Science.gov

Sample records for initial technical experience

  1. Transluminal Angioplasty of Peroneal Artery Branches in Diabetics: Initial Technical Experience

    SciTech Connect

    Graziani, Lanfroi Silvestro, Antonio; Monge, Luca; Boffano, Gian Mario; Kokaly, Francesco; Casadidio, Ilaria; Giannini, Francesco

    2008-01-15

    The present study aimed to report the technical feasibility of percutaneous transluminal angioplasty (PTA) of obstructed or insufficient collateral branches (anterior and posterior perforating branches) from distal peroneal to foot arteries in diabetic patients with chronic critical limb ischemia (CLI) and chronic noncrossable occlusion of the anterior and posterior tibial arteries. Twenty-four diabetic CLI patients (age, 67 {+-} 8 years; 87% males) undergoing collateral PTA were included. Baseline clinical angiographic and follow-up data were retrospectively reviewed. Collateral PTA was associated with a concomitant PTA of other sites in 21 (83%) cases. In 15 cases the treated collateral linked the peroneal with the plantaris communis; in 9 cases, the peroneal with the dorsalis pedis. Angiographic results of collateral PTA were good in 13 cases (<30% residual stenosis), whereas the result was considered moderate (30%-49% residual stenosis) in the remaining cases. Neither perforation nor acute occlusion of the treated collaterals or other relevant complications were observed. Mean follow-up was 32 {+-} 17 months. Major amputation was necessary for two (8.3%) patients. Cumulative limb salvage rates at 2 and 4 years were 96% and 87%, respectively. In conclusion, this initial experience shows that PTA of the collateral branches from distal peroneal to foot arteries is a feasible technique. Future studies are required to define the clinical role of this novel approach.

  2. Onyx embolization using dual-lumen balloon catheter: initial experience and technical note.

    PubMed

    Paramasivam, Srinivasan; Niimi, Yasunari; Fifi, Johanna; Berenstein, Alejandro

    2013-10-01

    Onyx as an embolization agent for the management of vascular malformation is well established. We report our initial experience with dimethyl-sulphoxide (DMSO) compatible double lumen balloon catheters used for Onyx embolization. Between December 2011 and March 2013, we treated 22 patients aged between 1.5 to 70years with two types of DMSO compatible dual-lumen balloon catheters (Scepter C and Ascent) to treat dural arteriovenous fistulas, brain arteriovenous malformation (AVM) with dural feeders, mandibular, facial, lingual, vertebral and paravertebral AVMs. The catheter has good navigability, compliant balloon on inflation formed a "plug" that has more resistance than Onyx plug enhancing better penetration. During injection, the balloon remained stable without spontaneous deflation or rupture and withstood the pressure build-up well. The retrieval of the catheter in most cases took less than a minute (19/28) while in five, it was less than five minutes and in the remaining four, it was longer that includes a trapped catheter on prolonged attempted retrieval resulted in an epidural hematoma, requiring emergent surgical evacuation. The fluoroscopy time is reduced, as we do not form a proximal onyx plug, the injection time is shorter along with easy and instantaneous removal of the catheter after balloon deflation in most cases. Dual-lumen balloon catheter Onyx embolization is a safe and effective technique. Currently, an important tool to circumvent some of the shortcomings associated with Onyx embolization. The catheter has good navigability, the balloon has stability, tolerance, enhances penetrability. It is easy to retrieve the microcatheter. With the experience gained, and with more compliant balloon catheters available, this technique can be applied to cerebral vessels in near future. Copyright © 2013. Published by Elsevier Masson SAS.

  3. Career Technical Education Pathways Initiative

    ERIC Educational Resources Information Center

    California Community Colleges, Chancellor's Office, 2013

    2013-01-01

    California's education system--the largest in the United States--is an essential resource for ensuring strong economic growth in the state. The Career Technical Education Pathways Initiative (referred to as the Initiative in this report), which became law in 2005, brings together community colleges, K-12 school districts, employers, organized…

  4. Guam Initial Technical Assessment Report

    SciTech Connect

    Baring-Gould, I.; Conrad, M.; Haase, S.; Hotchkiss, E.; McNutt, P.

    2011-04-01

    Under an interagency agreement, funded by the Department of Interior's (DOI) Office of Insular Affairs (OIA), the National Renewable Energy Laboratory (NREL) was tasked to deliver technical assistance to the island of Guam by conducting an island initial technical assessment that would lay out energy consumption and production data and establish a baseline. This assessment will be used to conduct future analysis and studies by NREL that will estimate energy efficiency and renewable energy potential for the island of Guam.

  5. Initial experience of branched endovascular graft for abdominal aortic aneurysm with complex anatomy of proximal neck: planning and technical considerations.

    PubMed

    Higashiura, Wataru; Nagata, Takeshi; Tabayashi, Nobuoki; Itoh, Hirofumi; Sakaguchi, Shoji; Taniguchi, Shigeki; Kichikawa, Kimihiko; Uchida, Hideo

    2010-01-01

    The purpose of this report was to demonstrate initial Japanese cases of abdominal aortic aneurysm (AAA) with complex anatomy of proximal neck treated using a Zenith fenestrated endograft with branched endovascular technique and to describe the device's design and technical considerations. Planning and sizing of endografts were performed using high-resolution computed tomography on a three-dimensional workstation. Branched endograft technique combined with reinforced fenestrated device and balloon-expandable stent graft was used in two patients because of challenging morphology for the fenestrated device with a bare stent. Successful exclusion of the aneurysm sac was achieved in both patients with antegrade perfusion in incorporated visceral vessels. Endovascular repair using a fenestrated device with graft material incorporating the visceral arteries is feasible. The combination of the reinforced fenestration and the balloon-expandable stent graft can provide an adequate sealing effect for the compromised anatomy. Initial and midterm results are reported with further follow-up and patient accrual.

  6. Career Technical Education Pathways Initiative Annual Report

    ERIC Educational Resources Information Center

    California Community Colleges, Chancellor's Office, 2014

    2014-01-01

    California's education system--the largest in the United States--is an essential resource for ensuring strong economic growth in the state. The Career Technical Education Pathways Initiative (the Initiative) became law in 2005 with Senate Bills 70 and 1133 and provided more than $380 million over eight years to improve career technical education…

  7. Micro Vascular Plug (MVP)-assisted vessel occlusion in neurovascular pathologies: technical results and initial clinical experience.

    PubMed

    Beaty, Narlin B; Jindal, Gaurav; Gandhi, Dheeraj

    2015-10-01

    Deconstructive approaches may be necessary to treat a variety of neurovascular pathologies. Recently, a new device has become available for endovascular arterial occlusion that may have unique applications in neurovascular disease. The Micro Vascular Plug (MVP, Reverse Medical, Irvine, California, USA) has been designed for vessel occlusion through targeted embolization. To report the results from our initial experience with eight consecutive patients in whom the MVP was used to achieve endovascular occlusion of an artery in the head and neck. Eight consecutive patients treated over a nine-month period were included. The patients' radiographic and electronic medical records were retrospectively reviewed. Specifically demographic information, clinical indication, site of arterial occlusion, size of MVP, time to vessel occlusion, clinical complications, use of other secondary embolic agents, and clinical outcome were recorded. Follow-up information when available is presented. The MVP was used in eight patients for the treatment of neurovascular disease. Indications for treatment included post-traumatic head/neck bleeding (n=3), carotid-cavernous fistula (1), vertebral-vertebral fistula (1), giant fusiform vertebral aneurysm (1), stump-emboli after carotid dissection (1), and iatrogenic vertebral artery penetrating injury (1). One device was used in five patients, two in two patients, and one patient with extensive vertebral-vertebral venous fistula required three plugs to effectively trap the fistula from proximal and distal aspects. Vessel occlusion was obtained in <2 min in each case and there were no procedural complications. Four patients were followed up and no incidence of plug migration or vessel recanalization was seen. To the best of our knowledge, this is the first series reporting the use of MVP in neurovascular disease. Use of this device may be associated with shorter procedural times and cost savings in comparison with the use of microcoils for

  8. High-resolution intracranial and cervical MRA at 3.0T: technical considerations and initial experience.

    PubMed

    Bernstein, M A; Huston, J; Lin, C; Gibbs, G F; Felmlee, J P

    2001-11-01

    Initial experience with intracranial and cervical MRA at 3.0T is reported. Phantom measurements (corrected for relaxation effects) show S/N (3.0T) = 2.14 +/- 0.08 x S/N (1.5T) in identical-geometry head coils. A 3.0T 3DTOF intracranial imaging protocol with higher-order autoshimming was developed and compared to 1.5T 3DTOF in 12 patients with aneurysms. A comparison by two radiologists showed the 3.0T to be significantly better (P < 0.001) for visualization of the aneurysms. The feasibility of cervical and intracranial contrast enhanced MR angiography (CEMRA) at 3.0T is also examined. The relaxivity of the gadolinium contrast agent decreases by only about 4-7% when the field strength is increased from 1.5 to 3.0T. Cervical 3.0T CEMRA was obtained in eight patients, two of whom had 1.5T studies available for direct comparison. Image comparison suggests 3.0T to be a favorable field strength for cervical CEMRA. Voxel volumes of 0.62-0.73 mm(3) (not including zero-filling) were readily achieved at 3.0T with the use of a single-channel transmit-receive head or cervical coil, a 25 mL bolus of gadoteridol, and a 3D pulse sequence with a 66% sampling efficiency. This spatial resolution allowed visualization of intracranial aneurysms, carotid dissections, and atherosclerotic disease including ulcerations. Potential drawbacks of 3.0T MRA are increased SAR and T(*)(2) dephasing compared to 1.5T. Image comparison suggests signal loss due to T(*)(2) dephasing will not be substantially more problematic than at 1.5T. The dependence of RF power deposition on TR for CEMRA is calculated and discussed. Copyright 2001 Wiley-Liss, Inc.

  9. Initiation Train Experiments

    NASA Astrophysics Data System (ADS)

    Francois, Elizabeth; Johnson, Carl; Liechty, Gary; Whitley, Von

    2015-06-01

    In an effort to evaluate and qualify a new detonator diagnostic, booster selection and main charge configuration, a variety of small-scale tests have been conducted. This paper will describe the needs, testing approach and model validation. Because of the limited size available some novel approaches were made to understand the observed phenomenon. Function time and time of arrival at various locations in the initiation train are desirable data points. Knowing when each segment initiates the next segment and the time to run up to detonation is critical. Results of our experiments were modeled for timing accuracy, wave shape and pressure. Agreement between the experiments and models will be discussed. The testing that will be discussed is time of arrival wires, PDV, and fiber optic arrays. The time of arrival wire measures the detonator cup breakout time. When correlated to bridge burst, an absolute time is collected. This data point also gives time zero for the booster initiation. Many models actually start at the booster, rather than the detonator, so the inclusion of this data point will improve modeling efforts.

  10. Initial blood storage experiment

    NASA Technical Reports Server (NTRS)

    Surgenor, Douglas MACN.

    1988-01-01

    The design of the Initial Blood Storage Experiment (IBSE) was based upon a carefully controlled comparison between identical sets of human blood cell suspensions - red cells, white cell, and platelets - one set of which was transported aboard the Columbia on a 6 day 11 hour mission, and the other held on the ground. Both sets were carried inside stainless steel dewars within specially fabricated flight hardware. Individual bags of cell suspensions were randomly assigned with respect to ground vs orbit status, dewar chamber, and specific location within the dewar. To foster optimal preservation, each cell type was held under specific optimal conditions of pH, ionic strength, solute concentration, gas tension, and temperature. An added variable in this initial experiment was provided by the use of three different polymer/plasticizer formulations for the sealed bags which held the blood cells. At termination of the experiment, aliquots of the suspensions, identified only by code, were distributed to be assayed. Assays were selected to constitute a broad survey of cellular properties and thereby maximize the chances of detection of gravitational effects. A total of 74 different outcome measurements were reported for statistical analysis. When the measurements were completed, the results were entered into the IBSE data base, at which time the data were matched with the original blood bag numbers to determine their status with respect to polymer/plasticizer type, orbit status (orbit or ground), and storage position within the experimental hardware. The data were studied by analysis of variance. Initially, type of bag and orbital status were main factors; later more detailed analyses were made on specific issues such as position in the hardware and specific plastic. If the analysis of variance indicated a statistical significance at the 5 percent level the corresponding p-value was reported.

  11. American Samoa Initial Technical Assessment Report

    SciTech Connect

    Busche, S.; Conrad, M.; Funk, K.; Kandt, A.; McNutt, P.

    2011-09-01

    This document is an initial energy assessment for American Samoa, the first of many steps in developing a comprehensive energy strategy. On March 1, 2010, Assistant Secretary of the Interior Tony Babauta invited governors and their staff from the Interior Insular Areas to meet with senior principals at the National Renewable Energy Laboratory (NREL). Meeting discussions focused on ways to improve energy efficiency and increase the deployment of renewable energy technologies in the U.S. Pacific Territories. In attendance were Governors Felix Camacho (Guam), Benigno Fitial (Commonwealth of the Northern Mariana Islands), and Togiola Tulafono, (American Samoa). This meeting brought together major stakeholders to learn and understand the importance of developing a comprehensive strategic plan for implementing energy efficiency measures and renewable energy technologies. For several decades, dependence on fossil fuels and the burden of high oil prices have been a major concern but never more at the forefront as today. With unstable oil prices, the volatility of fuel supply and the economic instability in American Samoa, energy issues are a high priority. In short, energy security is critical to American Samoa's future economic development and sustainability. Under an interagency agreement, funded by the Department of Interior's Office of Insular Affairs, NREL was tasked to deliver technical assistance to the islands of American Samoa. Technical assistance included conducting an initial technical assessment to define energy consumption and production data, establish an energy consumption baseline, and assist with the development of a strategic plan. The assessment and strategic plan will be used to assist with the transition to a cleaner energy economy. NREL provided an interdisciplinary team to cover each relevant technical area for the initial energy assessments. Experts in the following disciplines traveled to American Samoa for on-island site assessments: (1) Energy

  12. NASA scientific and technical information program multimedia initiative

    NASA Technical Reports Server (NTRS)

    Cotter, Gladys A.; Kaye, Karen

    1993-01-01

    This paper relates the experiences of the NASA Scientific and Technical Information Program in introducing multimedia within the STI Program framework. A discussion of multimedia technology is included to provide context for the STI Program effort. The STI Program's Multimedia Initiative is discussed in detail. Parallels and differences between multimedia and traditional information systems project development are highlighted. Challenges faced by the program in initiating its multimedia project are summarized along with lessons learned. The paper concludes with a synopsis of the benefits the program hopes to provide its users through the introduction of multimedia illustrated by examples of successful multimedia projects.

  13. Initial blood storage experiment

    NASA Technical Reports Server (NTRS)

    Surgenor, Douglas MACN.

    1988-01-01

    The possibility of conducting experiments with the formed elements of the blood under conditions of microgravity opens up important opportunities to improve the understanding of basic formed element physiology, as well as, contribution to improved preservation of the formed elements for use in transfusion. The physiological, biochemical, and physical changes of the membrane of the erythrocyte, platelet, and leukocyte was studied during storage under two specific conditions: standard blood bank conditions and microgravity, utilizing three FDA approved plastic bags. Storage lesions; red cell storage on Earth; platelet storage on Earth; and leukocyte storage Earth were examined. The interaction of biomaterials and blood cells was studied during storage.

  14. Micropercutaneous nephrolithotripsy: initial experience

    PubMed Central

    Kasap, Yusuf; Ölçücüoğlu, Esin; Şirin, Mehmet Emin; Gazel, Eymen; Taştemur, Sedat; Odabas, Öner

    2015-01-01

    Introduction For small renal calculi (< 2 cm) the currently available treatment options include extracorporeal shockwave lithotripsy (ESWL), retrograde intrarenal surgery (RIRS) and standard/mini percutaneous nephrolithotomy (PNL). A new method, microperc, has therefore been developed, in which a smaller tract size and smaller instruments were used. Aim To present our clinical experiences with micropercutaneous nephrolithotripsy (microperc) in the treatment of small renal calculi. Material and methods We retrospectively evaluated patients with small renal calculi who underwent microperc between February and June 2013. A 4.8 Fr ‘all-seeing needle’ was used to achieve percutaneous renal access with the C-arm fluoroscopy guidance in the prone position. Holmium: YAG laser 272 µm fiber was used for stone fragmentation. Results A total of 20 patients underwent the microperc procedure. The mean age of the patients was 46.5 ±13.8 years. The mean stone size was 13 ±3 mm. The stone-free rate (SFR) was 90% (18/20). Two patients had clinically significant residual fragments (≥ 4 mm). The mean operation and fluoroscopy times were 107.5 ±37 min and 45 ±40 s respectively. The mean postoperative drop in hemoglobin was 1.2 ±0.9 g/dl, and 1 patient required blood transfusion. The patients were discharged after an average hospitalization of 1.4 ±0.8 days. Two complications, urinary tract infection and blood loss requiring blood transfusion, were observed in 2 patients postoperatively. Conclusions We suggest that microperc should be considered for the treatment of small renal stones. PMID:26649082

  15. The ESA Initiatives towards European Technical Universities

    NASA Astrophysics Data System (ADS)

    Messina, P.

    2002-01-01

    Education is one of the ESA mandatory activities and a renewed commitment has been shown by the reinforcement of the ESA Education Office and by the launching new initiatives in addition to those already in place. The new structure of the Office includes, next to units dealing with primary and secondary schools and with other Educational projects, a service dedicated to, among other things, foster the relations with European Universities and their students. In line with the overall objectives and strategy of Education policy at ESA, the fostering of co- operation between ESA and European Universities is aimed at creating a coherent and effective framework for the two parties to mutually benefit from an enhanced collaboration. ESA has a long and successful tradition of working together Academia, especially in the field of research and development. This new initiative wants to leverage on the past and present collaboration and reinforce the links from an educational point of view. The paper will give on overview how these links are being created, the impact on the ESA offer in terms of traineeship and opportunities for young people and will draw the first conclusions from the initial experiences gathered. Also it will address the impact of the on-going europeanisation process of higher education on the relations with European Universities and on the ESA programmes offered to them. Examples of on-going co-operation will be given (e.g. Aurora Programme) with an analysis of the lesson learned. The wider European context and how ESA's efforts contribute to the creation of a European Research Area (ERA) and to the achievement of the objectives set forth by the Lisbon summit will also be touched upon. The conclusions will address the next steps in this initiative and the feedback from the various partners and how this is being taken into account to steer the it to respond to the real needs of higher education.

  16. Southwest Region Experiment Station - Final Technical Report

    SciTech Connect

    Rosenthal, A

    2011-08-19

    Southwest Technology Development Institute (SWTDI), an independent, university-based research institute, has been the operator of the Southwest Region Photovoltaic Experiment Station (SWRES) for almost 30 years. The overarching mission of SWTDI is to position PV systems and solar technologies to become cost-effective, major sources of energy for the United States. Embedded in SWTDI's general mission has been the more-focused mission of the SWRES: to provide value added technical support to the DOE Solar Energy Technologies Program (SETP) to effectively and efficiently meet the R&D needs and targets specified in the SETP Multi-Year Technical Plan. : The DOE/SETP goals of growing U.S. PV manufacturing into giga-watt capacities and seeing tera-watt-hours of solar energy production in the U.S. require an infrastructure that is under development. The staff of the SWRES has supported DOE/SETP through a coherent, integrated program to address infrastructural needs inhibiting wide-scale PV deployment in three major technical categories: specialized engineering services, workforce development, and deployment facilitation. The SWRES contract underwent three major revisions during its five year period-of- performance, but all tasks and deliverables fell within the following task areas: Task 1: PV Systems Assistance Center 1. Develop a Comprehensive multi-year plan 2. Provide technical workforce development materials and workshops for PV stakeholder groups including university, professional installers, inspectors, state energy offices, Federal agencies 3. Serve on the NABCEP exam committee 4. Provide on-demand technical PV system design reviews for U.S. PV stakeholders 5. Provide PV system field testing and instrumentation, technical outreach (including extensive support for the DOE Market Transformation program) Task 2: Design-for-Manufacture PV Systems 1. Develop and install 18 kW parking carport (cost share) and PV-thermal carport (Albuquerque) deriving and publishing

  17. Utilization of a New Intracranial Support Catheter as an Intermediate Aspiration Catheter in the Treatment of Acute Ischemic Stroke: Technical Report on Initial Experience

    PubMed Central

    Lozano, J. Diego; Massari, Francesco; Howk, Mary C; de Macedo Rodrigues, Katyucia; Brooks, Christopher; Perras, Mary; Rex, David E; Wakhloo, Ajay K; Kühn, Anna Luisa

    2016-01-01

    The endovascular management of acute ischemic stroke (AIS) due to emergency large vessel occlusion (ELVO) has become the standard of care after the recent publication of landmark randomized, controlled trials. Mechanical thrombectomy, in addition to intravenous thrombolysis (within 4.5 hours when eligible), is now part of the algorithm of the standard of care when treating AIS in patients with ELVO in the anterior circulation up to six hours after symptom onset. A newly introduced device, the Arc™ intracranial support catheter (Medtronic, Irvine, USA), is specifically designed for the introduction of neurointerventional devices into the cerebral vasculature and facilitates the delivery of microcatheters into smaller, more distal intracranial vessels. This technical report describes the use of the Arc™ intracranial support catheter in the setting of AIS. PMID:27382525

  18. Utilization of a New Intracranial Support Catheter as an Intermediate Aspiration Catheter in the Treatment of Acute Ischemic Stroke: Technical Report on Initial Experience.

    PubMed

    Lozano, J Diego; Massari, Francesco; Howk, Mary C; de Macedo Rodrigues, Katyucia; Brooks, Christopher; Perras, Mary; Rex, David E; Wakhloo, Ajay K; Kühn, Anna Luisa; Puri, Ajit S

    2016-05-21

    The endovascular management of acute ischemic stroke (AIS) due to emergency large vessel occlusion (ELVO) has become the standard of care after the recent publication of landmark randomized, controlled trials. Mechanical thrombectomy, in addition to intravenous thrombolysis (within 4.5 hours when eligible), is now part of the algorithm of the standard of care when treating AIS in patients with ELVO in the anterior circulation up to six hours after symptom onset. A newly introduced device, the Arc™ intracranial support catheter (Medtronic, Irvine, USA), is specifically designed for the introduction of neurointerventional devices into the cerebral vasculature and facilitates the delivery of microcatheters into smaller, more distal intracranial vessels. This technical report describes the use of the Arc™ intracranial support catheter in the setting of AIS.

  19. Robotic retroauricular thyroidectomy: initial experience from India

    PubMed Central

    Dabas, Surender; Deshpande, Mandar

    2017-01-01

    Robotic thyroidectomy is getting accepted worldwide, but, majority of the literature is from South Korea. The purpose of this paper is to review the early experiences with robotic retroauricular (RA) thyroidectomy from India. The rationale for robotic thyroidectomy, its advantages and disadvantages are reviewed. The reasons for selecting the RA approach and the criteria used for selecting the patients are discussed. The early experience and outcomes of 29 patients, from three centres across India is presented. Robotic approaches score above endoscopic methods. RA approach may have some technical advantages for the head and neck surgeons. Sufficient cadaver and preclinical training should be undertaken. Standardized and formal teaching for robotic surgical skill is necessary. Case selection is important especially in the initial phases of the learning curve. Our early experience with robotic thyroidectomy was encouraging. PMID:28713698

  20. Robotic retroauricular thyroidectomy: initial experience from India.

    PubMed

    Thankappan, Krishnakumar; Dabas, Surender; Deshpande, Mandar

    2017-06-01

    Robotic thyroidectomy is getting accepted worldwide, but, majority of the literature is from South Korea. The purpose of this paper is to review the early experiences with robotic retroauricular (RA) thyroidectomy from India. The rationale for robotic thyroidectomy, its advantages and disadvantages are reviewed. The reasons for selecting the RA approach and the criteria used for selecting the patients are discussed. The early experience and outcomes of 29 patients, from three centres across India is presented. Robotic approaches score above endoscopic methods. RA approach may have some technical advantages for the head and neck surgeons. Sufficient cadaver and preclinical training should be undertaken. Standardized and formal teaching for robotic surgical skill is necessary. Case selection is important especially in the initial phases of the learning curve. Our early experience with robotic thyroidectomy was encouraging.

  1. Ten-year experiences on initial genetic examination in childhood acute lymphoblastic leukaemia in Hungary (1993-2002). Technical approaches and clinical implementation.

    PubMed

    Olah, Eva; Balogh, Erzsebet; Pajor, Laszlo; Jakab, Zsuzsanna

    2011-03-01

    A nationwide study was started in 1993 to provide genetic diagnosis for all newly diagnosed childhood ALL cases in Hungary using cytogenetic examination, DNA-index determination, FISH (aneuploidy, ABL/BCR, TEL/AML1) and molecular genetic tests (ABL/BCR, MLL/AF4, TEL/AML1). Aim of the study was to assess the usefulness of different genetic methods, to study the frequency of various aberrations and their prognostic significance. Results were synthesized for genetic subgrouping of patients. To assess the prognostic value of genetic aberrations overall and event-free survival of genetic subgroups were compared using Kaplan-Meier method. Prognostic role of aberrations was investigated by multivariate analysis (Cox's regression) as well in comparison with other factors (age, sex, major congenital abnormalities, initial WBC, therapy, immunophenotype). Five hundred eighty-eight ALL cases were diagnosed between 1993-2002. Cytogenetic examination was performed in 537 (91%) (success rate 73%), DNA-index in 265 (45%), FISH in 74 (13%), TEL/AML1 RT-PCR in 219 (37%) cases producing genetic diagnosis in 457 patients (78%). Proportion of subgroups with good prognosis in prae-B-cell ALL was lower than expected: hyperdiploidB 18% (73/400), TEL/AML1+ 9% (36/400). Univariate analysis showed significantly better 5-year EFS in TEL/AML1+ (82%) and hyperdiploidB cases (78%) than in tetraploid (44%) or pseudodiploid (52%) subgroups. By multivariate analysis main negative prognostic factors were: congenital abnormalities, high WBC, delay in therapy, specific translocations. Complementary use of each of genetic methods used is necessary for reliable genetic diagnosis according to the algorithm presented. Specific genetic alterations proved to be of prognostic significance.

  2. [Laparoscopic radical cystectomy: initial experience].

    PubMed

    Núñez Mora, C; García Mediero, J Ma; Cáceres Jiménez, F; Cabrera Castillo, P M

    2007-09-01

    To review our initial experience with laparoscopic radical cystectomy. Between September 2004 and June 2006 we performed 16 laparoscopic radical cystectomies (14 males and 2 females) with a median age of 63.8 y.o. (51-85). 12 ileal neobladder (with laparoscopic ileal-urethra anastomosis), 3 cutaneous ureteroileostomies and 1 cutaneous ureterostomy were performed as derivation techniques. Median follow up was 12.4 months Mean operation time was 340 minutes. Estimated blood loss was 350 ml. and 3 cases required intra-op blood transfusion. Mean hospitalization discharged was at 7.6 days. Median linph node dissection was 22.9 finding node metastasis in 6 cases. Most frequent complication was ileo in two cases. No local recurrentes in trocar placement was achieved. Laparoscopic Radical cystectomy is a challenged long-lasting procedure but with the advantage of a less transfusion rate and short hospital stay. Oncologycal outcomes are similar as tose from open surgery.

  3. The Valuation of Scientific and Technical Experiments

    NASA Technical Reports Server (NTRS)

    Williams, F. E.

    1972-01-01

    Rational selection of scientific and technical experiments for space missions is studied. Particular emphasis is placed on the assessment of value or worth of an experiment. A specification procedure is outlined and discussed for the case of one decision maker. Experiments are viewed as multi-attributed entities, and a relevant set of attributes is proposed. Alternative methods of describing levels of the attributes are proposed and discussed. The reasonableness of certain simplifying assumptions such as preferential and utility independence is explored, and it is tentatively concluded that preferential independence applies and utility independence appears to be appropriate.

  4. The Valuation of Scientific and Technical Experiments

    NASA Technical Reports Server (NTRS)

    Williams, F. E.

    1972-01-01

    Rational selection of scientific and technical experiments for space missions is studied. Particular emphasis is placed on the assessment of value or worth of an experiment. A specification procedure is outlined and discussed for the case of one decision maker. Experiments are viewed as multi-attributed entities, and a relevant set of attributes is proposed. Alternative methods of describing levels of the attributes are proposed and discussed. The reasonableness of certain simplifying assumptions such as preferential and utility independence is explored, and it is tentatively concluded that preferential independence applies and utility independence appears to be appropriate.

  5. Natural orifice surgery: initial clinical experience.

    PubMed

    Horgan, Santiago; Cullen, John P; Talamini, Mark A; Mintz, Yoav; Ferreres, Alberto; Jacobsen, Garth R; Sandler, Bryan; Bosia, Julie; Savides, Thomas; Easter, David W; Savu, Michelle K; Ramamoorthy, Sonia L; Whitcomb, Emily; Agarwal, Sanjay; Lukacz, Emily; Dominguez, Guillermo; Ferraina, Pedro

    2009-07-01

    Natural orifice translumenal endoscopic surgery (NOTES) has moved quickly from preclinical investigation to clinical implementation. However, several major technical problems limit clinical NOTES including safe access, retraction and dissection of the gallbladder, and clipping of key structures. This study aimed to identify challenges and develop solutions for NOTES during the initial clinical experience. Under an Institutional Review Board (IRB)-approved protocol, patients consented to a natural orifice operation for removal of either the gallbladder or the appendix via either the vagina or the stomach using a single umbilical trocar for safety and assistance. Nine transvaginal cholecystectomies, one transgastric appendectomy, and one transvaginal appendectomy have been completed to date. All but one patient were discharged on postoperative day 1 as per protocol. No complications occurred. The limited initial evidence from this study demonstrates that NOTES is feasible and safe. The addition of an umbilical trocar is a bridge allowing safe performance of NOTES procedures until better instruments become available. The addition of a flexible long grasper through the vagina and a flexible operating platform through the stomach has enabled the performance of NOTES in a safe and easily reproducible manner. The use of a uterine manipulator has facilitated visualization of the cul de sac in women with a uterus to allow for safe transvaginal access.

  6. Third SEI Technical Interchange: Proceedings. [Space Exploration Initiative

    SciTech Connect

    Not Available

    1992-01-01

    Given here are the proceedings of the 3rd Space Exploration Initiative (SEI) Technical Interchange. Topics covered include the First Lunar Outpost (FLO), the Lunar Resource Mapper, lunar rovers, lunar habitat concepts, lunar shelter construction analysis, thermoelectric nuclear power systems for SEI, cryogenic storage, a space network for lunar communications, the moon as a solar power satellite, and off-the-shelf avionics for future SEI missions.

  7. Robonaut Mobile Autonomy: Initial Experiments

    NASA Technical Reports Server (NTRS)

    Diftler, M. A.; Ambrose, R. O.; Goza, S. M.; Tyree, K. S.; Huber, E. L.

    2006-01-01

    A mobile version of the NASA/DARPA Robonaut humanoid recently completed initial autonomy trials working directly with humans in cluttered environments. This compact robot combines the upper body of the Robonaut system with a Segway Robotic Mobility Platform yielding a dexterous, maneuverable humanoid ideal for interacting with human co-workers in a range of environments. This system uses stereovision to locate human teammates and tools and a navigation system that uses laser range and vision data to follow humans while avoiding obstacles. Tactile sensors provide information to grasping algorithms for efficient tool exchanges. The autonomous architecture utilizes these pre-programmed skills to form complex behaviors. The initial behavior demonstrates a robust capability to assist a human by acquiring a tool from a remotely located individual and then following the human in a cluttered environment with the tool for future use.

  8. QUIJOTE-CMB experiment: a technical overview

    NASA Astrophysics Data System (ADS)

    Pérez-de-Taoro, M. R.; Aguiar-González, M.; Génova-Santos, R.; Gómez-Reñasco, F.; Hoyland, R.; López-Caraballo, C.; Peláez-Santos, A.; Poidevin, F.; Tramonte, D.; Rebolo-López, R.; Rubiño-Martín, J. A.; Sánchez-de la Rosa, V.; Vega-Moreno, A.; Viera-Curbelo, T.; Vignaga, R.; Martínez-Gonzalez, E.; Aja, B.; Artal, E.; Cagigas, J.; Cano-de-Diego, J. L.; Cuerno, E. M.; de-la-Fuente, L.; Pérez, A.; Terán, J. V.; Villa, E.; Piccirillo, L.; Lasenby, A.

    2014-07-01

    The QUIJOTE-CMB experiment (Q-U-I JOint TEnerife CMB experiment) is an ambitious project to obtain polarization measurements of the sky microwave emission in the 10 to 47 GHz range. With this aim, a pair of 2,5μm telescopes and three instruments are being sited at the Teide Observatory, in Tenerife (Canary Islands, Spain). The first telescope and the first instrument (the MFI: Multi Frequency Instrument) are both already operating in the band from 10 to 20 GHz, since November 2012. The second telescope and the second instrument (TGI: Thirty GHz instrument) is planned to be in commissioning by the end of summer 2014, covering the range of 26 to 36 GHz. After that, a third instrument named FGI (Forty GHz instrument) will be designed and manufactured to complete the sky survey in the frequency range from 37 to 47 GHz. In this paper we present an overview of the whole project current status, from the technical point of view.

  9. Introducing Development Education in Technical Universities: Successful Experiences in Spain

    ERIC Educational Resources Information Center

    Boni, A.; Perez-Foguet, A.

    2008-01-01

    This paper presents and analyses the main characteristics of successful experiences of Development Education (DE) introduced in two major Spanish Technical Universities (Technical University of Catalonia, TUC, and Technical University of Valencia, TUV) during the nineties and the beginning of the twenty-first century. In this paper, after a brief…

  10. Initiation of social pharmacy research in Nepal: our experiences.

    PubMed

    Palaian, Subish; Poudel, Arjun; Alam, Kadir; Mohamed Ibrahim, Mohamed Izham; Mishra, Pranaya

    2011-08-01

    Nepal experiences several medicine-use problems like any other developing country. In the recent years, there have been initiatives to introduce the concept of social pharmacy in Nepal, and there has been only a limited research in this area. The staff members at the Manipal College of Medical Sciences, Pokhara have shown keen interest in initiating several social pharmacy-related researches in the country. The members of this institute have been collaborating with two international universities, namely Universiti Sains Malaysia located in Malaysia and Chulalongkorn University located in Thailand, to get academic and technical supports. In this manuscript, the authors share their experiences in initiating social pharmacy research in the country. Authors have also mentioned the priority areas of social pharmacy research in Nepal and the importance of initiating this concept in the country.

  11. Experience with the shift technical advisor position

    SciTech Connect

    Melber, B.D.; Olson, J.; Schreiber, R.E.; Winges, L.

    1984-03-01

    The provision of engineering expertise on shift at commercial nuclear power plants has mainly taken the form of the Shift Technical Advisor (STA). This person, acting in a capacity that is part engineer and part operator, is expected to advise the operations crew in the event of an emergency and review plant operating experience during normal circumstances. The position was mandated by the Nuclear Regulatory Commission following the incident at Three Mile Island. This report expands on a growing body of knowledge regarding the effectiveness of the STA. The new data presented here come from interviews with plant personnel and utility officials from nine sites. Researchers from the Pacific Northwest Laboratory (PNL) interviewed plant personnel, including the STA and immediate management, the shift supervisor and management, the training department, and ancillary staff, all of whom affect the intended performance of the STA. The conclusions of the report are that the design of the STA position results in limited contribution during emergencies; more comprehensive ways should be sought to provide the variety and specificity of engineering expertise needed during such times.

  12. TRU partnership: Overview of technical challenges and initiatives

    SciTech Connect

    Moore, J.W.; Martin, M.R.; Mullin, R.J.; Ball, D.E.; Stewart, D.E.

    1994-03-01

    The Waste Isolation Pilot Plant (WIPP) has been constructed in a geologic salt deposit in Carlsbad, New Mexico. Current plans have the WIPP scheduled to begin permanent emplacement of TRU waste starting in approximately 2000 after completion of a 5-7 year test phase that is scheduled to begin in 1994. The WIPP has prepared a waste acceptance criteria (WAC) that establishes requirements that must be met by waste packages intended for disposal at WIPP. In addition there are other existing criteria (e.g. DOE General Design Criteria 6430.lA), regulations, procedures, guidelines and safety concerns (e.g. ALARA), regarding designing, building and operating radiological waste handling/processing facilities. All of these, along with the desire to minimize each projects total cost, encourage and in some cases dictate the use of new, developing technologies and other innovative technologies and operating philosophies. In the summer of 1990 the TRU Partnership was formed comprising several of the DOE TRU waste generator and storage/disposal sites. This partnership meets approximately quarterly to present the status of each site`s projects and has resulted in the establishment of a list of technical/development needs/challenges and initiatives. The initiatives are discussed in this report.

  13. Initiatives in Technical and Further Education. Numbers 3 and 4.

    ERIC Educational Resources Information Center

    National TAFE Clearinghouse, Adelaide (Australia).

    These two issues contain abstracts of 127 and 118 documents, respectively, related to the field of technical and further education that are available through the Australian Technical and Further Education (TAFE) Clearinghouse system. These types of materials are included: research reports/technical reports, evaluation studies, curriculum materials…

  14. Initial state radiation experiment at MAMI

    SciTech Connect

    Mihovilovič, M.; Merkel, H.; Collaboration: A1-Collaboration

    2013-11-07

    In an attempt to contribute further insight into the discrepancy between the Lamb shift and elastic scattering determinations of the proton charge radius, a new experiment at MAMI is underway, aimed at measuring proton form-factors at very low momentum transfers by using a new technique based on initial state radiation. This paper reports on first findings of the pilot measurement performed in 2010, whose main goal was to check the feasibility of the proposed experiment and to recognize and overcome potential obstacles before running the full experiment in 2013.

  15. Financing Technical and Vocational Education: Modalities and Experiences.

    ERIC Educational Resources Information Center

    German Foundation for International Development (DSE), Bonn (Germany).

    The two papers in this document explain various options and modalities for UNEVOC (International Project on Technical and Vocational Education) Member States' financing of their individual systems of technical and vocational education and disseminating experiences in this area. "Financing Vocational Education and Training in Developing…

  16. NASA/DOD Flight Experiments Technical Interchange Meeting Proceedings

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This document contains the proceedings of the Flight Experiments Technical Interchange Meeting held in Monterey California, October 5-9, 1992. Technical sessions 4 through 8 addressing space structures, propulsion, space power systems, space environments and effects, and space operations are covered. Many of the papers are presented in outline and viewgraph form.

  17. Initiatives in Technical and Further Education. Number 7.

    ERIC Educational Resources Information Center

    National TAFE Clearinghouse, Adelaide (Australia).

    This compilation of 137 document abstracts provides technical and further education (TAFE) teachers, counselors, researchers, and administrators with resumes of materials that have been accessed by the TAFE Clearinghouse. The following types of materials are included: research and technical reports, evaluation studies, curriculum materials, and…

  18. Initiatives in Technical and Further Education. Number 8.

    ERIC Educational Resources Information Center

    National TAFE Clearinghouse, Adelaide (Australia).

    This booklet comprises abstracts of 157 works (document numbers 1025-1181) dealing with technical and further education that are available through the Australian Technical and Further Education (TAFE) Clearinghouse system. Included among those materials annotated are works dealing with programs in specific subject areas, access to education,…

  19. Initial Experience Using the Gore Embolic Filter in Carotid Interventions.

    PubMed

    Hornung, Marius; Franke, Jennifer; Bertog, Stefan C; Gafoor, Sameer; Grunwald, Iris; Sievert, Horst

    2016-08-01

    This is the first clinical report on experience in the use of the Gore embolic filter in carotid interventions. It was designed as a guidewire and embolic protection system in carotid, peripheral, and coronary interventions. The ability to capture debris is driven by the frame of the filter, which is designed to improve vessel wall apposition and allows a short landing zone. We report the results of the first 20 consecutive patients undergoing carotid artery stenting using the Gore embolic filter in our institution. We analyzed technical success as well as the occurrence of transient ischemic attack (TIA), stroke, or death periprocedurally and through 30 days of follow-up. Mean patient age was 72 years and 12 patients (60%) were male. Seven patients were symptomatic and 4 patients suffered recurrent neurological events. Technical success was achieved in all procedures. In 1 patient, the retrieval catheter was caught between the proximal struts of the stent and required further retrieval maneuvers. Within 30 days of follow-up, 1 patient had a TIA. No stroke, death, or myocardial infarction occurred. This initial experience suggests that the Gore embolic filter device can be used safely for distal embolic protection during carotid stenting procedures with high technical success.

  20. Thin Foil Copper Liner Initiation Experiments

    NASA Astrophysics Data System (ADS)

    Blesener, Isaac; Kusse, Bruce; Greenly, John; Blesener, Kate; Hammer, David; Blue, Brent

    2011-10-01

    Solid liners are an increasingly attractive load design for pulsed power drivers, with applications in both Z pinches and alternative fusion concepts. Next generation pulsed power drivers will need increasingly massive loads to match the implosion time of the Z pinch with the current pulse. Solid liners present a relatively simple load design that could replace wire arrays for fast Z pinch studies. Additionally, fusion concepts such as MAGnetized Liner Intertial Fusion (MAGLIF) are designed to use solid liners to compress the fusion fuel. One problem that has hindered the performance of solid liners in the past is non-uniform initiation, or current filamentation. A series of experiments on the 1 MA, 100 ns COBRA generator show that at high enough current density rise times (dJ/dt), copper liners initiated nearly instaneously and uniformly along the azimuth. The threshold for these experiments for uniform initiation was found to be dJ/dt >= 3 . 5 ×1016A/cm2 s . This research is supported by the NNSA SSAA program under DOE Cooperative Agreement DE-FC03-02NA00057.

  1. [Experience of the Baby Friendly Hospital initiative].

    PubMed

    Lamounier, J A

    1998-01-01

    In the study is analyzed and described the initiative called "Initiative Baby Friendly Hospitals", a program which started in Brazil, 1992. This initiative intends to support, to protect and to promote the breastfeeding as proposed in a meeting in 1990 in Florence, Italy, which was promoted by WHO and UNICEF. The basic goal of this initiative is to mobilize health professionals and hospital or maternity workers for changing their routines and conducts aiming to prevent the early wean. The health establishments are evaluated based on the "ten steps for success of breastfeeding, a group of goals created in the same meeting. In Brazil, the evaluation is coordinated by the Federal Government through the PNIAM (Programa Nacional de Incentivo ao Aleitamento Materno). A baby friendly hospital, if approved, receives from the Minister of Health, a Federal Governmental Agency (SUS) a differential payment for childbirth assistance and prenatal accompaniment, 10% and 40%, more respectively. Until 1998 year there were 103 baby friendly hospitals in Brazil, with the majority of them located in the northeast area (68.1%). However, taking in accounting the number of 5650 hospitals linked to SUS in the country, less than 2.0% are baby friendly hospitals. On the basis of the experience and according with PNIAM data the implementation of the ten steps and the incentive to breastfeeding through baby friendly hospitals have resulted in a significant increase of breastfeeding incidence and duration in Brazil.

  2. State Technical Assistance Initiatives for IDEA Part B Programs.

    ERIC Educational Resources Information Center

    Hanft, Barbara

    This report discusses a study that examined state technical assistance (TA) infrastructures that support research-based practices for improved outcomes for students with disabilities served under Part B of the Individuals with Disabilities Education Act. The 10 participating states included: Alabama, Colorado, Iowa, Maryland, Montana, Oklahoma,…

  3. Initiatives in Technical and Further Education. Number 6.

    ERIC Educational Resources Information Center

    National TAFE Clearinghouse, Adelaide (Australia).

    This document contains abstracts of 148 reports, manuals, and other educational resources for persons involved in technical and further education in Australia. In a format similar to that used by the Educational Resources Information Center (ERIC), each entry contains an identifying number, title, author, publisher, access information, price,…

  4. [Autofluorescence videothoracoscopy--our initial experience].

    PubMed

    Belák, J; Kudlác, M; Cavarga, I; Janík, M; Sauka, C

    2007-10-01

    The authors present their initial clinical experience with the use of autofluorescence videothoracoscopy in diagnostics of pleural disorders. The study used Richard Wolf DAFE fluorescence endoscopy system. Preliminary results show that autofluoresence imaging is more precise in locating the pathology, which improved the diagnostic yield of videothoracoscopy in pleural disorders. The resulting indirect autofluorescence image depicts healthy tissues in a white-green colour, while tissues with a roughened surface, resulting from hyperplastic inflammatory processes (pachypleura, adhesions) and tumorous or dysplastic processes, are depicted as vivid blue high-density foci.

  5. Mars-Analog Evaporite Experiment: Initial Results

    NASA Technical Reports Server (NTRS)

    Moore, J. M.; Bullock, M. A.; Sharp, T.G.; Quinn, R.

    2005-01-01

    This research is part of a multiyear experimental investigation to understand the nature and evolution brines and evaporates on Mars. The spectacular discoveries of the MER rovers, particularly those of Opportunity at Meridiani, both illustrate the relevance, as well as guide the future direction, of this work. Here we report the initial results from our just-completed and tested evaporites apparatus, using a synthetic brine analog to our brine experiment simulating a modern Mars environment in which the brine was subjected to rapid evaporation under modern Martian conditions. Additional information is included in the original extended abstract.

  6. Non-technical constraints to eradication: the Italian experience.

    PubMed

    Moda, Giuliana

    2006-02-25

    Although technical constraints to eradication of bovine tuberculosis are well-recognised, non-technical constraints can also delay progress towards eradication, leading to inefficiency and increased programme costs. This paper seeks to analyse the main non-technical constraints that can interfere with the successful implementation of tuberculosis eradication plans, based on experiences from an area of high tuberculosis prevalence in Regione Piemonte, Italy. The main social and economic constraints faced in the past 20 years are reviewed, including a social reluctance to recognise the importance of seeking eradication as the goal of disease control, effective communication of technical issues, the training and the organization of veterinary services, the relationship between the regional authority and farmers and their representatives, and data management and epidemiological reporting. The paper analyses and discusses the solutions that were applied in Regione Piemonte and the benefits that were obtained. Tuberculosis eradication plans are one of the most difficult tasks of the Veterinary Animal Health Services, and non-technical constraints must be considered when progress towards eradication is less than expected. Organizational and managerial resources can help to overcome social or economic obstacles, provided the veterinary profession is willing to address technical, but also non-technical, constraints to eradication.

  7. Initial Commissioning Experience With the LCLS Injector

    SciTech Connect

    Akre, R.; Castro, J.; Ding, Y.; Dowell, D.H.; Emma, P.; Frisch, J.; Gilevich, A.; Hays, G.; Hering, P.; Huang, Z.; Iverson, R.; Krejcik, P.; Limborg-Deprey, C.; Loos, H.; Miahnahri, A.; Rivetta, C.; Saleski, M.; Schmerge, J.F.; Schultz, D.; Turner, J.; Welch, J.; /SLAC /DESY

    2007-11-02

    The Linac Coherent Light Source (LCLS) is a SASE xray Free-Electron Laser (FEL) project presently under construction at SLAC [1]. The injector section, from drive-laser and RF photocathode gun through first bunch compressor chicane, was installed in fall 2006. Initial system commissioning with an electron beam is taking place during the spring and summer of 2007. The second phase of construction, including second bunch compressor and full linac, will begin later, in the fall of 2007. We report here on experience gained during the first phase of machine commissioning, including RF photocathode gun, linac booster section, S-band and X-band RF systems, first bunch compressor, and the various beam diagnostics.

  8. Barrier experiment: Shock initiation under complex loading

    SciTech Connect

    Menikoff, Ralph

    2016-01-12

    The barrier experiments are a variant of the gap test; a detonation wave in a donor HE impacts a barrier and drives a shock wave into an acceptor HE. The question we ask is: What is the trade-off between the barrier material and threshold barrier thickness to prevent the acceptor from detonating. This can be viewed from the perspective of shock initiation of the acceptor subject to a complex pressure drive condition. Here we consider key factors which affect whether or not the acceptor undergoes a shock-to-detonation transition. These include the following: shock impedance matches for the donor detonation wave into the barrier and then the barrier shock into the acceptor, the pressure gradient behind the donor detonation wave, and the curvature of detonation front in the donor. Numerical simulations are used to illustrate how these factors affect the reaction in the acceptor.

  9. Experiments on Socio-Technical Systems: The Problem of Control.

    PubMed

    Kroes, Peter

    2016-06-01

    My aim is to question whether the introduction of new technologies in society may be considered to be genuine experiments. I will argue that they are not, at least not in the sense in which the notion of experiment is being used in the natural and social sciences. If the introduction of a new technology in society is interpreted as an experiment, then we are dealing with a notion of experiment that differs in an important respect from the notion of experiment as used in the natural and social sciences. This difference shows itself most prominently when the functioning of the new technological system is not only dependent on technological hardware but also on social 'software', that is, on social institutions such as appropriate laws, and actions of operators of the new technological system. In those cases we are not dealing with 'simply' the introduction of a new technology, but with the introduction of a new socio-technical system. I will argue that if the introduction of a new socio-technical system is considered to be an experiment, then the relation between the experimenter and the system on which the experiment is performed differs significantly from the relation in traditional experiments in the natural and social sciences. In the latter experiments it is assumed that the experimenter is not part of the experimental system and is able to intervene in and control the experimental system from the outside. With regard to the introduction of new socio-technical systems the idea that there is an experimenter outside the socio-technical system who intervenes in and controls that system becomes problematic. From that perspective we are dealing with a different kind of experiment.

  10. 76 FR 56789 - Call for Nominations: North Slope Science Initiative, Science Technical Advisory Panel, Alaska

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-14

    ...This notice announces a call for nominations to serve on the North Slope Science Initiative, Science Technical Advisory Panel in accordance with the provisions of the Federal Advisory Committee Act (FACA) of 1972.

  11. Technical assessment of PSSC-supported experiments and demonstrations

    NASA Technical Reports Server (NTRS)

    1978-01-01

    A description of CTS and ATS short-term and long-term satellite demonstration supported through usage of a satellite communication ground station complex is presented. User assessments about the programmatic impact of their demonstrations and experiments were summarized. The technical planning and coordination process involved in satellite utilization is also presented.

  12. Wireless Technology in the Library: The RIT Experience: Technical Considerations.

    ERIC Educational Resources Information Center

    Robertson, Michael

    2001-01-01

    Discussion of the project at RIT (Rochester Institute of Technology) that experimented with wireless technology focuses on the technical issues involved. Highlights include choosing a vendor; site survey; installing drops; preparing laptop computers that circulated; future issues; and a glossary of wireless terminology. (LRW)

  13. Experiments in Language Translation: Technical English-to-Vietnamese.

    ERIC Educational Resources Information Center

    Sinaiko, H. Wallace; Brislin, Richard W.

    This paper documents the results of a series of experiments conducted by the Institute for Defense Analyses on translating technical material from English to Vietnamese. The work was accomplished in support of the Office of the Deputy Director, Research and Engineering, Deputy Director for Southeast Asia Matters. The paper addresses the question…

  14. Curriculum Initiation in Wisconsin Vocational and Technical Schools.

    ERIC Educational Resources Information Center

    Barocci, Thomas A.

    Curriculum initiation in public vocational programs in Wisconsin is an unstructured procedure, is conducted from an inadequate data base and with little or no involvement of local advisory committees. Improved procedures are recommended for the purpose of facilitating curricular relevance to rapidly changing occupational needs. Data collection was…

  15. Prostate brachytherapy in Ghana: our initial experience

    PubMed Central

    Yarney, Joel; Vanderpuye, Verna; Akpakli, Evans; Tagoe, Samuel; Sasu, Evans

    2016-01-01

    Purpose This study presents the experience of a brachytherapy team in Ghana with a focus on technology transfer and outcome. The team was initially proctored by experienced physicians from Europe and South Africa. Material and methods A total of 90 consecutive patients underwent either brachytherapy alone or brachytherapy in combination with external beam radiotherapy for prostate carcinoma between July 2008 and February 2014 at Korle Bu Teaching Hospital, Accra, Ghana. Patients were classified as low-risk, intermediate, and high-risk according to the National Comprehensive Cancer Network (NCCN) criteria. All low-risk and some intermediate risk group patients were treated with seed implantation alone. Some intermediate and all high-risk group patients received brachytherapy combined with external beam radiotherapy. Results The median patient age was 64.0 years (range 46-78 years). The median follow-up was 58 months (range 18-74 months). Twelve patients experienced biochemical failure including one patient who had evidence of metastatic disease and died of prostate cancer. Freedom from biochemical failure rates for low, intermediate, and high-risk cases were 95.4%, 90.9%, and 70.8%, respectively. Clinical parameters predictive of biochemical outcome included: clinical stage, Gleason score, and risk group. Pre-treatment prostate specific antigen (PSA) was not a statistically significant predictor of biochemical failure. Sixty-nine patients (76.6%) experienced grade 1 urinary symptoms in the form of frequency, urgency, and poor stream. These symptoms were mostly self-limiting. Four patients needed catheterization for urinary retention (grade 2). One patient developed a recto urethral fistula (grade 3) following banding for hemorrhoids. Conclusions Our results compare favorably with those reported by other institutions with more extensive experience. We believe therefore that, interstitial permanent brachytherapy can be safely and effectively performed in a

  16. Hawaii Utility Integration Initiatives to Enable Wind (Wind HUI) Final Technical Report

    SciTech Connect

    Dora Nakafuji; Lisa Dangelmaier; Chris Reynolds

    2012-07-15

    To advance the state and nation toward clean energy, Hawaii is pursuing an aggressive Renewable Portfolio Standard (RPS), 40% renewable generation and 30% energy efficiency and transportation initiatives by 2030. Additionally, with support from federal, state and industry leadership, the Hawaii Clean Energy Initiative (HCEI) is focused on reducing Hawaii's carbon footprint and global warming impacts. To keep pace with the policy momentum and changing industry technologies, the Hawaiian Electric Companies are proactively pursuing a number of potential system upgrade initiatives to better manage variable resources like wind, solar and demand-side and distributed generation alternatives (i.e. DSM, DG). As variable technologies will continue to play a significant role in powering the future grid, practical strategies for utility integration are needed. Hawaiian utilities are already contending with some of the highest penetrations of renewables in the nation in both large-scale and distributed technologies. With island grids supporting a diverse renewable generation portfolio at penetration levels surpassing 40%, the Hawaiian utilities experiences can offer unique perspective on practical integration strategies. Efforts pursued in this industry and federal collaborative project tackled challenging issues facing the electric power industry around the world. Based on interactions with a number of western utilities and building on decades of national and international renewable integration experiences, three priority initiatives were targeted by Hawaiian utilities to accelerate integration and management of variable renewables for the islands. The three initiatives included: Initiative 1: Enabling reliable, real-time wind forecasting for operations by improving short-term wind forecasting and ramp event modeling capabilities with local site, field monitoring; Initiative 2: Improving operators situational awareness to variable resources via real-time grid condition

  17. Initial experience with an autocapture pacemaker system.

    PubMed

    Kam, R M; Tan, C S; Teo, W S

    2000-11-01

    Autocapture management aims to extend pacemaker longevity without compromising on patient safety by automatically monitoring the pacing threshold and adjusting the pacemaker output for consistent capture. This paper describes our initial experience with the Pacesetter Regency pacemaker with autocapture management. Nineteen patients were implanted with single chamber pacemakers with autocapture management. Autocapture was programmed "ON" the day after implantation if Evoked Response (ER) amplitude was at least 2.8 mV. The patients were followed up at 2 weeks, 2 months and 6 months. At each visit, pacing threshold and lead impedance were measured. Autocapture was turned "ON" during follow-up if it had not been done previously. In 16 out of 19 patients, autocapture could be turned "ON" the day after implantation. One patient had an ER signal that was less than 2.8 mV and 2 patients were in fast atrial fibrillation of more than 120 beats per minute which precluded ER signal testing. These patients could not have autocapture programmed "ON". The benefits of autocapture management can only be realised if an ER signal of at least 2.8 mV is obtained. This requires intraoperative testing of the ER signal. Since there is no commercially available pacing system analyser presently that can measure this, modification of the standard implantation procedure with some prolongation of procedure time is needed.

  18. Initial ICRF heating experiments on the LHD

    SciTech Connect

    Kumazawa, R.; Mutoh, T.; Seki, T.; Shimpo, F.; Nomura, G.; Watari, T.; Ohkubo, K.; Sato, M.; Kubo, S; Shimozuma, T.; Idei, H.; Yoshimura, Y.; Kaneko, O.; Takeiri, Y.; Oka, Y.; Tsumori, K.; Osakabe, M.; Ohyabu, N.; Kawahata, K.; Komori, A.

    1999-09-20

    The final goal of Ion Cyclotron Range of Frequency (ICRF) heating on the Large Helical Device (LHD) is characterized by its high power (up to 12MW) and by steady state operation (30 minutes). Initial ICRF heating experiments were carried out using a pair of loop antemas in the 2nd experimental campaign in 1998. The ICRF heating power was applied to an ECH-produced plasma at an RF power level of 300 kW for 0.2 seconds. An applied frequency of f=25.6 MHz was selected. A cyclotron resonance layer of hydrogen ions was located at the half minor radius during operation at B=1.5 T. A mode conversion layer of a He plasma with a minority of hydrogen ions was located between the magnetic axis and the last closed magnetic flux. The plasma stored energy was observed to increase to twice that of the ECH plasma (P{sub ECH}=300 kW). The plasma stored energy of the ECH target plasma was 11-13 kJ at an average electron density of n{sub e}=8-9x10{sup 18} m{sup -3} and a central electron temperature of T{sub e0}=400 eV. The plasma stored energy increased by 13 kJ with the application of ICRF heating at n{sub e}=7-8x10{sup 18} m{sup -3} and T{sub e0}=700 eV. A strong electron heating via mode conversion was observed at a higher minority ratio of hydrogen ions.

  19. Initial TMX central-cell ICRH experiments

    SciTech Connect

    Molvik, A.W.; Coffield, F.E.; Falabella, S.; Griffin, D.; McVey, B.; Pickles, W.; Poulsen, P.; Simonen, T.C.; Yugo, J.

    1980-12-09

    Four topics are discussed in this report: the feasibility of applying ion cyclotron resonance heating (ICRH) in the TMX central cell, some applications of heating, the results of preliminary experiments, and plans for further ICRH experiments.

  20. The Vehicle Integrated Performance Analysis Experience: Reconnecting With Technical Integration

    NASA Technical Reports Server (NTRS)

    McGhee, D. S.

    2006-01-01

    Very early in the Space Launch Initiative program, a small team of engineers at MSFC proposed a process for performing system-level assessments of a launch vehicle. Aimed primarily at providing insight and making NASA a smart buyer, the Vehicle Integrated Performance Analysis (VIPA) team was created. The difference between the VIPA effort and previous integration attempts is that VIPA a process using experienced people from various disciplines, which focuses them on a technically integrated assessment. The foundations of VIPA s process are described. The VIPA team also recognized the need to target early detailed analysis toward identifying significant systems issues. This process is driven by the T-model for technical integration. VIPA s approach to performing system-level technical integration is discussed in detail. The VIPA process significantly enhances the development and monitoring of realizable project requirements. VIPA s assessment validates the concept s stated performance, identifies significant issues either with the concept or the requirements, and then reintegrates these issues to determine impacts. This process is discussed along with a description of how it may be integrated into a program s insight and review process. The VIPA process has gained favor with both engineering and project organizations for being responsive and insightful

  1. Supporting community-based prevention and health promotion initiatives: developing effective technical assistance systems.

    PubMed

    Mitchell, Roger E; Florin, Paul; Stevenson, John F

    2002-10-01

    As research evidence for the effectiveness of community-based prevention has mounted, so has recognition of the gap between research and community practice. As a result, state and local governments are taking a more active role in building the capacity of community-based organizations to deliver evidence-based prevention interventions. Innovations are taking place in the establishment of technical assistance or support systems to influence the prevention and health education activities of community-based organizations. Several challenges for technical assistance systems are described: (1) setting prevention priorities and allocating limited technical assistance resources, (2) balancing capacity-building versus program dissemination efforts, (3) collaborating across categorical problem areas, (4) designing technical assistance initiatives with enough "dose strength" to have an effect, (5) balancing fidelity versus adaptation in program implementation, (6) building organizational cultures that support innovation, and (7) building local evaluative capacity versus generalizable evaluation findings.

  2. Initial experience with an Underwater Manifold Centre

    SciTech Connect

    Osborne, J.M.

    1984-10-01

    In July 1983 comingled production from the first two completed wells of the Shell/Esso Underwater Manifold Centre (the UMC), reached the Cormorant Alpha platform. This moment was the culmination of design and development effort which had begun as early as the spring of 1975. But being both the largest subsea system to become operational in the North Sea, and the first designed to the production of several subsea wells, whilst injecting into others, how would the UMC continue to perform. This paper details the operational experience gained to date with the UMC, tracing its brief history since it was first powered up in September 1982 to the present. This is discussed in the main body of the paper under the headings: Commissioning Experience; Operating Experience; Reliability and Maintenance.

  3. Solar Array Module Plasma Interaction Experiment (SAMPIE): Technical requirements document

    NASA Technical Reports Server (NTRS)

    Hillard, G. Barry; Ferguson, Dale C.

    1992-01-01

    The Solar Array Module Plasma Interactions Experiment (SAMPIE) is a NASA shuttle space flight experiment scheduled for launch in early 1994. The SAMPIE experiment will investigate plasma interactions of high voltage space power systems in low earth orbit. Solar cell modules, representing several technologies, will be biased to high voltages to characterize both arcing and plasma current collection. Other solar modules, specially modified in accordance with current theories of arcing and breakdown, will demonstrate the possibility of arc suppression. Finally, several test modules will be included to study the basic nature of these interactions. The science and technology goals for the project are defined in the Technical Requirements Document (TRD) which is presented here.

  4. High School Career and Technical Education Participation and Initial College Enrollment: Evidence from Arkansas

    ERIC Educational Resources Information Center

    Dougherty, Shaun M.

    2016-01-01

    This paper uses rich administrative data from Arkansas to understand whether and how high school career and technical education (CTE) programs are related to initial enrollment in college after high school. This descriptive work is designed to inform how other state and local policymakers understand the potential role of high school CTE…

  5. 76 FR 10388 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-24

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below:

  6. 76 FR 79211 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below.

  7. 78 FR 59714 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below.

  8. 75 FR 79017 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below:

  9. 77 FR 21806 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-11

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below.

  10. 77 FR 46769 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-06

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below.

  11. 75 FR 39971 - Notice of Reestablishment of the North Slope Science Initiative Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ...This notice is published in accordance with Section 9(a)(2) of the Federal Advisory Committee Act of 1972 (Pub. L. 92-463). Notice is hereby given that the Secretary of the Interior (Secretary) has re- established the Bureau of Land Management's (BLM) North Slope Science Initiative (NSSI) Science Technical Advisory Panel (Panel).

  12. 75 FR 17433 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-06

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below:

  13. 75 FR 52370 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-25

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)- Science Technical Advisory Panel (STAP) will meet as indicated:

  14. 78 FR 4870 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-23

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below.

  15. 75 FR 159 - Notice of Public Meeting, North Slope Science Initiative, Science Technical Advisory Panel, Alaska

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-04

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below.

  16. 76 FR 55943 - Notice of Public Meeting, North Slope Science Initiative-Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, North Slope Science Initiative (NSSI)-- Science Technical Advisory Panel (STAP) will meet as indicated below.

  17. The initial Trinidad experience with Cine MRI in clinical cardiology.

    PubMed

    Thomas, C N; Maharaj, P; Bodapati, S; John, R; Rahaman, R; Henry, R; Brann, S

    2002-03-01

    We describe the initial Trinidad experience with Magnetic Resonance Imaging (MRI) and Cine MRI as a diagnostic tool in clinical cardiology. Six patients from the following categories were referred for Cine MRI evaluation: congenital heart disease, valvular heart disease, aortic diseases, cardiomyopathy and intracardiac mass. All patients underwent echocardiography. MRI and Cine MRI were performed on all patients using a Siemens Magnetom 1.0 Tesla MR system at MRI Trinidad and Tobago Ltd. Selected patients underwent Angiography and/or computed tomography (CT) scanning. Clinical data and images of the six patients evaluated are described. MRI and Cine MRI provided excellent anatomical and functional details of the heart and aorta in five patients with dissection of the aorta, aneurysm of the ascending aorta, suspected left ventricular apical thrombus, infiltrative cardiomyopathy and arrhythmogenic right ventricular dysplasia. Technical difficulty was experienced with one patient who had a congenital defect (common atrium). In this study, Cine MRI provided excellent images in all but one patient. This new noninvasive technique enhanced diagnostic capabilities and facilitated management in patients with certain cardiovascular diseases.

  18. Microlaparoscopic hernia repair in children: initial experiences.

    PubMed

    Turial, Salmai; Saied, Ahmad; Schier, Felix

    2011-12-01

    This study reports the authors' experience with the exclusive use of 2-mm instrument sets and small diameter scopes in 100 children undergoing microlaparoscopic herniorrhaphy. This prospective study was designed as a pilot feasibility study; all data related to patients and procedures were prospectively collected. A pneumoperitoneum was established, and 1.7 to 2 mm 0° or 30° scopes were introduced for visualization. Exclusively 2-mm instruments were used. This study included 100 children (aged 15 days to 11 years, median age 2.3 years) undergoing microlaparoscopic hernia repair. A total of 140 hernias were treated. The average operative time for the microlaparoscopically experienced surgeon was 16 minutes for bilateral inguinal hernia and 12 minutes for unilateral hernias. All procedures were completed microlaparoscopically. Hernia recurrence was observed in 2 patients. Based on the authors' early experience, it is found that microlaparoscopic hernia repair in children seems to be a safe and feasible procedure.

  19. Initiation train experiments to enable detonator diagnostics

    NASA Astrophysics Data System (ADS)

    Francois, Elizabeth; Thomas, Keith; Liechty, Gary; Johnson, Carl

    2017-01-01

    A measurement of when the detonator breaks out and lights an initiation train has been a desirable diagnostic for both modelers and experimentalists alike. A detonator diagnostic has been developed using magnet wire circuit to transmit a signal when the detonation wave breaks the cup. This is used to establish time zero for a variety of types of shots. This paper describes the design and testing challenges of this diagnostic, and the tests conducted to prove the concept. The value of this diagnostic is that it is an in situ measurement, meaning it can easily be housed inside the booster counterbore on the detonator face. It provides an unambiguous measurement of time zero, when coupled with diagnostics that supply detonator bridge burst information.

  20. Initial Neutron Burn Truncation Experiments on OMEGA

    NASA Astrophysics Data System (ADS)

    McKenty, P. W.; Keck, R. L.; Kremens, R. L.; Kearney, K. J.; Verdon, C. P.; Zuegel, J. D.; Cable, M. D.; Ognibene, T. J.; Lerche, R. A.; Griffith, R. L.

    1997-11-01

    The recent deployment of the neutron temporal diagnostic (NTD) on OMEGA has enabled us to perform a series of experiments that will serve as a base line in understanding the effects of various levels of irradiation nonuniformities on neutron burn rates. These experiments were performed using doped and undoped plastic microballoons imploded with 30 kJ of 351-nm (UV) light. Precise control of laser focusing on OMEGA allowed for on-target laser perturbations to be varied from 0.1 to 1.0 μ*m rms. The targets were designed for moderate convergence ( ~*10) and spanned a range of growth factor from ~*50 to 500 ( ~*4 to 6 total e-foldings). Results will be presented depicting the experimental Y*ield O*ver C*lean (YOC) one-dimensionally predicted yield as a function of the calculated distortion fraction and an appraisal of the experimental fuel areal density. Both of these will be evaluated using information gained from the examination of the NTD neutron burn curves. This work was supported by the U.S. Department of Energy Office of Inertial Confinement Fusion under Cooperative Agreement No. DE-FC03-92SF19460.

  1. Women's initial experience of abnormal papanicolaou smear.

    PubMed

    Mitchell, Susan; Hall, Vincent P

    2009-06-01

    To discover the early subjective experience of women affected by abnormal Papanicolaou smear, a qualitative study was undertaken with 8 North Carolina women, 4 to 12 months postnotification of their first abnormal result. Data were analyzed via grounded theory methodology to identify a core theory that could guide interventions to improve follow-up for cancer prevention. This theoretical process is described as a labyrinth journey-an imperative healing process undertaken by all participants, who undertook the following tasks: evaluating peril, seeking refuge, obtaining information, and reframing their self-image. Women who also learned they were infected with the human papillomavirus faced a prolonged sense of threat to their sense of sexual well-being. Their additional tasks related to reevaluating their sexual self-image, and they continued to work on these reframing tasks throughout their 1st year's journey. Progress through the labyrinth depended upon emotional or spiritual support, nonjudgmental acceptance and access to accurate information.

  2. VIM: Initial ENDF/B-VI experience

    SciTech Connect

    Blomquist, R.N.

    1997-08-01

    The VIM Monte Carlo particle transport code uses detailed continuous-energy cross sections produced from ENDF/B data by a set of specialized codes developed or adapted for use at Argonne National Laboratory. ENDF/B-IV data were used until about 1979, and Version V data since then. These VIM libraries were extensively benchmarked against the MC{sup 2}-2 code and against ZPR and ZPPR criticals for fast spectrum calculations, as well as other fast and thermal experiments and calculations. Recently, the cross section processing codes have been upgraded to accommodate ENDF/B-VI files, and a small library has been tested. Several fundamental tasks comprise the construction of a faithful representation of ENDF data for VIM calculations: (1) The resolved resonance parameters are converted to Doppler-broadened continuous-energy cross sections with energy grids suitable for linear-linear interpolation. (2) The unresolved resonance parameter distributions are sampled to produce many (40-400) resonance ladders in each energy band. These are converted to Doppler-broadened continuous energy resonance cross sections that are then binned by cross section, accumulating ladders until statistical convergence, the result being probability tables of total cross sections and conditional mean scattering and fission cross sections. VIM samples these tables at run time, and File 3 back ground cross sections are added. (3) Anisotropic angular distribution data are converted to angular probability tables. All other ENDF data are unmodified, except for format.

  3. [Initial experience with a new blood pump].

    PubMed

    Margreiter, R; Schwab, W; Klima, G; Koller, J; Baum, M; Dietrich, H; Hager, J; Königsrainer, A

    1990-12-01

    A new type of blood pump was tested in calves for 6 hours. The pump consists of a rigid housing with a trochoidal internal surface, an inlet and outlet, and two lateral walls. A two-corner piston rotating on an eccentric shaft, describes a trochoidal path, thus creating a gap seal, the gap measuring a constant 10-35 microns. The pump is driven by a watercooled DC motor. For right ventricular assist, a cannula is inserted into the right ventricle through the right atrium, and into the left ventricle for left ventricular assists. From a total of 10 experiments, two left ventricular assists, two right ventricular assists, and three biventricular assists were evaluated. The pump produced a pulsatile flow of 31 at 70 rpm. Energy requirements were 2.19 watts for left, 2.06 for right, and 7.26 for biventricular assists. Plasma hemoglobin remained as low as 10 mg/dl during monoventricular, and increased during biventricular assists to 20 mg/dl after 3 hours, and returned to 16 mg/dl after 6 hours. From these preliminary results it is concluded that this new rotary blood pump may be suitable as a circulatory assist device.

  4. Technical and Vocational Education Initiative Developments 6. Education, Enterprise and Industry.

    ERIC Educational Resources Information Center

    Training Agency, London (England).

    In this report on cooperation between British vocational and technical education and local business and industry, the chapter titles and their authors are as follows: "The Challenge of School/Industry Cooperation" (John Waddington); "Work Experience in Norfolk" (Jim Cross); "Industry Links throughout the Curriculum in…

  5. Initial experience with paclitaxel-coated stents.

    PubMed

    Grube, Eberhard; Büllesfeld, Lutz

    2002-12-01

    neointimal proliferation, both studies demonstrated a clear dose response. The RAVEL and the SIRIUS trials evaluated sirolimus-coated stents (i.e., Cordis, Johnson & Johnson, and Bx VELOCITY stents). Results confirmed the beneficial findings regarding reduction of renarrowing using a drug-eluting stent without any major adverse effects. Although parameters such as drug toxicity, optimal drug dosage, or delayed endothelial healing still need to be evaluated, today's clinical experience indicates that drug-coated stents are extremely beneficial in the interventional treatment of coronary lesions.

  6. Decommissioning of the Molten Salt Reactor Experiment: A technical evaluation

    SciTech Connect

    Notz, K.J.

    1988-01-01

    This report completes a technical evaluation of decommissioning planning for the former Molten Salt Reactor Experiment, which was shut down in December, 1969. The key issues revolve around the treatment and disposal of some five tons of solid fuel salt which contains over 30 kg of fissionable uranium-233 plus fission products and higher actinides. The chemistry of this material is complicated by the formation of elemental fluorine via a radiolysis reaction under certain conditions. Supporting studies carried out as part of this evaluation include (a) a broad scope analysis of possible options for storage/disposal of the salts, (b) calculation of nuclide decay in future years, (c) technical evaluation of the containment facility and hot cell penetrations, (d) review and update of surveillance and maintenance procedures, (e) measurements of facility groundwater radioactivity and sump pump operation, (f) laboratory studies of the radiolysis reaction, and (g) laboratory studies which resulted in finding a suitable getter for elemental fluorine. In addition, geologic and hydrologic factors of the surrounding area were considered, and also the implications of entombment of the fuel in-place with concrete. The results of this evaluation show that the fuel salt cannot be left in its present form and location permanently. On the other hand, extended storage in its present form is quite acceptable for 20 to 30 years, or even longer. For continued storage in-place, some facility modifications are recommended. 30 refs., 5 figs., 9 tabs.

  7. The use of robotics in pediatric surgery: my initial experience.

    PubMed

    Camps, Juan I

    2011-09-01

    Robotic assisted minimal invasive surgery (RMIS) is a new resource popular in some surgical specialties but not yet in pediatric surgery. There are numerous advantages of robotic surgical technology in adult patients well documented in the literature. The purpose of this study is to define the feasibility, safety, and benefits of RMIS in pediatric patients in my initial learning experience. In a period of 24 months, all consecutive abdominal RMIS were reviewed. Chart revision was conducted retrospectively. Demographic data were collected in each patient. Other data reviewed were indications for surgery, surgical procedures, complication rate, and conversion rate to open procedure. Four arms robotic equipment was used in all cases with 3 (5 mm) reusable robotic ports and a single (12 mm) disposable port. A total of 102 consecutive abdominal RMIS were performed in 77 pediatric patients. All cases were performed by the same pediatric surgeon in a teaching institution. The average patient age was 6.2 years (ranged from 4 months to 18 years) with 16 patients <1 year of age. The smallest patient was 4 kg. No cases required conversion to open technique. However, one case was converted to laparoscopy because of mesenteric bleeding. There were five intraoperative complications in three patients: minor bleeding (2), suture orogastric tube (1), and gastric opening (2) with repair. Postoperative complications were noted in four patients: mild dysphagia (2) and Nissen wrap breakdown (2). Although the use of RMIS in pediatric patients is still controversial, it is feasible and safe to perform robotic surgery in children with a low complication rate. In addition, excellent visualization with outstanding maneuverability of instruments is of great benefit. These benefits may offset the increased cost of robotic technology especially in technically complex surgical cases.

  8. 76 FR 31356 - Notice of Proposed Information Collection for Public Comment; Technical Assistance Experience...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... Experience, Expertise, and Awards Received Matrices AGENCY: Office of the Community Planning and Development... Assistance Experience, Expertise, and Awards Received Matrices. Description of the need for the information proposed: The Technical Assistance Experience, Expertise, and Awards Received Matrices will allow...

  9. LANDFILL GAS ENERGY UTILIZATION EXPERIENCE: DISCUSSION OF TECHNICAL AND NON-TECHNICAL ISSUES, SOLUTIONS, AND TRENDS

    EPA Science Inventory

    The report discusses technical and non-technical considerations associated with the development and operation of landfill gas to energy projects. Much of the report is based on interviews and site visits with the major developers and operators of the more than 110 projects in the...

  10. LANDFILL GAS ENERGY UTILIZATION EXPERIENCE: DISCUSSION OF TECHNICAL AND NON-TECHNICAL ISSUES, SOLUTIONS, AND TRENDS

    EPA Science Inventory

    The report discusses technical and non-technical considerations associated with the development and operation of landfill gas to energy projects. Much of the report is based on interviews and site visits with the major developers and operators of the more than 110 projects in the...

  11. The KRISP 90 seismic experiment-a technical review

    USGS Publications Warehouse

    Prodehl, C.; Mechie, J.; Achauer, U.; Keller, Gordon R.; Khan, M.A.; Mooney, W.D.; Gaciri, S.J.; Obel, J.D.

    1994-01-01

    On the basis of a preliminary experiment in 1985 (KRISP 85), a seismic refraction/wide-angle reflection survey and a teleseismic tomography experiment were jointly undertaken to study the lithospheric structure of the Kenya rift down to depths of greater than 200 km. This report serves as an introduction to a series of subsequent papers and will focus on the technical description of the seismic surveys of the main KRISP 90 effort. The seismic refraction/wide-angle reflection survey was carried out in a 4-week period in January and February 1990. It consisted of three profiles: one extending along the rift valley from Lake Turkana to Lake Magadi, one crossing the rift at Lake Baringo, and one located on the eastern flank of the rift proper. A total of 206 mobile vertical-component seismographs, with an average station interval of about 2 km, recorded the energy of underwater and borehole explosions to distances of up to about 550 km. During the teleseismic survey an array of 65 seismographs was deployed to record teleseismic, regional and local events for a period of about 7 months from October 1989 to April 1990. The elliptical array spanned the central portion of the rift, with Nakuru at its center, and covered an area about 300 ?? 200 km, with an average station spacing of 10-30 km. Major scientific goals of the project were to reveal the detailed crustal and upper-mantle structure under the Kenya rift, to study the relationship between deep crustal and mantle structure and the development of sedimentary basins and volcanic features within the rift, to understand the role of the Kenya rift within the Afro-Arabian rift system, and to answer fundamental questions such as the mode and mechanism of continental rifting. ?? 1994.

  12. Technical report—Diagnosis and management of an initial UTI in febrile infants and young children.

    PubMed

    Finnell, S Maria E; Carroll, Aaron E; Downs, Stephen M

    2011-09-01

    The diagnosis and management of urinary tract infections (UTIs) in young children are clinically challenging. This report was developed to inform the revised, evidence-based, clinical guideline regarding the diagnosis and management of initial UTIs in febrile infants and young children, 2 to 24 months of age, from the American Academy of Pediatrics Subcommittee on Urinary Tract Infection. The conceptual model presented in the 1999 technical report was updated after a comprehensive review of published literature. Studies with potentially new information or with evidence that reinforced the 1999 technical report were retained. Meta-analyses on the effectiveness of antimicrobial prophylaxis to prevent recurrent UTI were performed. Review of recent literature revealed new evidence in the following areas. Certain clinical findings and new urinalysis methods can help clinicians identify febrile children at very low risk of UTI. Oral antimicrobial therapy is as effective as parenteral therapy in treating UTI. Data from published, randomized controlled trials do not support antimicrobial prophylaxis to prevent febrile UTI when vesicoureteral reflux is found through voiding cystourethrography. Ultrasonography of the urinary tract after the first UTI has poor sensitivity. Early antimicrobial treatment may decrease the risk of renal damage from UTI. Recent literature agrees with most of the evidence presented in the 1999 technical report, but meta-analyses of data from recent, randomized controlled trials do not support antimicrobial prophylaxis to prevent febrile UTI. This finding argues against voiding cystourethrography after the first UTI.

  13. Vehicle Integrated Performance Analysis, the VIPA Experience: Reconnecting with Technical Integration

    NASA Technical Reports Server (NTRS)

    McGhee, David S.

    2005-01-01

    Today's NASA is facing significant challenges and changes. The Exploration initiative indicates a large increase in projects with limited increase in budget. The Columbia report has criticized NASA for its lack of insight and technical integration impacting its ability to provide safety. The Aldridge report is advocating NASA find new ways of doing business. Very early in the Space Launch Initiative (SLI) program a small team of engineers at MSFC were asked to propose a process for performing a system level assessment of a launch vehicle. The request was aimed primarily at providing insight and making NASA a "smart buyer." Out of this effort the VIPA team was created. The difference between the VIPA effort and many integration attempts is that VIPA focuses on using experienced people from various disciplines and a process which focuses them on a technically integrated assessment. Most previous attempts have focused on developing an all encompassing software tool. In addition, VIPA anchored its process formulation in the experience of its members and in early developmental Space Shuttle experience. The primary reference for this is NASA-TP-2001-210092, "Launch Vehicle Design Process: Characterization, Technical Integration, and Lessons Learned," and discussions with its authors. The foundations of VIPA's process are described. The VIPA team also recognized the need to drive detailed analysis earlier in the design process. Analyses and techniques typically done in later design phases, are brought forward using improved computing technology. The intent is to allow the identification of significant sensitivities, trades, and design issues much earlier in the program. This process is driven by the T-model for Technical Integration described in the aforementioned reference. VIPA's approach to performing system level technical integration is discussed in detail. Proposed definitions are offered to clarify this discussion and the general systems integration dialog. VIPA

  14. Vehicle Integrated Performance Analysis, the VIPA Experience: Reconnecting with Technical Integration

    NASA Technical Reports Server (NTRS)

    McGhee, David S.

    2005-01-01

    Today's NASA is facing significant challenges and changes. The Exploration initiative indicates a large increase in projects with limited increase in budget. The Columbia report has criticized NASA for its lack of insight and technical integration impacting its ability to provide safety. The Aldridge report is advocating NASA find new ways of doing business. Very early in the Space Launch Initiative (SLI) program a small team of engineers at MSFC were asked to propose a process for performing a system level assessment of a launch vehicle. The request was aimed primarily at providing insight and making NASA a "smart buyer." Out of this effort the VIPA team was created. The difference between the VIPA effort and many integration attempts is that VIPA focuses on using experienced people from various disciplines and a process which focuses them on a technically integrated assessment. Most previous attempts have focused on developing an all encompassing software tool. In addition, VIPA anchored its process formulation in the experience of its members and in early developmental Space Shuttle experience. The primary reference for this is NASA-TP-2001-210092, "Launch Vehicle Design Process: Characterization, Technical Integration, and Lessons Learned," and discussions with its authors. The foundations of VIPA's process are described. The VIPA team also recognized the need to drive detailed analysis earlier in the design process. Analyses and techniques typically done in later design phases, are brought forward using improved computing technology. The intent is to allow the identification of significant sensitivities, trades, and design issues much earlier in the program. This process is driven by the T-model for Technical Integration described in the aforementioned reference. VIPA's approach to performing system level technical integration is discussed in detail. Proposed definitions are offered to clarify this discussion and the general systems integration dialog. VIPA

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

    NASA Astrophysics Data System (ADS)

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

    1999-11-01

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

  16. The International Association for the Exchange of Students for Technical Experience. 34th Annual Report 1981.

    ERIC Educational Resources Information Center

    International Association for the Exchange of Students for Technical Experience/United States, Columbia, MD.

    The 1981 annual report of the International Association for the Exchange of Students for Technical Experience (IAESTE) is presented. IAESTE seeks to provide students at institutions of higher education with technical experience abroad relative to their studies and to promote international understanding among all students. An international report…

  17. The International Association for the Exchange of Students for Technical Experience. 34th Annual Report 1981.

    ERIC Educational Resources Information Center

    International Association for the Exchange of Students for Technical Experience/United States, Columbia, MD.

    The 1981 annual report of the International Association for the Exchange of Students for Technical Experience (IAESTE) is presented. IAESTE seeks to provide students at institutions of higher education with technical experience abroad relative to their studies and to promote international understanding among all students. An international report…

  18. Technical overview: CANDU MOX fuel dual irradiation experiment

    SciTech Connect

    Dimayuga, F.C.; M.R. Floyd, M.R.; Schankula, M.H.; Sullivan, J.D.

    1996-02-01

    This Technical Overview describes: the technical objectives and rational for the choice of MOX fuel fabrication parameters that are to be investigated; the pre-irradiation fuel characterization plan; the NRU irradiation plan; the post-irradiation examination plan; and a summary of the evaluations that can be extracted from the Parallex data. This Technical Overview is based on the 37-element reference CANDU MOX fuel design established in the 1994 Pu Dispositioning Study. An extension to this study is currently underway, aimed at increasing the Pu disposition rates of the mission. The results of this new study will likely specify a higher Pu loading for the CANDU MOX fuel. If confirmed, this Technical Overview document will be revised and the Parallex test matrix could be modified accordingly.

  19. The NIF Shear Experiment: Emergent Coherent Structures and Initial Conditions

    NASA Astrophysics Data System (ADS)

    Flippo, K. A.; Doss, F. W.; Merritt, E. C.; di Stefano, C. A.; Devolder, B. G.; Kurien, S.; Kot, L.; Loomis, E. N.; Murphy, T. J.; Perry, T. S.; Kline, J. L.; Huntington, C. M.; Nagel, S. R.; MacLaren, S. A.; Schmidt, D. W.

    2016-10-01

    The NIF Shear experiments are designed to stress turbulence models at high Atwood numbers, high convective Mach number, and in a highly compressible regime. The NIF laser system is used to drive two hohlraums on either end of the experiment, which convert the laser drive into a bath of soft x-rays, 250eV in temperature. The counter-propagating shocks and flow, pressure balance the shear layer, such that it can grow due to the KH instability in the center of the experiment for 20 ns. These experiments are the first High Energy Density (HED) hydro-instability studies to show emergent coherent Kelvin-Helmholtz (KH) structures arising from random broadband seeds, and the first to control the phenomenological evolution of the tracer layer by controlling the initial surface roughness conditions. The change in initial conditions forces the system evolution on a different path that does not appear to reach a universal nor self-similar state by the end of the experiment. The experiment was modeled using the multi-physics hydrodynamic code RAGE with the BHR turbulence model. The initial scale-length of the model is modified to match the data. When the model is turned off, the pure hydrodynamics do not capture the behavior of the mixing layer and cannot match the data.

  20. Building and Sustaining Citywide Afterschool Initiatives: Experiences of the Cross-Cities Network Citywide Afterschool Initiatives.

    ERIC Educational Resources Information Center

    Hall, Georgia; Harvey, Brooke

    This paper highlights the experiences of several citywide after school initiatives from the Cross-Cities Network, describing activities and strategies that contributed to building operational and sustainable citywide delivery of out-of-school time programs. The paper presents evidence of success and notes lessons learned, identifying key elements…

  1. Final Scientific/Technical Report Solar America Initiative: Solar Outreach and Communications

    SciTech Connect

    Weissman, Jane M

    2011-09-10

    The purpose of the Solar America Initiative: Solar Outreach and Communications grant was to promote better communications among stakeholders; address infrastructure barriers to solar energy; and coordinate with industry, the U.S. Department of Energy, national laboratories, states, cities and counties. The Interstate Renewable Energy Council (IREC), a non-profit organization formed in 1982, approached this grant project by establishing a wide range of communication and outreach activities including newsletters, workshops, webinars, model practices and publications; by advancing easy and fair hook-up rules to the utility grid; and by upgrading training based on industry competency standards. The Connecting to the Grid project and the Solar Codes and Standards Public Hearings project offered communication coupled with technical assistance to overcome interconnection, net metering and other regulatory and program barriers. The Workforce Development Project tackled building a strong workforce through quality training and competency assessment programs. IREC's web site, the semi-monthly state and stakeholder newsletter and the metrics report resulted in better communications among stakeholders. Workshops and phone seminars offered technical assistance and kept stakeholders up-to-date on key issues. All of these activities resulted in implementing sustainable solutions to institutional and market barriers to solar energy and getting the right information to the right people.

  2. Early Field Experience in Career and Technical Education

    ERIC Educational Resources Information Center

    Smalley, Scott Walter

    2011-01-01

    The purpose of the three studies in this dissertation was to enhance career and technical education in the area of agriculture, business, and family and consumer sciences. This dissertation contains three papers: (1) a Delphi study identifying the purpose, expected outcomes, and methods of documenting preservice teacher early field experience…

  3. Early Field Experience in Career and Technical Education

    ERIC Educational Resources Information Center

    Smalley, Scott Walter

    2011-01-01

    The purpose of the three studies in this dissertation was to enhance career and technical education in the area of agriculture, business, and family and consumer sciences. This dissertation contains three papers: (1) a Delphi study identifying the purpose, expected outcomes, and methods of documenting preservice teacher early field experience…

  4. Technical experiences of implementing a wireless tracking and facial biometric verification system for a clinical environment

    NASA Astrophysics Data System (ADS)

    Liu, Brent; Lee, Jasper; Documet, Jorge; Guo, Bing; King, Nelson; Huang, H. K.

    2006-03-01

    By implementing a tracking and verification system, clinical facilities can effectively monitor workflow and heighten information security in today's growing demand towards digital imaging informatics. This paper presents the technical design and implementation experiences encountered during the development of a Location Tracking and Verification System (LTVS) for a clinical environment. LTVS integrates facial biometrics with wireless tracking so that administrators can manage and monitor patient and staff through a web-based application. Implementation challenges fall into three main areas: 1) Development and Integration, 2) Calibration and Optimization of Wi-Fi Tracking System, and 3) Clinical Implementation. An initial prototype LTVS has been implemented within USC's Healthcare Consultation Center II Outpatient Facility, which currently has a fully digital imaging department environment with integrated HIS/RIS/PACS/VR (Voice Recognition).

  5. Initial experiments of RF gas plasma source for heavy ionfusion

    SciTech Connect

    Ahle, L.; Hall, R.; Molvik, A.W.; Chacon-Golcher, E.; Kwan, J.W.; Leung, K.N.; Reijonen, J.

    2002-05-22

    The Source Injector Program for the US Heavy Ion Fusion Virtual National Laboratory is currently exploring the feasibility of using RF gas plasma sources for a HIF driver. This source technology is presently the leading candidate for the multiple aperture concept, in which bright millimeter size beamlets are extracted and accelerated electrostatically up to 1 MeV before the beamlets are allowed to merge and form 1 A beams. Initial experiments have successfully demonstrated simultaneously high current density, {approx} 100 mA/cm{sup 2} and fast turn on, {approx} 1 {micro}s. These experiments were also used to explore operating ranges for pressure and RF power. Results from these experiments are presented as well as progress and plans for the next set of experiments for these sources.

  6. Thermal control surfaces experiment: Initial flight data analysis

    NASA Technical Reports Server (NTRS)

    Wilkes, Donald R.; Hummer, Leigh L.

    1991-01-01

    The behavior of materials in the space environment continues to be a limiting technology for spacecraft and experiments. The thermal control surfaces experiment (TCSE) aboard the Long Duration Exposure Facility (LDEF) is the most comprehensive experiment flown to study the effects of the space environment on thermal control surfaces. Selected thermal control surfaces were exposed to the LDEF orbital environment and the effects of this exposure were measured. The TCSE combined in-space orbital measurements with pre and post-flight analyses of flight materials to determine the effects of long term space exposure. The TCSE experiment objective, method, and measurements are described along with the results of the initial materials analysis. The TCSE flight system and its excellent performance on the LDEF mission is described. A few operational anomalies were encountered and are discussed.

  7. Proteomic Workflows for Biomarker Identification Using Mass Spectrometry — Technical and Statistical Considerations during Initial Discovery

    PubMed Central

    Orton, Dennis J.; Doucette, Alan A.

    2013-01-01

    Identification of biomarkers capable of differentiating between pathophysiological states of an individual is a laudable goal in the field of proteomics. Protein biomarker discovery generally employs high throughput sample characterization by mass spectrometry (MS), being capable of identifying and quantifying thousands of proteins per sample. While MS-based technologies have rapidly matured, the identification of truly informative biomarkers remains elusive, with only a handful of clinically applicable tests stemming from proteomic workflows. This underlying lack of progress is attributed in large part to erroneous experimental design, biased sample handling, as well as improper statistical analysis of the resulting data. This review will discuss in detail the importance of experimental design and provide some insight into the overall workflow required for biomarker identification experiments. Proper balance between the degree of biological vs. technical replication is required for confident biomarker identification. PMID:28250400

  8. Dynamic crack initiation toughness : experiments and peridynamic modeling.

    SciTech Connect

    Foster, John T.

    2009-10-01

    This is a dissertation on research conducted studying the dynamic crack initiation toughness of a 4340 steel. Researchers have been conducting experimental testing of dynamic crack initiation toughness, K{sub Ic}, for many years, using many experimental techniques with vastly different trends in the results when reporting K{sub Ic} as a function of loading rate. The dissertation describes a novel experimental technique for measuring K{sub Ic} in metals using the Kolsky bar. The method borrows from improvements made in recent years in traditional Kolsky bar testing by using pulse shaping techniques to ensure a constant loading rate applied to the sample before crack initiation. Dynamic crack initiation measurements were reported on a 4340 steel at two different loading rates. The steel was shown to exhibit a rate dependence, with the recorded values of K{sub Ic} being much higher at the higher loading rate. Using the knowledge of this rate dependence as a motivation in attempting to model the fracture events, a viscoplastic constitutive model was implemented into a peridynamic computational mechanics code. Peridynamics is a newly developed theory in solid mechanics that replaces the classical partial differential equations of motion with integral-differential equations which do not require the existence of spatial derivatives in the displacement field. This allows for the straightforward modeling of unguided crack initiation and growth. To date, peridynamic implementations have used severely restricted constitutive models. This research represents the first implementation of a complex material model and its validation. After showing results comparing deformations to experimental Taylor anvil impact for the viscoplastic material model, a novel failure criterion is introduced to model the dynamic crack initiation toughness experiments. The failure model is based on an energy criterion and uses the K{sub Ic} values recorded experimentally as an input. The failure model

  9. Initial clinical experience with the THC:YAG laser in gastrointestinal endoscopy

    NASA Astrophysics Data System (ADS)

    Treat, Michael R.; Forde, Kenneth A.; Bass, Lawrence S.; Oz, Mehmet C.; Drozdowicz, Zbigniew M.; Trokel, Stephen L.

    1990-06-01

    We present the initial clinical results of the use of the pulsed 2.15 micron thulium-holmium-chromium:YAG (THC:YAG) laser for gastrointestinal endoscopic surgery. This pulsed mid-infrared laser was designed to fit the clinical need for precisely controllable tissue vaporization which can be delivered via a flexible delivery system. We obtained an Investigational Device Exemption from the FDA and in December 1988 we began our clinical program. Using the THC:YAG laser via a flexible fiberoptic endoscope, we have successfully performed vaporization or excision of sessile neoplastic polyps of the upper and lower gastrointestinal tract of 12 patients. Our initial experience has confirmed our expectation that this new laser system can provide the endoscopic surgeon with a technical alternative not matched by currently available laser systems.

  10. [Jejunostomy for enteral feeding in surgery. Technical contribution and experience].

    PubMed

    Gramática, L; Mercado Luna, A; Bono, D; Badra, R; Veraday, G; Caballero, F; Lada, P E; Gramática, L

    2001-01-01

    The necessity to maintain the nutritional integrity in patients subjected to major surgery of the superior digestive tract has been broadly accepted. The enteral nutrition for yeyunostomy is accepted as more physiologic, sure and effective than the parenteral one. 171 yeyunostomies were indicated in: 151 patients with malignant neoplasm of the superior digestive tract, 15 with infected pancreatic necrosis, 3 bile-duodenum-pancreatic traumatisms and in 1 stenosis for gastroesophagic reflux. Depending on the pathological type, a yeyunostomy using the Witzell technique was carried out with either local or general anesthesia at a 15 to 20 cm. of the Treitz angle. To facilitate the fixation of the catheter and to avoid the stenosis of the jejunum we have incorporated, as an original technical detail, the proximal serous section with cold scalpel in about 4 cm, that is to say in the sector to be tunneled. There was not mortality in relation to the yeyunostomy. Among the minor complications we emphasize the abdominal distension, colic pain and diarrhea, situations that were reverted, controlling the debit and the feeding characteristics. This approach could be maintained for period of 2 months and in some cases at home. We emphasize the great importance of the enteral feeding for yeyunostomy, for its of easy handling, security and low cost that, together with the suggested technical detail, has allowed us to obtain a deeding road almost without inherent complications.

  11. Initial Physics Results From the National Spherical Torus Experiment

    SciTech Connect

    Kaye, S.M.; Bell, M.G.; Bell, R.E.; Bialek, J.

    2001-01-03

    The mission of the National Spherical Torus Experiment (NSTX) is to extend the understanding of toroidal physics to low aspect ratio (R/a approximately equal to 1.25) in low collisionality regimes. NSTX is designed to operate with up to 6 MW of High Harmonic Fast Wave (HHFW) heating and current drive, 5 MW of Neutral Beam Injection (NBI) and Co-Axial Helicity Injection (CHI) for non-inductive startup. Initial experiments focused on establishing conditions that will allow NSTX to achieve its aims of simultaneous high-bt and high-bootstrap current fraction, and to develop methods for non-inductive operation, which will be necessary for Spherical Torus power plants. Ohmic discharges with plasma currents up to 1 MA and with a range of shapes and configurations were produced. Density limits in deuterium and helium reached 80% and 120% of the Greenwald limit respectively. Significant electron heating was observed with up to 2.3 MW of HHFW. Up to 270 kA of toroidal current for up to 200 msec was produced noninductively using CHI. Initial NBI experiments were carried out with up to two beam sources (3.2 MW). Plasmas with stored energies of up to 140 kJ and bt =21% were produced.

  12. Team learning in medical education: initial experiences at ten institutions.

    PubMed

    Searle, Nancy S; Haidet, Paul; Kelly, P Adam; Schneider, Virginia F; Seidel, Charles L; Richards, Boyd F

    2003-10-01

    In the midst of curricular reforms that frequently call for reducing lectures and increasing small-group teaching, there is a crisis in faculty time for teaching. This paper describes the initial experiences of ten institutions with team learning (TL), a teaching method which fosters small-group learning in a large-class setting. After initial pilot studies at one institution, nine additional institutions implemented TL in one or more courses. Within 18 months, TL has been used in 40 courses (from.5% to 100% of the time) and all ten institutions will increase its use next year. We surmise that this relatively rapid spread of TL into the medical curriculum is due to the sound pedagogy and efficiency of TL as well as the modest financial resources and support we have provided to partner institutions.

  13. Initiating the development of multisensory integration by manipulating sensory experience.

    PubMed

    Yu, Liping; Rowland, Benjamin A; Stein, Barry E

    2010-04-07

    The multisensory integration capabilities of superior colliculus neurons emerge gradually during early postnatal life as a consequence of experience with cross-modal stimuli. Without such experience neurons become responsive to multiple sensory modalities but are unable to integrate their inputs. The present study demonstrates that neurons retain sensitivity to cross-modal experience well past the normal developmental period for acquiring multisensory integration capabilities. Experience surprisingly late in life was found to rapidly initiate the development of multisensory integration, even more rapidly than expected based on its normal developmental time course. Furthermore, the requisite experience was acquired by the anesthetized brain and in the absence of any of the stimulus-response contingencies generally associated with learning. The key experiential factor was repeated exposure to the relevant stimuli, and this required that the multiple receptive fields of a multisensory neuron encompassed the cross-modal exposure site. Simple exposure to the individual components of a cross-modal stimulus was ineffective in this regard. Furthermore, once a neuron acquired multisensory integration capabilities at the exposure site, it generalized this experience to other locations, albeit with lowered effectiveness. These observations suggest that the prolonged period during which multisensory integration normally appears is due to developmental factors in neural circuitry in addition to those required for incorporating the statistics of cross-modal events; that neurons learn a multisensory principle based on the specifics of experience and can then apply it to other stimulus conditions; and that the incorporation of this multisensory information does not depend on an alert brain.

  14. Initiating the development of multisensory integration by manipulating sensory experience

    PubMed Central

    Yu, Liping; Rowland, Benjamin A.; Stein, Barry E.

    2010-01-01

    The multisensory integration capabilities of superior colliculus (SC) neurons emerge gradually during early postnatal life as a consequence of experience with cross-modal stimuli. Without such experience neurons become responsive to multiple sensory modalities but are unable to integrate their inputs. The present study demonstrates that neurons retain sensitivity to cross-modal experience well past the normal developmental period for acquiring multisensory integration capabilities. Experience surprisingly late in life was found to rapidly initiate the development of multisensory integration, even more rapidly than expected based on its normal developmental time course. Furthermore, the requisite experience was acquired by the anesthetized brain and in the absence of any of the stimulus-response contingencies generally associated with learning. The key experiential factor was repeated exposure to the relevant stimuli, and this required that the multiple receptive fields of a multisensory neuron encompassed the cross-modal exposure site. Simple exposure to the individual components of a cross-modal stimulus was ineffective in this regard. Furthermore, once a neuron acquired multisensory integration capabilities at the exposure site, it generalized this experience to other locations, albeit with lowered effectiveness. These observations suggest that the prolonged period during which multisensory integration normally appears is due to developmental factors in neural circuitry in addition to those required for incorporating the statistics of cross-modal events; that neurons learn a multisensory principle based on the specifics of experience and can then apply it to other stimulus conditions; and that the incorporation of this multisensory information does not depend on an alert brain. PMID:20371810

  15. Initial experience with the CDF layer 00 silicon detector

    SciTech Connect

    C. Hill

    2003-03-17

    We report on initial experience with the CDF Layer 00 Detector. Layer 00 is an innovative, low-mass, silicon detector installed in CDF during the upgrade for Run 2A of the Tevatron. Noise pickup present during operation at CDF is discussed. An event-by-event pedestal correction implemented by CDF is presented. This off-line solution prevents L00 from being used in the current incarnation of the on-line displaced track trigger. Preliminary performance of Layer 00 is described.

  16. Initial Experiments and Analysis of Blunt-Edge Vortex Flows

    NASA Technical Reports Server (NTRS)

    Luckring, James M.

    2008-01-01

    A review is presented of the initial experimental results and analysis that formed the basis the Vortex Flow Experiment 2 (VFE-2). The focus of this work was to distinguish the basic effects of Reynolds number, Mach number, angle of attack, and leading edge bluntness on separation-induced leading-edge vortex flows that are common to slender wings. Primary analysis is focused on detailed static surface pressure distributions, and the results demonstrate significant effects regarding the onset and progression of leading-edge vortex separation.

  17. Combined laparoscopic and transanal total mesorectal excision for rectal cancer: Initial experience and early results

    PubMed Central

    Thomsen, Morten Holt; Ovesen, Henrik; Eriksen, Jens Ravn

    2017-01-01

    INTRODUCTION: Incomplete specimens resulting in residual mesorectum in the patient and an increased risk of local recurrence remains a problem. We have introduced transanal-total mesorectal excision (Ta-TME) in our department to potentially overcome this problem due to more direct access to the lower pelvis in patients undergoing TME for rectal cancer and this article presents our initial experience with the new procedure. MATERIALS AND METHODS: Patients with a T1-T3 mid or low rectal cancer eligible for TME or intersphincteric abdominoperineal excision were selected for a combined transanal and transabdominal laparoscopic resection. The primary aim of the study was to evaluate the feasibility and efficacy of the method with a special focus on the quality of the specimen. RESULTS: During a 9-month period, 11 patients were operated with this technique. All procedures resulted in complete or nearly complete specimen. We did, however, find the procedure technically demanding and experienced several complications with three anastomotic leaks (all with preserved intestinal continuity) and a urethral lesion. CONCLUSION: Ta-TME is feasible and might be the answer to obtaining good quality specimens and overcome some of the technical difficulties that can be encountered in the obese narrow male pelvis. The procedure however is technically demanding. PMID:28281474

  18. Initial NIF Shock Timing Experiments: Comparison with Simulation

    NASA Astrophysics Data System (ADS)

    Robey, H. F.; Celliers, P. M.; Boehly, T. R.; Datte, P. S.; Bowers, M. W.; Olson, R. E.; Munro, D. H.; Milovich, J. L.; Jones, O. S.; Nikroo, A.; Kroll, J. J.; Horner, J. B.; Hamza, A. V.; Bhandarkar, S. D.; Giraldez, E.; Castro, C.; Gibson, C. R.; Eggert, J. H.; Smith, R. F.; Park, H.-S.; Young, B. K.; Hsing, W. W.; Landen, O. L.; Meyerhofer, D. D.

    2010-11-01

    Initial experiments are underway to demonstrate the techniques required to tune the shock timing of capsule implosions on the National Ignition Facility (NIF). These experiments use a modified cryogenic hohlraum geometry designed to precisely match the performance of ignition hohlraums. The targets employ a re-entrant Au cone to provide optical access to the shocks as they propagate in the liquid deuterium-filled capsule interior. The strength and timing of the shocks is diagnosed with VISAR (Velocity Interferometer System for Any Reflector) and DANTE. The results of these measurements will be used to set the precision pulse shape for ignition capsule implosions to follow. Experimental results and comparisons with numerical simulation are presented.

  19. Initial Plasma Experiment in the Levitated Ring Trap RT-1

    NASA Astrophysics Data System (ADS)

    Saitoh, H.; Yoshida, Z.; Ogawa, Y.; Morikawa, J.; Watanabe, S.; Yano, Y.; Suzuki, J.

    2006-10-01

    Studies on toroidal flowing plasma have started in a superconductor levitated coil device, Ring Trap 1 (RT-1) [1]. RT-1 generates a magnetosphere-like dipole magnetic field configuration that enables various kinds of experiments related to flowing plasmas. The main purpose of the Ring Trap Experiment is to explore a new high-b relaxation state of plasmas predicted by two-fluid relaxation theory of flowing plasmas [2]. Magnetic surface configuration of RT-1 also enables stable pure-magnetic trap of non-neutral plasmas [3], which is potentially suitable for the confinement of charged particles including anti-matters. As an initial experiment, hydrogen plasma is produced by electron cyclotron heating using 8.2GHz microwave generated by a klystron with the maximum power of 100kW for 1s pulse operation. The high-Tc superconductor (Bi-2223) ring with a total coil current of 250kAT is magnetically levitated in a vacuum chamber using a PID feedback control system. The field strength in the trap region is 0.03T to 0.3T. Diagnostics for the RT-1 experiment includes spectroscopy, soft X-ray pulse-height analysis with Si (Li) detector, magnetic probes, and Langmuir probes for edge plasma measurement. The initial experimental results and basic plasma parameters of RT-1 will be presented in the meeting. 1. Z. Yoshida et al., Plasma Fusion Res. 1, 008 (2006). 2. Z. Yoshida and S. M. Mahajan, Phys. Rev. Lett. 88, 095001 (2002). 3. Z. Yoshida, et al., in Nonneutral Plasma Physics III, IV.

  20. Application of robotics in general surgery: initial experience.

    PubMed

    Nguyen, Ninh T; Hinojosa, Marcelo W; Finley, David; Stevens, Melinda; Paya, Mahbod

    2004-10-01

    Robotic surgery was recently approved for clinical use in general abdominal surgery. The aim of this study was to review our experience with the da Vinci surgical system during laparoscopic general surgical procedures. Eighteen patients underwent robotically assisted laparoscopic abdominal surgery between June 2002 and March 2003. Main outcome measures were operative time, room setup time, robotic arm-positioning and surgical time, blood loss, conversion to laparoscopy, length of stay, and morbidity. The types of robotically assisted laparoscopic procedures were excision of gastric leiomyoma (n = 1), Heller myotomy (n = 1), cholecystectomy (n = 2), gastric banding (n = 2), Nissen fundoplication (n = 4), and gastric bypass (n = 8). The mean room setup time was 63 +/- 14 minutes, and the mean robotic arm-positioning time was 16 +/- 7 minutes. Conversion to laparoscopy occurred in two (11%) of 18 cases because of equipment difficulty (n = 1) and technical difficulty (n = 1). Estimated blood loss was 91 +/- 71 mL. The mean operative time was 156 +/- 42 minutes, and the robotic operative time was 27% of the total operative time. The mean length of hospital stay was 2.2 +/- 1.5 days. There was one postoperative wound infection and one anastomotic stricture. Robotically assisted laparoscopic abdominal surgery is feasible and safe; however, the theoretical advantages of the da Vinci surgical system were not clinically apparent.

  1. SDIO (Strategic Defense Initiative Office) Technical Information Management Center Bibliography of unclassified books: January-December 1986

    SciTech Connect

    Not Available

    1986-12-01

    This bibliography lists the Strategic Defense Initiative Organization Technical Information Management Center's holdings of publications pertaining to such topics as ballistic missile defense, arms control impact statements, beam weapons, strategic decision making, aluminum-lithium alloys, laser weapons, military space policy, and radar electronic counter countermeasures.

  2. SDIO (Strategic Defense Initiative Office) Technical Information Management Center Bibliography of unclassified reports: January-December 1985

    SciTech Connect

    Not Available

    1985-12-01

    This bibliography lists to Strategic Defense Initiative Organization Technical Information Management Centers holdings of publications pertaining to such topics as Liquid Droplet Radiators, Relay Lasers, Precision-Guided Munitions, Short-Wavelength Chemical Laser, Electromagnetic Rocket Guns, Space Weapon, and Antimissile Defense Systems.

  3. The NASA Scientific and Technical Information (STI) Program's Implementation of Open Archives Initiative (OAI) for Data Interoperability and Data Exchange.

    ERIC Educational Resources Information Center

    Rocker, JoAnne; Roncaglia, George J.; Heimerl, Lynn N.; Nelson, Michael L.

    Interoperability and data-exchange are critical for the survival of government information management programs. E-government initiatives are transforming the way the government interacts with the public. More information is to be made available through Web-enabled technologies. Programs such as the NASA's Scientific and Technical Information (STI)…

  4. Breast magnetic resonance imaging: initial experience in Kuwait.

    PubMed

    Al-Khawari, Hanaa; Kovacs, Agnes; Athyal, Reji; Al-Manfouhi, Huda; Fayaz, Mohammed Salah; Madda, John Patrick

    2009-01-01

    To report our initial experience of breast magnetic resonance imaging (MRI) in Kuwait in order to identify and characterize breast lesions. In 58 patients ranging in age from 25 to 64 years, breast MRI was performed as a problem-solving tool (29); for suspicious local relapse of the treated breast (6); to search for a primary breast cancer in patients with metastatic axillary lymph nodes (5); for local staging of breast cancer (5); breast implants (6); screening in high-risk patients (3), and differentiation between inflammation and inflammatory carcinoma (4). Sagittal fat-saturated T(2) and axial T(1) images were obtained before, and axial fat-saturated T(1) and dynamic sagittal fat-saturated T(1)-weighted images after contrast enhancement in a 1.5-tesla closed magnet. The diagnostic criteria were based on the morphology and kinetics of the lesion. Findings were validated by tissue sampling or radiological follow-up. Seventy breast lesions (25 malignant, 38 benign and 7 lesions detected by MRI only) were identified in the 58 patients. The sensitivity, specificity, and positive and negative predictive values of MRI in diagnosing malignant breast lesions were 96, 67, 71 and 95%, respectively, while the accuracy was 80%. This initial experience is comparable to other published data. Future plans for improving image spatial resolution and MR-guided procedures have been taken into consideration. Copyright 2009 S. Karger AG, Basel.

  5. Initiation process of a thrust fault revealed by analog experiments

    NASA Astrophysics Data System (ADS)

    Yamada, Yasuhiro; Dotare, Tatsuya; Adam, Juergen; Hori, Takane; Sakaguchi, Hide

    2016-04-01

    We conducted 2D (cross-sectional) analog experiments with dry sand using a high resolution digital image correlation (DIC) technique to reveal initiation process of a thrust fault in detail, and identified a number of "weak shear bands" and minor uplift prior to the thrust initiation. The observations suggest that the process can be divided into three stages. Stage 1: characterized by a series of abrupt and short-lived weak shear bands at the location where the thrust will be generated later. Before initiation of the fault, the area to be the hanging wall starts to uplift. Stage 2: defined by the generation of the new thrust and its active displacement. The location of the new thrust seems to be constrained by its associated back-thrust, produced at the foot of the surface slope (by the previous thrust). The activity of the previous thrust turns to zero once the new thrust is generated, but the timing of these two events is not the same. Stage 3: characterized by a constant displacement along the (new) thrust. Similar minor shear bands can be seen in the toe area of the Nankai accretionary prism, SW Japan and we can correlate the along-strike variations in seismic profiles to the model results that show the characteristic features in each thrust development stage.

  6. Shuttle VLBI experiment. Technical working group summary report

    NASA Technical Reports Server (NTRS)

    Morgan, S. H. (Editor); Roberts, D. H. (Editor)

    1982-01-01

    The gain in interferometric resolution of extragalactic sources at radio frequencies which can be achieved by placing a very long baseline interferometry (VLBI) antenna in space is quantitatively described and a VLBI demonstration experiment using a large deployable antenna, which if realized could be a very acceptable first venture for VLBI in space is discussed. A tutorial on VLBI, a summary of the technology available for the experiment, and a preliminary mission scenario are included.

  7. Strategic Engagement of Technical Surge Capacity for Intensified Polio Eradication Initiative in Nigeria, 2012-2015.

    PubMed

    Yehualashet, Yared G; Mkanda, Pascal; Gasasira, Alex; Erbeto, Tesfaye; Onimisi, Anthony; Horton, Janet; Banda, Richard; Tegegn, Sisay G; Ahmed, Haruna; Afolabi, Oluwole; Wadda, Alieu; Vaz, Rui G; Nsubuga, Peter

    2016-05-01

    Following the 65th World Health Assembly (WHA) resolution on intensification of the Global Poliomyelitis Eradication Initiative (GPEI), the Nigerian government, with support from the World Health Organization (WHO) and other partners, implemented a number of innovative strategies to curb the transmission of wild poliovirus (WPV) in the country. One of the innovations successfully implemented since mid 2012 is the WHO's engagement of surge capacity personnel. The WHO reorganized its functional structure, adopted a transparent recruitment and deployment process, provided focused technical and management training, and applied systematic accountability framework to successfully manage the surge capacity project in close collaboration with the national counterparts and partners. The deployment of the surge capacity personnel was guided by operational and technical requirement analysis. Over 2200 personnel were engaged, of whom 92% were strategically deployed in 11 states classified as high risk on the basis of epidemiological risk analysis and compromised security. These additional personnel were directly engaged in efforts aimed at improving the performance of polio surveillance, vaccination campaigns, increased routine immunization outreach sessions, and strengthening partnership with key stakeholders at the operational level, including community-based organizations. Programmatic interventions were sustained in states in which security was compromised and the risk of polio was high, partly owing to the presence of the surge capacity personnel, who are engaged from the local community. Since mid-2012, significant programmatic progress was registered in the areas of polio supplementary immunization activities, acute flaccid paralysis surveillance, and routine immunization with the support of the surge capacity personnel. As of 19 June 2015, the last case of WPV was reported on 24 July 2014. The surge infrastructure has also been instrumental in building local capacity

  8. Strategic Engagement of Technical Surge Capacity for Intensified Polio Eradication Initiative in Nigeria, 2012–2015

    PubMed Central

    Yehualashet, Yared G.; Mkanda, Pascal; Gasasira, Alex; Erbeto, Tesfaye; Onimisi, Anthony; Horton, Janet; Banda, Richard; Tegegn, Sisay G.; Ahmed, Haruna; Afolabi, Oluwole; Wadda, Alieu; Vaz, Rui G.; Nsubuga, Peter

    2016-01-01

    Background. Following the 65th World Health Assembly (WHA) resolution on intensification of the Global Poliomyelitis Eradication Initiative (GPEI), the Nigerian government, with support from the World Health Organization (WHO) and other partners, implemented a number of innovative strategies to curb the transmission of wild poliovirus (WPV) in the country. One of the innovations successfully implemented since mid 2012 is the WHO's engagement of surge capacity personnel. Methods. The WHO reorganized its functional structure, adopted a transparent recruitment and deployment process, provided focused technical and management training, and applied systematic accountability framework to successfully manage the surge capacity project in close collaboration with the national counterparts and partners. The deployment of the surge capacity personnel was guided by operational and technical requirement analysis. Results. Over 2200 personnel were engaged, of whom 92% were strategically deployed in 11 states classified as high risk on the basis of epidemiological risk analysis and compromised security. These additional personnel were directly engaged in efforts aimed at improving the performance of polio surveillance, vaccination campaigns, increased routine immunization outreach sessions, and strengthening partnership with key stakeholders at the operational level, including community-based organizations. Discussion. Programmatic interventions were sustained in states in which security was compromised and the risk of polio was high, partly owing to the presence of the surge capacity personnel, who are engaged from the local community. Since mid-2012, significant programmatic progress was registered in the areas of polio supplementary immunization activities, acute flaccid paralysis surveillance, and routine immunization with the support of the surge capacity personnel. As of 19 June 2015, the last case of WPV was reported on 24 July 2014. The surge infrastructure has

  9. Shock initiation experiments on ratchet grown PBX 9502

    SciTech Connect

    Gustavsen, Richard L; Thompson, Darla G; Olinger, Barton W; Deluca, Racci; Bartram, Brian D; Pierce, Timothy H; Sanchez, Nathaniel J

    2010-01-01

    This study compares the shock initiation behavior of PBX 9502 pressed to less than nominal density (nominal density is 1.890 {+-} 0.005 g/cm{sup 3}) with PBX 9502 pressed to nominal density and then ''ratchet grown'' to low density. PBX 9502 is an insensitive plastic bonded explosive consisting of 95 weight % dry-aminated tri-amino-tri-nitro-benzene (TATB) and 5 weight % Kel-F 800 plastic binder. ''Ratchet growth'' - an irreversible increase in specific volume - occurs when an explosive based on TATB is temperature cycled. The design of our study is as follows: PBX 9502, all from the same lot, received the following four treatments. Samples in the first group were pressed to less than nominal density. These were not ratchet grown and used as a baseline. Samples in the second group were pressed to nominal density and then ratchet grown by temperature cycling 30 times between -54 C and +80 C. Samples in the final group were pressed to nominal density and cut into 100 mm by 25.4 mm diameter cylinders. During thermal cycling the cylinders were axially constrained by a 100 psi load. Samples for shock initiation experiments were cut perpendicular (disks) and parallel (slabs) to the axial load. The four sample groups can be summarized with the terms pressed low, ratchet grown/no load, axial load/disks, and axial load/slabs. All samples were shock initiated with nearly identical inputs in plate impact experiments carried out on a gas gun. Wave profiles were measured after propagation through 3, 4, 5, and 6 mm of explosive. Side by side comparison of wave profiles from different samples is used as a measure of relative sensitivity. All reduced density samples were more shock sensitive than nominal density PBX 9502. Differences in shock sensitivity between ratchet grown and pressed to low density PBX 9502 were small, but the low density pressings are slightly more sensitive than the ratchet grown samples.

  10. Communications Link Characterization Experiment (CLCE) technical data report, volume 2

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The results are presented of the long term rain rate statistical analysis and the investigation of determining the worst month statistical from the measured attenuation data caused by precipitation. The rain rate statistics cover a period of 11 months from July of 1974 to May of 1975 for measurements taken at the NASA, Rosman station. The rain rate statistical analysis is a continuation of the analysis of the rain rate data accumulated for the ATS-6 Millimeter Wave Progation Experiment. The statistical characteristics of the rain rate data through December of 1974 is also presented for the above experiment.

  11. ATS-6 - Technical aspects of the Health/Education Telecommunications Experiment

    NASA Technical Reports Server (NTRS)

    Boor, J. L.; Braunstein, J.; Janky, J. M.; Ogden, D.; Potter, J. G.; Harper, E. L.; Volkmer, E.; Whalen, A. A.; Henderson, E.; Hupe, H. H.

    1975-01-01

    An overview is given of the HET experiment on ATS-6. The paper is divided into nine parts, including a technical overview, a preliminary evaluation of the HET demonstration, a review of operations at the Denver uplink terminal, a discussion of remote ground terminals, a review of C-band comprehensive terminals and of S-band comprehensive terminals, and parts devoted to general network operations, technical management and effectiveness of the network, and the site equipment operator.

  12. ATS-6 - Technical aspects of the Health/Education Telecommunications Experiment

    NASA Technical Reports Server (NTRS)

    Boor, J. L.; Braunstein, J.; Janky, J. M.; Ogden, D.; Potter, J. G.; Harper, E. L.; Volkmer, E.; Whalen, A. A.; Henderson, E.; Hupe, H. H.

    1975-01-01

    An overview is given of the HET experiment on ATS-6. The paper is divided into nine parts, including a technical overview, a preliminary evaluation of the HET demonstration, a review of operations at the Denver uplink terminal, a discussion of remote ground terminals, a review of C-band comprehensive terminals and of S-band comprehensive terminals, and parts devoted to general network operations, technical management and effectiveness of the network, and the site equipment operator.

  13. Indiana Workforce Proficiency Panel Annual Report: Indiana Skills and Technical Proficiencies Initiative.

    ERIC Educational Resources Information Center

    Indiana State Dept. of Workforce Development, Indianapolis.

    The Indiana Workforce Proficiency Panel was established to work with the business, labor, and education sectors to identify a common set of essential skills and technical proficiencies for major occupational areas. The process used by the Panel for setting state standards employs five steps, involving three meetings of a State Technical Committee…

  14. Initiatives in Technical and Further Education. Numbers 13-14. March 1987-September 1987.

    ERIC Educational Resources Information Center

    Initiatives in Technical and Further Education, 1987

    1987-01-01

    These two publications provide abstracts and other information on materials accessed by the National Technical and Further Education (TAFE) Clearinghouse, Australia. Materials include research reports/technical reports, evaluation studies, curriculum materials of an innovative nature (syllabus documents, student materials, textbooks, teachers'…

  15. Initial experience of using high field strength intraoperative MRI for neurosurgical procedures.

    PubMed

    Raheja, Amol; Tandon, Vivek; Suri, Ashish; Sarat Chandra, P; Kale, Shashank S; Garg, Ajay; Pandey, Ravindra M; Kalaivani, Mani; Mahapatra, Ashok K; Sharma, Bhawani S

    2015-08-01

    We report our initial experience to optimize neurosurgical procedures using high field strength intraoperative magnetic resonance imaging (IOMRI) in 300 consecutive patients as high field strength IOMRI rapidly becomes the standard of care for neurosurgical procedures. Three sequential groups (groups A, B, C; n=100 each) were compared with respect to time management, complications and technical difficulties to assess improvement in these parameters with experience. We observed a reduction in the number of technical difficulties (p<0.001), time to induction (p<0.001) and total anesthesia time (p=0.007) in sequential groups. IOMRI was performed for neuronavigation guidance (n=252) and intraoperative validation of extent of resection (EOR; n=67). Performing IOMRI increased the EOR over and beyond the primary surgical attempt in 20.5% (29/141) and 18% (11/61) of patients undergoing glioma and pituitary surgery, respectively. Overall, EOR improved in 59.7% of patients undergoing IOMRI (40/67). Intraoperative tractography and real time navigation using re-uploaded IOMRI images (accounting for brain shift) helps in intraoperative planning to reduce complications. IOMRI is an asset to neurosurgeons, helping to augment the EOR, especially in glioma and pituitary surgery, with no significant increase in morbidity to the patient.

  16. Experiments on the rarefaction wave driven Rayleigh-Taylor instability initiated with a random initial perturbation

    NASA Astrophysics Data System (ADS)

    Morgan, Robert; Jacobs, Jeffrey

    2014-11-01

    Experiments are presented in which a diffuse interface between two gases is accelerated to become Rayleigh-Taylor unstable. The initially flat interface is generated by the opposing flow of two test gases at matched volumetric flow rates exiting through small holes in the test section. A random, three-dimensional interface perturbation is forced using a loudspeaker. The interface is then accelerated by an expansion wave which is generated by the rupturing of a diaphragm separating the heavy gas from a vacuum tank evacuated to ~0.01 atm. The expansion wave generates a large (of order 1000 g), non-constant acceleration acting on the interface causing the Rayleigh-Taylor instability to develop. Planar Mie scattering is employed to visualize the flow using a planar laser sheet generated at the top of the apparatus, which illuminates smoke particles seeded in the heavy gas. The scattered light is then recorded using a CMOS camera operating at 12 kHz. The mixing layer width is obtained from an ensemble of experiments and the turbulent growth parameter α is extracted and compared with previous experiments and simulations.

  17. Gated MRI of cardiac and paracardiac masses: initial experience

    SciTech Connect

    Amparo, E.G.; Higgins, C.B.; Farmer, D.; Gamsu, G.; McNamara, M.

    1984-12-01

    Ten cardiac and paracardiac masses were studied with magnetic resonance imaging (MRI) to evaluate the utility of this new method for determining the nature, location, and extent of such masses. The masses were intramural lesions (two cases), left atrial thrombus (one case), pericardial cysts (three cases), and mediastinal masses deforming and displacing the left atrium (two cases). ECG-gated images were obtained in all patients. In each of nine cases, MRI determined the location of the mass as intracavitary, intramural, or paracardiac, without the need for exogenous contrast material. This initial experience suggests that MRI can provide as much information as echocardiography, computed tomography, and angiography combined in the evaluation of cardiac and paracardiac masses.

  18. Debris-flow initiation experiments using diverse hydrologic triggers

    USGS Publications Warehouse

    Reid, Mark E.; LaHusen, Richard G.; Iverson, Richard M.

    1997-01-01

    Controlled debris-flow initiation experiments focused on three hydrologic conditions that can trigger slope failure: localized ground-water inflow; prolonged moderate-intensity rainfall; and high-intensity rainfall. Detailed monitoring of slope hydrology and deformation provided exceptionally complete data on conditions preceding and accompanying slope failure and debris-flow mobilization. Ground-water inflow and high-intensity sprinkling led to abrupt, complete failure whereas moderate-intensity sprinkling led to retrogressive, block-by-block failure. Failure during ground-water inflow and during moderate-intensity sprinkling occurred with a rising water table and positive pore pressures. Failure during high-intensity sprinkling occurred without widespread positive pore pressures. In all three cases, pore pressures in most locations increased dramatically (within 2-3 seconds) during failure. In some places, pressures in unsaturated materials rapidly 'flashed' from zero to elevated positive values. Transiently elevated pore pressures and partially liquefied soil enhanced debris-flow mobilization.

  19. PET/MR imaging of atherosclerosis: initial experience and outlook

    PubMed Central

    Rischpler, Christoph; Nekolla, Stephan G; Beer, Ambros J

    2013-01-01

    Hybrid scanners such as PET/CT have in the past emerged as a valuable modality in clinical routine as well as an important research tool. Recently, the newly developed fully integrated PET/MR scanners were introduced to the market, raising high expectations especially due to the excellent soft tissue contrast and functional imaging capabilities of MRI. In this issue of the American Journal of Nuclear Medicine and Molecular Imaging, initial experiences using a hybrid PET/MR scanner for carotid artery imaging in a group of patients with increased risk for atherosclerosis are described. This represents a proof-of-principle study, which could stimulate future applications of this powerful modality in atherosclerotic plaque imaging. PMID:24116347

  20. PET/MR imaging of atherosclerosis: initial experience and outlook.

    PubMed

    Rischpler, Christoph; Nekolla, Stephan G; Beer, Ambros J

    2013-01-01

    Hybrid scanners such as PET/CT have in the past emerged as a valuable modality in clinical routine as well as an important research tool. Recently, the newly developed fully integrated PET/MR scanners were introduced to the market, raising high expectations especially due to the excellent soft tissue contrast and functional imaging capabilities of MRI. In this issue of the American Journal of Nuclear Medicine and Molecular Imaging, initial experiences using a hybrid PET/MR scanner for carotid artery imaging in a group of patients with increased risk for atherosclerosis are described. This represents a proof-of-principle study, which could stimulate future applications of this powerful modality in atherosclerotic plaque imaging.

  1. The Replay Technique: The Concept, Initial Experience and Experience and Proposed Developments,

    DTIC Science & Technology

    1985-11-01

    RD-RI68 356 THE REPLAY TECHNIQUE: THE CONCEPT INITIAL EXPERIENCE vi AND EXPERIENCE AND P..(U) ROYAL SIGNALS AND RADAR ESTABLISHMENT NALVERN ( ENGLAND ...for detailed analysis. A consequence of this approach is that it provides a history of the external observable behaviour of the system which can be...developed to cope with the problem; examples include better editors, automatic version numbering and the use of history files which log the activities of a

  2. Planning thermal radiation experiments at high flux. Technical report

    SciTech Connect

    Knasel, M.; Houghton, A.J.; Sievers, R.H.; Gordon, B.A.; McDonnell, M.D.

    1981-10-27

    This report covers analyses; experimentation; equipment design and fabrication; instrumentation design, selection, fabrication, and tests; and recording-equipment selection in preparation for high-thermal-flux experiments on soil surfaces. The reported effort is preparatory to a continuing program to obtain empirical data and examine parametric relationships on the response of different surfaces and the formation of an overlying thermal and dust layer resulting from the thermal pulse of a nuclear weapon.

  3. The Modern Design of Experiments: A Technical and Marketing Framework

    NASA Technical Reports Server (NTRS)

    DeLoach, R.

    2000-01-01

    A new wind tunnel testing process under development at NASA Langley Research Center, called Modern Design of Experiments (MDOE), differs from conventional wind tunnel testing techniques on a number of levels. Chief among these is that MDOE focuses on the generation of adequate prediction models rather than high-volume data collection. Some cultural issues attached to this and other distinctions between MDOE and conventional wind tunnel testing are addressed in this paper.

  4. Robotic hepatectomy: initial experience of a single institution in Singapore

    PubMed Central

    Kam, Juinn Huar; Goh, Brian KP; Chan, Chung-Yip; Wong, Jen-San; Lee, Ser-Yee; Cheow, Peng-Chung; Chung, Alexander YF; Ooi, London LPJ

    2016-01-01

    INTRODUCTION In this study, we report our initial experience with robotic hepatectomy. METHODS Consecutive patients who underwent robotic hepatectomy at Singapore General Hospital, Singapore, from February 2013 to February 2015 were enrolled in this study. The difficulty level of operations was graded using a novel scoring system for laparoscopic hepatectomies. RESULTS During the two-year period, five consecutive robotic hepatectomies were performed (one left lateral sectionectomy, one non-anatomical segment II/III resection, one anatomical segment V resection with cholecystectomy, one extended right posterior sectionectomy and one non-anatomical segment V/VI resection). Two hepatectomies were performed for suspected hepatocellular carcinoma, two for solitary liver metastases and one for a large symptomatic haemangioma. The median age of the patients was 53 (range 38–66) years and the median tumour size was 2.5 (range 2.1–7.3) cm. The median total operation time was 340 (range 155–825) minutes and the median volume of blood loss was 300 (range 50–1,200) mL. There were no open conversions and no mortalities or major morbidities (> Clavien-Dindo Grade II). The difficulty level of the operations was graded as low in one case (Score 2), intermediate in three cases (Score 5, 6 and 6) and high in one case (Score 10). There was one minor morbidity, where the patient experienced Grade A bile leakage, which resolved spontaneously. The median length of postoperative hospital stay was 5 (range 4–7) days. CONCLUSION Our initial experience confirmed the feasibility and safety of robotic hepatectomy. PMID:26843059

  5. Videothoracoscopy in the treatment of spontaneous pneumothorax: an initial experience.

    PubMed Central

    Waller, D. A.; Yoruk, Y.; Morritt, G. N.; Forty, J.; Dark, J. H.

    1993-01-01

    We report an initial experience with the new and potentially advantageous technique of videothoracoscopy in the treatment of pneumothorax. A series of 18 consecutive patients (14 male, 4 female) presenting with spontaneous pneumothorax over a 4-month period underwent surgical treatment by this method. The indication for surgery was recurrent pneumothorax in nine patients and persistent air leak in the remainder (median duration 15 days, range 5-28 days). Stapled apical bullectomy with apical parietal pleurectomy was performed in 14 patients, bullectomy alone was performed in one patient and pleurectomy alone in three patients. Additional talc pleurodesis was carried out in three of these patients. Median duration of operation was 53.5 min (range 35-120 min). The median postoperative drainage was 300 ml in 24 h (range 50-580 ml). The median duration of intercostal drainage was 48 h (range 24-384 h) and of postoperative hospital stay 4 days (range 3-18 days). The mean postoperative analgesic requirement was 1.3 mg morphine/h. Three complications required reoperation. In two patients a large air leak persisted after operation; one proceeded to thoracotomy for suturing of the air leak and in the other this was accomplished by videothoracoscopy. A further patient re-presented at 2 weeks with recurrent pneumothorax which was treated at thoracotomy. At a median follow-up of 68.5 days (range 10-124 days) this is the only recurrence. These complications were caused by errors in surgical technique early in our series. This initial experience of videothoracoscopic pleurectomy suggests it is an effective, well-tolerated treatment of spontaneous pneumothorax. PMID:8379623

  6. Symetis Acurate Neo transfemoral aortic bioprosthesis - initial Polish experience.

    PubMed

    Zembala, Michał; Hawranek, Michał; Wacławski, Jacek; Niklewski, Tomasz; Nadziakiewicz, Paweł; Koba, Rafał; Przybylski, Roman; Walas, Ryszard; Głowacki, Jan; Jazwiec, Tomasz; Garbacz, Marcin; Gąsior, Mariusz; Zembala, Marian

    2016-01-01

    Transcatheter aortic valve implantation (TAVI) has proven to be a valuable alternative to conventional surgical aortic valve replacement in high-risk and surgically inoperable patients who suffer from severe symptomatic aortic stenosis. With the second generation of TAVI devices improvements in both handling and performance are highly demanded. This brief clinical communication reports the first Polish experience with the second generation of transfemoral TAVI device--Symetis Acurate Neo. From November 19th 2014 until February 18th 2015 nine (n = 9) patients with severe symptomatic aortic stenosis have been operated on using the Symetis Acurate Neo. Patients were subject to seven-day evaluation and 30-day phone follow-up. The procedure was safely and successfully performed in all patients. A SMALL (S) valve (21-23 mm equivalent) was used in two patients, MEDIUM valve (M; 23-25 mm equivalent) in five patients, and a LARGE valve (L; 25-26 mm equivalent) in two patients. In three cases post-release balloon dilatation was required. There were no intraoperative complications and no major adverse events (as per VARC classification) during initial hospitalisation, including conduction or rhythm disturbances. In all cases, the mean gradient on the prosthetic valves was 7.8 mm Hg (10.2 mm Hg on the "S" valves). Rapid improvement in patients' functional class was noted. Perivalvular leak was evaluated as "mild" in three cases, "trace" in one, and "not existing" in five. This initial experience with the Symetis Acurate Neo demonstrates its good safety profile and excellent haemodynamics. Low radial stress of the valve results in minimal incidence of atrioventricular rhythm disturbances, and a sealing crown for nearly non-existent paravalvular leak.

  7. Initiation of a thrust fault revealed by analog experiments

    NASA Astrophysics Data System (ADS)

    Dotare, Tatsuya; Yamada, Yasuhiro; Adam, Juergen; Hori, Takane; Sakaguchi, Hide

    2016-08-01

    To reveal in detail the process of initiation of a thrust fault, we conducted analog experiments with dry quartz sand using a high-resolution digital image correlation technique to identify minor shear-strain patterns for every 27 μm of shortening (with an absolute displacement accuracy of 0.5 μm). The experimental results identified a number of "weak shear bands" and minor uplift prior to the initiation of a thrust in cross-section view. The observations suggest that the process is closely linked to the activity of an adjacent existing thrust, and can be divided into three stages. Stage 1 is characterized by a series of abrupt and short-lived weak shear bands at the location where the thrust will subsequently be generated. The area that will eventually be the hanging wall starts to uplift before the fault forms. The shear strain along the existing thrust decreases linearly during this stage. Stage 2 is defined by the generation of the new thrust and active displacements along it, identified by the shear strain along the thrust. The location of the new thrust may be constrained by its back-thrust, generally produced at the foot of the surface slope. The activity of the existing thrust falls to zero once the new thrust is generated, although these two events are not synchronous. Stage 3 of the thrust is characterized by a constant displacement that corresponds to the shortening applied to the model. Similar minor shear bands have been reported in the toe area of the Nankai accretionary prism, SW Japan. By comparing several transects across this subduction margin, we can classify the lateral variations in the structural geometry into the same stages of deformation identified in our experiments. Our findings may also be applied to the evaluation of fracture distributions in thrust belts during unconventional hydrocarbon exploration and production.

  8. Initial clinical experience with the Baylor-Nikkiso centrifugal pump.

    PubMed

    Ohtsubo, S; Naito, K; Matsuura, M; Kawahito, K; Shimono, T; Makinouchi, K; Tasai, K; Ohara, Y; Damm, G; Glueck, J

    1995-07-01

    Recently, a newly developed centrifugal pump, the Baylor-Nikkiso pump, was approved for clinical use in the United States. This pump is the most compact centrifugal pump with a priming volume of only 25 ml. Although it is small, this pump can provide a flow of 4 L/min against a total pressure head of 300 mm Hg at 3,000 rpm. In vitro and in vivo validation of the Baylor-Nikkiso pump has proved that this pump could effectively reduce blood trauma even under high total head pressure. In addition, 48-h durability tests with biventricular bypass using calves verified the reliability of shaft sealing and antithrombogenicity. Clinical trials of the Baylor-Nikkiso pumps have been initiated in our department. This pump provides flows of 60-70 ml/kg/min with stable hemodynamic conditions. No leakage of thrombus formation was observed. The results of the initial clinical experience of the Baylor-Nikkiso pump suggest that it is suitable for cardiopulmonary bypass surgery.

  9. Initial Results from the Controlled Shear Decorrelation Experiment (CSDX)

    NASA Astrophysics Data System (ADS)

    Tynan, George; Yun, Seok-Min; Burin, Michael; George, Jonathan

    2000-10-01

    The controlled shear de-correlation experiment (CSDX) has been designed to study the effect of sheared flows on: (1) known linear pressure gradient-driven drift and/or effective gravity-driven flute eigenmodes; (2) the nonlinear three-wave coupling of a finite number of large amplitude coherent modes; and (3) on the rate of electrostatic turbulent fluctuation energy cascades. In CSDX the plasma state (i.e. quiescent, single small-amplitude drift wave, nonlinearly coupled modes, or strongly turbulent) is controlled by varying the magnetic field strength, collisionality, parallel current, and/or effective gravity due to solid-body plasma rotation driven by azimuthal ExB drifts. The radial electric field strength and shear rate is controlled independently of the plasma state by the application of externally controlled voltages to concentric annular rings which will form the ends of the experimental region. Machine construction has been completed and initial results demonstrating all of these capabilities are summarized in this paper. From the fluid equations we show that bispectral analysis of turbulence-scaled processes can yield insight into the key nonlinear physics of shear flow-fluctuation interactions. Initial results and plans using this technique on CSDX data will be discussed.

  10. Thoracoscopy in children: an initial experience with an evolving technique.

    PubMed

    Rogers, D A; Philippe, P G; Lobe, T E; Kay, G A; Gilchrist, B F; Schropp, K P; Rao, B N

    1992-02-01

    Recent technological innovations have improved our ability to perform thoracoscopy in children. Video imaging improves thoracoscopic visualization and enhances the role of the surgical assistant. The placement of multiple access ports improves the thoracoscopic manipulation of tissue. The laser permits the application of thermal energy to intrathoracic tissue for hemostasis without the risk of cardiac fibrillation. The endoscopic stapler allows hemostatic, airtight lung resection which obviates the need for routine tube thoracostomy. Our initial experience with these innovations applied to thoracoscopy was successful in 9 of 12 patients, ages 5 months to 17 years. For diagnostic cases, adequate tissue for histologic evaluation was always obtained. Complications of successful thoracoscopy included suspected air embolus on establishing the initial pneumothorax and persistent air leak requiring tube thoracostomy after resection of a bronchogenic cyst. There were no perioperative deaths. We performed biopsy of mediastinal masses or nodes, and lung, drainage of loculated pleural effusions, and excision of bronchogenic cysts. Thoracoscopy provides a safe, effective alternative to thoracotomy in children and will continue to be enhanced by improving technology.

  11. Initial results from the DSPlanar experiments on OMEGA

    NASA Astrophysics Data System (ADS)

    Dodd, E. S.; Merritt, E. C.; Montgomery, D. S.; Daughton, W.; Schmidt, D. W.; Cardenas, T.; Wilson, D. C.; Batha, S. H.

    2016-10-01

    Recently, LANL has begun a project aimed ultimately at fielding a neutron-producing double-shell capsule at the National Ignition Facility (NIF). Initial experiments have begun at both the NIF and OMEGA laser facilities over the last year. At OMEGA, halfraum-driven planar targets will be used to study physics issues important to double shell implosions, but outside of a convergent geometry. In particular, side-on radiography through a tube has advantages over imaging through the hohlraum and double-shell capsule at NIF. We plan to study a number physics issues with this platform, including both 1-d and higher dimensional effects. In 1-d, momentum transfer from the ablator to the inner shell, and the effect of pre-heat on the inner shell can be studied. Higher dimensional effects, in the form of hydrodynamic instabilities, can also be studied. Pre-heat expansion of the inner shell can lead to an unstable interface, which can be mitigated by a tamper layer. Manufacturing tolerances can be used to mitigate against feature-driven instability growth, such as from a glue joint or fill tube. Initial results on the amount pre-heat from various ablator materials will be given, along with a discussion of future plans. Supported under the US DOE by the LANS, LLC under contract DE-AC52-06NA25396. LA-UR-16-25044.

  12. [Characterization of photochemical smog chamber and initial experiments].

    PubMed

    Jia, Long; Xu, Yong-Fu; Shi, Yu-Zhen

    2011-02-01

    A self-made new indoor environmental chamber facility for the study of atmospheric processes leading to the formation of ozone and secondary organic aerosols has been introduced and characterized. The characterization experiments include the measurements of wall effects for reactive species and the determination of chamber dependent * OH radical sources by CO-NO(x) irradiation experiments. Preliminary ethene-NO(x) and benzene-NO(x) experiments were conducted as well. The results of characterization experiments show that the wall effects for O3 and NO2 in a new reactor are not obvious. Relative humidity has a great effect on the wall losses in the old reactor, especially for O3. In the old reactor, the rate constant for O3 wall losses is obtained to be 1.0 x 10(-5) s(-1) (RH = 5%) and 4.0 x10(-5) s(-1) (RH = 91%), whereas for NO2, it is 1.0 x 10(-6) s(-1) (RH = 5%) and 0.6 x 10(-6) s(-1) (RH = 75%). The value for k(NO2 --> HONO) determined by CO-NO(x) irradiation experiments is (4.2-5.2) x 10(-5) s(-1) and (2.3-2.5) x 10(-5) s(-1) at RH = 5% and RH 75% -77%, respectively. The average *OH concentration is estimated to be (2.1 +/- 0.4) x 10(6) molecules/cm3 by using a reaction rate coefficient of CO and * OH. The sensitivity of chamber dependent auxiliary reactions to the O3 formation is discussed. Results show that NO2 --> HONO has the greatest impact on the O3 formation during the initial stage, N2O5 + H2O --> 2HNO3 has a minus effect to maximum O3 concentration, and that the wall losses of both O3 and NO2 have little impact on the O3 formation. The results from the ethene-NO(x) and benzene-NO(x) experiments are in good agreement with those from the MCM simulation, which reflects that the facility for the study of the formation of secondary pollution of ozone and secondary organic aerosols is reliable. This demonstrates that our facility can be further used in the deep-going study of chemical processes in the atmosphere.

  13. External Technical Support for School Improvement: Critical Issues from the Chilean Experience

    ERIC Educational Resources Information Center

    Osses, Alejandra; Bellei, Cristián; Valenzuela, Juan Pablo

    2015-01-01

    To what extent school improvement processes can be initiated and sustained from the outside has been a relevant question for policy-makers seeking to increase quality in education. Since 2008, the Chilean Government is strongly promoting the use of external technical support (ETS) services to support school improvement processes, as part of the…

  14. External Technical Support for School Improvement: Critical Issues from the Chilean Experience

    ERIC Educational Resources Information Center

    Osses, Alejandra; Bellei, Cristián; Valenzuela, Juan Pablo

    2015-01-01

    To what extent school improvement processes can be initiated and sustained from the outside has been a relevant question for policy-makers seeking to increase quality in education. Since 2008, the Chilean Government is strongly promoting the use of external technical support (ETS) services to support school improvement processes, as part of the…

  15. [Initiation, promotion, initiation experiments with radon and cigarette smoke: Lung tumors in rats]. Progress report

    SciTech Connect

    Moolgavkar, S.H.

    1994-10-01

    During the past several years, the authors have made considerable progress in modeling carcinogenesis in general, and in modeling radiation carcinogenesis, in particular. They present an overview of their progress in developing stochastic carcinogenesis models and applying them to experimental and epidemiologic data sets. Traditionally, cancer models have been used for the analysis of incidence (or prevalence) data in epidemiology and time to tumor data in experimental studies. The relevant quantities for the analysis of these data are the hazard function and the probability of tumor. The derivation of these quantities is briefly described here. More recently, the authors began to use these models for the analysis of data on intermediate lesions on the pathway to cancer. Such data are available in experimental carcinogenesis studies, in particular in initiation and promotion studies on the mouse skin and the rat liver. If however, quantitative information on intermediate lesions on the pathway to lung cancer were to be come available at some future date, the methods that they have developed for the analysis of initiation-promotion experiments could easily be applied to the analysis of these lesions. The mathematical derivations here are couched in terms of a particular two-mutation model of carcinogenesis. Extension to models postulating more than two mutations is not always straightforward.

  16. Initial experience with a newly developed cementless hip endoprosthesis.

    PubMed

    Hach, V; Delfs, G

    2009-01-01

    The HELICA-Endoprosthesis is a newly developed cementless hip prosthesis for dogs. It was implanted in 39 dogs that had severe hip osteoarthritis and a history of hip pain, as well as in one dog that had chronic hip luxation. One dog had a bilateral arthroplasty. The body weight of the patients ranged between 22 and 54 kg and their ages between nine months and 10 years. Both the femoral stem and acetabular component of the prosthesis were screwed into position following bony preparation. Additional fixation was not necessary as the components remain fixed in position until osteointegration is complete. There are currently five sizes of prosthesis available, and the various components such as the stem, cup and head are readily interchangeable. Although it appeared that good osseous anchorage of the prostheses in the bone on the surgery table had been obtained, three patients experienced both stem and cup loosening (one week, three weeks and six months after surgery). In one animal, stem loosening was observed six weeks after surgery, and another dog experienced a cup loosening two weeks postoperatively. Most of the complications were due to technical errors that occurred during the learning phase. Surgical revisions were successful in three out of five animals. In two animals we had to perform a femoral head and neck excision. Two other animals experienced radiographic bone resorption underneath the segmented collar of the femoral prosthesis but did not show any significant clinical signs of lameness. Another dog that showed signs of ischial neuropraxy after surgery, recovered completely within six weeks after surgery. All of the dogs were capable of weight bearing on the operated leg one day after surgery. The main advantage of the HELICA-Endoprosthesis is the relatively easy surgical technique and short surgery time. The initial clinical results in these 40 cases have been very encouraging. The aim of this study was to assess the early clinical results in these 39

  17. The NASA Scientific and Technical Information (STI) Program's Implementation of Open Archives Initiation (OAI) for Data Interoperability and Data Exchange

    NASA Technical Reports Server (NTRS)

    Rocker, JoAnne; Roncaglia, George J.; Heimerl, Lynn N.; Nelson, Michael L.

    2002-01-01

    Interoperability and data-exchange are critical for the survival of government information management programs. E-government initiatives are transforming the way the government interacts with the public. More information is to be made available through web-enabled technologies. Programs such as the NASA's Scientific and Technical Information (STI) Program Office are tasked to find more effective ways to disseminate information to the public. The NASA STI Program is an agency-wide program charged with gathering, organizing, storing, and disseminating NASA-produced information for research and public use. The program is investigating the use of a new protocol called the Open Archives Initiative (OAI) as a means to improve data interoperability and data collection. OAI promotes the use of the OAI harvesting protocol as a simple way for data sharing among repositories. In two separate initiatives, the STI Program is implementing OAI In collaboration with the Air Force, Department of Energy, and Old Dominion University, the NASA STI Program has funded research on implementing the OAI to exchange data between the three organizations. The second initiative is the deployment of OAI for the NASA technical report server (TRS) environment. The NASA TRS environment is comprised of distributed technical report servers with a centralized search interface. This paper focuses on the implementation of OAI to promote interoperability among diverse data repositories.

  18. Commissioning and initial stereotactic ablative radiotherapy experience with Vero.

    PubMed

    Solberg, Timothy D; Medin, Paul M; Ramirez, Ezequiel; Ding, Chuxiong; Foster, Ryan D; Yordy, John

    2014-03-06

    The purpose of this study is to describe the comprehensive commissioning process and initial clinical performance of the Vero linear accelerator, a new radiotherapy device recently installed at UT Southwestern Medical Center specifically developed for delivery of image-guided stereotactic ablative radiotherapy (SABR). The Vero system utilizes a ring gantry to integrate a beam delivery platform with image guidance systems. The ring is capable of rotating ± 60° about the vertical axis to facilitate noncoplanar beam arrangements ideal for SABR delivery. The beam delivery platform consists of a 6 MV C-band linac with a 60 leaf MLC projecting a maximum field size of 15 × 15 cm² at isocenter. The Vero planning and delivery systems support a range of treatment techniques, including fixed beam conformal, dynamic conformal arcs, fixed gantry IMRT in either SMLC (step-and-shoot) or DMLC (dynamic) delivery, and hybrid arcs, which combines dynamic conformal arcs and fixed beam IMRT delivery. The accelerator and treatment head are mounted on a gimbal mechanism that allows the linac and MLC to pivot in two dimensions for tumor tracking. Two orthogonal kV imaging subsystems built into the ring facilitate both stereoscopic and volumetric (CBCT) image guidance. The system is also equipped with an always-active electronic portal imaging device (EPID). We present our commissioning process and initial clinical experience focusing on SABR applications with the Vero, including: (1) beam data acquisition; (2) dosimetric commissioning of the treatment planning system, including evaluation of a Monte Carlo algorithm in a specially-designed anthropomorphic thorax phantom; (3) validation using the Radiological Physics Center thorax, head and neck (IMRT), and spine credentialing phantoms; (4) end-to-end evaluation of IGRT localization accuracy; (5) ongoing system performance, including isocenter stability; and (6) clinical SABR applications.

  19. Left atrial appendage occlusion: initial experience with the Amplatzer™ Amulet™.

    PubMed

    Freixa, Xavier; Abualsaud, Ali; Chan, Jason; Nosair, Mohamed; Tzikas, Apostolos; Garceau, Patrick; Basmadjian, Arsène; Ibrahim, Réda

    2014-07-01

    The Amplatzer™ Amulet™ (Amulet) is the evolution of the Amplatzer™ Cardiac Plug, a dedicated device for percutaneous left atrial appendage (LAA) occlusion. The new device has been designed to facilitate the implantation process, improve the sealing performance and further reduce the risk of complications. The objective of the study was to describe the initial experience with the Amplatzer Amulet for percutaneous LAA occlusion. This was a prospective single-center study of patients undergoing percutaneous LAA occlusion. The indication for LAA closure was a formal contraindication for oral anticoagulation or previous history of stroke due to INR lability. All procedures were done under general anesthesia and transesophageal echocardiography (TEE) guidance. Transthoracic echocardiography was performed 24h after the procedure in order to rule out procedural complications before discharge. Further follow-up was done with a clinical visit and TEE at 1-3 months. Between July-2012 and June-2013, 25 patients with a mean CHA2DS2-VASC of 4.3 ± 1.7 underwent LAA occlusion with the Amplatzer Amulet. The device was successfully implanted in 24 patients (96%) without any procedural stroke, pericardial effusion or device embolization. None of the patients presented any clinical event at follow-up. Follow-up TEE showed complete LAA sealing in all patients with no residual leaks >3mm and no device embolization. One patient (4.1%) presented a device thrombosis at follow-up without clinical expression. In this initial series of patients, the Amulet showed a remarkable acute and short-term performance in terms of feasibility and safety as depicted by the high successful implantation rate and the low incidence of complications. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  20. [Initial experience in robot-assisted colorectal surgery in Mexico].

    PubMed

    Villanueva-Sáenz, Eduardo; Ramírez-Ramírez, Moisés Marino; Zubieta-O'Farrill, Gregorio; García-Hernández, Luis

    Colorectal surgery has advanced notably since the introduction of the mechanical suture and the minimally invasive approach. Robotic surgery began in order to satisfy the needs of the patient-doctor relationship, and migrated to the area of colorectal surgery. An initial report is presented on the experience of managing colorectal disease using robot-assisted surgery, as well as an analysis of the current role of this platform. A retrospective study was conducted in order to review five patients with colorectal disease operated using a robot-assisted technique over one year in the initial phase of the learning curve. Gender, age, diagnosis and surgical indication, surgery performed, surgical time, conversion, bleeding, post-operative complications, and hospital stay, were analysed and described. A literature review was performed on the role of robotic assisted surgery in colorectal disease and cancer. The study included 5 patients, 3 men and 2 women, with a mean age of 62.2 years. Two of them were low anterior resections with colorectal primary anastomoses, one of them extended with a loop protection ileostomy, a Frykman-Goldberg procedure, and two left hemicolectomies with primary anastomoses. The mean operating time was 6hours and robot-assisted 4hours 20minutes. There were no conversions and the mean hospital stay was 5 days. This technology is currently being used worldwide in different surgical centres because of its advantages that have been clinically demonstrated by various studies. We report the first colorectal surgical cases in Mexico, with promising results. There is enough evidence to support and recommend the use of this technology as a viable and safe option. Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  1. Geological Disposal of Radioactive Waste: A Long-Term Socio-Technical Experiment.

    PubMed

    Schröder, Jantine

    2016-06-01

    In this article we investigate whether long-term radioactive waste management by means of geological disposal can be understood as a social experiment. Geological disposal is a rather particular technology in the way it deals with the analytical and ethical complexities implied by the idea of technological innovation as social experimentation, because it is presented as a technology that ultimately functions without human involvement. We argue that, even when the long term function of the 'social' is foreseen to be restricted to safeguarding the functioning of the 'technical', geological disposal is still a social experiment. In order to better understand this argument and explore how it could be addressed, we elaborate the idea of social experimentation with the notion of co-production and the analytical tools of delegation, prescription and network as developed by actor-network theory. In doing so we emphasize that geological disposal inherently involves relations between surface and subsurface, between humans and nonhumans, between the social, material and natural realm, and that these relations require recognition and further elaboration. In other words, we argue that geological disposal concurrently is a social and a technical experiment, or better, a long-term socio-technical experiment. We end with proposing the idea of 'actor-networking' as a sensitizing concept for future research into what geological disposal as a socio-technical experiment could look like.

  2. Arrow Lakes Reservoir Fertilization Experiment, Technical Report 1999-2004.

    SciTech Connect

    Schindler, E.

    2007-02-01

    The Arrow Lakes food web has been influenced by several anthropogenic stressors during the past 45 years. These include the introduction of mysid shrimp (Mysis relicta) in 1968 and 1974 and the construction of large hydroelectric impoundments in 1969, 1973 and 1983. The construction of the impoundments affected the fish stocks in Upper and Lower Arrow lakes in several ways. The construction of Hugh Keenleyside Dam (1969) resulted in flooding that eliminated an estimated 30% of the available kokanee spawning habitat in Lower Arrow tributaries and at least 20% of spawning habitat in Upper Arrow tributaries. The Mica Dam (1973) contributed to water level fluctuations and blocked upstream migration of all fish species including kokanee. The Revelstoke Dam (1983) flooded 150 km of the mainstem Columbia River and 80 km of tributary streams which were used by kokanee, bull trout, rainbow trout and other species. The construction of upstream dams also resulted in nutrient retention which ultimately reduced reservoir productivity. In Arrow Lakes Reservoir (ALR), nutrients settled out in the Revelstoke and Mica reservoirs, resulting in decreased productivity, a process known as oligotrophication. Kokanee are typically the first species to respond to oligotrophication resulting from aging impoundments. To address the ultra-oligotrophic status of ALR, a bottom-up approach was taken with the addition of nutrients (nitrogen and phosphorus in the form of liquid fertilizer from 1999 to 2004). Two of the main objectives of the experiment were to replace lost nutrients as a result of upstream impoundments and restore productivity in Upper Arrow and to restore kokanee and other sport fish abundance in the reservoir. The bottom-up approach to restoring kokanee in ALR has been successful by replacing nutrients lost as a result of upstream impoundments and has successfully restored the productivity of Upper Arrow. Primary production rates increased, the phytoplankton community responded

  3. [Transcatheter aortic valve implantation for aortic stenosis. Initial experience].

    PubMed

    Careaga-Reyna, Guillermo; Lázaro-Castillo, José Luis; Lezama-Urtecho, Carlos Alberto; Macías-Miranda, Enriqueta; Dosta-Herrera, Juan José; Galván Díaz, José

    2016-12-09

    Aortic stenosis is a frequent disease in the elderly, and is associated with other systemic pathologies that may contraindicate the surgical procedure. Another option for these patients is percutaneous aortic valve implantation, which is less invasive. We present our initial experience with this procedure. Patients with aortic stenosis were included once selection criteria were accomplished. Under general anaesthesia and echocardiographic and fluosocopic control, a transcatheter aortic valve was implanted following s valvuloplasty. Once concluded the procedure, angiographic and pressure control was realized in order to confirm the valve function. Between November 2014 and May 2015, 6 patients were treated (4 males and 2 females), with a mean age of 78.83±5.66 years-old. The preoperative transvalvular gradient was 90.16±28.53mmHg and posterior to valve implant was 3.33±2.92mmHg (P<.05). Two patients had concomitant coronary artery disease which had been treated previously. One patient presented with acute right coronary artery occlusion which was immediately treated. However due to previous renal failure, postoperative sepsis and respiratory failure, the patient died one month later. It was concluded that our preliminary results showed that in selected patients percutaneous aortic valve implantation is a safe procedure with clinical improvement for treated patients. Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  4. Robotic thyroid surgery: an initial experience with North American patients.

    PubMed

    Kuppersmith, Ronald B; Holsinger, F Christopher

    2011-03-01

    To review the initial experience of gasless transaxillary robot-assisted endoscopic thyroid surgery in a series of patients and describe modifications of the technique for the North American patients, selection criteria, and other issues related to this technology. Retrospective review of the first 31 consecutive cases at a single institution. Thirty-one patients underwent robotic thyroid surgery. Twenty thyroid lobectomies and 11 total thyroidectomies were performed. Improvements in the length of time to perform components of the procedure were noted from the early group of cases to later group of cases. No major or permanent complications occurred. Robotic thyroid surgery is feasible in North American patients and can be safely performed. The procedure has potential complications and a definite learning curve exists for both surgeons and operating room staff. Training methods need to be validated to ensure safe adoption. More studies need to be performed to further evaluate the relative benefits of this technique. Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.

  5. Robotic liver resection including the posterosuperior segments: initial experience.

    PubMed

    Nota, Carolijn L M A; Molenaar, I Quintus; van Hillegersberg, Richard; Borel Rinkes, Inne H M; Hagendoorn, Jeroen

    2016-11-01

    Robot-assisted laparoscopy has been introduced to overcome the limitations of conventional laparoscopy. This technique has potential advantages over laparoscopy, such as increased dexterity, three-dimensional view, and a magnified view of the operative field. Therefore, improved dexterity may make a robotic system particularly suited for liver resections, which require nonlinear manipulation, such as curved parenchymal transection, hilar dissection, and resection of posterosuperior segments. Between August 2014 and March 2016, 16 patients underwent robot-assisted laparoscopic liver resection at University Medical Center Utrecht. Fifteen robot-assisted laparoscopic liver resections were performed in a minimally invasive manner. One procedure was converted. In eight patients, we performed a resection of a posterosuperior segment (segment 7 or 8). Median operating time was 146 (60-265) min, and median blood loss was 150 (5-600) mL. Four patients had a Clavien-Dindo grade III complication. Median length of stay was 4 (1-8) days. There was no mortality. This prospective study reporting on our initial experience with robot-assisted laparoscopic liver resection demonstrates that this technique is easily adopted, safe, and feasible for minor hepatectomies in selected patients. Moreover, it shows that the robotic platform also enables fully laparoscopic resections of the posterior segments. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Health promotion initiatives: An experience of a Well Women's Clinic

    PubMed Central

    Dudeja, Puja; Singh, Amarjeet; Jindal, A.K.

    2013-01-01

    Background Army Medical Corps provides comprehensive health care services to troops and their dependents. This approach is in consonance with the concept of Health Promoting Hospitals (HPH) initiative introduced by WHO in 1986. However, the concept is still at an infancy stage in civil health care system in India. This article describes the experiences and advantages of establishing a Well Women's Clinic (WWC) in a station of North India. Methods A system analysis approach was followed for analyzing input, process and output of the WWC during 2007–2009. Inputs included manpower and material i.e public health expert, non medical attendant and a nursing officer charts, poster, models, Television with Compact Disc (CD) player and CDs etc. Health promotion activities were conducted in the form of lectures, demonstrations, workshops, training, screening of movies, quiz, essay writing and declamation contests etc. Results Overall 385 lectures, 12 competitions, 07 training capsules were conducted. Coverage of target population was 92%. First aid training workshop trained 300 women. Six percent of the counseled women opted for tubectomy. Twelve new cases of diabetes and four new cases of hypertension were detected through screening. Seventy-two women were referred for dental treatment after a dental screening camp. Conclusion Establishment of WWC using HPH approach was quite cost effective. PMID:24623950

  7. [Laparoscopic distal gastrectomy for gastric cancer: initial experience].

    PubMed

    Berrospi, Francisco; Celis, Juan; Ruíz, Eloy; Payet, Eduardo; Chávez, Iván; Young, Frank

    2008-01-01

    To report the initial experience with the laparoscopy-assisted distal gastrectomy (LADG) with D2 lymphadenectomy for gastric cancer. Between May 2006 and May 2007, 29 consecutive GC patients with gastric cancer underwent LADG with D2 lymphadenectomy. The operation consisted in a laparoscopic time to perform lymphadenectomy and mobilization of the distal stomach, followed by a minilaparotomy for exteriorization of the specimen and construction of a hand sewn anastomosis. Twenty-nine patients underwent LADG with D2 lymphadenectomy for gastric cancer. Mean age was 58.2 years. Mean operative time was 287.4 min. Mean number of lymph nodes resected was 42.6. Twelve patients were early gastric cancer, and seventeen were advanced gastric cancer. Mean proximal and distal resection margin were 5.8 cm and 3.5 cm, respectively. Resection margins were negative in all cases. Mean number of lymph nodes resected was 42.6. Thirty-day morbidity rate was 10.3 %. There were no postoperative deaths.CONCLUSION. The short-term results of our LADG with D2 lymphadenectomy for the treatment of gastric cancer shows that a radical surgery, in terms of resection margins and lymphadenectomy, can be done with low morbidity.

  8. Technical Adequacy of the Positive Experiences at School Scale with Adolescents

    ERIC Educational Resources Information Center

    Renshaw, Tyler L.

    2017-01-01

    The present study reports on an investigation of the generalizability of the technical adequacy of the Positive Experience at School Scale (PEASS) with a sample of students (N = 1,002) who differed substantially in age/grade level (i.e., adolescents in middle school as opposed to children in elementary school) and ethnic identity (i.e., majority…

  9. Technically Speaking: On the Structure and Experience of Interaction Involving Augmentative Alternative Communications

    ERIC Educational Resources Information Center

    Engelke, Christopher Robert

    2013-01-01

    Technically Speaking: On the Structure and Experience of Interaction Involving Augmentative Alternative Communications examines the ways that communication is structured and experienced by looking at interactions involving augmented communicators--people with severe speech disabilities who use forms of assistive technology in order to communicate…

  10. The International Association for the Exchange of Students for Technical Experience. 32nd Annual Report 1979.

    ERIC Educational Resources Information Center

    International Association for the Exchange of Students for Technical Experience/United States, Columbia, MD.

    After a general outline of the organization of the International Association for the Exchange of Students for Technical Experience and a brief introduction to its functions and activities, this annual report contains the international report. This includes: the report of the General Secretary; a list of international visits and visitors; publicity…

  11. Technically Speaking: On the Structure and Experience of Interaction Involving Augmentative Alternative Communications

    ERIC Educational Resources Information Center

    Engelke, Christopher Robert

    2013-01-01

    Technically Speaking: On the Structure and Experience of Interaction Involving Augmentative Alternative Communications examines the ways that communication is structured and experienced by looking at interactions involving augmented communicators--people with severe speech disabilities who use forms of assistive technology in order to communicate…

  12. Means and Methods in Automatic Courseware Production: Experience and Technical Challenges.

    ERIC Educational Resources Information Center

    Lauer, Tobias; Ottmann, Thomas

    Experience has shown that the production of rich-media content for Web-based courses tends to be extremely cost- and time-consuming. One way for campus-based universities to reduce authoring costs is to automate the production process by using suitable tools for capturing live lectures. This paper describes different technical approaches to…

  13. The Career Intern Program: Preliminary Results of an Experiment in Career Education. Technical Appendix. Volume 2.

    ERIC Educational Resources Information Center

    Opportunities Industrialization Centers of America, Inc., Philadelphia, PA.

    The technical appendix to "The Career Intern Program: Preliminary Results of an Experiment in Career Education," Volume 1, reports on the research designs used for evaluating the Career Intern Program's (CIP) effectiveness in increasing the student's cognitive skills, academic achievement, vocational adjustment, future orientation, and…

  14. Instructional Experiment of Practical Competencies-Oriented Teaching Materials in Technical Universities

    ERIC Educational Resources Information Center

    Chen, Su-Chang

    2010-01-01

    This study aims to conduct experimental instruction on the human resource management unit of business management in practical competencies-oriented business program developed by Chen (2005). This study is based on the quasi-experiment method and the subjects are two classes of students in a four-year technical university who have completed the…

  15. The International Association for the Exchange of Students for Technical Experience. 32nd Annual Report 1979.

    ERIC Educational Resources Information Center

    International Association for the Exchange of Students for Technical Experience/United States, Columbia, MD.

    After a general outline of the organization of the International Association for the Exchange of Students for Technical Experience and a brief introduction to its functions and activities, this annual report contains the international report. This includes: the report of the General Secretary; a list of international visits and visitors; publicity…

  16. TECHNICAL APPROACHES TO CHARACTERIZING AND CLEANING UP IRON AND STEEL MILL SITES UNDER THE BROWNFIELDS INITIATIVE

    EPA Science Inventory

    This document provides brownfields planners with an overview of the technical methods that can be used to achieve successful site assessment and cleanup which are two key components of the brownfields redevelopment process. No two brownfields sites are identical and planners will...

  17. TECHNICAL APPROACHES TO CHARACTERIZING AND CLEANING UP METAL FINISHING SITES UNDER THE BROWNFIELDS INITIATIVE

    EPA Science Inventory

    The document provides brownfields planners with an overview of the technical methods that can be used to achieve successful site assessment and cleanup which are two key components of the brownfields redevelopment process. No two brownfields sites are identical and planners will...

  18. TECHNICAL APPROACHES TO CHARACTERIZING AND CLEANING UP AUTOMOTIVE REPAIR SITES UNDER THE BROWNFIELDS INITIATIVE

    EPA Science Inventory

    The document provides brownfields planners with an overview of the technical methods that can be used to achieve successful site assessment and cleanup which are two key components of the brownfields redevelopment process. No two brownfields sites are identical and planners will...

  19. Participation in Formal Technical and Vocational Education and Training Programmes Worldwide: An Initial Statistical Study

    ERIC Educational Resources Information Center

    UNESCO-UNEVOC International Centre for Technical and Vocational Education and Training, 2006

    2006-01-01

    There is a common perception that technical and vocational education and training (TVET) is diversifying and expanding in terms of its supply and demand. Practitioners and policymakers often believe that educational systems are offering a wider array of programmes at different levels and in various fields of study. They also assume that these…

  20. TECHNICAL APPROACHES TO CHARACTERIZING AND CLEANING UP AUTOMOTIVE REPAIR SITES UNDER THE BROWNFIELDS INITIATIVE

    EPA Science Inventory

    The document provides brownfields planners with an overview of the technical methods that can be used to achieve successful site assessment and cleanup which are two key components of the brownfields redevelopment process. No two brownfields sites are identical and planners will...

  1. TECHNICAL APPROACHES TO CHARACTERIZING AND CLEANING UP METAL FINISHING SITES UNDER THE BROWNFIELDS INITIATIVE

    EPA Science Inventory

    The document provides brownfields planners with an overview of the technical methods that can be used to achieve successful site assessment and cleanup which are two key components of the brownfields redevelopment process. No two brownfields sites are identical and planners will...

  2. 78 FR 55754 - Second Call for Nominations: North Slope Science Initiative, Science Technical Advisory Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ..., marine biology, landscape ecology, and climatology. Duties of the Science Technical Advisory Panel are... Service, National Park Service, Bureau of Ocean Energy Management and National Marine Fisheries Service... needed for the management of resources on the North Slope of Alaska and the adjacent marine...

  3. 78 FR 38358 - Call for Nominations: North Slope Science Initiative, Science Technical Advisory Panel, Alaska

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-26

    ..., oceanography, fisheries, marine biology, landscape ecology, and climatology. Duties of the Science Technical..., National Park Service, Bureau of Ocean Energy Management and National Marine Fisheries Service; the Bureau... marine environment. Duties could include, but are not limited to, the following: a. Advise the...

  4. "They're Not Keeping a Journal of Feelings": Literacy Initiatives and Career and Technical Education

    ERIC Educational Resources Information Center

    Kohnen, Angela M.

    2015-01-01

    Career and Technical Education (CTE) centers offer an opportunity for students to engage in authentic reading and writing activities. In many states, "embedding" English and math credits (i.e., allowing students to earn traditional core subject credits in the context of their CTE programs) has become a popular trend. This article reports…

  5. "They're Not Keeping a Journal of Feelings": Literacy Initiatives and Career and Technical Education

    ERIC Educational Resources Information Center

    Kohnen, Angela M.

    2015-01-01

    Career and Technical Education (CTE) centers offer an opportunity for students to engage in authentic reading and writing activities. In many states, "embedding" English and math credits (i.e., allowing students to earn traditional core subject credits in the context of their CTE programs) has become a popular trend. This article reports…

  6. TECHNICAL APPROACHES TO CHARACTERIZING AND CLEANING UP IRON AND STEEL MILL SITES UNDER THE BROWNFIELDS INITIATIVE

    EPA Science Inventory

    This document provides brownfields planners with an overview of the technical methods that can be used to achieve successful site assessment and cleanup which are two key components of the brownfields redevelopment process. No two brownfields sites are identical and planners will...

  7. Technical progress report. Private sector initiatives between the United States and Japan. January 1989 - December 1989

    SciTech Connect

    1990-02-01

    This annual report for calendar year 1989 describes the efforts performed under the Private Sector Initiatives contract. The report also describes those efforts that have continued with private funding after being initiated under this contract.

  8. Technical progress report. Private sector initiatives between the United States and Japan. January 1990 - December 1990

    SciTech Connect

    1993-07-01

    OAK A271 This annual report for calendar year 1990 describes the efforts performed under the Private Sector Initiatives contract. The report also describes those efforts that have continued with private funding after being initiated under this contract.

  9. Technical progress report. Private sector initiatives between the United States and Japan. January 1991 - December 1991

    SciTech Connect

    1993-07-01

    This annual report for calendar year 1991 describes the efforts performed under the Private Sector Initiatives contract. The report also describes those efforts that have continued with private funding after being initiated under this contract.

  10. Initial Clinical Experience with Contrast-Enhanced Digital Breast Tomosynthesis

    PubMed Central

    Chen, Sara C.; Carton, Ann-Katherine; Albert, Michael; Conant, Emily F.; Schnall, Mitchell D.; Maidment, Andrew D. A.

    2007-01-01

    RATIONALE and OBJECTIVES Contrast-enhanced digital mammography and digital breast tomosynthesis are 2 imaging techniques that attempt to increase malignant breast lesion conspicuity. The combination of these into a single technique, contrast-enhanced digital breast tomosynthesis (CE-DBT), could potentially integrate the strengths of both. The objectives of this study were to assess the clinical feasibility of CE-DBT as an adjunct to digital mammography, and to correlate lesion enhancement characteristics and morphology obtained with CE-DBT to digital mammography, ultrasound, and magnetic resonance (MR). MATERIALS and METHODS CE-DBT (GE Senographe 2000D, Milwaukee, WI) was performed as a pilot study in an ongoing NCI-funded grant (P01 CA85484) studying multimodality breast imaging. 13 patients with ACR BI-RADS category 4 or 5 breast lesions underwent imaging with digital mammography, ultrasound, MR, and CE-DBT. CE-DBT was performed at 45-49 kVp with a rhodium target and a 0.27 mm copper (Alfa Aesar, Ward Hill, MA) filter. Pre- and post-injection DBT image sets were acquired in the MLO projection with slight compression. Each image set consists of 9 images acquired over a 50° arc and was obtained with a mean glandular x-ray dose comparable to two conventional mammographic views. Between the pre- and post-contrast DBT image sets, a single bolus of iodinated contrast agent (1 ml/kg at 2 ml/s; Omnipaque-300, Amersham Health Inc., Princeton, NJ) was administered. Images were reconstructed using filtered-backprojection in 1 mm increments, and transmitted to a clinical PACS workstation. RESULTS Initial experience suggests that CE-DBT provides morphologic and vascular characteristics of breast lesions qualitatively concordant with that of digital mammography and MR. CONCLUSION As an adjunct to digital mammography, CE-DBT may be a potential alternative tool for breast lesion morphologic and vascular characterization. PMID:17236995

  11. NASA's experience in the international exchange of scientific and technical information in the aerospace field

    NASA Technical Reports Server (NTRS)

    Thibideau, Philip A.

    1990-01-01

    The early NASA international scientific and technical information exchange arrangements were usually detailed in correspondence with the librarians of the institutions involved. While this type of exchange grew to include some 200 organizations in 43 countries, NASA's main focus shifted to the relationship with the European Space Agency (ESA), which began in 1964. The NASA/ESA Tripartite Exchange Program provides more than 4000 technical reports from the NASA-produced Aerospace Database. The experience in the evolving cooperation between NASA and ESA has established the model for more recent exchange agreements with Israel, Australia, and Canada. The results of these agreements are made available to participating European organizations through the NASA File.

  12. Examining the Professional Development Experiences and Non-Technical Skills Desired for Geoscience Employment

    NASA Astrophysics Data System (ADS)

    Houlton, H. R.; Ricci, J.; Wilson, C. E.; Keane, C.

    2014-12-01

    Professional development experiences, such as internships, research presentations and professional network building, are becoming increasingly important to enhance students' employability post-graduation. The practical, non-technical skills that are important for succeeding during these professional development experiences, such as public speaking, project management, ethical practices and writing, transition well and are imperative to the workplace. Thereby, graduates who have honed these skills are more competitive candidates for geoscience employment. Fortunately, the geoscience community recognizes the importance of these professional development opportunities and the skills required to successfully complete them, and are giving students the chance to practice non-technical skills while they are still enrolled in academic programs. The American Geosciences Institute has collected data regarding students' professional development experiences, including the preparation they receive in the corresponding non-technical skills. This talk will discuss the findings of two of AGI's survey efforts - the Geoscience Student Exit Survey and the Geoscience Careers Master's Preparation Survey (NSF: 1202707). Specifically, data highlighting the role played by internships, career opportunities and the complimentary non-technical skills will be discussed. As a practical guide, events informed by this research, such as AGI's professional development opportunities, networking luncheons and internships, will also be included.

  13. Child-Friendly School Initiative in Jordan: A Sharing Experience

    ERIC Educational Resources Information Center

    Weshah, Hani A.; Al-Faori, Oraib; Sakal, Reham M.

    2012-01-01

    The purpose of this research was to report on a Child-Friendly School (CFS) initiative pilot project in Jordan, which aims at initiating the creation of CFS and to raise stakeholders' awareness of the importance of this project in promoting and implementing Child Rights Conviction (CRC) in Jordan. The study was conducted by a joint team selected…

  14. Child-Friendly School Initiative in Jordan: A Sharing Experience

    ERIC Educational Resources Information Center

    Weshah, Hani A.; Al-Faori, Oraib; Sakal, Reham M.

    2012-01-01

    The purpose of this research was to report on a Child-Friendly School (CFS) initiative pilot project in Jordan, which aims at initiating the creation of CFS and to raise stakeholders' awareness of the importance of this project in promoting and implementing Child Rights Conviction (CRC) in Jordan. The study was conducted by a joint team selected…

  15. The FERMI @ Elettra Technical Optimization Study: PreliminaryParameter Set and Initial Studies

    SciTech Connect

    Byrd, John; Corlett, John; Doolittle, Larry; Fawley, William; Lidia, Steven; Penn, Gregory; Ratti, Alex; Staples, John; Wilcox,Russell; Wurtele, Jonathan; Zholents, Alexander

    2005-08-01

    The goal of the FERMI {at} Elettra Technical Optimization Study is to produce a machine design and layout consistent with user needs for radiation in the approximate ranges 100 nm to 40 nm, and 40 nm to 10 nm, using seeded FEL's. The Study will involve collaboration between Italian and US physicists and engineers, and will form the basis for the engineering design and the cost estimation.

  16. United States Air Force Research Initiation Program. 1985 Technical Report. Volume 3.

    DTIC Science & Technology

    1987-04-01

    system artificially , to make it fit the model of Part I, for this can result in misleading or even - ridiculous conclusions, as will be shown later. In...868-875. 2. Cohen, P. R. (1985). Heuristic Reasoning about Uncertainty: An Artificial Intelligence Approach, Boston, MA: Pitman Publishing Co. 3. Duda...R. 0., Hart, P. E. and Nilsson, N. (1976). Subjective Bayesian Methods for Rule-based Inference Systems, Technical Note - 124, Artificial

  17. Robotic thyroidectomy and parathyroidectomy: An initial experience with retroauricular approach.

    PubMed

    Alshehri, Mohammed; Mohamed, Hossam Eldin; Moulthrop, Thomas; Kandil, Emad

    2017-08-01

    New approaches for robotic-assisted thyroidectomy were recently described. The purpose of this study was to present the report of our initial experience using a retroauricular approach for thyroid and parathyroid surgeries. This is a prospective study that was conducted under institutional review board approval and all surgeries were performed by a single surgeon at a North American academic institution. Some patients underwent an additional concomitant neck lift surgery in addition to the thyroid surgery. Some cases were performed without the use of the robot and they have been evaluated compared with the robotic cases. Clinical characteristics, total operative time, blood loss, surgical outcome, and length of hospital stay were evaluated. Forty cases representing thirty-eight female patients were included in this study, which includes 37 thyroid lobectomies and 3 parathyroid surgeries. Mean age was 44 ± 13 years, and mean body mass index (BMI) was 26.9 ± 5.31. Mean thyroid nodule size was 2.01 ± 0.94 cm. All cases were completed successfully via a single retroauricular incision. There was no conversion to an open approach. Six of 38 patients underwent additional neck lift surgery with a mean total operative time of 189 ± 45 minutes. The mean operative time for the remaining 34 patients who underwent retroauricular robotic-assisted hemithyroidectomy without neck lift surgery was 156 ± 39 minutes. Five patients underwent an endoscopic, retroauricular approach to the thyroid and parathyroid without using the robot. Two of 38 patients developed postoperative hematoma, in whom one of them needed a surgical evacuation. There were no cases of permanent vocal cord paralysis or permanent hypoparathyroidism. However, 2 patients developed transient hoarseness, which resolved 9 weeks and 10 weeks postoperatively, respectively. Mean blood loss was 19.0 ± 30.93 mL. Twenty-one patients were discharged on the same day of surgery, 17 patients were discharged after an

  18. Bipolar Radiofrequency Ablation of Benign Symptomatic Thyroid Nodules: Initial Experience.

    PubMed

    Korkusuz, Y; Erbelding, C; Kohlhase, K; Luboldt, W; Happel, C; Grünwald, F

    2016-07-01

    To determine the safety and efficacy of bipolar radiofrequency ablation (RFA) in benign thyroid nodules. 23 patients with 24 symptomatic benign thyroid nodules (21 regressive, 3 adenomas) ranging in volume from 0.5 to 112 ml (mean ± sd: 18 ± 24.4 ml) underwent bipolar RFA. Pain during the procedure was measured on a 10-point scale. Side-effects revealed by ultrasound or patients' complaints were documented. Periablative efficacy was measured 24 hours after RFA as change (Δ) in serum thyreoglobulin (Tg) and sonographic criteria (echogenity, Doppler blood flow and elasticity) categorized on a 3-point scale (echogenity, Doppler blood flow) or 4-point scale (elasticity). Efficacy in the 3 autonomous adenomas was measured as normalization of (99 m)Tc-pertechnate scintigraphy. Bipolar RFA was well tolerated by all patients with a median pain score of 3 ± 1.5 (range: 1 - 7). Side-effects were hematomas in 4 of 23 patients (17 %). Bipolar RFA resulted in a significant (p < 0.01) decrease in echogenity, blood flow, elasticity (Δ = 1 ± 0.28, 1 ± 0.46 and 1 ± 0.85 points, respectively), a median increase in Tg of 403 ± 2568 ng/ml as well as in a normalization of scintigraphy. Bipolar RFA is a safe and effective treatment option for symptomatic benign thyroid nodules. • Bipolar RFA is a safe and effective treatment for benign thyroid nodules.• Ultrasound imaging allows guidance during bipolar radiofrequency ablation.• (99 m)Tc-pertechnetate is able to detect the ablation area of autonomous adenomas. Citation Format: • Korkusuz Y, Erbelding C, Kohlhase K et al. Bipolar Radiofrequency Ablation of Benign Symptomatic Thyroid Nodules: Initial experience with Bipolar Radiofrequency. Fortschr Röntgenstr 2016; 188: 671 - 675. © Georg Thieme Verlag KG Stuttgart · New York.

  19. Experiences in recruiting volunteers through community based initiatives in Phase-1 vaccine trials in India

    PubMed Central

    Sahay, Seema; Kumar, Makesh; Srikrishnan, Aylur K; Ramanathan, Vadakkuppatu; Mehendale, Sanjay

    2014-01-01

    Success of HIV vaccine trials is dependent on infrastructural preparedness of the site, technical expertise of the trial team and strong Socio-political support of the local community. The processes followed and experiences gained while implementing various community based initiatives for recruitment of healthy volunteers during the three HIV vaccine trials in India are described. Major initiatives in community engagement implemented for the first time in India included establishment and involvement of Community Advisory Board and capacity building and engagement of lay community based volunteers called “peers” using “lay health promotion” model. Community education program designed for trial participants’ education, identification and enrollment was a three-tiered approach, moving from large community awareness meetings (first step) to facility-based small group meeting to provide trial specific information (second step); ending with one-to-one vaccine center based meeting with the volunteers to clear doubts, myths, and misconceptions about HIV/ AIDS, the experimental vaccine and HIV vaccine trials as well as to explain trial specific procedures (third step). It is important to focus on gender issues, locally relevant socio-cultural factors, informed consent, and post-trial care related matters during the conduct of sensitive clinical trials in socio-culturally diverse and resource limited setting like India. PMID:24141176

  20. How experienced therapists introduce the technical aspects in the initial alliance formation: powerful decision makers supporting clients' agency.

    PubMed

    Oddli, Hanne Weie; Rønnestad, Michael Helge

    2012-01-01

    The initial work on the technical aspects of the working alliance was explored in a naturalistic study of the practices of nine experienced teacher therapists. Using the qualitative method of Grounded theory, eight therapist action descriptions were identified, forming two categories: (1) Supporting the client's agency: (a) exploring the clients' solution strategies, (c) underlining the clients' choice/authority, (d) sharing the basis for the decision, (e) demonstrating collaboration linguistically by hedging; (2) Expressing agency: (a) immediate implementation of method, (b) educating, (c) challenging, (d) constituting oneself as an expert. Implications for the view of therapist power, negotiation, consensus and collaboration are discussed.

  1. The effects of customers' mobile experience and technical support on the intention to use mobile banking.

    PubMed

    Chung, Namho; Kwon, Soon Jae

    2009-10-01

    While mobile banking has become an integral part of banking activities, it has also caused systems-related stress and consequent distrust among mobile banking users. This study looks into the phenomenon of technology adoption for mobile banking users and identifies potential factors that nurture positive intentions toward mobile banking usage. It examines the effects of a customer's mobile experience and technical support on mobile banking acceptance and explains how some variables affect this intention. After a literature review, the method of empirical analysis using a structured questionnaire is developed. Hierarchical Moderated Regression Analyses (HMRA) is used to examine the model. We find that mobile experience and technical support tend to strengthen the relationship between technological characteristics and a customer's intention to use the mobile technology.

  2. Programs of Study as a State Policy Mandate: A Longitudinal Study of the South Carolina Personal Pathways to Success Initiative. Final Technical Report: Major Findings and Implications

    ERIC Educational Resources Information Center

    Hammond, Cathy; Drew, Sam F.; Withington, Cairen; Griffith, Cathy; Swiger, Caroline M.; Mobley, Catherine; Sharp, Julia L.; Stringfield, Samuel C.; Stipanovic, Natalie; Daugherty, Lindsay

    2013-01-01

    This is the final technical report from the National Research Center for Career and Technical Education's (NRCCTE's) five-year longitudinal study of South Carolina's Personal Pathway to Success initiative, which was authorized by the state's Education and Economic Development Act (EEDA) in 2005. NRCCTE-affiliated researchers at the National…

  3. Programs of Study as a State Policy Mandate: A Longitudinal Study of the South Carolina Personal Pathways to Success Initiative. Technical Appendix B

    ERIC Educational Resources Information Center

    Hammond, Cathy; Drew, Sam F.; Withington, Cairen; Griffith, Cathy; Swiger, Caroline M.; Mobley, Catherine; Sharp, Julia L.; Stringfield, Samuel C.; Stipanovic, Natalie; Daugherty, Lindsay

    2013-01-01

    This Technical Appendix discusses how researchers from the National Research Center for Career and Technical Education (NRCCTE) conducted the five-year longitudinal study of South Carolina's Personal Pathway to Success initiative, which was authorized by the state's Education and Economic Development Act (EEDA) in 2005, and how they defined and…

  4. Informal Science: Family Education, Experiences, and Initial Interest in Science

    ERIC Educational Resources Information Center

    Dabney, Katherine P.; Tai, Robert H.; Scott, Michael R.

    2016-01-01

    Recent research and public policy have indicated the need for increasing the physical science workforce through development of interest and engagement with informal and formal science, technology, engineering, and mathematics experiences. This study examines the association of family education and physical scientists' informal experiences in…

  5. Informal Science: Family Education, Experiences, and Initial Interest in Science

    ERIC Educational Resources Information Center

    Dabney, Katherine P.; Tai, Robert H.; Scott, Michael R.

    2016-01-01

    Recent research and public policy have indicated the need for increasing the physical science workforce through development of interest and engagement with informal and formal science, technology, engineering, and mathematics experiences. This study examines the association of family education and physical scientists' informal experiences in…

  6. Dynamic Initiator Experiments using IMPULSE (Impact system for Ultrafast Synchrotron Experiments) at the Advanced Photon Source

    NASA Astrophysics Data System (ADS)

    Sanchez, Nathaniel; Jensen, Brian; Ramos, Kyle; Iverson, Adam; Martinez, Michael; Liechty, Gary; Fezzaa, Kamel; Clarke, Steven

    2015-06-01

    We have successfully imaged, for the first time, the operation of copper slapper initiators that are used to initiate high explosive detonators. These data will aid in model development and calibration in order to provide a robust predictive capability and as a design tool in future applications. The initiation system consists of a copper bridge fixed to a parylene flyer. The copper bridge functions when a capacitor is discharged causing current to flow through the narrow bridge. As this happens, a plasma forms due to the high current densities and ohmic heating, which launches the parylene flyer that impacts a high explosive pellet producing detonation. Unlike traditional measurements, x-ray phase contrast imaging can see ``inside'' the process providing unique information with nanosecond time resolution and micrometer spatial resolution. The team performed experiments on the IMPULSE system at the Advanced Photon Source to obtain high resolution, in situ images of this process in real-time. From these images, researchers can examine the formation of the plasma instabilities and their interaction with the flyer, determine the flyer velocity, and obtain crucial information on the spatial distribution of mass and density gradients in the plasma and flyer.

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

    NASA Technical Reports Server (NTRS)

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

    2005-01-01

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

  8. Solar America Initiative State Working Group: Final Scientific/Technical Report

    SciTech Connect

    Taylor, Julie

    2012-03-30

    Through the support from the Department of Energy, NARUC has educated thousands of stakeholders, including Public Utility Commissioners, commission staff, and State energy officials on solar energy technology, implementation, and policy. During the lifetime of this grant, NARUC staff engaged stakeholders in policy discussions, technical research, site visits, and educational meetings/webinars/materials that provided valuable education and coordination on solar energy technology and policy among the States. Primary research geared toward State decision-makers enabled stakeholders to be informed on current issues and created new solar energy leaders throughout the United States. Publications including a Frequently Asked Questions guide on feed-in tariffs and a legal analysis of state implementation of feed-in tariffs gave NARUC members the capacity to understand complex issues related to the economic impacts of policies supportive of solar energy, and potential paths for implementation of technology. Technical partnerships with the National Renewable Energy Laboratory (NREL) instructed NARUC members on feed-in tariff policy for four States and solar PV resource assessment in seven States, as well as economic impacts of solar energy implementation in those States. Because many of the States in these technical partnerships had negligible amounts of solar energy installed, this research gave them new capacity to understand how policies and implementation could impact their constituency. This original research produced new data now available, not only to decision-makers, but also to the public at-large including educational institutions, NGOs, consumer groups, and other citizens who have an interest in solar energy adoption in the US. Under this grant, stakeholders engaged in several dialogs. These educational opportunities brought NARUC members and other stakeholders together several times each year, shared best practices with State decision-makers, fostered

  9. Electron cyclotron thruster new modeling results preparation for initial experiments

    NASA Technical Reports Server (NTRS)

    Hooper, E. Bickford

    1993-01-01

    The following topics are discussed: a whistler-based electron cyclotron resonance heating (ECRH) thruster; cross-field coupling in the helicon approximation; wave propagation; wave structure; plasma density; wave absorption; the electron distribution function; isothermal and adiabatic plasma flow; ECRH thruster modeling; a PIC code model; electron temperature; electron energy; and initial experimental tests. The discussion is presented in vugraph form.

  10. Initial Experiences with Retrieving Similar Objects in Simulation Data

    SciTech Connect

    Cheung, S-C S; Kamath, C

    2003-02-21

    Comparing the output of a physics simulation with an experiment, referred to as 'code validation,' is often done by visually comparing the two outputs. In order to determine which simulation is a closer match to the experiment, more quantitative measures are needed. In this paper, we describe our early experiences with this problem by considering the slightly simpler problem of finding objects in a image that are similar to a given query object. Focusing on a dataset from a fluid mixing problem, we report on our experiments with different features that are used to represent the objects of interest in the data. These early results indicate that the features must be chosen carefully to correctly represent the query object and the goal of the similarity search.

  11. Environmental effects of dredging, initial comparisons of six assays for the assessment of sediment genotoxicity. Technical note

    SciTech Connect

    McFarland, V.A.; Honeycutt, M.; Jarvis, S.

    1995-01-01

    This technical note reports and compares initial results of six genotoxicity bioassays applied to dredged sediments and describes progress toward development of a testing protocol to aid in regulatory decisionmaking when genotoxic chemicals are an issue of concern. The Long-term Effects of Dredging Operations Program work unit Genotoxicity of Contaminated Dredged Material was initiated in fiscal year 1990 to develop methods for assessing the genotoxic potential of dredged sediments. The impetus driving this new research and development effort was specific regulatory language in section 103 of the Ocean Dumping Act (Marine Protection, Research, and Sanctuaries Act (MPRSA) of 1972) prohibiting the open-water discharge of mutagenic, carcinogenic, or teratogenic substances in other than trace amounts, and language less specific but of similar intent in section 404 of the Clean Water Act (CWA).

  12. Initial technical environmental, and economic evaluation of space solar power concepts. Volume 2: Detailed report

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The SPS concepts which appear to be technically feasible are discussed in terms of the economic viability and competitive costs with other energy sources. The concepts discussed include: power station, microwave reception and conversion, space construction and maintenance, space transportation, and program costs and analysis. The conclusions presented include: (1) The maximum output of an individual microwave transmission link to earth is about 5 GW. (2) The mass of 10 GW SPS is between 47,000,000 and 124,000,00 kg. (3) The silicon solar cell arrays make up well over half the weight and cost of the satellite. (4) The SPS in equatorial orbit will be eclipsed by the earth and by other satellites.

  13. Technical Requirements Analysis and Control Systems (TRACS) Initial Operating Capability (IOC) documentation

    NASA Technical Reports Server (NTRS)

    Hammond, Dana P.

    1991-01-01

    The Technical Requirements Analysis and Control Systems (TRACS) software package is described. TRACS offers supplemental tools for the analysis, control, and interchange of project requirements. This package provides the fundamental capability to analyze and control requirements, serves a focal point for project requirements, and integrates a system that supports efficient and consistent operations. TRACS uses relational data base technology (ORACLE) in a stand alone or in a distributed environment that can be used to coordinate the activities required to support a project through its entire life cycle. TRACS uses a set of keyword and mouse driven screens (HyperCard) which imposes adherence through a controlled user interface. The user interface provides an interactive capability to interrogate the data base and to display or print project requirement information. TRACS has a limited report capability, but can be extended with PostScript conventions.

  14. 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.

  15. 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

  16. EnviroNET: Space environment for Strategic Defense Initiative experiments

    NASA Technical Reports Server (NTRS)

    Lauriente, Michael

    1989-01-01

    EnviroNET is an operational system available to the Strategic Defense Initiative (SDI) experimenters who have access to a terminal or dial-up port. It is a tail node on Space Physics Analysis Network (SPAN) accessible directly or through the national networks via NPSS. Some of the benefits to using EnviroNET include: validated NASA environmental information and interactive space models; facilitating the payload integration process; easy access to expert assistance; and potential for time and cost savings.

  17. Hawai'i P-3 Initiative: Findings from the First Year of the Evaluation. Technical Report

    ERIC Educational Resources Information Center

    Zellman, Gail L.; Kilburn, M. Rebecca

    2011-01-01

    Recent efforts to improve K-12 educational outcomes have had mixed success. One possible reason is that many students entering kindergarten lack the basic skills to succeed in school. In 2007, with support from the W. K. Kellogg Foundation, Hawai'i launched its P-3 (preschool through third-grade) initiative, the early childhood component of the…

  18. Young Asian Women Experiences of the Summer Activities Initiative.

    ERIC Educational Resources Information Center

    Kirby, Laura

    2002-01-01

    Interviews and observations focused on experiences of 15 young Asian women at a 5-day summer adventure program in southern England. Participants seemed bored with presentations about future career options, activities lost their challenge through repetition, and debriefing was weak. However, the women connected with the transferable skills of trust…

  19. Initial results of the CD-1 reliable multicast experiment

    SciTech Connect

    Agarwal, D.; Stead, R.; Coan, B.; Burns, J. E.; Shah, N.; Kyriakopoulos, N.

    2000-09-29

    During the past year, an experiment has been underway to test use of reliable multicast capabilities for transmission of continuous data in the Global Communication Infrastructure. For the experiment a version of the CD-1 protocol was multicast enabled. The experiment has demonstrated the feasibility of transmitting data in a multicast mode over the GCI. In the case of the Comprehensive Nuclear Test-Ban Treaty the sender could be the station and the receivers the International Data Center (IDC) and one or more National Data Centers (NDC). The potential advantages of multicasting include (a) the timely receipt of the data by the IDC and the host NDC and (b) the simultaneous availability of the raw station data at, at least, two locations. The latter, by introducing redundant data paths, decreases the probability of loss of station data due to a potential failure of a single data receiver. This experiment is only one element of a needed more thorough assessment of the reliability and cost-effectiveness of introducing redundancies in the data transmission paths and the data sinks of the IMS. The next stage of the multicast experiment planned is installation of the multicast-enabled CD-1 software at the GERES IMS station, at the German NDC and at the IDC for further experiments with actual IMS station data. This stage of the experiment is waiting on installation of a GCI link to the German NDC. Negotiations regarding price for this installation have been on going between the Global Communication Infrastructure (GCI) contractor and the German NDC with no resolution. Current development of the CD-x protocol is proceeding in two complementary directions. Along with the work on a multicast enabled version of CD-1 there is also work to develop CD-1.1, which will add end-to-end reliability to the CD-1 protocol among other things. A possible future activity would be to combine the reliable multicast and the end-to-end reliability mechanisms into one CD-x protocol version.

  20. Robotic kidney implantation for kidney transplantation: initial experience.

    PubMed

    Hagen, Monika E; Pugin, Francois; Bucher, Pascal; Fasel, Jean; Markar, Sheraz; Morel, Philippe

    2010-12-01

    Despite improvements in minimally invasive techniques over recent decades, kidney implantation into the iliac fossa has remained a domain of open surgery. However, it was hypothesized that it would be feasible to perform robotic transplant kidney implantation as a means of reducing surgical trauma. Two robotic kidney transplantations into the iliac fossa were attempted in human cadavers. In the first cadaver, a 5 cm incision was placed in the right lower abdomen, the peritoneum was mobilized in a cranial direction, the iliac vessels were identified, and the kidney placed in the pre-peritoneal space. The incision was sealed with a gel port through which the Vinci(©) Surgical System was installed. In the second cadaver, a robotic kidney implantation with robotically sutured vascular and ureteric anastomoses was performed trans-abdominally. Open incision, identification, placement of gel port, and robotic docking were feasible. Robotic performance of vascular anastomosis was not possible in the first cadaver because of advanced decay and excess fat in the surgical field. Robotic kidney positioning was feasible and anastomoses were performed successfully in the second cadaver within 35, 25, and 20 min (arterial, venous, and ureteric, respectively). Robotic kidney transplantation seems feasible in human cadavers if tissue condition is suitable, but is very technically challenging. Because of the delicacy of anatomical structures, the cadaveric model with the risk of advanced decay and the absence of circulation sets limits on the exploration of this complex procedure. Hence, further research and animal work in this area is critical to improve understanding of the benefits and limitations of robotic kidney implantation.

  1. Radiofrequency Ablation for Iatrogenic Thyroid Artery Pseudoaneurysm: Initial Experience.

    PubMed

    Jun, Ye Kyeong; Jung, So Lyung; Byun, Ho Kyun; Baek, Jung Hwan; Sung, Jin Yong; Sim, Jung Suk

    2016-10-01

    Eight iatrogenic thyroid pseudoaneurysms (ITPAs) after thyroid biopsy are reported. The mean ITPA diameter was 7.2 mm (range 4 to 12 mm). Ultrasound (US)-guided compression was initially performed at the neck of the ITPA in all cases. Among them, 4 ITPAs persisted (50%) in which radiofrequency (RF) ablation was performed. Mean RF ablation time and power were 13.5 seconds (range 5 to 24 seconds) and 20 W (range 10 to 50 W), respectively. All 4 cases were treated with RF ablation without any complications.

  2. Final Technical Report on DOE Grant for Modeling of Plasma Rotation in the National Spherical Torus Experiment

    SciTech Connect

    Shaing, K. C.

    2009-07-09

    This is the final technical report on the Modeling of Plasma Rotation in National Spherical Torus Experiment (NSTX) DOE Grant No. DE-FG02-02ER54679. The research subjects, technical abstracts, and publications where details of the research results can be found are reported here.

  3. Thoracoscopic and robotic tricuspid valve annuloplasty with a biodegradable ring: an initial experience.

    PubMed

    Panos, Aristotelis; Myers, Patrick O; Kalangos, Afksendiyos

    2010-03-01

    Ring annuloplasty is a technically demanding and time-consuming thoracoscopic and/or robotic surgery. The initial experience of the authors with the intra-annular Bioring tricuspid ring using a minimally invasive access is reviewed, and some modifications are proposed to adapt to the particularities of these approaches. Patients undergoing minimally invasive tricuspid annuloplasty were included prospectively between March and September 2008. The feasibility and ease of implantation were evaluated. A total of 10 patients (six females, four males) was included (eight with functional regurgitation, two with endocarditis). Six patients underwent surgery through a small anterolateral thoracotomy, and the da Vinci S robotic system was used in four cases. The mean cardiopulmonary bypass and aortic cross-clamp times were 123 +/- 30 min and 86 +/- 28 min, respectively. Ring implantation was successful in all patients. There was one late death from multiple organ failure. None of the patients required reoperation. At discharge from hospital, seven patients had no or discrete tricuspid regurgitation (TR), and two had moderate TR with no tricuspid stenosis but remained stable during the follow up period. The biodegradable Bioring offers a simple and quick implantation which is feasible and simplified in minimally invasive approaches.

  4. Fabrication and Initial Operation of the Helically Symmetric Experiment

    NASA Astrophysics Data System (ADS)

    Anderson, F. Simon B.; Anderson, D. T.; Almagri, A. F.; Gerhardt, S. P.; Probert, P. H.; Sakaguchi, V.; Shafii, J.; Shohet, J. L.; Talmadge, J. N.; Kitajima, S.

    1998-11-01

    The HSX device is in its final assembly and alignment phase prior to expected operation in CY 1998. The major priorities are the attainment of a high vacuum level, conditioning of the vessel walls and initial discharges at B < 0.5 T. This paper presents details of the final assembly and alignment of the field coils as well as the porting and fixturing of the explosively-formed vacuum vessel. ANSYS calculations were used to design support castings that stiffen the inner bore of the main magnet coil in the regions of high torsion and keep stresses below the design criteria. Considerable effort has been placed on fabrication of the main coils to an accuracy that ensures good magnetic surfaces and quasi-helical symmetry. Critical to the fabrication, assembly, and alignment of the magnet coils is the use of a Metrecom, a portable coordinate measurement machine (CMM) accurate to 3 mils over a 4' radius. Initial operation focuses on electron beam mapping of the magnetic surfaces and varying the configuration with the auxiliary coils.

  5. Initial experience with tadalafil in pediatric pulmonary arterial hypertension.

    PubMed

    Takatsuki, Shinichi; Calderbank, Michelle; Ivy, David Dunbar

    2012-06-01

    This study aimed to investigate the safety, tolerability, and effects of tadalafil on children with pulmonary arterial hypertension (PAH) after transition from sildenafil or after tadalafil received as initial therapy. A total of 33 pediatric patients with PAH were retrospectively evaluated. Of the 33 patients, 29 were switched from sildenafil to tadalafil. The main reason for the change from sildenafil was once-daily dosing. The average dose of sildenafil was 3.4 ± 1.1 mg/kg/day, and that of tadalafil was 1.0 ± 0.4 mg/kg/day. For 14 of the 29 patients undergoing repeat catheterization, statistically significant improvements were observed after transition from sildenafil to tadalafil in terms of mean pulmonary arterial pressure (53.2 ± 18.3 vs. 47.4 ± 13.7 mmHg; p < 0.05) and pulmonary vascular resistance index (12.2 ± 7.0 vs 10.6 ± 7.2 Units/m(2); p < 0.05). Clinical improvement was noted for four patients treated with tadalafil as initial therapy. The side effect profiles were similar for the patients who had transitioned from sildenafil to tadalafil including headache, nausea, myalgia, nasal congestion, flushing, and allergic reaction. Two patients discontinued tadalafil due to migraine or allergic reaction. One patient receiving sildenafil had no breakthrough syncope after transition to tadalafil. Tadalafil can be safely used for pediatric patients with PAH and may prevent disease progression.

  6. Initial results from the NASA-Lewis wave rotor experiment

    NASA Technical Reports Server (NTRS)

    Wilson, Jack; Fronek, Dennis

    1993-01-01

    Wave rotors may play a role as topping cycles for jet engines, since by their use, the combustion temperature can be raised without increasing the turbine inlet temperature. In order to design a wave rotor for this, or any other application, knowledge of the loss mechanisms is required, and also how the design parameters affect those losses. At NASA LeRC, a 3-port wave rotor experiment operating on the flow-divider cycle, has been started with the objective of determining the losses. The experimental scheme is a three factor Box-Behnken design, with passage opening time, friction factor, and leakage gap as the factors. Variation of these factors is provided by using two rotors, of different length, two different passage widths for each rotor, and adjustable leakage gap. In the experiment, pressure transducers are mounted on the rotor, and give pressure traces as a function of rotational angle at the entrance and exit of a rotor passage. In addition, pitot rakes monitor the stagnation pressures for each port, and orifice meters measure the mass flows. The results show that leakage losses are very significant in the present experiment, but can be reduced considerably by decreasing the rotor to wall clearance spacing.

  7. Unique High Energy Experiment Initiative by ICSP with Weather Balloons

    NASA Astrophysics Data System (ADS)

    Chakrabarti, S. K.; Bhowmick, D.; Sarkar, R.; Bhattacharyya, A.; Midya, S.

    2015-09-01

    With the advent of miniaturization of instruments, Indian Centre for Space Physics began exploring high energy Universe using weather balloons about six years ago. Several Payloads of mass within 4 kg have been flown to near space. Along with the main measurement unit which is usually a scintillator detector, attitude measurement unit, GPS tracking unit, video camera and parachute(s) are also flown. Using large duration flights unique to ICSP without using any valve or ballast and any extra cost, this inexpensive initiative brings back very rich scientific data on soft X-ray spectra of Cosmic Rays, Solar flares, Gamma Ray Bursts and Crab Pulsar. Some results are presented. The payloads are reusable, reducing the recurring cost per flight to be less that $500.00.

  8. Coherent fluctuations in the initial TFTR D-T experiments

    SciTech Connect

    Fredrickson, E.; Chang, Z.Y.; Budny, R.V.

    1995-03-01

    The initial operation of TFTR with approximately equal power in the tritium and deuterium neutral beam injectors has resulted in the production of fusion power in excess of 9MW and central {beta}{sub {alpha}} > 0.25%. This {beta}{sub {alpha}} is within a factor of 2--3 of the {beta}{sub {alpha}} in projections of ITER performance. Effects of this {alpha} population on TAE modes, sawteeth and fishbone activity are being searched for. The D-T plasmas are also being studied for evidence of changes in MHD activity which might be attributed to the fast {alpha} population. This paper reports on the activity in the Alfven range of frequencies in the D-T plasmas and on detailed measurements of the MHD activity preceding major disruptions in D-D and D-T.

  9. Initial Experiments of High-Speed Drive System Windage Losses

    NASA Technical Reports Server (NTRS)

    Handschuh, Robert F.; Hurrell, Michael J.

    2010-01-01

    High speed gearing performance is very important to the overall drive system efficiency. Certain losses such as gear meshing and bearing drag can be minimized by design changes such as pressure angle of the gears and the geometry and type of bearings being used. One component that can have a large effect on the overall performance of high-speed drive systems is the parasitic drag known as gear windage. This loss mechanism is not well understood and minimizing this component is usually accomplished through much trial and error. The results presented in this paper will document some of the design parameter effects on the amount of windage losses. A new test facility at NASA Glenn has been assembled to systematically study the design variables. Results from recent tests will be presented. The tests are for a single gear, with and without lubricants, and some initial studies using shrouds

  10. Initial Experiments of High-Speed Drive System Windage Losses

    NASA Technical Reports Server (NTRS)

    Handschuh, Robert F.; Hurrell, Michael J.

    2011-01-01

    High speed gearing performance is very important to the overall drive system efficiency. Certain losses such as gear meshing and bearing drag can be minimized by design changes such as pressure angle of the gears and the geometry and type of bearings being used. One component that can have a large effect on the overall performance of high-speed drive systems is the parasitic drag known as gear windage. This loss mechanism is not well understood and minimizing this component is usually accomplished through much trial and error. The results presented in this paper will document some of the design parameter effects on the amount of windage losses. A new test facility at NASA Glenn has been assembled to systematically study the design variables. Results from recent tests will be presented. The tests are for a single gear, with and without lubricants, and some initial studies using shrouds.

  11. Cardiac biplane strain imaging: initial in vivo experience

    NASA Astrophysics Data System (ADS)

    Lopata, R. G. P.; Nillesen, M. M.; Verrijp, C. N.; Singh, S. K.; Lammens, M. M. Y.; van der Laak, J. A. W. M.; van Wetten, H. B.; Thijssen, J. M.; Kapusta, L.; de Korte, C. L.

    2010-02-01

    In this study, first we propose a biplane strain imaging method using a commercial ultrasound system, yielding estimation of the strain in three orthogonal directions. Secondly, an animal model of a child's heart was introduced that is suitable to simulate congenital heart disease and was used to test the method in vivo. The proposed approach can serve as a framework to monitor the development of cardiac hypertrophy and fibrosis. A 2D strain estimation technique using radio frequency (RF) ultrasound data was applied. Biplane image acquisition was performed at a relatively low frame rate (<100 Hz) using a commercial platform with an RF interface. For testing the method in vivo, biplane image sequences of the heart were recorded during the cardiac cycle in four dogs with an aortic stenosis. Initial results reveal the feasibility of measuring large radial, circumferential and longitudinal cumulative strain (up to 70%) at a frame rate of 100 Hz. Mean radial strain curves of a manually segmented region-of-interest in the infero-lateral wall show excellent correlation between the measured strain curves acquired in two perpendicular planes. Furthermore, the results show the feasibility and reproducibility of assessing radial, circumferential and longitudinal strains simultaneously. In this preliminary study, three beagles developed an elevated pressure gradient over the aortic valve (Δp: 100-200 mmHg) and myocardial hypertrophy. One dog did not develop any sign of hypertrophy (Δp = 20 mmHg). Initial strain (rate) results showed that the maximum strain (rate) decreased with increasing valvular stenosis (-50%), which is in accordance with previous studies. Histological findings corroborated these results and showed an increase in fibrotic tissue for the hearts with larger pressure gradients (100, 200 mmHg), as well as lower strain and strain rate values.

  12. WHO influenza vaccine technology transfer initiative: role and activities of the Technical Advisory Group.

    PubMed

    Francis, Donald P; Grohmann, Gary

    2011-07-01

    In May 2006, the WHO published a Global Pandemic Influenza Action Plan. A significant part of that plan involves the transfer of technology necessary to build production capacity in developing countries. The WHO influenza technology transfer initiative has been successful. Clearly the relatively small WHO investments made in these companies to develop their own influenza vaccine production facilities have had quite dramatic results. A few companies are already producing large amounts of influenza vaccine. Others will soon follow. Whether they are developing egg-based or planning non-egg based influenza vaccine production, all companies are optimistic that their efforts will come to fruition. Copyright © 2011 Elsevier Ltd. All rights reserved.

  13. The Planeterrella experiment: from individual initiative to networking

    NASA Astrophysics Data System (ADS)

    Lilensten, J.; Provan, G.; Barthelemy, M.; Simon Wedlund, C.; Gronoff, G.; Vanlommel, P.; Brekke, A.; Garnier, P.; Grimald Rochel, S.

    2013-12-01

    Space weather is a relatively new discipline, which is still largely unknown amongst the wider public despite its increasing importance in all of our daily lives. Outreach activities can promote awareness of space weather. In particular the visual beauty and excitement of the aurora make these lights a wonderful inspirational hook to enhance understanding of space weather in a general audience. A century ago, the Norwegian experimental physicist Kristian Birkeland, one of the founding fathers of modern space science, demonstrated with his Terrella experiment the formation of the aurora. Recently, a modernized version of the Terrella has been designed in France. This ';';Planeterrella'' experiment allows the visualization of many phenomena that occur in our space environment. Although the Planeterrella was originally a local project, it has developed to become a very successful international public outreach experiment. We believe that its success is due to mainly two factors (i) the Planeterrella is not patented and the plans are free to any public institute and (ii) the project is widely advertised using national and scientific networks, as well as press releases, books and web sites. Today, nine Planeterrellas are in operation, six more are under construction in five different countries including in the US and several more are being planned. During the last five years, about 55 000 people in Europe have attended live Planeterrella demonstration on the formation of auroral light, the space environment and space weather. Many more have seen the Planeterrella being demonstrated on TV. It is now used for education, outreach, scientific, and artistic purposes. We will describes this process and discuss how the Planeterrella project developed to become an international public outreach phenomenon. We also examine some of the lessons learnt along the way such as patented or not, big or small, automatized or hand-operated, and the cost of the overall project. A star (close

  14. The Planeterrella experiment: from individual initiative to networking

    NASA Astrophysics Data System (ADS)

    Lilensten, Jean; Provan, Gabrielle; Grimald, Sandrine; Brekke, Asgeir; Flückiger, Erwin; Vanlommel, Petra; Wedlund, Cyril Simon; Barthélémy, Mathieu; Garnier, Pierre

    2013-02-01

    Space weather is a relatively new discipline, which is still largely unknown amongst the wider public despite its increasing importance in all of our daily lives. Outreach activities can promote awareness of space weather. In particular the visual beauty and excitement of the aurora make these lights a wonderful inspirational hook to enhance understanding of space weather in a general audience. A century ago, the Norwegian experimental physicist Kristian Birkeland, one of the founding fathers of modern space science, demonstrated with his Terrella experiment the formation of the aurora. Recently, a modernized version of the Terrella has been designed. This "Planeterrella" experiment allows the visualization of many phenomena that occur in our space environment. Although the Planeterrella was originally a local project, it has developed to become a very successful international public outreach experiment. We believe that its success is due to mainly two factors (i) the Planeterrella is not patented and the plans are free to any public institute and (ii) the project is widely advertised using national and European scientific networks such as COST ES 0803, as well as press releases, books and web sites. Today, seven Planeterrellas are in operation, four more are under construction in four different countries and several more are being planned. During the last five years, about 50 000 people in Europe have attended live Planeterrella demonstration on the formation of auroral light, the space environment and space weather. Many more have seen the Planeterrella being demonstrated on TV. The Planeterrella received the first international prize for outreach activities from the Europlanet Framework 7 program in 2010 and the French Ministry of Science outreach prize "Le goût des sciences" in November 2012. This paper describes the process that led to the construction of the first Planeterrella and discusses how the Planeterrella project developed to become an international

  15. Initial results from the VPI&SU SIRIO diversity experiment

    NASA Technical Reports Server (NTRS)

    Towner, G. C.; Marshall, R. E.; Stutzman, W. L.; Bostian, C. W.; Pratt, T.; Manus, E. A.; Wiley, P. H.

    1982-01-01

    The first year of observations of the precipitation effects on the 11.6-GHz beacon signal from the SIRIO satellite are reported. This experiment is unique in that it uses dual-polarized receivers in a diversity configuration and a low path elevation angle. Rain rate, attenuation, and isolation statistics are presented for both sites. In addition, attenuation diversity gain is plotted and compared to current models. Isolation diversity gain is also discussed. It was found that little improvement in dual-channel isolation is obtained with site diversity at this low elevation angle. The influence of ice clouds was noted in the months of October and November.

  16. Recent Experiences of the NASA Engineering and Safety Center (NESC) GN and C Technical Discipline Team (TDT)

    NASA Technical Reports Server (NTRS)

    Dennehy, Cornelius J.

    2010-01-01

    The NASA Engineering and Safety Center (NESC), initially formed in 2003, is an independently funded NASA Program whose dedicated team of technical experts provides objective engineering and safety assessments of critical, high risk projects. The GN&C Technical Discipline Team (TDT) is one of fifteen such discipline-focused teams within the NESC organization. The TDT membership is composed of GN&C specialists from across NASA and its partner organizations in other government agencies, industry, national laboratories, and universities. This paper will briefly define the vision, mission, and purpose of the NESC organization. The role of the GN&C TDT will then be described in detail along with an overview of how this team operates and engages in its objective engineering and safety assessments of critical NASA projects. This paper will then describe selected recent experiences, over the period 2007 to present, of the GN&C TDT in which they directly performed or supported a wide variety of NESC assessments and consultations.

  17. Initial European clinical experience with pulsatile extracorporeal membrane oxygenation.

    PubMed

    Agati, Salvatore; Mignosa, Carmelo; Ciccarello, Giuseppe; Salvo, Dario; Undar, Akif

    2006-04-01

    Extracorporeal membrane oxygenation (ECMO) for post-cardiotomy heart failure in neonates and infants still carries high mortality and morbidity rates. In this study we present the first European clinical experience with the Medos DeltaStream DP1, a new pulsatile flow pump, in neonates and infants. The DP1 is an extracorporeal rotary blood pump. The pump features a diagonal flow impeller, and can be used for both continuous and pulsatile output. Special characteristics include its small priming volume of approximately 30 ml and a high pumping capacity. A temperature sensor and speed sensors are integrated into the pump. The pump has a delivery rate of up to 8 liters/min and a speed range of 100 to 10,000 rpm. Two patients being assisted with the pulsatile pump system were successfully weaned after 36 and 53 hours, respectively. Based on our limited experience with 2 patients, we believe that pulsatile DP1 device is a reasonable alternative to current conventional non-pulsatile systems.

  18. Videothoracoscopy in the treatment of early empyema: an initial experience.

    PubMed Central

    Hornick, P.; Townsend, E. R.; Clark, D.; Fountain, S. W.

    1996-01-01

    Seventeen consecutive patients were referred for management of empyema between April 1991 and March 1992. Fourteen patients defined as having an 'early' empyema were initially treated by videothoracoscopy. The other three patients, defined as having a 'late' empyema proceeded directly to thoracotomy. Videothoracoscopy was successful in 10 out of the 14 patients. The mean postoperative stay was 7.8 days. At a mean follow-up at 16.7 months, these patients were rendered apyrexial with full lung expansion and no residual pleural collection. The postoperative results were at least equivalent to other conventional forms of treatment without an undue level of complications. In this series, thoracoscopy was found to be successful when symptoms had been present up to 31 days before presentation at the first hospital, and the mean length of treatment before referral to Harefield was 47 days. It is now our policy to videothoracoscope all patients with empyema thoracis, regardless of the length of referral. It may circumvent the need for a thoracotomy, it does not add any increased risk of complications, and does not appreciably increase the length of hospital stay should thoracotomy ultimately be required. PMID:8659973

  19. Initial Active MHD Spectroscopy Experiments on Alcator C-MOD

    NASA Astrophysics Data System (ADS)

    Schmittdiel, D. A.; Snipes, J. A.; Granetz, R. S.; Parker, R. R.; Wolfe, S. M.; Fasoli, A.

    2002-11-01

    The Active MHD Spectroscopy system is a new diagnostic on C-MOD that will be used to study low frequency MHD modes and TAE's present at high B_tor, n_e, and Te ˜= T_i. The present system consists of two antennas, power amplifiers, and an impedance matching network. Each antenna is 15 × 25 cm with five turns, an inductance of ˜10 μH, and is covered by boron nitride tiles. The two antennas are placed at the same toroidal location, symmetrically above and below the midplane. Each antenna is driven by a ˜1 kW power amplifier in the range of 1 kHz - 1 MHz with an expected antenna current ˜10 A, which will produce a vacuum field of ˜0.5 G at the q = 1.5 surface. This diagnostic is designed to excite high n ( ˜20) stable TAE's and initial results regarding their frequency, mode structure, and damping rate will be presented. Evolution of these modes could also provide information on the q profile to compare with MSE measurements, which will be important for planned lower hybrid current drive operation in 2003.

  20. Initial analysis of OSTA-1 ocean color experiment imagery

    NASA Technical Reports Server (NTRS)

    Kim, H. H.; Hart, W. D.; Van Der Piepen, H.

    1982-01-01

    NASA's Ocean Color Experiment (OCE) was designed to map ocean features with an eight-channel scanning radiometer installed on the second flight of the Space Shuttle Columbia. Digital computer enhancement and band-ratio techniques were applied to radiometrically corrected spectral data in order to emphasize chlorophyll distribution patterns. Such a pattern was evident in the Yellow Sea between Korea and China, and the effects of discharge from the Yangtze and other rivers were also observed. Two scenes, from orbits 30 and 32, revealed the movement of plankton patches in the Gulf of Cadiz. Geometric correction of the images permitted ocean current velocities to be deduced, and water depth variability over the Grand Bahama Bank was estimated by means of OCE's blue-green channel. Bottom-reflected sunlight produced a sensor signal that was inversely related to water depth.

  1. Construction and initial validation of the Multiracial Experiences Measure (MEM).

    PubMed

    Yoo, Hyung Chol; Jackson, Kelly F; Guevarra, Rudy P; Miller, Matthew J; Harrington, Blair

    2016-03-01

    This article describes the development and validation of the Multiracial Experiences Measure (MEM): a new measure that assesses uniquely racialized risks and resiliencies experienced by individuals of mixed racial heritage. Across 2 studies, there was evidence for the validation of the 25-item MEM with 5 subscales including Shifting Expressions, Perceived Racial Ambiguity, Creating Third Space, Multicultural Engagement, and Multiracial Discrimination. The 5-subscale structure of the MEM was supported by a combination of exploratory and confirmatory factor analyses. Evidence of criterion-related validity was partially supported with MEM subscales correlating with measures of racial diversity in one's social network, color-blind racial attitude, psychological distress, and identity conflict. Evidence of discriminant validity was supported with MEM subscales not correlating with impression management. Implications for future research and suggestions for utilization of the MEM in clinical practice with multiracial adults are discussed. (c) 2016 APA, all rights reserved).

  2. The Skylab sleep monitoring experiment - Methodology and initial results

    NASA Technical Reports Server (NTRS)

    Frost, J. D., Jr.; Delucchi, M. R.; Shumate, W. H.; Booher, C. R.

    1975-01-01

    The sleep monitoring experiment permitted an objective evaluation of sleep characteristics during the first two manned Skylab flights. Hardware located onboard the spacecraft accomplished data acquisition, analysis, and preservation, thereby permitting near-real-time evaluation of sleep during the flights and more detailed postmission analysis. The crewman studied during the 28-Day Mission showed some decrease in total sleep time and an increase in the percentage of Stage 4 sleep, while the subject in the 59-Day Mission exhibited little change in total sleep time and a small decrease in Stage 4 and REM sleep. Some disruption of sleep characteristics was seen in the final days of both missions, and both subjects exhibited decreases in REM-onset latency in the immediate postflight period. The relatively minor changes seen were not of the type nor magnitude which might be expected to be associated with significant degradation of performance capability.

  3. CT guided percutaneous needle biopsy of the chest: initial experience

    PubMed Central

    Lazguet, Younes; Maarouf, Rachid; Karrou, Marouan; Skiker, Imane; Alloubi, Ihsan

    2016-01-01

    The objective of this article is to report our first experience of CT guided percutaneous thoracic biopsy and to demonstrate the accuracy and safety of this procedure. This was a retrospective study of 28 CT-Guided Percutaneous Needle Biopsies of the Chest performed on 24 patients between November 2014 and April 2015. Diagnosis was achieved in 18 patients (75%), negative results were found in 3 patients (12,5%). Biopsy was repeated in these cases with two positive results. Complications were seen in 7 patients (29%), Hemoptysis in 5 patients (20%), Pneumothorax in 1 patient (4,1%) and vaso-vagal shock in 1 patient (4,1%). CT Guided Percutaneous Needle Biopsy of the Chest is a safe, minimally invasive procedure with high sensitivity, specificity and accuracy for diagnosis of lung lesions. PMID:27347300

  4. Construction and Initial Validation of the Multiracial Experiences Measure (MEM)

    PubMed Central

    Yoo, Hyung Chol; Jackson, Kelly; Guevarra, Rudy P.; Miller, Matthew J.; Harrington, Blair

    2015-01-01

    This article describes the development and validation of the Multiracial Experiences Measure (MEM): a new measure that assesses uniquely racialized risks and resiliencies experienced by individuals of mixed racial heritage. Across two studies, there was evidence for the validation of the 25-item MEM with 5 subscales including Shifting Expressions, Perceived Racial Ambiguity, Creating Third Space, Multicultural Engagement, and Multiracial Discrimination. The 5-subscale structure of the MEM was supported by a combination of exploratory and confirmatory factor analyses. Evidence of criterion-related validity was partially supported with MEM subscales correlating with measures of racial diversity in one’s social network, color-blind racial attitude, psychological distress, and identity conflict. Evidence of discriminant validity was supported with MEM subscales not correlating with impression management. Implications for future research and suggestions for utilization of the MEM in clinical practice with multiracial adults are discussed. PMID:26460977

  5. The Skylab sleep monitoring experiment - Methodology and initial results

    NASA Technical Reports Server (NTRS)

    Frost, J. D., Jr.; Delucchi, M. R.; Shumate, W. H.; Booher, C. R.

    1975-01-01

    The sleep monitoring experiment permitted an objective evaluation of sleep characteristics during the first two manned Skylab flights. Hardware located onboard the spacecraft accomplished data acquisition, analysis, and preservation, thereby permitting near-real-time evaluation of sleep during the flights and more detailed postmission analysis. The crewman studied during the 28-Day Mission showed some decrease in total sleep time and an increase in the percentage of Stage 4 sleep, while the subject in the 59-Day Mission exhibited little change in total sleep time and a small decrease in Stage 4 and REM sleep. Some disruption of sleep characteristics was seen in the final days of both missions, and both subjects exhibited decreases in REM-onset latency in the immediate postflight period. The relatively minor changes seen were not of the type nor magnitude which might be expected to be associated with significant degradation of performance capability.

  6. Initial Experiments of a New Permanent Magnet Helicon Thruster

    NASA Astrophysics Data System (ADS)

    Sheehan, J. P.; Longmier, Benjamin

    2013-09-01

    A new design for a permanent magnet helicon thruster is presented. Its small plasma volume (~10 cm-3) and low power requirements (<100 W) make it ideal for propelling nanosatellites (<10 kg). The magnetic field reached a maximum of 500 G in the throat of a converging-diverging nozzle and decreased to 0.5 G, the strength of earth's magnetic field, within 50 cm allowing the entire exhaust plume to develop in the vacuum chamber without being affected by the chamber walls. Low gas flow rates (~4 sccm) and high pumping speeds (~10,000 l/s) were used to more closely approximate the conditions of space. A parametric study of the thruster operational parameters was performed to determine its capabilities as both a thruster and as a plasma source for magnetic nozzle experiments. The plasma density, electron temperature, and plasma potential were measured in the plume to characterize the ion acceleration mechanism.

  7. EnergyFit Nevada (formerly known as the Nevada Retrofit Initiative) final report and technical evaluation

    SciTech Connect

    Carvill, Anna; Bushman, Kate; Ellsworth, Amy

    2014-06-17

    The EnergyFit Nevada (EFN) Better Buildings Neighborhood Program (BBNP, and referred to in this document as the EFN program) currently encourages Nevada residents to make whole-house energy-efficient improvements by providing rebates, financing, and access to a network of qualified home improvement contractors. The BBNP funding, consisting of 34 Energy Efficiency Conservation Block Grants (EECBG) and seven State Energy Program (SEP) grants, was awarded for a three-year period to the State of Nevada in 2010 and used for initial program design and implementation. By the end of first quarter in 2014, the program had achieved upgrades in 553 homes, with an average energy reduction of 32% per home. Other achievements included: Completed 893 residential energy audits and installed upgrades in 0.05% of all Nevada single-family homes1 Achieved an overall conversation rate of 38.1%2 7,089,089 kWh of modeled energy savings3 Total annual homeowner energy savings of approximately $525,7523 Efficiency upgrades completed on 1,100,484 square feet of homes3 $139,992 granted in loans to homeowners for energy-efficiency upgrades 29,285 hours of labor and $3,864,272 worth of work conducted by Nevada auditors and contractors4 40 contractors trained in Nevada 37 contractors with Building Performance Institute (BPI) certification in Nevada 19 contractors actively participating in the EFN program in Nevada 1 Calculated using 2012 U.S. Census data reporting 1,182,870 homes in Nevada. 2 Conversion rate through March 31, 2014, for all Nevada Retrofit Initiative (NRI)-funded projects, calculated using the EFN tracking database. 3 OptiMiser energy modeling, based on current utility rates. 4 This is the sum of $3,596,561 in retrofit invoice value and $247,711 in audit invoice value.

  8. Initial experience with transluminally placed endovascular grafts for the treatment of complex vascular lesions.

    PubMed Central

    Marin, M L; Veith, F J; Cynamon, J; Sanchez, L A; Lyon, R T; Levine, B A; Bakal, C W; Suggs, W D; Wengerter, K R; Rivers, S P

    1995-01-01

    OBJECTIVES: Complex arterial occlusive, traumatic, and aneurysmal lesions may be difficult or impossible to treat successfully by standard surgical techniques when severe medical or surgical comorbidities exist. The authors describe a single center's experience over a 2 1/2-year period with 96 endovascular graft procedures performed to treat 100 arterial lesions in 92 patients. PATIENTS AND METHODS: Thirty-three patients had 36 large aortic and/or peripheral artery aneurysms, 48 had 53 multilevel limb-threatening aortoiliac and/or femoropopliteal occlusive lesions, and 11 had traumatic arterial injuries (false aneurysms and arteriovenous fistulas). Endovascular grafts were placed through remote arteriotomies under local (16[17%]), epidural (42[43%]), or general (38[40%]) anesthesia. RESULTS: Technical and clinical successes were achieved in 91% of the patients with aneurysms, 91% with occlusive lesions, and 100% with traumatic arterial lesions. These patients and grafts have been followed from 1 to 30 months (mean, 13 months). The primary and secondary patency rates at 18 months for aortoiliac occlusions were 77% and 95%, respectively. The 18-month limb salvage rate was 98%. Immediately after aortic aneurysm exclusion, a total of 6 (33%) perigraft channels were detected; 3 of these closed within 8 weeks. Endovascular stented graft procedures were associated with a 10% major and a 14% minor complication rate. The overall 30-day mortality rate for this entire series was 6%. CONCLUSIONS: This initial experience with endovascular graft repair of complex arterial lesions justifies further use and careful evaluation of this technique for major arterial reconstruction. Images Figure 1. Figure 4. Figure 5. Figure 5. Figure 6. Figure 7. Figure 8. Figure 9. Figure 11. PMID:7574926

  9. Lake Granbury and Lake Whitney Assessment Initiative Final Scientific/Technical Report Summary

    SciTech Connect

    Harris, B. L.; Roelke, Daniel; Brooks, Bryan; Grover, James

    2010-10-11

    A team of Texas AgriLife Research, Baylor University and University of Texas at Arlington researchers studied the biology and ecology of Prymnesium parvum (golden algae) in Texas lakes using a three-fold approach that involved system-wide monitoring, experimentation at the microcosm and mesocosm scales, and mathematical modeling. The following are conclusions, to date, regarding this organism's ecology and potential strategies for mitigation of blooms by this organism. In-lake monitoring revealed that golden algae are present throughout the year, even in lakes where blooms do not occur. Compilation of our field monitoring data with data collected by Texas Parks and Wildlife and Brazos River Authority (a period spanning a decade) revealed that inflow and salinity variables affect bloom formations. Thresholds for algae populations vary per lake, likely due to adaptations to local conditions, and also to variations in lake-basin morphometry, especially the presence of coves that may serve as hydraulic storage zones for P. parvum populations. More specifically, our in-lake monitoring showed that the highly toxic bloom that occurred in Lake Granbury in the winter of 2006/2007 was eliminated by increased river inflow events. The bloom was flushed from the system. The lower salinities that resulted contributed to golden algae not blooming in the following years. However, flushing is not an absolute requirement for bloom termination. Laboratory experiments have shown that growth of golden algae can occur at salinities ~1-2 psu but only when temperatures are also low. This helps to explain why blooms are possible during winter months in Texas lakes. Our in-lake experiments in Lake Whitney and Lake Waco, as well as our laboratory experiments, revealed that cyanobacteria, or some other bacteria capable of producing algicides, were able to prevent golden algae from blooming. Identification of this organism is a high priority as it may be a key to managing golden algae blooms

  10. Great Lakes water quality initiative technical support document for the procedure to determine bioaccumulation factors. Draft report

    SciTech Connect

    Not Available

    1993-03-01

    The purpose of the document is to provide the technical information and rationale in support of the proposed procedures to determine bioaccumulation factors. Bioaccumulation factors, together with the quantity of aquatic organisms eaten, determine the extent to which people and wildlife are exposed to chemicals through the consumption of aquatic organisms. The more bioaccumulative a pollutant is, the more important the consumption of aquatic organisms becomes as a potential source of contaminants to humans and wildlife. Bioaccumulation factors are needed to determine both human health and wildlife tier I water quality criteria and tier II values. Also, they are used to define Bioaccumulative Chemicals of Concern among the Great Lakes Initiative universe of pollutants. Bioaccumulation factors range from less than one to several million.

  11. Loads Providing Ancillary Services: Review of InternationalExperience-- Technical Appendix: Market Descriptions

    SciTech Connect

    Grayson Heffner, Charles Goldman, Kintner-Meyer, M; Kirby, Brendan

    2007-05-01

    In this study, we examine the arrangements for andexperiences of end-use loads providing ancillary services (AS) in fiveelectricity markets: Australia, the United Kingdom (UK), the Nordicmarket, and the ERCOT and PJM markets in the United States. Our objectivein undertaking this review of international experience was to identifyspecific approaches or market designs that have enabled customer loads toeffectively deliver various ancillary services (AS) products. We hopethat this report will contribute to the ongoing discussion in the U.S.and elsewhere regarding what institutional and technical developments areneeded to ensure that customer loads can meaningfully participate in allwholesale electricity markets.

  12. Social Health Maintenance Organizations: assessing their initial experience.

    PubMed Central

    Newcomer, R; Harrington, C; Friedlob, A

    1990-01-01

    The Social/Health Maintenance Organization (S/HMO) is a four-site national demonstration. This program combines Medicare Part A and B coverage, with various extended and chronic care benefits, into an integrated health plan. The provision of these services extends both the traditional roles of HMOs and that of long-term care community-service case management systems. During the initial 30 months of operation the four S/HMOs shared financial risk with the Health Care Financing Administration. This article reports on this developmental period. During this phase the S/HMOs had lower-than-expected enrollment levels due in part to market competition, underfunding of marketing efforts, the limited geographic area served, and an inability to differentiate the S/HMO product from that of other Medicare HMOs. The S/HMOs were allowed to conduct health screening of applicants prior to enrolling them. The number of nursing home-certifiable enrollees was controlled through this mechanism, but waiting lists were never very long. Persons joining S/HMOs and other Medicare HMOs during this period were generally aware of the alternatives available. S/HMO enrollees favored the more extensive benefits; HMO enrollees considerations of cost. The S/HMOs compare both newly formed HMOs and established HMOs. On the basis of administrator cost, it is more efficient to add chronic care benefits to an HMO than to add an HMO component to a community care provider. All plans had expenses greater than their revenues during the start-up period, but they were generally able to keep service expenditures within planned levels. PMID:2116384

  13. Crew familiarity: operational experience, non-technical performance, and error management.

    PubMed

    Thomas, Matthew J W; Petrilli, Renée M

    2006-01-01

    Crew familiarity, in terms of having recent operational experience together as a crew, is seen as an important safety-related variable. However, little evidence exists to unpack the underlying processes with respect to familiarity. This study investigated the relationships between crew familiarity, non-technical performance, and error management. Data were collected during normal line operations at a commercial airline by observers using a methodology based on the Line Operations Safety Audit (LOSA). A total of 154 flights were analyzed, 31% of which were operated by an unfamiliar crew, with 69% operated by a familiar crew. The rate of error occurrence was found to be higher for unfamiliar crews, and these crews were found to make different types of errors when compared with familiar crews. However, with respect to the management of error events, no significant difference was found between unfamiliar and familiar crews. No significant effect of crew familiarity was found with respect to crews' non-technical performance. However, strong correlations were found between crews' non-technical performance and the management of errors. The findings indicate that crew familiarity, in terms of whether a crew has flown together recently or not, has little operational significance with respect to the management of error events during normal line operations. Accordingly, the suggestion that unfamiliar crews operate at a higher level of safety-related risk was not supported. Non-technical performance appears to be a stronger driver of effective error management than crew familiarity, and is highlighted as a focus for further investigation and intervention.

  14. Initial experience with a nuclear medicine viewing workstation

    NASA Astrophysics Data System (ADS)

    Witt, Robert M.; Burt, Robert W.

    1992-07-01

    Graphical User Interfaced (GUI) workstations are now available from commercial vendors. We recently installed a GUI workstation in our nuclear medicine reading room for exclusive use of staff and resident physicians. The system is built upon a Macintosh platform and has been available as a DELTAmanager from MedImage and more recently as an ICON V from Siemens Medical Systems. The workstation provides only display functions and connects to our existing nuclear medicine imaging system via ethernet. The system has some processing capabilities to create oblique, sagittal and coronal views from transverse tomographic views. Hard copy output is via a screen save device and a thermal color printer. The DELTAmanager replaced a MicroDELTA workstation which had both process and view functions. The mouse activated GUI has made remarkable changes to physicians'' use of the nuclear medicine viewing system. Training time to view and review studies has been reduced from hours to about 30-minutes. Generation of oblique views and display of brain and heart tomographic studies has been reduced from about 30-minutes of technician''s time to about 5-minutes of physician''s time. Overall operator functionality has been increased so that resident physicians with little prior computer experience can access all images on the image server and display pertinent patient images when consulting with other staff.

  15. [Initial experience with selection procedures for admission to medical school].

    PubMed

    ten Cate, T J; Hendrix, H L

    2001-07-14

    Admittance to a medical school in the Netherlands has for decades been based on a grade point average weighted lottery system of secondary school leavers. Since 2000, the Dutch Higher Education and Scientific Research Act has given medical schools the option of selecting candidates. In 2000, two of the eight Dutch medical schools started selection experiments for 10 percent of their places. Leiden University Medical Center invited school leavers who had studied a more varied range of extra subjects to attend a 10-day summer school. All 54 candidates were ranked on the basis of assessments and tests; 24 of them were admitted. Utrecht University invited students with a higher education degree to a selection day. An application form, a structured interview and a questionnaire determined the ranking of 53 candidates; 24 of them were admitted. Both schools were satisfied with the manner in which the selection procedure worked. However, it is not yet possible to draw any definite conclusions about the effectiveness of the selection procedure.

  16. Magnetic resonance imaging of the female pelvis: initial experience

    SciTech Connect

    Hricak, H.; Alpers, C.; Crooks, L.E.; Sheldon, P.E.

    1983-12-01

    The potential of magnetic resonance imaging (MRI) was evaluated in 21 female subjects: seven volunteers, 12 patients scanned for reasons unrelated to the lower genitourinary tract, and two patients referred with gynecologic disease. The uterus at several stages was examined; the premenarcheal uterus (one patient), the uterus of reproductive age (12 patients), the postmenopausal uterus (two patients), and in an 8 week pregnancy (one patient). The myometrium and cyclic endometrium in the reproductive age separated by a low-intensity line (probably stratum basale), which allows recognition of changes in thickness of the cyclic endometrium during the menstrual cycle. The corpus uteri can be distinguished from the cervix by the transitional zone of the isthmus. The anatomic relation of the uterus to bladder and rectum is easily outlined. The vagina can be distinguished from the cervix, and the anatomic display of the closely apposed bladder, vagina, and rectum is clear on axial and coronal images. The ovary is identified; the signal intensity from the ovary depends on the acquisition parameter used. Uterine leiomyoma, endometriosis, and dermoid cyst were depicted, but further experience is needed to ascertain the specificity of the findings.

  17. Initial clinical experience using a novel laparoscopy assistant.

    PubMed

    Mishra, Raineesh; Martínez, Arturo Minor; Lorias Espinoza, Daniel

    2011-05-01

    This article presents the first clinical and experimental experiences of the PMASS (Postural Mechatronic Assistance Solo Surgery) from a prospective study carried on on thirteen laparoscopic procedures. Also, their advantages and disadvantages are identified. The PMASS is a system with three articulations; two articulations are passive and one is active; this handles the optic in real time, reducing the latency time by spatial relocation. The surgeons assisted themselves visually in 13 surgical procedures, having direct and intuitive control in real time of the laparoscopic vision field using the PMASS. The surgical and delay time was documented for each surgery. The surgical procedures were: Laparoscopic appendicectomy, ovarian cystectomy and laparoscopic sterilization. In all procedures, surgeons were able to auto-navigate in real time and there was no visual tremor while using the system. The global average times taken to perform the self-assisted surgery with the PMASS for the laparoscopic appendicectomies were 45 ± 4.5 minutes, ovarian cystectomies 49 ± 3.5 minutes and for the laparoscopic sterilization 22 ± 2 minutes. The approximate set-up time of PMASS was one minute, and removal almost a minute (the time required by the surgeon to remove the harness after completing the surgery). The laparoscope itself disengages from the PMASS in a couple of seconds approximately. There were no transoperative or postoperative complications during the procedures. Thirteen laparoscopic procedures were performed, the design of the mechatronic assistance allowed the surgeon to self-assist visually in real time and in an autonomous way in the solo-surgery mode, without compromising the surgical performance and the morbidity. Additionally, the latency times are also reduced by space relocation and coupling of the telescope.

  18. ENVRI PLUS: European initiative towards technical and research cultural solutions for across-disciplines accessible Research Infrastructure products

    NASA Astrophysics Data System (ADS)

    Asmi, A.; Kutsch, W. L.

    2015-12-01

    Environmental Research Infrastructures are often built as bottom-up initiatives to provide products for specific target group, which often is very discipline specific. However, the societal or environmental challenges are typically not concentrated on specific disciplines, and require usage of data sets from many RIs. ENVRI PLUS is an initiative where the European environmental RIs work together to provide common technical background (in physical observation technologies and in data products and descriptions) to make the RI products more usable to user groups outside of the original RI target groups. ENVRI PLUS also includes many policy and dissemination concentrated actions to make the RI operations coherent and understandable to both scientists and other potential users. The actions include building common technological capital of the RIs (physical and data-oriented), creating common access procedures (especially for cross-diciplinary access), developing ethical guidelines and related policies, distributing know-how between RIs and building common communication and collaboration system for European environmental RIs. All ENVRI PLUS products are free to use, e.g. for use of new or existing environmental RIs worldwide.

  19. Initial Operation and Checkout of Stratospheric Aerosol Gas Experiment and Meteor-3M Satellite

    NASA Technical Reports Server (NTRS)

    Habib, Shahid; Makridenko, L.; Chu, W.; Salikhov, R.; Moore, A.; Trepte, C.; Cisewski, M.

    2002-01-01

    Under a joint agreement between the National Aeronautics and Space Agency (NASA) and the Russian Aviation and Space Agency (RASA), the Stratospheric Aerosol Gas Experiment III (SAGE III) instrument was launched in low earth orbit on December 10,2001 aboard the Russian Meteor-3M satellite from the Baikonur Cosmodrome. SAGE III is a spectrometer that measures attenuated radiation in the 282 nm to 1550 nm wavelength range to obtain the vertical profiles of ozone, aerosols, and other chemical species that are critical in studying the trends for the global climate change phenomena. This instrument version is more advanced than any of the previous versions and has more spectral bands, elaborate data gathering and storage, and intelligent terrestrial software. There are a number of Russian scientific instruments aboard the Meteor satellite in addition to the SAGE III instrument. These instruments deal with land imaging and biomass changes, hydro-meteorological monitoring, and helio-geophysical research. This mission was under development for over a period of six years and offered a number of unique technical and program management challenges for both Agencies. SAGE III has a long space heritage, and four earlier versions of this instrument have flown in space for nearly two decades now. In fact, SAGE II, the fourth instrument, is still flying in space on NASA s Earth Radiation Budget Satellite (ERBS), and has been providing important atmospheric data over the last 18 years. It has provided vital ozone and aerosol data in the mid latitudes and has contributed vastly in ozone depletion research. Ball Aerospace built the instrument under Langley Research Center s (LaRC) management. This paper presents innovative approaches deployed by the SAGE III and the Meteor teams in performing the initial on-orbit checkout. It further documents a number of early science results obtained by deploying low risk, carefully coordinated procedures in resolving the serious operational issues

  20. Initial operation and checkout of stratospheric aerosol gas experiment and Meteor-3M satellite

    NASA Astrophysics Data System (ADS)

    Habib, Shahid; Makridenko, Leonid; Chu, William P.; Salikhov, Rashid; Moore, Alvah S., Jr.; Trepte, Charles R.; Cisewski, Michael S.

    2003-04-01

    Under a joint agreement between the National Aeronautics and Space Agency (NASA) and the Russian Aviation and Space Agency (RASA), the Stratospheric Aerosol Gas Experiment III (SAGE III) instrument was launched in low earth orbit on December 10, 2001 aboard the Russian Meteor-3M(1) satellite from the Baikonur Cosmodrome. SAGE III is a spectrometer that measures attenuated radiation in the 282 nm to 1550 nm wavelength range to obtain the vertical profiles of ozone, aerosols, and other chemical species that are critical in studying the trends for the global climate change phenomena. This instrument version is more advanced than any of the previous versions and has more spectral bands, elaborate data gathering and storage, and intelligent terrestrial software. There are a number of Russian scientific instruments aboard the Meteor satellite in addition to the SAGE III instrument. These instruments deal with land imaging and biomass changes, hydro-meteorological monitoring, and helio-geophysical research. This mission was under development for over a period of six years and offered a number of unique technical and program management challenges for both Agencies. SAGE III has a long space heritage, and four earlier versions of this instrument have flown in space for nearly two decades now. In fact, SAGE II, the fourth instrument, is still flying in space on NASA's Earth Radiation Budget Satellite (ERBS), and has been providing important atmospheric data over the last 18 years. It has provided vital ozone and aerosol data in the mid latitudes and has contributed vastly in ozone depletion research. Ball Aerospace built the instrument under Langley Research Center's (LaRC) management. This paper presents the process and approach deployed by the SAGE III and the Meteor teams in performing the initial on-orbit checkout. It further documents a number of early science results obtained by deploying low risk, carefully coordinated procedures in resolving the serious operational

  1. Initial Operation and Checkout of Stratospheric Aerosol Gas Experiment and Meteor-3M Satellite

    NASA Technical Reports Server (NTRS)

    Habib, Shahid; Makridenko, L.; Chu, W.; Salikhov, R.; Moore, A.; Trepte, C.; Cisewski, M.

    2002-01-01

    Under a joint agreement between the National Aeronautics and Space Agency (NASA) and the Russian Aviation and Space Agency (RASA), the Stratospheric Aerosol Gas Experiment III (SAGE III) instrument was launched in low earth orbit on December 10,2001 aboard the Russian Meteor-3M satellite from the Baikonur Cosmodrome. SAGE III is a spectrometer that measures attenuated radiation in the 282 nm to 1550 nm wavelength range to obtain the vertical profiles of ozone, aerosols, and other chemical species that are critical in studying the trends for the global climate change phenomena. This instrument version is more advanced than any of the previous versions and has more spectral bands, elaborate data gathering and storage, and intelligent terrestrial software. There are a number of Russian scientific instruments aboard the Meteor satellite in addition to the SAGE III instrument. These instruments deal with land imaging and biomass changes, hydro-meteorological monitoring, and helio-geophysical research. This mission was under development for over a period of six years and offered a number of unique technical and program management challenges for both Agencies. SAGE III has a long space heritage, and four earlier versions of this instrument have flown in space for nearly two decades now. In fact, SAGE II, the fourth instrument, is still flying in space on NASA s Earth Radiation Budget Satellite (ERBS), and has been providing important atmospheric data over the last 18 years. It has provided vital ozone and aerosol data in the mid latitudes and has contributed vastly in ozone depletion research. Ball Aerospace built the instrument under Langley Research Center s (LaRC) management. This paper presents innovative approaches deployed by the SAGE III and the Meteor teams in performing the initial on-orbit checkout. It further documents a number of early science results obtained by deploying low risk, carefully coordinated procedures in resolving the serious operational issues

  2. First clinical experience with the automatic positioning system and Leksell gamma knife Model C. Technical note.

    PubMed

    Horstmann, G A; Schöpgens, H; van Eck, A T; Kreiner, H J; Herz, W

    2000-12-01

    In May of 1999, the first Leksell Model C gamma knife was installed at the Gamma Knife Zentrum in Krefeld, Germany. The authors recount their experience with this latest technical gamma knife development. Until the end of 1999, extensive physical and technical tests were performed and the system's hardware and software were continuously improved and adapted to the user's needs. By the end of 1999, 163 GKSs had been performed using the new functionality of the Model C in manual or "trunnion" mode. The trunnions, the two parts of the system that fix the patient headframe to the gamma knife when the isocenter positions, are checked manually. During the same period the new automatic positioning system (APS) was extensively tested and refined so that the first APS treatment could be performed in January 2000. Fifty GKSs have been performed with the APS capability of the Model C. It was possible to use APS alone in 74% of surgeries whereas in 14% some shots were given with APS and some with trunnions. In 12%, GKS was scheduled and planned for APS, but due to unexpected technical (6%) or mechanical (6%) reasons the treatment had to be performed manually. At present there are some spatial restrictions with Model C in APS mode when compared with the Model B. The most significant restriction is the narrow space for the patient's shoulders, especially when deep-seated lesions are treated. Through mechanical changes of the APS motor housing and some modifications of and to the motor driven couch adjustment, these limitations will be reduced in the future. The APS treatment runs smoothly and fast. In no case did any relevant safety error occur during GKS. The more stringent mechanical limitations of the APS compared with the Model B means that frame placement on the head is more critical than before.

  3. Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon's initial experience

    PubMed Central

    Zachariah, Sanoop K

    2013-01-01

    BACKGROUND: Single-incision laparoscopic surgery is considered as a more technically demanding procedure than the standard laparoscopic surgery. Based on an initial and early experience, single-incision laparoscopic appendectomy (LA) was found to be technically advantageous for dealing with appendicitis in unusual anatomical locations. This study aims to highlight the technical advantages of single-incision laparoscopic surgery in dealing with the abnormally located appendixes and furthermore report a case of acute appendicitis occurring in a sub-gastric position, which is probably the first such case to be reported in English literature. MATERIALS AND METHODS: A retrospective analysis of the first 10 cases of single-incision LA which were performed by a single surgeon is presented here. RESULTS: There were seven females and three males. The mean age of the patients was 30.6 (range 18–52) years, mean BMI was 22.7 (range 17–28) kg/m2 and the mean operative time was 85.5 (range 45–150) min. The mean postoperative stay was 3.6 (range 1–7) days. The commonest position of the appendix was retro-caecal (50%) followed by pelvic (30%). In three cases the appendix was found to be in abnormal locations namely sub-hepatic, sub-gastric and deep pelvic or para-vesical or para-rectal. All these cases could be managed with this technique without any conversions CONCLUSION: Single-incision laparoscopic surgery appears to be a feasible and safe technique for dealing with appendicitis in rare anatomical locations. Appendectomy may be a suitable procedure for the initial training in single-incision laparoscopic surgery. PMID:23626414

  4. Conceptual design of a moving belt radiator shuttle-attached experiments: Technical requirement Document

    NASA Technical Reports Server (NTRS)

    Aguilar, Jerry L.

    1989-01-01

    The technical requirements for a shuttle-attached Moving Belt Radiator (MBR) experiment are defined. The MBR is an advanced radiator concept in which a rotating belt radiates thermal energy to space. The requirements for integrating the MBR experiment in the shuttle bay are discussed. Requirements for the belt material and working fluid are outlined along with some possible options. The proposed size and relationship to a full scale Moving Belt Radiator are defined. The experiment is defined with the primary goal of dynamic testing and a secondary goal of demonstrating the sealing and heat transfer characteristics. A perturbation system which will simulate a docking maneuver or other type of short term acceleration is proposed for inclusion in the experimental apparatus. A deployment and retraction capability which will aid in evaluating the dynamics of a belt during such a maneuver is also described. The proposed test sequence for the experiment is presented. Details of the conceptual design are not presented herein, but rather in a separate Final Report.

  5. Implications of on-the-job Experience for the Curriculum for Library Technical Assistants at Pasadena City College.

    ERIC Educational Resources Information Center

    Green, Sylvia N.

    Reported are the results of a study undertaken to determine the extent to which library technical assistant students at Pasadena City College (California) brought previously learned skills from job experiences into the classroom and to ascertain whether the curriculum could be modified to minimize repetition of earlier experiences. Identification…

  6. Texas High School Principals' First Year Experiences and Perceptions Relating to the Leadership of Career and Technical Education Programs

    ERIC Educational Resources Information Center

    Nix, Toby Lee

    2012-01-01

    The purpose of this study was to explore the perceptions and experiences of three Texas high school principals regarding their first-year of leadership involving Career and Technical Education (CTE) programs. A narrative non-fiction methodology was used to present the participants' stories and perceptions of their lived experiences. The three…

  7. NASA's experience in the international exchange of scientific and technical information in the aerospace field

    NASA Technical Reports Server (NTRS)

    Thibideau, Philip A.

    1989-01-01

    The early NASA international scientific and technical information (STI) exchange arrangements were usually detailed in correspondence with the librarians of the institutions involved. While this type of exchange, which involved only hardcopy (paper) products, grew to include some 220 organization in 43 countries, NASA's main focus shifted substantially to the STI relationship with the European Space Agency (ESA) which began in 1964. The NASA/ESA Tripartite Exchange Program, which now has more than 500 participants, provides more than 4,000 highly-relevant technical reports, fully processed, for the NASA produced 'Aerospace Database'. In turn, NASA provides an updated copy of this Database, known in Europe as the 'NASA File', for access, through ESA's Information Retrieval Service, by participating European organizations. Our experience in the evolving cooperation with ESA has established the 'model' for our more recent exchange agreements with Israel, Australia, Canada, and one under negotiation with Japan. The results of these agreements are made available to participating European organizations through the NASA File.

  8. NASA's experience in the international exchange of scientific and technical information in the aerospace field

    NASA Technical Reports Server (NTRS)

    Thibideau, Philip A.

    1989-01-01

    The early NASA international scientific and technical information (STI) exchange arrangements were usually detailed in correspondence with the librarians of the institutions involved. While this type of exchange, which involved only hardcopy (paper) products, grew to include some 220 organization in 43 countries, NASA's main focus shifted substantially to the STI relationship with the European Space Agency (ESA) which began in 1964. The NASA/ESA Tripartite Exchange Program, which now has more than 500 participants, provides more than 4,000 highly-relevant technical reports, fully processed, for the NASA produced 'Aerospace Database'. In turn, NASA provides an updated copy of this Database, known in Europe as the 'NASA File', for access, through ESA's Information Retrieval Service, by participating European organizations. Our experience in the evolving cooperation with ESA has established the 'model' for our more recent exchange agreements with Israel, Australia, Canada, and one under negotiation with Japan. The results of these agreements are made available to participating European organizations through the NASA File.

  9. Outcome of MRI-guided vacuum-assisted breast biopsy – initial experience at Institute of Oncology Ljubljana, Slovenia

    PubMed Central

    Zebic-Sinkovec, Marta; Hertl, Kristijana; Kadivec, Maksimiljan; Cavlek, Mihael; Podobnik, Gasper; Snoj, Marko

    2012-01-01

    Background Like all breast imaging modalities MRI has limited specificity and the positive predictive value for lesions detected by MRI alone ranges between 15 and 50%. MRI guided procedures (needle biopsy, presurgical localisation) are mandatory for suspicious findings visible only at MRI, with potential influence on therapeutic decision. The aim of this retrospective study was to evaluate our initial clinical experience with MRI-guided vacuum-assisted breast biopsy as an alternative to surgical excision and to investigate the outcome of MRI-guided breast biopsy as a function of the MRI features of the lesions. Patients and methods. In 14 women (median age 51 years) with 14 MRI-detected lesions, MRI-guided vacuum-assisted breast biopsy was performed. We evaluated the MRI findings that led to biopsy and we investigated the core and postoperative histology results and follow-up data. Results The biopsy was technically successful in 14 (93%) of 15 women. Of 14 biopsies in 14 women, core histology revealed 6 malignant (6/14, 43%), 6 benign (6/14, 43%) and 2 high-risk (2/14, 14%) lesions. Among the 6 cancer 3 were invasive and 3 were ductal carcinoma in situ (DCIS). The probability of malignancy in our experience was higher for non-mass lesion type and for washout and plateau kinetics. Conclusions Our initial experience confirms that MRI-guided vacuum-assisted biopsy is fast, safe and accurate alternative to surgical biopsy for breast lesions detected at MRI only. PMID:23077445

  10. Experiments and simulations of Richtmyer-Meshkov Instability with measured,volumetric initial conditions

    NASA Astrophysics Data System (ADS)

    Sewell, Everest; Ferguson, Kevin; Jacobs, Jeffrey; Greenough, Jeff; Krivets, Vitaliy

    2016-11-01

    We describe experiments of single-shock Richtmyer-Meskhov Instability (RMI) performed on the shock tube apparatus at the University of Arizona in which the initial conditions are volumetrically imaged prior to shock wave arrival. Initial perturbations play a major role in the evolution of RMI, and previous experimental efforts only capture a single plane of the initial condition. The method presented uses a rastered laser sheet to capture additional images throughout the depth of the initial condition immediately before the shock arrival time. These images are then used to reconstruct a volumetric approximation of the experimental perturbation. Analysis of the initial perturbations is performed, and then used as initial conditions in simulations using the hydrodynamics code ARES, developed at Lawrence Livermore National Laboratory (LLNL). Experiments are presented and comparisons are made with simulation results.

  11. AgRISTARS. Preliminary technical results review of FY81 experiments, volume 2: Fiscal year 1981/1982 "corn and soybeans pilot" experiment

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The performance of the technology exhibited significant proportion estimation errors, specifically, high mean error in both corn and soybeans area estimation. The data systems, technical approaches, and data assessment of the pilot experiment were reviewed. Results of proportion estimations procedure performance evaluations, and sensitivity evaluations are presented. The role of the pilot experiment in foreign technology development is discussed.

  12. Preliminary technical results review of FY81 experiments. Volume 1: Fiscal year 1981/82 spring small grains pilot experiment. [Canada and the United States

    NASA Technical Reports Server (NTRS)

    1981-01-01

    Technical progress made in the foreign commodity production forecasting for the advancement of spring small grains (SSG) area estimation is reported with emphasis on results achieved since the last AgRISTARS level semiannual review. Major objectives and accomplishments are reviewed and the experiment is described. The technical approach data assessment, and data systems used are considered. Results of the group approach comparison study are presented along with preliminary aggregation results for SSG processing procedures. The outlook for the future is assessed.

  13. Technical experience from clinical studies with INPRES and a concept for a miniature augmented reality system

    NASA Astrophysics Data System (ADS)

    Sudra, Gunther; Marmulla, Ruediger; Salb, Tobias; Gockel, Tilo; Eggers, Georg; Giesler, Bjoern; Ghanai, Sassan; Fritz, Dominik; Dillmann, Ruediger; Muehling, Joachim

    2005-04-01

    This paper is going to present a summary of our technical experience with the INPRES System -- an augmented reality system based upon a tracked see-through head-mounted display. With INPRES a complete augmented reality solution has been developed that has crucial advantages when compared with previous navigation systems. Using these techniques the surgeon does not need to turn his head from the patient to the computer monitor and vice versa. The system's purpose is to display virtual objects, e.g. cutting trajectories, tumours and risk-areas from computer-based surgical planning systems directly in the surgical site. The INPRES system was evaluated in several patient experiments in craniofacial surgery at the Department of Oral and Maxillofacial Surgery/University of Heidelberg. We will discuss the technical advantages as well as the limitations of INPRES and present two strategies as a result. On the one hand we will improve the existing and successful INPRES system with new hardware and a new calibration method to compensate for the stated disadvantage. On the other hand we will focus on miniaturized augmented reality systems and present a new concept based on fibre optics. This new system should be easily adaptable at surgical instruments and capable of projecting small structures. It consists of a source of light, a miniature TFT display, a fibre optic cable and a tool grip. Compared to established projection systems it has the capability of projecting into areas that are only accessible by a narrow path. No wide surgical exposure of the region is necessary for the use of augmented reality.

  14. [Lithostar Multiline. A multi-function lithotripter for ESWL and endourology: initial clinical experiences].

    PubMed

    Haag, U; Gschwend, J E; Kleinschmidt, K; Hautmann, R E

    1997-09-01

    After > 10,000 treatments-our HM3/4 and MPL 9000 have been replaced by the Siemens Lithostar multiline. As a ESWL center with ESWL as the primary treatment indication for all types of stones in kidney and ureter we report our initial experience with this new multifunctional lithotripter. The system consists of an electromagnetic shock-wave emitter (Focus 80 x 5 mm) and a digital fluoroscopy unit. Stone localization is achieved in a - 10 degrees and + 30 degrees position without movement of the patient. The treatment table itself allows most endourologic and percutaneous auxiliary procedures. Additionally, an intergrated inline ultrasound is available. From 10/94 to 08/95, 204 male and 96 female patients with a mean age of 50.7 (4-92) years underwent ESWL with the Lithostar multiline. The mean stone diameter was 10.3 (2-20) mm with 53% ureteral and 47% renal stones. 300 patients underwent 480 treatments (average shocks 3673, range 793-8000; mean energy level 5.5, range 1-9). Stone localization was achieved after 5 (1-39) min (mean fluoroscopy time 3.1 (0.5-16.2) min). In 92.7% no analgesic premedication was done, 56% of the patients needed no analgesics at all during ESWL. 44% received 8.1 (2-15) mg Piritramid intravenously. Epidural anesthesia was performed in only 2.3% for a second treatment. 95% of the patients had complete stone disintegration. In 68% disintegration was achieved in one session. ESWL was repeated for further disintegration in 18.5%, because of an unsuccessful treatment in 11.5% and because of technical interruption of the previous session in 2.5%. We saw subkapsular haematomas in 2%. Auxiliary procedures following ESWL were necessary in only 9.2% of the patients. In situ ESWL with the new Lithostar Multiline seems to be effective as the Domler HM3/4. Analgesia-free treatment was performed in more than 50% of the patients. Auxiliary procedures were less frequently necessary as compared to our previous experience with in situ ESWL.

  15. Initial experience of dual-energy lung perfusion CT using a dual-source CT system in children.

    PubMed

    Goo, Hyun Woo

    2010-09-01

    Initial experience of dual-source dual-energy (DE) lung perfusion CT in children is described. In addition to traditional identification of pulmonary emboli, the assessment of lung perfusion is technically feasible with dual-source DE CT in children with acceptable radiation dose. This article describes how to perform dual-source DE lung perfusion CT in children, including the optimization of intravenous injection method and CT dose parameters. How to produce weighted-average CT images for the assessment of pulmonary emboli and colour-coded perfusion maps for the assessment of regional lung perfusion is also detailed. Lung perfusion status can then be evaluated on perfusion maps by means of either qualitative or quantitative analysis. Potential advantages and disadvantages of this emerging CT technique compared to lung perfusion scintigraphy and cardiac MRI are discussed.

  16. The Obstetric Hemorrhage Initiative (OHI) in Florida: The Role of Intervention Characteristics in Influencing Implementation Experiences among Multidisciplinary Hospital Staff.

    PubMed

    Vamos, Cheryl A; Cantor, Allison; Thompson, Erika L; Detman, Linda A; Bronson, Emily A; Phelps, Annette; Louis, Judette M; Gregg, Anthony R; Curran, John S; Sappenfield, William M

    2016-10-01

    Objectives Obstetric hemorrhage is one of the leading causes of maternal mortality. The Florida Perinatal Quality Collaborative coordinates a state-wide Obstetric Hemorrhage Initiative (OHI) to assist hospitals in implementing best practices related to this preventable condition. This study examined intervention characteristics that influenced the OHI implementation experiences among Florida hospitals. Methods Purposive sampling was employed to recruit diverse hospitals and multidisciplinary staff members. A semi-structured interview guide was developed based on the following constructs from the intervention characteristics domain of the Consolidated Framework for Implementation Research: evidence strength; complexity; adaptability; and packaging. Interviews were audio-recorded, transcribed and analyzed using Atlas.ti. Results Participants (n = 50) across 12 hospitals agreed that OHI is evidence-based and supported by various information sources (scientific literature, experience, and other epidemiologic or quality improvement data). Participants believed the OHI was 'average' in complexity, with variation depending on participant's role and intervention component. Participants discussed how the OHI is flexible and can be easily adapted and integrated into different hospital settings, policies and resources. The packaging was also found to be valuable in providing materials and supports (e.g., toolkit; webinars; forms; technical assistance) that assisted implementation across activities. Conclusions for Practice Participants reflected positively with regards to the evidence strength, adaptability, and packaging of the OHI. However, the complexity of the initiative adversely affected implementation experiences and required additional efforts to maximize the initiative effectiveness. Findings will inform future efforts to facilitate implementation experiences of evidence-based practices for hemorrhage prevention, ultimately decreasing maternal morbidity and

  17. Washington's Community and Technical Colleges' Student Achievement Initiative: Lessons Learned since the 2012 Revision and Considerations for New Allocation Model. Research Report 16-1

    ERIC Educational Resources Information Center

    Washington State Board for Community and Technical Colleges, 2016

    2016-01-01

    In January 2012, a system-wide task force came together for a nearly year-long process of revising the community and technical college system's performance-based funding (PBF) system, the Student Achievement Initiative. This review was consistent with national experts' recommendations for continuous evaluation of PBF systems to ensure overall…

  18. Establishment of technical prerequisites for cell irradiation experiments with laser-accelerated electrons.

    PubMed

    Beyreuther, E; Enghardt, W; Kaluza, M; Karsch, L; Laschinsky, L; Lessmann, E; Nicolai, M; Pawelke, J; Richter, C; Sauerbrey, R; Schlenvoigt, H P; Baumann, M

    2010-04-01

    In recent years, laser-based acceleration of charged particles has rapidly progressed and medical applications, e.g., in radiotherapy, might become feasible in the coming decade. Requirements are monoenergetic particle beams with long-term stable and reproducible properties as well as sufficient particle intensities and a controlled delivery of prescribed doses at the treatment site. Although conventional and laser-based particle accelerators will administer the same dose to the patient, their different time structures could result in different radiobiological properties. Therefore, the biological response to the ultrashort pulse durations and the resulting high peak dose rates of these particle beams have to be investigated. The technical prerequisites, i.e., a suitable cell irradiation setup and the precise dosimetric characterization of a laser-based particle accelerator, have to be realized in order to prepare systematic cell irradiation experiments. The Jena titanium:sapphire laser system (JETI) was customized in preparation for cell irradiation experiments with laser-accelerated electrons. The delivered electron beam was optimized with regard to its spectrum, diameter, dose rate, and dose homogeneity. A custom-designed beam and dose monitoring system, consisting of a Roos ionization chamber, a Faraday cup, and EBT-1 dosimetry films, enables real-time monitoring of irradiation experiments and precise determination of the dose delivered to the cells. Finally, as proof-of-principle experiment cell samples were irradiated using this setup. Laser-accelerated electron beams, appropriate for in vitro radiobiological experiments, were generated with a laser shot frequency of 2.5 Hz and a pulse length of 80 fs. After laser acceleration in the helium gas jet, the electrons were filtered by a magnet, released from the vacuum target chamber, and propagated in air for a distance of 220 mm. Within this distance a lead collimator (aperture of 35 mm) was introduced, leading

  19. 77 FR 40628 - HUD's Fiscal Year (FY) 2012 Transformation Initiative: Natural Experiments Research Grant Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HUD's Fiscal Year (FY) 2012 Transformation Initiative: Natural Experiments Research... Experiments Grant Program'' on Grants.gov . The close date of the NOFA was March 29, 2012, at 11:59 p.m....

  20. The WIND-HAARP Experiment: Initial Results of High Power Radiowave Interactions with Space Plasmas

    DTIC Science & Technology

    1997-11-10

    Results from the first science experiment with the new HF Active Auroral Research Program ( HAARP ) facility in Alaska are reported. The initial...experiments involved transmission of high frequency waves from HAARP to the NASA/WIND satellite. The objective was to investigate the effects of space

  1. [Osteosynthesis of subcondylar fractures using compression screws with the Eckelt technic. Experiences and difficulties with the technic over 5 years].

    PubMed

    Maladière, E; Chikhani, L; Meningaud, J P; Favre, E; Bertrand, J C; Guilbert, F

    1999-05-01

    With creation of new fixation material, the surgical treatment of displaced subcondylar fractures is most frequently used in adults. The Eckelt compression osteosynthesis is described as an easy procedure in the current literature, but, in our experience, several problems require our attention. We report the treatment of 57 patients with displaced subcondylar fractures where compression osteosynthesis was indicated. The difficulty of this technique is presented on the basis of a 5-years experience.

  2. Renal Tumors: Technical Success and Early Clinical Experience with Radiofrequency Ablation of 18 Tumors

    SciTech Connect

    Sabharwal, Rohan Vladica, Philip

    2006-04-15

    Purpose. To evaluate the feasibility, safety, and technical efficacy of image-guided radiofrequency ablation (RFA) for the treatment of small peripheral renal tumors and to report our early results with this treatment modality. Methods. Twenty-two RFA sessions for 18 tumors were performed in 11 patients with renal tumors. Indications included coexistent morbidity, high surgical or anesthetic risk, solitary kidney, and hereditary predisposition to renal cell carcinoma. Ten patients had CT-guided percutaneous RFA performed on an outpatient basis. One patient had open intraoperative ultrasound-guided RFA. Technical success was defined as elimination of areas that enhanced at imaging within the entire tumor. With the exception of one patient with renal insufficiency who required gadolinium-enhanced MRI, the remaining patients underwent contrast-enhanced CT for post-treatment follow-up assessment. Follow-up was performed after 2-4 weeks and then at 3, 6, 12 months, and every 12 months thereafter. Results. Fourteen (78%) of 18 tumors were successfully ablated with one session. Three of the remaining four tumors required two sessions for successful ablation. One tumor will require a third session for areas of persistent enhancement. Mean patient age was 72.82 {+-} 10.43 years. Mean tumor size was 1.95 {+-} 0.79 cm. Mean follow-up time was 10.91 months. All procedures were performed without any major complications. Conclusions. Our early experience with percutaneous image-guided radiofrequency ablation demonstrates it to be a feasible, safe, noninvasive, and effective treatment of small peripheral renal tumors.

  3. Project Based Learning experiences in the space engineering education at Technical University of Madrid

    NASA Astrophysics Data System (ADS)

    Rodríguez, Jacobo; Laverón-Simavilla, Ana; del Cura, Juan M.; Ezquerro, José M.; Lapuerta, Victoria; Cordero-Gracia, Marta

    2015-10-01

    This work describes the innovation activities performed in the field of space education since the academic year 2009/10 at the Technical University of Madrid (UPM), in collaboration with the Spanish User Support and Operations Center (E-USOC), the center assigned by the European Space Agency (ESA) in Spain to support the operations of scientific experiments on board the International Space Station. These activities have been integrated within the last year of the UPM Aerospace Engineering degree. A laboratory has been created, where students have to validate and integrate the subsystems of a microsatellite using demonstrator satellites. In parallel, the students participate in a Project Based Learning (PBL) training process in which they work in groups to develop the conceptual design of a space mission. One student in each group takes the role of project manager, another one is responsible for the mission design and the rest are each responsible for the design of one of the satellite subsystems. A ground station has also been set up with the help of students developing their final thesis, which will allow future students to perform training sessions and learn how to communicate with satellites, how to receive telemetry and how to process the data. Several surveys have been conducted along two academic years to evaluate the impact of these techniques in engineering learning. The surveys evaluate the acquisition of specific and generic competences, as well as the students' degree of satisfaction with respect to the use of these learning methodologies. The results of the surveys and the perception of the lecturers show that PBL encourages students' motivation and improves their results. They not only acquire better technical training, but also improve their transversal skills. It is also pointed out that this methodology requires more dedication from lecturers than traditional methods.

  4. Assessing technical performance in differential gene expression experiments with external spike-in RNA control ratio mixtures.

    PubMed

    Munro, Sarah A; Lund, Steven P; Pine, P Scott; Binder, Hans; Clevert, Djork-Arné; Conesa, Ana; Dopazo, Joaquin; Fasold, Mario; Hochreiter, Sepp; Hong, Huixiao; Jafari, Nadereh; Kreil, David P; Łabaj, Paweł P; Li, Sheng; Liao, Yang; Lin, Simon M; Meehan, Joseph; Mason, Christopher E; Santoyo-Lopez, Javier; Setterquist, Robert A; Shi, Leming; Shi, Wei; Smyth, Gordon K; Stralis-Pavese, Nancy; Su, Zhenqiang; Tong, Weida; Wang, Charles; Wang, Jian; Xu, Joshua; Ye, Zhan; Yang, Yong; Yu, Ying; Salit, Marc

    2014-09-25

    There is a critical need for standard approaches to assess, report and compare the technical performance of genome-scale differential gene expression experiments. Here we assess technical performance with a proposed standard 'dashboard' of metrics derived from analysis of external spike-in RNA control ratio mixtures. These control ratio mixtures with defined abundance ratios enable assessment of diagnostic performance of differentially expressed transcript lists, limit of detection of ratio (LODR) estimates and expression ratio variability and measurement bias. The performance metrics suite is applicable to analysis of a typical experiment, and here we also apply these metrics to evaluate technical performance among laboratories. An interlaboratory study using identical samples shared among 12 laboratories with three different measurement processes demonstrates generally consistent diagnostic power across 11 laboratories. Ratio measurement variability and bias are also comparable among laboratories for the same measurement process. We observe different biases for measurement processes using different mRNA-enrichment protocols.

  5. More than Colleagues: Tracing the Experiences of Career and Technical Education Instructors Engaged in Faculty-to-Faculty Mentoring Programs

    ERIC Educational Resources Information Center

    Findley, Daniel E.

    2012-01-01

    The purpose of this study was to understand the impact of faculty-to-faculty mentoring programs on the experiences of both mentors and first-year instructor proteges in Career and Technical Education (CTE) programs with an emphasis on practitioner-educators in nursing and in welding-fabrication. The study was undertaken for four reasons: (a)…

  6. Boiling eXperiment Facility (BXF) Fluid Toxicity Technical Interchange Meeting (TIM) with the Payload Safety Review Panel (PSRP)

    NASA Technical Reports Server (NTRS)

    Sheredy, William A.

    2012-01-01

    A Technical Interchange meeting was held between the payload developers for the Boiling eXperiment Facility (BXF) and the NASA Safety Review Panel concerning operational anomaly that resulted in overheating one of the fluid heaters, shorted a 24VDC power supply and generated Perfluoroisobutylene (PFiB) from Perfluorohexane.

  7. Teachers' Perceptions and Students' Lived Experiences in Vocational-Technical Subjects in a Rural High School in Zimbabwe

    ERIC Educational Resources Information Center

    Masinire, Alfred

    2015-01-01

    This paper explores the construction of dominant models of gender among students in the Vocational-Technical. In the backdrop of dominant narratives that structure gender policies and practices in schooling in Zimbabwe, the paper elaborates upon how students' daily experiences in workrooms perpetuate the feminisation and masculinisation of fields…

  8. The Effect of Capstone Cooperative Education Experiences, and Related Factors, on Career and Technical Education Secondary Student Summative Assessment Scores

    ERIC Educational Resources Information Center

    Richard, Elizabeth D.; Walter, Richard A.; Yoder, Edgar P.

    2013-01-01

    Research has discussed the benefits of cooperative education experiences for secondary career and technical education students. Yet, in this era of high stakes testing and program accountability, the amount of time that students are permitted to participate in cooperative education has diminished, fearing that time spent out of the classroom would…

  9. The Effect of Capstone Cooperative Education Experiences, and Related Factors, on Career and Technical Education Secondary Student Summative Assessment Scores

    ERIC Educational Resources Information Center

    Richard, Elizabeth D.; Walter, Richard A.; Yoder, Edgar P.

    2013-01-01

    Research has discussed the benefits of cooperative education experiences for secondary career and technical education students. Yet, in this era of high stakes testing and program accountability, the amount of time that students are permitted to participate in cooperative education has diminished, fearing that time spent out of the classroom would…

  10. Assessing the Impact of First-Year Experience Courses on Student Success in Community and Technical Colleges

    ERIC Educational Resources Information Center

    Robertson, Luv'Tesha L.

    2016-01-01

    This study examined the impact first-year experience courses have on first-year student performance when enrolled in these courses at public community and technical colleges in Kentucky. The target population for this research study was composed of freshman students participating in the course compared to students not participating in the same…

  11. Assessing the Impact of First-Year Experience Courses on Student Success in Community and Technical Colleges

    ERIC Educational Resources Information Center

    Robertson, Luv'Tesha L.

    2016-01-01

    This study examined the impact first-year experience courses have on first-year student performance when enrolled in these courses at public community and technical colleges in Kentucky. The target population for this research study was composed of freshman students participating in the course compared to students not participating in the same…

  12. A Needs Assessment to Determine Knowledge and Ability of Egyptian Agricultural Technical School Teachers Related to Supervised Agricultural Experience

    ERIC Educational Resources Information Center

    Barrick, R. Kirby; Roberts, T. Grady; Samy, M. M.; Thoron, Andrew C.; Easterly, R. G., III

    2011-01-01

    This research was conducted approximately one year after Egyptian Agricultural Technical School (ATS) instructors attended workshops on integrating placement Supervised Agricultural Experience as an instructional tool in their programs. Following a year of implementation, the purpose of this study was to determine ATS teacher knowledge and ability…

  13. A Typology for Understanding the Career and Technical Education Credit-Taking Experience of High School Students

    ERIC Educational Resources Information Center

    Aliaga, Oscar A.; Kotamraju, Pradeep; Stone, James R., III

    2012-01-01

    This study describes a typology that allows us to explore and analyze the career and technical education (CTE) credit-taking experience of all high school students, not just those traditionally considered CTE (or vocational) students. We argue that this new typology provides a better framework for understanding CTE than the more traditional…

  14. More than Colleagues: Tracing the Experiences of Career and Technical Education Instructors Engaged in Faculty-to-Faculty Mentoring Programs

    ERIC Educational Resources Information Center

    Findley, Daniel E.

    2012-01-01

    The purpose of this study was to understand the impact of faculty-to-faculty mentoring programs on the experiences of both mentors and first-year instructor proteges in Career and Technical Education (CTE) programs with an emphasis on practitioner-educators in nursing and in welding-fabrication. The study was undertaken for four reasons: (a)…

  15. [Application possibilities and initial experience with digital volume tomography in hand and wrist imaging].

    PubMed

    Goerke, Sebastian M; Neubauer, J; Zajonc, H; Thiele, J R; Kotter, E; Langer, M; Stark, G B; Lampert, F M

    2015-02-01

    During the last decade, DVT (digital volume tomography) imaging has become a widely used standard technique in head and neck imaging. Lower radiation exposure compared to conventional computed tomography (MDCT) has been described. Recently, DVT has been developed as an extremity scanner and as such represents a new imaging technique for hand surgery. We here describe the first 24 months experience with this new imaging modality in hand and wrist imaging by presenting representative cases and by describing the technical background. Furthermore, the method's advantages and disadvantages are discussed with reference to the given literature.

  16. Pressure-Energy Coupling, Sound Speed, and Shock Initiation Experiments on Explosives Using Pulsed Electron Beams.

    DTIC Science & Technology

    azide, KDNBF , and single crystal specimens of RDX, PETN, and lead azide. The experiments on the lead azide were unsuccessful. However, sound speed...and thermomechanical response data were obtained on the pressed pellets of KDNBF and on the single crystal specimens of RDX and PETN that allow...calculation of components of the Gruneisen tensor for these materials. Shock initiation experiments on KDNBF were also performed. (Modified author abstract)

  17. Commissioning and initial experimental program of the BGO-OD experiment at ELSA

    NASA Astrophysics Data System (ADS)

    Alef, S.; Bauer, P.; Bayadilov, D.; Beck, R.; Becker, M.; Bella, A.; Bielefeldt, P.; Böse, S.; Braghieri, A.; Brinkmann, K.; Cole, P.; Di Salvo, R.; Dutz, H.; Elsner, D.; Fantini, A.; Freyermuth, O.; Friedrich, S.; Frommberger, F.; Ganenko, V.; Geffers, D.; Gervino, G.; Ghio, F.; Görtz, S.; Gridnev, A.; Gutz, E.; Hammann, D.; Hannappel, J.; Hillert, W.; Ignatov, A.; Jahn, R.; Joosten, R.; Jude, T. C.; Klein, F.; Knaust, J.; Kohl, K.; Koop, K.; Krusche, B.; Lapik, A.; Levi Sandri, P.; Lopatin, I. V.; Mandaglio, G.; Messi, F.; Messi, R.; Metag, V.; Moricciani, D.; Mushkarenkov, A.; Nanova, M.; Nedorezov, V.; Novinskiy, D.; Pedroni, P.; Reitz, B.; Romaniuk, M.; Rostomyan, T.; Rudnev, N.; Schaerf, C.; Scheluchin, G.; Schmieden, H.; Stugelev, A.; Sumachev, V.; Tarakanov, V.; Vegna, V.; Walther, D.; Watts, D.; Zaunick, H.; Zimmermann, T.

    2016-11-01

    BGO-OD is a new meson photoproduction experiment at the ELSA facility of Bonn University. It aims at the investigation of non strange and strange baryon excitations, and is especially designed to be able to detect weekly bound meson-baryon type structures. The setup for the BGO-OD experiment is presented, the characteristics of the photon beam and the detector performances are shown and the initial experimental program is discussed.

  18. The Year-Two Decline: Exploring the Incremental Experiences of a 1:1 Technology Initiative

    ERIC Educational Resources Information Center

    Swallow, Meredith

    2015-01-01

    Reports on one-to-one (1:1) technology initiatives emphasize overall favorable results; however, comprehensive multiyear studies looked at understate the progressive experiences of teachers and students. A small body of research suggested the second year of 1:1 technology programs manifested difficulties and struggles which significantly…

  19. The Year-Two Decline: Exploring the Incremental Experiences of a 1:1 Technology Initiative

    ERIC Educational Resources Information Center

    Swallow, Meredith

    2015-01-01

    Reports on one-to-one (1:1) technology initiatives emphasize overall favorable results; however, comprehensive multiyear studies looked at understate the progressive experiences of teachers and students. A small body of research suggested the second year of 1:1 technology programs manifested difficulties and struggles which significantly…

  20. Initiating Transdisciplinarity in Academic Case Study Teaching: Experiences from a Regional Development Project in Salzburg, Austria

    ERIC Educational Resources Information Center

    Muhar, Andreas; Vilsmaier, Ulli; Glanzer, Michaela; Freyer, Bernhard

    2006-01-01

    Purpose: The purpose of this paper is to describe experiences with the initiation of transdisciplinarity in academic case study teaching with special reference to regional planning, based on the case study "Leben 2014 (Life 2014)--perspectives for regional development in the national park region Ober-pinz-gau, Salzburg".…

  1. Initiating Transdisciplinarity in Academic Case Study Teaching: Experiences from a Regional Development Project in Salzburg, Austria

    ERIC Educational Resources Information Center

    Muhar, Andreas; Vilsmaier, Ulli; Glanzer, Michaela; Freyer, Bernhard

    2006-01-01

    Purpose: The purpose of this paper is to describe experiences with the initiation of transdisciplinarity in academic case study teaching with special reference to regional planning, based on the case study "Leben 2014 (Life 2014)--perspectives for regional development in the national park region Ober-pinz-gau, Salzburg".…

  2. Digital Storytelling for Inclusive Education: An Experience in Initial Teacher Training

    ERIC Educational Resources Information Center

    Lazzari, Marco

    2016-01-01

    We present an experience of digital storytelling conducted as part of a course for initial teacher training. The students of a special education course produced a digital story as partial fulfillment of their distance learning assignment. We describe the structure of the work completed by the students and discuss the results of a questionnaire…

  3. "Elite" Career-Changers and Their Experience of Initial Teacher Education

    ERIC Educational Resources Information Center

    Wilkins, Chris

    2017-01-01

    This study explores the motivation of "high-status" professionals to change career and enter teaching, and their experience of undertaking initial teacher education (ITE) programmes in England. The study builds on previous research which found that career-changers are disproportionately more likely to fail to complete their ITE studies,…

  4. Initial Experience with the Extracorporeal HIFU Knife with 49 Patients: Japanese Experience

    NASA Astrophysics Data System (ADS)

    Ganaha, F.; Okuno, T.; Lee, C. O.; Shimizu, T.; Osako, K.; Oka, S.; Lee, K. H.; Chen, W. Z.; Zhu, H.; Park, S. H.; Qi, Z.; Shi, D.; Song, H. S.

    2005-03-01

    Forty nine patients with 63 tumours were treated with the Chongqing Haifu knife, as an adjunct to intra-arterial chemoinfusion. Treatment targets included breast (20 lesions), liver (16), bone (8), lymph-node (6), soft tissue (4), lung and pleura (4), pancreas (2), kidney (2) and adrenal gland (1). Follow-up contrast MRI was performed at 3 weeks to assess the effects of HIFU ablation. All cases completed the planned treatment. Of 25 lesions treated with the intention of complete tumour ablation, complete necrosis was obtained in 19 lesions (76%) including 4 secondary success cases. Among 32 lesions having partial and palliative treatment, tumour size was decreased in 6 lesions (21%), and good pain control was obtained in 6 out of 7 patients (86%). Skin injury was the most common complication after HIFU (16%), and was mostly a superficial dermal burn that did not necessitate any treatment. However, there was one patient with deep skin injury at an operation scar which resulted in skin perforation. Other adverse events included soft tissue swelling, prolonged fever, anorexia, persistent pain, shortness of the breath, sacroiliac joint fracture and prolonged diarrhoea. In our limited experience, superficial lesions (e.g. breast cancer, bone, soft tissue, lymph-node and pleural metastasis) appear to be good candidates for HIFU treatment. There appears to be a role for the HIFU knife in pain control for patients with bone metastasis and pancreatic cancer.

  5. SHOCK INITIATION EXPERIMENTS ON THE HMX BASED EXPLOSIVE LX-10 WITH ASSOCIATED IGNITION AND GROWTH MODELING

    SciTech Connect

    Vandersall, K S; Tarver, C M; Garcia, F; Urtiew, P A; Chidester, S K

    2007-06-15

    Shock initiation experiments on the HMX based explosives LX-10 (95% HMX, 5% Viton by weight) and LX-07 (90% HMX, 10% Viton by weight) were performed to obtain in-situ pressure gauge data, run-distance-to-detonation thresholds, and Ignition and Growth modeling parameters. A 101 mm diameter propellant driven gas gun was utilized to initiate the explosive samples with manganin piezoresistive pressure gauge packages placed between sample slices. The run-distance-to-detonation points on the Pop-plot for these experiments and prior experiments on another HMX based explosive LX LX-04 (85% HMX, 15% Viton by weight) will be shown, discussed, and compared as a function of the binder content. This parameter set will provide additional information to ensure accurate code predictions for safety scenarios involving HMX explosives with different percent binder content additions.

  6. State innovation models: early experiences and challenges of an initiative to advance broad health system reform.

    PubMed

    Silow-Carroll, Sharon; Lamphere, JoAnn

    2013-09-01

    The Centers for Medicare and Medicaid Services and states are partnering to transform health care systems by creating and testing new models of care delivery and payment. Interviews with officials from states participating in the State Innovation Models (SIM) Initiative reveal that the readiness of providers and payers to adopt innovations var­ies, requiring different starting points, goals, and strategies. So far, effective strategies appear to include: building on past reform efforts; redesigning health information technol­ogy to provide reliable, targeted data on care costs and quality; and using standard perfor­mance measures and financial incentives to spur alignment of providers' and payers' goals. State governments also have policy levers to encourage efficient deployment of a diverse health care workforce. As federal officials review states' innovation plans, set timetables, and provide technical assistance, they can also take steps to accommodate the budgetary, political, and time constraints that states are facing.

  7. Native ureteropyelostomy in the treatment of obstructive uropathy in adult renal transplant. Experience and technical alternatives.

    PubMed

    Trilla, E; Lorente, D; Salvador, C; Planas, J; Placer, J; Celma, A; Cantarell, C; Moreso, F; Seron, D; Morote, J

    2014-10-01

    To analyze and evaluate our experience in surgical treatment with the open approach of the complex ureteral stenosis after adult kidney transplantation in a tertiary level hospital in the last seven years. We have reviewed the different surgical options used. A total of 589 consecutive adult renal transplants were performed from January 2005 to December 2012. Of these, 1.1% showed some degree of symptomatic obstructive uropathy which after initial urinary diversion required open surgical approach using the ipsilateral or contralateral native urinary tract. Characteristics of the patient, clinical examinations performed and surgical technique performed as well as their results are presented. During the period under review, in 5 men and 2 women who had ureteral stenoses after renal transplant, 7 reparative surgeries were performed by open ureteropyelostomy, using ipsilateral native ureter in 6 cases and contralateral ureter in the remaining case. In one case, uretero-calicial anastomosis was performed due to severe pyelic shrinkage. There were no significant complications. Native kidney nephrectomy was not required for further complications. All the patients operated on had optimum plasma creatinine levels with resolution of previous dilatation. The initial percutaneous nephrostomy followed by open surgical repair using native ureter represents a definitive, valid and optimal alternative in terms of safety and preservation of renal function. Copyright © 2013 AEU. Published by Elsevier Espana. All rights reserved.

  8. Demonstrating Institutional Effectiveness in the Connecticut Community-Technical College System (Initial Recommendations--DHE Performance Measures).

    ERIC Educational Resources Information Center

    Connecticut Community-Technical Coll., Hartford. Board of Trustees.

    This paper presents information regarding the five critical success factors for institutional effectiveness identified by the Connecticut Community-Technical Colleges. These factors are: (1) career education; (2) general study; (3) transfer; (4) community service; and (5) student support services. The Performance Measures Review Team also points…

  9. Gender Planning and Vocational Education, and Technical Training in Palestine: An Initial Framework. Gender and Society Working Paper #4.

    ERIC Educational Resources Information Center

    Nahleh, Lamis Abu

    Gender planning and vocational education and technical training (VETT) in Palestine were examined through the following: review of available literature and policy-oriented reports, discussions with educators in the field, and roundtable discussion in which representatives of the Palestinian Ministry of Education and Ministry of Labor and experts…

  10. Hydrogen initiative: An integrated approach toward rational nanocatalyst design for hydrogen production. Technical Report-Year 1

    SciTech Connect

    Vlachos, Dionisios G.; Buttrey, Douglas J.; Lauterbach, Jochen A.

    2007-03-29

    The overall objective of this grant is to develop a rational framework for the discovery of low cost, robust, and active nano-catalysts that will enable efficient hydrogen production. Our approach will be the first demonstration of integrated multiscale model, nano-catalyst synthesis, and nanoscale characterization assisted high throughput experimentation (HTE). We will initially demonstrate our approach with ammonia decomposition on noble metal catalysts. Our research focuses on many elements of the Hydrogen Initiative in the Focus Area of “Design of Catalysts at the Nanoscale’. It combines high-throughput screening methods with various nanostructure synthesis protocols, advanced measurements, novel in situ and ex situ characterization techniques, and multiscale theory, modeling and simulation. This project directly addresses several of the long-term goals of the DOE/BES program. In particular, new nanoscale catalytic materials will be synthesized, characterized and modeled for the production of hydrogen from ammonia and a computational framework will be developed for efficient extraction of information from experimental data and for rational design of catalysts whose impact goes well beyond the proposed hydrogen production project. In the first year of the grant, we have carried out HTE screening using a 16 parallel microreactor coupled with an FTIR analysis system. We screened nearly twenty single metals and several bimetallic catalysts as a function of temperature, catalyst loading, inlet composition, and temperature (order of 400 experiments). We have found that Ru is the best single metal catalyst and no better catalysts were found among the library of bimetallics we have created so far. Furthermore, we have investigated promoting effects (i.e., K, Cs, and Ba) of the Ru catalyst. We have found that K is the dominant promoter of increased Ru activity. Response surface experimental design has led to substantial improvements of the Ru catalyst with promotion

  11. CryoPause: A New Method to Immediately Initiate Experiments after Cryopreservation of Pluripotent Stem Cells.

    PubMed

    Wong, Karen G; Ryan, Sean D; Ramnarine, Kiran; Rosen, Siera A; Mann, Shannon E; Kulick, Amanda; De Stanchina, Elisa; Müller, Franz-Josef; Kacmarczyk, Thadeous J; Zhang, Chao; Betel, Doron; Tomishima, Mark J

    2017-07-11

    Human pluripotent stem cells (PSCs) provide an unlimited cell source for cell therapies and disease modeling. Despite their enormous power, technical aspects have hampered reproducibility. Here, we describe a modification of PSC workflows that eliminates a major variable for nearly all PSC experiments: the quality and quantity of the PSC starting material. Most labs continually passage PSCs and use small quantities after expansion, but the "just-in-time" nature of these experiments means that quality control rarely happens before use. Lack of quality control could compromise PSC quality, sterility, and genetic integrity, which creates a variable that might affect results. This method, called CryoPause, banks PSCs as single-use, cryopreserved vials that can be thawed and immediately used in experiments. Each CryoPause bank provides a consistent source of PSCs that can be pre-validated before use to reduce the possibility that high levels of spontaneous differentiation, contamination, or genetic integrity will compromise an experiment. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  12. Patients' experiences from symptom onset to initial treatment for atrial fibrillation.

    PubMed

    McCabe, Pamela J; Rhudy, Lori M; DeVon, Holli A

    2015-03-01

    To describe patients' experiences from symptom onset to initial treatment for atrial fibrillation. The estimated number of individuals with atrial fibrillation globally in 2010 was 33·5 million. World-wide, each year, new cases of atrial fibrillation approach 5 million, and prevalence will increase 2·5-fold by 2050. As a result, clinicians worldwide will treat a growing number of patients with atrial fibrillation. Early intervention to promote atrial fibrillation self-management is critical to reduce associated complications of stroke and heart failure. Greater understanding of patients' experiences from symptom onset to initial treatment for atrial fibrillation is needed to guide development of interventions to promote early effective self-management. A descriptive qualitative design was used. Twenty females and 21 males at an academic medical centre were interviewed using open-ended questions to explore their experiences from symptom onset to initial treatment for atrial fibrillation. Data were analysed using qualitative content analysis. Participants' mean age was 64·3 (SD = 10·1) years. Four themes were identified: (1) misinterpreting symptoms; (2) discovering the meaning of atrial fibrillation; (3) facing fears, uncertainty, and moving to acceptance; and (4) receiving validation and reassurance. Participants lacked knowledge of atrial fibrillation and took cues from providers' responses to appraise symptoms and diagnosis. Fear and uncertainty were reduced when providers initiated prompt treatment and took time to explain atrial fibrillation. Patients appreciated receiving clear information about atrial fibrillation, were engaged in learning, and motivated to participate in their care. Providers played a critical role in helping patients to develop an accurate understanding of atrial fibrillation, to cope with the new diagnosis, and motivated them to engage in effective self-management. Insight into participant experiences from symptom onset to initial

  13. Rolling Deck to Repository (R2R): Technical Design - Experiences and Lessons (Invited)

    NASA Astrophysics Data System (ADS)

    Arko, R. A.; Carbotte, S. M.; Miller, S. P.; Chandler, C. L.; Ferrini, V.; Stocks, K.; Maffei, A. R.; Smith, S. R.; Bourassa, M. A.; McLean, S. J.; Alberts, J. C.

    2009-12-01

    The NSF-funded Rolling Deck to Repository (R2R) project envisions the academic research fleet as an integrated global observing system, with routine “underway” sensor data flowing directly from research vessels to a central shore-side repository. It is a complex endeavor involving many stakeholders - technicians at sea, data managers on shore, ship schedulers, clearance officers, funding agencies, National Data Centers, data synthesis projects, the science community, and the public - working toward a common goal of acquiring, documenting, archiving, evaluating, and disseminating high-quality scientific data. The technical design for R2R is guided by several key principles: 1) The data pipeline is modular, so that initial stages (e.g. inventory and review of data shipments, posting of catalog records and track maps) may proceed routinely for every cruise, while later stages (e.g. quality assessment and production of file-level metadata) may proceed at different rates for different data types; 2) Cruise documentation (e.g. sailing orders, review/release of data inventories, vessel profiles) is gathered primarily via an authenticated Web portal, linked with the UNOLS scheduling database to synchronize vocabularies and eliminate redundancies; and 3) Every data set will be documented and delivered to the appropriate National Data Center for long-term archiving and dissemination after proprietary holds are cleared, while R2R maintains a master cruise catalog that links all the data sets together. This design accommodates the diversity of instrument types, data volumes, and shipment schedules among fleet operators. During its pilot development period, R2R has solicited feedback at community workshops, UNOLS meetings, and conference presentations, including fleet-wide surveys of current practices and instrument inventories. Several vessel operators began submitting cruise data and documentation during the pilot, providing a test bed for database development and Web

  14. Influence of the initial soil water content on Beerkan water infiltration experiments

    NASA Astrophysics Data System (ADS)

    Lassabatere, L.; Loizeau, S.; Angulo-Jaramillo, R.; Winiarski, T.; Rossier, Y.; Delolme, C.; Gaudet, J. P.

    2012-04-01

    Understanding and modeling of water flow in the vadose zone are important with regards water management and infiltration devices design. Water infiltration process clearly depends on initial soil water content, in particular for sandy soils with high organic matter content. This study investigates the influence of initial water content on water infiltration in a hydrophobic sandy soil and on the related derivation of hydraulic parameters using the BEST algorithm (Lassabatere et al., 2006). The studied sandy soil has a high total organic content decreasing from 3.5% (w/w) at the surface to 0.5% (w/w) below 1cm depth. The highest TOC at surface was due to the presence of a dense biofilm and resulted in a high surface hydrophobicity under dry conditions (low initial water contents). The water infiltration experiments consisted in infiltrating known volumes of water through a simple ring at null pressure head (Beerkan method). The infiltrations were performed during three successive days after a dry period with a storm event between the first and the second day (5 mm) and another between the second and the third day (35 mm). These events resulted in an increase in initial water contents, from less than 5% for the first day to around 10% for the last day. Experiments were performed for appropriate conditions for Beerkan experiments: initial water contents below 1/4 of the saturated water content and uniform water profile resulting from water redistribution after each rainfall event. The analysis of the infiltration data clearly highlights the strong effect of hydrophobicity. For the driest initial conditions (first day), infiltration rates increased with time, whereas they decreased with time for wetter conditions. Such a decrease agreed with the principles of water infiltration without hydrophobicity. In addition, total cumulative infiltrations were far higher for the wettest conditions. Regarding hydraulic characterization, only the data obtained during the last

  15. Experiments and simulations on the incompressible, Rayleigh-Taylor instability with small wavelength initial perturbations

    NASA Astrophysics Data System (ADS)

    Roberts, Michael Scott

    The Rayleigh-Taylor instability is a buoyancy driven instability that takes place in a stratified fluid system with a constant acceleration directed from the heavy fluid into the light fluid. In this study, both experimental data and numerical simulations are presented. Experiments are performed primarily using a lithium-tungstate aqueous solution as the heavy liquid, but sometimes a calcium nitrate aqueous solution is used for comparison purposes. Experimental data is obtained for both miscible and immiscible fluid combinations. For the miscible experiments the light liquid is either ethanol or isopropanol, and for the immiscible experiments either silicone oil or trans-anethole is used. The resulting Atwood number is either 0.5 when the lithium-tungstate solution is used or 0.2 when the calcium nitrate solution is used. These fluid combinations are either forced or left unforced. The forced experiments have an initial perturbation imposed by vertically oscillating the liquid containing tank to produce Faraday waves at the interface. The unforced experiments rely on random interfacial fluctuations, due to background noise, to seed the instability. The liquid combination is partially enclosed in a test section that is accelerated downward along a vertical rail system causing the Rayleigh-Taylor instability. Accelerations of approximately 1g (with a weight and pulley system) or 10g (with a linear induction motor system) are experienced by the liquids. The tank is backlit and digitally recorded with high speed video cameras. These experiments are then simulated with the incompressible, Navier-Stokes code Miranda. The main focus of this study is the growth parameter (α) of the mixing region produced by the instability after it has become apparently self-similar and turbulent. The measured growth parameters are compared to determine the effects of miscibility and initial perturbations (of the small wavelength, finite bandwidth type used here). It is found that while

  16. Patterns in Crew-Initiated Photography of Earth from ISS - Is Earth Observation a Salutogenic Experience?

    NASA Technical Reports Server (NTRS)

    Robinson, Julie A.; Slack, Kelley; Olson, V.; Trenchard, M.; Willis, K.; Baskin, P.

    2006-01-01

    This viewgraph presentation asks the question "Is the observation of earth from the ISS a positive (salutogenic) experience for crew members?"All images are distributed to the public via the "Gateway to Astronaut Photography of Earth at http://eol.jsc.nasa.gov. The objectives of the study are (1) Mine the dataset of Earth Observation photography--What can it tell us about the importance of viewing the Earth as a positive experience for the crewmembers? (2) Quantify extent to which photography was self-initiated (not requested by scientists) (3) Identify patterns photography activities versus scientific requested photography.

  17. SHOCK INITIATION EXPERIMENTS ON PBX9501 EXPLOSIVE AT 150?C FOR IGNITION AND GROWTH MODELING

    SciTech Connect

    Vandersall, K S; Tarver, C M; Garcia, F; Urtiew, P A

    2005-07-19

    Shock initiation experiments on the explosive PBX9501 (95% HMX, 2.5% estane, and 2.5% nitroplasticizer by weight) were performed at 150 C to obtain in-situ pressure gauge data and Ignition and Growth modeling parameters. A 101 mm diameter propellant driven gas gun was utilized to initiate the PBX9501 explosive with manganin piezoresistive pressure gauge packages placed between sample slices. The run-distance-to-detonation points on the Pop-plot for these experiments showed agreement with previously published data and Ignition and Growth modeling parameters were obtained with a good fit to the experimental data. This parameter set will allow accurate code predictions to be calculated for safety scenarios involving PBX9501 explosives at temperatures close to 150 C.

  18. Migration experience and premarital sexual initiation in urban Kenya: an event history analysis.

    PubMed

    Luke, Nancy; Xu, Hongwei; Mberu, Blessing U; Goldberg, Rachel E

    2012-06-01

    Migration during the formative adolescent years can affect important life-course transitions, including the initiation of sexual activity. In this study, we use life history calendar data to investigate the relationship between changes in residence and timing of premarital sexual debut among young people in urban Kenya. By age 18, 64 percent of respondents had initiated premarital sex, and 45 percent had moved at least once between the ages of 12 and 18. Results of the event history analysis show that girls and boys who move during early adolescence experience the earliest onset of sexual activity. For adolescent girls, however, other dimensions of migration provide protective effects, with greater numbers of residential changes and residential changes in the last one to three months associated with later sexual initiation. To support young people's ability to navigate the social, economic, and sexual environments that accompany residential change, researchers and policymakers should consider how various dimensions of migration affect sexual activity.

  19. Shock initiation experiments with ignition and growth modeling on low density composition B

    NASA Astrophysics Data System (ADS)

    Vandersall, Kevin S.; Garcia, Frank; Tarver, Craig M.

    2017-01-01

    Shock initiation experiments on low density (˜1.2 and ˜1.5 g/cm3) Composition B were performed to obtain in-situ pressure gauge data, characterize the run-distance-to-detonation behavior, and provide a basis for Ignition and Growth reactive flow modeling. A 101 mm diameter gas gun was utilized to initiate the explosive charges with manganin piezoresistive pressure gauge packages placed between packed layers (˜1.2 g/cm3) confined in Teflon rings or sample disks pressed to low density (˜1.5 g/cm3). The shock sensitivity was found to increase with decreasing density as expected. Ignition and Growth model parameters were derived that yielded reasonable agreement with the experimental data at both initial densities. The shock sensitivity at the tested densities are compared to prior published work with near full density material.

  20. Shock initiation experiments with ignition and growth modeling on low density HMX

    NASA Astrophysics Data System (ADS)

    Garcia, Frank; Vandersall, Kevin S.; Tarver, Craig M.

    2014-05-01

    Shock initiation experiments on low density (~1.2 and ~1.6 g/cm3) HMX were performed to obtain in-situ pressure gauge data, characterize the run-distance-to-detonation behavior, and provide a basis for Ignition and Growth reactive flow modeling. A 101 mm diameter gas gun was utilized to initiate the explosive charges with manganin piezoresistive pressure gauge packages placed between packed layers (~1.2 g/cm3) or sample disks pressed to low density (~1.6 g/cm3). The measured shock sensitivity of the ~1.2 g/cm3 HMX was similar to that previously measured by Sheffield et al. and the ~1.6 g/cm3 HMX was measured to be much less shock sensitive. Ignition and Growth model parameters were utilized that yielded good agreement with the experimental data at both initial densities.

  1. High incidence of technical errors involving the EEA circular stapler: a single institution experience.

    PubMed

    Offodile, Anaeze C; Feingold, Daniel L; Nasar, Abu; Whelan, Richard L; Arnell, Tracey D

    2010-03-01

    The use of stapling devices is now widespread in colorectal resections. However, the incidence and clinical consequence of technical error involving the circular stapler are still poorly characterized. We reviewed the operative reports and Web-based charts for all colon and rectal resections performed at our institution that used a circular stapler. Technical error was defined as any deviation from the normal technical performance of the circular stapler, including, but not limited to, surgeon misfiring, incomplete anastomosis (inadequate donuts or staple line defects), and primary device failure. The unpaired t- and chi-square tests were used for statistical analysis; p < 0.05. There were 349 colorectal resections performed and 67 (19%) featured a technical error. Thirty-two resections (9%) included an anastomotic error. The control group (n = 282) and the error group (n = 67) were comparable with regard to leaks, reoperation, suture line strictures, and hospital stay. The malfunction group had higher incidences of proximal diversions (34% versus 16%; p = 0.0003), ileus (24% versus 8%; p = 0.002), gastrointestinal bleeding (4% versus 0.4%; p = 0.023), and transfusion requirements (13% versus 4%; p = 0.004). Although proximal diversions in the error cohorts were also less likely to be planned (p < 0.001), reversal rates were similar in both groups (p = 0.28). The incidence of technical error involving the circular stapler is considerable. Technical error was found to be associated with a significantly higher risk of gastrointestinal bleeding, transfusions, and unplanned proximal diversions. Copyright 2010 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  2. Initial experience with a first-to-market member accountability-based insurance product.

    PubMed

    Woll, Douglas R; Nelson, David R

    2010-10-01

    We describe the initial experience with a first-to-market health insurance product design based on principles of both member and purchaser accountability. Two benefit levels were offered, enhanced and standard. Qualification for the enhanced benefit level was obtained through members' commitment to follow their physicians' recommended treatment plan. Employers were offered a discount of 10% in exchange for offering this new product and promoting a healthy work environment. Membership in the product grew beyond expectations, and several health improvements were noted.

  3. SHOCK INITIATION EXPERIMENTS AND MODELING OF COMPOSITION B AND C-4

    SciTech Connect

    Urtiew, P A; Vandersall, K S; Tarver, C M; Garcia, F; Forbes, J W

    2006-06-13

    Shock initiation experiments on the explosives Composition B and C-4 were performed to obtain in-situ pressure gauge data for the purpose of determining the Ignition and Growth reactive flow model with proper modeling parameters. A 101 mm diameter propellant driven gas gun was utilized to initiate the explosive charges containing manganin piezoresistive pressure gauge packages embedded in the explosive sample. Experimental data provided new information on the shock velocity versus particle velocity relationship for each of the investigated materials in their respective pressure range. The run-distance-to-detonation points on the Pop-plot for these experiments showed agreement with previously published data, and Ignition and Growth modeling calculations resulted in a good fit to the experimental data. These experimental data were used to determine Ignition and Growth reactive flow model parameters for these explosives. Identical ignition and growth reaction rate parameters were used for C-4 and Composition B, and the Composition B model also included a third reaction rate to simulate the completion of reaction by the TNT component. The Composition B model was then tested on existing short pulse duration, gap test, and projectile impact shock initiation with good results. This Composition B model can be applied to shock initiation scenarios that have not or cannot be tested experimentally with a high level of confidence in its predictions.

  4. Commissioning and initial experience with the first clinical gantry-mounted proton therapy system.

    PubMed

    Zhao, Tianyu; Sun, Baozhou; Grantham, Kevin; Rankine, Leith; Cai, Bin; Goddu, Sreekrishna M; Santanam, Lakshmi; Knutson, Nels; Zhang, Tiezhi; Reilly, Michael; Bottani, Beth; Bradley, Jeffrey; Mutic, Sasa; Klein, Eric E

    2016-03-08

    The purpose of this study is to describe the comprehensive commissioning process and initial clinical experience of the Mevion S250 proton therapy system, a gantry-mounted, single-room proton therapy platform clinically implemented in the S. Lee Kling Proton Therapy Center at Barnes-Jewish Hospital in St. Louis, MO, USA. The Mevion S250 system integrates a compact synchrocyclotron with a C-inner gantry, an image guidance system and a 6D robotic couch into a beam delivery platform. We present our commissioning process and initial clinical experience, including i) CT calibration; ii) beam data acquisition and machine characteristics; iii) dosimetric commissioning of the treatment planning system; iv) validation through the Imaging and Radiation Oncology Core credentialing process, including irradiations on the spine, prostate, brain, and lung phantoms; v) evaluation of localization accuracy of the image guidance system; and vi) initial clinical experience. Clinically, the system operates well and has provided an excellent platform for the treatment of diseases with protons.

  5. 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.

  6. Holmium laser use in debridement of stable labral lesions: two-year experience in initial 50 patients

    NASA Astrophysics Data System (ADS)

    Dew, Douglas K.; Risch, E. David

    1994-09-01

    The purpose of this study is to determine the laser related complication rate for shoulder arthroscopy in the initial clinical experience of 50 patients, and to identify potential advantages of laser use in shoulder arthroscopy. Fifty patients spanning ages 25 to 87 were treated. Surgical debridement was selective and conservative creating a smooth post resection rim. In those that included rotator cuff tears, in addition to arthroscopic debridement, a mini arthrotomy and open acromioplasty were performed. Changes in arthroscopic technique due to laser use included no arthroscopic pump use and use of the shaver only when the fiber could not be easily seen with severe synovitis. We found that the hyper-vascular synovium did not need to be resected last, it could be resected at any point during the procedure. Four hundred and 600 micron fiberoptics were used as well as 20 watts average power. Technical advantage of the laser was felt to be the size of the instrument probe and the availability of excellent hemostasis. Complications include one case of arthroscope damage and one case with a broken fiber tip which was removed with a grasper. Long term follow up of these patients is now underway.

  7. Integrated assessment of coronary anatomy and myocardial perfusion using a retractable SPECT camera combined with 64-slice CT: initial experience.

    PubMed

    Thilo, Christian; Schoepf, U Joseph; Gordon, Leonie; Chiaramida, Salvatore; Serguson, Jill; Costello, Philip

    2009-04-01

    We evaluated a prototype SPECT system integrated with multidetector row CT (MDCT) for obtaining complementary information on coronary anatomy and hemodynamic lesion significance. Twenty-five consecutive patients with known or suspected coronary artery disease (CAD) underwent routine SPECT myocardial perfusion imaging (MPI). All patients also underwent repeat MPI with a mobile SPECT unit which could be attached to a 64-slice MDCT system. Coronary CT angiography (cCTA) was performed without repositioning the patient. Investigational MPI was compared with routine MPI for detection of myocardial perfusion defects (PD). Two observers diagnosed presence or absence of CAD based on MPI alone, cCTA alone, and based on combined MPI and cCTA with fused image display. In 22/24 patients investigative MPI corresponded with routine MPI (r = 0.80). Stenosis >or= 50% at cCTA was detected in 6/24 patients. Six out of 24 patients had PD at regular MPI. Three of these six patients had no significant stenosis at cCTA. Three out of 19 patients with normal MPI studies had significant stenosis at cCTA. Our initial experience indicates that the integration of SPECT MPI with cCTA is technically feasible and enables the comprehensive evaluation of coronary artery anatomy and myocardial perfusion with a single instrumental setup.

  8. Technical aspects and inter-laboratory variability in native peptide profiling: the CE-MS experience.

    PubMed

    Mischak, Harald; Vlahou, Antonia; Ioannidis, John P A

    2013-04-01

    Mass spectrometry platforms have attracted a lot of interest in the last 2 decades as profiling tools for native peptides and proteins with clinical potential. However, limitations associated with reproducibility and analytical robustness, especially pronounced with the initial SELDI systems, hindered the application of such platforms in biomarker qualification and clinical implementation. The scope of this article is to give a short overview on data available on performance and on analytical robustness of the different platforms for peptide profiling. Using the CE-MS platform as a paradigm, data on analytical performance are described including reproducibility (short-term and intermediate repeatability), stability, interference, quantification capabilities (limits of detection), and inter-laboratory variability. We discuss these issues by using as an example our experience with the development of a 273-peptide marker for chronic kidney disease. Finally, we discuss pros and cons and means for improvement and emphasize the need to test in terms of comparative clinical performance and impact, different platforms that pass reasonably well analytical validation tests. Copyright © 2012 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  9. SPAR X Technical Report for Experiment 76-22 Directional Solidification of Magnetic Composites

    NASA Technical Reports Server (NTRS)

    Bethin, J.

    1984-01-01

    The effects of gravity on Bridgman-Stockbarger directional solidification of off-eutectic Bi/MnBi were studied in reduced gravity aboard the SPAR X flight and compared to normal-gravity investigations and previous eutectic Bi/MnBi SPAR flight experiments. The directional solidification of off-eutectic Bi/MnBi results in either a dendritic structure connected with local cooperative growth or a coupled low volume fraction faceted/non faceted aligned rod eutectic whose Mn macrosegregation, MnBi rod size, interrod spacing, and thermal and magnetic properties are sensitive functions of the solidification processing conditions. Two hypoeutectic and two hypereutectic samples were solidified during 605 sec of furnace travel, with an initial 265 sec low-gravity interval. Comparison Earth-gravity samples were solidified in the same furance assembly under identical processing conditions. Macrosegregation in the low-g samples was consistent with a metastable increase in Mn solubility in the Bi matrix, in partial agreement with previous Bi/MnBi SPAR findings of MnBi volume reduction.

  10. VIDEO-ASSISTED ANAL FISTULA TREATMENT: TECHNICAL CONSIDERATIONS AND PRELIMINARY RESULTS OF THE FIRST BRAZILIAN EXPERIENCE

    PubMed Central

    MENDES, Carlos Ramon Silveira; FERREIRA, Luciano Santana de Miranda; SAPUCAIA, Ricardo Aguiar; LIMA, Meyline Andrade; ARAUJO, Sergio Eduardo Alonso

    2014-01-01

    Backgroung Anorectal fistula represents an epithelized communication path of infectious origin between the rectum or anal canal and the perianal region. The association of endoscopic surgery with the minimally invasive approach led to the development of the video-assisted anal fistula treatment. Aim To describe the technique and initial experience with the technique video-assisted for anal fistula treatment. Technique A Karl Storz video equipment was used. Main steps included the visualization of the fistula tract using the fistuloscope, the correct localization of the internal fistula opening under direct vision, endoscopic treatment of the fistula and closure of the internal opening which can be accomplished through firing a stapler, cutaneous-mucosal flap, or direct closure using suture. Results The mean distance between the anal verge and the external anal orifice was 5.5 cm. Mean operative time was 31.75 min. In all cases, the internal fistula opening could be identified after complete fistuloscopy. In all cases, internal fistula opening was closed using full-thickness suture. There were no intraoperative or postoperative complications. After a 5-month follow-up, recurrence was observed in one (12.5%) patient. Conclusion Video-assisted anal fistula treatment is feasible, reproducible, and safe. It enables direct visualization of the fistula tract, internal opening and secondary paths. PMID:24676305

  11. Video-assisted anal fistula treatment: technical considerations and preliminary results of the first Brazilian experience.

    PubMed

    Mendes, Carlos Ramon Silveira; Ferreira, Luciano Santana de Miranda; Sapucaia, Ricardo Aguiar; Lima, Meyline Andrade; Araujo, Sergio Eduardo Alonso

    2014-01-01

    Anorectal fistula represents an epithelized communication path of infectious origin between the rectum or anal canal and the perianal region. The association of endoscopic surgery with the minimally invasive approach led to the development of the video-assisted anal fistula treatment. To describe the technique and initial experience with the technique video-assisted for anal fistula treatment. A Karl Storz video equipment was used. Main steps included the visualization of the fistula tract using the fistuloscope, the correct localization of the internal fistula opening under direct vision, endoscopic treatment of the fistula and closure of the internal opening which can be accomplished through firing a stapler, cutaneous-mucosal flap, or direct closure using suture. The mean distance between the anal verge and the external anal orifice was 5.5 cm. Mean operative time was 31.75 min. In all cases, the internal fistula opening could be identified after complete fistuloscopy. In all cases, internal fistula opening was closed using full-thickness suture. There were no intraoperative or postoperative complications. After a 5-month follow-up, recurrence was observed in one (12.5%) patient. Video-assisted anal fistula treatment is feasible, reproducible, and safe. It enables direct visualization of the fistula tract, internal opening and secondary paths.

  12. Teaching Chemical Engineering Thermodynamics at Three Levels--Experience from the Technical University of Denmark (DTU)

    ERIC Educational Resources Information Center

    Kontogeorgis, Georgios M.; Michelsen, Michael L.; Clement, Karsten H.

    2009-01-01

    According to so-called "Bologna model," many technical universities in Europe have divided their educations into separate 3-year Bachelor and 2-year Master programs (followed by an optional Ph.D. study). Following the "Bologna model," DTU has recently transformed its 5-year engineering education into a 3-year Bachelor (B.Sc.)…

  13. Biological versus technical variability in 2-D DIGE experiments with environmental bacteria.

    PubMed

    Zech, Hajo; Echtermeyer, Christoph; Wöhlbrand, Lars; Blasius, Bernd; Rabus, Ralf

    2011-08-01

    Two-dimensional difference gel electrophoresis (2-D DIGE) allows for reliable quantification of global protein abundance changes. The threshold of significance for protein abundance changes depends on the experimental variation (biological and technical). This study estimates biological, technical and total variation inherent to 2-D DIGE analysis of environmental bacteria, using the model organisms "Aromatoleum aromaticum" EbN1 and Phaeobacter gallaeciensis DSM 17395. Of both bacteria the soluble proteomes were analyzed from replicate cultures. For strains EbN1 and DSM 17395, respectively, CV revealed a total variation of below 19 and 15%, an average technical variation of 12 and 7%, and an average biological variation of 18 and 17%. Multivariate analysis of variance confirmed domination of biological over technical variance to be significant in most cases. To visualize variances, the complex protein data have been plotted with a multidimensional scaling technique. Furthermore, comparison of different treatment groups (different substrate conditions) demonstrated that variability within groups is significantly smaller than differences caused by treatment.

  14. Teaching Chemical Engineering Thermodynamics at Three Levels--Experience from the Technical University of Denmark (DTU)

    ERIC Educational Resources Information Center

    Kontogeorgis, Georgios M.; Michelsen, Michael L.; Clement, Karsten H.

    2009-01-01

    According to so-called "Bologna model," many technical universities in Europe have divided their educations into separate 3-year Bachelor and 2-year Master programs (followed by an optional Ph.D. study). Following the "Bologna model," DTU has recently transformed its 5-year engineering education into a 3-year Bachelor (B.Sc.)…

  15. Technical and Vocational Education and Training (TVET): Understanding the Nigerian Experience

    ERIC Educational Resources Information Center

    Dike, Victor Ebipuruonwu

    2013-01-01

    The descriptive mixed-methods study explores and describes the challenges and prospects of the growth and development of technical and vocational education and training (TVET) schools and science-based technology education in Nigeria. It is not understood how Nigerians in the United States perceive the impacts of governmental policies on education…

  16. Advanced missions safety. Volume 2: Technical discussion, Part 2: Experiment safety, guidelines

    NASA Technical Reports Server (NTRS)

    Hinton, M. G., Jr.

    1972-01-01

    A technical analysis of a portion of the advanced missions safety study is presented. The potential hazards introduced when experimental equipment is carried aboard the Earth Orbit Shuttle are identified. Safety guidelines and requirements for eliminating or reducing these hazards are recommended.

  17. Positive and Negative Experiences of Career Technical Secondary Students in Online Courses

    ERIC Educational Resources Information Center

    Harms, David Mathew

    2016-01-01

    Research indicates that secondary students who are successful in online classes share common traits. However, many secondary career technical education (CTE) students taking online courses do not demonstrate the traits identified for success. CTE students may not benefit from online classes unless they are designed with their needs in mind. The…

  18. Technical and Vocational Education and Training (TVET): Understanding the Nigerian Experience

    ERIC Educational Resources Information Center

    Dike, Victor Ebipuruonwu

    2013-01-01

    The descriptive mixed-methods study explores and describes the challenges and prospects of the growth and development of technical and vocational education and training (TVET) schools and science-based technology education in Nigeria. It is not understood how Nigerians in the United States perceive the impacts of governmental policies on education…

  19. Positive and Negative Experiences of Career Technical Secondary Students in Online Courses

    ERIC Educational Resources Information Center

    Harms, David Mathew

    2016-01-01

    Research indicates that secondary students who are successful in online classes share common traits. However, many secondary career technical education (CTE) students taking online courses do not demonstrate the traits identified for success. CTE students may not benefit from online classes unless they are designed with their needs in mind. The…

  20. Why Do Contractors Contract? The Experience of Highly Skilled Technical Professionals in a Contingent Labor Market.

    ERIC Educational Resources Information Center

    Kunda, Gideon; Barley, Stephen R.; Evans, James

    2002-01-01

    A study of why 52 highly skilled technical contractors accepted contingent employment found that contracting paid better than permanent employment. However, they felt anxiety and estrangement; networks were developed to address needs such as training. Highly skilled contingent workers form a triad with employing companies and intermediaries such…

  1. Strategic Planning at a Government Laboratory: Lawrence Livermore National Laboratory Technical Information Department's Experience with Planning.

    ERIC Educational Resources Information Center

    Peterson, Steve; Niels, Mara

    1997-01-01

    States that strategic planning has become ubiquitous at Livermore Lab, where the technical information department has been a resource for help with publications for over 30 years. Finds that a strategic plan focuses management attention and allows an organization to examine and improve its operations; each year's plan serves as the foundation for…

  2. Why Do Contractors Contract? The Experience of Highly Skilled Technical Professionals in a Contingent Labor Market.

    ERIC Educational Resources Information Center

    Kunda, Gideon; Barley, Stephen R.; Evans, James

    2002-01-01

    A study of why 52 highly skilled technical contractors accepted contingent employment found that contracting paid better than permanent employment. However, they felt anxiety and estrangement; networks were developed to address needs such as training. Highly skilled contingent workers form a triad with employing companies and intermediaries such…

  3. Initial results from the LAPD wave-particle experiment and simulation

    NASA Astrophysics Data System (ADS)

    Bortnik, J.; Tao, X.; Albert, J. M.; Thorne, R. M.; Gekelman, W. N.; Pribyl, P.; Van Compernolle, B.

    2011-12-01

    We present the initial results obtained from a unique experiment-theory project. This project is designed to study the detailed nature of the wave-particle interactions between energetic electrons and whistler-mode waves. Using the Large-Plasma device at UCLA, whistler mode waves are injected into one end of the machine and a beam of energetic electrons is injected at the opposite ends. When the first-order resonance condition is met, the electron beam is scattered, which is measured with a novel energy-pitch-angle analyzer. To support the experiment, a flexible test-particle code is constructed which is able to quantify the scattering of charged particles in response to any distribution of waves, in an arbitrary field geometry. The results of the experiment are discussed and placed into the context of space physics and specifically the upcoming Radiation Belt Storm Probes mission.

  4. Initial cathode processing experiences and results for the treatment of spent fuel

    SciTech Connect

    Westphal, B.R.; Laug, D.V.; Brunsvold, A.R.; Roach, P.D.

    1996-05-01

    As part of the spent fuel treatment demonstration at Argonne National Laboratory, a vacuum distillation process is being employed for the recovery of uranium following an electrorefining process. Distillation of a salt electrolyte, primarily consisting of a eutectic mixture of lithium and potassium chlorides, from uranium is achieved by a batch operation termed ``cathode processing.`` Cathode processing is performed in a retort furnace which enables the production of a stable uranium product that can be isotopically diluted and stored. To date, experiments have been performed with two distillation units; one for prototypical testing and the other for actual spent fuel treatment operations. The results and experiences from these initial experiments with both units will be discussed as well as problems encountered and their resolution.

  5. Magnetohydrodynamic simulation of solid-deuterium-initiated Z-pinch experiments

    SciTech Connect

    Sheehey, Peter Trogdon

    1994-02-01

    Solid-deuterium-initiated Z-pinch experiments are numerically simulated using a two-dimensional resistive magnetohydrodynamic model, which includes many important experimental details, such as ``cold-start`` initial conditions, thermal conduction, radiative energy loss, actual discharge current vs. time, and grids of sufficient size and resolution to allow realistic development of the plasma. The alternating-direction-implicit numerical technique used meets the substantial demands presented by such a computational task. Simulations of fiber-initiated experiments show that when the fiber becomes fully ionized rapidly developing m=0 instabilities, which originated in the coronal plasma generated from the ablating fiber, drive intense non-uniform heating and rapid expansion of the plasma column. The possibility that inclusion of additional physical effects would improve stability is explored. Finite-Larmor-radius-ordered Hall and diamagnetic pressure terms in the magnetic field evolution equation, corresponding energy equation terms, and separate ion and electron energy equations are included; these do not change the basic results. Model diagnostics, such as shadowgrams and interferograms, generated from simulation results, are in good agreement with experiment. Two alternative experimental approaches are explored: high-current magnetic implosion of hollow cylindrical deuterium shells, and ``plasma-on-wire`` (POW) implosion of low-density plasma onto a central deuterium fiber. By minimizing instability problems, these techniques may allow attainment of higher temperatures and densities than possible with bare fiber-initiated Z-pinches. Conditions for significant D-D or D-T fusion neutron production may be realizable with these implosion-based approaches.

  6. Initial Experiments on Fuzzy Control for Nuclear Reactor Operations at the Belgian Reactor 1

    SciTech Connect

    Da Ruan

    2003-08-15

    The application of fuzzy logic control (FLC) in the domain of the nuclear industry presents a tremendous challenge. The main reason for this is the public awareness of the risks of nuclear reactors and the very strict safety regulations in force for nuclear power plants. The very same regulations prevent a researcher from quickly introducing novel control methods into this field. On the other hand, the application of FLC has, despite the ominous sound of the word 'fuzzy' to nuclear engineers, a number of very desirable advantages over classical control, e.g., its robustness and the capability to include human experience into the controller. In this paper an FLC for controlling the power level of a nuclear reactor is described. The study is intended to assess the applicability of FLC in this domain. The final goal is to develop an optimized and intrinsically safe controller. After reviewing some available literature on FLC in nuclear reactors, an FLC is proposed and first tested by comparing it with the classical controller of the Belgian reactor 1 (BR1). In the next step the BR1 at the Belgian Nuclear Research Center (SCK-CEN) was used as a test bed to implement a programmable logic controller-based hardware controller. The BR1 reactor is internationally regarded as a nuclear calibration reference. It therefore provides an excellent environment for this type of experiment because over the years considerable knowledge of the static and dynamic properties of the reactor has been accumulated. The project (1995-1999) aimed at investigating the added value and technical limits of FLC for nuclear reactor operations. The progress made in these experiments including closed-loop experiments are presented and discussed in this paper.

  7. Seizing the Future: How Ohio's Career-Technical Education Programs Fuse Academic Rigor and Real-World Experiences to Prepare Students for College and Careers

    ERIC Educational Resources Information Center

    Guarino, Heidi; Yoder, Shaun

    2015-01-01

    "Seizing the Future: How Ohio's Career and Technical Education Programs Fuse Academic Rigor and Real-World Experiences to Prepare Students for College and Work," demonstrates Ohio's progress in developing strong policies for career and technical education (CTE) programs to promote rigor, including college- and career-ready graduation…

  8. Early Experience With Laparoscopic Approach for Solid Liver Tumors: Initial 16 Cases

    PubMed Central

    Descottes, Bernard; Lachachi, Fouzi; Sodji, Maxime; Valleix, Denis; Durand-Fontanier, Sylvaine; Pech, Bertrand; Laclause, de; Grousseau, Dominique

    2000-01-01

    Objective To evaluate the feasibility and outcome of laparoscopic hepatectomy in patients with solid liver tumors. Summary Background Data Although the laparoscopic approach has become popular in the surgical field, the value of laparoscopy in liver surgery is unknown. Methods Fifteen patients with solid liver tumors underwent 16 consecutive laparoscopic resections at the authors’ institution between 1994 and 1999. Indications were symptomatic hemangioma, focal nodular hyperplasia, liver cell adenoma, isolated metastasis from a colon cancer, and hepatocellular carcinoma. The laparoscopic procedure was performed using four to seven ports (four 10-mm, two 5-mm, and one 12-mm). Results One patient underwent a major hepatic resection (right lobectomy); the others underwent minor hepatic resections (left lateral segmentectomies, IVb subsegmentectomies, segmentectomy, and nonanatomical excisions). The laparoscopic procedure was uneventful in 15 patients; one patient required conversion to open laparotomy because of inadequate free surgical margins. Conclusion Laparoscopic surgery of the liver is feasible. The use of this new technical approach offers many advantages but requires extensive experience in hepatobiliary surgery and laparoscopic skills. The authors’ experience suggests that laparoscopic procedures should be reserved for benign tumors in selected cases. Its application must be verified by further studies. PMID:11066134

  9. Technical scheme and corresponding experiment for the PAT performance of a lasercom using an integrated test-bed

    NASA Astrophysics Data System (ADS)

    Sun, Jianfeng; Liu, Liren; Wang, Lijuan; Luan, Zhu; Liu, De'an; Xu, Nan; Zhong, Xianghong

    2007-09-01

    Recent successful demonstrations of laser communications have demonstrated the feasibility of some of the key aspects of this technology. The demonstrations can not success without the full-up ground test and validation. So an integrate test-bed was build in build to test the technical parameters and to verify the working performance for the optical pointing, acquisition and tracking (PAT) of various inter-satellite lasercom terminals. In this paper, we detail the test technical scheme (TTS) and the corresponding experiments. The integrate test-bed is a high quality optical system that will measure the key characteristics of lasercom terminals, such as point error, tracking error, acquisition possibility etc.. The test-bed can operate over the relative wavelength range. Through quantitative tests, the terminal could be optimized base on the test results.

  10. A multicenter cardiovascular MR network for tele-training and beyond: setup and initial experiences.

    PubMed

    Muehlberg, Fabian; Neumann, Daniel; von Knobelsdorff-Brenkenhoff, Florian; Traber, Julius; Alwardt, Nils; Schulz-Menger, Jeanette

    2015-08-01

    Training in cardiovascular MR (CMR) is an important topic in times of growing acceptance of the method for accurate diagnosis and management of cardiovascular disease. However, off-site training is becoming less acceptable with increasing cost and time pressures. We introduce a novel CMR network, capable of providing, remotely, part of CMR training and continuous expert support. By providing a technical and operational blueprint, we want to share our experience in building teaching networks. Conceptual, technical, and content-related characteristics of our teaching methods are introduced. A total of 97 participants in traditional fellowship CMR teaching and novel module-based network teaching were surveyed to assess their CMR performance. The number of hospitals in our CMR network increased from five in 2009 to 14 in 2014. A total of 79% of network hospitals conducted >100 CMR scans annually. Among these network hospitals are four small institutions (<400 beds), and five medium-sized hospitals (400-1,000 beds). Network teaching reduced off-site training to only five weeks. The time to the first independently conducted CMR scans was one week, with network teaching, but >1 month for 32% of participants in traditional CMR teaching. The CMR network enables experts from distant locations to supervise and control CMR scans in a distant hospital, in real time. CMR networks provide an efficient teaching platform with a minimum of off-site time for trainees. Real-time remote supervision and scan control capabilities support the decentralization of CMR expertise and enables even small and rurally located institutions to offer high-quality CMR scans. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  11. Programs of Study as a State Policy Mandate: A Longitudinal Study of the South Carolina Personal Pathways to Success Initiative. Technical Appendix A: Implementation of the Education and Economic Development Act

    ERIC Educational Resources Information Center

    Hammond, Cathy; Drew, Sam F.; Withington, Cairen; Griffith, Cathy; Swiger, Caroline M.; Mobley, Catherine; Sharp, Julia L.; Stringfield, Samuel C.; Stipanovic, Natalie; Daugherty, Lindsay

    2013-01-01

    This Technical Appendix is part of the report from the National Research Center for Career and Technical Education's (NRCCTE's) five-year longitudinal study of South Carolina's Personal Pathway to Success initiative, which was authorized by the state's Education and Economic Development Act (EEDA) in 2005. NRCCTE-affiliated researchers at the…

  12. SHOCK INITIATION OF COMPOSITION B AND C-4 EXPLOSIVES; EXPERIMENTS AND MODELING

    SciTech Connect

    Urtiew, P A; Vandersall, K S; Tarver, C M; Garcia, F; Forbes, J W

    2006-08-18

    Shock initiation experiments on the explosives Composition B and C-4 were performed to obtain in-situ pressure gauge data for the purpose of providing the Ignition and Growth reactive flow model with proper modeling parameters. A 100 mm diameter propellant driven gas gun was utilized to initiate the explosive charges containing manganin piezoresistive pressure gauge packages embedded in the explosive sample. Experimental data provided new information on the shock velocity--particle velocity relationship for each of the investigated material in their respective pressure range. The run-distance-to-detonation points on the Pop-plot for these experiments showed agreement with previously published data, and Ignition and Growth modeling calculations resulted in a good fit to the experimental data. Identical ignition and growth reaction rate parameters were used for C-4 and Composition B, and the Composition B model also included a third reaction rate to simulate the completion of reaction by the TNT component. This model can be applied to shock initiation scenarios that have not or cannot be tested experimentally with a high level of confidence in its predictions.

  13. CREST Modelling of PBX 9502 Corner Turning Experiments at Different Initial Temperatures

    NASA Astrophysics Data System (ADS)

    Whitworth, Nicholas

    2013-06-01

    Corner turning is an important problem in regard to detonation wave propagation in TATB-based explosives. Experimentally, a sudden change in direction of the propagating wave, such as turning a sharp corner, can result in dead-zones being left behind in the corner turn region, with the observed behaviour being particularly sensitive to the initial temperature of the explosive. In this paper, the entropy-dependent CREST reactive burn model is used to simulate corner turning experiments on the TATB-based explosive PBX 9502. Calculated results of double cylinder tests at three different initial temperatures (-54°C, 25°C, and 75°C), and a ``hockey puck'' experiment at ambient temperature, are compared to the corresponding test measurements. The results show that the model is able to: (i) calculate persistent dead-zones in PBX 9502 without recourse to any shock desensitisation treatment, and (ii) predict changes in corner turning behaviour with initial temperature using one set of coefficients.

  14. CREST modelling of PBX 9502 corner turning experiments at different initial temperatures

    NASA Astrophysics Data System (ADS)

    Whitworth, N. J.

    2014-05-01

    Corner turning is an important problem in regard to detonation wave propagation in TATB-based explosives. Experimentally, a sudden change in the direction of the propagating wave, such as turning a sharp corner, can result in dead-zones being left behind in the corner turn region, with the observed behaviour being particularly sensitive to the initial temperature of the explosive. In this paper, the entropy-dependent CREST reactive burn model is used to simulate corner turning experiments on the TATB-based explosive PBX 9502. Calculated results of double cylinder tests at three different initial temperatures (-54°C, ~23°C, and 75°C), and a "hockey puck" experiment at ambient temperature, are compared to the corresponding test measurements. The results show that the model is able to: (i) calculate persistent dead-zones in PBX 9502 without recourse to any shock desensitisation treatment, and (ii) predict changes in corner turning behaviour with initial temperature using one set of coefficients.

  15. Experiments on Effects of Initial Conditions and Material Strength on Rayleigh-Taylor Instability

    NASA Astrophysics Data System (ADS)

    Roach, Pamela; Banerjee, Arindam

    2013-11-01

    The effects of initial conditions on Rayleigh-Taylor (RT) instability in an accelerated elastic-plastic solid were studied. A novel rotating wheel RT experiment that uses centrifugal forces to accelerate a two-material interface was utilized to study the effect of amplitude and wavelength on RT instability with an elastic-plastic solid. The experiment consists of a container filled with air and mayonnaise, a non-Newtonian emulsion, with an initial perturbation between the two materials. Single mode perturbations of various amplitudes and wavelengths were analyzed and results indicated the acceleration required for instability increased for both decreasing initial amplitude and wavelength. Three-dimensional interfaces were found to be more stable than two-dimensional interfaces. Critical amplitude and growth rates were compared with prior experimental results and analytical growth models. Elastic and plastic peak amplitude responses were observed for stable interfaces using a variable acceleration profile where the test section was first accelerated to slightly below the critical acceleration and then decelerated at the same rate. This exercise allowed for verification of the elastic-plastic (EP) transition process before instability was reached. Authors acknowledge financial support from DOE-LANL subcontract # 173667-1 to Lehigh University and a NSF-Graduate Research Fellowship to Pamela Roach.

  16. Resuscitative Endovascular Balloon Occlusion of the Aorta: Principles, Initial Clinical Experience, and Considerations for the Anesthesiologist.

    PubMed

    Sridhar, Srikanth; Gumbert, Sam D; Stephens, Christopher; Moore, Laura J; Pivalizza, Evan G

    2017-09-01

    Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an endovascular technique that allows for temporary occlusion of the aorta in patients with severe, life-threatening, trauma-induced noncompressible hemorrhage arising below the diaphragm. REBOA utilizes a transfemoral balloon catheter inserted in a retrograde fashion into the aorta to provide inflow control and support blood pressure until definitive hemostasis can be achieved. Initial retrospective and registry clinical data in the trauma surgical literature demonstrate improvement in systolic blood pressure with balloon inflation and improved survival compared to open aortic cross-clamping via resuscitative thoracotomy. However, there are no significant reports of anesthetic implications and perioperative management in this challenging cohort. In this narrative, we review the principles, technique, and logistics of REBOA deployment, as well as initial clinical outcome data from our level-1 American College of Surgeons-verified trauma center. For anesthesiologists who may not yet be familiar with REBOA, we make several suggestions and recommendations for intraoperative management based on extrapolation from these initial surgical-based reports, opinions from a team with increasing experience, and translated experience from emergency aortic vascular surgical procedures. Further prospective data will be necessary to conclusively guide anesthetic management, especially as potential complications and implications for global organ function, including cerebral and renal, are recognized and described.

  17. Initial Scaling Studies and Conceptual Thermal Fluids Experiments for the Prismatic NGNP Point Design

    SciTech Connect

    D. M. McEligot; G. E. McCreery

    2004-09-01

    The objective of this report is to document the initial high temperature gas reactor scaling studies and conceptual experiment design for gas flow and heat transfer. The general approach of the project is to develop new benchmark experiments for assessment in parallel with CFD and coupled CFD/ATHENA/RELAP5-3D calculations for the same geometry. Two aspects of the complex flow in an NGNP are being addressed: (1) flow and thermal mixing in the lower plenum ("hot streaking" issue) and (2) turbulence and resulting temperature distributions in reactor cooling channels ("hot channel" issue). Current prismatic NGNP concepts are being examined to identify their proposed flow conditions and geometries over the range from normal operation to decay heat removal in a pressurized cooldown. Approximate analyses are being applied to determine key non-dimensional parameters and their magnitudes over this operating range. For normal operation, the flow in the coolant channels can be considered to be dominant forced convection with slight transverse property variation. The flow in the lower plenum can locally be considered to be a situation of multiple buoyant jets into a confined density-stratified crossflow -- with obstructions. Experiments are needed for the combined features of the lower plenum flows. Missing from the typical jet experiments are interactions with nearby circular posts and with vertical posts in the vicinity of vertical walls - with near stagnant surroundings at one extreme and significant crossflow at the other. Two heat transfer experiments are being considered. One addresses the "hot channel" problem, if necessary. The second experiment will treat heated jets entering a model plenum. Unheated MIR (Matched-Index-of-Refraction) experiments are first steps when the geometry is complicated. One does not want to use a computational technique which will not even handle constant properties properly. The MIR experiment will simulate flow features of the paths of jets

  18. Technical results and effects of operator experience on uterine artery embolization for fibroids: the Ontario Uterine Fibroid Embolization Trial.

    PubMed

    Pron, Gaylene; Bennett, John; Common, Andrew; Sniderman, Kenneth; Asch, Murray; Bell, Stuart; Kozak, Roman; Vanderburgh, Leslie; Garvin, Greg; Simons, Martin; Tran, Cuong; Kachura, John

    2003-05-01

    To document the technical results and spectrum of practice of uterine artery embolization (UAE) for fibroids in the health care setting in Canada. The effects of interventional radiologist's (IR's) experience with UAE on procedure and fluoroscopy time were also investigated. The study involved a multicenter prospective single-arm clinical treatment trial and included the practices of 11 IRs at eight university-affiliated teaching and community hospitals. Vascular access with percutaneous femoral artery approach was followed by transcatheter delivery of polyvinyl alcohol (PVA) particles into uterine arteries with fluoroscopic guidance. Technical success, complications, procedural time, fluoroscopy time, and effects of operator experience were outcomes analyzed. Between November 1998 and November 2000, 570 embolization procedures were performed in 555 patients. UAE was bilaterally successful in 97% (95% CI: 95%-98%). Variant anatomy was the most common reason for failure to embolize bilaterally. The procedural complication rate was 5.3% (95% CI: 3.6%-7.4%). Of the 30 events, three involved major complications (one seizure and two allergic reactions) that resulted in additional care or extended hospital stay. Procedure time and fluoroscopy time averaged 61 minutes (95% CI; 58-63 minutes) and 18.9 minutes (95% CI; 18-19.8) and varied significantly among IRs (P <.001; P <.001). The average 27% reduction in procedure time (20 minutes; P <.001) and 24% reduction in fluoroscopy time (5.1 minutes; P <.001) with increasing UAE experience were significant. A high level of technical success with few complications was obtained with a variety of operators in diverse practice settings. Increased experience in UAE significantly reduced procedure and fluoroscopy time.

  19. Effects of Initial Conditions on Compressible Mixing in Supernova-Relevant Laboratory Experiments

    SciTech Connect

    Miles, A R; Edwards, M; Greenough, J

    2004-04-30

    In core-collapse supernovae, strong blast waves drive interfaces susceptible to Rayleigh-Taylor (RT), Richtmyer-Meshkov (RM), and Kelvin-Helmholtz (KH) instabilities. In addition, perturbation growth can result from material expansion in large-scale velocity gradients behind the shock front. Laser-driven experiments are designed to produce a strongly shocked interface whose evolution is a scaled version of the unstable hydrogen-helium interface in core-collapse supernovae such as SN 1987A. The ultimate goal of this research is to develop an understanding of the effect of hydrodynamic instabilities and the resulting transition to turbulence on supernovae observables that remain as yet unexplained. In this paper, we summarize recent results from our computational study of unstable systems driven by high Mach number shock and blast waves. For planar multimode systems, compressibility effects preclude the emergence of a regime of self-similar instability growth independent of the initial conditions (IC's) by allowing for memory of the initial conditions to be retained in the mix-width at all times. With higher-dimensional blast waves, divergence restores the properties necessary for establishment of the self-similar state, but achieving it requires very high initial characteristic mode number and high Mach number for the incident blast wave. Initial conditions predicted by some recent stellar calculations are incompatible with self-similarity.

  20. Radiofrequency ablation therapy combined with cementoplasty for painful bone metastases: initial experience.

    PubMed

    Toyota, Naoyuki; Naito, Akira; Kakizawa, Hideaki; Hieda, Masashi; Hirai, Nobuhiko; Tachikake, Toshihiro; Kimura, Tomoki; Fukuda, Hideki; Ito, Katsuhide

    2005-01-01

    The purpose of this study was to assess the efficacy and safety of percutaneous radiofrequency (RF) ablation therapy combined with cementoplasty under computed tomography and fluoroscopic guidance for painful bone metastases. Seventeen adult patients with 23 painful bone metastases underwent RF ablation therapy combined with cementoplasty during a 2-year period. The mean tumor size was 52 x 40 x 59 mm. Initial pain relief, reduction of analgesics, duration of pain relief, recurrence rate of pain, survival rate, and complications were analyzed. The technical success rate was 100%. Initial pain relief was achieved in 100% of patients (n=17). The mean VAS scores dropped from 63 to 24 (p<0.001) (n=8). Analgesic reduction was achieved in 41% (7 out of 17 patients). The mean duration of pain relief was 7.3 months (median: 6 months). Pain recurred in three patients (17.6%) from 2 weeks to 3 months. Eight patients died and 8 patients are still alive (a patient was lost to follow-up). The one-year survival rate was 40% (observation period: 1--30 months). No major complications occurred, but one patient treated with this combined therapy broke his right femur 2 days later. There was transient local pain in most cases, and a hematoma in the psoas muscle (n=1) and a hematoma at the puncture site (n=1) occurred as minor complications. Percutaneous RF ablation therapy combined with cementoplasty for painful bone metastases is effective and safe, in particular, for bulky tumors extending to extraosseous regions. A comparison with cementoplasty or RF ablation alone and their long-term efficacies is needed.

  1. Radiofrequency Ablation Therapy Combined with Cementoplasty for Painful Bone Metastases: Initial Experience

    SciTech Connect

    Toyota, Naoyuki Naito, Akira; Kakizawa, Hideaki; Hieda, Masashi; Hirai, Nobuhiko; Tachikake, Toshihiro; Kimura, Tomoki; Fukuda, Hideki; Ito, Katsuhide

    2005-06-15

    The purpose of this study was to assess the efficacy and safety of percutaneous radiofrequency (RF) ablation therapy combined with cementoplasty under computed tomography and fluoroscopic guidance for painful bone metastases. Seventeen adult patients with 23 painful bone metastases underwent RF ablation therapy combined with cementoplasty during a 2-year period. The mean tumor size was 52 x 40 x 59 mm. Initial pain relief, reduction of analgesics, duration of pain relief, recurrence rate of pain, survival rate, and complications were analyzed. The technical success rate was 100%. Initial pain relief was achieved in 100% of patients (n = 17). The mean VAS scores dropped from 63 to 24 (p < 0.001) (n = 8). Analgesic reduction was achieved in 41% (7 out of 17 patients). The mean duration of pain relief was 7.3 months (median: 6 months). Pain recurred in three patients (17.6%) from 2 weeks to 3 months. Eight patients died and 8 patients are still alive (a patient was lost to follow-up). The one-year survival rate was 40% (observation period: 1-30 months). No major complications occurred, but one patient treated with this combined therapy broke his right femur 2 days later. There was transient local pain in most cases, and a hematoma in the psoas muscle (n = 1) and a hematoma at the puncture site (n = 1) occurred as minor complications. Percutaneous RF ablation therapy combined with cementoplasty for painful bone metastases is effective and safe, in particular, for bulky tumors extending to extraosseous regions. A comparison with cementoplasty or RF ablation alone and their long-term efficacies is needed.

  2. Experiments on the Richtmyer-Meshkov instability with an imposed, random initial perturbation

    NASA Astrophysics Data System (ADS)

    Jacobs, J. W.; Krivets, V. V.; Tsiklashvili, V.; Likhachev, O. A.

    2013-07-01

    A vertical shock tube is used to perform experiments on the Richtmyer-Meshkov instability with a three-dimensional random initial perturbation. A membraneless flat interface is formed by opposed gas flows in which the light and heavy gases enter the shock tube from the top and from the bottom of the shock tube driven section. An air/SF6 gas combination is used and a Mach number M = 1.2 incident shock wave impulsively accelerates the interface. Initial perturbations on the interface are created by vertically oscillating the gas column within the shock tube to produce Faraday waves on the interface resulting in a short wavelength, three-dimensional perturbation. Planar Mie scattering is used to visualize the flow in which light from a laser sheet is scattered by smoke seeded in the air, and image sequences are captured using three high-speed video cameras. Measurements of the integral penetration depth prior to reshock show two growth behaviors, both having power law growth with growth exponents in the range found in previous experiments and simulations. Following reshock, all experiments show very consistent linear growth with a growth rate in good agreement with those found in previous studies.

  3. Flat panel computed tomography of human ex vivo heart and bone specimens: initial experience.

    PubMed

    Nikolaou, Konstantin; Flohr, Thomas; Stierstorfer, Karl; Becker, Christoph R; Reiser, Maximilian F

    2005-02-01

    The aim of this technical investigation was the detailed description of a prototype flat panel detector computed tomography system (FPCT) and its initial evaluation in an ex vivo setting. The prototype FPCT scanner consists of a conventional radiographic flat panel detector, mounted on a multi-slice CT scanner gantry. Explanted human ex vivo heart and foot specimens were examined. Images were reformatted with various reconstruction algorithms and were evaluated for high-resolution anatomic information. For comparison purposes, the ex vivo specimens were also scanned with a conventional 16-detector-row CT scanner (Sensation 16, Siemens Medical Solutions, Forchheim, Germany). With the FPCT prototype used, a 1,024x768 resolution matrix can be obtained, resulting in an isotropic voxel size of 0.25x0.25x0.25 mm at the iso-center. Due to the high spatial resolution, very small structures such as trabecular bone or third-degree, distal branches of coronary arteries could be visualized. This first evaluation showed that flat panel detector systems can be used in a cone-beam computed tomography scanner and that very high spatial resolutions can be achieved. However, there are limitations for in vivo use due to constraints in low contrast resolution and slow scan speed.

  4. Robotic Intracorporeal Ileal Conduit Formation: Initial Experience from a Single UK Centre

    PubMed Central

    Bishop, Conrad V.; Adshead, James M.

    2013-01-01

    Objectives. To describe our technique of robotic intracorporeal ileal conduit formation (RICIC) during robotic-assisted radical cystectomy (RARC). To report our initial results of this new procedure. Patients and Methods. Seven male and one female patients underwent RARC with RICIC over a six-month period. Demographic, operative, and outcome data was collected prospectively. Median patient age was 75 years (range 62–78 years). Median followup was 9 months (range 7–14 months). Results. RARC with RICIC was performed successfully in all eight patients. The median total operating time was 360 minutes (range 310–440 minutes) with a median blood loss of 225 mL (range 50–1000 mL). The median length of stay was nine days (range 6–34 days). Four patients (50%) were discharged within seven days. Four patients (50%) experienced one or more complications. This included two Clavien I complications, two Clavien II complications, and two Clavien III complications. Two patients (25%) required transfusion of two units each. To date, there have been no complications associated with the ileal conduit. Conclusion. Whilst being technically challenging, this procedure is safe, feasible, and reproducible. Patients who avoid complication show potential for rapid recovery and early discharge. PMID:24072995

  5. Iranian nurses' experience of essential technical competences in disaster response: A qualitative content analysis study.

    PubMed

    Aliakbari, Fatemeh; Bahrami, Masoud; Aein, Fereshteh; Khankeh, Hamidreza

    2014-11-01

    Today disasters are a part of many people's lives. Iran has a long history of disaster events and nurses are one of the most significant groups within the Iranian disaster relief operations, providing immediate and long-term care for those affected by the disaster. However, the technical competence of Iranian nurses and their training for this work has received little attention. This article presents the results of a study that aims to explore this context. A qualitative study was conducted using in-depth interviews to collect data from 30 nurses, who were deliberately selected from the health centers affiliated to the Isfahan University of Medical Sciences. Themes were identified using the conventional qualitative content analysis. The trustworthiness of the study was supported by considering the auditability, neutrality, consistency, and transferability. The study lasted from 2011 to 2012. Data analysis undertaken for the qualitative study resulted in the identification of five main themes, which included: (1) Management competences, (2) ethical and legal competences, (3) team working, and (4) personal abilities and the specific technical competences presented in this report. This report presents an overview of the nursing technical capabilities required for Iranian nurses during disaster relief. It is argued that additional competencies are required for nurses who care in high-risk situations, including disasters. Nurses need to prepare themselves more effectively to be responsible and effective in nursing care.

  6. Iranian nurses’ experience of essential technical competences in disaster response: A qualitative content analysis study

    PubMed Central

    Aliakbari, Fatemeh; Bahrami, Masoud; Aein, Fereshteh; Khankeh, Hamidreza

    2014-01-01

    Background: Today disasters are a part of many people's lives. Iran has a long history of disaster events and nurses are one of the most significant groups within the Iranian disaster relief operations, providing immediate and long-term care for those affected by the disaster. However, the technical competence of Iranian nurses and their training for this work has received little attention. This article presents the results of a study that aims to explore this context. Materials and Methods: A qualitative study was conducted using in-depth interviews to collect data from 30 nurses, who were deliberately selected from the health centers affiliated to the Isfahan University of Medical Sciences. Themes were identified using the conventional qualitative content analysis. The trustworthiness of the study was supported by considering the auditability, neutrality, consistency, and transferability. The study lasted from 2011 to 2012. Results: Data analysis undertaken for the qualitative study resulted in the identification of five main themes, which included: (1) Management competences, (2) ethical and legal competences, (3) team working, and (4) personal abilities and the specific technical competences presented in this report. Conclusions: This report presents an overview of the nursing technical capabilities required for Iranian nurses during disaster relief. It is argued that additional competencies are required for nurses who care in high-risk situations, including disasters. Nurses need to prepare themselves more effectively to be responsible and effective in nursing care. PMID:25558255

  7. Initial Retrieval Validation from the Joint Airborne IASI Validation Experiment (JAIVEx)

    NASA Technical Reports Server (NTRS)

    Zhou, Daniel K.; Liu, Xu; Smith, WIlliam L.; Larar, Allen M.; Taylor, Jonathan P.; Revercomb, Henry E.; Mango, Stephen A.; Schluessel, Peter; Calbet, Xavier

    2007-01-01

    The Joint Airborne IASI Validation Experiment (JAIVEx) was conducted during April 2007 mainly for validation of the Infrared Atmospheric Sounding Interferometer (IASI) on the MetOp satellite, but also included a strong component focusing on validation of the Atmospheric InfraRed Sounder (AIRS) aboard the AQUA satellite. The cross validation of IASI and AIRS is important for the joint use of their data in the global Numerical Weather Prediction process. Initial inter-comparisons of geophysical products have been conducted from different aspects, such as using different measurements from airborne ultraspectral Fourier transform spectrometers (specifically, the NPOESS Airborne Sounder Testbed Interferometer (NAST-I) and the Scanning-High resolution Interferometer Sounder (S-HIS) aboard the NASA WB-57 aircraft), UK Facility for Airborne Atmospheric Measurements (FAAM) BAe146-301 aircraft insitu instruments, dedicated dropsondes, radiosondes, and ground based Raman Lidar. An overview of the JAIVEx retrieval validation plan and some initial results of this field campaign are presented.

  8. Initial utility experience with cluster of three Mod-2 wind turbine systems

    NASA Technical Reports Server (NTRS)

    Seely, D. B.; Warchol, E. J.; Butler, N. G.; Ciranny, S.

    1982-01-01

    This paper describes the initial utility experiences of operating three MOD-2s during the Engineering Acceptance Testing. Electrical quantities of bus voltage, phase currents and power are initially being recorded to evaluate impacts to customers on the 69-kV subtransmission line during synchronization and operation of one or more WTSs. To date, effects on the system have been essentially undetectable. Measurements of television signal strengths were taken at an existing television remote pickup and relay station at the WTS site. Potential TV signal interference problems from the WTSs have been avoided by replacing the remote pickups with microwave repeater links for the four TV channels received from Portland, Oregon. Preliminary measurements of audible and sub-audible noise levels indicate that the upwind rotor, tubular tower design of the MOD-2 does not have the pulsing high intensity infrasound problems experienced by the MOD-1 machine at Boone, North Carolina.

  9. SHOCK INITIATION EXPERIMENTS ON THE TATB BASED EXPLOSIVE RX-03-GO WITH IGNITION AND GROWTH MODELING

    SciTech Connect

    Vandersall, K S; Garcia, F; Tarver, C M

    2009-06-23

    Shock initiation experiments on the TATB based explosive RX-03-GO (92.5% TATB, 7.5% Cytop A by weight) were performed to obtain in-situ pressure gauge data, characterize the run-distance-to-detonation behavior, and calculate Ignition and Growth modeling parameters. A 101 mm diameter propellant driven gas gun was utilized to initiate the explosive sample with manganin piezoresistive pressure gauge packages placed between sample slices. The RX-03-GO formulation utilized is similar to that of LX-17 (92.5% TATB, 7.5% Kel-f by weight) with the notable differences of a new binder material and TATB that has been dissolved and recrystallized in order to improve the purity and morphology. The shock sensitivity will be compared with that of prior data on LX-17 and other TATB formulations. Ignition and Growth modeling parameters were obtained with a reasonable fit to the experimental data.

  10. Shock Initiation Experiments Plus Ignition and Growth Modeling of PBXN-112

    NASA Astrophysics Data System (ADS)

    Garcia, Frank; Vandersall, Kevin; Tarver, Craig

    2011-06-01

    Shock initiation experiments on the HMX based explosive PBXN-112 (89% HMX, 11% polyaurylmethacrylate by weight) were performed to obtain in-situ pressure gauge data, to characterize the run-distance-to-detonation behavior, and to provide a basis for Ignition and Growth reactive flow modeling. A 101 mm diameter gas gun was utilized to initiate the explosive charge with manganin piezoresistive pressure gauge packages placed between sample slices. The shock sensitivity of PBXN-112 is compared to that of other HMX formulations. Ignition and Growth model parameters were derived that yielded a good fit to the experimental data. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  11. Shock Initiation Experiments on the Tatb Based Explosive RX-03-GO with Ignition and Growth Modeling

    NASA Astrophysics Data System (ADS)

    Vandersall, Kevin S.; Garcia, Frank; Tarver, Craig M.

    2009-12-01

    Shock initiation experiments on the TATB based explosive RX-03-GO (92.5% TATB, 7.5% Cytop A by weight) were performed to obtain in-situ pressure gauge data, characterize the run-distance-to-detonation behavior, and calculate Ignition and Growth modeling parameters. A 101 mm diameter propellant driven gas gun was utilized to initiate the explosive sample with manganin piezoresistive pressure gauge packages placed between sample slices. The RX-03-GO formulation utilized is similar to that of LX-17 (92.5% TATB, 7.5% Kel-f by weight) with the notable differences of a new binder material and TATB that has been dissolved and recrystallized in order to improve the purity and morphology. The shock sensitivity will be compared with that of prior data on LX-17 and other TATB formulations. Ignition and Growth modeling parameters were obtained with a reasonable fit to the experimental data.

  12. Initial Retrieval Validation from the Joint Airborne IASI Validation Experiment (JAIVEx)

    NASA Technical Reports Server (NTRS)

    Zhou, Daniel K.; Liu, Xu; Smith, WIlliam L.; Larar, Allen M.; Taylor, Jonathan P.; Revercomb, Henry E.; Mango, Stephen A.; Schluessel, Peter; Calbet, Xavier

    2007-01-01

    The Joint Airborne IASI Validation Experiment (JAIVEx) was conducted during April 2007 mainly for validation of the Infrared Atmospheric Sounding Interferometer (IASI) on the MetOp satellite, but also included a strong component focusing on validation of the Atmospheric InfraRed Sounder (AIRS) aboard the AQUA satellite. The cross validation of IASI and AIRS is important for the joint use of their data in the global Numerical Weather Prediction process. Initial inter-comparisons of geophysical products have been conducted from different aspects, such as using different measurements from airborne ultraspectral Fourier transform spectrometers (specifically, the NPOESS Airborne Sounder Testbed Interferometer (NAST-I) and the Scanning-High resolution Interferometer Sounder (S-HIS) aboard the NASA WB-57 aircraft), UK Facility for Airborne Atmospheric Measurements (FAAM) BAe146-301 aircraft insitu instruments, dedicated dropsondes, radiosondes, and ground based Raman Lidar. An overview of the JAIVEx retrieval validation plan and some initial results of this field campaign are presented.

  13. Scientific/Technical Report Bioenergetics Research Initiative Award number-DE-FG02-05ER64092

    SciTech Connect

    Trappe, Scott A

    2009-12-04

    General Project Overview and Final Technical Report This equipment grant was utilized to enhance the infrastructure of the Human Performance Laboratory at Ball State University. The laboratories primary focus is human based exercise physiology conducting research in the areas of sports performance, aging and exercise, unloading (space flight and bed rest), pediatric exercise and clinical exercise physiology. The main equipment supported by this grant was an ultrasound unit for cardiac and skeletal muscle imaging at the whole organ level, microscope system for micro imaging of skeletal muscle tissue, running treadmill for energy expenditure assessment, autoclave for sterilization, and upgrade to our dual x–ray absorptiometry (DEXA) system that was utilized for body composition measurements. The equipment was involved in several human metabolic and skeletal muscle research projects as highlighted above. In particular, this equipment served a support role for other large–scale clinical projects funded by the National Institutes of Health (NIH), National Aeronautics and Space Administration (NASA), and corporate sponsors.

  14. Technical Solutions to Ensure Safe Yttrium-90 Radioembolization in Patients With Initial Extrahepatic Deposition of {sup 99m}Technetium-Albumin Macroaggregates

    SciTech Connect

    Barentsz, M. W.; Vente, M. A. D.; Lam, M. G. E. H.; Smits, M. L. J.; Nijsen, J. F. W.; Seinstra, B. A.; Rosenbaum, C. E. N. M.; Verkooijen, H. M.; Zonnenberg, B. A.; Van den Bosch, M. A. A. J.

    2011-10-15

    Purpose: To evaluate the incidence of extrahepatic deposition of technetium-99m-labeled albumin macroaggregates ({sup 99m}Tc-MAA) after pretreatment angiography, before yttrium-90 radioembolizaton ({sup 90}Y-RE), and to report on technical solutions that can be used to ensure safe delivery of {sup 90}Y-microspheres in patients with initial extrahepatic deposition. Materials and Methods: A retrospective analysis of 26 patients with primary and secondary liver malignancies, who were scheduled for treatment with {sup 90}Y-RE in our institution in 2009, was performed. The angiograms and single-photon emission computed tomography images of all patients were reviewed by an interventional radiologist and a nuclear medicine physician, respectively, to identify and localize extrahepatic deposition of {sup 99m}Tc-MAA when present. Subsequently, the technical solutions were used to successfully perform {sup 90}Y-RE in these patients were evaluated and described. Results: Extrahepatic deposition of {sup 99m}Tc-MAA was observed in 8 of 26 patients (31%). In 7 of 8 patients, a second pretreatment angiography was performed to detect the cause of extrahepatic deposition. The technical solutions to enable safe {sup 90}Y microspheres delivery included more distal placement of the microcatheter in the proper/right hepatic artery in 4 of 7 (57%) patients; (super)selective catheterization of multiple segmental branches in 2 of 7 (29%); and additional coiling of a newly detected branch in the remaining patient (14%). This was confirmed by a second MAA procedure. {sup 90}Y-RE was eventually performed in 25 of 26 (96%) patients. No procedure-related complications (<30 days) were observed. Conclusion: Extrahepatic deposition of {sup 99m}Tc-MAA after pretreatment angiography did occur in 8 of 26 (31%) patients. The technical solutions as presented allowed safe {sup 90}Y-RE delivery in 25 of 26 (96%) patients.

  15. Initial results from OSSE on the Compton Observatory. [Oriented Scintillation Spectrometer Experiment

    NASA Technical Reports Server (NTRS)

    Johnson, W. N.; Kurfess, J. D.; Purcell, W. R.; Matz, S. M.; Ulmer, M. P.; Strickman, M. S.; Murphy, R. J.; Grabelsky, D. A.; Kinzer, R. L.; Share, G. H.

    1993-01-01

    The Oriented Scintillation Spectrometer Experiment (OSSE) was launched on NASA's Compton Observatory on 1991 April 5. OSSE uses large area scintillation detectors to undertake gamma-ray line and continuum observations in the 0.05-10 MeV energy range. During the first months of the mission, OSSE has obtained observations on a number of high priority sources including AGNs, SN1991T, the galactic center region, and several discrete galactic sources. The capabilities and performance of OSSE are discussed and initial results for several of the early observations are presented.

  16. Initial results from OSSE on the Compton Observatory. [Oriented Scintillation Spectrometer Experiment

    NASA Technical Reports Server (NTRS)

    Johnson, W. N.; Kurfess, J. D.; Purcell, W. R.; Matz, S. M.; Ulmer, M. P.; Strickman, M. S.; Murphy, R. J.; Grabelsky, D. A.; Kinzer, R. L.; Share, G. H.

    1993-01-01

    The Oriented Scintillation Spectrometer Experiment (OSSE) was launched on NASA's Compton Observatory on 1991 April 5. OSSE uses large area scintillation detectors to undertake gamma-ray line and continuum observations in the 0.05-10 MeV energy range. During the first months of the mission, OSSE has obtained observations on a number of high priority sources including AGNs, SN1991T, the galactic center region, and several discrete galactic sources. The capabilities and performance of OSSE are discussed and initial results for several of the early observations are presented.

  17. Initial Experiments and Analysis of Blunt-Edge Vortex Flows. Chapter 18

    NASA Technical Reports Server (NTRS)

    Luckring, James M.

    2009-01-01

    A review is presented of the initial experimental results and analysis that formed the basis the Vortex Flow Experiment 2 (VFE-2). The focus of this work was to distinguish the basic effects of Reynolds number, Mach number, angle of attack, and leading edge bluntness on separation-induced leading-edge vortex flows that are common to slender wings. Primary analysis is focused on detailed static surface pressure distributions, and the results demonstrate significant effects regarding the onset and progression of leading-edge vortex separation.

  18. Tales from the Miami Healthy Heart Initiative: the experiences of two community health workers.

    PubMed

    Lebron, Cynthia N; Reyes-Arrechea, Ernesto; Castillo, Andrea; Carrasquillo, Olveen; Kenya, Sonjia

    2015-05-01

    Community health workers (CHWs) have been bridging the gap between under-served populations and health care systems for centuries; however, their experiences are rarely recounted. The Miami Healthy Heart Initiative is a randomized control trial designed to examine the effectiveness of CHWs on reducing the risk for cardiovascular disease among Hispanics with poorly controlled diabetes in South Florida. This manuscript, told from the perspective of CHWs, is a summary of cases that were successful and some that did not achieve optimal outcomes. These case summaries include anecdotal data and clinical variables that demonstrate each patient's progress during the intervention.

  19. Initial Experiments and Analysis of Blunt-Edge Vortex Flows. Chapter 18

    NASA Technical Reports Server (NTRS)

    Luckring, James M.

    2009-01-01

    A review is presented of the initial experimental results and analysis that formed the basis the Vortex Flow Experiment 2 (VFE-2). The focus of this work was to distinguish the basic effects of Reynolds number, Mach number, angle of attack, and leading edge bluntness on separation-induced leading-edge vortex flows that are common to slender wings. Primary analysis is focused on detailed static surface pressure distributions, and the results demonstrate significant effects regarding the onset and progression of leading-edge vortex separation.

  20. Airborne laser topographic mapping results from initial joint NASA/US Army Corps of Engineers experiment

    NASA Technical Reports Server (NTRS)

    Krabill, W. B.; Collins, J. G.; Swift, R. N.; Butler, M. L.

    1980-01-01

    Initial results from a series of joint NASA/US Army Corps of Engineers experiments are presented. The NASA Airborne Oceanographic Lidar (AOL) was exercised over various terrain conditions, collecting both profile and scan data from which river basin cross sections are extracted. Comparisons of the laser data with both photogrammetry and ground surveys are made, with 12 to 27 cm agreement observed over open ground. Foliage penetration tests, utilizing the unique time-waveform sampling capability of the AOL, indicate 50 cm agreement with photogrammetry (known to have difficulty in foliage covered terrain).

  1. Maximizing the Workshop Experience: An Example from the PTRA Rural Initiatives Program

    NASA Astrophysics Data System (ADS)

    Burns, Teresa

    2003-11-01

    Since the summer of 2001, the Rural Initiative of the Physics Teaching Resource Agents have led summer workshops for high school and middle school physics teachers at several universities nationwide. From the site at Coastal Carolina University where teachers learned about radioactivity and nuclear physics, assistant professor Teresa Burns describes how high school teacher Lucas Mullen was able to build a curriculum tied to South Carolina State Science Standards around the content he learned at the workshop. This is one example of how a workshop experience can lead to better teaching practices through exposure to content material and current accepted practices in physics education research.

  2. Experiments on the Richtmyer-Meshkov instability with an imposed, random initial perturbation

    NASA Astrophysics Data System (ADS)

    Tsiklashvili, Vladimer

    The Richtmyer-Meshkov instability is studied in vertical shock tube experiment. The instability is initiated by the passage of an incident shock wave over an interface between two dissimilar gases. The interface is formed by opposed gas flows in which air and SF6 enter the shock tube from the top and from the bottom of the shock tube driven section. The gases exit the test section through a series of small holes in the test section side walls, leaving behind a flat, diffuse membrane-free interface at that location. Random three-dimensional perturbations are imposed on the interface by oscillating the column of gases in the vertical direction, using two loud speakers mounted in the shock tube wall. The development of the turbulent mixing is observed as a result of the shock-interface interaction. The flow is visualized using planar Mie scattering in which the light from a laser sheet is scattered by smoke particles seeded in one of the experimental gases and image sequences are captured using high-speed CMOS cameras. The primary interest of the study is the determination of the growth rate of the turbulent mixing layer that develops after an impulsive acceleration of the perturbed interface between the two gases (air/SF6) by a weak M=1.2 incident shock wave. Measurements of the mixing layer width following the initial shock interaction show a power law growth h˜ tthetasimilar to the those observed in previous experiments and simulations with theta ≈ 0.40. The experiments reveal that the growth rate of the mixing width significantly varies from one experiment to another. This is attributed to the influence of initial perturbations imposed on the interface. However, better consistency for the mixing layer growth rate is obtained from the mixing generated by the reflected shock wave. A novel approach that is based on mass and linear momentum conservation laws in the moving reference frame leads to a new definition of the spike and bubble mixing layer widths, which

  3. Culture change in addictions treatment: a targeted training and technical assistance initiative affects tobacco-related attitudes and beliefs in addiction treatment settings.

    PubMed

    Perka, Edward J

    2011-11-01

    Targeted training and technical assistance can have a major impact on the attitudes and beliefs of addiction service providers with respect to the treatment of tobacco dependency. Major gains have been made with the general public since the mid-1960s with respect to the reduction of tobacco use behavior and tobacco-related diseases. Tobacco use continues to be a major public health problem, and tobacco control initiatives are significantly affecting public attitudes and norms regarding tobacco use. There is, however, a specific population that has not benefited from these gains and, in fact, has been encouraged to continue smoking rather than make an attempt to quit. Individuals with a substance use disorder and/or mental health disorder have a much higher percentage of tobacco use than the general population, resulting in major health disparities. The addiction treatment and recovery community has lagged behind the general public in addressing tobacco use. New York State's project, "Integrating Tobacco Use Interventions Into Chemical Dependence Services," is a model that demonstrates how innovative regulations, and training and technical assistance developed specifically for addiction service providers, can initiate culture change with respect to tobacco use within addiction treatment settings, resulting in improved treatment outcomes and longer term stable recovery.

  4. Initial experience with stereoscopic visualization of three-dimensional ultrasound data in surgery.

    PubMed

    Gronningsaeter, A; Lie, T; Kleven, A; Mørland, T; Langø, T; Unsgård, G; Myhre, H O; Mårvik, R

    2000-11-01

    Initial in vivo and in vitro experiments were performed to evaluate the feasibility of stereoscopically displaying three-dimensional (3D) ultrasound data from neurosurgery, laparoscopic surgery, and vascular surgery. Stereoscopic visualization was illustrated by four video sequences, which can be downloaded from http://www.us.unimed. sintef.no/. These sequences show a brain tumor, hepatic arteries in relation to the gallbladder, a model that mimics a neuroendoscope in a cyst, and a "flight" into model of an artery with an intima flap. The experiments indicate that stereoscopic display of ultrasound data is feasible when there is sufficient contrast between the objects of interest and the surrounding tissue. True 3D vision improves perception, thus enhancing the ability to understand complex anatomic structures such as irregular lesions and tortuous vessels.

  5. Pore Formation and Mobility Investigation (PFMI): Concept, Hardware Development and Initial Analysis of Experiments

    NASA Technical Reports Server (NTRS)

    Grugel, Richard N.

    2004-01-01

    Porosity in the form of "bubbles and pipes" can occur during controlled directional solidification processing of metal alloys. This is a consequence that 1) precludes obtaining any meaningful scientific results and 2) is detrimental to desired material properties. Unfortunately, several Microgravity experiments have been compromised by porosity. The intent of the PFMI investigation is to conduct a systematic effort directed towards understanding porosity formation and mobility during controlled directional solidification (DS) in a microgravity environment. PFMI uses a pure transparent material, succinonitrile (SCN), as well as SCN "alloyed" with water, in conjunction with a translating temperature gradient stage so that direct observation and recording of pore generation and mobility can be made. PFMI is investigating the role of thermocapillary forces and temperature gradients in affecting bubble dynamics as well as other solidification processes in a microgravity Environment. This presentation will cover the concept, hardware development, operations, and the initial results from experiments conducted aboard the International Space Station. .

  6. Mapping patients’ experiences from initial symptoms to gout diagnosis: a qualitative exploration

    PubMed Central

    Liddle, Jennifer; Roddy, Edward; Mallen, Christian D; Hider, Samantha L; Prinjha, Suman; Ziebland, Sue; Richardson, Jane C

    2015-01-01

    Objective To explore patients’ experiences from initial symptoms to receiving a diagnosis of gout. Design Data from in-depth semistructured interviews were used to construct themes to describe key features of patients’ experiences of gout diagnosis. Participants and setting A maximum variation sample of 43 UK patients with gout (29 men; 14 women; age range 32–87 years) were recruited from general practices, rheumatology clinics, gout support groups and through online advertising. Results Severe joint pain, combined with no obvious signs of physical trauma or knowledge of injury, caused confusion for patients attempting to interpret their symptoms. Reasons for delayed consultation included self-diagnosis and/or self-medication, reluctance to seek medical attention, and financial/work pressures. Factors potentially contributing to delayed diagnosis after consultation included reported misdiagnosis, attacks in joints other than the first metatarsophalangeal joint, and female gender. The limitations in using serum uric acid (SUA) levels for diagnostic purposes were not always communicated effectively to patients, and led to uncertainty and lack of confidence in the accuracy of the diagnosis. Resistance to the diagnosis occurred in response to patients’ beliefs about the causes of gout and characteristics of the people likely to be affected. Diagnosis prompted actions, such as changes in diet, and evidence was found of self-monitoring of SUA levels. Conclusions This study is the first to report data specifically about patients’ pathways to initial consultation and subsequent experiences of gout diagnosis. A more targeted approach to information provision at diagnosis would improve patients’ experiences. PMID:26369796

  7. Changing How High Schools Serve Black and Latino Young Men: A Report on NYC's Expanded Success Initiative. Technical Appendices

    ERIC Educational Resources Information Center

    Villavincencio, Adriana; Klevan, Sarah; Kang, David

    2015-01-01

    These appendices describe the matching process used to identify an appropriate set of comparison schools for use in the report evaluating Year 2 of the Expanded Success Initiative, "Changing How High Schools Serve Black and Latino Young Men." As described in Chapter 2 of the report, selecting schools similar to ESI schools to serve as a…

  8. VORTEX: Versatile and open subsea robot for technical experiment: Prototyping software architecture for the next AUV and ROV generation

    SciTech Connect

    Rigaud, V.; Le Rest, E.; Marce, L.; Coste Maniere, E.; Simon, D.; Peuch, A.; Perrier, M.

    1994-12-31

    This paper describes a new experimental vehicle named V.O.R.T.E.X. (Versatile and Open subsea Robot for Technical EXperiment) built by the Subsea Robotics Laboratory at the French institute for Sea exploitation (Ifremer). The aim of this project is to work out the metamorphosis of a classical ROV architecture into an AUV architecture in particular for the control and programming architecture design. This vehicle is also designed to emulate the new IFREMER ROV6000 and the future Abyssal Survey Vehicle AUV, from a functional point of view.

  9. Initial Experience with a Cone-beam Breast Computed Tomography-guided Biopsy System

    PubMed Central

    Seifert, Posy J; Morgan, Renee C; Conover, David L; Arieno, Andrea L

    2017-01-01

    Objective: To evaluate our initial experience with a cone-beam breast computed tomography (BCT)-guided breast biopsy system for lesion retrieval in phantom studies for use with a cone-beam BCT imaging system. Materials and Methods: Under the Institutional Review Board approval, a phantom biopsy study was performed using a dedicated BCT-guided biopsy system. Fifteen biopsies were performed on each of the small, medium, and large anthropomorphic breast phantoms with both BCT and stereotactic guidance for comparison. Each set of the 45 phantoms contained masses and calcification clusters of varying sizes. Data included mass/calcium retrieval rate and dose and length of procedure time for phantom studies. Results: Phantom mass and calcium retrieval rate were 100% for BCT and stereotactic biopsy. BCT dose for small and medium breast phantoms was found to be equivalent to or less than the corresponding stereotactic approach. Stereotactic-guided biopsy dose was 34.2 and 62.5 mGy for small and medium breast phantoms, respectively. BCT-guided biopsy dose was 15.4 and 30.0 mGy for small and medium breast phantoms, respectively. Both computed tomography biopsy and stereotactic biopsy study time ranged from 10 to 20 min. Conclusion: Initial experience with a BCT-guided biopsy system has shown to be comparable to stereotactic biopsy in phantom studies with equivalent or decreased dose. PMID:28217404

  10. The Model Parameter Estimation Experiment (MOPEX): Its structure, connection to other international initiatives and future directions

    USGS Publications Warehouse

    Wagener, T.; Hogue, T.; Schaake, J.; Duan, Q.; Gupta, H.; Andreassian, V.; Hall, A.; Leavesley, G.

    2006-01-01

    The Model Parameter Estimation Experiment (MOPEX) is an international project aimed at developing enhanced techniques for the a priori estimation of parameters in hydrological models and in land surface parameterization schemes connected to atmospheric models. The MOPEX science strategy involves: database creation, a priori parameter estimation methodology development, parameter refinement or calibration, and the demonstration of parameter transferability. A comprehensive MOPEX database has been developed that contains historical hydrometeorological data and land surface characteristics data for many hydrological basins in the United States (US) and in other countries. This database is being continuously expanded to include basins from various hydroclimatic regimes throughout the world. MOPEX research has largely been driven by a series of international workshops that have brought interested hydrologists and land surface modellers together to exchange knowledge and experience in developing and applying parameter estimation techniques. With its focus on parameter estimation, MOPEX plays an important role in the international context of other initiatives such as GEWEX, HEPEX, PUB and PILPS. This paper outlines the MOPEX initiative, discusses its role in the scientific community, and briefly states future directions.

  11. Initial Off-Axis Neutral Beam Checkout and Physics Experiments on DIII-D

    NASA Astrophysics Data System (ADS)

    van Zeeland, M. A.; Ferron, J. R.; Hyatt, A. W.; Murphy, C. J.; Petty, C. C.; Prater, R.; Scoville, J. T.; Heidbrink, W. W.; Muscatello, C. M.; Park, J. M.; Murakami, M.; Pace, D. C.; Holcomb, C. T.; Grierson, B. A.; Tobias, B. J.; Solomon, W. M.; Moyer, R. A.

    2011-10-01

    Two of the eight neutral beam sources on DIII-D have been modified to allow vertical steering, with the injection angle varying from horizontal to downward at an angle of 16.5 degrees for off-axis deposition. Initial experiments to assess the basic beam functionality, geometry, and confinement were carried out. Dα images of beam into gas and plasma yield beam neutral profiles and are key in assessing beam shape and clipping. Neutron and fast-ion Dα (FIDA) diagnostics verify classical behavior of the off-axis beam ions in MHD-quiescent conditions. An initial physics experiment takes advantage of the downward steered beams to vary the fast-ion gradient ∇βf from centrally peaked to hollow. Systematic scans determine the stability and impact of reversed shear Alfvén eigenmodes and toroidal Alfvén eigenmodes as a function of ∇βf . Supported by US DOE under DE-FC02-04ER54698, SC-G903402, DE-AC05-00OR22725, DE-AC05-06OR23100, DE-AC52-07NA27344, DE-AC02-09CH11466, & DE-FG02-07ER54917.

  12. Robotic anatomic lung resections: the initial experience and description of learning in 102 cases.

    PubMed

    Toker, Alper; Özyurtkan, Mehmet Oğuzhan; Kaba, Erkan; Ayalp, Kemal; Demirhan, Özkan; Uyumaz, Elena

    2016-02-01

    The aim of this study was to analyze our initial pulmonary resection experience with robotic surgery (Da Vinci, Intuitive Surgical, Inc., Mountain View, California, USA) and define the learning curve based on the duration of operations. A retrospective review was conducted on patients undergoing robotic pulmonary resections from October 2011 to December 2014. The operating time, including the docking and console times, postoperative hospitalization, and peri- and postoperative complications were studied. Hundred patients underwent 102 robotic anatomic pulmonary resections due to various pathologies. Fifty-three percent of the patients underwent lobectomy procedure, whereas 45% underwent segmentectomy. The mean operating time was 104 ± 34 min. The learning curve was calculated to be 14 patients (R(2) = 0.57). The complication rate in our series was 24% (n = 24) and higher in elderly patients (p = 0.03) and in patients with longer operating times (p = 0.03). Prolonged air leaks were observed in 10, and arrhythmia developed in nine patients. Two patients died, due to a concurrent lymphoblastic leukemia diagnosed at the postoperative period and exacerbation of interstitial fibrosis, respectively. Robotic pulmonary resections prove to be safe and effective even at the initial learning experience. The duration of operations is considered to be acceptable. The learning curve could be established after 14 cases.

  13. Stereotactic gamma knife radiosurgery. Initial North American experience in 207 patients

    SciTech Connect

    Lunsford, L.D.; Flickinger, J.; Coffey, R.J. )

    1990-02-01

    The first North American gamma knife for stereotactic radiosurgery of brain tumors and arteriovenous malformations entered the therapeutic armamentarium at the University of Pittsburgh (Pa) on August 14, 1987. In this article, we report our initial testing and subsequent experience with this technique. In the first 16 months of operation, 207 patients were treated (113 had arteriovenous malformations, 78 had extra-axial skull base neoplasms, 9 had glial neoplasms, and 7 had metastatic tumors). The patients' lesions either were considered previously as inoperable or were residual lesions after attempted surgical resection, or the radiosurgery was performed after the patient declined surgical excision. Gamma radiosurgery was associated with no surgical mortality and no significant early morbidity, and the results were encouraging during the minimum follow-up period of 6 months. Compared with treatment by conventional intracranial surgery (craniotomy), both the average length of stay and hospital charges for radiosurgery were significantly lower. Our initial experience further suggests that stereotactic radiosurgery using the gamma knife is a therapeutically effective and economically sound alternative to microneurosurgical removal of selected intracranial tumors and vascular malformations.

  14. Shock Initiation Experiments with Ignition and Growth Modeling on Low Density HMX

    NASA Astrophysics Data System (ADS)

    Garcia, Frank; Vandersall, Kevin; Tarver, Craig

    2013-06-01

    Shock initiation experiments on low density (1.24 and 1.64 g/cm3) HMX were performed to obtain in-situ pressure gauge data, characterize the run-distance-to-detonation behavior, and provide a basis for Ignition and Growth reactive flow modeling. A 101 mm diameter gas gun was utilized to initiate the explosive charges with manganin piezoresistive pressure gauge packages placed between packed layers (1.24 g/cm3) or sample disks pressed to low density (1.64 g/cm3) . The measured shock sensitivity of the 1.24 g/cm3 HMX was similar to that previously measured by Dick and Sheffield et al. and the 1.64 g/cm3 HMX was measured to be much less shock sensitive. Ignition and Growth model parameters were derived that yielded good agreement with the experimental data at both initial densities. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  15. New perspectives on sea use management: initial findings from European experience with marine spatial planning.

    PubMed

    Douvere, Fanny; Ehler, Charles N

    2009-01-01

    Increased development pressures on the marine environment and the potential for multiple use conflicts, arising as a result of the current expansion of offshore wind energy, fishing and aquaculture, dredging, mineral extraction, shipping, and the need to meet international and national commitments to biodiversity conservation, have led to increased interest in sea use planning with particular emphasis on marine spatial planning. Several European countries, on their own initiative or driven by the European Union's Marine Strategy and Maritime Policy, the Bergen Declaration of the North Sea Conference, and the EU Recommendation on Integrated Coastal Zone Management, have taken global leadership in implementing marine spatial planning. Belgium, The Netherlands, and Germany in the North Sea, and the United Kingdom in the Irish Sea, have already completed preliminary sea use plans and zoning proposals for marine areas within their national jurisdictions. This paper discusses the nature and context of marine spatial planning, the international legal and policy framework, and the increasing need for marine spatial planning in Europe. In addition, the authors review briefly three marine spatial planning initiatives in the North Sea and conclude with some initial lessons learned from these experiences.

  16. Shock Initiation Experiments with Ignition and Growth Modeling on Low Density Composition B

    NASA Astrophysics Data System (ADS)

    Vandersall, Kevin S.; Garcia, Frank; Tarver, Craig M.

    2015-06-01

    Shock initiation experiments on low density (~1.2 and ~1.5 g/cm3) Composition B were performed to obtain in-situ pressure gauge data, characterize the run-distance-to-detonation behavior, and provide a basis for Ignition and Growth reactive flow modeling. A 101 mm diameter gas gun was utilized to initiate the explosive charges with manganin piezoresistive pressure gauge packages placed between packed layers (~1.2 g/cm3) confined in Teflon rings or sample disks pressed to low density (~1.5 g/cm3) . The shock sensitivity was found to increase with decreasing density as expected. Ignition and Growth model parameters were derived that yielded reasonable agreement with the experimental data at both initial densities. The shock sensitivity at the tested densities will be compared to prior work published as near full density material. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344. This work was funded in part by the Joint DoD-DOE Munitions Program.

  17. Using Controlled Landslide Initiation Experiments to Test Limit-Equilibrium Analyses of Slope Stability

    NASA Astrophysics Data System (ADS)

    Reid, M. E.; Iverson, R. M.; Brien, D. L.; Iverson, N. R.; Lahusen, R. G.; Logan, M.

    2004-12-01

    Most studies of landslide initiation employ limit equilibrium analyses of slope stability. Owing to a lack of detailed data, however, few studies have tested limit-equilibrium predictions against physical measurements of slope failure. We have conducted a series of field-scale, highly controlled landslide initiation experiments at the USGS debris-flow flume in Oregon; these experiments provide exceptional data to test limit equilibrium methods. In each of seven experiments, we attempted to induce failure in a 0.65m thick, 2m wide, 6m3 prism of loamy sand placed behind a retaining wall in the 31° sloping flume. We systematically investigated triggering of sliding by groundwater injection, by prolonged moderate-intensity sprinkling, and by bursts of high intensity sprinkling. We also used vibratory compaction to control soil porosity and thereby investigate differences in failure behavior of dense and loose soils. About 50 sensors were monitored at 20 Hz during the experiments, including nests of tiltmeters buried at 7 cm spacing to define subsurface failure geometry, and nests of tensiometers and pore-pressure sensors to define evolving pore-pressure fields. In addition, we performed ancillary laboratory tests to measure soil porosity, shear strength, hydraulic conductivity, and compressibility. In loose soils (porosity of 0.52 to 0.55), abrupt failure typically occurred along the flume bed after substantial soil deformation. In denser soils (porosity of 0.41 to 0.44), gradual failure occurred within the soil prism. All failure surfaces had a maximum length to depth ratio of about 7. In even denser soil (porosity of 0.39), we could not induce failure by sprinkling. The internal friction angle of the soils varied from 28° to 40° with decreasing porosity. We analyzed stability at failure, given the observed pore-pressure conditions just prior to large movement, using a 1-D infinite-slope method and a more complete 2-D Janbu method. Each method provides a static

  18. Challenges and successes for the grantees and the Technical Advisory Group of WHO's influenza vaccine technology transfer initiative.

    PubMed

    Grohmann, Gary; Francis, Donald P; Sokhey, Jaspal; Robertson, James

    2016-10-26

    One of the aims of the WHO Global Action Plan for Influenza Vaccines (GAP) was to transfer influenza vaccine production technology to interested manufacturers and governments in developing countries, to enable greater influenza vaccine manufacturing capacity against any pandemic threat or pandemic. For this objective, the GAP was supported by an independent Technical Advisory Group (TAG) to assist WHO to select vaccine manufacturing proposals for funding and to provide programmatic support for successful grantees. While there were many challenges, for both the TAG and grantees, there were also notable successes with an additional capacity of 338-600 million pandemic vaccine doses being made possible by the programme between 2007 and 2015, and a potential capacity of more than 600 million by 2016/17 with up to one billion doses expected by 2018/19. Seasonal vaccine production was also developed in 4 countries with another 4-5 countries expected to be producing seasonal vaccine by 2018/19. The relatively small WHO investments - in time and funding - made in these companies to develop their own influenza vaccine production facilities have had quite dramatic results.

  19. The Lusi seismic experiment: An initial study to understand the effect of seismic activity to Lusi

    SciTech Connect

    Karyono; Mazzini, Adriano; Sugiharto, Anton; Lupi, Matteo; Syafri, Ildrem; Masturyono,; Rudiyanto, Ariska; Pranata, Bayu; Muzli,; Widodo, Handi Sulistyo; Sudrajat, Ajat

    2015-04-24

    The spectacular Lumpur Sidoarjo (Lusi) eruption started in northeast Java on the 29 of May 2006 following a M6.3 earthquake striking the island [1,2]. Initially, several gas and mud eruption sites appeared along the reactivated strike-slip Watukosek fault system [3] and within weeks several villages were submerged by boiling mud. The most prominent eruption site was named Lusi. The Lusi seismic experiment is a project aims to begin a detailed study of seismicity around the Lusi area. In this initial phase we deploy 30 seismometers strategically distributed in the area around Lusi and along the Watukosek fault zone that stretches between Lusi and the Arjuno Welirang (AW) complex. The purpose of the initial monitoring is to conduct a preliminary seismic campaign aiming to identify the occurrence and the location of local seismic events in east Java particularly beneath Lusi.This network will locate small event that may not be captured by the existing BMKG network. It will be crucial to design the second phase of the seismic experiment that will consist of a local earthquake tomography of the Lusi-AW region and spatial and temporal variations of vp/vs ratios. The goal of this study is to understand how the seismicity occurring along the Sunda subduction zone affects to the behavior of the Lusi eruption. Our study will also provide a large dataset for a qualitative analysis of earthquake triggering studies, earthquake-volcano and earthquake-earthquake interactions. In this study, we will extract Green’s functions from ambient seismic noise data in order to image the shallow subsurface structure beneath LUSI area. The waveform cross-correlation technique will be apply to all of recordings of ambient seismic noise at 30 seismographic stations around the LUSI area. We use the dispersive behaviour of the retrieved Rayleigh waves to infer velocity structures in the shallow subsurface.

  20. The Lusi seismic experiment: An initial study to understand the effect of seismic activity to Lusi

    NASA Astrophysics Data System (ADS)

    Karyono, Mazzini, Adriano; Lupi, Matteo; Syafri, Ildrem; Masturyono, Rudiyanto, Ariska; Pranata, Bayu; Muzli, Widodo, Handi Sulistyo; Sudrajat, Ajat; Sugiharto, Anton

    2015-04-01

    The spectacular Lumpur Sidoarjo (Lusi) eruption started in northeast Java on the 29 of May 2006 following a M6.3 earthquake striking the island [1,2]. Initially, several gas and mud eruption sites appeared along the reactivated strike-slip Watukosek fault system [3] and within weeks several villages were submerged by boiling mud. The most prominent eruption site was named Lusi. The Lusi seismic experiment is a project aims to begin a detailed study of seismicity around the Lusi area. In this initial phase we deploy 30 seismometers strategically distributed in the area around Lusi and along the Watukosek fault zone that stretches between Lusi and the Arjuno Welirang (AW) complex. The purpose of the initial monitoring is to conduct a preliminary seismic campaign aiming to identify the occurrence and the location of local seismic events in east Java particularly beneath Lusi.This network will locate small event that may not be captured by the existing BMKG network. It will be crucial to design the second phase of the seismic experiment that will consist of a local earthquake tomography of the Lusi-AW region and spatial and temporal variations of vp/vs ratios. The goal of this study is to understand how the seismicity occurring along the Sunda subduction zone affects to the behavior of the Lusi eruption. Our study will also provide a large dataset for a qualitative analysis of earthquake triggering studies, earthquake-volcano and earthquake-earthquake interactions. In this study, we will extract Green's functions from ambient seismic noise data in order to image the shallow subsurface structure beneath LUSI area. The waveform cross-correlation technique will be apply to all of recordings of ambient seismic noise at 30 seismographic stations around the LUSI area. We use the dispersive behaviour of the retrieved Rayleigh waves to infer velocity structures in the shallow subsurface.

  1. The Carbon Dioxide Removal Model Intercomparison Project (CDR-MIP) Initial Results and Future Experiment Designs

    NASA Astrophysics Data System (ADS)

    Keller, D. P.; Scott, V.; Lenton, A.; Vaughan, N.

    2016-12-01

    Continued anthropogenic greenhouse gas emissions are changing the climate threatening "severe, pervasive and irreversible" impacts. Inadequate emissions reduction is resulting in increased attention on Climate Intervention (CI) - deliberate interventions to counter climate change that seek to either modify the Earth's radiation budget, or remove the primary greenhouse gas from the atmosphere - Carbon Dioxide Removal (CDR). The majority of future scenarios that do not exceed 2°C warming by 2100 include CDR methods. At present, there is little consensus on the efficacy and impacts of CDR and proposed CDR methods. In response, the Carbon Dioxide Removal Model Intercomparison Project (or CDR-MIP) has been initiated. This project brings together a suite of Earth System Models (ESMs) and Earth System Models of Intermediate Complexity (EMICS) in a common framework to explore the potential, risks, and challenges of CDR and different proposed CDR methods. The first set of CDR-MIP experiments investigate climate "reversibility" and the response of the Earth system to idealized engineered permanent CO2 removal. Here we present early results of these experiments and also discuss the design and implementation of the next experiments that explore CDR via land use change and ocean alkalinization. In particular we will highlight which components of the simulated climate system exhibit "reversibility", when CO2 increases and then decreases, and the time scales over which this occurs. Many of the trends are similar in different models; however, there is some disagreement in the response of the simulated carbon cycle.

  2. Birth and initial developments of experiments with resonant detectors searching for gravitational waves

    NASA Astrophysics Data System (ADS)

    Pizzella, G.

    2016-12-01

    A history of the experiments for the search of gravitational waves, with emphasis on the experiments made by the Rome group, is given. The search for gravitational waves was initiated by the brilliant scientific acumen of Joseph Weber. In this paper we start from the early times of the resonant detectors at room temperature and continue with the cryogenic resonant detectors: STANFORD, ALLEGRO, AURIGA, EXPLORER, NAUTILUS and NIOBE. These cryogenic detectors reached a sensitivity able to observe gravitational waves generated by the conversion of about 0.001 solar masses in the Galaxy. This was an improvement by a factor of a few thousand in energy with respect to the early room temperature experiments. No clear signals due to gravitational waves have been observed with this technique. This research, that has lasted four decades, has paved the way to the more sensitive detectors for gravitational waves, the long-arm laser interferometers, which announced, on February 12th 2016, the first observation of gravitational waves.

  3. Laparoscopic splenectomy for massive splenomegaly: technical aspects of initial ligation of splenic artery and extraction without hand-assisted technique.

    PubMed

    Trelles, Nelson; Gagner, Michel; Pomp, Alfons; Parikh, Manish

    2008-06-01

    A 37-year-old man was referred for massive splenomegaly. In November 2005, he was diagnosed with non-Hodgkin's B-cell lymphoma in the setting of splenomegaly and thrombocytopenia. His laboratory results showed a coagulopathy owing to lupus anticoagulant. A computed tomography scan showed a 36 x 26 x 11 cm spleen and a prominent and sinuous splenic artery. The authors performed a laparoscopic splenectomy with an initial ligation of the splenic artery. The patient tolerated the procedure well and was discharged home on the fourth postoperative day in stable condition. Discussed in this paper is the safety and feasibility of the minimally invasive approach in massive splenomegaly.

  4. Initial Experience with Magnetic Resonance-Guided Vacuum-Assisted Biopsy in Korean Women with Breast Cancer

    PubMed Central

    Jung, Hye Na; Ko, Eun Young; Shin, Jung Hee

    2014-01-01

    Purpose The aim of this study is to describe our initial experience with magnetic resonance (MR)-guided biopsy and to determine the malignancy rate of additional lesions identified by MR only in Korean women with breast cancer. Methods A retrospective review identified 22 consecutive patients with breast cancer who had undergone MR-guided vacuum-assisted biopsies (VAB) of MR-only identified lesions from May 2009 to October 2011.We evaluated the rate of compliance, the technical success for MR-guided VAB and the MR imaging findings of the target lesions. VAB histology was compared with surgical histology and follow-up imaging findings. Results The biopsy recommendations for MR-only identified lesions were accepted in 46.8% (22/47) of patients. One of 22 procedures failed due to the target's posterior location. Among 21 MR-guided VAB procedures, the target lesions were considered as a mass in 12 cases and a nonmass enhancement in nine cases. VAB histology revealed malignancies in 14% (3/21) of cases, high-risk lesions in 24% (5/21) and benign lesions in 62% (13/21). Eleven cases (52%, 11/21) had a positive surgical correlation, and one of them was upgraded from atypical ductal hyperplasia to invasive ductal carcinoma. In the remaining 10 lesions, follow-up breast ultrasound and mammography were available (range, 15-44 months; mean, 32.1 months) and did not show suspicious lesions. The final malignancy rate was 19% (4/21). Conclusion MR-guided VAB for MR-only identified lesions yielded a 19% malignancy rate in Korean women with breast cancer. MR-guided VAB helps surgeons avoid an unnecessary wide excision or additional excisional biopsy. PMID:25320626

  5. Robotic-assisted laparoscopic approach for posterior bladder neck dissection and placement of pediatric bladder neck sling: initial experience.

    PubMed

    Storm, Douglas W; Fulmer, Brant R; Sumfest, Joel M

    2008-11-01

    Bladder neck sling cystourethropexy is a common procedure used to correct intrinsic sphincter deficiency in children with spinal dyspharism. Various modifications of the procedure have been made but all involve circumferential dissection of the bladder neck and proximal urethra. The posterior dissection can be challenging and can result in injury to the rectum, urethra, or vagina. The posterior approach to the bladder neck as reported by Lottmann and later by de Badiola addresses these potential complications. Using these principles of the posterior approach, we performed a robotic-assisted laparoscopic placement of an acellular human dermal allograft bladder neck sling in 2 patients. We present our initial experience regarding this surgical technique. The diagnosis of intrinsic sphincter deficiency was established in 2 female patients, aged 9 and 10 years. Both patients had a neurogenic bladder secondary to spina bifida. Video urodynamics confirmed adequate bladder compliance and intrinsic sphincter deficiency. Robotic-assisted laparoscopic placement of a bladder neck sling was performed in both patients. Both procedures were completed intracorporeally. The mean blood loss was 20 mL. The mean operative time was 189 minutes. No intraoperative or postoperative complications occurred. The mean hospital stay was 3 days (range 2-4). The follow-up ranged from 13 to 22 months. Postoperative studies revealed continued low-pressure, compliant bladders and stable upper tracts. At last follow-up, the 2 patients were using catheterization without difficulty and were continent. The robotic-assisted laparoscopic approach to performing bladder neck dissection and placement of a bladder neck sling in children is technically feasible.

  6. Technical summary of accomplishments made in preparation for the USSR barley exploratory experiment

    NASA Technical Reports Server (NTRS)

    Chapman, G. M.; Dailey, C. L.

    1982-01-01

    The highlights of the work accomplished under each subcomponent of the U.S.S.R. Barley Pilot Experiment, which is scheduled for completion in 1984, are summarized. A significant amount of developmental system implementation activity was in the final stages of preparation prior to the rescoping of project tasks. Unpublished materials which are significant to this exploratory experiment are incorporated into the appendixes.

  7. Initial clinical experience with a sac-anchoring endoprosthesis for aortic aneurysm repair.

    PubMed

    Donayre, Carlos E; Zarins, Christopher K; Krievins, Dainis K; Holden, Andrew; Hill, Andrew; Calderas, Carlos; Velez, Jaime; White, Rodney A

    2011-03-01

    All current aortic endografts depend on proximal and distal fixation to prevent migration. However, migration and rupture can occur, particularly in patients with aortic necks that are short or angulated, or both. We present our initial clinical experience with a new sac-anchoring endoprosthesis designed to anchor and seal the device within the aneurysm sac. The initial worldwide experience using a new endoprosthesis for the treatment of aortic aneurysms (Nellix Endovascular, Palo Alto, Calif) was reviewed. The endoprosthesis consists of dual balloon-expandable endoframes surrounded by polymer-filled endobags designed to obliterate the aneurysm sac and maintain endograft position. Clinical results and follow-up contrast computed tomography (CT) scans at 30 days and 6 and 12 months were reviewed. The endograft was successfully deployed in 21 patients with infrarenal aortic aneurysms measuring 5.7 ± 0.7 cm (range, 4.3-7.4 cm). Two patients with common iliac aneurysms were treated with sac-anchoring extenders that maintained patency of the internal iliac artery. Infusion of 71 ± 37 mL of polymer (range, 19-158 mL) into the aortic endobags resulted in complete aneurysm exclusion in all patients. Mean implant time was 76 ± 35 minutes, with 33 ± 17 minutes of fluoroscopy time and 180 ± 81 mL of contrast; estimated blood loss was 174 ± 116 mL. One patient died during the postoperative period (30-day mortality, 4.8%), and one died at 10 months from non-device-related causes. During a mean follow-up of 8.7 ± 3.1 months and a median of 6.3 months, there were no late aneurysm- or device-related adverse events and no secondary procedures. CT imaging studies at 6 months and 1 year revealed no increase in aneurysm size, no device migration, and no new endoleaks. One patient had a limited proximal type I endoleak at 30 days that resolved at 60 days and remained sealed. One patient has an ongoing distal type I endoleak near the iliac bifurcation, with no change in aneurysm

  8. E-learning initiatives in forensic interpretation: report on experiences from current projects and outlook.

    PubMed

    Biedermann, A; Hicks, T; Voisard, R; Taroni, F; Champod, C; Aitken, C G G; Evett, I W

    2013-07-10

    This paper reports on the purpose, design, methodology and target audience of E-learning courses in forensic interpretation offered by the authors since 2010, including practical experiences made throughout the implementation period of this project. This initiative was motivated by the fact that reporting results of forensic examinations in a logically correct and scientifically rigorous way is a daily challenge for any forensic practitioner. Indeed, interpretation of raw data and communication of findings in both written and oral statements are topics where knowledge and applied skills are needed. Although most forensic scientists hold educational records in traditional sciences, only few actually followed full courses that focussed on interpretation issues. Such courses should include foundational principles and methodology - including elements of forensic statistics - for the evaluation of forensic data in a way that is tailored to meet the needs of the criminal justice system. In order to help bridge this gap, the authors' initiative seeks to offer educational opportunities that allow practitioners to acquire knowledge and competence in the current approaches to the evaluation and interpretation of forensic findings. These cover, among other aspects, probabilistic reasoning (including Bayesian networks and other methods of forensic statistics, tools and software), case pre-assessment, skills in the oral and written communication of uncertainty, and the development of independence and self-confidence to solve practical inference problems. E-learning was chosen as a general format because it helps to form a trans-institutional online-community of practitioners from varying forensic disciplines and workfield experience such as reporting officers, (chief) scientists, forensic coordinators, but also lawyers who all can interact directly from their personal workplaces without consideration of distances, travel expenses or time schedules. In the authors' experience

  9. [The experience of carrying out the technical responsibility system in the birth control of Peng County, Sichuan Province].

    PubMed

    Xin, D; Peng, Z L

    1982-11-29

    Following the establishment of the system of fixed responsibility in production in Peng County, Sichuan Province, the County's Family Planning Office and Public Health Bureau in 1980 broadened the system of technical responsibility in birth control by defining tasks and goals. The commune public health office should guide birth control technology, lower the incidence of unplanned pregnancies and the number of abortions. The number of fertile women using IUDs should be over 80%, and its failure rate should be less then 10%; the failure rate of male ligature should be less than 3%. Commune members should give 1 jiao to the public health office for expenses incurred in birth control technology. If all the goals are reached, then there would be economic rewards outside the total public support system. That is, 1 jiao is awarded for each IUD inserted, 2 jiao for male ligatures and 3 jiao for female ligatures. Infractions such as poor attitude, irresponsibility, or delaying surgery are fined from 1-20 yuan. The following situations resulted from having implemented the system of technical responsibilty for birth control: 1) medical personnel had the authority to initiate action concerning birth control technology; 2) the quality of surgery was raised, while the incidence of errors was lowered; 3) the costs of surgery were lowered; and 4) because abortions are not awarded with economic incentives, medical personnel tended to perform more preventive surgery rather than corrective surgery.

  10. Enterprise stent for the treatment of symptomatic intracranial atherosclerotic stenosis: an initial experience of 44 patients.

    PubMed

    Feng, Zhengzhe; Duan, Guoli; Zhang, Ping; Chen, Lei; Xu, Yi; Hong, Bo; Zhao, Wenyuan; Liu, Jianmin; Huang, Qinghai

    2015-10-08

    Wingspan stenting for the treatment of complex intracranial atherosclerotic stenosis (ICAS), i.e., that involving tortuous vascular pathways, long (>15 mm) lesions or arterial bifurcations, has a relatively high risk of complications. This retrospective study assessed the safety and efficacy of undersized balloon angioplasty followed by deployment of the more flexible Enterprise stent for the treatment of complex symptomatic ICAS. Forty-four patients on combined antiplatelet therapy and intensive risk factor management and a symptomatic 70-99% stenosis of a major intracranial artery in complex settings that was treated with balloon angioplasty and Enterprise stent deployment between July 2009 and August 2013 were enrolled. Primary outcome was occurrence of ischemic or hemorrhagic stroke or death within 30 days after intervention. Secondary outcomes included procedural success (defined as achievement of <50% immediate residual stenosis), and follow-up clinical and angiographic outcomes. With a procedural success rate of 100%, stenosis was reduced from 79.3 ± 8.1-14.9 ± 2.3%. Three (6.8%) ischemic and 1 (2.2%) hemorrhagic strokes occurred during the periprocedural period, with no further transient ischemic attacks or strokes in the 42 patients available at median 25.6 (range, 12-57) months follow-up. Of the 38 (86.4%) patients who underwent angiographic follow-up, 3 (6.81%) developed >50% in-stent restenosis after mean 22 months follow-up. In this retrospective, single-center experience, undersized balloon angioplasty followed by Enterprise stent deployment appears technically feasible with a relatively low rate of complications for the treatment of complex symptomatic ICAS. Prospective, multicenter, randomized controlled trials against optimal medical management are warranted.

  11. Initial Brazilian experience with short-duration in-center daily hemodialysis.

    PubMed

    Lugon, Jocemir R; Andre, Mauro B

    2005-01-01

    The whole initial Brazilian experience with short-duration in-center daily hemodialysis is summarized here. The study was performed at a time when low-flux membrane and nonproportional dialysis represented the standard dialysis treatment in Brazil. Five patients were treated for 2 years. The subject is developed in a way to narrate the efforts to set the research project and summarize the findings, meeting presentations, and publications that derived from the project. At the end of the study, the main benefits observed consisted of alleviation of the end-stage renal disease anemia; reduction of the frequency of complications during dialysis sessions; a lower degree of azotemia; easier blood pressure control; and improvements in acid-base status, mineral metabolism and bone disease, nutrition, and quality of life.

  12. Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering.

    PubMed

    Fresco, David M; Moore, Michael T; van Dulmen, Manfred H M; Segal, Zindel V; Ma, S Helen; Teasdale, John D; Williams, J Mark G

    2007-09-01

    Decentering is defined as the ability to observe one's thoughts and feelings as temporary, objective events in the mind, as opposed to reflections of the self that are necessarily true. The Experiences Questionnaire (EQ) was designed to measure both decentering and rumination but has not been empirically validated. The current study investigated the factor structure of the EQ in both undergraduate and clinical populations. A single, unifactorial decentering construct emerged using 2 undergraduate samples. The convergent and discriminant validity of this decentering factor was demonstrated in negative relationships with measures of depression symptoms, depressive rumination, experiential avoidance, and emotion regulation. Finally, the factor structure of the EQ was replicated in a clinical sample of individuals in remission from depression, and the decentering factor evidenced a negative relationship to concurrent levels of depression symptoms. Findings from this series of studies offer initial support for the EQ as a measure of decentering.

  13. Focal laser ablation for localized prostate cancer: principles, clinical trials, and our initial experience.

    PubMed

    Lee, Ted; Mendhiratta, Neil; Sperling, Dan; Lepor, Herbert

    2014-01-01

    Focal therapy of prostate cancer is an evolving treatment strategy that destroys a predefined region of the prostate gland that harbors clinically significant disease. Although long-term oncologic control has yet to be demonstrated, focal therapy is associated with a marked decrease in treatment-related morbidity. Focal laser ablation is an emerging modality that has several advantages, most notably real-time magnetic resonance imaging (MRI) compatibility. This review presents the principles of laser ablation, the role of multiparametric MRI for delineating the site of significant prostate cancer, a summary of published clinical studies, and our initial experience with 23 patients, criteria for selecting candidates for focal prostate ablation, and speculation regarding future directions.

  14. Status of initial testing of the H2SO4 section of the ILS experiment.

    SciTech Connect

    Moore, Robert Charles; Parma, Edward J., Jr.; Gelbard, Fred

    2007-12-01

    A sulfuric acid catalytic decomposer section was assembled and tested for the Integrated Laboratory Scale experiments of the Sulfur-Iodine Thermochemical Cycle. This cycle is being studied as part of the U. S. Department of Energy Nuclear Hydrogen Initiative. Tests confirmed that the 54-inch long silicon carbide bayonet could produce in excess of the design objective of 100 liters/hr of SO{sub 2} at 2 bar. Furthermore, at 3 bar the system produced 135 liters/hr of SO{sub 2} with only 31 mol% acid. The gas production rate was close to the theoretical maximum determined by equilibrium, which indicates that the design provides adequate catalyst contact and heat transfer. Several design improvements were also implemented to greatly minimize leakage of SO{sub 2} out of the apparatus. The primary modifications were a separate additional enclosure within the skid enclosure, and replacement of Teflon tubing with glass-lined steel pipes.

  15. Initial experiments on the end-point control of a flexible one-link robot

    NASA Technical Reports Server (NTRS)

    Cannon, R. H., Jr.; Schmitz, E.

    1984-01-01

    The present investigation is concerned with initial experiments regarding a specific unsolved control problem which appeared to be central to advances in the art of robotics. This problem involves the control of a flexible member (one link of a robot system). The position of the end-effector, called the end point or tip, is controlled by measuring that position and using the measurement as a basis for applying control torque to the other end of the flexible member, as for instance, the robot's elbow joint. A description is presented of the features of the first experimental arm which has been made, and an outline is provided of the general strategy for controlling it using its tip sensor and shoulder torquer.

  16. Report Initial Work on Developing Plasma Modeling Capability in WARP for NDCX Experiments

    SciTech Connect

    Friedman, A; Cohen, R H; Grote, D P; Vay, J

    2007-12-14

    This milestone has been accomplished. The Heavy Ion Fusion Science Virtual National Laboratory (HIFS-VNL) has developed and implemented an initial beam-in-plasma implicit modeling capability in Warp; has carried out tests validating the behavior of the models employed; has compared the results of electrostatic and electromagnetic models when applied to beam expansion in an NDCX-I relevant regime; has compared Warp and LSP results on a problem relevant to NDCX-I; has modeled wave excitation by a rigid beam propagating through plasma; and has implemented and begun testing a more advanced implicit method that correctly captures electron drift motion even when timesteps too large to resolve the electron gyro-period are employed. The HIFS-VNL is well on its way toward having a state-of-the-art source-to-target simulation capability that will enable more effective support of ongoing experiments in the NDCX series and allow more confident planning for future ones.

  17. [Highlighting the Lived Experience of Families: Family Peer Support Services Initiative].

    PubMed

    Briand, Catherine; St-Paul, Rose-Anne; Dubé, Francine

    To support personal recovery, any person with a mental illness should have access to a range of practices recommended by scientific evidence. The peer support are some of the services recommended by the Mental Health Commission of Canada for the reduction of the economic and social burden of mental illness. If peer support from families is poorly documented, peer support and mutual aid from users have been the subject of several studies. Based on two studies in which she participated, addressing the needs of families, and its experience as a non-profit support organization for families, the Quebec Society of Schizophrenia (QSS) has reflected on the family support problem upon entry in the health system as well as the involvement of families as peer support. This article presents the implementation pilot project of Family Peer Support services initiative, fruit of collaboration between QSS and University Institute of Mental Health in Montreal and the issues and recommendations of the first year of implementation.

  18. Preliminary experiments using light-initiated high explosive for driving thin flyer plates. [SASN

    SciTech Connect

    Benham, R.A.

    1980-02-01

    Light-initiated high explosive, silver acelytide - silver-nitrate (SASN), has been used to produce simulated x ray blow-off impulse loading on reentry vehicles to study the system structural response. SASN can be used to accelerate thin flyer plates to high terminal velocities which, in turn, can deliver a pressure pulse that can be tailored to the target material. This process is important for impulse tests where both structural and material response is desired. The theories used to calculate the dynamic state of the flyer plate prior to impact are summarized. Data from several experiments are presented which indicate that thin flyer plates can be properly accelerated and that there are predictive techniques available which are adequate to calculate the motion of the flyer plate. Recommendations are made for future study that must be undertaken to make the SASN flyer plate technique usable.

  19. Establishing and strengthening a medicine and therapeutics committee in a medical college in Nepal: initial experiences.

    PubMed

    Shankar, P Ravi; Humagain, Baburam; Piryani, R M; Jha, Nisha; Osti, Bidur

    2009-04-01

    Drug and Therapeutics Committees (DTCs) serve as a forum to bring together various stakeholders to improve drug use. DTCs are a key intervention to promote rational use of medicines. DTCs are however, functioning in only a limited number of hospitals in Nepal. A Medicine and Therapeutics Committee (MTC) was started at KIST Medical College, a new medical school in Lalitpur district, Nepal to promote the rational use of medicines in February 2008. The MTC has members from various departments and the full support of the administration. The MTC has been involved in preparing the hospital medicine list and limiting the number of brands available in the pharmacy. Measures to regulate pharmaceutical promotion have been undertaken. Pharmacovigilance and medication counseling activities have been started. Educational programs for various levels of staff are regularly carried out and drug use in the hospital is periodically monitored. Initial experiences regarding MTC functioning is positive.

  20. Transesophageal echocardiography using cypress-miniaturized echocardiogram unit: initial clinical experience.

    PubMed

    Herzog, Eyal; Pudpud, Danny; Chaudhry, Farooq A

    2005-11-01

    Transesophageal echocardiography (TEE) was introduced clinically in the United States in 1987. Recent technologic advances have resulted in the creation of a small portable hand-carried ultrasound (HCU) device that can be easily carried throughout the hospital with greater flexibility for cardiac imaging. These HCU devices have harmonic, color, and spectral Doppler (continuous/pulsed wave). Siemens Medical Solutions USA, Inc. has incorporated a TEE connector, which connects to its Cypress (highly miniaturized echocardiogram unit) and allows the performance of a TEE with this unit, which is mildly heavier than a typical HCU. We describe our initial clinical experience with this unit. The image quality is comparable to routine TEEs, with the advantages of shorter duration, portability, affordable cost, avoiding the use of high-end machine from the echo lab, availability of non-HCU units for other studies, and preventing the need for an echo technician to be involved in the procedure.

  1. Use of indocyanine green angiography in microsurgical subinguinal varicocelectomy - lessons learned from our initial experience.

    PubMed

    Cho, Chak-Lam; Ho, Kwan-Lun; Chan, Wayne Kwun-Wai; Chu, Ringo Wing-Hong; Law, In-Chak

    2017-07-20

    Microsurgical subinguinal varicocelectomy (MSV) is generally considered the gold standard nowadays in view of the lower risk of complications and recurrence. To achieve complete ligation of veins while preserving testicular artery (TA) during the procedure remains challenging despite the application of high power optical magnification and micro-Doppler ultrasonography. The use of intraoperative indocyanine green angiography (ICGA) with infrared fluorescence operative micro-scope in MSV potentially lowers the incidence of TA injury and shortens the learning curve of nov-ice surgeons. We present our initial experience in the application of the technique in nine patients and explore the potential of the new adjunct. Copyright® by the International Brazilian Journal of Urology.

  2. Initial experiments on the end-point control of a flexible one-link robot

    NASA Technical Reports Server (NTRS)

    Cannon, R. H., Jr.; Schmitz, E.

    1984-01-01

    The present investigation is concerned with initial experiments regarding a specific unsolved control problem which appeared to be central to advances in the art of robotics. This problem involves the control of a flexible member (one link of a robot system). The position of the end-effector, called the end point or tip, is controlled by measuring that position and using the measurement as a basis for applying control torque to the other end of the flexible member, as for instance, the robot's elbow joint. A description is presented of the features of the first experimental arm which has been made, and an outline is provided of the general strategy for controlling it using its tip sensor and shoulder torquer.

  3. Post-game analysis: An initial experiment for heuristic-based resource management in concurrent systems

    NASA Technical Reports Server (NTRS)

    Yan, Jerry C.

    1987-01-01

    In concurrent systems, a major responsibility of the resource management system is to decide how the application program is to be mapped onto the multi-processor. Instead of using abstract program and machine models, a generate-and-test framework known as 'post-game analysis' that is based on data gathered during program execution is proposed. Each iteration consists of (1) (a simulation of) an execution of the program; (2) analysis of the data gathered; and (3) the proposal of a new mapping that would have a smaller execution time. These heuristics are applied to predict execution time changes in response to small perturbations applied to the current mapping. An initial experiment was carried out using simple strategies on 'pipeline-like' applications. The results obtained from four simple strategies demonstrated that for this kind of application, even simple strategies can produce acceptable speed-up with a small number of iterations.

  4. Experience with technical diagnostics of generator shroud rings at thermal plants

    NASA Astrophysics Data System (ADS)

    Dubov, A. A.

    2009-02-01

    Experience with the application of the method of magnetic memory of metal while controlling the state of the generator shroud rings for in-time recognition of damage that develops in the zones of stress concentration is considered.

  5. Does Breast Imaging Experience During Residency Translate Into Improved Initial Performance in Digital Breast Tomosynthesis?

    PubMed

    Zhang, Jing; Grimm, Lars J; Lo, Joseph Y; Johnson, Karen S; Ghate, Sujata V; Walsh, Ruth; Mazurowski, Maciej A

    2015-07-01

    To determine the initial digital breast tomosynthesis (DBT) performance of radiology trainees with varying degrees of breast imaging experience. To test trainee performance with DBT, we performed a reader study, after obtaining IRB approval. Two medical students, 20 radiology residents, 4 nonbreast imaging fellows, 3 breast imaging fellows, and 3 fellowship-trained breast imagers reviewed 60 unilateral DBT studies (craniocaudal and medio-lateral oblique views). Trainees had no DBT experience. Each reader recorded a final BI-RADS assessment for each case. The consensus interpretations from fellowship-trained breast imagers were used to establish the ground truth. Area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were calculated. For analysis, first- through third-year residents were classified as junior trainees, and fourth-year residents plus nonbreast imaging fellows were classified as senior trainees. The AUCs were .569 for medical students, .721 for junior trainees, .701 for senior trainees, and .792 for breast imaging fellows. The junior and senior trainee AUCs were equivalent (P < .01) using a two one-sided test for equivalence, with a significance threshold of 0.1. The sensitivities and specificities were highest for breast imaging fellows (.778 and .815 respectively), but similar for junior (.631 and .714, respectively) and senior trainees (.678 and .661, respectively). Initial performance with DBT among radiology residents and nonbreast imaging fellows is independent of years of training. Radiology educators should consider these findings when developing educational materials. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  6. LOW AMPLITUDE SINGLE AND MULTIPLE SHOCK INITIATION EXPERIMENTS AND MODELING OF LX-04

    SciTech Connect

    Vandersall, K S; Tarver, C M; Garcia, F; Chidester, S; Urtiew, P A; Forbes, J W

    2006-06-27

    Shock initiation experiments were performed on the plastic bonded explosive (PBX) LX-04 (85% HMX, 15% Viton binder) using single and multiple low amplitude shocks to obtain pressure history data for use in Ignition and Growth reactive flow modeling parameterization. A 100 mm diameter propellant driven gas gun was utilized to initiate the LX-04 explosive charges containing manganin piezoresistive pressure gauge packages placed between explosive discs. In the single shock experiments, the run distances to detonation at three shock pressures showed agreement with previously published data above 3 GPa. Even longer run distances to detonation were measured using 80 mm long by 145 mm diameter LX-04 charges impacted by low velocity projectiles from a 155 mm diameter gun. The minimum shock pressure required to cause low levels of exothermic reaction were determined for these large LX-04 charge dimensions. Multiple shocks were generated as double shocks by using a flyer plate with two materials and as reflected shocks by placing a high impedance material at the rear of the explosive charge. In both cases, the first shock pressure was not high enough to cause detonation of LX-04, and the second shock pressure, which would have been sufficient to cause detonation if generated by a single shock, failed to cause detonation. Thus LX-04 exhibited shock desensitization over a range of 0.6 to 1.4 GPa. The higher shock pressure LX-04 model was extended to accurately simulate these lower pressure and multiple shock gauge records. The shock desensitization effects observed with multiple shock compressions were partially accounted for in the model by using a critical compression corresponding to a shock pressure of 1.2 GPa. This shock desensitization effect occurs at higher pressures than those of other HMX-based PBX's containing higher HMX percentages.

  7. Flight initiation by Ferruginous Hawks depends on disturbance type, experience, and the anthropogenic landscape.

    PubMed

    Nordell, Cameron J; Wellicome, Troy I; Bayne, Erin M

    2017-01-01

    The expansion of humans and their related infrastructure is increasing the likelihood that wildlife will interact with humans. When disturbed by humans, animals often change their behaviour, which can result in time and energetic costs to that animal. An animal's decision to change behaviour is likely related to the type of disturbance, the individual's past experience with disturbance, and the landscape in which the disturbance occurs. In southern Alberta and Saskatchewan, we quantified probability of flight initiation from the nest by Ferruginous Hawks (Buteo regalis) during approaches to nests by investigators. We tested if probability of flight was related to different disturbance types, previous experience, and the anthropogenic landscape in which individual Ferruginous Hawks nested. Probability of flight was related to the type of approach by the investigator, the number of previous visits by investigators, and the vehicular traffic around the nest. Approaches by humans on foot resulted in a greater probability of flight than those in a vehicle. Approaches in a vehicle via low traffic volume access roads were related to increased probability of flight relative to other road types. The number of previous investigator approaches to the nest increased the probability of flight. Overall, we found support that Ferruginous Hawks show habituation to vehicles and the positive reinforcement hypotheses as probability of flight was negatively related to an index of traffic activity near the nest. Our work emphasizes that complex, dynamic processes drive the decision to initiate flight from the nest, and contributes to the growing body of work explaining how responses to humans vary within species.

  8. Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern Brazil

    PubMed Central

    Faria, Renato Max; Pacheco, Juliana Torres; de Oliveira, Itamar Ribeiro; Vidal, José Madson; Rodrigues Junior, Anilton Bezerra; Costa, Ana Luiza Lafeta; Nina, Vinicius José da Silva; Cascudo, Marcelo Matos

    2017-01-01

    Introduction Although it only corresponds to 2.5% of congenital heart defects, hypoplastic left heart syndrome (HLHS) is responsible for more than 25% of cardiac deaths in the first week of life. Palliative surgery performed after the second week of life is considered an important risk factor in the treatment of HLHS. Objective The aim of this study is to describe the initial experience of a medical center in Northeastern Brazil with a modified off-pump hybrid approach for palliation of HLHS. Methods From November 2012 through November 2015, the medical records of 8 patients with HLHS undergoing hybrid procedure were retrospectively evaluated in a tertiary private hospital in Northeastern Brazil. The modified off-pump hybrid palliation consisted of stenting of the ductus arteriosus guided by fluoroscopy without contrast and banding of the main pulmonary artery branches. Demographic and clinical variables were recorded for descriptive analysis. Results Eight patients were included in this study, of whom 37.5% were female. The median age and weight at the time of the procedure was 2 days (p25% and p75% = 2 and 4.5 days, respectively) and 3150 g (p25% and p75% = 3077.5 g and 3400 g, respectively), respectively. The median length in intensive care unit stay was 6 days (p25% and p75% = 3.5% and 8 days, respectively). There were no in-hospital deaths. Four patients have undergone to the second stage of the surgical treatment of HLHS. Conclusion In this series, the initial experience with the modified off-pump hybrid procedure showed to be safe, allowing a low early mortality rate among children presenting HLHS. PMID:28832800

  9. Initial Experience with the Resonance Metallic Stent for Antegrade Ureteric Stenting

    SciTech Connect

    Wah, Tze M. Irving, Henry C.; Cartledge, Jon

    2007-07-15

    Background and purpose. We describe our initial experience with a new metallic ureteric stent which has been designed to provide long-term urinary drainage in patients with malignant ureteric strictures. The aim is to achieve longer primary patency rates than conventional polyurethane ureteric stents, where encrustation and compression by malignant masses limit primary patency. The Resonance metallic double-pigtail ureteric stent (Cook, Ireland) is constructed from coiled wire spirals of a corrosion-resistant alloy designed to minimize tissue in-growth and resist encrustation, and the manufacturer recommends interval stent change at 12 months. Methods. Seventeen Resonance stents were inserted via an antegrade approach into 15 patients between December 2004 and March 2006. The causes of ureteric obstruction were malignancies of the bladder (n = 4), colon (n = 3), gynecologic (n = 5), and others (n = 3). Results. One patient had the stent changed after 12 months, and 3 patients had their stents changed at 6 months. These stents were draining adequately with minimal encrustation. Four patients are still alive with functioning stents in situ for 2-10 months. Seven patients died with functioning stents in place (follow-up periods of 1 week to 8 months). Three stents failed from the outset due to bulky pelvic malignancy resulting in high intravesical pressure, as occurs with conventional plastic stents. Conclusion. Our initial experience with the Resonance metallic ureteric stent indicates that it may provide adequate long-term urinary drainage (up to 12 months) in patients with malignant ureteric obstruction but without significantly bulky pelvic disease. This obviates the need for regular stent changes and would offer significant benefit for these patients with limited life expectancy.

  10. Method for pressing powdered explosives in target assemblies for gas gun-driven initiation experiments

    NASA Astrophysics Data System (ADS)

    Stahl, David B.; Sheffield, Stephen A.; Dattelbaum, Dana M.

    2009-06-01

    In order to obtain an equation of state (EOS) and initiation information for a powdered explosive at the lower density ranges, it is necessary to press the material into the gas gun target assembly. Pressed pellets can be built into targets at the higher densities where they have integrity or can be machined but are difficult or impossible to use at low densities. We have a need to employ multiple magnetic gauges to measure the EOS and initiation data on low density, powdered explosives such as ammonium nitrate (AN). We have designed a ``half cell'' target assembly that has a magnetic gauge membrane glued to a triangular shaped cavity which can be loaded from the cell side. The technique uses a miniature load cell to monitor the force on a pressing stemple that fits into the triangular cavity. A force vs. density curve can be obtained for the particular powder and stemple/cell combination. Using this, the powdered explosive can be loaded to the desired density by pressing in increments to a given force. After the cell is loaded, a cover is glued on to confine the sample. Examples of pressing AN into the target assemblies at different densities and the data obtained from the gas gun driven experiments will be shown.

  11. Bile Duct Anastomosis Supplied With Biodegradable Stent in Liver Transplantation: The Initial Experience.

    PubMed

    Janousek, L; Maly, S; Oliverius, M; Kocik, M; Kucera, M; Fronek, J

    2016-12-01

    The most common biliary complications after orthotopic liver transplantation are bile leaks, anastomotic and intrahepatic strictures, stones, and ampullary dysfunction. These complications can occur in up to 10% to 30% of liver transplant recipients. Leaks occur early in the posttransplant period; the stricture formation typically graduates over time. Ten patients underwent transplantation in our preliminary study: 5 were randomized to the group with stent placement and 5 to the control group. We investigated the role of an absorbable biliary stent with the goal of proving patency of duct-to-duct biliary anastomosis. The stents are made of machine-knitted polydioxanone monofilaments. Our initial results show that duct-to-duct biliary reconstruction using an absorbable internal stent had good patency in all 5 patients. There were no signs of biliary leakage accompanying the anastomoses in any of the cases, and there was no stone formation observed after liver transplantation. The biliary stent was completely absorbed, with no adverse effects. Based on our initial experience and data, we concluded that biodegradable stents can be successfully and safely used in clinical practice. Further large prospective randomized studies are needed to estimate the efficacy of the bioabsorbable stents. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Implementation of electronic checklists in an oncology medical record: initial clinical experience.

    PubMed

    Albuquerque, Kevin V; Miller, Alexis A; Roeske, John C

    2011-07-01

    The quality of any medical treatment depends on the accurate processing of multiple complex components of information, with proper delivery to the patient. This is true for radiation oncology, in which treatment delivery is as complex as a surgical procedure but more dependent on hardware and software technology. Uncorrected errors, even if small or infrequent, can result in catastrophic consequences for the patient. We developed electronic checklists (ECLs) within the oncology electronic medical record (EMR) and evaluated their use and report on our initial clinical experience. Using the Mosaiq EMR, we developed checklists within the clinical assessment section. These checklists are based on the process flow of information from one group to another within the clinic and enable the processing, confirmation, and documentation of relevant patient information before the delivery of radiation therapy. The clinical use of the ECL was documented by means of a customized report. Use of ECL has reduced the number of times that physicians were called to the treatment unit. In particular, the ECL has ensured that therapists have a better understanding of the treatment plan before the initiation of treatment. An evaluation of ECL compliance showed that, with additional staff training, > 94% of the records were completed. The ECL can be used to ensure standardization of procedures and documentation that the pretreatment checks have been performed before patient treatment. We believe that the implementation of ECLs will improve patient safety and reduce the likelihood of treatment errors.

  13. Implementation of Electronic Checklists in an Oncology Medical Record: Initial Clinical Experience

    PubMed Central

    Albuquerque, Kevin V.; Miller, Alexis A.; Roeske, John C.

    2011-01-01

    Purpose: The quality of any medical treatment depends on the accurate processing of multiple complex components of information, with proper delivery to the patient. This is true for radiation oncology, in which treatment delivery is as complex as a surgical procedure but more dependent on hardware and software technology. Uncorrected errors, even if small or infrequent, can result in catastrophic consequences for the patient. We developed electronic checklists (ECLs) within the oncology electronic medical record (EMR) and evaluated their use and report on our initial clinical experience. Methods: Using the Mosaiq EMR, we developed checklists within the clinical assessment section. These checklists are based on the process flow of information from one group to another within the clinic and enable the processing, confirmation, and documentation of relevant patient information before the delivery of radiation therapy. The clinical use of the ECL was documented by means of a customized report. Results: Use of ECL has reduced the number of times that physicians were called to the treatment unit. In particular, the ECL has ensured that therapists have a better understanding of the treatment plan before the initiation of treatment. An evaluation of ECL compliance showed that, with additional staff training, > 94% of the records were completed. Conclusion: The ECL can be used to ensure standardization of procedures and documentation that the pretreatment checks have been performed before patient treatment. We believe that the implementation of ECLs will improve patient safety and reduce the likelihood of treatment errors. PMID:22043184

  14. Endobronchial Ultrasound-directed Transbronchial Needle Aspiration in Diagnosis of Mediastinal Lesions: Initial Egyptian Experience.

    PubMed

    Safwat, Tarek; Khattab, Adel; Haddad, Salwa El; Mostafa, Yasser; Korraa, Emad; Madkour, Ashraf; Fattah, Wael Abd El

    2009-01-01

    Mediastinal lesions represent a diagnostic challenge and often require invasive approaches. We evaluated the role of radial probe endobronchial ultrasound-directed transbronchial needle aspiration (EBUS-TBNA) in the evaluation of mediastinal lesions. Between March 2005 to February 2006, 30 consecutive patients with enlarged mediastinal lymph nodes from unknown etiologies or suspicious for metastatic bronchogenic carcinoma and mediastinal masses underwent EBUS-TBNA and were clinically followed up. EBUS-TBNA was applied under topical anesthesia, midazolam sedation with a mean dose of 4.6+1.7 mg and prolonged the examination by 14.7 minutes on average. EBUS-directed TBNA was performed in 17 lymph nodes and 13 mediastinal masses, achieving specific diagnosis in 82.3% (14/17) and 84.6% (11/13) of examined lesions, respectively, with an overall yield of 83%. The sensitivity, specificity, and accuracy of EBUS-TBNA in distinguishing benign from malignant mediastinal lesions were 89.4%, 100%, and 93.3%, respectively. EBUS was well tolerated by most of the patients with no TBNA-related complications. In conclusion, EBUS-TBNA of mediastinal lesions is a minimally invasive safe diagnostic technique with high yield, even in the hands of those with initial experience. This initial study is convincing and stimulating for widespread application of EBUS-TBNA in Egyptian bronchoscopy practice.

  15. Robotics in hepatobiliary surgery-initial experience, first reported case series from India.

    PubMed

    Goja, S; Singh, M K; Soin, A S

    2017-01-01

    Robotic surgical system's ability to perform complex hepatobiliary surgeries is gaining momentum with outcomes similar to open surgery and advantages of minimal access surgery. The authors present their initial experience of a heterogenous spectrum of robotic hepatobiliary cases and the first reported case series from India. Retrospective review of hepatobiliary cases done robotically from February 2015 to January 2016 was done. The series has ten patients; with median age of 45 years (range 15-72). Etiologies were choledochal cyst type IVa, benign lower end common bile duct stricture (biliary reconstruction group); incidental gallbladder carcinoma, hepatocellular carcinoma, recurrent pyogenic cholangitis, polycystic liver disease, hemangioma, liver metastases, hydatid cyst (resection group). Median operative duration was 510min; one patient needed intra-operative blood transfusion and there were no conversions to open surgery. One patient developed bile leak which was managed by biliary stenting and another thrombotic thrombocytopenic purpura during post-operative period. Median length of hospital stay was 6days with average cost of robotic surgery being $1700 USD more for major hepatectomy and $900 USD more for biliary reconstruction compared to open procedure. This initial series adds to existing data on the feasibility of robotic hepatobiliary cases with inherent advantages of minimal invasive surgery, however with limitation of availability and use of devices like cavitron ultrasonic surgical aspirator (CUSA) and higher operative cost. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  16. An initial experience using transanal vacuum therapy in pelvic anastomotic leakage.

    PubMed

    Srinivasamurthy, D; Wood, C; Slater, R; Garner, J

    2013-06-01

    Treatment of the presacral cavity that forms after contained anastomotic leakage of a low pelvic anastomosis is challenging and often results in a permanent stoma. Endosponge™ therapy is a minimally invasive method of treating the presacral cavity which potentially avoids a permanent stoma. We report our initial experience of using Endosponge™ therapy. All patients who underwent Endosponge™ treatment for low pelvic anastomotic leakage in our hospital over a 45-month period were identified and data collected from clinical, operative and endoscopic notes. Eight patients (seven males, one female) underwent Endosponge™ therapy for extraperitoneal pelvic anastomotic leak during the study period; all had had defunctioning ileostomies placed at their original surgery. Six out of eight patients had complete closure or a reduction in the size of the abscess cavity. Five patients have had their ileostomies reversed with good or reasonable bowel function after a median follow-up of 41 months and four of these patients had Endosponge™ therapy instituted within 6 weeks of initial surgery. One patient had Endosponge™ therapy abandoned and conversion to a permanent end colostomy after accidental intraperitoneal placement of the sponge. Early use of Endosponge™ therapy appears to offer a minimally invasive and effective way of closing the presacral cavity after a pelvic anastomotic leak, reducing the risk of permanent stoma and resulting in acceptable bowel function. Endosponge™-specific complications can occur.

  17. Nasa's Experiences Enabling the Capture and Sharing of Technical Expertise Through Communities of Practice

    NASA Astrophysics Data System (ADS)

    Topousis, Daria E.; Dennehy, Cornelius J.; Lebsock, Kenneth L.

    2012-12-01

    Historically, engineers at the National Aeronautics and Space Administration (NASA) had few opportunities or incentives to share their technical expertise across the Agency. Its center- and project-focused culture often meant that knowledge never left organizational and geographic boundaries. The need to develop a knowledge sharing culture became critical as a result of increasingly complex missions, closeout of the Shuttle Program, and a new generation of engineers entering the workforce. To address this need, the Office of the Chief Engineer established communities of practice on the NASA Engineering Network. These communities were strategically aligned with NASA's core competencies in such disciplines as avionics, flight mechanics, life support, propulsion, structures, loads and dynamics, human factors, and guidance, navigation, and control. This paper is a case study of NASA's implementation of a system that would identify and develop communities, from establishing simple websites that compiled discipline-specific resources to fostering a knowledge-sharing environment through collaborative and interactive technologies. It includes qualitative evidence of improved availability and transfer of knowledge. It focuses on capabilities that increased knowledge exchange such as a custom-made Ask An Expert system, community contact lists, publication of key resources, and submission forms that allowed any user to propose content for the sites. It discusses the peer relationships that developed through the communities and the leadership and infrastructure that made them possible.

  18. Technical Aspects on the Use of Ultrasonic Bone Shaver in Spine Surgery: Experience in 307 Patients

    PubMed Central

    Hazer, Derya Burcu; Yaşar, Barış; Rosberg, Hans-Eric; Akbaş, Aytaç

    2016-01-01

    Aim. We discuss technical points, the safety, and efficacy of ultrasonic bone shaver in various spinal surgeries within our own series. Methods. Between June 2010 and January 2014, 307 patients with various spinal diseases were operated on with the use of an ultrasonic bone curette with microhook shaver (UBShaver). Patients' data were recorded and analyzed retrospectively. The technique for the use of the device is described for each spine surgery procedure. Results. Among the 307 patients, 33 (10.7%) cases had cervical disorder, 17 (5.5%) thoracic disorder, 3 (0.9%) foramen magnum disorder, and 254 (82.7%) lumbar disorders. Various surgical techniques were performed either assisted or alone by UBShaver. The duration of the operations and the need for blood replacement were relatively low. The one-year follow-up with Neck Disability Index (NDI) and Oswestry Disability Index (ODI) scores were improved. We had 5 cases of dural tears (1.6%) in patients with lumbar spinal disease. No neurological deficit was found in any patients. Conclusion. We recommend this device as an assistant tool in various spine surgeries and as a primary tool in foraminotomies. It is a safe device in spine surgery with very low complication rate. PMID:27195299

  19. [The clinical risk management: an initial experience of incident reporting in a surgical department].

    PubMed

    Savà, Giuseppina; Rumi, Tiziana; Meneghini, Antonella

    2010-01-01

    With the aim of adverse events monitoring in a critical care area, an initial experience of a near miss events registration in a department of surgery at Fondazione IRCCS Cà Granda Ospedale Policlinico di Milano is reported in this article. A period of time of two weeks for the anonymous compilation of reporting forms has been scheduled. Data derived from this survey focused the attention on two main problems: the drug prescribing and administration errors and those related to the clinical management of the patient. The second main issue that deserves to be discussed is the incident reporting interruption during the second week, due to a perception of futility of this procedure still linked to a mentality not adequately prepared to learn from errors. The thinking about adverse events has shifted from the person approach-blaming individuals for errors-to the system approach. The experience here reported underlines the importance of training courses and adequate preparation of health personnel on the aims and how to communicate an adverse event, in order to resume an effective and continuous incident reporting activity in a critical care area.

  20. Initial experience with the new da Vinci single-port robot-assisted platform.

    PubMed

    Ballestero Diego, R; Zubillaga Guerrero, S; Truan Cacho, D; Carrion Ballardo, C; Velilla Diez, G; Calleja Hermosa, P; Gutiérrez Baños, J L

    2017-06-01

    To describe our experience in the first cases of urological surgeries performed with the da Vinci single-port robot-assisted platform. We performed 5 single-port robot-assisted surgeries (R-LESS) between May and October 2014. We performed 3 ureteral reimplant surgeries, one ureteropyeloplasty in an inverted kidney and 1 partial nephrectomy. The perioperative and postoperative results were collected, as well as a report of the complications according to the Clavien classification system. Of the 5 procedures, 4 were performed completely by LESS, while 1 procedure was reconverted to multiport robot-assisted surgery. There were no intraoperative complications. We observed perioperative complications in 4 patients, all of which were grade 1 or 2. The mean surgical time was 262minutes (range, 230-300). In our initial experience with the da Vinci device, R-LESS surgery was feasible and safe. There are still a number of limitations in its use, which require new and improved R-LESS platforms. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  1. Technical Report Series on Global Modeling and Data Assimilation, Volume 43. MERRA-2; Initial Evaluation of the Climate

    NASA Technical Reports Server (NTRS)

    Koster, Randal D. (Editor); Bosilovich, Michael G.; Akella, Santha; Lawrence, Coy; Cullather, Richard; Draper, Clara; Gelaro, Ronald; Kovach, Robin; Liu, Qing; Molod, Andrea; Norris, Peter; Wargan, Krzysztof; Chao, Winston; Reichle, Rolf; Takacs, Lawrence; Todling, Ricardo; Vikhliaev, Yury; Bloom, Steve; Collow, Allison; Partyka, Gary; Labow, Gordon; Pawson, Steven; Reale, Oreste; Schubert, Siegfried; Suarez, Max

    2015-01-01

    The years since the introduction of MERRA have seen numerous advances in the GEOS-5 Data Assimilation System as well as a substantial decrease in the number of observations that can be assimilated into the MERRA system. To allow continued data processing into the future, and to take advantage of several important innovations that could improve system performance, a decision was made to produce MERRA-2, an updated retrospective analysis of the full modern satellite era. One of the many advances in MERRA-2 is a constraint on the global dry mass balance; this allows the global changes in water by the analysis increment to be near zero, thereby minimizing abrupt global interannual variations due to changes in the observing system. In addition, MERRA-2 includes the assimilation of interactive aerosols into the system, a feature of the Earth system absent from previous reanalyses. Also, in an effort to improve land surface hydrology, observations-corrected precipitation forcing is used instead of model-generated precipitation. Overall, MERRA-2 takes advantage of numerous updates to the global modeling and data assimilation system. In this document, we summarize an initial evaluation of the climate in MERRA-2, from the surface to the stratosphere and from the tropics to the poles. Strengths and weaknesses of the MERRA-2 climate are accordingly emphasized.

  2. Student Experiences: the 2013 Cascadia Initiative Expedition Team's Apply to Sail Program

    NASA Astrophysics Data System (ADS)

    Mejia, H.; Hooft, E. E.; Fattaruso, L.

    2013-12-01

    During the summer of 2013, the Cascadia Initiative Expedition Team led six oceanographic expeditions to recover and redeploy ocean bottom seismometers (OBSs) across the Cascadia subduction zone and Juan de Fuca plate. The Cascadia Initiative (CI) is an onshore/offshore seismic and geodetic experiment to study questions ranging from megathrust earthquakes to volcanic arc structure to the formation, deformation and hydration of the Juan de Fuca and Gorda plates with the overarching goal of understanding the entire subduction zone system. The Cascadia Initiative Expedition Team is a team of scientists charged with leading the oceanographic expeditions to deploy and recover CI OBSs and developing the associated Education and Outreach effort. Students and early career scientists were encouraged to apply to join the cruises via the Cascadia Initiative Expedition Team's Apply to Sail Program. The goal of this call for open participation was to help expand the user base of OBS data by providing opportunities for students and scientists to directly experience at-sea acquisition of OBS data. Participants were required to have a strong interest in learning field techniques, be willing to work long hours at sea assisting in OBS deployment, recovery and preliminary data processing and have an interest in working with the data collected. In total, there were 51 applicants to the Apply to Sail Program from the US and 4 other countries; 21 graduate students as well as a few undergraduate students, postdocs and young scientists from the US and Canada were chosen to join the crew. The cruises lasted from 6 to 14 days in length. OBS retrievals comprised the three first legs, of which the first two were aboard the Research Vessel Oceanus. During each of the retrievals, multiple acoustic signals were sent while the vessel completed a semi-circle around the OBS to accurately determine its position, a final signal was sent to drop the seismometer's anchor, and finally the ship and crew

  3. The Influence of Students' Pre-College Characteristics, High School Experiences, College Expectations, and Initial Enrollment Characteristics on Degree Attainment

    ERIC Educational Resources Information Center

    Pike, Gary R.; Hansen, Michele J.; Childress, Janice E.

    2014-01-01

    The present research examined the extent to which pre-college characteristics, high school experiences, college expectations, and initial enrollment characteristics were related to graduation from college. Data from admission applications, the "ACT Compass" survey, and initial enrollment measures for Fall 2004 and Fall 2005 first-time…

  4. The Influence of Students' Pre-College Characteristics, High School Experiences, College Expectations, and Initial Enrollment Characteristics on Degree Attainment

    ERIC Educational Resources Information Center

    Pike, Gary R.; Hansen, Michele J.; Childress, Janice E.

    2014-01-01

    The present research examined the extent to which pre-college characteristics, high school experiences, college expectations, and initial enrollment characteristics were related to graduation from college. Data from admission applications, the "ACT Compass" survey, and initial enrollment measures for Fall 2004 and Fall 2005 first-time…

  5. Observations of flow path interactions with surface structures during initial soil development stage using irrigation experiments

    NASA Astrophysics Data System (ADS)

    Bartl, Steffen; Biemelt, Detlef; Badorreck, Annika; Gerke, Horst H.

    2010-05-01

    Structures and processes are dynamically linked especially during initial stages of soil and ecosystem development. Here we assume that soil pore structures and micro topography determine the flow paths and water fluxes as well as further structure changes. Reports about flow path developments at the soil surface are still limited because of an insufficient knowledge of the changing micro topography at the surface. The objective of this presentation is to evaluate methods for parameterisation of surface micro topography for analysing interactions between infiltration and surface runoff. Complex irrigation experiments were carried out at an experimental site in the neighbourhood of the artificially created water catchment "Chicken Creek". The irrigation rates between 160 mm/h and 250 mm/h were held constant over a time period of 20 minutes. The incoming intensities were measured as well as the raindrop-velocity and -size distributions. The surface runoff was continuously registered, soil samples were taken, and soil water potential heads were monitored using tensiometers. Surface and subsurface flow paths were identified using different tracers. The soil surface structures were recorded using a high resolution digital camera before, during, and after irrigation. Micro topography was surveyed using close-range photogrammetry. With this experimental design both, flow paths on the surface and in the soil as well as structure and texture changes could be observed simultaneously. In 2D vertical cross-sections, the effect of initial sediment deposition structure on infiltration and runoff was observed. Image analysis of surface pictures allowed identifying structural and soil textural changes during the runoff process. Similar structural changes related to surface flow paths were found with the photogrammetric surface analysis. We found evidence for the importance of the initial structures on the flow paths as well as a significant influence of the system development

  6. In Their Own Words: Young Adults' Menthol Cigarette Initiation, Perceptions, Experiences and Regulation Perspectives.

    PubMed

    Wackowski, Olivia A; Evans, Kiameesha R; Harrell, Melissa B; Loukas, Alexandra; Lewis, M Jane; Delnevo, Cristine D; Perry, Cheryl L

    2017-02-17

    Menthol cigarettes are disproportionately used by young people and have been called smoking starter products. However, limited qualitative research exists on young adults' perceptions of and experiences with these products, with much of it based on document reviews of the tobacco industry's research. We conducted six focus groups with young adult (ages 18-24) menthol smokers in New Jersey (half with black smokers) between December 2014 and March 2015. Participants were asked open-ended questions about their menthol smoking initiation, preference reasons, substitution behaviors, and perceptions of menthol cigarette risks and regulation. Participants' menthol cigarette initiation and preference were influenced by their perceived popularity, brand recognition, taste, smoothness, satisfaction and access (including as "loosies," typically available for Newport). Some believed menthol cigarettes were less harmful than non-menthol cigarettes when initiating smoking. Many currently believed menthol cigarettes were more harmful because they contained extra "additives," were stronger (ie, requiring fewer cigarettes to feel satisfied), and/or based on hearsay. Many had tried new brand Camel Crush, which was perceived to be especially minty, fun, and attractive for newer smokers. While some used non-menthol cigarettes when menthols were unavailable, many said they would never or almost never substitute. Many acknowledged a menthol cigarettes ban would likely help them quit smoking, even though they did not support the idea. Menthol cigarette initiation is influenced by an interplay of multiple factors including their sensory properties, marketing, perceived popularity and availability. The FDA should continue to pursue closing this flavored cigarette loophole. In this first qualitative study of menthol cigarette use among young adults, we found further evidence that menthol cigarettes can act as starter products because they are perceived as easier to smoke and taste and smell

  7. Microcosm experiments to study the interaction of solid and solute phases during initial soil development

    NASA Astrophysics Data System (ADS)

    Zimmermann, C.; Chabbi, S.; Schaaf, W.

    2009-04-01

    During the initial phase of soil formation mineral weathering, interactions between the solid and liquid phases as well as accumulation of organic matter play an important role for the development of soil properties and for the establishment of vegetation and the colonization of soil biota. Our study is part of the Transregional Collaborative Research Centre (SFB/TRR 38) ‘Patterns and processes of initial ecosystem development in an artificial catchment' funded by the Deutsche Forschungsgemeinschaft (DFG). The catchment ´Chicken Creeḱ close to Cottbus (Germany) has a size of 6 ha and is composed of a 3-4 m layer of Quaternary loamy to sandy sediments overlying a 1-2 m clay layer. To connect interactions between the soil solid phase and soil solution at the micro-scale with observed processes at the catchment scale we perform microcosm experiments with soil samples from the catchment under controlled laboratory conditions. The microcosm experiments are carried out in a climate chamber at constant 10 °C corresponding to the mean annual temperature of the region. In total 48 soil columns with a diameter of 14.4 cm and height of 30 cm were filled with substrates of two textural compositions reflecting the gradients observed at the catchment and a bulk density of 1.4-1.5 g*cm3. Within the microcosms it is possible to control the gaseous phase and the water fluxes by artificial irrigation. The irrigation runs automated and quasi-continuously four times a day with 6.6 ml each (in total 600 mm*yr-1). Irrigation amount and chemical composition of the artificial rainwater are based on the annual mean at the field site. Litter of two different plant species occurring at the catchment site (Lotus corniculatus, Calamagrostis epigejos) labelled with stable isotopes (δ13C; δ15N) is used for the experiments. All treatments including a control run with four replicates. The gaseous phase in the headspace of the microcosms is analysed continuously for CO2 and N2O contents

  8. Radioactive Seed Localization Compared to Wire Localization in Breast-Conserving Surgery: Initial 6-Month Experience

    PubMed Central

    Murphy, James O.; Moo, Tracy-Ann; King, Tari A.; Van Zee, Kimberly J.; Villegas, Kristine A.; Stempel, Michelle; Eaton, Anne; St. Germain, Jean M.; Morris, Elizabeth; Morrow, Monica

    2014-01-01

    Introduction Wire localization (WL) of non-palpable breast cancers on the day of surgery is uncomfortable for patients and impacts OR efficiency. Radioactive seed localization (RSL) before the day of surgery avoids these disadvantages. In this study we compare outcomes of our initial 6-month experience with RSL to those with WL in the preceding 6 months. Methods Lumpectomies for invasive or intraductal cancers localized with a single 125iodine seed (January-June 2012) were compared to those using 1 wire (July-December 2011). Surgeons and radiologists did not change. Positive and close margins were defined as tumor on ink and tumor ≤1mm from ink, respectively. Demographic and clinical characteristics and outcomes were compared between RSL and WL patients. Results There were 431 RSL and 256 WL lumpectomies performed. Clinicopathologic characteristics did not differ between groups. Most seeds (90%) were placed before the day of surgery. Positive margins were present in 7.7% of RSL versus 5.5% of WL patients, and 16.9% of RSL versus 19.9% of WL had close margins (p=0.38). The median operative time was longer for lumpectomy and sentinel lymph node biopsy (SLNB) in the RSL group (55 versus 48 minutes, p<0.0001). There was no significant difference in the volume of tissue excised between groups. Conclusions In the first 6 months of RSL, operative scheduling was simplified, while rates of positive and close margins were similar to those seen after many years of experience with WL. Operative time was slightly longer for RSL lumpectomy and SLNB; we anticipate this will decrease with experience. PMID:23943024

  9. Initial experiences and innovations in supervising community health workers for maternal, newborn, and child health in Morogoro region, Tanzania.

    PubMed

    Roberton, Timothy; Applegate, Jennifer; Lefevre, Amnesty E; Mosha, Idda; Cooper, Chelsea M; Silverman, Marissa; Feldhaus, Isabelle; Chebet, Joy J; Mpembeni, Rose; Semu, Helen; Killewo, Japhet; Winch, Peter; Baqui, Abdullah H; George, Asha S

    2015-04-09

    Supervision is meant to improve the performance and motivation of community health workers (CHWs). However, most evidence on supervision relates to facility health workers. The Integrated Maternal, Newborn, and Child Health (MNCH) Program in Morogoro region, Tanzania, implemented a CHW pilot with a cascade supervision model where facility health workers were trained in supportive supervision for volunteer CHWs, supported by regional and district staff, and with village leaders to further support CHWs. We examine the initial experiences of CHWs, their supervisors, and village leaders to understand the strengths and challenges of such a supervision model for CHWs. Quantitative and qualitative data were collected concurrently from CHWs, supervisors, and village leaders. A survey was administered to 228 (96%) of the CHWs in the Integrated MNCH Program and semi-structured interviews were conducted with 15 CHWs, 8 supervisors, and 15 village leaders purposefully sampled to represent different actor perspectives from health centre catchment villages in Morogoro region. Descriptive statistics analysed the frequency and content of CHW supervision, while thematic content analysis explored CHW, supervisor, and village leader experiences with CHW supervision. CHWs meet with their facility-based supervisors an average of 1.2 times per month. CHWs value supervision and appreciate the sense of legitimacy that arises when supervisors visit them in their village. Village leaders and district staff are engaged and committed to supporting CHWs. Despite these successes, facility-based supervisors visit CHWs in their village an average of only once every 2.8 months, CHWs and supervisors still see supervision primarily as an opportunity to check reports, and meetings with district staff are infrequent and not well scheduled. Supervision of CHWs could be strengthened by streamlining supervision protocols to focus less on report checking and more on problem solving and skills development

  10. Initial experience of robotic versus laparoscopic colectomy for transverse colon cancer: a matched case-control study.

    PubMed

    de'Angelis, Nicola; Alghamdi, Salah; Renda, Andrea; Azoulay, Daniel; Brunetti, Francesco

    2015-10-09

    Robotic surgery for transverse colon cancer has rarely been described. This study reports our initial experience in robotic resection for transverse colon cancer, by comparing robotic transverse colectomy (RC) to laparoscopic transverse colectomy (LC) in terms of safety, feasibility, short-term outcomes, and the surgeon's psychological stress and physical pain. The study population included the first 22 consecutive patients who underwent RC between March 2013 and December 2014 for histologically confirmed transverse colon adenocarcinoma. These patients were compared with 22 matched patients undergoing LC between December 2010 and February 2013. Patients were matched based on age, gender, body mass index (BMI), American Society of Anesthesiology (ASA) score, American Joint Committee on Cancer (AJCC) tumor stage, and tumor location (ratio 1:1). Mortality, morbidity, operative, and short-term oncologic outcomes were compared between groups. The operating surgeon's stress and pain were assessed before and after surgery on a 0-100-mm visual analog scale. The demographic and preoperative characteristics were comparable between RC and LC patients. No group difference was observed for intraoperative complications, blood loss, postoperative pain, time to flatus, time to regular diet, and hospital stay. RC was associated with longer operative time than LC (260 min vs. 225 min; p = 0.014), but the overall operative and robotic time in the RC group decreased over time reflecting the increasing experience in performing this procedure. No conversion to laparotomy was observed in the RC group, while two LC patients were converted due to uncontrolled bleeding and technically difficult middle colic pedicle dissection. Postoperative complications (Dindo-Clavien grade I or II) occurred in 11.3 % of patients with no group difference. Mortality was nil. All resections were R0, with >12 lymph nodes harvested in 90.9 % of RC and 95.5 % of LC patients. The surgeon's stress was

  11. [Evaluation of the influence of humidity and temperature on the drug stability by initial average rate experiment].

    PubMed

    He, Ning; Sun, Hechun; Dai, Miaomiao

    2014-05-01

    To evaluate the influence of temperature and humidity on the drug stability by initial average rate experiment, and to obtained the kinetic parameters. The effect of concentration error, drug degradation extent, humidity and temperature numbers, humidity and temperature range, and average humidity and temperature on the accuracy and precision of kinetic parameters in the initial average rate experiment was explored. The stability of vitamin C, as a solid state model, was investigated by an initial average rate experiment. Under the same experimental conditions, the kinetic parameters obtained from this proposed method were comparable to those from classical isothermal experiment at constant humidity. The estimates were more accurate and precise by controlling the extent of drug degradation, changing humidity and temperature range, or by setting the average temperature closer to room temperature. Compared with isothermal experiments at constant humidity, our proposed method saves time, labor, and materials.

  12. Technical Note: Initial assessment of a multi-method approach to spring-flood forecasting in Sweden

    NASA Astrophysics Data System (ADS)

    Olsson, J.; Uvo, C. B.; Foster, K.; Yang, W.

    2016-02-01

    Hydropower is a major energy source in Sweden, and proper reservoir management prior to the spring-flood onset is crucial for optimal production. This requires accurate forecasts of the accumulated discharge in the spring-flood period (i.e. the spring-flood volume, SFV). Today's SFV forecasts are generated using a model-based climatological ensemble approach, where time series of precipitation and temperature from historical years are used to force a calibrated and initialized set-up of the HBV model. In this study, a number of new approaches to spring-flood forecasting that reflect the latest developments with respect to analysis and modelling on seasonal timescales are presented and evaluated. Three main approaches, represented by specific methods, are evaluated in SFV hindcasts for the Swedish river Vindelälven over a 10-year period with lead times between 0 and 4 months. In the first approach, historically analogue years with respect to the climate in the period preceding the spring flood are identified and used to compose a reduced ensemble. In the second, seasonal meteorological ensemble forecasts are used to drive the HBV model over the spring-flood period. In the third approach, statistical relationships between SFV and the large-sale atmospheric circulation are used to build forecast models. None of the new approaches consistently outperform the climatological ensemble approach, but for early forecasts improvements of up to 25 % are found. This potential is reasonably well realized in a multi-method system, which over all forecast dates reduced the error in SFV by ˜ 4 %. This improvement is limited but potentially significant for e.g. energy trading.

  13. Capstone Experiences in Career and Technical Education. Practice Application Brief No. 16.

    ERIC Educational Resources Information Center

    Kerka, Sandra

    Capstones are culminating experiences in which students synthesize subject-matter knowledge they have acquired, integrate cross-disciplinary knowledge, and connect theory and application in preparation for entry into a career. Capstone courses should be both a synthesis and a bridge to students' future after graduation. In career and technical…

  14. Children Learning Computer Programming: Experiments with Languages, Curricula and Programmable Devices. Technical Report No. 250.

    ERIC Educational Resources Information Center

    Weyer, S. A.; Cannara, A. B.

    An experiment was conducted to study how children, aged 10-15 years, learn concepts relevant to computer programing and how they learn modern programing languages. The implicit educational goal was to teach thinking strategies through the medium of programing concepts and their applications. The computer languages Simper and Logo were chosen…

  15. Teacher Preparation in Career and Technical Education: A Model for Developing and Researching Early Field Experiences

    ERIC Educational Resources Information Center

    Retallick, Michael S.; Miller, Greg

    2010-01-01

    Leading educational researchers have called for a framework for implementing and researching early field experiences (EFE). Yet, a review of literature revealed that a comprehensive model focusing on the structure and content of EFE was an important element missing from the literature. The primary purpose of this study was to synthesize the…

  16. Building Evaluation of Collaborative Learning into a WWW-Based Course: Pedagogical and Technical Experiences.

    ERIC Educational Resources Information Center

    Collis, Betty

    1998-01-01

    A first-year course in the computer-based educational media design curriculum at the University of Twente (Netherlands) uses the World Wide Web as an integrated course environment; collaborative group-based learning is the basis of the instruction. The Web is used to make evaluation-oriented activities part of the ongoing student experience.…

  17. Experiences of Educational Content in Swedish Technical Vocational Education: Examples from the Energy and Industry Programmes

    ERIC Educational Resources Information Center

    Kilbrink, Nina; Bjurulf, Veronica; Olin-Scheller, Christina; Tengberg, Michael

    2014-01-01

    In this study, teachers and workplace supervisors in two vocational programmes at a Swedish upper secondary school were interviewed about their experiences of what is important to teach and learn during vocational education. The interviews were analysed thematically by the qualitative method analysis of narratives concerning what the informants…

  18. Experiments in Teaching Children Computer Programming. Technical Report No. 271. Psychology and Education Series.

    ERIC Educational Resources Information Center

    Cannara, A. B.

    Two experiments are conducted to observe how children, ages 10-15, who have not previously used a computer, will learn concepts relevant to computer programing languages. The interpreters used are LOGO and SIMPER. Subjects are pretested with an instrument developed to predict ability to manage the concepts. They are then given group instruction on…

  19. Six Data Base Management Systems: Feature Analysis and User Experiences. Technical Note 887.

    ERIC Educational Resources Information Center

    Fong, Elizabeth; And Others

    This report presents an objective overview of features of six selected data-base management systems and federal user experiences with these systems. Application criteria were developed in order to aid in the evaluation and selection of data-base management systems. The advantages of generalized data-base management systems over traditional methods…

  20. Computed tomography imaging-guided percutaneous argon-helium cryoablation of muscle-invasive bladder cancer: initial experience in 32 patients.

    PubMed

    Sun, Lijun; Zhang, Wei; Liu, Heliang; Yuan, Jianlin; Liu, Weiying; Yang, Yan

    2014-10-01

    To evaluate the initial clinical experience of computed tomography (CT) imaging-guided percutaneous cryotherapy of bladder cancer. This study was approved by the human subjects committee. Written informed consent was obtained from all patients. Thirty-two patients (22 males and 10 females; mean age, 62.7 years) with muscle-invasive bladder cancer were treated with CT imaging-guided percutaneous cryoablation. By using CT imaging system and local anesthesia in patients, a single or multiple 1.47 mm cryoprobes were used to freeze the target bladder tumor (mean tumor size, 2.8 cm; range, 1.3-4.5 cm) with a dual freeze-thaw cycle. Follow-up was performed to assess the clinical and technical outcome of patients treated with cryoablation for a minimum of 6 months (mean, 33 months; range, 6-48 months). Tumors were considered completely ablated if there was no evidence to suggest tumor enhancement at follow-up CT images. Bladder cryoablation was clinically and technically successful in all 32 cases, 30 of which required only one treatment session. Bladder integrity was maintained in all patients. Major complications were not observed in any patient. Our initial experience of a minimally invasive method for ablating bladder tumors with CT imaging-guided percutaneous argon-helium cryoablation appears to be favorable, with acceptable operative and short-term clinical outcomes. The technique is safe and effective for the treatment of patients with muscle-invasive bladder cancer; however, long-term follow-up is needed. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

  1. The Role of National Immunization Technical Advisory Groups (NITAGs) in the Introduction of Inactivated Polio Vaccine: Experience of the Indonesia and Uganda NITAGs.

    PubMed

    Ba-Nguz, Antoinette; Adjagba, Alex; Wisnu Hendrarto, Toto; Sewankambo, Nelson K; Nalwadda, Celia; Kisakye, Annette

    2017-07-01

    National Immunization Technical Advisory Groups (NITAGs) are established by national authorities to provide them with independent, bias-free, objective, and evidence-based advice on vaccines and immunization challenges. As of December 2015, 125 countries have reported having set up an NITAG. The Health Policy and Institutional Development Center at the Agence de Médecine Préventive, a World Health Organization (WHO) Collaborative Center for evidence-informed immunization, through its Supporting Independent Immunization and Vaccine Advisory Committees (SIVAC) Initiative project, provides assistance to low- and middle-income countries in the establishment and strengthening of their NITAGs. The Indonesian NITAG (ITAGI) was formed in December 2006 and Uganda's (UNITAG) was formed in November 2014. Both Uganda and Indonesia have introduced inactivated polio vaccine (IPV) as part of the Global Polio Eradication and Endgame Strategic Plan (the Endgame plan). The authors reflect on the process and the role played by NITAGs in the introduction of IPV in the routine immunization program and the lessons learned. This commentary is a reflection of the authors' experience on NITAG's role as observed in 2 particular local settings and applied to a global public health issue, the polio eradication Endgame plan. The reflection is backed up by the relevant (policy and technical) documents on polio eradication, along with minutes and reports from countries' ministries of health, immunization programs, WHO, and NITAGs. NITAGs are valuable tools for ministries of health to ensure sustainable, evidence-informed immunization policies that are trusted and accepted by their communities. Early engagement with NITAGs also ensures that the adoption of strategies addressing global public health threats at the country level reinforces the national immunization programs. On the other end, when NITAGs are proactive and forward-thinking, they can contribute to a smooth and effective

  2. Effect of Microgravity on Sinorhizobium meliloti: Initial Results from the SyNRGE Experiment

    NASA Technical Reports Server (NTRS)

    Roberts, Michael S.; Stutte, Gary W.

    2011-01-01

    SyNRGE (Symbiotic Nodulation in a Reduced Gravity Environment) was a sortie mission on STS-135 in the Biological Research in Canisters (BRIe) hardware to study the effect of microgravity on a plant-microbe symbiosis resulting in biological nitrogen fixation. Medicago truncatula, a model species of the legume family, was innoculated with its bacterial symbiont, Sinorhizobium meliloti, to observe early events associated with infection and nodulation in Petri Dish Fixation Units (PDFUs). Two sets of experiments were conducted in orbit and in 24-hour delayed ground controls. Experiment one was designed to determine if S. meliloti infect M. truncatula and initiate physiological changes associated with nodule formation. Roots of five-day-old M. truncatula cultivar Jemalong A17 (Enodll::gus) were innoculated 24 hr before launch with either S. meliloti strain 1021 or strain ABS7 and integrated into BRIC-PDFU hardware placed in a 4 C Cold Bag for launch on Atlantis. Innoculated plants and uninoculated controls were maintained in the dark at ambient temperature in the middeck of STS-135 for 11 days before fixation in RNA/ate/M by crew activation of the PDFU. Experiment two was designed to determine if microgravity altered the process of bacterial infection and host plant nodule formation. Seeds of two M. truncatula cultivar Jemalong A17 lines, the Enodll::gus used in experiment 1, and SUNN, a super-nodulating mutant of A17, were germinated on orbit for 11 days in the middeck cabin and returned to Earth alive inside of BRIC-PDFU's at 4 C S. meliloti strains 1021 and ABS7 were cultivated separately in broth culture on orbit and also returned to Earth alive. After landing, flight- and ground-grown plants and bacteria were transferred from BRIC-PDFU's into Nunc(TradeMark) 4-well plates for reciprocity crosses. Rates of plant growth and nodule development on Buffered Nodulation Medium (lacking nitrogen) were measured for 14 days. Bacteria cultivated in microgravity in the

  3. Single Institution Early Experience with the Bundled Payments for Care Improvement Initiative.

    PubMed

    Iorio, Richard; Bosco, Joseph; Slover, James; Sayeed, Yousuf; Zuckerman, Joseph D

    2017-01-04

    infrastructural changes, although changes may be implemented more thoroughly once initiated. Herein, we discuss our early total joint arthroplasty BPCI experience at our tertiary-care academic medical center.

  4. [Initial experiences with propofol (Disoprivan) for anesthesia induction in pediatric anesthesia].

    PubMed

    Motsch, J; Must, W; Hutschenreuter, K

    1988-09-01

    Propofol is a new intravenous anesthetic agent that provides smooth and rapid induction of anesthesia. A short elimination half-life guarantees rapid recovery. Since it has been reformulated as an emulsion in soya bean oil, anaphylactoid reactions are unlikely to occur. As compared to adults, there is very little experience with propofol in pediatric anesthesia. The aim of this study was to evaluate propofol as an induction agent in children with respect to cardiovascular and respiratory effects and to investigate the incidence of other side-effects. METHOD. In 25 ASA I children aged 3-12 years (6.4 +/- 2.7 SD) anesthesia was induced with a single dose of propofol, after standard premedication with atropine 0.01 mg/kg and Thalamonal 0.04 ml/kg. Anesthesia was maintained with halothane, nitrous oxide, and oxygen. Blood pressure (BP), heart rate (HR), and arterial oxygen saturation (SaO2) were measured before and each minute for 6 min after propofol administration. The incidence of side-effects during induction of anesthesia as well as during recovery and the postoperative period were recorded. RESULTS. Propofol 2.5 mg/kg produced rapid and smooth induction of anesthesia. Mean arterial pressure decreased after 1 min by 14.3% with a maximum of 16.8% after 3 min. HR was influenced differently by propofol; children with initially high HR had a decrease in HR, whereas in children with a low initial rate, HR increased transiently. After 1 min, no further changes occurred. Although no apnea was observed, respiration was shallow and depressed, as indicated by a decrease in SaO2. Two children complained of pain and 4 of discomfort at the site of the injection; 1 of these developed transient phlebitis.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Radiofrequency Ablation of Osteoid Osteoma: Initial Experience with a New Monopolar Ablation Device

    SciTech Connect

    Mahnken, Andreas H. Bruners, Philipp; Delbrueck, Heide; Guenther, Rolf W.

    2011-06-15

    The purpose of this article is to report our initial experience with the 'off-label' use of a new monopolar radiofrequency (RF) probe for percutaneous ablation of osteoid osteomas. Seventeen patients (12 male and 5 female, mean age 24.8 [range 9-49]) with osteoid osteoma were treated by computed tomography (CT)-guided RF ablation (RFA). All procedures were performed with the patient under general aesthesia. After localization of the nidus, a 13G hollow drill was introduced into the nidus through a 7F introducer sheath. A monopolar 16.5G RF probe with a 9-mm active tip (Soloist; Boston Scientific, Natick, MA) was inserted through the introducer sheath and connected to the RF generator. Energy application was started at 2 W and subsequently increased every 2 min by 1 W to a maximum of 8 W. The procedure ended if impedance increased by 500 Ohm-Sign . Mean duration of energy deposition was 14.2 {+-} 3.3 min. Fourteen of 17 patients (82%) were free of symptoms at 29.9 {+-} 14.8 (range 4 to 47) months of follow-up. The primary and secondary success rates were 83% and 100%, respectively. In 3 patients, recurrence of pain at 6 (n = 1) and 15 (n = 2) months after the initial procedure was successfully treated by reablation. There were no complications. Monopolar RFA using the Soloist probe is effective and safe for the treatment of osteoid osteoma. It results in comparable success rates as other monopolar or bipolar RF systems in the treatment of osteoid osteoma.

  6. Materials experiment carrier concepts definition study. Volume 2: Technical report, part 2

    NASA Technical Reports Server (NTRS)

    1981-01-01

    A materials experiment carrier (MEC) that provides effective accommodation of the given baseline materials processing in space (MPS) payloads and demonstration of the MPS platform concept for high priority materials processing science, multidiscipline MPS investigations, host carrier for commercial MPS payloads, and system economy of orbital operations is defined. The study flow of task work is shown. Study tasks featured analysis and trades to identify the MEC system concept options.

  7. Microcomputer-Analyzed Initial Rate Kinetics of the Benzene-Enhanced Unfolding of Myoglobin: A Biophysical Chemistry Experiment.

    ERIC Educational Resources Information Center

    Schuh, Merlyn D.

    1988-01-01

    Describes a biophysical chemistry experiment that introduces students to globular protein conformation and microcomputer analysis of initial rate data for the unfolding of proteins. Presents background, materials needed and methodology. Uses a visible spectrometer for analysis. Lists educational benefits derived from the experiment. (ML)

  8. The Workplace Experiences of Beginning Teachers in Three Countries: A Message for Initial Teacher Education from the Field

    ERIC Educational Resources Information Center

    du Plessis, Anna Elizabeth; Sunde, Eva

    2017-01-01

    Previous research indicates that beginning teachers are not fully prepared for what awaits them in the workforce. This study highlights the value of partnerships among higher education providers, schools and employers and links the experiences of beginning teachers to initial teacher education (ITE). Real-life experiences from the field provide…

  9. Microcomputer-Analyzed Initial Rate Kinetics of the Benzene-Enhanced Unfolding of Myoglobin: A Biophysical Chemistry Experiment.

    ERIC Educational Resources Information Center

    Schuh, Merlyn D.

    1988-01-01

    Describes a biophysical chemistry experiment that introduces students to globular protein conformation and microcomputer analysis of initial rate data for the unfolding of proteins. Presents background, materials needed and methodology. Uses a visible spectrometer for analysis. Lists educational benefits derived from the experiment. (ML)

  10. Technical options for outflow reconstruction in domino liver transplantation: A single European center experience.

    PubMed

    De la Serna, Sofía; Llado, Laura; Ramos, Emilio; Fabregat, Joan; Baliellas, Carme; Busquets, Juli; Secanella, Lluis; Pelaez, Nuria; Torras, Jaume; Rafecas, Antoni

    2015-08-01

    Venous outflow is critical to the success of liver transplantation (LT). In domino liver transplantation (DLT), the venous cuffs should be shared between the donor and the recipient, and the length can be compromised. The aim of this study was to describe and compare the technical options for outflow reconstruction used at our institution. This was a retrospective analysis of 39 consecutive DLT recipients between January 1997 and May 2013. Twenty-seven men and 12 women (mean age, 61.8 ± 4.3 years) underwent LT and consented to receive a liver from a donor with familial amyloid polyneuropathy (FAP). The main indications were hepatocellular carcinoma and hepatitis C virus cirrhosis. All recipients underwent transplantation by a piggyback technique. Liver procurement in the FAP donors was performed with the classic technique in 22 patients and with the piggyback technique in the last 17. In these latter cases, for vascular outflow reconstruction, a cadaveric venous graft was interposed between the hepatic vein (HV) stump of the FAP liver and the recipient HV in 11 cases (28%). Since 2011, we have employed arterial grafts to be interposed between the vessels stumps: a tailored arterial graft in 5 patients and an aortic graft in 1 case. There was no postoperative mortality. Arterial and portal complications presented in 2 (5.1) and 4 patients (10.3), respectively. Postoperative outflow complications (post-LT subacute Budd-Chiari syndrome) occurred in 4 patients, and all of them had received a venous interposed graft for reconstruction. The incidence of outflow complications tended to be higher among patients with venous grafts than those with arterial graft interposition. Overall patient survival at 1, 3, 5, and 10 years was 97%, 79%, respectively. Arterial grafts constitute a feasible and safe option for vascular outflow reconstruction in DLT because they are associated with a relatively low incidence of complications. The recently proposed Bellvitge arterial

  11. Development and initial validation of the assessment of caregiver experience with neuromuscular disease.

    PubMed

    Matsumoto, Hiroko; Clayton-Krasinski, Debora A; Klinge, Stephen A; Gomez, Jaime A; Booker, Whitney A; Hyman, Joshua E; Roye, David P; Vitale, Michael G

    2011-01-01

    Orthopaedic intervention can have a wide range of functional and psychosocial effects on children with neuromuscular disease (NMD). In the multihandicapped child (Gross Motor Classification System IV/V), functional status, pain, psychosocial function, and health-related quality of life also have effects on the families of these child. The purpose of this study is to report the development and initial validation of an outcomes instrument specifically designed to assess the caregiver impact experienced by parents raising severely affected NMD children: the Assessment of Caregiver Experience with Neuromuscular Disease (ACEND). In the first part of this prospective study, 61 children with NMD and their parents were administered a range of earlier validated pediatric health measures. A framework technique was used to select the most appropriate and relevant subset of questions from this large set. Sensitivity analyses guided the development of a master question list measuring caregiver impact, excluding items with low relevance, and modifying unclear questions. In the second part of the study, the ACEND was administered to the caregivers of 46 children with moderate-to-severe NMD. Statistical analyses were conducted to determine validity of the instrument. The resulting ACEND instrument included 2 domains, 7 subdomains, and 41 items. Domain 1, examining physical impact, includes 4 subdomains: feeding/grooming/dressing (6 items), sitting/play (5 items), transfers (5 items), and mobility (7 items). Domain 2, which examines general caregiver impact, included 3 subdomains: time (4 items), emotion (9 items), and finance (5 items). Mean overall relevance rating was 6.21 ± 0.37 and clarity rating was 6.68 ± 0.52 (scale 0 to 7). Multiple floor effects in patients with GMFCS V and ceiling effects in patients with GMFCS III were identified almost exclusively in motor-based items. Virtually no floor or ceiling effects were identified in the time, emotion or finance domains

  12. Axial traction magnetic resonance imaging (MRI) of the glenohumeral joint in healthy volunteers: initial experience.

    PubMed

    Garwood, Elisabeth R; Souza, Richard B; Zhang, Amy; Zhang, Alan L; Ma, C Benjamin; Link, Thomas M; Motamedi, Daria

    Evaluate technical feasibility and potential applications of glenohumeral (GH) joint axial traction magnetic resonance imaging (MRI) in healthy volunteers. Eleven shoulders were imaged in neutral and with 4kg axial traction at 3T. Quantitative measurements were assessed. Axial traction was well tolerated. There was statistically significant widening of the superior GH joint space (p=0.002) and acromial angle (p=0.017) with traction. Inter-rater agreement was high. GH joint axial traction MRI is technically feasible and well tolerated in volunteers. Traction of the capsule, widening of the superior GH joint space and acromial angle were observed. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Laparoendoscopic single site surgery for extravesical repair of vesicovaginal fistula using conventional instruments: Our initial experience

    PubMed Central

    Mahadevappa, Nagabhushana; Gudage, Swathi; Senguttavan, Karthikeyan V.; Mallya, Ashwin; Dharwadkar, Sachin

    2016-01-01

    Objective: Vesicovaginal fistula (VVF) is a major complication with psychosocial ramifications. In literature, few VVF cases have been managed by laparoendoscopic single site surgery (LESS) and for the 1st time we report VVF repair by LESS using conventional laparoscopic instruments. We present our initial experience and to assess its feasibility, safety and outcome. Patients and Methods: From March 2012 to September 2015, LESS VVF repair was done for ten patients aged between 30 and 65 (45.6 ± 10.15) years, who presented with supratrigonal VVF. LESS was performed by modified O’Conor technique using regular trocars with conventional instruments. Data were collected regarding feasibility, intra- or post-operative pain, analgesic requirement, complication, and recovery. Results: All 10 cases were completed successfully, without conversion to a standard laparoscopic or open approach. The mean operative time was 182.5 ± 32.25 (150–250) min. The mean blood loss was 100 mL. The respective mean visual analog score for pain on day 1, 2, and 3 was 9.2 ± 1, 5 ± 1, and 1.4 ± 2.3. The analgesic requirement in the form of intravenous tramadol on days 1, 2, and 3 was 160 ± 51.6, 80 ± 63.2, and 30 ± 48.3, mgs respectively. No major intra- or post-operative complications were observed. The mean hospital stay was 2.6 ± 0.7 (2–4) days. Conclusion: In select patients, LESS extravesical repair of VVF using conventional laparoscopic instruments is safe, feasible with all the advantages of single port surgery at no added cost. Additional experience and comparative studies with conventional laparoscopy are warranted. PMID:27453652

  14. Initial Results from the STEM Student Experiences Aboard Ships (STEMSEAS) Program

    NASA Astrophysics Data System (ADS)

    Lewis, J. C.; Cooper, S. K.; Thomson, K.; Rabin, B.; Alberts, J.

    2016-12-01

    The Science Technology Engineering and Math Student Experiences Aboard Ships (STEMSEAS) program was created as a response to NSF's call (through GEOPATHS) for improving undergraduate STEM education and enhancing diversity in the geosciences. It takes advantage of unused berths on UNOLS ships during transits between expeditions. During its 2016 pilot year - which consisted of three transits on three different research vessels in different parts of the country, each with a slightly different focus - the program has gained significant insights into how best to create and structure these opportunities and create impact on individual students. A call for applications resulted in nearly 900 applicants for 30 available spots. Of these applicants, 32% are from minority groups underrepresented in the geosciences (Black, Hispanic, or American Indian) and 20% attend community colleges. The program was able to sail socioeconomically diverse cohorts and include women, veterans, and students with disabilities and from two- and four-year colleges. Twenty-three are underrepresented minorities, 6 attend community colleges, 5 attend an HBCU or tribal college, and many are at HSIs or other MSIs. While longer term impact assessment will have to wait, initial results and 6-month tracking for the first cohort indicate that these kinds of relatively short but intense experiences can indeed achieve significant impacts on students' perception of the geosciences, in their understanding of STEM career opportunities, their desire to work in a geoscience lab setting, and to incorporate geosciences into non-STEM careers. Insights were also gained into the successful makeup of mentor/leader groups, factors to consider in student selection, necessary pre- and post-cruise logistics management, follow-up activities, structure of activities during daily life at sea, increasing student networks and access to mentorships, and leveraging of pre-existing resources and ship-based opportunities

  15. Balloon-augmented Onyx endovascular ligation: initial human experience and comparison with coil ligation.

    PubMed

    Osanai, Toshiya; Bain, Mark D; Toth, Gabor; Hussain, M Shazam; Hui, Ferdinand K

    2015-08-01

    Carotid artery sacrifice remains an important procedure for cerebral vascular disorders despite the development of new endovascular devices. Conventional carotid artery sacrifice with detachable coils alone often requires numerous coils to complete occlusion. To describe the initial human experience with balloon-augmented Onyx and coil vessel sacrifice based on our previous experience with animals. We performed a retrospective review of patients who underwent carotid artery sacrifice between 2008 and 2012 in accordance with local investigational review board approval. Two methods were used to occlude carotid arteries-namely, combined Onyx and coil embolization and traditional coil embolization. We compared the two methods for the cost of embolizate, time to occlude the vessels, and the number of coils. Eight consecutive patients (combined group n=3, traditional group n=5) were assessed. The median cost of embolic material was $6321 in the combined Onyx and coil embolization group and $29 996 in the traditional coil embolization group. The median time from first coil placement to achievement of vessel occlusion was 52 min in the Onyx group and 113 min in the coil embolization group. The median number of coils used was 4 in the Onyx group and 35 in the coil embolization group (p<0.05). No symptomatic complications or recurrences were seen in the combined group. Balloon-augmented Onyx endovascular ligation may reduce costs and fluoroscopy times during vessel sacrifice. Further studies in a larger number of patients are needed to confirm these findings. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  16. Acupuncture treatment at Ang Mo Kio Community Hospital--a report on our initial experience.

    PubMed

    Yong, D; Lim, S H; Zhao, C X; Cui, S L; Zhang, L; Lee, T L

    1999-04-01

    We report our initial experience with acupuncture treatment at the Ang Mo Kio Community Hospital's Acupuncture Research Clinic. One thousand one hundred and twenty-eight patients received a total of 12,172 acupuncture treatment sessions during the period between September 1995 and December 1996. The majority were Chinese (94%), between 40-70 years (70%) with either dialect or Mandarin (68%) as the main spoken language. However, one third of the patients were English speaking, and educational level did not seem to be a factor among our patients accepting acupuncture treatment. Most had either painful conditions (58%) or stroke-related dysfunction (23%). Amongst the painful conditions, arthritis (25%), low back pain (22%) and other musculo-skeletal pain (12%) were the most common. Prior to treatment, about three-quarter of patients believed acupuncture would benefit them while 40% had tried acupuncture before. After completion of treatment, 70% of all patients considered acupuncture safe, 54% were satisfied with the overall result, 51% felt acupuncture was beneficial, while 54% would recommend acupuncture to others with similar conditions. In a subgroup of patients treated for painful conditions, > 90% reported improvement. Near-syncope occurred in 2 patients (0.18%) or during 2 treatment sessions (0.02%). There was no other acupuncture-related complication. Our preliminary experience showed that acupuncture is safe, and appears to be beneficial to patients with painful conditions. An overview of acupuncture treatment is presented, and the issues of safety, efficacy and a need to conduct randomised controlled clinical trials are discussed.

  17. Development and initial validation of the Respirator Comfort, Wearing Experience, and Function Instrument [R-COMFI].

    PubMed

    LaVela, Sherri L; Kostovich, Carol; Locatelli, Sara; Gosch, Megan; Eagan, Aaron; Radonovich, Lewis

    2017-02-01

    Filtering face-piece respirators (FFRs) are worn to protect health care personnel from airborne particles; however, clinical studies have demonstrated that FFR adherence is relatively low in some settings, in part, due to discomfort and intolerance. The objective of this study was to develop and initially evaluate the psychometric properties of an instrument designed to measure the comfort and tolerability of FFRs. Instrument items were developed through literature reviews, focus groups, and several iterations of ranking and refining by experts. Psychometric evaluation of the instrument was conducted using Rasch partial credit model (PCM) analysis. Pivot anchoring was used to specify the threshold defining item difficulty; in our analyses, this was the point that participants moved from possessing none of the trait to some of the trait. The final instrument was completed by 165 health care personnel from 3 Veterans Health Administration facilities, and data were analyzed using Rasch PCM. Seven items were removed because they: (1) violated the assumption of independence; (2) were mis-fitting; and/or (3) were deemed not relevant. Category function analysis demonstrated that all categories progressed monotonically. Principal components analysis demonstrated the existence of three subscales (Discomfort, General Wearing Experience, and Function). Final reliability analyses showed that the scale had moderate to high person reliability and high item reliability. The final instrument contained 21 items. Until now, to our knowledge no instrument with evidence supporting its reliability and validity to assess discomfort and tolerance of FFRs among health care personnel has been published. A 21-item psychometrically sound measure of comfort and tolerability of FFRs, Respirator Comfort, Wearing Experience, and Function Instrument (R-COMFI), was developed. The significance of developing such an instrument is that it will help identify respirators that are likely to have better

  18. Lightweight partially absorbable monofilament mesh (polypropylene/poliglecaprone 25) for TAPP inguinal hernia repair: initial experience.

    PubMed

    Agresta, Ferdinando; Baldazzi, Gian Andrea; Ciardo, Luigi Francesco; Trentin, Giuseppe; Giuseppe, Sansonetti; Ferrante, Furio; Bedin, Natalino

    2007-04-01

    An ideal mesh should produce slight foreign-body reactions and be compatible with the human organisms. Studies focusing on these aspects indicate that the use of mesh with less nonabsorbable material may reduce postoperative complications, insofar the web structure and its rigidity play an important role in compatibility. We evaluated retrospectively the patients of the past 1 year, who underwent laparoscopic transabdominal preperitoneal (TAPP) hernioplasty (without the use any trocar and/or instrument of 10 mm in diameter) focusing attention on the feasibility of the technique and on the incidence of complications, especially those possibly related to the new type of mesh implanted. Between June 2004 and September 2005, 76 patients have been operated on by using TAPP hernioplasty (bilateral or unilateral) without any 10 mm instrument/optic/trocar, and by applying a lightweight composite mesh fixed by "glues" (fibrin sealant and N-butyl 2-cyanoacrylate). The mean overall operative time was 55.57 (+/-15.2) minutes. All the procedures have been performed on a day surgery basis. We have registered any kind of major or minor morbidity (early or late), relapse, prosthesis rejection, and/or infection. We have registered no severe pain at 10 days; whereas a mild pain is still reported in 10.5% of our cases at a 3-month follow-up. The mean follow-up is 12.4 (+/-5.1; range 4 to 19) months. On the basis of this our initial experience, TAPP hernioplasty with a lightweight composite mesh is feasible, effective, and easy to perform by experienced hands, with good results. The well-known characteristics of a mini-invasive and gentle approach, together with the type of mesh implanted and its fixation of related glues, might explain the encouraging results of our experience.

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

    PubMed

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

    2017-05-01

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

  20. Retention and application of Skylab experiences to future programs. [a postflight review of technical programs.

    NASA Technical Reports Server (NTRS)

    Gillespie, V. G.; Kelly, R. O.

    1974-01-01

    The problems encountered and special techniques and procedures developed on the Skylab program are described along with the experiences and practical benefits obtained for dissemination and use on future programs. Three major topics are discussed: electrical problems, mechanical problems, and special techniques. Special techniques and procedures are identified that were either developed or refined during the Skylab program. These techniques and procedures came from all manufacturing and test phases of the Skylab program and include both flight and GSE items from component level to sophisticated spaceflight systems.

  1. Final scientific and technical report: New experiments to measure the neutrino mass scale

    SciTech Connect

    Monreal, Benjamin

    2016-11-19

    In this work, we made material progress towards future measurements of the mass of the neutrino. The neutrino is a fundamental particle, first observed in the 1950s and subjected to particularly intense study over the past 20 years. It is now known to have some, non-zero mass, but we are in an unusual situation of knowing the mass exists but not knowing what value it takes. The mass may be determined by precise measurements of certain radioactive decay distributions, particularly the beta decay of tritium. The KATRIN experiment is an international project which is nearing the beginning of a tritium measurement campaign using a large electrostatic spectrumeter. This research included participation in KATRIN, including construction and delivery of a key calibration subsystem, the ``Rear Section''. To obtain sensitivity beyond KATRIN's, new techniques are required; this work included R\\&D on a new technique we call CRES (Cyclotron Resonance Electron Spectroscopy) which has promise to enable even-more-sensitive tritium decay measurements. We successfully carried out CRES spectroscopy in a model system in 2014, making an important step towards the design of a next-generation tritium experiment with new neutrino mass measurement abilities.

  2. Technical performance of thermal plants worldwide: Experience feedback and objectives for the future

    SciTech Connect

    Glorian, D.

    1996-12-31

    For future thermal electricity generation, the electricity producer facing needs for extension or renewal of his own generating capacity can choose among a large number of proven technologies. These technologies can be nuclear or conventional (fossil-fired): steam turbines, cogeneration or gas turbines. The economic competitiveness of these different types of installations over their entire lifetime is calculated on the basis of various cost assumptions and/or scenarios, taking into account capital investment, fuel, operating and maintenance costs, etc. Equally important are such factors as construction duration, discount rate, service lifetime, usage mode (baseload, intermediate load or peak load). In addition, costs and hypotheses in relation to the environment should be taken into account, including the cost of dismantling nuclear power plants. Hypotheses concerning the service delivered to the grid -- i.e. the expected availability of the plant -- is one of the main factors governing the quality of service provided. It is evident that this factor is an almost perfect mirror of quality of service for units operated in baseload mode. For intermediate or peak load operation, other factors such as successful startup rate and load following capabilities must also be considered. This paper deals with experience feedback in the area of availability factors for nuclear and conventional power plants (steam turbines) of over 100MW around the world. The assumptions for future -- i.e. new -- plants are compared against experience feedback. These results are presented in this paper.

  3. Normothermic bypass in pediatric surgery: technical aspect and clinical experience with 1400 cases.

    PubMed

    Durandy, Yves D; Hulin, Sylvie H

    2006-01-01

    We analyzed our experience with warm perfusion and blood cardioplegia in pediatric surgery. Warm surgery was performed in 1400 patients. Prime and perfusate are kept at 37 degrees C before and during bypass and intermittent warm blood cardioplegia is used for myocardial protection. Analyzed parameters were: perioperative blood gas, hydric balance of cardioplegia, spontaneous resumption of rhythm after aortic unclamping, troponin I level, postoperative neurologic and renal function, duration of mechanical ventilation (five diagnostic groups), and duration of intensive care unit (ICU) stay. Satisfactory gas exchange is the rule, and fluid addition is negligible during warm cardioplegia. Spontaneous resumption of sinus rhythm occurred in 99% of patients, Troponin I elevation was < 10 ng/ml in 46% of cases. Prevalence of neurologic complications (0.3%) and of renal insufficiency treated by peritoneal dialysis (0.35%) favorably compares with data reported in the literature. Average mechanical ventilation time was < 48 hours in each diagnostic group. Duration of ICU stay was < 48 hours in 86% of the 1400 patients. In our experience, normothermic surgery is an excellent alternative to hypothermia.

  4. Initial experience with personal digital assistant-based reflectance photoplethysmograph for free tissue transfer monitoring.

    PubMed

    Stack, Brendan C; Futran, Neal D; Zang, Billy; Scharf, John E

    2003-08-01

    Improved microsurgical technique has resulted in a high percentage of successful free tissue transfers. When a tissue transfer fails in the head and neck, however, the results are orocutaneous fistulas, carotid artery exposure, and deformity that adds morbidity, expense, and may delay adjuvant therapy. Postoperative monitoring of tissue perfusion can detect early problems in free tissue transfer that may allow for early intervention and salvage. The authors have demonstrated that reflectance photoplethysmography can detect perfusion changes in free tissue transfer within 5 minutes of a pedicle "insult" intraoperatively. Normative data for viable flaps from various donor sites have been established. The authors now report their initial experience with a newly developed reflectance photoplethysmograph based on a hand-held computer for routine clinical use. Their results are compared with a conventional surveillance protocol that included observation, bleeding to pin prick, and bedside duplex scanning of the vascular pedicle. In a series of 30 free tissue transfers (29 patients), there was one ischemic event (skin paddle loss only), which was detected by the monitor. The monitor was able to predict correctly (one flap) survival of a free tissue transfer even when duplex ultrasonic data were indicative of an absence of perfusion. Personal digital assistant-based photoplethysmography appears to be a promising device for bedside diagnosis of free tissue transfer viability or ischemia.

  5. Initial clinical experience using the EchoNavigator®-system during structural heart disease interventions

    PubMed Central

    Balzer, Jan; Zeus, Tobias; Hellhammer, Katharina; Veulemans, Verena; Eschenhagen, Silke; Kehmeier, Eva; Meyer, Christian; Rassaf, Tienush; Kelm, Malte

    2015-01-01

    AIM: To present our initial clinical experience using this innovative software solution for guidance of percutaneous structural heart disease interventions. METHODS: Left atrial appendage, atrial septal defect and paravalvular leak closure, transaortic valve repair and MitraClip® procedures were performed in the catheter laboratory under fluoroscopic and echocardiographic guidance. The two-dimensional and three-dimensional images generated by the transesophageal echocardiography probe were interfaced with the fluoroscopic images in real-time using the EchoNavigator®-system. RESULTS: The application of the novel image fusion technology was safe and led to a better appreciation of multimodality imaging guidance due to improved visualization of the complex relationship between catheter devices and anatomical structures. CONCLUSION: The EchoNavigator®-system is a feasible and safe tool for guidance of interventional procedures in structural heart disease. This innovative technology may improve confidence of interventional cardiologists in targeting and positioning interventional devices in order to increase safety, accuracy, and efficacy of percutaneous interventions in the catheter laboratory. PMID:26413233

  6. Advanced Image Coregistration within the Leksell Workstation for the Planning of Glioma Surgery: Initial Experience.

    PubMed

    Tamura, Manabu; Hayashi, Motohiro; Konishi, Yoshiyuki; Tamura, Noriko; Regis, Jean; Mangin, Jean François; Taira, Takaomi; Okada, Yoshikazu; Muragaki, Yoshihiro; Iseki, Hiroshi

    2013-12-01

    Background Leksell GammaPlan (LGP) and SurgiPlan (ELEKTA Instruments AB, Stockholm, Sweden) may be used effectively for the detailed evaluation of regional neuroanatomy before open neurosurgical procedures. We report our initial experience in the cases of cerebral gliomas. Methods LGP v.8.3 was used before the surgical resection of cerebral gliomas for (1) the delineation of subdural grid electrodes and a detailed evaluation of their position relatively to cortical structures, and (2) for the fusion of structural magnetic resonance imaging and diffusion tensor imaging (DTI) for a detailed visualization of the corticospinal tract (CST) and optic radiation. Results Delineation of the subdural grid within LGP in a patient with seizures caused by left parietal glioma permitted a detailed assessment of the location of electrodes relative to the cortical gyri and sulci and significantly facilitated interpretation of brain mapping before tumor resection. In another patient with parieto-occipital glioma, simultaneous three-dimensional visualization of the tumor, CST, and optic radiation with the use of LGP permitted us to perform tumor resection without postoperative neurologic complications. Finally, incorporation of DTI into SurgiPlan resulted in precise planning of stereotactic biopsy for bilateral thalamic glioma. Conclusion The possibility for detailed evaluation of regional neuroanatomy based on various images within LGP and SurgiPlan may facilitate effective and safe surgical management of intracranial gliomas.

  7. Preparing beginning reading teachers: An experimental comparison of initial early literacy field experiences.

    PubMed

    Al Otaiba, Stephanie; Lake, Vickie E; Greulich, Luana; Folsom, Jessica S; Guidry, Lisa

    2012-01-01

    This randomized-control trial examined the learning of preservice teachers taking an initial Early Literacy course in an early childhood education program and of the kindergarten or first grade students they tutored in their field experience. Preservice teachers were randomly assigned to one of two tutoring programs: Book Buddies and Tutor Assisted Intensive Learning Strategies (TAILS), which provided identical meaning-focused instruction (shared book reading), but differed in the presentation of code-focused skills. TAILS used explicit, scripted lessons, and the Book Buddies required that code-focused instruction take place during shared book reading. Our research goal was to understand which tutoring program would be most effective in improving knowledge about reading, lead to broad and deep language and preparedness of the novice preservice teachers, and yield the most successful student reading outcomes. Findings indicate that all pre-service teachers demonstrated similar gains in knowledge, but preservice teachers in the TAILS program demonstrated broader and deeper application of knowledge and higher self-ratings of preparedness to teach reading. Students in both conditions made similar comprehension gains, but students tutored with TAILS showed significantly stronger decoding gains.

  8. Myocardial delayed-enhancement CT: initial experience in children and young adults.

    PubMed

    Goo, Hyun Woo

    2017-05-23

    Clinical utility of myocardial delayed enhancement CT has not been reported in children and young adults. To describe initial experience of myocardial delayed enhancement CT regarding image quality, radiation dose and identification of myocardial lesions in children and young adults. Between August 2013 and November 2016, 29 consecutive children and young adults (median age 16 months) with suspected coronary artery or myocardial abnormality underwent arterial- and delayed-phase cardiac CT at our institution. We measured CT densities in normal myocardium, left ventricular cavity, and arterial and delayed hypo-enhancing and delayed hyperenhancing myocardial lesions. We then compared the extent of delayed hyperenhancing lesions with delayed-enhancement MRI or thallium single-photon emission CT. Normal myocardium and left ventricular cavity showed significantly higher CT numbers on arterial-phase CT than on delayed-phase CT (t-test, P<0.0001). Contrast-to-noise ratios of the arterial and delayed hypo-enhancing and delayed hyperenhancing lesions on CT were 26.7, 17.6 and 18.7, respectively. Delayed-phase CT findings were equivalent to those of delayed-enhancement MRI in all cases (7/7) and to those of thallium single-photon emission CT in 70% (7/10). Myocardial delayed-enhancement CT can be added to evaluate myocardial lesions in select children and young adults with suspected coronary artery or myocardial abnormality.

  9. Initial error field correction studies in the National Spherical Torus Experiment Upgrade

    NASA Astrophysics Data System (ADS)

    Myers, C. E.; Gerhardt, S. P.; Menard, J. E.; Ferraro, N. M.; Park, J.-K.; Bell, R. E.; Leblanc, B. P.; Podesta, M.; Sabbagh, S. A.; NSTX-U Team

    2016-10-01

    Non-axisymmetries in the magnetic field coils and/or the passive conducting structures of tokamaks produce small but important `error fields' that can strongly degrade plasma performance. This paper reports on initial error field correction (EFC) studies in the National Spherical Torus Experiment Upgrade (NSTX-U). The NSTX-U device is equipped with an array of six independently powered EFC coils that produce non-axisymmetric radial magnetic fields at the midplane. These coils are used to perform compass scans where an n = 1 magnetic perturbation is ramped in amplitude at constant phase until the plasma rotation locks. Successive discharges are taken with different toroidal phases to determine the optimum EFC required to avoid locking. Multiple compass scans confirm that substantial EFC coil current (1200 A-turns) is required to achieve optimum performance in the flattop of beam-heated L-mode discharges. Interestingly, the q = 2 surface is locked throughout these L-modes such that the applied magnetic perturbations lock the sawtoothing core of the plasma. Additional compass scans early in the discharge indicate that the required EFC evolves as a function of time. Efforts to identify the various error field sources, including metrology of the main vertical field coils, are ongoing. Supported by US DoE Contract Number DE-AC02-09CH11466.

  10. Space Shuttle solid rocket booster initial water impact loads and dynamics - Analysis, tests, and flight experience

    NASA Technical Reports Server (NTRS)

    Kross, D. A.; Kiefling, L. A.; Murphy, N. C.; Rawls, E. A.

    1983-01-01

    A series of scale model tests, finite element dynamic response analyses and full scale segment tests have been performed for purposes of developing design criteria for the initial water impact loading conditions applied to the internal stiffener rings located in the aft skirt portion of the Space Shuttle Solid Rocket Booster (SRB). In addition, flight experience has yielded information relative to structural reinforcement requirements. This paper discusses the test and analysis methods and summarizes significant results. It is noted that, although scale model test data are valuable for identifying trends, they have shortcomings concerning definition of full scale design loads criteria. Also, the frequently used static equivalent loads definition approach is not applicable for this type impact loading condition applied to an aft skirt type structure. Various types of ring structural fixes, including the addition of selected types of foam, are presented as well as associated full scale segment test results. Depending on the type and contour shape of the foam, reductions on applied pressures and peak measured strains over 50 percent are noted.

  11. Initial experience of two national centers in transcatheter aortic prosthesis implantation.

    PubMed

    Lluberas, Sebastián; Abizaid, Alexandre; Siqueira, Dimytri; Ramos, Auristela; Costa, J Ribamar; Arrais, Magaly; Kambara, Antônio; Bihan, David Le; Sousa, Amanda; Sousa, J Eduardo

    2014-04-01

    Transcatheter aortic valve implantation is an effective alternative to surgical treatment of severe aortic stenosis in patients who are inoperable or at high surgical risk. To report the immediate and follow-up clinical and echocardiographic results of the initial experience of transcatheter aortic valve implantation. From 2009 June to 2013 February, 112 patients underwent transcatheter aortic valve implantation. Mean age was 82.5 ± 6.5 years, and the logistic EuroSCORE was 23.6 ± 13.5. Procedural success was 84%. After the intervention, a reduction in the mean systolic gradient was observed (pre: 54.7 ± 15.3 vs. post: 11.7 ± 4.0 mmHg; p < 0.01). Cerebrovascular accidents occurred in 3.6%, vascular complications in 19% and permanent pacemaker was required by 13% of the patients. Thirty-day mortality and at follow-up of 16 ± 11 months was 14% and 8.9% respectively. The presence of chronic obstructive pulmonary disease was the only predictor of mortality at 30 days and at follow-up. During follow up, aortic valve area and mean systolic gradient did not change significantly. Transcatheter aortic valve implantation is an effective and safe procedure for the treatment of aortic stenosis in high-surgical risk or inoperable patients. The presence of chronic obstructive pulmonary disease was the only independent predictor of mortality identified both in the first month post-intervention and at follow-up.

  12. Implementing a robotics curriculum at an academic general surgery training program: our initial experience.

    PubMed

    Winder, Joshua S; Juza, Ryan M; Sasaki, Jennifer; Rogers, Ann M; Pauli, Eric M; Haluck, Randy S; Estes, Stephanie J; Lyn-Sue, Jerome R

    2016-09-01

    The robotic surgical platform is being utilized by a growing number of hospitals across the country, including academic medical centers. Training programs are tasked with teaching their residents how to utilize this technology. To this end, we have developed and implemented a robotic surgical curriculum, and share our initial experience here. Our curriculum was implemented for all General Surgical residents for the academic year 2014-2015. The curriculum consisted of online training, readings, bedside training, console simulation, participating in ten cases as bedside first assistant, and operating at the console. 20 surgical residents were included. Residents were provided the curriculum and notified the department upon completion. Bedside assistance and operative console training were completed in the operating room through a mix of biliary, foregut, and colorectal cases. During the fiscal years of 2014 and 2015, there were 164 and 263 robot-assisted surgeries performed within the General Surgery Department, respectively. All 20 residents completed the online and bedside instruction portions of the curriculum. Of the 20 residents trained, 13/20 (65 %) sat at the Surgeon console during at least one case. Utilizing this curriculum, we have trained and incorporated residents into robot-assisted cases in an efficient manner. A successful curriculum must be based on didactic learning, reading, bedside training, simulation, and training in the operating room. Each program must examine their caseload and resident class to ensure proper exposure to this platform.

  13. Initial Experience With A Prototype Storage System At The University Of North Carolina

    NASA Astrophysics Data System (ADS)

    Creasy, J. L.; Loendorf, D. D.; Hemminger, B. M.

    1986-06-01

    A prototype archiving system manufactured by the 3M Corporation has been in place at the University of North Carolina for approximately 12 months. The system was installed as a result of a collaboration between 3M and UNC, with 3M seeking testing of their system, and UNC realizing the need for an archiving system as an essential part of their PACS test-bed facilities. System hardware includes appropriate network and disk interface devices as well as media for both short and long term storage of images and their associated information. The system software includes those procedures necessary to communicate with the network interface elements(NIEs) as well as those procedures necessary to interpret the ACR-NEMA header blocks and to store the images. A subset of the total ACR-NEMA header is parsed and stored in a relational database system. The entire header is stored on disk with the completed study. Interactive programs have been developed that allow radiologists to easily retrieve information about the archived images and to send the full images to a viewing console. Initial experience with the system has consisted primarily of hardware and software debugging. Although the system is ACR-NEMA compatable, further objective and subjective assessments of system performance is awaiting the connection of compatable consoles and acquisition devices to the network.

  14. Advanced Image Coregistration within the Leksell Workstation for the Planning of Glioma Surgery: Initial Experience

    PubMed Central

    Tamura, Manabu; Hayashi, Motohiro; Konishi, Yoshiyuki; Tamura, Noriko; Regis, Jean; Mangin, Jean François; Taira, Takaomi; Okada, Yoshikazu; Muragaki, Yoshihiro; Iseki, Hiroshi

    2013-01-01

    Background Leksell GammaPlan (LGP) and SurgiPlan (ELEKTA Instruments AB, Stockholm, Sweden) may be used effectively for the detailed evaluation of regional neuroanatomy before open neurosurgical procedures. We report our initial experience in the cases of cerebral gliomas. Methods LGP v.8.3 was used before the surgical resection of cerebral gliomas for (1) the delineation of subdural grid electrodes and a detailed evaluation of their position relatively to cortical structures, and (2) for the fusion of structural magnetic resonance imaging and diffusion tensor imaging (DTI) for a detailed visualization of the corticospinal tract (CST) and optic radiation. Results Delineation of the subdural grid within LGP in a patient with seizures caused by left parietal glioma permitted a detailed assessment of the location of electrodes relative to the cortical gyri and sulci and significantly facilitated interpretation of brain mapping before tumor resection. In another patient with parieto-occipital glioma, simultaneous three-dimensional visualization of the tumor, CST, and optic radiation with the use of LGP permitted us to perform tumor resection without postoperative neurologic complications. Finally, incorporation of DTI into SurgiPlan resulted in precise planning of stereotactic biopsy for bilateral thalamic glioma. Conclusion The possibility for detailed evaluation of regional neuroanatomy based on various images within LGP and SurgiPlan may facilitate effective and safe surgical management of intracranial gliomas. PMID:24303347

  15. Pancreas Preservation With Viaspan, Celsior, and Custodiol Solutions: An Initial Experience.

    PubMed

    Montiel-Casado, M C; Pérez-Daga, J A; Blanco-Elena, J A; Aranda-Narváez, J M; Sánchez-Pérez, B; Cabello-Díaz, M; Ruiz-Esteban, P; León-Díaz, F J; Gutiérrez-de la Fuente, C; Santoyo-Santoyo, J

    2016-11-01

    There is still controversy about which preservation solution in pancreas transplantation could be the best. The aim of this study was to analyze our initial experience with Custodiol solution (CuS) compared with Viaspan solution (VS) and Celsior solution (CS) in pancreas transplantation. A retrospective study included 94 consecutive pancreatic transplants, from 2007 until 2015. We compared 3 groups, depending on preservation solution: Viaspan (n = 41), Celsior (n = 40), or Custodiol (n = 13). The primary end point was patient and pancreas survival at 1 year after pancreas transplantation. The recipient and donor characteristics were similar except in cold ischemia time; it was higher with Celsior. No differences were found in postoperative complications and pancreas graft function at 3 months, 6 months, and 1 year (glucose, HbA1c, C-peptide, creatinine). The pancreas and patient survival at 1 year was comparable (pancreas survival: VS, 80%; CS, 90%; CuS, 92%; log-rank, 0.875; and patient survival: VS, 92%; CS, 97%; CuS, 100%; log-rank, 0.9). In our institution, the Custodiol solution in pancreas transplantation presented similar outcomes in terms of postoperative complications, pancreas graft function, and 1-year survival. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Preparing beginning reading teachers: An experimental comparison of initial early literacy field experiences

    PubMed Central

    Lake, Vickie E.; Greulich, Luana; Folsom, Jessica S.; Guidry, Lisa

    2012-01-01

    This randomized-control trial examined the learning of preservice teachers taking an initial Early Literacy course in an early childhood education program and of the kindergarten or first grade students they tutored in their field experience. Preservice teachers were randomly assigned to one of two tutoring programs: Book Buddies and Tutor Assisted Intensive Learning Strategies (TAILS), which provided identical meaning-focused instruction (shared book reading), but differed in the presentation of code-focused skills. TAILS used explicit, scripted lessons, and the Book Buddies required that code-focused instruction take place during shared book reading. Our research goal was to understand which tutoring program would be most effective in improving knowledge about reading, lead to broad and deep language and preparedness of the novice preservice teachers, and yield the most successful student reading outcomes. Findings indicate that all pre-service teachers demonstrated similar gains in knowledge, but preservice teachers in the TAILS program demonstrated broader and deeper application of knowledge and higher self-ratings of preparedness to teach reading. Students in both conditions made similar comprehension gains, but students tutored with TAILS showed significantly stronger decoding gains. PMID:24204096

  17. Contrast-enhanced ultrasound in ovarian tumors – diagnostic parameters: method presentation and initial experience

    PubMed Central

    MAXIM, ANITA-ROXANA; BADEA, RADU; TAMAS, ATILLA; TRAILA, ALEXANDRU

    2013-01-01

    The aim of this paper is to discuss and illustrate the use of contrast-enhanced ultrasound in evaluating ovarian tumors compared to conventional ultrasound, Doppler ultrasound and the histopathological analysis and suggest how this technique may best be used to distinguish benign from malignant ovarian masses. We present the method and initial experience of our center by analyzing the parameters used in contrast-enhanced ultrasound in 6 patients with ovarian tumors of uncertain etiology. For examination we used a Siemens ultrasound machine with dedicated contrast software and the contrast agent SonoVue, Bracco. The patients underwent conventional ultrasound, Doppler ultrasound and i.v. administration of the contrast agent. The parameters studied were: inflow of contrast (rise time), time to peak enhancement, mean transit time. The series of patients is part of an extensive prospective PhD study aimed at elaborating a differential diagnosis protocol for benign versus malignant ovarian tumors, by validating specific parameters for contrast-enhanced ultrasound. Although the method is currently used with great success in gastroenterology, urology and senology, its validation in gynecology is still in the early phases. Taking into consideration that the method is minimally invasive and much less costly that CT/MRI imaging, demonstrating its utility in oncologic gynecology would be a big step in preoperative evaluation of these cases. PMID:26527912

  18. Initial results from the CHOOZ long baseline reactor neutrino oscillation experiment

    NASA Astrophysics Data System (ADS)

    Apollonio, M.; Baldini, A.; Bemporad, C.; Caffau, E.; Cei, F.; Déclais, Y.; de Kerret, H.; Dieterle, B.; Etenko, A.; George, J.; Giannini, G.; Grassi, M.; Kozlov, Y.; Kropp, W.; Kryn, D.; Laiman, M.; Lane, C. E.; Lefièvre, B.; Machulin, I.; Martemyanov, A.; Martemyanov, V.; Mikaelyan, L.; Nicolò, D.; Obolensky, M.; Pazzi, R.; Pieri, G.; Price, L.; Riley, S.; Reeder, R.; Sabelnikov, A.; Santin, G.; Skorokhvatov, M.; Sobel, H.; Steele, J.; Steinberg, R.; Sukhotin, S.; Tomshaw, S.; Veron, D.; Vyrodov, V.

    1998-02-01

    Initial results are presented from CHOOZ, a long-baseline reactor-neutrino vacuum-oscillation experiment. The data reported here were taken during the period March to October 1997, when the two reactors ran at combined power levels varying from zero to values approaching their full rated power of 8.5 (thermal). Electron antineutrinos from the reactors were detected by a liquid scintillation calorimeter located at a distance of about 1. The detector was constructed in a tunnel protected from cosmic rays by a 300 rock overburden. This massive shielding strongly reduced potentially troublesome backgrounds due to cosmic-ray muons, leading to a background rate of about one event per day, more than an order of magnitude smaller than the observed neutrino signal. From the statistical agreement between detected and expected neutrino event rates, we find (at 90% confidence level) no evidence for neutrino oscillations in the disappearance mode for the parameter region given approximately by for maximum mixing and for large .

  19. Single-port laparoscopic approach of the left liver: initial experience.

    PubMed

    Camps Lasa, Judith; Cugat Andorrà, Esteban; Herrero Fonollosa, Eric; García Domingo, María Isabel; Sánchez Martínez, Raquel; Vargas Pierola, Harold; Rodríguez Campos, Aurora

    2014-11-01

    New technological advances have enabled the development of single-port laparoscopic surgery. This approach began with cholecystectomy and subsequently with other abdominal surgeries. However, few publications on laparoscopic liver surgery have described the use of complete single-port access. We present our initial experience of a single-port laparoscopic hepatectomy. Between May 2012 and December 2013, 5 single-port laparoscopic hepatectomies were performed: one for benign disease and four for colorectal liver metastases. The lesions were approached through a 3-5 cm right supraumbilical incision using a single-port access device. All the lesions were located in hepatic segments II or III. Four left lateral sectorectomies and one left hepatectomy were performed. Median operative time was 135 min. No cases were converted to conventional laparoscopic or open surgery. The oral intake began at 18 h. There were no postoperative complications and no patients required blood transfusion. The median hospital stay was 3 days. The degree of satisfaction was very good in 4 cases and good in one. Patients resumed their normal daily activities at 8 days. Single-port laparoscopic hepatectomy is safe and feasible in selected cases and may reduce surgical aggression and offer better cosmetic results. Comparative studies are needed to determine the real advantages of this approach. Copyright © 2014 AEC. Published by Elsevier Espana. All rights reserved.

  20. Shock Initiation Experiments Plus Ignition and Growth Modeling of Damaged LX-04 Charges

    NASA Astrophysics Data System (ADS)

    Chidester, Steven K.; Garcia, Frank; Vandersall, Kevin S.; Tarver, Craig M.

    2009-12-01

    Shock initiation experiments were performed on mechanically and thermally damaged LX-04 (85% HMX and 15% Viton by weight) to obtain in-situ manganin pressure gauge data and run distances to detonation at various shock pressures. The LX-04 charges were damaged mechanically by applying a compressive load of 600 psi for 20,000 cycles, thus creating many small narrow cracks, or by cutting wedge shaped parts that were then loosely reassembled, thus creating a few large cracks. The thermal damaged LX-04 charges were heated to 190° C for a long enough time for the beta to delta phase transition to occur and then cooled to ambient temperature. Mechanically damaged LX-04 exhibited only slightly increased shock sensitivity, while the thermally damaged LX-04 was much more shock sensitive. The pristine LX-04 Ignition and Growth model, modified only by igniting a larger amount of explosive during shock compression based on the damaged charge density, accurately calculated the increased shock sensitivity of the three damaged charges.