Challenges in promoting joint use agreements: experiences from Community Transformation Grant awardees in North Carolina, Illinois, and Wisconsin, 2011-2014.

PubMed

Stein, Anna; Baldyga, William; Hilgendorf, Amy; Walker, Jennifer Gilchrist; Hewson, Danielle; Rhew, Lori; Uskali, Amber

2015-04-16

Community Transformation Grant awardees in North Carolina, Illinois, and Wisconsin promoted joint use agreements (formal agreements between 2 parties for the shared use of land or facilities) as a strategy to increase access to physical activity in their states. However, awardees experienced significant barriers to establishing joint use agreements, including 1) confusion about terminology and an aversion to complex legal contracts, 2) lack of applicability to single organizations with open use policies, and 3) questionable value in nonurban areas where open lands for physical activity are often available and where the need is instead for physical activity programs and infrastructure. Furthermore, promotion of formal agreements may unintentionally reduce access by raising concerns regarding legal risks and costs associated with existing shared use of land. Thus, joint use agreements have practical limitations that should be considered when selecting among strategies to promote physical activity participation.

Revitalizing Nuclear Operations in the Joint Environment

DTIC Science & Technology

2014-02-01

height of the Cold War, US schol - ars and joint operational planners were working simultaneously on weapons development and operational art to employ...leadership’s large-target- category withholds thought necessary to maintain stability in a strategic crisis. The inclusion of nuclear effects and...escalation. The inclusion of these points in tomorrow’s doctrine as well as an intellec- tual discussion on the topic will inform Joint Staff planners

JOMAR: Joint Operations with Mobile Autonomous Robots

DTIC Science & Technology

2015-12-21

AFRL-AFOSR-JP-TR-2015-0009 JOMAR: Joint Operations with Mobile Autonomous Robots Edwin Olson UNIVERSITY OF MICHIGAN Final Report 12/21/2015...SUBTITLE JOMAR: Joint Operations with Mobile Autonomous Robots 5a. CONTRACT NUMBER FA23861114024 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6...14. ABSTRACT Under this grant, we formulated and implemented a variety of novel algorithms that address core problems in multi- robot systems. These

Agreement between pre-operative and intra-operative bacteriological samples in 85 chronic peri-prosthetic infections.

PubMed

Matter-Parrat, V; Ronde-Oustau, C; Boéri, C; Gaudias, J; Jenny, J-Y

2017-04-01

Whether pre-operative microbiological sampling contributes to the management of chronic peri-prosthetic infection remains controversial. We assessed agreement between the results of pre-operative and intra-operative samples in patients undergoing single-stage prosthesis exchange to treat chronic peri-prosthetic infection. Agreement between pre-operative and intra-operative samples exceeds 75% in patients undergoing single-stage exchange of a hip or knee prosthesis to treat chronic peri-prosthetic infection. This single-centre retrospective study included 85 single-stage prosthesis exchange procedures in 82 patients with chronic peri-prosthetic infection at the hip or knee. Agreement between pre-operative and intra-operative sample results was evaluated. Changes to the initial antibiotic regimen made based on the intra-operative sample results were recorded. Of 149 pre-operative samples, 109 yielded positive cultures, in 75/85 cases. Of 452 intra-operative samples, 354 yielded positive cultures, in 85/85 cases. Agreement was complete in 54 (63%) cases and partial in 9 (11%) cases; there was no agreement in the remaining 22 (26%) cases. The complete agreement rate was significantly lower than 75% (P=0.01). The initial antibiotic regimen was inadequate in a single case. Pre-operative sampling may contribute to the diagnosis of peri-prosthetic infection but is neither necessary nor sufficient to confirm the diagnosis and identify the causative agent. The spectrum of the initial antibiotic regimen cannot be safely narrowed based on the pre-operative sample results. We suggest the routine prescription of a probabilistic broad-spectrum antibiotic regimen immediately after the prosthesis exchange, even when a pathogen was identified before surgery. IV, retrospective study. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

7 CFR 654.20 - Violations of operation and maintenance agreement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 6 2010-01-01 2010-01-01 false Violations of operation and maintenance agreement. 654... RESOURCES CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE SUPPORT ACTIVITIES OPERATION AND MAINTENANCE Federal Financially-Assisted Projects § 654.20 Violations of operation and maintenance agreement. (a) The...

Challenges in Promoting Joint Use Agreements: Experiences From Community Transformation Grant Awardees in North Carolina, Illinois, and Wisconsin, 2011–2014

PubMed Central

Baldyga, William; Hilgendorf, Amy; Walker, Jennifer Gilchrist; Hewson, Danielle; Rhew, Lori; Uskali, Amber

2015-01-01

Community Transformation Grant awardees in North Carolina, Illinois, and Wisconsin promoted joint use agreements (formal agreements between 2 parties for the shared use of land or facilities) as a strategy to increase access to physical activity in their states. However, awardees experienced significant barriers to establishing joint use agreements, including 1) confusion about terminology and an aversion to complex legal contracts, 2) lack of applicability to single organizations with open use policies, and 3) questionable value in nonurban areas where open lands for physical activity are often available and where the need is instead for physical activity programs and infrastructure. Furthermore, promotion of formal agreements may unintentionally reduce access by raising concerns regarding legal risks and costs associated with existing shared use of land. Thus, joint use agreements have practical limitations that should be considered when selecting among strategies to promote physical activity participation. PMID:25880770

Joint Forward Operating Base Elements of Command and Control

NASA Astrophysics Data System (ADS)

Summers, William C.

2002-01-01

Since the 1986 Goldwater-Nichols Act directed the Chairman of the Joint Chiefs of Staff to develop doctrine for the joint employment of the armed forces, tactics, techniques, and procedures have evolved at different rates depending on the competency. Whereas the command of joint air forces is well prescribed within the structure of the air operations center and its associated leadership, command of air assets at a joint forward operating base lacks guidance. Today, the United States prosecutes an air war over Afghanistan from bases in Uzbekistan, Pakistan, and Afghanistan. Elements of the United States Army, Air Force, and Marines combine at these geographically minute locations, each bringing a certain complement of support and command and control. Evidence from operations during the 1999 air war for Kosovo at Tirana Rinas Airport in Albania suggests that when these service elements meet at the airfield for the first time, there are problems associated with local procedure. At best, time is wasted creating local joint systems to overcome the difficulties. At worst, safety and mission accomplishment are jeopardized. This thesis will address the need to develop doctrine and a jointly integrated organization to support the command and control function at a forward operating base.

Discussion on joint operation of wind farm and pumped-storage hydroplant

NASA Astrophysics Data System (ADS)

Li, Caifang; Wu, Yichun; Liang, Hao; Li, Miao

2017-12-01

Due to the random fluctuations in wind power, large amounts of grid integration will have a negative impact on grid operation and the consumers. The joint operation with pumped-storage hydroplant with good peak shaving performance can effectively reduce the negative impact on the safety and economic operation of power grid, and improve the utilization of wind power. In addition, joint operation can achieve the optimization of green power and improve the comprehensive economic benefits. Actually, the rational profit distribution of joint operation is the premise of sustainable and stable cooperation. This paper focuses on the profit distribution of joint operation, and applies improved shapely value method, which taking the investments and the contributions of each participant in the cooperation into account, to determine the profit distribution. Moreover, the distribution scheme can provide an effective reference for the actual joint operation of wind farm and pumped-storage hydroplant.

7 CFR 1400.203 - Joint operations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... OF AGRICULTURE GENERAL REGULATIONS AND POLICIES PAYMENT LIMITATION AND PAYMENT ELIGIBILITY FOR 2009 AND SUBSEQUENT CROP, PROGRAM, OR FISCAL YEARS Payment Eligibility § 1400.203 Joint operations. (a) A...

Operation Joint Guard (SFOR) Bosnia. Assessment of Operational Stress and Adaptive Coping Mechanisms of Soldiers

DTIC Science & Technology

1998-03-01

married, 3 children, \\ more than two years w/company J V ^ I am constantly placed in an ethical dilemmas daily in front of my soldiers. I do...and lessons learned are presented . 14. SUBJECT TERMS Bosnia, Operation Joint Guard, Operation Joint Endeavor, Peacekeeping, Stress, Psychological...keeping operations present challenging environments to any military organization and its soldiers. Soldiers will often be required to perform their

76 FR 3157 - Joint Operations Center Relocation Project, Sacramento County, CA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-19

... Water Resources (DWR), the lead State agency, will prepare a joint EIS/EIR for the proposed Joint... following departments: DWR's Division of Operations and Maintenance, Operations Control Office, State Water...

What It Takes. Air Force Command of Joint Operations

DTIC Science & Technology

2009-01-01

Iraq Assistance Group IDE intermediate developmental education IO international organization ISAF International Security and Assistance Force ISR...Operations Table A.1—Continued Joint Task Force Mission/Operation Start End Service Command Rank JTF–Joint Area Support Group (JASG) Iraqi Freedom...be of interest to a wide group of Air Force personnel involved in the development and func- tion of the service’s command organizations, including

Command and Control for Joint Air Operations.

DTIC Science & Technology

1994-11-14

publication apply to the throughout the range of military commanders of combatant commands, operations. subunified commands, joint task forces, and...this doctrine (or operations as well as the doctrinal basis JTTP) will be followed except when, in for US military involvement in the judgment of the...commander, multinational and interagency operations. exceptional circumstances dictate It provides military guidance for the otherwise. If conflicts

Homeland Defense Joint Center for Operational Analysis and Lessons Learned Quarterly Bulletin, Volume 7, Issue 1, December 2004

DTIC Science & Technology

2004-12-01

domestic use of the armed forces. 9Joint Center for Operational Analysis and Lessons Learned (JCOA-LL) Bulletin An almost invisible law In many...enacted a program to increase significantly the role of the armed forces in drug interdiction as part of the Defense Authorization Act for 1989. The...technology, expanded intelligence collection, and the formation of new partnerships are necessary. • Arms control and other multilateral agreements will be

Planning and conducting medical support to joint operations.

PubMed

Hughes, A S

2000-01-01

Operations are core business for all of us and the PJHQ medical cell is at the heart of this process. With the likelihood of a continuing UK presence in the Balkans for some time to come, the challenge of meeting this and any other new operational commitments will continue to demand a flexible and innovative approach from all concerned. These challenges together with the Joint and multinational aspects of the job make the PJHQ medical cell a demanding but rewarding place to work and provide a valuable Joint staff training opportunity for the RNMS.

[Arthroscopic therapy of ankle joint impingement syndrome after operation of ankle joint fracture dislocation].

PubMed

Feng, Zhibin; Mi, Kun; Wei, Renzhi; Liu, Wu; Wang, Bin

2011-07-01

To study the operative procedure and the effectiveness of arthroscopic therapy for ankle joint impingement syndrome after operation of ankle joint fracture dislocation. Between March 2008 and April 2010, 38 patients with ankle joint impingement syndrome after operation of ankle joint fracture dislocation were treated. Among them, there were 28 males and 10 females with an average age of 28 years (range, 18 to 42 years). The time from internal fixation to admission was 12-16 months (mean, 13.8 months). There were pressing pain in anterolateral and anterior ankle. The dorsal extension ranged from -20 to -5 degrees (mean, -10.6 degrees), and the palmar flexion was 30-40 degrees (mean, 35.5 degrees). The total score was 48.32 +/- 9.24 and the pain score was 7.26 +/- 1.22 before operation according to American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot score system. The X-ray films showed osteophyte formation in anterior tibia and talus; MRI showed cartilage injury in 22 cases. Arthroscopic intervention included removing osteophytes, debriding fabric scars and synovial membrane tissues, and removing osteochondral fragments. Arthroscopic microfracture technique was used in 22 patients with cartilage injury. All incisions healed primarily. Thirty-eight cases were followed up 10-26 months (mean, 16 months). At last follow-up, 26 patients had normal range of motion (ROM); the dorsal extension was 15-25 degrees (mean, 19.6 degrees) and the palmar flexion was 35-45 degrees (mean, 40.7 degrees). Eight patients had mild limited ROM; the dorsal extension was 5-15 degrees (mean, 7.2 degrees) and the palmar flexion was 35-45 degrees (mean, 39.5 degrees). Four patients had mild limited ROM and pain in posterior portion of the ankle after a long walking (3-4 hours); the dorsal extension was 0-5 degrees (mean, 2.6 degrees) and the palmar flexion was 35-40 degrees (mean, 37.5 degrees). The total score was 89.45 +/- 9.55 and the pain score was 1.42 +/- 1.26 after

Bugs, Gas, and Joint Maritime Operations--Are we Immune?

DTIC Science & Technology

1992-06-19

asPira::on - and an opp rtunity. ŗ Even with the collapse of Soviet communism , there are powers who would challenge our aspirations: a technological ... technological data are used to analyze the effects of chemica’l warfare on joint naval operations throughout the continuum of peace, conflict and war. A judgement...IM1MUNE? Historical and technological data are used to analyze the effects of chemical warfare on joint naval operations throughout the continuum of

78 FR 35270 - Notice of Agreements Filed

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-12

...: American President Lines, Ltd. and APL Co. PTE Ltd. (operating as a single carrier); A.P. Moller-Maersk A/S... Container Lines Company, Ltd; Evergreen Line Joint Service Agreement, FMC No. 011982; Hanjin Shipping Co., Ltd.; Hapag-Lloyd A.G.; Hyundai Merchant Marine Co., Ltd.; Kawasaki Kisen Kaisha, Ltd.; Mediterranean...

Solving an emergency rescue materials problem under the joint reserves mode of government and framework agreement suppliers

PubMed Central

Sun, Xiao-Qing; Zhu, Rui; Li, Ming; Miao, Wang

2017-01-01

Emergency rescue material reserves are vital for the success of emergency rescue activities. In this study, we consider a situation where a government owned distribution center and framework agreement suppliers jointly store emergency rescue materials. Using a scenario-based approach to represent demand uncertainty, we propose a comprehensive transportation pattern for the following supply chain: “suppliers—government distribution center—disaster area.” Using a joint reserves model that includes the government and framework agreement suppliers, we develop a non-linear mathematic model that determines the choices of the framework suppliers, the corresponding optimal commitment quantities, and the quantity of materials that are stored at a government distribution center. Finally, we use IBM ILOG CPLEX to solve the numerical examples to verify the effectiveness of the mode and perform sensitivity analyses on the relevant parameters. PMID:29077722

Space Weather Forecasting at the Joint Space Operations Center (JSpOC)

NASA Astrophysics Data System (ADS)

Nava, O.

2012-12-01

The Joint Space Operations Center (JSpOC) at Vandenberg Air Force Base is the command and control focal point for the operational employment of worldwide joint space forces. The JSpOC focuses on planning and executing US Strategic Command's Joint Functional Component Command for Space (JFCC SPACE) mission. Through the JSpOC, the Weather Specialty Team (WST) monitors space and terrestrial weather effects, plans and assesses weather impacts on military operations, and provides reach-back support for deployed theater solar and terrestrial needs. This presentation will detail how space weather affects the JSpOC mission set and how the scientific community can enhance the WST's capabilities and effectiveness.

77 FR 26287 - Cooperative Agreement To Support the Joint Institute for Food Safety and Applied Nutrition...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-03

...] Cooperative Agreement To Support the Joint Institute for Food Safety and Applied Nutrition, JIFSAN (U01... and Applied Nutrition (JIFSAN). FDA believes that University of Maryland, College Park (UMCP)-JIFSAN... Applied Nutrition (HFS- 560), Food and Drug Administration, CPK1, Rm. 4A007 (HFS-006), 5100 Paint Branch...

Improving agreement in assessment of synovitis in rheumatoid arthritis.

PubMed

Cheung, Peter P; Dougados, Maxime; Andre, Vincent; Balandraud, Nathalie; Chales, Gérard; Chary-Valckenaere, Isabelle; Chatelus, Emmanuel; Dernis, Emmanuelle; Gill, Ghislaine; Gilson, Mélanie; Guis, Sandrine; Mouterde, Gael; Pavy, Stephan; Pouyol, François; Marhadour, Thierry; Richette, Pascal; Ruyssen-Witrand, Adeline; Soubrier, Martin; Gossec, Laure

2013-03-01

Synovitis assessment through evaluation of swollen joints is integral in steering treatment decisions in rheumatoid arthritis (RA). However, there is high inter-observer variation. The objective was to assess if a short collegiate consensus would improve swollen joint agreement between rheumatologists and whether this was affected by experience. Eighteen rheumatologists from French university rheumatology units participated in three 30 minutes rounds over a half day meeting evaluating joint counts of RA patients in small groups, followed by short consensus discussions. Agreement was evaluated at the end of each round as follows: (i) global agreement of swollen joints (ii) swollen joint agreement according to level of experience of the rheumatologist (iii) swollen joint count and (iv) agreement of disease activity state according to the Disease Activity Score (DAS28). Agreement was calculated using percentage agreement and kappa. Global agreement of swollen joints failed to improve (kappa 0.50 to 0.52) at the joint level. Agreement between seniors did not improve but agreement between newly qualified rheumatologists and their senior peer, which was initially poor (kappa 0.28), improved significantly (to 0.54) at the end of the consensus exercises. Concordance of DAS28 activity states improved from 71% to 87%. Consensus exercises for swollen joint assessment is worthwhile and may potentially improve agreement between clinicians in clinical synovitis and disease activity state, benefit was mostly observed in newly qualified rheumatologists. Copyright © 2012 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.

Operation Stabilise: U.S. Joint Force Operations in East Timor

DTIC Science & Technology

2001-04-01

September 1999, while deliberating the issue, Adm Blair designated the USS Mobile Bay (CG 53) and the USNS Kilauea (T-AE 26) as Joint Task Force-Timor Sea...Timor Sea Operations, 7th Fleet, Pacific Fleet § USS MOBILE BAY (CG 53), CJTF TSO (CAPT Edward Rogers, USN) § USNS KILAUEA (T-AE 26) § USNS SAN JOSE (T

Operative Versus Non-operative Treatment of Grade III Acromioclavicular Joint Dislocations and the Use of SurgiLig: a Retrospective Review.

PubMed

Younis, Fizan; Ajwani, Sanil; Bibi, Asia; Riley, Eleanor; Hughes, Peter J

2017-12-30

Acromioclavicular joint dislocations are common shoulder girdle injuries. The treatment of grade III acromioclavicular joint dislocations is controversial. Furthermore, the literature on the use of the Sur-giligTM synthetic ligament for reconstruction of dislocations is sparse. This retrospective review aimed to establish whether operative treatment was superior to non-operative treatment in grade III acromioclavicular joint dislocations treated at our institute over a 5-year period. We also reviewed the effectiveness of reconstruction with SurgiligTM after acute and chronic dislocations across all grades of acromioclavicular joint dislocations. Twenty-five patients completed full follow-up with grade III dislocations. The mean follow-up in the operated group was 3.56 years and in the non-operated group this was 3.29 years. The mean Oxford Shoul-der Score (OSS) in the operated group was 39.8, whereas the mean OSS in the non-operated group was 45.9 (p=0.01). The mean pain score in the operated group was 2.2, and in the non-operated group this was 1.6. The mean satisfaction score in the operated group was 8.2 and that in the non-operated group was 7.8. There was no statistically significant difference in pain or satisfaction scores. In respect to the cohort treated with Surg-iligTM synthetic ligament, 22 patients across all grades of dislocations had this procedure performed. The mean post-operative Oxford Shoulder Score (OSS) was 40. 1. Non-operative treatment is not inferior to operative treatment for grade III acromioclavicular joint dislocations. The data from this study demonstrat-ed that the non-operated group had superior Ox-ford Shoul-der Scores that were statistically significant. 2. Additionally, the use of the SurgiligTM ligament appears to be effective in treating both chronic and acute acromioclavicular joint dislocations.

Joint Training In Combined Entry Operations

DTIC Science & Technology

2014-02-13

AIR WAR COLLEGE AIR UNIVERSITY JOINT TRAINING IN COMBINED ENTRY OPERATIONS by Ethan Mitchell, CDR, USN A Research Report Submitted...government. DISTRIBUTION A . Approved for public release: distribution unlimited. 2 Biography CDR Ethan Mitchell is assigned to the Air War College...Areas of Responsibility. Ashore, her served in the requirements directorate on the Commander, Second Fleet staff and earned a Master’s of Science

Joint Space Operations Center (JSpOC) Mission System Increment 3 (JMS Inc 3)

DTIC Science & Technology

2016-03-01

2016 Major Automated Information System Annual Report Joint Space Operations Center (JSpOC) Mission System Increment 3 (JMS Inc 3) Defense...1725 DSN Phone: DSN Fax: Date Assigned: May 16, 2014 Program Information Program Name Joint Space Operations Center (JSpOC) Mission System...approved program baseline; therefore, no Original Estimate has been established. JMS Inc 3 2016 MAR UNCLASSIFIED 4 Program Description The Joint Space

[Fractures of the proximal interphalangeal joint: Diagnostic and operative therapy options].

PubMed

Unglaub, F; Langer, M F; Hahn, P; Müller, L P; Ahrens, C; Spies, C K

2016-02-01

Joint fractures of the fingers often entail operative interventions in contrast to extra-articular fractures. These types of fracture are inclined to dislocate in addition to the actual fracture. The proximal interphalangeal (PIP) joint in particular often shows comminuted fractures due to the long leverage of the finger and a relatively small diameter of the joint. The clinical examination, X-ray diagnostics and if necessary computed tomography allow the classification into stable and unstable fractures. Unstable fractures must be treated by surgical reduction and fixation. A multitude of operative techniques are available for these mostly complicated fractures. The foremost goal is a stable osteosynthesis of the fracture with repositioning of the dislocation, which enables early physiotherapy in order to prevent tendon adhesion and contracture. This article presents the different types of PIP joint fractures, their specific surgical treatment and postoperative treatment regimens.

Joint Publication 3-31. Command and Control for Joint Land Operations

DTIC Science & Technology

2010-06-29

task force] FALCON .” Admiral James Ellis, Commander, Joint Task Force NOBLE ANVIL during Operation ALLIED FORCE in letter correspondence to RAND...beneficial effect on the gr ound cam paign.” D uring t he ca mpaign, “ Army and M arine artillery were used interchangeably.” SOURCE: Lieutenant...consolidates, prioritizes, and forwards ultra -high frequency tactical satellite requirements to the JFC for channel allocation. k. Establishes, supervises

Inter-operator and inter-device agreement and reliability of the SEM Scanner.

PubMed

Clendenin, Marta; Jaradeh, Kindah; Shamirian, Anasheh; Rhodes, Shannon L

2015-02-01

The SEM Scanner is a medical device designed for use by healthcare providers as part of pressure ulcer prevention programs. The objective of this study was to evaluate the inter-rater and inter-device agreement and reliability of the SEM Scanner. Thirty-one (31) volunteers free of pressure ulcers or broken skin at the sternum, sacrum, and heels were assessed with the SEM Scanner. Each of three operators utilized each of three devices to collect readings from four anatomical sites (sternum, sacrum, left and right heels) on each subject for a total of 108 readings per subject collected over approximately 30 min. For each combination of operator-device-anatomical site, three SEM readings were collected. Inter-operator and inter-device agreement and reliability were estimated. Over the course of this study, more than 3000 SEM Scanner readings were collected. Agreement between operators was good with mean differences ranging from -0.01 to 0.11. Inter-operator and inter-device reliability exceeded 0.80 at all anatomical sites assessed. The results of this study demonstrate the high reliability and good agreement of the SEM Scanner across different operators and different devices. Given the limitations of current methods to prevent and detect pressure ulcers, the SEM Scanner shows promise as an objective, reliable tool for assessing the presence or absence of pressure-induced tissue damage such as pressure ulcers. Copyright © 2015 Bruin Biometrics, LLC. Published by Elsevier Ltd.. All rights reserved.

47 CFR 80.161 - Operator requirements of the Great Lakes Radio Agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 5 2010-10-01 2010-10-01 false Operator requirements of the Great Lakes Radio... SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Operator Requirements Ship Station Operator Requirements § 80.161 Operator requirements of the Great Lakes Radio Agreement. Each ship subject to the Great...

The European Union Joint Procurement Agreement for cross-border health threats: what is the potential for this new mechanism of health system collaboration?

PubMed

Azzopardi-Muscat, Natasha; Schroder-Bäck, Peter; Brand, Helmut

2017-01-01

The Joint Procurement Agreement (JPA) is an innovative instrument for multi-country procurement of medical countermeasures against cross-border health threats. This paper aims to assess its potential performance. A literature review was conducted to identify key features of successful joint procurement programmes. Documentary analysis and a key informants' interview were carried out to analyse the European Union (EU) JPA. Ownership, equity, transparency, stable central financing, standardisation, flexibility and gradual development were identified as important prerequisites for successful establishment of multi-country joint procurement programmes in the literature while security of supply, favourable prices, reduction of operational costs and administrative burden and creation of professional expert networks were identified as desirable outcomes. The EU JPA appears to fulfil the criteria of ownership, transparency, equity, flexibility and gradual development. Standardisation is only partly fulfilled and central EU level financing is not provided. Security of supply is an important outcome for all EU Member States (MS). Price savings, reduction in administrative burden and creation of professional networks may be particularly attractive for the smaller MS. The JPA has the potential to increase health system collaboration and efficiency at EU level provided that the incentives for sustained commitment of larger MS are sufficiently attractive.

Joint Command and Control of Cyber Operations: The Joint Force Cyber Component Command (JFCCC)

DTIC Science & Technology

2012-05-04

relies so heavily on complex command and control systems and interconnectivity in general, cyber warfare has become a serious topic of interest at the...defensive cyber warfare into current and future operations and plans. In particular, Joint Task Force (JTF) Commanders must develop an optimum method to

Correlation-based regularization and gradient operators for (joint) inversion on unstructured meshes

NASA Astrophysics Data System (ADS)

Jordi, Claudio; Doetsch, Joseph; Günther, Thomas; Schmelzbach, Cedric; Robertsson, Johan

2017-04-01

When working with unstructured meshes for geophysical inversions, special attention should be paid to the design of the operators that are used for regularizing the inverse problem and coupling of different property models in joint inversions. Regularization constraints for inversions on unstructured meshes are often defined in a rather ad-hoc manner and usually only involve the cell to which the operator is applied and its direct neighbours. Similarly, most structural coupling operators for joint inversion, such as the popular cross-gradients operator, are only defined in the direct neighbourhood of a cell. As a result, the regularization and coupling length scales and strength of these operators depend on the discretization as well as cell sizes and shape. Especially for unstructured meshes, where the cell sizes vary throughout the model domain, the dependency of the operator on the discretization may lead to artefacts. Designing operators that are based on a spatial correlation model allows to define correlation length scales over which an operator acts (called footprint), reducing the dependency on the discretization and the effects of variable cell sizes. Moreover, correlation-based operators can accommodate for expected anisotropy by using different length scales in horizontal and vertical directions. Correlation-based regularization operators also known as stochastic regularization operators have already been successfully applied to inversions on regular grids. Here, we formulate stochastic operators for unstructured meshes and apply them in 2D surface and 3D cross-well electrical resistivity tomography data inversion examples of layered media. Especially for the synthetic cross-well example, improved inversion results are achieved when stochastic regularization is used instead of a classical smoothness constraint. For the case of cross-gradients operators for joint inversion, the correlation model is used to define the footprint of the operator and weigh

The Disestablishment of U.S. Joint Forces Command: A Step Backward in Jointness

DTIC Science & Technology

2011-06-01

and the less than stellar 1983 rescue of a few medical students from the island of Grenada (Operation Urgent Fury), Congress passed the Goldwater...an opportunity for dialogue and a source of basic joint doctrine, it was widely ignored despite increasing tension and preparation for the Second... basic unity of effort appeared lacking even with dialogue like the Key West Agreements. Dr. William Niskanen, with the CATO Institute, described the

Standing Joint Forces: Spearhead for Global Operational Maneuver

DTIC Science & Technology

2005-05-26

Threat,” In The War Next Time: Countering Rogue States and Terrorists 1 20 NOVEMBER 2014 Operation Roundhouse was a resounding success. While...America’s " kick -down the door" force, capable of extremely rapid deployment from CONUS to anywhere in the world to ensure aerospace access for joint

Pre-operative Duplex Ultrasonography in Arteriovenous Fistula Creation: Intra- and Inter-observer Agreement.

PubMed

Zonnebeld, Niek; Maas, Tommy M G; Huberts, Wouter; van Loon, Magda M; Delhaas, Tammo; Tordoir, Jan H M

2017-11-01

Although clinical guidelines on arteriovenous fistula (AVF) creation advocate minimum luminal arterial and venous diameters, assessed by duplex ultrasonography (DUS), the clinical value of routine DUS examination is under debate. DUS might be an insufficiently repeatable and/or reproducible imaging modality because of its operator dependency. The present study aimed to assess intra- and inter-observer agreement of DUS examination in support of AVF surgery planning. Ten end stage renal disease patients were included, to assess intra- and inter-observer agreement of pre-operative DUS measurements. All measurements were performed by two trained and experienced vascular technicians, blinded to measurement readings. From the routine DUS protocol, representative measurements (venous diameters, and arterial diameters and volume flow in the upper arm and forearm) were selected. For intra-observer agreement the measurements were performed in triplicate, with the probe released from the skin between each. Intraclass correlation coefficients were calculated for intra- and inter-observer agreement, and Bland-Altman plots used to graphically display mean measurement differences and limits of agreement. Ten patients (6 male, 59.4±19.7 years) consented to participate, and all predefined measurements were obtained. Intraclass correlation coefficients for intra-observer agreement of diameter measurements were at least 0.90 (95% CI 0.74-0.97; radial artery). Inter-observer agreement was at least 0.83 (0.46-0.96; lateral diameter upper arm cephalic vein). The Bland-Altman plots showed acceptable mean measurement differences and limits of agreement. In experienced hands, excellent intra- and inter-observer agreement can be reached for the discrete pre-operative DUS measurements advocated in clinical guidelines. DUS is therefore a reliable imaging modality to support AVF surgery planning. The content of DUS protocols, however, needs further standardisation. Copyright © 2017 European

Joint Operating Environment 2035: The Joint Force in a Contested and Disordered World

DTIC Science & Technology

2016-07-14

environment. Next, Section 2 explores how the intersection and interaction of these changes might impact the character of war in the future. Finally, Section...ideas about how changes to conflict and war might impact the capabilities and operational approaches required by the future Joint Force. These...1 Colin Gray, Another Bloody Century, (2005), p. 43. 2 challenges that will impact the

Pre-operative Asymptomatic Bacteriuria: A Risk Factor For Prosthetic Joint Infection?

PubMed

Weale, R; El-Bakri, F; Saeed, Kordo

2018-04-13

Infection is a rare complication following implantation of prosthetic material into a joint. The impact of asymptomatic bacteriuria (ASB) before elective operations and the subsequent risk of prosthetic joint infection (PJI) are not well understood. • Assess the prevalence of ASB amongst patients undergoing total arthroplasty of the hip and knee. • Determine the rates of PJI diagnosed within two years of the arthroplasty and if ASB is an independent risk factor for developing PJI. Patients who had total/unicondylar knee or total hip arthroplasty were retrospectively reviewed over a five-year period. Pre-operative urine samples within one year of surgery were analysed and those with ASB identified. Primary outcome was prosthetic joint infection (PJI) within the first postoperative year. 5542 patients were included. 4368 had a pre-operative urine culture recorded. The prevalence of ASB was 140 of 4368 (3.2%). The overall PJI rate was 56 of 5542 (1.01%). Of those with a PJI, 33 had a pre-operative urine sample recorded. The infection rate in the ASB group was 5% (7 of 140), in the no-ASB group it was 0.61% (26 of 4228) and in the group without a urine sample it was 1.96% (23 of 1174) (p value <0.001). The ASB isolate was the same microorganism as the PJI isolate in only one of the seven cases. The association between ASB and PJI is statistically significant, but the urine isolates did not relate to the isolates in the prosthetic joint, suggestive the relationship is unlikely causal. Copyright © 2018. Published by Elsevier Ltd.

Command and Control for Joint Air Operations

DTIC Science & Technology

2010-01-12

systems, to include collaborative air planning tools such as the theater battle management core system ( TBMCS ). Operational level air planning occurs in...sight communications and data exchange equipment in order to respond to joint force requirements. For example, the TBMCS is often used. The use of ATO...generation and dissemination software portions of TBMCS has been standardized. This ATO feature allows the JAOC to be interoperable with other

76 FR 13446 - Juniata Valley Railroad Company-Operation Exemption-SEDA-COG Joint Rail Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-11

... Railroad Company-Operation Exemption-SEDA-COG Joint Rail Authority Juniata Valley Railroad Company (JVRR... milepost 2.0 in Lewistown, Mifflin County, Pa. The line is owned or leased by SEDA-COG Joint Rail Authority (SEDA-COG). JVRR states that the line it proposes to operate is an extension of its existing line of...

76 FR 13445 - North Shore Railroad Company-Operation Exemption-SEDA-COG Joint Rail Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-11

... Railroad Company-Operation Exemption-SEDA-COG Joint Rail Authority North Shore Railroad Company (NSRR), a... milepost 2.0 in Berwick, Columbia County, Pa. The line is leased by SEDA-COG Joint Rail Authority (SEDA- COG). NSRR states that the line it proposes to operate is an extension of its existing line of...

76 FR 13445 - Lycoming Valley Railroad Company-Operation Exemption-SEDA-COG Joint Rail Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-11

... Railroad Company-Operation Exemption--SEDA--COG Joint Rail Authority Lycoming Valley Railroad Company (LVRR... milepost 0.4 in Muncy, Lycoming County, Pa. The line is owned or leased by SEDA-COG Joint Rail Authority (SEDA-COG). LVRR states that the line it proposes to operate is an extension of its existing line of...

48 CFR 41.206 - Interagency agreements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Interagency agreements. 41... agreements. Agencies shall use interagency agreements (e.g., consolidated purchase, joint use, or cross-service agreements) when acquiring utility service or facilities from other Government agencies and shall...

48 CFR 41.206 - Interagency agreements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Interagency agreements. 41... agreements. Agencies shall use interagency agreements (e.g., consolidated purchase, joint use, or cross-service agreements) when acquiring utility service or facilities from other Government agencies and shall...

48 CFR 41.206 - Interagency agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Interagency agreements. 41... agreements. Agencies shall use interagency agreements (e.g., consolidated purchase, joint use, or cross-service agreements) when acquiring utility service or facilities from other Government agencies and shall...

[Case control study of fractures-dislocations of ankle joint with conservative and operative treatment].

PubMed

Zhang, Song-Tu; Lin, Yi-Rong; Chen, Lian-Yuan

2010-10-01

To compare the clinical efficacy of grade III, IV supination-eversion fractures-dislocations of ankle joint between manipulative treatment and operative treatment. From September 2007 to December 2008, the clinical data of 60 patients with grade III, IV supination-eversion fractures-dislocations of ankle joint were retrospectively analyzed. There were 32 males and 28 females, ranging in age from 18 to 70 years with an average age of 38.17 years. All patients were respectively treated with manipulative treatment (conservative group, 30 cases) and operative treatment (operative group, 30 cases). The joint function was compared with Mazur standard; the reduction and shifting of fractures were observed with X-ray; the hospitalization day and the therapeutic cost were compared between two groups. All patients were followed up with an average of 15.27 months (ranged, 6 to 25 months). In conservative group, 16 cases got excellent result in joint function, 10 good, 3 fair, 1 poor; in operative group, 20 cases got excellent result, 8 good, 2 fair, 0 poor. In conservative group in the X-ray showed 25 cases obtained excellent and good reduction, 4 fair, 1 poor; and in operative group in the X-ray showed 28 cases obtained excellent and good reduction, 2 fair, 0 poor. There was no significant difference at the joint function and X-ray film after treatment between two groups (P > 0.05). The hospital day was respectively (7.87 +/- 3.34), (17.37 +/- 4.64) d in conservative group and operative group; and the therapeutic cost was respectively (2 506.67 +/- 649.10), (11 473.33 +/- 1 564.90) yuan. There was significant difference at hospital day and therapeutic cost between two groups (P < 0.05). Conservative treatment and operative treatment can both reach a very good result in treating grade III, IV supination-eversion fractures and dislocations of ankle joint. However, conservative treatment has advantage of high safety factor, low therapeutic cost, can reduce medical costs for

Post-operative bracing after ACL reconstruction has no effect on knee joint effusion. A prospective, randomized study.

PubMed

Lindström, Maria; Wredmark, Torsten; Wretling, Marie-Louise; Henriksson, Marketta; Felländer-Tsai, Li

2015-12-01

It is unclear what factors contribute to knee joint effusion after anterior cruciate ligament (ACL) injury and reconstruction. Knee homeostasis after injury and surgery is crucial for rehabilitation and knee well-being. We examined if effusion was affected by post-operative bracing, and if patients with effusion fit into a common profile. Patients were randomized to wearing or not wearing a post-operative brace for three weeks after ACL reconstruction with semitendinosus-gracilis tendons. Knee joint effusion was detected by computed tomography in 60 patients (22 women), before and three and 12 months after surgery. Joint effusion, clinical and subjective tests were analyzed. This is the first prospective, randomized study on post-operative bracing for patients with a semitendinosus-gracilis graft showed that bracing had no effect on three-months presence of joint effusion. Excessive joint effusion was present in 68% of the patients three months after surgery and was associated to prior meniscus injury (p=0.05) and higher prior Tegner activity level (p=0.006). We found a positive association between longer time from injury to surgery and joint effusion three months post-operatively (rho=0.29, p<0.05). Twelve months post-operatively, joint effusion had diminished to baseline levels. Subjective scores and activity levels were lower for women. Three-months joint effusion predicted lower final outcome scores in women. Prior meniscus injury and pre-injury Tegner activity levels are predictive significant variables for excessive knee joint effusion after ACL reconstruction. Post-operative bracing had no effect. A larger clinical cohort is needed to confirm findings of this logistic regression. Copyright © 2015 Elsevier B.V. All rights reserved.

Automatic joint alignment measurements in pre- and post-operative long leg standing radiographs.

PubMed

Goossen, A; Weber, G M; Dries, S P M

2012-01-01

For diagnosis or treatment assessment of knee joint osteoarthritis it is required to measure bone morphometry from radiographic images. We propose a method for automatic measurement of joint alignment from pre-operative as well as post-operative radiographs. In a two step approach we first detect and segment any implants or other artificial objects within the image. We exploit physical characteristics and avoid prior shape information to cope with the vast amount of implant types. Subsequently, we exploit the implant delineations to adapt the initialization and adaptation phase of a dedicated bone segmentation scheme using deformable template models. Implant and bone contours are fused to derive the final joint segmentation and thus the alignment measurements. We evaluated our method on clinical long leg radiographs and compared both the initialization rate, corresponding to the number of images successfully processed by the proposed algorithm, and the accuracy of the alignment measurement. Ground truth has been generated by an experienced orthopedic surgeon. For comparison a second reader reevaluated the measurements. Experiments on two sets of 70 and 120 digital radiographs show that 92% of the joints could be processed automatically and the derived measurements of the automatic method are comparable to a human reader for pre-operative as well as post-operative images with a typical error of 0.7° and correlations of r = 0.82 to r = 0.99 with the ground truth. The proposed method allows deriving objective measures of joint alignment from clinical radiographs. Its accuracy and precision are on par with a human reader for all evaluated measurements.

48 CFR 970.5222-1 - Collective Bargaining Agreements Management and Operating Contracts.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Collective Bargaining Agreements Management and Operating Contracts. 970.5222-1 Section 970.5222-1 Federal Acquisition Regulations System DEPARTMENT OF ENERGY AGENCY SUPPLEMENTARY REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Solicitation Provisions and Contract Clauses...

Joint operations planning for space surveillance missions on the MSX satellite

NASA Technical Reports Server (NTRS)

Stokes, Grant; Good, Andrew

1994-01-01

The Midcourse Space Experiment (MSX) satellite, sponsored by BMDO, is intended to gather broad-band phenomenology data on missiles, plumes, naturally occurring earthlimb backgrounds and deep space backgrounds. In addition the MSX will be used to conduct functional demonstrations of space-based space surveillance. The JHU/Applied Physics Laboratory (APL), located in Laurel, MD, is the integrator and operator of the MSX satellite. APL will conduct all operations related to the MSX and is charged with the detailed operations planning required to implement all of the experiments run on the MSX except the space surveillance experiments. The non-surveillance operations are generally amenable to being defined months ahead of time and being scheduled on a monthly basis. Lincoln Laboratory, Massachusetts Institute of Technology (LL), located in Lexington, MA, is the provider of one of the principle MSX instruments, the Space-Based Visible (SBV) sensor, and the agency charged with implementing the space surveillance demonstrations on the MSX. The planning timelines for the space surveillance demonstrations are fundamentally different from those for the other experiments. They are generally amenable to being scheduled on a monthly basis, but the specific experiment sequence and pointing must be refined shortly before execution. This allocation of responsibilities to different organizations implies the need for a joint mission planning system for conducting space surveillance demonstrations. This paper details the iterative, joint planning system, based on passing responsibility for generating MSX commands for surveillance operations from APL to LL for specific scheduled operations. The joint planning system, including the generation of a budget for spacecraft resources to be used for surveillance events, has been successfully demonstrated during ground testing of the MSX and is being validated for MSX launch within the year. The planning system developed for the MSX forms a

77 FR 13604 - Notice of Agreements Filed

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-07

... Joint Services Agreement as party, and updates some of the service references in the agreement...: Crowley Latin America Services, LLC; Dole Ocean Cargo Express; King Ocean Services Limited; Seaboard... Latin American Services, LLC as a party to the Agreement. Agreement No.: 012067-006. Title: U.S...

25 CFR 211.53 - Assignments, overriding royalties, and operating agreements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... agreements. 211.53 Section 211.53 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR ENERGY AND..., geothermal, and mining regulations (25 CFR part 216; 43 CFR parts 3160, 3260, 3480, and 3590; and those... approval before abandonment of any oil and gas or geothermal well or mining operation. All such obligations...

25 CFR 211.53 - Assignments, overriding royalties, and operating agreements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... agreements. 211.53 Section 211.53 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR ENERGY AND..., geothermal, and mining regulations (25 CFR part 216; 43 CFR parts 3160, 3260, 3480, and 3590; and those... approval before abandonment of any oil and gas or geothermal well or mining operation. All such obligations...

The legal character and operational relevance of the Paris Agreement's temperature goal

NASA Astrophysics Data System (ADS)

Rajamani, Lavanya; Werksman, Jacob

2018-05-01

This article assesses the legal character and operational relevance of the Paris Agreement's 1.5°C temperature goal. This article begins with a textual analysis of the 1.5°C goal. It considers whether the goal creates individual or collective obligations for Parties, and whether it is sufficiently specific to enable the tracking of individual or collective performance. Next, it assesses the operational relevance of the 1.5°C temperature goal, by considering the role it will play in the Paris Agreement's institutions and procedures. To the extent that the goal plays a role, and implies global limits on greenhouse gas emissions, this article observes that it could have implications for the sharing of the effort between Parties. Thus, this article considers the relevance of equity and the principle of common but differentiated responsibilities and respective capabilities, in the light of different national circumstances, to understanding how the 1.5°C goal could be reached. In this context, this article explores whether the 1.5°C goal could play a role in the Paris Agreement's `ambition cycle'. Finally, this article asks whether there are any legal or political implications, individually or collectively under the Paris Agreement, should the Parties fail to achieve the 1.5°C goal. This article is part of the theme issue `The Paris Agreement: understanding the physical and social challenges for a warming world of 1.5°C above pre-industrial levels'.

Joint Center for Operational Analysis Journal. Volume 12, Issue 2, Summer 2010

DTIC Science & Technology

2010-01-01

Peixoto. In 19X7. then-Major Keen attended Bra- zil’s Command and General Staff Course in Rio de Janeiro . Bra- zil. In 1988, then Captain Floriano...controlling DoD office). • DISTRIBUTION STATEMENT E . Distribution authorized to DoD Components only (fill in reason) (date of determination). Other... basic joint functions that integrate, synchronize, and direct joint operations, which arc: command and control, intelligence, fires, movement and

The legal character and operational relevance of the Paris Agreement's temperature goal.

PubMed

Rajamani, Lavanya; Werksman, Jacob

2018-05-13

This article assesses the legal character and operational relevance of the Paris Agreement's 1.5°C temperature goal. This article begins with a textual analysis of the 1.5°C goal. It considers whether the goal creates individual or collective obligations for Parties, and whether it is sufficiently specific to enable the tracking of individual or collective performance. Next, it assesses the operational relevance of the 1.5°C temperature goal, by considering the role it will play in the Paris Agreement's institutions and procedures. To the extent that the goal plays a role, and implies global limits on greenhouse gas emissions, this article observes that it could have implications for the sharing of the effort between Parties. Thus, this article considers the relevance of equity and the principle of common but differentiated responsibilities and respective capabilities, in the light of different national circumstances, to understanding how the 1.5°C goal could be reached. In this context, this article explores whether the 1.5°C goal could play a role in the Paris Agreement's 'ambition cycle'. Finally, this article asks whether there are any legal or political implications, individually or collectively under the Paris Agreement, should the Parties fail to achieve the 1.5°C goal.This article is part of the theme issue 'The Paris Agreement: understanding the physical and social challenges for a warming world of 1.5°C above pre-industrial levels'. © 2018 The Author(s).

Maloti Drakensberg Transfrontier Park joint management: Sehlabathebe National Park (Lesotho) and the uKhahlamba Drakensberg Park World Heritage Site (South Africa)

Treesearch

John M. Crowson

2011-01-01

On 8 April 2005, the first Joint Management Committee meeting was held at Qacha's Nek, Lesotho. This was to ensure co-operative management through joint management. The formation of a Joint Management Committee was part of the Bilateral Maloti Drakensberg Transfrontier Project agreement and consisted of officials from the Ministry of Tourism, Environment and...

Validity and Agreement between the 28-Joint Disease Activity Score Based on C-Reactive Protein and Erythrocyte Sedimentation Rate in Patients with Rheumatoid Arthritis

PubMed Central

Nielung, Louise; Christensen, Robin; Danneskiold-Samsøe, Bente; Bliddal, Henning; Holm, Christian Cato; Ellegaard, Karen; Slott Jensen, Hanne; Bartels, Else Marie

2015-01-01

Objective. To validate the agreement between the 28-joint disease activity score based on erythrocyte sedimentation rate (DAS28-ESR) and the 28-joint disease activity score based on C-reactive protein (DAS28-CRP) in a group of Danish patients with rheumatoid arthritis (RA). Methods. Data from 109 Danish RA patients initiating biologic treatment were analysed at baseline and following one year of treatment. Participants were retrospectively enrolled from a previous cohort study and were considered eligible for this project if CRP and ESR were measured at baseline and at the follow-up visit. To assess the extent of agreement between the two DAS28 definitions, the “European League Against Rheumatism” (EULAR) response criteria based on each definition were calculated with cross-classification. Weighted Kappa (κ) coefficients were calculated, and Bland-Altman plots were used to illustrate degree of agreement between DAS28 definitions. Results. The 75 eligible patients were classified as EULAR good, moderate, and nonresponders with good agreement (61/75; 81%) between DAS28-CRP and DAS28-ESR (κ = 0.75 (95% CI: 0.63 to 0.88)). Conclusions. According to our findings, DAS28-CRP and DAS28-ESR are interchangeable when assessing RA patients and the two versions of DAS28 are comparable between studies. PMID:25632353

76 FR 13446 - Nittany Bald and Eagle Railroad Company-Operation Exemption-SEDA-COG Joint Rail Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-11

... Eagle Railroad Company-Operation Exemption-SEDA- COG Joint Rail Authority Nittany Bald and Eagle... 0.0 and milepost 1.8 in Castanea, Clinton County, Pa. The line is owned or leased by SEDA-COG Joint Rail Authority (SEDA-COG). N&BE states that the line it proposes to operate is an extension of its...

The Joint Tactical Aerial Resupply Vehicle Impact on Sustainment Operations

DTIC Science & Technology

2017-06-09

Artificial Intelligence , Sustainment Operations, Rifle Company, Autonomous Aerial Resupply, Joint Tactical Autonomous Aerial Resupply System 16...Integrations and Development System AI Artificial Intelligence ARCIC Army Capabilities Integration Center ARDEC Armament Research, Development and...semi- autonomous systems, and fully autonomous systems. Autonomy of machines depends on sophisticated software, including Artificial Intelligence

Diver Relative UUV Navigation for Joint Human-Robot Operations

DTIC Science & Technology

2013-09-01

loop response: (10) where Kej is the gain that scales the position error to force . Substituting the measured values for ζ and ων as well as the...Underwater Vehicle; Tethered ; Hovering; Autonomous Underwater Vehicle; Joint human-robot operations; dynamic, uncertain environments 15. NUMBER OF PAGES...4   Figure 3.   The SeaBotix vLBV300 tethered AUV platform (left), and the planar vectored thruster

Building a Better Trojan Horse: Emerging Army Roles in Joint Urban Operations

DTIC Science & Technology

2001-01-01

Building a Better Trojan Horse : Emerging Army Roles in Joint Urban Operations A Monograph by MAJ Christopher H. Beckert Infantry, U.S. Army School...xx-xx-2000 to xx-xx-2000 5a. CONTRACT NUMBER 5b. GRANT NUMBER 4. TITLE AND SUBTITLE Building a Better Trojan Horse : Emerging Army Roles in Joint...TELEPHONE NUMBER International Area Code Area Code Telephone Number 703 767-9007 DSN 427-9007 2 Abstract BUILDING A BETTER TROJAN HORSE : EMERGING ARMY

76 FR 41307 - NASA Advisory Council; Space Operations Committee and Exploration Committee; Joint Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-13

... Operations Committee and Exploration Committee; Joint Meeting AGENCY: National Aeronautics and Space... the Space Operations Committee and Exploration Committee of the NASA Advisory Council. DATES: Tuesday.../Exploration Systems Mission Directorate Merger Update. [[Page 41308

Managing Safety and Operations: The Effect of Joint Management System Practices on Safety and Operational Outcomes.

PubMed

Tompa, Emile; Robson, Lynda; Sarnocinska-Hart, Anna; Klassen, Robert; Shevchenko, Anton; Sharma, Sharvani; Hogg-Johnson, Sheilah; Amick, Benjamin C; Johnston, David A; Veltri, Anthony; Pagell, Mark

2016-03-01

The aim of this study was to determine whether management system practices directed at both occupational health and safety (OHS) and operations (joint management system [JMS] practices) result in better outcomes in both areas than in alternative practices. Separate regressions were estimated for OHS and operational outcomes using data from a survey along with administrative records on injuries and illnesses. Organizations with JMS practices had better operational and safety outcomes than organizations without these practices. They had similar OHS outcomes as those with operations-weak practices, and in some cases, better outcomes than organizations with safety-weak practices. They had similar operational outcomes as those with safety-weak practices, and better outcomes than those with operations-weak practices. Safety and operations appear complementary in organizations with JMS practices in that there is no penalty for either safety or operational outcomes.

75 FR 20590 - PJM Interconnection, L.L.C., Complainant, v. Midwest Independent Transmission, System Operator...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-20

... System Operator, Inc. (Midwest ISO or Respondent) alleging that the Midwest ISO violated their, Midwest ISO and PJM, Joint Operating Agreement (JOA), through its practice of initiating the JOA market-to...

Saipan and Joint Operations

DTIC Science & Technology

1990-02-12

following postwar joint education objectives for ths armed forces: Objective i: To oroduce within each component of the armed forces a general knowledge...had acquired the pradtical knowledge to establieh::thvoe Joint educational goals which are as relevant today as when they were written. ENDNOTES 1...F2:", (- 1-1 1’A I’rn ,r’ lqA ,! Vim l ;` thO? C’~~~~~~~ a m in A i h9%t ý A din r, a INi m i t z% "h e haa I.z a:wn naval. +ac! lit! es, line~i n+f

Calcaneocuboid joint instability: a novel operative technique for anatomic reconstruction.

PubMed

Lohrer, Heinz; Arentz, Sabine

2004-05-01

A case history of a 13-year-old female national top-level gymnast, suffering from calcaneocuboid joint instability, is presented. The procedure was done as an anatomic repair by capsular reefing, which was augmented using a local periosteal flap. Initially, the athlete twisted her ankle. Clinical investigation revealed no sign of a lateral ankle ligament injury, but following this initial examination, recurrent giving-way of the foot occurred. She additionally felt significant but diffuse pain on the lateral side of the foot during loading in training and competition. For 2 months she was unable to run and conservative treatment failed. Diagnosis of a calcaneocuboid instability was established 4 months after the initial lesion by clinical and x-ray stress examination of the calcaneocuboid joint. Open surgery was successfully performed. Early functional posttreatment was done and the patient returned to full high-level gymnastics ability 16 weeks after surgery. Two years later, a similar injury occurred to the opposite calcaneocuboid joint and the same operative procedure again led to full sports ability.

Cooperative research and development agreements at METC

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

Ludlow, J.C.; Jarr, L.A.; Anderson, R.J.

1995-06-01

The Federal Technology Transfer Act of 1986 (P.L. 99-502) provided a new mechanism for joint research between private parties and the Morgantown Energy Technology Center (METC). Joint projects under this law are called Cooperative Research And Development Agreements (CRADAs) and are simply agreements between METC and the private sector to work together on a mutually beneficial project. Of primary interest to METC is the development and deployment of: (1) clean, efficient power generation technologies, (2) technologies for the characterization and exploitation of the Nation`s natural gas resource, and (3) environmental remediation technologies.

Joint Forces Command - Operation United Assistance Case Study: Lessons and Best Practices

DTIC Science & Technology

2016-07-01

additional and prioritized computers and access in the operations center for these mission requirements are essential. 127 JFC-OUA CASE STUDY Issue...this publication is welcomed and highly encouraged. Joint Forces Command – Operation United Assistance Case Study JFC-OUA CASE STUDY iii Foreword...Based on information drawn from various sources including after action reports, lessons learned, case studies , umbrella-week visits, and key-leader

78 FR 37814 - Tesoro Corporation and Tesoro Logistics Operations LLC; Analysis of Proposed Agreement Containing...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-24

... FEDERAL TRADE COMMISSION [File No. 131 0052] Tesoro Corporation and Tesoro Logistics Operations... Orders (``Consent Agreement'') with Tesoro Corporation and Tesoro Logistics Operations LLC (``Respondents... Metropolitan Statistical Area (``Boise MSA''). The Acquisition would reduce the competitive options [[Page...

Derivation of optimal joint operating rules for multi-purpose multi-reservoir water-supply system

NASA Astrophysics Data System (ADS)

Tan, Qiao-feng; Wang, Xu; Wang, Hao; Wang, Chao; Lei, Xiao-hui; Xiong, Yi-song; Zhang, Wei

2017-08-01

The derivation of joint operating policy is a challenging task for a multi-purpose multi-reservoir system. This study proposed an aggregation-decomposition model to guide the joint operation of multi-purpose multi-reservoir system, including: (1) an aggregated model based on the improved hedging rule to ensure the long-term water-supply operating benefit; (2) a decomposed model to allocate the limited release to individual reservoirs for the purpose of maximizing the total profit of the facing period; and (3) a double-layer simulation-based optimization model to obtain the optimal time-varying hedging rules using the non-dominated sorting genetic algorithm II, whose objectives were to minimize maximum water deficit and maximize water supply reliability. The water-supply system of Li River in Guangxi Province, China, was selected for the case study. The results show that the operating policy proposed in this study is better than conventional operating rules and aggregated standard operating policy for both water supply and hydropower generation due to the use of hedging mechanism and effective coordination among multiple objectives.

The joint operating company: an innovative approach to collaboration.

PubMed

Mason, S A; Seymour, D W

1995-06-01

Hospitals interested in horizontal integration often run into difficulties. In spite of otherwise sound business logic for two organizations to merge, there may be political, legal or financial reasons why a merger option cannot be pursued. Increasingly, enterprises are turning to a joint operating company structure as the solution to their needs. Scott A. Mason and Donald W. Seymour, partners with consulting firm National Health Advisors, explore situations where a JOC model of collaboration may be appropriate.

A methodology to enhance electromagnetic compatibility in joint military operations

NASA Astrophysics Data System (ADS)

Buckellew, William R.

The development and validation of an improved methodology to identify, characterize, and prioritize potential joint EMI (electromagnetic interference) interactions and identify and develop solutions to reduce the effects of the interference are discussed. The methodology identifies potential EMI problems using results from field operations, historical data bases, and analytical modeling. Operational expertise, engineering analysis, and testing are used to characterize and prioritize the potential EMI problems. Results can be used to resolve potential EMI during the development and acquisition of new systems and to develop engineering fixes and operational workarounds for systems already employed. The analytic modeling portion of the methodology is a predictive process that uses progressive refinement of the analysis and the operational electronic environment to eliminate noninterfering equipment pairs, defer further analysis on pairs lacking operational significance, and resolve the remaining EMI problems. Tests are conducted on equipment pairs to ensure that the analytical models provide a realistic description of the predicted interference.

75 FR 150 - Notice of Agreements Filed

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-04

...; Evergreen Line Joint Service Agreement; Hanjin Shipping Co., Ltd.; Hapag-Lloyd AG; Hyundai Merchant Marine... Overseas Container Line Limited; Yangming Marine Transport Corp.; and Zim Integrated Shipping Services, Ltd... initiatives and the reduction of air and water pollution. Agreement No.: 012008-004. Title: The 360 Quality...

Executive Report: JSOU (Joint Special Operations University) First Annual Symposium, 2-5 May 2006, Hurlburt Field, Florida

DTIC Science & Technology

2006-05-05

NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Joint Special Operations University,357 Tully Street...Alison Building,Hurlburt Field,FL,32544 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR...leadership. JSOU is a subordinate organization of the US Special Operations Command (USSOCOM), MacDill Air Force Base, Florida. The mission of the Joint

Joint Personnel Recovery Agency Joint Center for Operational Analysis and Lessons Learned Quarterly Bulletin, Volume 7, Issue 2, March 2005

DTIC Science & Technology

2005-03-01

execute these dangerous and uncertain missions. iv In my recent travels in the U.S. Central Command area of operations I had the great fortune of meeting...jfcom.mil 1Joint Center for Operational Analysis and Lessons Learned (JCOA-LL) Bulletin “That others may live…to return with honor” The old Chinese ...information has to travel to meet GCC staff requirements increases the difficulty in handling and maintaining situational awareness on PR events

42 CFR 488.452 - State and Federal disagreements involving findings not in agreement in non-State operated NFs and...

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually participating facilities when there is no... State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually...

42 CFR 488.452 - State and Federal disagreements involving findings not in agreement in non-State operated NFs and...

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 5 2013-10-01 2013-10-01 false State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually participating facilities when there is no... State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually...

42 CFR 488.452 - State and Federal disagreements involving findings not in agreement in non-State operated NFs and...

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 5 2012-10-01 2012-10-01 false State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually participating facilities when there is no... State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually...

42 CFR 488.452 - State and Federal disagreements involving findings not in agreement in non-State operated NFs and...

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 5 2014-10-01 2014-10-01 false State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually participating facilities when there is no... State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually...

42 CFR 488.452 - State and Federal disagreements involving findings not in agreement in non-State operated NFs and...

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually participating facilities when there is no... State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually...

Ambulatory measurement of the scapulohumeral rhythm: intra- and inter-operator agreement of a protocol based on inertial and magnetic sensors.

PubMed

Parel, I; Cutti, A G; Fiumana, G; Porcellini, G; Verni, G; Accardo, A P

2012-04-01

To measure the scapulohumeral rhythm (SHR) in outpatient settings, the motion analysis protocol named ISEO (INAIL Shoulder and Elbow Outpatient protocol) was developed, based on inertial and magnetic sensors. To complete the sensor-to-segment calibration, ISEO requires the involvement of an operator for sensor placement and for positioning the patient's arm in a predefined posture. Since this can affect the measure, this study aimed at quantifying ISEO intra- and inter-operator agreement. Forty subjects were considered, together with two operators, A and B. Three measurement sessions were completed for each subject: two by A and one by B. In each session, the humerus and scapula rotations were measured during sagittal and scapular plane elevation movements. ISEO intra- and inter-operator agreement were assessed by computing, between sessions, the: (1) similarity of the scapulohumeral patterns through the Coefficient of Multiple Correlation (CMC(2)), both considering and excluding the difference of the initial value of the scapula rotations between two sessions (inter-session offset); (2) 95% Smallest Detectable Difference (SDD(95)) in scapula range of motion. Results for CMC(2) showed that the intra- and inter-operator agreement is acceptable (median≥0.85, lower-whisker ≥ 0.75) for most of the scapula rotations, independently from the movement and the inter-session offset. The only exception is the agreement for scapula protraction-retraction and for scapula medio-lateral rotation during abduction (inter-operator), which is acceptable only if the inter-session offset is removed. SDD(95) values ranged from 4.4° to 8.6° for the inter-operator and between 4.9° and 8.5° for the intra-operator agreement. In conclusion, ISEO presents a high intra- and inter-operator agreement, particularly with the scapula inter-session offset removed. Copyright © 2011 Elsevier B.V. All rights reserved.

Leveraging Trade Agreements to Meet U.S. Security Aims

DTIC Science & Technology

2016-04-08

NATIONAL DEFENSE UNIVERSITY JOINT FORCES STAFF COLLEGE JOINT ADVANCED WARFIGHTING SCHOOL LEVERAGING TRADE AGREEMENTS TO MEET U.S. SECURITY AIMS by...Forces Staff College Joint Advanced Warfighting School 7800 Hampton Blvd Norfolk, VA. 2351 1-1702 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES...my own personal views and are not necessarily endorsed by the Joint Forces Staff College or the Department of Defense. This paper is entirely my own

24 CFR 943.144 - What financial impact do operations of a subsidiary, affiliate, or joint venture have on a PHA?

Code of Federal Regulations, 2010 CFR

2010-04-01

... of a subsidiary, affiliate, or joint venture have on a PHA? 943.144 Section 943.144 Housing and Urban... CONSORTIA AND JOINT VENTURES Subsidiaries, Affiliates, Joint Ventures in Public Housing § 943.144 What financial impact do operations of a subsidiary, affiliate, or joint venture have on a PHA? Income generated...

Characteristics of joint use agreements in school districts in the United States: findings from the School Health Policies and Practices Study, 2012.

PubMed

Everett Jones, Sherry; Wendel, Arthur M

2015-04-16

Joint use or shared use of public school facilities provides community access to facilities for varied purposes. We examined a nationally representative sample of school districts in the United States to identify characteristics associated with having a formal joint use agreement (JUA) and with the kinds of uses to which JUAs apply. We analyzed data from the 2012 School Health Policies and Practices Study. The response rate for the module containing questions about formal JUAs was 60.1% (N = 630). We used multivariate logistic regression models to examine the adjusted odds of having a formal JUA and χ(2) analyses to examine differences in district characteristics associated with the uses of the JUA. Among the 61.6% of school districts with a formal JUA, more than 80% had an agreement for the use of indoor and outdoor recreation facilities; other uses also were identified. JUAs were more common in urban than rural areas, in large than small school districts, and in the West compared with the Midwest, South, and Northeast. In many districts, school facilities appear to be an untapped resource for community members. Formal JUAs provide an opportunity for shared use while addressing issues of liability, cost, and logistics.

Multi-objective evolutionary optimization for the joint operation of reservoirs of water supply under water-food-energy nexus management

NASA Astrophysics Data System (ADS)

Uen, T. S.; Tsai, W. P.; Chang, F. J.; Huang, A.

2016-12-01

In recent years, urbanization had a great effect on the growth of population and the resource management scheme of water, food and energy nexus (WFE nexus) in Taiwan. Resource shortages of WFE become a long-term and thorny issue due to the complex interactions of WFE nexus. In consideration of rapid socio-economic development, it is imperative to explore an efficient and practical approach for WFE resources management. This study aims to search the optimal solution to WFE nexus and construct a stable water supply system for multiple stakeholders. The Shimen Reservoir and Feitsui Reservoir in northern Taiwan are chosen to conduct the joint operation of the two reservoirs for water supply. This study intends to achieve water resource allocation from the two reservoirs subject to different operating rules and restrictions of resource allocation. The multi-objectives of the joint operation aim at maximizing hydro-power synergistic gains while minimizing water supply deficiency as well as food shortages. We propose to build a multi-objective evolutionary optimization model for analyzing the hydro-power synergistic gains to suggest the most favorable solutions in terms of tradeoffs between WFE. First, this study collected data from two reservoirs and Taiwan power company. Next, we built a WFE nexus model based on system dynamics. Finally, this study optimized the joint operation of the two reservoirs and calculated the synergy of hydro-power generation. The proposed methodology can tackle the complex joint reservoir operation problems. Results can suggest a reliable policy for joint reservoir operation for creating a green economic city under the lowest risks of water supply.

49 CFR 605.14 - Agreement.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 7 2012-10-01 2012-10-01 false Agreement. 605.14 Section 605.14 Transportation... TRANSPORTATION SCHOOL BUS OPERATIONS School Bus Agreements § 605.14 Agreement. Except as provided in § 605.11 no... entered into a written agreement that the applicant will not engage in school bus operations exclusively...

49 CFR 605.14 - Agreement.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 7 2014-10-01 2014-10-01 false Agreement. 605.14 Section 605.14 Transportation... TRANSPORTATION SCHOOL BUS OPERATIONS School Bus Agreements § 605.14 Agreement. Except as provided in § 605.11 no... entered into a written agreement that the applicant will not engage in school bus operations exclusively...

49 CFR 605.14 - Agreement.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 7 2013-10-01 2013-10-01 false Agreement. 605.14 Section 605.14 Transportation... TRANSPORTATION SCHOOL BUS OPERATIONS School Bus Agreements § 605.14 Agreement. Except as provided in § 605.11 no... entered into a written agreement that the applicant will not engage in school bus operations exclusively...

49 CFR 605.14 - Agreement.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 7 2011-10-01 2011-10-01 false Agreement. 605.14 Section 605.14 Transportation... TRANSPORTATION SCHOOL BUS OPERATIONS School Bus Agreements § 605.14 Agreement. Except as provided in § 605.11 no... entered into a written agreement that the applicant will not engage in school bus operations exclusively...

49 CFR 605.14 - Agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Agreement. 605.14 Section 605.14 Transportation... TRANSPORTATION SCHOOL BUS OPERATIONS School Bus Agreements § 605.14 Agreement. Except as provided in § 605.11 no... entered into a written agreement that the applicant will not engage in school bus operations exclusively...

[Sports participation after joint arthroplasty].

PubMed

Dauty, M; Letenneur, J

2007-12-01

To recommand sports activities after joint arthroplasty from the literature analysis, the French surgeon's opinion and wish patients. From the Medline data base interrogation according to keywords: Sports, Arthroplasty, Athletics, Physical training, two different readers, an orthopedic surgeon and a Physical Medicine and Rehabilitation physician selected articles in French or English language according to the level of proofs of the french classification of the Accreditation and Health Evaluation National Agency (Anaes). Professional practices were estimated by the interrogation of 30 orthopedic surgeons members of the french West Orthopaedics Society (SOO). The demand of sports practice was studied with patients recently operated for a primary total knee arthroplasty (TKA) after gonarthrosis. Twenty-two articles were selected from 305 articles obtained by the search according to keywords. Ten literature reviews are limited by the absence of prospective randomized study. A level II study and eleven level IV articles are reported. According to the subjective orthropedic surgeon's opinion, the objective results based on the joint load studied and the percentage of arthroplasty revision, sport is beneficial for the individual health but perhaps not for the arthroplasty survey. However, aerobic and leisure activities are recommended (walking, swimming, cycling) in agreement with the demand of the patients recently operated with a TKA. TKA differs from Total Hip Arthroplasty for jogging because of knee joint constraints during the knee flexion. A single study reports sports possibilities after shoulder arthroplasty and ankle arthroplasty and no study reports results after elbow arthroplasty.

The Institutional Development Agreement. A New Operational Framework for A.I.D. and the Universities.

ERIC Educational Resources Information Center

National Association of State Universities and Land Grant Colleges, Washington, DC.

This is the report of a joint committee of the National Association of State Universities and Land Grant Colleges (NASULGC) and the Agency for International Development (AID). The committee was asked to consider and recommend measures to improve operating arrangements between AID and the universities, including possible arrangements for…

Shoulders to the Wheel: Energy-Related College/Business Cooperative Agreements.

ERIC Educational Resources Information Center

Jackman, Mary Jane G.; Mahoney, James R.

This booklet provides information on cooperative agreements between college and industry, focusing special attention on such agreements in energy-related fields. After highlighting the major elements of cooperative agreements and their benefits and potential problems, the report examines the economic context in which joint activity between…

46 CFR 385.38 - Joint funding.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 8 2012-10-01 2012-10-01 false Joint funding. 385.38 Section 385.38 Shipping MARITIME... AGREEMENTS REGULATIONS General Policies § 385.38 Joint funding. (a) Pursuant to section 10(c) of the Act, MarAd is authorized to participate in joint funded projects with other Federal agencies in any funding...

46 CFR 385.38 - Joint funding.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 8 2013-10-01 2013-10-01 false Joint funding. 385.38 Section 385.38 Shipping MARITIME... AGREEMENTS REGULATIONS General Policies § 385.38 Joint funding. (a) Pursuant to section 10(c) of the Act, MarAd is authorized to participate in joint funded projects with other Federal agencies in any funding...

46 CFR 385.38 - Joint funding.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 8 2014-10-01 2014-10-01 false Joint funding. 385.38 Section 385.38 Shipping MARITIME... AGREEMENTS REGULATIONS General Policies § 385.38 Joint funding. (a) Pursuant to section 10(c) of the Act, MarAd is authorized to participate in joint funded projects with other Federal agencies in any funding...

46 CFR 385.38 - Joint funding.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 8 2010-10-01 2010-10-01 false Joint funding. 385.38 Section 385.38 Shipping MARITIME... AGREEMENTS REGULATIONS General Policies § 385.38 Joint funding. (a) Pursuant to section 10(c) of the Act, MarAd is authorized to participate in joint funded projects with other Federal agencies in any funding...

46 CFR 385.38 - Joint funding.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 8 2011-10-01 2011-10-01 false Joint funding. 385.38 Section 385.38 Shipping MARITIME... AGREEMENTS REGULATIONS General Policies § 385.38 Joint funding. (a) Pursuant to section 10(c) of the Act, MarAd is authorized to participate in joint funded projects with other Federal agencies in any funding...

[Application of temporomandibular joint dics reduction in the operation of condylar sagittal fracture].

PubMed

Wenli, Zeng; Wuchao, Zhou; Jingkun, Zhang; Yisen, Shao; Weihong, Xi

2017-10-01

To explore the selection of temporomandibular joint (TMJ) disc reduction and fixation methods in condylar sagittal fracture surgery. A total of 36 patients with condylar fractures were chosen. The follow-up period was more 6 months. All 36 cases of condylar sagittal fracture were fixed with long screw. In the operation, the displaced joint disc was repositioned and fixed. The fixed method included direct suture (22 cases) and anchorage (14 cases). Clinical followups were performed before surgery and 1 month, 3 months, 6 months and 1 year after surgery. Clinicians recorded data related to the Fricton craniomandibular index (CMI) and evaluated the postoperative joint function during followup before surgery and 6 months after surgery. In both groups, function of TMJ significantly improved after surgery. The CMI decreased from 0.213±0.162 and 0.273±0.154 to 0.059±0.072 and 0.064±0.068 (P<0.05), respectively. No statistical difference was observed between the two groups in palpation index (PI), dysfunction index (DI) and CMI (P>0.05) before or after surgery. Both methods could effectively improve the dysfunction of the TMJ caused by trauma. The selection of joint disc reduction and fixation methods is based on the displacement and damage degree of the joint disc.

Apparatus for maintaining aligment of a shrinking weld joint in an electron-beam welding operation

DOEpatents

Trent, J.B.; Murphy, J.L.

1980-01-03

The invention is directed to an apparatus for automatically maintaining a shrinking weld joint in alignement with an electron beam during an electron-beam multipass-welding operation. The apparatus utilizes a bias means for continually urging a workpiece-supporting face plate away from a carriage mounted base that rotatably supports the face plate. The extent of displacement of the face plate away from the base in indicative of the shrinkage occuring in the weld joint area. This displacement is measured and is used to move the base on the carriage a distance equal to one-half the displacement for aligning the weld joint with the electron beam during each welding pass.

Space Situational Awareness in the Joint Space Operations Center

NASA Astrophysics Data System (ADS)

Wasson, M.

2011-09-01

Flight safety of orbiting resident space objects is critical to our national interest and defense. United States Strategic Command has assigned the responsibility for Space Situational Awareness (SSA) to its Joint Functional Component Command - Space (JFCC SPACE) at Vandenberg Air Force Base. This paper will describe current SSA imperatives, new developments in SSA tools and developments in Defensive Operations. Current SSA processes are being examined to capture, and possibly improve, tasking of SSN sensors and "new" space-based sensors, "common" conjunction assessment methodology, and SSA sharing due to the growth seen over the last two years. The stand-up of a Defensive Ops Branch will highlight the need for advanced analysis and collaboration across space, weather, intelligence, and cyber specialties. New developments in SSA tools will be a description of computing hardware/software upgrades planned as well as the use of User-Defined Operating Pictures and visualization applications.

Unassailable Advantage: The British Use of Principles of Joint Operations from 1758-1762

DTIC Science & Technology

2017-05-25

operations are based on the Principles of War developed by Baron Antoine Henri de Jomini. The Art of War (London: Greenhill Books), 1992. 6 JP 3-0, Joint...appointment based on this ability and willingness, rather than seniority.46 Also, the landing boats for the Rochefort operation were unacceptable. The... equipped with rudders and small sails to increase control and speed.47 They had either 16 or 20 oarsmen and could carry about a half a company of

Joint CPT and N resonance in compact atomic time standards

NASA Astrophysics Data System (ADS)

Crescimanno, Michael; Hohensee, Michael; Xiao, Yanhong; Phillips, David; Walsworth, Ron

2008-05-01

Currently development efforts towards small, low power atomic time standards use current-modulated VCSELs to generate phase-coherent optical sidebands that interrogate the hyperfine structure of alkali atoms such as rubidium. We describe and use a modified four-level quantum optics model to study the optimal operating regime of the joint CPT- and N-resonance clock. Resonant and non-resonant light shifts as well as modulation comb detuning effects play a key role in determining the optimal operating point of such clocks. We further show that our model is in good agreement with experimental tests performed using Rb-87 vapor cells.

Apparatus for maintaining alignment of a shrinking weld joint in an electron-beam welding operation

DOEpatents

Trent, Jett B.; Murphy, Jimmy L.

1981-01-01

The present invention is directed to an apparatus for automatically maintaining a shrinking weld joint in alignment with an electron beam during an electron-beam multipass-welding operation. The apparatus utilizes a biasing device for continually urging a workpiece-supporting face plate away from a carriage mounted base that rotatably supports the face plate. The extent of displacement of the face plate away from the base is indicative of the shrinkage occuring in the weld joint area. This displacement is measured and is used to move the base on the carriage a distance equal to one-half the displacement for aligning the weld joint with the electron beam during each welding pass.

Method and apparatus for preloading a joint by remotely operable means

NASA Technical Reports Server (NTRS)

Kahn, Jon B. (Inventor)

1993-01-01

The invention is a method and apparatus for joining structures, an active structure and a passive structure, and imposing a tensile pre-load on the joint by a remotely operable mechanism comprising a heat contractible joining element. The method and apparatus include mounting on the structure, a probe shaft of material which is transformable from an expanded length to a contracted length when heated to a specific temperature range. The shaft is provided with a probe head which is receivable in a receptacle opening formed in the passive structure, when the active structure is moved into engagement therewith by an appropriate manipulator mechanism. A latching system mounted on the structure adjacent to the receptacle opening captures the probe head, when the probe head is inserted a predetermined amount. A heating coil on the shaft is energizable by remote control for heating the shaft to a temperature range which transforms the shaft to its contracted length, whereby a latching shoulder thereof engages latching elements of the latching system and imposes a tensile preload on the structural joint. Provision is also made for manually adjusting the probe head on the shaft to allow for manual detachment of the structures or manual preloading of the structural joint.

Method and apparatus for preloading a joint by remotely operable means

NASA Technical Reports Server (NTRS)

Shelton, Robert O. (Inventor)

1992-01-01

The invention is a method and apparatus for joining structures, an active structure and a passive structure, and imposing a tensile pre-load on the joint by a remotely operable mechanism comprising a heat contractible joining element. The method and apparatus include mounting on the structure, a probe shaft of material which is transformable from an expanded length to a contracted length when heated to a specific temperature range. The shaft is provided with a probe head which is receivable in a receptacle opening formed in the passive structure, when the active structure is moved into engagement therewith by an appropriate manipulator mechanism. A latching system mounted on the structure adjacent to the receptacle opening captures the probe head, when the probe head is inserted a predetermined amount. A heating coil on the shaft is energizable by remote control for heating the shaft to a temperature range which transforms the shaft to its contracted length, whereby a latching shoulder thereof engages latching elements of the latching system and imposes a tensile preload on the structural joint. Provision is also made for manually adjusting the probe head on the shaft to allow for manual detachment of the structures or manual preloading of the structural joint.

The Secret of Future Defeat: The Evolution of US Joint and Army Doctrine 1993-2006 and the Flawed Conception of Stability Operations

DTIC Science & Technology

2007-05-24

The Secret of Future Defeat: the Evolution of US Joint and Army Doctrine 1993-2006 and the Flawed Conception of Stability Operations A...4. TITLE AND SUBTITLE The Secret of Future Defeat: the Evolution of US Joint and 5a. CONTRACT NUMBER Army Doctrine 1993-2006 and the Flawed... The Secret of Future Defeat: the Evolution of US Joint and Army Doctrine 1993-2006 and the Flawed Conception of Stability Operations Approved by

Joint Center for Operational Analysis Quarterly Bulletin. Volume 8, Issue 3, September 2006

DTIC Science & Technology

2006-09-01

Kuwait drove planning for Operation Desert Storm. The Dayton Peace Accord included an agreement by warring factions not to attack coalition forces as they...informants.29 Pinpointing the insurgent strongholds substantially helps the military shape its plan of attack. The government prepares the political...campaign plan . The use of informants, sting operations, and undercover internal affairs officers to name the most salient means, is effective in

Developing Joint Information Operations Warriors

DTIC Science & Technology

2006-04-13

the spectrum of conflict more than ever before. Information dominance has always been important, but the speed and methods at which it can be sent... information dominance . The analysis begins with a quick review of joint IO doctrine, Service approaches to IO, and IO personnel management. Next, IO

19 CFR 118.3 - Written agreement.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 19 Customs Duties 1 2010-04-01 2010-04-01 false Written agreement. 118.3 Section 118.3 Customs... CENTRALIZED EXAMINATION STATIONS General Provisions § 118.3 Written agreement. The applicant tentatively selected to operate a CES must sign a written agreement with Customs before commencing operations. Failure...

19 CFR 118.3 - Written agreement.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 19 Customs Duties 1 2014-04-01 2014-04-01 false Written agreement. 118.3 Section 118.3 Customs... CENTRALIZED EXAMINATION STATIONS General Provisions § 118.3 Written agreement. The applicant tentatively selected to operate a CES must sign a written agreement with CBP before commencing operations. Failure to...

Joint High Speed Vessel (JHSV) Follow on Operational Test and Evaluation (FOT and E) Report

DTIC Science & Technology

2015-09-21

Speed Vessel (JHSV) ship class. The events covered in this testing were not performed during the Initial Operational Test and Evaluation ( IOT &E...support boats since launch of these type boats was completed in IOT &E. 1 “Initial Operational Test...and Evaluation ( IOT &E) with Live Fire Test and Evaluation (LFT&E) on Joint High Speed Vessel (JHSV),” DOT&E, July 17, 2014. 2 MLP (CCS) is a heavy

23 CFR 450.314 - Metropolitan planning agreements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Metropolitan planning agreements. (a) The MPO, the State(s), and the public transportation operator(s) shall...(s), and the public transportation operator(s) serving the MPA. To the extent possible, a single... agreement among the MPOs, the State(s), and the public transportation operator(s) describing how the...

[Operative treatment and curative effects of the deltoid ligament injuries of the ankle joint].

PubMed

Cong, Pei-Jun; Liu, Bai-Hong; Wang, Ji-Ping; Qiao, Yong-Ping

2009-12-01

To explore the operative methods and curative effects of the deltoid ligament injuries. From 2002 to 2008, all 61 patients with ankle fractures complicated with deltoid ligament injuries were treated with open reduction and firm internal fixation. Among the patients, 39 patients were male and 22 patients were female, ranging in age from 14 to 71 years, with an average of 41 years. During the operation, the deltoid ligament was reconstructed to restore the medial and lateral stability of ankle joint. All the patients were followed up ranged from 5 to 30 months, with an average of 17 months. Fifty-nine patients had incision healed at the first stage; 2 patients had superficial infections at lateral malleolus, and healed at the 3rd week after changing dressings. The incisions at the internal medial malleolus were all healed at the first stage. According to Qi evaluation criteria, 35 patients got an excellent result, 13 good and 13 fair. The deltoid ligament should be treated properly in the treatment of ankle joint fractures when open reduction and firm internal fixation were emphasized.

Joint Spacelab-J (SL-J) Activities at the Huntsville Operations Support Center (HOSC) Spacelab

NASA Technical Reports Server (NTRS)

1999-01-01

The science laboratory, Spacelab-J (SL-J), flown aboard the STS-47 flight was a joint venture between NASA and the National Space Development Agency of Japan (NASDA) utilizing a manned Spacelab module. The mission conducted 24 materials science and 20 life science experiments, of which 35 were sponsored by NASDA, 7 by NASA, and two collaborative efforts. Materials science investigations covered such fields as biotechnology, electronic materials, fluid dynamics and transport phenomena, glasses and ceramics, metals and alloys, and acceleration measurements. Life sciences included experiments on human health, cell separation and biology, developmental biology, animal and human physiology and behavior, space radiation, and biological rhythms. Test subjects included the crew, Japanese koi fish (carp), cultured animal and plant cells, chicken embryos, fruit flies, fungi and plant seeds, and frogs and frog eggs. Featured together in joint ground activities during the SL-J mission are NASA/NASDA personnel at the Huntsville Operations Support Center (HOSC) Spacelab Payload Operations Control Center (SL POCC) at Marshall Space Flight Center (MSFC).

Temporo mandibular joint ankylosis.

PubMed

Vasconcelos, Belmiro Cavalcanti do Egito; Porto, Gabriela Granja; Bessa-Nogueira, Ricardo Viana

2008-01-01

Ankylosis may be defined as joint surfaces fusion. The treatment of temporomandibular joint ankylosis poses a significant challenge because of the high recurrence rate. The aim of this study is to report six cases treated by joint reconstruction, evaluate the results of these surgeries and review the literature. The sample in this retrospective study was obtained from the records of the university hospital, patients who had to undergo ankylosis treatment by alloplastic or autogenous graft between March 2001 and October 2005. Pre - and post-operative assessment included a throughout history and physical examination to determine the cause of ankylosis, the Maximum mouth opening (MMO), etiology and type of ankylosis, recurrence rate and presence of facial nerve paralysis. The mean MMO in the pre-operative period was 9.6 mm (0 mm to 17 mm) and in the post-operative period it was of 31.33 mm (14 mm to 41 mm), there was no facial nerve paralysis and there was recurrence in just one case. The joint reconstruction with alloplastic or autogenous grafts for the ankylosis treatment proved to be efficient in relation to the post-operative MMO, recurrence and joint function.

Operational space trajectory tracking control of robot manipulators endowed with a primary controller of synthetic joint velocity.

PubMed

Moreno-Valenzuela, Javier; González-Hernández, Luis

2011-01-01

In this paper, a new control algorithm for operational space trajectory tracking control of robot arms is introduced. The new algorithm does not require velocity measurement and is based on (1) a primary controller which incorporates an algorithm to obtain synthesized velocity from joint position measurements and (2) a secondary controller which computes the desired joint acceleration and velocity required to achieve operational space motion control. The theory of singularly perturbed systems is crucial for the analysis of the closed-loop system trajectories. In addition, the practical viability of the proposed algorithm is explored through real-time experiments in a two degrees-of-freedom horizontal planar direct-drive arm. Copyright © 2010 ISA. Published by Elsevier Ltd. All rights reserved.

Radiographic failure and rates of re-operation after acromioclavicular joint reconstruction: a comparison of surgical techniques.

PubMed

Spencer, H T; Hsu, L; Sodl, J; Arianjam, A; Yian, E H

2016-04-01

To compare radiographic failure and re-operation rates of anatomical coracoclavicular (CC) ligament reconstructional techniques with non-anatomical techniques after chronic high grade acromioclavicular (AC) joint injuries. We reviewed chronic AC joint reconstructions within a region-wide healthcare system to identify surgical technique, complications, radiographic failure and re-operations. Procedures fell into four categories: (1) modified Weaver-Dunn, (2) allograft fixed through coracoid and clavicular tunnels, (3) allograft loop coracoclavicular fixation, and (4) combined allograft loop and synthetic cortical button fixation. Among 167 patients (mean age 38.1 years, (standard deviation (sd) 14.7) treated at least a four week interval after injury, 154 had post-operative radiographs available for analysis. Radiographic failure occurred in 33/154 cases (21.4%), with the lowest rate in Technique 4 (2/42 4.8%, p = 0.001). Half the failures occurred by six weeks, and the Kaplan-Meier survivorship at 24 months was 94.4% (95% confidence interval (CI) 79.6 to 98.6) for Technique 4 and 69.9% (95% CI 59.4 to 78.3) for the other techniques when combined. In multivariable survival analysis, Technique 4 had better survival than other techniques (Hazard Ratio 0.162, 95% CI 0.039 to 0.068, p = 0.013). Among 155 patients with a minimum of six months post-operative insurance coverage, re-operation occurred in 9.7% (15 patients). However, in multivariable logistic regression, Technique 4 did not reach a statistically significant lower risk for re-operation (odds ratio 0.254, 95% CI 0.05 to 1.3, p = 0.11). In this retrospective series, anatomical CC ligament reconstruction using combined synthetic cortical button and allograft loop fixation had the lowest rate of radiographic failure. Anatomical coracoclavicular ligament reconstruction using combined synthetic cortical button and allograft loop fixation had the lowest rate of radiographic failure. ©2016 The British Editorial

28 CFR 48.4 - Application for approval of joint newspaper operating arrangement entered into after July 24, 1970.

Code of Federal Regulations, 2010 CFR

2010-07-01

... newspaper operating arrangement entered into after July 24, 1970. 48.4 Section 48.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) NEWSPAPER PRESERVATION ACT § 48.4 Application for approval of joint newspaper operating arrangement entered into after July 24, 1970. (a) Persons desiring to obtain the...

78 FR 3424 - Notice of Agreements Filed

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-16

... Sud Americana de Vapores, S.A.; COSCO Container Lines Company Limited; Dole Ocean Cargo Express....A.G.) as shareholder parties, and Alianca Navegacao e Logistica Ltda.; China Shipping Container... Container Lines Co., Ltd.; Emirates Shipping Lines; Evergreen Line Joint Service Agreement; Gold Star Line...

NEWS RELEASE - Agencies Agree to Joint Regulatory Framework for Processing Applications for Surface Coal Mining Operations

EPA Pesticide Factsheets

News release from February 10, 2005 announcing a memorandum of understanding (MOU) that offers a joint framework to improve permit application procedures for surface coal mining operations that place dredged or fill material in waters of the United States.

Command and Control of Joint Air Operations. Some Lessons Learned from Four Case Studies of an Enduring Issue

DTIC Science & Technology

1991-01-01

New Zealand Air Force.4 To further complicate matters, General Douglas MacArthur, as Commander Southwest Pacific Area, and the adjoining theater...Army, Marine, and New Zealand officers and the top job was rotated fairly regularly among the services.10 By early 1943 a truly joint staff had...in joint air operations. 2C. Kenneth Allard, Command, Control, and the Common Defense, Yale University Press, New Haven, 1990. The authors strongly

39 CFR 3010.42 - Contents of notice of agreement in support of a negotiated service agreement.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... (b) A statement identifying all parties to the agreement and a description clearly explaining the operative components of the agreement. (c) Details regarding the expected improvements in the net financial position or operations of the Postal Service. The projection of change in net financial position as a...

46 CFR 535.404 - Agreement provisions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 9 2013-10-01 2013-10-01 false Agreement provisions. 535.404 Section 535.404 Shipping... AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Filing of Agreements § 535.404 Agreement provisions. Generally, each agreement should: (a) Indicate the full legal name of each...

48 CFR 1642.7001 - Management agreement.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Management agreement. 1642... Agreement (in Lieu of Novation Agreement) 1642.7001 Management agreement. When it is in the best interest of... operations and has entered into a Purchase and Sale Agreement (or other descriptive term), but before a...

46 CFR 535.201 - Subject agreements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 9 2013-10-01 2013-10-01 false Subject agreements. 535.201 Section 535.201 Shipping... AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Scope § 535.201 Subject agreements. (a) Ocean common carrier agreements. This part applies to agreements by or among ocean common...

7 CFR 250.12 - Agreements.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 4 2014-01-01 2014-01-01 false Agreements. 250.12 Section 250.12 Agriculture... TERRITORIES AND POSSESSIONS AND AREAS UNDER ITS JURISDICTION General Operating Provisions § 250.12 Agreements. (a) Agreements with Department. Prior to the beginning of a distribution program, distributing...

7 CFR 250.12 - Agreements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 4 2010-01-01 2010-01-01 false Agreements. 250.12 Section 250.12 Agriculture... TERRITORIES AND POSSESSIONS AND AREAS UNDER ITS JURISDICTION General Operating Provisions § 250.12 Agreements. (a) Agreements with Department. Prior to the beginning of a distribution program, distributing...

7 CFR 250.12 - Agreements.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 4 2012-01-01 2012-01-01 false Agreements. 250.12 Section 250.12 Agriculture... TERRITORIES AND POSSESSIONS AND AREAS UNDER ITS JURISDICTION General Operating Provisions § 250.12 Agreements. (a) Agreements with Department. Prior to the beginning of a distribution program, distributing...

7 CFR 250.12 - Agreements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 4 2011-01-01 2011-01-01 false Agreements. 250.12 Section 250.12 Agriculture... TERRITORIES AND POSSESSIONS AND AREAS UNDER ITS JURISDICTION General Operating Provisions § 250.12 Agreements. (a) Agreements with Department. Prior to the beginning of a distribution program, distributing...

7 CFR 250.12 - Agreements.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 4 2013-01-01 2013-01-01 false Agreements. 250.12 Section 250.12 Agriculture... TERRITORIES AND POSSESSIONS AND AREAS UNDER ITS JURISDICTION General Operating Provisions § 250.12 Agreements. (a) Agreements with Department. Prior to the beginning of a distribution program, distributing...

STS payloads mission control study continuation phase A-1. Volume 2-C, task 3: Identification of joint activities and estimation of resources in preparation for joint flight operations

NASA Technical Reports Server (NTRS)

1976-01-01

Payload mission control concepts are developed for real time flight operations of STS. Flight planning, training, simulations, and other flight preparations are included. Payload activities for the preflight phase, activity sequences and organizational allocations, and traffic and experience factors to establish composite man-loading for joint STS payload activities are identified for flight operations from 1980 to 1985.

14 CFR 372.24 - Surety bond, depository agreement, escrow agreement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... (2) which is listed in Best's Insurance Reports (fire and casualty) with a general policyholders... surety to any charter participant shall not exceed the charter operator's applicable tariff fare. Such... not exceed the charter operator's applicable tariff fare; and (ii) Enter into an agreement with a bank...

Blood management and transfusion strategies in 600 patients undergoing total joint arthroplasty: an analysis of pre-operative autologous blood donation.

PubMed

Perazzo, Paolo; Viganò, Marco; De Girolamo, Laura; Verde, Francesco; Vinci, Anna; Banfi, Giuseppe; Romagnoli, Sergio

2013-07-01

Blood loss during total joint arthroplasty strongly influences the time to recover after surgery and the quality of the recovery. Blood conservation strategies such as pre-operative autologous blood donation and post-operative cell salvage are intended to avoid allogeneic blood transfusions and their associated risks. Although widely investigated, the real effectiveness of these alternative transfusion practices remains controversial. The surgery reports of 600 patients undergoing total joint arthroplasty (312 hip and 288 knee replacements) were retrospectively reviewed to assess transfusion needs and related blood management at our institute. Evaluation parameters included post-operative blood loss, haemoglobin concentration measured at different time points, ASA score, and blood transfusion strategies. Autologous blood donation increased the odds of receiving a red blood cell transfusion. Reinfusion by a cell salvage system of post-operative shed blood was found to limit adverse effects in cases of severe post-operative blood loss. The peri-operative net decrease in haemoglobin concentration was higher in patients who had predeposited autologous blood than in those who had not. The strengths of this study are the high number of cases and the standardised procedures, all operations having been performed by a single orthopaedic surgeon and a single anaesthesiologist. Our data suggest that a pre-operative autologous donation programme may often be useless, if not harmful. Conversely, the use of a cell salvage system may be effective in reducing the impact of blood transfusion on a patient's physiological status. Basal haemoglobin concentration emerged as a useful indicator of transfusion probability in total joint replacement procedures.

Intraobserver and interobserver agreement on the radiographical diagnosis of canine cranial cruciate ligament rupture.

PubMed

Bogaerts, Evelien; Van der Vekens, Elke; Verhoeven, Geert; de Rooster, Hilde; Van Ryssen, Bernadette; Samoy, Yves; Putcuyps, Ingrid; Van Tilburg, Johan; Devriendt, Nausikaa; Weekers, Frederik; Bertal, Mileva; Houdellier, Blandine; Scheemaeker, Stephanie; Versteken, Jeroen; Lamerand, Maryline; Feenstra, Laurien; Peelman, Luc; Nieuwerburgh, Filip Van; Saunders, Jimmy H; Broeckx, Bart J G

2018-04-28

Even though radiography is one of the most frequently used imaging techniques for orthopaedic disorders, it has been demonstrated that the interpretation can vary between assessors. As such, the purpose of this study was to examine the intraobserver and interobserver agreement and the influence of level of expertise on the interpretation of radiographs of the stifle in dogs with and without cranial cruciate ligament rupture (CCLR). Sixteen observers, divided in four groups according to their level of experience, evaluated 30 radiographs (15 cases with CCLR and 15 control stifles) twice. Each observer was asked to evaluate joint effusion, presence and location of degenerative joint disease, joint instability and whether CCLR was present or absent. Overall, intraobserver and interobserver agreement ranged from fair to almost perfect with a trend towards increased agreement for more experienced observers. Additionally, it was found that stifles that were classified with high agreement have either overt disease characteristics or no disease characteristics at all, in comparison to the ones that are classified with a low agreement. Overall, the agreement on radiographic interpretation of CCLR was high, which is important, as it is the basis of a correct diagnosis and treatment. © British Veterinary Association (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Joint chemical defense for the rear battle: main operating bases in NATO's central region. Student report

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

Salmi, M.D.

In 1984, the Chiefs of Staff of the US Army and the US Air Force signed a Memorandum of Understanding (MOU) outlining a concept for the joint air defense of overseas air bases. With little previous experience in joint rear-area operations, problems were bound to occur, especially in the area of chemical warfare defense (CWD). The Army bases its CWD doctrine on the concept of maneuver while the Air Force bases its doctrine on being tied to air bases with little or no capability to avoid chemical attacks. Each Service developed its doctrine to support its operational concept. This studymore » compared and contrasted the CWD doctrine of the Army and the Air Force. If found a great deal of commonality exists; however, there are also several problems which could lead to death, injury, and degradation of sortie generation capability.« less

7 CFR 1499.5 - Agreements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 10 2011-01-01 2011-01-01 false Agreements. 1499.5 Section 1499.5 Agriculture... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS FOOD FOR PROGRESS PROGRAM § 1499.5 Agreements. (a) After FAS approves an applicant's proposal, FAS will develop an agreement in consultation with the applicant...

7 CFR 1499.5 - Agreements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Agreements. 1499.5 Section 1499.5 Agriculture... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS FOOD FOR PROGRESS PROGRAM § 1499.5 Agreements. (a) After FAS approves an applicant's proposal, FAS will develop an agreement in consultation with the applicant...

Scoring haemophilic arthropathy on X-rays: improving inter- and intra-observer reliability and agreement using a consensus atlas.

PubMed

Foppen, Wouter; van der Schaaf, Irene C; Beek, Frederik J A; Verkooijen, Helena M; Fischer, Kathelijn

2016-06-01

The radiological Pettersson score (PS) is widely applied for classification of arthropathy to evaluate costly haemophilia treatment. This study aims to assess and improve inter- and intra-observer reliability and agreement of the PS. Two series of X-rays (bilateral elbows, knees, and ankles) of 10 haemophilia patients (120 joints) with haemophilic arthropathy were scored by three observers according to the PS (maximum score 13/joint). Subsequently, (dis-)agreement in scoring was discussed until consensus. Example images were collected in an atlas. Thereafter, second series of 120 joints were scored using the atlas. One observer rescored the second series after three months. Reliability was assessed by intraclass correlation coefficients (ICC), agreement by limits of agreement (LoA). Median Pettersson score at joint level (PSjoint) of affected joints was 6 (interquartile range 3-9). Using the consensus atlas, inter-observer reliability of the PSjoint improved significantly from 0.94 (95 % confidence interval (CI) 0.91-0.96) to 0.97 (CI 0.96-0.98). LoA improved from ±1.7 to ±1.1 for the PSjoint. Therefore, true differences in arthropathy were differences in the PSjoint of >2 points. Intra-observer reliability of the PSjoint was 0.98 (CI 0.97-0.98), intra-observer LoA were ±0.9 points. Reliability and agreement of the PS improved by using a consensus atlas. • Reliability of the Pettersson score significantly improved using the consensus atlas. • The presented consensus atlas improved the agreement among observers. • The consensus atlas could be recommended to obtain a reproducible Pettersson score.

Searching for Order Within Chaos: Complexity Theorys Implications to Intelligence Support During Joint Operational Planning

DTIC Science & Technology

2017-06-09

structures constantly arise in firefights and skirmishes on the battlefield. Source: Andrew Ilachinski, Artificial War: Multiagent- Based Simulation of...Alternative Methods of Analysis and Innovative Organizational Structures .” Conference, Rome, Italy March 31-April 2. ...Intelligence Analysis, Joint Operational Planning, Cellular Automata, Agent- Based Modeling 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18

Joint road safety operations in tunnels and open roads

NASA Astrophysics Data System (ADS)

Adesiyun, Adewole; Avenoso, Antonio; Dionelis, Kallistratos; Cela, Liljana; Nicodème, Christophe; Goger, Thierry; Polidori, Carlo

2017-09-01

The objective of the ECOROADS project is to overcome the barrier established by the formal interpretation of the two Directives 2008/96/EC and 2004/54/EC, which in practice do not allow the same Road Safety Audits/Inspections to be performed inside tunnels. The projects aims at the establishment of a common enhanced approach to road infrastructure and tunnel safety management by using the concepts and criteria of the Directive 2008/96/CE on road infrastructure safety management and the results of related European Commission (EC) funded projects. ECOROADS has already implemented an analysis of national practices regarding Road Safety Inspections (RSI), two Workshops with the stakeholders, and an exchange of best practices between European tunnel experts and road safety professionals, which led to the definition of common agreed safety procedures. In the second phase of the project, different groups of experts and observers applied the above common procedures by inspecting five European road sections featuring both open roads and tunnels in Belgium, Albania, Germany, Serbia and Former Yugoslav Republic of Macedonia. This paper shows the feedback of the 5 joint safety operations and how they are being used for a set of - recommendations and guidelines for the application of the RSA and RSI concepts within the tunnel safety operations.

U.S. and European ALMA Partners Sign Agreement Green Light for World's Most Powerful Radio Observatory

NASA Astrophysics Data System (ADS)

2003-02-01

Dr. Rita Colwell, director of the U.S. National Science Foundation (NSF), and Dr. Catherine Cesarsky, director general of the European Southern Observatory (ESO), today signed a historic agreement jointly to construct and operate ALMA, the Atacama Large Millimeter Array, the world's largest and most powerful radio telescope operating at millimeter and sub-millimeter wavelengths. "With this agreement, we usher in a new age of research in astronomy," said Dr. Colwell. "By working together in this truly global partnership, the international astronomy community will be able to ensure the research capabilities needed to meet the long-term demands of our scientific enterprise, and we will be able to study and understand our Universe in ways that have previously been beyond our vision." ALMA Array Artist's Conception of ALMA Array in Compact Configuration (Click on Image for Larger Version) Other Images Available: Artist's conception of the antennas for the Atacama Large Millimeter Array Moonrise over ALMA test equipment near Cerro Chajnantor, Chile VertexRSI antenna at the VLA test site Dr. Cesarsky also commented, "This agreement signifies the start of a great project of contemporary astronomy and astrophysics. Representing Europe, and in collaboration with many laboratories and institutes on this continent, we together look forward toward wonderful research projects. With ALMA, we may learn how the earliest galaxies in the Universe really looked like, to mention but one of the many eagerly awaited opportunities with this marvelous facility." When complete in 2011, ALMA will be an array of 64, 12-meter radio antennas that will work together as one telescope to study millimeter and sub-millimeter wavelength light from space. These wavelengths of the electromagnetic spectrum, which cross the critical boundary between infrared and microwave radiation, hold the key to understanding such processes as planet and star formation, the formation of early galaxies and galaxy

12 CFR 614.4345 - Guaranty agreements.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Guaranty agreements. 614.4345 Section 614.4345 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM LOAN POLICIES AND OPERATIONS Loss-Sharing Agreements § 614.4345 Guaranty agreements. Guaranty agreements under which a percentage of the...

12 CFR 614.4345 - Guaranty agreements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Guaranty agreements. 614.4345 Section 614.4345 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM LOAN POLICIES AND OPERATIONS Loss-Sharing Agreements § 614.4345 Guaranty agreements. Guaranty agreements under which a percentage of the...

Blood management and transfusion strategies in 600 patients undergoing total joint arthroplasty: an analysis of pre-operative autologous blood donation

PubMed Central

Perazzo, Paolo; Viganò, Marco; de Girolamo, Laura; Verde, Francesco; Vinci, Anna; Banfi, Giuseppe; Romagnoli, Sergio

2013-01-01

Background Blood loss during total joint arthroplasty strongly influences the time to recover after surgery and the quality of the recovery. Blood conservation strategies such as pre-operative autologous blood donation and post-operative cell salvage are intended to avoid allogeneic blood transfusions and their associated risks. Although widely investigated, the real effectiveness of these alternative transfusion practices remains controversial. Materials and methods The surgery reports of 600 patients undergoing total joint arthroplasty (312 hip and 288 knee replacements) were retrospectively reviewed to assess transfusion needs and related blood management at our institute. Evaluation parameters included post-operative blood loss, haemoglobin concentration measured at different time points, ASA score, and blood transfusion strategies. Results Autologous blood donation increased the odds of receiving a red blood cell transfusion. Reinfusion by a cell salvage system of post-operative shed blood was found to limit adverse effects in cases of severe post-operative blood loss. The peri-operative net decrease in haemoglobin concentration was higher in patients who had predeposited autologous blood than in those who had not. Discussion The strengths of this study are the high number of cases and the standardised procedures, all operations having been performed by a single orthopaedic surgeon and a single anaesthesiologist. Our data suggest that a pre-operative autologous donation programme may often be useless, if not harmful. Conversely, the use of a cell salvage system may be effective in reducing the impact of blood transfusion on a patient’s physiological status. Basal haemoglobin concentration emerged as a useful indicator of transfusion probability in total joint replacement procedures. PMID:23736922

7 CFR 1424.5 - Agreement process.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 10 2011-01-01 2011-01-01 false Agreement process. 1424.5 Section 1424.5 Agriculture... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS BIOENERGY PROGRAM § 1424.5 Agreement process. (a) To participate, an eligible producer must submit a signed agreement during the FY sign-up period. Agreements may...

7 CFR 1424.5 - Agreement process.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Agreement process. 1424.5 Section 1424.5 Agriculture... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS BIOENERGY PROGRAM § 1424.5 Agreement process. (a) To participate, an eligible producer must submit a signed agreement during the FY sign-up period. Agreements may...

The joint venture alternative to mergers.

PubMed

Enders, R J

1995-02-01

However, while a joint venture may be "safe" from antitrust challenge, it is not without some practical difficulties, especially with respect to consolidating services at one location or jointly offering services provided at multiple facilities. These practical concerns include: 1. Who will exercise operational management of the joint venture? 2. How will the joint venture deal with different pricing for services that will be provided at multiple locations? 3. What criteria will be used to decide the location at which consolidated tertiary services will be offered? 4. In what circumstances can the joint venture be unwound, either in its entirety or as to discrete functions? When clinical services have been consolidated at one location, there is an appropriate concern by the other hospital that it will be unable to provide or re-enter the market for those services if the joint venture dissolves. These operational concerns, of course, are not addressed in the Consent Decree. Thus, even if a joint venture relationship survives antitrust scrutiny, the parties must still negotiate and resolve these operational issues in order for the joint venture to be viable.

Joint Doctrine for Electronic Warfare

DTIC Science & Technology

2000-04-07

Command, Control, Communications, and Computer Systems Directorate (J-6) and the Intelligence Directorate (J-2). The joint restricted frequency list (JRFL...for exercises and operations within the operational area. EW interests in the preparation of the joint restricted frequency list for specific... frequency list (JRFL) for approval by the J-3 (through the information operations [IO] cell or equivalent). Periodically updates and distributes the JRFL

Static analysis of large-scale multibody system using joint coordinates and spatial algebra operator.

PubMed

Omar, Mohamed A

2014-01-01

Initial transient oscillations inhibited in the dynamic simulations responses of multibody systems can lead to inaccurate results, unrealistic load prediction, or simulation failure. These transients could result from incompatible initial conditions, initial constraints violation, and inadequate kinematic assembly. Performing static equilibrium analysis before the dynamic simulation can eliminate these transients and lead to stable simulation. Most exiting multibody formulations determine the static equilibrium position by minimizing the system potential energy. This paper presents a new general purpose approach for solving the static equilibrium in large-scale articulated multibody. The proposed approach introduces an energy drainage mechanism based on Baumgarte constraint stabilization approach to determine the static equilibrium position. The spatial algebra operator is used to express the kinematic and dynamic equations of the closed-loop multibody system. The proposed multibody system formulation utilizes the joint coordinates and modal elastic coordinates as the system generalized coordinates. The recursive nonlinear equations of motion are formulated using the Cartesian coordinates and the joint coordinates to form an augmented set of differential algebraic equations. Then system connectivity matrix is derived from the system topological relations and used to project the Cartesian quantities into the joint subspace leading to minimum set of differential equations.

Operation Joint Endeavor in Bosnia: telemedicine systems and case reports.

PubMed

Calcagni, D E; Clyburn, C A; Tomkins, G; Gilbert, G R; Cramer, T J; Lea, R K; Ehnes, S G; Zajtchuk, R

1996-01-01

For the last several years the U.S. Department of Defense (DoD) has operated a telemedicine test bed at the U.S. Army Medical Research and Material Command's Medical Advanced Technology Management Office. The goal of this test bed is to reengineer the military health service system from the most forward deployed forces to tertiary care teaching medical centers within the United States by exploiting emerging telemedicine technologies. The test bed has conducted numerous proof-of-concept telemedicine demonstrations as part of military exercises and in support of real-world troop deployments. The most ambitious of those demonstrations is Primetime III, an ongoing effort to provide telemedicine and other advanced technology support to medical units supporting Operation Joint Endeavor in Bosnia. Several of the first instances of the clinical use of the Primetime III systems are presented as case reports in this paper. These reports demonstrate capabilities and limitations of telemedicine. The Primetime III system demonstrates the technical ability to provide current telecommunications capabilities to medical units stationed in the remote, austere, difficult-to-serve environment of Bosnia. Telemedicine capabilities cannot be used without adequate training, operations, and sustainment support. Video consultations have eliminated the need for some evacuations. The system has successfully augmented the clinical capability of physicians assigned to these medical units. Fullest clinical utilization of telemedicine technologies requires adjustment of conventional clinical practice patterns.

Metal-on-metal hip joint tribology.

PubMed

Dowson, D; Jin, Z M

2006-02-01

The basic tribological features of metal-on-metal total hip replacements have been reviewed to facilitate an understanding of the engineering science underpinning the renaissance of these hard-on-hard joints. Metal-on-polymer hip replacements operate in the boundary lubrication regime, thus leading to the design guidance to reduce the femoral head diameter as much as is feasible to minimize frictional torque and volumetric wear. This explains why the gold-standard implant of this form from the past half-century had a diameter of only 22.225 mm (7/8 in). Metal-on-metal implants can operate in the mild mixed lubrication regime in which much of the applied load is supported by elastohydrodynamic films. Correct tribological design leads to remarkably low steady state wear rates. Promotion of the most effective elastohydrodynamic films calls for the largest possible head diameters and the smallest clearances that can reasonably be adopted, consistent with fine surface finishes, good sphericity and minimal structural elastic deformation of the cup on its foundations. This guidance, which is opposite in form to that developed for metal-on-polymer joints, is equally valid for solid (monolithic) metallic heads on metallic femoral stems and surface replacement femoral shells. Laboratory measurements of friction and wear in metal-on-metal joints have confirmed their potential to achieve a very mild form of mixed lubrication. The key lies in the generation of effective elastohydrodynamic lubricating films of adequate thickness compared with the composite roughness of the head and cup. The calculation of the film thickness is by no means easy, but the full procedure is outlined and the use of an empirical formula that displays good agreement with calculations based upon the full numerical solutions is explained. The representation of the lambda ratio, lambda, embracing both film thickness and composite roughness, is described.

Highway/Railroad Accident Report: Collision Of Northeast Illinois Regional Commuter Railroad Corporation (METRA) Train And Transportation Joint Agreement School District 47/155 School Bus At Railroad/Highway Grade Crossing In Fox River Grove, Illinois, On

DOT National Transportation Integrated Search

1996-10-29

This report explains the collision of a Northeast Illinois Regional Commuter Railroad Corporation commuter train with a Transportation Joint Agreement School District 47/155 school bus that was stopped at a railroad/highway grade crossing in Fox Rive...

Joint Implications for Contracted Logistics

DTIC Science & Technology

2007-03-30

authority with the host nation country and policy on using UCMJ for contracted personnel. As tailored theater policies are developed and contracting...responsibility, this paper recommends better joint training, leader development and joint enablers for contracting operations. JOINT...U.S. Joint Forces Command (JFCOM) are analyzing Congressional and DOD policy to develop procedures and force structure to support contractor

Patients with triangular fibrocartilage complex injuries and distal radioulnar joint instability have reduced rotational torque in the forearm.

PubMed

Andersson, J K; Axelsson, P; Strömberg, J; Karlsson, J; Fridén, J

2016-09-01

A total of 20 patients scheduled for wrist arthroscopy, all with clinical signs of rupture to the triangular fibrocartilage complex and distal radioulnar joint instability, were tested pre-operatively by an independent observer for strength of forearm rotation. During surgery, the intra-articular pathology was documented by photography and also subsequently individually analysed by another independent hand surgeon. Arthroscopy revealed a type 1-B injury to the triangular fibrocartilage complex in 18 of 20 patients. Inter-rater reliability between the operating surgeon and the independent reviewer showed absolute agreement in all but one patient (95%) in terms of the injury to the triangular fibrocartilage complex and its classification. The average pre-operative torque strength was 71% of the strength of the non-injured contralateral side in pronation and supination. Distal radioulnar joint instability with an arthroscopically verified injury to the triangular fibrocartilage complex is associated with a significant loss of both pronation and supination torque. Case series, Level IV. © The Author(s) 2015.

Student agreement regarding adequacy of didactic content and practical experiences of vaccination clinic business operations.

PubMed

George, David L; Johnson, Eric J; O'Neal, Katherine S; Smith, Michael J

2018-04-01

To report student perceived adequacy regarding didactic content and practical experiences of vaccination clinic business operations. Didactic content, a case study, and practical experiences regarding vaccination clinic business operations were implemented in related lectures of a Pharmacy Business and Entrepreneurship (PBE) elective and the college of pharmacy sponsored vaccination clinics. An online survey was used to evaluate student perceived adequacy of didactic content and practical experiences of vaccination clinic business operations. Mean scaled agreement was compared between students in the PBE elective versus those not in the elective. Student confidence in performing business operations was also assessed. Students in the PBE had higher mean confidence than non-elective students regarding staff management (3.23 vs. 2.73, p = 0.04). Success of the interventions may be attributed to students in the PBE elective that reported a higher mean perceived adequacy of content and practical experiences and confidence in performing nearly all business operations. Still, further evaluation of interventions is being considered to assess effectiveness of learning. Published by Elsevier Inc.

Static Analysis of Large-Scale Multibody System Using Joint Coordinates and Spatial Algebra Operator

PubMed Central

Omar, Mohamed A.

2014-01-01

Initial transient oscillations inhibited in the dynamic simulations responses of multibody systems can lead to inaccurate results, unrealistic load prediction, or simulation failure. These transients could result from incompatible initial conditions, initial constraints violation, and inadequate kinematic assembly. Performing static equilibrium analysis before the dynamic simulation can eliminate these transients and lead to stable simulation. Most exiting multibody formulations determine the static equilibrium position by minimizing the system potential energy. This paper presents a new general purpose approach for solving the static equilibrium in large-scale articulated multibody. The proposed approach introduces an energy drainage mechanism based on Baumgarte constraint stabilization approach to determine the static equilibrium position. The spatial algebra operator is used to express the kinematic and dynamic equations of the closed-loop multibody system. The proposed multibody system formulation utilizes the joint coordinates and modal elastic coordinates as the system generalized coordinates. The recursive nonlinear equations of motion are formulated using the Cartesian coordinates and the joint coordinates to form an augmented set of differential algebraic equations. Then system connectivity matrix is derived from the system topological relations and used to project the Cartesian quantities into the joint subspace leading to minimum set of differential equations. PMID:25045732

Towards understanding knee joint laxity: errors in non-invasive assessment of joint rotation can be corrected.

PubMed

Moewis, P; Boeth, H; Heller, M O; Yntema, C; Jung, T; Doyscher, R; Ehrig, R M; Zhong, Y; Taylor, W R

2014-07-01

The in vivo quantification of rotational laxity of the knee joint is of importance for monitoring changes in joint stability or the outcome of therapies. While invasive assessments have been used to study rotational laxity, non-invasive methods are attractive particularly for assessing young cohorts. This study aimed to determine the conditions under which tibio-femoral rotational laxity can be assessed reliably and accurately in a non-invasive manner. The reliability and error of non-invasive examinations of rotational joint laxity were determined by comparing the artefact associated with surface mounted markers against simultaneous measurements using fluoroscopy in five knees including healthy and ACL deficient joints. The knees were examined at 0°, 30°, 60° and 90° flexion using a device that allows manual axial rotation of the joint. With a mean RMS error of 9.6°, the largest inaccuracy using non-invasive assessment was present at 0° knee flexion, whereas at 90° knee flexion, a smaller RMS error of 5.7° was found. A Bland and Altman assessment indicated that a proportional bias exists between the non-invasive and fluoroscopic approaches, with limits of agreement that exceeded 20°. Correction using average linear regression functions resulted in a reduction of the RMS error to below 1° and limits of agreement to less than ±1° across all knees and flexion angles. Given the excellent reliability and the fact that a correction of the surface mounted marker based rotation values can be achieved, non-invasive evaluation of tibio-femoral rotation could offer opportunities for simplified devices for use in clinical settings in cases where invasive assessments are not justified. Although surface mounted marker based measurements tend to overestimate joint rotation, and therefore joint laxity, our results indicate that it is possible to correct for this error. Copyright © 2014 IPEM. Published by Elsevier Ltd. All rights reserved.

23 CFR 630.110 - Modification of original agreement.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 23 Highways 1 2010-04-01 2010-04-01 false Modification of original agreement. 630.110 Section 630... OPERATIONS PRECONSTRUCTION PROCEDURES Project Authorization and Agreements § 630.110 Modification of original agreement. (a) When changes are needed to the original project agreement, a modification of agreement shall...

[Osseous and soft tissue operations for treatment of joint malpositioning in infantile cerebral palsy].

PubMed

Senst, S

2013-12-01

If untreated infantile cerebral palsy (ICP) leads to a progressive shortening of muscles and to progressive joint malpositioning. In addition a number of other disorders also result, in particular sensory disorders, intelligence deficits and epilepsy. In order to optimally treat as many as possible of the problems of multi-handicapped children with ICP it is of immanent importance that physiotherapists, occupational therapists, speech therapists, orthopedic technicians, pediatric orthopedists as well as neuropediatricians and social pediatricians work as a team. Surgical measures to correct joint malpositioning serve to improve the function and also to avoid or alleviate pain. Functional improvement measures are ideally undertaken during or shortly before elementary school age, thus enabling a further verticalization/straightening and mobilization. To improve symmetry and therefore the sitting posture, surgery is also indicated for profoundly disabled patients, sometimes making foot operations necessary. It is only in this way that maximum participation can be guaranteed and if necessary utilizing additional aids, such as Zimmer frames or E-wheelchairs.

STS payloads mission control study. Volume 2-A, Task 1: Joint products and functions for preflight planning of flight operations, training and simulations

NASA Technical Reports Server (NTRS)

1976-01-01

Specific products and functions, and associated facility availability, applicable to preflight planning of flight operations were studied. Training and simulation activities involving joint participation of STS and payload operations organizations, are defined. The prelaunch activities required to prepare for the payload flight operations are emphasized.

Sensitivity of a juvenile subject-specific musculoskeletal model of the ankle joint to the variability of operator-dependent input.

PubMed

Hannah, Iain; Montefiori, Erica; Modenese, Luca; Prinold, Joe; Viceconti, Marco; Mazzà, Claudia

2017-05-01

Subject-specific musculoskeletal modelling is especially useful in the study of juvenile and pathological subjects. However, such methodologies typically require a human operator to identify key landmarks from medical imaging data and are thus affected by unavoidable variability in the parameters defined and subsequent model predictions. The aim of this study was to thus quantify the inter- and intra-operator repeatability of a subject-specific modelling methodology developed for the analysis of subjects with juvenile idiopathic arthritis. Three operators each created subject-specific musculoskeletal foot and ankle models via palpation of bony landmarks, adjustment of geometrical muscle points and definition of joint coordinate systems. These models were then fused to a generic Arnold lower limb model for each of three modelled patients. The repeatability of each modelling operation was found to be comparable to those previously reported for the modelling of healthy, adult subjects. However, the inter-operator repeatability of muscle point definition was significantly greater than intra-operator repeatability ( p < 0.05) and predicted ankle joint contact forces ranged by up to 24% and 10% of the peak force for the inter- and intra-operator analyses, respectively. Similarly, the maximum inter- and intra-operator variations in muscle force output were 64% and 23% of peak force, respectively. Our results suggest that subject-specific modelling is operator dependent at the foot and ankle, with the definition of muscle geometry the most significant source of output uncertainty. The development of automated procedures to prevent the misplacement of crucial muscle points should therefore be considered a particular priority for those developing subject-specific models.

International Agreement Will Advance Radio Astronomy

NASA Astrophysics Data System (ADS)

2007-12-01

Two of the world's leading astronomical institutions have formalized an agreement to cooperate on joint efforts for the technical and scientific advancement of radio astronomy. The National Radio Astronomy Observatory (NRAO) in the United States and the Max-Planck Institute for Radioastronomy (MPIfR) in Germany concluded a Memorandum of Understanding outlining planned collaborative efforts to enhance the capabilities of each other's telescopes and to expand their cooperation in scientific research. The VLBA The VLBA CREDIT: NRAO/AUI/NSF In the first project pursued under this agreement, the MPIfR will contribute $299,000 to upgrade the continent-wide Very Long Baseline Array's (VLBA) capability to receive radio emissions at a frequency of 22 GHz. This improvement will enhance the VLBA's scientific productivity and will be particularly important for cutting-edge research in cosmology and enigmatic cosmic objects such as gamma-ray blazars. "This agreement follows many years of cooperation between our institutions and recognizes the importance of international collaboration for the future of astronomical research," said Fred K.Y. Lo, NRAO Director. "Our two institutions have many common research goals, and joining forces to keep all our telescopes at the forefront of technology will be highly beneficial for the science," said Anton Zensus, Director at MPIfR. In addition to the VLBA, the NRAO operates the Very Large Array (VLA) in New Mexico and the Robert C. Byrd Green Bank Telescope (GBT) in West Virginia. The MPIfR operates the 100-meter Effelsberg Radio Telescope in Germany and the 12-meter APEX submillimeter telescope in 5100 m altitude in the Cilean Atacama desert (together with the European Southern Observatory and the Swedish Onsala Space Observatory). With the 100-meter telescope, it is part of the VLBA network in providing transatlantic baselines. Both institutions are members of a global network of telescopes (the Global VLBI Network) that uses simultaneous

Joint Urban Operations Joint Integrating Concept

DTIC Science & Technology

2007-07-23

24 7. Potential Risks of Adopting this Concept...stresses that urban combat operations are conducted only when required and that built-up areas are isolated and bypassed rather than risking a...Development, Applications (New York: George Braziller , 1968). 7 media, etc., institutions that typify urban society.15 The processes include all

49 CFR 605.15 - Content of agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Content of agreement. 605.15 Section 605.15 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION SCHOOL BUS OPERATIONS School Bus Agreements § 605.15 Content of agreement. (a...

26 CFR 1.883-0 - Outline of major topics.

Code of Federal Regulations, 2011 CFR

2011-04-01

... agreement, code-sharing arrangement or other joint venture. (3) Activities not considered operation of ships or aircraft. (4) Examples. (5) Definitions. (i) Bareboat charter. (ii) Code-sharing arrangement. (iii..., partnership, strategic alliance, joint operating agreement, code-sharing arrangement or other joint venture...

26 CFR 1.883-0 - Outline of major topics.

Code of Federal Regulations, 2013 CFR

2013-04-01

... agreement, code-sharing arrangement or other joint venture. (3) Activities not considered operation of ships or aircraft. (4) Examples. (5) Definitions. (i) Bareboat charter. (ii) Code-sharing arrangement. (iii..., partnership, strategic alliance, joint operating agreement, code-sharing arrangement or other joint venture...

Qualitative and quantitative assessment of degeneration of cervical intervertebral discs and facet joints.

PubMed

Walraevens, Joris; Liu, Baoge; Meersschaert, Joke; Demaerel, Philippe; Delye, Hans; Depreitere, Bart; Vander Sloten, Jos; Goffin, Jan

2009-03-01

Degeneration of intervertebral discs and facet joints is one of the most frequently encountered spinal disorders. In order to describe and quantify degeneration and evaluate a possible relationship between degeneration and biomechanical parameters, e.g., the intervertebral range of motion and intradiscal pressure, a scoring system for degeneration is mandatory. However, few scoring systems for the assessment of degeneration of the cervical spine exist. Therefore, two separate objective scoring systems to qualitatively and quantitatively assess the degree of cervical intervertebral disc and facet joint degeneration were developed and validated. The scoring system for cervical disc degeneration consists of three variables which are individually scored on neutral lateral radiographs: "height loss" (0-4 points), "anterior osteophytes" (0-3 points) and "endplate sclerosis" (0-2 points). The scoring system for facet joint degeneration consists of four variables which are individually scored on neutral computed tomography scans: "hypertrophy" (0-2 points), "osteophytes" (0-1 point), "irregularity" on the articular surface (0-1 point) and "joint space narrowing" (0-1 point). Each variable contributes with varying importance to the overall degeneration score (max 9 points for the scoring system of cervical disc degeneration and max 5 points for facet joint degeneration). Degeneration of 20 discs and facet joints of 20 patients was blindly assessed by four raters: two neurosurgeons (one senior and one junior) and two radiologists (one senior and one junior), firstly based on first subjective impression and secondly using the scoring systems. Measurement errors and inter- and intra-rater agreement were determined. The measurement error of the scoring system for cervical disc degeneration was 11.1 versus 17.9% of the subjective impression results. This scoring system showed excellent intra-rater agreement (ICC = 0.86, 0.75-0.93) and excellent inter-rater agreement (ICC = 0

Joint Operations. Change 1

DTIC Science & Technology

2008-02-13

procedures not ratified by the United States, commanders should evaluate and follow the multinational command’s doctrine and procedures, where applicable... human intelligence sources to be effective and implementation of appropriate force protection measures regardless of the operational...intelligence requirements needed to support the anticipated operation. Human intelligence often may provide the most useful source of information. Even

[COMPARISON OF EFFECTIVENESS BETWEEN TWO OPERATIVE TECHNIQUES OF CORACOCLAVICULAR LIGAMENT RECONSTRUCTION FOR TREATMENT OF Tossy TYPE III ACROMIOCLAVICULAR JOINT DISLOCATION].

PubMed

Tang, Hongwei; Gao, Sheng; Yin, Yong; Li, Yunfei; Han, Qingtian; Li, Huizhang

2015-11-01

To evaluate and compare the effectiveness of double Endobutton technique and suture anchor combined Endobutton plate in the treatment of Tossy type III acromioclavicular joint dislocation. Between May 2010 and March 2014, a retrospective study was preformed on 56 patients with Tossy type III acromioclavicular joint dislocation. The coracoclavicular ligament was reconstructed with double Endobutton technique in 31 cases (Endobutton group), and with suture anchor combined Endobutton plate in 25 cases (Anchor group). There was no significant difference in age, gender, injury causes, injury side, associated injury, medical comorbidities, and disease duration between 2 groups (P>0.05). The operation time, medical device expenses, postoperative complications, preoperative and postoperative Constant-Murley scores, and postoperative Karlsson grading of the injured shoulder were compared between 2 groups. The average operation time in Endobutton group was significantly greater than that in Anchor group (t = 4.285, P = 0.000); there was no significant difference in the medical device expenses between 2 groups (t = 1.555, P = 0.126). Primary healing of incision was obtained in all patients of 2 groups; no early complications of infection and skin necrosis occurred. All patients were followed up 15.6 months on average (range, 11-35 months). During follow-up, some loss of reduction and ectopic ossification in the coracoclavicular gap were observed in 1 case and 6 cases of Endobutton group, respectively. No recurrence of acromioclavicular joint dislocation, implant fixation loosening and broken, and secondary fractures occurred in the other patients. There was significant difference in the incidence of postoperative complications between 2 groups (P = 0.013). Constant-Murley scores of the injured shoulder significantly increased at 9 months after operation when compared with preoperative values in 2 groups (P < 0.05), but no significant difference was observed between 2 groups

Structural Degradation of the Welded Joint of the Gas Main after a Long-Term Operation in Sub-Acid Soil

NASA Astrophysics Data System (ADS)

Maruschak, P. O.; Bishchak, R. T.; Maruschak, O. V.; Panin, S. V.

2018-01-01

The authors investigated the main regularities in the structural and mechanical degradation of steel and a welded joint of the “Soyuz” gas main in operation. It is established that the defect accumulation kinetics in welds are determined both by technological disruptions in their manufacture and by hydrogenation of the weld during a long operating time. A weakening of the mechanical properties of the weld after a prolonged operation is shown, which in some cases led to the appearance of cracks and fracture of the gas main.

Joint Operating Environment: The Joint Force in a Contested and Disordered World

DTIC Science & Technology

2016-07-14

spilling over borders, and creating wide-ranging international problems. The future of Science, Technology, and Engineering will see others reaching...10 Science, Technology, and Engineering and the Future Joint Force ..........................................15 Summary... Engineering – may lead to new and challenging conditions that will redefine the security environment of 2035.  Section 2: Contexts of Future Conflict

Accuracy of ultrasound-guided nerve blocks of the cervical zygapophysial joints.

PubMed

Siegenthaler, Andreas; Mlekusch, Sabine; Trelle, Sven; Schliessbach, Juerg; Curatolo, Michele; Eichenberger, Urs

2012-08-01

Cervical zygapophysial joint nerve blocks typically are performed with fluoroscopic needle guidance. Descriptions of ultrasound-guided block of these nerves are available, but only one small study compared ultrasound with fluoroscopy, and only for the third occipital nerve. To evaluate the potential usefulness of ultrasound-guidance in clinical practice, studies that determine the accuracy of this technique using a validated control are essential. The aim of this study was to determine the accuracy of ultrasound-guided nerve blocks of the cervical zygapophysial joints using fluoroscopy as control. Sixty volunteers were studied. Ultrasound-imaging was used to place the needle to the bony target of cervical zygapophysial joint nerve blocks. The levels of needle placement were determined randomly (three levels per volunteer). After ultrasound-guided needle placement and application of 0.2 ml contrast dye, fluoroscopic imaging was performed for later evaluation by a blinded pain physician and considered as gold standard. Raw agreement, chance-corrected agreement κ, and chance-independent agreement Φ between the ultrasound-guided placement and the assessment using fluoroscopy were calculated to quantify accuracy. One hundred eighty needles were placed in 60 volunteers. Raw agreement was 87% (95% CI 81-91%), κ was 0.74 (0.64-0.83), and Φ 0.99 (0.99-0.99). Accuracy varied significantly between the different cervical nerves: it was low for the C7 medial branch, whereas all other levels showed very good accuracy. Ultrasound-imaging is an accurate technique for performing cervical zygapophysial joint nerve blocks in volunteers, except for the medial branch blocks of C7.

7 CFR 1425.13 - Uniform marketing agreement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Uniform marketing agreement. 1425.13 Section 1425.13... OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COOPERATIVE MARKETING ASSOCIATIONS § 1425.13 Uniform marketing agreement. (a) A CMA must enter into a uniform marketing agreement with each member who...

7 CFR 1425.13 - Uniform marketing agreement.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 10 2013-01-01 2013-01-01 false Uniform marketing agreement. 1425.13 Section 1425.13... OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COOPERATIVE MARKETING ASSOCIATIONS § 1425.13 Uniform marketing agreement. (a) A CMA must enter into a uniform marketing agreement with each member who...

7 CFR 1425.13 - Uniform marketing agreement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Uniform marketing agreement. 1425.13 Section 1425.13... OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COOPERATIVE MARKETING ASSOCIATIONS § 1425.13 Uniform marketing agreement. (a) A CMA must enter into a uniform marketing agreement with each member who...

14 CFR 296.4 - Joint loading.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC REGULATIONS INDIRECT AIR TRANSPORTATION OF PROPERTY General § 296.4 Joint loading. Nothing in this part shall... transportation as one shipment, under an agreement between two or more indirect air carriers or foreign indirect...

Sensitivity of a juvenile subject-specific musculoskeletal model of the ankle joint to the variability of operator-dependent input

PubMed Central

Hannah, Iain; Montefiori, Erica; Modenese, Luca; Prinold, Joe; Viceconti, Marco; Mazzà, Claudia

2017-01-01

Subject-specific musculoskeletal modelling is especially useful in the study of juvenile and pathological subjects. However, such methodologies typically require a human operator to identify key landmarks from medical imaging data and are thus affected by unavoidable variability in the parameters defined and subsequent model predictions. The aim of this study was to thus quantify the inter- and intra-operator repeatability of a subject-specific modelling methodology developed for the analysis of subjects with juvenile idiopathic arthritis. Three operators each created subject-specific musculoskeletal foot and ankle models via palpation of bony landmarks, adjustment of geometrical muscle points and definition of joint coordinate systems. These models were then fused to a generic Arnold lower limb model for each of three modelled patients. The repeatability of each modelling operation was found to be comparable to those previously reported for the modelling of healthy, adult subjects. However, the inter-operator repeatability of muscle point definition was significantly greater than intra-operator repeatability (p < 0.05) and predicted ankle joint contact forces ranged by up to 24% and 10% of the peak force for the inter- and intra-operator analyses, respectively. Similarly, the maximum inter- and intra-operator variations in muscle force output were 64% and 23% of peak force, respectively. Our results suggest that subject-specific modelling is operator dependent at the foot and ankle, with the definition of muscle geometry the most significant source of output uncertainty. The development of automated procedures to prevent the misplacement of crucial muscle points should therefore be considered a particular priority for those developing subject-specific models. PMID:28427313

The Dorsal 4-finger Technique: A Novel Method to Examine Metacarpophalangeal Joints in Patients with Rheumatoid Arthritis.

PubMed

Omair, Mohammed A; Akhavan, Pooneh; Naraghi, Ali; Mittoo, Shikha; Xiong, Juan; Weber, Deborah; Lin, Daming; Weber, Melissa; Keystone, Edward C

2018-03-01

To describe the dorsal 4-finger technique (DFFT) in examining metacarpophalangeal (MCP) joints of patients with rheumatoid arthritis (RA) and compare it to the traditional 2-finger technique (TFT) using ultrasound (US) as a gold standard. Four rheumatologists evaluated 180 MCP joints of 18 patients with RA. All patients underwent US for greyscale (GSUS) and power Doppler US (PDUS). Agreements between rheumatologists, the 2 techniques, and US were evaluated using Cohen κ and the first-order agreement coefficient (AC1) κ methods. The population comprised 17 females (94.4%) with a mean (SD) age and disease duration of 56.8 (14.4) and 21.8 (12.9) years, respectively. Eight patients (44.4%) were taking methotrexate monotherapy, while 10 patients (55.6%) were receiving biologics. US evaluation revealed 69 (38.3%) and 30 (16.7%) joints exhibited synovitis grade 2-3 by GSUS and PDUS, respectively. Effusion was documented in 30 joints (16.7%). The mean intraobserver agreement using the DFFT and TFT were 80.5% and 86%, respectively. The mean interobserver agreements using the DFFT and TFT were 84% and 74%, respectively. κ agreement with US findings was similar for both techniques in tender joints but was higher for the DFFT in nontender joints (0.33 vs 0.07, p = 0.015 for GSUS) and (0.48 vs 0.11, p = 0.002 for PDUS). The DFFT had a higher sensitivity in detecting ballottement by GSUS (0.47 vs 0.2, p < 0.001) and PDUS (0.60 vs 0.27, p < 0.001). The DFFT is a novel, reproducible, and reliable method to examine MCP joints, and it has a better correlation with US than the traditional TFT.

The impact of joint ventures on U.S. hospitals.

PubMed

Harrison, Jeffrey P

2006-01-01

This quantitative research study assesses the organizational characteristics, market factors, and profitability of US hospitals that operate joint ventures with other health care organizations. Data was obtained from the 2001 American Hospital Association annual survey, the Area Resource File, and the Center for Medicare and Medicaid Services Minimum Data Set. These data files provide essential information on individual acute care hospitals, the communities they serve, and the level of financial performance. Descriptive statistics were evaluated and a logistic regression model was utilized to examine hospitals operating joint ventures. The study found hospitals that operate joint ventures are located in communities with more elderly patients, lower unemployment, and lower HMO penetration. From an operating performance perspective, hospitals that operate joint ventures have a higher occupancy rate, a higher average length of stay, more clinical services, lower long-term debt, and a greater number of managed care contracts. The results also appear to indicate that joint ventures have a positive financial impact on US hospitals. The study has managerial implications supporting the use of joint ventures to improve hospital performance and policy implications on resource allocation.

Design and clinical outcome of a novel 3D-printed prosthetic joint replacement for the human temporomandibular joint.

PubMed

Ackland, David; Robinson, Dale; Lee, Peter Vee Sin; Dimitroulis, George

2018-05-11

Stock prosthetic temporomandibular joint replacements come in limited sizes, and do not always encompass the joint anatomy that presents clinically. The aims of this study were twofold. Firstly, to design a personalized prosthetic total joint replacement for the treatment of a patient's end-stage temporomandibular joint osteoarthritis, to implant the prosthesis into the patient, and assess clinical outcome 12-months post-operatively; and secondly, to evaluate the influence of changes in prosthetic condyle geometry on implant load response during mastication. A 48-year-old female patient with Grade-5 osteoarthritis to the left temporomandibular joint was recruited, and a prosthesis developed to match the native temporomandibular joint anatomy. The prosthesis was 3D printed, sterilized and implanted into the patient, and pain and function measured 12-months post-operatively. The prosthesis load response during a chewing-bite and maximum-force bite was evaluated using a personalized multi-body musculoskeletal model. Simulations were performed after perturbing condyle thickness, neck length and head sphericity. Increases in prosthetic condyle neck length malaligned the mandible and perturbed temporomandibular joint force. Changes in condylar component thickness greatly influenced fixation screw stress response, while a more eccentric condylar head increased prosthetic joint-contact loading. Post-operatively, the prosthetic temporomandibular joint surgery reduced patient pain from 7/10 to 1/10 on a visual analog scale, and increased intercisal opening distance from 22 mm to 38 mm. This study demonstrates effectiveness of a personalized prosthesis that may ultimately be adapted to treat a wide-range of end-stage temporomandibular joint conditions, and highlights sensitivity of prosthesis load response to changes in condylar geometry. Copyright © 2018 Elsevier Ltd. All rights reserved.

78 FR 26779 - Notice of Agreements Filed

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-08

.... (Operating as one party). Agreement No.: 012206. Title: Industria Armamento Meridionale S.P.A./K-Line Space Charter Agreement. Parties: Industria Armamento Meridionale S.P.A. (``Inarme'') and Kawasaki Kisen Kaisha...

Air-Sea Battle through Joint Training: Power Projection Sustainability

DTIC Science & Technology

2014-05-15

9 generate our decisive advantage.” 39 An example of cross-domain operations employed by the USN and USAF was the release of an AGM-154C Joint...and Herzegovina. While employing a USAF GBU -15 “electro-optically guided” bomb within close range of a USN AGM-84 SLAM-ER, “electronic... 39 U.S. Office of the Chairman, Joint Chiefs of Staff. Capstone Concept for Joint Operations: Joint Force 2020

49 CFR 605.15 - Content of agreement.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 7 2014-10-01 2014-10-01 false Content of agreement. 605.15 Section 605.15 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION SCHOOL BUS OPERATIONS School Bus Agreements § 605.15 Content of agreement. (a) Every grantee who is not authorized by the...

Agreement between diagnoses reached by clinical examination and available reference standards: a prospective study of 216 patients with lumbopelvic pain

PubMed Central

Laslett, Mark; McDonald, Barry; Tropp, Hans; Aprill, Charles N; Öberg, Birgitta

2005-01-01

Background The tissue origin of low back pain (LBP) or referred lower extremity symptoms (LES) may be identified in about 70% of cases using advanced imaging, discography and facet or sacroiliac joint blocks. These techniques are invasive and availability varies. A clinical examination is non-invasive and widely available but its validity is questioned. Diagnostic studies usually examine single tests in relation to single reference standards, yet in clinical practice, clinicians use multiple tests and select from a range of possible diagnoses. There is a need for studies that evaluate the diagnostic performance of clinical diagnoses against available reference standards. Methods We compared blinded clinical diagnoses with diagnoses based on available reference standards for known causes of LBP or LES such as discography, facet, sacroiliac or hip joint blocks, epidurals injections, advanced imaging studies or any combination of these tests. A prospective, blinded validity design was employed. Physiotherapists examined consecutive patients with chronic lumbopelvic pain and/or referred LES scheduled to receive the reference standard examinations. When diagnoses were in complete agreement regardless of complexity, "exact" agreement was recorded. When the clinical diagnosis was included within the reference standard diagnoses, "clinical agreement" was recorded. The proportional chance criterion (PCC) statistic was used to estimate agreement on multiple diagnostic possibilities because it accounts for the prevalence of individual categories in the sample. The kappa statistic was used to estimate agreement on six pathoanatomic diagnoses. Results In a sample of chronic LBP patients (n = 216) with high levels of disability and distress, 67% received a patho-anatomic diagnosis based on available reference standards, and 10% had more than one tissue origin of pain identified. For 27 diagnostic categories and combinations, chance clinical agreement (PCC) was estimated at 13

Major Joint/Combined Operations

DTIC Science & Technology

2008-01-01

Quarterly 3 (Winter 1993–1994), 74. 20 Andrew G. B. Vallance , The Air Weapon: Doctrines of Air Power Strategy and Operational Art (New York: St... Vallance , 94; and Donald L. McSwain, Air Campaign Planning for Contingency Operations (Maxwell Air Force Base, AL: Air War College, May 1989), 37. 23...require positive identification of friendly forces and positive control of aircraft. 36 Richard R. Muller, “Close Air Support: The German, British

Associated Roles of Perioperative Medical Directors and Anesthesia: Hospital Agreements for Operating Room Management.

PubMed

Dexter, Franklin; Epstein, Richard H

2015-12-01

As reviewed previously, decision making can be made systematically shortly before the day of surgery based on reducing the hours of overutilized operating room (OR) time and tardiness of case starts (i.e., patient waiting). We subsequently considered in 2008 that such decision making depends on rational anesthesia-hospital agreements specifying anesthesia staffing. Since that prior study, there has been a substantial increase in understanding of the timing of decision making to reduce overutilized OR time. Most decisions substantively influencing overutilized OR time are those made within 1 workday before the day of surgery and on the day of surgery, because only then are ORs sufficiently full that case scheduling and staff assignment decisions affect overutilized OR time. Consequently, anesthesiologists can easily be engaged in such decisions, because generally they must be involved to ensure that the corresponding anesthesia staff assignments are appropriate. Despite this, at hospitals with >8 hours of OR time used daily in each OR, computerized recommendations are superior to intuition because of cognitive biases. Decisions need to be made by a Perioperative Medical Director who has knowledge of the principles of perioperative managerial decision making published in the scientific literature rather than by a committee lacking this competency. Education in the scientific literature, and when different analytical methods should be used, is important. The addition that we make in this article is to show that an agreement between an anesthesia group and a hospital can both reduce overutilized OR time and patient waiting: The anesthesia group and hospital will ensure, hourly, that, when there are case(s) waiting to start, the number of ORs in use for each service will be at least the number that maximizes the efficiency of use of OR time. Neither the anesthesia group nor the hospital will be expected to run more than that number of ORs without mutual agreement

Modeling and optimization of joint quality for laser transmission joint of thermoplastic using an artificial neural network and a genetic algorithm

NASA Astrophysics Data System (ADS)

Wang, Xiao; Zhang, Cheng; Li, Pin; Wang, Kai; Hu, Yang; Zhang, Peng; Liu, Huixia

2012-11-01

A central composite rotatable experimental design(CCRD) is conducted to design experiments for laser transmission joining of thermoplastic-Polycarbonate (PC). The artificial neural network was used to establish the relationships between laser transmission joining process parameters (the laser power, velocity, clamp pressure, scanning number) and joint strength and joint seam width. The developed mathematical models are tested by analysis of variance (ANOVA) method to check their adequacy and the effects of process parameters on the responses and the interaction effects of key process parameters on the quality are analyzed and discussed. Finally, the desirability function coupled with genetic algorithm is used to carry out the optimization of the joint strength and joint width. The results show that the predicted results of the optimization are in good agreement with the experimental results, so this study provides an effective method to enhance the joint quality.

Signing of agreement on information policy for ASTP mission

NASA Technical Reports Server (NTRS)

1974-01-01

John P. Donnelly (seated right), NASA Assistant Administrator for Public Affairs, and Vladen S. Vereshchetin (seated left), Vice Chairman of Intercosmos, USSR Academy of Sciences, initial an agreement on information policy for the joint U.S.-USSR Apollo Soyuz Test Project mission during ceremonies in Moscow in September 1974. Other members of the joint public affairs delegation looking on are, standing left to right, Vladimir A. Denissenko, Tatyana Klotchkovsaya, Igor P. Rumyantsev, John W. King, Nicholas Timacheff, and Robert Shafer. King is the Public Affairs Officer at JSC. Timacheff is the language officer with the JSC ASTP office. Shafer is NASA Deputy Assitant Administrator for Public Affairs (television).

Operational space weather product development and validation at the joint SMC-AFRL Rapid Prototyping Center

NASA Astrophysics Data System (ADS)

Quigley, S.

The Air Force Research Laboratory (AFRL/VSB) and Detachment 11, Space &Missile Systems Center (SMC, Det 11/CIT) have combined efforts to design, develop, test, and implement graphical products for the Air Force's space weather operations center. These products are generated to analyze, specify, and forecast the effects of the near-earth space environment on Department of Defense systems and communications. Jointly-developed products that have been, or will soon be added to real-time operations include: 1) the Operational Space Environment Network Display (OpSEND) suit - a set of four products that address HF communication, UHF satellite communication scintillation, radar auroral clutter, and GP S single- frequency errors; 2) a solar radio background and burst effects (SoRBE) product suite; and C) a meteor effects (ME) product suite. The RPC is also involved in a rather substantial "V&V" effort to produce multiple operational product verifications and validations, with an added end goal of a generalized validation software package. The presentation will provide a general overview of the RPC and each of the products mentioned above, to include background science, operational history, inputs, outputs, dissemination, and customer uses for each.

Improved operator agreement and efficiency using the minimum area contour change method for delineation of hyperintense multiple sclerosis lesions on FLAIR MRI

PubMed Central

2013-01-01

Background Activity of disease in patients with multiple sclerosis (MS) is monitored by detecting and delineating hyper-intense lesions on MRI scans. The Minimum Area Contour Change (MACC) algorithm has been created with two main goals: a) to improve inter-operator agreement on outlining regions of interest (ROIs) and b) to automatically propagate longitudinal ROIs from the baseline scan to a follow-up scan. Methods The MACC algorithm first identifies an outer bound for the solution path, forms a high number of iso-contour curves based on equally spaced contour values, and then selects the best contour value to outline the lesion. The MACC software was tested on a set of 17 FLAIR MRI images evaluated by a pair of human experts and a longitudinal dataset of 12 pairs of T2-weighted Fluid Attenuated Inversion Recovery (FLAIR) images that had lesion analysis ROIs drawn by a single expert operator. Results In the tests where two human experts evaluated the same MRI images, the MACC program demonstrated that it could markedly reduce inter-operator outline error. In the longitudinal part of the study, the MACC program created ROIs on follow-up scans that were in close agreement to the original expert’s ROIs. Finally, in a post-hoc analysis of 424 follow-up scans 91% of propagated MACC were accepted by an expert and only 9% of the final accepted ROIS had to be created or edited by the expert. Conclusion When used with an expert operator's verification of automatically created ROIs, MACC can be used to improve inter- operator agreement and decrease analysis time, which should improve data collected and analyzed in multicenter clinical trials. PMID:24004511

FINAL REPORT: EPA/AWWARF COOPERATIVE AGREEMENT PROGRAM FOR DRINKING WATER RESEARCH

EPA Science Inventory

Beginning in 1984 and continuing in 1985 and 1986, Congress agreed to support a joint research program and approved adding $1 million to the EPA annual budget for the purpose of establishing a cooperative agreement (CA) with the American Water Works Association Research Foundatio...

The Joint Master Operational Planner

DTIC Science & Technology

2016-04-04

Operational Planner Program, that will produce planners that are able to understand the strategic- operational environment, properly advise commanders, and...Planner Program, that will produce planners that are able to understand the strategic-operational environment, properly advise commanders, and devise...states struggle to exercise even nominal power within their borders, and the people see the government as an entity that seeks only to keep itself in

Strategic Planning to Conduct Joint Force Network Operations: A Content Analysis of NETOPS Organizations Strategic Plans

DTIC Science & Technology

2007-03-01

information dominance , Joint Network Operations (NETOPS) organizations need to be strategically aligned. As result, to enhance the capabilities-based effects of NETOPS and reduce our NETOP infrastructures susceptibility to compromise. Once the key organizations were identified, their strategic plans were analyzed using a structured content analysis framework. The results illustrated that the strategic plans were aligned with the community of interests tasking to conduct NETOPS. Further research is required into the strategic alignment beyond the strategic

Predictive value of bone scintigraphy for the detection of joint involvement in Behçet's disease: Dermatologists' perspectives.

PubMed

Seo, Jimyung; Lee, Minseok; Choi, Min Ju; Zheng, Zhenlong; Cho, Arthur; Bang, Dongsik; Kim, Do Young

2015-01-01

Behçet's disease (BD) is a multisystemic inflammatory disease with articular involvement. Non-specific arthralgia without objective signs of arthritis, such as swelling or effusion, is common in such patients. Thus, an accurate diagnosis of joint involvement may be challenging for dermatologists. To evaluate the validity of (99m)Tc-methylene diphosphonate (Tc-99m-MDP) bone scintigraphy for joint involvement assessment in patients with BD. In 211 patients with BD who had scintigraphic evaluations due to joint symptoms, agreement between bone scintigraphy findings and clinically evaluated joint complaints was retrospectively assessed using Cohen's kappa (κ) statistic. A patient subset (n = 104) showing agreement between joint complaints and scintigraphy results was re-evaluated by a rheumatologist to determine the level of diagnostic specificity attained by combining bone scintigraphy with clinical examinations of dermatologists. The total kappa value (211 patients) was 0.604, indicating fair agreement between joint complaints and scintigraphy results. Individual analysis of eleven joint categories revealed statistically significant correlations for wrist (κ = 0.677), shoulder (κ = 0.661), and foot joints (κ = 0.618). Of the 104 referrals to a rheumatologist, 95 (91.34%) were confirmed as having BD-associated articular involvement. Joint acral areas (e.g., foot, hand, wrist and shoulder) that had the highest kappa value correlations also ranked highest in diagnostic specificity. Bone scintigraphy presents a simple and useful option for dermatologists to assess joint involvement in BD patients, especially for specific anatomic sites.

Joint preserving surgery versus arthrodesis in operative treatment of patients with neuromuscular polyneuropathy: questionnaire assessment.

PubMed

Napiontek, Marek; Pietrzak, Krzysztof

2015-02-01

The purpose of the paper was to present the results of surgical treatment of foot deformities in peripheral neuropathies using bone procedures: both joint preserving and with joint arthrodesis. The study included 26 patients, 14 males and 12 females (43 feet). The age of the patients at surgery ranged from 5 to 55 years (average 23 years). The follow-up ranged from 0.5 to 15 years (average 4.3 years). Seventeen patients presented Charcot-Marie-Tooth disease, three Friedreich's ataxia and six peripheral motor and sensory neuropathies of undetermined nature. Sixteen patients had bilateral procedures. Four patients had to be re-operated during the follow-up. The patients were divided into four groups depending on the age and the surgical technique applied. The groups I and II (9 children, 17 feet) included patients with growth plate still present in the foot just before surgery. In the groups III and IV (17 adults, 26 feet), bone growth was completed. The assessment of all patients based on a modified AOFAS scale ranged from 44 to 105 points (mean 83.7; SD 17.5). The assessment on the subjective scale ranged from 3 to 10 points (mean 7.4; SD 2.1). The assessment of quality of life on the WOMAC scale ranged from 0 to 41 points (mean 15.7; SD 13.2). All patients stated that they would decide to undergo the treatment again. For groups I and II, joint preserving surgeries gave better results; however, the results could not be statistically confirmed. The results for the groups III and IV were inconclusive as to which surgical techniques should be preferred, arthrodesis or joint preserving. The results show that none of the surgical techniques used for correction of foot deformities in motor-sensory polyneuropathies seems to be preferable.

Reporters on the Ground: The Military and the Media’s Joint Experience During Operation Iraqi Freedom

DTIC Science & Technology

2003-10-01

field into a larger context. Conversely, those TV journalists supplying these spectacular reports and engrossing pictures from the front line were also... journalists , soldiers, and marines together in the same environment. Under such circumstances, whether reporters can or cannot be objective may be...H I P October 2003 Volume 08-03 REPORTERS ON THE GROUND: The Military and the Media’s Joint Experience During Operation Iraqi Freedom By

47 CFR 76.1805 - Alternative rate regulation agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... agreements. Small systems owned by small cable companies must file with the Commission a copy of any operative alternative rate regulation agreement entered into with a local franchising authority pursuant to...

[Comparative evolution surgical accesses to temporo-mandibular joint].

PubMed

Sysoliatin, P G; Novikov, A I; Sysoliatin, S P; Bobylev, N G; Brega, I N

2007-01-01

In experiment on 30 corpses of adult people criteria of an operational wound (depth of a wound, a corner of operational action, an axis of operational action, a corner of an inclination of operational action) were studied at preauricularis, intrauricularis, intrauriculo-temporalis and posterior mandibullaris access to temporo-mandibular joint (TMJ). New surgical intrauriculo-temporalis access to the joint is substantrated. On the basis of the analysis of 289 operations at 268 patients the indications to a choice of surgical access were developed at various diseases and damages of TMJ.

The Joint Operating Agreement: A Marvelous Machine with Damned Tight Steering.

ERIC Educational Resources Information Center

Pilgrim, Tim A.; Simpson, Roger

The Newspaper Preservation Act of 1970 is frequently viewed as a legislative device for averting the failure of a competing metropolitan daily newspaper and is said to create, for the formerly competing newspapers, a monolithic management unit which enjoys advantages over the two publishing units it replaces. A study examined one of those…

Expeditionary Operations Require Joint Force Capabilities in the Future Operating Environment

DTIC Science & Technology

2013-03-01

endeavor, I would like to thank COL Purvis, and the professionals of JAWS Seminar 2 for letting me try to weave my thesis into almost every seminar...joint sea base, expeditionary strike group, or task force. JP 4-0, JSHIP JT&E, ’DLQ MOU Notes: The AFSB is to exploit the flexibility and...of the global commons and select sovereign territory, waters , airspace and cyberspace. 14  The combat task of overcoming the enemy’s anti-access

Arthroscopic treatment of acute acromioclavicular joint dislocation by coracoclavicular ligament augmentation.

PubMed

Liu, Xudong; Huangfu, Xiaoqiao; Zhao, Jinzhong

2015-05-01

Coracoclavicular (CC) ligament augmentation has been a method to treat acromioclavicular (AC) joint dislocation in recent years. The purpose of this paper is to describe our arthroscopic CC ligament augmentation technique in treating type III and V acute AC joint dislocations and to report the early clinical and radiological results. From 2010 to 2011, twelve patients suffering from acute type III or V AC joint dislocations were arthroscopically treated in our department, by CC ligament augmentation after AC joint reduction. The post-operative outcomes were assessed through physical examination, radiographic examination and the Constant-Murley Shoulder Score. All patients post-operatively experienced anatomical reduction in their AC joint dislocation. No intraoperative complications occurred. At a mean follow-up at 24 months (ranging from 18 to 32 months), the mean Constant-Murley Shoulder Score significantly improved from 24.3 pre-operatively to 91.1 post-operatively. No neurovascular complications or secondary degenerative changes of the AC joint were detected in any of the patients. In one case, a second dislocation occurred 1 month post-operation because the patient had had another traumatic injury. This patient accepted a revision operation, but his AC joint eventually fixated into a subluxated position after his second injury. Based on the resultant successful repair in all cases, the arthroscopic CC ligament augmentation method has thus far proven to be a safe and reliable technique for treatment of acute type III or V AC joint dislocation. The arthroscopic CC ligament augmentation with a flip button/polyethylene belt repair is an efficient method to treat acute type III and V AC joint dislocations which should be popularized. IV.

7 CFR 1782.19 - Third party agreements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Director may authorize third party operation, maintenance, and management of an Agency financed facility. The borrower's attorney must review the contract, management agreement, written lease, or other third party agreement and issue an opinion to the Agency as to their legal sufficiency. The borrower shall...

49 CFR 1542.111 - Exclusive area agreements.

Code of Federal Regulations, 2012 CFR

2012-10-01

... ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRPORT SECURITY Airport Security Program § 1542.111 Exclusive area agreements. (a) TSA may approve an amendment to an airport security program... aircraft operator or foreign air carrier, and maintained in the airport security program. This agreement...

49 CFR 1542.111 - Exclusive area agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRPORT SECURITY Airport Security Program § 1542.111 Exclusive area agreements. (a) TSA may approve an amendment to an airport security program... aircraft operator or foreign air carrier, and maintained in the airport security program. This agreement...

49 CFR 1542.111 - Exclusive area agreements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRPORT SECURITY Airport Security Program § 1542.111 Exclusive area agreements. (a) TSA may approve an amendment to an airport security program... aircraft operator or foreign air carrier, and maintained in the airport security program. This agreement...

49 CFR 1542.111 - Exclusive area agreements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRPORT SECURITY Airport Security Program § 1542.111 Exclusive area agreements. (a) TSA may approve an amendment to an airport security program... aircraft operator or foreign air carrier, and maintained in the airport security program. This agreement...

49 CFR 1542.111 - Exclusive area agreements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRPORT SECURITY Airport Security Program § 1542.111 Exclusive area agreements. (a) TSA may approve an amendment to an airport security program... aircraft operator or foreign air carrier, and maintained in the airport security program. This agreement...

Mechanical end joint system for connecting structural column elements

NASA Technical Reports Server (NTRS)

Bush, Harold G. (Inventor); Mikulas, Martin M., Jr. (Inventor); Wallsom, Richard E. (Inventor)

1990-01-01

A mechanical end joint system is presented that eliminates the possibility of free movements between the joint halves during loading or vibration. Both node joint body (NJB) and column end joint body (CEJB) have cylindrical engaging ends. Each of these ends has an integral semicircular tongue and groove. The two joint halves are engaged transversely - the tongue of the NJB mating with the groove of the CEJB and vice versa. The joint system employs a spring loaded internal latch mechanism housed in the CEJB. During mating, this mechanism is pushed away from the NJB and enters the NJB when mating is completed. In order to lock the joint and add a preload across the tongue and groove faces, an operating ring collar is rotated through 45 deg causing an internal mechanism to compress a Belleville washer preload mechanism. This causes an equal and opposite force to be exerted on the latch bolt and the latch plunger. This force presses the two joint halves tightly together. In order to prevent inadvertent disassembly, a secondary lock is also engaged when the joint is closed. Plungers are carried in the operating ring collar. When the joint is closed, the plungers fall into tracks on the CEJB, which allows the joint to be opened only when the operating ring collar and plungers are pushed directly away from the joining end. One application of this invention is the rapid assembly and disassembly of diverse skeletal framework structures which is extremely important in many projects involving the exploration of space.

Pre-operative intra-articular deep tissue sampling with novel retrograde forceps improves the diagnostics in periprosthetic joint infection.

PubMed

Wimmer, Matthias D; Ploeger, Milena M; Friedrich, Max J; Hügle, Thomas; Gravius, Sascha; Randau, Thomas M

2017-07-01

Histopathological tissue analysis is a key parameter within the diagnostic algorithm for suspected periprosthetic joint infections (PJIs), conventionally acquired in open surgery. In 2014, Hügle and co-workers introduced novel retrograde forceps for retrograde synovial biopsy with simultaneous fluid aspiration of the knee joint. We hypothesised that tissue samples acquired by retrograde synovial biopsy are equal to intra-operatively acquired deep representative tissue samples regarding bacterial detection and differentiation of periprosthetic infectious membranes. Thirty patients (male n = 15, 50%; female n = 15, 50%) with 30 suspected PJIs in painful total hip arthroplasties (THAs) were included in this prospective, controlled, non-blinded trial. The results were compared with intra-operatively obtained representative deep tissue samples. In summary, 27 out of 30 patients were diagnosed correctly as infected (17/17) or non-infected (10/13). The sensitivity to predict a PJI using the Retroforce® sampling forceps in addition to standard diagnostics was 85%, the specificity 100%. Retrograde synovial biopsy is a new and rapid diagnostic procedure under local anaesthesia in patients with painful THAs with similar histological results compared to deep tissue sampling.

Joint Airspace Control, Doctrine Update 10-06

DTIC Science & Technology

2010-05-20

Doctrine Update 10-06 Joint Publication 3-52, Joint Airspace Control JP 3-52 provides joint doctrine for airspace control across the full range...identification, combined operations, and unmanned aerial vehicle If you want read the complete new doctrine document, dated 20 May 2010, click here: JP 3-52...Joint Airspace Control. For more information, visit the LeMay Center for Doctrine Development and Education, call us at DSN 493-7442, or e-mail

Apollo Soyuz mission planning and operations

NASA Technical Reports Server (NTRS)

Frank, M. P., III

1976-01-01

The paper describes the Apollo Soyuz project from the points of view of working group organization, mission plan definition, joint operations concept, and mission preparation. The concept for joint operations considered contingency situations as well as nominal operations. Preparations for the joint flight included cooperative tracking tests and combined training of the flight crews and mission control personnel.

[Case-control study on measurement of coracoclavicular and acromioclavicular ligament injuries during internal fixation operation for the treatment of fresh acromioclavicular joint dislocation of Tossy type III].

PubMed

Guan, Ting-Jin; Sun, Peng; Zheng, Liang-Guo; Qi, Xiang-Yang

2014-01-01

To study measurement methods of acromioclavicular and coracoclavicular ligament injuries,its therapeutic effects and complications during internal fixation operation for the treatment of fresh acromioclavicular joint dislocations of Tossy type III. From July 2003 to May 2012,127 patients with acromioclavicular joint dislocations of Tossy type III were treated with wire fixation from coracoid process to clavicle or hook-plate fixation. The patients were divided into group A (63 cases) and group B (64 cases) according to whether acromioclavicular ligament and coracoclavicular ligament were repaired or not. In group A (ligaments repaired), there were 39 males and 24 females with an average age of (33.25 +/- 8.46) years old (ranged from 17 to 59 years). And in group B (no ligaments repaired), there were 41 males and 23 females with an average age of (34.10 +/- 7.19) years (ranged from 19 to 57 years). The operation times, intraoperative blood loss, postoperative infections, internal fixation failure, recurrence and other complications, together with therapeutic effects were compared between two groups. The outcome was analyzed according to Karlsson standard. In group A, 54 patients got an excellent result and 9 good according to Karlsson standard;the average operative time was (55.90 +/- 26.56) min; the average intraoperative bleeding amount was (99.80 +/- 50.30) ml; 1 patient had wire broken without re-dislocation at 16 weeks after operation, 3 patients got wound fat liquefaction and recovered after treatment, 1 patient had pain after shoulder joint motion and pain disappeared after implants were taken out. In group B, 52 patients got an excellent result and 12 good according to Karlsson standard; the average operative time was (49.50 +/- 23.14) min; the average intraoperative bleeding amount was (87.30 +/- 46.41) ml; 2 patients got wound fat liquefaction, and 2 patients had pain after shoulder joint motion. All the patients were followed up, and the duration ranged

Can Exceptional, Visually Impaired Graduate Students, Educationally Funded by their use of Initially Profit-free Franchised Naturoptics, be Recruited to Proposed Native American Universities, and their Mentor Partners with Joint-degree Agreements?

NASA Astrophysics Data System (ADS)

Ferreira, Nadja; McLeod, David; McLeod, Roger

2006-10-01

Naturoptic Vision Improvement Methods developed and first propagated in the Americas can be transferred to other locales, particularly to Germany, Austria, and German-speaking areas of Switzerland, and to British (or former) Commonwealth areas, France, Greece, Russia, and diverse areas of Africa and Asia, particularly Japan. The method will attempt to mimic any successful transplants already in progress, or in the planning stages. It will consist primarily in recruiting visually impaired students who have finished their undergraduate work, and who are outstanding enough to be admitted into an appropriate university of their choice. Joint-degree linkages with universities in mentoring agreements with any potential universities, naturopathic or otherwise, are among our favorites. Potential faculty for proposed universities will have longer term use of an appropriate franchise in some profit- free franchisor agreements.

76 FR 79184 - Notice of Agreements Filed

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-21

.... Parties: The member lines of the Caribbean Shipowners Association and the Florida-Bahamas Shipowners and Operators Association. Filing Party: Wayne Rohde, Esq.; Cozen O'Connor; 1627 I Street NW.; Suite 1100... December 31, 2011. Agreement No.: 011960-007. Title: The New World Alliance Agreement. Parties: American...

Self-aligning exoskeleton hip joint: Kinematic design with five revolute, three prismatic and one ball joint.

PubMed

Beil, Jonas; Marquardt, Charlotte; Asfour, Tamim

2017-07-01

Kinematic compatibility is of paramount importance in wearable robotic and exoskeleton design. Misalignments between exoskeletons and anatomical joints of the human body result in interaction forces which make wearing the exoskeleton uncomfortable and even dangerous for the human. In this paper we present a kinematically compatible design of an exoskeleton hip to reduce kinematic incompatibilities, so called macro- and micro-misalignments, between the human's and exoskeleton's joint axes, which are caused by inter-subject variability and articulation. The resulting design consists of five revolute, three prismatic and one ball joint. Design parameters such as range of motion and joint velocities are calculated based on the analysis of human motion data acquired by motion capture systems. We show that the resulting design is capable of self-aligning to the human hip joint in all three anatomical planes during operation and can be adapted along the dorsoventral and mediolateral axis prior to operation. Calculation of the forward kinematics and FEM-simulation considering kinematic and musculoskeletal constraints proved sufficient mobility and stiffness of the system regarding the range of motion, angular velocity and torque admissibility needed to provide 50 % assistance for an 80 kg person.

14 CFR 380.34 - Security and depository agreements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... charter operator for that charter. (2) The direct air carrier and charter operator or foreign charter... operator or foreign charter operator shall furnish a security agreement in an amount for not less than the... charter operator with respect to the charter. (b) The direct air carrier and the charter operator or...

46 CFR Sec. 2 - Stand-by agreements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 8 2013-10-01 2013-10-01 false Stand-by agreements. Sec. 2 Section 2 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS OPERATING CONTRACT Sec. 2 Stand-by agreements. The Director NSA, Maritime Administration, in advance of an emergency, may negotiate...

46 CFR Sec. 2 - Stand-by agreements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 8 2014-10-01 2014-10-01 false Stand-by agreements. Sec. 2 Section 2 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS OPERATING CONTRACT Sec. 2 Stand-by agreements. The Director NSA, Maritime Administration, in advance of an emergency, may negotiate...

46 CFR 535.304 - Agency agreements-exemption.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 9 2011-10-01 2011-10-01 false Agency agreements-exemption. 535.304 Section 535.304 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AFFECTING OCEAN SHIPPING IN FOREIGN COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.304...

[Sacroiliac joint dysfunction with groin pain after an operation for lumbar spinal disorder. A case report].

PubMed

Shimoda, Yusuke; Morimoto, Daijiro; Isu, Toyohiko; Motegi, Hiroaki; Imai, Tetsuaki; Matsumoto, Ryouji; Isobe, Masanori; Kim, Kyongsong; Sugawara, Atsushi

2010-11-01

A 75-year-old male presented with groin pain after an operation to treat lumbar spondylolisthesis (L5). Groin tenderness was localized to the medial border of the anterior superior iliac spine (ASIS). Radiographical and physical examination raised the suspicion of sacroiliac joint (SIJ) dysfunction. Injection of a painkiller into the SIJ relieved symptoms, including groin tenderness. Symptoms improved gradually, and finally disappeared after five SIJ injections. Groin pain has been reported as a referred symptom of SIJ dysfunction in 9.3-23% of patients. Prior to the patient undergoing surgery to treat lumbar spondylolisthesis, SIJ dysfunction had not been noted on physical examination. Long periods spent in the abnormal posture due to lumbar spondylolisthesis induced SIJ stress. After the operation, an improvement in daily activity actually increased stress on the SIJ, resulting in SIJ dysfunction. Certain pathologies, including SIJ dysfunction, should be considered as residual symptoms after operations for lumbar spinal diseases.

46 CFR 535.309 - Marine terminal services agreements-exemption.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 9 2011-10-01 2011-10-01 false Marine terminal services agreements-exemption. 535.309... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.309 Marine terminal services agreements—exemption. (a) Marine terminal services agreement...

46 CFR 535.309 - Marine terminal services agreements-exemption.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 9 2013-10-01 2013-10-01 false Marine terminal services agreements-exemption. 535.309... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.309 Marine terminal services agreements—exemption. (a) Marine terminal services agreement...

46 CFR 535.310 - Marine terminal facilities agreement-exemption.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 9 2010-10-01 2010-10-01 false Marine terminal facilities agreement-exemption. 535.310... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.310 Marine terminal facilities agreement—exemption. (a) Marine terminal facilities agreement...

46 CFR 535.310 - Marine terminal facilities agreement-exemption.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 9 2012-10-01 2012-10-01 false Marine terminal facilities agreement-exemption. 535.310... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.310 Marine terminal facilities agreement—exemption. (a) Marine terminal facilities agreement...

46 CFR 535.310 - Marine terminal facilities agreement-exemption.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 9 2011-10-01 2011-10-01 false Marine terminal facilities agreement-exemption. 535.310... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.310 Marine terminal facilities agreement—exemption. (a) Marine terminal facilities agreement...

46 CFR 535.309 - Marine terminal services agreements-exemption.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 9 2010-10-01 2010-10-01 false Marine terminal services agreements-exemption. 535.309... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.309 Marine terminal services agreements—exemption. (a) Marine terminal services agreement...

46 CFR 535.309 - Marine terminal services agreements-exemption.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 9 2014-10-01 2014-10-01 false Marine terminal services agreements-exemption. 535.309... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.309 Marine terminal services agreements—exemption. (a) Marine terminal services agreement...

46 CFR 535.310 - Marine terminal facilities agreement-exemption.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 9 2014-10-01 2014-10-01 false Marine terminal facilities agreement-exemption. 535.310... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.310 Marine terminal facilities agreement—exemption. (a) Marine terminal facilities agreement...

46 CFR 535.309 - Marine terminal services agreements-exemption.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 9 2012-10-01 2012-10-01 false Marine terminal services agreements-exemption. 535.309... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.309 Marine terminal services agreements—exemption. (a) Marine terminal services agreement...

46 CFR 535.310 - Marine terminal facilities agreement-exemption.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 9 2013-10-01 2013-10-01 false Marine terminal facilities agreement-exemption. 535.310... COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Exemptions § 535.310 Marine terminal facilities agreement—exemption. (a) Marine terminal facilities agreement...

The Command and Control of Communications in Joint and Combined Operations

DTIC Science & Technology

1994-06-03

war. The Joint Task Force structure is used as the model for command and control relationships . The first part of the thesis assesses the current...Joint Task Force structure is used as the model for conmand and control relationships . The first part of the thesis assesses the current doctrine and...Message Switch Connectivity . . . . . . . 59 10. C4 Architecture Requirements . . . . . . 81 11. Functional Relationships . . . . . . 84 vi LIST OF

Operative tactics and results of treatment of patients with coxarthrosis secondary to congenital high luxation of hip joints.

PubMed

Król, Roman; Rojewski, Marek; Kamiński, Adam; Popławski, Tomasz

2007-01-01

Treatment of the sequelae of congenital high luxation of the hip joint is a major challenge in prosthetic surgery, demanding from the operator thorough familiarity with the problem and experience in hop reconstructive surgery. The results of 4 years observation, of the treatment of 14 woman in the average age of 38 years old with 18 hip joints with congenital high luxation are presented. In all cases cementless total hip arthroplasty was made. Acetabular component of the prosthesis was implanted correctly and stable in its physiological placement. Femur was shortened average 4 cm and stabilized by cementless press-fit stem of prosthesis. The place of femur osteotomy was covered with autogenic spongy bone from resected caput of femur. The union was achieved after average 10 weeks. In clinical assessment there were obtained 10 very good, 5 good and 3 satisfactory clinical results. There were no superficial or deep infections, no neurological disorders and no loosening of components of implanted prostheses observed. 1. Careful planning and carrying out the operative procedures allow to insert the acetabular component of the prosthesis in its physiological place and achieve good results. 2. Shortening of femur and repositioning of components of prosthesis in 90 degrees knee flexion and also position on broken bed after operative procedure allowed to avoid neurological disorders. 3. Cementless and hydroxyapatite-covered femoral component of the prosthesis correctly stabilize place of femur osteotomy.

Wormhole Formation in RSRM Nozzle Joint Backfill

NASA Technical Reports Server (NTRS)

Stevens, J.

2000-01-01

The RSRM nozzle uses a barrier of RTV rubber upstream of the nozzle O-ring seals. Post flight inspection of the RSRM nozzle continues to reveal occurrence of "wormholes" into the RTV backfill. The term "wormholes", sometimes called "gas paths", indicates a gas flow path not caused by pre-existing voids, but by a little-understood internal failure mode of the material during motor operation. Fundamental understanding of the mechanics of the RSRM nozzle joints during motor operation, nonlinear viscoelastic characterization of the RTV backfill material, identification of the conditions that predispose the RTV to form wormholes, and screening of candidate replacement materials is being pursued by a joint effort between Thiokol Propulsion, NASA, and the Army Propulsion & Structures Directorate at Redstone Arsenal. The performance of the RTV backfill in the joint is controlled by the joint environment. Joint movement, which applies a tension and shear load on the material, coupled with the introduction of high pressure gas in combination create an environment that exceeds the capability of the material to withstand the wormhole effect. Little data exists to evaluate why the material fails under the modeled joint conditions, so an effort to characterize and evaluate the material under these conditions was undertaken. Viscoelastic property data from characterization testing will anchor structural analysis models. Data over a range of temperatures, environmental pressures, and strain rates was used to develop a nonlinear viscoelastic model to predict material performance, develop criteria for replacement materials, and quantify material properties influencing wormhole growth. Three joint simulation analogs were developed to analyze and validate joint thermal barrier (backfill) material performance. Two exploratory tests focus on detection of wormhole failure under specific motor operating conditions. A "validation" test system provides data to "validate" computer models and

Joint Chiefs of Staff > Directorates > J2 | Joint Staff Intelligence

Science.gov Websites

on Facebook on Flickr Joint Chiefs► Army Chief of Staff Marine Corps Commandant Chief of Naval Operations Air Force Chief of Staff Chief of National Guard Bureau Biographies Directorates Directorates of

Connecting the Force from Space: The IRIS Joint Capability Technology Demonstration

DTIC Science & Technology

2010-01-01

the Joint in Joint Capability Technology Demonstration, we have two sponsors, both U.S. Strategic Command and the Defense Information Systems...Capability Technology Demonstration will provide an excellent source of data on space-based Internet Protocol net- working. Operational... Internet Routing in Space Joint Capability Technology Demonstration Operational Manager, Space and Missile Defense Battle Lab, Colorado Springs

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2013 CFR

2013-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

Laundry joint venture.

PubMed

Giancola, D; Voyvodich, M

1984-12-01

Many hospitals are concerned about the loss of control which is associated with contracting for linen service. On the the hand, many laundries do not have the resources or experience to serve hospitals in a comprehensive and trouble-free manner. In many communities a joint venture, such as the one described here, can successfully combine the interests of the hospital and laundry communities without causing the hospitals to lose control of the service and without requiring the laundry operator to have detailed knowledge of hospital operations. As more hospitals opt for contract service, and if this service is to be provided at the lowest total cost, the hospitals and the laundries must come to grips with the problems surrounding the laundry-hospital interface. A joint venture, such as that described here, is one way to accomplish this.

The unsuspected prosthetic joint infection : incidence and consequences of positive intra-operative cultures in presumed aseptic knee and hip revisions.

PubMed

Jacobs, A M E; Bénard, M; Meis, J F; van Hellemondt, G; Goosen, J H M

2017-11-01

Positive cultures are not uncommon in cases of revision total knee and hip arthroplasty (TKA and THA) for presumed aseptic causes. The purpose of this study was to assess the incidence of positive intra-operative cultures in presumed aseptic revision of TKA and THA, and to determine whether the presence of intra-operative positive cultures results in inferior survival in such cases. A retrospective cohort study was assembled with 679 patients undergoing revision knee (340 cases) or hip arthroplasty (339 cases) for presumed aseptic causes. For all patients three or more separate intra-operative cultures were obtained. Patients were diagnosed with a previously unsuspected prosthetic joint infection (PJI) if two or more cultures were positive with the same organism. Records were reviewed for demographic details, pre-operative laboratory results and culture results. The primary outcome measure was infection-free implant survival at two years. The incidence of unsuspected PJI was 27 out of 340 (7.9%) in TKA and 41 out of 339 (12.1%) in THA. Following revision TKA, the rate of infection-free implant survival in patients with an unsuspected PJI was 88% (95% confidence intervals (CI) 60 to 97) at two years compared with 98% (95% CI 94 to 99) in patients without PJI (p = 0.001). After THA, the rate of survival was similar in those with unsuspected PJI (92% (95% CI 73 to 98) at two years) and those without (94% (95% CI 89 to 97), p = 0.31). Following revision of TKA and THA for aseptic diagnoses, around 10% of cases were found to have positive cultures. In the knee, such cases had inferior infection-free survival at two years compared with those with negative cultures; there was no difference between the groups following THA. Cite this article: Bone Joint J 2017;99-B:1482-9. ©2017 The British Editorial Society of Bone & Joint Surgery.

Hydrological considerations in providing data for water agreements

NASA Astrophysics Data System (ADS)

Shamir, U.

2011-12-01

, and requires treatment when source quality does not match consumer requirements. - Complexity/difficulty and associated cost of extraction/production to make the "potential" source water into "usable" water. - Look jointly for new sources and benefits (expand the "cake"): agreements should look beyond the issues and water sources that are under imminent discussion due to competition and disagreement, to see whether the "cake" can be expanded, in terms of the water itself and of benefits that can accrue from a creative water agreement. - Conversion of "potential" water into "usable" water: water in a source requires transformation in time, space and quality and incurs a cost. - Introduction of expanded, previously unused resources which become available due to advanced extraction/production capabilities and additional treatment process, and/or by changing water use patterns and land use practices. - Negotiate over and jointly manage the benefits and losses due to water (wherever and whenever possible) rather than merely with the physical parameters of water themselves volume, flow, concentration.

49 CFR 605.20 - Modification of prior agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Modification of prior agreements. 605.20 Section 605.20 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION SCHOOL BUS OPERATIONS Modification of Prior Agreements and Amendment...

Joint venture versus outreach: a financial analysis of case studies.

PubMed

Forsman, R W

2001-01-01

Medical centers across the country are facing cost challenges, and national commercial laboratories are experiencing financial declines that necessitate their capturing market share in any way possible. Many laboratories are turning to joint ventures or partnerships for financial relief. However, it often is in the best interest of the patient and the medical center to integrate laboratory services across the continuum of care. This article analyzes two hypothetical joint ventures involving a laboratory management agreement and full laboratory outsourcing.

Concept of Operations for the Establishment of the Joint Pathology Center

DTIC Science & Technology

2008-12-19

the Joint Task Force National Capital Region Medical (JTF CapMed ) in collaboration with the Uniformed Services University of Health Sciences (USUHS...Medical Examiner (OAFME). The Board deems the identification of appropriate support for the OAFME as critical , since with the disestablishment of...the DoD. The establishment of the JPC within JTF CapMed is a logical choice to the extent that JTF Cap Med is a joint medical organization and can

42 CFR 137.306 - How are Self-Governance Tribes recognized as having lead, cooperating, or joint lead agency status?

Code of Federal Regulations, 2013 CFR

2013-10-01

... lead, cooperating, or joint lead agency status? 137.306 Section 137.306 Public Health PUBLIC HEALTH... recognized as having lead, cooperating, or joint lead agency status? Self-Governance Tribes may be recognized as having lead, cooperating, or joint lead agency status through funding or other agreements with...

42 CFR 137.306 - How are Self-Governance Tribes recognized as having lead, cooperating, or joint lead agency status?

Code of Federal Regulations, 2014 CFR

2014-10-01

... lead, cooperating, or joint lead agency status? 137.306 Section 137.306 Public Health PUBLIC HEALTH... recognized as having lead, cooperating, or joint lead agency status? Self-Governance Tribes may be recognized as having lead, cooperating, or joint lead agency status through funding or other agreements with...

42 CFR 137.306 - How are Self-Governance Tribes recognized as having lead, cooperating, or joint lead agency status?

Code of Federal Regulations, 2011 CFR

2011-10-01

... lead, cooperating, or joint lead agency status? 137.306 Section 137.306 Public Health PUBLIC HEALTH... recognized as having lead, cooperating, or joint lead agency status? Self-Governance Tribes may be recognized as having lead, cooperating, or joint lead agency status through funding or other agreements with...

42 CFR 137.306 - How are Self-Governance Tribes recognized as having lead, cooperating, or joint lead agency status?

Code of Federal Regulations, 2012 CFR

2012-10-01

... lead, cooperating, or joint lead agency status? 137.306 Section 137.306 Public Health PUBLIC HEALTH... recognized as having lead, cooperating, or joint lead agency status? Self-Governance Tribes may be recognized as having lead, cooperating, or joint lead agency status through funding or other agreements with...

42 CFR 137.306 - How are Self-Governance Tribes recognized as having lead, cooperating, or joint lead agency status?

Code of Federal Regulations, 2010 CFR

2010-10-01

... lead, cooperating, or joint lead agency status? 137.306 Section 137.306 Public Health PUBLIC HEALTH... recognized as having lead, cooperating, or joint lead agency status? Self-Governance Tribes may be recognized as having lead, cooperating, or joint lead agency status through funding or other agreements with...

DEVELOPMENT, INSTALLATION AND OPERATION OF THE MPC&A OPERATIONS MONITORING (MOM) SYSTEM AT THE JOINT INSTITUTE FOR NUCLEAR RESEARCH (JINR) DUBNA, RUSSIA

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

Kartashov,V.V.; Pratt,W.; Romanov, Y.A.

The Material Protection, Control and Accounting (MPC&A) Operations Monitoring (MOM) systems handling at the International Intergovernmental Organization - Joint Institute for Nuclear Research (JINR) is described in this paper. Category I nuclear material (plutonium and uranium) is used in JINR research reactors, facilities and for scientific and research activities. A monitoring system (MOM) was installed at JINR in April 2003. The system design was based on a vulnerability analysis, which took into account the specifics of the Institute. The design and installation of the MOM system was a collaborative effort between JINR, Brookhaven National Laboratory (BNL) and the U.S. Departmentmore » of Energy (DOE). Financial support was provided by DOE through BNL. The installed MOM system provides facility management with additional assurance that operations involving nuclear material (NM) are correctly followed by the facility personnel. The MOM system also provides additional confidence that the MPC&A systems continue to perform effectively.« less

Push-off tests and strength evaluation of joints combining shrink fitting with bonding

NASA Astrophysics Data System (ADS)

Yoneno, Masahiro; Sawa, Toshiyuki; Shimotakahara, Ken; Motegi, Yoichi

1997-03-01

Shrink fitted joints have been used in mechanical structures. Recently, joints combining shrink fitting with anaerobic adhesives bonded between the shrink fitted surfaces have been appeared in order to increase the joint strength. In this paper, push-off test was carried out on strength of joints combining shrink fitting with bonding by material testing machine. In addition, the push-off strength of shrink fitting joints without an anaerobic adhesive was also measured. In the experiments, the effects of the shrinking allowance and the outer diameter of the rings on the joint strength are examined. The interface stress distribution in bonded shrink fitted joints subjected to a push-off load is analyzed using axisymmetrical theory of elasticity as a four-body contact problem. Using the interface stress distribution, a method for estimating joint strength is proposed. The experimental results are in a fairly good agreement with the numerical results. It is found that the strength of combination joints is greater than that of shrink fitted joints.

49 CFR 1544.227 - Exclusive area agreement.

Code of Federal Regulations, 2012 CFR

2012-10-01

....227 Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRCRAFT OPERATOR SECURITY: AIR CARRIERS... has entered into an exclusive area agreement with an airport operator, under § 1542.111 of this...

49 CFR 1544.227 - Exclusive area agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

....227 Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRCRAFT OPERATOR SECURITY: AIR CARRIERS... has entered into an exclusive area agreement with an airport operator, under § 1542.111 of this...

49 CFR 1544.227 - Exclusive area agreement.

Code of Federal Regulations, 2013 CFR

2013-10-01

....227 Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRCRAFT OPERATOR SECURITY: AIR CARRIERS... has entered into an exclusive area agreement with an airport operator, under § 1542.111 of this...

49 CFR 1544.227 - Exclusive area agreement.

Code of Federal Regulations, 2011 CFR

2011-10-01

....227 Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRCRAFT OPERATOR SECURITY: AIR CARRIERS... has entered into an exclusive area agreement with an airport operator, under § 1542.111 of this...

49 CFR 1544.227 - Exclusive area agreement.

Code of Federal Regulations, 2014 CFR

2014-10-01

....227 Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRCRAFT OPERATOR SECURITY: AIR CARRIERS... has entered into an exclusive area agreement with an airport operator, under § 1542.111 of this...

[Generalised Form of Synovial Chondromatosis of the Knee Joint].

PubMed

Vališ, P; Vyskočil, R

2016-01-01

This study describes a diagnostic and therapeutic algorithm in a 53-year-old male patient who was diagnosed with a synovial chondromatosis of the knee joint extending to the popliteal fossa and soft tissues around the knee. Because of the presence of massive nodules, the patient was indicated for total synovectomy, with removal of pathologically changed cartilaginous tissue, performed by combined anterior and posterior approaches to the knee joint. Despite complete removal of the synovium and loose cartilage bodies and the patient's pain relief in the post-operative time, three years after the operation new problems appeared. Magnetic resonance imaging (MRI) confirmed a relapse of synovial chondromatosis and the patient was indicated for revision surgery of the knee joint. The results of physical examination and MRI scans, and intra-operative findings in the patient are reported. synovial chondromatosis, total synovectomy, direct anterior and posterior approaches to the knee joint.

Japan signs Ocean Agreement

NASA Astrophysics Data System (ADS)

The Ocean Research Institute of the University of Tokyo and the National Science Foundation (NSF) have signed a Memorandum of Understanding for cooperation in the Ocean Drilling Program (ODP). The agreement calls for Japanese participation in ODP and an annual contribution of $2.5 million in U.S. currency for the project's 9 remaining years, according to NSF.ODP is an international project whose mission is to learn more about the formation and development of the earth through the collection and examination of core samples from beneath the ocean. The program uses the drillship JOIDES Resolution, which is equipped with laboratories and computer facilities. The Joint Oceanographic Institutions for Deep Earth Sampling (JOIDES), an international group of scientists, provides overall science planning and program advice regarding ODP's science goals and objectives.

Results of arthroscopic joint debridement in different stages of chondromalacia of the knee joint.

PubMed

Krüger, T; Wohlrab, D; Birke, A; Hein, W

2000-01-01

A retrospective study was performed of 161 patients who had undergone arthroscopic operation for chondromalacia of the knee joint. After an average follow-up period of 40 (range 10-72) months, patients with severe articular cartilage lesions who had undergone articular lavage alone showed significantly poorer results (P < 0.001). With the same stage of chondromalacia and having undergone the same surgical procedure, younger patients showed better results than older patients. The more effective interruption of the circulus vitiosus during the development of degenerative joint diseases is the primary cause for better results achieved by mechanical debridement of the joint for patients suffering from grade 2 or higher. According to the literature, aggressive subchondral abrasion in severely degenerated knees does not show any benefits. Apparently, the success of the therapy depends to a great extent on the inferiority of the potential degenerative regenerate (lack of capacity of intrinsic regeneration of the hyaline cartilage) as well as on the grade and the progression of chondromalacia. Almost every second patient suffering from grade 4 chondromalacia complained of recurrent pain 1 year postoperatively. One of every 6 patients received a knee joint prosthesis within the 1st year. Therefore, the patients' preoperative expectations have to be clearly objectified. The surgical procedure as an operation with a low complication risk can also be justified as a temporary alternative to total knee arthroplasty in patients suffering from a high-grade degeneration of the joint.

The effect of mindfulness training prior to total joint arthroplasty on post-operative pain and physical function: study protocol for a randomised controlled trial.

PubMed

Dowsey, Michelle M; Castle, David J; Knowles, Simon R; Monshat, Kaveh; Salzberg, Michael R; Choong, Peter F M

2014-06-05

Osteoarthritis is a leading cause of disability in developed nations. In Australia it afflicts 16.5% of the adult population. Total joint arthroplasty is considered the treatment of choice for end stage osteoarthritis. The number of total joint arthroplasties undertaken in Australia has doubled over the last decade (more than 80,000 procedures in 2011). The incidence of pre-operative psychological distress in this group of patients is reported between 30% and 60% and pre-operative psychological distress is associated with poorer pain and functional outcomes after surgery. This study will use a mindfulness-based psychological intervention to enhance outcomes in people undergoing total joint arthroplasty and, in addition, will test hypotheses about coping with chronic illness in an aged population. This study is the first of its kind and will provide a greater understanding of the role of a mental health enhancement program on the physical recovery of total joint arthroplasty patients. One hundred and fifty people with end-stage arthritis on the waiting list for total hip or knee arthroplasty will be recruited and randomly allocated to one of two groups using computer-generated block randomisation. A randomised controlled trial adhering to CONSORT guidelines will evaluate the efficacy of a mindfulness training program (weekly group-based classes in mindfulness practice, 2 ½ hours, for 8 weeks plus a 7-hour Saturday session in Week 6) prior to total joint arthroplasty, compared to a "standard care" group who will undergo routine total joint arthroplasty. Primary outcomes will be evaluated by a blinded examiner at baseline, 3 and 12 months post-surgery, using a validated self-reported pain and physical function scale. Secondary outcomes will include i) a range of validated measures of psychological wellbeing and ii) health economic analysis. All analyses will be conducted on an intention to treat basis using linear regression models. Health economic modelling will

Individual and Joint Expert Judgments as Reference Standards in Artifact Detection

PubMed Central

Verduijn, Marion; Peek, Niels; de Keizer, Nicolette F.; van Lieshout, Erik-Jan; de Pont, Anne-Cornelie J.M.; Schultz, Marcus J.; de Jonge, Evert; de Mol, Bas A.J.M.

2008-01-01

Objective To investigate the agreement among clinical experts in their judgments of monitoring data with respect to artifacts, and to examine the effect of reference standards that consist of individual and joint expert judgments on the performance of artifact filters. Design Individual judgments of four physicians, a majority vote judgment, and a consensus judgment were obtained for 30 time series of three monitoring variables: mean arterial blood pressure (ABPm), central venous pressure (CVP), and heart rate (HR). The individual and joint judgments were used to tune three existing automated filtering methods and to evaluate the performance of the resulting filters. Measurements The interrater agreement was calculated in terms of positive specific agreement (PSA). The performance of the artifact filters was quantified in terms of sensitivity and positive predictive value (PPV). Results PSA values between 0.33 and 0.85 were observed among clinical experts in their selection of artifacts, with relatively high values for CVP data. Artifact filters developed using judgments of individual experts were found to moderately generalize to new time series and other experts; sensitivity values ranged from 0.40 to 0.60 for ABPm and HR filters (PPV: 0.57–0.84), and from 0.63 to 0.80 for CVP filters (PPV: 0.71–0.86). A higher performance value for the filters was found for the three variable types when joint judgments were used for tuning the filtering methods. Conclusion Given the disagreement among experts in their individual judgment of monitoring data with respect to artifacts, the use of joint reference standards obtained from multiple experts is recommended for development of automatic artifact filters. PMID:18096912

Joint with application in electrochemical devices

DOEpatents

Weil, K Scott [Richland, WA; Hardy, John S [Richland, WA

2010-09-14

A joint for use in electrochemical devices, such as solid oxide fuel cells (SOFCs), oxygen separators, and hydrogen separators, that will maintain a hermetic seal at operating temperatures of greater than 600.degree. C., despite repeated thermal cycling excess of 600.degree. C. in a hostile operating environment where one side of the joint is continuously exposed to an oxidizing atmosphere and the other side is continuously exposed to a wet reducing gas. The joint is formed of a metal part, a ceramic part, and a flexible gasket. The flexible gasket is metal, but is thinner and more flexible than the metal part. As the joint is heated and cooled, the flexible gasket is configured to flex in response to changes in the relative size of the metal part and the ceramic part brought about by differences in the coefficient of thermal expansion of the metal part and the ceramic part, such that substantially all of the tension created by the differences in the expansion and contraction of the ceramic and metal parts is absorbed and dissipated by flexing the flexible gasket.

10 CFR 140.52 - Indemnity agreements.

Code of Federal Regulations, 2014 CFR

2014-01-01

...) authorizing the licensee to operate the nuclear reactor involved; or (2) The effective date of the license... material at the site of the nuclear reactor for use as fuel in operation of the nuclear reactor after... 10 Energy 2 2014-01-01 2014-01-01 false Indemnity agreements. 140.52 Section 140.52 Energy NUCLEAR...

10 CFR 140.52 - Indemnity agreements.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) authorizing the licensee to operate the nuclear reactor involved; or (2) The effective date of the license... material at the site of the nuclear reactor for use as fuel in operation of the nuclear reactor after... 10 Energy 2 2010-01-01 2010-01-01 false Indemnity agreements. 140.52 Section 140.52 Energy NUCLEAR...

Dissimilar metals joint evaluation

NASA Technical Reports Server (NTRS)

Wakefield, M. E.; Apodaca, L. E.

1974-01-01

Dissimilar metals tubular joints between 2219-T851 aluminum alloy and 304L stainless steel were fabricated and tested to evaluate bonding processes. Joints were fabricated by four processes: (1) inertia (friction) weldings, where the metals are spun and forced together to create the weld; (2) explosive welding, where the metals are impacted together at high velocity; (3) co-extrusion, where the metals are extruded in contact at high temperature to promote diffusion; and (4) swaging, where residual stresses in the metals after a stretching operation maintain forced contact in mutual shear areas. Fifteen joints of each type were prepared and evaluated in a 6.35 cm (2.50 in.) O.D. size, with 0.32 cm (0.13 in.) wall thickness, and 7.6 cm (3.0 in) total length. The joints were tested to evaluate their ability to withstand pressure cycle, thermal cycle, galvanic corrosion and burst tests. Leakage tests and other non-destructive test techniques were used to evaluate the behavior of the joints, and the microstructure of the bond areas was analyzed.

Joint-operation in water resources project in Indonesia: Integrated or non-integrated

NASA Astrophysics Data System (ADS)

Ophiyandri, Taufika; Istijono, Bambang; Hidayat, Benny

2017-11-01

The construction of large water resources infrastructure project often involved a joint-operation (JO) project between two or more construction companies. The form of JO can be grouped into two categories - an integrated type and a non-integrated type. This paper investigates the reason of forming a JO project made by companies. The specific advantages and problems of JO project is also analysed in this paper. In order to achieve the objectives, three water resources infrastructure projects were selected as case studies. Data was gathered by conducting 11 semi-structured interviews to project owners, contractor managers, and project staffs. Data was analysed by means of content analysis. It was found that the most fundamental factor to form a JO is to win a competition or tender. An integrated model is in favour because it can reduce overhead costs and has a simple management system, while a non-integrated model is selected because it can avoid a sleeping partner and make contractor more responsible for their own job.

14 CFR 121.533 - Responsibility for operational control: Domestic operations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations... aircraft dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in compliance with this chapter and operations specifications. (c) The aircraft dispatcher is...

14 CFR 121.533 - Responsibility for operational control: Domestic operations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations... aircraft dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in compliance with this chapter and operations specifications. (c) The aircraft dispatcher is...

14 CFR 121.533 - Responsibility for operational control: Domestic operations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations... aircraft dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in compliance with this chapter and operations specifications. (c) The aircraft dispatcher is...

14 CFR 121.533 - Responsibility for operational control: Domestic operations.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations... aircraft dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in compliance with this chapter and operations specifications. (c) The aircraft dispatcher is...

14 CFR 121.533 - Responsibility for operational control: Domestic operations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations... aircraft dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in compliance with this chapter and operations specifications. (c) The aircraft dispatcher is...

Colorado River Sewer System Joint Venture to Upgrade Wastewater System

EPA Pesticide Factsheets

SAN FRANCISCO -Today, the Colorado River Sewer System Joint Venture, located in Parker, Ariz. entered into an agreement with the EPA to upgrade their wastewater treatment system to meet stringent water quality standards. The cost of the upgrade is ap

Joint Chiefs of Staff > Media > News

Science.gov Websites

Facebook on Flickr Joint Chiefs Army Chief of Staff Marine Corps Commandant Chief of Naval Operations Air Force Chief of Staff Chief of National Guard Bureau Biographies Directorates Directorates of Management Readout of Chairman of the Joint Chiefs of Staff Gen. Dunford's Meeting with Chief of the Turkish General

Joint working. Local differences.

PubMed

Hudson, B

1997-09-18

The interface between social care and primary healthcare remains underdeveloped. Where joint working is effective, it is the result of co-operation, trust and mutual respect. Successful local networks take account of professional autonomy.

7 CFR 1494.801 - Enforcement and termination of agreements with CCC.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 10 2014-01-01 2014-01-01 false Enforcement and termination of agreements with CCC... Enhancement Program Operations § 1494.801 Enforcement and termination of agreements with CCC. (a) Performance in accordance with an Agreement with CCC. (1) An exporter which enters into an Agreement with CCC...

7 CFR 1494.801 - Enforcement and termination of agreements with CCC.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 10 2013-01-01 2013-01-01 false Enforcement and termination of agreements with CCC... Enhancement Program Operations § 1494.801 Enforcement and termination of agreements with CCC. (a) Performance in accordance with an Agreement with CCC. (1) An exporter which enters into an Agreement with CCC...

7 CFR 1494.801 - Enforcement and termination of agreements with CCC.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Enforcement and termination of agreements with CCC... Enhancement Program Operations § 1494.801 Enforcement and termination of agreements with CCC. (a) Performance in accordance with an Agreement with CCC. (1) An exporter which enters into an Agreement with CCC...

Traffic in the operating room during joint replacement is a multidisciplinary problem

PubMed Central

Bédard, Martin; Pelletier-Roy, Rémi; Angers-Goulet, Mathieu; Leblanc, Pierre-Alexandre; Pelet, Stéphane

2015-01-01

Background Door openings disrupt the laminar air flow and increase the bacterial count in the operating room (OR). We aimed to define the incidence of door openings in the OR during primary total joint arthroplasty (TJA) surgeries and determine whether measures were needed and/or possible to reduce OR staff traffic. Methods We recorded the number of door openings during 100 primary elective TJA surgeries; the OR personnel were unaware of the observer’s intention. Operating time was divided into the preincision period, defined as the time from the opening of surgical trays to skin incision, and the postincision period, defined as time from incision to dressing application. Results The mean number of door openings during primary TJA was 71.1 (range 35–176) with a mean operative time of 111.9 (range 53–220) minutes, for an average of 0.64 (range 0.36–1.05) door openings/min. Nursing staff were responsible for 52.2% of total door openings, followed by anesthesia staff at 23.9% and orthopedic staff at 12.7%. In the preincision period, we observed an average of 0.84 door openings/min, with nursing and orthopedic personnel responsible for most of the door openings. The postincision period yielded an average of 0.54 door openings/min, with nursing and anesthesia personnel being responsible for most of the door openings. Conclusion There is a high incidence of door openings during TJA. Because we observed a range in the number of door openings per surgery, we believe it is possible to reduce this number during TJA. PMID:26022153

Strength Variation of Parachute Joints

NASA Technical Reports Server (NTRS)

Mollmann, Catherine

2017-01-01

A parachute joint is defined as a location where a component is sewn or connected to another component. During the design and developmental phase of a parachute system, the joints for each structural component are isolated and tested through a process called seam and joint testing. The objective of seam and joint testing is to determine the degradation on a single component due to interaction with other components; this data is then used when calculating the margin of safety for that component. During the engineering developmental phase of CPAS (Capsule Parachute Assembly System), the parachute system for the NASA Orion Crew Module, testing was completed for every joint of the six subsystems: the four parachutes (main, drogue, pilot, and FBCP [forward bay cover parachute]), the retention release bridle, and the retention panels. The number of joint tests for these subsystems totaled 92, which provides a plethora of data and results for further analysis. In this paper, the data and results of these seam and joint tests are examined to determine the effects, if any, of different operators and sewing machines on the strength of parachute joints. Other variables are also studied to determine their effect on joint strength, such as joint complexity, joint strength magnitude, material type, and material construction. Findings reveal that an optimally-run seam and joint test program could result in an increased understanding of the structure of the parachute; this should lead to a parachute built with optimal components, potentially saving system weight and volume.

30 CFR 948.30 - State-Federal Cooperative Agreement.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Federal lands covered by this agreement, the State shall use funds received from bond forfeiture and... for changes to the Federal lands program. B. Copies of Changes: The State and OSM shall provide each... operations on Federal lands within that State. This Agreement provides for such regulation within West...

30 CFR 931.30 - State-Federal cooperative agreement.

Code of Federal Regulations, 2013 CFR

2013-07-01

... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE NEW MEXICO § 931.30 State-Federal cooperative agreement. The State of New Mexico (State) acting through the Governor and the... to Federal lands in New Mexico. Article II: Effective Date 3. This Cooperative Agreement is effective...

30 CFR 931.30 - State-Federal cooperative agreement.

Code of Federal Regulations, 2014 CFR

2014-07-01

... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE NEW MEXICO § 931.30 State-Federal cooperative agreement. The State of New Mexico (State) acting through the Governor and the... to Federal lands in New Mexico. Article II: Effective Date 3. This Cooperative Agreement is effective...

30 CFR 931.30 - State-Federal cooperative agreement.

Code of Federal Regulations, 2012 CFR

2012-07-01

... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE NEW MEXICO § 931.30 State-Federal cooperative agreement. The State of New Mexico (State) acting through the Governor and the... to Federal lands in New Mexico. Article II: Effective Date 3. This Cooperative Agreement is effective...

U.S.-Russian Civilian Nuclear Cooperation Agreement: Issues for Congress

DTIC Science & Technology

2010-07-09

for nuclear cooperation in 1973 to allow for cooperation in controlled thermonuclear fusion, fast breeder reactors , and fundamental research. The...that a 123 agreement is needed to implement this action plan—for example, full scale technical cooperation on fast reactors and demonstration of...superpowers convened a Joint Coordinating Committee for Civilian Reactor Safety starting in 1988.10 After the fall of the Soviet Union and prior to July

Implications of the Joint Comprehensive Plan of Action

NASA Astrophysics Data System (ADS)

Perkovich, George

2017-11-01

This essay describes the background behind the July 2015 Joint Comprehensive Plan of Action that was negotiated to redress the crisis that had developed around Iran's nuclear activities, and summarizes some of the agreement's key features. The essay then highlights political and strategic factors that enabled the diplomatic breakthrough, and draws lessons that could inform approaches to future proliferation challenges. The conclusion suggests how some of the agreement's innovative features could be built upon and applied more broadly to reduce risks that civilian nuclear energy programs could be diverted for military purposes and to inform approaches to nuclear disarmament in the future.

Pre-operative interventions (non-surgical and non-pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement surgery--a systematic review and meta-analysis.

PubMed

Wallis, Jason A; Taylor, Nicholas F

2011-12-01

To determine if pre-operative interventions for hip and knee osteoarthritis provide benefit before and after joint replacement. Systematic review with meta-analysis of randomised controlled trials (RCTs) of pre-operative interventions for people with hip or knee osteoarthritis awaiting joint replacement surgery. Standardised mean differences (SMD) were calculated for pain, musculoskeletal impairment, activity limitation, quality of life, and health service utilisation (length of stay and discharge destination). The GRADE approach was used to determine the quality of the evidence. Twenty-three RCTs involving 1461 participants awaiting hip or knee replacement surgery were identified. Meta-analysis provided moderate quality evidence that pre-operative exercise interventions for knee osteoarthritis reduced pain prior to knee replacement surgery (SMD (95% CI)=0.43 [0.13, 0.73]). None of the other meta-analyses investigating pre-operative interventions for knee osteoarthritis demonstrated any effect. Meta-analyses provided low to moderate quality evidence that exercise interventions for hip osteoarthritis reduced pain (SMD (95% CI)=0.52 [0.04, 1.01]) and improved activity (SMD (95% CI)=0.47 [0.11, 0.83]) prior to hip replacement surgery. Meta-analyses provided low quality evidence that exercise with education programs improved activity after hip replacement with reduced time to reach functional milestones during hospital stay (e.g., SMD (95% CI)=0.50 [0.10, 0.90] for first day walking). Low to moderate evidence from mostly small RCTs demonstrated that pre-operative interventions, particularly exercise, reduce pain for patients with hip and knee osteoarthritis prior to joint replacement, and exercise with education programs may improve activity after hip replacement. Copyright © 2011 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

Reusable Solid Rocket Motor Nozzle Joint-4 Thermal Analysis

NASA Technical Reports Server (NTRS)

Clayton, J. Louie

2001-01-01

This study provides for development and test verification of a thermal model used for prediction of joint heating environments, structural temperatures and seal erosions in the Space Shuttle Reusable Solid Rocket Motor (RSRM) Nozzle Joint-4. The heating environments are a result of rapid pressurization of the joint free volume assuming a leak path has occurred in the filler material used for assembly gap close out. Combustion gases flow along the leak path from nozzle environment to joint O-ring gland resulting in local heating to the metal housing and erosion of seal materials. Analysis of this condition was based on usage of the NASA Joint Pressurization Routine (JPR) for environment determination and the Systems Improved Numerical Differencing Analyzer (SINDA) for structural temperature prediction. Model generated temperatures, pressures and seal erosions are compared to hot fire test data for several different leak path situations. Investigated in the hot fire test program were nozzle joint-4 O-ring erosion sensitivities to leak path width in both open and confined joint geometries. Model predictions were in generally good agreement with the test data for the confined leak path cases. Worst case flight predictions are provided using the test-calibrated model. Analysis issues are discussed based on model calibration procedures.

[Operative treatment of sacroiliac joint fracture and dislocation in Tile C pelvic fracture with Colorado 2 system].

PubMed

Liu, Shuping; Zhou, Qing; Liu, Yuehong; Chen, Xi; Zhou, Yu; Zhang, Desheng; Fang, Zhi; Xu, Wei

2011-12-01

To explore the effectiveness of Colorado 2 system in the stability reconstruction of sacroiliac joint fracture and dislocation in Tile C pelvic fracture. Between February 2009 and January 2011, 8 cases of Tile C pelvic fracture were treated with Colorado 2 system. There were 3 males and 5 females with an average age of 34.4 years (range, 22-52 years). Fractures were caused by traffic accident in 3 cases, by falling from height in 3 cases, and by crash of heavy object in 2 cases. According to Tile classification, 5 cases were classified as C1-2, 2 cases as C1-3, and 1 case as C2. The time between injury and operation was 5-10 days (mean, 7 days). After skeletal traction reduction, Colorado 2 system was used to fix sacroiliac joint, and reconstruction plate or external fixation was selectively adopted. The postoperative X-ray films showed that the reduction of vertical and rotatory dislocation was satisfactory, posterior pelvic ring achieved effective stability. All the incisions healed by first intention, and no blood vessel or nerve injury occurred. Eight patients were followed up 6-24 months (mean, 12 months). No loosening or breakage of internal fixation was observed and no re-dislocation of sacroiliac joint occurred. The bone healing time was 6-12 months (mean, 9 months). According to Majeed's functional criterion, the results were excellent in 5 cases, good in 2 cases, and fair in 1 case at last follow-up. Colorado 2 system could provide immediate stability of pelvic posterior ring and good maintenance of reduction effect, which is an effective method in the therapy of sacroiliac joint fracture and dislocation in Tile C pelvic fracture.

Medical support for Operation Cooperative Nugget '95: joint readiness training in the post-cold war era.

PubMed

Jerant, A F; Epperly, T D; Marionneaux, R D

1997-11-01

The purpose of this paper is to report the demographic characteristics, injury and illness profiles, and dispositions of patients seen at the 249th General Hospital during its month-long deployment in support of Operation Cooperative Nugget '95 at the Joint Readiness Training Center (JRTC), Fort Polk, Louisiana. A descriptive analysis of patient demographic, diagnostic, and disposition data was performed. A total of 769 patient contacts were made, with orthopedic injuries (31%), dermatologic disorders (17%), upper respiratory infections (6%), and heat injuries (5%) accounting for the majority of visits. Because of aggressive preventive medicine interventions, there were no cases of heat stroke despite daily heat indices of 110 to 120 degrees F. In addition to emphasizing the importance of anticipating environmental medical threats, the authors relate some lessons learned, which should be valuable to medical providers tasked for future multinational operations other than war at the JRTC and elsewhere.

Can symptomatic acromioclavicular joints be differentiated from asymptomatic acromioclavicular joints on 3-T MR imaging?

PubMed

Choo, Hye Jung; Lee, Sun Joo; Kim, Jung Han; Cha, Seong Sook; Park, Young Mi; Park, Ji Sung; Lee, Jun Woo; Oh, Minkyung

2013-04-01

To evaluate retrospectively whether symptomatic acromioclavicular joints can be differentiated from asymptomatic acromioclavicular joints on 3-T MR imaging. This study included 146 patients who underwent physical examination of acromioclavicular joints and 3-T MR imaging of the shoulder. Among them, 67 patients showing positive results on physical examination were assigned to the symptomatic group, whereas 79 showing negative results were assigned to the asymptomatic group. The following MR findings were compared between the symptomatic and asymptomatic groups: presence of osteophytes, articular surface irregularity, subchondral cysts, acromioclavicular joint fluid, subacromial fluid, subacromial bony spurs, joint capsular distension, bone edema, intraarticular enhancement, periarticular enhancement, superior and inferior joint capsular distension degree, and joint capsular thickness. The patients were subsequently divided into groups based on age (younger, older) and the method of MR arthrography (direct MR arthrography, indirect MR arthrography), and all the MR findings in each subgroup were reanalyzed. The meaningful cutoff value of each significant continuous variable was calculated using receiver operating characteristic analysis. The degree of superior capsular distension was the only significant MR finding of symptomatic acromioclavicular joints and its meaningful cutoff value was 2.1mm. After subgroup analyses, this variable was significant in the older age group and indirect MR arthrography group. On 3-T MR imaging, the degree of superior joint capsular distension might be a predictable MR finding in the diagnosis of symptomatic acromioclavicular joints. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

The Joint Logistics Enterprise Enables Operation United Assistance

DTIC Science & Technology

2016-02-24

Sustainment July–August 2015 JLE U.S. service members board a C-130 Hercules aircraft Oct. 22, 2014, in Dakar, Senegal, to travel to Liberia to...including Liberia , as the “least developed in the world.” With numerous governance challenges, harsh weather, limited infrastructure over a... Liberia with the USARAF G–4, who was also the Joint Forces Com- mand ( JFC) J–4, and 7 personnel from his directorate. Because of the global reach of

Operation Corporate: Parallels of the Joint Operational Access Concept

DTIC Science & Technology

2013-04-04

To) 04-04-2013 Master of Military Studies Research Paper September 2012 - April 2013 4. TITLE AND SUBTITLE Sa. CONTRACT NUMBER Operation Corporate...amphibious operations. Discussion: Many books, periodicals, and papers have been written about the Falklands War. Most of these cover a broad...periodicals, and papers have been written about the Falklands War. Most of these cover a broad overview of the air, naval, and ground campaign, or are very

Joint Polar Satellite System

NASA Technical Reports Server (NTRS)

Trenkle, Timothy; Driggers, Phillip

2011-01-01

The Joint Polar Satellite System (JPSS) is a joint NOAA/NASA mission comprised of a series of polar orbiting weather and climate monitoring satellites which will fly in a sun-synchronous orbit, with a 1330 equatorial crossing time. JPSS resulted from the decision to reconstitute the National Polar-orbiting Operational Environmental Satellite System (NPOESS) into two separate programs, one to be run by the Department of Defense (DOD) and the other by NOAA. This decision was reached in early 2010, after numerous development issues caused a series of unacceptable delays in launching the NPOESS system.

14 CFR 121.535 - Responsibility for operational control: Flag operations.

Code of Federal Regulations, 2013 CFR

2013-01-01

... dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations...— (1) Monitoring the progress of each flight; (2) Issuing necessary instructions and information for...

14 CFR 121.535 - Responsibility for operational control: Flag operations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations...— (1) Monitoring the progress of each flight; (2) Issuing necessary instructions and information for...

14 CFR 121.535 - Responsibility for operational control: Flag operations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations...— (1) Monitoring the progress of each flight; (2) Issuing necessary instructions and information for...

14 CFR 121.535 - Responsibility for operational control: Flag operations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations...— (1) Monitoring the progress of each flight; (2) Issuing necessary instructions and information for...

14 CFR 121.535 - Responsibility for operational control: Flag operations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... dispatcher are jointly responsible for the preflight planning, delay, and dispatch release of a flight in... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations...— (1) Monitoring the progress of each flight; (2) Issuing necessary instructions and information for...

Theater Logistics Management: A Case for a Joint Distribution Solution

DTIC Science & Technology

2008-03-15

Multinational (JIIM) operations necessitate creating joint-multinational-based distribution management centers which effectively manage materiel...in the world. However, as the operation continued, the inherent weakness of the intra-theater logistical distribution management link became clear...compounded the distribution management problem. The common thread between each of the noted GAO failures is the lack of a defined joint, theater

Evaluation of longitudinal construction joints on traffic operations and safety.

DOT National Transportation Integrated Search

2009-01-01

Motorists generally follow the guidance provided by pavement markings, which are normally marked in : coincidence with the longitudinal construction joints, when the markings are necessary. At some locations, : however, there may be a difference betw...

Physics and operation oriented activities in preparation of the JT-60SA tokamak exploitation

NASA Astrophysics Data System (ADS)

Giruzzi, G.; Yoshida, M.; Artaud, J. F.; Asztalos, Ö.; Barbato, E.; Bettini, P.; Bierwage, A.; Boboc, A.; Bolzonella, T.; Clement-Lorenzo, S.; Coda, S.; Cruz, N.; Day, Chr.; De Tommasi, G.; Dibon, M.; Douai, D.; Dunai, D.; Enoeda, M.; Farina, D.; Figini, L.; Fukumoto, M.; Galazka, K.; Galdon, J.; Garcia, J.; Garcia-Muñoz, M.; Garzotti, L.; Gil, C.; Gleason-Gonzalez, C.; Goodman, T.; Granucci, G.; Hayashi, N.; Hoshino, K.; Ide, S.; Imazawa, R.; Innocente, P.; Isayama, A.; Itami, K.; Joffrin, E.; Kamada, Y.; Kamiya, K.; Kawano, Y.; Kawashima, H.; Kobayashi, T.; Kojima, A.; Kubo, H.; Lang, P.; Lauber, Ph.; de la Luna, E.; Maget, P.; Marchiori, G.; Mastrostefano, S.; Matsunaga, G.; Mattei, M.; McDonald, D. C.; Mele, A.; Miyata, Y.; Moriyama, S.; Moro, A.; Nakano, T.; Neu, R.; Nowak, S.; Orsitto, F. P.; Pautasso, G.; Pégourié, B.; Pigatto, L.; Pironti, A.; Platania, P.; Pokol, G. I.; Ricci, D.; Romanelli, M.; Saarelma, S.; Sakurai, S.; Sartori, F.; Sasao, H.; Scannapiego, M.; Shimizu, K.; Shinohara, K.; Shiraishi, J.; Soare, S.; Sozzi, C.; Stępniewski, W.; Suzuki, T.; Suzuki, Y.; Szepesi, T.; Takechi, M.; Tanaka, K.; Terranova, D.; Toma, M.; Urano, H.; Vega, J.; Villone, F.; Vitale, V.; Wakatsuki, T.; Wischmeier, M.; Zagórski, R.

2017-08-01

The JT-60SA tokamak, being built under the Broader Approach agreement jointly by Europe and Japan, is due to start operation in 2020 and is expected to give substantial contributions to both ITER and DEMO scenario optimisation. A broad set of preparation activities for an efficient start of the experiments on JT-60SA is being carried out, involving elaboration of the Research Plan, advanced modelling in various domains, feasibility and conception studies of diagnostics and other sub-systems in connection with the priorities of the scientific programme, development and validation of operation tools. The logic and coherence of this approach, as well as the most significant results of the main activities undertaken are presented and summarised.

Prediction of hip joint load and translation using musculoskeletal modelling with force-dependent kinematics and experimental validation.

PubMed

Zhang, Xuan; Chen, Zhenxian; Wang, Ling; Yang, Wenjian; Li, Dichen; Jin, Zhongmin

2015-07-01

Musculoskeletal lower limb models are widely used to predict the resultant contact force in the hip joint as a non-invasive alternative to instrumented implants. Previous musculoskeletal models based on rigid body assumptions treated the hip joint as an ideal sphere with only three rotational degrees of freedom. An musculoskeletal model that considered force-dependent kinematics with three additional translational degrees of freedom was developed and validated in this study by comparing it with a previous experimental measurement. A 32-mm femoral head against a polyethylene cup was considered in the musculoskeletal model for calculating the contact forces. The changes in the main modelling parameters were found to have little influence on the hip joint forces (relative deviation of peak value < 10 BW%, mean trial deviation < 20 BW%). The centre of the hip joint translation was more sensitive to the changes in the main modelling parameters, especially muscle recruitment type (relative deviation of peak value < 20%, mean trial deviation < 0.02 mm). The predicted hip contact forces showed consistent profiles, compared with the experimental measurements, except in the lateral-medial direction. The ratio-average analysis, based on the Bland-Altman's plots, showed better limits of agreement in climbing stairs (mean limits of agreement: -2.0 to 6.3 in walking, mean limits of agreement: -0.5 to 3.1 in climbing stairs). Better agreement of the predicted hip contact forces was also found during the stance phase. The force-dependent kinematics approach underestimated the maximum hip contact force by a mean value of 6.68 ± 1.75% BW compared with the experimental measurements. The predicted maximum translations of the hip joint centres were 0.125 ± 0.03 mm in level walking and 0.123 ± 0.005 mm in climbing stairs. © IMechE 2015.

Spherical Joint Piston and Connecting Rod Developed

NASA Technical Reports Server (NTRS)

1996-01-01

Under an interagency agreement with the Department of Energy, the NASA Lewis Research Center manages a Heavy-Duty Diesel Engine Technology (HDET) research program. The overall program objectives are to reduce fuel consumption through increased engine efficiency, reduce engine exhaust emissions, and provide options for the use of alternative fuels. The program is administered with a balance of research contracts, university research grants, and focused in-house research. The Cummins Engine Company participates in the HDET program under a cost-sharing research contract. Cummins is researching and developing in-cylinder component technologies for heavy-duty diesel engines. An objective of the Cummins research is to develop technologies for a low-emissions, 55-percent thermal efficiency (LE-55) engine. The best current-production engines in this class achieve about 46-percent thermal efficiency. Federal emissions regulations are driving this technology. Regulations for heavy duty diesel engines were tightened in 1994, more demanding emissions regulations are scheduled for 1998, and another step is planned for 2002. The LE-55 engine emissions goal is set at half of the 1998 regulation level and is consistent with plans for 2002 emissions regulations. LE-55 engine design requirements to meet the efficiency target dictate a need to operate at higher peak cylinder pressures. A key technology being developed and evaluated under the Cummins Engine Company LE-55 engine concept is the spherical joint piston and connecting rod. Unlike conventional piston and connecting rod arrangements which are joined by a pin forming a hinged joint, the spherical joint piston and connecting rod use a ball-and-socket joint. The ball-and-socket arrangement enables the piston to have an axisymmetric design allowing rotation within the cylinder. The potential benefits of piston symmetry and rotation are reduced scuffing, improved piston ring sealing, improved lubrication, mechanical and thermal

Behavior of stress generated in semiconductor chips with high-temperature joints: Influence of mechanical properties of joint materials

NASA Astrophysics Data System (ADS)

Ito, H.; Kuwahara, M.; Ohta, R.; Usui, M.

2018-04-01

High-temperature joint materials are indispensable to realizing next-generation power modules with high-output performance. However, crack initiation resulting from stress concentration in semiconductor chips joined with high-temperature joint materials remains a critical problem in high-temperature operation. Therefore, clarifying the quantitative influence of joint materials on the stress generated in chips is essential. This study investigates the stress behavior of chips joined by Ni-Sn solid-liquid interdiffusion (SLID), which results in a high-temperature joint material likely to generate cracks after joining or when under thermal cycling. The results are compared with those fabricated using three types of solders, Pb-10%Sn, Sn-0.7%Cu, and Sn-10%Sb (mass %), which are conventional joint materials with different melting points and mechanical properties. Using Ni-Sn SLID results in the generation of high compressive stress (500 MPa) without stress relaxation after the joining process in contrast to the case of solders in which the compressive stresses are low (<300 MPa) and decrease to still lower levels (<250 MPa). In addition, no stress relaxation occurs during thermal cycling when using Ni-Sn SLID, whereas stress relaxation is clearly observed during heating to 200 °C using solders. Different stress behaviors between Ni-Sn SLID and other joint materials are illustrated by their mechanical strength and resistance against plastic and creep deformation. These results suggest that stress relaxation in a chip is key in suppressing crack initiation in highly reliable modules during high-temperature operation.

The volume of the human knee joint.

PubMed

Matziolis, Georg; Roehner, Eric; Windisch, Christoph; Wagner, Andreas

2015-10-01

Despite its clinical relevance, particularly in septic knee surgery, the volume of the human knee joint has not been established to date. Therefore, the objective of this study was to determine knee joint volume and whether or not it is dependent on sex or body height. Sixty-one consecutive patients (joints) who were due to undergo endoprosthetic joint replacement were enrolled in this prospective study. During the operation, the joint volume was determined by injecting saline solution until a pressure of 200 mmHg was achieved in the joint. The average volume of all knee joints was 131 ± 53 (40-290) ml. The volume was not found to be dependent on sex, but it was dependent on the patients' height (R = 0.312, p = 0.014). This enabled an estimation of the joint volume according to V = 1.6 height - 135. The considerable inter-individual variance of the knee joint volume would suggest that it should be determined or at least estimated according to body height if the joint volume has consequences for the diagnostics or therapy of knee disorders.

Creating a Joint Approach to New Zealand Defence Force Contemporary Amphibious Operations in the South West Pacific

DTIC Science & Technology

2012-03-06

Logistics Support. There were no set agreements in place to use military assets to transport donated goods from NGOs and the private sector . This led to... private sector in the future.25 Lessons Learned: Command and Control. The JTF staff had not been exercised in the lead up to the operation...these islands would have been able to survive on their internal produce and subsistence culture, however in a globalised world, some of them are

46 CFR 280.3 - Standards governing award of an ODS agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 8 2010-10-01 2010-10-01 false Standards governing award of an ODS agreement. 280.3 Section 280.3 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION REGULATIONS AFFECTING... LINER OPERATORS § 280.3 Standards governing award of an ODS agreement. No ODS agreement, including any...

7 CFR 1427.103 - Upland cotton Domestic User Agreement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Upland cotton Domestic User Agreement. 1427.103... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COTTON Economic Adjustment Assistance to Users of Upland Cotton § 1427.103 Upland cotton Domestic User Agreement. (a) Payments specified...

7 CFR 1427.103 - Upland cotton Domestic User Agreement.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 10 2013-01-01 2013-01-01 false Upland cotton Domestic User Agreement. 1427.103... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COTTON Economic Adjustment Assistance to Users of Upland Cotton § 1427.103 Upland cotton Domestic User Agreement. (a) Payments specified...

7 CFR 1427.103 - Upland cotton Domestic User Agreement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 10 2014-01-01 2014-01-01 false Upland cotton Domestic User Agreement. 1427.103... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COTTON Economic Adjustment Assistance to Users of Upland Cotton § 1427.103 Upland cotton Domestic User Agreement. (a) Payments specified...

7 CFR 1427.103 - Upland cotton Domestic User Agreement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Upland cotton Domestic User Agreement. 1427.103... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COTTON Economic Adjustment Assistance to Users of Upland Cotton § 1427.103 Upland cotton Domestic User Agreement. (a) Payments specified...

7 CFR 1427.103 - Upland cotton Domestic User Agreement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 10 2011-01-01 2011-01-01 false Upland cotton Domestic User Agreement. 1427.103... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COTTON Economic Adjustment Assistance to Users of Upland Cotton § 1427.103 Upland cotton Domestic User Agreement. (a) Payments specified...

49 CFR 192.233 - Miter joints.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... (a) A miter joint on steel pipe to be operated at a pressure that produces a hoop stress of 30... operated at a pressure that produces a hoop stress of less than 30 percent, but more than 10 percent, of... steel pipe to be operated at a pressure that produces a hoop stress of 10 percent or less of SMYS may...

49 CFR 192.233 - Miter joints.

Code of Federal Regulations, 2011 CFR

2011-10-01

.... (a) A miter joint on steel pipe to be operated at a pressure that produces a hoop stress of 30... operated at a pressure that produces a hoop stress of less than 30 percent, but more than 10 percent, of... steel pipe to be operated at a pressure that produces a hoop stress of 10 percent or less of SMYS may...

49 CFR 192.233 - Miter joints.

Code of Federal Regulations, 2012 CFR

2012-10-01

.... (a) A miter joint on steel pipe to be operated at a pressure that produces a hoop stress of 30... operated at a pressure that produces a hoop stress of less than 30 percent, but more than 10 percent, of... steel pipe to be operated at a pressure that produces a hoop stress of 10 percent or less of SMYS may...

Quiet Short-Haul Research Aircraft Joint Navy/NASA Sea Trials

NASA Technical Reports Server (NTRS)

Queen, S.; Cochrane, J.

1982-01-01

The Quiet Short-Haul Research Aircraft (QSRA) is a flight facility which Ames Research Center is using to conduct a broad program of terminal area and low-speed, propulsive-life flight research. A joint Navy/NASA flight research program used the QSRA to investigate the application of advanced propulsive-lift technology to the naval aircraft-carrier environment. Flight performance of the QSRA is presented together with the results or the joint Navy/NASA flight program. During the joint program, the QSRA operated aboard the USS Kitty Hawk for 4 days, during which numerous unarrested landings and free deck takeoffs were accomplished. These operations demonstrated that a large aircraft incorporating upper-surface-blowing, propulsive-life technology can be operated in the aircraft-carrier environment without any unusual problems.

Japan - USSR joint emulsion chamber experiment at Pamir

NASA Technical Reports Server (NTRS)

1985-01-01

The results are presented for the systematic measurement of cosmic ray showers in the first carbon chamber of Japan-USSR joint experiment at Pamir Plateau. The intensity and the energy distribution of electromagnetic particles, of hadrons and of families are in good agreement with the results of other mountain experiment if the relative error in energy estimation is taken into consideration.

Joint Chiefs of Staff > About > Origin of Joint Concepts

Science.gov Websites

Commander in Chief of the Army and Navy; General George C. Marshall, Chief of Staff of the Army; Admiral Ernest J. King, Chief of Naval Operations and Commander in Chief of the U.S. Fleet; and General Henry H JCS: Search Home Media News Photos Videos Publications About The Joint Staff Chairman Vice Chairman

Barratt signs mission decal in the JEM during Joint Operations

NASA Image and Video Library

2009-07-25

S127-E-008623 (25 July 2009) --- Flight day 11 activities for the joint shuttle-station crews included the traditional autographing of the station. Astronaut Mike Barratt, Expedition 20 flight engineer, has the pen in this frame. Photo credit: NASA

An Approach and Framework to Synchronize Joint Exercises and Training with Military Operations

DTIC Science & Technology

2014-06-06

13. SUPPLEMENTARY NOTES 14. ABSTRACT In this dynamic, complex, and uncertain global environment, supporting and conducting joint military...achieved by leveraging a globally networked approach and an integrated framework that shares resources and coordinates activities. A recommended...Intentionally left blank ABSTRACT In this dynamic, complex, and uncertain global environment, supporting and conducting joint military

The Myth of Jointness in Department of Defense Requirements and Major Acquisition Programs

DTIC Science & Technology

2013-06-01

cost between the two was the result of both the need to purchase much smaller quantities for the smaller number of Defense Department aircraft, and...service requirements to reach an agreement on the joint requirements of the new aircraft. The results were borderline disastrous. The second case study...completely wrong. The TFX did not originate as a joint program but was the result of then Secretary of Defense Robert McNamara’s decision to combine

Reliability of a smartphone-based goniometer for knee joint goniometry.

PubMed

Ferriero, Giorgio; Vercelli, Stefano; Sartorio, Francesco; Muñoz Lasa, Susana; Ilieva, Elena; Brigatti, Elisa; Ruella, Carolina; Foti, Calogero

2013-06-01

The aim of this study was to assess the reliability of a smartphone-based application developed for photographic-based goniometry, DrGoniometer (DrG), by comparing its measurement of the knee joint angle with that made by a universal goniometer (UG). Joint goniometry is a common mode of clinical assessment used in many disciplines, in particular in rehabilitation. One validated method is photographic-based goniometry, but the procedure is usually complex: the image has to be downloaded from the camera to a computer and then edited using dedicated software. This disadvantage may be overcome by the new generation of mobile phones (smartphones) that have computer-like functionality and an integrated digital camera. This validation study was carried out under two different controlled conditions: (i) with the participant to measure in a fixed position and (ii) with a battery of pictures to assess. In the first part, four raters performed repeated measurements with DrG and UG at different knee joint angles. Then, 10 other raters measured the knee at different flexion angles ranging 20-145° on a battery of 35 pictures taken in a clinical setting. The results showed that inter-rater and intra-rater correlations were always more than 0.958. Agreement with the UG showed a width of 18.2° [95% limits of agreement (LoA)=-7.5/+10.7°] and 14.1° (LoA=-6.6/+7.5°). In conclusion, DrG seems to be a reliable method for measuring knee joint angle. This mHealth application can be an alternative/additional method of goniometry, easier to use than other photographic-based goniometric assessments. Further studies are required to assess its reliability for the measurement of other joints.

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.

A personalized 3D-printed prosthetic joint replacement for the human temporomandibular joint: From implant design to implantation.

PubMed

Ackland, David C; Robinson, Dale; Redhead, Michael; Lee, Peter Vee Sin; Moskaljuk, Adrian; Dimitroulis, George

2017-05-01

Personalized prosthetic joint replacements have important applications in cases of complex bone and joint conditions where the shape and size of off-the-shelf components may not be adequate. The objective of this study was to design, test and fabricate a personalized 3D-printed prosthesis for a patient requiring total joint replacement surgery of the temporomandibular joint (TMJ). The new 'Melbourne' prosthetic TMJ design featured a condylar component sized specifically to the patient and fixation screw positions that avoid potential intra-operative damage to the mandibular nerve. The Melbourne prosthetic TMJ was developed for a 58-year-old female recipient with end-stage osteoarthritis of the TMJ. The load response of the prosthesis during chewing and a maximum-force bite was quantified using a personalized musculoskeletal model of the patient's masticatory system developed using medical images. The simulations were then repeated after implantation of the Biomet Microfixation prosthetic TMJ, an established stock device. The maximum condylar stresses, screw stress and mandibular stress at the screw-bone interface were lower in the Melbourne prosthetic TMJ (259.6MPa, 312.9MPa and 198.4MPa, respectively) than those in the Biomet Microfixation device (284.0MPa, 416.0MPa and 262.2MPa, respectively) during the maximum-force bite, with similar trends also observed during the chewing bite. After trialing surgical placement and evaluating prosthetic TMJ stability using cadaveric specimens, the prosthesis was fabricated using 3D printing, sterilized, and implanted into the female recipient. Six months post-operatively, the prosthesis recipient had a normal jaw opening distance (40.0 mm), with no complications identified. The new design features and immediate load response of the Melbourne prosthetic TMJ suggests that it may provide improved clinical and biomechanical joint function compared to a commonly used stock device, and reduce risk of intra-operative nerve damage

Operational Risk Defined Through a Complex Operating Environment

DTIC Science & Technology

2015-02-26

including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed , and completing and reviewing...This argument defines operational risk as any environmental, institutional, or social impediment to the principles of joint operations that disrupt...Restraint, Perseverance, and Legitimacy. This argument defines operational risk as any environmental, institutional, or social impediment to the

U.S. Joint Special Operations Forces: Two Few, Overworked, Young, Homogenous & Macho to Fulfill the Unconventional Demands of the Long War?

DTIC Science & Technology

2008-05-28

OVERWORKED , YOUNG, HOMOGENOUS, & MACHO TO FULFILL THE UNCONVENTIONAL DEMANDS OF THE LONG WAR? SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR...U.S. Joint Special Operations Forces: Two Few, Overworked , Young, Homogenous & Macho to Fulfill the Unconventional Demands of the Long War? 5a...to be the targets of nearly daily mortar, improvised explosive devices (IEDs), and occasional suicide vehicle-borne IED (SVBIED) attacks. It

76 FR 63702 - Petition for Waiver of the Terms of the Order Limiting Scheduled Operations at LaGuardia Airport

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-13

...The Secretary and the Federal Aviation Administration (FAA) are granting the joint waiver request of Delta Air Lines, Inc. (Delta) and US Airways, Inc. (US Airways) (together, the Joint Applicants or the carriers) from the prohibition on purchasing operating authorizations (slots) at LaGuardia Airport (LGA). The waiver permits the carriers to consummate a transaction in which US Airways would transfer to Delta 132 slot pairs (265 slots) at LGA. In exchange, Delta would transfer to US Airways 42 slot pairs (84 slots) at Ronald Reagan Washington National Airport (DCA), convey route authority to operate certain flights to S[atilde]o Paulo, Brazil, and make a cash payment to US Airways. The waiver is subject to a number of conditions, including that the carriers dispose of 16 slots at DCA and 32 slots at LGA to eligible new entrant and limited incumbent carriers, pursuant to procedures set out in this Notice, and achieve a mutually satisfactory agreement regarding gates and associated facilities with any such purchaser.

76 FR 64944 - Notice of Agreements Filed

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-19

...: Compania Sud Americana de Vapores, S.A. and Siem Car Carriers (Pacific) AS. Filing Party: Walter H. Lion...: Marine Terminal Lease and Operating Agreement. Parties: Broward County, Saw Grass Transport, Inc., and...

7 CFR 301.91-6 - Compliance agreement and cancellation thereof.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Plant Health Inspection Service, Plant Protection and Quarantine, Domestic and Emergency Operations... agreement shall be a written agreement between a person engaged in such a business and Plant Protection and... PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE DOMESTIC QUARANTINE NOTICES European Larch...

30 CFR 948.30 - State-Federal Cooperative Agreement.

Code of Federal Regulations, 2011 CFR

2011-07-01

... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WEST VIRGINIA § 948.30...) between the State of West Virginia (State) acting by and through the Governor, and the United States... operations on Federal lands within that State. This Agreement provides for such regulation within West...

30 CFR 948.30 - State-Federal Cooperative Agreement.

Code of Federal Regulations, 2013 CFR

2013-07-01

... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WEST VIRGINIA § 948.30...) between the State of West Virginia (State) acting by and through the Governor, and the United States... operations on Federal lands within that State. This Agreement provides for such regulation within West...

30 CFR 948.30 - State-Federal Cooperative Agreement.

Code of Federal Regulations, 2014 CFR

2014-07-01

... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WEST VIRGINIA § 948.30...) between the State of West Virginia (State) acting by and through the Governor, and the United States... operations on Federal lands within that State. This Agreement provides for such regulation within West...

30 CFR 948.30 - State-Federal Cooperative Agreement.

Code of Federal Regulations, 2012 CFR

2012-07-01

... INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WEST VIRGINIA § 948.30...) between the State of West Virginia (State) acting by and through the Governor, and the United States... operations on Federal lands within that State. This Agreement provides for such regulation within West...

Thermographic Analysis of Stress Distribution in Welded Joints

NASA Astrophysics Data System (ADS)

Piršić, T.; Krstulović Opara, L.; Domazet, Ž.

2010-06-01

The fatigue life prediction of welded joints based on S-N curves in conjunction with nominal stresses generally is not reliable. Stress distribution in welded area affected by geometrical inhomogeneity, irregular welded surface and weld toe radius is quite complex, so the local (structural) stress concept is accepted in recent papers. The aim of this paper is to determine the stress distribution in plate type aluminum welded joints, to analyze the reliability of TSA (Thermal Stress Analysis) in this kind of investigations, and to obtain numerical values for stress concentration factors for practical use. Stress distribution in aluminum butt and fillet welded joints is determined by using the three different methods: strain gauges measurement, thermal stress analysis and FEM. Obtained results show good agreement - the TSA mutually confirmed the FEM model and stresses measured by strain gauges. According to obtained results, it may be stated that TSA, as a relatively new measurement technique may in the future become a standard tool for the experimental investigation of stress concentration and fatigue in welded joints that can help to develop more accurate numerical tools for fatigue life prediction.

Joint Command Decision Support System

DTIC Science & Technology

2011-06-01

2010 Olympics and Paralympics games , about a hundred agencies and organizations were involved with the safety and security of the games . Accordingly...Joint Task Force Games (JTFG) staff members were augmented with other Command Staff from Canada Command and Canadian Operational Support Command...CANOSCOM) to create an operational HQ. The scenario used for demonstration was based on fictitious Olympic Games (Breton and Guitouni 2008). The scenario

On the generation of tangential ground motion by underground explosions in jointed rocks

NASA Astrophysics Data System (ADS)

Vorobiev, Oleg; Ezzedine, Souheil; Antoun, Tarabay; Glenn, Lewis

2015-03-01

This paper describes computational studies of tangential ground motions generated by spherical explosions in a heavily jointed granite formation. Various factors affecting the shear wave generation are considered, including joint spacing, orientation and frictional properties. Simulations are performed both in 2-D for a single joint set to elucidate the basic response mechanisms, and in 3-D for multiple joint sets to realistically represent in situ conditions in a realistic geological setting. The joints are modelled explicitly using both contact elements and weakness planes in the material. Simulations are performed both deterministically and stochastically to quantify the effects of geological uncertainties on near field ground motions. The mechanical properties of the rock and the joints as well as the joint spacing and orientation are taken from experimental test data and geophysical logs corresponding to the Climax Stock granitic outcrop, which is the geological setting of the source physics experiment (SPE). Agreement between simulation results and near field wave motion data from SPE enables newfound understanding of the origin and extent of non-spherical motions associated with underground explosions in fractured geological media.

A universal six-joint robot controller

NASA Technical Reports Server (NTRS)

Bihn, D. G.; Hsia, T. C.

1987-01-01

A general purpose six-axis robotic manipulator controller was designed and implemented to serve as a research tool for the investigation of the practical and theoretical aspects of various control strategies in robotics. A 80286-based Intel System 310 running the Xenix operating servo software as well as the higher level software (e.g., kinematics and path planning) were employed. A Multibus compatible interface board was designed and constructed to handle I/O signals from the robot manipulator's joint motors. From the design point of view, the universal controller is capable of driving robot manipulators equipped with D.C. joint motors and position optical encoders. To test its functionality, the controller is connected to the joint motor D.C. power amplifier of a PUMA 560 arm bypassing completely the manufacturer-supplied Unimation controller. A controller algorithm consisting of local PD control laws was written and installed into the Xenix operating system. Additional software drivers were implemented to allow application programs access to the interface board. All software was written in the C language.

Joint for deployable structures

NASA Technical Reports Server (NTRS)

Craighead, N. D., II; Preliasco, R. J.; Hult, T. D. (Inventor)

1985-01-01

A joint is described for connecting a pair of beams to pivot them between positions in alignment or beside one another, which is of light weight and which operates in a controlled manner. The joint includes a pair of fittings and at least one center link having opposite ends pivotally connected to opposite fittings and having axes that pass through centerplates of the fittings. A control link having opposite ends pivotally connected to the different fittings controls their relative orientations, and a toggle assemly holds the fittings in the deployed configuration wherein they are aligned. The fittings have stops that lie on one side of the centerplane opposite the toggle assembly.

Investigation Leads to Improved Understanding of Space Shuttle RSRM Internal Insulation Joints

NASA Technical Reports Server (NTRS)

McWhorter, Bruce B.; Bolton, Doug E.; Hicken, Steve V.; Allred, Larry D.; Cook, Dave J.

2003-01-01

The Space Shuttle Reusable Solid Rocket Motor (RSRM) uses an internal insulation J-joint design for the mated insulation interface between two assembled RSRM segments. In this assembled (mated) segment configuration, this J-joint design serves as a thermal barrier to prevent hot gases from affecting the case field joint metal surfaces and O-rings. A pressure sensitive adhesive (PSA) provides some adhesion between the two mated insulation surfaces. In 1995, after extensive testing, a new ODC-free PSA (free of ozone depleting chemicals) was selected for flight on RSRM-55 (STS-78). Post-flight inspection revealed that the J-joint, equipped with the new ODC-free PSA, did not perform well. Hot gas seeped inside the J-joint interface. Although not a flight safety threat, the J-joint hot gas intrusion on RSRM-55 was a mystery to the investigators since the PSA had previously worked well on a full-scale static test. A team was assembled to study the J-joint and PSA further. All J-joint design parameters, measured data, and historical performance data were re-reviewed and evaluated by subscale testing and analysis. Although both the ODC-free and old PSA were weakened by humidity, the ODC-free PSA strength was lower to start with. Another RSRM full-scale static test was conducted in 1998 and intentionally duplicated the gas intrusion. This test, along with many concurring tests, showed that if a J-joint was 1) mated with the new ODC-free PSA, 2) exposed to a history of high humidity (Kennedy Space Center levels), and 3) also a joint which experienced significant but normal joint motion (J-joint deformation resulting from motor pressurization dynamics) then that J-joint would open (allow gas intrusion) during motor operation. When all of the data from the analyses, subscale tests, and full-scale tests were considered together, a theory emerged. Most of the joint motion on the RSRM occurs early in motor operation at which point the J-joints are pulled into tension. If the new

Readout-segmented multi-shot diffusion-weighted MRI of the knee joint in patients with juvenile idiopathic arthritis.

PubMed

Sauer, Alexander; Li, Mengxia; Holl-Wieden, Annette; Pabst, Thomas; Neubauer, Henning

2017-10-12

Diffusion-weighted MRI has been proposed as a new technique for imaging synovitis without intravenous contrast application. We investigated diagnostic utility of multi-shot readout-segmented diffusion-weighted MRI (multi-shot DWI) for synovial imaging of the knee joint in patients with juvenile idiopathic arthritis (JIA). Thirty-two consecutive patients with confirmed or suspected JIA (21 girls, median age 13 years) underwent routine 1.5 T MRI with contrast-enhanced T1w imaging (contrast-enhanced MRI) and with multi-shot DWI (RESOLVE, b-values 0-50 and 800 s/mm 2 ). Contrast-enhanced MRI, representing the diagnostic standard, and diffusion-weighted images at b = 800 s/mm 2 were separately rated by three independent blinded readers at different levels of expertise for the presence and the degree of synovitis on a modified 5-item Likert scale along with the level of subjective diagnostic confidence. Fourteen (44%) patients had active synovitis and joint effusion, nine (28%) patients showed mild synovial enhancement not qualifying for arthritis and another nine (28%) patients had no synovial signal alterations on contrast-enhanced imaging. Ratings by the 1st reader on contrast-enhanced MRI and on DWI showed substantial agreement (κ = 0.74). Inter-observer-agreement was high for diagnosing, or ruling out, active arthritis of the knee joint on contrast-enhanced MRI and on DWI, showing full agreement between 1st and 2nd reader and disagreement in one case (3%) between 1st and 3rd reader. In contrast, ratings in cases of absent vs. little synovial inflammation were markedly inconsistent on DWI. Diagnostic confidence was lower on DWI, compared to contrast-enhanced imaging. Multi-shot DWI of the knee joint is feasible in routine imaging and reliably diagnoses, or rules out, active arthritis of the knee joint in paediatric patients without the need of gadolinium-based i.v. contrast injection. Possibly due to "T2w shine-through" artifacts, DWI does not reliably

Evaluation of tantalum 316 stainless steel transition joints

NASA Technical Reports Server (NTRS)

Stoner, D. R.

1972-01-01

Tubular transition joints providing a metallurgically bonded connection between tantalum and 316 stainless steel pipe sections were comparatively evaluated for durability under thermal cycling conditions approximating the operation of a SNAP-8 mercury boiler. Both coextruded and vacuum brazed transition joints of 50mm (2 inch) diameter were tested by thermal cycling 100 times between 730 C and 120 C(1350 F and 250 F) in a high vacuum environment. The twelve evaluated transition joints survived the full test sequence without developing leaks, although liquid penetrant bond line indications eventually developed in all specimens. The brazed transition joints exhibited the best dimensional stability and bond line durability.

46 CFR 280.8 - Certain ODS agreement provisions not affected.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 8 2010-10-01 2010-10-01 false Certain ODS agreement provisions not affected. 280.8 Section 280.8 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION REGULATIONS AFFECTING... LINER OPERATORS § 280.8 Certain ODS agreement provisions not affected. The provisions of this part are...

46 CFR 308.8 - War risk insurance underwriting agency agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 8 2010-10-01 2010-10-01 false War risk insurance underwriting agency agreement. 308.8 Section 308.8 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS WAR RISK INSURANCE General § 308.8 War risk insurance underwriting agency agreement. Standard form MA-355 of...

46 CFR 308.8 - War risk insurance underwriting agency agreement.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 8 2014-10-01 2014-10-01 false War risk insurance underwriting agency agreement. 308.8 Section 308.8 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS WAR RISK INSURANCE General § 308.8 War risk insurance underwriting agency agreement. Standard form MA-355...

46 CFR 308.8 - War risk insurance underwriting agency agreement.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 8 2013-10-01 2013-10-01 false War risk insurance underwriting agency agreement. 308.8 Section 308.8 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS WAR RISK INSURANCE General § 308.8 War risk insurance underwriting agency agreement. Standard form MA-355 of...

46 CFR 308.8 - War risk insurance underwriting agency agreement.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 8 2012-10-01 2012-10-01 false War risk insurance underwriting agency agreement. 308.8 Section 308.8 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS WAR RISK INSURANCE General § 308.8 War risk insurance underwriting agency agreement. Standard form MA-355 of...

46 CFR 308.8 - War risk insurance underwriting agency agreement.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 8 2011-10-01 2011-10-01 false War risk insurance underwriting agency agreement. 308.8 Section 308.8 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS WAR RISK INSURANCE General § 308.8 War risk insurance underwriting agency agreement. Standard form MA-355 of...

Reliability of joint count assessment in rheumatoid arthritis: a systematic literature review.

PubMed

Cheung, Peter P; Gossec, Laure; Mak, Anselm; March, Lyn

2014-06-01

Joint counts are central to the assessment of rheumatoid arthritis (RA) but reliability is an issue. To evaluate the reliability and agreement of joint counts (intra-observer and inter-observer) by health care professionals (physicians, nurses, and metrologists) and patients in RA, and the impact of training and standardization on joint count reliability through a systematic literature review. Articles reporting joint count reliability or agreement in RA in PubMed, EMBase, and the Cochrane library between 1960 and 2012 were selected. Data were extracted regarding tender joint counts (TJCs) and swollen joint counts (SJCs) derived by physicians, metrologists, or patients for intra-observer and inter-observer reliability. In addition, methods and effects of training or standardization were extracted. Statistics expressing reliability such as intraclass correlation coefficients (ICCs) were extracted. Data analysis was primarily descriptive due to high heterogeneity. Twenty-eight studies on health care professionals (HCP) and 20 studies on patients were included. Intra-observer reliability for TJCs and SJCs was good for HCPs and patients (range of ICC: 0.49-0.98). Inter-observer reliability between HCPs for TJCs was higher than for SJCs (range of ICC: 0.64-0.88 vs. 0.29-0.98). Patient inter-observer reliability with HCPs as comparators was better for TJCs (range of ICC: 0.31-0.91) compared to SJCs (0.16-0.64). Nine studies (7 with HCPs and 2 with patients) evaluated consensus or training, with improvement in reliability of TJCs but conflicting evidence for SJCs. Intra- and inter-observer reliability was high for TJCs for HCPs and patients: among all groups, reliability was better for TJCs than SJCs. Inter-observer reliability of SJCs was poorer for patients than HCPs. Data were inconclusive regarding the potential for training to improve SJC reliability. Overall, the results support further evaluation for patient-reported joint counts as an outcome measure. © 2013

Common Bolted Joint Analysis Tool

NASA Technical Reports Server (NTRS)

Imtiaz, Kauser

2011-01-01

Common Bolted Joint Analysis Tool (comBAT) is an Excel/VB-based bolted joint analysis/optimization program that lays out a systematic foundation for an inexperienced or seasoned analyst to determine fastener size, material, and assembly torque for a given design. Analysts are able to perform numerous what-if scenarios within minutes to arrive at an optimal solution. The program evaluates input design parameters, performs joint assembly checks, and steps through numerous calculations to arrive at several key margins of safety for each member in a joint. It also checks for joint gapping, provides fatigue calculations, and generates joint diagrams for a visual reference. Optimum fastener size and material, as well as correct torque, can then be provided. Analysis methodology, equations, and guidelines are provided throughout the solution sequence so that this program does not become a "black box:" for the analyst. There are built-in databases that reduce the legwork required by the analyst. Each step is clearly identified and results are provided in number format, as well as color-coded spelled-out words to draw user attention. The three key features of the software are robust technical content, innovative and user friendly I/O, and a large database. The program addresses every aspect of bolted joint analysis and proves to be an instructional tool at the same time. It saves analysis time, has intelligent messaging features, and catches operator errors in real time.

Field homogeneity improvement of maglev NdFeB magnetic rails from joints.

PubMed

Li, Y J; Dai, Q; Deng, C Y; Sun, R X; Zheng, J; Chen, Z; Sun, Y; Wang, H; Yuan, Z D; Fang, C; Deng, Z G

2016-01-01

An ideal magnetic rail should provide a homogeneous magnetic field along the longitudinal direction to guarantee the reliable friction-free operation of high temperature superconducting (HTS) maglev vehicles. But in reality, magnetic field inhomogeneity may occur due to lots of reasons; the joint gap is the most direct one. Joint gaps inevitably exist between adjacent segments and influence the longitudinal magnetic field homogeneity above the rail since any magnetic rails are consisting of many permanent magnet segments. To improve the running performance of maglev systems, two new rail joints are proposed based on the normal rail joint, which are named as mitered rail joint and overlapped rail joint. It is found that the overlapped rail joint has a better effect to provide a competitive homogeneous magnetic field. And the further structure optimization has been done to ensure maglev vehicle operation as stable as possible when passing through those joint gaps. The results show that the overlapped rail joint with optimal parameters can significantly reduce the magnetic field inhomogeneity comparing with the other two rail joints. In addition, an appropriate gap was suggested when balancing the thermal expansion of magnets and homogenous magnetic field, which is considered valuable references for the future design of the magnetic rails.

The reliability of knee joint position testing using electrogoniometry

PubMed Central

Piriyaprasarth, Pagamas; Morris, Meg E; Winter, Adele; Bialocerkowski, Andrea E

2008-01-01

Background The current investigation examined the inter- and intra-tester reliability of knee joint angle measurements using a flexible Penny and Giles Biometric® electrogoniometer. The clinical utility of electrogoniometry was also addressed. Methods The first study examined the inter- and intra-tester reliability of measurements of knee joint angles in supine, sitting and standing in 35 healthy adults. The second study evaluated inter-tester and intra-tester reliability of knee joint angle measurements in standing and after walking 10 metres in 20 healthy adults, using an enhanced measurement protocol with a more detailed electrogoniometer attachment procedure. Both inter-tester reliability studies involved two testers. Results In the first study, inter-tester reliability (ICC[2,10]) ranged from 0.58–0.71 in supine, 0.68–0.79 in sitting and 0.57–0.80 in standing. The standard error of measurement between testers was less than 3.55° and the limits of agreement ranged from -12.51° to 12.21°. Reliability coefficients for intra-tester reliability (ICC[3,10]) ranged from 0.75–0.76 in supine, 0.86–0.87 in sitting and 0.87–0.88 in standing. The standard error of measurement for repeated measures by the same tester was less than 1.7° and the limits of agreement ranged from -8.13° to 7.90°. The second study showed that using a more detailed electrogoniometer attachment protocol reduced the error of measurement between testers to 0.5°. Conclusion Using a standardised protocol, reliable measures of knee joint angles can be gained in standing, supine and sitting by using a flexible goniometer. PMID:18211714

Strength analysis and design of adhesive joints between circular elements made of metal and reinforced polymer materials

NASA Astrophysics Data System (ADS)

Pelekh, B. L.; Marchuk, M. V.; Kogut, I. S.

1992-06-01

The stress-strain state of an adhesive joint between cylindrical components made of a metal (steel) and a cross-reinforced filament-wound composite (glass/polymer or basalt/polymer) was investigated under static axial loading using newly proposed experimental techniques and a refined mathematical model. Analytical expressions are obtained for contact stresses in the adhesive joint. The maximum permissible load and the ultimate shear strength of the joint are determined. The experimental results are found to be in satisfactory agreement with model predictions.

Evaluation of anticollagen type I antibody titers in synovial fluid of both stifle joints and the left shoulder joint of dogs with unilateral cranial cruciate disease.

PubMed

de Bruin, Tanya; de Rooster, Hilde; van Bree, Henri; Cox, Eric

2007-03-01

To evaluate anticollagen type I antibodies in synovial fluid of the affected stifle joint, the contralateral stifle joint, and the left shoulder joint of dogs with unilateral cranial cruciate ligament (CrCL) rupture during an extended period of 12 to 18 months. 13 client-owned dogs with CrCL rupture and 2 sham-operated dogs. All dogs were examined and arthrocentesis of all 3 joints was performed every 6 months after surgery. Synovial fluid samples were tested for anticollagen type I antibodies by use of an ELISA. Dogs with partial CrCL rupture had higher antibody titers than dogs with complete rupture. Six of 13 dogs ruptured the contralateral CrCL during the study, whereby higher antibody titers were found for the stifle joints than for the shoulder joint. Seronegative dogs or dogs with extremely low antibody titers and 2 dogs with high antibody titers did not sustain a CrCL rupture in the contralateral stifle joint. In most dogs that had a CrCL rupture of the contralateral stifle joint, a distinct antibody titer gradient toward the stifle joints was detected, suggesting that there was a local inflammatory process in these joints. However, only a small number of sham-operated dogs were used to calculate the cutoff values used to determine the anticollagen type I antibody titers in these patients. Synovial fluid antibodies against collagen type I alone do not initiate CrCL rupture because not all dogs with high antibody titers sustained a CrCL rupture in the contralateral stifle joint.

Irregular Warfare (IW) Joint Operating Concept (JOC), Version 1.0

DTIC Science & Technology

2007-09-11

disruptive challenges. Key portions of the guidance relating to IW include: • Improving proficiency against irregular challenges. • Redefining past...12 Remarks at the Joint Worldwide Planning Conference, Edelweiss Conference Center Garmisch, Germany, 30 November...Requirements associated with GWOT and IW include: • Steady-state – deter and defend against external transnational terrorist attacks, enable

Joint Force Quarterly. Number 1, Summer 1993

DTIC Science & Technology

1993-01-01

Contributors Joint Force Quarterly A PROFESSIONAL MILITARY JOURNAL Editor-in-Chief Alvin H. Bernstein Executive Editor Patrick M. Cronin Managing Editor Robert...understanding of the integrated employ- ment of land, sea, air, space, and special operations forces. The journal focuses on joint doctrine, coalition...other agency of the Federal Government. Por- tions of this journal are protected by copyright and may not be reproduced or extracted without the

49 CFR 213.351 - Rail joints.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., DEPARTMENT OF TRANSPORTATION TRACK SAFETY STANDARDS Train Operations at Track Classes 6 and Higher § 213.351... contraction due to temperature variations. When no-slip, joint-to-rail contact exists by design, the...

Space Suit Joint Torque Testing

NASA Technical Reports Server (NTRS)

Valish, Dana J.

2011-01-01

In 2009 and early 2010, a test was performed to quantify the torque required to manipulate joints in several existing operational and prototype space suits in an effort to develop joint torque requirements appropriate for a new Constellation Program space suit system. The same test method was levied on the Constellation space suit contractors to verify that their suit design meets the requirements. However, because the original test was set up and conducted by a single test operator there was some question as to whether this method was repeatable enough to be considered a standard verification method for Constellation or other future space suits. In order to validate the method itself, a representative subset of the previous test was repeated, using the same information that would be available to space suit contractors, but set up and conducted by someone not familiar with the previous test. The resultant data was compared using graphical and statistical analysis and a variance in torque values for some of the tested joints was apparent. Potential variables that could have affected the data were identified and re-testing was conducted in an attempt to eliminate these variables. The results of the retest will be used to determine if further testing and modification is necessary before the method can be validated.

14 CFR 17.27 - Submission of joint or separate statements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... either— (1) A joint request for ADR, and an executed ADR agreement, pursuant to § 17.33(d), specifying which ADR techniques will be employed; or (2) Written explanation(s) as to why ADR proceedings will not... Register. (d) The submission of a statement which indicates that ADR will not be utilized will not in any...

14 CFR 17.27 - Submission of joint or separate statements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... either— (1) A joint request for ADR, and an executed ADR agreement, pursuant to § 17.33(d), specifying which ADR techniques will be employed; or (2) Written explanation(s) as to why ADR proceedings will not... Register. (d) The submission of a statement which indicates that ADR will not be utilized will not in any...

Non-invasive, non-radiological quantification of anteroposterior knee joint ligamentous laxity

PubMed Central

Russell, D. F.; Deakin, A. H.; Fogg, Q. A.; Picard, F.

2013-01-01

Objectives We performed in vitro validation of a non-invasive skin-mounted system that could allow quantification of anteroposterior (AP) laxity in the outpatient setting. Methods A total of 12 cadaveric lower limbs were tested with a commercial image-free navigation system using trackers secured by bone screws. We then tested a non-invasive fabric-strap system. The lower limb was secured at 10° intervals from 0° to 60° of knee flexion and 100 N of force was applied perpendicular to the tibia. Acceptable coefficient of repeatability (CR) and limits of agreement (LOA) of 3 mm were set based on diagnostic criteria for anterior cruciate ligament (ACL) insufficiency. Results Reliability and precision within the individual invasive and non-invasive systems was acceptable throughout the range of flexion tested (intra-class correlation coefficient 0.88, CR 1.6 mm). Agreement between the two systems was acceptable measuring AP laxity between full extension and 40° knee flexion (LOA 2.9 mm). Beyond 40° of flexion, agreement between the systems was unacceptable (LOA > 3 mm). Conclusions These results indicate that from full knee extension to 40° flexion, non-invasive navigation-based quantification of AP tibial translation is as accurate as the standard validated commercial system, particularly in the clinically and functionally important range of 20° to 30° knee flexion. This could be useful in diagnosis and post-operative evaluation of ACL pathology. Cite this article: Bone Joint Res 2013;2:233–7. PMID:24184443

Whole-body MRI assessment of disease activity and structural damage in rheumatoid arthritis: first step towards an MRI joint count.

PubMed

Axelsen, Mette Bjørndal; Eshed, Iris; Duer-Jensen, Anne; Møller, Jakob M; Pedersen, Susanne Juhl; Østergaard, Mikkel

2014-05-01

The aim of this study was to investigate the ability of whole-body MRI (WBMRI) to visualize inflammation [synovitis, bone marrow oedema (BME) and enthesitis] and structural damage in patients with RA. The 3T WBMR images were acquired in a head-to-toe scan in 20 patients with RA and at least one swollen or tender joint. Short Tau Inversion Recovery and pre- and post-contrast T1-weighted images were evaluated for readability and the presence/absence of inflammation (synovitis, BME and enthesitis) and structural damage (erosions and fat infiltrations) in 76 peripheral joints, 30 entheseal sites and in the spine. The readability was >70% for all individual joints, except for the most peripheral joints of the hands and feet. Synovitis was most frequent in the wrist, first tarsometatarsal, first CMC joints and glenohumeral joints (67-61%); BME in the wrist, CMC, acromioclavicular and glenohumeral joints (45-35%) and erosions in the wrist, MTP and CMC joints (19-16%). Enthesitis at ≥ 1 site was registered in 16 patients. BME was frequently seen in the cervical (20%) but not the thoracic and lumbar spine, while fat infiltrations and erosions were rare. The intrareader agreement was high (85-100%) for all pathologies. The agreement between WBMRI and clinical findings was low. Peripheral and axial inflammation and structural damage at joints and entheses was frequently identified by WBMRI, and more frequently than by clinical examination. WBMRI is a promising tool for evaluation of the total inflammatory load of inflammation (an MRI joint count) and structural damage in RA patients.

Can Young Adults Accurately Report Sexual Partnership Dates? Factors Associated with Inter-partner and Dyad Agreement

PubMed Central

Sanchez, Diana Maria; Schoenbach, Victor J.; Harvey, S. Marie; Warren, Jocelyn T.; Poole, Charles; Leone, Peter A.; Adimora, Adaora A.; Agnew, Christopher R.

2016-01-01

Background Sexual partnership dates are critical to STI/HIV research and control programs, though validity is limited by inaccurate recall and reporting. Methods We examined data from 302 heterosexual adults (151 index-partner dyads) to assess reliability of reporting. Dates of first and last sex were collected through individual interviews and joint dyad questionnaires which partners completed together. We compared index- and partner-reported dates to estimate inter-partner agreement (IPA). We used log-linear regression to model associations between inter-partner differences and partnership characteristics. To assess validity, we compared individually-reported dates to those from joint dyad questionnaires. Results Most partnerships (66.2%) were ≤2 years in duration and many (36.2%) were non-monogamous. IPA to within 1-, 30-, and 365-days was, respectively, 5.6%, 43.1% and 81.3% for first sex; and 32.9%, 94.5%, and 100.0% for last sex. In adjusted models: longer relationship duration was associated with disagreement on first sex dates; partnership non-monogamy was associated with disagreement on dates of first and last sex. Within dyads, several participant characteristics were associated with reporting dates closer to joint dyad responses [e.g., for first sex date, female gender (54.7%), having fewer sex partners (58.5%), and greater relationship commitment (57.3%)]. However, percent agreement to within 30, 60, and 90 days was similar for all groups for both first and last sex dates. Conclusions Agreement was high on date of last sex but only moderate on date of first sex. Methods to increase accuracy of reporting of dates of sex may improve STI research. PMID:27100770

Reliability of psychiatric diagnosis in hospitalized adolescents. Interrater agreement using DSM-III.

PubMed

Strober, M; Green, J; Carlson, G

1981-02-01

To determine the reliability of psychiatric diagnosis in hospitalized adolescents, 95 consecutively admitted patients were diagnosed independently by two experienced clinicians using DSM-III criteria. Diagnostic judgments were based on joint interview of the patient via a structured mental-status examination, nursing observations, and referral materials. Concordance was analyzed by the kappa coefficient. A total of 13 DSM-III categories were used to classify this cohort, with the majority of categories representing traditional syndromes of functional psychopathology. There was complete agreement between the raters for more than three fourths of the patients. Levels of agreement for the categories of schizophrenia and major affective disorder were similar to values obtained in recent studies of adult patients. The results are discussed in relation to historical conceptions of adolescent psychopathology.

[Staple fixation for the treatment of hamate metacarpal joint injury].

PubMed

Tang, Yang-Hua; Zeng, Lin-Ru; Huang, Zhong-Ming; Yue, Zhen-Shuang; Xin, Da-Wei; Xu, Can-Da

2014-03-01

To investigate the effcacy of the staple fixation for the treatment of hamate metacarpal joint injury. From May 2009 to November 2012,16 patients with hamate metacarpal joint injury were treated with staple fixation including 10 males and 6 females with an average age of 33.6 years old ranging from 21 to 57 years. Among them, 11 cases were on the fourth or fifth metacarpal base dislocation without fractures, 5 cases were the fourth or fifth metacarpal base dislocation with avulsion fractures of the back of hamatum. Regular X-ray review was used to observe the fracture healing, joint replacement and position of staple fixation. The function of carpometacarpal joint and metacarpophalangeal joint were evaluated according to ASIA (TAM) system evaluation method. All incision were healed well with no infection. All patients were followed up from 16 to 24 months with an average of (10.0 +/- 2.7) months. No dislocation recurred, the position of internal fixator was good,no broken nail and screw withdrawal were occurred. Five patients with avulsion fracture of the back of hamatum achieved bone healing. The function of carpometacarpal joint and metacarpophalangeal was excellent in 10 cases,good in 5 cases, moderate in 1 case. The application of the staple for the treatment of hamatometacarpal joint injury has the advantages of simple operation, small trauma, reliable fixation, early postoperative function exercise and other advantages, which is the ideal operation mode for hamatometacarpal joint injury.

39 CFR 3010.42 - Contents of notice of agreement in support of a negotiated service agreement.

Code of Federal Regulations, 2011 CFR

2011-07-01

... agreement. (a) Whenever the Postal Service proposes to establish or change rates or fees and/or the Mail... public notice of the planned changes has been issued or will be issued at least 45 days before the... position or operations of the Postal Service. The projection of change in net financial position as a...

Joint Task Force-Bravo

Science.gov Websites

Air Base Squadron Joint Security Forces Medical Element (MEDEL) JSB / ARFOR En Español Noticias Hojas to provide medical care in Waspam Call to Duty - Senior Airman Nicholas Carssow Operations Support JTF-Bravo partners with Nicaragua to provide medical care in Waspam JTF-Bravo partners with Nicaragua

Efficient operation of a multi-purpose reservoir in Chile: Tradeoffs between irrigation and hydropower production

NASA Astrophysics Data System (ADS)

Gonzalez Cabrera, J. M., Sr.; Olivares, M. A.

2015-12-01

This study proposes a method to develop efficient operational policies for a reservoir the southern Chile. The main water uses in this system are hydropower and irrigation, with conflicting seasonal demands. The conflict between these two uses is currently managed through a so-called "irrigation agreement" which defines a series of operational conditions on the reservoir by restricting volumes used for power production depending on reservoir storage level. Other than that, the reservoir operation is driven by cost-minimization over the power grid. Recent evidence shows an increasing degree of conflict in this basin, which suggests that the static approach of irrigation agreements, might no longer be appropriate. Moreover, this agreement could be revised in light of decreased water availability. This problem poses a challenge related to the spatial scope of analysis. Thus, irrigation benefits are driven by decisions made within the basin, whereas hydropower benefits depend on the operation of the entire power grid. Exploring the tradeoffs between these two water uses involves modeling both scales. The proposed methodology integrates information from both a grid-wide power operations model and a basin-wide agro-economic model into a decision model for optimal reservoir operation. The first model, a hydrothermal coordination tool, schedules power production by each plant in the grid, and allows capturing technical and economic aspects to the operation of hydropower reservoirs. The agro-economic model incorporates economic features of irrigation in the basin, and allows obtaining irrigation water demand functions. Finally, the results of both models are integrated into a single model for optimal reservoir operation considering the tradeoffs between the two uses. The result of the joint operation of water resources, show a flexible coordination of uses, revealing the opportunity cost of irrigation, which it gives the possibility of negotiating transfers of water to

On the generation of horizontal shear waves by underground explosions in jointed rocks

DOE PAGES

Vorobiev, Oleg; Ezzedine, Souheil; Antoun, Tarabay; ...

2015-02-04

This paper describes computational studies of non-spherical ground motions generated by spherical explosions in a heavily jointed granite formation. Various factors affecting the shear wave generation are considered, including joint spacing, orientation, persistence and properties. Simulations are performed both in 2D for a single joint set to elucidate the basic response mechanisms, and in 3D for multiple joint sets to realistically represent in situ conditions in a realistic geologic setting. The joints are modeled explicitly using both contact elements and weakness planes in the material. Simulations are performed both deterministically and stochastically to quantify the effects of geologic uncertainties onmore » near field ground motions. The mechanical properties of the rock and the joints as well as the joint spacing and orientation are taken from experimental test data and geophysical logs corresponding to the Climax Stock granitic outcrop, which is the geologic setting of the Source Physics Experiment (SPE). Agreement between simulation results and near field wave motion data from SPE enables newfound understanding of the origin and extent of non-spherical motions associated with underground explosions in fractured geologic media.« less

Efficacy of double inversion recovery magnetic resonance imaging for the evaluation of the synovium in the femoro-patellar joint without contrast enhancement.

PubMed

Son, Ye Na; Jin, Wook; Jahng, Geon-Ho; Cha, Jang Gyu; Park, Yong Sung; Yun, Seong Jong; Park, So Young; Park, Ji Seon; Ryu, Kyung Nam

2018-02-01

To investigate the efficacy of double inversion recovery (DIR) sequence for evaluating the synovium of the femoro-patellar joint without contrast enhancement (CE). Two radiologists independently evaluated the axial DIR and CE T1-weighted fat-saturated (CET1FS) images of 33 knees for agreement; the visualisation and distribution of the synovium were evaluated using a four-point visual scaling system at each of the five levels of the femoro-patellar joint and the location of the thickest synovium. The maximal synovial thickness at each sequence was measured by consensus. The interobserver agreement was good (κ = 0.736) for the four-point scale, and was excellent for the location of the thickest synovium on DIR and CET1FS (κ = 0.955 and 0.954). The intersequential agreement for the area with the thickest synovium was also excellent (κ = 0.845 and κ = 0.828). The synovial thickness on each sequence showed excellent correlation (r = 0.872). The DIR showed as good a correlation as CET1FS for the evaluation of the synovium at the femoro-patellar joint. DIR may be a useful MR technique for evaluating the synovium without CE. • DIR can be useful for evaluating the synovium of the femoro-patellar joint. • Interobserver and intersequential agreements between DIR and CET1FS were good. • Mean thickness of the synovium was significantly different between two sequences.

46 CFR 280.9 - Special rules for last year of ODS agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 8 2010-10-01 2010-10-01 false Special rules for last year of ODS agreement. 280.9... LINER OPERATORS § 280.9 Special rules for last year of ODS agreement. (a) Reduction in payment of ODS. ODS payable during the last year of any ODS agreement shall be reduced, as provided in paragraph (b...

Results of Operative and Nonoperative Treatment of Rockwood Types III and V Acromioclavicular Joint Dislocation

PubMed Central

Joukainen, Antti; Kröger, Heikki; Niemitukia, Lea; Mäkelä, E. Antero; Väätäinen, Urho

2014-01-01

Background: The optimal treatment of acute, complete dislocation of the acromioclavicular joint (ACJ) is still unresolved. Purpose: To determine the difference between operative and nonoperative treatment in acute Rockwood types III and V ACJ dislocation. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: In the operative treatment group, the ACJ was reduced and fixed with 2 transarticular Kirschner wires and ACJ ligament suturing. The Kirschner wires were extracted after 6 weeks. Nonoperatively treated patients received a reduction splint for 4 weeks. At the 18- to 20-year follow-up, the Constant, University of California at Los Angeles Shoulder Rating Scale (UCLA), Larsen, and Simple Shoulder Test (SST) scores were obtained, and clinical and radiographic examinations of both shoulders were performed. Results: Twenty-five of 35 potential patients were examined at the 18- to 20-year follow-up. There were 11 patients with Rockwood type III and 14 with type V dislocations. Delayed surgical treatment for ACJ was used in 2 patients during follow-up: 1 in the operatively treated group and 1 in the nonoperatively treated group. Clinically, ACJs were statistically significantly less prominent or unstable in the operative group than in the nonoperative group (normal/prominent/unstable: 9/4/3 and 0/6/3, respectively; P = .02) and in the operative type III (P = .03) but not type V dislocation groups. In operatively and nonoperatively treated patients, the mean Constant scores were 83 and 85, UCLA scores 25 and 27, Larsen scores 11 and 11, and SST scores 11 and 12 at follow-up, respectively. There were no statistically significant differences in type III and type V dislocations. In the radiographic analysis, the ACJ was wider in the nonoperative than the operative group (8.3 vs 3.4 mm; P = .004), and in the type V dislocations (nonoperative vs operative: 8.5 vs 2.4 mm; P = .007). There was no statistically significant difference between study groups in

Multi-party quantum key agreement with five-qubit brown states

NASA Astrophysics Data System (ADS)

Cai, Tao; Jiang, Min; Cao, Gang

2018-05-01

In this paper, we propose a multi-party quantum key agreement protocol with five-qubit brown states and single-qubit measurements. Our multi-party protocol ensures each participant to contribute equally to the agreement key. Each party performs three single-qubit unitary operations on three qubits of each brown state. Finally, by measuring brown states and decoding the measurement results, all participants can negotiate a shared secret key without classical bits exchange between them. With the analysis of security, our protocol demonstrates that it can resist against both outsider and participant attacks. Compared with other schemes, it also possesses a higher information efficiency. In terms of physical operation, it requires single-qubit measurements only which weakens the hardware requirements of participant and has a better operating flexibility.

[Clinical observation on the effect of joint mobilization in treating elderly patients after distal radius fractures operation].

PubMed

Jia, Xue-Feng; Cai, Hong-Xin; Lin, Ge-Sheng; Fang, Ji-Shi; Wang, Yong; Wu, Zhi-Yong; Tu, Xu-Hui

2017-07-25

To investigate the effect of joint mobilization on postoperative wrist joint function, pain and grip strength for elderly patients with distal radius fracture. From January 2015 to June 2016, a total of 67 elderly patients with distal radius fracture were randomly divided into routine exercise group and joint mobilization group. Among them, 37 patients in the routine exercise group underwent conventional distal radius fracture postoperative joint function exercise regimen, including 16 males and 21 females with a mean age of (67.8±3.2) years old ranging from 60 to 72 years old;the injured side was dominant in 23 cases and non-dominant in 14 cases;injury mechanism was fall in 26 cases, traffic accident in 11 cases; for AO type, 6 cases were type B3, 18 cases were type C1, 7 cases were type C2, 6 cases was type C3. Other 30 patients in the joint mobilization group underwent joint mobilization on the basis of the routine exercise group including 14 males and 16 females with a mean age of (67.1±4.0) years old ranging from 61 to 74 years old; the injured side was dominant in 21 cases and non-dominant in 9 cases;injury mechanism was fall in 25 cases, traffic accident in 5 cases;for AO type, 8 cases were type B3, 13 cases were type C1, 6 cases were type C2, 9 cases were type C3. The wrist joint activity, Gartland-Werley wrist joint function score, VAS pain score and grip strength were observed at 3 months afrer treatment. After 3 months' treatment, the VAS in the routine exercise group was higher than that of the joint mobilization group ( P <0.05). The grip strength of affected side in both groups were lower than that of contralateral side, but the average grip strength of affected side in joint mobilization group was higher than that in routine exercise group( P <0.05). In routine exercise group, the average angle of flexion, extension, radial deviation were significantly higher than those of joint mobilization group( P <0.05). But ulnar deviation angle in routine

Numerical Simulation of Tension Properties for Al-Cu Alloy Friction Stir-Welded Joints with GTN Damage Model

NASA Astrophysics Data System (ADS)

Sun, Guo-Qin; Sun, Feng-Yang; Cao, Fang-Li; Chen, Shu-Jun; Barkey, Mark E.

2015-11-01

The numerical simulation of tensile fracture behavior on Al-Cu alloy friction stir-welded joint was performed with the Gurson-Tvergaard-Needleman (GTN) damage model. The parameters of the GTN model were studied in each region of the friction stir-welded joint by means of inverse identification. Based on the obtained parameters, the finite element model of the welded joint was built to predict the fracture behavior and tension properties. Good agreement can be found between the numerical and experimental results in the location of the tensile fracture and the mechanical properties.

Design of a telerobotic controller with joint torque sensors

NASA Technical Reports Server (NTRS)

Jansen, J. F.; Herndon, J. N.

1990-01-01

The purpose was to analytically show how to design a joint controller for a telerobotic system when joint torque sensors are available. Other sensors such as actuator position, actuator velocity, joint position, and joint velocity are assumed to be accessible; however, the results will also be useful when only partial measurements are available. The controller presented can be applied to either mode of operation of a manipulator (i.e., teleoperation or robotic). Mechanical manipulators with high levels of friction are assumed. The results are applied to a telerobotic system built for NASA. Very high levels of friction have been reduced using high-gain feedback while avoiding limit cycles.

Thumb carpometacarpal joint resurfacing with autologous ear cartilage.

PubMed

Nickell, William B

2014-05-01

A study was designed to ascertain the long-term effectiveness of using autologous full-thickness ear cartilage to resurface the arthritic face of the trapezium, leaving the body of the trapezium intact. The value of injection of the involved carpometacarpal (CMC) joint with local anesthetic in predicting improvement from the surgery was also studied. An operation was used to enter the CMC joint of the thumb between the thenar muscles and the abductor tendon. The articular surface of the trapezium was resected and resurfaced with full-thickness ear cartilage from the patient's ear. Patients were selected based on constant, unremitting pain. All patients also had x-ray evidence of severe arthritis at the CMC joint of the thumb. Both thumbs were evaluated for pain, range of motion, key and palmar pinch, and grip strength before the surgery and followed up for a minimum of 30 months to be included in the study. Fifty-nine patients had ear cartilage arthroplasty from 1997 to 2007 by the same surgeon with a total of 67 operations (8 patients, all women, had both thumbs operated). Forty-nine of these patients, 4 men and 45 women (53 hands), were available for follow-up and constitute the study group. Eight procedures were done on the left hand, and 45, on the right. There were no ear complications and no cartilage extrusions. All patients had improved range of motion and greatly decreased pain. Strength was equaled or exceeded the unoperated thumb. Preoperative joint injection was a good predictor of postoperative pain relief. All patients were pleased with the result and said that they would have the surgery again. Thumb CMC joint arthroplasty with autologous ear cartilage and preservation of the body of the trapezium is an effective alternative to existing procedures.There is no morbidity to the ear, and predictable long-term improvement in thumb pain and strength can be obtained. Injection of the CMC joint before surgery with local anesthetic is a reliable predictor of

Radiation hydrodynamic effects in two beryllium plates with an idealized aluminum joint

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

Belkov, S.A.; Mkhitarian, L.S.; Vinokurov, O.A.

A beryllium capsule formed from two hemispherical shells with a thin bond is one possible ignition target for the National Ignition Facility [J. A. Paisner {ital et al.}, Laser Focus World {bold 30}, 75 (1994)] Nonuniformities in density, opacity, and interface position at the joint between these hemishells will initiate two-dimensional (2-D) perturbations of the shock wave and material behind the shock as the shock passes through the shell perpendicular to the joint width. Rarefaction of material flow behind the shock front can cause the interface between the shell and joint material to oscillate in position. The amplitude of thesemore » oscillations may be comparable to the joint width. The evolution of these perturbations is studied by numerically simulating shock passage through flat beryllium plates containing aluminum joints. Using the MIMOSA-ND code [D. Sofronov {ital et al.}, Vopr. At. Nauki Tekh., Ser: Mat. modelirovanie fizicheskih processov {bold 2}, 3 (1990)] two different cases are calculated{emdash}a wide (10 {mu}m) and a narrow (1 {mu}m) joint of aluminum between two 150 {mu}m long semiinfinite beryllium plates. Both cases showed good agreement with an analytic representation of the oscillation behavior. For the narrow joint, a special technique allows the calculation of mixing between the joint and surrounding material caused by the Kelvin{endash}Helmholtz instability. {copyright} {ital 1999 American Institute of Physics.}« less

Command and Control of Joint Air Operations through Mission Command

DTIC Science & Technology

2016-06-01

and outlines the C2 architecture systems, processes, and philosophy of com- mand required to enable mission command effectively. Mission Command...General Dempsey highlights the fact that “trust is the moral sinew that binds the distributed Joint Force 2020 together” and observes that “unless...con- fident about how their subordinates will make decisions and adapt to the dynamic battlespace environment. Processes, Systems, and Philosophy of

Systemic Operational Design: Enhancing the Joint Operation Planning Process

DTIC Science & Technology

2007-05-20

Epistemological Bumpf of the Way Ahead for Operational Design? p. 42. 79 Stephen R. Covey, The 7 Habits of Highly Effective People . (New York: Fireside...John Wiley and Sons, Ltd. Covey, Stephen R. 1989. The 7 Habits of Highly Effective People . New York: Fireside Publishing. Creveld, Martin Van

Associations between pre-operative radiographic changes and outcomes after total knee joint replacement for osteoarthritis.

PubMed

Dowsey, M M; Nikpour, M; Dieppe, P; Choong, P F M

2012-10-01

To assess the influence of pre-operative X-ray changes on the response to total knee joint replacement (TKR). We included patients from one centre who underwent primary TKR (n = 478) for osteoarthritis in 2006 and 2007. The International Knee Society score (IKSS) and short form health survey were collected pre-operatively and at 1 and 2 years after surgery. Pre-operative radiographs were read to assess Kellgren and Lawrence (K-L) grading, individual radiographic features using the OARSI atlas, and subchondral bone attrition using the Ahlbach method. The main independent variable was a modified (K-L) grade. The outcome variables were the IKSS pain and function scores. Covariates included demographic features, co-morbidities, baseline pain and function, prosthesis type, and the use of patella resurfacing. Multivariable linear regression models were created to assess the relationships between pre-operative X-ray findings and pain and function outcomes. On average, pain and function improved greatly following surgery. However, pain relief was unsatisfactory in about 30%, and functional improvement suboptimal in about 50%. OR (95% CI) for ongoing moderate-severe pain at 12 months for modified K-L grades; <3: 5.39 (1.23-15.69), 3a: 2.62 (1.21-5.67), 3b: 1.81 (1.00-3.26), 4a: 2.06 (1.05-4.05) when compared to 4b. OR (95% CI) for poor function at 12 months were; 3a: 2.81 (1.23-6.39) and 4a: 2.45 (1.22-4.91), when compared to 4b. Patients with more severe radiographic knee damage at the time of surgery are most likely to have substantial gains in terms of both pain relief and improved function as a result of a TKR. Copyright © 2012 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

The Rationale for Joint Mobilization.

ERIC Educational Resources Information Center

Burkhardt, Sandy

This paper presents an overview of the functions of connective tissue and the mechanisms of joint injury and contracture formation in relation to therapeutic exercise. The components of connective tissue operation are explained, including fibroblasts, macrophages, plasma cells, and collagen. An examination of the histology of connective tissue as…

12 CFR 133.5 - Related agreements considered a single agreement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... agreement. 133.5 Section 133.5 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY DISCLOSURE AND REPORTING OF CRA-RELATED AGREEMENTS § 133.5 Related agreements considered a single agreement... § 133.2 of this part. (a) Agreements entered into by same parties. All written agreements to which an...

7 CFR 319.40-8 - Processing at facilities operating under compliance agreements.

Code of Federal Regulations, 2014 CFR

2014-01-01

... compliance agreement shall specify the requirements necessary to prevent spread of plant pests from the facility, requirements to ensure the processing method effectively destroys plant pests, and the requirements for the application of chemical materials in accordance with part 305 of this chapter. The...

7 CFR 319.40-8 - Processing at facilities operating under compliance agreements.

Code of Federal Regulations, 2013 CFR

2013-01-01

... compliance agreement shall specify the requirements necessary to prevent spread of plant pests from the facility, requirements to ensure the processing method effectively destroys plant pests, and the requirements for the application of chemical materials in accordance with part 305 of this chapter. The...

Padalka and Polansky in the Node 1 during Joint Operations

NASA Image and Video Library

2009-07-21

S127-E-007430 (21 July 2009) --- Astronaut Mark Polansky (right) and Russian Federal Space Agency cosmonaut Gennady Padalka take a break from a busy agenda onboard the International Space Station on the eve of the third of five spacewalks scheduled as part of more than a week's worth of joint activities for Endeavour and ISS crewmembers. Polansky is STS-127 commander, and Padalka is the station commander.

Polansky and Padalka in the Node 1 during Joint Operations

NASA Image and Video Library

2009-07-21

S127-E-007453 (21 July 2009) --- Astronaut Mark Polansky (left) and Russian Federal Space Agency cosmonaut Gennady Padalka take a break from a busy agenda onboard the International Space Station on the eve of the third of five spacewalks scheduled as part of more than a week's worth of joint activities for Endeavour and ISS crewmembers. Polansky is STS-127 commander, and Padalka is the station commander.

[A primary application and evaluation of temporomandibular joint replacement with stock prosthesis].

PubMed

Zhang, Xiao-hu; Chen, Min-jie; Qiu, Ya-ting; Yang, Chi

2012-06-01

To evaluate the effect of total joint replacement in treatment of temporomandibular joint(TMJ) osteoarthropathy with stock prostheses. Six female patients involving 10 joints (2 unilateral and 4 bilateral), with an average age of 59 years old, were involved in this study. Three patients (5 joints) were diagnosed as internal derangement in V stage depending on MRI, 3D-CT findings and clinical characteristics. The other 3 patients (5 joints) had histories of failed temporomandibular joint operation using costochondral graft or temporalis fascial flap. The maximal mouth opening was 1.9 cm on average (range, 1.0 to 2.9cm). All the joints were replaced with Biomet standard prosthesis under general anesthesia. The follow-up period was from 7 to 49 months (average, 17.5 months). All the operations were successfully performed. Heterotopic ossification happened in a bilateral case 1 year postoperatively. One patient with bilateral joint disease complained of severe uncomfortable feeling in the region of the ears and the temples, although there was no significant positive signs according to an ENT examination. Pain relief of the joint and mouth opening improvement were significant in 4 patients. No failure was noted secondary to infection or loosening of the prostheses. The occlusal relationship kept stable postoperatively in all cases. Total TMJ joint replacement with standard prosthesis is a good choice for TMJ reconstruction. It can significantly reduce joint pain and the mouth opening limitation resulted from osteoarthritis. Long-term result remains to be evaluated based on a long-term follow-up.

Grinding assembly, grinding apparatus, weld joint defect repair system, and methods

DOEpatents

Larsen, Eric D.; Watkins, Arthur D.; Bitsoi, Rodney J.; Pace, David P.

2005-09-27

A grinding assembly for grinding a weld joint of a workpiece includes a grinder apparatus, a grinder apparatus includes a grinding wheel configured to grind the weld joint, a member configured to receive the grinding wheel, the member being configured to be removably attached to the grinder apparatus, and a sensor assembly configured to detect a contact between the grinding wheel and the workpiece. The grinding assembly also includes a processing circuitry in communication with the grinder apparatus and configured to control operations of the grinder apparatus, the processing circuitry configured to receive weld defect information of the weld joint from an inspection assembly to create a contour grinding profile to grind the weld joint in a predetermined shape based on the received weld defect information, and a manipulator having an end configured to carry the grinder apparatus, the manipulator further configured to operate in multiple dimensions.

Results and Analysis from Space Suit Joint Torque Testing

NASA Technical Reports Server (NTRS)

Matty, Jennifer E.; Aitchison, Lindsay

2009-01-01

A space suit s mobility is critical to an astronaut s ability to perform work efficiently. As mobility increases, the astronaut can perform tasks for longer durations with less fatigue. The term mobility, with respect to space suits, is defined in terms of two key components: joint range of motion and joint torque. Individually these measures describe the path which in which a joint travels and the force required to move it through that path. Previous space suits mobility requirements were defined as the collective result of these two measures and verified by the completion of discrete functional tasks. While a valid way to impose mobility requirements, such a method does necessitate a solid understanding of the operational scenarios in which the final suit will be performing. Because the Constellation space suit system requirements are being finalized with a relatively immature concept of operations, the Space Suit Element team elected to define mobility in terms of its constituent parts to increase the likelihood that the future pressure garment will be mobile enough to enable a broad scope of undefined exploration activities. The range of motion requirements were defined by measuring the ranges of motion test subjects achieved while performing a series of joint maximizing tasks in a variety of flight and prototype space suits. The definition of joint torque requirements has proved more elusive. NASA evaluated several different approaches to the problem before deciding to generate requirements based on unmanned joint torque evaluations of six different space suit configurations being articulated through 16 separate joint movements. This paper discusses the experiment design, data analysis and results, and the process used to determine the final values for the Constellation pressure garment joint torque requirements.

The development and validation of a custom built device for assessing frontal knee joint laxity.

PubMed

Ismail, Shiek Abdullah; Simic, Milena; Clarke, Jillian L; Lopes, Thiago Jambo Alves; Pappas, Evangelos

2017-12-01

This study reports the development and validation of a quantitative technique of assessing frontal knee joint laxity through a custom built device named KLICP. The objectives of this study were to determine: (i) the intra- and inter-rater reliability and (ii) the validity of the device when compared to real time ultrasound. Twenty-five participants had their frontal knee joint laxity assessed by the KLICP, by manual varus/valgus tests and by ultrasound. Two raters independently assessed laxity manually by three repeated measurements, repeated at least 48h later. Results were validated by comparing them to the medial and lateral joint space opening measured by the ultrasound. Intraclass correlation coefficients and standard error of measurement reliability were calculated. Pearson's correlation coefficients were calculated to determine the correlation between the KLICP and the joint space. Intra-rater reliability (intra-session) for each rater was good on both sessions (0.91-0.98), intra-rater reliability (inter-sessions) was moderate to good (0.62-0.87), and inter-rater reliability (intra-session) was good (0.75-0.80). There is low agreement for intra-rater (inter-session) and for inter-rater (intra-session) reliability. The KLICP measurement has a significant positive fair to moderate correlation to the ultrasound measurement at the left (r: 0.61, p: 0.01) and right (r: 0.48, p: 0.02) knee in the valgus direction and at the left (r: 0.51, p: 0.01) and right (r: 0.39, p: 0.05) knee in the varus direction. There is low agreement between the KLICP and the RTU. Reliability and agreement was good only when measured for intra-rater, within session. Copyright © 2017 Elsevier B.V. All rights reserved.

22 CFR 232.13 - Change in agreements.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Change in agreements. 232.13 Section 232.13 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT REPUBLIC OF TUNISIA LOAN GUARANTEES ISSUED UNDER THE DEPARTMENT OF STATE, FOREIGN OPERATIONS, AND RELATED PROGRAMS APPROPRIATIONS ACT, 2012, DIV. I...

22 CFR 232.13 - Change in agreements.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Change in agreements. 232.13 Section 232.13 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT REPUBLIC OF TUNISIA LOAN GUARANTEES ISSUED UNDER THE DEPARTMENT OF STATE, FOREIGN OPERATIONS, AND RELATED PROGRAMS APPROPRIATIONS ACT, 2012, DIV. I...

Optimal Synthesis of the Joint Unitary Evolutions

NASA Astrophysics Data System (ADS)

Wei, Hai-Rui; Alsaedi, Ahmed; Hobiny, Aatef; Deng, Fu-Guo; Hu, Hui; Zhang, Dun

2018-07-01

Joint unitary operations play a central role in quantum communication and computation. We give a quantum circuit for implementing a type of unconstructed useful joint unitary evolutions in terms of controlled-NOT (CNOT) gates and single-qubit rotations. Our synthesis is optimal and possible in experiment. Two CNOT gates and seven R x , R y or R z rotations are required for our synthesis, and the arbitrary parameter contained in the evolutions can be controlled by local Hamiltonian or external fields.

Optimal Synthesis of the Joint Unitary Evolutions

NASA Astrophysics Data System (ADS)

Wei, Hai-Rui; Alsaedi, Ahmed; Hobiny, Aatef; Deng, Fu-Guo; Hu, Hui; Zhang, Dun

2018-03-01

Joint unitary operations play a central role in quantum communication and computation. We give a quantum circuit for implementing a type of unconstructed useful joint unitary evolutions in terms of controlled-NOT (CNOT) gates and single-qubit rotations. Our synthesis is optimal and possible in experiment. Two CNOT gates and seven R x , R y or R z rotations are required for our synthesis, and the arbitrary parameter contained in the evolutions can be controlled by local Hamiltonian or external fields.

Operational Intelligence in Irregular Warfare: Organized to the Task or to the Technology

DTIC Science & Technology

2009-10-23

50. 9 CJCS, Joint Operations, Change 1 , JP 3 -0 (Washington, DC: CJCS, 13 February 2008), I-8 to I-9. 10 CJCS, Counterinsurgency Operations, JP 3 -24...Warfighting Publication (MCWP) 3 -33.5 (Washington, DC: Government Printing Office, 15 December 2006), 1 -26. 13 David Rohde, “Army Enlists Anthropology in...Joint Intelligence. Joint Publication (JP) 2-0. Washington, DC: CJCS, 22 June 2007. ______. Joint Operations. Change 1 . JP 3 -0. Washington, DC

Analytical and Numerical Results for an Adhesively Bonded Joint Subjected to Pure Bending

NASA Technical Reports Server (NTRS)

Smeltzer, Stanley S., III; Lundgren, Eric

2006-01-01

A one-dimensional, semi-analytical methodology that was previously developed for evaluating adhesively bonded joints composed of anisotropic adherends and adhesives that exhibit inelastic material behavior is further verified in the present paper. A summary of the first-order differential equations and applied joint loading used to determine the adhesive response from the methodology are also presented. The method was previously verified against a variety of single-lap joint configurations from the literature that subjected the joints to cases of axial tension and pure bending. Using the same joint configuration and applied bending load presented in a study by Yang, the finite element analysis software ABAQUS was used to further verify the semi-analytical method. Linear static ABAQUS results are presented for two models, one with a coarse and one with a fine element meshing, that were used to verify convergence of the finite element analyses. Close agreement between the finite element results and the semi-analytical methodology were determined for both the shear and normal stress responses of the adhesive bondline. Thus, the semi-analytical methodology was successfully verified using the ABAQUS finite element software and a single-lap joint configuration subjected to pure bending.

Evaluation of pipe-type cable joint restraint systems

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

Silver, D.A.; Seman, G.W.

1990-03-01

the purpose of this project was to evaluate two systems for restraining the movement of 345kV high-pressure oil-filled (HPOF) cable joints during load cycling. Problems with joints and adjacent cables due to thermomechanical bending (TMB) experienced by the Consolidated Edison Company of New York and Public Service Electric Gas Company of New Jersey are reviewed. Some approaches to reducing or preventing TMB induced damage to HPOF pipe type cable joints are discussed. The design and operation of a special test apparatus for simulating TMB effects under laboratory conditions is described. One of the two joint restraint systems evaluated under thismore » project was developed by PSE G and employed wedging devices, which could be retrofitted into existing installations, that limited the longitudinal movement of the joints during load cycling. The other system developed by Pirelli Cable Corporation applied the restraining force to the cylindrical portion of the hand applied joint insulation by means of support spiders and steel rods attached to the reducer faces. The test results show that the PSE G restraint system can effectively limit joint longitudinal movement while causing a minimal amount of mechanical disturbance to the joint stress cones. The test results obtained with the PCC system are inconclusive and indicate that further refinement and testing are required to demonstrate the effectiveness of this promising joint restraint system.« less

Intra-operative fiducial-based CT/fluoroscope image registration framework for image-guided robot-assisted joint fracture surgery.

PubMed

Dagnino, Giulio; Georgilas, Ioannis; Morad, Samir; Gibbons, Peter; Tarassoli, Payam; Atkins, Roger; Dogramadzi, Sanja

2017-08-01

Joint fractures must be accurately reduced minimising soft tissue damages to avoid negative surgical outcomes. To this regard, we have developed the RAFS surgical system, which allows the percutaneous reduction of intra-articular fractures and provides intra-operative real-time 3D image guidance to the surgeon. Earlier experiments showed the effectiveness of the RAFS system on phantoms, but also key issues which precluded its use in a clinical application. This work proposes a redesign of the RAFS's navigation system overcoming the earlier version's issues, aiming to move the RAFS system into a surgical environment. The navigation system is improved through an image registration framework allowing the intra-operative registration between pre-operative CT images and intra-operative fluoroscopic images of a fractured bone using a custom-made fiducial marker. The objective of the registration is to estimate the relative pose between a bone fragment and an orthopaedic manipulation pin inserted into it intra-operatively. The actual pose of the bone fragment can be updated in real time using an optical tracker, enabling the image guidance. Experiments on phantom and cadavers demonstrated the accuracy and reliability of the registration framework, showing a reduction accuracy (sTRE) of about [Formula: see text] (phantom) and [Formula: see text] (cadavers). Four distal femur fractures were successfully reduced in cadaveric specimens using the improved navigation system and the RAFS system following the new clinical workflow (reduction error [Formula: see text], [Formula: see text]. Experiments showed the feasibility of the image registration framework. It was successfully integrated into the navigation system, allowing the use of the RAFS system in a realistic surgical application.

Workshop Report: Joint Requirements. Oversight Council Process.

DTIC Science & Technology

1996-02-28

provides media for professional exchange and peer criticism among students, theoreticians, practitioners, and users of military operations research. These... exchange of ideas and methods. involvement in the annual Joint Warfare Inter- Subsequent efforts could include multiple operability Demonstrations (JWID...forums for exchange of ideas at the working level, clear, visible relations but studies and analysis opportunities as well. between the JWCAs need to

An all-joint-control master device for single-port laparoscopic surgery robots.

PubMed

Shim, Seongbo; Kang, Taehun; Ji, Daekeun; Choi, Hyunseok; Joung, Sanghyun; Hong, Jaesung

2016-08-01

Robots for single-port laparoscopic surgery (SPLS) typically have all of their joints located inside abdomen during surgery, whereas with the da Vinci system, only the tip part of the robot arm is inserted and manipulated. A typical master device that controls only the tip with six degrees of freedom (DOFs) is not suitable for use with SPLS robots because of safety concerns. We designed an ergonomic six-DOF master device that can control all of the joints of an SPLS robot. We matched each joint of the master, the slave, and the human arm to decouple all-joint motions of the slave robot. Counterbalance masses were used to reduce operator fatigue. Mapping factors were determined based on kinematic analysis and were used to achieve all-joint control with minimal error at the tip of the slave robot. The proposed master device has two noteworthy features: efficient joint matching to the human arm to decouple each joint motion of the slave robot and accurate mapping factors, which can minimize the trajectory error of the tips between the master and the slave. We confirmed that the operator can manipulate the slave robot intuitively with the master device and that both tips have similar trajectories with minimal error.

Unity of Effort in Joint Information Operations

DTIC Science & Technology

2002-12-01

of strategic intent , strategic architecture, 80 JFQ / Winter 2002–03 if the Nation conducts information operations, the military would not be the...responsible for setting the strategic intent of infor- mation operations. This intent implies a particular point of view on the long-term environment in...which an organization hopes to build a competi- tive position over time. Considering strategic ar- chitecture the brain and strategic intent the heart

77 FR 25488 - Cooperative Research and Development Agreement: Federally Integrated Communications System

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-30

... Cooperative Research and Development Agreement (CRADA) with General Dynamics C4 Systems, Inc. to lab... operations of the Coast Guard's Rescue 21 system; (2) General Dynamics' capability to provide the significant... Development Agreement: Federally Integrated Communications System AGENCY: Coast Guard, DHS. ACTION: Notice of...

32 CFR 644.508 - Agreement with Small Business Administration (SBA) on sale of timber.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 4 2011-07-01 2011-07-01 false Agreement with Small Business Administration..., Crops, and Embedded Gravel, Sand and Stone § 644.508 Agreement with Small Business Administration (SBA... development of a program of assistance for small concerns operating in the timber business. This agreement is...

Ultrasound scans and dual energy CT identify tendons as preferred anatomical location of MSU crystal depositions in gouty joints.

PubMed

Yuan, Yuan; Liu, Chang; Xiang, Xi; Yuan, Tong-Ling; Qiu, Li; Liu, Yi; Luo, Yu-Bin; Zhao, Y; Herrmann, Martin

2018-05-01

The present study was performed to localize the articular deposition of monosodium urate (MSU) crystal in joints. We compare the detection efficiencies of dual-energy CT (DECT) and ultrasound scans. Analyses by DECT and ultrasound were performed with 184 bilateral joints of the lower limbs of 54 consecutive gout patients. All joints were categorized into (1) knee, (2) ankle, (3) MTP1, and (4) MTP2, and sorted into those with and those without detectable MSU deposition. The comparison of the positive rate between DECT and ultrasound and the agreement was performed using the McNemar test and the Cohen's κ coefficient, respectively. Next, we listed the MSU crystal deposition as assessed by ultrasound between the DECT-positive and -negative joints according to their interior structure. We included tendons, synovia, cartilage, subcutaneous tissue, etc. RESULTS: Among all joints, the percentages with MSU crystal deposition detected by DECT (99/184, 53.8%) and ultrasound (106/184, 57.6%) were comparable (P = 0.530 > 0.05). For MTP1 (21/34, 61.8%; 12/34, 35.3%; P < 0.05) and MTP2-5 (17/34, 50.0%; 10/34, 29.4%, P < 0.05), ultrasound and DECT were more efficient, respectively. The data concordance in 46 of 50 joints (92.00%; κ = 0.769, P < 0.05) for knee; and 27 of 34 joints (79.41%; κ = 0.588, P < 0.05) for MTP2-5 and suggested that tendons were the most frequent anatomical location of MSU crystal deposition. The tendons are the most frequent anatomical location of MSU crystal depositions. The concordance rate of knee joints and MTP2-5 joints shows good agreement between DECT and ultrasound depending on the location.

[A new type sternoclavicular hook plate for unstable sternoclavicular joint dislocation and fracture].

PubMed

Zhang, Chuan-Yi; Lin, Lie; Liang, Jun-Bo; Wang, Bin; Chen, Guo-Fu; Chen, Hai-Xiao

2016-11-25

To evaluate the therapeutic effect of a new type sternoclavicular hook plate fixation in treating unstable sternoclavicular joint dislocation and fracture. From June 2011 to December 2013, 32 patients with sternoclavicular joint dislocation and fracture were treated with a new type sternoclavicular hook plate fixation, including 24 males and 8 females with an average age of 42 years ranging from 25 to 76 years;12 patients were anterior dislocation, 5 pations were posterior dislocation, 10 patients were internal extremity of clavicle fracture and 5 patients were sternoclavicular joint dislocation combined with fracture. The anterior fracture dislocation of the sternoclavicular joint adopted standard sternoclavicular joint hook plate, and the posterior dislocation was at the distal end of the hook of the steel plate, that is, the front part of the handle of the breast was added with a nut and a gasket to prevent the re-dislocation after operation. The results were evaluated according to Rockwood score. No complication happened in all patients. X-ray and CT showed that the dislocation and fracture of the sternoclavicular joint was well reduced and the plate was on right position. All patients were followed up for 6 to 24 months with an average of 10 months. At 6 to 3 months after operation, the fracture was healing without re-dislocation of the sternoclavicular joint, the medial end of the clavicle anatomical structure were restored, functional satisfaction, in which 9 patients with the swelling around sternoclavicular joint, but no pain and other symptoms. The total Rockwood score was 12.78±1.43; the results were excellent in 24 cases, good in 8 cases. The use of the new type of locking hook plate for the treatment of unstable fracture of the sternoclavicular joint, internal fixation is reliable, high security, easy to operate, to provide a reliable method for the treatment of such trauma.

Gastritis staging: interobserver agreement by applying OLGA and OLGIM systems.

PubMed

Isajevs, Sergejs; Liepniece-Karele, Inta; Janciauskas, Dainius; Moisejevs, Georgijs; Putnins, Viesturs; Funka, Konrads; Kikuste, Ilze; Vanags, Aigars; Tolmanis, Ivars; Leja, Marcis

2014-04-01

Atrophic gastritis remains a difficult histopathological diagnosis with low interobserver agreement. The aim of our study was to compare gastritis staging and interobserver agreement between general and expert gastrointestinal (GI) pathologists using Operative Link for Gastritis Assessment (OLGA) and Operative Link on Gastric Intestinal Metaplasia (OLGIM). We enrolled 835 patients undergoing upper endoscopy in the study. Two general and two expert gastrointestinal pathologists graded biopsy specimens according to the Sydney classification, and the stage of gastritis was assessed by OLGA and OLGIM system. Using OLGA, 280 (33.4 %) patients had gastritis (stage I-IV), whereas with OLGIM this was 167 (19.9 %). OLGA stage III- IV gastritis was observed in 25 patients, whereas by OLGIM stage III-IV was found in 23 patients. Interobserver agreement between expert GI pathologists for atrophy in the antrum, incisura angularis, and corpus was moderate (kappa = 0.53, 0.57 and 0.41, respectively, p < 0.0001), but almost perfect for intestinal metaplasia (kappa = 0.82, 0.80 and 0.81, respectively, p < 0.0001). However, interobserver agreement between general pathologists was poor for atrophy, but moderate for intestinal metaplasia. OLGIM staging provided the highest interobserver agreement, but a substantial proportion of potentially high-risk individuals would be missed if only OLGIM staging is applied. Therefore, we recommend to use a combination of OLGA and OLGIM for staging of chronic gastritis.

Network Warfare Operations: Unleashing the Potential. Part 1

DTIC Science & Technology

2005-11-01

area to be affected by the jammer (friendly, enemy, and neutral). As this knowledge is developed and documented, the joint restricted frequency ... list identifies those frequencies that cannot be interfered with, either due to international agreements or to prevent fratricide. Now let’s

Rescuing Joint Personnel Recovery: Using Air Force Capability to Address Joint Shortfalls

DTIC Science & Technology

2011-06-01

of an IP, the IP is not successfully reintegrated or the lessons learned are not incorporated into other operations. Adversaries will benefit from...Washington, D.C.: Office of Air Force History , United States Air Force, 1980, 117. 47 Durant , Michael J. In the Company of Heroes, Penguin Group... Lessons Learned, 22 September 2005, 3. 2 US Joint Task Force Katrina. The Federal Response to Hurricane Katrina Lessons Learned, February 2006, 54

Compressed Secret Key Agreement:Maximizing Multivariate Mutual Information per Bit

NASA Astrophysics Data System (ADS)

Chan, Chung

2017-10-01

The multiterminal secret key agreement problem by public discussion is formulated with an additional source compression step where, prior to the public discussion phase, users independently compress their private sources to filter out strongly correlated components for generating a common secret key. The objective is to maximize the achievable key rate as a function of the joint entropy of the compressed sources. Since the maximum achievable key rate captures the total amount of information mutual to the compressed sources, an optimal compression scheme essentially maximizes the multivariate mutual information per bit of randomness of the private sources, and can therefore be viewed more generally as a dimension reduction technique. Single-letter lower and upper bounds on the maximum achievable key rate are derived for the general source model, and an explicit polynomial-time computable formula is obtained for the pairwise independent network model. In particular, the converse results and the upper bounds are obtained from those of the related secret key agreement problem with rate-limited discussion. A precise duality is shown for the two-user case with one-way discussion, and such duality is extended to obtain the desired converse results in the multi-user case. In addition to posing new challenges in information processing and dimension reduction, the compressed secret key agreement problem helps shed new light on resolving the difficult problem of secret key agreement with rate-limited discussion, by offering a more structured achieving scheme and some simpler conjectures to prove.

Economic tools to promote transparency and comparability in the Paris Agreement

NASA Astrophysics Data System (ADS)

Aldy, Joseph; Pizer, William; Tavoni, Massimo; Reis, Lara Aleluia; Akimoto, Keigo; Blanford, Geoffrey; Carraro, Carlo; Clarke, Leon E.; Edmonds, James; Iyer, Gokul C.; McJeon, Haewon C.; Richels, Richard; Rose, Steven; Sano, Fuminori

2016-11-01

The Paris Agreement culminates a six-year transition towards an international climate policy architecture based on parties submitting national pledges every five years. An important policy task will be to assess and compare these contributions. We use four integrated assessment models to produce metrics of Paris Agreement pledges, and show differentiated effort across countries: wealthier countries pledge to undertake greater emission reductions with higher costs. The pledges fall in the lower end of the distributions of the social cost of carbon and the cost-minimizing path to limiting warming to 2 °C, suggesting insufficient global ambition in light of leaders’ climate goals. Countries’ marginal abatement costs vary by two orders of magnitude, illustrating that large efficiency gains are available through joint mitigation efforts and/or carbon price coordination. Marginal costs rise almost proportionally with income, but full policy costs reveal more complex regional patterns due to terms of trade effects.

Statistical Validation for Clinical Measures: Repeatability and Agreement of Kinect™-Based Software

PubMed Central

Tello, Emanuel; Rodrigo, Alejandro; Valentinuzzi, Max E.

2018-01-01

Background The rehabilitation process is a fundamental stage for recovery of people's capabilities. However, the evaluation of the process is performed by physiatrists and medical doctors, mostly based on their observations, that is, a subjective appreciation of the patient's evolution. This paper proposes a tracking platform of the movement made by an individual's upper limb using Kinect sensor(s) to be applied for the patient during the rehabilitation process. The main contribution is the development of quantifying software and the statistical validation of its performance, repeatability, and clinical use in the rehabilitation process. Methods The software determines joint angles and upper limb trajectories for the construction of a specific rehabilitation protocol and quantifies the treatment evolution. In turn, the information is presented via a graphical interface that allows the recording, storage, and report of the patient's data. For clinical purposes, the software information is statistically validated with three different methodologies, comparing the measures with a goniometer in terms of agreement and repeatability. Results The agreement of joint angles measured with the proposed software and goniometer is evaluated with Bland-Altman plots; all measurements fell well within the limits of agreement, meaning interchangeability of both techniques. Additionally, the results of Bland-Altman analysis of repeatability show 95% confidence. Finally, the physiotherapists' qualitative assessment shows encouraging results for the clinical use. Conclusion The main conclusion is that the software is capable of offering a clinical history of the patient and is useful for quantification of the rehabilitation success. The simplicity, low cost, and visualization possibilities enhance the use of the software Kinect for rehabilitation and other applications, and the expert's opinion endorses the choice of our approach for clinical practice. Comparison of the new measurement

Statistical Validation for Clinical Measures: Repeatability and Agreement of Kinect™-Based Software.

PubMed

Lopez, Natalia; Perez, Elisa; Tello, Emanuel; Rodrigo, Alejandro; Valentinuzzi, Max E

2018-01-01

The rehabilitation process is a fundamental stage for recovery of people's capabilities. However, the evaluation of the process is performed by physiatrists and medical doctors, mostly based on their observations, that is, a subjective appreciation of the patient's evolution. This paper proposes a tracking platform of the movement made by an individual's upper limb using Kinect sensor(s) to be applied for the patient during the rehabilitation process. The main contribution is the development of quantifying software and the statistical validation of its performance, repeatability, and clinical use in the rehabilitation process. The software determines joint angles and upper limb trajectories for the construction of a specific rehabilitation protocol and quantifies the treatment evolution. In turn, the information is presented via a graphical interface that allows the recording, storage, and report of the patient's data. For clinical purposes, the software information is statistically validated with three different methodologies, comparing the measures with a goniometer in terms of agreement and repeatability. The agreement of joint angles measured with the proposed software and goniometer is evaluated with Bland-Altman plots; all measurements fell well within the limits of agreement, meaning interchangeability of both techniques. Additionally, the results of Bland-Altman analysis of repeatability show 95% confidence. Finally, the physiotherapists' qualitative assessment shows encouraging results for the clinical use. The main conclusion is that the software is capable of offering a clinical history of the patient and is useful for quantification of the rehabilitation success. The simplicity, low cost, and visualization possibilities enhance the use of the software Kinect for rehabilitation and other applications, and the expert's opinion endorses the choice of our approach for clinical practice. Comparison of the new measurement technique with established

Single stage treatment of ankylosis of the temporomandibular joint using patient-specific total joint replacement and virtual surgical planning.

PubMed

Haq, Jahrad; Patel, Nishma; Weimer, Katherine; Matthews, N Shaun

2014-04-01

Ankylosis of the temporomandibular joint (TMJ) is a debilitating condition that can result in pain, trismus, and a poor quality of life. It can be caused by injury, infection, and rheumatoid disease. Current management includes gap arthroplasty, interpositional arthroplasty, and reconstruction. Traditionally, joints are reconstructed using stock implants, or the procedure is done in two stages with an additional computed tomography (CT) scan between the resective and reconstructive procedures and use of stereolithographic models to aid the design of the definitive prostheses. We describe a technique for the resection of ankylosis and reconstruction of the joint in a single operation using virtually designed custom-made implants. Five patients with ankylosis of the TMJ had a single stage operation with reconstruction between 2010 and 2012. All had preoperative high-resolution CT with contrast angiography. During an international web-based teleconference between the surgeon and the engineer a virtual resection of the ankylosis was done using the reconstructed CT images. The bespoke cutting guides and implants were designed virtually at the same time and were then manufactured precisely using computer-aided design and manufacture (CAD-CAM) over 6 weeks. After release of the ankylosis and reconstruction, the patients underwent an exercise regimen to improve mouth opening. Follow-up was for a minimum of 6 months. Four patients had one operation, and one patient had two. Median/Mean maximum incisal opening increased from 0.6mm before operation to 25 mm afterwards (range 23-27), and there was minimal surgical morbidity. This new method effectively treats ankylosis of the TMJ in a single stage procedure. Fewer operations and hospital stays, and the maintenance of overall clinical outcome are obvious advantages. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

Rate dependent strengths of some solder joints

NASA Astrophysics Data System (ADS)

Williamson, D. M.; Field, J. E.; Palmer, S. J. P.; Siviour, C. R.

2007-08-01

The shear strengths of three lead-free solder joints have been measured over the range of loading rates 10-3 to ~105 mm min-1. Binary (SnAg), ternary (SnAgCu) and quaternary (Castin: SnAgCuSb) alloys have been compared to a conventional binary SnPb solder alloy. Results show that at loading rates from 10-3 to 102 mm min-1, all four materials exhibit a linear relationship between the shear strength and the loading rate when the data are plotted on a log-log plot. At the highest loading rate of 105 mm min-1, the strengths of the binary alloys were in agreement with extrapolations made from the lower loading rate data. In contrast, the strengths of the higher order alloys were found to be significantly lower than those predicted by extrapolation. This is explained by a change in failure mechanism on the part of the higher order alloys. Similar behaviour was found in measurements of the tensile strengths of solder joints using a novel high-rate loading tensile test. Optical and electron microscopy were used to examine the microstructures of interest in conjunction with energy dispersive x-ray analysis for elemental identification. The effect of artificial aging and reflow of the solder joints is also reported.

32 CFR 644.508 - Agreement with Small Business Administration (SBA) on sale of timber.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Agreement with Small Business Administration (SBA..., Crops, and Embedded Gravel, Sand and Stone § 644.508 Agreement with Small Business Administration (SBA... development of a program of assistance for small concerns operating in the timber business. This agreement is...

78 FR 51726 - Notice of Agreements Filed

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-21

... Containership Operators. Parties: A.P. Moller-Maersk A/S; China Shipping Container Lines Co., Ltd.; CMA. CGM, S... Agreement Asia--U.S. East Coast. Parties: China Shipping Container Lines Co., Ltd., China Shipping Container.... Parties: China Shipping Container Lines Co. Ltd. and China Shipping Container Lines (Hong Kong) Co., Ltd...

40 CFR 35.3545 - Capitalization grant agreement.

Code of Federal Regulations, 2010 CFR

2010-07-01

... required to determine compliance with section 1452 of the Act. (c) Operating agreement. At the option of a... Fund in accordance with the requirements and objectives of the Act and this subpart. (e) Roles and..., the State must describe the roles and responsibilities of each agency in the capitalization grant...

Application of finite element analysis in pre-operative planning for deformity correction of abnormal hip joints--a case series.

PubMed

Rhyu, K H; Kim, Y H; Park, W M; Kim, K; Cho, T-J; Choi, I H

2011-09-01

In experimental and clinical research, it is difficult to directly measure responses in the human body, such as contact pressure and stress in a joint, but finite element analysis (FEA) enables the examination of in vivo responses by contact analysis. Hence, FEA is useful for pre-operative planning prior to orthopaedic surgeries, in order to gain insight into which surgical options will result in the best outcome. The present study develops a numerical simulation technique based on FEA to predict the surgical outcomes of osteotomy methods for the treatment of slipped capital femoral epiphyses. The correlation of biomechanical parameters including contact pressure and stress, for moderate and severe cases, is investigated. For severe slips, a base-of-neck osteotomy is thought to be the most reliable and effective surgical treatment, while any osteotomy may produce dramatic improvement for moderate slips. This technology of pre-operative planning using FEA can provide information regarding biomechanical parameters that might facilitate the selection of optimal osteotomy methods and corresponding surgical options.

Joint Chiefs of Staff > Directorates > J1 | Manpower and Personnel

Science.gov Websites

Management J1 | Manpower and Personnel J2 | Joint Staff Intelligence J3 | Operations J4 | Logistics► J8 | Force Structure, Resources & Assessment Contact J1 Manpower and Personnel Home : Directorates : J1 | Manpower and Personnel Mission To provide the Chairman of the Joint Chiefs of Staff

Space Suit Joint Torque Measurement Method Validation

NASA Technical Reports Server (NTRS)

Valish, Dana; Eversley, Karina

2012-01-01

In 2009 and early 2010, a test method was developed and performed to quantify the torque required to manipulate joints in several existing operational and prototype space suits. This was done in an effort to develop joint torque requirements appropriate for a new Constellation Program space suit system. The same test method was levied on the Constellation space suit contractors to verify that their suit design met the requirements. However, because the original test was set up and conducted by a single test operator there was some question as to whether this method was repeatable enough to be considered a standard verification method for Constellation or other future development programs. In order to validate the method itself, a representative subset of the previous test was repeated, using the same information that would be available to space suit contractors, but set up and conducted by someone not familiar with the previous test. The resultant data was compared using graphical and statistical analysis; the results indicated a significant variance in values reported for a subset of the re-tested joints. Potential variables that could have affected the data were identified and a third round of testing was conducted in an attempt to eliminate and/or quantify the effects of these variables. The results of the third test effort will be used to determine whether or not the proposed joint torque methodology can be applied to future space suit development contracts.

Broadband rotary joint for high speed ultrahigh resolution endoscopic OCT imaging (Conference Presentation)

NASA Astrophysics Data System (ADS)

Alemohammad, Milad; Yuan, Wu; Mavadia-Shukla, Jessica; Liang, Wenxuan; Yu, Xiaoyun; Yu, Shaoyong; Li, Xingde

2016-03-01

Endoscopic OCT is a promising technology enabling noninvasive in vivo imaging of internal organs, such as the gastrointestinal tract and airways. The past few years have witnessed continued efforts to achieve ultrahigh resolution and speed. It is well-known that the axial resolution in OCT imaging has a quadratic dependence on the central wavelength. While conventional OCT endoscopes operate in 1300 nm wavelength, the second-generation endoscopes are designed for operation around 800 nm where turn-key, broadband sources are becoming readily available. Traditionally 1300 nm OCT endoscopes are scanned at the proximal end, and a broadband fiber-optic rotary joint as a key component in scanning endoscopic OCT is commercially available. Bandwidths in commercial 800 nm rotary joints are unfortunately compromised due to severe chromatic aberration, which limits the resolution afforded by the broadband light source. In the past we remedied this limitation by using a home-made capillary-tube-based rotary joint where the maximum reliable speed is ~10 revolutions/second. In this submission we report our second-generation, home-built high-speed and broadband rotary joint for 800 nm wavelength, which uses achromatic doublets in order achieve broadband achromatic operation. The measured one-way throughput of the rotary joint is >67 % while the fluctuation of the double-pass coupling efficiency during 360° rotation is less than +/-5 % at a speed of 70 revolutions/second. We demonstrate the operation of this rotary joint in conjunction with our ultrahigh-resolution (2.4 µm in air) diffractive catheter by three-dimensional full-circumferential endoscopic imaging of guinea pig esophagus at 70 frames per second in vivo.

Reduced-order modeling approach for frictional stick-slip behaviors of joint interface

NASA Astrophysics Data System (ADS)

Wang, Dong; Xu, Chao; Fan, Xuanhua; Wan, Qiang

2018-03-01

The complex frictional stick-slip behaviors of mechanical joint interface have a great effect on the dynamic properties of assembled structures. In this paper, a reduced-order modeling approach based on the constitutive Iwan model is proposed to describe the stick-slip behaviors of joint interface. An improved Iwan model is developed to describe the non-zero residual stiffness at macro-slip regime and smooth transition of joint stiffness from micro-slip to macro-slip regime, and the power-law relationship of energy dissipation during the micro-slip regime. In allusion to these nonlinear behaviors, the finite element method is used to calculate the recycle force under monolithic loading and the energy dissipation per cycle under oscillatory loading. The proposed model is then used to predict the nonlinear stick-slip behaviors of joint interface by curve-fitting to the results of finite element analysis, and the results show good agreements with the finite element analysis. A comparison with the experiment results in literature is also made. The proposed model agrees very well with the experiment results.

Numerical Model for the Study of the Strength and Failure Modes of Rock Containing Non-Persistent Joints

NASA Astrophysics Data System (ADS)

Vergara, Maximiliano R.; Van Sint Jan, Michel; Lorig, Loren

2016-04-01

The mechanical behavior of rock containing parallel non-persistent joint sets was studied using a numerical model. The numerical analysis was performed using the discrete element software UDEC. The use of fictitious joints allowed the inclusion of non-persistent joints in the model domain and simulating the progressive failure due to propagation of existing fractures. The material and joint mechanical parameters used in the model were obtained from experimental results. The results of the numerical model showed good agreement with the strength and failure modes observed in the laboratory. The results showed the large anisotropy in the strength resulting from variation of the joint orientation. Lower strength of the specimens was caused by the coalescence of fractures belonging to parallel joint sets. A correlation was found between geometrical parameters of the joint sets and the contribution of the joint sets strength in the global strength of the specimen. The results suggest that for the same dip angle with respect to the principal stresses; the uniaxial strength depends primarily on the joint spacing and the angle between joints tips and less on the length of the rock bridges (persistency). A relation between joint geometrical parameters was found from which the resulting failure mode can be predicted.

Interphalangeal Osteoarthritis Radiographic Simplified (iOARS) score: a radiographic method to detect osteoarthritis of the interphalangeal finger joints based on its histopathological alterations.

PubMed

Sunk, Ilse-Gerlinde; Amoyo-Minar, Love; Stamm, Tanja; Haider, Stefanie; Niederreiter, Birgit; Supp, Gabriela; Soleiman, Afschin; Kainberger, Franz; Smolen, Josef S; Bobacz, Klaus

2014-11-01

To develop a radiographic score for assessment of hand osteoarthritis (OA) that is based on histopathological alterations of the distal (DIP) and proximal (PIP) interphalangeal joints. DIP and PIP joints were obtained from corpses (n=40). Plain radiographies of these joints were taken. Joint samples were prepared for histological analysis; cartilage damage was graded according to the Mankin scoring system. A 2×2 Fisher's exact test was applied to define those radiographic features most likely to be associated with histological alterations. Receiver operating characteristic curves were analysed to determine radiographic thresholds. Intraclass correlation coefficients (ICC) estimated intra- and inter-reader variability. Spearman's correlation was applied to examine the relationship between our score and histopathological changes. Differences between groups were determined by a Student's t test. The Interphalangeal Osteoarthritis Radiographic Simplified (iOARS) score is presented. The score is based on histopathological changes of DIP and PIP joints and follows a simple dichotomy whether OA is present or not. The iOARS score relies on three equally ranked radiographic features (osteophytes, joint space narrowing and subchondral sclerosis). For both DIP and PIP joints, the presence of one x-ray features reflects interphalangeal OA. Sensitivity and specificity for DIP joints were 92.3% and 90.9%, respectively, and 75% and 100% for PIP joints. All readers were able to reproduce their own readings in DIP and PIP joints after 4 weeks. The overall agreement between the three readers was good; ICCs ranged from 0.945 to 0.586. Additionally, outcomes of the iOARS score in a hand OA cohort revealed a higher prevalence of interphalangeal joint OA compared with the Kellgren and Lawrence score. The iOARS score is uniquely based on histopathological alterations of the interphalangeal joints in order to reliably determine OA of the DIP and PIP joints radiographically. Its high

[Displacement and tissue remodeling of temporomandibular joint disc].

PubMed

Wang, M Q

2017-03-09

Sounding takes the highest prevalence of the signs of temporomandibular disorders (TMD). The well accepted theory of the mechanism for temporomandibular joint (TMJ) sounding is the internal derangement typically characterized by disc displacement. However, according to literature, there are approximately one third of asymptomatic joints in population had disc displacement, and, on the other hand, there are one fourth of TMJ sounding patients had not signs or very limited signs of disc displacement. Replacing the displaced disc to the normal position via methods like surgical operation did not achieve satisfactory long-term outcomes. In this review, we discuss and analyze the possible remodeling of the joint disc displacement diagnosed with imaging based on the anatomy and pathophysiology.

CONICAL, RADIOGRAPHIC, AND PATIENT-REPORTED RESULTS OF SURFACE REPLACING PROXIMAL INTERPHALANGEAL JOINT ARTHROPLASTY OF THE HAND

PubMed Central

Amirtharajah, Mohana; Fufa, Duretti; Lightdale, Nina; Weiland, Andew

2011-01-01

The purpose of this study was to evaluate the one-year clinical, radiologic and patient-reported results of surface-replacing proximal interphalangeal joint arthroplasty (SR-PIP) of the hand. Fifteen patients with 18 joints underwent the procedure, and nine patients with 11 joints had follow-up of at least one year's duration. Of these joints, six had a diagnosis of osteoarthritis with no history of trauma, three had post-traumatic arthritis, one had psoriatic arthritis, and one had erosive arthritis. The mean clinical follow-up was at 3.3 years, and the mean radiographic follow-up was at 3.1 years. The average post-operative gain in range of motion at the PIP joint was 28 degrees and was statistically significant. Six patients completed self-reported questionnaires at a mean of 4.8 years post-operatively. The mean Disabilities of the Arm, Shoulder and Hand (DASH) score post-operatively was 17, and the Michigan Hand Questionnaire (MHQ) score for overall satisfaction was 70. There were three complications but only one reoperation. Seven of 11 joints showed some evidence of subsidence on follow-up radiographic examination. However, no joints were revised sec-ondary to loosening. Longer follow-up is needed to determine if this observable radiologic subsidence leads to symptomatic loosening of the implant PMID:22096433

76 FR 28040 - Medicare and Medicaid Programs; Application by the Joint Commission for Continued Deeming...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-13

... furnish information for use in enforcement activities; monitoring procedures for provider entities found... agreements are at 42 CFR part 489 and those pertaining to activities relating to the survey and certification... for monitoring CAHs found out of compliance with the Joint Commission's program requirements. These...

47 CFR 27.1315 - Establishment, execution, and application of the network sharing agreement.

Code of Federal Regulations, 2011 CFR

2011-10-01

... the network sharing agreement. 27.1315 Section 27.1315 Telecommunication FEDERAL COMMUNICATIONS.../Private Partnership § 27.1315 Establishment, execution, and application of the network sharing agreement... Upper 700 MHz D Block licensee, the Network Assets Holder, and the Operating Company, as these entities...

47 CFR 27.1315 - Establishment, execution, and application of the network sharing agreement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the network sharing agreement. 27.1315 Section 27.1315 Telecommunication FEDERAL COMMUNICATIONS.../Private Partnership § 27.1315 Establishment, execution, and application of the network sharing agreement... Upper 700 MHz D Block licensee, the Network Assets Holder, and the Operating Company, as these entities...

The New WTO Telecom Agreement: Opportunities and Challenges.

ERIC Educational Resources Information Center

Sisson, Peter

1997-01-01

The telecommunication agreement reached by the World Trade Organization (WTO) in 1997 will accelerate the global trend toward increased market access, competition, and deregulation. Examines opportunities for marketing and operations, dispute resolution and enforcement, profitability, and the exclusion of Russia and China. Includes the WTO…

Mind Operational Semantics and Brain Operational Architectonics: A Putative Correspondence

PubMed Central

Benedetti, Giulio; Marchetti, Giorgio; Fingelkurts, Alexander A; Fingelkurts, Andrew A

2010-01-01

Despite allowing for the unprecedented visualization of brain functional activity, modern neurobiological techniques have not yet been able to provide satisfactory answers to important questions about the relationship between brain and mind. The aim of this paper is to show how two different but complementary approaches, Mind Operational Semantics (OS) and Brain Operational Architectonics (OA), can help bridge the gap between a specific kind of mental activity—the higher-order reflective thought or linguistic thought—and brain. The fundamental notion that allows the two different approaches to be jointly used under a common framework is that of operation. According to OS, which is based on introspection and linguistic data, the meanings of words can be analyzed in terms of elemental mental operations (EOMC), amongst which those of attention play a key role. Linguistic thought is made possible by special kinds of elements, which OS calls “correlators”, which have the function of tying together the other elements of thought, which OS calls “correlata” (a "correlational network” that is, a sentence, is so formed). Therefore, OS conceives of linguistic thought as a hierarchy of operations of increasing complexity. Likewise, according to OA, which is based on the joint analysis of cognitive and electromagnetic data (EEG and MEG), every conscious phenomenon is brought to existence by the joint operations of many functional and transient neuronal assemblies in the brain. According to OA, the functioning of the brain is always operational (made up of operations), and its structure is characterized by a hierarchy of operations of increasing complexity: single neurons, single assemblies of neurons, synchronized neuronal assemblies or Operational Modules (OM), integrated or complex OMs. The authors put forward the hypothesis that the whole level of OS’s description (EOMC, correlators, and correlational networks) corresponds to the level of OMs (or set of them

Joint Chiefs of Staff > Directorates > J6 | C4 & Cyber

Science.gov Websites

the Joint Staff Chief Information Officer (CIO), the J-6 provides business class Information on Facebook on Flickr Joint Chiefs► Army Chief of Staff Marine Corps Commandant Chief of Naval Operations Air Force Chief of Staff Chief of National Guard Bureau Biographies Directorates Directorates of

The Development of Action Planning in a Joint Action Context

ERIC Educational Resources Information Center

Paulus, Markus

2016-01-01

The ability to act jointly with another person is a fundamental requirement for participation in social life. The current study examines the development of action planning in a joint action context. In 4 experiments, 3-, 5-, and 7-year-old children as well as a group of adults (n = 196) interacted with another person to operate a novel apparatus.…