with the loop length, and a linear fit of the data cloud gives a kink speed of Ck = (1330 ± 50) km s-1. The main body of the data corresponds to kink speeds in the range Ck = (800-3300) km s-1. Measurements of 52 exponential damping times were made, and it was noted that at least 21 of the damping profiles may be better approximated by a combination of non-exponential and exponential profiles rather than a purely exponential damping envelope. There are nine additional cases where the profile appears to be purely non-exponential and no damping time was measured. A scaling of the exponential damping time with the period is found, following the previously established linear scaling between these two parameters.

Trends in surgical management and pre-operative urodynamics in female medicare beneficiaries with mixed incontinence.

PubMed

Chughtai, Bilal; Hauser, Nicholas; Anger, Jennifer; Asfaw, Tirsit; Laor, Leanna; Mao, Jialin; Lee, Richard; Te, Alexis; Kaplan, Steven; Sedrakyan, Art

2017-02-01

We sought to examine the surgical trends and utilization of treatment for mixed urinary incontinence among female Medicare beneficiaries. Data was obtained from a 5% national random sample of outpatient and carrier claims from 2000 to 2011. Included were female patients 65 and older, diagnosed with mixed urinary incontinence, who underwent surgical treatment identified by Current Procedural Terminology, Fourth Edition (CPT-4) codes. Urodynamics (UDS) before initial and secondary procedure were also identified using CPT-4 codes. Procedural trends and utilization of UDS were analyzed. Utilization of UDS increased during the study period, from 38.4% to 74.0% prior to initial surgical intervention, and from 28.6% to 62.5% preceding re-intervention. Sling surgery (63.0%) and injectable bulking agents (28.0%) were the most common surgical treatments adopted, followed by sacral nerve stimulation (SNS) (4.8%) and Burch (4.0%) procedures. Re-intervention was performed in 4.0% of patients initially treated with sling procedures and 21.3% of patients treated with bulking agents, the majority of whom (51.7% and 76.3%, respectively) underwent injection of a bulking agent. Risk of re-intervention was not different among those who did or did not receive urodynamic tests prior to the initial procedure (8.5% vs. 9.3%) CONCLUSIONS: Sling and bulk agents are the most common treatment for MUI. Preoperative urodynamic testing was not related to risk of re-intervention following surgery for mixed urinary incontinence in this cohort. Neurourol. Urodynam. 36:422-425, 2017. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

Southern Argentina Agile Meteor Radar: System design and initial measurements of large-scale winds and tides

NASA Astrophysics Data System (ADS)

Fritts, D. C.; Janches, D.; Iimura, H.; Hocking, W. K.; Mitchell, N. J.; Stockwell, R. G.; Fuller, B.; Vandepeer, B.; Hormaechea, J.; Brunini, C.; Levato, H.

2010-09-01

The Southern Argentina Agile Meteor Radar (SAAMER) was installed at Rio Grande on Tierra del Fuego (53.8°S, 67.8°W) in May 2008 and has been operational for ˜24 months. This paper describes the motivations for the radar design and its placement at the southern tip of South America, its operating modes and capabilities, and observations of the mean winds, planetary waves, and tides during its first ˜20 months of operation. SAAMER was specifically designed to provide very high resolution of large-scale motions and hopefully enable direct measurements of the vertical momentum flux by gravity waves, which have only been possible previously with dual- or multiple-beam radars and lidars or in situ measurements. SAAMER was placed on Tierra del Fuego because it was a region devoid of similar measurements, the latitude was anticipated to provide high sensitivity to an expected large semidiurnal tide, and the region is now recognized to be a "hot spot" of small-scale gravity wave activity extending from the troposphere into the mesosphere and lower thermosphere, perhaps the most dynamically active location on Earth. SAAMER was also intended to permit simultaneous enhanced meteor studies, including "head echo" and "nonspecular" measurements, which were previously possible only with high-power large-aperture radars. Initial measurements have defined the mean circulation and structure, exhibited planetary waves at various periods, and revealed large semidiurnal tide amplitudes and variability, with maximum amplitudes at higher altitudes often exceeding 60 m s-1 and amplitude modulations at periods from a few to ˜30 days.

Implementation of a Breast/Reconstruction Surgery Coordinator to Reduce Preoperative Delays for Patients Undergoing Mastectomy With Immediate Reconstruction

PubMed Central

Losk, Katya; Mallory, Melissa A.; Camuso, Kristen; Cutone, Linda; Caterson, Stephanie; Bunnell, Craig A.

2016-01-01

Purpose: Mastectomy with immediate reconstruction (MIR) requires coordination between breast and reconstructive surgical teams, leading to increased preoperative delays that may adversely impact patient outcomes and satisfaction. Our cancer center established a target of 28 days from initial consultation with the breast surgeon to MIR. We sought to determine if a centralized breast/reconstructive surgical coordinator (BRC) could reduce care delays. Methods: A 60-day pilot to evaluate the impact of a BRC on timeliness of care was initiated at our cancer center. All reconstructive surgery candidates were referred to the BRC, who had access to surgical clinic and operating room schedules. The BRC worked with both surgical services to identify the earliest surgery dates and facilitated operative bookings. The median time to MIR and the proportion of MIR cases that met the time-to-treatment goal was determined. These results were compared with a baseline cohort of patients undergoing MIR during the same time period (January to March) in 2013 and 2014. Results: A total of 99 patients were referred to the BRC (62% cancer, 21% neoadjuvant, 17% prophylactic) during the pilot period. Focusing exclusively on patients with a cancer diagnosis, an 18.5% increase in the percentage of cases meeting the target (P = .04) and a 7-day reduction to MIR (P = .02) were observed. Conclusion: A significant reduction in time to MIR was achieved through the implementation of the BRC. Further research is warranted to validate these findings and assess the impact the BRC has on operational efficiency and workflows. PMID:26883406

Crew resource management: using aviation techniques to improve operating room safety.

PubMed

Ricci, Michael A; Brumsted, John R

2012-04-01

Since the publication of the Institute of Medicine report estimating nearly 100,000 deaths per year from medical errors, hospitals and physicians have a renewed focus upon error reduction. We implemented a surgical crew resource management (CRM) program for all operating room (OR) personnel. In our academic medical center, 19,000 procedures per year are performed in 27 operating rooms. Mandatory CRM training was implemented for all peri-operative personnel. Aviation techniques introduced included a pre-operative checklist and brief, post-operative debrief, read and initial files, and various other aviation-based techniques. Compliance with conduct of the brief/debrief was monitored as well as wrong-site surgeries and retained foreign body events. The malpractice insurance database for claims was also queried for the period prior to and after training. Initial training was accomplished for 517 people, including all anesthesiologists, surgeons, nurses, technicians, and OR assistants. Pre-operative briefing increased from 6.7 to 99% within 4 mo. Wrong site surgeries and retained foreign bodies decreased from a high of seven in 2007 to none in 2008, but, after 14 mo without additional training, these rose to five in 2009. Malpractice expenses (payouts and legal fees) totaled $793,000 (2003-2007), but have been zero since 2008. CRM training and implementation had an impact on reducing the incidence of wrong site surgery and retained foreign bodies in our operating rooms. However, constant reinforcement and refresher training is necessary for sustained results. Though no one technique can prevent all errors, CRM can effect culture change, producing a safer environment.

Operative Cost Comparison: Plating Versus Intramedullary Fixation for Clavicle Fractures.

PubMed

Hanselman, Andrew E; Murphy, Timothy R; Bal, George K; McDonough, E Barry

2016-09-01

Although clavicle fractures often heal well with nonoperative management, current literature has shown improved outcomes with operative intervention for specific fracture patterns in specific patient types. The 2 most common methods of midshaft clavicle fracture fixation are intramedullary and plate devices. Through retrospective analysis, this study performed a direct cost comparison of these 2 types of fixation at a single institution over a 5-year period. Outcome measures included operative costs for initial surgery and any hardware removal surgeries. This study reviewed 154 patients (157 fractures), and of these, 99 had intramedullary fixation and 58 had plate fixation. A total of 80% (79 of 99) of intramedullary devices and 3% (2 of 58) of plates were removed. Average cost for initial intramedullary placement was $2955 (US dollars) less than that for initial plate placement (P<.001); average cost for removal was $1874 less than that for plate removal surgery (P=.2). Average total cost for all intramedullary surgeries was $1392 less than the average cost for all plating surgeries (P<.001). Average cost for all intramedullary surgeries requiring plate placement and removal was $653 less than the average cost for all plating surgeries that involved only placement (P=.04). Intramedullary fixation of clavicle fractures resulted in a statistically significant cost reduction compared with plate fixation, despite the incidence of more frequent removal surgeries. [Orthopedics.2016; 39(5):e877-e882.]. Copyright 2016, SLACK Incorporated.

The use of two-axis high precision inclination sensors in determining headframe deflection

NASA Astrophysics Data System (ADS)

Jaśkowski, Wojciech; Jabłoński, Mateusz; Ulmaniec, Małgorzata; Paraszczuk, Krzysztof

2018-04-01

Reliability of transport equipment in the shaft depends, among other things, on the accuracy of the vertical foundation of the headframe together with elements of the hoisting equipment over the shaft. Any deviations beyond the installation and movement tolerances may cause incorrect or even dangerous operation of the hoisting equipment in the shaft. Therefore the headframe is subjected to periodic inventory measurements, which prevent the movement in the shaft and the smooth operation of the whole underground mine. The Wieliczka Salt Mine developed a project for the installation of precision Nivel 220 two-axis inclinometers on Kinga and Daniłowicz headframes. The paper summarizes the initial conclusions resulting from the first year of the system operation and indicates the directions of its development.

Austere, remote, and disaster medicine missions: an operational mnemonic can help organize a deployment.

PubMed

Macias, Darryl J; Williams, Jason

2013-01-01

Medical care in resource-limited environments (austere settings) can occur in the context of a disaster, wilderness, or a tactical field operation. Regardless of the type of environment, there are common organizational themes in most successful humanitarian missions that occur in harsh natural or manmade environmental conditions. These principles prioritize the initiation and execution of any given deployment in austere or remote settings, diverging from priorities that would occur in a situation in which change to the existing medical structure is intact and operating well. Attention to these priorities not only helps providers to deliver medical care to people in need during a period of resource limitations but it also can keep providers, teams, the public, and patients safe during and after a deployment.

Neuroprotective action of bacterial melanin in rats after corticospinal tract lesions.

PubMed

Petrosyan, Tigran R; Gevorkyan, Olga V; Meliksetyan, Irina B; Hovsepyan, Anna S; Manvelyan, Levon R

2012-04-01

Experiments were performed on 48 albino rats. Part of the experimental animals were initially trained to a balancing instrumental conditioned reflex (ICR). Unilateral bulbar pyramidotomy performed in all rats caused contralateral hemiparesis. On the next day following the operation 24 rats were injected intramuscularly with bacterial melanin solution. 12 of these rats were initially trained to ICR. Recovery periods of ICR and paralyzed hindlimb movements were registered for melanin injected rats (n=24) and for operated rats, not treated with melanin (n=24). In rats injected with bacterial melanin the posttraumatic recovery is shorter than in animals not treated with melanin. The fastest and complete recovery was registered in rats initially trained to ICR and injected after the operation with bacterial melanin. Electrophysiological experiments were performed in transected animals treated with melanin, transected animals without melanin treatment and intact animals. Spiking activity of motoneurons was registered in lumbar motoneurons of rats in response to high frequency stimulation above the corticospinal tract transection. Spiking activity was very similar in motoneurons of melanin injected and intact or non operated animals. In animals, not dosed with bacterial melanin after the operation, areactivity or no change in firing rate was registered in response to stimulus. Stimulation of the corticospinal tract of melanin injected rats produced potentiation of the motoneuronal firing rate and is an evidence of regeneration in corticospinal tract. Similarity in spiking activity of intact and melanin injected rats shows the recovery of conductance in pyramidal tract. Morphohistochemical examination was carried out to confirm the results of behavioral and electrophysiological experiments. Medulla slices were prepared to trace the regeneration of nerve fibers. Examination of transection area revealed that bacterial melanin increases vascularization, dilates the capillaries in nervous tissue and stimulates the process of sprouting. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Investigating the Neutral-Gas Manometers in the Wendelstein 7-X Experimental Fusion Reactor

NASA Astrophysics Data System (ADS)

Maisano-Brown, Jeannette; Wenzel, Uwe; Sunn-Pederson, Thomas

2017-01-01

The neutral-gas manometer is a powerful diagnostic tool used in the Wendelstein 7-X stellarator, a magnetized fusion experiment located in Germany. The Wendelstein, produced at a cost of 1.2 billion euros, and 20 years in the making, had its first experimental results in Winter 2016. Initial findings exceeded expectations but further study is still necessary. The particular instrument we examined was a hot-cathode ionization gauge, critical for attaining a quality in-vessel environment and a stable plasma. However, after the winter operation of Wendelstein, we found that some of the gauges had failed the six-second (maximum) plasma runs. Wendelstein is on track for 30-minute operations within three years, so it has become of utmost importance to scrutinize gauge design claims. We therefore subjected the devices to high magnetic field, input current, and temperature, as well as to long operational periods. Our results confirmed that the manometer cannot survive a 30-minute run. Though our findings did motivate promising recommendations for design improvement and for further experimentation so that the gauge can be ready for upcoming operations in Summer 2017 and eventual installment in ITER, the International Thermonuclear Experimental Reactor, currently under construction. This research was graciously supported by the Max Planck Institute and the MIT-Germany Initiative.

The effect of vehicle protection on spine injuries in military conflict.

PubMed

Possley, Daniel R; Blair, James A; Freedman, Brett A; Schoenfeld, Andrew J; Lehman, Ronald A; Hsu, Joseph R

2012-09-01

To evaluate the effect of critical time periods in vehicle protection on spine injuries in the Global War on Terror. To characterize the effect of method of movement on and around the battlefield during Operation Enduring Freedom and Operation Iraqi Freedom from 2001 to 2009 in terms of its impact on the incidence and severity of spinal fractures sustained in combat. Retrospective study. Mounted and dismounted American servicemembers who were injured during combat. Extracted medical records of servicemembers identified in the Joint Theater Trauma Registry from October 2001 to December 2009. Methods of movement were defined as mounted or dismounted. Two time periods were compared. Cohorts were created for 2×2 analysis based on method of movement and the time period in which the injury occurred. Time period 1 and 2 were separated by April 1, 2007, which correlates with the initial fielding of the modern class of uparmored fighting vehicles with thickened underbelly armor and a V-shaped hull. Our four comparison groups were Dismounted in Time Period 1 (D1), Dismounted in Time Period 2 (D2), Mounted in Time Period 1 (M1), and Mounted in Time Period 2 (M2). In total, 1,819 spine fractures occurred over the entire study period. Four hundred seventy-two fractures (26%) were sustained in 145 servicemembers who were mounted at the time of injury, and 1,347 (74%) were sustained by 404 servicemembers who were dismounted (p<.0005). The incidence of fractures in the dismounted cohort (D1+D2) was significantly higher than in the mounted cohort (M1+M2) in both time periods (D1 vs. M1, 13.75 vs. 3.95/10,000 warrior-years [p<.001] and D2 vs. M2, 11.15 vs. 4.89/10,000 warrior-years [p<.0001]). In both the mounted and dismounted groups, the thoracolumbar (TL) junction was the most common site of injury (36.1%). Fractures to the TL junction (T10-L3) increased significantly from Time Period 1 to 2 (34% vs. 40% of all fractures, respectively, p=.03). Thoracolumbar fractures were significantly more severe in that there were more Arbeitsgemeinschaft fur Osteosynthesefragen/Magerl Type A injuries versus all TL fractures, 1.75 versus 2.68/10,000 or 27% of all spine fractures in Time Period 1 versus 40% in Time Period 2 (p=.007). Furthermore, there were significantly fewer minor fractures (spinous process and transverse process fractures) (p<.0001). In Time Period 2, significantly more TL spine fractures were classified as major fractures, according to the Denis classification system, in both the mounted and dismounted groups; M1 group, 61 of 226 (27%) versus the M2 group, 86 of 246 (34%) (p<.0005) and 173 of 786 (22%) in the D1 group versus 193 of 561 (34%) in the D2 group. The spinal cord injury (SCI) incidence did not change in the mounted groups in Time Period 1 (7 of 71, 9.9%) versus Time Period 2 (7 of 74, 9.5%) (p=.935). In the dismounted groups, SCI actually decreased from D1 (55 of 228, 24%) to D2 (28 of 176, 16%) (p=.0428). The incidence of spine fractures and SCI is significantly higher in dismounted operations. The data suggest that current uparmored vehicles convey greater protection against spinal fracture compared with dismounted operations in which servicemembers are engaged on foot, outside their vehicles. The TL junction is at greatest risk for spine fractures sustained in mounted and dismounted combat operations. Recently, the incidence of TL fractures, especially severe fractures, has significantly increased in mounted operations. Although there has been an increased incidence of TL spine fractures, in context of the number of servicemembers deployed in support of Operation Enduring Freedom/Operation Iraqi Freedom, these severe fractures still represent a relatively rare event. Published by Elsevier Inc.

Advanced Stirling Convertor (ASC-E2) Performance Testing at NASA Glenn Research Center

NASA Technical Reports Server (NTRS)

Oriti, Salvatore; Wilson, Scott

2011-01-01

The National Aeronautics and Space Administration (NASA) Glenn Research Center (GRC) has been supporting development of the Advanced Stirling Radioisotope Generator (ASRG) since 2006. A key element of the ASRG Project is providing life, reliability, and performance testing of the Advanced Stirling Convertor (ASC). For this purpose, four pairs of ASCs capable of operating to 850 C and designated with the model number ASC-E2, were delivered by Sunpower of Athens, OH, to GRC in 2010. The ASC-E2s underwent a series of tests that included workmanship vibration testing, performance mapping, and extended operation. Workmanship vibration testing was performed following fabrication of each convertor to verify proper hardware build. Performance mapping consisted of operating each convertor at various conditions representing the range expected during a mission. Included were conditions representing beginning-of-mission (BOM), end-of-mission (EOM), and fueling. This same series of tests was performed by Sunpower prior to ASC-E2 delivery. The data generated during the GRC test were compared to performance before delivery. Extended operation consisted of a 500-hour period of operation with conditions maintained at the BOM point. This was performed to demonstrate steady convertor performance following performance mapping. Following this initial 500-hour period, the ASC-E2s will continue extended operation, controller development and special durability testing, during which the goal is to accumulate tens of thousands of hours of operation. Data collected during extended operation will support reliability analysis. Performance data from these tests is summarized in this paper.

Advanced Stirling Convertor (ASC-E2) Performance Testing at NASA Glenn Research Center

NASA Technical Reports Server (NTRS)

Oriti, Salvatore; Wilson, Scott

2011-01-01

The National Aeronautics and Space Administration (NASA) Glenn Research Center (GRC) has been supporting development of the Advanced Stirling Radioisotope Generator (ASRG) since 2006. A key element of the ASRG Project is providing life, reliability, and performance testing of the Advanced Stirling Convertor (ASC). For this purpose, four pairs of ASCs capable of operating to 850 C and designated with the model number ASC-E2, were delivered by Sunpower of Athens, Ohio, to GRC in 2010. The ASC-E2s underwent a series of tests that included workmanship vibration testing, performance mapping, and extended operation. Workmanship vibration testing was performed following fabrication of each convertor to verify proper hardware build. Performance mapping consisted of operating each convertor at various conditions representing the range expected during a mission. Included were conditions representing beginning-of-mission (BOM), end-of-mission (EOM), and fueling. This same series of tests was performed by Sunpower prior to ASC-E2 delivery. The data generated during the GRC test were compared to performance before delivery. Extended operation consisted of a 500-hr period of operation with conditions maintained at the BOM point. This was performed to demonstrate steady convertor performance following performance mapping. Following this initial 500-hr period, the ASC-E2s will continue extended operation, controller development and special durability testing, during which the goal is to accumulate tens of thousands of hours of operation. Data collected during extended operation will support reliability analysis. Performance data from these tests is summarized in this paper.

Operating manual for the R200 downhole recorder with husky hunter retriever

USGS Publications Warehouse

Johnson, Roy A.; Rorabaugh, James I.

1988-01-01

The R200 Downhole Recorder is a battery-powered device that, when placed in a well casing, monitors water levels for a period of up to 1 year. This instrument measures a 1- to 70-foot range of water levels. These water-level data can be retrieved through use of a commercially available portable microcomputer. The R200 Downhole Recorder was developed at the U.S. Geological Survey 's Hydrologic Instrumentation Facility, Stennis Space Center, Mississippi. This operating manual describes the R200 Downhole Recorder, provides initial set-up instructions, and gives directions for on-site operation. Design specifications and routine maintenance steps are included. The R200 data-retriever program is a user-friendly, menu-driven program. The manual guides the user through the procedures required to perform specific operations. Numerous screens are reproduced in the text with a discussion of user input for desired responses. Help is provided for specific problems. (USGS)

Operating manual for the R200 downhole recorder with Tandy 102 retriever

USGS Publications Warehouse

Johnson, Roy A.; Rorabaugh, James I.

1988-01-01

The R200 Downhole Recorder is a battery-powered device that, when placed in a well casing, monitors water levels for a period of up to 1 year. This instrument measures a 1- to 70-ft range of water levels. These water level data can be retrieved through use of a commercially available portable microcomputer. The R200 Downhole Recorder was developed at the U. S. Geological Survey 's Hydrologic Instrumentation Facility, Stennis Space Center, Mississippi. This operating manual describes the R200 Downhole Recorder, provides initial set-up instructions, and gives directions for on-site operation. Design specifications and routine maintenance steps are included. The R200 data-retriever program is a user-friendly, menu-driven program. The manual guides the user through the procedures required to perform specific operations. Numerous screens are reproduced in the text with a discussion of user input for desired responses. Help is provided for specific problems. (USGS)

Changes in the performance characteristics of a GaAs near infrared light emitting diode when exposed to various current and thermal stresses

NASA Technical Reports Server (NTRS)

Thomas, E. F., Jr.

1974-01-01

The changes that occurred in the optical and electrical characteristics of a near infrared, GaAs light emitting diode, when operated under various levels and combinations of current and thermal stresses are discussed. A total of forty parts were operated for two thousand hours under eight different sets of dc current and ambient temperature conditions. Degradation in the radiant optical power of these devices was thirty-four percent when operated at their rated current and an ambient temperature of 298K (25 C). Derating the current and/or the thermal stress reduced the degradation of this parameter in approximately a linear manner. All degraded devices behaved similarly, exhibiting rapid nonlinear degradation followed by a gradual linear degradation and finally a period of stable operation. An attempt was made to correlate initial device condition to degradation during stress testing, but met with little success.

Overview of Initial NSTX-U Experimental Operations

NASA Astrophysics Data System (ADS)

Battaglia, Devon; the NSTX-U Team

2016-10-01

Initial operation of the National Spherical Torus Experiment Upgrade (NSTX-U) has satisfied a number of commissioning milestones, including demonstration of discharges that exceed the field and pulse length of NSTX. ELMy H-mode operation at the no-wall βN limit is obtained with Boronized wall conditioning. Peak H-mode parameters include: Ip = 1 MA, BT0 = 0.63 T, WMHD = 330 kJ, βN = 4, βN/li = 6, κ = 2.3, τE , tot >50 ms. Access to high-performance H-mode scenarios with long MHD-quiescent periods is enabled by the resilient timing of the L-H transition via feedback control of the diverting time and shape, and correction of the dominant n =1 error fields during the Ip ramp. Stationary L-mode discharges have been realized up to 1 MA with 2 s discharges achieved at Ip = 650 kA. The long-pulse L-mode discharges enabled by the new central solenoid supported initial experiments on error field measurements and correction, plasma shape control, controlled discharge ramp-down, L-mode transport and fast ion physics. Increased off-axis current drive and reduction of fast ion instabilities has been observed with the new, more tangential neutral beamline. The initial results support that access to increased field, current and heating at low-aspect-ratio expands the regimes available to develop scenarios, diagnostics and predictive models that inform the design and optimization of future burning plasma tokamak devices, including ITER. Work Supported by U.S. DOE Contract No. DE-AC02-09CH11466.

Pre-NELA vs NELA - has anything changed, or is it just an audit exercise?

PubMed

Mak, M; Hakeem, A R; Chitre, V

2016-11-01

BACKGROUND Following evidence suggestive of high mortality following emergency laparotomies, the National Emergency Laparotomy Audit (NELA) was set up, highlighting key standards in emergency service provision. Our aim was to compare our NHS trust's adherence to these recommendations immediately prior to, and following, the launch of NELA, and to compare patient outcome. METHODS This was a retrospective study of patients who underwent an emergency laparotomy over the course of 6 months - 3 months either side of the initiation of NELA. RESULTS There were 44 patients before the initiation of NELA (pre-NELA, PN group) and 55 in the first 3 months of NELA (N group). We saw a significant increase in the proportion of patients whose decision to operate was made by the consultant: 75.0% in the PN group vs 100% in N group (subsequent data presented in this order) (P < 0.001). The presence of a consultant surgeon (75.0% vs 83.6%, P = 0.321) and anaesthetist (100.0% vs 90.9%, P = 0.064) in theatres were comparable in both groups. Risk stratification based on Portsmouth Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (P-POSSUM) score showed no difference in high-risk patients in both groups (47.7% vs 36.4%, P = 0.306). With the NELA initiative, however, significantly more patients were admitted directly from theatres to the critical care unit, when compared with the pre-NELA period (9.1% vs 27.3%, P = 0.038). This also reflected a significant reduction in unexpected escalation to a higher level of care during this period (10.0% vs 0%, P = 0.036). Significantly more patients had uneventful recovery in the NELA period (52.3 vs 76.4%, P = 0.018), although there was no difference in 30-day mortality between the groups (2.3% vs 7.3%, P = 0.378). CONCLUSIONS This study demonstrated a greater degree of consultant involvement in the decision to operate during NELA. More high-risk patients have been identified preoperatively with diligent risk assessment and, hence, have been proactively admitted to critical care units following laparotomy, which may account for the significant reduction in unexpected escalation to level 2 or level 3 care and thus in overall better patient outcomes.

Habitat and logistic support requirements for the initiation of a space manufacturing enterprise

NASA Technical Reports Server (NTRS)

Vajk, J. P.; Engel, J. H.; Shettler, J. A.

1979-01-01

A detailed scenario for the initiation of a space manufacturing enterprise using lunar materials to construct solar power satellites (SPS) was developed, with particular attention to habitat design and logistic support requirements. If SPS's can be constructed exclusively from lunar materials, the entire enterprise can be initiated in a 7 year period of launch activity (beginning as early as 1985) using the Space Shuttle and a low-cost, Shuttle-derived heavy lift vehicle. If additional chemical feedstocks must be imported from earth in significant quantities, it may be necessary to bring the next-generation launch vehicle (single-stage-to-orbit) into operation by 1991. The scenario presented features use of the mass-driver reaction engine for orbit-to-orbit transfer of cargos and makes extensive use of the expendable Shuttle external propellant tanks.

Graviton production in inflationary cosmology

NASA Astrophysics Data System (ADS)

Abbott, L. F.; Harari, D. D.

1986-01-01

We provide a completely quantum-mechanical derivation of the spectrum of gravitational waves producedin any inflationary cosmology. The gravitational waves result from a sequence of Bogoliubov transformations between creation and annihilation operators defined in de Sitter space and in radiation- and matter-dominated Robertson-Walker spacetimes. We discuss how the results depend on the initial state at the beginning of the inflationary period. Supported by a Fellowship from the Consejo Nacional de Investigaciones Científicas y Técnicas, República Argentina.

Solar radiation observation stations with complete listing of data archived by the National Climatic Center, Asheville, North Carolina and initial listing of data not currently archived

NASA Technical Reports Server (NTRS)

Carter, E. A.; Wells, R. E.; Williams, B. B.; Christensen, D. L.

1976-01-01

A listing is provided of organizations taking solar radiation data, the 166 stations where observations are made, the type of equipment used, the form of the recorded data, and the period of operation of each station. Included is a listing of the data from 150 solar radiation stations collected over the past 25 years and stored by the National Climatic Center.

Improving operating room first start efficiency - value of both checklist and a pre-operative facilitator.

PubMed

Panni, M K; Shah, S J; Chavarro, C; Rawl, M; Wojnarwsky, P K; Panni, J K

2013-10-01

There are multiple components leading to improved operating room efficiency. We undertook a project focusing on first case starts; accounting for each delay component on a global basis. Our hypothesis was there would be a reduction in first start delays after we implemented strategies to address the issues identified through this accounting process. An orange sheet checklist was implemented, with specific items that needed to be clear prior to roll back to the operating room (OR), and an OR facilitator was employed to intervene whenever there were any missing items needed for a specific patient. We present the data from this quality improvement project over an 18-month period. Initially, 10.07 (± 0.73) delayed first starts occurred per day but declined steadily over time to a low of 4.95 (± 0.38) per day after 6 months (-49.2 %, P < 0.001). By the end of the project, the most common reasons for delay still included late surgical attending (19%), schedule changes (14%) as well as 'other reasons' (13%), but with an overall reduction per day of each. Total anaesthesia delay initially totalled 11% of the first start delays, but was negligible (< 1%) at the project's completion. While we have a challenging operating room environment based on our patient population, multiple trainees in both the surgery and anaesthesiology teams: an orange sheet - pre-operative checklist in addition to a dedicated pre-operative facilitator; allowed us to make a substantial improvement in our first start on time starts. © 2013 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Operative fixation of chest wall fractures: an underused procedure?

PubMed

Richardson, J David; Franklin, Glen A; Heffley, Susan; Seligson, David

2007-06-01

Chest wall fractures, including injuries to the ribs and sternum, usually heal spontaneously without specific treatment. However, a small subset of patients have fractures that produce overlying bone fragments that may produce severe pain, respiratory compromise, and, if untreated mechanically, result in nonunion. We performed open reduction and internal fixation on seven patients with multiple rib fractures-five in the initial hospitalization and two delayed--as well as 35 sternal fractures (19 immediate fixation and 16 delayed). Operative fixation was accomplished using titanium plates and screws in both groups of patients. All patients with rib fractures did well; there were no major complications or infections, and no plates required removal. Clinical results were excellent. There was one death in the sternal fracture group in a patient who was ventilator-dependent preoperatively and extubated himself in the early postoperative period. Otherwise, the results were excellent, with no complications occurring in this group. Three patients had their plates removed after boney union was achieved. No evidence of infection or nonunion occurred. The excellent results achieved in the subset of patients with severe chest wall deformities treated initially at our institution and those referred from outside suggest that operative fixation is a useful modality that is likely underused.

Improved battery parameter estimation method considering operating scenarios for HEV/EV applications

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

Yang, Jufeng; Xia, Bing; Shang, Yunlong

This study presents an improved battery parameter estimation method based on typical operating scenarios in hybrid electric vehicles and pure electric vehicles. Compared with the conventional estimation methods, the proposed method takes both the constant-current charging and the dynamic driving scenarios into account, and two separate sets of model parameters are estimated through different parts of the pulse-rest test. The model parameters for the constant-charging scenario are estimated from the data in the pulse-charging periods, while the model parameters for the dynamic driving scenario are estimated from the data in the rest periods, and the length of the fitted datasetmore » is determined by the spectrum analysis of the load current. In addition, the unsaturated phenomenon caused by the long-term resistor-capacitor (RC) network is analyzed, and the initial voltage expressions of the RC networks in the fitting functions are improved to ensure a higher model fidelity. Simulation and experiment results validated the feasibility of the developed estimation method.« less

Improved battery parameter estimation method considering operating scenarios for HEV/EV applications

DOE PAGES

Yang, Jufeng; Xia, Bing; Shang, Yunlong; ...

2016-12-22

This study presents an improved battery parameter estimation method based on typical operating scenarios in hybrid electric vehicles and pure electric vehicles. Compared with the conventional estimation methods, the proposed method takes both the constant-current charging and the dynamic driving scenarios into account, and two separate sets of model parameters are estimated through different parts of the pulse-rest test. The model parameters for the constant-charging scenario are estimated from the data in the pulse-charging periods, while the model parameters for the dynamic driving scenario are estimated from the data in the rest periods, and the length of the fitted datasetmore » is determined by the spectrum analysis of the load current. In addition, the unsaturated phenomenon caused by the long-term resistor-capacitor (RC) network is analyzed, and the initial voltage expressions of the RC networks in the fitting functions are improved to ensure a higher model fidelity. Simulation and experiment results validated the feasibility of the developed estimation method.« less

APOLLO clock performance and normal point corrections

NASA Astrophysics Data System (ADS)

Liang, Y.; Murphy, T. W., Jr.; Colmenares, N. R.; Battat, J. B. R.

2017-12-01

The Apache point observatory lunar laser-ranging operation (APOLLO) has produced a large volume of high-quality lunar laser ranging (LLR) data since it began operating in 2006. For most of this period, APOLLO has relied on a GPS-disciplined, high-stability quartz oscillator as its frequency and time standard. The recent addition of a cesium clock as part of a timing calibration system initiated a comparison campaign between the two clocks. This has allowed correction of APOLLO range measurements—called normal points—during the overlap period, but also revealed a mechanism to correct for systematic range offsets due to clock errors in historical APOLLO data. Drift of the GPS clock on  ∼1000 s timescales contributed typically 2.5 mm of range error to APOLLO measurements, and we find that this may be reduced to  ∼1.6 mm on average. We present here a characterization of APOLLO clock errors, the method by which we correct historical data, and the resulting statistics.

Neurosurgical treatment of pediatric low-grade midbrain tumors: a single consecutive institutional series of 15 patients.

PubMed

Lundar, Tryggve; Due-Tønnessen, Bernt Johan; Egge, Arild; Scheie, David; Brandal, Petter; Stensvold, Einar; Due-Tønnessen, Paulina

2014-12-01

The authors delineate the long-term results of surgical treatment for pediatric low-grade midbrain glioma. A series of 15 consecutive patients (age range 0-15 years) who underwent primary tumor resection for a low-grade midbrain glioma during the years 1989-2010 were included in this retrospective study on surgical morbidity, mortality rate, academic achievement, and/or work participation. Gross motor function and activities of daily living were scored according to the Barthel Index. Of the 15 patients, 10 were in their 1st decade (age 0-9 years) and 5 were in their 2nd decade of life (age 10-15 years) at the time of surgery. The male/female ratio was 0.50 (5:10). No patients were lost to follow-up. One patient died in the postoperative period (32 days posttreatment). Another 2 patients died during follow-up. One patient succumbed to acute bleeding in the resection cavity 8 months after surgery, and the other died of shunt failure 21 years after initial treatment. Twelve patients are alive at the time of this writing, with follow-up periods from 3 to 24 years (median 8 years). Among the 12 survivors, the Barthel Index scores were normal (100) in 11 patients and 80 in 1 patient. A total of 25 tumor resections were performed. In 1 patient, further resection was performed 5 days after initial resection due to MRI-confirmed residual tumor. Another 5 patients underwent repeat tumor resection after MRI-confirmed progressive tumor disease and clinical deterioration ranging from 3 months to 4 years after the initial operation. Three of these 5 patients also underwent a third resection, and 1 of the 3 underwent a fourth operation. Six children received adjuvant therapy: local radiotherapy in 2 patients, chemotherapy in 3 patients, and both in 1 patient. Twelve (80%) of the 15 patients needed treatment for persistent hydrocephalus. Selected cases of low-grade midbrain gliomas may clearly benefit from resection with favorable results, even for prolonged periods. Three patients in the present series died, one of whom had a prolonged survival period of 21 years. Among the 12 survivors, stable long-term results appeared obtainable in at least 9. One patient died of acute hemorrhage 8 months after initial resection; otherwise, rapid tumor progression and death were not observed. Forty percent of the patients received adjuvant treatment, with local radiotherapy, chemotherapy, or both.

Overall Impact of Speed-Related Initiatives and Factors on Crash Outcomes

PubMed Central

D’Elia, A.; Newstead, S.; Cameron, M.

2007-01-01

From December 2000 until July 2002 a package of speed-related initiatives and factors took place in Victoria, Australia. The broad aim of this study was to evaluate the overall impact of the package on crash outcomes. Monthly crash counts and injury severity proportions were assessed using Poisson and logistic regression models respectively. The model measured the overall effect of the package after adjusting as far as possible for non-speed road safety initiatives and socio-economic factors. The speed-related package was associated with statistically significant estimated reductions in casualty crashes and suggested reductions in injury severity with trends towards increased reductions over time. From December 2000 until July 2002, three new speed enforcement initiatives were implemented in Victoria, Australia. These initiatives were introduced in stages and involved the following key components: More covert operations of mobile speed cameras, including flash-less operations; 50% increase in speed camera operating hours; and lowering of cameras’ speed detection threshold. In addition, during the period 2001 to 2002, the 50 km/h General Urban Speed Limit (GUSL) was introduced (January 2001), there was an increase in speed-related advertising including the “Wipe Off 5” campaign, media announcements were made related to the above enforcement initiatives and there was a speeding penalty restructure. The above elements combine to make up a package of speed-related initiatives and factors. The package represents a broad, long term program by Victorian government agencies to reduce speed based on three linked strategies: more intensive Police enforcement of speed limits to deter potential offenders, i.e. the three new speed enforcement initiatives just described - supported by higher penalties; a reduction in the speed limit on local streets throughout Victoria from 60 km/h to 50 km/h; and provision of information using the mass media (television, radio and billboard) to reinforce the benefits of reducing low level speeding - the central message of “Wipe Off 5”. These strategies were implemented across the entire state of Victoria with the intention of covering as many road users as possible. PMID:18184508

Syn-Fuel reciprocating charge pump improvement program. Quarterly technical project report, April-June 1984

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

Not Available

1984-01-01

Major accomplishments during the second quarter of 1984 were completion of the Diaphragm Separation Seal clear liquid testing, and initiation of Phase III Field Testing. Diaphragm operational testing was conducted on a clear water test loop. The test goals were to ensure; mechanical reliability of the Diaphragm Seal, safe operation with simulated component failure, and proper operation of the Diaphragm Buffer Volume Control System. This latter system is essential in controlling the phasing of the diaphragm with its driving plunger. These tests were completed successfully. All operational problems were solved. However, it must be emphasized that the Diaphragm Seal wouldmore » be damaged by allowing the pump to operate in a cavitating condition for an extended period of time. A change in the Field Test phase of the program was made regarding choice of field test site. There is no operating Syn-Fuel pilot plant capable of inexpensively producing the slurry stream required for the reciprocating pump testing. The Field Tests will now be conducted by first testing the prototype pump and separation seals in an ambient temperature sand water slurry. This will determine resistence to abrasive wear and determine any operation problems at pressure over a lengthy period of time. After successful conclusion of these tests the pump and seals will be operated with a high temperature oil, but without solids, to identify any problems associated with thermal gradients, thermal shock and differential growth. After successful completion of the high temperature clean oil tests the pump will be deemed ready for in-line installation at a designated Syn-Fuel pilot plant. The above approach avoids the expense and complications of a separate hot slurry test loop. It also reduces risk of operational problems while in-line at the pilot plant. 5 figs.« less

Degradation in the efficiency of glass Resistive Plate Chambers operated without external gas supply

NASA Astrophysics Data System (ADS)

Baesso, P.; Cussans, D.; Thomay, C.; Velthuis, J.; Burns, J.; Quillin, S.; Stapleton, M.; Steer, C.

2015-06-01

Resistive plate chambers (RPC) are particle detectors commonly used by the high energy physics community. Their normal operation requires a constant flow of gas mixture to prevent self-poisoning which reduces the chamber's capability to detect particles. We studied how quickly the efficiency of two RPCs drops when operated in sealed mode, i.e. without refreshing the gas mixture. The test aim is to determine how RPCs could be used as particle detectors in non-laboratory applications, such as those exploiting muon tomography for geological imaging or homeland security. The two sealed RPCs were operated in proportional mode for a period of more than three months, and their efficiencies were recorded continuously and analysed in 8-hours intervals. The results show that the efficiency drops on average by 0.79 ± 0.01 % every 24 hours of operation and returns close to the initial value after purging the old gas mixture and flushing the chambers with fresh gas.

An Emperical Analysis of the Corperate Ownership Concentration on the Operation Performance after IPOs of Chinese listed SMEs

NASA Astrophysics Data System (ADS)

Jiming, Li; Xing, Sun

The purpose of this paper is to investigates whether the large shareholders of small and medium firms (SMEs) take advantage of the inside information and decrease their shares before their operation performance begins to decline after the Initial Public Offerings (IPOs). By using the data from annual reports of SMEs listed on Shenzhen Stock Exchange in China from 2004 to 2006, this study explores both the relationship and the interaction effects between the change of operation performance and the ownership concentration of SMEs around their IPOs. The statistic analysis indicates that there is a significantly positive relationship between the ownership concentration and their operation performance after IPOs during the sample period. Moreover, the companies with higher ownership decreasing encounter more severe operation performance decline, which sugests that the listed companies intend to package their book profits before IPOs for the sake of increasing their issuing prices and enlarge their financing scales.

NASA JSC water monitor system: City of Houston field demonstration

NASA Technical Reports Server (NTRS)

Taylor, R. E.; Jeffers, E. L.; Fricks, D. H.

1979-01-01

A water quality monitoring system with on-line and real time operation similar to the function in a spacecraft was investigated. A system with the capability to determine conformance to future high effluent quality standards and to increase the potential for reclamation and reuse of water was designed. Although all system capabilities were not verified in the initial field trial, fully automated operation over a sustained period with only routine manual adjustments was accomplished. Two major points were demonstrated: (1) the water monitor system has great potential in water monitoring and/or process control applications; and (2) the water monitor system represents a vast improvement over conventional (grab sample) water monitoring techniques.

Microbial community shifts in a farm-scale anaerobic digester treating swine waste: Correlations between bacteria communities associated with hydrogenotrophic methanogens and environmental conditions.

PubMed

Cho, Kyungjin; Shin, Seung Gu; Kim, Woong; Lee, Joonyeob; Lee, Changsoo; Hwang, Seokhwan

2017-12-01

Microbial community structure in a farm-scale anaerobic digester treating swine manure was investigated during three process events: 1) prolonged starvation, and changes of 2) operating temperature (between meso- and thermophilic) and 3) hydraulic retention time (HRT). Except during the initial period, the digester was dominated by hydrogenotrophic methanogens (HMs). The bacterial community structure significantly shifted with operating temperature and HRT but not with long-term starvation. Clostridiales (26.5-54.4%) and Bacteroidales (2.5-13.7%) became dominant orders in the digester during the period of HM dominance. Abundance of diverse meso- and thermophilic bacteria increased during the same period; many of these species may be H 2 producers, and/or syntrophic acetate oxidizers. Some of these species showed positive correlations with [NH 4 + -N] (p<0.1); this relationship suggests that ammonia was a significant parameter for bacterial selection. The bacterial niche information reported in this study can be useful to understand the ecophysiology of anaerobic digesters treating swine manure that contains high ammonia content. Copyright © 2017 Elsevier B.V. All rights reserved.

Evaluation of the Operational Multi-scale Environment model with Grid Adaptivity (OMEGA) for use in Wind Energy Applications in the Great Basin of Nevada

NASA Astrophysics Data System (ADS)

King, Kristien C.

In order to further assess the wind energy potential for Nevada, the accuracy of a computational meteorological model, the Operational Multi-scale Environment model with Grid Adaptivity (OMEGA), was evaluated by comparing simulation results with data collected from a wind monitoring tower near Tonopah, NV. The state of Nevada is characterized by high mountains and low-lying valleys, therefore, in order to determine the wind potential for the state, meteorological models that predict the wind must be able to accurately represent and account for terrain features and simulate topographic forcing with accuracy. Topographic forcing has a dominant role in the development and modification of mesoscale flows in regions of complex terrain, like Tonopah, especially at the level of wind turbine blade heights (~80 m). Additionally, model factors such as horizontal resolution, terrain database resolution, model physics, time of model initialization, stability regime, and source of initial conditions may each affect the ability of a mesoscale model to forecast winds correctly. The observational tower used for comparison was located at Stone Cabin, Nevada. The tower had both sonic anemometers and cup anemometers installed at heights of 40 m, 60 m, and 80 m above the surface. During a previous experiment, tower data were collected for the period February 9 through March 10, 2007 and compared to model simulations using the MM5 and WRF models at a number of varying horizontal resolutions. In this previous research, neither the MM5 nor the WRF showed a significant improvement in ability to forecast wind speed with increasing horizontal grid resolution. The present research evaluated the ability of OMEGA to reproduce point winds as compared to the observational data from the Stone Cabin Tower at heights of 40 m, 60 m, and 80 m. Unlike other mesoscale atmospheric models, OMEGA incorporates an unstructured triangular adaptive grid which allows for increased flexibility and accuracy in characterizing areas of complex terrain. Model sensitivity to horizontal grid resolution, initial conditions, and time of initialization were tested. OMEGA was run over three different horizontal grid resolutions with minimum horizontal edge lengths of: 18 km, 6 km, and 2 km. For each resolution, the model was initialized using both the Global Forecasting System (GFS) and North American Regional Reanalysis (NARR) to determine model sensitivity to initial conditions. For both the NARR and GFS initializations, the model was started at both 0000 UTC and 1200 UTC to determine the effect of start time and stability regime on the performance of the model. An additional intensive study into the model's performance was also conducted by a detailed evaluation of model results during two separate 24-hour periods, the first a period where the model performed well and the second a period where the model performed poorly, to determine which atmospheric factors most affect the predictive ability of the OMEGA model. The statistical results were then compared with the results from the MM5 and WRF simulations to determine the most appropriate model for wind energy potential studies in complex terrain.

Effect of intervention initiation timing of pulsed electromagnetic field on ovariectomy-induced osteoporosis in rats.

PubMed

Zhou, Jun; Liao, Yuan; Zeng, Yahua; Xie, Haitao; Fu, Chengxiao; Li, Neng

2017-09-01

The aim of this study is to explore the effect of timing of initiation of pulsed electromagnetic field (PEMF) therapy on bone mass, microarchitecture, and biomechanical properties, and to investigate receptor activator of NF-kB (RANK) expression in ovariectomized (OVX) rats. Sixty female Sprague-Dawley rats were randomly divided into two equal batches of three groups each (10 rats in each group). The first batch comprised of sham-operated (Sham-0 group), ovariectomized (OVX-0 group), and ovariectomized plus treated with PEMF starting from the day of OVX (Early PEMF group). The second batch comprised of sham-operated (Sham-12 group), ovariectomized (OVX-12 group), and ovariectomized plus treated with PEMF starting 12 weeks after OVX (Late PEMF group). Rats (whole body) in the early and late PEMF groups were exposed to PEMF (3.8 mT peak, 8 Hz pulse burst repetition rate). After 12 weeks of PEMF therapy, Early PEMF prevented OVX-induced deterioration in bone mineral density (BMD) and mechanical properties in lumbar vertebral body and femur, and deterioration in bone microarchitecture in lumbar vertebral body and proximal tibia. Late PEMF intervention only inhibited deterioration of BMD, bone microarchitecture, and mechanical properties in lumbar vertebral body. Both early and late PEMF therapy suppressed RANK protein expression in OVX rats without a concomitant effect on RANK mRNA expression. These results demonstrate that timing of initiation of PEMF therapy plays an important role in achieving optimal beneficial effects. The specific PEMF parameters may exert these favorable biological responses, at least partially, via inhibition of protein expression of RANK. Bioelectromagnetics. 38:456-465, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Impact of asthma, exposure period, and filters on human responses during exposures to ozone and its initiated chemistry products.

PubMed

Fadeyi, M O; Tham, K W; Wu, W Y

2015-10-01

The impact of asthma, exposure period, and filter condition downstream of the mixing box of air-conditioning system on building occupants' perceptual response, work performance, and salivary α-amylase secretion during exposures to ozone and its initiated chemistry products is studied. The experiments were conducted in a field environmental chamber (FEC) (240 m(3)) simulating an office environment. Experiments were conducted during periods when the air-handling system operated with new or used pleated panel filters at constant recirculation (7/h) and ventilation (1/h) rates. Average ozone and secondary organic aerosols (ozone-initiated chemistry products) measured during non-asthmatic and asthmatic subjects' 3-h exposures in the FEC were in the ranges approximately 20-37 ppb and approximately 1.6-3 μg/m(3), respectively. Asthmatic subjects' perceived odor intensity and sensory (eye, nose, and throat) irritation ratings were generally lower than those of non-asthmatic subjects, possibly explaining why asthmatic subjects accept perceived air quality more than non-asthmatic subjects. However, asthmatic subjects' perceived physiological-like symptom ratings (flu, chest tightness, and headache) and concentrations of secreted salivary α-amylase were generally higher than those of non-asthmatic subjects. Asthmatic subjects had significantly lower accuracy than non-asthmatic subjects in a task that required higher concentration although they had higher work speed. Filter condition did not make any significant difference for subjects' responses. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Skylab reuse study, reference data, part 1. [habitability of the orbital workshop and airlock modules for the space transportation system

NASA Technical Reports Server (NTRS)

1978-01-01

The accommodations provided by the airlock module and the orbital workshop were completely examined with the thought of total reactivation as an enhancement to the STS long duration missions. Each subsystem is described and a summary of subsystem performance during the Skylab missions is presented. End-of-mission status and the status of today for each subsystem is shown together with refurbishment/resupply requirements and refurb kit descriptions to restore Skylab to full operational capability. An inspection/refurbishment and operations plan for Skylab is included. The initial Shuttle-tended operational activity would provide a safe, effective phase of Skylab rehabilitation while simultaneously benefitting the Orbiter crew through the addition of private accommodations, off-duty recreation area, and physical conditioning equipment. This period would also permit exercising selected onboard experiments.

Update on Extended Operation of Stirling Convertors in Thermal Vacuum at NASA Glenn Research Center

NASA Technical Reports Server (NTRS)

Oriti, Salvatore M.

2006-01-01

The U.S. Department of Energy (DOE), Lockheed Martin Space Systems (LMSS), Infinia Corporation, and NASA Glenn Research Center (GRC) have been developing a Stirling Radioisotope Generator (SRG) for use as a power system on space science missions. This generator would make use of Stirling cycle energy conversion to achieve higher efficiency than currently used alternatives. A test has been initiated at GRC to demonstrate functionality of Stirling conversion in a thermal vacuum environment over an extended period of time. The test article resembles the configuration of the SRG, but was designed without the requirement of low mass. Throughout the 8700 cumulative hours of operation, modifications to the supporting hardware were required to attain the desired operating conditions. These modifications, the status of testing, and the data recorded will be discussed in this paper.

The principle of a three-staged operation in the surgery of acne scars.

PubMed

Whang, K K; Lee, M

1999-01-01

Acne scars cannot be effectively corrected by a single treatment modality because of their widely varied depth and width. We assessed the effectiveness of staged combinations of several surgical modalities in the treatment of acne scars. Focal chemical peeling, carbon dioxide (CO2) laser, scar excision, punch grafting, and dermabrasion were used. Initially, focal chemical peeling was performed on all patients and then CO2 laser, scar excision, and punch grafts were used for deep scars. Finally, dermabrasion was done for the remaining scars. Seventy-five percent of patients showed excellent or good results. The degree of improvement increased as the follow-up periods and number of focal chemical peeling procedures increased and as the 3-staged operation progressed. A 3-staged operation is effective in the treatment of patients with various types of acne scars.

How do early emotional experiences in the operating theatre influence medical student learning in this environment?

PubMed

Bowrey, David J; Kidd, Jane M

2014-01-01

The emotions experienced by medical students on first exposure to the operating theatre are unknown. It is also unclear what influence these emotions have on the learning process. To understand the emotions experienced by students when in the operating theatre for the first time and the impact of these emotions on learning. Nine 3rd-year medical students participated in semistructured interviews to explore these themes. A qualitative approach was used; interviews were transcribed and coded thematically. All participants reported initial negative emotions (apprehension, anxiety, fear, shame, overwhelmed), with excitement being reported by 3. Six participants considered that their anxiety was so overwhelming that it was detrimental to their learning. Participants described a period of familiarization to the environment, after which learning was facilitated. Early learning experiences centered around adjustment to the physical environment of the operating theatre. Factors driving initial negative feelings were loss of familiarity, organizational issues, concerns about violating protocol, and a fear of syncope. Participants considered that it took a median of 1 week (range = 1 day-3 weeks) or 5 visits to the operating theatre (range = 1-10) before feeling comfortable in the new setting. Emotions experienced on subsequent visits to the operating theatre were predominantly positive (enjoyment, happiness, confident, involved, pride). Two participants reported negative feelings related to social exclusion. Being included in the team was a powerful determinant of enjoyment. These findings indicate that for learning in the operating theatre to be effective, addressing the negative emotions of the students might be beneficial. This could be achieved by a formal orientation program for both learners and tutors in advance of attendance in the operating theatre. For learning to be optimized, students must feel a sense of inclusion in the theatre community of practice.

Physical Therapists Forward Deployed on Aircraft Carriers: A Retrospective Look at a Decade of Service.

PubMed

Rosenthal, Michael D; Ziemke, Gregg W; Bush, Matthew L; Halfpap, Joshua

2018-04-25

Navy physical therapists (PTs) have been a part of ship's company aboard Aircraft Carriers since 2002 due to musculoskeletal injuries being the number one cause of lost duty time and disability. This article describes a decade of physical therapy services provided aboard aircraft carriers. A retrospective survey was conducted to evaluate the types of services provided, volume of workload, value of services provided, and impact of PTs on operational readiness for personnel aboard Naval aircraft carriers. Thirty-four reports documenting workload from PTs stationed onboard aircraft carriers were collected during the first decade of permanent PT assignment to aircraft carriers. This report quantifies a 10-yr period of physical therapy services (PT and PT Technician) in providing musculoskeletal care within the carrier strike group and adds to existing literature demonstrating a high demand for musculoskeletal care in operational platforms. A collective total of 144,211 encounters were reported during the 10-yr period. The number of initial evaluations performed by the PT averaged 1,448 per assigned tour. The average number of follow-up appointments performed by the PT per tour was 1,440. The average number of treatment appointments per tour provided by the PT and PT technician combined was 1,888. The average number of visits per patient, including the initial evaluation, was 3.3. Sixty-five percent (65%) of the workload occurred while deployed or out to sea during training periods. It was estimated that 213 medical evacuations were averted over the 10-yr period. There were no reports of adverse events or quality of care reviews related to the care provided by the PT and/or PT technician. Access to early PT intervention aboard aircraft carriers was associated with a better utilization ratio (lower average number of visits per condition) than has been reported in prior studies and suggests an effective utilization of medical personnel resources. The impact of Navy PTs serving afloat highlights the importance of sustaining these billets and indicates the potential benefit of additional billet establishment to support operational platforms with high volumes of musculoskeletal injury. Access to early PT intervention can prevent and rehabilitate injuries among operational forces, promote human performance optimization, increase readiness during war and peace time efforts, and accelerate rehabilitation from neuromusculoskeletal injuries. With the establishment of Electronic Health Records within all carrier medical groups a repeat study may provide additional detail related to musculoskeletal injuries to guide medical planners to staff sea-based operational platforms most effectively to care for the greatest source of battle and disease non-battle injuries and related disability in the military.

Duck nest success in the prairie pothole region

USGS Publications Warehouse

Klett, A.T.; Shaffer, T.L.; Johnson, D.H.

1988-01-01

We estimated nest success of mallard (Anas platyrhynchos), gadwall (A. strepera), blue-winged teal (A. discors), northern shoveler (A. clypeata), and northern pintail (A. acuta) for 5 regions in North Dakota, South Dakota, and Minnesota, for 1-3 periods between 1966 and 1984, and for 8 habitat classes. We obtained composite estimates of nest success for regions and periods by weighting each habitat proportional to the number of nest initiations. The distribution of nest initiations was derived from estimates of breeding populations, preferences of species for nesting habitats, and availability of habitats. Nest success rates ranged from < 5 to 36% among regions, periods, and species. Rates were lowest in western Minnesota (MNW) and eastern North Dakota (NDE), intermediate in central North Dakota (NDC) and eastern South Dakota (SDE), and highest in central South Dakota (SDC). In regions with comparable data, no consistent trend in nest success was apparent from early to late periods. Gadwalls and blue-winged teal nested more successfully than mallards and pintails; the relative success of shovelers varied regionally. Ducks nesting in idle grassland were the most successful and those nesting in cropland were least successful. Mammalian predation was the major cause of nesting failure (54-85%) in all habitats, but farming operations resulted in 37 and 27% of the nesting failures in cropland and hayland, respectively. Most of the populations studied were not self-sustaining.

SPERT I DESTRUCTIVE TEST PROGRAM SAFETY ANALYSIS REPORT

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

Spano, A.H.; Miller, R.W.

1962-06-15

The water-moderated core used for destructive experiments is mounted in the Spent I open-type reactor vessel, which has no provision for pressurization or forced coolant flow. The core is an array of highly enriched aluminum clad, plate-type fuel assemblies, using four bladetype, gang-operated control rods. Reactor transients are initiated at ambient temperature by step-insentions of reactivity, using a control rod which can be quickly ejected from the core. Following an initial series of static measurements to determine the basic- reactor properties of the test core, a series of nondestructive, self-limiting power excursion tests was performed, which covered a reactor periodmore » range down to the point where minor fuel plate damage first occurred -approximately for a 10- msec period test. These tests provided power, temperature, and pressure data. Additional kinetic teste in the period region between 10 and 5 msec were completed to explore the region of limited core damage. Fuel plate damage results included plate distortion, cladding cracking, and fuel melting. These exploratory tests were valuable in revealing unexpected changes in the dependence of pressure, temperature, burst energy, and burst shape parameters on reactor period, although the dependence of peak power on reactor period was not significantly changed. An evaluation of hazards involved in conducting the 2- msec test, based on pessimistic assumptions regarding fission product release and weather conditions, indicates that with the procedural controls normally exercised in the conduct of any transient test at Spent and the special controls to be in effect during the destructive test series, no significant hazard to personnel or to the general public will be obtained. All nuclear operation is conducted remotely approximately 1/2 mile from the reactor building. Discussion is also given of the supervision and control of personnel during and after each destructive test, and of the plans for re-entry, cleanup, and restoration of the facility. (auth)« less

Microwave-triggered laser switch

DOEpatents

Piltch, M.S.

1982-05-19

A high-repetition rate switch is described for delivering short duration, high-powered electrical pulses from a pulsed-charged dc power supply. The present invention utilizes a microwave-generating device such as a magnetron that is capable of producing high-power pulses at high-pulse repetition rates and fast-pulse risetimes for long periods with high reliability. The rail-gap electrodes provide a large surface area that reduces induction effects and minimizes electrode erosion. Additionally, breakdown is initiated in a continuous geometric fashion that also increases operating lifetime of the device.

Microwave-triggered laser switch

DOEpatents

Piltch, Martin S.

1984-01-01

A high-repetition rate switch for delivering short duration, high-power electrical pulses from a pulsed-charged dc power supply. The present invention utilizes a microwave-generating device such as a magnetron that is capable of producing high-power pulses at high-pulse repetition rates and fast-pulse risetimes for long periods with high reliability. The rail-gap electrodes provide a large surface area that reduces induction effects and minimizes electrode erosion. Additionally, breakdown is initiated in a continuous geometric fashion that also increases operating lifetime of the device.

[The long-term results and indications for use of Gore-Texgrafts in the femoropopliteal position in patients with atherosclerotic lesion of lower limb arteries].

PubMed

Pokrovskiĭ, A V; Dan, V N; Zotikov, A E; Chupin, A V; Shubin, A A; Chikharev, M V

2004-01-01

Presented herein are the long-term results of femoropopliteal reconstructions above the knee joint fisure in patients with atherosclerotic lesion of the femoropopliteal segment using Gore-Tex grafts. The retrospective study accrued 108 patients. Of these, IIB degree lower limb ischemia (according to the A.V. Pokrovsky classification) was initially present in 64 (60.2%) and critical ischemia in 52 (40.8%) patients. Patients suffering from lower limb ischemia of varying degree did not significantly differ in the age or coexistent diseases. The mean value of the ankle/brachial index (ABI) accounted for 0.46+/-0.23 in patients with IIB degree ischemia and for 0.40+/-0.27 in patients with critical lower limb ischemia. All the patients were evaluated for the condition of the distal bed according to the scheme proposed by Rutherford et al. in 1997. The patients were distributed into three groups: patients with "good" runoff (from 1 to 4 points, n=65), patients with "satisfactory" runoff (from 5 to 7 points, n=36), and those with an "unsatisfactory" condition of the distal bed (runoff point over 7, n=7). The long-term results were assessed in 81 (75%) patients over the period as long as 105 months. The mean follow up accounted for 58,4 months. One year later the graft patency in the total patient group constituted 73.1%, after 3 years it was equal to 54.8%, and after 5 years to 49.9%. It is demonstrated that the initial runoff point exerted a significant effect on the graft patency. It is noteworthy that in patients with an initially "good" runoff point, 57.5% of the grafts were patent 5 years after operation whereas in patients with a "satisfactory" point only 35.3% turned out patent (p<0.05). Patients with an initially "unsatisfactory" runoff point developed thrombosis of all grafts over the period as long as 6 months following operation. The five-year limb salvage was observed in 77.6% of patients. It has been revealed over the 5-year period that the degree of initial limb ischemia did not produce any significant effect on the graft patency or limb salvage. The scheme for runoff assessment allows to define in a differentiated way the indications for use of Gore-Tex grafts in the femoropopliteal position. The runoff point had a significant effect on the long-term 5-year patency of the grafts.

Arsenic release from Floridan Aquifer rock during incubations simulating aquifer storage and recovery operations.

PubMed

Jin, Jin; Zimmerman, Andrew R; Norton, Stuart B; Annable, Michael D; Harris, Willie G

2016-05-01

While aquifer storage and recovery (ASR) is becoming widely accepted as a way to address water supply shortages, there are concerns that it may lead to release of harmful trace elements such as arsenic (As). Thus, mechanisms of As release from limestone during ASR operations were investigated using 110-day laboratory incubations of core material collected from the Floridan Aquifer, with treatment additions of labile or refractory dissolved organic matter (DOM) or microbes. During the first experimental phase, core materials were equilibrated with native groundwater lacking in DO to simulate initial non-perturbed anaerobic aquifer conditions. Then, ASR was simulated by replacing the native groundwater in the incubations vessels with DO-rich ASR source water, with DOM or microbes added to some treatments. Finally, the vessels were opened to the atmosphere to mimic oxidizing conditions during later stages of ASR. Arsenic was released from aquifer materials, mainly during transitional periods at the beginning of each incubation stage. Most As released was during the initial anaerobic experimental phase via reductive dissolution of Fe oxides in the core materials, some or all of which may have formed during the core storage or sample preparation period. Oxidation of As-bearing Fe sulfides released smaller amounts of As during the start of later aerobic experimental phases. Additions of labile DOM fueled microbially-mediated reactions that mobilized As, while the addition of refractory DOM did not, probably due to mineral sorption of DOM that made it unavailable for microbial utilization or metal chelation. The results suggest that oscillations of groundwater redox conditions, such as might be expected to occur during an ASR operation, are the underlying cause of enhanced As release in these systems. Further, ASR operations using DOM-rich surface waters may not necessarily lead to additional As releases. Copyright © 2016 Elsevier B.V. All rights reserved.

LONG-TERM PERFORMANCE OF SOLID OXIDE STACKS WITH ELECTRODE-SUPPORTED CELLS OPERATING IN THE STEAM ELECTROLYSIS MODE

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

J. E. O'Brien; R. C. O'Brien; X. Zhang

2011-11-01

Performance characterization and durability testing have been completed on two five-cell high-temperature electrolysis stacks constructed with advanced cell and stack technologies. The solid oxide cells incorporate a negative-electrode-supported multi-layer design with nickel-zirconia cermet negative electrodes, thin-film yttria-stabilized zirconia electrolytes, and multi-layer lanthanum ferrite-based positive electrodes. The per-cell active area is 100 cm2. The stack is internally manifolded with compliant mica-glass seals. Treated metallic interconnects with integral flow channels separate the cells. Stack compression is accomplished by means of a custom spring-loaded test fixture. Initial stack performance characterization was determined through a series of DC potential sweeps in both fuel cellmore » and electrolysis modes of operation. Results of these sweeps indicated very good initial performance, with area-specific resistance values less than 0.5 ?.cm2. Long-term durability testing was performed with A test duration of 1000 hours. Overall performance degradation was less than 10% over the 1000-hour period. Final stack performance characterization was again determined by a series of DC potential sweeps at the same flow conditions as the initial sweeps in both electrolysis and fuel cell modes of operation. A final sweep in the fuel cell mode indicated a power density of 0.356 W/cm2, with average per-cell voltage of 0.71 V at a current of 50 A.« less

Limb Salvage After Failed Initial Operative Management of Bimalleolar Ankle Fractures in Diabetic Neuropathy.

PubMed

Vaudreuil, Nicholas J; Fourman, Mitchell S; Wukich, Dane K

2017-03-01

Ankle fractures in patients with diabetes mellitus (DM) can be difficult to manage, especially in the presence of peripheral neuropathy. In patients who fail initial operative management, attempts at limb salvage can be challenging, and no clear treatment algorithm exists. This study examined outcomes of different procedures performed for limb salvage in this population. This study retrospectively reviewed 17 patients with DM complicated by peripheral neuropathy who sustained a bimalleolar ankle fracture and failed initial operative management. Patients were treated with revision open reduction internal fixation (ORIF) (3/17), closed reduction external fixation (CREF) (8/17), or primary ankle joint fusion (3/17 tibiotalocalcaneal fusion with hindfoot nail [TTCN] and 3/17 with tibiotalar arthrodesis using plates and screws [TTA]). Median follow-up was 20 months. The overall rate of limb salvage was 82.3% (14/17). All patients who went on to amputation presented with infection and were treated initially with CREF (3/3). All patients who achieved successful limb salvage ended up with a clinically fused ankle joint (14/14); 9 underwent a primary or delayed formal fusion and 5 had a clinically fused ankle joint at study conclusion after undergoing revision ORIF or CREF with adjunctive procedures. This small study suggests that in this complicated group of patients it is difficult to achieve limb salvage with an end result of a functional ankle joint. CREF can be a viable option in cases where underlying infection or poor bone quality is present. Treatment with revision ORIF frequently requires supplementary external fixator or tibiotalar Steinman pin placement for additional stability. All patients who underwent revision ORIF ended up with clinically fused ankle joints at the end of the study period. Primary fusion procedures (TTA, TTCN) were associated with a high rate of limb salvage and a decreased number of operations. Level III, retrospective case series.

42 CFR 417.930 - Initial costs of operation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Initial costs of operation. 417.930 Section 417.930... PREPAYMENT PLANS Administration of Outstanding Loans and Loan Guarantees § 417.930 Initial costs of operation. Under section 1305 of the PHS, loans and loan guarantees were awarded for initial costs of operation of...

Use of a mobile tower-based robot--The initial Xi robot experience in surgical oncology.

PubMed

Yuh, Bertram; Yu, Xian; Raytis, John; Lew, Michael; Fong, Yuman; Lau, Clayton

2016-01-01

The da Vinci Xi platform provides expanded movement of the arms relative to the base, theoretically allowing increased versatility in complex multi-field or multi-quadrant surgery. We describe the initial Xi experience in oncologic surgery at a tertiary cancer center. One hundred thirty unique robot-assisted procedures were performed using the Xi between 2014 and 2015, 112 of which were oncology surgeries. For procedures involving multiple quadrants, the robot was re-targeted. Complications were assessed according to Martin criteria and the Clavien-Dindo classification up to 90 days after operation. Thirteen different operations were performed in five oncology subspecialties (urology, gynecology, thoracic, hepatobiliary, and gastrointestinal surgery). Median operative times ranged from 183 min for nephroureterectomy to 543 min for esophagogastrectomy. Median estimated blood loss did not exceed 200 ml for any of the categorized procedures . No patients were transfused intraoperatively and no positioning injuries occurred. Conversions to open operation occurred in three cases (2.7%), though not related to complications or technical considerations. Overall complication rate was 26% with major complication rate of 4%. Readmissions were necessary in 11 (10%) patients. The da Vinci Xi can be safely assimilated into a surgical oncology program. The Xi offers versatility to various oncologic procedures with satisfactory complication and readmission rates. © 2015 Wiley Periodicals, Inc.

The Challenge Posed by Geomagnetic Activity to Electric Power Reliability: Evidence From England and Wales

NASA Astrophysics Data System (ADS)

Forbes, Kevin F.; St. Cyr, O. C.

2017-10-01

This paper addresses whether geomagnetic activity challenged the reliability of the electric power system during part of the declining phase of solar cycle 23. Operations by National Grid in England and Wales are examined over the period of 11 March 2003 through 31 March 2005. This paper examines the relationship between measures of geomagnetic activity and a metric of challenged electric power reliability known as the net imbalance volume (NIV). Measured in megawatt hours, NIV represents the sum of all energy deployments initiated by the system operator to balance the electric power system. The relationship between geomagnetic activity and NIV is assessed using a multivariate econometric model. The model was estimated using half-hour settlement data over the period of 11 March 2003 through 31 December 2004. The results indicate that geomagnetic activity had a demonstrable effect on NIV over the sample period. Based on the parameter estimates, out-of-sample predictions of NIV were generated for each half hour over the period of 1 January to 31 March 2005. Consistent with the existence of a causal relationship between geomagnetic activity and the electricity market imbalance, the root-mean-square error of the out-of-sample predictions of NIV is smaller; that is, the predictions are more accurate, when the statistically significant estimated effects of geomagnetic activity are included as drivers in the predictions.

Hypocalcaemia following total thyroidectomy: early post-operative parathyroid hormone assay as a risk stratification and management tool.

PubMed

Islam, S; Al Maqbali, T; Howe, D; Campbell, J

2014-03-01

To develop a practical, efficient and predictive algorithm to manage potential or actual post-operative hypocalcaemia after complete thyroidectomy, using a single post-operative parathyroid hormone assay. This paper reports a prospective study of 59 patients who underwent total or completion thyroidectomy over a period of 24 months. Parathyroid hormone levels were checked post-operatively on the day of surgery, and all patients were evaluated for hypocalcaemia both clinically and biochemically with serial corrected calcium measurements. No patient with an early post-operative parathyroid hormone level of 23 ng/l or more (i.e. approximately twice the lower limit of the normal range) developed hypocalcaemia. All the patients who initially had post-operative hypocalcaemia but had an early parathyroid hormone level of 8 ng/l or more (i.e. approximately two-thirds of the lower limit of the normal range) had complete resolution of their hypocalcaemia within three months. Early post-operative parathyroid hormone measurement can reliably predict patients at risk of post-thyroidectomy hypocalcaemia, and predict those patients expected to recover from temporary hypocalcaemia. A suggested post-operative management algorithm is presented.

Applied Operations Research: Operator's Assistant

NASA Technical Reports Server (NTRS)

Cole, Stuart K.

2015-01-01

NASA operates high value critical equipment (HVCE) that requires trouble shooting, periodic maintenance and continued monitoring by Operations staff. The complexity HVCE and information required to maintain and trouble shoot HVCE to assure continued mission success as paper is voluminous. Training on new HVCE is commensurate with the need for equipment maintenance. LaRC Research Directorate has undertaken a proactive research to support Operations staff by initiation of the development and prototyping an electronic computer based portable maintenance aid (Operator's Assistant). This research established a goal with multiple objectives and a working prototype was developed. The research identified affordable solutions; constraints; demonstrated use of commercial off the shelf software; use of the US Coast Guard maintenance solution; NASA Procedure Representation Language; and the identification of computer system strategies; where these demonstrations and capabilities support the Operator, and maintenance. The results revealed validation against measures of effectiveness and overall proved a substantial training and capability sustainment tool. The research indicated that the OA could be deployed operationally at the LaRC Compressor Station with an expectation of satisfactorily results and to obtain additional lessons learned prior to deployment at other LaRC Research Directorate Facilities. The research revealed projected cost and time savings.

Iatromathematica (medical astrology) in late antiquity and the Byzantine period.

PubMed

Papathanassiou, M

1999-01-01

Byzantium inherited the rich astrological tradition of Late Antiquity, especially that of Alexandria, where even in the 6th century A.D., astrology was taught in philosophical schools. The great number of Byzantine astrological MSS, which preserve works of famous authors and many anonymous treatises, shows the survival and continuity of astrology in Byzantium. Through medical astrology physicians can better understand the temperament of an individual man and find out about his bodily constitution and psychic faculties, his inclination to chronic and acute diseases, the possibilities of curable or incurable cases, and finally the periods of major danger for his health. They can conjecture about the evolution of a disease, choose a favorable time for an operation, or initiate a cure.

ELECTRONIC INTEGRATING CIRCUIT

DOEpatents

Englemann, R.H.

1963-08-20

An electronic integrating circuit using a transistor with a capacitor connected between the emitter and collector through which the capacitor discharges at a rate proportional to the input current at the base is described. Means are provided for biasing the base with an operating bias and for applying a voltage pulse to the capacitor for charging to an initial voltage. A current dividing diode is connected between the base and emitter of the transistor, and signal input terminal means are coupled to the juncture of the capacitor and emitter and to the base of the transistor. At the end of the integration period, the residual voltage on said capacitor is less by an amount proportional to the integral of the input signal. Either continuous or intermittent periods of integration are provided. (AEC)

Occupancy analysis: design and operational energy studies in a new high-rise office building. Volume 3

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

Not Available

1983-10-01

The objective of this analysis, is simply to: determine how energy consumption varies as a function of building occupancy and utilization. This analysis is primarily involved with the relationship between occupancy patterns and energy consumption. It also addresses the relationship between building functional use (e.g., office, computer, parking, and food service) and energy consumption. This study investigates variations in use and energy consumption during (1) the period of building startup from pre-occupancy through initial occupancy to full occupancy, and (2) daily and night occupancy for weekdays, weekends, holidays, and vacation periods. The report includes an investigation of the relationship betweenmore » specific functional uses, systems requirements for those functions, and energy consumption.« less

Fuel Cell Power Plant Initiative. Volume 1; Solid Oxide Fuel Cell/Logistics Fuel Processor 27 kWe Power System Demonstration for ARPA

NASA Technical Reports Server (NTRS)

Veyo, S.E.

1997-01-01

This report describes the successful testing of a 27 kWe Solid Oxide Fuel Cell (SOFC) generator fueled by natural gas and/or a fuel gas produced by a brassboard logistics fuel preprocessor (LFP). The test period began on May 24, 1995 and ended on February 26, 1996 with the successful completion of all program requirements and objectives. During this time period, this power system produced 118.2 MWh of electric power. No degradation of the generator's performance was measured after 5582 accumulated hours of operation on these fuels: local natural gas - 3261 hours, jet fuel reformate gas - 766 hours, and diesel fuel reformate gas - 1555 hours. This SOFC generator was thermally cycled from full operating temperature to room temperature and back to operating temperature six times, because of failures of support system components and the occasional loss of test site power, without measurable cell degradation. Numerous outages of the LFP did not interrupt the generator's operation because the fuel control system quickly switched to local natural gas when an alarm indicated that the LFP reformate fuel supply had been interrupted. The report presents the measured electrical performance of the generator on all three fuel types and notes the small differences due to fuel type. Operational difficulties due to component failures are well documented even though they did not affect the overall excellent performance of this SOFC power generator. The final two appendices describe in detail the LFP design and the operating history of the tested brassboard LFP.

SOHO Mission Interruption Joint NASA/ESA Investigation Board

NASA Technical Reports Server (NTRS)

1998-01-01

Contact with the SOlar Heliospheric Observatory (SOHO) spacecraft was lost in the early morning hours of June 25, 1998, Eastern Daylight Time (EDT), during a planned period of calibrations, maneuvers, and spacecraft reconfigurations. Prior to this the SOHO operations team had concluded two years of extremely successful science operations. A joint European Space Agency (ESA)/National Aeronautics and Space Administration (NASA) engineering team has been planning and executing recovery efforts since loss of contact with some success to date. ESA and NASA management established the SOHO Mission Interruption Joint Investigation Board to determine the actual or probable cause(s) of the SOHO spacecraft mishap. The Board has concluded that there were no anomalies on-board the SOHO spacecraft but that a number of ground errors led to the major loss of attitude experienced by the spacecraft. The Board finds that the loss of the SOHO spacecraft was a direct result of operational errors, a failure to adequately monitor spacecraft status, and an erroneous decision which disabled part of the on-board autonomous failure detection. Further, following the occurrence of the emergency situation, the Board finds that insufficient time was taken by the operations team to fully assess the spacecraft status prior to initiating recovery operations. The Board discovered that a number of factors contributed to the circumstances that allowed the direct causes to occur. The Board strongly recommends that the two Agencies proceed immediately with a comprehensive review of SOHO operations addressing issues in the ground procedures, procedure implementation, management structure and process, and ground systems. This review process should be completed and process improvements initiated prior to the resumption of SOHO normal operations.

Insurance status and time to completion of surgery for breast cancer.

PubMed

Solomon, Matthew; Cochrane, Colin T; Grieve, David A

2016-01-01

The aim of this study was to compare the time to re-operation, following inadequate loco-regional surgery for breast cancer, between the public and private sectors of the Sunshine Coast region. A retrospective review was performed of the medical records of all female patients undergoing guide wire-localized, breast-conserving surgery at Nambour General Hospital and in the local private sector from January 2009 until April 2010. The dates of initial consultation, operation, post-operative consultation and any subsequent reoperation were recorded. One hundred and seventeen public sector patients and 113 private sector patients were identified during the study period. Thirty-seven public patients (32%) and 46 private patients (41%) required re-operation. This difference was not significant (χ(2) = 2.06, degrees of freedom (df) = 1, P = 0.15). The mean time and standard error from the initial consultation to the first operation and re-operation in the public sector was 26 (2.3) and 62 (3.8) days, and in the private sector was 12 (1.2) and 30 (4.4) days, respectively P < 0.001. On average, 70% of public patients and 96% of private patients completed the surgical component of their breast cancer management within the Queensland Health-recommended time frame of 30 days (χ(2) = 26, df = 1, P < 0.001). While experiencing similar rates of re-operative surgery in breast cancer management in the public and private sectors, the private sector deals with this issue in a more time efficient manner. An opportunity for intervention by quarantining theatre time is explored to improve the public sector time management. © 2015 Royal Australasian College of Surgeons.

Early MRI changes in glioblastoma in the period between surgery and adjuvant therapy.

PubMed

Farace, Paolo; Amelio, Dante; Ricciardi, Giuseppe K; Zoccatelli, Giada; Magon, Stefano; Pizzini, Francesca; Alessandrini, Franco; Sbarbati, Andrea; Amichetti, Maurizio; Beltramello, Alberto

2013-01-01

To investigate the increase in MRI contrast enhancement (CE) occurring in glioblastoma during the period between surgery and initiation of chemo-radiotherapy, thirty-seven patients with newly diagnosed glioblastoma were analyzed by early post-operative magnetic resonance (EPMR) imaging within three days of surgery and by pre-adjuvant magnetic resonance (PAMR) examination before adjuvant therapy. Areas of new CE were investigated by use of EPMR diffusion-weighted imaging and PAMR perfusion imaging (by arterial spin-labeling). PAMR was acquired, on average, 29.9 days later than EPMR (range 20-37 days). During this period an increased area of CE was observed for 17/37 patients. For 3/17 patients these regions were confined to areas of reduced EPMR diffusion, suggesting postsurgical infarct. For the other 14/17 patients, these areas suggested progression. For 11/17 patients the co-occurrence of hyperperfusion in PAMR perfusion suggested progression. PAMR perfusion and EPMR diffusion did not give consistent results for 3/17 patients for whom small new areas of CE were observed, presumably because of the poor spatial resolution of perfusion imaging. Before initiation of adjuvant therapy, areas of new CE of resected glioblastomas are frequently observed. Most of these suggest tumor progression, according to EPMR diffusion and PAMR perfusion criteria.

Biology Based Lung Cancer Model for Chronic Low Radon Exposures

NASA Astrophysics Data System (ADS)

TruÅ£ǎ-Popa, Lucia-Adina; Hofmann, Werner; Fakir, Hatim; Cosma, Constantin

2008-08-01

Low dose effects of alpha particles at the tissue level are characterized by the interaction of single alpha particles, affecting only a small fraction of the cells within that tissue. Alpha particle intersections of bronchial target cells during a given exposure period were simulated by an initiation-promotion model, formulated in terms of cellular hits within the cycle time of the cell (dose-rate) and then integrated over the whole exposure period (dose). For a given average number of cellular hits during the lifetime of bronchial cells, the actual number of single and multiple hits was selected from a Poisson distribution. While oncogenic transformation is interpreted as the primary initiation step, stimulated mitosis by killing adjacent cells is assumed to be the primary radiological promotion event. Analytical initiation and promotion functions were derived from experimental in vitro data on oncogenic transformation and cellular survival. To investigate the shape of the lung cancer risk function at chronic, low level exposures in more detail, additional biological factors describing the tissue response and operating specifically at low doses were incorporated into the initiation-promotion model. These mechanisms modifying the initial response at the cellular level were: adaptive response, genomic instability, induction of apoptosis by surrounding cells, and detrimental as well as protective bystander mechanisms. To quantify the effects of these mechanisms as functions of dose, analytical functions were derived from the experimental evidence presently available. Predictions of lung cancer risk, including these mechanisms, exhibit a distinct sublinear dose-response relationship at low exposures, particularly for very low exposure rates.

Dispersively formed quasi-periodic fast magnetosonic wavefronts due to the eruption of a nearby mini-filament

NASA Astrophysics Data System (ADS)

Shen, Yuandeng; Song, Tengfei; Liu, Yu

2018-06-01

Observational analysis is performed to study the excitation mechanism and propagation properties of a quasi-periodic fast-propagating (QFP) magnetosonic wave. The QFP wave was associated with the eruption of a nearby mini-filament and a small B4 Geostationary Operational Environmental Satellite (GOES) flare, which may indicate that the generation of a QFP wave does not require much flare energy. The propagation of the QFP wave was along a bundle of funnel-shaped open loops with a speed of about 1100 ± 78 km s-1 and an acceleration of -2.2 ± 1.1 km s-2. Periodicity analysis indicates that the periods of the QFP wave are 43 ± 6 and 79 ± 18 s. For the first time, we find that the periods of the QFP wave and the accompanying flare are inconsistent, which is different from the findings reported in previous studies. We propose that the present QFP wave was possibly caused by the mechanism of dispersive evolution of the initially broad-band disturbance resulting from the nearby mini-filament eruption.

Agenda of the Fourth Annual Summer Conference, NASA/USRA University Advanced Design Program

NASA Technical Reports Server (NTRS)

1988-01-01

Presentations given by the participants at the fourth annual summer conference of the NASA/USRA University Advanced Design Program are summarized. The study topics include potential space and aeronautics projects which could be undertaken during a 20 to 30 year period beginning with the Space Station Initial Operating Configuration (IOC) scheduled for the early to mid-1990's. This includes system design studies for both manned and unmanned endeavors; e.g., lunar launch and landing facilities and operations, variable artificial gravity facility for the Space Station, manned Mars aircraft and delivery system, long term space habitat, construction equipment for lunar bases, Mars oxygen production system, trans-Pacific high speed civil transport, V/STOL aircraft concepts, etc.

TRANSPO test program. Volume 1. Summary report

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

Cusick, R.T.; Mooring, E.E.

1973-06-01

As part of a program for the development of new urban transportation systems, the Urban Mass Transportation Administration initiated a project for the construction and testing of 4 prototype ''Personal Rapid Transit Systems'' at Dulles International Airport in conjunction with TRANSPO '72. These 4 systems were the Bendix Dashaveyor system, the Ford Motor ACT system, the Rohr Monocab system, and the Transportation Technology TTI system. The systems were operated during TRANSPO and were subject to intensive testing in a period from August 1 to November 11, 1972. The document contains a description of the operation and organization of the testmore » program, a description of the more significant tests, and a summary of the results to date.« less

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

Joyce, R.J.; Natusch, D.F.S.; Richardson, D.W.

Blends of 15% methanol with petrol containing 1% isobutanol have been utilised by 45 vehicles operated for a period of two years. An additional 907 vehicles have been operated for approximately one year to obtain information about the distribution of M15 blends, about necessary co-solvent concentrations, and about general vehicle driveability. Initial studies have also been conducted using 15-20% emulsions of methanol with diesel in diesel-cycle engines. High methanol fuels ranging from M85 to M100 have been tested in six purpose-built vehicles and 45 retrofitted vehicles involving four different types of retrofit systems. In addition, high methanol fuels have alsomore » been tested in dieselcycle engines involving two different types of purpose-built engines, together with unmodified engines.« less

[Reconstruction in plastic surgery using osmotic tissue expanders].

PubMed

Gronovich, Yoav; Binenboym, Rami; Retchkiman, Meir; Eizenman, Nirit; Lotan, Adi; Stuchiner, Barak; Tuchman, Izhak

2015-03-01

Tissue expander is a major reconstructive modality. Its main disadvantages include: long and inconvenient period of inflation with temporary deformity of the surrounding tissue. Osmotic expander was developed in order to eliminate some of these limitations. It is a self-filling device which absorbs fluids in order to achieve tissue expansion faster. We present our experience with 28 consecutive cases of tissue reconstruction using osmotic expanders. We wish to emphasize the main advantages and limitations of this device. The present study was launched in May 2008, until April 2014, for twenty eight patients, median age 26 years with reconstructions using an osmotic expander (total of 35 expanders). The reasons for using tissue expander included large congenital nevi (75%) and scars. In all of the cases, the operative and post-operative management was uneventful. During the expansion period, there were 2 outpatient clinical visits. The average expansion time was 9 weeks. In 11% (three patients) there was partial extrusion of the expander. In all other cases there were no complications and the final aesthetic results were satisfying. Osmotic expander is an advanced modality for tissue reconstruction. The final shape and size are precisely predictable. Its initial small size allows for a small surgical incision and short overall operating time. The expansion period is shorter and more convenient for the patient. Its main disadvantage includes the inability to control the filling rate and the need to remove the expander in case of damage to the overlying tissue. Osmotic expander is a reliable tool for tissue expansion. It allows for a satisfying aesthetic result in a shorter period of time and with less inconvenience to the patient.

Dorsal aorta catheterization in rainbow trout (Salmo gairdneri) I. Its validity in the study of blood gonadotropin patterns.

PubMed

Zohar, Y

1980-01-01

The use of a dorsal aorta catheterization technique to study gonadotropin secretion patterns in the rainbow trout was tested. Heparin used to flush the cannula between repetitive samplings did not have any effect on plasma GTH levels. Catheterization resulted in a slight short-term change in those levels. The gonadotropin levels returned to their initial values as soon as 30 min to 6 hrs after the operation. From then on, the GTH levels remained close to the initial values in fish exhibiting normal feeding behaviour, whereas they tended to decrease in "stressed" females which did not eat normally. The fish which adapted well to dorsal aortic catheterization did not show any changes in the diurnal pattern of GTH levels or in normal gonadal function and GTH profiles during the processes of oocyte maturation and ovulation. It is concluded that individual catheterized trout can be used advantageously for studying gonadotropin secretion patterns after a 3-day recovery period and the elimination of those fish which neither resume normal feeding nor return to initial, pre-operative GTH levels. Using this technique, it was demonstrated that hypophysial GTH release in trout with oocytes undergoing active vitellogenesis is probably effected by short-term bursts (pulses) of secretion.

A Testbed for Evaluating Lunar Habitat Autonomy Architectures

NASA Technical Reports Server (NTRS)

Lawler, Dennis G.

2008-01-01

A lunar outpost will involve a habitat with an integrated set of hardware and software that will maintain a safe environment for human activities. There is a desire for a paradigm shift whereby crew will be the primary mission operators, not ground controllers. There will also be significant periods when the outpost is uncrewed. This will require that significant automation software be resident in the habitat to maintain all system functions and respond to faults. JSC is developing a testbed to allow for early testing and evaluation of different autonomy architectures. This will allow evaluation of different software configurations in order to: 1) understand different operational concepts; 2) assess the impact of failures and perturbations on the system; and 3) mitigate software and hardware integration risks. The testbed will provide an environment in which habitat hardware simulations can interact with autonomous control software. Faults can be injected into the simulations and different mission scenarios can be scripted. The testbed allows for logging, replaying and re-initializing mission scenarios. An initial testbed configuration has been developed by combining an existing life support simulation and an existing simulation of the space station power distribution system. Results from this initial configuration will be presented along with suggested requirements and designs for the incremental development of a more sophisticated lunar habitat testbed.

Ureteric stents vs percutaneous nephrostomy for initial urinary drainage in children with obstructive anuria and acute renal failure due to ureteric calculi: a prospective, randomised study.

PubMed

ElSheemy, Mohammed S; Shouman, Ahmed M; Shoukry, Ahmed I; ElShenoufy, Ahmed; Aboulela, Waseem; Daw, Kareem; Hussein, Ahmed A; Morsi, Hany A; Badawy, Hesham

2015-03-01

To compare percutaneous nephrostomy (PCN) tube vs JJ ureteric stenting as the initial urinary drainage method in children with obstructive calcular anuria (OCA) and post-renal acute renal failure (ARF) due to bilateral ureteric calculi, to identify the selection criteria for the initial urinary drainage method that will improve urinary drainage, decrease complications and facilitate the subsequent definitive clearance of stones, as this comparison is lacking in the literature. A series of 90 children aged ≤12 years presenting with OCA and ARF due to bilateral ureteric calculi were included from March 2011 to September 2013 at Cairo University Pediatric Hospital in this randomised comparative study. Patients with grade 0-1 hydronephrosis, fever or pyonephrosis were excluded. No patient had any contraindication for either method of drainage. Stable patients (or patients stabilised by dialysis) were randomised (non-blinded, block randomisation, sealed envelope method) into PCN-tube or bilateral JJ-stent groups (45 patients for each group). Initial urinary drainage was performed under general anaesthesia and fluoroscopic guidance. We used 4.8-6 F JJ stents or 6-8 F PCN tubes. The primary outcomes were the safety and efficacy of both groups for the recovery of renal functions. Both groups were compared for operative and imaging times, complications, and the period required for a return to normal serum creatinine levels. The secondary outcomes included the number of subsequent interventions needed for clearance of stones. Additional analysis was done for factors affecting outcome within each group. All presented patients completed the study with intention-to-treat analysis. There was no significant difference between the PCN-tube and JJ-stent groups for the operative and imaging times, period for return to a normal creatinine level and failure of insertion. There were significantly more complications in the PCN-tube group. The stone size (>2 cm) was the only factor affecting the rates of mucosal complications, operative time and failure of insertion in the JJ-stent group. The degree of hydronephrosis significantly affected the operative time for PCN-tube insertion. Grade 2 hydronephrosis was associated with all cases of insertion failure in the PCN-tube group. The total number of subsequent interventions needed to clear stones was significantly higher in the PCN-tube group, especially in patients with bilateral stones destined for chemolytic dissolution (alkalinisation) or extracorporeal shockwave lithotripsy (ESWL). We recommend the use of JJ stents for initial urinary drainage for stones that will be subsequently treated with chemolytic dissolution or ESWL, as this will lower the total number of subsequent interventions needed to clear the stones. This is also true for stones destined for ureteroscopy (URS), as JJ-stent insertion will facilitate subsequent URS due to previous ureteric stenting. Mild hydronephrosis will prolong the operative time for PCN-tube insertion and may increase the incidence of insertion failure. We recommend the use of PCN tube if the stone size is >2 cm, as there was a greater risk of possible iatrogenic ureteric injury during stenting with these larger ureteric stones in addition to prolongation of operative time with an increased incidence of failure. © 2014 The Authors. BJU International © 2014 BJU International.

Run II of the LHC: The Accelerator Science

NASA Astrophysics Data System (ADS)

Redaelli, Stefano

2015-04-01

In 2015 the Large Hadron Collider (LHC) at the European Organization for Nuclear Research (CERN) starts its Run II operation. After the successful Run I at 3.5 TeV and 4 TeV in the 2010-2013 period, a first long shutdown (LS1) was mainly dedicated to the consolidation of the LHC magnet interconnections, to allow the LHC to operate at its design beam energy of 7 TeV. Other key accelerator systems have also been improved to optimize the performance reach at higher beam energies. After a review of the LS1 activities, the status of the LHC start-up progress is reported, addressing in particular the status of the LHC hardware commissioning and of the training campaign of superconducting magnets that will determine the operation beam energy in 2015. Then, the plans for the Run II operation are reviewed in detail, covering choice of initial machine parameters and strategy to improve the Run II performance. Future prospects of the LHC and its upgrade plans are also presented.

DEVELOPMENT OF AN INSPECTION PLATFORM AND A SUITE OF SENSORS FOR ASSESSING CORROSION AND MECHANICAL DAMAGE ON UNPIGGABLE TRANSMISSION MAINS

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

George C. Vradis

2003-07-01

This development program is a joint effort among the Northeast Gas Association (formerly New York Gas Group), Foster-Miller, Inc., and the US Department of Energy (DOE) through the National Energy Technology Laboratory (NETL). The DOE's contribution to this project is $572,525 out of a total of $772,525. The present report summarizes the accomplishments of the project during its third three-month period (from April 2003 through June 2003). The project was initiated with delay in February 2003 due to contractual issues that emerged between NGA and Foster-Miller, Inc. The two organizations are working diligently to maintain the program's pace and expectmore » to complete it in time. The efforts of the project focused during this period in finalizing the assessment of the tether technology, which is intended to be used as the means of communication between robot and operator. Results indicate that the tether is a viable option under certain pipeline operating conditions, but not all. Concerns also exist regarding the abrasion resistance of the tether, this issue being the last studied. Substantial work was also conducted on the design of the robotic platform, which has progressed very well. Finally, work on the MFL sensor, able to negotiate all pipeline obstacles (including plug valves), was initiated by PII following the successful completion of the subcontract negotiations between Foster-Miller and PII. The sensor design is at this point the critical path in the project's timetable.« less

Metabolic adaptation of microbial communities to ammonium stress in a high solid anaerobic digester with dewatered sludge

PubMed Central

Dai, Xiaohu; Yan, Han; Li, Ning; He, Jin; Ding, Yueling; Dai, Lingling; Dong, Bin

2016-01-01

A high solid digester with dewatered sludge was operated for 110 days to ascertain the interactions between bacterial and archaeal communities under ammonium stress, as well as the corresponding changes in bio-degradation mechanisms. The volatile solids reduction (95% confidence intervals in mean) changed from 31.6 ± 0.9% in the stable period (day 40–55) to 21.3 ± 1.5% in the last period (day 71–110) when ammonium concentration was elevated to be within 5,000–6,000 mgN/L. Biogas yield dropped accordingly from 11.9 ± 0.3 to 10.4 ± 0.2 L/d and carbon dioxide increased simultaneously from 35.2% to 44.8%. Anaerobranca better adapted to the ammonium stress, while the initially dominant protein-degrading microbes-Tepidimicrobium and Proteiniborus were suppressed, probably responsible for the increase of protein content in digestate. Meanwhile, Methanosarcina, as the dominant Archaea, was resistant to ammonium stress with the constant relative abundance of more than 92% during the whole operation. Nonmetric Multidimensional Scaling (NMDS) analysis was thus conducted which indicated that the gradually increased TAN dictated the bacterial clusters. The dominant Methanosarcina and the increased carbon dioxide content under ammonium stress suggested that, rather than the commonly acknowledged syntrophic acetate oxidation (SAO) with hydrogenotrophic methanogenesis, only SAO pathway was enhanced during the initial ‘ammonium inhibition’. PMID:27312792

Clinical and radiological features of synchronous pure ground-glass nodules observed along with operable non-small cell lung cancer.

PubMed

Dai, Chenyang; Ren, Yijiu; Xie, Huikang; Jiang, Sen; Fei, Ke; Jiang, Gening; Chen, Chang

2016-06-01

It is common to observe synchronous pure ground-glass nodules (PGN) along with operable primary tumor on initial CT scans while clinical and radiological features of these PGNs remain unclear. We included patients with primary tumor and PGNs detected between June 2010 and December 2013 retrospectively. The radiographic manifestations of all PGNs, pathologic findings of resected PGNs, and follow-up outcomes of unresected PGNs were analyzed to determine the predictors of malignant PGNs. Overall, 84 PGNs in 71 patients were included, of which 41 were resected at primary surgery and 43 were followed up. In resected group, there were 17 carcinomatous PGNs, 11 atypical adenomatous hyperplasia, and 13 benign lesions. In a follow-up group, 7 out of 43 PGNs grew, out of which four PGNs were diagnosed as adenocarcinoma and the remaining three PGNs were still followed up. In univariate analysis, size (P < 0.001), air bronchogram (P = 0.001), bubble lucency (P = 0.038), and pleural tag (P = 0.004) were the factors for malignant potential of PGNs. Multivariate analysis showed that size was an independent risk factor (P = 0.005), and the cut-off value was 9.4 mm. The initial size and imaging signs may be useful in assessing the malignant potential of synchronous PGNs before surgery. J. Surg. Oncol. 2016;113:738-744. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Civil helicopter propulsion system reliability and engine monitoring technology assessments

NASA Technical Reports Server (NTRS)

Murphy, J. A.; Zuk, J.

1982-01-01

A study to reduce operating costs of helicopters, particularly directed at the maintenance of the propulsion subsystem, is presented. The tasks of the study consisted of problem definition refinement, technology solutions, diagnostic system concepts, and emergency power augmentation. Quantifiable benefits (reduced fuel consumption, on-condition engine maintenance, extended drive system overhaul periods, and longer oil change intervals) would increase the initial cost by $43,000, but the benefit of $24.46 per hour would result in breakeven at 1758 hours. Other benefits not capable of being quantified but perhaps more important include improved aircraft avilability due to reduced maintenance time, potential for increased operating limits due to continuous automatic monitoring of gages, and less time and fuel required to make engine power checks. The most important improvement is the on-condition maintenance program, which will require the development of algorithms, equipment, and procedures compatible with all operating environments.

Mechanical stability of the CMS strip tracker measured with a laser alignment system

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

Sirunyan, A. M.; Tumasyan, A.; Adam, W.

Here, the CMS tracker consists of 206 m 2 of silicon strip sensors assembled on carbon fibre composite structures and is designed for operation in the temperature range from –25 to +25°C. The mechanical stability of tracker components during physics operation was monitored with a few μm resolution using a dedicated laser alignment system as well as particle tracks from cosmic rays and hadron-hadron collisions. During the LHC operational period of 2011–2013 at stable temperatures, the components of the tracker were observed to experience relative movements of less than 30μm. In addition, temperature variations were found to cause displacements ofmore » tracker structures of about 2μm°C, which largely revert to their initial positions when the temperature is restored to its original value.« less

Mechanical stability of the CMS strip tracker measured with a laser alignment system

DOE PAGES

Sirunyan, A. M.; Tumasyan, A.; Adam, W.; ...

2017-04-21

Here, the CMS tracker consists of 206 m 2 of silicon strip sensors assembled on carbon fibre composite structures and is designed for operation in the temperature range from –25 to +25°C. The mechanical stability of tracker components during physics operation was monitored with a few μm resolution using a dedicated laser alignment system as well as particle tracks from cosmic rays and hadron-hadron collisions. During the LHC operational period of 2011–2013 at stable temperatures, the components of the tracker were observed to experience relative movements of less than 30μm. In addition, temperature variations were found to cause displacements ofmore » tracker structures of about 2μm°C, which largely revert to their initial positions when the temperature is restored to its original value.« less

How do drug market changes affect characteristics of injecting initiation and subsequent patterns of drug use? Findings from a cohort of regular heroin and methamphetamine injectors in Melbourne, Australia.

PubMed

Horyniak, Danielle; Stoové, Mark; Degenhardt, Louisa; Aitken, Campbell; Kerr, Thomas; Dietze, Paul

2015-01-01

Changes in drug market characteristics have been shown to affect drug use patterns but few studies have examined their impacts on injecting initiation experiences and subsequent patterns of injecting drug use (IDU). We collected data on self-reported injecting initiation experiences and past-month patterns of IDU from 688 regular heroin and methamphetamine injectors in Melbourne, Australia, who initiated injecting across three different drug market periods (prior to the Australian heroin shortage ('high heroin')/immediately following the shortage ('low heroin')/'contemporary' markets (fluctuating heroin and methamphetamine availability)). We used univariable and multivariable logistic regression to examine the relationship between period of injecting initiation and first drug injected, and multinomial logistic regression for the relationship between period of injecting initiation and current injecting patterns. 425 participants (62%) reported initiating injecting in the high heroin period, 146 (21%) in the low heroin period, and 117 (17%) in the contemporary period. Participants who initiated injecting during the low heroin period were twice as likely to initiate injecting using a drug other than heroin (AOR: 1.94, 95% CI: 1.27-2.95). The most common patterns of drug use among study participants in the month preceding interview were polydrug use (44%) and primary heroin use (41%). Injecting initiation period was either non-significantly or weakly associated with current drug use pattern, which was more strongly associated with other socio-demographic and drug use characteristics, particularly self-reported drug of choice. The drug market period in which injecting initiation occurred influenced the first drug injected and influenced some aspects of subsequent drug use. In the context of highly dynamic drug markets in which polydrug use is common there is a need for broad harm reduction and drug treatment services which are flexible and responsive to changing patterns of drug use. Copyright © 2014 Elsevier B.V. All rights reserved.

The Incorporation and Initialization of Cloud Water/ice in AN Operational Forecast Model

NASA Astrophysics Data System (ADS)

Zhao, Qingyun

Quantitative precipitation forecasts have been one of the weakest aspects of numerical weather prediction models. Theoretical studies show that the errors in precipitation calculation can arise from three sources: errors in the large-scale forecasts of primary variables, errors in the crude treatment of condensation/evaporation and precipitation processes, and errors in the model initial conditions. A new precipitation parameterization scheme has been developed to investigate the forecast value of improved precipitation physics via the introduction of cloud water and cloud ice into a numerical prediction model. The main feature of this scheme is the explicit calculation of cloud water and cloud ice in both the convective and stratiform precipitation parameterization. This scheme has been applied to the eta model at the National Meteorological Center. Four extensive tests have been performed. The statistical results showed a significant improvement in the model precipitation forecasts. Diagnostic studies suggest that the inclusion of cloud ice is important in transferring water vapor to precipitation and in the enhancement of latent heat release; the latter subsequently affects the vertical motion field significantly. Since three-dimensional cloud data is absent from the analysis/assimilation system for most numerical models, a method has been proposed to incorporate observed precipitation and nephanalysis data into the data assimilation system to obtain the initial cloud field for the eta model. In this scheme, the initial moisture and vertical motion fields are also improved at the same time as cloud initialization. The physical initialization is performed in a dynamical initialization framework that uses the Newtonian dynamical relaxation method to nudge the model's wind and mass fields toward analyses during a 12-hour data assimilation period. Results from a case study showed that a realistic cloud field was produced by this method at the end of the data assimilation period. Precipitation forecasts have been significantly improved as a result of the improved initial cloud, moisture and vertical motion fields.

Initial 12-h operative fluid volume is an independent risk factor for pleural effusion after hepatectomy.

PubMed

Cheng, Xiang; Wu, Jia-Wei; Sun, Ping; Song, Zi-Fang; Zheng, Qi-Chang

2016-12-01

Pleural effusion after hepatectomy is associated with significant morbidity and prolonged hospital stays. Several studies have addressed the risk factors for postoperative pleural effusion. However, there are no researches concerning the role of the initial 12-h operative fluid volume. The aim of this study was to evaluate whether the initial 12-h operative fluid volume during liver resection is an independent risk factor for pleural effusion after hepatectomy. In this study, we retrospectively analyzed clinical data of 470 patients consecutively undergoing elective hepatectomy between January 2011 and December 2012. We prospectively collected and retrospectively analyzed baseline and clinical data, including preoperative, intraoperative, and postoperative variables. Univariate and multivariate analyses were carried out to identify whether the initial 12-h operative fluid volume was an independent risk factor for pleural effusion after hepatectomy. The multivariate analysis identified 2 independent risk factors for pleural effusion: operative time [odds ratio (OR)=10.2] and initial 12-h operative fluid volume (OR=1.0003). Threshold effect analyses revealed that the initial 12 h operative fluid volume was positively correlated with the incidence of pleural effusion when the initial 12-h operative fluid volume exceeded 4636 mL. We conclude that the initial 12-h operative fluid volume during liver resection and operative time are independent risk factors for pleural effusion after hepatectomy. Perioperative intravenous fluids should be restricted properly.

Automatic Adjustments of a Trans-oesophageal Ultrasound Robot for Monitoring Intra-operative Catheters

NASA Astrophysics Data System (ADS)

Wang, Shuangyi; Housden, James; Singh, Davinder; Rhode, Kawal

2017-12-01

3D trans-oesophageal echocardiography (TOE) has become a powerful tool for monitoring intra-operative catheters used during cardiac procedures in recent years. However, the control of the TOE probe remains as a manual task and therefore the operator has to hold the probe for a long period of time and sometimes in a radiation environment. To solve this problem, an add-on robotic system has been developed for holding and manipulating a commercial TOE probe. This paper focuses on the application of making automatic adjustments to the probe pose in order to accurately monitor the moving catheters. The positioning strategy is divided into an initialization step based on a pre-planning method and a localized adjustments step based on the robotic differential kinematics and related image servoing techniques. Both steps are described in the paper along with simulation experiments performed to validate the concept. The results indicate an error less than 0.5 mm for the initialization step and an error less than 2 mm for the localized adjustments step. Compared to the much bigger live 3D image volume, it is concluded that the methods are promising. Future work will focus on evaluating the method in the real TOE scanning scenario.

Fees-for-services, cost recovery, and equity in a district of Burkina Faso operating the Bamako Initiative.

PubMed Central

Ridde, Valéry

2003-01-01

OBJECTIVE: To gauge the effects of operating the Bamako Initiative in Kongoussi district, Burkina Faso. METHODS: Qualitative and quasi-experimental quantitative methodologies were used. FINDINGS: Following the introduction of fees-for-services in July 1997, the number of consultations for curative care fell over a period of three years by an average of 15.4% at "case" health centres but increased by 30.5% at "control" health centres. Moreover, although the operational results for essential drugs depots were not known, expenditure increased on average 2.7 times more than income and did not keep pace with the decline in the utilization of services. Persons in charge of the management committees had difficulties in releasing funds to ensure access to care for the poor. CONCLUSION: The introduction of fees-for-services had an adverse effect on service utilization. The study district is in a position to bear the financial cost of taking care of the poor and the community is able to identify such people. Incentives must be introduced by the state and be swiftly applied so that the communities agree to a more equitable system and thereby allow access to care for those excluded from services because they are unable to pay. PMID:12973646

Latest results and developments from the Hybrid Illinois Device for Research and Applications

NASA Astrophysics Data System (ADS)

Rizkallah, Rabel; Andruczyk, Daniel; Jeckell, Zachary Jon; Shone, Andrew John; Johnson, Daniel Scott; Allain, Jean Paul; Curreli, Davide; Ruzic, David N.; The Hidra Team

2017-10-01

The Hybrid Illinois Device for Research and Applications (HIDRA) is a five-period, l = 2, m = 5, toroidal fusion device operated at the University of Illinois at Urbana-Champaign (UIUC). It has a major radius R0 = 0.72 m and minor radius a = 0.19 m. Initial heating is achieved with 2.45 GHz electron cyclotron resonance heating (ECRH) at an on-axis magnetic field of B0 = 0.087 T which can go as high as B0 = 0.5 T. HIDRA will mainly be used as a classical stellarator, but can also run as a tokamak. This allows for both steady-state and transient regime operations. Experiments on HIDRA will primarily tackle the issue of plasma-material interactions (PMI) in fusion, and focus on developing innovative plasma facing component (PFC) technologies. Currently, research on flowing liquid lithium PFCs meant to be tested inside the machine in real-time operation, is being carried on. The first experiments run on HIDRA started in early 2016 in the low field region. Now, HIDRA is also capable of running in the high field zone, allowing for more interesting experiments and meaningful outcomes. Here, we present some of the initial results coming from the machine.

Applications of nuclear power to lunar and Mars missions

NASA Technical Reports Server (NTRS)

Friedlander, Alan; Cole, Kevin

1988-01-01

The initial elements of an ambitious program for human exploration beyond Earth have been developed and presented to NASA management for its consideration. The Outpost on the Moon and Humans to Mars are two key U.S. programs (Ride 1987). A major space goal of this magnitude can only be implemented by a series of program phases evolving from precursor robotic missions, to initial development of temporary surface stations and buildup of operational experience, through the eventual establishment of permanent and sustained surface bases. Each phase of the separate (or linked) lunar and Mars scenarios will require distinctly different levels and types of power sources to support both transportation and on-surface operations, i.e., the nuclear power reactor. Discussed are the respective types and specific amounts of power required for all major systems in a phased program of lunar and Mars exploration over the period 1990 to 2040. A comparative assessment of technology tradeoffs and special design problems is made to ascertain the most appropriate application for the different phases, as well as to identify synergistic developments across the programs.

Power conditioning equipment for a thermoelectric outer planet spacecraft, volume 1, book 1

NASA Technical Reports Server (NTRS)

Andrews, R. E. (Editor)

1972-01-01

Equipment was designed to receive power from a radioisotope thermoelectric generator source, condition, distribute, and control this power for the spacecraft loads. The TOPS mission, aimed at a representative tour of the outer planets, would operate for an estimated 12 year period. Unique design characteristics required for the power conditioning equipment results from the long mission time and the need for autonomous on-board operations due to large communications distances and the associated time delays of ground initiated actions. The salient features of the selected power subsystem configuration are: (1) The PCE regulates the power from the radioisotope thermoelectric generator power source at 30 vdc by means of a quad-redundant shunt regulator; (2) 30 vdc power is used by certain loads, but is more generally inverted and distributed as square-wave ac power; (3) a protected bus is used to assure that power is always available to the control computer subsystem to permit corrective action to be initiated in response to fault conditions; and (4) various levels of redundancy are employed to provide high subsystem reliability.

Geothermal Energy Geopressure Subprogram: DOE Lafourche Crossing No. 1, Terrebonne Parish and Lafourche Parish, Louisiana: Environmental assessment

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

Not Available

1978-10-01

The proposed action will consist of drilling one geothermal fluid well for intermittent production testing of 284 days over a three year period. Two disposal wells will initially be drilled to provide disposal of lower volume fluids produced during initial testing. Two additional disposal wells will be drilled, logged, completed, tested, and operated prior to commencement of high volume fluid production. Construction of the proposed action will change the land-use of 2 ha (5 ac) for the test well and each of the injection wells from agriculture or wetlands to resource exploration. Lands will be cleared and erosion and runoffmore » will result. During operation of the well test, the only expected impacts are from venting of gases or flaring of gases and noise. After the tests are completed, the area will be restored as much as possible to its natural condition by revegetation programs using nature species. All sources of pollutants will be collected and disposed in environmentally acceptable ways. Accidents may result from this proposed action.« less

Simultaneous Thermal and Gamma Radiation Aging of Electrical Cable Polymers

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

Fifield, Leonard S.

The polymers used for insulation in nuclear power plant electrical cables are susceptible to aging during long term operation. Elevated temperature is the primary contributor to changes in polymer structure that result loss of mechanical and electrical properties, but gamma radiation is also a significant source of degradation for polymers used within relevant plant locations. Despite many years of polymer degradation research, the combined effects of simultaneous exposure to thermal and radiation stress are not well understood. As nuclear operators contemplate and prepare for extended operations beyond initial license periods, a predictive understanding of exposure-based cable material degradation is becomingmore » an increasingly important input to safety, licensing, operations and economic decisions. We are focusing on carefully-controlled simultaneous thermal and gamma radiation accelerating aging and characterization of the most common nuclear cable polymers to understand the relative contributions of temperature, time, dose and dose rate to changes in cable polymer material structure and properties. Improved understanding of cable performance in long term operation will help support continued sustainable nuclear power generation.« less

Innovative Tools for Water Quality/Quantity Management: New York City's Operations Support Tool

NASA Astrophysics Data System (ADS)

Wang, L.; Schaake, J. C.; Day, G. N.; Porter, J.; Sheer, D. P.; Pyke, G.

2011-12-01

The New York City Department of Environmental Protection (DEP) manages New York City's water supply, which is comprised of over 20 reservoirs and supplies more than 1 billion gallons of water per day to over 9 million customers. Recently, DEP has initiated design of an Operations Support Tool (OST), a state-of-the-art decision support system to provide computational and predictive support for water supply operations and planning. This presentation describes the technical structure of OST, including the underlying water supply and water quality models, data sources and database management, reservoir inflow forecasts, and the functionalities required to meet the needs of a diverse group of end users. OST is a major upgrade of DEP's current water supply - water quality model, developed to evaluate alternatives for controlling turbidity in NYC's Catskill reservoirs. While the current model relies on historical hydrologic and meteorological data, OST can be driven by forecasted future conditions. It will receive a variety of near-real-time data from a number of sources. OST will support two major types of simulations: long-term, for evaluating policy or infrastructure changes over an extended period of time; and short-term "position analysis" (PA) simulations, consisting of multiple short simulations, all starting from the same initial conditions. Typically, the starting conditions for a PA run will represent those for the current day and traces of forecasted hydrology will drive the model for the duration of the simulation period. The result of these simulations will be a distribution of future system states based on system operating rules and the range of input ensemble streamflow predictions. DEP managers will analyze the output distributions and make operation decisions using risk-based metrics such as probability of refill. Currently, in the developmental stages of OST, forecasts are based on antecedent hydrologic conditions and are statistical in nature. The statistical algorithm is a relatively simple and versatile, but lacks short-term skill critical for water quality and spill management. To improve short-term skill, OST will ultimately operate with meteorologically driven hydrologic forecasts provided by the National Weather Service (NWS). OST functionalities will support a wide range of DEP uses, including short term operational projections, outage planning and emergency management, operating rule development, and water supply planning. A core use of OST will be to inform reservoir management strategies to control and mitigate turbidity events while ensuring water supply reliability. OST will also allow DEP to manage its complex reservoir system to meet multiple objectives, including ecological flows, tailwater fisheries and recreational releases, and peak flow mitigation for downstream communities.

Implicit learning and emotional responses in nine-month-old infants.

PubMed

Angulo-Barroso, Rosa M; Peciña, Susana; Lin, Xu; Li, Mingyan; Sturza, Julia; Shao, Jie; Lozoff, Betsy

2017-08-01

To study the interplay between motor learning and emotional responses of young infants, we developed a contingent learning paradigm that included two related, difficult, operant tasks. We also coded facial expression to characterise emotional response to learning. In a sample of nine-month-old healthy Chinese infants, 44.7% achieved learning threshold during this challenging arm-conditioning test. Some evidence of learning was observed at the beginning of the second task. The lowest period of negative emotions coincided with the period of maximum movement responses after the initiation of the second task, and movement responses negatively correlated with the frequency of negative emotions. Positive emotions, while generally low throughout the task, increased during peak performance especially for learners. Peak frequency of movement responses was positively correlated with the frequency of positive emotions. Despite the weak evidence of learning this difficult task, our results from the learners would suggest that increasing positive emotions, and perhaps down-regulating negative emotional responses, may be important for improving performance and learning a complex operant task in infancy. Further studies are necessary to determine the role of emotions in learning difficult tasks in infancy.

Dormancy and Recovery Testing for Biological Wastewater Processors

NASA Technical Reports Server (NTRS)

Hummerick, Mary E.; Coutts, Janelle L.; Lunn, Griffin M.; Spencer, LaShelle; Khodadad, Christina L.; Birmele, Michele N.; Frances, Someliz; Wheeler, Raymond

2015-01-01

Bioreactors, such as the aerated hollow fiber membrane type, have been proposed and studied for a number of years as an alternate approach for treating wastewater streams for space exploration. Several challenges remain to be resolved before these types of bioreactors can be used in space settings, including transporting the bioreactors with intact and active biofilms, whether that be to the International Space Station or beyond, or procedures for safing the systems and placing them into a dormant state for later start-up. Little information is available on such operations as it is not common practice for terrestrial systems. This study explored several dormancy processes for established bioreactors to determine optimal storage and recovery conditions. Procedures focused on complete isolation of the microbial communities from an operational standpoint and observing the effects of: 1) storage temperature, and 2) storage with or without the reactor bulk fluid. The first consideration was tested from a microbial integrity and power consumption standpoint; both ambient temperature (25 C) and cold (4 C) storage conditions were studied. The second consideration was explored; again, for microbial integrity as well as plausible real-world scenarios of how terrestrially established bioreactors would be transported to microgravity and stored for periods of time between operations. Biofilms were stored without the reactor bulk fluid to simulate transport of established biofilms into microgravity, while biofilms stored with the reactor bulk fluid simulated the most simplistic storage condition to implement operations for extended periods of nonuse. Dormancy condition did not have an influence on recovery in initial studies with immature biofilms (48 days old), however a lengthy recovery time was required (20+ days). Bioreactors with fully established biofilms (13 months) were able to recover from a 7-month dormancy period to steady state operation within 4 days (approx. 1 residence cycle). Results indicate a need for future testing on biofilm age and health and further exploration of dormancy length.

Dormancy and Recovery Testing for Biological Wastewater Processors

NASA Technical Reports Server (NTRS)

Hummerick, Mary E.; Coutts, Janelle L.; Lunn, Griffin M.; Spencer, LaShelle; Khodadad, Christina L.; Frances, Someliz; Wheller, Raymond

2015-01-01

Bioreactors, such as aerated membrane type bioreactors have been proposed and studied for a number of years as an alternate approach for treating wastewater streams for space exploration. Several challenges remain before these types of bioreactors can be used in space settings, including transporting the bioreactors with their microbial communities to space, whether that be the International Space Station or beyond, or procedures for safing the systems and placing them into dormant state for later start-up. Little information is available on such operations as it is not common practice for terrestrial systems. This study explored several dormancy processes for established bioreactors to determine optimal storage and recovery conditions. Procedures focused on complete isolation of the microbial communities from an operational standpoint and observing the effects of: 1) storage temperature, and 2) storage with or without the reactor bulk fluid. The first consideration was tested from a microbial integrity and power consumption standpoint; both room temperature (25 C) and cold (4 C) storage conditions were studied. The second consideration was explored; again, for microbial integrity as well as plausible real-world scenarios of how terrestrially established bioreactors would be transported to microgravity and stored for periods of time between operations. Biofilms were stored without the reactor bulk fluid to simulate transport of established biofilms into microgravity, while biofilms stored with the reactor bulk fluid simulated the most simplistic storage condition to implement operations for extended periods of nonuse. Dormancy condition did not have an influence on recovery in initial studies with immature biofilms (48 days old), however, a lengthy recovery time was required (20+ days). Bioreactors with fully established biofilms (13 months) were able to recover from a 7-month dormancy period to steady state operation within 4 days (approximately 1 residence cycle). Results indicate a need for future testing on biofilm age and health and further exploration of dormancy length.

Sao Paulo Lightning Mapping Array (SP-LMA): Deployment, Operation and Initial Data Analysis

NASA Technical Reports Server (NTRS)

Blakeslee, R.; Bailey, J. C.; Carey, L. D.; Rudlosky, S.; Goodman, S. J.; Albrecht, R.; Morales, C. A.; Anseimo, E. M.; Pinto, O.

2012-01-01

An 8-10 station Lightning Mapping Array (LMA) network is being deployed in the vicinity of Sao Paulo to create the SP-LMA for total lightning measurements in association with the international CHUVA [Cloud processes of the main precipitation systems in Brazil: A contribution to cloud resolving modeling and to the GPM (Global Precipitation Measurement)] field campaign. Besides supporting CHUVA science/mission objectives and the Sao Luiz do Paraitinga intensive operation period (IOP) in November-December 2011, the SP-LMA will support the generation of unique proxy data for the Geostationary Lightning Mapper (GLM) and Advanced Baseline Imager (ABI), both sensors on the NOAA Geostationary Operational Environmental Satellite-R (GOES-R), presently under development and scheduled for a 2015 launch. The proxy data will be used to develop and validate operational algorithms so that they will be ready for use on "day1" following the launch of GOES-R. A preliminary survey of potential sites in the vicinity of Sao Paulo was conducted in December 2009 and January 2010, followed up by a detailed survey in July 2010, with initial network deployment scheduled for October 2010. However, due to a delay in the Sao Luiz do Paraitinga IOP, the SP-LMA will now be installed in July 2011 and operated for one year. Spacing between stations is on the order of 15-30 km, with the network "diameter" being on the order of 30-40 km, which provides good 3-D lightning mapping 150 km from the network center. Optionally, 1-3 additional stations may be deployed in the vicinity of Sao Jos dos Campos.

78 FR 65621 - Implementation of Title I/II Program Initiatives; Extension of Public Comment Period; Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-01

... DEPARTMENT OF EDUCATION Implementation of Title I/II Program Initiatives; Extension of Public Comment Period; Correction AGENCY: Department of Education. ACTION: Correction notice. SUMMARY: On October... Title I/II Program Initiatives,'' Docket ID ED- 2013-ICCD-0090. The comment period for this information...

Auditing laboratory rodent biosecurity programs.

PubMed

Porter, William P; Horn, Mandy J; Cooper, Dale M; Klein, Hilton J

2013-10-22

A rodent biosecurity program that includes periodic evaluation of procedures used in an institution's vivarium can be used to ensure that best practices are in place to prevent a microbial pathogen outbreak. As a result of an ongoing comprehensive biosecurity review within their North American and European production facilities, the authors developed a novel biosecurity auditing process and worksheet that could be useful in other animal care and use operations. The authors encourage other institutions to consider initiating similar audits of their biosecurity programs to protect the health of their laboratory animals.

Recording Rapidly Changing Cylinder-wall Temperatures

NASA Technical Reports Server (NTRS)

Meier, Adolph

1942-01-01

The present report deals with the design and testing of a measuring plug suggested by H. Pfriem for recording quasi-stationary cylinder wall temperatures. The new device is a resistance thermometer, the temperature-susceptible part of which consists of a gold coating applied by evaporation under high vacuum and electrolytically strengthened. After overcoming initial difficulties, calibration of plugs up to and beyond 400 degrees C was possible. The measurements were made on high-speed internal combustion engines. The increasing effect of carbon deposit at the wall surface with increasing operating period is indicated by means of charts.

The Initial Period of War: A Soviet View,

DTIC Science & Technology

1974-01-01

more than a week before the start of the war, the German battleship Schleswig- Holstein arrived at the port of Danzig, purportedly by in- vitation of...submarines, and a fleet of minesweepers entered Danzig Bay after the Schleswig- Holstein . Later the old battleship Schlesien also arrived here. 23 All...d this niv,.cll. I ".oul never have believed that such an operation %a, ,sible at Al’ ( , I m,m, p iwr ho’It t ’I nt’ion, lararw’crI (Mo2 cow : 00

Hubble Space Telescope high speed photometer orbital verification

NASA Technical Reports Server (NTRS)

Richards, Evan E.

1991-01-01

The purpose of this report is to provide a summary of the results of the HSP (High Speed Photometer) Orbital Verification (OV) tests and to report conclusions and lessons learned from the initial operations of the HSP. The HSP OV plan covered the activities through fine (phase 3) alignment. This report covers all activities (OV, SV, and SAO) from launch to the completion of phase 3 alignment. Those activities in this period that are not OV tests are described to the extent that they relate to OV activities.

Formation and removal of PCDD/Fs in a municipal waste incinerator during different operating periods.

PubMed

Wang, Hou Chuan; Hwang, Jyh Feng; Chi, Kai Hsien; Chang, Moo Been

2007-04-01

The PCDD/F concentrations and removal efficiencies achieved with air pollution control devices (APCDs) during different operating periods (start-up, normal operation, and shut-down) at an existing municipal waste incinerator (MWI) in Taiwan are evaluated via stack sampling and analysis. The MWI investigated is equipped with electrostatic precipitators (EP), wet scrubbers (WS), and selective catalytic reduction system (SCR) as APCDs. The sampling results indicate that the PCDD/F concentrations at the EP inlet during start-up period were 15 times higher than that measured during normal operation period. The PCDD/F concentration observed at shut-down period was close to that measured at normal operation period. The CO concentration was between 400 and 1000 ppm during start-up period, which was about 50 times higher compared with the normal operation. Hence, combustion condition significantly affected the PCDD/F formation concentration during the waste incineration process. In addition, the distributions of the PCDD/F congeners were similar at different operating periods. During the normal operation and shut-down periods, the EP decreases the PCDD/F concentration (based on TEQ) by 18.4-48.6%, while the removal efficiency of PCDD/Fs achieved with SCR system reaches 99.3-99.6%. Nevertheless, the PCDD/F removal efficiency achieved with SCR was only 42% during the 19-h start-up period due to the low SCR operating temperature (195 degrees C).

14 CFR 91.867 - Phased compliance for new entrants.

Code of Federal Regulations, 2010 CFR

2010-01-01

... initiating operations under part 121 of this chapter on or before December 31, 1994, may initiate service... initiating part 129 operations on or before December 31, 1994, may initiate service without regard to the... the fleet on U.S. operations specifications of a new entrant foreign air carrier must comply with...

The Explorer XVI Micrometeoroid Satellite Description and Preliminary Results for the Period December 16, 1962 Through January 13, 1963

NASA Technical Reports Server (NTRS)

Hastings, E. C., Jr.

1963-01-01

Explorer XVI (1962 Beta Chi l) data that have been analyzed for the period between December 16, 1962 (launch date), and January 13, 1963, indicate that the orbit achieved was close to the predicted orbit. Ten punctures of annealed 0.001-inch-thick beryllium-copper have been used to determine a puncture rate of 0.035 per square foot per day in this material. One puncture of a 0.002-inch-thick sample has also occurred in this period. A tentative evaluation of the puncture rate for the 0.001-inch beryllium-copper in terms of the rate for an equivalent thickness of aluminum has been attempted, and the result has been compared with two different puncture rate estimates. The three micrometeoroid impact detecting systems are operating. Counting rates for the high- and low-sensitivity systems were close to anticipated values near the end of one week. Two of the 0.001-inch-steel-covered grid detectors have been punctured, but none of the 0.003- or 0.006-inch-steel-covered grid detectors have indicated punctures. One of the cadmium sulfide cells indicates three punctures of the 0.00025-inch Mylar cover. None of the 0.002- or 0.003-inch-copper-wire cards have indicated a break in the period covered. Telemetry temperatures were initially higher than expected although they remained well within operating limits. Sensor temperatures have remained within the expected bounds.

A study comparing two consecutive historical periods in breast cancer with a focus on surgical treatment, loco-regional recurrence, distant metastases and mortality.

PubMed

García-Fernández, A; Chabrera, C; García-Font, M; Fraile, M; Barco, I; González, S; Cirera, L; Lain, J M; González, C; Veloso, E; Codina, L; Piqueras, M; Pessarrodona, A; Gimenez, N

2015-04-01

Recent introduction of breast units, mass-screening programmes (SP) and sentinel node biopsy (SNB) has impacted on the clinical care of breast cancer patients (BC), resulting in a significant increase of breast-conserving surgery with the goal of achieving completely free margins and good cosmetic outcome, along with significantly less axillary morbidity. In order to ascertain the combined impact of SP and SNB on BC patients, we have reviewed the primary therapeutic approach of patients diagnosed with invasive breast carcinoma in our centre, both before and after implementation of the two new procedures. 1,942 patients operated for BC between 1997 and 2013 in two clinical centres. Two historical periods were considered: before and after the advent of the Breast Unit in our institutions and the concurrent implementation of SP and SNB (September 2002). Rates of breast-conserving surgery and re-operations improved in the second period. Intraoperative margin re-excision increased in the second period. Breast-conserving surgery decreased in parallel to stage: from 79 % for stage I to 31 % for stage III. The Cox analysis, including stage as adjusted for all significant variables, showed statistically significant differences in favour of the initial stages but only for specific mortality, not overall mortality. Combined implementation of breast units, SP, and SNB have resulted in a significant improvement of BC treatment leading to increased rates of breast-conserving surgery and decreased disease recurrence and mortality.

30 CFR 47.2 - Operators and chemicals covered; initial miner training.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Operators and chemicals covered; initial miner... Training § 47.2 Operators and chemicals covered; initial miner training. (a) This part applies to any operator producing or using a hazardous chemical to which a miner can be exposed under normal conditions of...

30 CFR 47.2 - Operators and chemicals covered; initial miner training.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Operators and chemicals covered; initial miner... Training § 47.2 Operators and chemicals covered; initial miner training. (a) This part applies to any operator producing or using a hazardous chemical to which a miner can be exposed under normal conditions of...

30 CFR 47.2 - Operators and chemicals covered; initial miner training.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Operators and chemicals covered; initial miner... Training § 47.2 Operators and chemicals covered; initial miner training. (a) This part applies to any operator producing or using a hazardous chemical to which a miner can be exposed under normal conditions of...

30 CFR 47.2 - Operators and chemicals covered; initial miner training.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Operators and chemicals covered; initial miner... Training § 47.2 Operators and chemicals covered; initial miner training. (a) This part applies to any operator producing or using a hazardous chemical to which a miner can be exposed under normal conditions of...

30 CFR 47.2 - Operators and chemicals covered; initial miner training.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Operators and chemicals covered; initial miner... Training § 47.2 Operators and chemicals covered; initial miner training. (a) This part applies to any operator producing or using a hazardous chemical to which a miner can be exposed under normal conditions of...

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

Eto, Joe; Eto, Joe; Lesieutre, Bernard

The increased need to manage California?s electricity grid in real time is a result of the ongoing transition from a system operated by vertically-integrated utilities serving native loads to one operated by an independent system operator supporting competitive energy markets. During this transition period, the traditional approach to reliability management -- construction of new transmission lines -- has not been pursued due to unresolved issues related to the financing and recovery of transmission project costs. In the absence of investments in new transmission infrastructure, the best strategy for managing reliability is to equip system operators with better real-time information aboutmore » actual operating margins so that they can better understand and manage the risk of operating closer to the edge. A companion strategy is to address known deficiencies in offline modeling tools that are needed to ground the use of improved real-time tools. This project: (1) developed and conducted first-ever demonstrations of two prototype real-time software tools for voltage security assessment and phasor monitoring; and (2) prepared a scoping study on improving load and generator response models. Additional funding through two separate subsequent work authorizations has already been provided to build upon the work initiated in this project.« less

Efficacy of Single-dose and 2-dose Intravenous Administration of Ramosetron in Preventing Postoperative Nausea and Vomiting After Laparoscopic Gynecologic Operation: A Randomized, Double-blind, Placebo-controlled, Phase 2 Trial.

PubMed

Lee, Banghyun; Kim, Kidong; Suh, Dong Hoon; Shin, Hyun-Jung; No, Jae Hong; Lee, Jung Ryeol; Jee, Byung Chul; Hwang, Jung Won; Do, Sang Hwan; Kim, Yong Beom

2017-06-01

This randomized trial investigated whether a 2-dose administration of intravenous ramosetron (5-hydroxytryptamine type 3 receptor antagonist) is more effective than a single-dose administration in preventing postoperative nausea and vomiting (PONV) in 89 patients who were scheduled to undergo laparoscopic operation for benign gynecologic diseases and to receive intravenous patient-controlled analgesia for relief of postoperative pain. After assignment at a ratio of 1:1, intravenous ramosetron (0.3 mg) was initially administered at the end of skin closure in all patients. Thereafter, ramosetron (0.3 mg) and placebo were administered to the study and control groups, respectively, at 4 hours after the operation. The baseline and operative characteristics were similar between the groups. The incidence of PONV during the 24-hour period after operation which was assessed as the primary endpoint did not differ between the groups. No serious adverse events occurred in either group. A 2-dose administration of intravenous ramosetron may not be superior to a single-dose administration in preventing PONV in patients undergoing laparoscopic operation for benign gynecologic diseases.

The operable modeling of simultaneous saccharification and fermentation of ethanol production from cellulose.

PubMed

Shen, Jiacheng; Agblevor, Foster A

2010-03-01

An operable batch model of simultaneous saccharification and fermentation (SSF) for ethanol production from cellulose has been developed. The model includes four ordinary differential equations that describe the changes of cellobiose, glucose, yeast, and ethanol concentrations with respect to time. These equations were used to simulate the experimental data of the four main components in the SSF process of ethanol production from microcrystalline cellulose (Avicel PH101). The model parameters at 95% confidence intervals were determined by a MATLAB program based on the batch experimental data of the SSF. Both experimental data and model simulations showed that the cell growth was the rate-controlling step at the initial period in a series of reactions of cellulose to ethanol, and later, the conversion of cellulose to cellobiose controlled the process. The batch model was extended to the continuous and fed-batch operating models. For the continuous operation in the SSF, the ethanol productivities increased with increasing dilution rate, until a maximum value was attained, and rapidly decreased as the dilution rate approached the washout point. The model also predicted a relatively high ethanol mass for the fed-batch operation than the batch operation.

Test Rack Development for Extended Operation of Advanced Stirling Convertors at NASA Glenn Research Center

NASA Technical Reports Server (NTRS)

Dugala, Gina M.

2009-01-01

The U.S. Department of Energy (DOE), Lockheed Martin Space Company (LMSC), Sun power Inc., and NASA Glenn Research Center (GRC) have been developing an Advanced Stirling Radioisotope Generator (ASRG) for use as a power system on space science missions. This generator will make use of free-piston Stirling convertors to achieve higher conversion efficiency than currently available alternatives. NASA GRC's support of ASRG development includes extended operation testing of Advanced Stirling Convertors (ASCs) developed by Sunpower Inc. In the past year, NASA GRC has been building a test facility to support extended operation of a pair of engineering level ASCs. Operation of the convertors in the test facility provides convertor performance data over an extended period of time. Mechanical support hardware, data acquisition software, and an instrumentation rack were developed to prepare the pair of convertors for continuous extended operation. Short-term tests were performed to gather baseline performance data before extended operation was initiated. These tests included workmanship vibration, insulation thermal loss characterization, low-temperature checkout, and fUll-power operation. Hardware and software features are implemented to ensure reliability of support systems. This paper discusses the mechanical support hardware, instrumentation rack, data acquisition software, short-term tests, and safety features designed to support continuous unattended operation of a pair of ASCs.

Provision of pandemic disease information by health sciences librarians: a multisite comparative case series.

PubMed

Featherstone, Robin M; Boldt, R Gabriel; Torabi, Nazi; Konrad, Shauna-Lee

2012-04-01

The research provides an understanding of pandemic information needs and informs professional development initiatives for librarians in disaster medicine. Utilizing a multisite, comparative case series design, the researchers conducted semi-structured interviews and examined supplementary materials in the form of organizational documents, correspondence, and websites to create a complete picture of each case. The rigor of the case series was ensured through data and investigator triangulation. Interview transcripts were coded using NVivo to identify common themes and points of comparison. Comparison of the four cases revealed a distinct difference between "client-initiated" and "librarian-initiated" provision of pandemic information. Librarian-initiated projects utilized social software to "push" information, whereas client-initiated projects operated within patron-determined parameters to deliver information. Health care administrators were identified as a key audience for pandemic information, and news agencies were utilized as essential information sources. Librarians' skills at evaluating available information proved crucial for selecting best-quality evidence to support administrative decision making. Qualitative analysis resulted in increased understanding of pandemic information needs and identified best practices for disseminating information during periods of high organizational stress caused by an influx of new cases of an unknown infectious disease.

Meteorological factors and timing of the initiating event of human parturition

NASA Astrophysics Data System (ADS)

Hirsch, Emmet; Lim, Courtney; Dobrez, Deborah; Adams, Marci G.; Noble, William

2011-03-01

The aim of this study was to determine whether meteorological factors are associated with the timing of either onset of labor with intact membranes or rupture of membranes prior to labor—together referred to as `the initiating event' of parturition. All patients delivering at Evanston Hospital after spontaneous labor or rupture of membranes at ≥20 weeks of gestation over a 6-month period were studied. Logistic regression models of the initiating event of parturition using clinical variables (maternal age, gestational age, parity, multiple gestation and intrauterine infection) with and without the addition of meteorological variables (barometric pressure, temperature and humidity) were compared. A total of 1,088 patients met the inclusion criteria. Gestational age, multiple gestation and chorioamnionitis were associated with timing of initiation of parturition ( P < 0.01). The addition of meteorological to clinical variables generated a statistically significant improvement in prediction of the initiating event; however, the magnitude of this improvement was small (less than 2% difference in receiver-operating characteristic score). These observations held regardless of parity, fetal number and gestational age. Meteorological factors are associated with the timing of parturition, but the magnitude of this association is small.

Developing AJN Network: phase two. An information resource for nurses.

PubMed Central

Rizzolo, M. A.; DuBois, K.

1995-01-01

In September of 1993 the American Journal of Nursing Company was awarded a three-year Special Projects Grant from the Division of Nursing, Department of Health and Human Services to develop a national information service that would provide a variety of formal and informal continuing education services to nurses in medically underserved communities. AJN Network went "live" in March 1994 and our progress in our first year of operation was presented at SCAMC in 1994. During the first year of operation, AJN Network was available through a dial in service. In September 1994 we became an Internet node. This presentation will detail our progress in Year 2 of the grant period, describing expansion of user base and content, new content offerings, initial stages of WEB development and plans for future development. PMID:8563246

[Geotechnical Board activities and funding]. [Annual] activites report, July 1, 1992--June 30, 1993

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

Smeallie, P.H.

1993-07-23

The Geotechnical Board, a part of the US National Research Council, which is the operating arm of the National Academy of Sciences and the National Academy of Engineering, serves to advise the federal government and others on issues where geotechnology can have an impact, such as environmental remediation and infrastructure development. The board met three times during the reporting period to review current projects and to initiate activities that move the knowledge base of geotechnology forward. The board operates with two long-standing national committees, the US National Committee for Rock Mechanics and the US National Committee on Tunneling Technology. Itmore » also conducts special studies at the request of the government. A list of attachments is given.« less

42 CFR 457.370 - Alignment with Exchange initial open enrollment period.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Alignment with Exchange initial open enrollment period. 457.370 Section 457.370 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... Alignment with Exchange initial open enrollment period. The terms of § 435.1205 apply equally to the State...

A comprehensive analysis of eye bank-prepared posterior lamellar corneal tissue for use in endothelial keratoplasty.

PubMed

Kelliher, Clare; Engler, Christoph; Speck, Caroline; Ward, Don; Farazdaghi, Sameera; Jun, Albert S

2009-10-01

The purpose of this study was to assess eye bank-prepared corneal tissue with regards to the accuracy of postcut tissue thickness, endothelial cell loss, and rate of successful processing. Details of all 913 corneal tissues processed with an automated microkeratome for use in posterior lamellar transplantation, over a 1-year period, were obtained from a large eye bank. The number and success rate of all attempted cutting procedures were analyzed. The thickness of the corneal button obtained after cutting was compared with the graft thickness requested by the operating surgeon. Changes in endothelial cell density (ECD) during tissue processing were evaluated. The rate of successful tissue preparation increased over the time period examined, from 95% in the first quarter to 99.5% in the fourth quarter. Graft material was frequently slightly thicker than requested by the operating surgeon with 28.3% of tissues cut thicker than requested. Postcut ECD over the entire period increased by an average of 4.7% and was closely related to the starting ECD. There was a very high rate of successful tissue preparation (98.5%), and early failed attempts at tissue cutting were likely the result of the initial learning curve of the involved technicians. Practical considerations resulted in tissue being cut marginally thicker than requested; this is an issue about which the operating surgeon should be aware, because it may possibly influence tissue handling. The quality of the obtained material, as measured by ECD, was excellent, although the calculated ECD may be prone to measurement artifact.

Utility of blind forceps biopsy of the main carina and upper-lobe carina in patients with non-small cell lung cancer.

PubMed

Gunen, H; Kizkin, O; Tahaoglu, C; Aktas, O

2001-02-01

Preoperative detection of non-small cell lung cancer (NSCLC) metastasis to the main carina and upper-lobe carina can alter the operative approach, preclude further staging procedures, and save many patients from thoracotomy. This study assessed whether bronchoscopic forceps biopsy of the normal-appearing main carina and upper-lobe carina (blind biopsy) ipsilateral to the primary NSCLC lesion improved the accuracy of cancer staging and helped guide the management of these patients. A prospective study of 52 patients was carried out at the SSK Süreyyapasa Center for Chest Disease and Cardiothoracic Surgery. Over a 6-month period, we bronchoscopically evaluated 52 consecutive NSCLC patients who were radiologically classified as operable. At least five blind forceps biopsy specimens were obtained from the main carina and/or upper-lobe carina during each patient's initial fiberoptic bronchoscopic examination. Biopsy specimens were collected from the main carina and upper-lobe carina in 51 and 17 patients, respectively. Initially, all patients were staged and evaluated for operability in standard fashion, without histologic assessment of the blind biopsy specimens. We then restaged the disease and reassessed the patients' operability in light of the biopsy findings. Metastasis was histologically diagnosed in seven patients (13.7%) who underwent main carina biopsy and in four patients (23.5%) who underwent upper-lobe carina biopsy. Cancer-positive blind biopsy results changed the status of 25% (6 of 24) of patients from operable to inoperable, and changed the surgical approach in 11.1% (2 of 18) of patients who ultimately did undergo surgery. We found no statistical relationship between metastasis to either carina and tumor type, stage of disease, visibility of the tumor on fiberoptic bronchoscopy, primary tumor location, T status, or N status (p > 0.05). A blind forceps biopsy of the main carina and upper-lobe carina ipsilateral to the lesion site should be done routinely at initial bronchoscopic examination of all radiologically operable patients with suspected lung cancer. This type of screening can save a significant number of NSCLC patients from inappropriate or unnecessary thoracotomy and further staging procedures with their associated morbidity and risk.

Performance indicators evaluation of the population-based breast cancer screening programme in Northern Portugal using the European Guidelines.

PubMed

Bento, Maria José; Gonçalves, Guilherme; Aguiar, Ana; Castro, Clara; Veloso, Vitor; Rodrigues, Vítor

2015-10-01

To evaluate the first 10 years of operation of the population-based breast cancer screening programme implemented in the Northern Region of Portugal, using selected recommended standard performance indicators. Data from women aged 50-69 screened with two-view mammography, biennially, in the period 2000-2009, were included. Main performance indicators were compared with the recommended levels of the European Guidelines. A total of 202,039 screening examinations were performed, 71,731 (35.5%) in the initial screening and 130,308 (64.5%) in the subsequent screening. Coverage rate by examination reached 74.3% of the target population, in the last period evaluated. Recall rates were 8.1% and 2.4% and cancer detection rates were 4.4/1000 and 2.9/1000 respectively, for initial and subsequent screenings. The breast cancer detection rate, expressed as a multiple of the background expected incidence was 3.1 in initial screen and 2.2 in subsequent screen. The incidence of invasive interval cancers met the desirable recommended levels both the first and second years since last screening examination, in the initial and subsequent screenings. Invasive tumours <15mm were 50.4% and 53.8% of the invasive cancers detected in initial and subsequent screenings. Less favourable size, grading and biomarkers expression were found in interval cancers compared to screen-detected cancers. Breast cancer screening programme in the Northern Region of Portugal was well accepted by the population. Most of the performance indicators were consistent with the desirable levels of the European Guidelines, which indicate an effective screening programme. Future research should verify the consistency of some of these results by using updated information from a larger population. Copyright © 2015 Elsevier Ltd. All rights reserved.

Incident Learning and Failure-Mode-and-Effects-Analysis Guided Safety Initiatives in Radiation Medicine

PubMed Central

Kapur, Ajay; Goode, Gina; Riehl, Catherine; Zuvic, Petrina; Joseph, Sherin; Adair, Nilda; Interrante, Michael; Bloom, Beatrice; Lee, Lucille; Sharma, Rajiv; Sharma, Anurag; Antone, Jeffrey; Riegel, Adam; Vijeh, Lili; Zhang, Honglai; Cao, Yijian; Morgenstern, Carol; Montchal, Elaine; Cox, Brett; Potters, Louis

2013-01-01

By combining incident learning and process failure-mode-and-effects-analysis (FMEA) in a structure-process-outcome framework we have created a risk profile for our radiation medicine practice and implemented evidence-based risk-mitigation initiatives focused on patient safety. Based on reactive reviews of incidents reported in our departmental incident-reporting system and proactive FMEA, high safety-risk procedures in our paperless radiation medicine process and latent risk factors were identified. Six initiatives aimed at the mitigation of associated severity, likelihood-of-occurrence, and detectability risks were implemented. These were the standardization of care pathways and toxicity grading, pre-treatment-planning peer review, a policy to thwart delay-rushed processes, an electronic whiteboard to enhance coordination, and the use of six sigma metrics to monitor operational efficiencies. The effectiveness of these initiatives over a 3-years period was assessed using process and outcome specific metrics within the framework of the department structure. There has been a 47% increase in incident-reporting, with no increase in adverse events. Care pathways have been used with greater than 97% clinical compliance rate. The implementation of peer review prior to treatment-planning and use of the whiteboard have provided opportunities for proactive detection and correction of errors. There has been a twofold drop in the occurrence of high-risk procedural delays. Patient treatment start delays are routinely enforced on cases that would have historically been rushed. Z-scores for high-risk procedures have steadily improved from 1.78 to 2.35. The initiatives resulted in sustained reductions of failure-mode risks as measured by a set of evidence-based metrics over a 3-years period. These augment or incorporate many of the published recommendations for patient safety in radiation medicine by translating them to clinical practice. PMID:24380074

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

Sevik, James; Wallner, Thomas; Pamminger, Michael

The efficiency improvement and emissions reduction potential of lean and exhaust gas recirculation (EGR)-dilute operation of spark-ignition gasoline engines is well understood and documented. However, dilute operation is generally limited by deteriorating combustion stability with increasing inert gas levels. The combustion stability decreases due to reduced mixture flame speeds resulting in significantly increased combustion initiation periods and burn durations. A study was designed and executed to evaluate the potential to extend lean and EGR-dilute limits using a low-energy transient plasma ignition system. The low-energy transient plasma was generated by nanosecond pulses and its performance compared to a conventional transistorized coilmore » ignition (TCI) system operated on an automotive, gasoline direct-injection (GDI) single-cylinder research engine. The experimental assessment was focused on steady-state experiments at the part load condition of 1500 rpm 5.6 bar indicated mean effective pressure (IMEP), where dilution tolerance is particularly critical to improving efficiency and emission performance. Experimental results suggest that the energy delivery process of the low-energy transient plasma ignition system significantly improves part load dilution tolerance by reducing the early flame development period. Statistical analysis of relevant combustion metrics was performed in order to further investigate the effects of the advanced ignition system on combustion stability. Results confirm that at select operating conditions EGR tolerance and lean limit could be improved by as much as 20% (from 22.7 to 27.1% EGR) and nearly 10% (from λ = 1.55 to 1.7) with the low-energy transient plasma ignition system.« less

Risk factors and clinical indicators for the development of biliary strictures post liver transplant: Significance of bilirubin

PubMed Central

Forrest, Elizabeth Ann; Reiling, Janske; Lipka, Geraldine; Fawcett, Jonathan

2017-01-01

AIM To identify risk factors associated with the formation of biliary strictures post liver transplantation over a period of 10-year in Queensland. METHODS Data on liver donors and recipients in Queensland between 2005 and 2014 was obtained from an electronic patient data system. In addition, intra-operative and post-operative characteristics were collected and a logistical regression analysis was performed to evaluate their association with the development of biliary strictures. RESULTS Of 296 liver transplants performed, 285 (96.3%) were from brain dead donors. Biliary strictures developed in 45 (15.2%) recipients. Anastomotic stricture formation (n = 25, 48.1%) was the commonest complication, with 14 (58.3%) of these occurred within 6-mo of transplant. A percutaneous approach or endoscopic retrograde cholangiography was used to treat 17 (37.8%) patients with biliary strictures. Biliary reconstruction was initially or ultimately required in 22 (48.9%) patients. In recipients developing biliary strictures, bilirubin was significantly increased within the first post-operative week (Day 7 total bilirubin 74 μmol/L vs 49 μmol/L, P = 0.012). In both univariate and multivariate regression analysis, Day 7 total bilirubin > 55 μmol/L was associated with the development of biliary stricture formation. In addition, hepatic artery thrombosis and primary sclerosing cholangitis were identified as independent risk factors. CONCLUSION In addition to known risk factors, bilirubin levels in the early post-operative period could be used as a clinical indicator for biliary stricture formation. PMID:29312864

The International Geophysical Month: Short periods of cooperative study can consolidate the gains of the International Geophysical Year.

PubMed

Helliwell, R A; Martin, L H

1961-12-01

For convenience, we summarize below some of the main advantages of the IGM concept. 1) Most organizations can mount and support intensive field operations for short periods. 2) High-quality data would be obtained, and the data could be processed more promptly than in long-term projects. 3) Laboratory equipment could in many instances be mnade available for field operations. 4) Top-caliber researchers would be available for field operations. 5) The participation of small research groups and of research workers from government and industry would be fostered. 6) Student participation would improve educational programs in, and attract needed talent to, the geophysical sciences. 7) Ship, satellite, and rocket observations could be scheduled for IGM's. 8) International scientific conferences scheduled to follow IGM's would attract working scientists. It is not suggested that these short-term exercises should replace the long synoptic programs characteristic of the IGY. Rather it is proposed that they supplement and guide any such future long-term program. If adopted, they would produce many data of value for the planning and timing of the International Year of the Quiet Sun. To bring emphasis on special observations during the IQSY, International Geophysical Months might well be scheduled to coincide with the June and December solstices, to be followed by an IGM at an equinoctial period. This would provide periods for concentrated sampling-periods in somewhat the same category as the Regular World Intervals adopted during the IGY. The more elaborate experiments could be confined to the International Geophysical Months, so that only those studies for which continuous observations are essential would be scheduled for the entire period. The duration of an International Geophysical Month would be sufficient for carrying out experiments requiring moving platforms such as ships, rockets, or satellites. It is recommended that every effort be made to schedule the first IGM during the June solstice in 1962. This initial effort could well be followed by the scheduling of IGM's during the December solstice in 1962 and the March equinox in 1963. These exercises would provide information important to the planning and scheduling of the IQSY (1).

An initial report on the intraoperative use of indocyanine green fluorescence imaging in the surgical management of liver tumorss.

PubMed

Takahashi, Hideo; Zaidi, Nisar; Berber, Eren

2016-10-01

There has been a recent interest in the use of Indocyanine green (ICG) imaging. The aim of this study is to review our initial experience in liver surgery. ICG fluorescent imaging was used in 15 patients undergoing surgical treatment of their liver tumors between 2015 and 2016. ICG imaging was initially performed, followed by intraoperative ultrasound (IOUS). Findings on fluorescence were compared with preoperative cross-sectional imaging and IOUS. Sixty-two lesions were identified, with 34 located superficially and 28 deeply in the liver. While 13 patients underwent surgery for malignant liver metastases, two patients had operations for benign liver diseases. Seven patients underwent open or robotic liver resections, five laparoscopic microwave liver ablation, and three diagnostic laparoscopy. ICG identified all of the superficial lesions. IOUS identified 98% of all lesions. The most benefit of ICG was in showing the margins of the superficial lesions in real-time and guiding surgical treatment, which was limited by IOUS. This is the first North American study to evaluate the potential utility of ICG during liver surgery. Its major benefit seems to be in providing real-time feedback to the surgeon about the margins of superficial tumors for resection or ablation. J. Surg. Oncol. 2016;114:625-629. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Semantic and phonological contributions to short-term repetition and long-term cued sentence recall.

PubMed

Meltzer, Jed A; Rose, Nathan S; Deschamps, Tiffany; Leigh, Rosie C; Panamsky, Lilia; Silberberg, Alexandra; Madani, Noushin; Links, Kira A

2016-02-01

The function of verbal short-term memory is supported not only by the phonological loop, but also by semantic resources that may operate on both short and long time scales. Elucidation of the neural underpinnings of these mechanisms requires effective behavioral manipulations that can selectively engage them. We developed a novel cued sentence recall paradigm to assess the effects of two factors on sentence recall accuracy at short-term and long-term stages. Participants initially repeated auditory sentences immediately following a 14-s retention period. After this task was complete, long-term memory for each sentence was probed by a two-word recall cue. The sentences were either concrete (high imageability) or abstract (low imageability), and the initial 14-s retention period was filled with either an undemanding finger-tapping task or a more engaging articulatory suppression task (Exp. 1, counting backward by threes; Exp. 2, repeating a four-syllable nonword). Recall was always better for the concrete sentences. Articulatory suppression reduced accuracy in short-term recall, especially for abstract sentences, but the sentences initially recalled following articulatory suppression were retained better at the subsequent cued-recall test, suggesting that the engagement of semantic mechanisms for short-term retention promoted encoding of the sentence meaning into long-term memory. These results provide a basis for using sentence imageability and subsequent memory performance as probes of semantic engagement in short-term memory for sentences.

ACGME case logs: Surgery resident experience in operative trauma for two decades

PubMed Central

Drake, Frederick Thurston; Van Eaton, Erik G.; Huntington, Ciara R.; Jurkovich, Gregory J.; Aarabi, Shahram; Gow, Kenneth W.

2014-01-01

BACKGROUND Surgery resident education is based on experiential training, which is influenced by changes in clinical management strategies, technical and technologic advances, and administrative regulations. Trauma care has been exposed to each of these factors, prompting concerns about resident experience in operative trauma. The current study analyzed the reported volume of operative trauma for the last two decades; to our knowledge, this is the first evaluation of nationwide trends during such an extended time line. METHODS The Accreditation Council for Graduate Medical Education (ACGME) database of operative logs was queried from academic year (AY) 1989–1990 to 2009–2010 to identify shifts in trauma operative experience. Annual case log data for each cohort of graduating surgery residents were combined into approximately 5-year blocks, designated Period I (AY1989–1990 to AY1993–1994), Period II (AY1994–1995 to AY1998–1999), Period III (AY1999–2000 to AY2002–2003), and Period IV (AY2003–2004 to AY2009–2010). The latter two periods were delineated by the year in which duty hour restrictions were implemented. RESULTS Overall general surgery caseload increased from Period I to Period II (p < 0.001), remained stable from Period II to Period III, and decreased from Period III to Period IV (p < 0.001). However, for ACGME-designated trauma cases, there were significant declines from Period I to Period II (75.5 vs. 54.5 cases, p < 0.001) and Period II to Period III (54.5 vs. 39.3 cases, p < 0.001) but no difference between Period III and Period IV (39.3 vs. 39.4 cases). Graduating residents in Period I performed, on average, 31 intra-abdominal trauma operations, including approximately five spleen and four liver operations. Residents in Period IV performed 17 intra-abdominal trauma operations, including three spleen and approximately two liver operations. CONCLUSION Recent general surgery trainees perform fewer trauma operations than previous trainees. The majority of this decline occurred before implementation of work-hour restrictions. Although these changes reflect concurrent changes in management of trauma, surgical educators must meet the challenge of training residents in procedures less frequently performed. LEVEL OF EVIDENCE Epidemiologic study, level III; therapeutic study, level IV. PMID:23188243

The use of NASA GEOS Global Analysis in MM5/WRF Initialization: Current Studies and Future Applications

NASA Technical Reports Server (NTRS)

Pu, Zhao-Xia; Tao, Wei-Kuo

2004-01-01

An effort has been made at NASA/GSFC to use the Goddard Earth Observing system (GEOS) global analysis in generating the initial and boundary conditions for MM5/WRF simulation. This linkage between GEOS global analysis and MM5/WRF models has made possible for a few useful applications. As one of the sample studies, a series of MM5 simulations were conducted to test the sensitivity of initial and boundary conditions to MM5 simulated precipitation over the eastern; USA. Global analyses horn different operational centers (e.g., NCEP, ECMWF, I U ASA/GSFCj were used to provide first guess field and boundary conditions for MM5. Numerical simulations were performed for one- week period over the eastern coast areas of USA. the distribution and quantities of MM5 simulated precipitation were compared. Results will be presented in the workshop. In addition,other applications from recent and future studies will also be addressed.

Shock initiation of nitromethane

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

Yoo, C.S.; Holmes, N.C.

1993-12-31

The shock initiation processes of nitromethane have been examined by using a fast time-resolved emission spectroscopy at a two-stage gas gun. a broad, but strong emission has been observed in a spectral range between 350 and 700 nm from shocked nitromethane above 9 GPa. The temporal profile suggests that shocked nitromethane detonates through three characteristic periods, namely an induction period, a hock initiation period, and a thermal explosion period. This paper discusses temporal and chemical characteristics of these periods and present the temperature of the shock-detonating nitromethane at pressures between 9 and 15 GPa.

Evolution of Plate Tectonics on Earth since the Mid-Mesoarchean was Controlled by Sedimentary Fluxes from Continents to Oceans and Mantle Temperature

NASA Astrophysics Data System (ADS)

Sobolev, S. V.; Brown, M.

2017-12-01

Plate tectonics (PT) is the most important geological process operating on Earth, making it unique among the rocky planets in the Solar System. The question of how PT was initiated and which factors controlled its evolution over Earth's history are widely discussed, but remain controversial. It is broadly accepted that a necessary condition for initiation and stable operation of PT is maintaining low strength along plate boundaries, particularly along the subduction zone interfaces in the subduction channels. Examples from the South American Andes and other convergent margins show that unconsolidated continental sediments in trenches serve as an efficient lubricant for subduction; if these are lacking, friction in the subduction channel and strength of the plate boundary are significantly increased. We suggest that lubrication of subduction by accumulation of continental sediments in trenches played a crucial role during the evolution of PT on Earth since the mid-Mesoarchean. We posit that continental emergence and enhanced surface erosion caused an increasing flux of sediments into the oceans, which in turn lubricated subduction channels and intensified PT. Thus, peaks in orogenesis, as confirmed by several proxies, during periods of supercraton/supercontinent assembly represent periods of vigorous subduction and continental sedimentation in trenches prior to terminal collision. Conversely, a decrease in plate boundary length and a reduction in continental sediment accumulation in trenches during periods of stability after supercraton/supercontinent assembly is the likely reason for periods of lower PT vigor, including the so called `boring billion' between 1.8 and 0.8 Ga. The largest surface erosion and subduction-lubrication event occurred at the end of the `snowball' Earth epoch in the Neoproterozoic and likely accelerated the most recent episode of vigorous PT. Based on analysis of various geological observations, we suggest that the cyclic behavior of PT on Earth since the mid-Mesoarchean (the so-called `supercontinent cycle') can be interpreted in terms of the balance of power between PT, driven by slab pull and controlled by the temperature of the upper mantle, and the efficiency of lubrication in the subduction zones, controlled by accumulation of continental sediment in the trenches.

Rapid immunochromatographic diagnosis and Rolling Back Malaria--experiences from an African control program.

PubMed

Durrheim, D N; Govere, J; la Grange, J J; Mabuza, A

2001-01-01

Malaria is a re-emerging disease in much of Africa. In response, the World Health Organization launched the Roll Back Malaria (RBM) initiative. One of six key principles adopted is the early detection of malaria cases. However, the importance of definitive diagnosis and potential value of field deployment of rapid malaria tests in RBM has been largely ignored. The Lowveld Region of Mpumalanga Province, South Africa, is home to a predominantly non-immune population, of approximately 850000 inhabitants, who are at risk of seasonal Plasmodium falciparum malaria. Malaria treatment in this area is usually only initiated on detection of malaria parasites in the peripheral bloodstream, as many other rickettsial and viral febrile illness mimic malaria. The malaria control programme traditionally relied on light microscopy of Giemsa-stained thick blood films for malaria diagnosis. This review summarizes operational research findings that led to the introduction of rapid malaria card tests for primary diagnosis of malaria throughout the Mpumalanga malaria area. Subsequent operational research and extensive experience over a four-year period since introducing the ICT Malaria Pf test appears to confirm the local appropriateness of this diagnostic modality. A laboratory is not required and clinic staff are empowered to make a prompt definitive diagnosis, limiting delays in initiating correct therapy. The simple, accurate and rapid non-microscopic means now available for diagnosing malaria could play an important role in Rolling Back Malaria in selected areas.

[Epidemiologic background and changes in patients infected with human papilloma virus].

PubMed

Ohta, M; Casanova, H; Mizuno, K; Kaseki, H; Niwa, K; Ishiko, H

1991-05-01

Contagion with certain types of HPV was supposed to have a causal relationship with cervical neoplasia of the uterus. The rate of prevalence of HPV was investigated in pre-cancer and cancer patients with uterine cervical smear using virapap or viratype. According to the cytologic classification, among those whose cytology was diagnosed as class I or II, were found a few positive HPV, however, in cases in classes cytology IIIa, III and IIIb, the positive rate turned out to be 22.5, 41 and 72.4%, respectively. About 65% of patients whose post-operative diagnosis was cervical carcinoma, had been found positive in the pre-operative HPV.DNA check up. The statistical profiles of virally infected subjects were regarded as slightly younger females with early onset of menarche. A higher positive rate was found in such groups such as unmarried single and divorced single women, career employees with special skills, housewives and dwellers in residential and commercial sections. The follow up study of HPV infection was checked with subjects with dysplasia, and no case was recognized in which initially HPV negative dysplasia turned to positive during the observation period. But, in about 50% of those checked, initially HPV positive dysplasia turned to negative, during the follow up period. In the cases with long term (more than 8 years) dysplasia which was followed up, only one out of 10 was found to be HPV positive, while in middle term (more than 2 years but less than 8 years) followed up dysplasia, the positive rate was calculated as 47.8%.

Study of the Mechanism of Liquid Slag Infiltration for Lubrication in Slab Continuous Casting

NASA Astrophysics Data System (ADS)

Zhang, Shaoda; Wang, Qiangqiang; He, Shengping; Wang, Qian

2018-04-01

Consistent and uniform lubrication of the solidifying shell, especially in the meniscus, is crucial for the smooth continuous casting operation and production of strands free of surface defects. Thus, the current study established a coupled model to study the inflow behavior of liquid slag to the mold-strand channel, taking the solidification of steel and slag and the periodic oscillation of mold into account. The difficulties and solutions for the simulation were described in detail. The predicted profiles of the slag rim and initial shell were in good agreement with the reports. The main results indicated that liquid slag could be squeezed out and back into the slag pool in a negative strip period while a large amount of liquid slag could infiltrate into the mold-strand channel. Thus, the amount of slag consumed in the negative strip period was relatively small compared with that in the positive strip period. The predicted variation of slag consumption during mold oscillation was periodic, and the average value was 0.274 kg/m2, which agreed well with the slag consumption in industrial practice. The current model can predict and optimize the oscillation parameters aiming at stable lubrication conditions.

Reference values for maternal total and differential leukocyte counts in different trimesters of pregnancy and the initial postpartum period in western Turkey.

PubMed

Sanci, Muzaffer; Töz, Emrah; Ince, Onur; Özcan, Aykut; Polater, Kevser; Inan, Abdurrahman Hamdi; Beyan, Emrah; Akkaya, Emrah

2017-07-01

The aim of this study was to investigate alterations in the leukocyte and differential leukocyte counts in different trimesters of pregnancy and the initial postpartum period. The study population consisted of 40,325 pregnant women. A full blood count and automated differential leukocyte count were performed and all the haemogram results in the different trimesters of pregnancy were recorded. Percentiles were calculated using statistical software. A total of 82,786 complete blood count evaluations were performed in 40,325 subjects from the 6th to 41st week of pregnancy and in the initial postpartum period. The leukocyte counts increased from the 1st to the 3rd trimester and peaked in the initial postpartum period. Our reference values for the total and differential leukocyte counts may assist clinicians in distinguishing between leukocytosis and pathological elevation of the white blood cell count during pregnancy and the initial postpartum period. Impact statement Pregnancy requires profound adaptation by multiple systems to accommodate the demands of the developing foetus. Similar to all other systems, many haematological changes occur during pregnancy. Studies of normal variation in leukocyte counts were insufficient to distinguish normal from abnormal leukocyte counts during pregnancy and in the initial postpartum period, due to small numbers of patients and a lack of differential leukocyte counts. Without reference leukocyte levels, infections may be more difficult to assess during pregnancy and in the postpartum period. In this study, we report the 3rd, 5th, 10th, 50th, 95th and 99th percentile values for the total and differential leukocyte counts according to trimester in normal pregnancy and the initial postpartum period. Our reference values for the total and differential leukocyte counts in each trimester and the initial postpartum period may assist clinicians in distinguishing between normal leukocytosis and pathological elevation of the white blood cell count during pregnancy and the initial postpartum period. Our results may prevent misdiagnosis of physiological elevated leukocytes as bacterial infection that leads to unnecessary medication use that may compromise the foetus.

Project Profile: Hydrogen Fuel Cell Mobile Lighting Tower (HFCML)

NASA Technical Reports Server (NTRS)

McLaughlin, Russell

2013-01-01

NASA is committed to finding innovative solutions that improve the operational performance of ground support equipment while providing environment and cost benefits, as well. Through the Hydrogen Fuel Cell Mobile Lighting Tower (HFCML) project, NASA gained operational exposure to a novel application of high efficiency technologies. Traditionally, outdoor lighting and auxiliary power at security gates, launch viewing sites, fallback areas, outage support, and special events is provided by diesel generators with metal halide lights. Diesel generators inherently contribute to C02, NOx, particulate emissions, and are very noisy. In 2010, engineers from NASA's Technology Evaluation for Environmental Risk Mitigation Principal Center (TEERM) introduced KSC operations to a novel technology for outdoor lighting needs. Developed by a team led by Sandia National Laboratory (SNL), the technology pairs a 5kW hydrogen fuel cell with robust high efficiency plasma lights in a towable trailer. Increased efficiency, in both the fuel cell power source and lighting load, yields longer run times between fueling operations while providing greater auxiliary power. Because of the unit's quiet operation and no exhaust fumes, it is capable of being used indoors and in emergency situations, and meets the needs of all other operational roles for metal halide/diesel generators. The only discharge is some water and warm air. Environmental benefits include elimination of diesel particulate emissions and estimated 73% greenhouse gas emissions savings when the hydrogen source is natural gas (per GREET model). As the technology matures the costs could become competitive for the fuel cell units which are approximately 5 times diesel units. Initial operational . concerns included the hydrogen storage tanks and valves, lightning safety/grounding, and required operating and refueling procedures. TEERM facilitated technical information exchange (design drawings, technical standards, and operations manuals) necessary for KSC hydrogen system experts to approve use of the HFCML unit, including initiating the environmental checklist (i.e. exterior lighting waiver due to sea turtles), and development of operations and maintenance instructions. TEERM worked with SNL to establish a bailment agreement for KSC to utilize a Beta unit as part of normal Center Operations for a period of twelve months.

A Workflow for Subsurface Pressure Control in Geological CO2 Storage: Optimization of Brine Extraction

NASA Astrophysics Data System (ADS)

Birkholzer, J. T.; Gonzalez-Nicolas, A.; Cihan, A.

2017-12-01

Industrial-scale injection of CO2 into the subsurface increases the fluid pressure in the reservoir, sometimes to the point that the resulting stress increases must be properly controlled to prevent potential damaging impacts such as fault activation, leakage through abandoned wells, or caprock fracturing. Brine extraction is one approach for managing formation pressure, effective stress, and plume movement in response to CO2 injection. However, the management of the extracted brine adds cost to the carbon capture and sequestration operations; therefore optimizing (minimizing) the extraction volume of brine is of great importance. In this study, we apply an adaptive management approach that optimizes extraction rates of brine for pressure control in an integrated optimization framework involving site monitoring, model calibration, and optimization. We investigate the optimization performance as affected by initial site characterization data and introduction of newly acquired data during the injection phase. More accurate initial reservoir characterization data reduce the risk of pressure buildup damage with better estimations of initial extraction rates, which results in better control of pressure during the overall injection time periods. Results also show that low frequencies of model calibration and optimization with the new data, especially at early injection periods, may lead to optimization problems, either that pressure buildup constraints are violated or excessively high extraction rates are proposed. These optimization problems can be eliminated if more frequent data collection and model calibration are conducted, especially at early injection time periods. Approaches such as adaptive pressure management may constitute an effective tool to manage pressure buildup under uncertain and unknown reservoir conditions by minimizing the brine extraction volumes while not exceeding critical pressure buildups of the reservoir.

Post-aerocapture orbit selection and maintenance for the Aerofast mission to Mars

NASA Astrophysics Data System (ADS)

Pontani, Mauro; Teofilatto, Paolo

2012-10-01

Aerofast is the abbreviation of “aerocapture for future space transportation” and represents a project aimed at developing aerocapture techniques with regard to an interplanetary mission to Mars, in the context of the 7th Framework Program, with the financial support of the European Union. This paper describes the fundamental characteristics of the operational orbit after aerocapture for the mission of interest, as well as the related maintenance strategy. The final orbit selection depends on the desired lighting conditions, maximum revisit time of specific target regions, and feasibility of the orbit maintenance strategy. A sunsynchronous, frozen, repeating-ground-track orbit is chosen. First, the period of repetition is such that adjacent ascending node crossings (over the Mars surface) have a separation compatible with the swath of the optical payload. Secondly, the sunsynchronism condition ensures that a given latitude is periodically visited at the same local time, which condition is essential for comparing images of the same region at different epochs. Lastly, the fulfillment of the frozen condition guarantees improved orbit stability with respect to perturbations due to the zonal harmonics of Mars gravitational field. These three fundamental features of the operational orbit lead to determining its mean orbital elements. The evaluation of short and long period effects (e.g., those due to the sectorial harmonics of the gravitational field or to the aerodynamic drag) requires the determination of the osculating orbital elements at an initial reference time. This research describes a simple and accurate approach that leads to numerically determining these initial values, without employing complicated analytical developments. Numerical simulations demonstrate the long-period stability of the orbit when a significant number of harmonics of the gravitational field are taken into account. However, aerodynamic drag produces a relatively slow orbital decay at the altitudes considered for the mission. This circumstance implies the progressive loss of the sunsynchronism condition, and therefore corrective maneuvers are to be performed. This work proves that actually only in-plane maneuvers are necessary, evaluates the overall delta-v budget needed in the period of repetition (85 Martian nodal days), and proposes a simple maintenance strategy, making reference to the worst-case scenario, which corresponds to the highest seasonal values of the atmospheric density and to the maximum value of the ballistic coefficient of the spacecraft.

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

Argall, Brenna; Cheleshkin, Eugene; Greenberg, J.M.

Traffic flow on a unidirectional roadway in the presence of traffic lights is modeled. Individual car responses to green, yellow, and red lights are postulated and these result in rules governing the acceleration and deceleration of individual cars. The essence of the model is that only specific cars are directly affected by the lights. The other cars behave according to simple follow-the-leader rules which limit their speed by the spacing between it and the car directly ahead. The model has a number of desirable properties; namely cars do not run red lights, cars do not smash into one another, andmore » cars exhibit no velocity reversals. In a situation with multiple lights operating in-phase we get, after an initial startup period, a constant number of cars through each light during any green-yellow period. Moreover, this flux is less by one or two cars per period than the flux obtained in discretized versions of the idealized Lighthill, Whitham, Richards model which allows for infinite accelerations.« less

Safety Ellipse Motion with Coarse Sun Angle Optimization

NASA Technical Reports Server (NTRS)

Naasz, Bo

2005-01-01

The Hubble Space Telescope Robotic Servicing and De-orbit Mission (HRSDM) was t o be performed by the unmanned Hubble Robotic Vehicle (HRV) consisting of a Deorbit Module (DM), responsible for the ultimate disposal of Hubble Space Telescope (HST) at the end of science operations, and an Ejection Module (EM), responsible for robotically servicing the HST to extend its useful operational lifetime. HRSDM consisted of eight distinct phases, including: launch, pursuit, proximity operations, capture, servicing, EM jettison and disposal, science operations, and deorbit. The scope of this paper is limited to the Proximity Operations phase of HRSDM. It introduces a relative motion strategy useful for Autonomous Rendezvous and Docking (AR&D) or Formation Flying missions where safe circumnavigation trajectories, or close proximity operations (tens or hundreds of meters) are required for extended periods of time. Parameters and algorithms used to model the relative motion of HRV with respect to HST during the Proximity Operations phase of the HRSDM are described. Specifically, the Safety Ellipse (SE) concept, convenient parameters for describing SE motion, and a concept for initializing SE motion around a target vehicle to coarsely optimize sun and relative navigation sensor angles are presented. The effects of solar incidence angle variations on sun angle optimization, and the effects of orbital perturbations and navigation uncertainty on long term SE motion are discussed.

Single-incision laparoscopic appendectomy performed above the pubic symphysis - a new scarless approach.

PubMed

Yu, J; Wang, Y N; Hu, Y F; Cheng, X; Zhen, L; Li, G X

2011-01-01

The three-port method is commonly used for laparoscopic appendectomy. To obtain a better cosmetic result, we have selected the single-incision laparoscopic appendectomy to be performed above the pubic symphysis. We performed six single-incision laparoscopic appendectomies above the pubic symphysis. During each operation, a 2 cm transverse incision was made in the pubic hair area 3-4 cm above the pubic symphysis. A 5 mm trocar was then placed as an observation port with another two 5 mm trocars as main- and side-operating ports. The laparoscopic appendectomy was performed using this single-incision method. Six patients (five male and one female; body mass indexes of 18.07, 19.27, 21.67, 18.34, 26.83 and 22.46 kg/m(2), respectively) underwent successful single-incision laparoscopic appendectomy above the pubic symphysis. Operating times were recorded at 55, 58, 47, 51, 42 and 33 minutes, the corresponding post-operative anal ventilation times were 25, 24, 22, 18, 7 and 10 hours, while post-operative hospitalization periods stand at 3, 5, 2, 1, 3 and 2 days, respectively. No complications occurred during or post-operation. Our initial work shows that a single-incision laparoscopic appendectomy performed above the pubic symphysis is feasible and safe and yields excellent post-operative cosmetic results.

A comprehensive approach in high-grade glioma management: position statement from the Neuro-Oncology Scientific Club (NOSC), Shiraz, Iran

PubMed Central

Ansari, Mansour; Mosalaei, Ahmad; Ahmadloo, Niloufar; Rasekhi, Alireza; Geramizadeh, Bita; Razmkon, Ali; Anvari, Kazem; Afarid, Mohammad; Dadras, Ali; Nafarieh, Leila; Mohammadianpanah, Mohammad; Nasrolahi, Hamid; Hamedi, Seyed Hasan; Omidvari, Shapour; Nami, Mohammad

2017-01-01

Establishing a robust teamwork model in the practice of neuro-oncology requires continued interdisciplinary efforts. The Neuro-Oncology Scientific Club (NOSC) initiative is an interdisciplinary clinical forum promoting the comprehensive approach across involved disciplines in the management of central nervous system (CNS) malignancies. With its provincial founding panels and national steering board, NOSC has been operational in Iran since 2011. This initiative has pursued its mission through interval strategic meetings, tumor boards, case discussions as well as publishing neuro-oncology updates, case study periodicals, and newsletters. A provincial meeting of NOSC in Shiraz put together insights from international practice guidelines, emerging evidence, and expert opinions to draw a position statement on high-grade glioma management in adults. The present report summarizes key highlights from the above clinical forum. PMID:28325997

A comprehensive approach in high-grade glioma management: position statement from the Neuro-Oncology Scientific Club (NOSC), Shiraz, Iran.

PubMed

Ansari, Mansour; Mosalaei, Ahmad; Ahmadloo, Niloufar; Rasekhi, Alireza; Geramizadeh, Bita; Razmkon, Ali; Anvari, Kazem; Afarid, Mohammad; Dadras, Ali; Nafarieh, Leila; Mohammadianpanah, Mohammad; Nasrolahi, Hamid; Hamedi, Seyed Hasan; Omidvari, Shapour; Nami, Mohammad

2017-01-01

Establishing a robust teamwork model in the practice of neuro-oncology requires continued interdisciplinary efforts. The Neuro-Oncology Scientific Club (NOSC) initiative is an interdisciplinary clinical forum promoting the comprehensive approach across involved disciplines in the management of central nervous system (CNS) malignancies. With its provincial founding panels and national steering board, NOSC has been operational in Iran since 2011. This initiative has pursued its mission through interval strategic meetings, tumor boards, case discussions as well as publishing neuro-oncology updates, case study periodicals, and newsletters. A provincial meeting of NOSC in Shiraz put together insights from international practice guidelines, emerging evidence, and expert opinions to draw a position statement on high-grade glioma management in adults. The present report summarizes key highlights from the above clinical forum.

Flight service evaluation of composite helicopter components

NASA Technical Reports Server (NTRS)

Rich, M. J.; Lowry, D. W.

1983-01-01

This first interim report presents the technical background for including environmental effects in the design of helicopter composite structures, and test results after approximately two year field exposure of components and panels. Composite structural components were removed from Sikorsky S-76 helicopters commercially operated in the Gulf Coast region of Louisiana. Fatigue tests were conducted for a graphite/epoxy tail rotor spar and static test for a graphite/epoxy and Kevlar/epoxy stabilizer. Graphite/epoxy and Kevlar/epoxy panels are being exposed to the outdoor environment in Stratford, Connecticut and West Palm Beach, Florida. For this reporting period the two year panels were returned, moisture measurements taken, and strength tests conducted. Results are compared with initial type certificate strengths for components and with initial laboratory coupon tests for the exposed panels. Comparisons are also presented with predicted and measured moisture contents.

Flight service evaluation of composite helicopter components

NASA Technical Reports Server (NTRS)

Rich, M. J.; Lowry, D. W.

1982-01-01

This first interim report presents the technical background for including environmental effects in the design of helicopter composite structures, and test results after approximately two year field exposure of components and panels. Composite structural components were removed from Sikorsky S-76 helicopters commercially operated in the Gulf Coast region of Louisiana. Fatigue tests were conducted for a graphite/epoxy tail rotor spar and static test for a graphite/epoxy and Kevlar/epoxy stabilizer. Graphite/epoxy and Kevlar/epoxy panels are being exposed to the outdoor environment in Stratford, Connecticut and West Palm Beach, Florida. For this reporting period the two year panels were returned, moisture measurements taken, and strength tests conducted. Results are compared with initial type certificate strengths for components and with initial laboratory coupon tests for the exposed panels. Comparisons are also presented with predicted and measured moisture contents.

Thermal Characterization Study of Lithium-Ion Cells

NASA Technical Reports Server (NTRS)

Britton, Doris L.; Miller, Thomas B.; Bennett, William R.

2007-01-01

The primary challenge in designing a full scale lithium-ion (Li-ion) battery system is safety under both normal operating as well as abusive conditions. The normal conditions involve expected charge/discharge cycles and it is known that heat evolves in batteries during those cycles. This is a major concern in the design for high power applications and careful thermal management is necessary to alleviate this concern. An emerging thermal measurement technology, such as the electrochemical calorimetric of batteries, will aid in the development of advanced, safe battery system. To support this technology, several "commercial-off-the-shelf" (COTS) Li-ion cells with different chemistries and designs are being evaluated for different cycling regimes at a given operating temperature. The Accelerated Rate Calorimeter (ARC)-Arbin cycler setup is used to measure the temperature, voltage, and current of the cells at different charge/discharge rates. Initial results demonstrated good cell cyclability. During the cycle testing, the cell exhibited an endothermic cooling in the initial part of the charge cycle. The discharge portion of the cycle is exothermic during the entire discharge period. The presence of an endothermic reaction indicates a significant entropy effect during the beginning of charge cycle. Further studies will be performed to understand the thermal characteristics of the Li-ion cells at the different operating conditions. The effects on the thermal response on cell aging and states-of-charge will also be identified.

Physiological and Behavioral Responses of Dairy Cattle to the Introduction of Robot Scrapers.

PubMed

Doerfler, Renate L; Lehermeier, Christina; Kliem, Heike; Möstl, Erich; Bernhardt, Heinz

2016-01-01

Autonomous mobile robot scrapers are increasingly used in order to clean the floors on dairy farms. Given the complexity of robot scraper operation, stress may occur in cows due to unpredictability of the situation. Experiencing stress can impair animal welfare and, in the long term, the health and milk production of the cows. Therefore, this study addressed potential stress responses of dairy cattle to the robot scraper after introducing the autonomous mobile machine. Thirty-six cows in total were studied on three different farms to explore possible modifications in cardiac function, behavior, and adrenocortical activity. The research protocol on each farm consisted of four experimental periods including one baseline measurement without robot scraper operation followed by three test measurements, in which cows interacted with the robotic cleaning system. Interbeat intervals were recorded in order to calculate the heart rate variability (HRV) parameter RMSSD; behavior was observed to determine time budgets; and fecal samples were collected for analysis of the cortisol metabolites concentration. A statistical analysis was carried out using linear mixed-effects models. HRV decline immediately after the introduction of the robot scraper and modified behavior in the subsequent experimental periods indicated a stress response. The cortisol metabolites concentration remained constant. It is hypothesized that after the initial phase of decrease, HRV stabilized through the behavioral adjustments of the cows in the second part of the study. Persistent alterations in behavior gave rise to the assumption that the animals' habituation process to the robot scraper was not yet completed. In summary, the present study illustrated that the cows showed minor signs of disturbance toward the robotic cleaning system. Thus, our findings suggest that dairy cattle can largely adjust their behavior to avoid aversive effects on animal welfare. Additional research can provide further insight into the development of the animal-machine interaction beyond the initial phase of robot scraper operation considered in this study.

Evolution of Fitness in Experimental Populations of Vesicular Stomatitis Virus

PubMed Central

Elena, S. F.; Gonzalez-Candelas, F.; Novella, I. S.; Duarte, E. A.; Clarke, D. K.; Domingo, E.; Holland, J. J.; Moya, A.

1996-01-01

The evolution of fitness in experimental clonal populations of vesicular stomatitis virus (VSV) has been compared under different genetic (fitness of initial clone) and demographic (population dynamics) regimes. In spite of the high genetic heterogeneity among replicates within experiments, there is a clear effect of population dynamics on the evolution of fitness. Those populations that went through strong periodic bottlenecks showed a decreased fitness in competition experiments with wild type. Conversely, mutant populations that were transferred under the dynamics of continuous population expansions increased their fitness when compared with the same wild type. The magnitude of the observed effect depended on the fitness of the original viral clone. Thus, high fitness clones showed a larger reduction in fitness than low fitness clones under dynamics with included periodic bottleneck. In contrast, the gain in fitness was larger the lower the initial fitness of the viral clone. The quantitative genetic analysis of the trait ``fitness'' in the resulting populations shows that genetic variation for the trait is positively correlated with the magnitude of the change in the same trait. The results are interpreted in terms of the operation of MULLER's ratchet and genetic drift as opposed to the appearance of beneficial mutations. PMID:8849878

18 CFR 376.209 - Procedures during periods of emergency requiring activation of the Continuity of Operations Plan.

Code of Federal Regulations, 2011 CFR

2011-04-01

... periods of emergency requiring activation of the Continuity of Operations Plan. 376.209 Section 376.209... GENERAL RULES ORGANIZATION, MISSION, AND FUNCTIONS; OPERATIONS DURING EMERGENCY CONDITIONS Commission Operation During Emergency Conditions § 376.209 Procedures during periods of emergency requiring activation...

Laparoscopic managment of common bile duct stones: our initial experience.

PubMed Central

Aroori, S.; Bell, J. C.

2002-01-01

The management of choledocholithiasis has changed radically since the introduction of laparoscopic cholecystectomy. However, perceived technical difficulties have deterred many surgeons from treating common bile duct stones laparoscopically at the time of cholecystectomy. This has lead to reliance on endoscopic retrograde cholangiopancreatography followed by endoscopic sphincterotomy to deal with common bile duct stones. We retrospectively reviewed the charts of patients who had laparoscopic common bile duct exploration at Downe Hospital between December 1999 and August 2001. Among 149 laparoscopic cholecystectomies done by our group in this period, 10 patients (6.7%) underwent laparoscopic CBD exploration, three by the transcystic technique and seven by choledochotomy. Three patients (2%) had unsuspected stones found on routine per- operative cholangiogram. The mean operative time was 2.34hrs (range 1.50-3.30hrs). The mean hospital post- operative stay was 3 days (range 1-6 days). Post-operative morbidity was zero. Stone clearance was achieved in all cases. We conclude, laparoscopic exploration of the common bile duct is relatively safe and straightforward method. The key skill required is the ability to perform laparoscopic suturing with confidence. PMID:12137159

Laparoscopic managment of common bile duct stones: our initial experience.

PubMed

Aroori, S; Bell, J C

2002-05-01

The management of choledocholithiasis has changed radically since the introduction of laparoscopic cholecystectomy. However, perceived technical difficulties have deterred many surgeons from treating common bile duct stones laparoscopically at the time of cholecystectomy. This has lead to reliance on endoscopic retrograde cholangiopancreatography followed by endoscopic sphincterotomy to deal with common bile duct stones. We retrospectively reviewed the charts of patients who had laparoscopic common bile duct exploration at Downe Hospital between December 1999 and August 2001. Among 149 laparoscopic cholecystectomies done by our group in this period, 10 patients (6.7%) underwent laparoscopic CBD exploration, three by the transcystic technique and seven by choledochotomy. Three patients (2%) had unsuspected stones found on routine per- operative cholangiogram. The mean operative time was 2.34hrs (range 1.50-3.30hrs). The mean hospital post- operative stay was 3 days (range 1-6 days). Post-operative morbidity was zero. Stone clearance was achieved in all cases. We conclude, laparoscopic exploration of the common bile duct is relatively safe and straightforward method. The key skill required is the ability to perform laparoscopic suturing with confidence.

Aircraft Flight Envelope Determination using Upset Detection and Physical Modeling Methods

NASA Technical Reports Server (NTRS)

Keller, Jeffrey D.; McKillip, Robert M. Jr.; Kim, Singwan

2009-01-01

The development of flight control systems to enhance aircraft safety during periods of vehicle impairment or degraded operations has been the focus of extensive work in recent years. Conditions adversely affecting aircraft flight operations and safety may result from a number of causes, including environmental disturbances, degraded flight operations, and aerodynamic upsets. To enhance the effectiveness of adaptive and envelope limiting controls systems, it is desirable to examine methods for identifying the occurrence of anomalous conditions and for assessing the impact of these conditions on the aircraft operational limits. This paper describes initial work performed toward this end, examining the use of fault detection methods applied to the aircraft for aerodynamic performance degradation identification and model-based methods for envelope prediction. Results are presented in which a model-based fault detection filter is applied to the identification of aircraft control surface and stall departure failures/upsets. This application is supported by a distributed loading aerodynamics formulation for the flight dynamics system reference model. Extensions for estimating the flight envelope due to generalized aerodynamic performance degradation are also described.

Preliminary Validation of the Small Aircraft Transportation System Higher Volume Operations (SATS HVO) Concept

NASA Technical Reports Server (NTRS)

Williams, Daniel; Consiglio, Maria; Murdoch, Jennifer; Adams, Catherine

2004-01-01

This document provides a preliminary validation of the Small Aircraft Transportation System (SATS) Higher Volume Operations (HVO) concept for normal conditions. Initial results reveal that the concept provides reduced air traffic delays when compared to current operations without increasing pilot workload. Characteristic to the SATS HVO concept is the establishment of a newly defined area of flight operations called a Self-Controlled Area (SCA) which would be activated by air traffic control (ATC) around designated non-towered, non-radar airports. During periods of poor visibility, SATS pilots would take responsibility for separation assurance between their aircraft and other similarly equipped aircraft in the SCA. Using onboard equipment and simple instrument flight procedures, they would then be better able to approach and land at the airport or depart from it. This concept would also require a new, ground-based automation system, typically located at the airport that would provide appropriate sequencing information to the arriving aircraft. Further validation of the SATS HVO concept is required and is the subject of ongoing research and subsequent publications.

Ion source with improved primary arc collimation

DOEpatents

Dagenhart, W.K.

1983-12-16

An improved negative ion source is provided in which a self-biasing, molybdenum collimator is used to define the primary electron stream arc discharge from a filament operated at a negative potential. The collimator is located between the anode and the filament. It is electrically connected to the anode by means of an appropriate size resistor such that the collimator is biased at essentially the filament voltage during operation. Initially, the full arc voltage appears across the filament to collimator until the arc discharge strikes. Then the collimator biases itself to essentially filament potential due to current flow through the resistor thus defining the primary electron stream without intercepting any appreciable arc power. The collimator aperture is slightly smaller than the anode aperture to shield the anode from the arc power which, in the past, has caused overheating and erosion of the anode collimator during extended time pulsed-beam operation of the source. With the self-biasing collimator of this invention, the ion source may be operated from short pulse periods to steady-state without destroying the anode.

Ion source with improved primary arc collimation

DOEpatents

Dagenhart, William K.

1985-01-01

An improved negative ion source is provided in which a self-biasing, molybdenum collimator is used to define the primary electron stream arc discharge from a filament operated at a negative potential. The collimator is located between the anode and the filament. It is electrically connected to the anode by means of an appropriate size resistor such that the collimator is biased at essentially the filament voltage during operation. Initially, the full arc voltage appears across the filament to collimator until the arc discharge strikes. Then the collimator biases itself to essentially filament potential due to current flow through the resistor thus defining the primary electron stream without intercepting any appreciable arc power. The collimator aperture is slightly smaller than the anode aperture to shield the anode from the arc power, thereby preventing the exposure of the anode to the full arc power which, in the past, has caused overheating and erosion of the anode collimator during extended time pulsed-beam operation of the source. With the self-biasing collimator of this invention, the ion source may be operated from short pulse periods to steady-state without destroying the anode.

47 CFR 15.231 - Periodic operation in the band 40.66-40.70 MHz and above 70 MHz.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 47 Telecommunication 1 2012-10-01 2012-10-01 false Periodic operation in the band 40.66-40.70 MHz... Periodic operation in the band 40.66-40.70 MHz and above 70 MHz. (a) The provisions of this section are restricted to periodic operation within the band 40.66-40.70 MHz and above 70 MHz. Except as shown in...

47 CFR 15.231 - Periodic operation in the band 40.66-40.70 MHz and above 70 MHz.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 47 Telecommunication 1 2014-10-01 2014-10-01 false Periodic operation in the band 40.66-40.70 MHz... Periodic operation in the band 40.66-40.70 MHz and above 70 MHz. (a) The provisions of this section are restricted to periodic operation within the band 40.66-40.70 MHz and above 70 MHz. Except as shown in...

47 CFR 15.231 - Periodic operation in the band 40.66-40.70 MHz and above 70 MHz.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 47 Telecommunication 1 2013-10-01 2013-10-01 false Periodic operation in the band 40.66-40.70 MHz... Periodic operation in the band 40.66-40.70 MHz and above 70 MHz. (a) The provisions of this section are restricted to periodic operation within the band 40.66-40.70 MHz and above 70 MHz. Except as shown in...

47 CFR 15.231 - Periodic operation in the band 40.66-40.70 MHz and above 70 MHz.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 47 Telecommunication 1 2011-10-01 2011-10-01 false Periodic operation in the band 40.66-40.70 MHz... Periodic operation in the band 40.66-40.70 MHz and above 70 MHz. (a) The provisions of this section are restricted to periodic operation within the band 40.66-40.70 MHz and above 70 MHz. Except as shown in...

Functional endoscopic sinus surgery in the paediatric population: outcome of a conservative approach to postoperative care.

PubMed

Fakhri, S; Manoukian, J J; Souaid, J P

2001-02-01

Functional endoscopic sinus surgery (FESS) has become a widely used and effective tool in treating chronic sinusitis refractory to medical therapy. Reported success rates, defined mainly on the basis of improvement of preoperative symptoms, have been encouraging and ranged between 71 and 93%. However, in most of these studies, a second-look endoscopy under general anaesthesia was performed 2 to 3 weeks following the initial surgery in order to débride and clean the operative site. In this study, we present the outcome of FESS in our centre, where a second-look endoscopy was never performed. A retrospective study on all of the patients operated on between May 1987 and May 1997 was undertaken. All 35 patients had symptoms of sinusitis and had received initial medical therapy for at least 2 months. Only those who did not improve were considered candidates for surgery. Prior to the operation, all patients had computed tomography scan of the sinuses to document the extent of their disease. Eleven patients (31%) had asthma, 3 patients had cystic fibrosis, 1 had leukemia, 1 had immotile cilia, and 1 had Kartagener's syndrome. The period of follow-up ranged between 3 months and 5 years. Success was determined by resolution or improvement of the preoperative symptoms as assessed during their latest follow-up visit. Our data show an overall success rate of 74%. More than half of the patients (56%) who had recurrence of symptoms had an underlying systemic condition (cystic fibrosis, leukemia, or ciliary dyskinesia); however, these patients showed an initial improvement during the first few months following FESS. Also, five patients (14%) required revision FESS within 1 to 3 years following their initial surgery; four of those patients (80%) had an underlying systemic condition. Based on these results, we conclude that second-look endoscopy is of no benefit following routine FESS since our success rates are comparable to those reported in the literature.

The effects of bird use on nutrient removal in a constructed wastewater-treatment wetland

USGS Publications Warehouse

Andersen, D.C.; Sartoris, J.J.; Thullen, J.S.; Reusch, P.G.

2003-01-01

A 9.9-ha constructed wetland designed to reduce nitrogen in municipal wastewater following conventional secondary treatment began operating in southern California's San Jacinto Valley in September 1994. The wetland incorporated zones of bulrush (Schoenoplectus acutus and S. californicus) for effluent treatment, plus areas of 1.8-m deep open water and other features to benefit wintering waterfowl. A one-year long program to monitor bird use and evaluate their contribution to loadings of nitrogen and phosphorus was initiated seven months later and a second, four-month long period of monitoring was initiated after a 20-month hiatus. Daily bird use peaked at nearly 12,000 individuals during the second period. Estimates of maximum daily nitrogen and phosphorus input by birds were 139 g N ha−1 day−1 and 56 g P ha−1 day−1. Following a reconfiguration of the wetland that increased the area of open water, a third year-long period of monitoring was initiated in September 2000. Estimated maximum daily loading attributable to birds during this period reached 312 g N ha−1 day−1 and 124 g P ha−1 day−1. These levels represent only 2.6% and 7.0%, respectively, of the mean daily loads of N and P in inflow water from the wastewater-treatment plant. Wintering waterfowl contributed the most to nutrient loading, but the numerically dominant species was the colonial Red-winged Blackbird (Agelaius phoeniceus). The wetland's nutrient-removal efficiency was negatively correlated to bird loading. However, the greatest bird loading occurred during November to March, when winter conditions would reduce microbial nutrient-removal processes and plant uptake in the wetland. Multiple regression analysis indicated that variation in nutrient removal efficiency over a one-year period was best explained by wetland water temperature (R2 = 0.21) and that little additional insight was gained by adding bird loading and inflow nutrient load data (R2 = 0.22). This case study supports the concept that a constructed wetland can be designed both to reduce nutrients in municipal wastewater and to provide habitat for wetland birds.

Hydrogeochemistry in the coastal area during construction of geological repository

NASA Astrophysics Data System (ADS)

Kim, Youn-Tae; Hyun, Seung Gyu; Cheong, Jae-Yeol; Woo, Nam C.; Lee, Sangdeok

2018-07-01

A geological repository for low and intermediate radioactive waste (bottom at -130 m a.s.l.) was constructed from 2008 to 2014 in the southeastern coastal area in Korea. This research aimed to evaluate the hydrogeochemistry in this area during the construction period and to determine the characteristics that should be monitored during the operational period. During construction, the groundwater level decreased up to 136 m and the upper groundwater flow in the southeastern area reversed. After the groundwater level dropped below the sea level, the electrical conductivity (EC) in several wells along the coastal line started to increase; 23.2% of the measured water was classified as brackish water and the highest EC observed in groundwater was 18.9 mS/cm, nearly 38% of EC in seawater. The response time of the groundwater chemistry differs depending on the depth, even in wells, because of fracture networks. Among locations that showed drastic changes in EC, only the shallow depth of GM-4 showed a peak pattern in EC, but other locations showed increasing EC patterns or patterns with initial increase and sustained high till the end of the construction period. Based on the Cl/Br ratio, the source of the groundwater salinity was seawater intrusion, and ion exchange played an important role. Compared to Cl concentration, sodium was depleted and calcium was in excess in brackish water; however, the SO4/Cl ratio remained constant at a level similar to seawater. Ca and Fe concentrations showed distinguishable characteristics depending on the location, suggesting differences in geological media. During the operational period, periodical evaluation of the groundwater chemistry in the mixing zone and continuous monitoring of EC patterns and seawater fractions are required.

Effects of combination of whey protein intake and rehabilitation on muscle strength and daily movements in patients with hip fracture in the early postoperative period.

PubMed

Niitsu, Masaya; Ichinose, Daisuke; Hirooka, Taku; Mitsutomi, Kazuhiko; Morimoto, Yoshitaka; Sarukawa, Junichiro; Nishikino, Shoichi; Yamauchi, Katsuya; Yamazaki, Kaoru

2016-08-01

Elderly patients can be at risk of protein catabolism and malnutrition in the early postoperative period. Whey protein includes most essential amino acids and stimulates the synthesis of muscle protein. The purpose of this study was to investigate the effect of resistance training in combination with whey protein intake in the early postoperative period. We randomized patients to a whey protein group or a control group. The former group received 32.2 g of whey protein pre- and post-rehabilitation in the early postoperative period for two weeks. Outcomes were knee extension strength on either side by Biodex 4.0, and the ability of transfer, walking, toilet use and stair use by the Barthel Index (BI). We performed initial and final assessments in the second and tenth rehabilitation sessions. A total of 38 patients were recruited: 20 in the whey protein group and 18 in the control group. Participants in the whey protein group showed significantly greater improvement in knee extension strength in the operated limb compared with the control group (F = 6.11, P = 0.02). The non-operated limb also showed a similar tendency (F = 3.51, P = 0.07). The abilities of transfer, walking and toilet use showed greater improvements in the whey protein group than in the control group by BI (P < 0.05). The combination of whey protein intake and rehabilitation for two weeks in the early postoperative period has a beneficial effect on knee extension strength in both lower limbs and BI (transfer, walking and toilet use) scores in patients with hip fracture. Copyright © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Department of Defense (DOD) Automated Biometric Identification System (ABIS) Version 1.2: Initial Operational Test and Evaluation Report

DTIC Science & Technology

2015-05-01

Director, Operational Test and Evaluation Department of Defense (DOD) Automated Biometric Identification System (ABIS) Version 1.2 Initial...Operational Test and Evaluation Report May 2015 This report on the Department of Defense (DOD) Automated Biometric Identification System...COVERED - 4. TITLE AND SUBTITLE Department of Defense (DOD) Automated Biometric Identification System (ABIS) Version 1.2 Initial Operational Test

[Challenges in building a surgical obesity center].

PubMed

Fischer, L; El Zein, Z; Bruckner, T; Hünnemeyer, K; Rudofsky, G; Reichenberger, M; Schommer, K; Gutt, C N; Büchler, M W; Müller-Stich, B P

2014-04-01

It is estimated that approximately 1 million adults in Germany suffer from grade III obesity. The aim of this article is to describe the challenges faced when constructing an operative obesity center. The inflow of patients as well as personnel and infrastructure of the interdisciplinary Diabetes and Obesity Center in Heidelberg were analyzed. The distribution of continuous data was described by mean values and standard deviation and analyzed using variance analysis. The interdisciplinary Diabetes and Obesity Center in Heidelberg was founded in 2006 and offers conservative therapeutic treatment and all currently available operative procedures. For every operative intervention carried out an average of 1.7 expert reports and 0.3 counter expertises were necessary. The time period from the initial presentation of patients in the department of surgery to an operation was on average 12.8 months (standard deviation SD ± 4.5 months). The 47 patients for whom remuneration for treatment was initially refused had an average body mass index (BMI) of 49.2 kg/m(2) and of these 39 had at least the necessity for treatment of a comorbidity. Of the 45 patients for whom the reason for the refusal of treatment costs was given as a lack of conservative treatment, 30 had undertaken a medically supervised attempt at losing weight over at least 6 months. Additionally, 19 of these patients could document participation in a course at a rehabilitation center, a Xenical® or Reduktil® therapy or had undertaken the Optifast® program. For the 20 patients who supposedly lacked a psychosomatic evaluation, an adequate psychosomatic evaluation was carried out in all cases. The establishment of an operative obesity center can last for several years. A essential prerequisite for success seems to be the constructive and targeted cooperation with the health insurance companies.

Long-term follow-up of external dacryocystorhinostomy and the factors affecting its success.

PubMed

Erdöl, Hidayet; Akyol, Nurettin; Imamoglu, Halil Ibrahim; Sözen, Engin

2005-06-01

To evaluate the long-term follow-up results of external dacryocystorhinostomy (Ex-DCR) and to assess the role of some factors in its success. Between January 1990 and November 2002, 437 nasolacrimal systems of 387 patients were operated on and included in the study. The success rates were determined on the basis of the last examinations of the patients, and the correlations between success rates and factors such as age, gender, the duration of obstruction, history of acute dacryocystitis, the side of obstruction, and the postoperative follow-up period were calculated. The mean follow-up period was 5.9 +/- 2.5 years. Fifty cases (12.9%) were operated bilaterally. The initial success rate was 91.5% and the last success rate was 98.4% after reoperations. We found meaningful correlations between success and duration of obstruction, age of the patient, and the duration of postoperative follow-up (r = 0.18, 0.17 and -0.14, p = 0.036, 0.001 and 0.002, respectively). In comparison to newly developed surgical techniques for the treatment of nasolacrimal duct obstruction, Ex-DCR still appears to offer higher success rates, even after long-term follow-up. In addition to being a cost-effective procedure, it requires no sophisticated instruments. In our opinion, the high success rates may be explained by the nature of the operation, which creates a fistula between the sac and the nasal mucosa.

Retrospective financial analysis of medication therapy management services from the pharmacy's perspective.

PubMed

McDonough, Randal P; Harthan, Aaron A; McLeese, Kelly E; Doucette, William R

2010-01-01

To determine the net financial gain or loss for medication therapy management (MTM) services provided to patients by an independent community pharmacy during 16 months of operation. Retrospective study. Independent community pharmacy in Iowa City, IA, from September 1, 2006, to December 31, 2007. Patients receiving MTM services during the specified period who had proper documentation of reimbursement for the services. MTM services were provided to the patient and documented by the pharmacist or student pharmacist. Net financial gains or losses for providing MTM services. Sensitivity analyses included costs that might be incurred under various conditions of operation. 103 initial and 88 follow-up MTM visits were conducted during a 16-month time period. The total cost for these services to the pharmacy was $11,191.72. Total revenue from these services was $11,195.00; therefore, the pharmacy experienced a net financial gain of $3.28. Sensitivity analyses were conducted, revealing the net gain/loss to the pharmacy if a student pharmacist was used and the net gain/loss if the pharmacist needed extra training to provide the services. Using a student pharmacist resulted in a net gain of $6,308.48, while extra training for the pharmacist resulted in a net loss of $1,602.72. The MTM service programs showed a positive financial gain after 16 months of operation, which should encourage pharmacists to incorporate these services into their practice.

[The advance of detection technology of HIV self-testing].

PubMed

Yan, L; Xiao, P P; Yan, H J; Huan, X P; Fu, G F; Li, J J; Yang, H T

2017-11-06

At present, China's AIDS testing increased rapidly, but there are still many people living with HIV do not recognize their status, thus postponing the antiviral treatment time. HIV self-testing (HST) is an effective method to expand the testing, not only simple operation, easy to get a result, effectively protect the detection privacy, expand the selection of testers, suit to the entire population, but also the premise and basis of other AIDS comprehensive prevention measures, all over the world are promoting it. Because the HST has controversies in the window period, price and before and after controversial, and our country is in the initial stage of HST, so it is not to develop related policies, but more and more countries are in accordance with their own situations are modified or developed to allow to use rapid detection of AIDS policy to regulate the field. This paper analyzed and summarized the advantage and influence factors of HST promotion, HST believes that in the long term, the advantages outweigh the disadvantages, we need to formulate relevant policies, and improve the sensitivity of the kit, shorten the window period of time, production and promotion of operation standard of video, specification and testing the operating practices, preventing and reporting the possible social harm, investigation and understanding of the needs of the people of the crowd, to maximize the advantages of HST, find more infection, so as to curb the epidemic of AIDS.

Optimization of Large-Scale Daily Hydrothermal System Operations With Multiple Objectives

NASA Astrophysics Data System (ADS)

Wang, Jian; Cheng, Chuntian; Shen, Jianjian; Cao, Rui; Yeh, William W.-G.

2018-04-01

This paper proposes a practical procedure for optimizing the daily operation of a large-scale hydrothermal system. The overall procedure optimizes a monthly model over a period of 1 year and a daily model over a period of up to 1 month. The outputs from the monthly model are used as inputs and boundary conditions for the daily model. The models iterate and update when new information becomes available. The monthly hydrothermal model uses nonlinear programing (NLP) to minimize fuel costs, while maximizing hydropower production. The daily model consists of a hydro model, a thermal model, and a combined hydrothermal model. The hydro model and thermal model generate the initial feasible solutions for the hydrothermal model. The two competing objectives considered in the daily hydrothermal model are minimizing fuel costs and minimizing thermal emissions. We use the constraint method to develop the trade-off curve (Pareto front) between these two objectives. We apply the proposed methodology on the Yunnan hydrothermal system in China. The system consists of 163 individual hydropower plants with an installed capacity of 48,477 MW and 11 individual thermal plants with an installed capacity of 12,400 MW. We use historical operational records to verify the correctness of the model and to test the robustness of the methodology. The results demonstrate the practicability and validity of the proposed procedure.

Clinical evaluation of a two-incision fistula technique for the treatment of oral ranulas.

PubMed

Wang, Shaoyi; Zhang, Zhiyuan; Yang, Chi

2016-01-01

Oral ranulas are caused by extravasation of mucus from the sublingual glands, and the preferred treatment varies. We have developed a two-incision fistula operation for their treatment, and in this clinical study we have evaluated the efficacy and safety of this approach. Twelve patients with oral ranulas confirmed by fine needle aspiration cytology were enrolled and gave their consent to be treated by our new technique. The clinical outcomes and complications were evaluated during a period that ranged from 8-24 months. Nine ranulas became smaller and gradually disappeared, and there were no complications or injury to Wharton's duct. Three ranulas recurred, but disappeared after a second operation. The two-incision fistula operation can be effective and safe as an initial treatment for oral ranulas, and the method may become the preferred management for retention cysts. Copyright © 2015 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Extended Operation of Stirling Convertors in a Thermal Vacuum Environment

NASA Technical Reports Server (NTRS)

Oriti, Salvatore M.

2006-01-01

A 110 watt Stirling Radioisotope Generator (SRG110) is being developed for potential use on future NASA exploration missions. The development effort is being performed by Lockheed Martin under contract to the Department of Energy (DOE). Infinia, Corp. supplies the free-piston Stirling power convertors, and NASA Glenn Research Center (GRC) provides support to the effort in a range of technologies. This generator features higher efficiency and specific power compared to alternatives. One potential application for the generator would entail significant cruise time in the vacuum of deep space. A test has been initiated at GRC to demonstrate functionality of the Stirling convertors in a thermal vacuum environment. The test article resembles the configuration of the SRG110, however the requirement for low mass was not considered. This test demonstrates the operation of the Stirling convertors in the thermal vacuum environment, simulating deep space, over an extended period of operation. The status of the test as well as the data gathered will be presented in this paper.

Ptolemy operations at the surface of a comet, from planning to reality

NASA Astrophysics Data System (ADS)

Morse, A. D.; Andrews, D. J.; Morgan, G. H.; Sheridan, S.; Barber, S. J.; Wright, I. P.

2016-08-01

Ptolemy is a Gas Chromatograph-Isotope Ratio-Mass Spectrometer (GC-IR-MS) aboard the Philae lander element of the Rosetta mission to comet 67P/Churyumov-Gerasimenko. Developed to determine the chemical and stable light isotopic composition of cometary material, Ptolemy was conceived as a highly flexible instrument able to accommodate changes in operational functionality via software modification. This was considered essential to allow for different modes of operation not only in response to rapid/unexpected changes and opportunities, but also to longer-term shifts in priorities as the overall mission plan (and indeed cometary science in general) changed during the decades from initial concept to landing. Against the backdrop of events of the Philae landing, this paper describes the methods of instrument operation and rational behind them used to achieve the Ptolemy scientific results during the period 12-14th November 2014. In particular we demonstrate the importance of a flexible modular approach to the instrument architecture enabling complex instrument operations, especially in a situation where the environment of exploration is effectively unknown and some of the engineering solutions were being tested in the field for the first time.

Operative drainage of the pancreatic duct delays functional impairment in patients with chronic pancreatitis. A prospective analysis.

PubMed Central

Nealon, W H; Townsend, C M; Thompson, J C

1988-01-01

In a prospective study, 85 patients with chronic pancreatitis have been subjected to evaluation by morphologic analysis (endoscopic retrograde cholangiopancreatography), by exocrine function tests (bentiromide PABA and 72-hour fecal fat testing), and by endocrine function tests (oral glucose tolerance test and fat-stimulated release of pancreatic polypeptide). All patients were graded on a five-point system, with 1 point assessed for an abnormal result in each of the five tests performed. Zero score denoted mild disease; 1-2 points signaled moderate disease; and 3-5 points indicated severe disease. In 68 patients, both an initial and late (mean follow-up period of 14 months) evaluation were performed. Forty-one patients underwent modified Puestow side-to-side Roux-en-Y pancreaticojejunostomy. The Puestow procedure alone was performed in 18 patients. Eight patients also had drainage of pseudocysts, seven also had a biliary bypass, and eight had pseudocyst drainage plus bypass, in addition to the Puestow. There were no deaths. Of the 68 patients who were studied twice, 30 had operations and 38 did not. None of the patients with severe disease improved their grade during follow-up. Of 24 patients who did not undergo operation, 17 (71%) who were graded mild/moderate progressed to a severe grade at follow-up. By contrast, only three of the 19 patients operated on (16%) and who were initially graded as mild/moderate progressed to severe disease at follow-up testing. More than 75% of all of the patients had a history of weight loss. Twenty-six of 30 patients operated on (87%) (all of whom had lost weight before surgery) gained a mean 4.2 kg (range 1.4-2.7 kg) after surgery, compared with no significant weight change (range -3.6-2.7 kg) among patients not operated on. These findings support a policy of early operation for chronic pancreatitis, perhaps even in the absence of disabling abdominal pain. PMID:3421756

Operative drainage of the pancreatic duct delays functional impairment in patients with chronic pancreatitis. A prospective analysis.

PubMed

Nealon, W H; Townsend, C M; Thompson, J C

1988-09-01

In a prospective study, 85 patients with chronic pancreatitis have been subjected to evaluation by morphologic analysis (endoscopic retrograde cholangiopancreatography), by exocrine function tests (bentiromide PABA and 72-hour fecal fat testing), and by endocrine function tests (oral glucose tolerance test and fat-stimulated release of pancreatic polypeptide). All patients were graded on a five-point system, with 1 point assessed for an abnormal result in each of the five tests performed. Zero score denoted mild disease; 1-2 points signaled moderate disease; and 3-5 points indicated severe disease. In 68 patients, both an initial and late (mean follow-up period of 14 months) evaluation were performed. Forty-one patients underwent modified Puestow side-to-side Roux-en-Y pancreaticojejunostomy. The Puestow procedure alone was performed in 18 patients. Eight patients also had drainage of pseudocysts, seven also had a biliary bypass, and eight had pseudocyst drainage plus bypass, in addition to the Puestow. There were no deaths. Of the 68 patients who were studied twice, 30 had operations and 38 did not. None of the patients with severe disease improved their grade during follow-up. Of 24 patients who did not undergo operation, 17 (71%) who were graded mild/moderate progressed to a severe grade at follow-up. By contrast, only three of the 19 patients operated on (16%) and who were initially graded as mild/moderate progressed to severe disease at follow-up testing. More than 75% of all of the patients had a history of weight loss. Twenty-six of 30 patients operated on (87%) (all of whom had lost weight before surgery) gained a mean 4.2 kg (range 1.4-2.7 kg) after surgery, compared with no significant weight change (range -3.6-2.7 kg) among patients not operated on. These findings support a policy of early operation for chronic pancreatitis, perhaps even in the absence of disabling abdominal pain.

"Minimally invasive video-assisted thyroidectomy. Initial experience in a general surgery department".

PubMed

Dobrinja, Chiara; Trevisan, Giuliano; Liguori, Gennaro

2009-03-01

The aim of this study is to analyze our preliminary results from minimally invasive video-assisted thyroidectomy (MIVAT) and demonstrate the feasibility of MIVAT also in non-referral centers. We report our initial experience based on a series of 47 patients selected for MIVAT at General Surgery Department of University of Trieste during a period from May 2005 to February 2007. The eligibility criteria were rigorously observed. Age, goiter volume, major diameter of the dominant nodule, operative times, pathologic findings, postoperative pain, length of hospital stay, cosmetic results, and complications were retrospectively analyzed. Thyroid lobectomy was successfully accomplished in 33 cases, total thyroidectomy in 14. Conversion to standard cervicotomy was required in three patients (6%). Mean operative time of lobectomy was 82.6 min and 118.7 for total thyroidectomy. Postoperative complications included 11 (23.4%) transient hypocalcemias, 2 (4.2%) hematomas, and 2 (4.2%) temporary laryngeal nerve palsies. None-recurrent nerve palsies was observed. The cosmetic result was excellent in most cases. Our experience demonstrates that MIVAT, after adequate training, is feasible and safe, with results comparable to conventional thyroidectomy, also in a General Surgery Department, from a dedicated team, with a sufficient and specific activity volume.

Resolution in partially accomodative esotropia during occlusion treatment for amblyopia.

PubMed

Koc, F; Ozal, H; Yasar, H; Firat, E

2006-03-01

To evaluate alignment changes in partially accommodative esotropia during occlusion treatment for amblyopia. Changes at the deviation angles of 63 partially accommodative esotropia patients, who had occlusion treatment for amblyopia, were evaluated retrospectively. Mean deviation angle at the start of therapy without glasses was 45 PD (10-90 PD) and became 27 PD (5-70 PD) after at least 2 months with glasses. During 12 (2-36) months of occlusion period, mean manifest deviation angle with glasses decreased to 11 PD (0-50) (P < 0.001) and amblyopia resolved in 71.5% of the cases. After termination of amblyopia treatment 24 (38%) cases had surgery for the residual deviation but if we had planned surgery before amblyopia treatment, 81% of the patients would have had surgery. Should amblyopia be treated initially or should we operate first in patients with strabismus and amblyopia together? Our research suggests that we should not hurry to operate in high hypermetropic partially accommodative cases, which have amblyopia and a long-term history of strabismus. Initial amblyopia treatment in these cases allows time for resolution of the nonaccomodative component in strabismus and can significantly decrease the necessity for surgery.

Movement initiation-locked activity of the anterior putamen predicts future movement instability in periodic bimanual movement.

PubMed

Aramaki, Yu; Haruno, Masahiko; Osu, Rieko; Sadato, Norihiro

2011-07-06

In periodic bimanual movements, anti-phase-coordinated patterns often change into in-phase patterns suddenly and involuntarily. Because behavior in the initial period of a sequence of cycles often does not show any obvious errors, it is difficult to predict subsequent movement errors in the later period of the cyclical sequence. Here, we evaluated performance in the later period of the cyclical sequence of bimanual periodic movements using human brain activity measured with functional magnetic resonance imaging as well as using initial movement features. Eighteen subjects performed a 30 s bimanual finger-tapping task. We calculated differences in initiation-locked transient brain activity between antiphase and in-phase tapping conditions. Correlation analysis revealed that the difference in the anterior putamen activity during antiphase compared within-phase tapping conditions was strongly correlated with future instability as measured by the mean absolute deviation of the left-hand intertap interval during antiphase movements relative to in-phase movements (r = 0.81). Among the initial movement features we measured, only the number of taps to establish the antiphase movement pattern exhibited a significant correlation. However, the correlation efficient of 0.60 was not high enough to predict the characteristics of subsequent movement. There was no significant correlation between putamen activity and initial movement features. It is likely that initiating unskilled difficult movements requires increased anterior putamen activity, and this activity increase may facilitate the initiation of movement via the basal ganglia-thalamocortical circuit. Our results suggest that initiation-locked transient activity of the anterior putamen can be used to predict future motor performance.

Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room.

PubMed

Bowermaster, Rebecca; Miller, Megan; Ashcraft, Traci; Boyd, Michael; Brar, Anoop; Manning, Peter; Eghtesady, Pirooz

2015-02-01

Cardiac surgical procedures are complex and require the coordinated action of many. This creates the potential for small failures that could be the substrate for subsequent morbidity or mortality. High-reliability science suggests that preoccupation with small failures can lead to improved outcomes. Failures of all magnitudes (ie, events) were captured within the pediatric cardiac operating room starting with a single surgeon in April 2008. As the surgical team became more familiar with the process, failure recording was extended to all surgeons and all surgical procedures performed until the conclusion of the study in December 2010. New recording processes were developed and used on a rolling basis during this study. With systematic capture, event rates increased (from occurring within 20% to 50% of operative procedures). Although we identified 9 recurrent patterns, 2 categories (ie, Equipment and Patient Instability) accounted for almost half of the events (45%). The greatest number of events occurred during the prebypass period (40.2%), compared with bypass (20.1%) and postbypass (32.3%) periods. These events were mainly difficulties in access (31.8%), equipment (42.4%), and patient instability (33.3%) in each of the epochs, respectively. Of all events, 7.3% occurred during nonbypass cases, 30.6% of these were communication events. Implementation of this initiative led to recognition of major system-wide issues (eg, need for change in the blood-product acquisition process). Preoccupation with all failures in the operating room can reveal important information about the operating room and perioperative microenvironment that can prompt substantive process changes both locally and within the larger health system. Copyright © 2015 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Orbital trim by velocity factoring with applications to the Viking mission.

NASA Technical Reports Server (NTRS)

Kibler, J. F.; Green, R. N.; Young, G. R.

1972-01-01

An orbital trim technique has been developed to satisfy terminal rendezvous and intermediate timing constraints for planetary missions involving orbital operations. The technique utilizes a time-open two-impulse transfer from a specified initial orbit to a final orbit which satisfies all geometrical constraints. Each of the two impulses may then be factored, or split, into two or more vectorially equivalent impulses. The periods of the resulting intermediate orbits may be varied along with the number of revolutions in each orbit to satisfy the intermediate and final timing constraints. Factors in the range 0 to 1 result in rendezvous at the same cost as that of the two-impulse transfer. The technique is applied to the Viking mission to Mars although a similar procedure could be utilized for rendezvous operations about any planet.

Experiment definition phase shuttle laboratory LDRL-10.6 experiment

NASA Technical Reports Server (NTRS)

1975-01-01

This report for the Experiment Definition Phase of the Shuttle Laboratory LDRL 10.6 Micrometer Experiment covers period 27 June through 26 September 1975. Activities during the fifth quarter included: (1) reevaluation of system obscuration ratio with a subsequent reduction of this ratio from 0.417 to 0.362, (2) completion of detail drawings for the 6X pre-expander, (3) completion of detail drawings for the nine mirrors that comprise pointing and tracking optomechanical subsystem, (4) continuation of detailing of mechanical portions of CMSS and modifications to accommodate new obscuration ratio, (5) qualitative operation of the optomechanical subsystem of the 10.6 um receiver achieved under experiment measurement task; receiver fully integrated and operation demonstrated over a 10 km experimental link, and (6) data collection task initiated to begin preparation of link analysis volumes.

Method and systems for a radiation tolerant bus interface circuit

NASA Technical Reports Server (NTRS)

Kinstler, Gary A. (Inventor)

2007-01-01

A bus management tool that allows communication to be maintained between a group of nodes operatively connected on two busses in the presence of radiation by transmitting periodically a first message from one to another of the nodes on one of the busses, determining whether the first message was received by the other of the nodes on the first bus, and when it is determined that the first message was not received by the other of the nodes, transmitting a recovery command to the other of the nodes on a second of the of busses. Methods, systems, and articles of manufacture consistent with the present invention also provide for a bus recovery tool on the other node that re-initializes a bus interface circuit operatively connecting the other node to the first bus in response to the recovery command.

CILogon-HA. Higher Assurance Federated Identities for DOE Science

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

Basney, James

The CILogon-HA project extended the existing open source CILogon service (initially developed with funding from the National Science Foundation) to provide credentials at multiple levels of assurance to users of DOE facilities for collaborative science. CILogon translates mechanism and policy across higher education and grid trust federations, bridging from the InCommon identity federation (which federates university and DOE lab identities) to the Interoperable Global Trust Federation (which defines standards across the Worldwide LHC Computing Grid, the Open Science Grid, and other cyberinfrastructure). The CILogon-HA project expanded the CILogon service to support over 160 identity providers (including 6 DOE facilities) andmore » 3 internationally accredited certification authorities. To provide continuity of operations upon the end of the CILogon-HA project period, project staff transitioned the CILogon service to operation by XSEDE.« less

[The organizational characteristics of the medical support for the troops in the first operations at the start of a war (based on the experience of exercises)].

PubMed

Iziumtsev, I S

1995-03-01

The article summarized the experience of an explorative tactical-special exercise on medical support of Mobile Forces in first military operations of the initial period of war which has studied the following questions: the organic structure and organization of work of the medical service of a motorized infantry brigade in defense; joint direction of organic hospital facilities and field traumatological hospital. The author also studies the deployment peculiarities of a military multipurpose hospital on the basis of a garrison hospital. The experience of these exercises has proved the necessity to update the organic structure and principles of the employment of medical assets in accordance with the requirements of new military doctrine, as well as realize the technical re-equipment of medical service.

Long-term experience with sclerotherapy for treatment of epididymal cyst and hydrocele.

PubMed

Braslis, K G; Moss, D I

1996-04-01

Symptomatic testicular hydrocele and cyst of the epididymis may be treated with either operation or sclerotherapy. The current report presents the experience of a 9 year prospective study using sodium tetradecyl sulphate (STD) sclerotherapy for the treatment of symptomatic hydrocele and/or epididymal cyst. A total of 102 lesions were treated during the study period, with an initial success rate of 76% which improved to 94% with multiple treatments. The overall median follow up during the study was 30 months (range 2-100). Sclerotherapy offers a cost-effective outpatient method for the treatment of symptomatic scrotal cysts.

Automated activity-aware prompting for activity initiation.

PubMed

Holder, Lawrence B; Cook, Diane J

2013-01-01

Performing daily activities without assistance is important to maintaining an independent functional lifestyle. As a result, automated activity prompting systems can potentially extend the period of time that adults can age in place. In this paper we introduce AP, an algorithm to automate activity prompting based on smart home technology. AP learns prompt rules based on the time when activities are typically performed as well as the relationship between activities that normally occur in a sequence. We evaluate the AP algorithm based on smart home datasets and demonstrate its ability to operate within a physical smart environment.

Reconfigurable Computing Concepts for Space Missions: Universal Modular Spares

NASA Technical Reports Server (NTRS)

Patrick, M. Clinton

2007-01-01

Computing hardware for control, data collection, and other purposes will prove many times over crucial resources in NASA's upcoming space missions. Ability to provide these resources within mission payload requirements, with the hardiness to operate for extended periods under potentially harsh conditions in off-World environments, is daunting enough without considering the possibility of doing so with conventional electronics. This paper examines some ideas and options, and proposes some initial approaches, for logical design of reconfigurable computing resources offering true modularity, universal compatibility, and unprecedented flexibility to service all forms and needs of mission infrastructure.

[Research on change process of nitrosation granular sludge in continuous stirred-tank reactor].

PubMed

Yin, Fang-Fang; Liu, Wen-Ru; Wang, Jian-Fang; Wu, Peng; Shen, Yao-Liang

2014-11-01

In order to investigate the effect of different types of reactors on the nitrosation granular sludge, a continuous stirred-tank reactor (CSTR) was studied, using mature nitrosation granular sludge cultivated in sequencing batch reactor (SBR) as seed sludge. Results indicated that the change of reactor type and influent mode could induce part of granules to lose stability with gradual decrease in sludge settling ability during the initial period of operation. However, the flocs in CSTR achieved fast granulation in the following reactor operation. In spite of the changes of particle size distribution, e. g. the decreasing number of granules with diameter larger than 2.5 mm and the increasing number of granules with diameter smaller than 0.3 mm, granular sludge held the absolute predominance of sludge morphology in CSTR during the entire experimental period. Moreover, results showed that the change of reactor type and influent mode didn't affect the nitrite accumulation rate which was still kept at about 85% in effluent. Additionally, the average activity of the sludge in CSTR was stronger than that of the seed sludge, because the newly generated small particles in CSTR had higher specific reactive activity than the larger granules.

Successful strategies for improving operating room efficiency at academic institutions.

PubMed

Overdyk, F J; Harvey, S C; Fishman, R L; Shippey, F

1998-04-01

In this prospective study, we evaluated the etiology of operating room (OR) delays in an academic institution, examined the impact of multidisciplinary strategies to improve OR efficiency, and established OR timing benchmarks for use in future OR efficiency studies. OR times and delay etiologies were collected for 94 cases during the initial phase of the study. Timing data and delay etiologies were analyzed, and 2 wk of multidisciplinary OR efficiency awareness education was conducted for the nursing, surgical, and anesthesia staff. After the education period, timing data were collected from 1787 cases, and monthly reports listing individual case delays and timing data were sent to the Chiefs of Service. For the first case of the day, patient in room, anesthesia ready, surgical preparation start, and procedure start time were significantly earlier (P < 0.01) in the posteducation period compared with the preeducation period, and the procedure start time for the first case of the day occurred, on average, 22 min earlier than all other procedures. For all cases combined, turnover time decreased, on average, by 16 min. Unavailability of surgeons, anesthesiologists, and residents decreased significantly (P < 0.05) as causes of OR delays. Anesthesia induction times were consistently longer for the vascular and cardiothoracic services, whereas surgical preparation time was increased for the neurosurgical and orthopedic services (P < 0.05). Identification of the etiology of OR inefficiency, combined with multidisciplinary awareness training and personal accountability, can improve OR efficiency. The time savings realized are probably most cost-effective when combined with more flexible OR staffing and improved OR scheduling. We achieved significant improvements in operating room efficiency by analyzing operating room data on causes of delays, devising strategies for minimizing the most common delays, and subsequently measuring delay data. Personal accountability, streamlining of procedures, interdisciplinary team work, and accurate data collection were all important contributors to improved efficiency.

Learning curve for robotic-assisted laparoscopic rectal cancer surgery.

PubMed

Jiménez-Rodríguez, Rosa M; Díaz-Pavón, José Manuel; de la Portilla de Juan, Fernando; Prendes-Sillero, Emilio; Dussort, Hisnard Cadet; Padillo, Javier

2013-06-01

One of the main uses of robotic assisted abdominal surgery is the mesorectal excision in patients with rectal cancer. The aim of the present study is to analyse the learning curve for robotic assisted laparoscopic resection of rectal cancer. We included in our study 43 consecutive rectal cancer resections (16 females and 27 males) performed from January 2008 through December 2010. Mean age of patients was 66 ± 9.0 years. Surgical procedures included both abdomino-perineal and anterior resections. We analysed the following parameters: demographic data of the patients included in the study, intra- and postoperative data, time taking to set up the robot for operations (set-up or docking time), operative time, intra- and postoperative complications, conversion rates and pathological specimen features. The learning curve was analysed using cumulative sum (CUSUM) methodology. The procedures understudied included seven abdomino-perineal resections and 36 anterior resections. In our series of patients, mean robotic set-up time was 62.9 ± 24.6 min, and the mean operative time was 197.4 ± 44.3 min. Once we applied CUSUM methodology, we obtained two graphs for CUSUM values (operating time and success), both of them showing three well-differentiated phases: phase 1 (the initial 9-11 cases), phase 2 (the middle 12 cases) and phase 3 (the remaining 20-22 cases). Phase 1 represents initial learning; phase 2 plateau represents increased competence in the use of the robotic system, and finally, phase 3 represents the period of highest skill or mastery with a reduction in docking time (p = 0.000), but a slight increase in operative time (p = 0.007). The CUSUM curve shows three phases in the learning and use of robotic assisted rectal cancer surgery which correspond to the phases of initial learning of the technique, consolidation and higher expertise or mastery. The data obtained suggest that the estimated learning curve for robotic assisted rectal cancer surgery is achieved after 21-23 cases.

Shock initiation of nitromethane

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

Yoo, C.S.; Holmes, N.C.

1994-07-10

The shock initiation processes of nitromethane have been examined by using a fast time-resolved emission spectroscopy at a two-stage gas gun. A broad, but strong emission has been observed in a spectral range between 350 nm and 700 nm from the shocked nitromethane above 9 GPa. The temporal profile suggests that the shocked nitromethane detonates through three characteristic periods, namely an induction period, a shock initiation period, and a thermal explosion period. In this paper we will discuss the temporal and chemical characteristics of these periods and present the temperature of the shock-detonating nitromethane at pressures between 9 and 15more » GPa. [copyright]American Institute of Physics« less

20 CFR 628.710 - Period of program operation.

Code of Federal Regulations, 2011 CFR

2011-04-01

... be conducted during the school vacation period occurring duri the summer months. (b) An SDA operating... full-time basis may offer SYETP activities to participants in such a jurisdiction during the school vacation period(s) treated as the period(s) equivalent to a school summer vacation. ...

20 CFR 628.710 - Period of program operation.

Code of Federal Regulations, 2010 CFR

2010-04-01

... be conducted during the school vacation period occurring duri the summer months. (b) An SDA operating... full-time basis may offer SYETP activities to participants in such a jurisdiction during the school vacation period(s) treated as the period(s) equivalent to a school summer vacation. ...

Comparative study of Misgav-Ladach and Pfannenstiel-Kerr cesarean techniques: a randomized controlled trial.

PubMed

Naki, Mehmet Murat; Api, Oluş; Celik, Hasniye; Kars, Bülent; Yaşar, Esra; Unal, Orhan

2011-02-01

To compare Pfannenstiel-Kerr (PKM) and Misgav-Ladach (MLM) methods in terms of operation-related features and neonatal outcome in primary cesarean deliveries. A total of 180 pregnant women randomized into PKM (n = 90) or MLM (n = 90) groups were included in this study. Primary outcome measures were total operative and extraction times, Apgar score, blood loss, wound complications, and the suture use. Secondary outcome measures were wound seroma and infection incidence, time of bowel restitution, and the perceived pain. Total operation and extraction times were significantly shorter and less suture material was used in the MLM group than the PKM group (p < 0.001). Initially, higher scores obtained for 6 h-VAS in the MLM group (p < 0.05) were normalized after 24 h of the operation. PKM and MLM were similar in terms of preoperative and postoperative levels of hemoglobin and hematocrit, wound complication, bowel restitution, fever, seroma, infection, wound dehiscence and the need for transfusion, antibiotic, and analgesics. The operation-related morbidity of the MLM and PKM for primary C/S seem to be comparable; however, the MLM seems to be superior in terms of operation time and the amount of suture usage but inferior in pain scores in the early postoperative period.

Evaluation of a protocol for the non-operative management of perforated peptic ulcer.

PubMed

Marshall, C; Ramaswamy, P; Bergin, F G; Rosenberg, I L; Leaper, D J

1999-01-01

The non-operative management of perforated peptic ulcer has previously been shown to be both safe and effective although it remains controversial. A protocol for non-operative management was set up in this hospital in 1989. Adherence to the guidelines in the protocol has been audited over a 6-year period with a review of outcome. The case-notes of patients with a diagnosis of perforated peptic ulcer were reviewed. Twelve guidelines from the protocol were selected for evaluation of compliance to the protocol. Forty-nine patients underwent non-operative treatment initially. Eight patients failed to respond and underwent operation. Complications included abscess formation (seven patients), renal failure (one), gastric ileus (one), chest infection (two), and cardiac failure and stroke (one). Four deaths occurred in this group. Adherence to certain protocol guidelines was poor, notably those concerning prevention of thromboembolism, use of antibiotics, use of contrast examination to confirm the diagnosis and referral for follow-up endoscopy. Two gastric cancers were detected on subsequent endoscopy. This experience demonstrates that non-operative treatment can be used successfully in a general hospital. Adherence to protocol guidelines was found to be variable and the protocol has therefore been simplified. This study highlights the need for an accurate diagnosis and the importance of follow-up endoscopy.

Serious Fall Injuries Before and After Initiation of Hemodialysis Among Older ESRD Patients in the United States: A Retrospective Cohort Study.

PubMed

Plantinga, Laura C; Patzer, Rachel E; Franch, Harold A; Bowling, C Barrett

2017-07-01

Because initiation of dialysis therapy often occurs in the setting of acute illness and may signal worsening health and functional decline, we examined whether rates of serious fall injuries among older hemodialysis patients differ before and after dialysis therapy initiation. Retrospective cohort study of claims data from the 2 years spanning dialysis therapy initiation among patients initiating dialysis therapy in 2010 to 2012. Claims from 81,653 Medicare end-stage renal disease beneficiaries aged 67 to 100 years. Post- versus pre-dialysis therapy initiation periods, defined as on or after versus before dialysis therapy initiation. Serious fall injuries were defined using diagnostic codes for falls in combination with fractures, brain injuries, or joint dislocation. Incidence rate ratios (overall and stratified) for post- versus pre-dialysis therapy initiation periods were estimated using generalized estimating equation models with a negative binomial link. Overall, 12,757 serious fall injuries occurred in the pre- and post-dialysis therapy initiation periods. Annual rates of serious fall injuries were 64.4 (95% CI, 62.7-66.2) and 107.8 (95% CI, 105.4-110.3) per 1,000 patient-years, respectively, in the pre- and post-dialysis therapy initiation periods (incidence rate ratio, 1.62; 95% CI, 1.56-1.67). Relative rates of serious fall injuries in the post- vs pre-dialysis initiation periods were of greater magnitude among patients who were younger (<75 years), had pre-end-stage renal disease nephrology care, had albumin levels > 3g/dL, were able to walk and transfer, did not need assistance with activities of daily living, and were not institutionalized compared with relative rates among their counterparts. Potential misclassification due to the use of claims data and survival bias among those initiating hemodialysis therapy. Among older Medicare beneficiaries receiving hemodialysis, serious fall injuries are common, the post-dialysis initiation period is a high-risk time for falls, and dialysis therapy initiation may be an important time to screen for fall risk factors and implement multifactorial fall prevention strategies. Copyright © 2017 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

21 CFR 26.11 - Start of operational period.

Code of Federal Regulations, 2013 CFR

2013-04-01

... period. (a) The operational period shall start at the end of the transition period and its provisions... batch certificate (in accordance with the World Health Organization Certification Scheme on the Quality...

21 CFR 26.11 - Start of operational period.

Code of Federal Regulations, 2014 CFR

2014-04-01

... period. (a) The operational period shall start at the end of the transition period and its provisions... batch certificate (in accordance with the World Health Organization Certification Scheme on the Quality...

21 CFR 26.11 - Start of operational period.

Code of Federal Regulations, 2011 CFR

2011-04-01

... period. (a) The operational period shall start at the end of the transition period and its provisions... batch certificate (in accordance with the World Health Organization Certification Scheme on the Quality...

21 CFR 26.11 - Start of operational period.

Code of Federal Regulations, 2012 CFR

2012-04-01

... period. (a) The operational period shall start at the end of the transition period and its provisions... batch certificate (in accordance with the World Health Organization Certification Scheme on the Quality...

Optimal design and operation of booster chlorination stations layout in water distribution systems.

PubMed

Ohar, Ziv; Ostfeld, Avi

2014-07-01

This study describes a new methodology for the disinfection booster design, placement, and operation problem in water distribution systems. Disinfectant residuals, which are in most cases chlorine residuals, are assumed to be sufficient to prevent growth of pathogenic bacteria, yet low enough to avoid taste and odor problems. Commonly, large quantities of disinfectants are released at the sources outlets for preserving minimum residual disinfectant concentrations throughout the network. Such an approach can cause taste and odor problems near the disinfectant injection locations, but more important hazardous excessive disinfectant by-product formations (DBPs) at the far network ends, of which some may be carcinogenic. To cope with these deficiencies booster chlorination stations were suggested to be placed at the distribution system itself and not just at the sources, motivating considerable research in recent years on placement, design, and operation of booster chlorination stations in water distribution systems. The model formulated and solved herein is aimed at setting the required chlorination dose of the boosters for delivering water at acceptable residual chlorine and TTHM concentrations for minimizing the overall cost of booster placement, construction, and operation under extended period hydraulic simulation conditions through utilizing a multi-species approach. The developed methodology links a genetic algorithm with EPANET-MSX, and is demonstrated through base runs and sensitivity analyses on a network example application. Two approaches are suggested for dealing with water quality initial conditions and species periodicity: (1) repetitive cyclical simulation (RCS), and (2) cyclical constrained species (CCS). RCS was found to be more robust but with longer computational time. Copyright © 2014 Elsevier Ltd. All rights reserved.

20 CFR 628.710 - Period of program operation.

Code of Federal Regulations, 2012 CFR

2012-04-01

... TITLE II OF THE JOB TRAINING PARTNERSHIP ACT The Summer Youth Employment and Training Program § 628.710... be conducted during the school vacation period occurring duri the summer months. (b) An SDA operating... vacation period(s) treated as the period(s) equivalent to a school summer vacation. ...

Statistical Analysis of Model Data for Operational Space Launch Weather Support at Kennedy Space Center and Cape Canaveral Air Force Station

NASA Technical Reports Server (NTRS)

Bauman, William H., III

2010-01-01

The 12-km resolution North American Mesoscale (NAM) model (MesoNAM) is used by the 45th Weather Squadron (45 WS) Launch Weather Officers at Kennedy Space Center (KSC) and Cape Canaveral Air Force Station (CCAFS) to support space launch weather operations. The 45 WS tasked the Applied Meteorology Unit to conduct an objective statistics-based analysis of MesoNAM output compared to wind tower mesonet observations and then develop a an operational tool to display the results. The National Centers for Environmental Prediction began running the current version of the MesoNAM in mid-August 2006. The period of record for the dataset was 1 September 2006 - 31 January 2010. The AMU evaluated MesoNAM hourly forecasts from 0 to 84 hours based on model initialization times of 00, 06, 12 and 18 UTC. The MesoNAM forecast winds, temperature and dew point were compared to the observed values of these parameters from the sensors in the KSC/CCAFS wind tower network. The data sets were stratified by model initialization time, month and onshore/offshore flow for each wind tower. Statistics computed included bias (mean difference), standard deviation of the bias, root mean square error (RMSE) and a hypothesis test for bias = O. Twelve wind towers located in close proximity to key launch complexes were used for the statistical analysis with the sensors on the towers positioned at varying heights to include 6 ft, 30 ft, 54 ft, 60 ft, 90 ft, 162 ft, 204 ft and 230 ft depending on the launch vehicle and associated weather launch commit criteria being evaluated. These twelve wind towers support activities for the Space Shuttle (launch and landing), Delta IV, Atlas V and Falcon 9 launch vehicles. For all twelve towers, the results indicate a diurnal signal in the bias of temperature (T) and weaker but discernable diurnal signal in the bias of dewpoint temperature (T(sub d)) in the MesoNAM forecasts. Also, the standard deviation of the bias and RMSE of T, T(sub d), wind speed and wind direction indicated the model error increased with the forecast period all four parameters. The hypothesis testing uses statistics to determine the probability that a given hypothesis is true. The goal of using the hypothesis test was to determine if the model bias of any of the parameters assessed throughout the model forecast period was statistically zero. For th is dataset, if this test produced a value >= -1 .96 or <= 1.96 for a data point, then the bias at that point was effectively zero and the model forecast for that point was considered to have no error. A graphical user interface (GUI) was developed so the 45 WS would have an operational tool at their disposal that would be easy to navigate among the multiple stratifications of information to include tower locations, month, model initialization times, sensor heights and onshore/offshore flow. The AMU developed the GUI using HyperText Markup Language (HTML) so the tool could be used in most popular web browsers with computers running different operating systems such as Microsoft Windows and Linux.

The solution of Cauchy's problem for the Toda lattice with limit periodic initial data

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

Khanmamedov, A Kh

Cauchy's problem for Toda lattices with initial data equal to the sum of a periodic and a rapidly decreasing sequence is solved with the use of the inverse scattering method. A method allowing one to find a limit periodic solution of the Toda lattice from a known periodic solution is described. The existence and uniqueness of a limit periodic solution is proved. Bibliography: 17 titles.

Creep Response and Deformation Processes in Nanocluster Strengthened Ferritic Steels

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

Hayashi, Taisuke; Sarosi, P. M.; Schneibel, Joachim H

2008-01-01

There is increasing demand for oxide-dispersion-strengthened ferritic alloys that possess both high-temperature strength and irradiation resistance. Improvement of the high-temperature properties requires an understanding of the operative deformation mechanisms. In this study, the microstructures and creep properties of the oxide-dispersion-strengthened alloy 14YWT have been evaluated as a function of annealing at 1000 C for 1 hour up to 32 days. The ultra-fine initial grain size (approx. 100nm) is stable after the shortest annealing time, and even after subsequent creep at 800 C. Longer annealing periods lead to anomalous grain growth that is further enhanced following creep. Remarkably, the minimum creepmore » rate is relatively insensitive to this dramatic grain-coarsening. The creep strength is attributed to highly stable, Ti-rich nanoclusters that appear to pin the initial primary grains, and present strong obstacles to dislocation motion in the large, anomalously grown grains.« less

Ethnic cartography and politics in Vienna, 1918-1945.

PubMed

Svatek, Petra

2018-03-01

In Vienna, the close of the First World War and the period of the peace negotiations in Paris saw an enormous boom of ethnic-geographic research approaches and ethnic map-making. This process continued with the appointment of the Viennese geographer Hugo Hassinger (1877-1952) to the chair of human geography at the University of Vienna in 1931 and intensified with the establishment of the South East German Research Association and the National Socialist takeover in March 1938. But did the initiatives to create ethnic maps originate with politicians and authorities, or did they come from the scientists themselves? This article argues that scientists embarked upon ethnic geographies on their own initiative. Although political institutions used scientists and their resources for their own, political ends (ethnographic maps served as an important source for the National Socialists in their operations for ethnic consolidation), scientists also mobilized resources from the political sphere for career and disciplinary purposes.

Predictors of treatment response in Canadian combat and peacekeeping veterans with military-related posttraumatic stress disorder.

PubMed

Richardson, J Don; Elhai, Jon D; Sarreen, Jitender

2011-09-01

Military-related posttraumatic stress disorder (PTSD) is a significant psychiatric condition associated with severe psychosocial dysfunction. This study examined the predictors of treatment outcome in a group of veterans with military-related PTSD. Participants were 102 Canadian combat and peacekeeping veterans who received treatment at a specialized outpatient clinic for veterans with psychiatric disorders resulting from military operation. Analysis demonstrated a significant decrease in PTSD severity during the 1-year period (Yuan-Bentler χ [86, N = 99] = 282.45, p < 0.001). We did not find chronicity, alcohol use, and anxiety or depression severity as significant predictors for PTSD symptom decline. However, initial depression significantly predicted anxiety symptom decline, and initial anxiety predicted depression symptom decline. This study demonstrated that, despite considerable comorbidity, significant treatment gains, including remission of PTSD, can be achieved in an outpatient setting in veterans with chronic military-related PTSD.

Motion of a Distinguishable Impurity in the Bose Gas: Arrested Expansion Without a Lattice and Impurity Snaking

NASA Astrophysics Data System (ADS)

Robinson, Neil J.; Caux, Jean-Sébastien; Konik, Robert M.

2016-04-01

We consider the real-time dynamics of an initially localized distinguishable impurity injected into the ground state of the Lieb-Liniger model. Focusing on the case where integrability is preserved, we numerically compute the time evolution of the impurity density operator in regimes far from analytically tractable limits. We find that the injected impurity undergoes a stuttering motion as it moves and expands. For an initially stationary impurity, the interaction-driven formation of a quasibound state with a hole in the background gas leads to arrested expansion—a period of quasistationary behavior. When the impurity is injected with a finite center-of-mass momentum, the impurity moves through the background gas in a snaking manner, arising from a quantum Newton's cradlelike scenario where momentum is exchanged back and forth between the impurity and the background gas.

Motion of a distinguishable Impurity in the Bose gas: Arrested expansion without a lattice and impurity snaking

DOE PAGES

Neil J. Robinson; Caux, Jean -Sebastien; Konik, Robert M.

2016-04-07

We consider the real-time dynamics of an initially localized distinguishable impurity injected into the ground state of the Lieb-Liniger model. Focusing on the case where integrability is preserved, we numerically compute the time evolution of the impurity density operator in regimes far from analytically tractable limits. We find that the injected impurity undergoes a stuttering motion as it moves and expands. For an initially stationary impurity, the interaction-driven formation of a quasibound state with a hole in the background gas leads to arrested expansion—a period of quasistationary behavior. In conclusion, when the impurity is injected with a finite center-of-mass momentum,more » the impurity moves through the background gas in a snaking manner, arising from a quantum Newton’s cradlelike scenario where momentum is exchanged back and forth between the impurity and the background gas.« less

An Instability in Narrow Planetary Rings

NASA Astrophysics Data System (ADS)

Weiss, J. W.; Stewart, G. R.

2003-08-01

We will present our work investigating the behavior of narrow planetary rings with low dispersion velocities. Such narrow a ring will be initially unstable to self-gravitational collapse. After the collapse, the ring is collisionally very dense. At this stage, it is subject to a new instability. Waves appear on the inner and outer edges of the ring within half of an orbital period. The ring then breaks apart radially, taking approximately a quarter of an orbital period of do so. As clumps of ring particles expand radially away from the dense ring, Kepler shear causes these clumps to stretch out azimuthally, and eventually collapse into a new set of dense rings. Small-scale repetitions of the original instability in these new rings eventually leads to a stabilized broad ring with higher dispersion velocities than the initial ring. Preliminary results indicate that this instability may be operating on small scales in broad rings in the wake-like features seen by Salo and others. Some intriguing properties have been observed during this instability. The most significant is a coherence in the epicyclic phases of the particles. Both self-gravity and collisions in the ring operated to create and enforce this coherence. The coherence might also be responsible for the instability to radial expansion. We also observe that guiding centers of the particles do not migrate to the center of the ring during the collapse phase of the ring. In fact, guiding centers move radially away from the core of the ring during this phase, consistent with global conservation of angular momentum. We will show the results of our simulations to date, including movies of the evolution of various parameters. (Audiences members wanting popcorn are advised to bring their own.) This work is supported by a NASA Graduate Student Research Program grant and by the Cassini mission.

Pulmonary function tests correlated with thoracic volumes in adolescent idiopathic scoliosis.

PubMed

Ledonio, Charles Gerald T; Rosenstein, Benjamin E; Johnston, Charles E; Regelmann, Warren E; Nuckley, David J; Polly, David W

2017-01-01

Scoliosis deformity has been linked with deleterious changes in the thoracic cavity that affect pulmonary function. The causal relationship between spinal deformity and pulmonary function has yet to be fully defined. It has been hypothesized that deformity correction improves pulmonary function by restoring both respiratory muscle efficiency and increasing the space available to the lungs. This research aims to correlate pulmonary function and thoracic volume before and after scoliosis correction. Retrospective correlational analysis between thoracic volume modeling from plain x-rays and pulmonary function tests was conducted. Adolescent idiopathic scoliosis patients enrolled in a multicenter database were sorted by pre-operative Total Lung Capacities (TLC) % predicted values from their Pulmonary Function Tests (PFT). Ten patients with the best and ten patients with the worst TLC values were included. Modeled thoracic volume and TLC values were compared before and 2 years after surgery. Scoliosis correction resulted in an increase in the thoracic volume for patients with the worst initial TLCs (11.7%) and those with the best initial TLCs (12.5%). The adolescents with the most severe pulmonary restriction prior to surgery strongly correlated with post-operative change in total lung capacity and thoracic volume (r 2  = 0.839; p < 0.001). The mean increase in thoracic volume in this group was 373.1 cm 3 (11.7%) which correlated with a 21.2% improvement in TLC. Scoliosis correction in adolescents was found to increase thoracic volume and is strongly correlated with improved TLC in cases with severe restrictive pulmonary function, but no correlation was found in cases with normal pulmonary function. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:175-182, 2017. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

Seismo-acoustic Signals Recorded at KSIAR, the Infrasound Array Installed at PS31

NASA Astrophysics Data System (ADS)

Kim, T. S.; Che, I. Y.; Jeon, J. S.; Chi, H. C.; Kang, I. B.

2014-12-01

One of International Monitoring System (IMS)'s primary seismic stations, PS31, called Korea Seismic Research Station (KSRS), was installed around Wonju, Korea in 1970s. It has been operated by US Air Force Technical Applications Center (AFTAC) for more than 40 years. KSRS is composed of 26 seismic sensors including 19 short period, 6 long period and 1 broad band seismometers. The 19 short period sensors were used to build an array with a 10-km aperture while the 6 long period sensors were used for a relatively long period array with a 40-km aperture. After KSRS was certified as an IMS station in 2006 by Comprehensive Nuclear Test Ban Treaty Organization (CTBTO), Korea Institute of Geoscience and Mineral Resources (KIGAM) which is the Korea National Data Center started to take over responsibilities on the operation and maintenance of KSRS from AFTAC. In April of 2014, KIGAM installed an infrasound array, KSIAR, on the existing four short period seismic stations of KSRS, the sites KS05, KS06, KS07 and KS16. The collocated KSIAR changed KSRS from a seismic array into a seismo-acoustic array. The aperture of KSIAR is 3.3 km. KSIAR also has a 100-m small aperture infrasound array at KS07. The infrasound data from KSIAR except that from the site KS06 is being transmitted in real time to KIGAM with VPN and internet line. An initial analysis on seismo-acoustic signals originated from local and regional distance ranges has been performed since May 2014. The analysis with the utilization of an array process called Progressive Multi-Channel Correlation (PMCC) detected seismo-acoustic signals caused by various sources including small explosions in relation to constructing local tunnels and roads. Some of them were not found in the list of automatic bulletin of KIGAM. The seismo-acoustic signals recorded by KSIAR are supplying a useful information for discriminating local and regional man-made events from natural events.

[Penis-preserving surgery in patients with primary penile urethral cancer].

PubMed

Maek, M; Musch, M; Arnold, G; Kröpfl, D

2014-12-01

Primary urethral cancer in males is a rare entity with only approximately 800 cases described, which is why it is difficult to formulate evidence-based guidelines for treatment. For tumors in the pT2 stage with a localization distal to the membranous urethra, a penis-preserving operation can be carried out. In the period from November 2006 to February 2014 a total of 4 patients with primary urethral cancer underwent a penis-preserving urethral resection. The tumor characteristics and treatment results were collated retrospectively. Of the four patients one had a transitional cell carcinoma of the mid-penile urethra in stage pT2 G2. In two out of the four patients a squamous cell carcinoma (PEC) was present in the mid-penile urethra in stages pT2 G2 and pT2 G3, respectively, with concomitant carcinoma in situ (CIS). The fourth patient had a PEC of the fossa terminalis in stage pT2 G2. Initially all patients underwent a penis-preserving resection. In one case, despite an initial R0 resection a local recurrence occurred and a complete penectomy was performed. Irradiation and lymphadenectomy were not carried out. At a mean follow-up of 37 months all patients are currently in complete remission. Primary penile urethral cancer can be treated by a penis-preserving operation. Close follow-up is essential because recurrence can arise despite an initial R0 resection.

Therapeutic embolization in the treatment of recurrent haemarthrosis following knee arthroplasty.

PubMed

Tat-Sing Law, Michael; McClure, David N

2010-04-01

Recurrent spontaneous haemarthrosis after knee arthroplasty occurs in less than 1% of cases, commonly thought to be the result of impingement of hypertrophic vascular synovium or fat pads, and exacerbated by anti-coagulation or anti-platelet therapy. Traditional treatment comprises an initial period of rest followed by open or arthroscopic washout, and by synovectomy if bleeding recurs or fails to settle. We present three cases of recurrent haemarthrosis following knee arthroplasty, which were successfully treated by angiography and feeding vessel coil embolization. An injury to one of the genicular arteries was identified as the cause of bleeding in all three cases; one manifest as a traumatic arteriovenous fistula. Bleeding ceased in all cases without recurrence (follow-up period 6 months-5 years, median of 2 years). Endovascular treatment offers a minimally invasive treatment option in selected cases of recurrent post-operative haemarthrosis.

Collegiate-based emergency medical service: impact on alcohol-related emergency department transports at a small liberal arts college.

PubMed

Rosen, Joshua B; Olson, Mark H; Kelly, Marianne

2012-01-01

The authors examined the impact of a collegiate-based emergency medical service (CBEMS) on the frequency of emergency department (ED) transports. Students transported to the ED for acute alcohol intoxication during the Fall 2008 and the Fall 2009 semesters (N = 50). The frequency of students receiving transportation to a hospital ED and the reported blood alcohol content (BAC) levels during the initial operational semester of the CBEMS were compared to those values over the same time period the previous year. More than twice the number of students was transported to the ED following the introduction of CBEMS. There was no change in mean BAC levels. CBEMS could promote a culture conducive to increased reporting behavior, which makes the campus safer. Similar BAC levels suggest that the degree of intoxication was similar for the 2 reporting periods, but students sought emergency assistance more frequently following the inception of CBEMS.

A multi-period optimization model for energy planning with CO(2) emission consideration.

PubMed

Mirzaesmaeeli, H; Elkamel, A; Douglas, P L; Croiset, E; Gupta, M

2010-05-01

A novel deterministic multi-period mixed-integer linear programming (MILP) model for the power generation planning of electric systems is described and evaluated in this paper. The model is developed with the objective of determining the optimal mix of energy supply sources and pollutant mitigation options that meet a specified electricity demand and CO(2) emission targets at minimum cost. Several time-dependent parameters are included in the model formulation; they include forecasted energy demand, fuel price variability, construction lead time, conservation initiatives, and increase in fixed operational and maintenance costs over time. The developed model is applied to two case studies. The objective of the case studies is to examine the economical, structural, and environmental effects that would result if the electricity sector was required to reduce its CO(2) emissions to a specified limit. Copyright 2009 Elsevier Ltd. All rights reserved.

Engineering test results for the Moog Single Line Disconnect

NASA Technical Reports Server (NTRS)

Glubke, Scott E.

1990-01-01

New and innovative types of disconnects will be required to service, resupply, and maintain future spacecraft subsystems. Efficiently maintaining orbiting scientific instruments, spacecraft support systems, and a manned space station over a long period of time will require the periodic replenishment of consumables and the replacement of components. To accomplish these tasks, the fluid disconnect must be designed to allow the connection and separation of fluid lines and components with minimal hazard to crew and equipment. The capability to simply connect a refueling line or to easily replace a failed component greatly extends the life of a space based fluid system. A test program was initiated to evaluate the Moog Single Line Disconnect. The objective of the test program was to demonstrate the operational characteristics of the disconnect and to verify compliance with current safety regulations. The results of the program are summarized in the referenced document.

40 CFR 63.4151 - How do I demonstrate initial compliance with the emission limitations?

Code of Federal Regulations, 2010 CFR

2010-07-01

... without add-on controls option for any individual coating operation, for any group of coating operations in the affected source, or for all of the coating operations in the affected source. You must use... operation(s) in the affected source for which you do not use this option. To demonstrate initial compliance...

Laparoscopic approach for the treatment of chronic groin pain after inguinal hernia repair : Laparoscopic approach for inguinodynia.

PubMed

Ramshaw, Bruce; Vetrano, Vincent; Jagadish, Mayuri; Forman, Brandie; Heidel, Eric; Mancini, Matthew

2017-12-01

Traditional methods of clinical research may not be adequate to improve the value of care for patients with complex medical problems such as chronic pain after inguinal hernia repair. This problem is very complex with many potential factors contributing to the development of this complication. We have implemented a clinical quality improvement (CQI) effort in an attempt to better measure and improve outcomes for patients suffering with chronic groin pain (inguinodynia) after inguinal hernia repair. Between April 2011 and June 2016, there were 93 patients who underwent 94 operations in an attempt to relieve pain (1 patient had two separate unilateral procedures). Patients who had prior laparoscopic inguinal hernia repair (26) had their procedure completed laparoscopically. Patients who had open inguinal hernia repair (68) had a combination of a laparoscopic and open procedure in an attempt to relieve pain. Initiatives to attempt to improve measurement and outcomes during this period included the administration of pre-operative bilateral transversus abdominis plane and intra-operative inguinal nerve blocks using long-acting local anesthetic as a part of a multimodal regimen, the introduction of a low pressure pneumoperitoneum system, and the expansion of a pre-operative questionnaire to assess emotional health pre-operatively. The results included the assessment of how much improvement was achieved after recovery from the operation. Forty-five patients (48%) reported significant improvement, 39 patients (41%) reported moderate improvement, and 10 patients (11%) reported little or no improvement. There were 3 (3%) complications, 13 (11%) hernia recurrences, and 15 patients (13%) developed a new pain in the inguinal region after the initial pain had resolved. The principles of CQI can be applied to a group of patients suffering from chronic pain after inguinal hernia repair. Based on these results additional process improvement ideas will be implemented in an attempt to improve outcomes.

Effects of prompting and reinforcement of one response pattern upon imitation of a different modeled pattern

PubMed Central

Bondy, Andrew S.

1982-01-01

Twelve preschool children participated in a study of the effects of explicit training on the imitation of modeled behavior. The responses trained involved a marble-dropping pattern that differed from the modeled pattern. Training consisted of physical prompts and verbal praise during a single session. No prompts or praise were used during test periods. After operant levels of the experimental responses were measured, training either preceded or was interposed within a series of exposures to modeled behavior that differed from the trained behavior. Children who were initially exposed to a modeling session immediately imitated, whereas those children who were initially trained immediately performed the appropriate response. Children initially trained on one pattern generally continued to exhibit that pattern even after many modeling sessions. Children who first viewed the modeled response and then were exposed to explicit training of a different response reversed their response pattern from the trained response to the modeled response within a few sessions. The results suggest that under certain conditions explicit training will exert greater control over responding than immediate modeling stimuli. PMID:16812260

42 CFR 435.1205 - Alignment with exchange initial open enrollment period.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Alignment with exchange initial open enrollment... exchange initial open enrollment period. (a) Definitions. For purposes of this section— Eligibility based... 435.119, 435.218 and 435.603. (b) Medicaid agency responsibilities to achieve coordinated open...

Building a model for day case hiatal surgery - Lessons learnt over a 10 year period in a high volume unit: A case series.

PubMed

Mistry, Pritesh; Zaman, Shafquat; Shapey, Iestyn; Daskalakis, Markos; Nijjar, Rajwinder; Richardson, Martin; Super, Paul; Singhal, Rishi

2018-06-01

Laparoscopic anti-reflux surgery has become the standard treatment for symptomatic gastro-oesophageal reflux disease refractory to medical therapy. Successful anti-reflux surgery involves safe, minimally invasive surgery, resulting in symptom resolution with minimal side effects. This study aims to assess the feasibility and safety of day case anti-reflux surgery focussing on peri- and post-operative outcomes as a measure of success. Data was collected from the hospital database from 2003 to 2012. Data collection included demographics, surgeon, mode of admission, length of stay and complications. Electronic records were independently scrutinised for all patients with a length of stay of more than two nights. 723 patients underwent laparoscopic fundoplication ± small hiatus hernia repair (<5 cm) with a day case rate of 67.1%. The 30 day readmission rate in these patients was 2.9% (21/723 patients). Nine patients had a failure of their initial laparoscopic fundoplication (defined as recurrence of symptoms). Three patients required a re-operation within 12 months of their initial procedure (re-operation rate = 0.41% (3/723 patients)). Laparoscopic hiatal surgery can be performed safely as a day case in high volume specialist centres with good outcomes. Raising the national standard for day case fundoplication promotes good practice and should be the model for future commissioning. Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

Non-operative management of blunt splenic injuries in a paediatric population: a 12-year experience.

PubMed

Kirkegård, Jakob; Avlund, Tue Højslev; Amanavicius, Nerijus; Mortensen, Frank Viborg; Kissmeyer-Nielsen, Peter

2015-02-01

Non-operative management (NOM) is now the primary treatment for blunt splenic injuries in children. Only one study has examined the use of NOM in a Scandinavian population. Thus, the purpose of this study is to report our experience in treating children with blunt splenic injuries with NOM at a Danish university hospital. We conducted a retrospective observational study of 34 consecutive children (aged 16 years or less) admitted to our level 1-trauma centre with blunt splenic injury in the 12-year period from 1 January 2001 to 31 December 2012. Data on patients and procedures were obtained by review of all medical records and re-evaluation of all initial computed tomographies (CT). We included 34 children with a median age of 10.5 years (67.6% males) in this study. All patients were scheduled for NOM, and two (5.9%) patients underwent splenic artery embolisation (SAE). Two (5.9%) patients later needed surgical intervention. The NOM success rate was 88% (95% confidence interval (CI): 73-97%) without SAE and 94% (95% CI: 80-99%) with SAE. We found no difference in the American Association for the Surgery of Trauma grade when comparing the initial CT evaluation (mean 2.59 ± 1.1) with the CT re-evaluation (mean 2.71 ± 0.94); p = 0.226. We demonstrated a high degree of success and safety of non-operative treatment in children with blunt splenic injury in a Scandinavian setting. Our results are comparable to international findings.

Robotic resections in hepatobiliary oncology - initial experience with Xi da Vinci system in India.

PubMed

Chandarana, M; Patkar, S; Tamhankar, A; Garg, S; Bhandare, M; Goel, M

2017-01-01

Minimal invasive surgery has proven its advantages over open surgeries in the perioperative period. Food and Drug Administration approved da Vinci robot in 2000. The latest version, da Vinci Xi system has a mobile tower-based robot with several modifications to improve the functionality, versatility, and operative ease. None of the centers have reported exclusively on hepatobiliary oncology using the da Vinci Xi system. We report our initial experience. To study the feasibility, advantages, and discuss the operative technique of da Vinci Xi system in hepatobiliary oncology. Data were analyzed retrospectively from a prospectively maintained database from June 2015 to October 2016. Twenty-five patients with suspected or proven hepatobiliary malignancies were operated. Total robotic technique using da Vinci Xi system was used. Demographic details and perioperative outcomes were noted. Of the 25 surgeries, 14 patients had a suspected gallbladder malignancy, 11 patients had primary or metastatic liver tumor. Median age was 53 years. The average duration of surgery was 225 min with a median blood loss 150 ml. The median postoperative stay was 4 days. The median nodal yield for radical cholecystectomy was seven. Five patients required conversion. Two of these developed postoperative morbidity. Robotic surgery for hepatobiliary oncology is feasible and can be performed safely in experienced hands. Increasing experience in this field may equal or even prove advantageous over conventional or laparoscopic approach in future. A cautious approach with judicious patient selection is the key to establishing robotic surgery as a standard surgical approach.

Degradation and Reinforcement of Industrial Gas Tank Support Structures. Thirty-Year Long Monitoring

NASA Astrophysics Data System (ADS)

Krentowski, Janusz R.; Knyziak, Piotr

2017-10-01

An analysis of reinforced concrete supporting structures of more than a dozen liquid gas tanks mounted on tower support structures located at different sites on Poland’s territory is presented. Stability testing of the degraded structures was carried out over a period of 30 years and pointed out significant defects that prevented safe operation of the tanks containing hazardous medium. Analysing complex stress states, as well as displacements of shell structure components, the authors developed a concept of strengthening the structures. Initial repair works, which had been carried out without proper supervision, failed to meet the mandatory requirements and were not compatible with the original design solutions. After several years of operation of the reinforced structures, their degradation states were assessed again. The next stage of repair works was carried out under the supervision of the authors together with authorized representatives of the investors.

Continuous downstream processing for high value biological products: A Review.

PubMed

Zydney, Andrew L

2016-03-01

There is growing interest in the possibility of developing truly continuous processes for the large-scale production of high value biological products. Continuous processing has the potential to provide significant reductions in cost and facility size while improving product quality and facilitating the design of flexible multi-product manufacturing facilities. This paper reviews the current state-of-the-art in separations technology suitable for continuous downstream bioprocessing, focusing on unit operations that would be most appropriate for the production of secreted proteins like monoclonal antibodies. This includes cell separation/recycle from the perfusion bioreactor, initial product recovery (capture), product purification (polishing), and formulation. Of particular importance are the available options, and alternatives, for continuous chromatographic separations. Although there are still significant challenges in developing integrated continuous bioprocesses, recent technological advances have provided process developers with a number of attractive options for development of truly continuous bioprocessing operations. © 2015 Wiley Periodicals, Inc.

Integrated orbital servicing study for low-cost payload programs. Volume 1: Executive summary

NASA Technical Reports Server (NTRS)

Derocher, W. L., Jr.

1975-01-01

Various operating methodologies to achieve low-cost space operations were investigated as part of the Space Transportation System (STS) planning. The emphasis was to show that the development investment, initial fleet costs, and supporting facilities for the STS could be effectively offset by exploiting the capabilities of the STS to satisfy mission requirements and reduce the cost of payload programs. The following major conclusions were reached: (1) the development of an on-orbit servicer maintenance system is compatible with many spacecraft programs and is recommended as the most cost-effective system, (2) spacecraft can be designed to be serviceable with acceptable design, weight, volume, and cost effects, (3) use of on-orbit servicing over a 12 year period results in savings ranging between four and nine billion dollars, (4) the pivoting arm on-orbit servicer was selected and a preliminary design was prepared, (5) orbital maintenance has no significant impact on the STS.

Cellular resolution functional imaging in behaving rats using voluntary head restraint

PubMed Central

Scott, Benjamin B.; Brody, Carlos D.; Tank, David W.

2013-01-01

SUMMARY High-throughput operant conditioning systems for rodents provide efficient training on sophisticated behavioral tasks. Combining these systems with technologies for cellular resolution functional imaging would provide a powerful approach to study neural dynamics during behavior. Here we describe an integrated two-photon microscope and behavioral apparatus that allows cellular resolution functional imaging of cortical regions during epochs of voluntary head restraint. Rats were trained to initiate periods of restraint up to 8 seconds in duration, which provided the mechanical stability necessary for in vivo imaging while allowing free movement between behavioral trials. A mechanical registration system repositioned the head to within a few microns, allowing the same neuronal populations to be imaged on each trial. In proof-of-principle experiments, calcium dependent fluorescence transients were recorded from GCaMP-labeled cortical neurons. In contrast to previous methods for head restraint, this system can also be incorporated into high-throughput operant conditioning systems. PMID:24055015

Highly Automated Arrival Management and Control System Suitable for Early NextGen

NASA Technical Reports Server (NTRS)

Swenson, Harry N.; Jung, Jaewoo

2013-01-01

This is a presentation of previously published work conducted in the development of the Terminal Area Precision Scheduling and Spacing (TAPSS) system. Included are concept and technical descriptions of the TAPSS system and results from human in the loop simulations conducted at Ames Research Center. The Terminal Area Precision Scheduling and Spacing system has demonstrated through research and extensive high-fidelity simulation studies to have benefits in airport arrival throughput, supporting efficient arrival descents, and enabling mixed aircraft navigation capability operations during periods of high congestion. NASA is currently porting the TAPSS system into the FAA TBFM and STARS system prototypes to ensure its ability to operate in the FAA automation Infrastructure. NASA ATM Demonstration Project is using the the TAPSS technologies to provide the ground-based automation tools to enable airborne Interval Management (IM) capabilities. NASA and the FAA have initiated a Research Transition Team to enable potential TAPSS and IM Technology Transfer.

The role of COST Actions in unifying the European ionospheric community in the transition between the two millennia

NASA Astrophysics Data System (ADS)

Zolesi, Bruno; Cander, Ljiljana R.

2018-05-01

This paper consists of a review of the important contributions of four COST (European Co-operation in Science and Technology) Actions in the period 1991-2009 to terrestrial ionospheric research, with applications in modern communication and navigation systems. Within this context, new ionospheric studies were initiated, leading to the development of a number of models, algorithms for prediction, forecasting, and real-time specification, as well as numerical programs. These were successfully implemented in different collaborative projects within EU instruments, promoting co-operation between scientists and researchers across Europe. A further outcome was to bring together more than a hundred researchers from around 40 scientific institutions, agencies, and academia in about 25 countries worldwide. They collaborated with enthusiasm in research, as briefly described in this paper, forming a lively ionospheric community and presenting a strong intellectual response to the rapidly growing contemporary challenge of space weather research.

Initial Feasibility Assessment of a High Altitude Long Endurance Airship

NASA Technical Reports Server (NTRS)

Colozza, Anthony; Dolce, James (Technical Monitor)

2003-01-01

A high altitude solar powered airship provides the ability to carry large payloads to high altitudes and remain on station for extended periods of time. This study examines the feasibility of this concept. Factors such as time of year, latitude, wind speeds and payload are considered in establishing the capabilities of a given size airship. East and West coast operation were evaluated. The key aspect to success of this type of airship is the design and operation of the propulsion and power system. A preliminary propulsion/power system design was produced based on a regenerative fuel cell energy storage system and solar photovoltaic array for energy production. A modular system design was chosen with four independent power/propulsion units utilized by the airship. Results on payload capacity and flight envelope (latitude and time of year) were produced for a range of airship sizes.

UZIG USGS research: Advances through interdisciplinary interaction

USGS Publications Warehouse

Nimmo, J.R.; Andraski, Brian J.; Rafael, M.-C.

2009-01-01

BBecause vadose zone research relates to diverse disciplines, applications, and modes of research, collaboration across traditional operational and topical divisions is especially likely to yield major advances in understanding. The Unsaturated Zone Interest Group (UZIG) is an informal organization sponsored by the USGS to encourage and support interdisciplinary collaboration in vadose or unsaturated zone hydrologic research across organizational boundaries. It includes both USGS and non-USGS scientists. Formed in 1987, the UZIG operates to promote communication, especially through periodic meetings with presentations, discussions, and field trips. The 10th meeting of the UZIG at Los Alamos, NM, in August 2007 was jointly sponsored by the USGS and Los Alamos National Laboratory. Presentations at this meeting served as the initial basis for selecting papers for this special section of Vadose Zone Journal, the purpose of which is to present noteworthy cutting-edge unsaturated zone research promoted by, facilitated by, or presented in connection with the UZIG.

Training in urological robotic surgery. Future perspectives.

PubMed

El Sherbiny, Ahmed; Eissa, Ahmed; Ghaith, Ahmed; Morini, Elena; Marzotta, Lucilla; Sighinolfi, Maria Chiara; Micali, Salvatore; Bianchi, Giampaolo; Rocco, Bernardo

2018-01-01

As robotics are becoming more integrated into the medical field, robotic training is becoming more crucial in order to overcome the lack of experienced robotic surgeons. However, there are several obstacles facing the development of robotic training programs like the high cost of training and the increased operative time during the initial period of the learning curve, which, in turn increase the operative cost. Robotic-assisted laparoscopic prostatectomy is the most commonly performed robotic surgery. Moreover, robotic surgery is becoming more popular among urologic oncologists and pediatric urologists. The need for a standardized and validated robotic training curriculum was growing along with the increased number of urologic centers and institutes adopting the robotic technology. Robotic training includes proctorship, mentorship or fellowship, telementoring, simulators and video training. In this chapter, we are going to discuss the different training methods, how to evaluate robotic skills, the available robotic training curriculum, and the future perspectives.

International Space Station (ISS) Environmental Control and Life Support (ECLS) System Overview of Events: 2010-2014

NASA Technical Reports Server (NTRS)

Gentry, Gregory J.; Cover, John

2015-01-01

Nov 2, 2014 marked the completion of the 14th year of continuous human presence in space on board the International Space Station (ISS). After 42 expedition crews, over 115 assembly & utilization flights, over 180 combined Shuttle/Station, US & Russian Extravehicular Activities (EVAs), the post-Assembly-Complete ISS continues to fly and the engineering teams continue to learn from operating its systems, particularly the life support equipment. Problems with initial launch, assembly and activation of ISS elements have given way to more long term system operating trends. New issues have emerged, some with gestation periods measured in years. Major events and challenges for each U.S. Environmental Control and Life Support (ECLS) subsystem occurring during calendar years 2010 through 2014 are summarily discussed in this paper, along with look-aheads for what might be coming in the future for each U.S. ECLS subsystem.

Durability testing at 5 atmospheres of advanced catalysts and catalyst supports for gas turbine engine combustors

NASA Technical Reports Server (NTRS)

Olson, B. A.; Lee, H. C.; Osgerby, I. T.; Heck, R. M.; Hess, H.

1980-01-01

The durability of CATCOM catalysts and catalyst supports was experimentally demonstrated in a combustion environment under simulated gas turbine engine combustor operating conditions. A test of 1000 hours duration was completed with one catalyst using no. 2 diesel fuel and operating at catalytically-supported thermal combustion conditions. The performance of the catalyst was determined by monitoring emissions throughout the test, and by examining the physical condition of the catalyst core at the conclusion of the test. Tests were performed periodically to determine changes in catalytic activity of the catalyst core. Detailed parametric studies were also run at the beginning and end of the durability test, using no. 2 fuel oil. Initial and final emissions for the 1000 hours test respectively were: unburned hydrocarbons (C3 vppm):0, 146, carbon monoxide (vppm):30, 2420; nitrogen oxides (vppm):5.7, 5.6.

Long term operation of high concentration powdered activated carbon membrane bio-reactor for advanced water treatment.

PubMed

Seo, G T; Moon, C D; Chang, S W; Lee, S H

2004-01-01

A pilot scale experiment was conducted to evaluate the performance of a membrane bioreactor filled with high concentration powdered activated carbon. This hybrid system has great potential to substitute for existing GAC or O3/BAC processes in the drinking water treatment train. The system was installed at a water treatment plant located downstream of the Nakdong river basin, Korea. Effluent of rapid sand filter was used as influent of the system which consists of PAC bio-reactor, submerged MF membrane module and air supply facility. PAC concentration of 20 g/L was maintained at the beginning of the experiment and it was increased to 40 g/L. The PAC has not been changed during the operational periods. The membrane was a hollow fiber type with pore sizes of 0.1 and 0.4 microm. It was apparent that the high PAC concentration could prevent membrane fouling. 40 g/L PAC was more effective to reduce the filtration resistance than 20 g/L. At the flux of 0.36 m/d, TMP was maintained less than 40 kPa for about 3 months by intermittent suction type operation (12 min suction/3 min idling). Adsorption was the dominant role to remove DOC at the initial operational period. However the biological effect was gradually increased after around 3 months operation. Constant DOC removal could be maintained at about 40% without any trouble and then a tremendous reduction of DBPs (HAA5 and THM) higher than 85% was achieved. Full nitrification was observed at the controlled influent ammonia nitrogen concentration of 3 and 7 mg/L. pH was an important parameter to keep stable ammonia oxidation. From almost two years of operation, it is clear that the PAC membrane bioreactor is highly applicable for advanced water treatment under the recent situation of more stringent DBPs regulation in Korea.

Fifteen years' review of advanced childhood neuroblastoma from a single institution in Hong Kong.

PubMed

Leung, C K

1998-05-01

To assess the progress in the treatment of advanced childhood neuroblastoma. From 1981 to 1996, there were 32 children with neuroblastoma (NB) diagnosed, staged and treated in our institution. There were 4 patients with stage II NB (12%), 5 stage III (16%), 21 stage IV (66%) and 2 stage IV s (6%). The NBs were excised if CT scan indicated that the tumors were operable. For advanced NB, stages III and IV, multiple drug chemotherapy was started first and operability was assessed with serial CT scan examinations. Once the X-ray imaging indicated the tumors were operable, surgical interventions were done. The medical records of the advanced NB were reviewed. In the initial period of the study, 9 patients were treated using the VAC protocol [vincristine (vcr), adriamycin (adria) and cyclophosphamide (cyc)]. No patient was convertible to operable and all died with a mean survival of 10 months. OPEC [vcr, cyc, VM26, cisplatin (cis)], Rapid COJEC (carboplatin, VP16, vcr, cis and cyc) and more recently N6 protocol (cyc, adria, vcr, VP16, cis) was used for 17 patients. 80% of them were converted to operable. In 4 patients, surgical specimens showed only necrotic tissue without viable tumor tissue and 6 (35%) tumors were converted to ganglioneuroma or ganglioneuroblastoma. Although 2 (12%) patients died of fungal septicemia and 1 (6%) developed Fanconi's syndrome after chemotherapy, the mean survival period increased to 27 months. In the 10 survivors (60%), 4 had megatherapy with melphalan followed by autologous peripheral blood stem cell (PBSC) transplantation and 2 were waiting for transplantation. There is a high percentage of advanced NB on presentation in Hong Kong. With more potent multiple drug chemotherapy for advanced stage NB there are (1) improvement in the survival of these patients, (2) opportunities for more operations for tumor excision and (3) opportunities for autologous PBSC transplantation for better tumor eradication.

A numerical study of circulation in the Gulf of Riga, Baltic Sea. Part I: Whole-basin gyres and mean currents

NASA Astrophysics Data System (ADS)

Lips, Urmas; Zhurbas, Victor; Skudra, Maris; Väli, Germo

2016-01-01

A regional model of the Gulf of Riga (GoR) with horizontal grid spacing of 0.5 nautical miles was applied to study the features and driving forces of the whole-basin circulation in the GoR. The initial conditions and atmospheric forcing were taken from the operational models High Resolution Operational Model for the Baltic (HIROMB) and High Resolution Limited Area Model (HIRLAM), respectively. The wind stress curl is shown to be a major contributor to the whole-basin circulation pattern. An anticyclonic circulation pattern in the summer is determined by a combined effect of the negative wind stress curl, thermal density stratification and bottom topography. Positive values of the wind stress curl and a cyclonic circulation pattern prevail during the cold period of the year when seasonal thermocline is absent. During calm periods, the anticyclonic type of circulation is established due to a combined effect of the river runoff, saltier water inflow into and mixed water outflow from the GoR. Two seasonal baroclinic jet-like currents are identified in the summer: the Northward Longshore Current in the western GoR and Southward Subsurface Longshore Current in the eastern GoR. The alteration of the circulation pattern in the GoR from cyclonic in the cold period of the year to anticyclonic in the summer, and vice versa, was shown to be observed not every year due to inter-annual variability of wind forcing.

Manual lymphatic drainage and therapeutic ultrasound in liposuction and lipoabdominoplasty post-operative period.

PubMed

Masson, Igor F B; de Oliveira, Bruna D A; Machado, Aline Fernanda Perez; Farcic, Thiago Saikali; Júnior, Ivaldo Esteves; Baldan, Cristiano Schiavinato

2014-01-01

Physiotherapy in the plastic surgery post-operative (PO) is essential to provide means for an adequate and fast recovery as it restores function through the use of physiotherapeutic procedures. The aim of the following study is to verify the effects of the association between the manual lymphatic drainage and the therapeutic ultrasound on pain, oedema and the tissue fibrosis in liposuction and lipoabdominoplasty PO. This is a clinical trial prospective. Eighteen women aged between 18 and 60 years participated in this study, in the late PO period following lipoabdominoplasty or liposuction in the abdomen, flanks and lower trunk, which showed tissue fibrosis of the flanks and abdomen regions. They were divided into two groups: Liposuction group and lipoabdominoplasty group. A total of twelve sessions of therapeutic ultrasound followed by the manual lymphatic drainage were performed. The patients were assessed with regard to pain, oedema and tissue fibrosis in different moments: Initial assessment, during assessment and final assessment through the application of the protocol of evaluation of cysts fibrosis levels. The test of equality for two proportions and the confidence interval test for mean to evaluate the distribution of variables. The significance level adopted for statistical tests was 5% (P < 0.05). There was a statistically significant reduction of pain, swelling and tissue fibrosis in both groups. the association between manual lymphatic drainage and the therapeutic ultrasound reduced the swelling and the tissue fibrosis and made pain disappear in liposuction and lipoabdominoplasty PO period.

40 CFR 63.6610 - By what date must I conduct the initial performance tests or other initial compliance...

Code of Federal Regulations, 2010 CFR

2010-07-01

... initial performance tests or other initial compliance demonstrations if I own or operate a stationary RICE... performance tests or other initial compliance demonstrations if I own or operate a stationary RICE with a site... stationary RICE with a site rating of more than 500 brake HP located at a major source of HAP emissions you...

40 CFR 63.6610 - By what date must I conduct the initial performance tests or other initial compliance...

Code of Federal Regulations, 2011 CFR

2011-07-01

... initial performance tests or other initial compliance demonstrations if I own or operate a stationary RICE... performance tests or other initial compliance demonstrations if I own or operate a stationary RICE with a site... stationary RICE with a site rating of more than 500 brake HP located at a major source of HAP emissions you...

40 CFR Table 2 to Subpart Rrr of... - Summary of Operating Requirements for New and Existing Affected Sources and Emission Units

Code of Federal Regulations, 2011 CFR

2011-07-01

... with fabric filter Bag leak detector or Initiate corrective action within 1-hr of alarm and complete in... operation Operate in accordance with OM&M plan. b Bag leak detector or Initiate corrective action within 1... accordance with OM&M plan. b Dross-only furnace with fabric filter Bag leak detector or Initiate corrective...

Initial Costs vs. Operational Costs. A Study of Building Improvement Projects in Fourteen Schools in the School District of Greenville County, South Carolina.

ERIC Educational Resources Information Center

Chan, Tak Cheung

To determine whether initial facility improvement costs were paid back by the reduced operational costs resulting from the improvement projects, this study examined the relationship between initial costs and operational costs of fourteen school buildings improved during the 1978-79 school year in Greenville County, South Carolina. With energy…

Avian community composition in response to high explosive testing operations at Los Alamos National Laboratory in Northern New Mexico

DOE PAGES

Keller, David C.; Fresquez, Philip R.; Hansen, Leslie A.; ...

2015-12-28

Breeding bird abundance, species richness, evenness, diversity, composition, productivity, and survivorship were determined near a high-explosive detonation site at Los Alamos National Laboratory, New Mexico, USA, during pre-operation (1997-1999) and operation (2000-2014) periods. The operation periods consisted of detonations (<23 kg in yield and <3 per breeding season) in open air (2000-2002), within foam containment (2003-2006) and within steel vessel containment (2007-2014) systems; the latter two were employed to reduce noise and dispersal of high-explosives residues. A total of 2952 bird captures, representing 80 species, was recorded during 18 years of mist net operations using the Monitoring Avian Productivity andmore » Survivorship protocol. Individuals captured were identified to species, aged, sexed, and banded during May through August of each year. There were no significant differences (p > 0.05) in mean avian abundance and species evenness in any of the operation periods as compared with the pre-operation period. Species richness and diversity were significantly higher (p < 0.05) during the vessel containment period (2007-2014) than the pre-operation period. The time period of this study coincided with a wildfire (2000), a bark beetle infestation (2002), and two periods of drought (Nov 1999-Mar 2004 and Dec 2005-Dec 2014) that affected the study area. Furthermore, analysis of aerial photos determined that the average percent canopy cover of mature ponderosa pines (Pinus ponderosa) within 100 feet of mist net sites declined from 12% to 3% between 1991 and 2014 and the percent cover of shrubs slightly increased.« less

Minimally invasive video-assisted parathyroidectomy. Initial experience in a General Surgery Department.

PubMed

Dobrinja, C; Trevisan, G; Liguori, G

2009-02-01

The aim of this study is to analyze our preliminary results from minimally invasive video-assisted parathyroidectomy (MIVAP) and demonstrate the feasibility of MIVAP also in non-referral centers. During a period from June 2005 to January 2008, in the General Surgery Department of University of Trieste, we operated on 39 patients with primary hyperparathyroidism (pHPT). MIVAP by an anterior approach was proposed for 23 (59%) patients with sporadic pHPT and one unequivocally enlarged parathyroid gland on pre-operative ultrasound and 99mTc-SestaMIBI scintigraphy without associated goiter and without previous neck surgery. Intra-operatively, a quick parathyroid assay was used during the last 11 surgical procedures. All patients underwent pre-operative and post-operative investigations of calcemia, phoshoremia and PTH levels and vocal cord function. Age, operative times, pathologic findings, post-operative pain, calcemia, length of hospital stay, cosmetic results, and complications were retrospectively analyzed. MIVAP was successfully accomplished in 22 cases. Conversion to standard cervicotomy was required in one patient (4.34%). Mean operative time was 67 min. Post-operative complications included 1 (4.34%) transient hypocalcemia. No laryngeal nerve palsies, no definitive hypocalcemias, no persistent pHPT and no recurrent pHPT were observed. The cosmetic result was excellent in all cases. Our preliminary results demonstrate that MIVAP for localized single-gland adenoma, after adequate training, seems to be feasible with significant advantages, especially in terms of cosmetic results, post-operative pain, and post-operative recovery even in a General Surgery Department, if performed by a dedicated team, with a sufficient and specific activity volume.

AMU NEXRAD Exploitation Task

NASA Technical Reports Server (NTRS)

Lambert, Winifred C.; Wheeler, Mark M.

1997-01-01

This report documents the results of the Applied Meteorology Unit's NEXRAD Exploitation Task. The objectives of this task are to determine what radar signatures are present prior to and at the time of convection initiation, and to determine radar signatures which will help distinguish whether the ensuing convection will become severe. Radar data from the WSR-88D radar located at NWS Melbourne (WSR-88D/KMLB) were collected between June and September 1995, and 16 convective case studies were analyzed for which the radar was operating during the entire period of interest. All WSR-88D/KMLB products were scrutinized for their utility in detecting convection initiation and severe storm signatures. Through process of elimination, it was found that the 0.5 deg reflectivity product with the lowest reflectivity values displayed is the best product to monitor for convection initiation signatures. Seven meteorological features associated with the initiation of deep convection were identified: the Merritt Island and Indian River convergence zones, interlake convergence, horizontal convective rolls, the sea breeze, storm outflow boundaries, and fires. Their reflectivity values ranged from -5 to 20 dBZ. Of the three severe weather phenomena (winds greater than or equal to 50 kts, tornado, 3/4 inch hail), high wind events due to microbursts were most common in the data set. It was found that the values and trends of composite reflectivity, vertically integrated liquid, and core aspect ratio were key indicators of the potential of a cell to produce a microburst. The data were not analyzed for the other two severe weather phenomena because they rarely occurred during the data collection period. This report also includes suggestions for new WSR-88D products, summaries of ongoing research aimed at creating new products, and explicit recommended procedures for detecting convection initiation and severe storm signatures in the radar data using the currently available technology.

Energy in the Environment - Initiatives 2004-08

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

Paul Jehn

Under the Energy and Environment Initiative, the GWPC/GWPRF will expand the oil and gas electronic commerce initiatives used to enhance the Risk Based Data Management System (RBDMS) and the Cost Effective Regulatory Approach (CERA). The GWPC/GWPRF has identified the following priorities for work efforts during the time period that will act as the base from which selections for each work period will be proposed. Work tasks will be presented for each reporting period by the GWPC from areas selected from the general list of priorities.

Treatment of Slaughter House Wastewater in a Sequencing Batch Reactor: Performance Evaluation and Biodegradation Kinetics

PubMed Central

Kundu, Pradyut; Debsarkar, Anupam; Mukherjee, Somnath

2013-01-01

Slaughterhouse wastewater contains diluted blood, protein, fat, and suspended solids, as a result the organic and nutrient concentration in this wastewater is vary high and the residues are partially solubilized, leading to a highly contaminating effect in riverbeds and other water bodies if the same is let off untreated. The performance of a laboratory-scale Sequencing Batch Reactor (SBR) has been investigated in aerobic-anoxic sequential mode for simultaneous removal of organic carbon and nitrogen from slaughterhouse wastewater. The reactor was operated under three different variations of aerobic-anoxic sequence, namely, (4+4), (5+3), and (3+5) hr. of total react period with two different sets of influent soluble COD (SCOD) and ammonia nitrogen (NH4 +-N) level 1000 ± 50 mg/L, and 90 ± 10 mg/L, 1000 ± 50 mg/L and 180 ± 10 mg/L, respectively. It was observed that from 86 to 95% of SCOD removal is accomplished at the end of 8.0 hr of total react period. In case of (4+4) aerobic-anoxic operating cycle, a reasonable degree of nitrification 90.12 and 74.75% corresponding to initial NH4 +-N value of 96.58 and 176.85 mg/L, respectively, were achieved. The biokinetic coefficients (k, K s, Y, k d) were also determined for performance evaluation of SBR for scaling full-scale reactor in future operation. PMID:24027751

Reusable Reentry Satellite (RRS) system design study: System cost estimates document

NASA Technical Reports Server (NTRS)

1991-01-01

The Reusable Reentry Satellite (RRS) program was initiated to provide life science investigators relatively inexpensive, frequent access to space for extended periods of time with eventual satellite recovery on earth. The RRS will provide an on-orbit laboratory for research on biological and material processes, be launched from a number of expendable launch vehicles, and operate in Low-Altitude Earth Orbit (LEO) as a free-flying unmanned laboratory. SAIC's design will provide independent atmospheric reentry and soft landing in the continental U.S., orbit for a maximum of 60 days, and will sustain three flights per year for 10 years. The Reusable Reentry Vehicle (RRV) will be 3-axis stabilized with artificial gravity up to 1.5g's, be rugged and easily maintainable, and have a modular design to accommodate a satellite bus and separate modular payloads (e.g., rodent module, general biological module, ESA microgravity botany facility, general botany module). The purpose of this System Cost Estimate Document is to provide a Life Cycle Cost Estimate (LCCE) for a NASA RRS Program using SAIC's RRS design. The estimate includes development, procurement, and 10 years of operations and support (O&S) costs for NASA's RRS program. The estimate does not include costs for other agencies which may track or interface with the RRS program (e.g., Air Force tracking agencies or individual RRS experimenters involved with special payload modules (PM's)). The life cycle cost estimate extends over the 10 year operation and support period FY99-2008.

40 CFR 63.130 - Transfer operations provisions-periodic recordkeeping and reporting.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 9 2011-07-01 2011-07-01 false Transfer operations provisions-periodic... § 63.130 Transfer operations provisions—periodic recordkeeping and reporting. (a) Each owner or... § 63.127 of this subpart, and listed in table 7 of this subpart or specified by the Administrator in...

Line-scan system for continuous hand authentication

NASA Astrophysics Data System (ADS)

Liu, Xiaofeng; Kong, Lingsheng; Diao, Zhihui; Jia, Ping

2017-03-01

An increasing number of heavy machinery and vehicles have come into service, giving rise to a significant concern over protecting these high-security systems from misuse. Conventionally, authentication performed merely at the initial login may not be sufficient for detecting intruders throughout the operating session. To address this critical security flaw, a line-scan continuous hand authentication system with the appearance of an operating rod is proposed. Given that the operating rod is occupied throughout the operating period, it can be a possible solution for unobtrusively recording the personal characteristics for continuous monitoring. The ergonomics in the physiological and psychological aspects are fully considered. Under the shape constraints, a highly integrated line-scan sensor, a controller unit, and a gear motor with encoder are utilized. This system is suitable for both the desktop and embedded platforms with a universal serial bus interface. The volume of the proposed system is smaller than 15% of current multispectral area-based camera systems. Based on experiments on a database with 4000 images from 200 volunteers, a competitive equal error rate of 0.1179% is achieved, which is far more accurate than the state-of-the-art continuous authentication systems using other modalities.

Kinetic studies of the stress corrosion cracking of D6AC steel

NASA Technical Reports Server (NTRS)

Noronha, P. J.

1975-01-01

The effect of load interactions on the crack growth velocity of D6AC steel under stress corrosion cracking conditions was determined. The environment was a 3.5 percent salt solution. The modified-wedge opening load specimens were fatigue precracked and subjected to a deadweight loading in creep machines. The effects of load shedding on incubation times and crack growth rates were measured using high-sensitivity compliance measurement techniques. Load shedding results in an incubation time, the length of which depends on the amount of load shed and the baseline stress intensity. The sequence of unloading the specimen also controls the subsequent incubation period. The incubation period is shorter when load shedding passes through zero load than when it does not if the specimen initially had the same baseline stress intensity. The crack growth rates following the incubation period are also different from the steady-state crack growth rate at the operating stress intensity. These data show that the susceptibility of this alloy system to stress corrosion cracking depends on the plane-strain fracture toughness and on the yield strength of the material.

Tetracycline sclerotherapy of hydroceles and epididymal cysts. Long-term results.

PubMed

Honnens de Lichtenberg, M; Miskowiak, J; Krogh, J

1990-01-01

Fourty patients with 32 hydroceles and 11 epididymal cysts were treated by aspiration and instillation of tetracycline. After a follow up period of 24-39 months the cure rate was 77%. Most of the early recurrences were the results of chemical inflammation and vanished spontaneously. This group should therefore not be operated on until three months after their initial treatment. As aspiration of the fluid had allowed palpation of the testis and cytological examination, only a small proportion of patients with recurrences wanted further treatment. We therefore recommend tetracycline sclerotherapy because it is quick, easy, safe, and effective in the long as well as the short term.

Stable and verifiable state estimation methods and systems with spacecraft applications

NASA Technical Reports Server (NTRS)

Li, Rongsheng (Inventor); Wu, Yeong-Wei Andy (Inventor)

2001-01-01

The stability of a recursive estimator process (e.g., a Kalman filter is assured for long time periods by periodically resetting an error covariance P(t.sub.n) of the system to a predetermined reset value P.sub.r. The recursive process is thus repetitively forced to start from a selected covariance and continue for a time period that is short compared to the system's total operational time period. The time period in which the process must maintain its numerical stability is significantly reduced as is the demand on the system's numerical stability. The process stability for an extended operational time period T.sub.o is verified by performing the resetting step at the end of at least one reset time period T.sub.r whose duration is less than the operational time period T.sub.o and then confirming stability of the process over the reset time period T.sub.r. Because the recursive process starts from a selected covariance at the beginning of each reset time period T.sub.r, confirming stability of the process over at least one reset time period substantially confirms stability over the longer operational time period T.sub.o.

The Status and Future Directions for the GRACE Mission

NASA Astrophysics Data System (ADS)

Tapley, B. D.; Flechtner, F.; Watkins, M. M.; Bettadpur, S. V.

2015-12-01

The twin satellites of the Gravity Recovery and Climate Experiment (GRACE) were launched on March 17, 2002 and have operated for over 13 years. The mission objectives are to sense the spatial and temporal variations of the Earth's mass through its effects on the gravity field at the GRACE satellite altitude. The major cause of the time varying mass is water motion and the GRACE mission has provided a continuous decade long measurement sequences which characterizes the seasonal cycle of mass transport between the oceans, land, cryosphere and atmosphere; its inter-annual variability; and the climate driven secular, or long period, mass transport signals. In 2012, a complete reanalysis of the mission data, referred to as the RL05 data release, was initiated. The monthly solutions from this effort were released in mid-2013 with the mean fields following in 2014 and 2015. The mission is entering the final phases of operations. The current mission operations strategy emphasizes extending the mission lifetime to achieve mission overlap with the GRACE Follow On Mission. This presentation will review the mission status and the projections for mission lifetime, summarize plans for the RL 06 data re-analysis, describe the issues that influence the operations philosophy and discuss the impact the operations may have on the scientific data products.

The Current Status and Future Prospects for the GRACE Mission

NASA Astrophysics Data System (ADS)

Tapley, Byron; Flechtner, Frank; Watkins, Michael; Bettadpur, Srinivas; Boening, Carmen

2016-04-01

The twin satellites of the Gravity Recovery and Climate Experiment (GRACE) were launched on March 17, 2002 and have operated for over 13 years. The mission objectives are to sense the spatial and temporal variations of the Earth's mass through its effects on the gravity field at the GRACE satellite altitude. The major cause of the time varying mass is water motion and the GRACE mission has provided a continuous decade long measurement sequences which characterizes the seasonal cycle of mass transport between the oceans, land, cryosphere and atmosphere; its inter-annual variability; and the climate driven secular, or long period, mass transport signals. In 2012, the RLO5 solution, based on a complete reanalysis of the mission data, data release, was initiated. The monthly solutions from this effort were released in mid-2013 with the mean fields following in 2014 and 2015. The mission is entering the final phases of operations. The current mission operations strategy emphasizes extending the mission lifetime to achieve mission overlap with the GRACE Follow On Mission. This presentation will review the mission status and the projections for mission lifetime, summarize plans for the RL 06 data re-analysis, describe the issues that influence the operations philosophy and discuss the impact the operations may have on the scientific data products.

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

Keller, David C.; Fresquez, Philip R.; Hansen, Leslie A.

Breeding bird abundance, species richness, evenness, diversity, composition, productivity, and survivorship were determined near a high-explosive detonation site at Los Alamos National Laboratory, New Mexico, USA, during pre-operation (1997-1999) and operation (2000-2014) periods. The operation periods consisted of detonations (<23 kg in yield and <3 per breeding season) in open air (2000-2002), within foam containment (2003-2006) and within steel vessel containment (2007-2014) systems; the latter two were employed to reduce noise and dispersal of high-explosives residues. A total of 2952 bird captures, representing 80 species, was recorded during 18 years of mist net operations using the Monitoring Avian Productivity andmore » Survivorship protocol. Individuals captured were identified to species, aged, sexed, and banded during May through August of each year. There were no significant differences (p > 0.05) in mean avian abundance and species evenness in any of the operation periods as compared with the pre-operation period. Species richness and diversity were significantly higher (p < 0.05) during the vessel containment period (2007-2014) than the pre-operation period. The time period of this study coincided with a wildfire (2000), a bark beetle infestation (2002), and two periods of drought (Nov 1999-Mar 2004 and Dec 2005-Dec 2014) that affected the study area. Furthermore, analysis of aerial photos determined that the average percent canopy cover of mature ponderosa pines (Pinus ponderosa) within 100 feet of mist net sites declined from 12% to 3% between 1991 and 2014 and the percent cover of shrubs slightly increased.« less

Time course of blood pressure changes immediately after maximal exercise.

PubMed

Nakahara, H; Miyamoto, T; Nakanishi, Y; Kinoshita, H

2006-12-01

The aim of this study was to investigate the effect of exhaustive exercise on the time course of arterial blood pressure (BP) and heart rate (HR) during upright resting (inactive) and loadless pedaling (active) recovery from a bicycle exercise to exhaustion. The subjects were 11 healthy normotensive males. Systolic, diastolic and mean BP, and HR were recorded every 20 s for the initial 6 min of the recovery period. The time course of all BP measures during inactive and active recovery was characterized by a marked and sudden drop during the initial 20-s period, followed by a quick rise. This was followed by a gradual decline till the end of the recovery period. The time course of HR recovery, on the other hand, exhibited a smooth decline without the initial drop. With active recovery, the initial drop of diastolic and mean BP was less than the inactive recovery. After the 20 s period, the diastolic BP and HR were kept slightly higher with the active recovery than the inactive recovery. A sudden drop of the BP occurred at the initial recovery period of postcycle exercise to exhaustion though HR did not show such a change. The initial BP drop could be attenuated by the actively pedaling the cycle without load.

Internet Access to Spacecraft

NASA Technical Reports Server (NTRS)

Rash, James; Parise, Ron; Hogie, Keith; Criscuolo, Ed; Langston, Jim; Jackson, Chris; Price, Harold; Powers, Edward I. (Technical Monitor)

2000-01-01

The Operating Missions as Nodes on the Internet (OMNI) project at NASA's Goddard Space flight Center (GSFC), is demonstrating the use of standard Internet protocols for spacecraft communication systems. This year, demonstrations of Internet access to a flying spacecraft have been performed with the UoSAT-12 spacecraft owned and operated by Surrey Satellite Technology Ltd. (SSTL). Previously, demonstrations were performed using a ground satellite simulator and NASA's Tracking and Data Relay Satellite System (TDRSS). These activities are part of NASA's Space Operations Management Office (SOMO) Technology Program, The work is focused on defining the communication architecture for future NASA missions to support both NASA's "faster, better, cheaper" concept and to enable new types of collaborative science. The use of standard Internet communication technology for spacecraft simplifies design, supports initial integration and test across an IP based network, and enables direct communication between scientists and instruments as well as between different spacecraft, The most recent demonstrations consisted of uploading an Internet Protocol (IP) software stack to the UoSAT- 12 spacecraft, simple modifications to the SSTL ground station, and a series of tests to measure performance of various Internet applications. The spacecraft was reconfigured on orbit at very low cost. The total period between concept and the first tests was only 3 months. The tests included basic network connectivity (PING), automated clock synchronization (NTP), and reliable file transfers (FTP). Future tests are planned to include additional protocols such as Mobile IP, e-mail, and virtual private networks (VPN) to enable automated, operational spacecraft communication networks. The work performed and results of the initial phase of tests are summarized in this paper. This work is funded and directed by NASA/GSFC with technical leadership by CSC in arrangement with SSTL, and Vytek Wireless.

New GOES-R Risk Reduction Activities at CIRA

NASA Astrophysics Data System (ADS)

Rogers, M. A.; Miller, S. D.; Grasso, L. D.; Haynes, J. M.; NOH, Y. J.; Forsythe, J.; Zupanski, M.; Lindsey, D. T.

2017-12-01

A team of atmospheric scientists at the Cooperative Institute for Research in the Atmosphere (CIRA) at the Colorado State University has been selected by the National Oceanic and Atmospheric Administration's (NOAA) GOES-R Risk Reduction (GOES-R3) science program to develop applications to enhance the utilization of the GOES-R sensors, including the Advanced Baseline Imager (ABI) and the Geostationary Lightning Mapper (GLM). The selected project topics follow NOAA's Research and Development Objectives listed in its 5-year Strategic Plan. The projects will be carried out over a three-year period which started on 1 July 2017 and will end on 30 June 2019. CIRA is working on five GOES-R3 application developments: 1) Developing an Environmental Awareness Repertoire of ABI Imagery (`DEAR-ABII') to Advise the Operational Weather Forecaster. DEAR-ABII maximizes the vast potential of the new GOES-R/GOES-16 sensor technology. 2) GOES-R ABI channel differencing used to reveal cloud-free zones of `precursors of convective initiation'. This product identifies where convective initiation may occur in cloud free skies. 3) Improving the ABI Cloud Layers Product for Multiple Layer Cloud Systems and Aviation Forecast Applications. This project aims to improve the GOES-16 cloud layer product by providing information on the boundaries of cloud layers even when one layer overlies another. 4) Using the New Capabilities of GOES-R to Improve Blended, Multisensor Water Vapor Products for Forecasters. GOES-R TPW retrievals will be merged with TPW derived from polar orbiter and surface data to improve the operational NOAA blended TPW product. 5) Data assimilation of GLM observations in HWRF/GSI system. Assimilation of GOES-R GLM observations for the NOAA operational hurricane model with the goal to improve operational hurricane forecasting. Examples for each of these applications will be presented.

Initial brazilian experience in the treatment of localized prostate cancer using a new generation cryotechnology: feasibility study.

PubMed

Kim, Fernando J; Cerqueira, Michael A; Almeida, Jose C; Pompeo, Alexandre; Sehrt, David; Calheiros, Jose M; Martins, Fernando A; Molina, Wilson R

2012-01-01

The objective of our study is to present the first Brazilian cryoablation experience in the treatment of low and intermediate risk localized prostate cancer using 3rd generation cryoablation and real-time biplanar transrectal ultrasonography. Ten Brazilian patients underwent primary cryoablation for localized prostate cancer between October 2010 and June 2011. All patients consented for whole gland primary cryotherapy. The procedures were performed by 3rd generation cryoablation with the Cryocare System ® (Endocare, Irvine, California). Preoperative data collection included patient demographics along with prostate gland size, Gleason score, serum prostate specific antigen, and erectile function status. Operative and post--operative assessment involved estimated blood loss, operative time, complications, serum PSA level, erectile function status, urinary incontinence, biochemical disease free survival (BDFS), and follow-up time. All patients in the study successfully underwent whole gland cryoablation. The mean of: age, prostate size, PSA level, and Gleason score, was 66.2 years old; 40.7 g; 7.8 ng/mL; and 6 respectively. All patients were classified as low or moderate D' Amico risk (5 low and 5 moderate). Erectile dysfunction was present in 50% of patients. The estimated blood loss was minimal, operative time was 46.1 minutes. All patients that developed erectile dysfunction post-treatment responded to oral or intracavernosal medications with early penile rehabilitation. All patients maintained urinary continence by the end of a 10 months evaluation period and none had biochemical relapse within the mean follow-up of 13 months (7-15 months). Our initial experience shows that cryoablation is a minimally invasive option for the treatment of localized prostate cancer. Short term data seems to be promising but longer follow-up is necessary to verify oncological and functional results.

The self-adjusting file (SAF). Part 3: removal of debris and smear layer-A scanning electron microscope study.

PubMed

Metzger, Zvi; Teperovich, Ehud; Cohen, Raphaela; Zary, Raviv; Paqué, Frank; Hülsmann, Michael

2010-04-01

The aim of this study was to evaluate the cleaning ability of the Self-Adjusting File (SAF) system in terms of removal of debris and smear layer. Root canal preparations were performed in 20 root canals using an SAF operated with a continuous irrigation device. The glide path was initially established using a size 20 K-file followed by the SAF file that was operated in the root canal via a vibrating motion for a total of 4 minutes. Sodium hypochlorite (3%) and EDTA (17%) were used as continuous irrigants and were alternated every minute during this initial 4-minute period. This was followed by a 30-second rinse using EDTA applied through a nonactivated SAF and a final flush with sodium hypochlorite. The roots were split longitudinally and subjected to scanning electron microscopy (SEM). The presence of debris and a smear layer in the coronal, middle, and apical thirds of the canal were evaluated through the analysis of the SEM images using five-score evaluation systems based on reference photographs. The SAF operation with continuous irrigation, using alternating irrigants, resulted in root canal walls that were free of debris in all thirds of the canal in all (100%) of the samples. In addition, smear layer-free surfaces were observed in 100% and 80% of the coronal and middle thirds of the canal, respectively. In the apical third of the canal, smear layer-free surfaces were found in 65% of the root canals. The operation of the SAF system with continuous irrigation coupled with alternating sodium hypochlorite and EDTA treatment resulted in a clean and mostly smear layer-free dentinal surface in all parts of the root canal. Copyright (c) 2010 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

A statistical data assimilation method for seasonal streamflow forecasting to optimize hydropower reservoir management in data-scarce regions

NASA Astrophysics Data System (ADS)

Arsenault, R.; Mai, J.; Latraverse, M.; Tolson, B.

2017-12-01

Probabilistic ensemble forecasts generated by the ensemble streamflow prediction (ESP) methodology are subject to biases due to errors in the hydrological model's initial states. In day-to-day operations, hydrologists must compensate for discrepancies between observed and simulated states such as streamflow. However, in data-scarce regions, little to no information is available to guide the streamflow assimilation process. The manual assimilation process can then lead to more uncertainty due to the numerous options available to the forecaster. Furthermore, the model's mass balance may be compromised and could affect future forecasts. In this study we propose a data-driven approach in which specific variables that may be adjusted during assimilation are defined. The underlying principle was to identify key variables that would be the most appropriate to modify during streamflow assimilation depending on the initial conditions such as the time period of the assimilation, the snow water equivalent of the snowpack and meteorological conditions. The variables to adjust were determined by performing an automatic variational data assimilation on individual (or combinations of) model state variables and meteorological forcing. The assimilation aimed to simultaneously optimize: (1) the error between the observed and simulated streamflow at the timepoint where the forecasts starts and (2) the bias between medium to long-term observed and simulated flows, which were simulated by running the model with the observed meteorological data on a hindcast period. The optimal variables were then classified according to the initial conditions at the time period where the forecast is initiated. The proposed method was evaluated by measuring the average electricity generation of a hydropower complex in Québec, Canada driven by this method. A test-bed which simulates the real-world assimilation, forecasting, water release optimization and decision-making of a hydropower cascade was developed to assess the performance of each individual process in the reservoir management chain. Here the proposed method was compared to the PF algorithm while keeping all other elements intact. Preliminary results are encouraging in terms of power generation and robustness for the proposed approach.

Public Health Service--health maintenance organizations: final regulations.

PubMed

1980-01-24

These rules amend the Public Health Service (PHS) regulations by implementing certain changes made by the HMO Amendments of 1978 with respect to grants and loan guarantees for planning and initial development costs (Subpart D) and to loans and loan guarantees for initial costs of operation (Subpart E). These regulations change Subpart D by including projects for the "expansion of services" of an HMO among the projects eligible for initial development assistance. In addition, they change the limits on the amount of assistance permitted for initial development projects. These regulations also change Subpart E by substituting the words "costs of operation" for the words "operating costs," thereby expanding the scope of assistance for initial operations (1) to include costs of certain small capital expenditures for equipment and alterations and renovations of facilities and (2) to incorporate into the regulations a longstanding policy which specifies the amount of preaward balance sheet liabilities which may be paid for with funds under operating loans (whether made directly or guaranteed by the Secretary).

Subharmonic Solutions of Order One-Third

ERIC Educational Resources Information Center

Fay, Temple H.

2005-01-01

Finding a periodic solution to a nonlinear ordinary differential equation is in general a difficult task. Only in a very few cases can direct methods be applied to an equation to find initial values leading to a solution of the corresponding initial value problem that is periodic. Oscillatory periodic solutions have such practical importance that…

34 CFR 303.343 - IFSP Team meeting and periodic review.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 34 Education 2 2012-07-01 2012-07-01 false IFSP Team meeting and periodic review. 303.343 Section... Service Plans Individualized Family Service Plan (ifsp) § 303.343 IFSP Team meeting and periodic review. (a) Initial and annual IFSP Team meeting. (1) Each initial meeting and each annual IFSP Team meeting...

34 CFR 303.343 - IFSP Team meeting and periodic review.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 34 Education 2 2013-07-01 2013-07-01 false IFSP Team meeting and periodic review. 303.343 Section... Service Plans Individualized Family Service Plan (ifsp) § 303.343 IFSP Team meeting and periodic review. (a) Initial and annual IFSP Team meeting. (1) Each initial meeting and each annual IFSP Team meeting...

34 CFR 303.343 - IFSP Team meeting and periodic review.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 34 Education 2 2014-07-01 2013-07-01 true IFSP Team meeting and periodic review. 303.343 Section... Service Plans Individualized Family Service Plan (ifsp) § 303.343 IFSP Team meeting and periodic review. (a) Initial and annual IFSP Team meeting. (1) Each initial meeting and each annual IFSP Team meeting...

40 CFR 35.688 - Award limitations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... protection program or agrees to establish an approvable program within four years of the initial award. (b... within the four-year period after initial award. After the four-year period expires, the Regional...

Operational evaluation of initial data link air traffic control services, Vol. 1

DOT National Transportation Integrated Search

1990-02-01

This report details the results of an operational evaluation of Initial Data Link Air Traffic Control (ATC) Services. The Operational Evaluation was conducted at the Federal Aviation Administration (FAA) Technical Center utilizing the Data Link test ...

Operational evaluation of initial data link air traffic control services, Vol. 2 - Appendixes

DOT National Transportation Integrated Search

1990-02-01

This report details the results of an operational evaluation of Initial Data : LInk Air Traffic Control (ATC) Services. The Operational Evaluation was : conducted at the Federal Aviation Administration (FAA)Technical Center utilizing : the Data Link ...

M109 Family of Vehicles, Paladin Integrated Management (PIM): Operational Assessment of the Initial Operational Test and Evaluation (IOT and E)

DTIC Science & Technology

2017-01-01

procedures and Army doctrine. During pre -IOT&E training and developmental testing , the combat developer discovered that when projectiles were fired using...Director, Operational Test and Evaluation M109 Family of Vehicles, Paladin Integrated Management (PIM) Operational Assessment of the...Initial Operational Test and Evaluation October 2011 January 2017 J. Michael Gilmore Director

Exploration of warm-up period in conceptual hydrological modelling

NASA Astrophysics Data System (ADS)

Kim, Kue Bum; Kwon, Hyun-Han; Han, Dawei

2018-01-01

One of the important issues in hydrological modelling is to specify the initial conditions of the catchment since it has a major impact on the response of the model. Although this issue should be a high priority among modelers, it has remained unaddressed by the community. The typical suggested warm-up period for the hydrological models has ranged from one to several years, which may lead to an underuse of data. The model warm-up is an adjustment process for the model to reach an 'optimal' state, where internal stores (e.g., soil moisture) move from the estimated initial condition to an 'optimal' state. This study explores the warm-up period of two conceptual hydrological models, HYMOD and IHACRES, in a southwestern England catchment. A series of hydrologic simulations were performed for different initial soil moisture conditions and different rainfall amounts to evaluate the sensitivity of the warm-up period. Evaluation of the results indicates that both initial wetness and rainfall amount affect the time required for model warm up, although it depends on the structure of the hydrological model. Approximately one and a half months are required for the model to warm up in HYMOD for our study catchment and climatic conditions. In addition, it requires less time to warm up under wetter initial conditions (i.e., saturated initial conditions). On the other hand, approximately six months is required for warm-up in IHACRES, and the wet or dry initial conditions have little effect on the warm-up period. Instead, the initial values that are close to the optimal value result in less warm-up time. These findings have implications for hydrologic model development, specifically in determining soil moisture initial conditions and warm-up periods to make full use of the available data, which is very important for catchments with short hydrological records.

CALiPER Report 21.3: Cost-Effectiveness of Linear (T8) LED Lamps

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

Miller, Naomi J.; Perrin, Tess E.; Royer, Michael P.

2014-05-27

Meeting performance expectations is important for driving adoption of linear LED lamps, but cost-effectiveness may be an overriding factor in many cases. Linear LED lamps cost more initially than fluorescent lamps, but energy and maintenance savings may mean that the life-cycle cost is lower. This report details a series of life-cycle cost simulations that compared a two-lamp troffer using LED lamps (38 W total power draw) or fluorescent lamps (51 W total power draw) over a 10-year study period. Variables included LED system cost ($40, $80, or $120), annual operating hours (2,000 hours or 4,000 hours), LED installation time (15more » minutes or 30 minutes), and melded electricity rate ($0.06/kWh, $0.12/kWh, $0.18/kWh, or $0.24/kWh). A full factorial of simulations allows users to interpolate between these values to aid in making rough estimates of economic feasibility for their own projects. In general, while their initial cost premium remains high, linear LED lamps are more likely to be cost-effective when electric utility rates are higher than average and hours of operation are long, and if their installation time is shorter.« less

CALiPER Report 21.3. Cost Effectiveness of Linear (T8) LED Lamps

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

None

2014-05-01

Meeting performance expectations is important for driving adoption of linear LED lamps, but cost-effectiveness may be an overriding factor in many cases. Linear LED lamps cost more initially than fluorescent lamps, but energy and maintenance savings may mean that the life-cycle cost is lower. This report details a series of life-cycle cost simulations that compared a two-lamp troffer using LED lamps (38 W total power draw) or fluorescent lamps (51 W total power draw) over a 10-year study period. Variables included LED system cost ($40, $80, or $120), annual operating hours (2,000 hours or 4,000 hours), LED installation time (15more » minutes or 30 minutes), and melded electricity rate ($0.06/kWh, $0.12/kWh, $0.18/kWh, or $0.24/kWh). A full factorial of simulations allows users to interpolate between these values to aid in making rough estimates of economic feasibility for their own projects. In general, while their initial cost premium remains high, linear LED lamps are more likely to be cost-effective when electric utility rates are higher than average and hours of operation are long, and if their installation time is shorter.« less

The initial spin period of magnetar-like pulsar PSR J1846-0258 in Kes 75

NASA Astrophysics Data System (ADS)

Gelfand, Joseph; Slane, Patrick

2012-07-01

While the origin of the ultra-strong surface magnetic fields believed to be present in magnetars is unknown, one of the leading theories is that magnetars are born spinning very rapidly, with initial spin periods on the order of 2 ms. Unfortunately, it has not been possible to directly measure the initial spin-period due to the lack of detected pulsar wind nebulae around these neutron stars. The recent detection of magnetar-like X-ray flares from PSR J1846-0258 in SNR Kes 75 suggests this neutron star, which powers a well-studied pulsar wind nebula, is a magnetar. I will present an estimate of the initial spin period of this neutron star from a detailed study of its pulsar wind nebula, and discuss its implications for the formation of magnetars.

40 CFR 60.4860 - Do the emission limits, emission standards, and operating limits apply during periods of startup...

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 7 2012-07-01 2012-07-01 false Do the emission limits, emission standards, and operating limits apply during periods of startup, shutdown, and malfunction? 60.4860 Section... emission limits, emission standards, and operating limits apply during periods of startup, shutdown, and...

40 CFR 60.4860 - Do the emission limits, emission standards, and operating limits apply during periods of startup...

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 7 2013-07-01 2013-07-01 false Do the emission limits, emission standards, and operating limits apply during periods of startup, shutdown, and malfunction? 60.4860 Section... emission limits, emission standards, and operating limits apply during periods of startup, shutdown, and...

40 CFR 60.4860 - Do the emission limits, emission standards, and operating limits apply during periods of startup...

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 6 2011-07-01 2011-07-01 false Do the emission limits, emission standards, and operating limits apply during periods of startup, shutdown, and malfunction? 60.4860 Section... emission limits, emission standards, and operating limits apply during periods of startup, shutdown, and...

40 CFR 60.4860 - Do the emission limits, emission standards, and operating limits apply during periods of startup...

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 7 2014-07-01 2014-07-01 false Do the emission limits, emission standards, and operating limits apply during periods of startup, shutdown, and malfunction? 60.4860 Section... emission limits, emission standards, and operating limits apply during periods of startup, shutdown, and...

26 CFR 1.186-1 - Recoveries of damages for antitrust violations, etc.

Code of Federal Regulations, 2010 CFR

2010-04-01

... periods before and after the period covered by the civil action instituted. (3) Net operating losses... to be applied after the other portion of such net operating loss. If, for example, in the year of the... injury will be applied against profits in the carryover or carryback periods. (e) Effect on net operating...

The genesis of neurosurgery and the evolution of the neurosurgical operative environment: part I-prehistory to 2003.

PubMed

Liu, Charles Y; Apuzzo, Michael L J

2003-01-01

Despite its singular importance, little attention has been given to the neurosurgical operative environment in the scientific and medical literature. This article focuses attention on the development of neurosurgery and the parallel emergence of its operative setting. The operative environment has, to a large extent, defined the "state of the art and science" of neurosurgery, which is now undergoing rapid reinvention. During the course of its initial invention, major milestones in the development of neurosurgery have included the definition of anatomy, consolidation of a scientific basis, and incorporation of the practicalities of anesthesia and antisepsis and later operative technical adjuvants for further refinement of action and minimalism. The progress, previously long and laborious in emergence, is currently undergoing rapid evolution. Throughout its evolution, the discipline has assimilated the most effective tools of modernity into the operative environment, leading eventually to the entity known as the operating room. In the decades leading to the present, progressive minimalization of manipulation and the emergence of more refined operative definition with increasing precision are evident, with concurrent miniaturization of attendant computerized support systems, sensors, robotic interfaces, and imaging devices. These developments over time have led to the invention of neurosurgery and the establishment of the current state-of-the-art neurosurgical operating room as we understand it, and indeed, to a broader definition of the entity itself. To remain current, each neurosurgeon should periodically reconsider his or her personal operative environment and its functional design with reference to modernity of practice as currently defined.

An Algorithmic Approach to Operative Management of Complex Pediatric Dog Bites: 3-Year Review of a Level I Regional Referral Pediatric Trauma Hospital

PubMed Central

Shayesteh, Ali; Xu, Min Li

2017-01-01

Background: Incidence of dog bites continues to rise among the pediatric population and serves as a public health threat for the well-being of children. Plastic surgeons are at the forefront of initial management and eventual outcome of these devastating injuries. This study set out to determine the nature of dog bite injuries treated over a 3-year period at a large level 1 pediatric trauma center. Methods: A retrospective review of emergency room records of all pediatric patients (age, 0–18 years old) who sustained dog bites between January 2012 and December 2014 were gathered. All details about age of patient, location and severity of dog bites, type of dog breed, antibiotics given, and emergency versus operative treatment were recorded and analyzed. Results: One hundred eight patients aged 5 months to 18 years old were treated in the emergency department after suffering dog bite injuries during the study period. The highest incidence of dog bites occurred in preschool children. The mean age for patients who required operative repair was lower than the mean age for patients who underwent primary closure in the emergency department. The location of injury was most commonly isolated to the head/neck region. Of the 56 cases that had an identified dog breed, pit bulls accounted for 48.2% of the dog bites, and 47.8% of pit bull bites required intervention in the operating room. Conclusion: Children with large dog bite injuries require more immediate care in a level 1 pediatric trauma hospitals in order to optimize their hospitalization course and eventual outcome. PMID:29184724

Calibration and validation of rainfall thresholds for shallow landslide forecasting in Sicily, southern Italy

NASA Astrophysics Data System (ADS)

Gariano, S. L.; Brunetti, M. T.; Iovine, G.; Melillo, M.; Peruccacci, S.; Terranova, O.; Vennari, C.; Guzzetti, F.

2015-01-01

Empirical rainfall thresholds are tools to forecast the possible occurrence of rainfall-induced shallow landslides. Accurate prediction of landslide occurrence requires reliable thresholds, which need to be properly validated before their use in operational warning systems. We exploited a catalogue of 200 rainfall conditions that have resulted in at least 223 shallow landslides in Sicily, southern Italy, in the 11-year period 2002-2011, to determine regional event duration-cumulated event rainfall (ED) thresholds for shallow landslide occurrence. We computed ED thresholds for different exceedance probability levels and determined the uncertainty associated to the thresholds using a consolidated bootstrap nonparametric technique. We further determined subregional thresholds, and we studied the role of lithology and seasonal periods in the initiation of shallow landslides in Sicily. Next, we validated the regional rainfall thresholds using 29 rainfall conditions that have resulted in 42 shallow landslides in Sicily in 2012. We based the validation on contingency tables, skill scores, and a receiver operating characteristic (ROC) analysis for thresholds at different exceedance probability levels, from 1% to 50%. Validation of rainfall thresholds is hampered by lack of information on landslide occurrence. Therefore, we considered the effects of variations in the contingencies and the skill scores caused by lack of information. Based on the results obtained, we propose a general methodology for the objective identification of a threshold that provides an optimal balance between maximization of correct predictions and minimization of incorrect predictions, including missed and false alarms. We expect that the methodology will increase the reliability of rainfall thresholds, fostering the operational use of validated rainfall thresholds in operational early warning system for regional shallow landslide forecasting.

Pediatric Surgeon-Directed Wound Classification Improves Accuracy

PubMed Central

Zens, Tiffany J.; Rusy, Deborah A.; Gosain, Ankush

2015-01-01

Background Surgical wound classification (SWC) communicates the degree of contamination in the surgical field and is used to stratify risk of surgical site infection and compare outcomes amongst centers. We hypothesized that changing from nurse-directed to surgeon-directed SWC during a structured operative debrief we will improve accuracy of documentation. Methods An IRB-approved retrospective chart review was performed. Two time periods were defined: initially, SWC was determined and recorded by the circulating nurse (Pre-Debrief 6/2012-5/2013) and allowing six months for adoption and education, we implemented a structured operative debriefing including surgeon-directed SWC (Post-Debrief 1/2014-8/2014). Accuracy of SWC was determined for four commonly performed Pediatric General Surgery operations: inguinal hernia repair (clean), gastrostomy +/− Nissen fundoplication (clean-contaminated), appendectomy without perforation (contaminated), and appendectomy with perforation (dirty). Results 183 cases Pre-Debrief and 142 cases Post-Debrief met inclusion criteria. No differences between time periods were noted in regards to patient demographics, ASA class, or case mix. Accuracy of wound classification improved Post-Debrief (42% vs. 58.5%, p=0.003). Pre-Debrief, 26.8% of cases were overestimated or underestimated by more than one wound class, vs. 3.5% of cases Post-Debrief (p<0.001). Interestingly, the majority of Post-Debrief contaminated cases were incorrectly classified as clean-contaminated. Conclusions Implementation of a structured operative debrief including surgeon-directed SWC improves the percentage of correctly classified wounds and decreases the degree of inaccuracy in incorrectly classified cases. However, following implementation of the debriefing, we still observed a 41.5% rate of incorrect documentation, most notably in contaminated cases, indicating further education and process improvement is needed. PMID:27020829

Overall impact of speed-related initiatives and factors on crash outcomes.

PubMed

D'Elia, A; Newstead, S; Cameron, M

2007-01-01

From December 2000 until July 2002 a package of speed-related initiatives and factors took place in Victoria, Australia. The broad aim of this study was to evaluate the overall impact of the package on crash outcomes. Monthly crash counts and injury severity proportions were assessed using Poisson and logistic regression models respectively. The model measured the overall effect of the package after adjusting as far as possible for non-speed road safety initiatives and socio-economic factors. The speed-related package was associated with statistically significant estimated reductions in casualty crashes and suggested reductions in injury severity with trends towards increased reductions over time. From December 2000 until July 2002, three new speed enforcement initiatives were implemented in Victoria, Australia. These initiatives were introduced in stages and involved the following key components: More covert operations of mobile speed cameras, including flash-less operations; 50% increase in speed camera operating hours; and lowering of cameras' speed detection threshold. In addition, during the period 2001 to 2002, the 50 km/h General Urban Speed Limit (GUSL) was introduced (January 2001), there was an increase in speed-related advertising including the "Wipe Off 5" campaign, media announcements were made related to the above enforcement initiatives and there was a speeding penalty restructure. The above elements combine to make up a package of speed-related initiatives and factors. The package represents a broad, long term program by Victorian government agencies to reduce speed based on three linked strategies: more intensive Police enforcement of speed limits to deter potential offenders, i.e. the three new speed enforcement initiatives just described - supported by higher penalties; a reduction in the speed limit on local streets throughout Victoria from 60 km/h to 50 km/h; and provision of information using the mass media (television, radio and billboard) to reinforce the benefits of reducing low level speeding - the central message of "Wipe Off 5". These strategies were implemented across the entire state of Victoria with the intention of covering as many road users as possible. This study aimed to evaluate the overall effectiveness of the speed-related package. The study objectives were: to document the increased speed camera activity in each speed limit zone and in Melbourne compared with the rest of Victoria; to evaluate the overall effect on crash outcomes of the package; to account as far as possible for the effect on crash outcomes of non-speed road safety initiatives and socio-economic factors, which would otherwise influence the speed-related package evaluation; and to examine speed trends in Melbourne and on Victorian rural highways, especially the proportions of vehicles travelling at excessive speeds. This paper presents the results of the evaluation of the overall impact on crash outcomes associated with the speed-related package, after adjusting as far as possible for the effect of non-speed road safety initiatives and socio-economic factors. D'Elia, Newstead and Cameron (2007) document the study results in full.

[Thyroid cancer in patients with Grave's Disease].

PubMed

Mssrouri, R; Benamr, S; Essadel, A; Mdaghri, J; Mohammadine, El H; Lahlou, M-K; Taghy, A; Belmahi, A; Chad, B

2008-01-01

To evaluate the incidence of thyroid carcinoma in patients operated on for Graves' disease, to identify criteria which may predict malignancy, and to develop a practical approach to determine the extensiveness of thyroidectomy. Retrospective study of all patients who underwent thyroidectomy for Graves' disease between 1995 and 2005. 547 patients underwent subtotal thyroidectomy for Graves' disease during this period. Post-operative pathology examination revealed six cases of thyroid cancer (1.1%). All six cases had differentiated thyroid carcinoma (papillary carcinoma in 3 cases, follicular carcinoma in 2 cases and papillo-follicular carcinoma in 1 case). The indication for initial thyroidectomy was a palpable thyroid nodule in 3 cases (50%), failure of medical treatment for Grave's disease in 2 cases (33%), and signs of goiter compression in 1 case (17%). Five patients underwent re-operative total thyroidectomy. This study shows that while malignancy in Grave's disease is uncommon, the presence of thyroid nodule(s) in patients with Grave's disease may be considered as an indication for radical surgery. The most adequate radical surgery in this situation is to perform a total thyroidectomy.

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

Confer, L.; Kramer, K.L.

A condensing type heat exchanger operating at Henkel Corporation's plant in Kankakee, IL, has enabled the plant to save $400,000 in energy costs within the first 22 months of operation, recouping the initial capital investment for the unit within that time frame. The heat exchanger enables the plant to accomplish what historically was considered taboo - to cool boiler stack gas down to 130/sup 0/F, below the dew point, and thus recover both sensible and latent heat from the gas. Traditionally, moisture could not be squeezed out of stack gas below the recommended temperature of 250/sup 0/F because the stackmore » gas close to the heat exchanger tubes would approach the dew point, condense and attack metal surfaces. The condensing type heat exchanger can withstand corrosive conditions, however, because all wetted surfaces on the flue side of the shell and copper-nickel tube design are protected with an extruded Teflon fluorocarbon resin covering (not coating). The waste heat recovery system was installed over a two-month period in 1985. Performance has been above expectations with greater energy savings than originally projected. The amount of operator attention required is minimal.« less

Technical Case Report of Deep Brain Stimulation: Is it Possible Single Electrode Reach to Both of Subthalamic Nucleus and Ventral Intermediate Nucleus in One Stage?

PubMed

Kaptan, Hülagu; Çakmur, Raif

2018-04-15

The primary target of this operation is Ventral Intermediate Nucleus (VIM); however VIM - Subthalamic Nucleus (STN) were tried to be reached with one electrode, adjusting the angle well, the coronal section; medial of VIM can partially reach the STN. Using the properties of the electrode; we believe we could act on a wide area. An analysis was performed on one patient who underwent VIM Deep Brain Stimulation (DBS) in 3 periods (pre - peri - post-operation). A 53 - year - old woman diagnosed with Parkinson's disease 8 years earlier including symptoms of severe tremor on the right than left underwent bilateral DBS VIM. Obtaining a satisfactory improvement of tremor, the patient did well, and postoperative complications were not observed. The patient was discharged from hospital on postoperative thirty day. It is certain that more research and experience are needed. However, we believe that the two targets can reach the same point and the second operations for another target can be avoided.We believe that this initiative is advantageous and promising regarding patient and cost.

Operations analysis (study 2.1): Payload designs for space servicing

NASA Technical Reports Server (NTRS)

Wolfe, R. R.

1974-01-01

Potential modes of operating in space in the space shuttle era are documented. The October 1973 NASA Mission Model provides a definition of various NASA and non-DOD automated payload configurations when employed in an expendable mode. The model also specifies a launch schedule for initial deployment of payloads as well as for subsequent replacements at periodic cycles. This model and its associated payload definitions serve as a foundation for the data presented in this report. The reference model has been revised to reflect automated space servicing of payloads as an operational concept instead of the existing expendable approach. The indication is that the bulk of a payload's subsystems and mission equipment require no support over the lifetime of the program. However, failure of a single unit could result in loss of the mission objectives. When space servicing is employed, the approach is to replace only that unit causing the anomaly. This concept affords an opportunity to standardize space replacable units, as well as to reduce the expense of logistics support, by allowing multiple servicing on any single upper stage/shuttle flight.

The behaviour of arcs in carbon mixed-mode high-power impulse magnetron sputtering

NASA Astrophysics Data System (ADS)

Tucker, M. D.; Putman, K. J.; Ganesan, R.; Lattemann, M.; Stueber, M.; Ulrich, S.; Bilek, M. M. M.; McKenzie, D. R.; Marks, N. A.

2017-04-01

Mixed-mode deposition of carbon is an extension of high-power impulse magnetron sputtering in which a short-lived arc is deliberately allowed to ignite on the target surface to increase the ionised fraction of carbon in the deposition flux. Here we investigate the ignition and evolution of these arcs and examine their behaviour for different conditions of argon pressure, power supply voltage, and current. We find that mixed-mode deposition is sensitive to the condition of the target surface, and changing the operating parameters causes changes in the target surface condition which themselves affect the discharge in a process of negative feedback. Initially the arcs are evenly distributed on the target racetrack, but after a long period of operation the mode of erosion changes and arcs become localised in a small region, resulting in a pronounced nodular structure. We also quantify macroparticle generation and observe a power-law size distribution typical of arc discharges. Fewer particles are generated for operation at lower Ar pressure when the arc spot velocity is higher.

Autonomous Aerobraking Development Software: Phase One Performance Analysis at Mars, Venus, and Titan

NASA Technical Reports Server (NTRS)

Maddock, Robert W.; Bowes, Angela; Powell, Richard W.; Prince, Jill L. H.; Cianciolo, Alicia Dwyer

2012-01-01

When entering orbit about a planet or moon with an appreciable atmosphere, instead of using only the propulsion system to insert the spacecraft into its desired orbit, aerodynamic drag can be used after the initial orbit insertion to further decelerate the spacecraft. Several past NASA missions have used this aerobraking technique to reduce the fuel required to deliver a spacecraft into a desired orbit. Aerobraking was first demonstrated at Venus with Magellan in 1993 and then was used to achieve the science orbit of three Mars orbiters: Mars Global Surveyor in 1997, Mars Odyssey in 2001, and Mars Reconnaissance Orbiter in 2006. Although aerobraking itself reduces the propellant required to reach a final low period orbit, it does so at the expense of additional mission time to accommodate the aerobraking operations phase (typically 3-6 months), a large mission operations staff, and significant Deep Space Network (DSN) coverage. By automating ground based tasks and analyses associated with aerobraking and moving these onboard the spacecraft, a flight project could save millions of dollars in operations staffing and DSN costs (Ref. 1).

The Cassini project: Lessons learned through operations

NASA Astrophysics Data System (ADS)

McCormick, Egan D.

1998-01-01

The Cassini space probe requires 180 238Pu Light-weight Radioisotopic Heater Units (LWRHU) and 216 238Pu General Purpose Heat Source (GPHS) pellets. Additional LWRHU and GPHS pellets required for non-destructive (NDA) and destructive assay purposes were fabricated bringing the original pellet requirement to 224 LWRHU and 252 GPHS. Due to rejection of pellets resulting from chemical impurities in the fuel and/or failure to meet dimensional specifications a total of 320 GPHS pellets were fabricated for the mission. Initial plans called for LANL to process a total of 30 kg of oxide powder for pressing into monolithic ceramic pellets. The original 30 kg commitment was processed within the time frame allotted; an additional 8 kg were required to replace fuel lost due to failure to meet Quality Assurance specifications for impurities and dimensions. During the time frame allotted for pellet production, operations were impacted by equipment failure, unacceptable fuel impurities levels, and periods of extended down time, >30 working days during which little or no processing occurred. Throughout the production process, the reality of operations requirements varied from the theory upon which production schedules were based.