Evaluation of Occupant Volume Strength in Conventional Passenger Railroad Equipment

DOT National Transportation Integrated Search

2008-09-24

To ensure a level of occupant volume protection, passenger : railway equipment operating on mainline railroads in the : United States must be designed to resist an 800,000-lb : compressive load applied statically along the line of draft. An : alterna...

Increases in thyroid nodule fine-needle aspirations, operations, and diagnoses of thyroid cancer in the United States.

PubMed

Sosa, Julie Ann; Hanna, John W; Robinson, Karen A; Lanman, Richard B

2013-12-01

To provide population-based estimates of trends in thyroid nodule fine-needle aspirations (FNA) and operative volumes, we used multiple claims databases to quantify rates of these procedures and their association with the increasing incidence of thyroid cancer in the United States. Private and public insurance claims databases were used to estimate procedure volumes from 2006 to 2011. Rates of FNA and thyroid operations related to thyroid nodules were defined by CPT4 codes associated with International Classification of Diseases, Ninth Revision Clinical Modification codes for nontoxic uni- or multinodular goiter and thyroid neoplasms. Use of thyroid FNA more than doubled during the 5-year study period (16% annual growth). The number of thyroid operations performed for thyroid nodules increased by 31%. Total thyroidectomies increased by 12% per year, whereas lobectomies increased only 1% per year. In 2011, total thyroidectomies accounted for more than half (56%) of the operations for thyroid neoplasms in the United States. Thyroid operations became increasingly (62%) outpatient procedures. Thyroid FNA and operative procedures have increased rapidly in the United States, with an associated increase in the incidence of thyroid cancer. The more substantial increase in number of total versus partial thyroid resections suggests that patients undergoing thyroid operation are perceived to have a greater risk of cancer as determined by preoperative assessments, but this trend could also increase detection of incidental microcarcinomas. Copyright © 2013 Mosby, Inc. All rights reserved.

Test Plans and Procedures for the Baseline SAF for BDS-D Sites (ModSAF). Volume 2

DTIC Science & Technology

1993-12-20

operations editor will no longer editor, appear in the EditorI Area. 64 I ADST/WDL/TR-93-W003271 VOLUME 2 of 2; Ver 1.0I 44200 Repeat steps 44120 thru...The unit operations 44200 to task the orange editor will no longer platoon to Move on the appear in the Editor route labeled "ort. Area. The vehicles

Orbiter multiplexer-demultiplexer (MDM)/Space Lab Bus Interface Unit (SL/BIU) serial data interface evaluation, volume 2

NASA Technical Reports Server (NTRS)

Tobey, G. L.

1978-01-01

Tests were performed to evaluate the operating characteristics of the interface between the Space Lab Bus Interface Unit (SL/BIU) and the Orbiter Multiplexer-Demultiplexer (MDM) serial data input-output (SIO) module. This volume contains the test equipment preparation procedures and a detailed description of the Nova/Input Output Processor Simulator (IOPS) software used during the data transfer tests to determine word error rates (WER).

Basewide Groundwater Operable Unit. Groundwater Operable Unit Remedial Investigation/Feasibility Study Report. Volume 1

DTIC Science & Technology

1994-06-01

units would be reused in the remedy. Contingency measures to be included in the remedy are potential metals removal prior to water end use, potential...onbase reuse of a portion of the water, and wellhead treatment on offbase supply wells. The contingency measures will only be implemented if necessary...94 LEGEND Ouatmar aluvi dposts agua Frmaion(cosoldatd aluval epoits W iead rdetilnsMhte omtin(neitccnlmeae ansoe9ndkeca F 70 Quvatei-lernayalvu e pk

Evaluation of Military Field-Water Quality. Volume 7. Performance Evaluation of the 600-GPH Reverse Osmosis Water Purification Unit (ROWPU): reverse Osmosis (RO) Components

DTIC Science & Technology

1986-02-01

Data-for ASsessingHealthRISKS In Potential Theaters ~ of Operation forU,5. Mil-itary._orces. Jf-jr cLAss t:cAToN 9; r-.$ ’AGg UNCLASSIFIED Volume 7...Bypass, Potable-Water Disinfection,_ and Water-Quality Analysis Techniques; and Vol. 9, Data for Assessing Health Risks in Potential Theaters of Operation ...cleaning the RO elements, with objectives of improving solute rejection and reducing operating pressure. The most common method is to flush citric acid

Evaluation of occupant volume strength in conventional passenger railroad equipment : a thesis submitted by Michael E. Carolan

DOT National Transportation Integrated Search

2008-05-31

To ensure a level of occupant volume protection, passenger railway : equipment operating on mainline railroads in the United States must currently be : designed to resist an 800,000 pound compressive load applied statically to the : underframe. An al...

Operational considerations in monitoring oxygen levels at the National Transonic Facility

NASA Technical Reports Server (NTRS)

Zalenski, M. A.; Rowe, E. L.; Mcphee, J. R.

1985-01-01

Laboratory monitoring of the level of oxygen in sample gas mixtures is a process which can be performed with accurate and repeatable results. Operations at the National Transonic Facility require the storage and pumping of large volumes of liquid nitrogen. To protect against the possibility of a fault resulting in a localized oxygen deficient atmosphere, the facility is equipped with a monitoring system with an array of sensors. During the early operational stages, the system produced recurrent alarms, none of which could be traced to a true oxygen deficiency. A thorough analysis of the system was undertaken with primary emphasis placed on the sensor units. These units sense the partial pressure of oxygen which, after signal conditioning, is presented as a % by volume indication at the system output. It was determined that many of the problems experienced were due to a lack of proper accounting for the partial pressure/% by volume relationship, with a secondary cause being premature sensor failure. Procedures were established to consider atmospherically induced partial pressure variations. Sensor rebuilding techniques were examined, and those elements contributing to premature sensor failure were identified. The system now operates with a high degree of confidence and reliability.

Journal of Special Operations Medicine. Volume 4, Edition 3, Summer 2004

DTIC Science & Technology

2004-01-01

several ways for you to obtain the Journal of Special Operations Medicine (JSOM). USSOCOM-SG distributes the JSOM to all our SOF units and our active ...training in the Philippines Volume 4, Edition 3 / Summer 04 1 From the Surgeon Kudos One of SOF’s most distinguished members has just received a...of this educa- tional activity . OBJECTIVES 1. Discuss the steps involved in rapid sequence induction. 2. Identify medications used in rapid

Technology Assessment of Avanced propulsion Systems for Some Classes of Combat Vehicles. Volume 3. Appendices G-M.

DTIC Science & Technology

1978-09-01

generally recognized that the best possible configura- tion for engines operating at high speeds and at high-pressure levels is probably the single...engines is invariably accom- plished by the operation of computer simulation models that generate specific numerical data rather than the generalized re...lationships common to other forms of prime mover based on units of mass or volume. Thus, providing such generalized relation- ships for a Stirling

Learning from Experience, Volume 3: Lessons from the United Kingdom’s Astute Submarine Program

DTIC Science & Technology

2011-01-01

Learning from Experience, Volume III what had been installed and led to significant additional, unplanned hours for rework. Although VSEL and GEC Marconi...sions, although many can fall into multiple categorizations. In this chapter, we first describe lessons learned at the strategic level. We go on to...That is, if certain operational goals are beyond the state of current technology, what operations can existing technologies support? This relates to

Large-Scale Operations Management Test of Use of the White Amur for Control of Problem Aquatic Plants. Report 4. Third Year Poststocking Results. Volume VI. The Water and Sediment Quality of Lake Conway, Florida.

DTIC Science & Technology

1983-01-01

RAI-RI247443 LARGE-SCALE OPERATIONS MANAGEMENT TEST OF USE OF THE i/i UNITE AMUR FOR CONTR.. (U) MILLER RND MILLER INC ORLANDO FL H D MILLER ET RL...LARGE-SCALE OPERATIONS MANAGEMENT TEST OF USE OF THE WHITE AMUR FOR CONTROL OF PROBLEM AQUATIC PLANTS Report 1: Baseline Studies Volume I...Boyd, J. 1983. "Large-Scale Operations Management Test of Use of the White Amur for Control of Problem Aquatic Plants; Report 4, Third Year Poststocking

Licensed operating reactors: Status summary report, data as of December 31, 1995. Volume 20

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

NONE

1996-06-01

The US Nuclear Regulatory Commission`s monthly summary of licensed nuclear power reactor data is based primarily on the operating data report submitted by licensees for each unit. This report is divided into two sections: the first contains summary highlights and the second contains data on each individual unit in commercial operation. Section 1 availability factors, capacity factors, and forced outage rates are simple arithmetic averages. Section 2 items in the cumulative column are generally as reported by the licensees and notes to the use of weighted averages and starting dates other than commercial operation are provided.

A 63 K phase change unit integrating with pulse tube cryocoolers

NASA Astrophysics Data System (ADS)

Chunhui, Kong; Liubiao, Chen; Sixue, Liu; Yuan, Zhou; Junjie, Wang

2017-02-01

This article presents the design and computer model results of an integrated cooler system which consists of a single stage pulse tube cryocooler integrated with a small amount of a phase change material. A cryogenic thermal switch was used to thermally connect the phase change unit to the cold end of the cryocooler. During heat load operation, the cryogenic thermal switch is turned off to avoid vibrations. The phase change unit absorbs heat loads by melting a substance in a constant pressure-temperature-volume process. Once the substance has been melted, the cryogenic thermal turned on, the cryocooler can then refreeze the material. Advantages of this type of cooler are no vibrations during sensor operations; the ability to absorb increased heat loads; potentially longer system lifetime; and a lower mass, volume and cost. A numerical model was constructed from derived thermodynamic relationships for the cooling/heating and freezing/melting processes.

Operable Unit D Remedial Investigation Report. Volume 1

DTIC Science & Technology

1994-06-06

Bert Ellsworth 8455 Jackson Road, Suite 120 Sacramento CA 95826 Sacramento County Environ.cjital Management Department Hazardous Materials Division...Remedial Investigation (RI) activities within Operable Unit D at MicClellan Air Force Base (McClellan AFB ) in California. This "I is a primary document, as...Moss-RI Report Graphics CH2M HILl. would like to acknowledge the cooperation .f the McClellai; AFB Office oe 1. • ,;oninentai Management for their

Modeling of unit operating considerations in generating-capacity reliability evaluation. Volume 1. Mathematical models, computing methods, and results. Final report. [GENESIS, OPCON and OPPLAN

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

Patton, A.D.; Ayoub, A.K.; Singh, C.

1982-07-01

Existing methods for generating capacity reliability evaluation do not explicitly recognize a number of operating considerations which may have important effects in system reliability performance. Thus, current methods may yield estimates of system reliability which differ appreciably from actual observed reliability. Further, current methods offer no means of accurately studying or evaluating alternatives which may differ in one or more operating considerations. Operating considerations which are considered to be important in generating capacity reliability evaluation include: unit duty cycles as influenced by load cycle shape, reliability performance of other units, unit commitment policy, and operating reserve policy; unit start-up failuresmore » distinct from unit running failures; unit start-up times; and unit outage postponability and the management of postponable outages. A detailed Monte Carlo simulation computer model called GENESIS and two analytical models called OPCON and OPPLAN have been developed which are capable of incorporating the effects of many operating considerations including those noted above. These computer models have been used to study a variety of actual and synthetic systems and are available from EPRI. The new models are shown to produce system reliability indices which differ appreciably from index values computed using traditional models which do not recognize operating considerations.« less

SBLOCA outside containment at Browns Ferry Unit One: accident sequence analysis. [Small break

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

Condon, W.A.; Harrington, R.M.; Greene, S.R.

1982-11-01

This study describes the predicted response of Unit 1 at the Browns Ferry Nuclear Plant to a postulated small-break loss-of-coolant accident outside of the primary containment. The break has been assumed to occur in the scram discharge volume piping immediately following a reactor scram that cannot be reset. The events before core uncovering are discussed for both the worst-case accident sequence without operator action and for the more likely sequences with operator action. Without operator action, the events after core uncovering would include core meltdown and subsequent containment failure, and this event sequence has been determined through use of themore » MARCH code. An estimate of the magnitude and timing of the concomitant release of the noble gas, cesium, and iodine-based fission products to the environment is provided in Volume 2 of this report.« less

The Conference Proceedings of the 2003 Air Transport Research Society (ATRS) World Conference, Volume 3

NASA Technical Reports Server (NTRS)

Bowen, Brent (Editor); Gudmundsson, Sveinn (Editor); Oum, Tae (Editor)

2003-01-01

Volume 3 of the 2003 Air Transport Reserch Society (ATRS) World Conference includes papers on topics relevant to airline operations worldwide. Specific topics include: European Union and civil aviation regimens;simulating decision making in airline operations, passenger points of view on convenient airports; route monopolies and nonlinear pricing; cooperation among airports in Europe; fleet modernizaiton in Brazil;the effects of deregulation on the growth of air transportation in Europe and the United States.

An order insertion scheduling model of logistics service supply chain considering capacity and time factors.

PubMed

Liu, Weihua; Yang, Yi; Wang, Shuqing; Liu, Yang

2014-01-01

Order insertion often occurs in the scheduling process of logistics service supply chain (LSSC), which disturbs normal time scheduling especially in the environment of mass customization logistics service. This study analyses order similarity coefficient and order insertion operation process and then establishes an order insertion scheduling model of LSSC with service capacity and time factors considered. This model aims to minimize the average unit volume operation cost of logistics service integrator and maximize the average satisfaction degree of functional logistics service providers. In order to verify the viability and effectiveness of our model, a specific example is numerically analyzed. Some interesting conclusions are obtained. First, along with the increase of completion time delay coefficient permitted by customers, the possible inserting order volume first increases and then trends to be stable. Second, supply chain performance reaches the best when the volume of inserting order is equal to the surplus volume of the normal operation capacity in mass service process. Third, the larger the normal operation capacity in mass service process is, the bigger the possible inserting order's volume will be. Moreover, compared to increasing the completion time delay coefficient, improving the normal operation capacity of mass service process is more useful.

West coast RFI survey, volume 1, volume 2 appendix E, volume 3 appendix F, volume 4 appendix G, and volume 5 appendix H

NASA Technical Reports Server (NTRS)

Deutsch, W. F.

1972-01-01

Activities and data reported cover experimental design, mechanization onboard the aircraft, survey operations, quick look and automated data reduction, and a qualitative comparison of survey data with predicted values for the radio frequency survey. The survey was designed to measure amplitude, frequency and time of occurrence of terrestrial emissions in the VHF band during overflights of heavily populated metropolitan areas located on the Pacific Coast of the Continental United States by sensing and recording equipment installed in jet aircraft.

An inventory of aeronautical ground research facilities. Volume 1: Wind tunnels

NASA Technical Reports Server (NTRS)

Pirrello, C. J.; Hardin, R. D.; Heckart, M. V.; Brown, K. R.

1971-01-01

A survey of wind tunnel research facilities in the United States is presented. The inventory includes all subsonic, transonic, and hypersonic wind tunnels operated by governmental and private organizations. Each wind tunnel is described with respect to size, mechanical operation, construction, testing capabilities, and operating costs. Facility performance data are presented in charts and tables.

Conceptual design and feasibility evaluation model of a 10 to the 8th power bit oligatomic mass memory. Volume 3: Operation manual

NASA Technical Reports Server (NTRS)

Horst, R. L.; Nordstrom, M. J.

1972-01-01

An operation manual is presented for the oligatomic mass memory feasibility model. It includes a brief description of the memory and exerciser units, a description of the controls and their functions, the operating procedures, the test points and adjustments, and the circuit diagram.

Characteristics of potential repository wastes: Volume 4, Appendix 4A, Nuclear reactors at educational institutions of the United States; Appendix 4B, Data sheets for nuclear reactors at educational institutions; Appendix 4C, Supplemental data for Fort St. Vrain spent fuel; Appendix 4D, Supplemental data for Peach Bottom 1 spent fuel; Appendix 4E, Supplemental data for Fast Flux Test Facility

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

Not Available

1992-07-01

Volume 4 contains the following appendices: nuclear reactors at educational institutions in the United States; data sheets for nuclear reactors at educational institutions in the United States(operational reactors and shut-down reactors); supplemental data for Fort St. Vrain spent fuel; supplemental data for Peach Bottom 1 spent fuel; and supplemental data for Fast Flux Test Facility.

76 FR 62074 - Proposed Revision of Performance Standards for State Medicaid Fraud Control Units

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-06

... volume of case referrals and workload for each location. Performance Standard 3--Policies and Procedures A Unit establishes written policies and procedures for its operations and ensures that staff are familiar with, and adhere to, policies and procedures. In meeting this standard, the following performance...

General Mechanical Repair. Minor Automotive Maintenance. Volume 1. Teacher's Guide.

ERIC Educational Resources Information Center

East Texas State Univ., Commerce. Occupational Curriculum Lab.

Fourteen units on minor automotive maintenance are presented in this teacher's guide. The units are the following: introduction to minor automotive maintenance, shop safety, engine principles, fuel system operation and repair, electrical system, ignition system, lubrication system, engine cooling system, exhaust system, wheel bearings and tires,…

Graphic Arts: Book Three. The Press and Related Processes.

ERIC Educational Resources Information Center

Farajollahi, Karim; And Others

The third of a three-volume set of instructional materials for a graphic arts course, this manual consists of nine instructional units dealing with presses and related processes. Covered in the units are basic press fundamentals, offset press systems, offset press operating procedures, offset inks and dampening chemistry, preventive maintenance…

Modeling of unit operating considerations in generating-capacity reliability evaluation. Volume 2. Computer-program documentation. Final report. [GENESIS, OPCON and OPPLAN

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

Patton, A.D.; Ayoub, A.K.; Singh, C.

1982-07-01

This report describes the structure and operation of prototype computer programs developed for a Monte Carlo simulation model, GENESIS, and for two analytical models, OPCON and OPPLAN. It includes input data requirements and sample test cases.

A Guide for Developing Standard Operating Job Procedures for the Digestion Process Wastewater Treatment Facility. SOJP No. 10.

ERIC Educational Resources Information Center

Schwing, Carl M.

This guide describes standard operating job procedures for the digestion process of wastewater treatment facilities. This process is for reducing the volume of sludge to be treated in subsequent units and to reduce the volatile content of sludge. The guide gives step-by-step instructions for pre-startup, startup, continuous operating, shutdown,…

Operational Assessment of Tools for Accelerating Leader Development (ALD): Volume 1, Capstone Report

DTIC Science & Technology

2009-06-01

in units and user juries provided feedback on the tools. The pressures of the operational environment seriously limited the time available to work...following functions: account set-up, user authentication, learning management , usage monitoring, problem reporting, assessment data collection, data...especially sources of data) represented—demonstration/assessment manager , operations manager , Web site experts, users (target audience), data collectors

National Innovation and the Academic Research Enterprise: Public Policy in Global Perspective

ERIC Educational Resources Information Center

Dill, David D., Ed.; van Vught, Frans A., Ed.

2010-01-01

This volume analyzes the impact of public policy on the knowledge economies and higher education systems of Organisation for Economic Co-operation and Development (OECD) countries, including Australia, Canada, Japan, Finland, Germany, the Netherlands, the United Kingdom, and the United States, as well as the overall European Union. Given that…

Basewide Groundwater Operable Unit. Groundwater Operable Unit Remedial Investigation/Feasibility Study Report. Volume 2

DTIC Science & Technology

1994-06-01

Boron -- - .- Cadmium (3.9) (1.1) 1.4a,c 0 .55a.b Chromium , Hexavalent (16) lid _______ Chromium , Trivalent 1,700 21016li Cobalt -- -- .- Copper (18...same time period as those for VOCs should be used, if possible. Response: Four figures have been prepared showing the lead, nickel, chromium , manganese...equipment proposed at the GWTP, and the only NSPS source category that might be considered applicable to the existing thermal fume incinerator is Subpart E

Air sampling unit for breath analyzers

NASA Astrophysics Data System (ADS)

Szabra, Dariusz; Prokopiuk, Artur; Mikołajczyk, Janusz; Ligor, Tomasz; Buszewski, Bogusław; Bielecki, Zbigniew

2017-11-01

The paper presents a portable breath sampling unit (BSU) for human breath analyzers. The developed unit can be used to probe air from the upper airway and alveolar for clinical and science studies. The BSU is able to operate as a patient interface device for most types of breath analyzers. Its main task is to separate and to collect the selected phases of the exhaled air. To monitor the so-called I, II, or III phase and to identify the airflow from the upper and lower parts of the human respiratory system, the unit performs measurements of the exhaled CO2 (ECO2) in the concentration range of 0%-20% (0-150 mm Hg). It can work in both on-line and off-line modes according to American Thoracic Society/European Respiratory Society standards. A Tedlar bag with a volume of 5 dm3 is mounted as a BSU sample container. This volume allows us to collect ca. 1-25 selected breath phases. At the user panel, each step of the unit operation is visualized by LED indicators. This helps us to regulate the natural breathing cycle of the patient. There is also an operator's panel to ensure monitoring and configuration setup of the unit parameters. The operation of the breath sampling unit was preliminarily verified using the gas chromatography/mass spectrometry (GC/MS) laboratory setup. At this setup, volatile organic compounds were extracted by solid phase microextraction. The tests were performed by the comparison of GC/MS signals from both exhaled nitric oxide and isoprene analyses for three breath phases. The functionality of the unit was proven because there was an observed increase in the signal level in the case of the III phase (approximately 40%). The described work made it possible to construct a prototype of a very efficient breath sampling unit dedicated to breath sample analyzers.

Osage River Basin, Osage River, Missouri, Harry S. Trumman Dam & Reservoir. Multiple-Purpose Project. Operation and Maintenance Manual. Appendix 7, Volume 2. Construction Foundation Report.

DTIC Science & Technology

1984-01-01

PROJECT S TYPE OF REPORT & PERIOD COVEREDOSAGE RIVER BASIN ConStruction Foundation OSAGE RIVER MISSOURI Report from September 1966 HARRY S. TRUMAN DAM...OPERATION AND MAINTENANCE MANUAL HARRY S. TRUMAN DAM AND RESERVOIR OSAGE RIVER, MISSOURI APPENDIX VII CONSTRUCTION FOUNDATION REPORT VOLUME II TABLE OF...09r IWNI’(ANSAS CITY M?5OU ....... 11 1 O IA R, MISSOURI HARRY S TRUMA DAM & 1K5(V01 = CONSTRUCT"ON FOUNDATION REPORT IGEOLOGIC UNIT DESCRIPTIONS

An Order Insertion Scheduling Model of Logistics Service Supply Chain Considering Capacity and Time Factors

PubMed Central

Yang, Yi; Wang, Shuqing; Liu, Yang

2014-01-01

Order insertion often occurs in the scheduling process of logistics service supply chain (LSSC), which disturbs normal time scheduling especially in the environment of mass customization logistics service. This study analyses order similarity coefficient and order insertion operation process and then establishes an order insertion scheduling model of LSSC with service capacity and time factors considered. This model aims to minimize the average unit volume operation cost of logistics service integrator and maximize the average satisfaction degree of functional logistics service providers. In order to verify the viability and effectiveness of our model, a specific example is numerically analyzed. Some interesting conclusions are obtained. First, along with the increase of completion time delay coefficient permitted by customers, the possible inserting order volume first increases and then trends to be stable. Second, supply chain performance reaches the best when the volume of inserting order is equal to the surplus volume of the normal operation capacity in mass service process. Third, the larger the normal operation capacity in mass service process is, the bigger the possible inserting order's volume will be. Moreover, compared to increasing the completion time delay coefficient, improving the normal operation capacity of mass service process is more useful. PMID:25276851

A personal experience of 2-year general thoracic surgery training programs in Japan and the United States.

PubMed

Hamaji, Masatsugu; Tanaka, Toru

2013-03-01

The objective of the study is to review and compare two countries' thoracic surgery training programs. Retrospective review of the first author's prospectively maintained operative case logs in two countries was performed. Each training program was established in a teaching hospital for its country's board requirement. Preoperative diagnosis, operative procedures and postoperative diagnosis were reviewed. The case volume (overall and in each category) was also reviewed. The ratio of each category and overall case volume was compared between the two programs by Chi-square test. p value was considered significant if it is <0.05. The overall case volumes were 169 cases in the Japanese institution and 456 cases in the United States' institution. The number ratio of each category's procedures and overall procedures was as follows: pleural cases, Japan 19.2 % versus the Unites States 20.6 % (p = 0.782), pulmonary cases, Japan 72.7 % versus the United States 36.8 % (p < 0.0001), mediastinal cases, Japan 8.1 % versus the United States 8.6 % (p = 0.678), diaphragm cases, Japan 0.62 % versus the United States 13.2 % (p = 0.0001), chest wall cases, Japan 1.2 % versus the United States 3.5 % (p = 0.0858), tracheobronchial cases, Japan 1.2 % versus the United States 1.8 % (p = 0.583). Regarding the approach, the ratios of each approach and overall cases are as follows: minimally invasive approach, Japan 78.3 % versus the United States 45.8 % (p < 0.0001), reoperative cases, Japan 0.62 % versus the United States 3.1 % (p = 0.0411). Case variety is different between the two countries. Our findings suggest that thoracic surgery training in the United States may be beneficial for Japanese medical graduates.

Flight test results of the Strapdown hexad Inertial Reference Unit (SIRU). Volume 1: Flight test summary

NASA Technical Reports Server (NTRS)

Hruby, R. J.; Bjorkman, W. S.

1977-01-01

Flight test results of the strapdown inertial reference unit (SIRU) navigation system are presented. The fault-tolerant SIRU navigation system features a redundant inertial sensor unit and dual computers. System software provides for detection and isolation of inertial sensor failures and continued operation in the event of failures. Flight test results include assessments of the system's navigational performance and fault tolerance.

Trends in Hospital Volume and Operative Mortality for High-Risk Surgery

PubMed Central

Finks, Jonathan F.; Osborne, Nicholas H.; Birkmeyer, John D.

2011-01-01

BACKGROUND There were numerous efforts in the United States during the previous decade to concentrate selected surgical procedures in high-volume hospitals. It remains unknown whether referral patterns for high-risk surgery have changed as a result and how operative mortality has been affected. METHODS We used national Medicare data to study patients undergoing one of eight different cancer and cardiovascular operations from 1999 through 2008. For each procedure, we examined trends in hospital volume and market concentration, defined as the proportion of Medicare patients undergoing surgery in the top decile of hospitals by volume per year. We used regression-based techniques to assess the effects of volume and market concentration on mortality over time, adjusting for case mix. RESULTS Median hospital volumes of four cancer resections (lung, esophagus, pancreas, and bladder) and of repair of abdominal aortic aneurysm (AAA) rose substantially. Depending on the procedure, higher hospital volumes were attributable to an increasing number of cases nationwide, an increasing market concentration, or both. Hospital volumes rose slightly for aortic-valve replacement but fell for coronary-artery bypass grafting and carotid endarterectomy. Operative mortality declined for all eight procedures, ranging from a relative decline of 8% for carotid endarterectomy (1.3% mortality in 1999 and 1.2% in 2008) to 36% for AAA repair (4.4% in 1999 and 2.8% in 2008). Higher hospital volumes explained a large portion of the decline in mortality for pancreatectomy (67% of the decline), cystectomy (37%), and esophagectomy (32%), but not for the other procedures. CONCLUSIONS Operative mortality with high-risk surgery fell substantially during the previous decade. Although increased market concentration and hospital volume have contributed to declining mortality with some high-risk cancer operations, declines in mortality with other procedures are largely attributable to other factors. (Funded by the National Institute on Aging.) PMID:21631325

Changes in blood product utilization in a seven-hospital system after the implementation of a patient blood management program: A 9-year follow-up.

PubMed

Verdecchia, Nicole M; Wisniewski, Mary Kay; Waters, Jonathan H; Triulzi, Darrell J; Alarcon, Louis H; Yazer, Mark H

2016-09-01

To analyze changes in red blood cell (RBC), platelet (PLT), and plasma transfusion volumes 9 years after the implementation of a multifaceted patient blood management (PBM) program across multiple hospitals. Between fiscal years 2007 and 2015, the annual transfusion volumes for seven hospitals in a regional healthcare system were analyzed by hospital, and between 2014 and 2015, by four service lines including emergency department, intensive care unit (ICU), medical/surgical ward, and operating room at each hospital. The number of units of RBCs administered to transfused recipients on the wards and in ICUs was also enumerated. For these seven hospitals combined, there was a 29.9% reduction in the number of RBCs transfused between 2007 and 2015, a 24.8% reduction in plasma units, and a 25.7% reduction in PLT units. The two largest hospitals saw some of the largest reductions in RBC transfusions (40.1, 25.1%), and plasma transfusions (26.1, 33.8%), and one of those hospitals had a 49.5% reduction in PLT transfusions. Smaller-sized hospitals also had reductions in transfusion volumes, while some volumes increased at hospitals when new or expanded clinical services were introduced. The number of RBC units per transfused recipient was generally between 1.5 and 2 units on the wards and slightly higher in the ICUs. Although the overall volume of transfusions has generally decreased at each hospital site over time, the appropriateness of the administered transfusions cannot be evaluated by these data. The system-wide implementation of a PBM program has reduced transfusion volumes.

Flight test results of the strapdown hexad inertial reference unit (SIRU). Volume 2: Test report

NASA Technical Reports Server (NTRS)

Hruby, R. J.; Bjorkman, W. S.

1977-01-01

Results of flight tests of the Strapdown Inertial Reference Unit (SIRU) navigation system are presented. The fault tolerant SIRU navigation system features a redundant inertial sensor unit and dual computers. System software provides for detection and isolation of inertial sensor failures and continued operation in the event of failures. Flight test results include assessments of the system's navigational performance and fault tolerance. Performance shortcomings are analyzed.

History of Operations Research in the United States Army, Volume 1: 1942-1962

DTIC Science & Technology

2006-11-08

before 1917. In response to the sinking of the Lusitania by a German U-boat on 7 May 1915, Secretary of the Navy Josephus Daniels established the...Polytechnic Institute: 71 Lowry, Philip H.: 118 Lusitania : 5 MacArthur, Gen. Douglas, USA: 40, 53n389 off ensive mining operations: 20 requests

Report of Operation FITZWILLIAM. Volume 1, Design of Operation and Summary of Results (REDACTED)

DTIC Science & Technology

1948-01-01

storage tanks {400 lbs/sq in) to pel’mit the collection o£ sampleD or gas in the vicinity of the radio- active clouc1. P~dicective LUlC.lysis of -~he gas...Corps Furnish ground dust sampling units and wrap-around countera. 4. Navy Naval :Research Lab. (a) FW:-nish ground dust sampling units...direct as necessar,r the collection or air• craft filters and gaseou.s samples trca aircraft based at Km.falem. (6) Vector Destro,.er-M:lne...Swee

Remedial investigation report on Chestnut Ridge Operable Unit 2 (filled coal ash pond/Upper McCoy Branch) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. Volume 2: Appendixes

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

Not Available

1994-08-01

This report comprises appendices A--J which support the Y-12 Plant`s remedial action report involving Chestnut Ridge Operable Unit 2 (filled coal ash pond/Upper McCoy Branch). The appendices cover the following: Sampling fish from McCoy Branch; well and piezometer logs; ecological effects of contaminants in McCoy Branch 1989-1990; heavy metal bioaccumulation data; microbes in polluted sediments; and baseline human health risk assessment data.

PREMChlor: Probabilistic Remediation Evaluation Model for Chlorinated Solvents

DTIC Science & Technology

2010-03-01

Council O&M Operation & Management PAT pump-and-treat PCE tetrachloroethylene PDFs Probability density functions PRBs Permeable reactive barriers...includes a one-time capital cost and a total operation & management (O&M) cost in present net value (NPV) for a certain remediation period. The...Generally, the costs of plume treatment include the capital cost (treatment volume multiply by the unit cost) and the annual operation & Management (O&M

Application of shuttle EVA systems to payloads. Volume 1: EVA systems and operational modes description

NASA Technical Reports Server (NTRS)

1976-01-01

Descriptions of the EVA system baselined for the space shuttle program were provided, as well as a compendium of data on available EVA operational modes for payload and orbiter servicing. Operational concepts and techniques to accomplish representative EVA payload tasks are proposed. Some of the subjects discussed include: extravehicular mobility unit, remote manipulator system, airlock, EVA translation aids, restraints, workstations, tools and support equipment.

Flight test of an improved solid waste collection system

NASA Technical Reports Server (NTRS)

Thornton, W.; Brasseaux, H.; Whitmore, H.

1991-01-01

A system for human waste collection is described and evaluated on the basis of a prototype employed for the shuttle flight STS-35. The manually operated version of the unit is designed to collect, compact, and store human waste and cleaning material in replaceable volumes. The system is presented with illustrations and descriptions of the disposable pads that are used to clean the cylinder and occlusive air valves as well as seal the unit. Temporary retention and waste entrainment are provided by the variable airflow in the manual unit tested. The prototype testing indicates that sufficient airflow is achieved at 45 CFM and that the stowage volume (18.7 cu in.) is adequate for storing human waste with minimal logistical support. Higher compaction pressure and the use of a directed airstream are proposed for improving the packing efficiency of the unit.

Timber resource statistics for the upper Tanana block, Tanana inventory unit, Alaska, 1974.

Treesearch

Karl M. Hegg

1983-01-01

This report for the 3.6-million-acre Upper Tanana block is the third of four on the 14-million-acre Tanana Valley forest inventory unit. Descriptions of area, climate, forest, general resource use, and inventory methodology are presented. Area and volume tables are provided for commercial and operable noncommercial forest lands. Estimates for commercial forest land...

Timber resource statistics for the Fairbanks block, Tanana inventory unit, Alaska, 1970.

Treesearch

Karl M. Hegg

1975-01-01

This report for the 3-million-acre Fairbanks block is the first of four on the 14-million-acre Tanana Valley inventory unit. Observations are made on forest condition, defect, stand regeneration, fire history, and present use. Data are provided for an operable noncommercial forest land category as well as for standard Forest Survey area and volume statistics....

Is There a Safe Lipoaspirate Volume? A Risk Assessment Model of Liposuction Volume as a Function of Body Mass Index.

PubMed

Chow, Ian; Alghoul, Mohammed S; Khavanin, Nima; Hanwright, Philip J; Mayer, Kristen E; Hume, Keith M; Murphy, Robert X; Gutowski, Karol A; Kim, John Y S

2015-09-01

No concrete data exist to support a specific volume at which liposuction becomes unsafe; surgeons rely on their own estimates, professional organization advisories, or institutional or government-imposed restrictions. This study represents the first attempt to quantify the comprehensive risk associated with varying liposuction volumes and its interaction with body mass index. Suction-assisted lipectomies were identified from the Tracking Operations and Outcomes for Plastic Surgeons database. Multivariate regression models incorporating the interaction between liposuction volume and body mass index were used to assess the influence of liposuction volume on complications and to develop a tool that returns a single adjusted odds ratio for any combination of body mass index and liposuction volume. Recursive partitioning was used to determine whether exceeding a threshold in liposuction volume per body mass index unit significantly increased complications. Sixty-nine of 4534 patients (1.5 percent) meeting inclusion criteria experienced a postoperative complication. Liposuction volume and body mass index were significant independent risk factors for complications. With progressively higher volumes, increasing body mass index reduced risk (OR, 0.99; 95 percent CI, 0.98 to 0.99; p = 0.007). Liposuction volumes in excess of 100 ml per unit of body mass index were an independent predictor of complications (OR, 4.58; 95 percent CI, 2.60 to 8.05; p < 0.001). Liposuction by board-certified plastic surgeons is safe, with a low risk of life-threatening complications. Traditional liposuction volume thresholds do not accurately convey individualized risk. The authors' risk assessment model demonstrates that volumes in excess of 100 ml per unit of body mass index confer an increased risk of complications. Therapeutic, III.

Tdp studies and tests for C. A. Energia Electrica de Venezuela (enelven) at planta ramon laguna, units RL-17 and RL-10. Volume 1. Executive summary, RL-17 test report, and gas conversion proposals. Export trade information

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

Not Available

1991-03-28

The study, conducted by Babcock and Wilcox, was funded by the U.S. Trade and Development agency on behalf of Enelven. In order to maximize generated power output and minimize operating costs at Planta Ramon Laguna, tests were done to evaluate the condition of equipment at the plant. In order to identify any damage and determine the operating output of each unit, assessments were done of the furnaces, boilers, generators and boiler feed pumps being used in the plant. The report presents the results of these tests. This is the first of three volumes and it is divided into the followingmore » sections: (1) Executive Summary; (2) Hydrogen Damage Assessment; (3) RL-17 Gas Conversion Proposal; (4) RL-10 and RL-11 Gas Conversion Proposals.« less

LANDSAT-D flight segment operations manual, volume 1

NASA Technical Reports Server (NTRS)

Varhola, J.

1982-01-01

Hardware, systems, and subsystems for the multimission modular spacecraft used for LANDSAT 4 are described and depicted in block diagrams and schematics. Components discussed include the modular attitude control system; the communication and data handling subsystem; the narrowband tape recorder; the on-board computer; the propulsion module subsystem; the signal conditioning and control unit; the modular power subsystem; the solar array drive and power transmission assembly; the power distribution unit; the digital processing unit; and the wideband communication subsystem.

The impact on revenue of increasing patient volume at surgical suites with relatively high operating room utilization.

PubMed

Dexter, F; Macario, A; Lubarsky, D A

2001-05-01

We previously studied hospitals in the United States of America that are losing money despite limiting the hours that operating room (OR) staff are available to care for patients undergoing elective surgery. These hospitals routinely keep utilization relatively high to maximize revenue. We tested, using discrete-event computer simulation, whether increasing patient volume while being reimbursed less for each additional patient can reliably achieve an increase in revenue when initial adjusted OR utilization is 90%. We found that increasing the volume of referred patients by the amount expected to fill the surgical suite (100%/90%) would increase utilization by <1% for a hospital surgical suite (with longer duration cases) and 4% for an ambulatory surgery suite (with short cases). The increase in patient volume would result in longer patient waiting times for surgery and more patients leaving the surgical queue. With a 15% reduction in payment for the new patients, the increase in volume may not increase revenue and can even decrease the contribution margin for the hospital surgical suite. The implication is that for hospitals with a relatively high OR utilization, signing discounted contracts to increase patient volume by the amount expected to "fill" the OR can have the net effect of decreasing the contribution margin (i.e., profitability). Hospitals may try to attract new surgical volume by offering discounted rates. For hospitals with a relatively high operating room utilization (e.g., 90%), computer simulations predict that increasing patient volume by the amount expected to "fill" the operating room can have the net effect of decreasing contribution margin (i.e., profitability).

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

Townsend, M.W.

The Monsanto Chemical Company operates a plastics and resins plant located in Addyston, Ohio. The process equipment requires routine rinsing with technical grade acetone between batches. Due to the volumes of spent acetone generated and the associated RCRA hazardous waste regulations, the plant sought to recycle and reuse the acetone to reduce the purchase cost of virgin acetone and the cost of spent acetone disposal. One of the first options explored was package unit distillation units. The cost of these units was in the $20--$30,000 range in 1989 dollars. Even though the cost of a package unit was not deemedmore » unreasonable, there were additional costs and concerns that led to elimination of this option. The unit would have required additional manpower to operate and maintain, i.e., at least a fraction of an operator and mechanic. For plant safety reasons, it was desired to operate this package unit outside the production building, thus construction of an outbuilding would have added to the expense of the project. Additionally, there were concerns of package unit reliability. During this evaluation, tractor-trailer mounted distillation units were discovered. The portable units were equipped with either thin-film evaporator technology capable of processing 240 to 480 gallons per hour, or pot still (batch) distillation technology capable of rates from 120 to 240 gallons per hour. Both units were constructed of stainless steel.« less

Operational experiences with Bt in the Eastern United States

Treesearch

Henry, Jr. Trial

1985-01-01

Bacillus thuringiensis (B. t.) has been used operationally in the eastern U. S. since 1978 with most applications occurring in Maine. Changes in B. t. dosage rates, volume, cost, spray aircraft, and use patterns will be discussed. Evaluation of B. t. dosage in the east has consisted of variable results with 8 B.I.U. treatments in 1978 through 1980,...

The US Air Force Aerial Spray Unit: a history of large area disease vector control operations, WWII through Katrina.

PubMed

Breidenbaugh, Mark; Haagsma, Karl

2008-01-01

The US Air Force has had a long history of aerial applications of pesticides to fulfill a variety of missions, the most important being the protection of troops through the minimization of arthropod vectors capable of disease transmission. Beginning in World War II, aerial application of pesticides by the military has effectively controlled vector and nuisance pest populations in a variety of environments. Currently, the military aerial spray capability resides in the US Air Force Reserve (USAFR), which operates and maintains C-130 airplanes capable of a variety of missions, including ultra low volume applications for vector and nuisance pests, as well as higher volume aerial applications of herbicides and oil-spill dispersants. The USAFR aerial spray assets are the only such fixed-wing aerial spray assets within the Department of Defense. In addition to troop protection, the USAFR Aerial Spray Unit has participated in a number of humanitarian/relief missions, most recently in the response to the 2005 Hurricanes Katrina and Rita, which heavily damaged the Gulf Coasts of Louisiana, Mississippi, and Texas. This article provides historical background on the Air Force Aerial Spray Unit and describes the operations in Louisiana in the aftermath of Hurricane Katrina.

Volume accumulator design analysis computer codes

NASA Technical Reports Server (NTRS)

Whitaker, W. D.; Shimazaki, T. T.

1973-01-01

The computer codes, VANEP and VANES, were written and used to aid in the design and performance calculation of the volume accumulator units (VAU) for the 5-kwe reactor thermoelectric system. VANEP computes the VAU design which meets the primary coolant loop VAU volume and pressure performance requirements. VANES computes the performance of the VAU design, determined from the VANEP code, at the conditions of the secondary coolant loop. The codes can also compute the performance characteristics of the VAU's under conditions of possible modes of failure which still permit continued system operation.

A discriminative structural similarity measure and its application to video-volume registration for endoscope three-dimensional motion tracking.

PubMed

Luo, Xiongbiao; Mori, Kensaku

2014-06-01

Endoscope 3-D motion tracking, which seeks to synchronize pre- and intra-operative images in endoscopic interventions, is usually performed as video-volume registration that optimizes the similarity between endoscopic video and pre-operative images. The tracking performance, in turn, depends significantly on whether a similarity measure can successfully characterize the difference between video sequences and volume rendering images driven by pre-operative images. The paper proposes a discriminative structural similarity measure, which uses the degradation of structural information and takes image correlation or structure, luminance, and contrast into consideration, to boost video-volume registration. By applying the proposed similarity measure to endoscope tracking, it was demonstrated to be more accurate and robust than several available similarity measures, e.g., local normalized cross correlation, normalized mutual information, modified mean square error, or normalized sum squared difference. Based on clinical data evaluation, the tracking error was reduced significantly from at least 14.6 mm to 4.5 mm. The processing time was accelerated more than 30 frames per second using graphics processing unit.

Lightweight Solar Photovoltaic Blankets

NASA Technical Reports Server (NTRS)

Ceragioli, R.; Himmler, R.; Nath, P.; Vogeli, C.; Guha, S.

1995-01-01

Lightweight, flexible sheets containing arrays of stacked solar photovoltaic cells developed to supply electric power aboard spacecraft. Solar batteries satisfying stringent requirements for operation in outer space also adaptable to terrestrial environment. Attractive for use as long-lived, portable photovoltaic power sources. Cells based on amorphous silicon which offers potential for order-of-magnitude increases in power per unit weight, power per unit volume, and endurance in presence of ionizing radiation.

Timber resource statistics for the Wood-Salcha Block, Tanana inventory unit, Alaska, 1975.

Treesearch

Kenneth C. Winterberger

1983-01-01

This statistical report on timber resources of the 4.1-million-acre Wood-Salcha block is the last of four reports on the 14-million-acre Tanana Valley inventory unit. Tables are provided for commercial and operable noncommercial forest land, total gross and net volumes, and annual net growth and mortality. Estimates for commercial forest land total 626,300 acres with...

Status of fusiform rust incidence in slash and loblolly pine plantations in the southeastern United States

Treesearch

KaDonna C. Randolph

2016-01-01

Southern pine tree improvement programs have been in operation in the southeastern United States since the 1950s. Their goal has been to improve volume growth, tree form, disease resistance, and wood quality in southern pines, particularly slash pine (Pinus elliottii) and loblolly pine (P. taeda). The disease of focus has been...

Secondary Waste Form Development and Optimization—Cast Stone

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

Sundaram, S. K.; Parker, Kent E.; Valenta, Michelle M.

2011-07-14

Washington River Protection Services is considering the design and construction of a Solidification Treatment Unit (STU) for the Effluent Treatment Facility (ETF) at Hanford. The ETF is a Resource Conservation and Recovery Act-permitted, multi-waste, treatment and storage unit and can accept dangerous, low-level, and mixed wastewaters for treatment. The STU needs to be operational by 2018 to receive secondary liquid wastes generated during operation of the Hanford Tank Waste Treatment and Immobilization Plant (WTP). The STU to ETF will provide the additional capacity needed for ETF to process the increased volume of secondary wastes expected to be produced by WTP.

Study on highway transportation greenhouse effect external cost estimation in China

NASA Astrophysics Data System (ADS)

Chu, Chunchao; Pan, Fengming

2017-03-01

This paper focuses on estimating highway transportation greenhouse gas emission volume and greenhouse gas external cost in China. At first, composition and characteristics of greenhouse gases were analysed about highway transportation emissions. Secondly, an improved model of emission volume was presented on basis of highway transportation energy consumption, which may be calculated by virtue of main affecting factors such as the annual average operation miles of each type of the motor vehicles and the unit consumption level. the model of emission volume was constructed which considered not only the availability of energy consumption statistics of highway transportation but also the greenhouse gas emission factors of various fuel types issued by IPCC. Finally, the external cost estimation model was established about highway transportation greenhouse gas emission which combined emission volume with the unit external cost of CO2 emissions. An example was executed to confirm presented model which ranged from 2011 to 2015 Year in China. The calculated result shows that the highway transportation total emission volume and greenhouse gas external cost are growing up, but the unit turnover external cost is steadily declining. On the whole overall, the situation is still grim about highway transportation greenhouse gas emission, and the green transportation strategy should be put into effect as soon as possible.

Journal of Special Operations Medicine. Volume 2, Edition 4, Fall 2002

DTIC Science & Technology

2002-01-01

Blessing Journal of Special Operations Medicine6 GENERAL RULES FOR SUBMISSIONS 1. Use the active voice when possible. 2. Secure permission before...Afghanistan to the Philippines . I am currently writ- ing this at the "Advanced Technology Applications for Combat Casualty Care" (ATACCC) meeting...ference some of the time. 91W Transition- All active component SOF units with medics that are not 18D are 91Ws as 91W_W1 Special Operations Combat

Woodbridge Research Facility Remedial Investigation/Feasibility Study; Focused Feasibility Study for Operable Unit One

DTIC Science & Technology

1997-11-01

by minimizing leachate . Alternatives 1 and 2 affect no changes in toxicity, mobility, or volume. Short-Term Effectiveness Short-term effectiveness...result of contaminant interactions with other in situ chemicals. • Phytoremediation uses existing plants and trees to incorporate contaminants into... leachate is minimized. Alternatives 1 and 2 effect no changes in toxicity, mobility, or volume. 8.3.6 Short-Term Effectiveness Short-term effectiveness is

The pneumatic syringe: a simple apparatus for self-administration of drugs by rats.

PubMed

Weeks, J R

1977-12-01

Drug solution is delivered by a syringe operated by a pneumatic cylinder. Recommended delivery volumes are from 10 to 200 microliter. A solid-state control unit is described which can operate two syringes (drug injection and flush), has outputs for recording responses and injections, and can be programmed to provide several schedules of reinforcement. All components are readily commercially available.

Mod-2 wind turbine system development. Volume 2: Detailed report

NASA Technical Reports Server (NTRS)

1982-01-01

Progress in the design, fabrication, and testing of a wind turbine system is reported. The development of the MOD-2 wind turbine through acceptance testing and initial operational evaluation is documented. The MOD-2 project intends to develop early commercialization of wind energy. The first wind turbine farm (three MOD-2 units) are now being operated at the Bonneville Power Administration site near Goldendale, Washington.

Development of an automated potable water bactericide monitoring unit

NASA Technical Reports Server (NTRS)

Walsh, J. M.; Brawner, C. C.; Sauer, R. L.

1975-01-01

A monitor unit has been developed that permits the direct determination of the level of elemental iodine, used for microbiological control, in a spacecraft potable water supply system. Salient features of unit include low weight, volume and maintenance requirements, complete automatic operation, no inflight calibration, no expendables (except electrical current) and high accuracy and precision. This unit is capable of providing a signal to a controller that, in turn, automatically adjusts the addition rate of iodine to the potable water system so that a predetermined level of iodine can be maintained. In addition, the monitor provides a reading whereby the crewman can verify that the proper amount of iodine (within a range) is present in the water. A development history of the monitor is presented along with its design and theory of operation. Also presented are the results generated through testing of the unit in a simulated Shuttle potable water system.

Practical performance and its efficiency of arsenic removal from groundwater using Fe-Mn binary oxide.

PubMed

Chang, Fangfang; Qu, Jiuhui; Liu, Ruiping; Zhao, Xu; Lei, Pengju

2010-01-01

A treatment unit packed by granular adsorbent of Fe-Mn binary oxide incorporated into diatomite (FMBO(1:1)-diatomite) was studied to remove arsenic from anaerobic groundwater without any pre-treatment or post-treatment. The raw anaerobic groundwater containing 35-45 microg/L of arsenic was collected from suburb of Beijing. Arsenic (III) constituted roughly 60%-80% of the total arsenic content. Approximately 7,000 bed volumes (ratio of effluent volume to adsorbent volume) treated water with arsenic concentration below 10 microg/L were produced in the operation period of four months. The regeneration of FMBO (1:1)-diatomite had been operated for 15 times. In the first stage, the regeneration process significantly improved the adsorption capacity of FMBO (1:1)-diatomite. With increased loading amount of Fe-Mn binary oxide, the adsorption capacity for arsenic decreased 20%-40%. Iron and manganese in anaerobic groundwater were oxidized and adsorptive filtrated by FMBO (1:1)-diatomite efficiently. The final concentrations of iron and manganese in effluents were nearly zero. The continued safe performance of the treatment units proved that adsorbent FMBO (1:1)-diatomite had high oxidation ability and exhibited strong adsorptive filtration.

The Dallas-Fort Worth Airport Earthquake Sequence: Seismicity Beyond Injection Period

NASA Astrophysics Data System (ADS)

Ogwari, Paul O.; DeShon, Heather R.; Hornbach, Matthew J.

2018-01-01

The 2008 Dallas-Fort Worth Airport earthquakes mark the beginning of seismicity rate changes linked to oil and gas operations in the central United States. We assess the spatial and temporal evolution of the sequence through December 2015 using template-based waveform correlation and relative location methods. We locate 400 earthquakes spanning 2008-2015 along a basement fault mapped as the Airport fault. The sequence exhibits temporally variable b values, and small-magnitude (m < 3.4) earthquakes spread northeast along strike over time. Pore pressure diffusion models indicate that the high-volume brine injection well located within 1 km of the 2008 earthquakes, although only operating from September 2008 to August 2009, contributes most significantly to long-term pressure perturbations, and hence stress changes, along the fault; a second long-operating, low-volume injector located 10 km north causes insufficient pressure changes. High-volume injection for a short time period near a critically stressed fault can induce long-lasting seismicity.

Ground Operations Aerospace Language (GOAL). Volume 3: Data bank

NASA Technical Reports Server (NTRS)

1973-01-01

The GOAL (Ground Operations Aerospace Language) test programming language was developed for use in ground checkout operations in a space vehicle launch environment. To insure compatibility with a maximum number of applications, a systematic and error-free method of referencing command/response (analog and digital) hardware measurements is a principle feature of the language. Central to the concept of requiring the test language to be independent of launch complex equipment and terminology is that of addressing measurements via symbolic names that have meaning directly in the hardware units being tested. To form the link from test program through test system interfaces to the units being tested the concept of a data bank has been introduced. The data bank is actually a large cross-reference table that provides pertinent hardware data such as interface unit addresses, data bus routings, or any other system values required to locate and access measurements.

Evaluation of Bridges Subjected to Military Loading and Dynamic Hydraulic Effects: Review of Design Regulations, Selection Criteria, and Inspection Procedures for Bridge Railing Systems

DTIC Science & Technology

2011-08-01

Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any...may be required by the United States Customs and Immigration Services, in connection with the operation of an international bridge or tunnel. ERDC...significant effect on the operation , service quality, and safety of road networks by restricting the traffic volume and vehicle weight that can be

Licensed operating reactors: Status summary report data as of December 31, 1991. Volume 16

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

NONE

1992-03-01

The Nuclear Regulatory Commission`s annual summary of licensed nuclear power reactor data is based primarily on the report of operating data submitted by licensees for each unit for the month of December because that report contains data for the month of December, the year to date (in this case calendar year 1991) and cumulative data, usually from the date of commercial operation. The data is not independently verified, but various computer checks are made. The report is divided into two sections. The first contains summary highlights and the second contains data on each individual unit in commercial operation. Section 1more » capacity and availability factors are simple arithmetic averages. Section 2 items in the cumulative column are generally as reported by the licensee and notes as to the use of weighted averages and starting dates other than commercial operation are provided.« less

Licensed operating reactors. Status summary report data as of 12-31-94: Volume 19

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

NONE

1995-04-01

The Nuclear Regulatory Commission`s annual summary of licensed nuclear power reactor data is based primarily on the report of operating data submitted by licensees for each unit for the month of December because that report contains data for the month of December, the year to date (in this case calendar year 1994) and cumulative data, usually from the date of commercial operation. The data is not independently verified, but various computer checks are made. The report is divided into two sections. The first contains summary highlights and the second contains data on each individual unit in commercial operation. Section 1more » capacity and availability factors are simple arithmetic averages. Section 2 items in the cumulative column are generally as reported by the licensee and notes as to the use of weighted averages and starting dates other than commercial operation are provided.« less

Weight versus volume in breast surgery: an observational study

PubMed Central

Parmar, Chetan; West, Malcolm; Pathak, Samir; Nelson, J; Martin, Lee

2011-01-01

Objectives The study hypothesis is to assess correlation of breast specimen weight versus volume. Design Consecutive patients undergoing breast surgery at a single tertiary referral centre during a 6-month period were included. Specimen weight was measured in grams. Direct volume measurements were performed using water displacement. Data including side of the breast, age and menstrual status of the patient were noted. Setting Knowledge of breast volume provides an objective guide in facilitating the achievements of balance in reconstructive operations. Surgeons use intraoperative weight measurements from individual breasts to calculate the breast volume assuming that weight is equal to the volume of the specimen. However, it is unclear whether weight accurately reveals the true volume of resection. Participants Forty-one patients were included in the study with 28 having bilateral surgeries, 13 having unilateral procedures giving a total of 69 breast specimens. Main outcome measures Breast specimen weight correlation to breast specimen volume. Results The mean age of the group was 42.4 years. Fifty-two specimens were from premenopausal patients and 17 were of postmenopausal. Thirty-five were left-sided. Twenty-six patients had bilateral breast reduction, two had bilateral mastectomy, nine had a unilateral mastectomy and four patients had a unilateral breast reduction. The difference between weight and volume of these breasts was 36.4 units (6.6% difference). The difference in measurement of weight and volume in premenopausal was 37.6 units compared to 32.6 units in postmenopausal women. The density was 1.07 and 1.06, respectively. This was statistically not significant. Conclusions No significant difference between volume and weight was seen in this series. Furthermore, we are unable to support the notion that premenopausal patients have a significant difference in the proportion of fatty and glandular tissue as there was little difference between the weight and the volume. An easy, clinically proper formula for the quantification of actual breast volume has yet to be derived. PMID:22140613

Weight versus volume in breast surgery: an observational study.

PubMed

Parmar, Chetan; West, Malcolm; Pathak, Samir; Nelson, J; Martin, Lee

2011-11-01

The study hypothesis is to assess correlation of breast specimen weight versus volume. Consecutive patients undergoing breast surgery at a single tertiary referral centre during a 6-month period were included. Specimen weight was measured in grams. Direct volume measurements were performed using water displacement. Data including side of the breast, age and menstrual status of the patient were noted. Knowledge of breast volume provides an objective guide in facilitating the achievements of balance in reconstructive operations. Surgeons use intraoperative weight measurements from individual breasts to calculate the breast volume assuming that weight is equal to the volume of the specimen. However, it is unclear whether weight accurately reveals the true volume of resection. Forty-one patients were included in the study with 28 having bilateral surgeries, 13 having unilateral procedures giving a total of 69 breast specimens. Breast specimen weight correlation to breast specimen volume. The mean age of the group was 42.4 years. Fifty-two specimens were from premenopausal patients and 17 were of postmenopausal. Thirty-five were left-sided. Twenty-six patients had bilateral breast reduction, two had bilateral mastectomy, nine had a unilateral mastectomy and four patients had a unilateral breast reduction. The difference between weight and volume of these breasts was 36.4 units (6.6% difference). The difference in measurement of weight and volume in premenopausal was 37.6 units compared to 32.6 units in postmenopausal women. The density was 1.07 and 1.06, respectively. This was statistically not significant. No significant difference between volume and weight was seen in this series. Furthermore, we are unable to support the notion that premenopausal patients have a significant difference in the proportion of fatty and glandular tissue as there was little difference between the weight and the volume. An easy, clinically proper formula for the quantification of actual breast volume has yet to be derived.

Air and Space Power Journal. Volume 25, Number 1, Spring 2011

DTIC Science & Technology

2011-01-01

their careers at US military R&D centers supervised the development of licensed vaccines for yellow fever, mumps, measles, varicella , and oral...Special Operations Medical Group, Cannon AFB, New Mexico . Colonel Hall has supported numerous combat operations, including Iraqi Freedom, Endur- ing...C2F Expanded Missions Unit Newport, Rhode Island The Adaptive Optics Revolution: A History by Robert W. Duffner. University of New Mexico Press

Journal of Special Operations Medicine. Volume 8, Edition 4, Fall 2008

DTIC Science & Technology

2008-01-01

preempt, or respond to terrorism. Weapons of mass destruction (WMDs) counterproliferation missions are taken to lo - cate, seize, destroy, render...computing consumable supply quantities, all line items are rounded to the nearest quarter package. This not only provides lo - gistics units an easier...substantial sleep pressure (fatigue) is a los - ing proposition. Second, detractors often like to draw comparisons be- tween civil-aviation operations, which do

Mountain-Plains Handbook: The Design and Operation of a Residential Family Based Education Program. Appendix. Supplement Four to Volume Three. Measurement and Evaluation: The Research Services Division.

ERIC Educational Resources Information Center

Coyle, David A.; And Others

One of five supplements which accompany chapter 3 of "Mountain-Plains Handbook: The Design and Operation of a Residential, Family Oriented Career Education Model" (CE 014 630), this document contains a master listing of all Mountain-Plains curriculum, compiled by job title, course, unit, and Learning activity package (LAPS) and arranged…

Medical Surveillance Monthly Report (MSMR). Volume 15, Number 8, October 2008

DTIC Science & Technology

2008-10-01

intense exposures to cold can signifi cantly impact the health, well-being and operational eff ectiveness of service members and their units.1-4 Because...performance in cold weather operations. Technical note no. TN/02-2. US Army Research Institute of Environmental Medicine, Natick, Massachusetts...status as reported on deployment health assesment forms, U.S. Armed Forces, October 2007-September 2008 Pre-deployment assessment DD2795 Post

The Impact of Hospital/Surgeon Volume on Acute Renal Failure and Mortality in Liver Transplantation: A Nationwide Cohort Study.

PubMed

Cheng, Chih-Wen; Liu, Fu-Chao; Lin, Jr-Rung; Tsai, Yung-Fong; Chen, Hsiu-Pin; Yu, Huang-Ping

2016-01-01

The aim of this study was to assess whether the case volume of surgeons and hospitals affects the rates of postoperative complications and survival after liver transplantation. This population-based retrospective cohort study included 2938 recipients of liver transplantation performed between 1998 and 2012, enrolled from the Taiwan National Health Insurance Research Database. They were divided into two groups, according to the cumulative case volume of their operating surgeons and the case volume of their hospitals. The duration of intensive care unit stay and post-transplantation hospitalization, postoperative complications, and mortality were analyzed. The results showed that, in the low and high case volume surgeons groups, respectively, acute renal failure occurred at the rate of 14.11% and 5.86% (p<0.0001), and the overall mortality rates were 19.61% and 12.44% (p<0.0001). In the low and high case volume hospital groups, respectively, acute renal failure occurred in 11% and 7.11% of the recipients (p = 0.0004), and the overall mortality was 18.44% and 12.86% (p<0.0001). These findings suggest that liver transplantation recipients operated on higher case volume surgeons or in higher case volume hospitals have a lower rate of acute renal failure and mortality.

Understanding Skill in EVA Mass Handling. Volume 3; Empirical Developments and Conclusions

NASA Technical Reports Server (NTRS)

Riccio, Gary E.; McDonald, P. Vernon

1998-01-01

Key attributes of skilled mass handling were identified through an examination of lessons learned by the extravehicular activity operational community. These qualities were translated into measurable quantities. The operational validity of the ground-based investigation was improved by building a device that increased the degrees of freedom of extravehicular mobility unit motion on the Precision Air-Bearing Floor. The results revealed subtle patterns of interaction between motions of an orbital replacement unit mockup and mass handler that should be important for effective performance on orbit. The investigation also demonstrated that such patterns can be measured with a variety of common instruments and under imperfect conditions of observation.

Biomass production on the Olympic and Kitsap Peninsulas, Washington: updated logging residue ratios, slash pile volume-to-weight ratios, and supply curves for selected locations

Treesearch

Jason C. Cross; Eric C. Turnblom; Gregory J. Ettl

2013-01-01

Biomass residue produced by timber harvest operations is estimated for the Olympic and Kitsap Peninsulas, Washington. Scattered residues were sampled in 53 harvest units and piled residues were completely enumerated in 55 harvest units. Production is based on 2008 and 2009 data and is stratified by forest location, ownership type, harvest intensity, and harvest method...

Defense Science Board Summer Study on Transformation: A Progress Assessment. Volume 1

DTIC Science & Technology

2006-02-01

Force Chairmen. Dr. Jerry McGinn, OUSD(P), will serve as the Executive Secretary, and Lt Col Dave Robertson will serve as the Defense Science Board...Sweetzer United States Army Operational Assessment 2005 Col Gail Wojtowicz United States Air Force USAF Brief on Transformation Col Peter Zielinski ...JOC) COL Peter Zielinski CENTCOM Central Command C-10 DSB 2005 SUMMER STUDY ON APPENDICES MULTI-AGENCY INTEGRATION MG Herbert Altshuler Commander

Remedial investigation/feasibility study of the Clinch River/Poplar Creek Operable Unit. Volume 3. Risk assessment information. Appendixes E, F

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

NONE

1996-03-01

This report presents the findings of an investigation into contamination of the Clinch River and Poplar Creek near the U.S. Department of Energy`s (DOE`s) Oak Ridge Reservation (ORR) in eastern Tennessee. For more than 50 years, various hazardous and radioactive substances have been released to the environment as a result of operations and waste management activities at the ORR. In 1989, the ORR was placed on the National Priorities List (NPL), established and maintained under the federal Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). Under CERCLA, NPL sites must be investigated to determine the nature and extentmore » of contamination at the site, assess the risk to human health and the environment posed by the site, and, if necessary, identify feasible remedial alternatives that could be used to clean the site and reduce risk. To facilitate the overall environmental restoration effort at the ORR, CERCLA activities are being implemented individually as distinct operable units (OUs). This document is Volume 3 of the combined Remedial Investigation and Feasibility Study Report for the Clinch River/Poplar Creek OU.« less

Remedial investigation/feasibility study of the Clinch River/Poplar Creek Operable Unit. Volume 2. Appendixes A, B, C, and D-Biota and representative concentrations of contaminants

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

NONE

1996-06-01

This report presents the findings of an investigation into contamination of the Clinch River and Poplar Creek near the U.S. Department of Energy`s (DOE`s) Oak Ridge Reservation (ORR) in eastern Tennessee. For more than 50 years, various hazardous and radioactive substances have been released to the environment as a result of operations and waste management activities at the ORR. In 1989, the ORR was placed on the National Priorities List (NPL), established and maintained under the federal Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). Under CERCLA, NPL sites must be investigated to determine the nature and extentmore » of contamination at the site, assess the risk to human health and the environment posed by the site, and, if necessary, identify feasible remedial alternatives that could be used to clean the site and reduce risk. To facilitate the overall environmental restoration effort at the ORR, CERCLA activities are being implemented individually as distinct operable units (OUs). This document is Volume 2 of the combined Remedial Investigation and Feasibility Study Report for the Clinch River/Poplar Creek OU.« less

Human response to aviation noise : development of dose-response relationships for backcountry visitors - volume II : results and analysis

DOT National Transportation Integrated Search

2014-03-01

The Federal Aviation Administration and National Park Service conducted joint research to better understand the effects of noise due to commercial air tour operations over units of the National Park System. To evaluate the relationship between aircra...

Human response to aviation noise : development of dose-response relationships for backcountry visitors - volume I: study methods

DOT National Transportation Integrated Search

2014-03-01

The Federal Aviation Administration and National Park Service conducted joint research to better understand the effects of noise due to commercial air tour operations over units of the National Park System. To evaluate the relationship between aircra...

High internal free volume compositions for low-k dielectric and other applications

NASA Technical Reports Server (NTRS)

Bouffard, Jean (Inventor); Swager, Timothy M. (Inventor)

2010-01-01

The present invention provides materials, devices, and methods involving new heterocyclic, shape-persistent monomeric units with internal free volume. In some cases, materials the present invention may comprise monomers, oligomers, or polymers that incorporate a heterocyclic, shape-persistent iptycene. The present invention may provide materials having low dielectric constants and improved stability at high operating temperatures due to the electron-poor character of materials. In addition, compositions of the invention may be easily synthesized and readily modified to suit a particular application.

Remedial Investigation/Baseline Risk Assessment for the Ravines and Beach Area Study areas of the Surplus Operable Unit, Fort Sheridan, Illinois, Volume 3 - BRA Text and BRA Appendices A-L

DTIC Science & Technology

1998-04-13

and Sydnor, 1968). The lymphoid system can also be affected resulting in lymphopenia. Toxic effects have been observed in the rapidly dividing cells ...polycyclic aromatic hydrocarbons have demonstrated the toxic effects of these compounds on rapidly proliferating cells . An intraperitoneal injection...b); however, higher doses are reported to result in testicular effects and decreased hemoglobin and packed cell volume (Kluwe et al, 1982; Gray et

Discrete event simulation of patient admissions to a neurovascular unit.

PubMed

Hahn-Goldberg, S; Chow, E; Appel, E; Ko, F T F; Tan, P; Gavin, M B; Ng, T; Abrams, H B; Casaubon, L K; Carter, M W

2014-01-01

Evidence exists that clinical outcomes improve for stroke patients admitted to specialized Stroke Units. The Toronto Western Hospital created a Neurovascular Unit (NVU) using beds from general internal medicine, Neurology and Neurosurgery to care for patients with stroke and acute neurovascular conditions. Using patient-level data for NVU-eligible patients, a discrete event simulation was created to study changes in patient flow and length of stay pre- and post-NVU implementation. Varying patient volumes and resources were tested to determine the ideal number of beds under various conditions. In the first year of operation, the NVU admitted 507 patients, over 66% of NVU-eligible patient volumes. With the introduction of the NVU, length of stay decreased by around 8%. Scenario testing showed that the current level of 20 beds is sufficient for accommodating the current demand and would continue to be sufficient with an increase in demand of up to 20%.

Probabilistic risk assessment of the Space Shuttle. Phase 3: A study of the potential of losing the vehicle during nominal operation. Volume 5: Auxiliary shuttle risk analyses

NASA Technical Reports Server (NTRS)

Fragola, Joseph R.; Maggio, Gaspare; Frank, Michael V.; Gerez, Luis; Mcfadden, Richard H.; Collins, Erin P.; Ballesio, Jorge; Appignani, Peter L.; Karns, James J.

1995-01-01

Volume 5 is Appendix C, Auxiliary Shuttle Risk Analyses, and contains the following reports: Probabilistic Risk Assessment of Space Shuttle Phase 1 - Space Shuttle Catastrophic Failure Frequency Final Report; Risk Analysis Applied to the Space Shuttle Main Engine - Demonstration Project for the Main Combustion Chamber Risk Assessment; An Investigation of the Risk Implications of Space Shuttle Solid Rocket Booster Chamber Pressure Excursions; Safety of the Thermal Protection System of the Space Shuttle Orbiter - Quantitative Analysis and Organizational Factors; Space Shuttle Main Propulsion Pressurization System Probabilistic Risk Assessment, Final Report; and Space Shuttle Probabilistic Risk Assessment Proof-of-Concept Study - Auxiliary Power Unit and Hydraulic Power Unit Analysis Report.

Journal of Special Operations Medicine, Volume 6, Edition 4

DTIC Science & Technology

2006-01-01

units and our active editorial consultants. 2) SOMA members receive the JSOM as part of membership. Please note, if you are a SOMA member and are...directed by the Commander. As of September, the SOF Warrior, Program Executive Office (PEO) has an active and forward moving TC3 program that will...AFSOC medics have been actively deployed around the world. The 352nd Special Operations Group (SOG) medics support- ed a humanitarian non-combatant

Defense Science Board 2006 Summer Study of Information Management for Net-Centric Operations. Volume 2. Operations Panel Report

DTIC Science & Technology

2007-04-01

and/or time de-confliction to insure safe separation of component forces. For example, in the Vietnam era, Air Force units were employed in the Hanoi...systems and people to exploit it. For example, Accenture (Accenture.com), a $15 billion global management consulting and technology services company ...information managers (called knowledge managers) to functional specialties, such as oil, gas, insurance , and pharmaceuticals. Information managers collect

United States Air Force F-35A Operational Basing Environmental Impact Statement. Volume 1

DTIC Science & Technology

2013-09-01

Evaluation (FDE) program and Weapons School (WS) beddown, the F-22 designator was used. Subsequent testing , development, and deployment resulted in...Initial F-35A Operational Basing EIS Final, September 2013 contract to develop the JSF ( designated the F-35 Lightning II). Since then, testing of F...of the aircraft even with system failures. Throughout the design and testing process, safety initiatives took previous best practices for single

10 CFR Appendix A1 to Subpart B of... - Uniform Test Method for Measuring the Energy Consumption of Electric Refrigerators and Electric...

Code of Federal Regulations, 2010 CFR

2010-01-01

... freezer compartment volume as defined in HRF-1-1979, in cubic feet. 1.3“Anti-sweat heater” means a device... operating characteristics. 1.7“Standard cycle” means the cycle type in which the anti-sweat heater control... unit under test. Defrost controls are to be operative and the anti-sweat heater switch is to be “on...

Design of Training Systems. Computerization of the Educational Technology Assessment Model (ETAM). Volume 2

DTIC Science & Technology

1977-05-01

444 EN 2 31043 TEST UNIT INJECTORS AND/OR FUEL INJECTION NOZZLES 445 EN 2 31044 MAINTENANCE OF FUEL OIL INJECTORS 446 EN 2 31049 PREVENTION OF...OPERATIONAL MAINTENANCE OF DIESEL ENGINES OPERATE INTERNAL COMBUSTION ENGINES JACKING GEAR ON INTERNAL COMBUSTION ENGINES CARRYOUT TURNING OVER OF MAIN...ENGINES ALIGN LUBRICATING OIL SYSTEM USE OF STANDBY LUBRICATING OIL PUMPS PURGE DIESEL ENGINE FUEL INJECTION SYSTEM ENTRIES TO MAIN PROPULSION

Information as Power: An Anthology of Selected United States Army War College Student Papers. Volume 6

DTIC Science & Technology

2012-05-01

Doing stuff” doesn’t sell well without the “so what.” Quickly seizing this fact one skeptic caustically derided, 73Information Effects in the...operations (IO) programs. The Committee has serious concerns about…the significant amount of funding being spent on these programs....The Committee...When assessing operations, JFCs [joint force commanders] and staff’s should avoid excessive analysis. Excessive time and energy spent developing

The Art and Science of Psychological Operations: Case Studies of Military Application. Volume Two

DTIC Science & Technology

1976-04-01

General The casebook is designed to serve primarily as background information for training in the field of psychological operations and as an...Skidmore and Brooklyn col- leges and Rutgers University; Chief, Re- search Design Unit, U.S.I.A., 1968-1969; au- - - I thor of Political Television, Report...unsystematic gathering of information and re- seatch is that research, when properly designed and coaducted, usually reliable less systematic information is

Note: A portable pulsed neutron source based on the smallest sealed-type plasma focus device.

PubMed

Niranjan, Ram; Rout, R K; Mishra, Prabhat; Srivastava, Rohit; Rawool, A M; Kaushik, T C; Gupta, Satish C

2011-02-01

Development and operation of a portable and compact pulsed neutron source based on sealed-type plasma focus (PF) device are reported. The unit is the smallest sealed-type neutron producing PF device. The effective volume of the PF unit is 33 cm(3) only. A compact size single capacitor (4 μF) is used as the energy driver. A battery based power supply unit is used for charging the capacitor and triggering the spark gap. The PF unit is operated at 10 kV (200 J) and at a deuterium gas filling pressure of 8 mb. The device is operated over a time span of 200 days and the neutron emissions have been observed for 200 shots without changing the gas in between the shots. The maximum yield of this device is 7.8 × 10(4) neutrons/pulse. Beyond 200 shots the yield is below the threshold (1050 neutrons/pulse) of our (3)He detector. The neutron energy is evaluated using time of flight technique and the value is (2.49 ± 0.27) MeV. The measured neutron pulse width is (24 ± 5) ns. Multishot and long duration operations envisage the potentiality of such portable device for repetitive mode of operation.

Surgeon specialization and operative mortality in United States: retrospective analysis

PubMed Central

Dalton, Maurice; Cutler, David M; Birkmeyer, John D; Chandra, Amitabh

2016-01-01

Objective To measure the association between a surgeon’s degree of specialization in a specific procedure and patient mortality. Design Retrospective analysis of Medicare data. Setting US patients aged 66 or older enrolled in traditional fee for service Medicare. Participants 25 152 US surgeons who performed one of eight procedures (carotid endarterectomy, coronary artery bypass grafting, valve replacement, abdominal aortic aneurysm repair, lung resection, cystectomy, pancreatic resection, or esophagectomy) on 695 987 patients in 2008-13. Main outcome measure Relative risk reduction in risk adjusted and volume adjusted 30 day operative mortality between surgeons in the bottom quarter and top quarter of surgeon specialization (defined as the number of times the surgeon performed the specific procedure divided by his/her total operative volume across all procedures). Results For all four cardiovascular procedures and two out of four cancer resections, a surgeon’s degree of specialization was a significant predictor of operative mortality independent of the number of times he or she performed that procedure: carotid endarterectomy (relative risk reduction between bottom and top quarter of surgeons 28%, 95% confidence interval 0% to 48%); coronary artery bypass grafting (15%, 4% to 25%); valve replacement (46%, 37% to 53%); abdominal aortic aneurysm repair (42%, 29% to 53%); lung resection (28%, 5% to 46%); and cystectomy (41%, 8% to 63%). In five procedures (carotid endarterectomy, valve replacement, lung resection, cystectomy, and esophagectomy), the relative risk reduction from surgeon specialization was greater than that from surgeon volume for that specific procedure. Furthermore, surgeon specialization accounted for 9% (coronary artery bypass grafting) to 100% (cystectomy) of the relative risk reduction otherwise attributable to volume in that specific procedure. Conclusion For several common procedures, surgeon specialization was an important predictor of operative mortality independent of volume in that specific procedure. When selecting a surgeon, patients, referring physicians, and administrators assigning operative workload may want to consider a surgeon’s procedure specific volume as well as the degree to which a surgeon specializes in that procedure. PMID:27444190

Rocky Mountain Arsenal Chemical Index. Volume 3. Potential Chemical- Specific ARARs for On-Post Operable Unit, RMA

DTIC Science & Technology

1988-08-01

clover, corn, cottonseed, cowpeas , grain sorghum (milo), grapes, grass (pasture and range), kohlrabi, lima beans, meat, milk, oats, onions, peaches...cauliflower, cherries, clover, corn, cottonseed, cowpeas , grain sorghum (milo), grapes, grass (pasture and range), kohlrabi, lima beans, meat, milk, oats

Solar Energy Installers Curriculum Guides. Book II.

ERIC Educational Resources Information Center

Walker, Gene C.

This second volume of a comprehensive curriculum guide for the heating-ventilation-air conditioning-refrigeration-solar student is designed to assist high school area vocational centers or community college instructors in the implementation and operation of comfort training programs. The guide is comprised of ten units of instruction within three…

CTC Sentinel. Volume 7, Issue 4, January 2014

DTIC Science & Technology

2014-01-01

of the country’s criminals went to the United States, building networks to traffic marijuana and cocaine for Americans and guns back to their...masterminded the trafficking of tons of marijuana and cocaine over almost two decades until his 2010 arrest.18 A main base of his U.S. operations was...cocaine, marijuana and firearms trafficking but could not directly link him to any murders in the United States. While the streets of New York became

The Antiaircraft Journal. Volume 94, Number 1, January-February 1951

DTIC Science & Technology

1951-02-01

southern area where the units would be returned to the Fifth Air Force control for employment in air de - fense around an important establish- ment. Thus...used, or even accom- panied the units, during the ground de - fense role operations but this was not the case. These troops had collected and re...order that they might not de - teriorate before being called again into use. The considerable combat damage experienced by the guns during ground

An Analysis to Determine the Management Training Requirements for Civil Engineering Superintendents and Foremen.

DTIC Science & Technology

1985-09-01

34 " develop a more accurate concept of human behavior. In addition, students learn how to improve their abilities to 22 [ .". ., , . . * lead, follow...contains four volumes with 36 lessons. This block defines the arena where professional Air Force officers operate. In addition, students learn to... learned in unit A, to perform limited position classification casework, and to * -write evaluation reports. Students may either enroll in Unit A only, or in

Testing the system detection unit for measuring solid minerals bulk density

NASA Astrophysics Data System (ADS)

Voytyuk, I. N.; Kopteva, A. V.

2017-10-01

The paper provides a brief description of the system for measuring flux per volume of solid minerals via example of mineral coal. The paper discloses the operational principle of the detection unit. The paper provides full description of testing methodology, as well as practical implementation of the detection unit testing. This paper describes the removal of two data arrays via the channel of scattered anddirect radiation for the detection units of two generations. This paper describes Matlab software to determine the statistical characteristics of the studied objects. The mean value of pulses per cycles, and pulse counting inaccuracy relatively the mean value were determined for the calculation of the stability account of the detection units.

A Rinsing Effluent Evaporator for Dismantling Operations - 13271

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

Rives, Rachel; Asou-Pothet, Marielle; Chambon, Frederic

2013-07-01

Between 1958 and 1997, the UP1 plant at Marcoule - located in the south of France - reprocessed and recycled nearly 20,000 MT of used fuel from special defense applications reactors, as well as fuel from the first generation of electricity generating reactors in France (natural uranium fuel, CO{sub 2}-cooled, graphite-moderated). Decommissioning and Dismantling of the UP1 plant and its associated units started in 1998. Since 2005, the UP1 facility has been operated by AREVA as the Marcoule Management and Operation contractor for French Atomic Energy Commission (CEA). An important part of this decommissioning program deals with the vitrification facilitymore » of Marcoule. This facility includes 20 tanks devoted to interim storage of highly active solutions, prior to vitrification. In 2006, a rinsing program was defined as part of the tank cleanup strategy. The main objective of the rinsing phases was to decrease activity in order to limit the volume of 'long-life active' waste produced during the decommissioning operations, so the tanks can be dismantled without the need of remote operations. To enable this rinsing program, and anticipating large volumes of generated effluent, the construction of an evaporation unit proved to be essential. The main objective of this unit was to concentrate the effluent produced during tank rinsing operations by a factor of approximately 10, prior to it being treated by vitrification. The evaporator design phase was launched in September 2006. The main challenge for the Project team was the installation of this new unit within a nuclear facility still in operation and in existing compartments not initially designed for this purpose. Cold operating tests were completed in 2008, and in May 2009, the final connections to the process were activated to start the hot test phase. During the first hot test operations performed on the first batches of clean-up effluent, the evaporator had a major operating problem. Extremely large quantities of foam were produced, affecting the evaporator operation, and creating the risk of a reduction in its capacity and throughput performance. A task force of AREVA process, operations, and safety experts from Marcoule and the La Hague reprocessing complex was assembled. New operating parameters were defined and tested to improve the process. Since then, the evaporator has performed very satisfactorily. The foam buildup phenomenon has been brought under complete control. All the different types of effluents produced during cleanup operations have been concentrated, and the results obtained in terms of quality and throughput, have ensured a consistent supply to the vitrification unit. The evaporator was operated until the end of April 2012, and enabled the production of 500 cubic meters of very high activity effluent, concentrating the fission products rinsed from the storage tanks. The evaporator will now be deactivated and decommissioned, with the first rinsing and cleanup operations scheduled to begin in 2014. (authors)« less

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

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

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

The effects of designation and volume of neonatal care on mortality and morbidity outcomes of very preterm infants in England: retrospective population-based cohort study

PubMed Central

Watson, S I; Arulampalam, W; Petrou, S; Marlow, N; Morgan, A S; Draper, E S; Santhakumaran, S; Modi, N

2014-01-01

Objective To examine the effects of designation and volume of neonatal care at the hospital of birth on mortality and morbidity outcomes in very preterm infants in a managed clinical network setting. Design A retrospective, population-based analysis of operational clinical data using adjusted logistic regression and instrumental variables (IV) analyses. Setting 165 National Health Service neonatal units in England contributing data to the National Neonatal Research Database at the Neonatal Data Analysis Unit and participating in the Neonatal Economic, Staffing and Clinical Outcomes Project. Participants 20 554 infants born at <33 weeks completed gestation (17 995 born at 27–32 weeks; 2559 born at <27 weeks), admitted to neonatal care and either discharged or died, over the period 1 January 2009–31 December 2011. Intervention Tertiary designation or high-volume neonatal care at the hospital of birth. Outcomes Neonatal mortality, any in-hospital mortality, surgery for necrotising enterocolitis, surgery for retinopathy of prematurity, bronchopulmonary dysplasia and postmenstrual age at discharge. Results Infants born at <33 weeks gestation and admitted to a high-volume neonatal unit at the hospital of birth were at reduced odds of neonatal mortality (IV regression odds ratio (OR) 0.70, 95% CI 0.53 to 0.92) and any in-hospital mortality (IV regression OR 0.68, 95% CI 0.54 to 0.85). The effect of volume on any in-hospital mortality was most acute among infants born at <27 weeks gestation (IV regression OR 0.51, 95% CI 0.33 to 0.79). A negative association between tertiary-level unit designation and mortality was also observed with adjusted logistic regression for infants born at <27 weeks gestation. Conclusions High-volume neonatal care provided at the hospital of birth may protect against in-hospital mortality in very preterm infants. Future developments of neonatal services should promote delivery of very preterm infants at hospitals with high-volume neonatal units. PMID:25001393

The effects of designation and volume of neonatal care on mortality and morbidity outcomes of very preterm infants in England: retrospective population-based cohort study.

PubMed

Watson, S I; Arulampalam, W; Petrou, S; Marlow, N; Morgan, A S; Draper, E S; Santhakumaran, S; Modi, N

2014-07-07

To examine the effects of designation and volume of neonatal care at the hospital of birth on mortality and morbidity outcomes in very preterm infants in a managed clinical network setting. A retrospective, population-based analysis of operational clinical data using adjusted logistic regression and instrumental variables (IV) analyses. 165 National Health Service neonatal units in England contributing data to the National Neonatal Research Database at the Neonatal Data Analysis Unit and participating in the Neonatal Economic, Staffing and Clinical Outcomes Project. 20 554 infants born at <33 weeks completed gestation (17 995 born at 27-32 weeks; 2559 born at <27 weeks), admitted to neonatal care and either discharged or died, over the period 1 January 2009-31 December 2011. Tertiary designation or high-volume neonatal care at the hospital of birth. Neonatal mortality, any in-hospital mortality, surgery for necrotising enterocolitis, surgery for retinopathy of prematurity, bronchopulmonary dysplasia and postmenstrual age at discharge. Infants born at <33 weeks gestation and admitted to a high-volume neonatal unit at the hospital of birth were at reduced odds of neonatal mortality (IV regression odds ratio (OR) 0.70, 95% CI 0.53 to 0.92) and any in-hospital mortality (IV regression OR 0.68, 95% CI 0.54 to 0.85). The effect of volume on any in-hospital mortality was most acute among infants born at <27 weeks gestation (IV regression OR 0.51, 95% CI 0.33 to 0.79). A negative association between tertiary-level unit designation and mortality was also observed with adjusted logistic regression for infants born at <27 weeks gestation. High-volume neonatal care provided at the hospital of birth may protect against in-hospital mortality in very preterm infants. Future developments of neonatal services should promote delivery of very preterm infants at hospitals with high-volume neonatal units. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Common Ada (tradename) Missile Package (CAMP) Project. Missile Software Parts. Volume 8. Detail Design Document

DTIC Science & Technology

1988-03-01

PACKAGE BODY ) TLCSC P661 (CATALOG #P106-0) This package contains the CAMP parts required to do the vaypoint steering portion of navigation. The...3.3.4.1.6 PROCESSING The following describes the processing performed by this part: package body WaypointSteering is package body ...Steering_Vector_Operations is separate; package body Steering_Vector_Operations_with_Arcsin is separate; procedure Compute Turn_Angle_and Direction (UnitNormal C

Medical Surveillance Monthly Report (MSMR). Volume 14, Number 6, September/October 2007

DTIC Science & Technology

2007-10-01

can signifi cantly impact the health, well-being and operational eff ectiveness of service members and their units. Th e U.S. military has developed...Young AJ. Sustaining health and performance in cold weather operations. Technical note no. TN/02-2. US Army Research Institute of Environmental ... assesment forms, U.S. Armed Forces, October 2006-September 2007 fourths (73.5%) of deployers rated their “health in general” as “excellent” or

Final Environmental Impact Statement for Development of Facilities to Support Basing US Pacific Fleet F/A-18E/F Aircraft on the West Coast of the United States, Volume 1.

DTIC Science & Technology

1998-05-01

ROG reactive organic compound RONA Record of Non -applicability RTV rational threshold value RWQCB Regional Water Quality Control Board SARA...over water. The ranges are either scheduled via a designated military or civilian controlling agency (for restricted or warning areas) or are used...operations areas (MOAs), and air traffic control authorized airspace (ATCAA). Airspace designations throughout the United States are controlled by the Federal

Stone volume is best predictor of operative time required in retrograde intrarenal surgery for renal calculi: implications for surgical planning and quality improvement.

PubMed

Sorokin, Igor; Cardona-Grau, Diana K; Rehfuss, Alexandra; Birney, Alan; Stavrakis, Costas; Leinwand, Gabriel; Herr, Allen; Feustel, Paul J; White, Mark D

2016-11-01

Retrograde intrarenal surgery (RIRS) is highly successful at eliminating renal stones of various sizes and compositions. As urologists are taking on more complex procedures using RIRS, this has led to an increase in operative (OR) times. Our objective was to determine the best predictor of OR time in patients undergoing RIRS. We retrospectively reviewed the records of patients undergoing unilateral RIRS for solitary stones over a 10 year time span. Stones were fragmented and actively extracted using a basket. Variables potentially affecting OR time such as patient age, sex, BMI, lower pole stone location, volume, Hounsfield units (HU), composition, ureteral access sheath (UAS) use, and pre-operative stenting were collected. Multivariable linear and stepwise regression was used to evaluate the predictors of OR time. There were 118 patients that met inclusion criteria. The median stone volume was 282.6 mm 3 (IQR 150.7-644.7) and the mean OR time was 50 min (±25.9 SD). On univariate linear regression, stone volume had a moderate correlation with OR time (y = 0.022x + 38.2, r 2  = 0.363, p < 0.01). On multivariable stepwise regression, stone volume had the strongest impact on OR time, increasing time by 2.0 min for each 100 mm 3 increase in stone volume (p < 0.001). UAS added 13.5 (SE 3.9, p = 0.001) minutes and renal lower pole location added 9 min (SE 4.3, p = 0.03) in each case they were used. Pre-operative stenting, HU, calcium oxalate stone composition, sex, and age had no significant effect on OR time. Amongst the main stone factors in RIRS, stone volume has the strongest impact on operative time. This can be used to predict the length of the procedure by roughly adding 2 min per 100 mm 3 increase in stone volume.

Minimally invasive video-assisted thyroidectomy: four-year experience of a single team in a General Surgery Unit.

PubMed

Scerrino, G; Paladino, N C; Di Paola, V; Morfino, G; Inviati, A; Amodio, E; Gulotta, G; Bonventre, S

2013-06-01

Minimally invasive video-assisted thyroidectomy (MIVAT) is a surgical technique that has showed increasingly good results, particularly in endocrine surgery centers. The aim of this prospective, non-randomized study was to evaluate feasibility, advantages and critical aspects of MIVAT in a general surgery unit. Two hundred twenty-four patients underwent total thyroidectomy for benign thyroid disease from May, 2008 to April, 2011. They were divided into two groups: one underwent conventional thyroidectomy (CT), and the other underwent MIVAT. The inclusion criteria were thyroid volume ≤35 mL and main nodule size ≤35 mm. For each patient, socio-demographic variables, hospitalization data and outcome measures (complication rate, operating time, post-operative pain, observer and patient scar assessment scale [OSAS and PSAS, respectively]) were collected. Multivariate regression analyses were done to assess the principal covariates affecting these outcome measures. There were 125 MIVATs and 99 CTs performed. The two groups were characterized by difference in age (38.4 vs. 50.9 years) and thyroid volume (18.6 vs. 23.3 mL). OSAS/PSAS scores were statistically significant in the MIVAT group (P<0.001 and P<0.001, respectively) even after adjusting for age and thyroid volume. Complication rate was similar in the two groups. MIVAT significantly decreased postoperative pain and improved cosmetic results. It can be performed in younger patients and in all cases in which there is a clear indication for the procedure. Its advantages were confirmed in a general surgery unit where correct indications were followed.

Analysis of radiation exposure for naval units of Operation Crossroads. Volume 3. (Appendix B) support ships. Technical report

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

Weitz, R.; Thomas, C.; Klemm, J.

1982-03-03

External radiation doses are reconstructed for crews of support and target ships of Joint Task Force One at Operation CROSSROADS, 1946. Volume I describes the reconstruction methodology, which consists of modeling the radiation environment, to include the radioactivity of lagoon water, target ships, and support ship contamination; retracing ship paths through this environment; and calculating the doses to shipboard personnel. The USS RECLAIMER, a support ship, is selected as a representative ship to demonstrate this methodology. Doses for all other ships are summarized. Volume II (Appendix A) details the results for target ship personnel. Volume III (Appendix B) details themore » results for support ship personnel. Calculated doses for more than 36,000 personnel aboard support ships while at Bikini range from zero to 1.7 rem. Of those approximately 34,000 are less than 0.5 rem. From the models provided, doses due to target ship reboarding and doses accrued after departure from Bikini can be calculated, based on the individual circumstances of exposure.« less

Analysis of radiation exposure for naval units of Operation Crossroads. Volume 2. (Appendix A) target ships. Technical report

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

Weitz, R.; Thomas, C.; Klemm, J.

1982-03-03

External radiation doses are reconstructed for crews of support and target ships of Joint Task Force One at Operation CROSSROADS, 1946. Volume I describes the reconstruction methodology, which consists of modeling the radiation environment, to include the radioactivity of lagoon water, target ships, and support ship contamination; retracing ship paths through this environment; and calculating the doses to shipboard personnel. The USS RECLAIMER, a support ship, is selected as a representative ship to demonstrate this methodology. Doses for all other ships are summarized. Volume II (Appendix A) details the results for target ship personnel. Volume III (Appendix B) details themore » results for support ship personnel. Calculated doses for more than 36,000 personnel aboard support ships while at Bikini range from zero to 1.7 rem. Of those, approximately 34,000 are less than 0.5 rem. From the models provided, doses due to target ship reboarding and doses accrued after departure from Bikini can be calculated, based on the individual circumstances of exposure.« less

Information as Power. An Anthology of Selected United States Army War College Student Papers. Volume 4

DTIC Science & Technology

2010-01-01

Coombs , Crisis Management and Communication ...and coordinating all U.S. PSYOP efforts in Afghanistan. 14. Coombs , Crisis Management and Communication . 15. Coombs , Ongoing Crisis ...commonly associated with, and seen as a requirement in, crisis response communications . A crisis is “a significant threat to operations

40 CFR 98.30 - Definition of the source category.

Code of Federal Regulations, 2014 CFR

2014-07-01

... useful heat or energy for industrial, commercial, or institutional use, or reducing the volume of waste... generators and emergency equipment, as defined in § 98.6. (3) Irrigation pumps at agricultural operations. (4... unit that combusts hazardous waste (as defined in § 261.3 of this chapter), reporting of GHG emissions...

40 CFR 98.30 - Definition of the source category.

Code of Federal Regulations, 2012 CFR

2012-07-01

... useful heat or energy for industrial, commercial, or institutional use, or reducing the volume of waste... generators and emergency equipment, as defined in § 98.6. (3) Irrigation pumps at agricultural operations. (4... unit that combusts hazardous waste (as defined in § 261.3 of this chapter), reporting of GHG emissions...

Planning, Designing, Building, and Moving a Large Volume Maternity Service to a New Labor and Birth Unit.

PubMed

Thompson, Heather; Legorreta, Kimberly; Maher, Mary Ann; Lavin, Melanie M

Our health system recognized the need to update facility space and associated technology for the labor and birth unit within our large volume perinatal service to improve the patient experience, and enhance safety, quality of care, and staff satisfaction. When an organization decides to invest $30 million dollars in a construction project such as a new labor and birth unit, many factors and considerations are involved. Financial support, planning, design, and construction phases of building a new unit are complex and therefore require strong interdisciplinary collaboration, leadership, and project management. The new labor and birth unit required nearly 3 years of planning, designing, and construction. Patient and family preferences were elicited through consumer focus groups. Multiple meetings with the administrative and nursing leadership teams, staff nurses, nurse midwives, and physicians were held to generate ideas for improvement in the new space. Involving frontline clinicians and childbearing women in the process was critical to success. The labor and birth unit moved to a new patient tower in a space that was doubled in square footage and geographically now on three separate floors. In the 6 months prior to the move, many efforts were made in our community to share our new space. The marketing strategy was very detailed and creative with ongoing input from the nursing leadership team. The nursing staff was involved in every step along the way. It was critical to have champions as workflow teams emerged. We hosted simulation drills and tested scenarios with new workflows. Move day was rehearsed with representatives of all members of the perinatal team participating. These efforts ultimately resulted in a move time of ~5 hours. Birth volumes increased 7% within the first 6 months. After 3 years in our new space, our birth volumes have risen nearly 15% and are still growing. Key processes and roles responsible for a successful build, efficient and safe move day, and optimal operational utility, as anticipated, of a new labor and birth unit in a large volume perinatal service are detailed.

United States Air Force Summer Research Program -- 1993 Summer Research Program Final Reports. Volume 11. Arnold Engineering Development Center, Frank J. Seiler Research Laboratory, Wilford Hall Medical Center

DTIC Science & Technology

1993-01-01

external parameters such as airflow, temperature, pressure, etc, are measured. Turbine Engine testing generates massive volumes of data at very high...a form that describes the signal flow graph topology as well as specific parameters of the processing blocks in the diagram. On multiprocessor...provides an interface to the symbolic builder and control functions such that parameters may be set during the build operation that will affect the

Synfuel program analysis. Volume 2: VENVAL users manual

NASA Astrophysics Data System (ADS)

Muddiman, J. B.; Whelan, J. W.

1980-07-01

This volume is intended for program analysts and is a users manual for the VENVAL model. It contains specific explanations as to input data requirements and programming procedures for the use of this model. VENVAL is a generalized computer program to aid in evaluation of prospective private sector production ventures. The program can project interrelated values of installed capacity, production, sales revenue, operating costs, depreciation, investment, dent, earnings, taxes, return on investment, depletion, and cash flow measures. It can also compute related public sector and other external costs and revenues if unit costs are furnished.

Integrated Information Support System (IISS). Volume 4. IISS System. Part 2. System Design Specification.

DTIC Science & Technology

1985-11-01

11.251 16 1 mAoop RESOLUT" TEST CHT t4A1109L 64JREAU OF STANDARS -163- 01FILE GOO! AD-AI181 235 AFVAL-TR-86-4006 Volume IV Par t 2 INTEGRATED...River Road Schenectady. New York 12345 Final Report for Period 22 September 1980 3 1 July 1985 November 1985 Approved for public release; distribution is... procurement operation, the United States Government thereby incurs no responsibility nor any obligation whatsoever, and the fact that the government may

TBC costing. [test bed concentrator

NASA Technical Reports Server (NTRS)

Kaminski, H. L.

1980-01-01

Procedures to be used in determining the cost of producing and installing a parabolic dish collector in annual production volumes of 10,000, 50,000, 100,000, and 1,000,000 units include (1) evaluating each individual part for material cost and for the type and number of operations required to work the raw material into the finished part; (2) costing labor, burden, tooling, gaging, machinery, and equipment; (3) estimating facilities requirements for each production volume; and (4) considering suggestions for design and material alterations that could result in cost reduction.

Accomplishing Shipyard Work for the United States Navy; Institutions, Systems and Operations. Volume 2. Appendixes

DTIC Science & Technology

1975-08-01

side #I MOC0ede.V en.d 14119111Iy by 61leek number) Ths study examines factors relating to acconrmlish-ment of Navy ship work- ~ .loads in navtal and...concludes with recomnendations to improve the cost-effectiveness of performance of shipyard work and identifies several key areas for further study . Volume 2...documents related to subjects covered by this study . r• "I. . " r . SECURITY CO OF ° P Ova’" 0.... ......:i • #0 PAPER P-1 13 2 ACCOMPLISHING SHIPYARD WORK

PULSE COMBUSTOR DESIGN QUALIFICATION TEST AND CLEAN COAL FEEDSTOCK TEST - VOLUME I AND VOLUME II

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

Unknown

For this Cooperative Agreement, the pulse heater module is the technology envelope for an indirectly heated steam reformer. The field of use of the steam reformer pursuant to this Cooperative Agreement with DOE is for the processing of sub-bituminous coals and lignite. The main focus is the mild gasification of such coals for the generation of both fuel gas and char--for the steel industry is the main focus. An alternate market application for the substitution of metallurgical coke is also presented. This project was devoted to qualification of a 253-tube pulse heater module. This module was designed, fabricated, installed, instrumentedmore » and tested in a fluidized bed test facility. Several test campaigns were conducted. This larger heater is a 3.5 times scale-up of the previous pulse heaters that had 72 tubes each. The smaller heater has been part of previous pilot field testing of the steam reformer at New Bern, North Carolina. The project also included collection and reduction of mild gasification process data from operation of the process development unit (PDU). The operation of the PDU was aimed at conditions required to produce char (and gas) for the Northshore Steel Operations. Northshore Steel supplied the coal for the process unit tests.« less

Human habitation field study of the Habitat Demonstration Unit (HDU)

NASA Astrophysics Data System (ADS)

Litaker, Harry L.; Archer, Ronald D.; Szabo, Richard; Twyford, Evan S.; Conlee, Carl S.; Howard, Robert L.

2013-10-01

Landing and supporting a permanent outpost on a planetary surface represents humankind's capability to expand its own horizons and challenge current technology. With this in mind, habitability of these structures becomes more essential given the longer durations of the missions. The purpose of this evaluation was to obtain preliminary human-in-the-loop performance data on the Habitat Demonstration Unit (HDU) in a Pressurized Excursion Module (PEM) configuration during a 14-day simulated lunar exploration field trial and to apply this knowledge to further enhance the habitat's capabilities for forward designs. Human factors engineers at the NASA/Johnson Space Center's Habitability and Human Factors Branch recorded approximately 96 h of crew task performance with four work stations. Human factors measures used during this study included the NASA Task Load Index (TLX) and customized post questionnaires. Overall the volume for the PEM was considered acceptable by the crew; however; the habitat's individual work station volume was constrained when setting up the vehicle for operation, medical operations, and suit maintenance while general maintenance, logistical resupply, and geo science was considered acceptable. Crew workload for each station indicated resupply as being the lowest rated, with medical operations, general maintenance, and geo science tasks as being light, while suit maintenance was considered moderate and general vehicle setup being rated the highest. Stowage was an issue around the habitat with the Space Exploration Vehicle (SEV) resupply stowage located in the center of the habitat as interfering with some work station volumes and activities. Ergonomics of the geo science station was considered a major issue, especially with the overhead touch screens.

PC-403: Pioneer Venus multiprobe spacecraft mission operational characteristics document, volume 1

NASA Technical Reports Server (NTRS)

Barker, F. C.

1978-01-01

The operational characteristics of the multiprobe system and its subsystem are described. System level, description of the nominal phases, system interfaces, and the capabilities and limitations of system level performance are presented. Bus spacecraft functional and operational descriptions at the subsystem and unit level are presented. The subtleties of nominal operation as well as detailed capabilities and limitations beyond nominal performance are discussed. A command and telemetry logic flow diagram for each subsystem is included. Each diagram identifies in symbolic logic all signal conditioning encountered along each command signal path into, and each telemetry signal path out of the subsystem.

Surgery for advanced epithelial ovarian cancer.

PubMed

Hacker, Neville F; Rao, Archana

2017-05-01

Cytoreductive surgery for patients with advanced epithelial ovarian cancer has been practised since the pioneering work of Tom Griffiths in 1975. Further research has demonstrated the prognostic significance of the extent of metastatic disease pre-operatively, and of complete cytoreduction post-operatively. Patients with advanced epithelial ovarian cancer should be referred to high volume cancer units, and managed by multidisciplinary teams. The role of thoracoscopy and resection of intrathoracic disease is presently investigational. In recent years, there has been increasing use of neoadjuvant chemotherapy and interval cytoreductive surgery in patients with poor performance status, which is usually due to large volume ascites and/or large pleural effusions. Neoadjuvant chemotherapy reduces the post-operative morbidity, but if the tumour responds well to the chemotherapy, the inflammatory response makes the surgery more difficult. Post-operative morbidity is generally tolerable, but increases in older patients, and in those having multiple, aggressive surgical procedures, such as bowel resection or diaphragmatic stripping. Primary cytoreductive surgery should be regarded as the gold standard for most patients until a test is developed which would allow the prediction of platinum resistance pre-operatively. Copyright © 2016. Published by Elsevier Ltd.

The impact of fellowships on surgical resident training in a multispecialty cohort in Australia and New Zealand.

PubMed

Petrushnko, Wilson; Perry, Will; Fraser-Kirk, Grant; Ctercteko, Grahame; Adusumilli, Sanjay; O'Grady, Gregory

2015-12-01

Fellowships in surgery are increasing in number, and concerns have been raised regarding their impact on resident training. Although fellows may contribute to resident education and training, they also compete for operative and other experience. This study aimed to quantify the impact of fellowships on resident training in a binational multispecialty cohort. The operative case volumes and primary operator rates of surgery trainees (residents) in Australia and New Zealand were compared between units with and without fellows. Trainees also were surveyed using Likert Scales to assess quality of operative and other experience in units with and without fellows. Data from 911 trainees over 2 terms was analyzed; survey response rate 42%. Of all trainees, 42% worked with fellows. Trainees in units without fellows were involved in more major (P = .03) and minor (P < .0001) cases. Primary operator rates were comparable, but trainees in units without fellows were less often assistants, reported an increased quality of elective operating experience, and reported more favorable completion of learning objectives (all P < .05). These findings were consistent between tertiary and nontertiary hospitals. Thematic analysis showed positive benefits of fellows in teaching, training and mentorship, but negative impacts on case exposure, competition for operating, and clinical experience. Fellows may assist in the teaching and training of residents, but residents working with fellows experience a decreased quantity of operative experience that may impact several aspects of the quality of training. Surgical educators must actively balance the learning needs of fellows and residents. Copyright © 2015 Elsevier Inc. All rights reserved.

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

DTIC Science & Technology

2009-01-01

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

Journal of Special Operations Medicine, Volume 8, Edition 2

DTIC Science & Technology

2008-01-01

NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Joint Special...Order Desk — orders@gpo.gov. 4) The JSOM is on- line through the Joint Special Operations University’s new SOF Medical Gateway; it is available to all...From the Command Surgeon WARNER D. “Rocky” FARR COLONEL, U.S. ARMY Command Surgeon HQ USSOCOM • Recommended, and all concurred, that we need a Joint

Shuttle mission simulator baseline definition report, volume 1

NASA Technical Reports Server (NTRS)

Burke, J. F.; Small, D. E.

1973-01-01

A baseline definition of the space shuttle mission simulator is presented. The subjects discussed are: (1) physical arrangement of the complete simulator system in the appropriate facility, with a definition of the required facility modifications, (2) functional descriptions of all hardware units, including the operational features, data demands, and facility interfaces, (3) hardware features necessary to integrate the items into a baseline simulator system to include the rationale for selecting the chosen implementation, and (4) operating, maintenance, and configuration updating characteristics of the simulator hardware.

Distributed Processing Tools Definition. Volume 1. Hardware and Software Technologies for Tightly-Coupled Distributed Systems.

DTIC Science & Technology

1983-06-01

LOSARDO Project Engineer APPROVED: .MARMCINIhI, Colonel. USAF Chief, Coaud and Control Division FOR THE CCOaIDKR: Acting Chief, Plea Off ice * **711...WORK UNIT NUMBERS General Dynamics Corporation 62702F Data Systems Division P 0 Box 748, Fort Worth TX 76101 55811829 I1. CONTROLLING OFFICE NAME AND...Processing System for 29 the Operation/Direction Center(s) 4-3 Distribution of Processing Control 30 for the Operation/Direction Center(s) 4-4 Generalized

Point-to-Point! Validation of the Small Aircraft Transportation System Higher Volume Operations Concept

NASA Technical Reports Server (NTRS)

Williams, Daniel M.

2006-01-01

Described is the research process that NASA researchers used to validate the Small Aircraft Transportation System (SATS) Higher Volume Operations (HVO) concept. The four phase building-block validation and verification process included multiple elements ranging from formal analysis of HVO procedures to flight test, to full-system architecture prototype that was successfully shown to the public at the June 2005 SATS Technical Demonstration in Danville, VA. Presented are significant results of each of the four research phases that extend early results presented at ICAS 2004. HVO study results have been incorporated into the development of the Next Generation Air Transportation System (NGATS) vision and offer a validated concept to provide a significant portion of the 3X capacity improvement sought after in the United States National Airspace System (NAS).

Fresh-Frozen Plasma: Ordering Patterns and Utilization in the Operating Rooms of a Tertiary Referral Hospital.

PubMed

Meyer, Matthew J; Dzik, Walter H; Levine, Wilton C

2017-02-01

Blood product transfusion is the most commonly performed hospital procedure. Intraoperative blood product utilization varies between institutions and anesthesiologists. In the United States in 2011, nearly 4 million plasma units were transfused. A retrospective analysis of intraoperative plasma ordering patterns and utilization (thawing and transfusing) was performed at a tertiary, academic hospital between January 2015 and March 2016. Over 15 months, 46,002 operative procedures were performed. In 1540 of them, plasma was thawed or transfused: 8297 plasma units were thawed and 3306 of those units were transfused. These 3306 plasma units were transfused in 749 cases with a median of 2 plasma units (interquartile range, 2-4) transfused. The percentage of average monthly procedures with plasma thawed and none transfused was 51.3% (confidence interval, 49.0%-53.6%). The cardiac surgery service requested the greatest number of plasma units to be thawed (2143) but only transfused 712 (33.2%) of them. Of all plasma units not transfused, 45% were generated by procedures with 1 to 4 units of plasma thawed; 95.7% of these units were thawed as even integers (ie, 2, 4). For operative procedures, far more plasma was thawed than was transfused and this practice occurred across surgical specialties and anesthesiologists. Considering the plasma that was not transfused, 45% occurred in procedures with 4 or fewer units of plasma requested suggesting these low-volume requests were a primary source of potential waste. Further studies are needed to examine associations between plasma utilization and clinical outcomes.

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

Easton, C. R.

The objectives of this program are to establish a heliostat design with the associated manufacturing, assembly, installation and maintenance approaches that will: (1) yield a significant reduction of capital and operating costs; (2) meet performance specifications for large collector subsystems; and (3) can be produced and deployed throughout the southwestern United States. In addition, cost plans and schedules to develop, fabricate, and operate the heliostat are to be developed. This volume presents the collector design, including trade study and test results, and the manufacturing, installation and checkout, and operations and maintenance concepts. Also, a discussion of specification verification and optimizationmore » is included. (WHK)« less

Material nature versus structural nurture: the embodied carbon of fundamental structural elements.

PubMed

Purnell, P

2012-01-03

The construction industry is under considerable legislative pressure to reduce its CO(2) emissions. The current focus is on operational CO(2) emissions, but as these are compulsorily reduced, the embodied CO(2) of structural components, overwhelmingly attributable to the material from which they are manufactured, will become of greater interest. Choice of structural materials for minimal embodied CO(2) is currently based either on subjective narrative arguments, or values of embodied CO(2) per unit volume or mass. Here we show that such arguments are invalid. We found that structural design parameters (dimensions, section choice, and load capacity) for fundamental structural components (simple beams and columns) are at least as important as material choice with regard to their effect on embodied CO(2) per unit load capacity per unit dimension, which can vary over several decades within and between material choices. This result demonstrates that relying on apparently objective analyses based on embodied CO(2) per unit volume or mass will not lead to minimum carbon solutions; a formal definition of the correct functional unit for embodied CO(2) must be used. In short, there is no such thing as a green structural material.

Extreme Environment Capable, Modular and Scalable Power Processing Unit for Solar Electric Propulsion

NASA Technical Reports Server (NTRS)

Carr, Gregory A.; Iannello, Christopher J.; Chen, Yuan; Hunter, Don J.; DelCastillo, Linda; Bradley, Arthur T.; Stell, Christopher; Mojarradi, Mohammad M.

2013-01-01

This paper is to present a concept of a modular and scalable High Temperature Boost (HTB) Power Processing Unit (PPU) capable of operating at temperatures beyond the standard military temperature range. The various extreme environments technologies are also described as the fundamental technology path to this concept. The proposed HTB PPU is intended for power processing in the area of space solar electric propulsion, where reduction of in-space mass and volume are desired, and sometimes even critical, to achieve the goals of future space flight missions. The concept of the HTB PPU can also be applied to other extreme environment applications, such as geothermal and petroleum deep-well drilling, where higher temperature operation is required.

Extreme Environment Capable, Modular and Scalable Power Processing Unit for Solar Electric Propulsion

NASA Technical Reports Server (NTRS)

Carr, Gregory A.; Iannello, Christopher J.; Chen, Yuan; Hunter, Don J.; Del Castillo, Linda; Bradley, Arthur T.; Stell, Christopher; Mojarradi, Mohammad M.

2013-01-01

This paper is to present a concept of a modular and scalable High Temperature Boost (HTB) Power Processing Unit (PPU) capable of operating at temperatures beyond the standard military temperature range. The various extreme environments technologies are also described as the fundamental technology path to this concept. The proposed HTB PPU is intended for power processing in the area of space solar electric propulsion, where the reduction of in-space mass and volume are desired, and sometimes even critical, to achieve the goals of future space flight missions. The concept of the HTB PPU can also be applied to other extreme environment applications, such as geothermal and petroleum deep-well drilling, where higher temperature operation is required.

Development of thermal energy storage units for spacecraft cryogenic coolers

NASA Technical Reports Server (NTRS)

Richter, R.; Mahefkey, E. T.

1980-01-01

Thermal Energy Storage Units were developed for storing thermal energy required for operating Vuilleumier cryogenic space coolers. In the course of the development work the thermal characteristics of thermal energy storage material was investigated. By three distinctly different methods it was established that ternary salts did not release fusion energy as determined by ideality at the melting point of the eutectic salt. Phase change energy was released over a relatively wide range of temperature with a large change in volume. This strongly affects the amount of thermal energy that is available to the Vuilleumier cryogenic cooler at its operating temperature range and the amount of thermal energy that can be stored and released during a single storage cycle.

Cost Analysis of an Air Brayton Receiver for a Solar Thermal Electric Power System in Selected Annual Production Volumes

NASA Technical Reports Server (NTRS)

1981-01-01

Pioneer Engineering and Manufacturing Company estimated the cost of manufacturing and Air Brayton Receiver for a Solar Thermal Electric Power System as designed by the AiResearch Division of the Garrett Corporation. Production costs were estimated at annual volumes of 100; 1,000; 5,000; 10,000; 50,000; 100,000 and 1,000,000 units. These costs included direct labor, direct material and manufacturing burden. A make or buy analysis was made of each part of each volume. At high volumes special fabrication concepts were used to reduce operation cycle times. All costs were estimated at an assumed 100% plant capacity. Economic feasibility determined the level of production at which special concepts were to be introduced. Estimated costs were based on the economics of the last half of 1980. Tooling and capital equipment costs were estimated for ach volume. Infrastructure and personnel requirements were also estimated.

Development of a second generation biofiltration system

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

Kleinheinz, G.T.; McGinnis, G.D.; Niemi, B.A.

1999-07-01

Biofiltration utilizes microbial processes which are immobilized on a solid support to biodegrade contaminants in air. Biofilters traditionally have been utilized in applications where there is a high volume of air containing low levels of compounds. There are several operational problems biofilters are currently encountering. Some of these problems include systems which are very large, microbial breakdown of the solid support, cycling of compounds onto the biofilters (uneven amounts of compounds in the air), and very short residence times in the biofiltration units. This project was undertaken to determine the feasibility of using physical/chemical methods to adsorb and then desorbmore » analytes to convert a dilute, high volume air stream to a more concentrated low volume air stream. The chemical/physical (adsorption/desorption) system will also serve to provide a relatively consistent air stream to the biofiltration units in order to alleviate the perturbations to the system as a result of uneven analyte concentrations. The ability to concentrate a dilute air stream and provide a constant stream of VOCs to the biofiltration unit will allow for smaller, more efficient, and more economical biofilters. Two years of laboratory studies and initial pilot-scale trials on these coupled systems have shown that they are indeed able to efficiently concentrate dilute streams, and the coupled biofilters are able to remove 90+% of the VOCs from the adsorption/desorption unit.« less

State Defense Force Journal. Volume 3, Issue 1, Fall 2007

DTIC Science & Technology

2007-01-01

operations officer in planning for the employment of medical units and personnel; receiving and analyzing medical intelligence (i.e., syndromic ...PE Colonel (MD) Martin Hershkowitz Maryland Defense Force 10th Medical Regiment: Past, Present and Future..................................... 15...MDARNG Expanding Support Roles for 10th Medical Regiment: Pre and Post Health Screenings of National Guard Soldiers and Airmen

Prisoners' First Amendment Rights Within the Institution. Criminal Justice Monograph. Volume III, No. 3.

ERIC Educational Resources Information Center

Sanders, Rabun C., Jr.; And Others

This monograph examines prisoners' rights to freedom of speech, religion, and petition under the First Amendment to the United States Constitution. The courts had previously taken the attitude that the operation of penal institutions was beyond their jurisdiction, but the suppression of and restrictions on the exercise of first amendment freedoms…

Disabled personnel emergency-heating system. Final report

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

Van Dine, N.

1974-12-16

This progress report describes a receiving well for the operating fuel supply (two provided) designed within the unit to permit parasitic heat loss from the system to be captured by the fuel supply. The Zero can housing provides adequate volume to accommodate stowage of the fluid-flow umbilicals for connection of the heater system to the tubulated casualty bag liner.

75 FR 38976 - Proposed Information Collection; Comment Request; Precanvass Operation for the 2012 Economic...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-07

... multimodal, system-wide data on the volume and pattern of goods movement in the United States. The Commodity... Census Bureau will mail a one- page questionnaire to manufacturing, mining, and wholesale establishments... used to improve the mailing and follow-up activities for the 2012 Commodity Flow Survey. III. Data OMB...

40 CFR Appendix F to Part 75 - Conversion Procedures

Code of Federal Regulations, 2012 CFR

2012-07-01

... pollutant concentration during unit operation, ppm. 3.3.4%O2, %CO2 = Oxygen or carbon dioxide volume during....6.1H, C, S, N, and O are content by weight of hydrogen, carbon, sulfur, nitrogen, and oxygen... section 2.4 of appendix D of this part. If a daily coal consumption value is not available, substitute the...

40 CFR Appendix F to Part 75 - Conversion Procedures

Code of Federal Regulations, 2011 CFR

2011-07-01

... pollutant concentration during unit operation, ppm. 3.3.4%O2, %CO2 = Oxygen or carbon dioxide volume during....6.1H, C, S, N, and O are content by weight of hydrogen, carbon, sulfur, nitrogen, and oxygen... procedures in section 2.4 of appendix D of this part. If a daily coal consumption value is not available...

40 CFR Appendix F to Part 75 - Conversion Procedures

Code of Federal Regulations, 2014 CFR

2014-07-01

... pollutant concentration during unit operation, ppm. 3.3.4%O2, %CO2 = Oxygen or carbon dioxide volume during....6.1H, C, S, N, and O are content by weight of hydrogen, carbon, sulfur, nitrogen, and oxygen... section 2.4 of appendix D of this part. If a daily coal consumption value is not available, substitute the...

40 CFR Appendix F to Part 75 - Conversion Procedures

Code of Federal Regulations, 2013 CFR

2013-07-01

... pollutant concentration during unit operation, ppm. 3.3.4%O2, %CO2 = Oxygen or carbon dioxide volume during....6.1H, C, S, N, and O are content by weight of hydrogen, carbon, sulfur, nitrogen, and oxygen... section 2.4 of appendix D of this part. If a daily coal consumption value is not available, substitute the...

Surgeon specialization and operative mortality in United States: retrospective analysis.

PubMed

Sahni, Nikhil R; Dalton, Maurice; Cutler, David M; Birkmeyer, John D; Chandra, Amitabh

2016-07-21

 To measure the association between a surgeon's degree of specialization in a specific procedure and patient mortality.  Retrospective analysis of Medicare data.  US patients aged 66 or older enrolled in traditional fee for service Medicare.  25 152 US surgeons who performed one of eight procedures (carotid endarterectomy, coronary artery bypass grafting, valve replacement, abdominal aortic aneurysm repair, lung resection, cystectomy, pancreatic resection, or esophagectomy) on 695 987 patients in 2008-13.  Relative risk reduction in risk adjusted and volume adjusted 30 day operative mortality between surgeons in the bottom quarter and top quarter of surgeon specialization (defined as the number of times the surgeon performed the specific procedure divided by his/her total operative volume across all procedures).  For all four cardiovascular procedures and two out of four cancer resections, a surgeon's degree of specialization was a significant predictor of operative mortality independent of the number of times he or she performed that procedure: carotid endarterectomy (relative risk reduction between bottom and top quarter of surgeons 28%, 95% confidence interval 0% to 48%); coronary artery bypass grafting (15%, 4% to 25%); valve replacement (46%, 37% to 53%); abdominal aortic aneurysm repair (42%, 29% to 53%); lung resection (28%, 5% to 46%); and cystectomy (41%, 8% to 63%). In five procedures (carotid endarterectomy, valve replacement, lung resection, cystectomy, and esophagectomy), the relative risk reduction from surgeon specialization was greater than that from surgeon volume for that specific procedure. Furthermore, surgeon specialization accounted for 9% (coronary artery bypass grafting) to 100% (cystectomy) of the relative risk reduction otherwise attributable to volume in that specific procedure.  For several common procedures, surgeon specialization was an important predictor of operative mortality independent of volume in that specific procedure. When selecting a surgeon, patients, referring physicians, and administrators assigning operative workload may want to consider a surgeon's procedure specific volume as well as the degree to which a surgeon specializes in that procedure. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

High Performance GPU-Based Fourier Volume Rendering.

PubMed

Abdellah, Marwan; Eldeib, Ayman; Sharawi, Amr

2015-01-01

Fourier volume rendering (FVR) is a significant visualization technique that has been used widely in digital radiography. As a result of its (N (2)log⁡N) time complexity, it provides a faster alternative to spatial domain volume rendering algorithms that are (N (3)) computationally complex. Relying on the Fourier projection-slice theorem, this technique operates on the spectral representation of a 3D volume instead of processing its spatial representation to generate attenuation-only projections that look like X-ray radiographs. Due to the rapid evolution of its underlying architecture, the graphics processing unit (GPU) became an attractive competent platform that can deliver giant computational raw power compared to the central processing unit (CPU) on a per-dollar-basis. The introduction of the compute unified device architecture (CUDA) technology enables embarrassingly-parallel algorithms to run efficiently on CUDA-capable GPU architectures. In this work, a high performance GPU-accelerated implementation of the FVR pipeline on CUDA-enabled GPUs is presented. This proposed implementation can achieve a speed-up of 117x compared to a single-threaded hybrid implementation that uses the CPU and GPU together by taking advantage of executing the rendering pipeline entirely on recent GPU architectures.

Grey water treatment in a series anaerobic--aerobic system for irrigation.

PubMed

Abu Ghunmi, Lina; Zeeman, Grietje; Fayyad, Manar; van Lier, Jules B

2010-01-01

This study aims at treatment of grey water for irrigation, focusing on a treatment technology that is robust, simple to operate and with minimum energy consumption. The result is an optimized system consisting of an anaerobic unit operated in upflow mode, with a 1 day operational cycle, a constant effluent flow rate and varying liquid volume. Subsequent aerobic step is equipped with mechanical aeration and the system is insulated for sustaining winter conditions. The COD removal achieved by the anaerobic and aerobic units in summer and winter are 45%, 39% and 53%, 64%, respectively. Sludge in the anaerobic and aerobic reactor has a concentration of 168 and 8 mg VSL(-1), respectively. Stability of sludge in the anaerobic and aerobic reactors is 80% and 93%, respectively, based on COD. Aerobic effluent quality, except for pathogens, agrees with the proposed irrigation water quality guidelines for reclaimed water in Jordan.

Gas engine heat pump cycle analysis. Volume 1: Model description and generic analysis

NASA Astrophysics Data System (ADS)

Fischer, R. D.

1986-10-01

The task has prepared performance and cost information to assist in evaluating the selection of high voltage alternating current components, values for component design variables, and system configurations and operating strategy. A steady-state computer model for performance simulation of engine-driven and electrically driven heat pumps was prepared and effectively used for parametric and seasonal performance analyses. Parametric analysis showed the effect of variables associated with design of recuperators, brine coils, domestic hot water heat exchanger, compressor size, engine efficiency, insulation on exhaust and brine piping. Seasonal performance data were prepared for residential and commercial units in six cities with system configurations closely related to existing or contemplated hardware of the five GRI engine contractors. Similar data were prepared for an advanced variable-speed electric unit for comparison purposes. The effect of domestic hot water production on operating costs was determined. Four fan-operating strategies and two brine loop configurations were explored.

Sonic Helium Detectors in the Fermilab Tevatron

NASA Astrophysics Data System (ADS)

Bossert, R. J.

2006-04-01

In the Fermilab Tevatron cryogenic system there are many remotely located low-pressure plate relief valves that must vent large volumes of cold helium gas when magnet quenches occur. These valves can occasionally stick open or not reseat completely, resulting in a large helium loss. As such, the need exists for a detector to monitor the relief valve's discharge area for the presence of helium. Due to the quantity needed, cost is an important factor. A unit has been developed and built for this purpose that is quite inexpensive. Its operating principle is based on the speed of sound, where two closely matched tubes operate at their acoustic resonant frequency. When helium is introduced into one of these tubes, the resulting difference in acoustic time of flight is used to trigger an alarm. At present, there are 39 of these units installed and operating in the Tevatron. They have detected many minor and major helium leaks, and have also been found useful in detecting a rise in the helium background in the enclosed refrigerator buildings. This paper covers the construction, usage and operational experience gained with these units over the last several years.

Understanding Skill in EVA Mass Handling. Volume 1; Theoretical and Operational Foundations

NASA Technical Reports Server (NTRS)

Riccio, Gary; McDonald, Vernon; Peters, Brian; Layne, Charles; Bloomberg, Jacob

1997-01-01

This report describes the theoretical and operational foundations for our analysis of skill in extravehicular mass handling. A review of our research on postural control, human-environment interactions, and exploratory behavior in skill acquisition is used to motivate our analysis. This scientific material is presented within the context of operationally valid issues concerning extravehicular mass handling. We describe the development of meaningful empirical measures that are relevant to a special class of nested control systems: manual interactions between an individual and the substantial environment. These measures are incorporated into a unique empirical protocol implemented on NASA's principal mass handling simulator, the precision air-bearing floor, in order to evaluate skill in extravehicular mass handling. We discuss the components of such skill with reference to the relationship between postural configuration and controllability of an orbital replacement unit, the relationship between orbital replacement unit control and postural stability, the relationship between antecedent and consequent movements of an orbital replacement unit, and the relationship between antecedent and consequent postural movements. Finally, we describe our expectations regarding the operational relevance of the empirical results as it pertains to extravehicular activity tools, training, monitoring, and planning.

The Gunite and Associated Tanks Remediation Project Tank Waste Retrieval Performance and Lessons Learned, vol. 1 [of 2

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

Lewis, BE

2003-10-07

The Gunite and Associated Tanks (GAAT) Remediation Project was the first of its kind performed in the United States. Robotics and remotely operated equipment were used to successfully transfer almost 94,000 gal of remote-handled transuranic sludge containing over 81,000 Ci of radioactive contamination from nine large underground storage tanks at the Oak Ridge National Laboratory (ORNL). The sludge was transferred with over 439,000 gal of radioactive waste supernatant and {approx}420,500 gal of fresh water that was used in sluicing operations. The GAATs are located in a high-traffic area of ORNL near a main thoroughfare. A phased and integrated approach tomore » waste retrieval operations was used for the GAAT Remediation Project. The project promoted safety by obtaining experience from low-risk operations in the North Tank Farm before moving to higher-risk operations in the South Tank Farm. This approach allowed project personnel to become familiar with the tanks and waste, as well as the equipment, processes, procedures, and operations required to perform successful waste retrieval. By using an integrated approach to tank waste retrieval and tank waste management, the project was completed years ahead of the original baseline schedule, which resulted in avoiding millions of dollars in associated costs. This report is organized in two volumes. Volume 1 provides information on the various phases of the GAAT Remediation Project. It also describes the different types of equipment and how they were used. The emphasis of Volume 1 is on the description of the tank waste retrieval performance and the lessons learned during the GAAT Remediation Project. Volume 2 provides the appendixes for the report, which include the following information: (A) Background Information for the Gunite and Associated Tanks Operable Unit; (B) Annotated Bibliography; (C) Comprehensive Listing of the Sample Analysis Data from the GAAT Remediation Project; (D) GAAT Equipment Matrix; and (E) Vendor List for the GAAT Remediation Project. The remediation of the GAATs was completed {approx}5.5 years ahead of schedule and {approx}$120,435,000 below the cost estimated in the Remedial Investigation/Feasibility Study for the project. These schedule and cost savings were a direct result of the selection and use of state-of-the-art technologies and the dedication and drive of the engineers, technicians, managers, craft workers, and support personnel that made up the GAAT Remediation Project Team.« less

The Small Aircraft Transportation System (SATS), Higher Volume Operations (HVO) Off-Nominal Operations

NASA Technical Reports Server (NTRS)

Baxley, B.; Williams, D.; Consiglio, M.; Conway, S.; Adams, C.; Abbott, T.

2005-01-01

The ability to conduct concurrent, multiple aircraft operations in poor weather, at virtually any airport, offers an important opportunity for a significant increase in the rate of flight operations, a major improvement in passenger convenience, and the potential to foster growth of charter operations at small airports. The Small Aircraft Transportation System, (SATS) Higher Volume Operations (HVO) concept is designed to increase traffic flow at any of the 3400 nonradar, non-towered airports in the United States where operations are currently restricted to one-in/one-out procedural separation during Instrument Meteorological Conditions (IMC). The concept's key feature is pilots maintain their own separation from other aircraft using procedures, aircraft flight data sent via air-to-air datalink, cockpit displays, and on-board software. This is done within the Self-Controlled Area (SCA), an area of flight operations established during poor visibility or low ceilings around an airport without Air Traffic Control (ATC) services. The research described in this paper expands the HVO concept to include most off-nominal situations that could be expected to occur in a future SATS environment. The situations were categorized into routine off-nominal operations, procedural deviations, equipment malfunctions, and aircraft emergencies. The combination of normal and off-nominal HVO procedures provides evidence for an operational concept that is safe, requires little ground infrastructure, and enables concurrent flight operations in poor weather.

Sunnybrook's matrix organizational model--moving ahead.

PubMed

Ellis, P H; Gaskin, P M

1988-01-01

Traditionally, hospitals have denied the true intricacy of their organization by forcing all reporting relationships into a single structure. To address this complexity, Sunnybrook has developed three independent, yet interrelated, organization dimensions. Three structures--the traditional, the clinical unit and the programmatic dimension--provide a better link of accountability by holding departments responsible for the efficiency of their operations, holding physicians accountable for the resource implication of volume and case mix, and ensuring that the activities of the hospital's departments and clinical units are in line with hospital's overall mission and programs.

Living Together in Space: The Design and Operation of the Life Support Systems on the International Space Station. Volume 1

NASA Technical Reports Server (NTRS)

Wieland, P. O.

1998-01-01

The International Space Station (ISS) incorporates elements designed and developed by an international consortium led by the United States (U.S.), and by Russia. For this cooperative effort to succeed, it is crucial that the designs and methods of design of the other partners are understood sufficiently to ensure compatibility. Environmental Control and Life Support (ECLS) is one system in which functions are performed independently on the Russian Segment (RS) and on the U.S./international segments. This document describes, in two volumes, the design and operation of the ECLS Systems (ECLSS) on board the ISS. This current volume, Volume 1, is divided into three chapters. Chapter 1 is a general overview of the ISS, describing the configuration, general requirements, and distribution of systems as related to the ECLSS, and includes discussion of the design philosophies of the partners and methods of verification of equipment. Chapter 2 describes the U.S. ECLSS and technologies in greater detail. Chapter 3 describes the ECLSS in the European Attached Pressurized Module (APM), Japanese Experiment Module (JEM), and Italian Mini-Pressurized Logistics Module (MPLM). Volume II describes the Russian ECLSS and technologies in greater detail. These documents present thorough, yet concise, descriptions of the ISS ECLSS.

Survey of fish impingement at power plants in the United States. Volume II. Inland waters

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

Freeman, III, Richard F.; Sharma, Rajendra K.

1977-03-01

Impingement of fish at cooling-water intakes of 33 power plants located on inland waters other than the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use ofmore » information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV.« less

Overview of the Life Science Glovebox (LSG) Facility and the Research Performed in the LSG

NASA Technical Reports Server (NTRS)

Cole, J. Michael; Young, Yancy

2016-01-01

The Life Science Glovebox (LSG) is a rack facility currently under development with a projected availability for International Space Station (ISS) utilization in the FY2018 timeframe. Development of the LSG is being managed by the Marshal Space Flight Center (MSFC) with support from Ames Research Center (ARC) and Johnson Space Center (JSC). The MSFC will continue management of LSG operations, payload integration, and sustaining following delivery to the ISS. The LSG will accommodate life science and technology investigations in a "workbench" type environment. The facility has a.Ii enclosed working volume that is held at a negative pressure with respect to the crew living area. This allows the facility to provide two levels of containment for handling Biohazard Level II and lower biological materials. This containment approach protects the crew from possible hazardous operations that take place inside the LSG work volume. Research investigations operating inside the LSG are provided approximately 15 cubic feet of enclosed work space, 350 watts of28Vdc and l IOVac power (combined), video and data recording, and real time downlink. These capabilities will make the LSG a highly utilized facility on ISS. The LSG will be used for biological studies including rodent research and cell biology. The LSG facility is operated by the Payloads Operations Integration Center at MSFC. Payloads may also operate remotely from different telescience centers located in the United States and different countries. The Investigative Payload Integration Manager (IPIM) is the focal to assist organizations that have payloads operating in the LSG facility. NASA provides an LSG qualification unit for payload developers to verify that their hardware is operating properly before actual operation on the ISS. This poster will provide an overview of the LSG facility and a synopsis of the research that will be accomplished in the LSG. The authors would like to acknowledge Ames Research Center, Johnson Space Center, Teledyne Brown Engineering, MOOG-Bradford Engineering and the entire LSG Team for their inputs into this abstract.

Oxidizer heat exchanger component test

NASA Technical Reports Server (NTRS)

Kanic, P. G.

1988-01-01

The RL10-IIB engine, is capable of multimode thrust operation. The engine operates at two low-thrust levels: tank head idle (THI), approximately 1 to 2 percent of full thrust; and pumped idle, 10 percent of full thrust. Operation at THI provides vehicle propellant settling thrust and efficient thermal conditioning; PI operation provides vehicle tank prepressurization and maneuver thrust for low-g deployment. Stable combustion of the RL10-IIB engine during the low-thrust operating modes can be accomplished by using a heat exchanger to supply gaseous oxygen to the propellant injector. The oxidized heat exchanger (OHE) vaporizes the liquid oxygen using hydrogen as the energy source. This report summarizes the test activity and post-test data analysis for two possible heat exchangers, each of which employs a completely different design philosophy. One design makes use of a low-heat transfer (PHT) approach in combination with a volume to attenuate pressure and flow oscillations. The test data showed that the LHT unit satisfied the oxygen exit quality of 0.95 or greater in both the THI and PI modes while maintaining stability. The HHT unit fulfilled all PI requirements; data for THI satisfactory operation is implied from experimental data that straddle the exact THI operating point.

The Gunite and Associated Tanks Remediation Project Tank Waste Retrieval Performance and Lessons Learned, vol. 2 [of 2

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

Lewis, BE

2003-10-07

The Gunite and Associated Tanks (GAAT) Remediation Project was the first of its kind performed in the United States. Robotics and remotely operated equipment were used to successfully transfer almost 94,000 gal of remote-handled transuranic sludge containing over 81,000 Ci of radioactive contamination from nine large underground storage tanks at the Oak Ridge National Laboratory (ORNL). The sludge was transferred with over 439,000 gal of radioactive waste supernatant and {approx}420,500 gal of fresh water that was used in sluicing operations. The GAATs are located in a high-traffic area of ORNL near a main thoroughfare. Volume 1 provides information on themore » various phases of the project and describes the types of equipment used. Volume 1 also discusses the tank waste retrieval performance and the lessons learned during the remediation effort. Volume 2 consists of the following appendixes, which are referenced in Vol. 1: A--Background Information for the Gunite and Associated Tanks Operable Unit; B--Annotated Bibliography; C--GAAT Equipment Matrix; D--Comprehensive Listing of the Sample Analysis Data from the GAAT Remediation Project; and E--Vendor List for the GAAT Remediation Project. The remediation of the GAATs was completed {approx}5.5 years ahead of schedule and {approx}$120,435K below the cost estimated in the Remedial Investigation/Feasibility Study for the project. These schedule and cost savings were a direct result of the selection and use of state-of-the-art technologies and the dedication and drive of the engineers, technicians, managers, craft workers, and support personnel that made up the GAAT Remediation Project Team.« less

Cord Blood Banking and Transplantation in China: A Ten Years Experience of a Single Public Bank.

PubMed

Liu, Jinhui; He, Ji; Chen, Shu; Qin, Fei; Wang, Fang; Xu, Gang; Zhu, Faming; Lv, Hangjun; Yan, Lixing

2012-02-01

BACKGROUND: Umbilical cord blood (UCB) has successfully used for transplantation to treat hematologic malignancies and genetic diseases. Herein, we describe the experience generated in a single public UCB bank at Zhejiang Province in China. METHODS: Good manufacturing practice and standard operating procedures were used to address donor selection as well as UCB collection, processing, and cryopreservation. Total nucleated cells (TNCs), cellular viability, CD34+ cells, and colony-forming units were determined, and infectious diseases screening test, sterility test, and HLA typing for UCB units were done. RESULTS: Only 18.51% of all collected UCB units met storage criteria, and 7,056 UCB units were cryopreserved in 10 years. The volume of UCB units was 95.0 ± 22.0 ml. The number of TNCs before and after processing was 13.32 ± 3.63 × 10(8) and 10.63 ± 2.80 × 10(8), respectively, and the recovery rate was 80.71 ± 11.26%. 0.4344 ± 0.1874% of the TNCs were CD34+ cells. The CFU-GM was 32.1 ± 28.0 colonies per 1 × 10(5) nucleated cells. Based mainly on HLA and nucleated cell content, 26 UCB units were released for transplantation. CONCLUSIONS: A public UCB bank was successfully established in China; collection and processing of UCB units should be optimized in order to gain maximum volume and cell count.

Army Logistician. Volume 34, Issue 1, January-February 2002

DTIC Science & Technology

2002-02-01

Logistics Readiness Support Plan— Marguerite E. Taylor 12 Managing Hellfire Missiles: An Operator’s Perspective —Lieutenant Colonel Paul J. Wood and...College. ARMY LOGISTICIAN PROFESSIONAL BULLETIN OF UNITED STATES ARMY LOGISTICS 9 by Marguerite E. Taylor Munitions Logistics Readiness...deployment, they must embrace the MLRSP. Marguerite E. Taylor is the Operations Support Command’s ammunition liaison officer to the U.S

Journal of Special Operations Medicine. Volume 1, Edition 3, Fall 2001

DTIC Science & Technology

2001-01-01

Visceral Urethritis, Non-Gonococcal Leprosy Vaccine, Adverse Event Leptospirosis Varicella , Active Duty Only Yellow Fever Figure 2...are favorable and sudden changes in local climate. Today, in the United States, these areas closely resemble the cattle drive trails of the Mexico ...Nebraska, New Mexico , Oklahoma, California, Kansas, and Mississippi. Canada is likewise sporadi- cally afflicted. Among the �economically advanced

Multi-Channel, Constant-Current Power Source for Aircraft Applications

DTIC Science & Technology

2017-03-01

Special considerations impacting this design were minimizing volume, maintaining system power quality, and providing electrical fault protection...applications. Electrical loads, such as lighting, de-icing heaters, and actuators may be operated from this compact power conversion unit. Because of the...nature of aircraft systems, two of the most important design considerations are the maintenance of electrical power quality and minimization of weight

Forest inventory and analysis data for FVS modelers

Treesearch

Patrick D. Miles

2008-01-01

The USDA Forest Service, Forest Inventory and Analysis (FIA) program has been in continuous operation for over 70 years. FIA’s primary objective is to determine the extent, condition, volume, growth, and depletion of timber on the Nation’s forest land. To accomplish this objective, FIA collects sample plot information on all ownerships across the United States.

Offpost Operable Unit Remedial Investigation. Final Addendum. Volume 1

DTIC Science & Technology

1992-03-30

41 3.2.1.1.7 Other Volatile Organic Compounds ............. 48 3.2.1.2 Unconfined Flow System Inorganics ..................... 48 3.2.2...Formation Inorganics ........................ 56 3.2.3 Summary of Gas Chromatography/Mass Spectroscopy Results ......... 58 3.2.4 Summary of Quality...WATER CONTAMINATION ...... 64 4.1.1 O rganic Com pounds ........................................ 65 4.1.2 Inorganic Constituents

Superfund Technology Evaluation Report: SITE Program Demonstration Test Shirco Pilot-Scale Infrared Incineration System at the Rose Township Demode Road Superfund Site Volume I

EPA Science Inventory

The Shirco Pilot-Scale Infrared Incineration System was evaluated during a series of seventeen test runs under varied operating conditions at the Demode Road Superfund Site located in Rose Township, Michigan. The tests sought to demonstrate the effectiveness of the unit and the t...

Self-built supercritical CO2 anti-solvent unit design, construction and operation using carbamazepine.

PubMed

Meng, Dan; Falconer, James; Krauel-Goellner, Karen; Chen, John J J J; Farid, Mohammed; Alany, Raid G

2008-01-01

The purpose of this study was to design and build a supercritical CO(2) anti-solvent (SAS) unit and use it to produce microparticles of the class II drug carbamazepine. The operation conditions of the constructed unit affected the carbamazepine yield. Optimal conditions were: organic solution flow rate of 0.15 mL/min, CO(2) flow rate of 7.5 mL/min, pressure of 4,200 psi, over 3,000 s and at 33 degrees C. The drug solid-state characteristics, morphology and size distribution were examined before and after processing using X-ray powder diffraction and differential scanning calorimetry, scanning electron microscopy and laser diffraction particle size analysis, respectively. The in vitro dissolution of the treated particles was investigated and compared to that of untreated particles. Results revealed a change in the crystalline structure of carbamazepine with different polymorphs co-existing under various operation conditions. Scanning electron micrographs showed a change in the crystalline habit from the prismatic into bundled whiskers, fibers and filaments. The volume weighted diameter was reduced from 209 to 29 mum. Furthermore, the SAS CO(2) process yielded particles with significantly improved in vitro dissolution. Further research is needed to optimize the operation conditions of the self-built unit to maximize the production yield and produce a uniform polymorphic form of carbamazepine.

A Comparison of Two Fat Grafting Methods on Operating Room Efficiency and Costs.

PubMed

Gabriel, Allen; Maxwell, G Patrick; Griffin, Leah; Champaneria, Manish C; Parekh, Mousam; Macarios, David

2017-02-01

Centrifugation (Cf) is a common method of fat processing but may be time consuming, especially when processing large volumes. To determine the effects on fat grafting time, volume efficiency, reoperations, and complication rates of Cf vs an autologous fat processing system (Rv) that incorporates fat harvesting and processing in a single unit. We performed a retrospective cohort study of consecutive patients who underwent autologous fat grafting during reconstructive breast surgery with Rv or Cf. Endpoints measured were volume of fat harvested (lipoaspirate) and volume injected after processing, time to complete processing, reoperations, and complications. A budget impact model was used to estimate cost of Rv vs Cf. Ninety-eight patients underwent fat grafting with Rv, and 96 patients received Cf. Mean volumes of lipoaspirate (506.0 vs 126.1 mL) and fat injected (177.3 vs 79.2 mL) were significantly higher (P < .0001) in the Rv vs Cf group, respectively. Mean time to complete fat grafting was significantly shorter in the Rv vs Cf group (34.6 vs 90.1 minutes, respectively; P < .0001). Proportions of patients with nodule and cyst formation and/or who received reoperations were significantly less in the Rv vs Cf group. Based on these outcomes and an assumed per minute operating room cost, an average per patient cost savings of $2,870.08 was estimated with Rv vs Cf. Compared to Cf, the Rv fat processing system allowed for a larger volume of fat to be processed for injection and decreased operative time in these patients, potentially translating to cost savings. LEVEL OF EVIDENCE 3. © 2016 The American Society for Aesthetic Plastic Surgery, Inc.

Design study of wind turbines 50 kW to 3000 kW for electric utility applications. Volume 1: Summary report

NASA Technical Reports Server (NTRS)

1976-01-01

Wind turbine configurations that would lead to generation of electrical power in a cost effective manner were considered. All possible overall system configurationss, operating modes, and sybsystem concepts were evaluated for both technical feasibility and compatibility with utility networks, as well as for economic attractiveness. A design optimization computer code was developed to determine the cost sensitivity of the various design features, and thus establish the configuration and design conditions that would minimize the generated energy costs. The preliminary designs of both a 500 kW unit and a 1500 kW unit operating in a 12 mph and 18 mph median wind speed respectively, were developed. The rationale employed and the key findings are summarized.

Development and Evaluation of the Habitat Demonstration Unit Medical Operations Workstation and Opportunities for Future Research

NASA Technical Reports Server (NTRS)

Howard, Robert L., Jr.

2012-01-01

As NASA develops missions to leave Earth orbit and explore distant destinations (Mars, Moon, Asteroids) it is necessary to rethink human spaceflight paradigms in the life sciences. Standards developed for low earth orbit human spaceflight may not be fully applicable and in-space research may be required to develop new standards. Preventative and emergency medical care may require new capabilities never before used in space. Due to spacecraft volume limitations, this work area may also be shared with various animal and plant life science research. This paper explores the prototype Medical Operations Workstation within the NASA Habitat Demonstration Unit and discusses some of the lessons learned from field analogue missions involving the workstation. Keywords: Exploration, medical, health, crew, injury emergency, biology, animal, plant, science, preventative, emergency.

Al Sahawa - The Awakening, Volume 4-A: Area of Operations Topeka, East Ramadi and the Shark Fins

DTIC Science & Technology

2016-08-01

was the neighborhood leader, where are your engineers, where are your electricians, where are your guys who used to operate these dump trucks? Where...have meant a lot to a lot of guys. But, that just wasn’t in the cards . I think we ended up getting an overall Navy Unit Citation, kind of with all...rechargeable minutes for the Thuraya phone. We couldn’t buy any of these rechargeable phone cards , because they were not allowed to be sold in the market

Al Sahawa-The Awakening Volume 4-A: Area of Operations Topeka, East Ramadi and the Shark Fins

DTIC Science & Technology

2016-08-01

the neighborhood leader, where are your engineers, where are your electricians, where are your guys who used to operate these dump trucks? Where are...meant a lot to a lot of guys. But, that just wasn’t in the cards . I think we ended up getting an overall Navy Unit Citation, kind of with all of the...minutes for the Thuraya phone. We couldn’t buy any of these rechargeable phone cards , because they were not allowed to be sold in the market. The only

Energy Dissipation of Rayleigh Waves due to Absorption Along the Path by the Use of Finite Element Method

DTIC Science & Technology

1979-07-31

3 x 3 t Strain vector a ij,j Space derivative of the stress tensor Fi Force vector per unit volume o Density x CHAPTER III F Total force K Stiffness...matrix 6Vector displacements M Mass matrix B Space operating matrix DO Matrix moduli 2 x 3 DZ Operating matrix in Z direction N Matrix of shape...dissipating medium the deformation of a solid is a function of time, temperature and space . Creep phenomenon is a deformation process in which there is

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

Richardson, B.; Robinson, B.; Mosher, T.

From 1982 through 1986, Philadelphia Electric Company (PECo) hosted the test of a communication system proposed for distribution automation and load management. The system included a utility control center (UCC), a broadcast interface unit in the AM station transmitter, and receiving units. To implement two-way communications, transmitters operating in the VHF spectrum at 154.463750 MHz were coupled with AM receivers. The VHF signal was received by four central receivers installed in the PECo service territory, and communicated to the UCC by either microwave or telephone links. The AM carrier signal provided communications and a synchronous time reference for the communicationmore » system. Station WCAU, 1210 kHz, was the broadcaster for the test. The test results confirmed the effectiveness of the AM broadcast link. However, in this particular implementation, the VHF link fell short of both expectation and acceptablity for return-path communications. The data is summarized and discussed in Volume I, and presented with additional detail in Volume II. A communications system consultant developed analytical models for the AM and VHF signal paths, and analyzed the data with respect to the models. Volume I of the two-volume report describes the communications system in general, presents the major data interpretations and conclusions, and describes the chronology and background for the project. It must be read and understood as a prerequisite for studying the information in Volume II. 14 figs., 1 tab.« less

Cambodian Basic Course; Volume Two, Units 46-90.

ERIC Educational Resources Information Center

Suos, Someth; And Others

Volume Two of this course is comprised of units 46-90 and a Cambodian-to-English Glossary for both Volume One and Volume Two. The units are made up of dialogs, narrations, and various kinds of pattern drills. All Cambodian material is written in Cambodian script. The Glossary gives both a short English equivalent and a unit number reference for…

Conducting water chemistry of the secondary coolant circuit of VVER-based nuclear power plant units constructed without using copper containing alloys

NASA Astrophysics Data System (ADS)

Tyapkov, V. F.

2014-07-01

The secondary coolant circuit water chemistry with metering amines began to be put in use in Russia in 2005, and all nuclear power plant units equipped with VVER-1000 reactors have been shifted to operate with this water chemistry for the past seven years. Owing to the use of water chemistry with metering amines, the amount of products from corrosion of structural materials entering into the volume of steam generators has been reduced, and the flow-accelerated corrosion rate of pipelines and equipment has been slowed down. The article presents data on conducting water chemistry in nuclear power plant units with VVER-1000 reactors for the secondary coolant system equipment made without using copper-containing alloys. Statistical data are presented on conducting ammonia-morpholine and ammonia-ethanolamine water chemistries in new-generation operating power units with VVER-1000 reactors with an increased level of pH. The values of cooling water leaks in turbine condensers the tube system of which is made of stainless steel or titanium alloy are given.

Extruder system for high-throughput/steady-state hydrogen ice supply and application for pellet fueling of reactor-scale fusion experiments

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

Combs, S.K.; Foust, C.R.; Qualls, A.L.

Pellet injection systems for the next-generation fusion devices, such as the proposed International Thermonuclear Experimental Reactor (ITER), will require feed systems capable of providing a continuous supply of hydrogen ice at high throughputs. A straightforward concept in which multiple extruder units operate in tandem has been under development at the Oak Ridge National Laboratory. A prototype with three large-volume extruder units has been fabricated and tested in the laboratory. In experiments, it was found that each extruder could provide volumetric ice flow rates of up to {approximately}1.3 cm{sup 3}/s (for {approximately}10 s), which is sufficient for fueling fusion reactors atmore » the gigawatt power level. With the three extruders of the prototype operating in sequence, a steady rate of {approximately}0.33 cm{sup 3}/s was maintained for a duration of 1 h. Even steady-state rates approaching the full ITER design value ({approximately}1 cm{sup 3}/s) may be feasible with the prototype. However, additional extruder units (1{endash}3) would facilitate operations at the higher throughputs and reduce the duty cycle of each unit. The prototype can easily accommodate steady-state pellet fueling of present large tokamaks or other near-term plasma experiments.« less

Severe and fatal obstetric injury claims in relation to labor unit volume.

PubMed

Milland, Maria; Mikkelsen, Kim L; Christoffersen, Jens K; Hedegaard, Morten

2015-05-01

To assess possible association between the incidence of approved claims for severe and fatal obstetric injuries and delivery volume in Denmark. A nationwide panel study of labor units. Claimants seeking financial compensation due to injuries occurring in labor units in 1995-2012. Exposure information regarding the annual number of deliveries per labor unit was retrieved from the Danish National Birth Register. Outcome information was retrieved from the Danish Patient Compensation Association. Exposure was categorized in delivery volume quintiles as annual volume per labor unit: (10-1377), (1378-2016), (2017-2801), (2802-3861), (3862-6659). Five primary measures of outcome were used. Incidence rate ratios of (A) Submitted claims, (B) Approved claims, (C) Approved severe injury claims (120% degree of disability), (D) Approved fatal injury claims, and (C+D) Combined. 1 151 734 deliveries in 51 labor units and 1872 submitted claims were included. The incidence rate ratios of approved claims overall, of approved fatal injury claims, and of approved severe and fatal injuries combined increased significantly with decreasing annual delivery volume. Face value incidence rate ratios of approved severe injuries increased with decreasing labor unit volume, but the association did not reach statistical significance. High volume labor units appear associated with fewer approved and fewer fatal injury claims compared with units with less volume. The findings support the development towards consolidation of units in Denmark. A suggested option would be to tailor obstetric patient safety initiatives according to the delivery volume of individual labor units. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

Splitting blood and blood product packaging reduces donor exposure for patients undergoing cardiopulmonary bypass.

PubMed

Nuszkowski, M M; Jonas, R A; Zurakowski, D; Deutsch, N

2015-11-01

Cardiopulmonary bypass for congenital heart surgery requires packed red cells (PRBC) and fresh frozen plasma (FFP) to be available, both for priming of the circuit as well as to replace blood loss. This study examines the hypothesis that splitting one unit of packed red blood cells and one unit of fresh frozen plasma into two half units reduces blood product exposure and wastage in the Operating Room. Beginning August 2013, the blood bank at Children's National Medical Center began splitting one unit of packed red blood cells (PRBC) and one unit of fresh frozen plasma (FFP) for patients undergoing cardiopulmonary bypass (CPB). The 283 patients who utilized CPB during calendar year 2013 were divided into 2 study groups: before the split and after the split. The principal endpoints were blood product usage and donor exposure intra-operatively and within 72 hours post-operatively. There was a significant decrease in median total donor exposures for FFP and cryoprecipitate from 5 to 4 per case (p = 0.007, Mann-Whitney U-test). However, there was no difference in the volume of blood and blood products used; in fact, there was a significant increase in the amount of FFP that was wasted with the switch to splitting the unit of FFP. We found that modification of blood product packaging can decrease donor exposure. Future investigation is needed as to how to modify packaging to minimize wastage. © The Author(s) 2015.

Transfer of a three step mAb chromatography process from batch to continuous: Optimizing productivity to minimize consumable requirements.

PubMed

Gjoka, Xhorxhi; Gantier, Rene; Schofield, Mark

2017-01-20

The goal of this study was to adapt a batch mAb purification chromatography platform for continuous operation. The experiments and rationale used to convert from batch to continuous operation are described. Experimental data was used to design chromatography methods for continuous operation that would exceed the threshold for critical quality attributes and minimize the consumables required as compared to batch mode of operation. Four unit operations comprising of Protein A capture, viral inactivation, flow-through anion exchange (AEX), and mixed-mode cation exchange chromatography (MMCEX) were integrated across two Cadence BioSMB PD multi-column chromatography systems in order to process a 25L volume of harvested cell culture fluid (HCCF) in less than 12h. Transfer from batch to continuous resulted in an increase in productivity of the Protein A step from 13 to 50g/L/h and of the MMCEX step from 10 to 60g/L/h with no impact on the purification process performance in term of contaminant removal (4.5 log reduction of host cell proteins, 50% reduction in soluble product aggregates) and overall chromatography process yield of recovery (75%). The increase in productivity, combined with continuous operation, reduced the resin volume required for Protein A and MMCEX chromatography by more than 95% compared to batch. The volume of AEX membrane required for flow through operation was reduced by 74%. Moreover, the continuous process required 44% less buffer than an equivalent batch process. This significant reduction in consumables enables cost-effective, disposable, single-use manufacturing. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

Subsystems component definitions summary program

NASA Technical Reports Server (NTRS)

Scott, A. Don; Thomas, Carolyn C.; Simonsen, Lisa C.; Hall, John B., Jr.

1991-01-01

A computer program, the Subsystems Component Definitions Summary (SUBCOMDEF), was developed to provide a quick and efficient means of summarizing large quantities of subsystems component data in terms of weight, volume, resupply, and power. The program was validated using Space Station Freedom Program Definition Requirements Document data for the internal and external thermal control subsystem. Once all component descriptions, unit weights and volumes, resupply, and power data are input, the user may obtain a summary report of user-specified portions of the subsystem or of the entire subsystem as a whole. Any combination or all of the parameters of wet and dry weight, wet and dry volume, resupply weight and volume, and power may be displayed. The user may vary the resupply period according to individual mission requirements, as well as the number of hours per day power consuming components operate. Uses of this program are not limited only to subsystem component summaries. Any applications that require quick, efficient, and accurate weight, volume, resupply, or power summaries would be well suited to take advantage of SUBCOMDEF's capabilities.

Development and Design of Zero-g Liquid Quantity Gauge for Solar Thermal Vehicle

NASA Technical Reports Server (NTRS)

Dodge, Franklin T.; Green, Steven T.; Petullo, Steven P.; VanDresar, Neil T.

2002-01-01

The development and design of a cryogenic liquid quantity gauge for zero-gravity (zero-g) applications are described. The gauge, named the compression mass gauge (CMG), operates on the principle of slightly changing the volume of the tank by an oscillating bellows. The resulting pressure change is measured and used to predict the volume of vapor in the tank, from which the volume of liquid is computed. For each gauging instance, pressures are measured for several different bellows frequencies to enable minor real-gas effects to be quantified and thereby to obtain a gauging accuracy of 11 percent of tank volume. The CMG has been selected by NASA's Future-X program for a flight demonstration on the United States Air Force-Boeing Solar Orbit Transfer Vehicle Space Experiment (SOTVSE). This report reviews the design trade studies needed for the CMG to satisfy the SOTVSE limitations on its power, volume, and mass and also describes the mechanical design of the CMG.

Studies based on global subsurface radar sounding of the Moon by SELENE (Kaguya) Lunar Radar Sounder (LRS): A summary

NASA Astrophysics Data System (ADS)

Kumamoto, A.; Yamaguchi, Y.; Yamaji, A.; Kobayashi, T.; Oshigami, S.; Ishiyama, K.; Nakamura, N.; Goto, Y.

2015-12-01

The Lunar Radar Sounder (LRS) onboard the SELENE (Kaguya) spacecraft has successfully performed radar sounder observations of the lunar subsurface structures and passive observations of natural radio and plasma waves from the lunar orbit. After the transfer of the spacecraft into the final lunar orbit and antenna deployment, the operation of LRS started on October 29, 2007. Through the operation until June 10, 2009, 130 million pulses worth of radar sounder data have been obtained [Ono et al., 2010]. Based on the datasets of the first lunar global subsurface radar sounding, Ono et al. [2009] revealed that there are distinct reflectors at a depth of several hundred meters in the nearside maria, which are inferred to be buried regolith layers covered by a basalt layer with a thickness of several hundred meters. Based on the further survey, Pommerol et al. [2010] pointed out the negative correlation of clear subsurface echoes with the maps of ilmenite, and suggested that dense ilmenite attenuates the radar pulse in the basaltic mare lava, and cause the absence of the clear subsurface echoes. That also suggests there are undetected subsurface reflectors especially below the young lava flow units with high ilmenite abundance. Kobayashi et al. [2012] applied synthetic aperture radar (SAR) processing to SELENE LRS data in order to obtain distinct radargram. Taking advantage of analyzing waveform data sent via high data rate telemetry from the Moon, we can perform advanced data analyses on the ground. We started providing the both SAR processed and waveform datasets via SELENE Data Archive (http://l2db.selene.darts.isas.jaxa.jp/index.html.en) since 2015. Oshigami et al. [2014] estimated volumes of basalt units in the ages of 2.7 Ga to 3.8 Ga in the nearside maria. The volume was derived from the depth of subsurface reflectors measured by LRS. The volumes of the geologic units were 103 to 104 km3. The average eruption rates were 10-5 to 10-3 km3 yr-1. The estimated volumes of the geologic mare units and average eruption rate showed clear positive correlations with their ages. In the presentation, we are going to review not only the studies mentioned above but also some recent studies such as Ishiyama et al. [2013], and Bando et al. [2015].

College Counseling in High Schools: Advising State Policy. The Progress of Education Reform. Volume 15, Number 6

ERIC Educational Resources Information Center

Zinth, Jennifer Dounay

2014-01-01

In recent years, many states have set ambitious postsecondary completion or attainment goals, driven in part by concerns that other OECD (Organisation for Economic Co-operation and Development) nations are outpacing the United States in the number of adults holding a postsecondary credential. While the U.S. has made modest gains since 2000 in the…

Pacific Pediatric Advanced Care Initiative

DTIC Science & Technology

2010-10-01

cracked stopcock on the venous side c. Air introduced from medications infusing into the patient via a central venous line 6. After you have made sure...stopcock or pigtail. Withdraw volume to make venous pressures more negative History : Day 3 for a newborn infant with Group B sepsis. Eveything has...clinical laboratories, operating room, central supply, pharmacy, respiratory care, Neonatal Intensive Care Unit (NICU) nursing, Pediatric Intensive

Membrane device and process for mass exchange, separation, and filtration

DOEpatents

Liu, Wei; Canfield, Nathan L.

2016-11-15

A membrane device and processes for fabrication and for using are disclosed. The membrane device may include a number of porous metal membranes that provide a high membrane surface area per unit volume. The membrane device provides various operation modes that enhance throughput and selectivity for mass exchange, mass transfer, separation, and/or filtration applications between feed flow streams and permeate flow streams.

The TMI regenerable solid oxide fuel cell

NASA Technical Reports Server (NTRS)

Cable, Thomas L.

1995-01-01

Energy storage and production in space requires rugged, reliable hardware which minimizes weight, volume, and maintenance while maximizing power output and usable energy storage. These systems generally consist of photovoltaic solar arrays which operate during sunlight cycles to provide system power and regenerate fuel (hydrogen) via water electrolysis; during dark cycles, hydrogen is converted by the fuel cell into system. The currently preferred configuration uses two separate systems (fuel cell and electrolyzer) in conjunction with photovoltaic cells. Fuel cell/electrolyzer system simplicity, reliability, and power-to-weight and power-to-volume ratios could be greatly improved if both power production (fuel cell) and power storage (electrolysis) functions can be integrated into a single unit. The Technology Management, Inc. (TMI), solid oxide fuel cell-based system offers the opportunity to both integrate fuel cell and electrolyzer functions into one unit and potentially simplify system requirements. Based an the TMI solid oxide fuel cell (SOPC) technology, the TMI integrated fuel cell/electrolyzer utilizes innovative gas storage and operational concepts and operates like a rechargeable 'hydrogen-oxygen battery'. Preliminary research has been completed on improved H2/H2O electrode (SOFC anode/electrolyzer cathode) materials for solid oxide, regenerative fuel cells. Improved H2/H2O electrode materials showed improved cell performance in both fuel cell and electrolysis modes in reversible cell tests. ln reversible fuel cell/electrolyzer mode, regenerative fuel cell efficiencies (ratio of power out (fuel cell mode) to power in (electrolyzer model)) improved from 50 percent (using conventional electrode materials) to over 80 percent. The new materials will allow the TMI SOFC system to operate as both the electrolyzer and fuel cell in a single unit. Preliminary system designs have also been developed which indicate the technical feasibility of using the TMI SOFC technology for space applications with high energy storage efficiencies and high specific energy. Development of small space systems would also have potential dual-use, terrestrial applications.

The TMI regenerable solid oxide fuel cell

NASA Astrophysics Data System (ADS)

Cable, Thomas L.

1995-04-01

Energy storage and production in space requires rugged, reliable hardware which minimizes weight, volume, and maintenance while maximizing power output and usable energy storage. These systems generally consist of photovoltaic solar arrays which operate during sunlight cycles to provide system power and regenerate fuel (hydrogen) via water electrolysis; during dark cycles, hydrogen is converted by the fuel cell into system. The currently preferred configuration uses two separate systems (fuel cell and electrolyzer) in conjunction with photovoltaic cells. Fuel cell/electrolyzer system simplicity, reliability, and power-to-weight and power-to-volume ratios could be greatly improved if both power production (fuel cell) and power storage (electrolysis) functions can be integrated into a single unit. The Technology Management, Inc. (TMI), solid oxide fuel cell-based system offers the opportunity to both integrate fuel cell and electrolyzer functions into one unit and potentially simplify system requirements. Based an the TMI solid oxide fuel cell (SOPC) technology, the TMI integrated fuel cell/electrolyzer utilizes innovative gas storage and operational concepts and operates like a rechargeable 'hydrogen-oxygen battery'. Preliminary research has been completed on improved H2/H2O electrode (SOFC anode/electrolyzer cathode) materials for solid oxide, regenerative fuel cells. Improved H2/H2O electrode materials showed improved cell performance in both fuel cell and electrolysis modes in reversible cell tests. ln reversible fuel cell/electrolyzer mode, regenerative fuel cell efficiencies (ratio of power out (fuel cell mode) to power in (electrolyzer model)) improved from 50 percent (using conventional electrode materials) to over 80 percent. The new materials will allow the TMI SOFC system to operate as both the electrolyzer and fuel cell in a single unit. Preliminary system designs have also been developed which indicate the technical feasibility of using the TMI SOFC technology for space applications with high energy storage efficiencies and high specific energy. Development of small space systems would also have potential dual-use, terrestrial applications.

Design study of wind turbines 50 kW to 3000 kW for electric utility applications. Volume 2: Analysis and design

NASA Technical Reports Server (NTRS)

1976-01-01

All possible overall system configurations, operating modes, and subsystem concepts for a wind turbine configuration for cost effective generation of electrical power were evaluated for both technical feasibility and compatibility with utility networks, as well as for economic attractiveness. A design optimization computer code was developed to determine the cost sensitivity of the various design features, and thus establish the configuration and design conditions that would minimize the generated energy costs. The preliminary designs of both a 500 kW unit and a 1500 kW unit operating in a 12 mph and 18 mph median wind speed respectively, were developed. The various design features and components evaluated are described, and the rationale employed to select the final design configuration is given. All pertinent technical performance data and component cost data is included. The costs of all major subassemblies are estimated and the resultant energy costs for both the 500 kW and 1500 kW units are calculated.

Miniature interferometer terminals for earth surveying

NASA Technical Reports Server (NTRS)

Counselman, C. C., III; Shapiro, I. I.

1978-01-01

A system of miniature radio interferometer terminals was proposed for the measurement of vector baselines with uncertainties ranging from the millimeter to the centimeter level for baseline lengths ranging, respectively, from a few to a few hundred kilometers. Each terminal would have no moving parts, could be packaged in a volume of less than 0.1 cu m, and would operate unattended. These units would receive radio signals from low-power (10 w) transmitters on earth-orbiting satellites. The baselines between units could be determined virtually instantaneously and monitored continuously as long as at least four satellites were visible simultaneously.

Space Congress, 29th, Cocoa Beach, FL, Apr. 21-24, 1992, Proceedings

NASA Technical Reports Server (NTRS)

1992-01-01

The present volume on the quest for new frontiers in space discusses weather impacts on space operations, planning for the performance of future space bases, a new guidance and control unit for the Titan IV vehicle, and nondestructive evaluation of Shuttle Columbia tiles. Attention is given to Space Shuttle payload accommodations and trends in customer demands, a generic propellants transfer unit, making space part of general education, space station on-orbit solar array loads during assembly, and dimensional stability of the attitude reference assembly on SSF. Topics addressed include National Launch System payload accommodations and launch operations, the integrated factory/launch site processing concept, Pioneer 10 interstellar studies, and the role of advanced nuclear propulsion systems in precursor interstellar missions. Also discussed are legal challenges in realizing interstellar initiatives, Mars transportation system synthesis, and NASA's commercial space program.

Evaluation of application for approval of alternative methodology for compliance with the NESHAP for shipbuilding and ship repair and recommended requirements for compliance (application submitted by Metro Machine Corporation, Norfolk, Virginia). Final report

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

Serageldin, M.A.

1999-07-01

The US Environmental Protection Agency is providing background information that supports the use of Metro Machine Corporation`s (MMC) compliant all position enclosure (CAPE) plus air management system and regenerative thermal oxidizer (RTO) (CAPE + RTO System) as an alternative means of limiting the emissions of volatile organic hazardous air pollutants per volume of applied solids (nonvolatiles). This document also explains how the authors arrived at the operating, recordkeeping, and reporting conditions that MMC must meet for approval. The add-on control system they used consists of a pollution capture unit operation (CAPE) plus air management system and a destruction unit operationmore » (RTO). When operated according to the specified procedures, it will control emissions to a level no greater than that from using coatings which comply with the limits in Table 2 of 40 CFR Part 63, Subpart II.« less

Patient management following uncomplicated elective gastrointestinal operations.

PubMed

D'Costa, H; Taylor, E W

1990-12-01

The management of patients after uncomplicated elective gastrointestinal operations is frequently left to junior members of the surgical team once they have learnt their seniors' regimens. The use of nasogastric (N/G) tubes, the volume of intravenous (IV) fluid replacement and the reintroduction of oral fluids and solids are topics not generally covered in the surgical textbooks and so are learnt in hospital. A postal survey of all consultant general surgeons in Scotland was conducted to assess the variations in management of patients after cholecystectomy, right haemicolectomy and sigmoid colectomy. A completed questionnaire was received from 111 (81%) of the surgeons circulated. As might be expected, patient management varied widely from surgeon to surgeon, and from unit to unit. There would appear to be a need for prospective studies in this area of patient management. This may indicate that the use of N/G tubes could be further reduced and that oral fluids and solids could be reintroduced sooner after operation with improved patient comfort and reduced hospital stay, yet without detriment to patient care.

An Overview of the Microgravity Science Glovebox (MSG) Facility and the Research Performed in the MSG on the International Space Station (ISS)

NASA Technical Reports Server (NTRS)

Jordan, Lee P.

2013-01-01

The Microgravity Science Glovebox (MSG) is a rack facility aboard the International Space Station (ISS) designed for investigation handling. The MSG was built by the European Space Agency (ESA) which also provides sustaining engineering support for the facility. The MSG has been operating on the ISS since July 2002 and is currently located in the US Laboratory Module. The unique design of the facility allows it to accommodate science and technology investigations in a "workbench" type environment. The facility has an enclosed working volume that is held at a negative pressure with respect to the crew living area. This allows the facility to provide two levels of containment for small parts, particulates, fluids, and gases. This containment approach protects the crew from possible hazardous operations that take place inside the MSG work volume. Research investigations operating inside the MSG are provided a large 255 liter enclosed work space, 1000 watts of dc power via a versatile supply interface (120, 28, +/- 12, and 5 Vdc), 1000 watts of cooling capability, video and data recording and real time downlink, ground commanding capabilities, access to ISS Vacuum Exhaust and Vacuum Resource Systems, and gaseous nitrogen supply. These capabilities make the MSG one of the most utilized facilities on ISS. The MSG has been used for over 14500 hours of scientific payload operations. MSG investigations involve research in cryogenic fluid management, fluid physics, spacecraft fire safety, materials science, combustion, plant growth, and life support technology. The MSG facility is operated by the Payloads Operations Integration Center at Marshall Space flight Center. Payloads may also operate remotely from different telescience centers located in the United States and Europe. The investigative Payload Integration Manager (iPIM) is the focal to assist organizations that have payloads operating in the MSG facility. NASA provides an MSG engineering unit for payload developers to verify that their hardware is operating properly before actual operation on the ISS. This paper will provide an overview of the MSG facility, a synopsis of the research that has already been accomplished in the MSG, and an overview of video and biological upgrades.

University of California, Irvine, Student Affirmative Action Five-Year Plan and Planning Process, 1984-1988. Volume II.

ERIC Educational Resources Information Center

Galligani, Dennis J.

This second volume of the University of California, Irvine (UCI), Student Affirmative Action (SAA) Five-Year Plan contains the complete student affirmative action plans as submitted by 33 academic and administrative units at UCI. The volume is organized by type of unit: academic units, academic retention units, outreach units, and student life…

Automated processing of whole blood units: operational value and in vitro quality of final blood components

PubMed Central

Jurado, Marisa; Algora, Manuel; Garcia-Sanchez, Félix; Vico, Santiago; Rodriguez, Eva; Perez, Sonia; Barbolla, Luz

2012-01-01

Background The Community Transfusion Centre in Madrid currently processes whole blood using a conventional procedure (Compomat, Fresenius) followed by automated processing of buffy coats with the OrbiSac system (CaridianBCT). The Atreus 3C system (CaridianBCT) automates the production of red blood cells, plasma and an interim platelet unit from a whole blood unit. Interim platelet unit are pooled to produce a transfusable platelet unit. In this study the Atreus 3C system was evaluated and compared to the routine method with regards to product quality and operational value. Materials and methods Over a 5-week period 810 whole blood units were processed using the Atreus 3C system. The attributes of the automated process were compared to those of the routine method by assessing productivity, space, equipment and staffing requirements. The data obtained were evaluated in order to estimate the impact of implementing the Atreus 3C system in the routine setting of the blood centre. Yield and in vitro quality of the final blood components processed with the two systems were evaluated and compared. Results The Atreus 3C system enabled higher throughput while requiring less space and employee time by decreasing the amount of equipment and processing time per unit of whole blood processed. Whole blood units processed on the Atreus 3C system gave a higher platelet yield, a similar amount of red blood cells and a smaller volume of plasma. Discussion These results support the conclusion that the Atreus 3C system produces blood components meeting quality requirements while providing a high operational efficiency. Implementation of the Atreus 3C system could result in a large organisational improvement. PMID:22044958

Automated processing of whole blood units: operational value and in vitro quality of final blood components.

PubMed

Jurado, Marisa; Algora, Manuel; Garcia-Sanchez, Félix; Vico, Santiago; Rodriguez, Eva; Perez, Sonia; Barbolla, Luz

2012-01-01

The Community Transfusion Centre in Madrid currently processes whole blood using a conventional procedure (Compomat, Fresenius) followed by automated processing of buffy coats with the OrbiSac system (CaridianBCT). The Atreus 3C system (CaridianBCT) automates the production of red blood cells, plasma and an interim platelet unit from a whole blood unit. Interim platelet unit are pooled to produce a transfusable platelet unit. In this study the Atreus 3C system was evaluated and compared to the routine method with regards to product quality and operational value. Over a 5-week period 810 whole blood units were processed using the Atreus 3C system. The attributes of the automated process were compared to those of the routine method by assessing productivity, space, equipment and staffing requirements. The data obtained were evaluated in order to estimate the impact of implementing the Atreus 3C system in the routine setting of the blood centre. Yield and in vitro quality of the final blood components processed with the two systems were evaluated and compared. The Atreus 3C system enabled higher throughput while requiring less space and employee time by decreasing the amount of equipment and processing time per unit of whole blood processed. Whole blood units processed on the Atreus 3C system gave a higher platelet yield, a similar amount of red blood cells and a smaller volume of plasma. These results support the conclusion that the Atreus 3C system produces blood components meeting quality requirements while providing a high operational efficiency. Implementation of the Atreus 3C system could result in a large organisational improvement.

Development and testing of laser Doppler system components for wake vortex monitoring. Volume 1: Scanner development, laboratory and field testing and system modeling

NASA Technical Reports Server (NTRS)

Wilson, D. J.; Krause, M. C.; Coffey, E. W.; Huang, C. C.; Edwards, B. B.; Shrider, K. R.; Jetton, J. L.; Morrison, L. K.

1974-01-01

A servo-controlled range/elevation scanner for the laser Doppler velocimeter (LDV) was developed and tested in the field to assess its performance in detecting and monitoring aircraft trailing vortices in an airport environment. The elevation scanner provides a capability to manually point the LDV telescope at operator chosen angles from 3.2 deg. to 89.6 deg within 0.2 deg, or to automatically scan the units between operator chosen limits at operator chosen rates of 0.1 Hz to 0.5 Hz. The range scanner provides a capability to manually adjust the focal point of the system from a range of 32 meters to a range of 896 meters under operator control, or to scan between operator chosen limits and at rates from 0.1 Hz to 6.9 Hz. The scanner controls are designed to allow simulataneous range and elevation scanning so as to provide finger scan patterns, arc scan patterns, and vertical line scan patterns. The development and testing of the unit is discussed, along with a fluid dynamic model of the wake vortex developed in a laser Doppler vortex sensor simulation program.

Characteristics and Energy Use of Volume Servers in the United States

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

Fuchs, H.; Shehabi, A.; Ganeshalingam, M.

Servers’ field energy use remains poorly understood, given heterogeneous computing loads, configurable hardware and software, and operation over a wide range of management practices. This paper explores various characteristics of 1- and 2-socket volume servers that affect energy consumption, and quantifies the difference in power demand between higher-performing SPEC and ENERGY STAR servers and our best understanding of a typical server operating today. We first establish general characteristics of the U.S. installed base of volume servers from existing IDC data and the literature, before presenting information on server hardware configurations from data collection events at a major online retail website.more » We then compare cumulative distribution functions of server idle power across three separate datasets and explain the differences between them via examination of the hardware characteristics to which power draw is most sensitive. We find that idle server power demand is significantly higher than ENERGY STAR benchmarks and the industry-released energy use documented in SPEC, and that SPEC server configurations—and likely the associated power-scaling trends—are atypical of volume servers. Next, we examine recent trends in server power draw among high-performing servers across their full load range to consider how representative these trends are of all volume servers before inputting weighted average idle power load values into a recently published model of national server energy use. Finally, we present results from two surveys of IT managers (n=216) and IT vendors (n=178) that illustrate the prevalence of more-efficient equipment and operational practices in server rooms and closets; these findings highlight opportunities to improve the energy efficiency of the U.S. server stock.« less

Experimental study of main rotor/tail rotor/airframe interactions in hover. Volume 1: Text and figures

NASA Technical Reports Server (NTRS)

Balch, D. T.; Saccullo, A.; Sheehy, T. W.

1983-01-01

To assist in identifying and quantifying the relevant parameters associated with the complex topic of main rotor/fuselage/tail rotor interference, a model scale hover test was conducted in the Model Rotor Hover Facility. The test was conducted using the basic model test rig, fuselage skins to represent a UH-60A BLACK HAWK helicopter, 4 sets of rotor blades of varying geometry (i.e., twist, airfoils and solidity) and a model tail rotor that could be relocated to give changes in rotor clearance (axially, laterally, and vertically), can't angle and operating model (pusher or tractor). The description of the models and the tests, data analysis and summary (including plots) are included. The customary system of units gas used for principal measurements and calculations. Expressions in both SI units and customary units are used with the SI units stated first and the customary units afterwords, in parenthesis.

Architecture and data processing alternatives for Tse computer. Volume 1: Tse logic design concepts and the development of image processing machine architectures

NASA Technical Reports Server (NTRS)

Rickard, D. A.; Bodenheimer, R. E.

1976-01-01

Digital computer components which perform two dimensional array logic operations (Tse logic) on binary data arrays are described. The properties of Golay transforms which make them useful in image processing are reviewed, and several architectures for Golay transform processors are presented with emphasis on the skeletonizing algorithm. Conventional logic control units developed for the Golay transform processors are described. One is a unique microprogrammable control unit that uses a microprocessor to control the Tse computer. The remaining control units are based on programmable logic arrays. Performance criteria are established and utilized to compare the various Golay transform machines developed. A critique of Tse logic is presented, and recommendations for additional research are included.

Failure of evidence-based cancer care in the United States: the association between rectal cancer treatment, cancer center volume, and geography.

PubMed

Monson, John R T; Probst, Christian P; Wexner, Steven D; Remzi, Feza H; Fleshman, James W; Garcia-Aguilar, Julio; Chang, George J; Dietz, David W

2014-10-01

This study examines recent adherence to recommended neoadjuvant chemoradiotherapy guidelines for patients with rectal cancer across geographic regions and institution volume and assesses trends over time. A recent report by the Institute of Medicine described US cancer care as chaotic. Cited deficiencies included wide variation in adherence to evidence-based guidelines even where clear consensus exists. Patients operated on for clinical stage II and III rectal cancer were selected from the 2006-2011 National Cancer Data Base. Multivariable logistic regressions were used to assess variation in chemotherapy and radiation use by cancer center type, geographical location, and hospital volume. The analysis controlled for patient age at diagnosis, sex, race/ethnicity, primary payer, average household income, average education, urban/rural classification of patient residence, comorbidity, and oncologic stage. There were 30,994 patients who met the inclusion criteria. Use of neoadjuvant radiation therapy and chemotherapy varied significantly by type of cancer center. The highest rates of adherence were observed in high-volume centers compared with low-volume centers (78% vs 69%; adjusted odds ratio = 1.46; P < 0.001). This variation is mirrored by hospital geographic location. Primary payer and year of diagnosis were not predictive of rates of neoadjuvant chemoradiotherapy. Adherence to evidence-based treatment guidelines in rectal cancer is suboptimal in the United States, with significant differences based on hospital volume and geographic regions. Little improvement has occurred in the last 5 years. These results support the implementation of standardized care pathways and a Centers of Excellence program for US patients with rectal cancer.

Using Large-Scale Cooperative Control to Manage Operational Uncertainties for Aquifer Thermal Energy Storage

NASA Astrophysics Data System (ADS)

Jaxa-Rozen, M.; Rostampour, V.; Kwakkel, J. H.; Bloemendal, M.

2017-12-01

Seasonal Aquifer Thermal Energy Storage (ATES) technology can help reduce the demand of energy for heating and cooling in buildings, and has become a popular option for larger buildings in northern Europe. However, the larger-scale deployment of this technology has evidenced some issues of concern for policymakers; in particular, recent research shows that operational uncertainties contribute to inefficient outcomes under current planning methods for ATES. For instance, systems in the Netherlands typically use less than half of their permitted pumping volume on an annual basis. This overcapacity gives users more flexibility to operate their systems in response to the uncertainties which drive building energy demand; these include short-term operational factors such as weather and occupancy, and longer-term, deeply uncertain factors such as changes in climate and aquifer conditions over the lifespan of the buildings. However, as allocated subsurface volume remains unused, this situation limits the adoption of the technology in dense areas. Previous work using coupled agent-based/geohydrological simulation has shown that the cooperative operation of neighbouring ATES systems can support more efficient spatial planning, by dynamically managing thermal interactions in response to uncertain operating conditions. An idealized case study with centralized ATES control thus showed significant improvements in the energy savings which could obtained per unit of allocated subsurface volume, without degrading the recovery performance of systems. This work will extend this cooperative approach for a realistic case study of ATES planning in the city of Utrecht, in the Netherlands. This case was previously simulated under different scenarios for individual ATES operation. The poster will compare these results with a cooperative case under which neighbouring systems can coordinate their operation to manage interactions. Furthermore, a cooperative game-theoretical framework will be used to analyze the theoretical conditions under which cooperation between ATES operators could be assumed to be stable and beneficial, under a range of scenarios for climate trends and ATES adoption pathways.

Task Force Report on Emergency Evacuation of Transport Airplanes. Volume 1. Summary report.

DTIC Science & Technology

1986-07-01

panel was composed of five FAA specialists: Fred Jenkins - Aircraft Certification, Joe Starkel - Aircraft Certification, Rick Cremer - Air Carrier...and Special Projects Officer, Transport Airplane Certification Directorate Chairman, Training and Operations Working Group: Rick L. Cremer , Acting...Washington, D.C. Kirke Comstock ATA - United Airlines Rick Cremer FAA, AFS-220, Washington, D.C. Fred W. Crenshaw FAA, AFS-300, Washington, D.C. Jim

Army Logistician. Volume 41, Issue 2, March-April 2009

DTIC Science & Technology

2009-04-01

environment of full-spectrum military operations. The expansion of the RFI equipment list and its truly remarkable reception by Soldiers and units...the 45th Sustainment Brigade from Fort Shafter, Hawaii, served as the reception , staging, and onward movement commander. JLOTS is a key enabler to...2008. MARCH–APRIL 200922 dry; showers; morale, welfare, and recreation facil- ity; movie tent; gym; chapel; and over 250 berthing [sleeping] tents

Capacitor electrode stimulates nerve or muscle without oxidation-reduction reactions.

PubMed

Guyton, D L; Hambrecht, F T

1973-07-06

Porous tantalum disks, available as "slugs" from the capacitor industry, have large available surface area and a thin insulating coating of tantalum pentoxide. When implanted, they fill with extracellular fluid and operate as capacitor-stimulating electrodes having high capacitance per unit volume. Capable of stimulating excitable tissute without generating electrochemical by-products, these electrodes should provide a safer interface between neural prosthetic devices and human tissue.

Vectored Thrust Digital Flight Control for Crew Escape. Volume 1.

DTIC Science & Technology

1985-12-01

the aero forces acting on the seat cause unstable attitude behavior , which at best jeopardizes steering control...8217 . .~ I .’d-1.’’ L1 w ’,3 The Figure 3.9 result shows that the extended burn time has induced more oscillatory behavior in the attitude variables, even...other than in connection with a definitely related Government procurement operation, the United States Government thereby incurs no

Standardization and program effect analysis (Study 2.4). Volume 3: Design-to-cost analysis

NASA Technical Reports Server (NTRS)

Shiokari, T.

1975-01-01

The program procedures that were incorporated into an on-going "design-to-cost" spacecraft program are examined. Program procedures are the activities that support the development and operations of the flight unit: contract management, documents, integration meetings, engineering, and testing. This report is limited to the program procedures that were implemented, with emphasis on areas that may depart from normal satellite development practices.

Review and Implementation of Technology for Solid Radioactive Waste Volume Reduction

DTIC Science & Technology

1999-10-15

were shifted to Project 1.1 for spent nuclear fuel cask development to accelerate that project. Those funds should be repaid to Project 1.3 in the... transported between the shipyards such as Nerpa, and other intermediate storage sites such as Gremikha and Andreeva Bay. At these sites the largest...waste source and allow pretreatment unit operations using commercially available technologies of contaminant assaying, cutting/shearing, sorting

The Advanced Program of Vocational Agriculture in Louisiana. Ag III and Ag IV (11th and 12th Grades). Volume II. Bulletin No. 1725.

ERIC Educational Resources Information Center

Louisiana State Dept. of Education, Baton Rouge. Div. of Vocational Education.

This curriculum guide consists of materials for use in teaching an advanced course in agricultural mechanics designed for 11th and 12th grade students. Addressed in the individual units of the guide are arc welding; oxy-acetylene welding; soldering; electricity; tractor maintenance, operation, and safety; small engines; farm structures; and cold…

Polyurethane retainers for ball bearings

NASA Technical Reports Server (NTRS)

Christy, R. I.

1973-01-01

Evaluation of a new ball bearing retainer material is reported. A special composite polyurethane foam ball retainer has been developed that has virtually zero wear, is chemically inert to hydrocarbon lubricants, and stores up to 60 times as much lubricant per unit volume as the most commonly used retainer material, cotton phenolic. This new retainer concept shows promise of years of ball bearing operation without reoiling, based on life testing in high vacuum.

Stone Attenuation Values Measured by Average Hounsfield Units and Stone Volume as Predictors of Total Laser Energy Required During Ureteroscopic Lithotripsy Using Holmium:Yttrium-Aluminum-Garnet Lasers.

PubMed

Ofude, Mitsuo; Shima, Takashi; Yotsuyanagi, Satoshi; Ikeda, Daisuke

2017-04-01

To evaluate the predictors of the total laser energy (TLE) required during ureteroscopic lithotripsy (URS) using the holmium:yttrium-aluminum-garnet (Ho:YAG) laser for a single ureteral stone. We retrospectively analyzed the data of 93 URS procedures performed for a single ureteral stone in our institution from November 2011 to September 2015. We evaluated the association between TLE and preoperative clinical data, such as age, sex, body mass index, and noncontrast computed tomographic findings, including stone laterality, location, maximum diameter, volume, stone attenuation values measured using average Hounsfield units (HUs), and presence of secondary signs (severe hydronephrosis, tissue rim sign, and perinephric stranding). The mean maximum stone diameter, volume, and average HUs were 9.2 ± 3.8 mm, 283.2 ± 341.4 mm 3 , and 863 ± 297, respectively. The mean TLE and operative time were 2.93 ± 3.27 kJ and 59.1 ± 28.1 minutes, respectively. Maximum stone diameter, volume, average HUs, severe hydronephrosis, and tissue rim sign were significantly correlated with TLE (Spearman's rho analysis). Stepwise multiple linear regression analysis defining stone volume, average HUs, severe hydronephrosis, and tissue rim sign as explanatory variables showed that stone volume and average HUs were significant predictors of TLE (standardized coefficients of 0.565 and 0.320, respectively; adjusted R 2  = 0.55, F = 54.7, P <.001). Stone attenuation values measured by average HUs and stone volume were strong predictors of TLE during URS using Ho:YAG laser procedures. Copyright © 2016 Elsevier Inc. All rights reserved.

The Surgeon Volume-outcome Relationship: Not Yet Ready for Policy.

PubMed

Modrall, J Gregory; Minter, Rebecca M; Minhajuddin, Abu; Eslava-Schmalbach, Javier; Joshi, Girish P; Patel, Shivani; Rosero, Eric B

2018-05-01

Increasing surgeon volume may improve outcomes for index operations. We hypothesized that there may be surrogate operative experiences that yield similar outcomes for surgeons with a low-volume experience with a specific index operation, such as esophagectomy. The relationship between surgeon volume and outcomes has potential implications for credentialing of surgeons. Restrictions of privileges based on surgeon volume are only reasonable if there is no substitute for direct experience with the index operation. This study was aimed at determining whether there are valid surrogates for direct experience with a sample index operation-open esophagectomy. The Nationwide Inpatient Sample (2003-2009) was utilized. Surgeons were stratified into low and high-volume groups based on annual volume of esophagectomy. Surrogate volume was defined as the aggregate annual volume per surgeon of upper gastrointestinal operations including excision of esophageal diverticulum, gastrectomy, gastroduodenectomy, and repair of diaphragmatic hernia. In all, 26,795 esophagectomies were performed nationwide (2003-2009), with a crude inhospital mortality rate of 5.2%. Inhospital mortality decreased with increasing volume of esophagectomies performed annually: 7.7% and 3.8% for low and high-volume surgeons, respectively (P < 0.0001). Among surgeons with a low-volume esophagectomy experience, increasing volume of surrogate operations improved the outcomes observed for esophagectomy: 9.7%, 7.1%, and 4.3% for low, medium, and high-surrogate-volume surgeons, respectively (P = 0.016). Both operation-specific volume and surrogate volume are significant predictors of inhospital mortality for esophagectomy. Based on these observations, it would be premature to limit hospital privileges based solely on operation-specific surgeon volume criteria.

NASA Conjunction Assessment Organizational Approach and the Associated Determination of Screening Volume Sizes

NASA Technical Reports Server (NTRS)

Newman, Lauri K.; Hejduk, Matthew D.

2015-01-01

NASA is committed to safety of flight for all of its operational assets Performed by CARA at NASA GSFC for robotic satellites Focus of this briefing Performed by TOPO at NASA JSC for human spaceflight he Conjunction Assessment Risk Analysis (CARA) was stood up to offer this service to all NASA robotic satellites Currently provides service to 70 operational satellites NASA unmanned operational assets Other USG assets (USGS, USAF, NOAA) International partner assets Conjunction Assessment (CA) is the process of identifying close approaches between two orbiting objects; sometimes called conjunction screening The Joint Space Operations Center (JSpOC) a USAF unit at Vandenberg AFB, maintains the high accuracy catalog of space objects, screens CARA-supported assets against the catalog, performs OD tasking, and generates close approach data.

When high-volume PCI operators in high-volume hospitals move to lower volume hospitals-Do they still maintain high volume and quality of outcomes?

PubMed

Lu, Tsung-Hsueh; Li, Sheng-Tun; Liang, Fu-Wen; Lee, Jo-Chi; Yin, Wei-Hsian

2017-10-31

The aim of this quasi-experimental study was to examine whether high-volume percutaneous coronary intervention (PCI) operators still maintain high volume and quality of outcomes when they moved to lower volume hospitals. Systematic reviews have indicated that high-volume PCI operators and hospitals have higher quality outcomes. However, little is known on whether high PCI volume and high quality outcomes are mainly due to operator characteristics (i.e., skill and experience) and is portable across organizations or whether it is due to hospital characteristics (i.e., equipment, team, and management system) and is less portable. We used Taiwan National Health Insurance claims data 2000-2012 to identify 98 high-volume PCI operators, 10 of whom moved from one hospital to another during the study period. We compared the PCI volume, risk-adjusted mortality ratio, and major adverse cardiovascular event (MACE) ratio before and after moving. Of the 10 high-volume operators who moved, 6 moved from high- to moderate- or low-volume hospitals, with median annual PCI volumes (interquartile range) of 130 (117-165) in prior hospitals and 54 (46-84) in subsequent hospitals (the hospital the operator moved to), and the remaining 4 moved from high to high-volume hospitals, with median annual PCI volumes (interquartile range) of 151 (133-162) in prior hospitals and 193 (178-239) in subsequent hospitals. No significant differences were observed in the risk-adjusted mortality ratios and MACE ratios between high-volume operators and matched controls before and after moving. High-volume operators cannot maintain high volume when they moved from high to moderate or low-volume hospitals; however, the quality of care is maintained. High PCI volume and high-quality outcomes are less portable and more hospital bound. © 2017 Wiley Periodicals, Inc.

Blood transfusions in severe burn patients: Epidemiology and predictive factors.

PubMed

Wu, Guosheng; Zhuang, Mingzhu; Fan, Xiaoming; Hong, Xudong; Wang, Kangan; Wang, He; Chen, Zhengli; Sun, Yu; Xia, Zhaofan

2016-12-01

Blood is a vital resource commonly used in burn patients; however, description of blood transfusions in severe burns is limited. The purpose of this study was to describe the epidemiology of blood transfusions and determine factors associated with increased transfusion quantity. This is a retrospective study of total 133 patients with >40% total body surface area (TBSA) burns admitted to the burn center of Changhai hospital from January 2008 to December 2013. The study characterized blood transfusions in severe burn patients. Univariate and Multivariate regression analyses were used to evaluate the association of clinical variables with blood transfusions. The overall transfusion rate was 97.7% (130 of 133). The median amount of total blood (RBC and plasma), RBC and plasma transfusions was 54 units (Interquartile range (IQR), 20-84), 19 units (IQR, 4-37.8) and 28.5 units (IQR, 14.8-51.8), respectively. The number of RBC transfusion in and outside operation room was 7 (0, 14) and 11 (2, 20) units, and the number of plasma was 6 (0.5, 12) and 21 (11.5, 39.3) units. A median of one unit of blood was transfused per TBSA and an average of 4 units per operation was given in the series. The consumption of plasma is higher than that of RBC. On multivariate regression analysis, age, full-thickness TBSA and number of operations were significant independent predictors associated with the number of RBC transfusion, and coagulopathy and ICU length showed a trend toward RBC consumption. Predictors for increased plasma transfusion were female, high full-thickness TBSA burn and more operations. Severe burn patients received an ample volume of blood transfusions. Fully understanding of predictors of blood transfusions will allow physicians to better optimize burn patients during hospitalization in an effort to use blood appropriately. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Which Kind of Provider’s Operation Volumes Matters? Associations between CABG Surgical Site Infection Risk and Hospital and Surgeon Operation Volumes among Medical Centers in Taiwan

PubMed Central

Yu, Tsung-Hsien; Tung, Yu-Chi; Chung, Kuo-Piao

2015-01-01

Background Volume-infection relationships have been examined for high-risk surgical procedures, but the conclusions remain controversial. The inconsistency might be due to inaccurate identification of cases of infection and different methods of categorizing service volumes. This study takes coronary artery bypass graft (CABG) surgical site infections (SSIs) as an example to examine whether a relationship exists between operation volumes and SSIs, when different SSIs case identification, definitions and categorization methods of operation volumes were implemented. Methods A population-based cross-sectional multilevel study was conducted. A total of 7,007 patients who received CABG surgery between 2006 and 2008 from19 medical centers in Taiwan were recruited. SSIs associated with CABG surgery were identified using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9 CM) codes and a Classification and Regression Trees (CART) model. Two definitions of surgeon and hospital operation volumes were used: (1) the cumulative CABG operation volumes within the study period; and (2) the cumulative CABG operation volumes in the previous one year before each CABG surgery. Operation volumes were further treated in three different ways: (1) a continuous variable; (2) a categorical variable based on the quartile; and (3) a data-driven categorical variable based on k-means clustering algorithm. Furthermore, subgroup analysis for comorbidities was also conducted. Results This study showed that hospital volumes were not significantly associated with SSIs, no matter which definitions or categorization methods of operation volume, or SSIs case identification approaches were used. On the contrary, the relationships between surgeon’s volumes varied. Most of the models demonstrated that the low-volume surgeons had higher risk than high-volume surgeons. Conclusion Surgeon volumes were more important than hospital volumes in exploring the relationship between CABG operation volumes and SSIs in Taiwan. However, the relationships were not robust. Definitions and categorization methods of operation volume and correct identification of SSIs are important issues for future research. PMID:26053035

NASP - Enabling new space launch options

NASA Astrophysics Data System (ADS)

Froning, David; Gaubatz, William; Mathews, George

1990-10-01

Successful NASP developments in the United States are bringing about the possibility of effective, fully reusable vehicles for transport of people and cargo between earth and space. These developments include: extension of airbreathing propulsion to a much higher speed; densification of propellants for greater energy per unit volume of mass; structures with much greater strength-to-weight at high temperatures; computational advancements that enable more optimal design and integration of airframes, engines and controls; and advances in avionics, robotics, artificial intelligence and automation that enable accomplishment of earth-to-orbit (ETO) operations with much less manpower support and cost. This paper describes the relative magnitude of improvement that these developments may provide.

NASP - Enabling new space launch options

NASA Technical Reports Server (NTRS)

Froning, David; Gaubatz, William; Mathews, George

1990-01-01

Successful NASP developments in the United States are bringing about the possibility of effective, fully reusable vehicles for transport of people and cargo between earth and space. These developments include: extension of airbreathing propulsion to a much higher speed; densification of propellants for greater energy per unit volume of mass; structures with much greater strength-to-weight at high temperatures; computational advancements that enable more optimal design and integration of airframes, engines and controls; and advances in avionics, robotics, artificial intelligence and automation that enable accomplishment of earth-to-orbit (ETO) operations with much less manpower support and cost. This paper describes the relative magnitude of improvement that these developments may provide.

Continuous quality improvement for the clinical decision unit.

PubMed

Mace, Sharon E

2004-01-01

Clinical decision units (CDUs) are a relatively new and growing area of medicine in which patients undergo rapid evaluation and treatment. Continuous quality improvement (CQI) is important for the establishment and functioning of CDUs. CQI in CDUs has many advantages: better CDU functioning, fulfillment of Joint Commission on Accreditation of Healthcare Organizations mandates, greater efficiency/productivity, increased job satisfaction, better performance improvement, data availability, and benchmarking. Key elements include a database with volume indicators, operational policies, clinical practice protocols (diagnosis specific/condition specific), monitors, benchmarks, and clinical pathways. Examples of these important parameters are given. The CQI process should be individualized for each CDU and hospital.

Engineering aspects and hardware verification of a volume producable solid oxide fuel cell stack design for diesel auxiliary power units

NASA Astrophysics Data System (ADS)

Stelter, Michael; Reinert, Andreas; Mai, Björn Erik; Kuznecov, Mihail

A solid oxide fuel cell (SOFC) stack module is presented that is designed for operation on diesel reformate in an auxiliary power unit (APU). The stack was designed using a top-down approach, based on a specification of an APU system that is installed on board of vehicles. The stack design is planar, modular and scalable with stamped sheet metal interconnectors. It features thin membrane electrode assemblies (MEAs), such as electrolyte supported cells (ESC) and operates at elevated temperatures around 800 °C. The stack has a low pressure drop in both the anode and the cathode to facilitate a simple system layout. An overview of the technical targets met so far is given. A stack power density of 0.2 kW l -1 has been demonstrated in a fully integrated, thermally self-sustaining APU prototype running with diesel and without an external water supply.

Regulatory control of low level radioactive waste in Taiwan

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

Liu, T.D.S.; Chiou, Syh-Tsong

1996-12-31

The commercial operation of Chinshan Nuclear Power Plant (NPP) Unit One marked the beginning of Taiwan`s nuclear power program. There are now three NPPs, each consisting of two units, in operation. This represents a generating capacity of 5,144 MWe. Nuclear power plants are sharing some 30 percent of electricity supplies in Taiwan. As far as low level radwaste (LLRW) is concerned, Taiwan Power Company (TPC) is the principal producer, contributing more than 90 percent of total volume of waste arising in Taiwan. Small producers, other than nuclear industries, medicine, research institutes, and universities, are responsible for the remaining 10 percent.more » In the paper, the LLRW management policy, organizational scheme, regulatory control over waste treatment, storage, transportation and disposal are addressed. Added to the paper in the last is how this country is managing its Naturally Occurring Radioactive Materials (NORM) waste.« less

Seven Years of Permanent Running of MELFI-1 on Board the ISS and Utilisation of the Three MELFI Units Refrigeration Pool

NASA Technical Reports Server (NTRS)

Chegancas, Jean; Stephan, Hubertus; Jimenez, Jesus; Campana, Sharon; Hutchison, Susan

2013-01-01

The pool of three Minus Eighty Laboratory freezer for ISS (MELFI) units continues providing the scientific community with robust and permanent freezer and refrigeration capabilities for life science experiments on the International Space Station (ISS). Launched in 2006, the first unit will complete, by summer 2013, seven years of continuous operations without intervention on the internal Nitrogen gas cycle, while all necessary hardware and operations were initially planned for preventive maintenance every two years. This unit has demonstrated outstanding performance on orbit and proved the technical decisions made during the development program. Current utilization of MELFI units in the ISS is taking full benefit of the initial specifications, which allows for wide adaptations to cope with the mission scenario imposed by the life extension in orbit. The two other MELFI units, launched respectively in 2008 and 2009, are supporting the first unit providing additional conditioned volume necessary for the science on board, and also for preparing thermal mass used to protect the samples on their way down to earth. The MELFI pool is outfitted with all supporting hardware to allow for extended operation on orbit including preventive and corrective maintenance. The internal components were designed to allow for easy on board maintenance. Spare equipment was installed in the MELFI rack on ISS and specific maintenance means were developed which required crew training before the cold gas cycle could be accessed. The paper will present first how the design choices made for the initial missions are identifying features necessary for extended duration missions, and will then give highlights on the utilization of the MELFI refrigeration pool during the recent years in ISS.

Research and development of a heat-pump water heater. Volume 2. R and D task reports

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

Dunning, R.L.; Amthor, F.R.; Doyle, E.J.

1978-08-01

The heat pump water heater is a device that works much like a window air conditioner except that heat from the home is pumped into a water tank rather than to the outdoors. The objective established for the device is to operate with a Coefficient of Performance (COP) of 3 or, an input of one unit of electric energy would create three units of heat energy in the form of hot water. With such a COP, the device would use only one-third the energy and at one-third the cost of a standard resistance water heater. This Volume 2 contains themore » final reports of the three major tasks performed in Phase I. In Task 2, a market study identifies the future market and selects an initial target market and channel of distribution, all based on an analysis of the parameters affecting feasibility of the device and the factors that will affect its market acceptance. In the Task 3 report, the results of a design and test program to arrive at final designs of heat pumps for both new water heaters and for retrofitting existing water heaters are presented. In the Task 4 report, a plan for an extensive field demonstration involving use in actual homes is presented. Volume 1 contains a final summary report of the information in Volume 2.« less

Training our future endocrine surgeons: a look at the endocrine surgery operative experience of U.S. surgical residents.

PubMed

Zarebczan, Barbara; McDonald, Robert; Rajamanickam, Victoria; Leverson, Glen; Chen, Herbert; Sippel, Rebecca S

2010-12-01

During the last 10 years, the number of endocrine procedures performed in the United States has increased significantly. We sought to determine whether this has translated into an increase in operative volume for general surgery and otolaryngology residents. We evaluated records from the Resident Statistic Summaries of the Residency Review Committee (RRC) for U.S. general surgery and otolaryngology residents for the years 2004-2008, specifically examining data on thyroidectomies and parathyroidectomies. Between 2004 and 2008, the average endocrine case volume of U.S. general surgery and otolaryngology residents increased by approximately 15%, but otolaryngology residents performed more than twice as many operations as U.S. general surgery residents. The growth in case volume was mostly from increases in the number of thyroidectomies performed by U.S. general surgery and otolaryngology residents (17.9 to 21.8, P = .007 and 46.5 to 54.4, P = .04). Overall, otolaryngology residents also performed more parathyroidectomies than their general surgery counterparts (11.6 vs 8.8, P = .007). Although there has been an increase in the number of endocrine cases performed by graduating U.S. general surgery residents, this is significantly smaller than that of otolaryngology residents. To remain competitive, general surgery residents wishing to practice endocrine surgery may need to pursue additional fellowship training. Copyright © 2010 Mosby, Inc. All rights reserved.

Steam ejector-condenser: stage I of a differential vacuum pumping station

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

Hanson, C.L.; Alger, T.W.

1981-04-01

A steam ejector-condenser unit was built and tested to produce a 10 Torr (13.3 x 10/sup 2/Pa) vacuum with a 2 cm aperture to the atmosphere. This unit is the first stage of a differential vacuum pumping station that will be used with the Experimental Test Accelerator. The accelerator's electron beam will pass through a series of openings from a high vacuum (5 x 10/sup -6/ Torr) to the atmosphere. The differential system consists of four vacuum pumping units separated by 2 cm-diam apertures. Superheated steam is injected near the final beamline orifice to reduce the quantity of atmospheric airmore » flowing into the steam ejector--condenser unit. The steam ejector in the condenser vessel is open at its center to permit passage of the accelerator beam. Five nozzles mounted in a conical array produce the ejector vacuum of 10 Torr. The ejector exhausts into the condenser and forms a barrier to air flow into the lower pressure region. This feature permits high volume cold trapping and cryopumping of water vapor in the remaining lower-pressure stages. Tests have proven that the steam ejector--condenser is a reliable operating unit and suitable for long-term, steady-state accelerator operation.« less

Operationally Efficient Propulsion System Study (OEPSS) data book. Executive summary

NASA Technical Reports Server (NTRS)

Wong, George S.

1990-01-01

The study was initiated to identify operations problems and cost drivers for current propulsion systems and to identify technology and design approaches to increase the operational efficiency and reduce operations costs for future propulsion systems. To provide readily usable data for the Advanced Launch System (ALS) program, the results of the Operationally Efficient Propulsion System Study (OEPSS) were organized into a series of OEPSS Data Books as follows: Volume 1, Generic Ground Operations Data; Volume 2, Ground Operations Problems; Volume 3, Operations Technology; Volume 4, OEPSS Design Concepts; and Volume 5, OEPSS Final Review Briefing, which summarizes the activities and results of the study. Summarized here are the salient results of the first year. A synopsis of each volume listed above is presented.

Savannah River Plant engineering, design, and construction history of ``S`` projects and other work, January 1961--December 1964. Volume 2

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

Not Available

1970-03-01

The work described in this volume of ``S`` Projects History is an extension of the type of work described in Volume I. E.I. du Pont de flemours & Company had entered into Contract AT (07-2)-l with the United States Atomic Energy Commission to develop, design, construct, install, and operate facilities to produce heavy water, fissionable materials, and related products. Under this contract,, Du Pont constructed and operated the Savannah River Plant. The engineering, design, and construction for most of the larger ``S`` projects was performed by the Engineering DeDartment. For some of the large and many of the smaller projectsmore » the Engineering Department was responsible only for the construction because the Atomic Energy Division (AED) of the Explosives Department handled the other phases. The Engineering Department Costruction Division also performed the physical work for many of the plant work orders. This volume includes a general description of the Du Pont Engineering Department activities pertaining to the engineering, design, and construction of the ``S`` projects at the Savannah River Plant; brief summaries of the projects and principal work requests; and supplementary informaticn on a few subjects in Volume I for which final data was not available at the closing date. Projects and other plant engineering work which were handled entirely by the Explosives Department -- AED are not included in this history.« less

Automated 3D renal segmentation based on image partitioning

NASA Astrophysics Data System (ADS)

Yeghiazaryan, Varduhi; Voiculescu, Irina D.

2016-03-01

Despite several decades of research into segmentation techniques, automated medical image segmentation is barely usable in a clinical context, and still at vast user time expense. This paper illustrates unsupervised organ segmentation through the use of a novel automated labelling approximation algorithm followed by a hypersurface front propagation method. The approximation stage relies on a pre-computed image partition forest obtained directly from CT scan data. We have implemented all procedures to operate directly on 3D volumes, rather than slice-by-slice, because our algorithms are dimensionality-independent. The results picture segmentations which identify kidneys, but can easily be extrapolated to other body parts. Quantitative analysis of our automated segmentation compared against hand-segmented gold standards indicates an average Dice similarity coefficient of 90%. Results were obtained over volumes of CT data with 9 kidneys, computing both volume-based similarity measures (such as the Dice and Jaccard coefficients, true positive volume fraction) and size-based measures (such as the relative volume difference). The analysis considered both healthy and diseased kidneys, although extreme pathological cases were excluded from the overall count. Such cases are difficult to segment both manually and automatically due to the large amplitude of Hounsfield unit distribution in the scan, and the wide spread of the tumorous tissue inside the abdomen. In the case of kidneys that have maintained their shape, the similarity range lies around the values obtained for inter-operator variability. Whilst the procedure is fully automated, our tools also provide a light level of manual editing.

Operationally Efficient Propulsion System Study (OEPSS) data book. Volume 1: Generic ground operations data

NASA Technical Reports Server (NTRS)

Byrd, Raymond J.

1990-01-01

This study was initiated to identify operations problems and cost drivers for current propulsion systems and to identify technology and design approaches to increase the operational efficiency and reduce operations costs for future propulsion systems. To provide readily usable data for the Advance Launch System (ALS) program, the results of the Operationally Efficient Propulsion System Study (OEPSS) were organized into a series of OEPSS Data Books as follows: Volume 1, Generic Ground Operations Data; Volume 2, Ground Operations Problems; Volume 3, Operations Technology; Volume 4, OEPSS Design Concepts; and Volume 5, OEPSS Final Review Briefing, which summarizes the activities and results of the study. This volume presents ground processing data for a generic LOX/LH2 booster and core propulsion system based on current STS experience. The data presented includes: top logic diagram, process flow, activities bar-chart, loaded timelines, manpower requirements in terms of duration, headcount and skill mix per operations and maintenance instruction (OMI), and critical path tasks and durations.

ALL-ELECTRONIC DROPLET GENERATION ON-CHIP WITH REAL-TIME FEEDBACK CONTROL FOR EWOD DIGITIAL MICROFLUIDICS

PubMed Central

Gong, Jian; Kim, Chang-Jin “CJ”

2009-01-01

Electrowetting-on-dielectric (EWOD) actuation enables digital (or droplet) microfluidics where small packets of liquids are manipulated on a two-dimensional surface. Due to its mechanical simplicity and low energy consumption, EWOD holds particular promise for portable systems. To improve volume precision of the droplets, which is desired for quantitative applications such as biochemical assays, existing practices would require near-perfect device fabricaion and operation conditions unless the droplets are generated under feedback control by an extra pump setup off of the chip. In this paper, we develop an all-electronic (i.e., no ancillary pumping) real-time feedback control of on-chip droplet generation. A fast voltage modulation, capacitance sensing, and discrete-time PID feedback controller are integrated on the operating electronic board. A significant improvement is obtained in the droplet volume uniformity, compared with an open loop control as well as the previous feedback control employing an external pump. Furthermore, this new capability empowers users to prescribe the droplet volume even below the previously considered minimum, allowing, for example, 1:x (x < 1) mixing, in comparison to the previously considered n:m mixing (i.e., n and m unit droplets). PMID:18497909

All-electronic droplet generation on-chip with real-time feedback control for EWOD digital microfluidics.

PubMed

Gong, Jian; Kim, Chang-Jin C J

2008-06-01

Electrowetting-on-dielectric (EWOD) actuation enables digital (or droplet) microfluidics where small packets of liquids are manipulated on a two-dimensional surface. Due to its mechanical simplicity and low energy consumption, EWOD holds particular promise for portable systems. To improve volume precision of the droplets, which is desired for quantitative applications such as biochemical assays, existing practices would require near-perfect device fabrication and operation conditions unless the droplets are generated under feedback control by an extra pump setup off of the chip. In this paper, we develop an all-electronic (i.e., no ancillary pumping) real-time feedback control of on-chip droplet generation. A fast voltage modulation, capacitance sensing, and discrete-time PID feedback controller are integrated on the operating electronic board. A significant improvement is obtained in the droplet volume uniformity, compared with an open loop control as well as the previous feedback control employing an external pump. Furthermore, this new capability empowers users to prescribe the droplet volume even below the previously considered minimum, allowing, for example, 1 : x (x < 1) mixing, in comparison to the previously considered n : m mixing (i.e., n and m unit droplets).

A Saturn launched X-ray astronomy experiment. Volume 1: S-027

NASA Technical Reports Server (NTRS)

1971-01-01

The S-027 X-Ray Astronomy Experiment originally proposed in early 1966, was developed to detect X-rays in the 2 keV to 10 keV range. Both a prototype unit and flight unit were constructed with the prototype unit also serving as the engineering model, the qualification test unit, and after refurbishment, as the back-up flight unit. Two Ground Support Equipment consoles were built to verify the experiment operation. A photograph of one experiment package with its Ground Support Equipment is shown. The S-027 experiment was scheduled for launch in 1968/69 and although both units were completed and tested to the extent that either would be ready for the scheduled launch, delays in the space program resulted in a launch date slip of several years. When the 1968/69 launch delay became official, provisions were made for storage of the two experiment packages at SCI Electronics in Huntsville, Alabama until a new launch date could be established.

Journal of Special Operations Medicine. Volume 5, Edition 3, Summer 2005

DTIC Science & Technology

2005-01-01

bacteri- al inoculation of wounded animals prevented infec- tion for three days, but therapy delayed for six hours was ineffective.7 Antibacterial activity ...the case of shock, unconsciousness, or penetrating abdominal injury. 3. In an animal model, antibacterial activity can be overcome if...SOF units and our active editorial consultants. 2) SOMA members receive the JSOM as part of membership. Please note, if you are a SOMA member and

Journal of Special Operations Medicine. Volume 5, Edition 2, Spring 2005

DTIC Science & Technology

2005-01-01

some Gram-positive bacteria.3 Sulconazole has some antibacterial activity against Gram- positive Staphylococcus aureus, Staphylococcus epidermidis...Medicine (JSOM). USSOCOM-SG distributes the JSOM to all our SOF units and our active editorial consultants. We can also email you the JSOM PDF; if you...continually had a very strong pro- gram and have definitely set the standard for NTMs among all the groups, both active and reserve component. This

40 CFR Appendix B to Subpart E of... - Federal Guidelines-User Charges for Operation and Maintenance of Publicly Owned Treatment Works

Code of Federal Regulations, 2011 CFR

2011-07-01

.... S = Concentration of SS from a user above a base level. Pc = O&M cost for treatment of a unit of any...(B)=Sc(S)=Pc(P)]Vu (3) Model No. 3. This model is commonly called the “quantity/quality formula”: Cu = Vc Vu=Bc Bu=Sc Su=Pc Pu (h) Other considerations. (1) Quantity discounts to large volume users will...

Journal of Special Operations Medicine, Volume 7, Edition 1

DTIC Science & Technology

2007-01-01

SOMA through www.somaonline.org or contact MSG Russell Justice at justicer@earthlink.net. SOMA pro - vides a very valuable means of obtaining SOF...battlefield. The committee now has representation from all the Serv- ices and is busy deciding which way it needs to pro - ceed. There should be a...medical lessons learned and unit after actions reports (AARs) that con - tain combat mission needs has been a discussed item; this has been

Operation Borderstar Field Evaluation of the Ration, Lightweight, 30-Day

DTIC Science & Technology

1985-05-01

Lightweight, 30-Day (RLW-30) was conducted at Ft. Bliss, TX as part of work unit # AH99BF034 "Sensory and Behavioral Engineering of Low-Volume Rations...corresponding hedonic ratings obtained from the final questionnaire. B. Amounts of Ration Comsumed Daily self-reports of the amounts of each ration...Lightweight, 30-Day Food Packet Assault 23 LIGHT WEIGHT RATION QUESTIONNAIRE Behavioral Sciences Division U.S. Army Natick Research & Development Center

Army Sustainment. Volume 44, Issue 4, July-August 2012

DTIC Science & Technology

2012-08-01

fewer attacks on Sol- diers, fostered a more welcoming Afghan community , and strengthened the information operations campaign. Unit Organization C...subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE...doctrine for the benefit of all sustainment personnel. Its purpose is to provide a forum for the exchange of information and expression of original

Accomplishing Shipyard Work for the United States Navy: Institutions, Systems and Operations. Volume I. Basic Report

DTIC Science & Technology

1975-08-01

Dispensary Industrial Relations Function entitled Medical Director, Industrial Health, Yard Doctor , etc. Dental, Department No comparable department Quality...8217 * (2) Development of revised basing policies to provide I~o ovrhals f telv mothsduration or longer, the Navy has a policy of teprrlycagn tesi ’ home...would have a comprehensive document identifying the ,, apa - bilities and capacities in the private sector to perform Navy workloads. RECOMMENDATION

Food Security (CSL Issue Paper, Volume 14-09, September 2009)

DTIC Science & Technology

2009-09-01

Security Analyst in the Operations and Gaming Division of CSL. Cadet Jason Delousa is a senior at the United State Military Academy. This paper is...cotton, oil palm, beef, dairy, poultry and fisheries products as strategic commodities at the continental level.”32 Sustainability of these cash...Increased incomes, such as in Asia, generally lead to higher consumption of meat and hence, increased demand for cereal as livestock feed. (Source

Tooele Army Depot - North Area. Feasibility Study for Operable Units 5, 6, 7, and 10

DTIC Science & Technology

1994-03-01

effectiveness of alternatives in maintaining protection of human health and the environment after response objectives have been met. 4. Reduction of toxicity...Institutional controls may be effective at protecting human health and the environment and complying with ARARs if the site contaminants have low toxicity...reduction of the toxicity, mobility, or volume of soil contaminants through treatment under this alternative. Short-term effectiveness . Human health

Military Operations Research. Winter 1996. Volume 1, Number 4

DTIC Science & Technology

1996-01-01

ANALYSIS DISTURBANCE INPUT OUTPUT PLANT SEMANTIC CONTROL SYSTEM CONTROL DESIGNER CONTROL I i LAW SYSTEM GOAL CONTROL IIDENTIFIER SELECTOR ADAPTER CONTRO...analysts for many years. It is designed to provide a quick reference for models that represent the effects of a conventional attack against ground...satellites offer this capability. This poses the additional challenge as to how many highways one can "see" per unit time. He did, however, design a

United States Air Force F-35A Operational Basing Environmental Impact Statement. Volume 2, Appendices

DTIC Science & Technology

2013-09-01

the natural soundscapes of parks consistent with our Management Policies. NPS Management Policies, Section 4.9, Soundscape Management, states “the...Department will restore to the natural condition wherever possible those park soundscapes that have become degraded by unnatural sounds (noise...and will protect natural soundscapes from unacceptable impacts.” This is consistent with 40 CFR. §1508-27b, “Unique characteristics of the geographic

The Coast Guard Proceedings of the Marine Safety and Security Council. Volume 72, Number 4, Winter 2015-2016

DTIC Science & Technology

2016-04-13

prevention program realized immediate benefits , as numerous senior civilian and junior officer billets were added to field units nationwide to provide better...demonstrated benefits such as: • operational excellence, • improved investigator skills, • enhanced working relationships with external partners...follow. The Re-Enactment During the course of the interviews, it became apparent that the investigators could benefit from seeing the vicinity of

Provider cost analysis supports results-based contracting out of maternal and newborn health services: an evidence-based policy perspective.

PubMed

Hatcher, Peter; Shaikh, Shiraz; Fazli, Hassan; Zaidi, Shehla; Riaz, Atif

2014-11-13

There is dearth of evidence on provider cost of contracted out services particularly for Maternal and Newborn Health (MNH). The evidence base is weak for policy makers to estimate resources required for scaling up contracting. This paper ascertains provider unit costs and expenditure distribution at contracted out government primary health centers to inform the development of optimal resource envelopes for contracting out MNH services. This is a case study of provider costs of MNH services at two government Rural Health Centers (RHCs) contracted out to a non-governmental organization in Pakistan. It reports on four selected Basic Emergency Obstetrical and Newborn Care (BEmONC) services provided in one RHC and six Comprehensive Emergency Obstetrical and Newborn Care (CEmONC) services in the other. Data were collected using staff interviews and record review to compile resource inputs and service volumes, and analyzed using the CORE Plus tool. Unit costs are based on actual costs of MNH services and are calculated for actual volumes in 2011 and for volumes projected to meet need with optimal resource inputs. The unit costs per service for actual 2011 volumes at the BEmONC RHC were antenatal care (ANC) visit USD$ 18.78, normal delivery US$ 84.61, newborn care US$ 16.86 and a postnatal care (PNC) visit US$ 13.86; and at the CEmONC RHC were ANC visit US$ 45.50, Normal Delivery US$ 148.43, assisted delivery US$ 167.43, C-section US$ 183.34, Newborn Care US$ 41.07, and PNC visit US$ 27.34. The unit costs for the projected volumes needed were lower due to optimal utilization of resources. The percentage distribution of expenditures at both RHCs was largest for salaries of technical staff, followed by salaries of administrative staff, and then operating costs, medicines, medical and diagnostic supplies. The unit costs of MNH services at the two contracted out government rural facilities remain higher than is optimal, primarily due to underutilization. Provider cost analysis using standard treatment guideline (STG) based service costing frameworks should be applied across a number of health facilities to calculate the cost of services and guide development of evidence based resource envelopes and performance based contracting.

A Systems Approach to Costing in the Blood Bank

PubMed Central

Delon, Gerald L.; Smalley, Harold E.

1969-01-01

A macroscopic approach to departmental cost finding is combined with a microscopic approach to the weighting of laboratory tests in a mathematical model which, when incorporated into a relative unit value format, yields unit costs for such tests under a wide variety of operational conditions. The task of updating such costs to reflect changing conditions can be facilitated by a computer program incorporating the capability of pricing the various tests to achieve any desired profit or loss or to break even. Among other potential uses of such a technique, the effects on unit cost per test caused by increasing or decreasing the number of technicians or the volume of tests can be systematically examined, and pricing can be updated each year as hospital costs change. PMID:5799486

RCRA Facility Investigation/Remedial Investigation Report with Baseline Risk Assessment for the Central Shops Burning/Rubble Pit (631-6G), Volume 1 Final

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

NONE

1996-04-01

The Burning/Rubble Pits at the Savannah River Site were usually shallow excavations approximately 3 to 4 meters in depth. Operations at the pits consisted of collecting waste on a continuous basis and burning on a monthly basis. The Central Shops Burning/Rubble Pit 631- 6G (BRP6G) was constructed in 1951 as an unlined earthen pit in surficial sediments for disposal of paper, lumber, cans and empty galvanized steel drums. The unit may have received other materials such as plastics, rubber, rags, cardboard, oil, degreasers, or drummed solvents. The BRP6G was operated from 1951 until 1955. After disposal activities ceased, the areamore » was covered with soil. Hazardous substances, if present, may have migrated into the surrounding soil and/or groundwater. Because of this possibility, the United States Environmental Protection Agency (EPA) has designated the BRP6G as a Solid Waste Management Unit (SWMU) subject to the Resource Conservation Recovery Act/Comprehensive Environmental Response, Compensation and Liability Act (RCRA/CERCLA) process.« less

Electrochemical control of iodine disinfectant for space transportation system and space station potable water

NASA Technical Reports Server (NTRS)

Geer, Richard D.

1989-01-01

An electrochemical microbial check valve method (EC-MCV) for controlling the iodine disinfectant in potable water (PW) for NASA's space operations was proposed. The factors affecting the design and performance of the unit were analyzed. This showed that it would be feasible to construct a recyclable unit in a small volume that will operate in either an iodine removal or addition mode. The EC-MCV should remove active iodine species rapidly from PW, but the rapid delivery rates at end-use may make complete removal of excess I(-) difficult under some conditions. Its performace change with AgI buildup needs to be investigated, as this controls the time for recycling the unit. The EC-MCV has advantages over the passive microbial check valve (MCV) method currently in use, as it would allow precise control of the I2 level and would not introduce excess I(-) to the water. The presence of oxygen in the EC-MCV needs to be investigated as it could affect the efficiency of I2 addition and excess I(-) removal.

Method of determining operation parameters of stand tests of vehicle suspension elements under conditions of ultra-low temperatures

NASA Astrophysics Data System (ADS)

Fedyanov, E. A.; Sokolov-Dobrev, N. S.; Ljashenko, M. V.; Shekhovtsov, V. V.; Potapov, P. V.; Dolotov, A. A.; Klementiev, E. V.

2018-05-01

This article presents the description of the method for estimation of heat flows characteristic during research of operability of suspension elements under the conditions of ultralow temperature. The mentioned research is performed at the test bench created in VSTU. Solid carbon dioxide (also known as artificial ice) is used as the coolant. The method provides evaluation of required quantity of artificial ice and cooling dynamics of the test unit in the insulated low-temperature chamber with structurally specified parameters of heat insulation. Also the method allows computation of heat intake into the chamber volume.

A study of a space communication system for the control and monitoring of the electric distribution system. Volume 1: Summary

NASA Technical Reports Server (NTRS)

Vaisnys, A.

1980-01-01

It is technically feasible to design a satellite communication system to serve the United States electric utility industry's needs relative to load management, real-time operations management, remote meter reading, and to determine the costs of various elements of the system. A definition of distribution control and monitoring functions is given. Associated communications traffic is quantified. A baseline conceptual design in terms of operating capability and equipment is described, important factors to be considered in designing a system are examined, and preliminary cost data are provided. Factors associated with implementation are discussed and conclusions and recommendations are listed.

Volume and health outcomes: evidence from systematic reviews and from evaluation of Italian hospital data.

PubMed

Amato, Laura; Fusco, Danilo; Acampora, Anna; Bontempi, Katia; Rosa, Alessandro Cesare; Colais, Paola; Cruciani, Fabio; D'Ovidio, Mariangela; Mataloni, Francesca; Minozzi, Silvia; Mitrova, Zuzana; Pinnarelli, Luigi; Saulle, Rosella; Soldati, Salvatore; Sorge, Chiara; Vecchi, Simona; Ventura, Martina; Davoli, Marina

2017-01-01

BACKGROUND Improving quality and effectiveness of healthcare is one of the priorities of health policies. Hospital or physician volume represents a measurable variable with an impact on effectiveness of healthcare. An Italian law calls for the definition of «qualitative, structural, technological, and quantitative standards of hospital care». There is a need for an evaluation of the available scientific evidence in order to identify qualitative, structural, technological, and quantitative standards of hospital care, including the volume of care above or below which the public and private hospitals may be accredited (or not) to provide specific healthcare interventions. OBJECTIVES To identify conditions/interventions for which an association between volume and outcome has been investigated. To identify conditions/interventions for which an association between volume and outcome has been proved. To analyze the distribution of Italian health providers by volume of activity. To measure the association between volume of care and outcomes of the health providers of the Italian National Health Service (NHS). METHODS Systematic review An overview of systematic reviews was performed searching PubMed, EMBASE, and The Cochrane Library up to November 2016. Studies were evaluated by 2 researchers independently; quality assessment was performed using the AMSTAR checklist. For each health condition and outcome, if available, total number of studies, participants, high volume cut-off values, and metanalysis have been reported. According to the considered outcomes, health topics were classified into 3 groups: positive association: a positive association was demonstrated in the majority of studies/participants and/or a pooled measure (metanalysis) with positive results was reported; lack of association: both studies and/or metanalysis showed no association; no sufficient evidence of association: both results of single studies and metanalysis do not allow to draw firm conclusions on the association between volume and outcome. Analysis of the distribution of Italian hospitals by volume of activity and the association between volume of activity and outcomes: the Italian National Outcome evaluation Programme 2016 The analyses were performed using the Hospital Information System and the National Tax Register (year 2015). For each condition, the number of hospitals by volume of activity was calculated. Hospitals with a volume lower than 3-5 cases/year were excluded. For conditions with more than 1,500 cases/year and frequency of outcome ≥1%, the association between volume of care and outcome was analyzed estimating risk-adjusted outcomes. RESULTS Bibliographic searches identified 80 reviews, evaluating 48 different clinical areas. The main outcome considered was intrahospital/30-day mortality. The other outcomes vary depending on the type of condition or intervention in study. The relationship between hospital volume and outcomes was considered in 47 out of 48 conditions: 34 conditions showed evidence of a positive association; • 14 conditions consider cancer surgery for bladder, breast, colon, rectum, colon rectum, oesophagus, kidney, liver, lung, ovaries, pancreas, prostate, stomach, head and neck; • 11 conditions consider cardiocerebrovascular area: nonruptured and ruptured abdominal aortic aneurysm, acute myocardial infarction, brain aneurysm, carotid endarterectomy, coronary angioplasty, coronary artery bypass, paediatric heart surgery, revascularization of lower limbs, stroke, subarachnoid haemorrhage; • 2 conditions consider orthopaedic area: knee arthroplasty, hip fracture; • 7 conditions consider other areas: AIDS, bariatric surgery, cholecystectomy, intensive care unit, neonatal intensive care unit, sepsis, and traumas; for 3 conditions, no association was demonstrated: hip arthroplasty, dialysis, and thyroidectomy. for the remaining 10 conditions, the available evidence does not allow to draw firm conclusions about the association between hospital volume and considered outcomes: surgery for testicular cancer and intracranial tumours, paediatric oncology, aortofemoral bypass, cardiac catheterization, appendectomy, colectomy, inguinal hernia, respiratory failure, and hysterectomy. The relationship between volume of clinician/surgeon and outcomes was assessed only through the literature re view; to date, it is not possible to analyze this association for Italian health provider hospitals, since information on the clinician/surgeon on the hospital discharge chart is missing. The literature found a positive association for 21 conditions: 9 consider surgery for cancer: bladder, breast, colon, colon rectum, pancreas, prostate, rectum, stomach, and head and neck; 5 consider the cardiocerebrovascular area: ruptured and nonruptured abdominal aortic aneurysm, carotid endarterectomy, paediatric heart surgery, and revascularization of the lower limbs; 2 consider the orthopaedic area: knee and hip arthroplasty; 5 consider other areas: AIDS, bariatric surgery, hysterectomy, intensive care unit, and thyroidectomy. The analysis of the distribution of Italian hospitals concerned the 34 conditions for which the systematic review has shown a positive volume-outcome association. For the following, it was possible to conduct the analysis of the association using national data: unruptured abdominal aortic aneurysm, coronary angioplasty, hip arthroplasty, knee arthroplasty, coronary artery bypass, cancer surgery (colon, liver, breast, pancreas, lung, prostate, kidney, and stomach), laparoscopic cholecystectomy, hip fracture, stroke, acute myocardial infarction. For these conditions, the association between volume and outcome of care was observed. For laparoscopic cholecystectomy and surgery of the breast and stomach cancer, the association between the volume of the discharge (o dismissal) operating unit and the outcome was analyzed. The outcomes differ depending on the condition studied. The shape of the relationship is variable among different conditions, with heterogeneous slope of the curves. DISCUSSION For many conditions, the overview of systematic reviews has shown a strong evidence of association between higher volumes and better outcomes. The quality of the available reviews can be considered good for the consistency of the results between the studies and for the strength of the association; however, this does not mean that the included studies are of good quality. Analyzing national data, potential confounders, including age and comorbidities, have been considered. The systematic review of the literature does not permit to identify predefined volume thresholds. The analysis of national data shows a strong improvement in outcomes in the first part of the curve (from very low to higher volumes) for most conditions. In some cases, the improvement in outcomes remains gradual or constant with the increasing volume of care; in other, the analysis could allow the identification of threshold values beyond which the outcome does not further improve. However, a good knowledge of the relationship between effectiveness of treatments and costs, the geographical distribution and the accessibility to healthcare services are necessary to choose the minimum volumes of care, under which specific health procedures could not been provided in the NHS. Some potential biases due to the use of information systems data should also be considered. The different way of coding among hospitals could lead to a different selection of cases for some conditions. Regarding the definition of the exposure (volume of care), a possible bias could result from misclassification of health providers with high volume of activity. Performing the intervention in different departments/ units of the same hospital would result in an overestimation of the volume of care measured for hospital rather than for department/unit. For the conditions with a further fragmentation within the same structure, the association between volumes of discharge department and outcomes has also been evaluated. In this case, the two curves were different. The limit is to attribute the outcome to the discharge unit, which in case of surgery may not be the intervention unit. A similar bias could occur if the main determinant of the outcome of treatment was the caseload of each surgeon. The results of the analysis may be biased when different operators in the same hospital/unit carried out the same procedure. In any case, the observed association between volumes and outcome is very strong, and it is unlikely to be attributable to biases of the study design. Another aspect on which there is still little evidence is the interaction between volume of the hospital and of the surgeon. A MEDICARE study suggests that in some conditions, especially for specialized surgery, the effect of the surgeon's volume of activity is different depending on the structure volume, whereas it would not differ for some less specialized surgery conditions. The data here presented still show extremely fragmented volumes of both clinical and surgical areas, with a predominance of very low volume structures. Health systems operate, by definition, in a context of limited resources, especially when the amount of resources to allocate to the health system is reduced. In such conditions, the rationalization of the organization of health services based on the volume of care may make resources available to improve the effectiveness of interventions. The identification and certification of services and providers with high volume of activity can help to reduce differences in the access to non-effective procedures. To produce additional evidence to guide the reorganization of the national healthcare system, it will be necessary to design further primary studies to evaluate the effectiveness and safety of policies aimed at concentrating interventions in structures with high volumes of activity.

Impact of case volume on survival of septic shock in patients with malignancies.

PubMed

Zuber, Benjamin; Tran, Thi-Chien; Aegerter, Philippe; Grimaldi, David; Charpentier, Julien; Guidet, Bertrand; Mira, Jean-Paul; Pène, Frédéric

2012-01-01

Septic shock is a frequent and severe complication in the course of malignancies. In a large multicenter cohort of septic shock patients with hematologic malignancies and solid tumors, we assessed the temporal trend in survival and the prognostic factors, with particular emphasis on case volume. A 12-yr multicenter retrospective cohort study of prospectively collected data. Cancer patients with septic shock were selected over a 12-yr period (1997-2008) from a French regional database (CUB-Réa). The following variables were extracted: demographic characteristics, type of malignancy, characteristics of infection, severity-of-illness score (Simplified Acute Physiology Score II), organ failure supports, and vital status. For each unit, a running mean annual volume of admissions was calculated for the purpose of categorization into volume tertiles. Prognostic factors were analyzed by a conditional multivariate logistic model after matching on a propensity score of being admitted to a high-volume unit and on the year of admission. None. A total of 3,437 patients were included in the study. The intensive care unit mortality rate dramatically dropped over time (from 70.4% in 1997 to 52.5% in 2008, relative decrease 25.4%, p < .001). Participating units were distributed into low-volume (< five patients per year), medium-volume (five to 12 patients per year), and high-volume (≥ 13 patients per year) tertiles. A medical cause for intensive care unit admission, Simplified Acute Physiology Score II, invasive mechanical ventilation, renal replacement therapy, fungal infections, and unknown microorganism were identified as poor prognostic factors. Case volume demonstrated a strong influence on survival, admission in a high-volume unit being associated with a marked decrease in mortality as compared to low-volume units (adjusted odds ratio 0.63; 95% confidence interval [0.46-0.87], p = .002). Survival of septic shock patients with malignancies markedly increased over the recent years. Furthermore, we identified case volume as a major prognostic factor in this setting.

Using Simulation to Model Improvements in Pediatric Bed Placement in an Acute Care Hospital.

PubMed

Lambton, Judith; Roeder, Theresa; Saltzman, Robert; Param, Lila; Fernandes, Roxanne

2017-02-01

The objective of this project was to use an interdisciplinary approach to analyze strategies through simulation technology for improving patient flow in a pediatric hospital. Various statistics have been offered on the number of children admitted annually to hospitals. For administrators, particularly in smaller systems, the financial burden of equipping and staffing pediatric units often outweighs the moral desire to maintain a pediatric unit as a viable option for patients and pediatricians. Discrete event simulation was used to model current operations of a pediatric unit. Cost analysis was conducted using simulation reflecting various percentages of patients being referred to a discharge holding area (DHA) upon discharge and of the use of all private rooms. Both DHA and private rooms resulted in increased patient volumes. Administrators should consider the use of a DHA and/or private rooms to ease the census strains of pediatric units and the resultant revenue of this service.

Highly Integrated THz Receiver Systems for Small Satellite Remote Sensing Applications

NASA Technical Reports Server (NTRS)

Groppi, Christopher; Hunter, Roger C.; Baker, Christopher

2017-01-01

We are developing miniaturized, highly integrated Schottky receiver systems suitable for use in CubeSats or other small spacecraft platforms, where state-of-the-art performance and ultra-low mass, power, and volume are required. Current traditional Schottky receivers are too large to employ on a CubeSat. We will develop highly integrated receivers operating from 520-600 GHz and 1040-1200 GHz that are based on state-of-the-art receivers already developed at Jet Propulsion Laboratory (JPL) by using novel 3D multi layer packaging. This process will reduce both mass and volume by more than an order of magnitude, while preserving state-of-the-art noise performance. The resulting receiver systems will have a volume of approximately 25 x 25 x 40 millimeters (mm), a mass of 250 grams (g), and power consumption on the order of of 7 watts (W). Using these techniques, we will also integrate both receivers into a single frame, further reducing mass and volume for applications where dual band operation is advantageous. Additionally, as Schottky receivers offer significant gains in noise performance when cooled to 100 K, we will investigate the improvement gained by passively cooling these receivers. Work by Sierra Lobo Inc., with their Cryo Cube technology development program, offers the possibility of passive cooling to 100 K on CubeSat platforms for 1-unit (1U) sized instruments.

Evaluation of a microwave based reactor for the treatment of blackwater sludge

PubMed Central

Mawioo, Peter M.; Rweyemamu, Audax; Garcia, Hector A.; Hooijmans, Christine M.; Brdjanovic, Damir

2016-01-01

A laboratory-scale microwave (MW) unit was applied to treat fresh blackwater sludge that represented fecal sludge (FS) produced at heavily used toilet facilities. The sludge was exposed to MW irradiation at different power levels and for various durations. Variables such as sludge volume and pathogen reduction were observed. The results demonstrated that the MW is a rapid and efficient technology that can reduce the sludge volume by over 70% in these experimental conditions. The concentration of bacterial pathogenic indicator E. coli also decreased to below the analytical detection levels. Furthermore, the results indicated that the MW operational conditions including radiation power and contact time can be varied to achieve the desired sludge volume and pathogen reduction. MW technology can be further explored for the potential scaling-up as an option for rapid treatment of FS from intensively used sanitation facilities such as in emergency situations. PMID:26799809

A compact disk-like centrifugal microfluidic system for high-throughput nanoliter-scale protein crystallization screening.

PubMed

Li, Gang; Chen, Qiang; Li, Junjun; Hu, Xiaojian; Zhao, Jianlong

2010-06-01

A centrifuge-based microfluidic system has been developed that enables automated high-throughput and low-volume protein crystallizations. In this system, protein solution was automatically and accurately metered and dispensed into nanoliter-sized multiple reaction chambers, and it was mixed with various types of precipitants using a combination of capillary effect and centrifugal force. It has the advantages of simple fabrication, easy operation, and extremely low waste. To demonstrate the feasibility of this system, we constructed a chip containing 24 units and used it to perform lysozyme and cyan fluorescent protein (CyPet) crystallization trials. The results demonstrate that high-quality crystals can be grown and harvested from such a nanoliter-volume microfluidic system. Compared to other microfluidic technologies for protein crystallization, this microfluidic system allows zero waste, simple structure and convenient operation, which suggests that our microfluidic disk can be applied not only to protein crystallization, but also to the miniaturization of various biochemical reactions requiring precise nanoscale control.

Outcome of Pregnancies After Balloon Occlusion of the Infrarenal Abdominal Aorta During Caesarean in 230 Patients With Placenta Praevia Accreta

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

Wu, Qinghua, E-mail: qh-wu77@163.com; Liu, Zhuan, E-mail: liuchuan2015ck@163.com; Zhao, Xianlan, E-mail: zxl121292014@163.com

PurposeTo explore the efficacy and safety of prophylactic temporary balloon occlusion of the infrarenal abdominal aorta during caesarean for the management of patients with placenta praevia accreta.MethodsTwo hundred and sixty-eight cases of placenta praevia accreta from January 2012 to June 2015 were retrospectively reviewed. Group A included two hundred and thirty patients who underwent prophylactic temporary balloon occlusion of infrarenal abdominal aorta followed by caesarean section. Group B included thirty-eight patients who underwent caesarean without endovascular intervention. The parameters including operating room time, estimated blood loss, blood transfusion volume, PT (prothrombin time) during operation, days in the intensive care unit,more » and total hospital days were compared between the two groups.ResultsThe operating room time, estimated blood loss, PT, the incidence of hysterectomy, blood transfusion volume, postpartum haemorrhage, and days in intensive care unit were lower in group A than in group B, with statistical significance (P < 0.05). There was no significant difference in the Apgar scores of the neonates and the incidences of thrombosis in lower limbs between the two groups (P > 0.05). No patient in the group with prophylactic temporary balloon occlusion of the infrarenal abdominal aorta was performed hysterectomy, while three patients in group B were performed hysterectomy because of uncontrollable haemorrhage.ConclusionsThe results indicate that prophylactic temporary balloon occlusion of infrarenal abdominal aorta followed by caesarean section is safe and effective to control intraoperative blood loss and greatly decreases the risk of hysterectomy in patients with placenta praevia accreta.« less

Comparison between the Prebolus T1 Measurement and the Fixed T1 Value in Dynamic Contrast-Enhanced MR Imaging for the Differentiation of True Progression from Pseudoprogression in Glioblastoma Treated with Concurrent Radiation Therapy and Temozolomide Chemotherapy.

PubMed

Nam, J G; Kang, K M; Choi, S H; Lim, W H; Yoo, R-E; Kim, J-H; Yun, T J; Sohn, C-H

2017-12-01

Glioblastoma is the most common primary brain malignancy and differentiation of true progression from pseudoprogression is clinically important. Our purpose was to compare the diagnostic performance of dynamic contrast-enhanced pharmacokinetic parameters using the fixed T1 and measured T1 on differentiating true from pseudoprogression of glioblastoma after chemoradiation with temozolomide. This retrospective study included 37 patients with histopathologically confirmed glioblastoma with new enhancing lesions after temozolomide chemoradiation defined as true progression ( n = 15) or pseudoprogression ( n = 22). Dynamic contrast-enhanced pharmacokinetic parameters, including the volume transfer constant, the rate transfer constant, the blood plasma volume per unit volume, and the extravascular extracellular space per unit volume, were calculated by using both the fixed T1 of 1000 ms and measured T1 by using the multiple flip-angle method. Intra- and interobserver reproducibility was assessed by using the intraclass correlation coefficient. Dynamic contrast-enhanced pharmacokinetic parameters were compared between the 2 groups by using univariate and multivariate analysis. The diagnostic performance was evaluated by receiver operating characteristic analysis and leave-one-out cross validation. The intraclass correlation coefficients of all the parameters from both T1 values were fair to excellent (0.689-0.999). The volume transfer constant and rate transfer constant from the fixed T1 were significantly higher in patients with true progression ( P = .048 and .010, respectively). Multivariate analysis revealed that the rate transfer constant from the fixed T1 was the only independent variable (OR, 1.77 × 10 5 ) and showed substantial diagnostic power on receiver operating characteristic analysis (area under the curve, 0.752; P = .002). The sensitivity and specificity on leave-one-out cross validation were 73.3% (11/15) and 59.1% (13/20), respectively. The dynamic contrast-enhanced parameter of rate transfer constant from the fixed T1 acted as a preferable marker to differentiate true progression from pseudoprogression. © 2017 by American Journal of Neuroradiology.

Remedial investigation/feasibility study of the Clinch River/Poplar Creek operable unit. Volume 1: Main text

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

NONE

This report presents the findings of an investigation into contamination of the Clinch River and Poplar Creek near the US Department of Energy`s (DOE`s) Oak Ridge Reservation (ORR) in eastern Tennessee. For more than 50 years, various hazardous and radioactive substances have been released to the environment as a result of operations and waste management activities at the ORR. In 1989, the ORR was placed on the National Priorities List (NPL), established and maintained under the federal Comprehensive environmental Response, Compensation, and Liability Act of 1980 (CERCLA). Under CERCLA, NPL sites must be investigated to determine the nature and extentmore » of contamination at the site, assess the risk to human health and the environment posed by the site, and, if necessary, identify feasible remedial alternatives that could be used to clean the site and reduce risk. To facilitate the overall environmental restoration effort at the ORR, CERCLA activities are being implemented individually as distinct operable units (OUs). This document is the combined Remedial Investigation and Feasibility Study Report for the Clinch River/Poplar Creek OU.« less

Management of computed tomography-detected pneumothorax in patients with blunt trauma: experience from a community-based hospital

PubMed Central

Hefny, Ashraf F; Kunhivalappil, Fathima T; Matev, Nikolay; Avila, Norman A; Bashir, Masoud O; Abu-Zidan, Fikri M

2018-01-01

INTRODUCTION Diagnoses of pneumothorax, especially occult pneumothorax, have increased as the use of computed tomography (CT) for imaging trauma patients becomes near-routine. However, the need for chest tube insertion remains controversial. We aimed to study the management of pneumothorax detected on CT among patients with blunt trauma, including the decision for tube thoracostomy, in a community-based hospital. METHODS Chest CT scans of patients with blunt trauma treated at Al Rahba Hospital, Abu Dhabi, United Arab Emirates, from October 2010 to October 2014 were retrospectively studied. Variables studied included demography, mechanism of injury, endotracheal intubation, pneumothorax volume, chest tube insertion, Injury Severity Score, hospital length of stay and mortality. RESULTS CT was performed in 703 patients with blunt trauma. Overall, pneumothorax was detected on CT for 74 (10.5%) patients. Among the 65 patients for whom pneumothorax was detected before chest tube insertion, 25 (38.5%) needed chest tube insertion, while 40 (61.5%) did not. Backward stepwise likelihood regression showed that independent factors that significantly predicted chest tube insertion were endotracheal intubation (p = 0.01), non-United Arab Emirates nationality (p = 0.01) and pneumothorax volume (p = 0.03). The receiver operating characteristic curve showed that the best pneumothorax volume that predicted chest tube insertion was 30 mL. CONCLUSION Chest tube was inserted in less than half of the patients with blunt trauma for whom pneumothorax was detected on CT. Pneumothorax volume should be considered in decision-making regarding chest tube insertion. Conservative treatment may be sufficient for pneumothorax of volume < 30 mL. PMID:28741012

Management of computed tomography-detected pneumothorax in patients with blunt trauma: experience from a community-based hospital.

PubMed

Hefny, Ashraf F; Kunhivalappil, Fathima T; Matev, Nikolay; Avila, Norman A; Bashir, Masoud O; Abu-Zidan, Fikri M

2018-03-01

Diagnoses of pneumothorax, especially occult pneumothorax, have increased as the use of computed tomography (CT) for imaging trauma patients becomes near-routine. However, the need for chest tube insertion remains controversial. We aimed to study the management of pneumothorax detected on CT among patients with blunt trauma, including the decision for tube thoracostomy, in a community-based hospital. Chest CT scans of patients with blunt trauma treated at Al Rahba Hospital, Abu Dhabi, United Arab Emirates, from October 2010 to October 2014 were retrospectively studied. Variables studied included demography, mechanism of injury, endotracheal intubation, pneumothorax volume, chest tube insertion, Injury Severity Score, hospital length of stay and mortality. CT was performed in 703 patients with blunt trauma. Overall, pneumothorax was detected on CT for 74 (10.5%) patients. Among the 65 patients for whom pneumothorax was detected before chest tube insertion, 25 (38.5%) needed chest tube insertion, while 40 (61.5%) did not. Backward stepwise likelihood regression showed that independent factors that significantly predicted chest tube insertion were endotracheal intubation (p = 0.01), non-United Arab Emirates nationality (p = 0.01) and pneumothorax volume (p = 0.03). The receiver operating characteristic curve showed that the best pneumothorax volume that predicted chest tube insertion was 30 mL. Chest tube was inserted in less than half of the patients with blunt trauma for whom pneumothorax was detected on CT. Pneumothorax volume should be considered in decision-making regarding chest tube insertion. Conservative treatment may be sufficient for pneumothorax of volume < 30 mL. Copyright: © Singapore Medical Association.

Digitally programmable microfluidic automaton for multiscale combinatorial mixing and sample processing†

PubMed Central

Jensen, Erik C.; Stockton, Amanda M.; Chiesl, Thomas N.; Kim, Jungkyu; Bera, Abhisek; Mathies, Richard A.

2013-01-01

A digitally programmable microfluidic Automaton consisting of a 2-dimensional array of pneumatically actuated microvalves is programmed to perform new multiscale mixing and sample processing operations. Large (µL-scale) volume processing operations are enabled by precise metering of multiple reagents within individual nL-scale valves followed by serial repetitive transfer to programmed locations in the array. A novel process exploiting new combining valve concepts is developed for continuous rapid and complete mixing of reagents in less than 800 ms. Mixing, transfer, storage, and rinsing operations are implemented combinatorially to achieve complex assay automation protocols. The practical utility of this technology is demonstrated by performing automated serial dilution for quantitative analysis as well as the first demonstration of on-chip fluorescent derivatization of biomarker targets (carboxylic acids) for microchip capillary electrophoresis on the Mars Organic Analyzer. A language is developed to describe how unit operations are combined to form a microfluidic program. Finally, this technology is used to develop a novel microfluidic 6-sample processor for combinatorial mixing of large sets (>26 unique combinations) of reagents. The digitally programmable microfluidic Automaton is a versatile programmable sample processor for a wide range of process volumes, for multiple samples, and for different types of analyses. PMID:23172232

US Fish and Wildlife Service lands biomonitoring operations manual

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

Rope, R.C.; Breckenridge, R.P.

1993-08-01

This is Volume 1 of an operations manual designed to facilitate the development of biomonitoring strategies for U.S. Fish and Wildlife Service Lands. It is one component of the U.S. Fish and Wildlife Service Lands Biomonitoring Operations Manual. The Volume contains the Introduction to the Manual, background information on monitoring, and procedures for developing a biomonitoring strategy for Service lands. The purpose of the Biomonitoring Operations Manual is to provide an approach to develop and implement biomonitoring activities to assess the status and trends of U.S. Fish and Wildlife Service trust resources. It also provides field sampline methods and documentationmore » protocols for contaminant monitoring activities. The strategy described in the Manual has been designed as a stand alone process to characterize the presence of contaminants on lands managed by the Service. This process can be sued to develop a monitoring program for any tract of real estate with potential threats from on- or off-site contaminants. Because the process was designed to address concerns for Service lands that span the United States from Alaska to the Tropical Islands, it has a generic format that can be used in al types of ecosystems, however, significant site specific informtion is required to complete the Workbook and make the process work successfully.« less

Decreasing airborne contamination levels in high-risk hospital areas using a novel mobile air-treatment unit.

PubMed

Bergeron, V; Reboux, G; Poirot, J L; Laudinet, N

2007-10-01

To evaluate the performance of a new mobile air-treatment unit that uses nonthermal-plasma reactors for lowering the airborne bioburden in critical hospital environments and reducing the risk of nosocomial infection due to opportunistic airborne pathogens, such as Aspergillus fumigatus. Tests were conducted in 2 different high-risk hospital areas: an operating room under simulated conditions and rooms hosting patients in a pediatric hematology ward. Operating room testing provided performance evaluations of removal rates for airborne contamination (ie, particles larger than 0.5 microm) and overall lowering of the airborne bioburden (ie, colony-forming units of total mesophilic flora and fungal flora per cubic meter of air). In the hematology service, opportunistic and nonpathogenic airborne fungal levels in a patient's room equipped with an air-treatment unit were compared to those in a control room. In an operating room with a volume of 118 m(3), the time required to lower the concentration of airborne particles larger than 0.5 microm by 90% was decreased from 12 minutes with the existing high-efficiency particulate air filtration system to less than 2 minutes with the units tested, with a 2-log decrease in the steady-state levels of such particles (P<.01). Concurrently, total airborne mesophilic flora concentrations dropped by a factor of 2, and the concentrations of fungal species were reduced to undetectable levels (P<.01). The 12-day test period in the hematology ward revealed a significant reduction in airborne fungus levels (P<.01), with average reductions of 75% for opportunistic species and 82% for nonpathogenic species. Our data indicate that the mobile, nonthermal-plasma air treatment unit tested in this study can rapidly reduce the levels of airborne particles and significantly lower the airborne bioburden in high-risk hospital environments.

Learning curve in transradial cardiac catheterization: procedure-related parameters stratified by operators' transradial volume.

PubMed

Kasasbeh, Ehab S; Parvez, Babar; Huang, Robert L; Hasselblad, Michele Marie; Glazer, Mark D; Salloum, Joseph G; Cleator, John H; Zhao, David X

2012-11-01

To determine whether radial artery access is associated with a reduction in fluoroscopy time, procedure time, and other procedural variables over a 27-month period during which the radial artery approach was incorporated in a single academic Medical Center. Although previous studies have demonstrated a relationship between increased volume and decreased procedural time, no studies have looked at the integration of radial access over time. Data were collected from consecutive patients who presented to the Vanderbilt University Medical Center cardiac catheterization laboratory from January 1, 2009 to April 1, 2011. Patients who underwent radial access diagnostic catheterization with and without percutaneous coronary intervention were included in this study. A total of 1112 diagnostic cardiac catheterizations through the radial access site were analyzed. High-volume, intermediate-volume, and low-volume operators were grouped based on the percentage of procedures performed through a radial approach. From 2009 to 2011, there was a significant decrease in fluoroscopy time in all operator groups for diagnostic catheterization (P=.035). The high-volume operator group had 1.88 and 3.66 minute reductions in fluoroscopy time compared to the intermediate- and low-volume operator groups, respectively (both P<.001). Likewise, the intermediate-volume operator group had a 1.77 minute improvement compared to the low-volume operator group, but this did not reach statistical significance (P=.102). The improvement in fluoroscopy time and other procedure-related parameters was seen after approximately 25 cases with further improvement after 75 cases. The incorporation of the radial access approach in the cardiac catheterization laboratory led to a decrease in fluoroscopy time for each operator and operator group over the last 3 years. Our data demonstrated that higher-volume radial operators have better procedure, room, and fluoroscopy times when compared to intermediate- and low-volume operators. However, lower-volume operators have a reduction in procedure-related parameters with increased radial cases. Number of procedures needed to become sufficient was demonstrated in the current study.

Process Improvement to Enhance Quality in a Large Volume Labor and Birth Unit.

PubMed

Bell, Ashley M; Bohannon, Jessica; Porthouse, Lisa; Thompson, Heather; Vago, Tony

The goal of the perinatal team at Mercy Hospital St. Louis is to provide a quality patient experience during labor and birth. After the move to a new labor and birth unit in 2013, the team recognized many of the routines and practices needed to be modified based on different demands. The Lean process was used to plan and implement required changes. This technique was chosen because it is based on feedback from clinicians, teamwork, strategizing, and immediate evaluation and implementation of common sense solutions. Through rapid improvement events, presence of leaders in the work environment, and daily huddles, team member engagement and communication were enhanced. The process allowed for team members to offer ideas, test these ideas, and evaluate results, all within a rapid time frame. For 9 months, frontline clinicians met monthly for a weeklong rapid improvement event to create better experiences for childbearing women and those who provide their care, using Lean concepts. At the end of each week, an implementation plan and metrics were developed to help ensure sustainment. The issues that were the focus of these process improvements included on-time initiation of scheduled cases such as induction of labor and cesarean birth, timely and efficient assessment and triage disposition, postanesthesia care and immediate newborn care completed within approximately 2 hours, transfer from the labor unit to the mother baby unit, and emergency transfers to the main operating room and intensive care unit. On-time case initiation for labor induction and cesarean birth improved, length of stay in obstetric triage decreased, postanesthesia recovery care was reorganized to be completed within the expected 2-hour standard time frame, and emergency transfers to the main hospital operating room and intensive care units were standardized and enhanced for efficiency and safety. Participants were pleased with the process improvements and quality outcomes. Working together as a team using the Lean process, frontline clinicians identified areas that needed improvement, developed and implemented successful strategies that addressed each gap, and enhanced the quality and safety of care for a large volume perinatal service.

Hydrogeologic framework and estimates of ground-water volumes in Tertiary and upper Cretaceous hydrogeologic units in the Powder River basin, Wyoming

USGS Publications Warehouse

Hinaman, Kurt

2005-01-01

The Powder River Basin in Wyoming and Montana is an important source of energy resources for the United States. Coalbed methane gas is contained in Tertiary and upper Cretaceous hydrogeologic units in the Powder River Basin. This gas is released when water pressure in coalbeds is lowered, usually by pumping ground water. Issues related to disposal and uses of by-product water from coalbed methane production have developed, in part, due to uncertainties in hydrologic properties. One hydrologic property of primary interest is the amount of water contained in Tertiary and upper Cretaceous hydrogeologic units in the Powder River Basin. The U.S. Geological Survey, in cooperation with the Bureau of Land Management, conducted a study to describe the hydrogeologic framework and to estimate ground-water volumes in different facies of Tertiary and upper Cretaceous hydrogeologic units in the Powder River Basin in Wyoming. A geographic information system was used to compile and utilize hydrogeologic maps, to describe the hydrogeologic framework, and to estimate the volume of ground water in Tertiary and upper Cretaceous hydrogeologic units in the Powder River structural basin in Wyoming. Maps of the altitudes of potentiometric surfaces, altitudes of the tops and bottoms of hydrogeologic units, thicknesses of hydrogeologic units, percent sand of hydrogeologic units, and outcrop boundaries for the following hydrogeologic units were used: Tongue River-Wasatch aquifer, Lebo confining unit, Tullock aquifer, Upper Hell Creek confining unit, and the Fox Hills-Lower Hell Creek aquifer. Literature porosity values of 30 percent for sand and 35 percent for non-sand facies were used to calculate the volume of total ground water in each hydrogeologic unit. Literature specific yield values of 26 percent for sand and 10 percent for non-sand facies, and literature specific storage values of 0.0001 ft-1 (1/foot) for sand facies and 0.00001 ft-1 for non-sand facies, were used to calculate a second volume of ground water for each hydrogeologic unit. Significant figure considerations limited estimates of ground-water volumes to two significant digits. A total ground-water volume of 2.0x1014 ft3 (cubic feet) was calculated using porosity values, and a total ground-water volume of 3.6x1013 ft3 was calculated using specific yield and specific storage values. These results are consistent with retention properties, which would have some of the total water being retained in the sediments. Sensitivity analysis shows that the estimates of ground-water volume are most sensitive to porosity. The estimates also are sensitive to confined thickness and saturated thickness. Better spatial information for hydrogeologic units could help refine the ground-water volume estimates.

Overview of the Microgravity Science Glovebox (MSG) Facility and the Research Performed in the MSG

NASA Technical Reports Server (NTRS)

Jordan, Lee

2016-01-01

The Microgravity Science Glovebox (MSG) is a rack facility aboard the International Space Station (ISS) designed for investigation handling. The MSG was built by the European Space Agency (ESA) which also provides sustaining engineering support for the facility. The MSG has been operating on the ISS since July 2002 and is currently located in the US Laboratory Module. The unique design of the facility allows it to accommodate science and technology investigations in a "workbench" type environment. The facility has an enclosed working volume that is held at a negative pressure with respect to the crew living area. This allows the facility to provide two levels of containment for small parts, particulates, fluids, and gases. This containment approach protects the crew from possible hazardous operations that take place inside the MSG work volume. Research investigations operating inside the MSG are provided a large 255 liter enclosed work space, 1000 watts of direct current power via a versatile supply interface (120, 28, plus or minus 12, and 5 volts direct current), 1000 watts of cooling capability, video and data recording and real time downlink, ground commanding capabilities, access to ISS Vacuum Exhaust and Vacuum Resource Systems, and gaseous nitrogen supply. These capabilities make the MSG one of the most utilized facilities on ISS. The MSG has been used for over 27,000 hours of scientific payload operations. MSG investigations involve research in cryogenic fluid management, fluid physics, spacecraft fire safety, materials science, combustion, plant growth, biological studies and life support technology. The MSG facility is operated by the Payloads Operations Integration Center at Marshall Space Flight Center. Payloads may also operate remotely from different telescience centers located in the United States and Europe. The Investigative Payload Integration Manager (IPIM) is the focal to assist organizations that have payloads operating in the MSG facility. NASA provides an MSG engineering unit for payload developers to verify that their hardware is operating properly before actual operation on the ISS. This poster will provide an overview of the MSG facility, a synopsis of the research that has already been accomplished in the MSG, and an overview of video and biological upgrades. The author would like to acknowledge Teledyne Brown Engineering and the entire MSG Team for their inputs into this poster.

Ground Operations Demonstration Unit for Liquid Hydrogen (GODU LH2)

NASA Technical Reports Server (NTRS)

Notardonato, William U.

2015-01-01

When the technology associated with zero loss storage and transfer is implemented, NASA can reduce the LH2 losses and procurement costs by up to 30 compared to historical Shuttle numbers. This return on investment is based on the mission manifest and commodity use. LH2 densification can provide improved launch vehicle ascent performance by minimizing the size of the LH2 tanks or storing more mass of propellant in the given tank volume.

MX Siting Investigation. Faults and Lineaments in the MX Siting Region, Nevada and Utah. Volume I.

DTIC Science & Technology

1981-11-06

indicate favorable mineral potential. Verifi- cation, Operational Base, and Shelter Layout studies used fault and lineament data to assist in determining... shelter locations were situated so as to avoid faults but roads were allowed to cross some faults and lineaments because it is generally infeasible, if not... Cordillera in the Western United States, in Smith, R. B., and Eaton, G. P., eds., Cenozoic tectonics - and regional geophysics of the western Cordillera

Strategic Studies Quarterly. Volume 5, Number 1, Spring 2011

DTIC Science & Technology

2011-01-01

2010). 17. The White House, National Space Policy of the United States of America (Washington: White House, 28 June 2010), 3. 18. John Oneal and Bruce... censors and vigilantes) model operating on many levels at once. In this model, China is expressing a long-standing concern for the stability and...Ansfield, “China’s Censors Tackle and Trip Over the Internet,” New York Times, 8 April 2010. 32. Ching Cheong, “Fighting the Digital War with the

Journal of Special Operations Medicine. Volume 4, Edition 1, Winter 2004

DTIC Science & Technology

2004-01-01

an ophthalmologist. He has been instrumental in PRK initiatives, has been a very productive mem- ber of the BISC, knows the risks of our missions...results to SOF mission commanders in a format suit- able for training at the unit level. 1999-3 PROSPECTIVE EVALUATION OF WAVE- FRONT-GUIDED PRK (Year...1 of 3) Conduct a prospective, randomized clinical trial to compare PRK for the treatment of naturally occurring myopia and astigmatism using

Recovering from Katrina. Air Force Civil Engineer, Volume 13, Number 3, 2005

DTIC Science & Technology

2005-01-01

Texas, Col Patrick is responsible for providing functional leadership and technical guidance to civil engineer units supporting the more than...delivery of facilities prior to the Wing’s initial operational capability date. Attitude was affected by strong leadership from a senior executive...Warfare Ramping Up for AM-2’s Replacement Mr. Joe D. Fisher ACC/A7XX History of AM-2 AM-2 aluminum matting, an evolution of the pierced steel plank

Pulsed Heterodyne CO2 Laser/Scanner System. Volume 1. Assembly Report.

DTIC Science & Technology

1983-06-01

rack #2 houses the switches and variacs controlling the DC power rectifier, which is in an oil tank under the optical bench. These two units are...or fire hazards (due to oil filled electrical equipments). This section, however, addresses only the four main hazards. Ozone The atmospheric pressure...ventilation of the exhaust of the 002 lasers is essencial to the safe operation of this system. High Voltage The system consists of 40 separate

Journal of Special Operations Medicine, Volume 4, Edition 2, Spring 2004

DTIC Science & Technology

2004-01-01

tilted pelvis in position. The slight lumbar lordosis apparent in most people either nearly or completely disappears in these individuals. The units...flexors force the lumbar spine to shorten (by creating a lumbar lordosis ) to bring the thorax back where it belongs. A shortened psoas generally pulls the...quadrupeds and has implications for upper lumbar support as well as lower lumbar lordosis . The route of the psoas is not a direct one; it passes

Health Occupations Education. Units of Instruction. Teacher's Guide. Volume II.

ERIC Educational Resources Information Center

Williams, Catherine

This manual is the second part of a two-volume teacher's guide to a series of instructional units for use in health occupations education programs in Texas. Covered in the 10 units included in this volume are the following topics: special procedures (administering oxygen to patients; using elastic bandages; assisting with postural drainage; and…

Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit 1: Analysis of core damage frequency from internal events during mid-loop operations, Appendices A--D. Volume 2, Part 2

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

Chu, T.L.; Musicki, Z.; Kohut, P.

1994-06-01

During 1989, the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully examine the Potential risks during low Power and shutdown operations. The program includes two parallel projects being performed by Brookhaven National Laboratory (BNL) and Sandia National Laboratories (SNL). Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the Plants to be studied. The objectives of the program are to assess the risks of severe accidents initiated during plant operational states other than full power operation and to compare the estimated core damage frequencies, important accident sequences and other qualitative and quantitativemore » results with those accidents initiated during full power operation as assessed in NUREG-1150. The objective of this report is to document the approach utilized in the Surry plant and discuss the results obtained. A parallel report for the Grand Gulf plant is prepared by SNL. This study shows that the core-damage frequency during mid-loop operation at the Surry plant is comparable to that of power operation. We recognize that there is very large uncertainty in the human error probabilities in this study. This study identified that only a few procedures are available for mitigating accidents that may occur during shutdown. Procedures written specifically for shutdown accidents would be useful. This document, Volume 2, Pt. 2 provides appendices A through D of this report.« less

48 CFR 242.1402 - Volume movements within the contiguous United States.

Code of Federal Regulations, 2011 CFR

2011-10-01

... administration office submits a volume movement report when— (1) Significant changes are made to the movement... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Volume movements within... SERVICES Traffic and Transportation Management 242.1402 Volume movements within the contiguous United...

Evidence of Time-Of-Day Pricing In the United States. Volume 2, Appendices and Case Studies

DOT National Transportation Integrated Search

1984-05-01

This is the companion volume to the research report, Evidence on Time of Transit Pricing in the United States. This volume serves as an expanded appendix to the Volume 1 report, principally providing detailed case-by-case summaries on experiences wit...

A liquid-delivery device that provides precise reward control for neurophysiological and behavioral experiments.

PubMed

Mitz, Andrew R

2005-10-15

Behavioral neurophysiology and other kinds of behavioral research often involve the delivery of liquid rewards to experimental subjects performing some kind of operant task. Available systems use gravity or pumps to deliver these fluids, but such methods are poorly suited to moment-to-moment control of the volume, timing, and type of fluid delivered. The design described here overcomes these limitations using an electronic control unit, a pressurized reservoir unit, and an electronically controlled solenoid. The control unit monitors reservoir pressure and provides precisely timed solenoid activation signals. It also stores calibration tables and does on-the-fly interpolation to support computer-controlled delivery calibrated directly in milliliters. The reservoir provides pressurized liquid to a solenoid mounted near the subject. Multiple solenoids, each supplied by a separate reservoir unit and control unit, can be stacked in close proximity to allow instantaneous selection of which liquid reward is delivered. The precision of droplet delivery was verified by weighing discharged droplets on a commercial analytical balance.

Truck Traffic Iowa : 2010

DOT National Transportation Integrated Search

2011-01-01

Truck volumes represented on this map are Annual Average Daily Traffic Volumes between major traffic generators: i.e., Highway Junctions and Cities. : Truck volumes include 6-Tire and 3 Axle single unit trucks, buses and all multiple unit trucks.

High-volume intensive training course: a new paradigm for video-assisted thoracoscopic surgery education.

PubMed

Sihoe, Alan D L; Gonzalez-Rivas, Diego; Yang, Timothy Y; Zhu, Yuming; Jiang, Gening

2018-03-27

The emergence of ultra-high-volume centres promises new opportunities for thoracic surgical training. The goal of this study was to investigate the effectiveness of a novel observership course in teaching video-assisted thoracoscopic surgery (VATS) at an ultra-high-volume centre. Two-week courses in VATS at a specialist unit now performing >10 000 major lung resections annually (>50 daily on average) were attended by 230 surgeons from around the world from 2013 to 2016. An online survey preserving responder anonymity was completed by 156 attendees (67.8%). Attendees included 37% from Western Europe, 18% from Eastern Europe and 17% from Latin America. Experience with open thoracic surgery for more than 5 years was reported by 67%, but 79% had less than 5 years of VATS lobectomy experience. During the course, 70% observed over 30 uniportal VATS operations (including 38% observing over 50), and 69% attended an animal wet lab. Although 72% of the responders attended the course less than 12 months ago, the number of ports used (P < 0.001), operation times (P < 0.001) and conversion rates (P < 0.001) reported by the responders were reduced significantly after the course. Improvements in the problem areas of tissue retraction, instrumentation, stapler application and coordination with the assistant during VATS were reported by 56%, 57%, 58% and 53%, respectively. Of those who had attended other VATS courses previously, 87% preferred the training from this high-volume course. High-volume intensive observership training at an ultra-high-volume centre may improve VATS proficiency in a short period of time, and may provide a time-efficient modality for future thoracic surgical training.

Development and fabrication of S-band chip varactor parametric amplifier

NASA Technical Reports Server (NTRS)

Kramer, E.

1974-01-01

A noncryogenic, S-band parametric amplifier operating in the 2.2 to 2.3 GHz band and having an average input noise temperature of less than 30 K was built and tested. The parametric amplifier module occupies a volume of less than 1-1/4 cubic feet and weighs less than 60 pounds. The module is designed for use in various NASA ground stations to replace larger, more complex cryogenic units which require considerably more maintenance because of the cryogenic refrigeration system employed. The amplifier can be located up to 15 feet from the power supply unit. Optimum performance was achieved through the use of high-quality unpackaged (chip) varactors in the amplifier design.

Feasibility study of an aerospace museum in the western United States. Volume 2: Documentation

NASA Technical Reports Server (NTRS)

1972-01-01

Papers supporting the study on establishing an aerospace museum in the western United States are presented. These cover the following areas of investigation: (1) The potential locations in the west were analyzed, and the most logical locations for museum development are Los Angeles, San Francisco, San Diego, Seattle, and Phoenix/Tucson. (2) The 26 museums and other organizations with significant public displays of aeronautics, astronautics, or astronomy are listed. (3) The activities and functions of museums, and their obligations to the user-visitor are discussed. (4) The sources for construction and improvements, operations, and acquisitions are described. (5) General curatorial responsibilites in preserving and exhibiting aerospace specimens and artifacts are also discussed.

Reducing intraoperative red blood cell unit wastage in a large academic medical center.

PubMed

Whitney, Gina M; Woods, Marcella C; France, Daniel J; Austin, Thomas M; Deegan, Robert J; Paroskie, Allison; Booth, Garrett S; Young, Pampee P; Dmochowski, Roger R; Sandberg, Warren S; Pilla, Michael A

2015-11-01

The wastage of red blood cell (RBC) units within the operative setting results in significant direct costs to health care organizations. Previous education-based efforts to reduce wastage were unsuccessful at our institution. We hypothesized that a quality and process improvement approach would result in sustained reductions in intraoperative RBC wastage in a large academic medical center. Utilizing a failure mode and effects analysis supplemented with time and temperature data, key drivers of perioperative RBC wastage were identified and targeted for process improvement. Multiple contributing factors, including improper storage and transport and lack of accurate, locally relevant RBC wastage event data were identified as significant contributors to ongoing intraoperative RBC unit wastage. Testing and implementation of improvements to the process of transport and storage of RBC units occurred in liver transplant and adult cardiac surgical areas due to their history of disproportionately high RBC wastage rates. Process interventions targeting local drivers of RBC wastage resulted in a significant reduction in RBC wastage (p < 0.0001; adjusted odds ratio, 0.24; 95% confidence interval, 0.15-0.39), despite an increase in operative case volume over the period of the study. Studied process interventions were then introduced incrementally in the remainder of the perioperative areas. These results show that a multidisciplinary team focused on the process of blood product ordering, transport, and storage was able to significantly reduce operative RBC wastage and its associated costs using quality and process improvement methods. © 2015 AABB.

Reducing intraoperative red blood cell unit wastage in a large academic medical center

PubMed Central

Whitney, Gina M.; Woods, Marcella C.; France, Daniel J.; Austin, Thomas M.; Deegan, Robert J.; Paroskie, Allison; Booth, Garrett S.; Young, Pampee P.; Dmochowski, Roger R.; Sandberg, Warren S.; Pilla, Michael A.

2015-01-01

BACKGROUND The wastage of red blood cell (RBC) units within the operative setting results in significant direct costs to health care organizations. Previous education-based efforts to reduce wastage were unsuccessful at our institution. We hypothesized that a quality and process improvement approach would result in sustained reductions in intraoperative RBC wastage in a large academic medical center. STUDY DESIGN AND METHODS Utilizing a failure mode and effects analysis supplemented with time and temperature data, key drivers of perioperative RBC wastage were identified and targeted for process improvement. RESULTS Multiple contributing factors, including improper storage and transport and lack of accurate, locally relevant RBC wastage event data were identified as significant contributors to ongoing intraoperative RBC unit wastage. Testing and implementation of improvements to the process of transport and storage of RBC units occurred in liver transplant and adult cardiac surgical areas due to their history of disproportionately high RBC wastage rates. Process interventions targeting local drivers of RBC wastage resulted in a significant reduction in RBC wastage (p <0.0001; adjusted odds ratio, 0.24; 95% confidence interval, 0.15–0.39), despite an increase in operative case volume over the period of the study. Studied process interventions were then introduced incrementally in the remainder of the perioperative areas. CONCLUSIONS These results show that a multidisciplinary team focused on the process of blood product ordering, transport, and storage was able to significantly reduce operative RBC wastage and its associated costs using quality and process improvement methods. PMID:26202213

Impact of acute care surgery to departmental productivity.

PubMed

Barnes, Stephen L; Cooper, Christopher J; Coughenour, Jeffrey P; MacIntyre, Allan D; Kessel, James W

2011-10-01

The face of trauma surgery is rapidly evolving with a paradigm shift toward acute care surgery (ACS). The formal development of ACS has been viewed by some general surgeons as a threat to their practice. We sought to evaluate the impact of a new division of ACS to both departmental productivity and provider satisfaction at a University Level I Trauma Center. Two-year retrospective analysis of annual work relative value unit (wRVU) productivity, operative volume, and FTEs before and after establishment of an ACS division at a University Level I trauma center. Provider satisfaction was measured using a 10-point scale. Analysis completed using Microsoft Excel with a p value less than 0.05 significant. The change to an ACS model resulted in a 94% increase in total wRVU production (78% evaluation and management, 122% operative; p<0.05) for ACS, whereas general surgery wRVU production increased 8% (-15% evaluation and management, 14% operative; p<0.05). Operative productivity was substantial after transition to ACS, with 129% and 44% increases (p<0.05) in operative and elective case load, respectively. Decline in overall general surgery operative volume was attributed to reduction in emergent cases. Establishment of the ACS model necessitated one additional FTE. Job satisfaction substantially improved with the ACS model while allowing general surgery a more focused practice. The ACS practice model significantly enhances provider productivity and job satisfaction when compared with trauma alone. Fears of a productivity impact to the nontrauma general surgeon were not realized.

Modelling the impact of retention-detention units on sewer surcharge and peak and annual runoff reduction.

PubMed

Locatelli, Luca; Gabriel, Søren; Mark, Ole; Mikkelsen, Peter Steen; Arnbjerg-Nielsen, Karsten; Taylor, Heidi; Bockhorn, Britta; Larsen, Hauge; Kjølby, Morten Just; Blicher, Anne Steensen; Binning, Philip John

2015-01-01

Stormwater management using water sensitive urban design is expected to be part of future drainage systems. This paper aims to model the combination of local retention units, such as soakaways, with subsurface detention units. Soakaways are employed to reduce (by storage and infiltration) peak and volume stormwater runoff; however, large retention volumes are required for a significant peak reduction. Peak runoff can therefore be handled by combining detention units with soakaways. This paper models the impact of retrofitting retention-detention units for an existing urbanized catchment in Denmark. The impact of retrofitting a retention-detention unit of 3.3 m³/100 m² (volume/impervious area) was simulated for a small catchment in Copenhagen using MIKE URBAN. The retention-detention unit was shown to prevent flooding from the sewer for a 10-year rainfall event. Statistical analysis of continuous simulations covering 22 years showed that annual stormwater runoff was reduced by 68-87%, and that the retention volume was on average 53% full at the beginning of rain events. The effect of different retention-detention volume combinations was simulated, and results showed that allocating 20-40% of a soakaway volume to detention would significantly increase peak runoff reduction with a small reduction in the annual runoff.

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

Narayan, R.S.; Boustany, K.

The PRISM gas membrane separation system has been commercially proven for over 5 yr in the chemical and refinery processing industry. The system has been used successfully in the field for removal of CO2 from streams containing 10 to 90% CO2. The on-stream time of the system has equalled availability of feed gas. It has operated with H2S and other contaminants with no deleterious effects. The only pretreatment required is to maintain the shell side gas at 20 to 25 F above the dew point. Variation in feed gas rates and composition present no operating problem. The proposed system ismore » a skid-mounted modular unit that is easily adaptable to variations in feed volume and CO2 content. The economic advantages in capital and operating costs are demonstrated.« less

Turbine design and application volumes 1, 2, and 3

NASA Technical Reports Server (NTRS)

Glassman, Arthur J. (Editor)

1994-01-01

NASA has an interest in turbines related primarily to aeronautics and space applications. Airbreathing turbine engines provide jet and turboshaft propulsion, as well as auxiliary power for aircraft. Propellant-driven turbines provide rocket propulsion and auxiliary power for spacecraft. Closed-cycle turbine engines using inert gases, organic fluids, and metal fluids have been studied for providing long-duration electric power for spacecraft. Other applications of interest for turbine engines include land-vehicle (cars, trucks, buses, trains, etc.) propulsion power and ground-based electrical power. In view of the turbine-system interest and efforts at Lewis Research Center, a course entitled 'Turbine Design and Application' was presented during 1968-69 as part of the In-house Graduate Study Program. The course was somewhat revised and again presented in 1972-73. Various aspects of turbine technology were covered including thermodynamic and fluid-dynamic concepts, fundamental turbine concepts, velocity diagrams, losses, blade aerodynamic design, blade cooling, mechanical design, operation, and performance. The notes written and used for the course have been revised and edited for publication. Such a publication can serve as a foundation for an introductory turbine course, a means for self-study, or a reference for selected topics. Any consistent set of units will satisfy the equations presented. Two commonly used consistent sets of units and constant values are given after the symbol definitions. These are the SI units and the U.S. customary units. A single set of equations covers both sets of units by including all constants required for the U.S. customary units and defining as unity those not required for the SI units. Three volumes are compiled into one.

Role of MRI in osteosarcoma for evaluation and prediction of chemotherapy response: correlation with histological necrosis.

PubMed

Bajpai, Jyoti; Gamnagatti, Shivanand; Kumar, Rakesh; Sreenivas, Vishnubhatla; Sharma, Mehar Chand; Khan, Shah Alam; Rastogi, Shishir; Malhotra, Arun; Safaya, Rajni; Bakhshi, Sameer

2011-04-01

Histological necrosis, the current standard for response evaluation in osteosarcoma, is attainable after neoadjuvant chemotherapy. To establish the role of surrogate markers of response prediction and evaluation using MRI in the early phases of the disease. Thirty-one treatment-naïve osteosarcoma patients received three cycles of neoadjuvant chemotherapy followed by surgery during 2006-2008. All patients underwent baseline and post-chemotherapy conventional, diffusion-weighted and dynamic contrast-enhanced MRI. Taking histological response (good response ≥90% necrosis) as the reference standard, various parameters of MRI were compared to it. A tumor was considered ellipsoidal; volume, average tumor plane and its relative value (average tumor plane relative/body surface area) was calculated using the standard formula for ellipse. Receiver operating characteristic curves were generated to assess best threshold and predictability. After deriving thresholds for each parameter in univariable analysis, multivariable analysis was carried out. Both pre-and post-chemotherapy absolute and relative-size parameters correlated well with necrosis. Apparent diffusion coefficient did not correlate with necrosis; however, on adjusting for volume, significant correlation was found. Thus, we could derive a new parameter: diffusion per unit volume. In osteosarcoma, chemotherapy response can be predicted and evaluated by conventional and diffusion-weighted MRI early in the disease course and it correlates well with necrosis. Further, newly derived parameter diffusion per unit volume appears to be a sensitive substitute for response evaluation in osteosarcoma.

An Ancient Relation between Units of Length and Volume Based on a Sphere

PubMed Central

Zapassky, Elena; Gadot, Yuval; Finkelstein, Israel; Benenson, Itzhak

2012-01-01

The modern metric system defines units of volume based on the cube. We propose that the ancient Egyptian system of measuring capacity employed a similar concept, but used the sphere instead. When considered in ancient Egyptian units, the volume of a sphere, whose circumference is one royal cubit, equals half a hekat. Using the measurements of large sets of ancient containers as a database, the article demonstrates that this formula was characteristic of Egyptian and Egyptian-related pottery vessels but not of the ceramics of Mesopotamia, which had a different system of measuring length and volume units. PMID:22470489

Effects of hospital safety-net burden and hospital volume on failure to rescue after open abdominal aortic surgery.

PubMed

Rosero, Eric B; Joshi, Girish P; Minhajuddin, Abu; Timaran, Carlos H; Modrall, J Gregory

2017-08-01

Failure to rescue (FTR) is defined as the inability to rescue a patient from major perioperative complications, resulting in operative mortality. FTR is a known contributor to operative mortality after open abdominal aortic surgery. Understanding the causes of FTR is essential to designing interventions to improve perioperative outcomes. The objective of this study was to determine the relative contributions of hospital volume and safety-net burden (the proportion of uninsured and Medicaid-insured patients) to FTR. The Nationwide Inpatient Sample (2001-2011) was analyzed to investigate variables associated with FTR after elective open abdominal aortic operations in the United States. FTR was defined as in-hospital death following postoperative complications. Mixed multivariate regression models were used to assess independent predictors of FTR, taking into account the clustered structure of the data (patients nested into hospitals). A total of 47,233 elective open abdominal aortic operations were performed in 1777 hospitals during the study period. The overall incidences of postoperative complications, in-hospital mortality, and FTR in the whole cohort were 32.7%, 3.2%, and 8.6%, respectively. After adjusting for demographics, comorbidities, and hospital characteristics, safety-net burden was significantly associated with increased likelihood of FTR (highest vs lowest quartile of safety-net burden, odds ratio, 1.59; 95% confidence interval, 1.32-1.91; P < .0001). In contrast, after adjusting for safety-net burden, procedure-specific hospital volume was not significantly associated with FTR (P = .897). After adjusting for patient- and hospital-level variables, including hospital volume, safety-net burden was an independent predictor of FTR after open aortic surgery. Future investigations should be aimed at better understanding the relationship between safety-net hospital burden and FTR to design interventions to improve outcomes after open abdominal aortic surgery. Copyright © 2017 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Method for generating O.sub.2-rich gas from air using water

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

Nakano, Anna; Nakano, Jinichiro; Bennett, James P.

The present disclosure is directed to a method for enriching an inlet air stream utilizing a number of enrichment sub-units connected in series, where each enrichment sub-unit conducts both a dissolution and degasification cycle. Each enrichment sub-unit comprises a compressor, an aeration unit, a deaeration unit, and a pump for the recirculation of water between the aeration and deaeration units. The methodology provides a manner in which the relationship between the respective Henry's coefficients of the oxygen and nitrogen in water may be exploited to enrich the O.sub.2 volume percent and diminish the N.sub.2 volume percent over repeated dissolution andmore » degasification cycles. By utilizing a number of enrichment sub-units connected in series, the water contained in each enrichment sub-unit acts to progressively increase the O.sub.2 volume percent. Additional enrichment sub-units may be added and utilized until the O.sub.2 volume percent equals or exceeds a target O.sub.2 volume percent. In a particular embodiment, air having a general composition of about 78 vol. % N.sub.2 and 21 vol. % O.sub.2 is progressively enriched to provide a final mixture of about 92% vol. % O.sub.2 and 8% vol. % N.sub.2.« less

Cord blood banking activities at a university hospital in northeast Mexico: an 8-year experience.

PubMed

Jaime-Perez, Jose C; Monreal-Robles, Roberto; Colunga-Pedraza, Julia; Mancías-Guerra, Consuelo; Rodríguez-Romo, Laura; Gómez-Almaguer, David

2012-12-01

Umbilical cord blood (UCB) represents an alternative source of stem cells for transplantation for the treatment of hematologic malignancies and genetic disorders. There is scarce information detailing cord blood bank (CBB) collection and transplantation activities from developing countries. We documented our experience at a public university hospital in northeast Mexico. We carried out a retrospective and descriptive analysis of our CBB activity during an 8-year period from May 2002 to September 2010. Collection, processing, and cryopreservation of CB were carried out following standard operating procedures. The minimum volume and total nucleated cell (TNC) content for cryopreservation were 80 mL and 8.0 × 10(8) , respectively. A total of 1256 UCB units were collected; 428 (34%) were banked and 828 (66%) were discarded. The main reason for exclusion was biologic: low volume and/or low number of TNC accounted for 84% of the total discarded units. Cryopreserved cord blood units (CBUs) had a median volume of 113.8 mL (range, 80-213.2 mL) and 13.0 × 10(8) (range, 8 × 10(8) -36.6 × 10(8) ) TNCs. Cell viability was 99.3% (88-100%). The median CD34+ cell content was 4.0 × 10(6) (0.46 × 10(6) -19.38 × 10(6) ). Sixteen units have been released for transplantation, leading to a utilization rate of 3.7%. CBB demands considerable human and financial resources; it is then essential for centers at developing countries to share their experience, results, and databases to increase the probability of finding matching units for their patients. Efforts to create and maintain CBBs allow to offer this therapeutic option at an affordable cost. © 2012 American Association of Blood Banks.

REFLECTION AND REFRACTION, VOLUME 2.

ERIC Educational Resources Information Center

KLAUS, DAVID J.; AND OTHERS

THIS VOLUME 2 OF A TWO-VOLUME SET PROVIDES AUTOINSTRUCTION IN PHYSICS. THE UNITS COVERED IN THIS VOLUME ARE (1) REFLECTION OF LIGHT, (2) PHOTOMETRY, (3) POLARIZATION, (4) REFRACTION OF LIGHT, (5) SNELL'S LAW, (6) LENSES, FOCUS, AND FOCAL POINTS, (7) IMAGE FORMATION, AND (8) ABERRATIONS, THE EYE, AND MAGNIFICATION. THE INTRODUCTION AND UNITS ON…

48 CFR 47.207-11 - Volume movements within the contiguous United States.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Volume movements within... Transportation-Related Services 47.207-11 Volume movements within the contiguous United States. (a) For purposes of contract administration, a volume movement is— (1) In DoD, the aggregate of freight shipments...

Site Environmental Report for 2009, Volume I

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

Lackner, Regina

2010-08-17

Each year, the University of California (UC), as the managing and operating contractor of the Ernest Orlando Lawrence Berkeley National Laboratory, prepares an integrated report regarding its environmental programs to satisfy the requirements of United States Department of Energy (DOE) Order 231.1A, Environment, Safety, and Health Reporting.1 The Site Environmental Report for 2009 summarizes Berkeley Lab's environmental management performance, presents environmental monitoring results, and describes significant programs for calendar year (CY) 2009. Throughout this report, 'Berkeley Lab' or 'LBNL' refers both to (1) the multiprogram scientific facility the UC manages and operates on the 202-acre university-owned site located in themore » hills above the UC Berkeley campus, and the site itself, and (2) the UC as managing and operating contractor for Ernest Orlando Lawrence Berkeley National Laboratory. The report is separated into two volumes. Volume I is organized into an executive summary followed by six chapters that contain an overview of LBNL, a discussion of its environmental management system (EMS), the status of environmental programs, summarized results from surveillance and monitoring activities, and quality assurance (QA) measures. Volume II contains individual data results from surveillance and monitoring activities. The Site Environmental Report is distributed by releasing it on the World Wide Web (Web) from the Berkeley Lab Environmental Services Group (ESG) home page, which is located at www.lbl.gov/ehs/esg/. Many of the documents cited in this report also are accessible from the ESG Web page. Links to documents available on the Web are given with the citations in the References section. CD and printed copies of this Site Environmental Report are available upon request. The report follows Berkeley Lab's policy of using the International System of Units (SI), also known as the metric system of measurements. Whenever possible, results are also reported using the more conventional (non-SI) system of measurements, because the non-SI system is referenced by several current regulatory standards and is more familiar to some readers. Two tables are provided at the end of the Glossary to help readers: Table G-1 defines the prefixes used with SI units of measurement, and Table G-2 provides conversions to non-SI units. Years mentioned in this report refer to calendar years unless specified as fiscal year(s). Berkeley Lab's fiscal year (FY) is October 1 to September 30, and begins in the year previous to its name, i.e., FY 2009 was from October 1, 2008, to September 30, 2009. For ease of reference, a key to acronyms and abbreviations used in this report can be found directly after the text, at the end of Chapter 6. Following that is also a glossary for readers who may be unfamiliar with some of the terms used in this report. This report was prepared under the direction of Ron Pauer of ESG. Please address any questions regarding this report to him by telephone at 510-486-7614, or by e-mail at ropauer@lbl.gov. The primary contributors were David Baskin, Tim Bauters, Ned Borglin, Robert Fox, John Jelinski, Ginny Lackner, Patrick Thorson, Linnea Wahl, and Suying Xu (Volume II). Readers are encouraged to comment on this report by completing the survey form found at the ESG Web page where this report is available.« less

Reduction of Costs for Pelvic Exenteration Performed by High Volume Surgeons: Analysis of the Maryland Health Service Cost Review Commission Database.

PubMed

Althumairi, Azah A; Canner, Joseph K; Gorin, Michael A; Fang, Sandy H; Gearhart, Susan L; Wick, Elizabeth C; Safar, Bashar; Bivalacqua, Trinity J; Efron, Jonathan E

2016-01-01

High volume hospitals (HVHs) and high volume surgeons (HVSs) have better outcomes after complex procedures, but the association between surgeon and hospital volumes and patient outcomes is not completely understood. Our aim was to evaluate the impact of surgeon and hospital volumes, and their interaction, on postoperative outcomes and costs in patients undergoing pelvic exenteration (PE) in the state of Maryland. A review of the Maryland Health Services Cost Review Commission database between 2000 and 2011 was performed. Patients were compared for demographics and clinical variables. The differences in length of hospital stay , length of intensive care unit (ICU) stay, operating room (OR) cost, and total cost were compared for surgeon volume and hospital volume controlling for all other factors. Surgery performed by HVS at HVH had the shortest ICU stay and lowest OR cost. When PE was performed by a low volume surgeon at an HVH, the OR cost and total cost were the highest and increased by $2,683 (P < 0.0001) and $16,076 (P < 0.0001), respectively. OR costs reduced when surgery was performed by an HVS at an HVH ($-1632, P = 0.008). PE performed by HVS at HVH is significantly associated with lower OR costs and ICU stay. We feel this is indicative of lower complication rates and higher quality care.

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

PubMed

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

2016-12-01

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

Incidence and Risk Factors for Health-Care Associated Infections after Hip Operation.

PubMed

Hessels, Amanda J; Agarwal, Mansi; Liu, Jianfang; Larson, Elaine L

2016-12-01

Hip operation reduces pain and improves mobility and quality of life for more than 300,000 people annually, most of whom are more than 65 years old. Substantial increases in surgical volume are projected between 2005 and 2030 in primary total (174%) and revision (137%) procedures. This projection demands that the impact of increasing age on the relative risk of health-care associated infections (HAI) after hip surgical procedures be assessed. Our aim was to examine the incidence and risk factors of HAI among patients who underwent hip operations between 2006 and 2012. This secondary analysis included data from patients 18 years old or older and having a hip prosthesis procedure in three New York City hospitals between 2006 and 2012. Procedures were categorized as total or partial hip replacements or revision and re-surfacing procedures. Outcomes of interest were blood stream infections (BSI), urinary tract infections (UTI), or surgical site infections (SSI). Patients in whom an infection developed during the hospital visit in which the hip procedure occurred were counted as cases. Of 2021 patients, approximately 11% (n = 218) had an HAI. There was no difference in infection rates by admission year despite an increase in surgical volume. SSI was associated with younger age, previous hospitalization, and hip revision surgical procedure whereas UTI and BSI were associated with older age, greater co-morbidity, longer pre-operative length of stay and intensive care unit stay, (p < 0.05). HAI after hip operation affected approximately one in 10 patients over a 7-year period in three high-volume hospitals. SSI occurred least frequently, predominantly among patients who underwent revision surgery (without previous SSI), were younger, and had a history of previous hospitalization. Infections such as BSI and UTI, although rare, occurred more frequently and in patients with more co-morbidities, longer pre-operative length of stay, and who required higher level care. Further research to understand these unexpected findings and target interventions is warranted.

NASA Historical Data Book. Volume 5; NASA Launch Systems, Space Transportation, Human Spaceflight and Space Science, 1979-1988

NASA Technical Reports Server (NTRS)

Rumerman, Judy A. (Compiler)

1999-01-01

In 1973, NASA published the first volume of the NASA Historical Data Book, a hefty tome containing mostly tabular data on the resources of the space agency between 1958 and 1968. There, broken into detailed tables, were the facts and figures associated with the budget, facilities, procurement, installations, and personnel of NASA during that formative decade. In 1988, NASA reissued that first volume of the data book and added two additional volumes on the agency's programs and projects, one each for 1958-1968 and 1969-1978. NASA published a fourth volume in 1994 that addressed NASA resources for the period between 1969 and 1978. This fifth volume of the NASA Historical Data Book is a continuation of those earlier efforts. This fundamental reference tool presents information, much of it statistical, documenting the development of four critical areas of NASA responsibility for the period between 1979 and 1988. This volume includes detailed information on the development and operation of launch systems, space transportation, human spaceflight, and space science during this era. As such, it contains in-depth statistical information about the early Space Shuttle program through the return to flight in 1988, the early efforts to build a space station, the development of new launch systems, and the launching of seventeen space science missions. A companion volume will appear late in 1999, documenting the space applications, support operations, aeronautics, and resources aspects of NASA during the period between 1979 and 1988. NASA began its operations as the nation's civilian space agency in 1958 following the passage of the National Aeronautics and Space Act. It succeeded the National Advisory Committee for Aeronautics (NACA). The new organization was charged with preserving the role of the United States "as a leader in aeronautical and space science and technology" and in its application, with expanding our knowledge of the Earth's atmosphere and space, and with exploring flight both within and outside the atmosphere. By the 1980s, NASA had established itself as an agency with considerable achievements on record. The decade was marked by the inauguration of the Space Shuttle flights and haunted by the 1986 Challenger accident that temporarily halted the program. The agency also enjoyed the strong support of President Ronald Reagan, who enthusiastically announced the start of both the Space Station program and the National Aerospace Plane program.

Low cost silicon solar array project silicon materials task: Establishment of the feasibility of a process capable of low-cost, high volume production of silane (step 1) and the pyrolysis of silane to semiconductor-grade silicon (step 2)

NASA Technical Reports Server (NTRS)

Breneman, W. C.; Farrier, E. G.; Rexer, J.

1977-01-01

Extended operation of a small process-development unit routinely produced high quality silane in 97+% yield from dichlorosilane. The production rate was consistent with design loadings for the fractionating column and for the redistribution reactor. A glass fluid-bed reactor was constructed for room temperature operation. The behavior of a bed of silcon particles was observed as a function of various feedstocks, component configurations, and operating conditions. For operating modes other than spouting, the bed behaved in an erratic and unstable manner. A method was developed for casting molten silicon powder into crack-free solid pellets for process evaluation. The silicon powder was melted and cast into thin walled quartz tubes that sacrificially broke on cooling.

Fuel-Cell-Powered Vehicle with Hybrid Power Management

NASA Technical Reports Server (NTRS)

Eichenberg, Dennis J.

2010-01-01

Figure 1 depicts a hybrid electric utility vehicle that is powered by hydrogenburning proton-exchange-membrane (PEM) fuel cells operating in conjunction with a metal hydride hydrogen-storage unit. Unlike conventional hybrid electric vehicles, this vehicle utilizes ultracapacitors, rather than batteries, for storing electric energy. This vehicle is a product of continuing efforts to develop the technological discipline known as hybrid power management (HPM), which is oriented toward integration of diverse electric energy-generating, energy-storing, and energy- consuming devices in optimal configurations. Instances of HPM were reported in five prior NASA Tech Briefs articles, though not explicitly labeled as HPM in the first three articles: "Ultracapacitors Store Energy in a Hybrid Electric Vehicle" (LEW-16876), Vol. 24, No. 4 (April 2000), page 63; "Photovoltaic Power Station With Ultracapacitors for Storage" (LEW- 17177), Vol. 27, No. 8 (August 2003), page 38; "Flasher Powered by Photovoltaic Cells and Ultracapacitors" (LEW-17246), Vol. 27, No. 10 (October 2003), page 37; "Hybrid Power Management" (LEW-17520), Vol. 29, No. 12 (December 2005), page 35; and "Ultracapacitor-Powered Cordless Drill" (LEW-18116-1), Vol. 31, No. 8 (August 2007), page 34. To recapitulate from the cited prior articles: The use of ultracapacitors as energy- storage devices lies at the heart of HPM. An ultracapacitor is an electrochemical energy-storage device, but unlike in a conventional rechargeable electrochemical cell or battery, chemical reactions do not take place during operation. Instead, energy is stored electrostatically at an electrode/electrolyte interface. The capacitance per unit volume of an ultracapacitor is much greater than that of a conventional capacitor because its electrodes have much greater surface area per unit volume and the separation between the electrodes is much smaller.

The Small Aircraft Transportation System (SATS), Higher Volume Operations (HVO) Concept and Research

NASA Technical Reports Server (NTRS)

Baxley, B.; Williams, D.; Consiglio, M.; Adams, C.; Abbott, T.

2005-01-01

The ability to conduct concurrent, multiple aircraft operations in poor weather at virtually any airport offers an important opportunity for a significant increase in the rate of flight operations, a major improvement in passenger convenience, and the potential to foster growth of operations at small airports. The Small Aircraft Transportation System, (SATS) Higher Volume Operations (HVO) concept is designed to increase capacity at the 3400 non-radar, non-towered airports in the United States where operations are currently restricted to one-in/one-out procedural separation during low visibility or ceilings. The concept s key feature is that pilots maintain their own separation from other aircraft using air-to-air datalink and on-board software within the Self-Controlled Area (SCA), an area of flight operations established during poor visibility and low ceilings around an airport without Air Traffic Control (ATC) services. While pilots self-separate within the SCA, an Airport Management Module (AMM) located at the airport assigns arriving pilots their sequence based on aircraft performance, position, winds, missed approach requirements, and ATC intent. The HVO design uses distributed decision-making, safe procedures, attempts to minimize pilot and controller workload, and integrates with today's ATC environment. The HVO procedures have pilots make their own flight path decisions when flying in Instrument Metrological Conditions (IMC) while meeting these requirements. This paper summarizes the HVO concept and procedures, presents a summary of the research conducted and results, and outlines areas where future HVO research is required. More information about SATS HVO can be found at http://ntrs.nasa.gov.

ISS ECLSS: 3 Years of Logistics for Maintenance

NASA Technical Reports Server (NTRS)

Shkedi, Brienne; Thompson, Dean

2004-01-01

The International Space Station (ISS) Environmental Control and Life Support System (ECLSS) is designed to be maintainable. During the 3 years since the ISS US Lab became operational, there have been numerous ECLSS Orbital Replacement Units (ORUs) launched and returned to Maintain the ECLSS operation in the US segments. The maintenance logistics have provided tools for maintenance, replaced limited life ORUs and failed ORUs, upgraded ECLSS hardware to improve reliability and placed critical spares onboard prior to need. In most cases, the removed ORUs have been returned for either failure analysis and repair or refurbishment. This paper describes the ECLSS manifesting history and maintenance events and quantifies the numbers of ECLSS items, weights, and volumes.

One-point functions in defect CFT and integrability

NASA Astrophysics Data System (ADS)

de Leeuw, Marius; Kristjansen, Charlotte; Zarembo, Konstantin

2015-08-01

We calculate planar tree level one-point functions of non-protected operators in the defect conformal field theory dual to the D3-D5 brane system with k units of the world volume flux. Working in the operator basis of Bethe eigenstates of the Heisenberg XXX 1/2 spin chain we express the one-point functions as overlaps of these eigenstates with a matrix product state. For k = 2 we obtain a closed expression of determinant form for any number of excitations, and in the case of half-filling we find a relation with the Néel state. In addition, we present a number of results for the limiting case k → ∞.

A study of a space communication system for the control and monitoring of the electric distribution system. Volume 2: Supporting data and analyses

NASA Technical Reports Server (NTRS)

Vaisnys, A.

1980-01-01

It is technically feasible to design a satellite communication system to serve the United States electric utility industry's needs relative to load management, real-time operations management, remote meter reading and to determine the costs of various elements of the system. The functions associated with distribution automation and control and communication system requirements are defined. Factors related to formulating viable communication concepts, the relationship of various design factors to utility operating practices, and the results of the cost analysis are discussed The system concept and several ways in which the concept could be integrated into the utility industry are described.

Futures Seminar: The United States Army in 2025 and Beyond. A Compendium of U.S. Army War College Student Papers. Volume 1

DTIC Science & Technology

2014-06-01

including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson...difficult task with no ‘Right’ or ‘Wrong’ markers.” These students have hit the mark. Colonel Samuel R. White, Jr Colonel Daniel A. Pinnell Deputy Director ...CSLD Director , PKSOI Faculty Team, The Futures Seminar Preserve the Regular Army and National Guard; Eliminate the Army Reserve Lieutenant

CTC Sentinel. Volume 9, Issue 11, November/December 2016

DTIC Science & Technology

2016-12-01

but two ter- rorist movements and a counterterrorism strategy and approach that has failed. The Islamic State Post -Caliphate: A Continuing...least two years prior to the Paris attacks. The secretive Islamic State unit that serves as the ex - ternal operations arm is known as Amn al-Kharji,6...Middle East that al-Qaeda covets most is of course Saudi Arabia,” the former radical Islamist Ed Husain ex - plains, “but Syria is next on the list.”19

Proceedings of the 1980 Science Conference, United States Military Academy, West Point, New York, 17-20 June 1980. Volume III. Principal Authors N through Z.

DTIC Science & Technology

1980-07-21

body which has undergone nonuniform plastic deformation can retain a system of stresses within the body after the external forces have been removed...produced by virtually all forming operations, welding, nonuniform cooling of ingots and electroplating. The important point to be made is that the response...will be considered% (1) the losses induced in a length of fiber following nonuniform irradiation from a point source and (2) the losses induced

Proceedings of the Annual U.S. Army Operations Research Symposium (12th), 2-5 October 1973. Volume II.

DTIC Science & Technology

1973-01-01

desires, he may treat these aggregates as single entities just as any other unit in the force. A further option is to specify a relationship between...structure for RED and BLUE forces is shown in Fig. 2. Each arrow in the diagram represents a unique time dependent attrition relationship in the model...results. In order to see how GENERATOR will fit into the Army planning cycle, one must understand the relationship between force development and opera

A Structural Weight Estimation Program (SWEEP) for Aircraft. Volume 4 - Material Properties, Structure Temperature, Flutter and Fatigue

DTIC Science & Technology

1974-06-01

NAME AND ADDRESS Deputy for Development Planning Air Force Systems Command Wright-Patterson Air Force Base, Ohio READ INSTRUCTIONS BEFORE...6600 computer. Two stand-alone pro- grams operating within 100,000 octal units were also developed to provide optional data sources for SWEEP...JAMES H. HALL, Colonel, USAF Deputy for Development Planning ll jgaajaaMteaäiiaaBiiMiffliiäffliiteMä hi*^*Mi*^^*^&äitküli^ riMMiniiiMfWitii

Remedial Investigation/Feasibility Study, Operable Unit 5, Elmendorf AFB, Anchorage, Alaska. Volume 1. Text

DTIC Science & Technology

1994-03-04

4.7a Organic Con mnats Detected in Upper Aquifer Groundwater .......... 4-46 4.7b Organic Contaminants Detected in Upper Aquifer Groundwater...OU 5 con ~tamiats and impacts on Ship Creek; "* Deftrmine fth fluenc of uppadient contminant sources on fth OU 5 "* Collect suifficient data to detemin...Post Rood, mnorh of the gdof course pro shop, and flowed into a drainage ditch parallel to Post Road. 0 All six source areas have undergone previous inv

KC-46A Formal Training Unit (FTU) and First Main Operating Base (MOB 1) Beddown EIS. Volume 1

DTIC Science & Technology

2014-03-01

jamaicensis), northern harrier (Circus cyaneus), great horned owl (Bubo virginianus), ring -necked pheasant (Phasianus colchicus), and a variety of...vary from flight to flight based on winds and other factors, so flight procedures could be louder or quieter than the SEL values listed in Table 4-3...Suspend all soil disturbance activities when winds exceed 25 miles per hour or when visible dust plumes emanate from the site and stabilize all

MIKON 94. International Microwave Conference (10th) Held in Ksiaz, Poland on May 30-June 2, 1994. Volume 3. Invited Papers

DTIC Science & Technology

1994-01-01

linear non -differential equations in series. This makes it easier to control the result, and an exact and accurate solution is obtained without...battery operated and controlled by an industry standard computer 1161. The HF unit contains a step-recovery diode transmitter and two quasi -TEM antennas...16]. All of these procedures can take advantage of exact non -linear analysis or experimental power characterization and are therefore "full non

Minutes of the Explosives Safety Seminar (20th) Held at OMNI international Hotel, Norfolk, Virginia on 24-26 August 1982. Volume I

DTIC Science & Technology

1982-08-01

between one that provides for total protection of life and property and one that per- mits operators to conduct activities in a " laisse - faire " manner...Workers. AD-PO00 456 General Risk Analysis Methodological Implications to Explosives Risk Management Systems. AD-PO0O 457 Risk Analysis for Explosives...THE EFFECTS OF THE HEALTH AND SAFETY AT WORK ACT, 1974, ON MILITARY EXPLOSIVES SAFETY MANAGEMENT IN THE UNITED KINGDOM ........................ 7 Air

United States Air Force Summer Research Program 1991. Summer Faculty Research Program (SFRP) Reports. Volume 5A. Wright Laboratory

DTIC Science & Technology

1992-01-09

consolidated into this aniuai report. 14. SUBJECT TERMS IS. NUMBER OF PAGi:S 16. P ’.RCE CODE 17. SECURITY CLASSIFICATION 18. SECURITY CLASSIFICATION 19...Tc(Jop), the conductor is perfectly superconducting and carries the entirety of the operating current Iop. This implies no heat generation and P = 0...further found that the code cannot converge as is. See Appendix A. 2. The subject of developing a numerical scheme capable of handling both the incom

Installation Restoration Program (IRP) Stage 3. McClellan Air Force Base. Operable Unit B. Preliminary Assessment Summary Report. Volume 2. Appendix B (Part 2)

DTIC Science & Technology

1991-10-01

the Industrial Wastewater Collection System (IWCS) for leaks and analyzed wastewater passing through the wastewater lines (the IWL) at McClellan AFB (EG...Wastewater Collection System (IWCS) is a system of underground pipes and lift stations used to collect the wastewater from the various base processes...and work areas for treatment at one centralized Industrial Wastewater Treatment Plant (IWTP) located in OU C McClellan AFB. Most of the system is

Parameters, U.S. Army War College Quarterly. Volume 17, Number 3, September 1987,

DTIC Science & Technology

1987-09-01

officers and men were not rootless mercenaries operating in a political vacuum. They were American citizens Dr. Edward M. Coffman is a professor of...34according to the articles of war" to the second. Obviously, the men in Congress considered the first oath superfluous. For the next 70 years officers...and enlisted men entered the Army by pledging their allegiance to the United States of America without reference to the Constitution. In August 1861

Environmental Impact Analysis Process. Preliminary Draft Environmental Impact Statement Construction and Operation of Space Launch Complex 7. Volume 2. Appendices

DTIC Science & Technology

1988-11-15

3 Sincerely, William H. Ehorn3Suerintenent United States Department of the Interior FISH AND WILDLIFE SERVICE LAGUNA NIGUEL FIELD OFFICE 24000 Avila...Road Laguna Niguel, California 92656 Ma’ 19, 1988 Department of the Air Force Headquarters Space Division (AFSC) Los Angeles Air Force Station P. 0...agricultural supply, and ground water recharge. In addition, all minor streams and tributaries in the central coastal region, including Honda Creek and Jalama

The cost and cost-effectiveness of childhood cancer treatment in El Salvador, Central America: A report from the Childhood Cancer 2030 Network.

PubMed

Fuentes-Alabi, Soad; Bhakta, Nickhill; Vasquez, Roberto Franklin; Gupta, Sumit; Horton, Susan E

2018-01-15

Although previous studies have examined the cost of treating individual childhood cancers in low-income and middle-income countries, to the authors' knowledge none has examined the overall cost and cost-effectiveness of operating a childhood cancer treatment center. Herein, the authors examined the cost and sources of financing of a pediatric cancer unit in Hospital Nacional de Ninos Benjamin Bloom in El Salvador, and make estimates of cost-effectiveness. Administrative data regarding costs and volumes of inputs were obtained for 2016 for the pediatric cancer unit. Similar cost and volume data were obtained for shared medical services provided centrally (eg, blood bank). Costs of central nonmedical support services (eg, utilities) were obtained from hospital data and attributed by inpatient share. Administrative data also were used for sources of financing. Cost-effectiveness was estimated based on the number of new patients diagnosed annually and survival rates. The pediatric cancer unit cost $5.2 million to operate in 2016 (treating 90 outpatients per day and experiencing 1385 inpatient stays per year). Approximately three-quarters of the cost (74.7%) was attributed to 4 items: personnel (21.6%), pathological diagnosis (11.5%), pharmacy (chemotherapy, supportive care medications, and nutrition; 31.8%), and blood products (9.8%). Funding sources included government (52.5%), charitable foundations (44.2%), and a social security contribution scheme (3.4%). Based on 181 new patients per year and a 5-year survival rate of 48.5%, the cost per disability-adjusted life-year averted was $1624, which is under the threshold considered to be very cost effective. Treating childhood cancer in a specialized unit in low-income and middle-income countries can be done cost-effectively. Strong support from charitable foundations aids with affordability. Cancer 2018;124:391-7. © 2017 American Cancer Society. © 2017 American Cancer Society.

Practical Nursing, Volume I. Health Occupations Education.

ERIC Educational Resources Information Center

Rogers, Helen W.; And Others

This curriculum guide provides teachers with up-to-date information and skill-related applications needed by the practical nurse. The volume contains three sections and 24 instructional units: Personal Vocational Relationships (6 units), Nutrition (3 units), and Basic Nursing Principles and Applied Skills (15 units covering such topics as…

Multiphasic Health Testing in the Clinic Setting

PubMed Central

LaDou, Joseph

1971-01-01

The economy of automated multiphasic health testing (amht) activities patterned after the high-volume Kaiser program can be realized in low-volume settings. amht units have been operated at daily volumes of 20 patients in three separate clinical environments. These programs have displayed economics entirely compatible with cost figures published by the established high-volume centers. This experience, plus the expanding capability of small, general purpose, digital computers (minicomputers) indicates that a group of six or more physicians generating 20 laboratory appraisals per day can economically justify a completely automated multiphasic health testing facility. This system would reside in the clinic or hospital where it is used and can be configured to do analyses such as electrocardiography and generate laboratory reports, and communicate with large computer systems in university medical centers. Experience indicates that the most effective means of implementing these benefits of automation is to make them directly available to the medical community with the physician playing the central role. Economic justification of a dedicated computer through low-volume health testing then allows, as a side benefit, automation of administrative as well as other diagnostic activities—for example, patient billing, computer-aided diagnosis, and computer-aided therapeutics. PMID:4935771

Development and Design of a Zero-G Liquid Quantity Gauge for a Solar Thermal Vehicle

NASA Technical Reports Server (NTRS)

Dodge, Franklin T.; Green, Steven T.; Petullo, Steven P.; VanDresar, Neil T.; Taylor, William J. (Technical Monitor)

2002-01-01

The development and design of a cryogenic liquid quantity gauge for zero-g applications is described. The gauge, named the Compression Mass Gauge (CMG), operates on the principle of slightly changing the volume of the tank by an oscillating bellows. The resulting pressure change is measured and used to predict the volume of vapor in the tank, from which the volume of liquid is computed. For each gauging instance, pressures are measured for several different bellows frequencies to enable minor real-gas effects to be quantified and thereby to obtain a gauging accuracy of +/- 1% of tank volume. Southwest Research Institute (Tm) and NASA-GRC (Glenn Research Center) have developed several previous breadboard and engineering development gauges and tested them in cryogenic hydrogen and nitrogen to establish the gauge capabilities, to resolve several design issues, and to formulate data processing algorithms. The CMG has been selected by NASA's Future X program for a flight demonstration on the USAF (United States Air Force) / Boeing Solar Thermal Vehicle Space Experiment (SOTVSE). This paper reviews the design trade studies needed to satisfy the SOTVSE limitations on CMG power, volume, and mass, and describes the mechanical design of the CMG.

A Trainer's Manual for Basic Helping Skills. Counseling Older Persons. Volume III.

ERIC Educational Resources Information Center

Myers, Jane E., Ed.

This manual, the third in a three-volume series on counseling older adults, is designed to accompany and supplement volume II, "Basic Helping Skills for Service Providers," and focuses on training for communication skills. The units and their sections correspond to those in volume II, for easy cross-referencing. The units contain information for…

Station Blackout at Browns Ferry Unit One - accident sequence analysis. Volume 1

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

Cook, D.H.; Harrington, R.M.; Greene, S.R.

1981-11-01

This study describes the predicted response of Unit 1 at the Browns Ferry Nuclear Plant to Station Blackout, defined as a loss of offsite power combined with failure of all onsite emergency diesel-generators to start and load. Every effort has been made to employ the most realistic assumptions during the process of defining the sequence of events for this hypothetical accident. DC power is assumed to remain available from the unit batteries during the initial phase and the operator actions and corresponding events during this period are described using results provided by an analysis code developed specifically for this purpose.more » The Station Blackout is assumed to persist beyond the point of battery exhaustion and the events during this second phase of the accident in which dc power would be unavailable were determined through use of the MARCH code. Without dc power, cooling water could no longer be injected into the reactor vessel and the events of the second phase include core meltdown and subsequent containment failure. An estimate of the magnitude and timing of the concomitant release of the noble gas, cesium, and iodine-based fission products to the environment is provided in Volume 2 of this report. 58 refs., 75 figs., 8 tabs.« less

Early post-operative weight loss after laparoscopic sleeve gastrectomy correlates with the volume of the excised stomach and not with that of the sleeve! Preliminary data from a multi-detector computed tomography-based study.

PubMed

Pawanindra, Lal; Vindal, Anubhav; Midha, Manoj; Nagpal, Prashant; Manchanda, Alpana; Chander, Jagdish

2015-10-01

Pre- and post-operative stomach volumes can be important determinants for effectiveness of laparoscopic sleeve gastrectomy (LSG) in causing weight loss. There is little existing data on the volumes of stomach preoperatively and that excised during LSG. This study was designed to evaluate the change in gastric volume after LSG using multi-detector CT and to correlate it with early post-operative weight loss. Twenty consecutive patients with BMI ≥ 40 kg/m(2) and medical comorbidities underwent LSG between October 2011 and October 2013 and were analysed prospectively. The pre-operative stomach volume was measured by MDCT done 1-3 days before the surgery. LSG was performed in the standard manner using a 36F bougie. The volume of excised stomach was measured by distending the specimen with saline. MDCT of the upper abdomen was repeated 3 months postoperatively to calculate the gastric sleeve volume. Weight loss and resolution of comorbidities were documented. The mean pre-operative weight of patients was 123.90 kg, and the mean pre-operative stomach volume on MDCT was 1,067 ml. The stomach volume on pre-operative MDCT correlated with pre-operative weight and BMI. The mean volume of the excised stomach was 859 ml when measured by distension of the specimen and 850 ml on MDCT. After 3 months post surgery, the mean volume of gastric sleeve on MDCT was 217 ml, and the mean weight of the patients was 101.22 kg. The volume of the excised stomach calculated by MDCT correlated with the weight loss achieved 3 months postoperatively. However, no correlation was seen between the gastric sleeve volume 3 months postoperatively and weight loss during this period. MDCT is a good method to measure gastric volume before and after LSG. Early post-operative weight loss (3 months) correlates well with the volume of the excised stomach but not with that of the gastric sleeve.

Overview of the Small Aircraft Transportation System Project Four Enabling Operating Capabilities

NASA Technical Reports Server (NTRS)

Viken, Sally A.; Brooks, Frederick M.; Johnson, Sally C.

2005-01-01

It has become evident that our commercial air transportation system is reaching its peak in terms of capacity, with numerous delays in the system and the demand still steadily increasing. NASA, FAA, and the National Consortium for Aviation Mobility (NCAM) have partnered to aid in increasing the mobility throughout the United States through the Small Aircraft Transportation System (SATS) project. The SATS project has been a five-year effort to provide the technical and economic basis for further national investment and policy decisions to support a small aircraft transportation system. The SATS vision is to enable people and goods to have the convenience of on-demand point-to-point travel, anywhere, anytime for both personal and business travel. This vision can be obtained by expanding near all-weather access to more than 3,400 small community airports that are currently under-utilized throughout the United States. SATS has focused its efforts on four key operating capabilities that have addressed new emerging technologies, procedures, and concepts to pave the way for small aircraft to operate in nearly all weather conditions at virtually any runway in the United States. These four key operating capabilities are: Higher Volume Operations at Non-Towered/Non-Radar Airports, En Route Procedures and Systems for Integrated Fleet Operations, Lower Landing Minimums at Minimally Equipped Landing Facilities, and Increased Single Pilot Performance. The SATS project culminated with the 2005 SATS Public Demonstration in Danville, Virginia on June 5th-7th, by showcasing the accomplishments achieved throughout the project and demonstrating that a small aircraft transportation system could be viable. The technologies, procedures, and concepts were successfully demonstrated to show that they were safe, effective, and affordable for small aircraft in near all weather conditions. The focus of this paper is to provide an overview of the technical and operational feasibility of the four operating capabilities, and explain how they can enable a small aircraft transportation system.

Influence of hospital-level practice patterns on variation in the application of minimally invasive surgery in United States pediatric patients.

PubMed

Train, Arianne T; Harmon, Carroll M; Rothstein, David H

2017-10-01

Although disparities in access to minimally invasive surgery are thought to exist in pediatric surgical patients in the United States, hospital-level practice patterns have not been evaluated as a possible contributing factor. Retrospective cohort study using the Kids' Inpatient Database, 2012. Odds ratios of undergoing a minimally invasive compared to open operation were calculated for six typical pediatric surgical operations after adjustment for multiple patient demographic and hospital-level variables. Further adjustment to the regression model was made by incorporating hospital practice patterns, defined as operation-specific minimally invasive frequency and volume. Age was the most significant patient demographic factor affecting application of minimally invasive surgery for all procedures. For several procedures, adjusting for individual hospital practice patterns removed race- and income-based disparities seen in performance of minimally invasive operations. Disparities related to insurance status were not affected by the same adjustment. Variation in the application of minimally invasive surgery in pediatric surgical patients is primarily influenced by patient age and the type of procedure performed. Perceived disparities in access related to some socioeconomic factors are decreased but not eliminated by accounting for individual hospital practice patterns, suggesting that complex underlying factors influence application of advanced surgical techniques. II. Copyright © 2017 Elsevier Inc. All rights reserved.

Crop and Soil Science. A Curriculum Guide for Idaho Vocational Agriculture Instructors. Volume 1 and Volume 2.

ERIC Educational Resources Information Center

Ledington, Richard L.

The 24 units that comprise this crop and soil science curriculum guide are not geared to a particular age level and must be adapted to the students for whom they are used. Units 1 through 6 are general units covering topics common to soil science. Units 7 through 24 are units covering topics common to crop production. Each unit includes objectives…

Report of the United Nations Interregional Seminar on the Employment, Development and Role of Scientists and Technical Personnel in the Public Service of Developing Countries, Volume III: Technical Papers.

ERIC Educational Resources Information Center

United Nations, New York, NY. Dept. of Economic and Social Affairs.

This collection of papers is the third of three volumes presenting the proceedings of the United Nations Interregional Seminar on the Employment, Development and Role of Scientists and Technical Personnel in the Public Service of Developing Countries (Volume I, Report of the Seminar; Volume II, Country Papers; and Volume III, Technical Papers).…

Compact high-speed scanning lidar system

NASA Astrophysics Data System (ADS)

Dickinson, Cameron; Hussein, Marwan; Tripp, Jeff; Nimelman, Manny; Koujelev, Alexander

2012-06-01

The compact High Speed Scanning Lidar (HSSL) was designed to meet the requirements for a rover GN&C sensor. The eye-safe HSSL's fast scanning speed, low volume and low power, make it the ideal choice for a variety of real-time and non-real-time applications including: 3D Mapping; Vehicle guidance and Navigation; Obstacle Detection; Orbiter Rendezvous; Spacecraft Landing / Hazard Avoidance. The HSSL comprises two main hardware units: Sensor Head and Control Unit. In a rover application, the Sensor Head mounts on the top of the rover while the Control Unit can be mounted on the rover deck or within its avionics bay. An Operator Computer is used to command the lidar and immediately display the acquired scan data. The innovative lidar design concept was a result of an extensive trade study conducted during the initial phase of an exploration rover program. The lidar utilizes an innovative scanner coupled with a compact fiber laser and high-speed timing electronics. Compared to existing compact lidar systems, distinguishing features of the HSSL include its high accuracy, high resolution, high refresh rate and large field of view. Other benefits of this design include the capability to quickly configure scan settings to fit various operational modes.

The Impact of Surgeon Volume on Perioperative Outcomes and Cost for Patients Receiving Robotic Partial Nephrectomy.

PubMed

Khandwala, Yash S; Jeong, In Gab; Kim, Jae Heon; Han, Deok Hyun; Li, Shufeng; Wang, Ye; Chang, Steven L; Chung, Benjamin I

2017-09-01

Little is known about the impact of surgeon volume on the success of the robot-assisted partial nephrectomy (RAPN). The objective of this study was to compare the perioperative outcomes and cost related to RAPN by annual surgeon volumes. Using the Premier Hospital Database, we retrospectively analyzed 39,773 patients who underwent RAPN between 2003 and 2015 in the United States. Surgeons for each index case were grouped into quintiles for each respective year. Outcomes were 90-day postoperative complications, operating room time (ORT), blood transfusion, length of stay, and direct hospital costs. Logistic regression and generalized linear models were used to identify factors predicting complications and cost. After accounting for patient and hospital demographics, high- and very high-volume surgeons had 40% and 42% decreased odds of having major complications (p = 0.045 and p = 0.027, respectively). Surgeons with higher volumes were associated with fewer odds of prolonged ORT (0.68 for low, 0.72 for intermediate, 0.56 for high, 0.44 for very high volume, all p < 0.05) and length of hospital stay (0.67 for intermediate, 0.51 for high, 0.45 for very high volume, all p < 0.01) compared with very low-volume surgeons. The 90-day hospital cost was also significantly lower for the surgeons with higher volume, but the statistical significance diminished after consideration of hospital clustering. Surgeons with very high RAPN volumes were found to have superior perioperative outcomes. Although cost of care appeared to correlate with surgeon volume, there may be other more influential factors predicting cost.

Agricultural Structures. Volume I. Instructor's Guide. Volume 13, Number 1.

ERIC Educational Resources Information Center

Linhardt, Richard E.; Burhoe, Steve

This document is a curriculum unit in agricultural structures designed to expand the curriculum materials available in vocational agriculture in Missouri. The guide consists of three units on constructing farm buildings, planning farm water systems, and building fences. Each unit contains 10-15 lessons on various aspects of the unit's topic. Each…

Calculus Students' Understanding of Area and Volume Units

ERIC Educational Resources Information Center

Dorko, Allison; Speer, Natasha

2015-01-01

Units of measure are critical in many scientific fields. While instructors often note that students struggle with units, little research has been conducted about the nature and extent of these difficulties or why they exist. We investigated calculus students' unit use in area and volume computations. Seventy-three percent of students gave…

EPA RREL'S MOBILE VOLUME REDUCTION UNIT -- APPLICATIONS ANALYSIS REPORT

EPA Science Inventory

The volume reduction unit (VRU) is a pilot-scale, mobile soil washing system designed to remove organic contaminants from the soil through particle size separation and solubilization. The VRU removes contaminants by suspending them in a wash solution and by reducing the volume of...

A mature Bosch CO2 reduction technology. [for long-duration space missions

NASA Technical Reports Server (NTRS)

King, C. D.; Holmes, R. F.

1976-01-01

The reduction of CO2 is one of the steps in closing the oxygen loop for long-duration manned space missions. Several units utilizing the Bosch process, which catalytically reduces CO2 with hydrogen, have been built and operated during the past decade. Each contributed substantial information affecting subsequent designs. Early challenges were primarily concerned with carbon control, materials durability, and reliability of reaction initiation. These were followed by concern about power consumption, expendable weight, volume, and process rate control. Suitable materials and techniques for carbon containment and process reliability have been demonstrated. Power requirements have been reduced by almost an order of magnitude. Methods for significant reductions in expendable weight and volume have been developed. The technology is at a state of maturity directly applicable to designs for space missions.

Experimental investigation of the sloshing motion of the water free surface in the draft tube of a Francis turbine operating in synchronous condenser mode

NASA Astrophysics Data System (ADS)

Vagnoni, Elena; Favrel, Arthur; Andolfatto, Loïc; Avellan, François

2018-06-01

Hydropower units may be required to operate in condenser mode to supply reactive power. In this operating mode, the water level in the turbine or pump-turbine is decreased below the runner by closing the guide vanes and injecting pressurized air. While operating in condenser mode the machine experiences power losses due to several air-water interaction phenomena which cause air losses. One of such phenomena is the sloshing motion of the water free surface below the runner in the draft tube cone of a Francis turbine. The objective of the present work is to experimentally investigate the sloshing motion of the water free surface in the draft tube cone of a reduced scale physical model of a Francis turbine operating in condenser mode. Images acquisition and simultaneous pressure fluctuation measurements are performed and an image processing method is developed to investigate amplitude and frequency of the sloshing motion of the free surface. It is found that this motion is excited at the natural frequency of the water volume and corresponds to the azimuthal wavenumber m = 1 of a rotating gravity wave. The amplitude of the motion is perturbed by wave breaking and it decreases by increasing the densimetric Froude number. The sloshing frequency slightly increases with respect to the natural frequency of the water volume by increasing the densimetric Froude number. Moreover, it results that this resonant phenomenon is not related to the torque perturbation.

How are we addressing ligament balance in TKA? A literature review of revision etiology and technological advancement.

PubMed

Smith, Tyler; Elson, Leah; Anderson, Christopher; Leone, William

2016-01-01

Despite technological advances in operative technique and component materials, the total knee arthroplasty (TKA) revision burden, in the United States, has remained static for the past decade. In light of an anticipated exponential increase in annual surgical volume, it is important to thoroughly understand contemporary challenges associated with technologically driven TKA. This descriptive literature review harvested 69 relevant publications to extrapolate patient trends, benefits, costs, and complications associated with computer-assisted surgery, patient specific instrumentation, and intra-operative sensors. Due to additional charges, a steep learning curve, and questionable cost-effectiveness, widespread use of these systems has been limited. Intra-operative sensors are a relatively recent development, and have been shown to improve both soft-tissue balance and overall functional outcomes at a relatively low price and without disrupting operative workflow. The introduction of new technology into the operating suite should be considered carefully, especially with respect to combined clinically efficacy and cost.

Operational effectiveness and quality assurance mechanisms with stochastic demand of blood supply: blood bank case study.

PubMed

Smith, Alan D

2011-01-01

A general overview of various blood products operational effectiveness and related strategies that can be utilised by service providers (in particular, healthcare providers) is presented in the present study. In terms of the massive volumes of blood products, the North American blood centres collect more than eight million units of whole blood, which represents appropriately 50% of the US and Quebec, Canada?s volunteer donor blood supply. A case study of the quality inspection and inventory control concerns of the Central Blood Bank, located in the metropolitan area of Pittsburgh, PA, is presented. Initially, brief introduction to its general operating environment is followed by sections describing its general situation, quality-service initiatives, and followed by a fairly detailed discussion of the practical applications of lessons learned from the case study.

Satellite Power Systems (SPS) concept definition study. Volume 2, part 2: System engineering. [cost and programmatics

NASA Technical Reports Server (NTRS)

Hanley, G. M.

1980-01-01

The latest technical and programmatic developments are considered as well as expansions of the Rockwell SPS cost model covering each phase of the program through the year 2030. Comparative cost/economic analyses cover elements of the satellite, construction system, space transportation vehicles and operations, and the ground receiving station. System plans to define time phased costs and planning requirements that support major milestones through the year 2000. A special analysis is included on natural resources required to build the SPS reference configuration. An appendix contains the SPS Work Breakdown Structure and dictionary along with detail cost data sheet on each system and main element of the program. Over 200 line items address DDT&E, theoretical first unit, investment cost per satellite, and operations charges for replacement capital and normal operations and maintenance costs.

Remedial investigation/feasibility study of the Clinch River/Poplar Creek operable unit. Volume 3: Appendixes E and F -- Risk assessment information

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

NONE

1996-06-01

This report presents the findings of an investigation into contamination of the Clinch River and Poplar Creek near the US Department of Energy`s (DOE`s) Oak Ridge Reservation (ORR) in eastern Tennessee. For more than 50 years, various hazardous and radioactive substances have been released to the environment as a result of operations and waste management activities at the ORR. In 1989, the ORR was placed on the National Priorities List (NPL), established and maintained under the federal Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). Under CERCLA, NPL sites must be investigated to determine the nature and extentmore » of contamination at the site, assess the risk to human health and the environment posed by the site, and, if necessary, identify feasible remedial alternatives that could be used to clean the site and reduce risk. To facilitate the overall environmental restoration effort at the ORR, CERCLA activities are being implemented individually as distinct operable units (OUs). This document is the combined Remedial Investigation and Feasibility Study Report for the Clinch River/Poplar Creek OU.« less

Remedial investigation/feasibility study of the Clinch River/Poplar Creek Operable Unit. Volume 2. Biota and representative concentrations of contaminants. Appendixes A, B, C, D

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

NONE

1996-03-01

This report presents the findings of an investigation into contamination of the Clinch River and Poplar Creek near the U.S. Department of Energy`s (DOE`s) Oak Ridge Reservation (ORR) in eastern Tennessee. For more than 50 years, various hazardous and radioactive substances have been released to the environment as a result of operations and waste management activities at the ORR. In 1989, the ORR was placed on the National Priorities List (NPL), established and maintained under the federal Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). Under CERCLA, NPL sites must be investigated to determine the nature and extentmore » of contamination at the site, assess the risk to human health and the environment posed by the site, and, if necessary, identify feasible remedial alternatives that could be used to clean the site and reduce risk. To facilitate the overall environmental restoration effort at the ORR, CERCLA activities are being implemented individually as distinct operable units (OU`s). This document is the combined Remedial Investigation and Feasibility Study Report for the Clinch River/Poplar Creek OU.« less

Development and experimental characterization of a pneumatic valve actuated by a dielectric elastomer membrane

NASA Astrophysics Data System (ADS)

Hill, Marc; Rizzello, Gianluca; Seelecke, Stefan

2017-08-01

Due to their many features including lightweight and low energy consumption, dielectric elastomer (DE) membrane actuators are of interest for a number of industrial applications, such as pumping systems or valve control units. In particular, the use of DEs in valve control units offers advantages over traditional solenoid valves, including lower power requirements and relative simplicity in achieving proportional control. Additionally, DEs generate low thermal dissipation and are capable of virtually silent operation. The contribution of this work is the development of a new valve system based on a circular DE membrane pre-loaded with a linear spring. The valve is designed for pressurized air and operates by actuating a lever mechanism that opens and closes an outlet port. After presenting the operating principle and system design, several experiments are presented to compare actuator force, stroke, and dissipated energy for several pressure differentials and associated volume flows. It is observed that the DE-driven valve achieves a performance similar to a solenoid-based valve, while requiring a significantly lower amount of input energy. In addition, it is shown that DE-membrane valves can be controlled proportionally by simply adjusting the actuator voltage.

Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit 1. Volume 5: Analysis of core damage frequency from seismic events during mid-loop operations

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

Budnitz, R.J.; Davis, P.R.; Ravindra, M.K.

1994-08-01

In 1989 the US Nuclear Regulatory Commission (NRC) initiated an extensive program to examine carefully the potential risks during low-power and shutdown operations. The program included two parallel projects, one at Brookhaven National Laboratory studying a pressurized water reactor (Surry Unit 1) and the other at Sandia National Laboratories studying a boiling water reactor (Grand Gulf). Both the Brookhaven and Sandia projects have examined only accidents initiated by internal plant faults--so-called ``internal initiators.`` This project, which has explored the likelihood of seismic-initiated core damage accidents during refueling shutdown conditions, is complementary to the internal-initiator analyses at Brookhaven and Sandia. Thismore » report covers the seismic analysis at Surry Unit 1. All of the many systems modeling assumptions, component non-seismic failure rates, and human error rates that were used in the internal-initiator study at Surry have been adopted here, so that the results of the two studies can be as comparable as possible. Both the Brookhaven study and this study examine only two shutdown plant operating states (POSs) during refueling outages at Surry, called POS 6 and POS 10, which represent mid-loop operation before and after refueling, respectively. This analysis has been limited to work analogous to a level-1 seismic PRA, in which estimates have been developed for the core-damage frequency from seismic events during POSs 6 and 10. The results of the analysis are that the core-damage frequency of earthquake-initiated accidents during refueling outages in POS 6 and POS 10 is found to be low in absolute terms, less than 10{sup {minus}6}/year.« less

Cargo Logistics Airlift Systems Study (CLASS). Volume 4: Future requirements of dedicated freighter aircraft to year 2008

NASA Technical Reports Server (NTRS)

Burby, R. J.

1979-01-01

The 1978 fleet operations are extended to the year 1992, thus providing an evaluation of current aircraft types in meeting the ensuing increased market demand. Possible changes in the fleet mix and the resulting economic situation are defined in terms of the number of units of each type aircraft and the resulting growth in operational frequency. Among the economic parameters considered are the associated investment required by the airline, the return on investment to the airline, and the accompanying levels of cash flow and operating income. Against this background the potential for a derivative aircraft to enter fleet operations in 1985 is defined as a function of payload size and as affected by 1980 technology. In a similar manner, the size and potential for a new dedicated 1990 technology, freighter aircraft to become operational in 1995 is established. The resulting aircraft and fleet operational and economic characteristics are evaluated over the period 1994 to 2008. The impacts of restricted growth in operational frequency, reduced market demand, variations in aircraft configurations, and military participation, are assessed.

Membrane filtration of olive mill wastewater and exploitation of its fractions.

PubMed

Paraskeva, C A; Papadakis, V G; Kanellopoulou, D G; Koutsoukos, P G; Angelopoulos, K C

2007-04-01

Olive mill wastewater (OMW) produced from small units scattered in rural areas of Southern Europe is a major source of pollution of surface and subsurface water. In the present work, a treatment scheme based on physical separation methods is presented. The investigation was carried out using a pilot-plant unit equipped with ultrafiltration, nanofiltration, and reverse osmosis membranes. Approximately 80% of the total volume of wastewater treated by the membrane units was sufficiently cleaned to meet the standards for irrigation water. The concentrated fractions collected in the treatment concentrates were characterized by high organic load and high content of phenolic compounds. The concentrates were tested in hydroponic systems to examine their toxicity towards undesired herbs. The calculations of the cost of the overall process showed that fixed and operational costs could be recovered from the exploitation of OMW byproducts as water for irrigation and/or as bioherbicides.

Natural desulfurization in coal-fired units using Greek lignite.

PubMed

Konidaris, Dimitrios N

2010-10-01

This paper analyzes the natural desulfurization process taking place in coal-fired units using Greek lignite. The dry scrubbing capability of Greek lignite appears to be extremely high under special conditions, which can make it possible for the units to operate within the legislative limits of sulfur dioxide (SO2) emissions. According to this study on several lignite-fired power stations in northern Greece, it was found that sulfur oxide emissions depend on coal rank, sulfur content, and calorific value. On the other hand, SO2 emission is inversely proportional to the parameter gammaCO2(max), which is equal to the maximum carbon dioxide (CO2) content by volume of dry flue gas under stoichiometric combustion. The desulfurization efficiency is positively correlated to the molar ratio of decomposed calcium carbonate to sulfur and negatively correlated to the free calcium oxide content of fly ash.

Robotic mitral valve surgery: overview, methodology, results, and perspective

PubMed Central

2016-01-01

Robotic mitral valve repair began in 1998 and has advanced remarkably. It arose from an interest in reducing patient trauma by operating through smaller incisions with videoscopic assistance. In the United States, following two clinical trials, the FDA approved the daVinci Surgical System in 2002 for intra-cardiac surgery. This device has undergone three iterations, eventuating in the current daVinci XI. At present it is the only robotic device approved for mitral valve surgery. Many larger centers have adopted its use as part of their routine mitral valve repair armamentarium. Although these operations have longer perfusion and arrest times, complications have been either similar or less than other traditional methods. Preoperative screening is paramount and leads to optimal patient selection and outcomes. There are clear contraindications, both relative and absolute, that must be considered. Three-dimensional (3D) echocardiographic studies optimally guide surgeons in operative planning. Herein, we describe the selection criteria as well as our operative management during a robotic mitral valve repair. Major complications are detailed with tips to avoid their occurrence. Operative outcomes from the author’s series as well as those from the largest experiences in the United States are described. They show that robotic mitral valve repair is safe and effective, as well as economically reasonable due to lower costs of hospitalization. Thus, the future of this operative technique is bright for centers adopting the “heart team” approach, adequate clinical volume and a dedicated and experienced mitral repair surgeon. PMID:27942486

Agriculture Supplies & Services. Volume 3 of 3.

ERIC Educational Resources Information Center

Kansas State Univ., Manhattan.

The third of three volumes included in a secondary agricultural supplies and services curriculum guide, this volume contains twenty-five units of instruction in the area of agricultural mechanics. Among the unit topics included are (1) Farm Safety, (2) Ignition Systems; (3) Servicing Wheel Bearings, (4) Oxyacetylene Cutting, (5) Servicing the…

Agriculture Supplies & Services. Volume 2 of 3.

ERIC Educational Resources Information Center

Kansas State Univ., Manhattan.

The second of three volumes included in a secondary agricultural supplies and services curriculum guide, this volume contains units of instruction in three major areas: (1) Animal Science, (2) Supervised Training Programs--Farm Business Management, and (3) Career Selection/Public Relations. Typical of the sixteen units included in the first…

7 CFR 1219.30 - Establishment and membership.

Code of Federal Regulations, 2011 CFR

2011-01-01

... volume of domestic production and the average volume of imports into the United States market over the..., the Board shall review the production of domestic Hass avocados in the United States and the volume of... reapportionment of the positions authorized in paragraph (b)(3) of this section to reflect changes in the...

Index to Research in Home Economics: 1972-1986.

ERIC Educational Resources Information Center

Fetterman, Nelma I.; Lefebvre, Verna M.

This index lists 945 research articles from 4 English-language journals in the field of home economics: the "Canadian Home Economics Journal," volumes 23-30; the "Home Economics Research Journal" (United States), volumes 1-14; the "Journal of Consumer Studies and Home Economics" (United Kingdom), volumes 1-10; and the…

Breast volume assessment: comparing five different techniques.

PubMed

Bulstrode, N; Bellamy, E; Shrotria, S

2001-04-01

Breast volume assessment is not routinely performed pre-operatively because as yet there is no accepted technique. There have been a variety of methods published, but this is the first study to compare these techniques. We compared volume measurements obtained from mammograms (previously compared to mastectomy specimens) with estimates of volume obtained from four other techniques: thermoplastic moulding, magnetic resonance imaging, Archimedes principle and anatomical measurements. We also assessed the acceptability of each method to the patient. Measurements were performed on 10 women, which produced results for 20 breasts. We were able to calculate regression lines between volume measurements obtained from mammography to the other four methods: (1) magnetic resonance imaging (MRI), 379+(0.75 MRI) [r=0.48], (2) Thermoplastic moulding, 132+(1.46 Thermoplastic moulding) [r=0.82], (3) Anatomical measurements, 168+(1.55 Anatomical measurements) [r=0.83]. (4) Archimedes principle, 359+(0.6 Archimedes principle) [r=0.61] all units in cc. The regression curves for the different techniques are variable and it is difficult to reliably compare results. A standard method of volume measurement should be used when comparing volumes before and after intervention or between individual patients, and it is unreliable to compare volume measurements using different methods. Calculating the breast volume from mammography has previously been compared to mastectomy samples and shown to be reasonably accurate. However we feel thermoplastic moulding shows promise and should be further investigated as it gives not only a volume assessment but a three-dimensional impression of the breast shape, which may be valuable in assessing cosmesis following breast-conserving-surgery.

Key performance indicators in an acute surgical unit: have we made an impact?

PubMed

Hsee, Li; Devaud, Marcelo; Civil, Ian

2012-10-01

Timely access to acute surgery is a worldwide issue and New Zealand is similarly affected. Auckland City Hospital is one of the largest metropolitan public hospitals in New Zealand where more than 60 % of surgical admissions fit into the acute category. In January 2009, an Acute Surgical Unit (ASU) was set up to improve acute surgical flow. Key performance indicators (KPIs) were identified as valuable tools in evaluating ASU service performance. Our goals were to describe the current acute patient pathway, present the early trend of KPIs for the ASU and determine whether an impact has been made on acute surgical patients. A retrospective review of patients admitted with acute general surgical conditions from January 2008 (pre-ASU) to October 2010 was performed. Patient data were identified through hospital electronic records. KPIs assessed included: (1) time to assess referred patients from the emergency department (ED) and from GPs [where patient assessment occurs in the assessment and planning unit (APU)]; (2) preoperative length of stay (LOS[PO]); (3) length of stay of nonadmitted patients (LOS[NA]); (4) case volume "in h" (0730-1730) versus "after h"; and (5) readmission rate. Statistical analysis was performed with one-way ANOVA, regression, and χ(2) tests. Results show a reduction of mean time from referral to assessment from 2.28 to 1.6 h in the ED (p ≤ 0.001). Patients are seen in APU after GP referral sooner as well as the time from referral to assessment reducing from 2 to 1.76 h (p < 0.001). The LOS[PO] has not changed significantly overall (34.58 vs. 34.88 h, p = not significant [NS]). However, there are encouraging signs in high-volume procedures, such as appendicectomy. The mean LOS[PO] for appendicectomy was 7.81 h but is now 6.53 h (p ≤ 0.005). The LOS[NA] has decreased from 15.23 to 9.48 h (p < 0.005). Since the development of the ASU, the number of cases operated on "in hours" is increasing with a corresponding decrease in "after hours" operating. Our KPIs demonstrate an early positive trend of facilitating acute patient flow. There is minimal difference between pre- and post-ASU LOS[PO].The causes are likely multifactorial, including increased case volume displacing minor cases of lesser urgency, lack of operating staff, and shortage of hospital beds in winter months. This study supports the utility of ASU in facilitating patient flow in a NZ metropolitan public hospital.

Protective mechanical ventilation in United Kingdom critical care units: A multicentre audit

PubMed Central

Martin, Matthew J; Richardson, Neil; Bourdeaux, Christopher P

2016-01-01

Lung protective ventilation is becoming increasingly used for all critically ill patients being mechanically ventilated on a mandatory ventilator mode. Compliance with the universal application of this ventilation strategy in intensive care units in the United Kingdom is unknown. This 24-h audit of ventilation practice took place in 16 intensive care units in two regions of the United Kingdom. The mean tidal volume for all patients being ventilated on a mandatory ventilator mode was 7.2(±1.4) ml kg−1 predicted body weight and overall compliance with low tidal volume ventilation (≤6.5 ml kg−1 predicted body weight) was 34%. The mean tidal volume for patients ventilated with volume-controlled ventilation was 7.0(±1.2) ml kg−1 predicted body weight and 7.9(±1.8) ml kg−1 predicted body weight for pressure-controlled ventilation (P < 0.0001). Overall compliance with recommended levels of positive end-expiratory pressure was 72%. Significant variation in practice existed both at a regional and individual unit level. PMID:28979556

Protective mechanical ventilation in United Kingdom critical care units: A multicentre audit.

PubMed

Newell, Christopher P; Martin, Matthew J; Richardson, Neil; Bourdeaux, Christopher P

2017-05-01

Lung protective ventilation is becoming increasingly used for all critically ill patients being mechanically ventilated on a mandatory ventilator mode. Compliance with the universal application of this ventilation strategy in intensive care units in the United Kingdom is unknown. This 24-h audit of ventilation practice took place in 16 intensive care units in two regions of the United Kingdom. The mean tidal volume for all patients being ventilated on a mandatory ventilator mode was 7.2(±1.4) ml kg -1 predicted body weight and overall compliance with low tidal volume ventilation (≤6.5 ml kg -1 predicted body weight) was 34%. The mean tidal volume for patients ventilated with volume-controlled ventilation was 7.0(±1.2) ml kg -1 predicted body weight and 7.9(±1.8) ml kg -1 predicted body weight for pressure-controlled ventilation ( P  < 0.0001). Overall compliance with recommended levels of positive end-expiratory pressure was 72%. Significant variation in practice existed both at a regional and individual unit level.

TREATABILITY STUDY BULLETIN: MOBILE VOLUME REDUCTION UNIT AT THE SAND CREEK SUPERFUND SITE

EPA Science Inventory

The Risk Reduction Engineering Laboratory (RREL) Releases Control Branch (RCB) has developed a pilot-scale Mobile Volume Reduction Unit (VRU) to determine the feasibility of soil washing for the remediation of contaminated soils. This mobile unit, mounted on two trailers, can pro...

Timber Resource of Wisconsin's Southwest Survey Unit, 1983.

Treesearch

Gerhard K. Raile

1985-01-01

The timber resource of the Southwest Wisconsin Survey Unit increased 29% in commercial forest area and increased 52% in growing-stock volume between 1968 and 1983. Highlights and statistics from the fourth inventory of this unit are presented for area, volume, growth, mortality, removals, utilization, and biomass.

Use of body plethysmography to measure effect of bimaxillary orthognathic surgery on airway resistance and lung volumes.

PubMed

Rezaeetalab, Fariba; Kazemian, Mozhgan; Vaezi, Touraj; Shaban, Barratollah

2015-12-01

Bimaxillary orthognathic surgery can cause changes to respiration and the airways. We used body plethysmography to evaluate its effect on airway resistance and lung volumes in 20 patients with class III malocclusions (8 men and 12 women, aged 17 - 32 years). Lung volumes (forced vital capacity; forced inspiratory volume/one second; forced expiratory volume/one second: forced vital capacity; peak expiratory flow; maximum expiratory flow 25-75; maximum inspiratory flow; total lung capacity; residual volume; residual volume:total lung capacity), and airway resistance were evaluated one week before, and six months after, operation. Bimaxillary operations to correct class III malocclusions significantly increased airway resistance, residual volume, total lung capacity, and residual volume:total lung capacity. Other variables also changed after operation but not significantly so. Orthognathic operations should be done with caution in patients who have pre-existing respiratory diseases. Copyright © 2015 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Professor Samuel David Gross (1805-1884) and His Innovations in Surgery and Medicine.

PubMed

Laios, Konstantinos

2018-06-01

Professor Samuel David Gross (1805-1884) is considered as one of the founders of American surgery. He was a skillful surgeon who could excellently perform a lithotomy, an amputation, and a cataract surgery. He introduced many new surgical techniques and designed new surgical and medical instruments. He expertise was not limited to surgery alone; he also published studies concerning internal medicine, pathology, experimental physiology, and pharmacology. His most important treatise was his 2-volume work, A System of Surgery, Pathological, Diagnostic, Therapeutic and Operative (1861), which was a standard reference book in surgery in the United States during the second half of 19th century. Gross received many honors during his life. He was active in the operating room until his death.

Reactor operation environmental information document

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

Wike, L.D.; Specht, W.L.; Mackey, H.E.

The Savannah River Site (SRS) is a large United States Department of Energy installation on the upper Atlantic Coastal Plain of South Carolina. The SRS contains diverse habitats, flora, and fauna. Habitats include upland terrestrial areas, varied wetlands including Carolina Bays, the Savannah River swamp system, and impoundment related and riparian wetlands, and the aquatic habitats of several stream systems, two large cooling reservoirs, and the Savannah River. These diverse habitats support a large variety of plants and animals including many commercially or recreational valuable species and several rare, threatened or endangered species. This volume describes the major habitats andmore » their biota found on the SRS, and discuss the impacts of continued operation of the K, L, and P production reactors.« less

Small Business Management. Addendum to Small Business Management Education Curriculum Volume III.

ERIC Educational Resources Information Center

Minnesota Univ., St. Paul. Dept. of Agricultural Education.

A supplement to a previous volume (CE 009 649), this document contains handouts, case problems, schedules, and seminar information keyed to specific units of instruction. The contents by year and unit areas are as follow: year I, unit 1--time management (two-page handout concerning four problems to avoid; year I, unit 2--warranty register (a…

Report on the remedial investigation of Bear Creek Valley at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. Volume 3: Appendix D -- Nature and extent of contamination report

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

NONE

1996-09-01

This Remedial Investigation (RI) Report characterizes the nature and extent of contamination, evaluates the fate and transport of contaminants, and assesses risk to human health and the environment resulting from waste disposal and other US Department of Energy (DOE) operations in Bear Creek Valley (BCV). BCV, which is located within the DOE Oak Ridge Reservation (ORR) encompasses multiple waste units containing hazardous and radioactive wastes arising from operations at the adjacent Oak Ridge Y-12 Plant. The primary waste units discussed in this RI Report are the S-3 Site, Oil Landfarm (OLF), Boneyard/Burnyard (BYBY), Sanitary Landfill 1 (SL 1), and Bearmore » Creek Burial Grounds (BCBG). These waste units, plus the contaminated media resulting from environmental transport of the wastes from these units, are the subject of this RI. This BCV RI Report represents the first major step in the decision-making process for the BCV watershed. The RI results, in concert with the follow-on FS will form the basis for the Proposed Plan and Record of Decision for all BCV sites. This comprehensive decision document process will meet the objectives of the watershed approach for BCV. Appendix D describes the nature and extent of contamination in environmental media and wastes.« less

Nursing Skills for Allied Health Services. Volume 2.

ERIC Educational Resources Information Center

Wood, Lucile A., Ed.

Volume 2 of the two-volume textbook on nursing skills presents instructional materials (units 21-36) on nursing skills based on 184 activities designated by the Allied Health Professions Projects national survey as those which are accomplished by all levels of nursing. Unit titles are: (21) urine elimination; (22) bowel elimination; (23)…

Agriculture Supplies & Services. Volume 1 of 3.

ERIC Educational Resources Information Center

Kansas State Univ., Manhattan.

The first of three volumes included in a secondary agricultural supplies and services curriculum guide, this volume contains units of instruction in two major areas: (1) plant and soil science and (2) leadership (Future Farmers of America). Typical of the nineteen units included in the first section are the following: Plant Insect Control, Plant…

TREATABILITY STUDY BULLETIN: MOBILE VOLUME REDUCTION UNIT AT THE ESCAMBIA SUPERFUND SITE

EPA Science Inventory

The RREL has developed a pilot-scale Mobile Volume Reduction Unit (VRU) to determine the feasibility of soil washing for the remediation of contaminated soils. This mobile unit, mounted on two trailers, can process 100 lb/hr of soil feed. Soil washing is a cost effective technolo...

Timber Resource of Wisconsin's Northeast Survey Unit, 1983.

Treesearch

Mark H. Hansen

1984-01-01

The timber resource of the Northeast Wisconsin Survey Unit declined 5.7% in commercial forest area and increased 23% in growing-stock volume between 1968 and 1983. Highlights and statistics from the fourth inventory of this unit are presented for area, volume, growth, mortality, removals, utilization, and biomass.

Timber resource of Wisconsin's Central Survey Unit, 1983.

Treesearch

Jerold T. Hahn

1985-01-01

The timber resource of the Central Wisconsin Survey Unit increased 4.2% in commercial forest area and increased 75% in growing-stock volume between 1968 and 1983. Highlights and statistics from the fourth inventory of this unit are presented for area, volume, growth, mortality, removals, utilization, and biomass.

SPOKEN COCHABAMBA QUECHUA, UNITS 13-24.

ERIC Educational Resources Information Center

LASTRA, YOLANDA; SOLA, DONALD F.

UNITS 13-24 OF THE SPOKEN COCHABAMBA QUECHUA COURSE FOLLOW THE GENERAL FORMAT OF THE FIRST VOLUME (UNITS 1-12). THIS SECOND VOLUME IS INTENDED FOR USE IN AN INTERMEDIATE OR ADVANCED COURSE AND INCLUDES MORE COMPLEX DIALOGS, CONVERSATIONS, "LISTENING-INS," AND DICTATIONS, AS WELL AS GRAMMAR AND EXERCISE SECTIONS COVERING ADDITIONAL…

21 CFR 165.110 - Bottled water.

Code of Federal Regulations, 2014 CFR

2014-04-01

.... (3) Physical quality. Bottled water shall, when a composite of analytical units of equal volume from.... 1 (4) Chemical quality. (i)(A) Bottled water shall, when a composite of analytical units of equal... bottled water, when a composite of analytical units of equal volume from a sample is examined by the...

Use of computed tomography to assess volume change after endoscopic orbital decompression for Graves' ophthalmopathy.

PubMed

Schiff, Bradley A; McMullen, Caitlin P; Farinhas, Joaquim; Jackman, Alexis H; Hagiwara, Mari; McKellop, Jason; Lui, Yvonne W

2015-01-01

Orbital decompression is frequently performed in the management of patients with sight-threatening and disfiguring Graves' ophthalmopathy. The quantitative measurements of the change in orbital volume after orbital decompression procedures are not definitively known. Furthermore, the quantitative effect of septal deviation on volume change has not been previously analyzed. To provide quantitative measurement of orbital volume change after medial and inferior endoscopic decompression and describe a straightforward method of measuring this change using open-source technologies. A secondary objective was to assess the effect of septal deviation on orbital volume change. A retrospective review was performed on all patients undergoing medial and inferior endoscopic orbital decompression for Graves' ophthalmopathy at a tertiary care academic medical center. Pre-operative and post-operative orbital volumes were calculated from computed tomography (CT) data using a semi-automated segmenting technique and Osirix™, an open-source DICOM reader. Data were collected for pre-operative and post-operative orbital volumes, degree of septal deviation, time to follow-up scan, and individual patient Hertel scores. Nine patients (12 orbits) were imaged before and after decompression. Mean pre-operative orbital volume was 26.99 cm(3) (SD=2.86 cm(3)). Mean post-operative volume was 33.07 cm(3) (SD=3.96 cm(3)). The mean change in volume was 6.08 cm(3) (SD=2.31 cm(3)). The mean change in Hertel score was 4.83 (SD=0.75). Regression analysis of change in volume versus follow-up time to imaging indicates that follow-up time to imaging has little effect on change in volume (R=-0.2), and overall mean maximal septal deviation toward the operative side was -0.5mm. Negative values were attributed to deviation away form the operative site. A significant correlation was demonstrated between change in orbital volume and septal deviation distance site (R=0.66), as well as between change in orbital volume and septal deviation angle (R=0.67). Greater volume changes were associated with greater degree of septal deviation away from the surgical site, whereas smaller volume changes were associated with greater degree of septal deviation toward the surgical site. A straightforward, semi-automated segmenting technique for measuring change in volume following endoscopic orbital decompression is described. This method proved useful in determining that a mean increase of approximately 6 cm in volume was achieved in this group of patients undergoing medial and inferior orbital decompression. Septal deviation appears to have an effect on the surgical outcome and should be considered during operative planning. Copyright © 2015 Elsevier Inc. All rights reserved.

Volcanic stratigraphy of large-volume silicic pyroclastic eruptions during Oligocene Afro-Arabian flood volcanism in Yemen

NASA Astrophysics Data System (ADS)

Peate, Ingrid Ukstins; Baker, Joel A.; Al-Kadasi, Mohamed; Al-Subbary, Abdulkarim; Knight, Kim B.; Riisager, Peter; Thirlwall, Matthew F.; Peate, David W.; Renne, Paul R.; Menzies, Martin A.

2005-12-01

A new stratigraphy for bimodal Oligocene flood volcanism that forms the volcanic plateau of northern Yemen is presented based on detailed field observations, petrography and geochemical correlations. The >1 km thick volcanic pile is divided into three phases of volcanism: a main basaltic stage (31 to 29.7 Ma), a main silicic stage (29.7 to 29.5 Ma), and a stage of upper bimodal volcanism (29.5 to 27.7 Ma). Eight large-volume silicic pyroclastic eruptive units are traceable throughout northern Yemen, and some units can be correlated with silicic eruptive units in the Ethiopian Traps and to tephra layers in the Indian Ocean. The silicic units comprise pyroclastic density current and fall deposits and a caldera-collapse breccia, and they display textures that unequivocally identify them as primary pyroclastic deposits: basal vitrophyres, eutaxitic fabrics, glass shards, vitroclastic ash matrices and accretionary lapilli. Individual pyroclastic eruptions have preserved on-land volumes of up to ˜850 km3. The largest units have associated co-ignimbrite plume ash fall deposits with dispersal areas >1×107 km2 and estimated maximum total volumes of up to 5,000 km3, which provide accurate and precisely dated marker horizons that can be used to link litho-, bio- and magnetostratigraphy studies. There is a marked change in eruption style of silicic units with time, from initial large-volume explosive pyroclastic eruptions producing ignimbrites and near-globally distributed tuffs, to smaller volume (<50 km3) mixed effusive-explosive eruptions emplacing silicic lavas intercalated with tuffs and ignimbrites. Although eruption volumes decrease by an order of magnitude from the first stage to the last, eruption intervals within each phase remain broadly similar. These changes may reflect the initiation of continental rifting and the transition from pre-break-up thick, stable crust supporting large-volume magma chambers, to syn-rift actively thinning crust hosting small-volume magma chambers.

Eyewitness to War, Volume 2. The US Army in Operation AL FAJR: An Oral History

DTIC Science & Technology

2006-01-01

those of the Department of the Army, or the Department of Defense. A full list of CSI Press publications, many of them available for downloading, can be...and mobility of the Army’s heavy armor and mechanized units to full effect, the Marine Regimental Combat Teams were successful in destroying the enemy...to any type of movement. The LRAS is vehicle-mounted, it has all types of great optics on it, and he can observe and lase as well with that thing as

Offpost Operable Unit Remedial Investigation and Chemical Specific Applicable or Relevant and Appropriate Requirements, Version 3.1. Volume 3

DTIC Science & Technology

1988-12-01

dried eggs and processed herbs and spices;... (iii) 250 parts per million in or on concentrated tomato products and dried figs; and (iv) 125 parts...eggplant, peppers, potatoes, summer squash and tomatoes . 4 4 4 H-25 4 38. PRIMARY NAME: Ethyl benzene (Ethylbenzene) CERCLA Hazardous Substance: Yes...C’. .R. § 141. 12 and the aquatic life standard as poenrtial ’\\ RAIZS reqa ire no( further discus~it n in this" con text. I8 Q h )tn omen ts ()n Fthfi

New York City Police Department Automated Fuel Monitoring system. Volume I. Overview. Technical report

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

McGrath, W.J.; McNamara, M.M.

1981-10-01

The New York City Police Department (NYCPD) Automated Fuel Monitoring system is briefly described from the original study, through system design, to implementation. The system provides complete control of fuel usage for an agency with 4,000 motor vehicles and 25,000 vehicle operators. As far as is known, it is the largest system of its kind installed to date. The system can be scaled up or down to meet the needs of other governmental units. Estimated annual cost savings to NYCPD are $2,000,000.

New York City Police Department Automated Fuel Monitoring system. Volume II. Documentation report. Technical report

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

McGrath, W.J.; McNamara, M.M.

1981-11-16

The New York City Police Department (NYCPD) Automated Fuel Monitoring system is briefly described from the original study, through system design, to implementation. The system provides complete control of fuel usage for an agency with 4,000 motor vehicles and 25,000 vehicle operators. As far as is known, it is the largest system of its kind installed to date. The system can be scaled up or down to meet the needs of other governmental units. Estimated annual cost savings to NYCPD are $2,000,000.

Al SahawaThe Awakening: Volume 3-B: Al Anbar Province Area of Operations Denver, HadithahHit Corridor

DTIC Science & Technology

2016-05-01

Koopman, “Marines Seal Bonds of Trust/Special Unit Wants to Wind Hearts and Minds,” SFGate.com, 4 July 2004, http://articles.sfgate.com/2004-07-04/news...that time period that we were in Iraq was a logistics ring route force. It did nothing to assist tactically with the prosecution of stability...put themselves in harm’s way. Cooling: Yes, Sir. And the junction with the turnover of all of our airframes, relatively occur- ring at the same time

Al SahawaThe Awakening Volume III-B: Al Anbar Province, Area of Operations Denver, HadithahHit Corridor

DTIC Science & Technology

2016-05-01

Koopman, “Marines Seal Bonds of Trust/Special Unit Wants to Wind Hearts and Minds,” SFGate.com, 4 July 2004, http://articles.sfgate.com/2004-07-04/news...that time period that we were in Iraq was a logistics ring route force. It did nothing to assist tactically with the prosecution of stability...put themselves in harm’s way. Cooling: Yes, Sir. And the junction with the turnover of all of our airframes, relatively occur- ring at the same time

Remedial Investigation/Feasibility Study, Operable Unit 5, Elmendorf AFB, Anchorage, Alaska. Volume 2. Text and Appendices A - J

DTIC Science & Technology

1994-03-04

hitting abandoned paper sheathed copper wire telephone cable at 4.2’. Boring moved. No discernible floating product. 35.0 . 40.0 45.0 50.0 55.0 - jPROJECT...0.60 U N/C Magnesium, Mg 14.3 U 14.3 U N/C Manganese, Mn 0.80 U 0.80 U N/C Mercury, Hg 0.10 U 0.10 U N/C Nikel , Ni 7.7 U 7.7 U N/C Potassium, K 191 U

Membrane processes in biotechnology: an overview.

PubMed

Charcosset, Catherine

2006-01-01

Membrane processes are increasingly reported for various applications in both upstream and downstream technology, such as the established ultrafiltration and microfiltration, and emerging processes as membrane bioreactors, membrane chromatography, and membrane contactors for the preparation of emulsions and particles. Membrane systems exploit the inherent properties of high selectivity, high surface-area-per-unit-volume, and their potential for controlling the level of contact and/or mixing between two phases. This review presents these various membrane processes by focusing more precisely on membrane materials, module design, operating parameters and the large range of possible applications.

Analysis of Radiation Exposure for Naval Units of Operation CROSSROADS. Volume 1. Basic Report

DTIC Science & Technology

1982-03-03

m^m 341500 2195F UNDERWAY "ROM ANCHORAGE 341623 2000E ANCHORED IN BERTH #219 341829 2000E UNDERWAY LL RIVER . PROCEEDING TO ANCHORAGE IN VICINITY...DUTTON (AGS-8) USS ENOREE (AO-69) USS ETLAH (AN-79) USS FALL RIVER (CA-131) USS FLUSSER (DD-368) USS FULTON (AS-11) USS FURSE (DD-882) USS...24) USS SUNCOCK (AN-80) USS SYLVANIA (AKA-44) USSTELAMON(ARB-8) USSTOMBIGBEE(AOG-ll) USS TURNER (DD-834) USS WALKE (DD-723) USS WENATCHEE (ATF

Correlation between differential renal function estimation using CT-based functional renal parenchymal volume and (99m)Tc - DTPA renal scan.

PubMed

Sarma, Debanga; Barua, Sasanka K; Rajeev, T P; Baruah, Saumar J

2012-10-01

Nuclear renal scan is currently the gold standard imaging study to determine differential renal function. We propose helical CT as single modality for both the anatomical and functional evaluation of kidney with impaired function. In the present study renal parenchymal volume is measured and percent total renal volume is used as a surrogate marker for differential renal function. The objective of this study is to correlate between differential renal function estimation using CT-based renal parenchymal volume measurement with differential renal function estimation using (99m)TC - DTPA renal scan. Twenty-one patients with unilateral obstructive uropathy were enrolled in this prospective comparative study. They were subjected to (99m)Tc - DTPA renal scan and 64 slice helical CT scan which estimates the renal volume depending on the reconstruction of arterial phase images followed by volume rendering and percent renal volume was calculated. Percent renal volume was correlated with percent renal function, as determined by nuclear renal scan using Pearson coefficient. RESULTS AND OBSERVATION: A strong correlation is observed between percent renal volume and percent renal function in obstructed units (r = 0.828, P < 0.001) as well as in nonobstructed units (r = 0.827, P < 0.001). There is a strong correlation between percent renal volume determined by CT scan and percent renal function determined by (99m)TC - DTPA renal scan both in obstructed and in normal units. CT-based percent renal volume can be used as a single radiological tests for both functional and anatomical assessment of impaired renal units.

Water stress from high-volume hydraulic fracturing potentially threatens aquatic biodiversity and ecosystem services in Arkansas, United States

USGS Publications Warehouse

Entrekin, Sally; Trainor, Anne; Saiers, James; Patterson, Lauren; Maloney, Kelly O.; Fargione, Joseph; Kiesecker, Joseph M.; Baruch-Mordo, Sharon; Konschnik, Katherine E.; Wiseman, Hannah; Nicot, Jean-Philippe; Ryan, Joseph N.

2018-01-01

Demand for high-volume, short duration water withdrawals could create water stress to aquatic organisms in Fayetteville Shale streams sourced for hydraulic fracturing fluids. We estimated potential water stress using permitted water withdrawal volumes and actual water withdrawals compared to monthly median, low, and high streamflows. Risk for biological stress was considered at 20% of long-term median and 10% of high- and low-flow thresholds. Future well build-out projections estimated potential for continued stress. Most water was permitted from small, free-flowing streams and “frack” ponds (dammed streams). Permitted 12-h pumping volumes exceeded median streamflow at 50% of withdrawal sites in June, when flows were low. Daily water usage, from operator disclosures, compared to median streamflow showed possible water stress in 7–51% of catchments from June–November, respectively. If 100% of produced water was recycled, per-well water use declined by 25%, reducing threshold exceedance by 10%. Future water stress was predicted to occur in fewer catchments important for drinking water and species of conservation concern due to the decline in new well installations and increased use of recycled water. Accessible and precise withdrawal and streamflow data are critical moving forward to assess and mitigate water stress in streams that experience high-volume withdrawals.

Water Stress from High-Volume Hydraulic Fracturing Potentially Threatens Aquatic Biodiversity and Ecosystem Services in Arkansas, United States.

PubMed

Entrekin, Sally; Trainor, Anne; Saiers, James; Patterson, Lauren; Maloney, Kelly; Fargione, Joseph; Kiesecker, Joseph; Baruch-Mordo, Sharon; Konschnik, Katherine; Wiseman, Hannah; Nicot, Jean-Philippe; Ryan, Joseph N

2018-02-20

Demand for high-volume, short duration water withdrawals could create water stress to aquatic organisms in Fayetteville Shale streams sourced for hydraulic fracturing fluids. We estimated potential water stress using permitted water withdrawal volumes and actual water withdrawals compared to monthly median, low, and high streamflows. Risk for biological stress was considered at 20% of long-term median and 10% of high- and low-flow thresholds. Future well build-out projections estimated potential for continued stress. Most water was permitted from small, free-flowing streams and "frack" ponds (dammed streams). Permitted 12-h pumping volumes exceeded median streamflow at 50% of withdrawal sites in June, when flows were low. Daily water usage, from operator disclosures, compared to median streamflow showed possible water stress in 7-51% of catchments from June-November, respectively. If 100% of produced water was recycled, per-well water use declined by 25%, reducing threshold exceedance by 10%. Future water stress was predicted to occur in fewer catchments important for drinking water and species of conservation concern due to the decline in new well installations and increased use of recycled water. Accessible and precise withdrawal and streamflow data are critical moving forward to assess and mitigate water stress in streams that experience high-volume withdrawals.

[Condylar hyperplasia: qualitative and quantitative study of temporomandibular joints remodeling before and after condylectomy].

PubMed

Rojare, Camille; Wojcik, Thomas; Coussens, Camille; Ferri, Joël; Pertuzon, Bruno; Raoul, Gwénaël

2014-06-01

This retrospective study aimed to evaluate bone remodeling of temporo-mandibular joints (TMJ) using computed tomography (CT) before and after condylectomy for condylar hyperplasia. TMJ bone remodeling was studied by comparing the pre and postoperative CT scan of ten patients. Qualitative evaluation was performed by two-dimensional analysis. Three-dimensional analysis superimpositions were done after digital condylar units isolation. Condylar volume modifications were measured and compared on both sides. Lastly, before and after surgery, we studied the radio-clinic correlations. After surgery, all the operated condyles developed a new cortical bone. We noticed also a thickening of the glenoid fossa. Surgical condylectomy leaded to a 43.5% volume reduction on the operated side and 2.14% on the controlateral side. On the controlateral side, most of abnormalities seen preoperatively disappeared after surgery. For two patients, the condylar resection took away over 80% of the initial volume. For these patients, we observed major radiologic modifications on the controlateral TMJ associated with symptoms of dysfunction. These problems did not worsen their quality of life. Both TMJ presented with bone remodelling after condylectomy. In condylar hyperplasia, condylectomy provides orthopaedic results on dysmorphia and removal of the pathological prechondroblastic zone. In the future, an earlier detection of this pathology may help the surgeon to treat in childhood. This would limit surgical excision and would avoid important dysmorphia. © EDP Sciences, SFODF, 2014.

40 CFR 60.463 - Performance test and compliance provisions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... operator shall use the following procedures for determining monthly volume-weighted average emissions of... Method 24 or an equivalent or alternative method. The owner or operator shall determine the volume of... facilities, the owner or operator shall estimate the volume of coating used at each affected facility by...

Evolution of community-based arsenic removal systems in remote villages in West Bengal, India: assessment of decade-long operation.

PubMed

Sarkar, Sudipta; Greenleaf, John E; Gupta, Anirban; Ghosh, Debabrata; Blaney, Lee M; Bandyopadhyay, P; Biswas, R K; Dutta, Amal K; Sengupta, Arup K

2010-11-01

In Bangladesh and the neighboring state of West Bengal, India, over 100 million people are affected by widespread arsenic poisoning through drinking water drawn from underground sources containing arsenic at concentrations well above the permissible limit of 50 μg/L. The health effects caused by arsenic poisoning in this area is as catastrophic as any other natural calamity that occurred throughout the world in recent times. Since 1997, over 200 community level arsenic removal units have been installed in Indian subcontinent through collaboration between Bengal Engineering and Science University (BESU), India and Lehigh University, USA. Approximately 200,000 villagers collect arsenic-safe potable water from these units on a daily basis. The treated water is also safe for drinking with regard to its total dissolved solids, hardness, iron and manganese content. The units use regenerable arsenic-selective adsorbents. Regular maintenance and upkeep of the units is administered by the villagers through formation of villagers' water committee. The villagers contribute towards the cost of operation through collection of a small water tariff. Upon exhaustion, the adsorbents are regenerated in a central facility by a few trained villagers. The process of regeneration reduces the volume of disposable arsenic-laden solids by nearly two orders of magnitude and allows for the reuse of the adsorbent material. Finally, the arsenic-laden solids are contained on well-aerated coarse sand filters with minimum arsenic leaching. This disposal technique is scientifically more appropriate than dumping arsenic-loaded adsorbents in the reducing environment of landfills as currently practiced in developed countries including the United States. The design of the units underwent several modifications over last ten years to enhance the efficiency in terms of arsenic removal, ease of maintenance and ecologically safe containment and disposal of treatment residuals. The continued safe operation of these units has amply demonstrated that use of regenerable arsenic-selective adsorbents is quite viable in remote locations. The technology and associated socio-economic management of the units have matured over the years, generating promise for rapid replication in other severely arsenic-affected countries in Southeast Asia. Copyright © 2010 Elsevier Ltd. All rights reserved.

CIS-lunar space infrastructure lunar technologies: Executive summary

NASA Technical Reports Server (NTRS)

Faller, W.; Hoehn, A.; Johnson, S.; Moos, P.; Wiltberger, N.

1989-01-01

Technologies necessary for the creation of a cis-Lunar infrastructure, namely: (1) automation and robotics; (2) life support systems; (3) fluid management; (4) propulsion; and (5) rotating technologies, are explored. The technological focal point is on the development of automated and robotic systems for the implementation of a Lunar Oasis produced by Automation and Robotics (LOAR). Under direction from the NASA Office of Exploration, automation and robotics were extensively utilized as an initiating stage in the return to the Moon. A pair of autonomous rovers, modular in design and built from interchangeable and specialized components, is proposed. Utilizing a buddy system, these rovers will be able to support each other and to enhance their individual capabilities. One rover primarily explores and maps while the second rover tests the feasibility of various materials-processing techniques. The automated missions emphasize availability and potential uses of Lunar resources, and the deployment and operations of the LOAR program. An experimental bio-volume is put into place as the precursor to a Lunar environmentally controlled life support system. The bio-volume will determine the reproduction, growth and production characteristics of various life forms housed on the Lunar surface. Physicochemical regenerative technologies and stored resources will be used to buffer biological disturbances of the bio-volume environment. The in situ Lunar resources will be both tested and used within this bio-volume. Second phase development on the Lunar surface calls for manned operations. Repairs and re-configuration of the initial framework will ensue. An autonomously-initiated manned Lunar oasis can become an essential component of the United States space program.

Prosthetic occlusive device for an internal passageway

NASA Technical Reports Server (NTRS)

Tenney, J. B., Jr. (Inventor)

1983-01-01

An occlusive device is disclosed for surgical implant to occlude the lumen of an internal organ. The device includes a cuff having a backing collar and two isolated cuff chambers. The fluid pressure of one chamber is regulated by a pump/valve reservoir unit. The other chamber is unregulated in pressure but its fluid volume is adjusted by removing or adding fluid to a septum/reservoir by means of a hypodermic needle. Pressure changes are transmitted between the two cuff chambers via faying surfaces which are sufficiently large in contact area and thin as to transmit pressure generally without attenuation. By adjusting the fluid volume of the septum, the operating pressure of the device may be adjusted to accommodate tubular organs of different diameter sizes as well as to compensate for changes in the organ following implant without reoperation.

GENASIS Mathematics : Object-oriented manifolds, operations, and solvers for large-scale physics simulations

NASA Astrophysics Data System (ADS)

Cardall, Christian Y.; Budiardja, Reuben D.

2018-01-01

The large-scale computer simulation of a system of physical fields governed by partial differential equations requires some means of approximating the mathematical limit of continuity. For example, conservation laws are often treated with a 'finite-volume' approach in which space is partitioned into a large number of small 'cells,' with fluxes through cell faces providing an intuitive discretization modeled on the mathematical definition of the divergence operator. Here we describe and make available Fortran 2003 classes furnishing extensible object-oriented implementations of simple meshes and the evolution of generic conserved currents thereon, along with individual 'unit test' programs and larger example problems demonstrating their use. These classes inaugurate the Mathematics division of our developing astrophysics simulation code GENASIS (Gen eral A strophysical Si mulation S ystem), which will be expanded over time to include additional meshing options, mathematical operations, solver types, and solver variations appropriate for many multiphysics applications.

Nursing Skills for Allied Health Services. Volume 1.

ERIC Educational Resources Information Center

Wood, Lucile A., Ed.

Volume 1 of the two-volume textbook on nursing skills presents instructional materials (units 1-20) based on 184 activities designated by the Allied Health Professions Projects national survey as those which are accomplished by all levels of nursing. Unit titles are: (1) the health worker and the law; (2) introduction to ethics in the healing…

Favorites, Friendships, Food, and Fantasy: Literature-Based Thematic Units for Early Primary. Volume One [and] Volume Two.

ERIC Educational Resources Information Center

Lukasevich, Ann; Pieronek, Florence

Written for teachers who are interested in learning how to use literature to enhance emergent literacy growth, this handbook, in two volumes, focuses on how to implement integrated, literature-based, thematic units that stress the development of effective strategies required of independent, self-directed competent readers and writers. The first…

Salt Lake City Area Integrated Projects Electric Power Marketing. Draft environmental impact statement: Volume 4, Appendixes B-D

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

Not Available

1994-02-01

The Salt Lake City Area Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Green, Gunnison, Rio Grande, and Colorado rivers and on Deer and Plateau creeks in the states of Wyoming, Utah, Colorado, Arizona, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams;) are influenced bymore » Western power scheduling and transmission decisions. The EIS alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Westerns firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this environmental impact statement (EIS) include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources.« less

Salt Lake City Area Integrated Projects Electric Power Marketing. Draft environmental impact statement: Volume 2, Sections 1-16

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

Not Available

The Salt Lake City Area Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Green, Gunnison, Rio Grande, and Colorado rivers and on Deer and Plateau creeks in the states of Wyoming, Utah, Colorado, Arizona, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams;) are influenced bymore » Western power scheduling and transmission decisions. The EIS alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Westerns firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this environmental impact statement (EIS) include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources.« less

46 CFR 195.30-1 - Application.

Code of Federal Regulations, 2011 CFR

2011-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... is equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of...

46 CFR 195.30-1 - Application.

Code of Federal Regulations, 2012 CFR

2012-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... is equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of...

46 CFR 195.30-1 - Application.

Code of Federal Regulations, 2014 CFR

2014-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... is equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of...

46 CFR 195.30-1 - Application.

Code of Federal Regulations, 2013 CFR

2013-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... is equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of...

46 CFR 195.30-1 - Application.

Code of Federal Regulations, 2010 CFR

2010-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... is equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of...

Multi-cylinder hot gas engine

DOEpatents

Corey, John A.

1985-01-01

A multi-cylinder hot gas engine having an equal angle, V-shaped engine block in which two banks of parallel, equal length, equally sized cylinders are formed together with annular regenerator/cooler units surrounding each cylinder, and wherein the pistons are connected to a single crankshaft. The hot gas engine further includes an annular heater head disposed around a central circular combustor volume having a new balanced-flow hot-working-fluid manifold assembly that provides optimum balanced flow of the working fluid through the heater head working fluid passageways which are connected between each of the cylinders and their respective associated annular regenerator units. This balanced flow provides even heater head temperatures and, therefore, maximum average working fluid temperature for best operating efficiency with the use of a single crankshaft V-shaped engine block.

Space Tug Avionics Definition Study. Volume 5: Cost and Programmatics

NASA Technical Reports Server (NTRS)

1975-01-01

The baseline avionics system features a central digital computer that integrates the functions of all the space tug subsystems by means of a redundant digital data bus. The central computer consists of dual central processor units, dual input/output processors, and a fault tolerant memory, utilizing internal redundancy and error checking. Three electronically steerable phased arrays provide downlink transmission from any tug attitude directly to ground or via TDRS. Six laser gyros and six accelerometers in a dodecahedron configuration make up the inertial measurement unit. Both a scanning laser radar and a TV system, employing strobe lamps, are required as acquisition and docking sensors. Primary dc power at a nominal 28 volts is supplied from dual lightweight, thermally integrated fuel cells which operate from propellant grade reactants out of the main tanks.

Aneurysm coil embolization: cost per volumetric filling analysis and strategy for cost reduction.

PubMed

Wang, Charlie; Ching, Esteban Cheng; Hui, Ferdinand K

2016-05-01

One of the primary device expenditures associated with the endovascular treatment of aneurysms is that of detachable coils. Analyzing the cost efficiency of detachable coils is difficult, given the differences in design, implantable volume, and the presence of additives. However, applying a volume per cost metric may provide an index analogous to unit price found in grocery stores. The price information for 509 different coils belonging to 31 different coil lines, available as of September 2013, was obtained through the inventory management system at the study site, and normalized to the price of the least expensive coil. Values were used to calculate the logarithmic ratio of volume over cost. Operator choice among coil sizes can vary the material costs by five-fold in a hypothetical aneurysm. The difference in coil costs as a function of cost per volume of coil can vary tremendously. Using the present pricing algorithms, using the longest available length at a particular helical dimension and system yields improved efficiency. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Bricklaying Curriculum: Principles of Bricklaying. Instructional Materials. Revised.

ERIC Educational Resources Information Center

Turcotte, Raymond J.; Hendrix, Laborn J.

This volume is the second in a two-volume core curriculum designed for use in teaching a course in bricklaying. Covered in the first four units are hand tools, power tools, miscellaneous equipment, and builder's levels. The second section of the guide comprises units on the following building materials: mortars, masonry units, and anchors and…

Choice: A Thematic Sequence of English Units.

ERIC Educational Resources Information Center

Institute for Services to Education, Inc., Washington, DC.

One of a series of volumes containing units on specific themes designed for use in college freshman English courses, this particular volume considers the issue of choice through literature (short stories, novels, and poems). A section describing chamber theatre technique, which is an integral part of many of the units in this sequence, is…

SPOKEN AYACUCHO QUECHUA, UNITS 11-20.

ERIC Educational Resources Information Center

PARKER, GARY J.; SOLA, DONALD F.

THE ESSENTIALS OF AYACUCHO GRAMMAR WERE PRESENTED IN THE FIRST VOLUME OF THIS SERIES, SPOKEN AYACUCHO QUECHUA, UNITS 1-10. THE 10 UNITS IN THIS VOLUME (11-20) ARE INTENDED FOR USE IN AN INTERMEDIATE OR ADVANCED COURSE, AND PRESENT THE STUDENT WITH LENGTHIER AND MORE COMPLEX DIALOGS, CONVERSATIONS, "LISTENING-INS," AND DICTATIONS AS WELL…

Operationally Efficient Propulsion System Study (OEPSS) data book. Volume 3: Operations technology

NASA Technical Reports Server (NTRS)

Vilja, John O.

1990-01-01

The study was initiated to identify operational problems and cost drivers for current propulsion systems and to identify technology and design approaches to increase the operational efficiency and reduce operations costs for future propulsion systems. To provide readily usable data for the Advanced Launch System (ALS) program, the results of the OEPSS study were organized into a series of OEPSS Data Books. This volume describes operations technologies that will enhance operational efficiency of propulsion systems. A total of 15 operations technologies were identified that will eliminate or mitigate operations problems described in Volume 2. A recommended development plan is presented for eight promising technologies that will simplify the propulsion system and reduce operational requirements.

Measurements of Intra‐Aortic Balloon Wall Movement During Inflation and Deflation: Effects of Angulation

PubMed Central

Bruti, Gianpaolo; Kolyva, Christina; Pepper, John R.

2015-01-01

Abstract The intra‐aortic balloon pump (IABP) is a ventricular assist device that is used with a broad range of pre‐, intra‐, and postoperative patients undergoing cardiac surgery. Although the clinical efficacy of the IABP is well documented, the question of reduced efficacy when patients are nursed in the semi‐recumbent position remains outstanding. The aim of the present work is therefore to investigate the underlying mechanics responsible for the loss of IABP performance when operated at an angle to the horizontal. Simultaneous recordings of balloon wall movement, providing an estimate of its diameter (D), and fluid pressure were taken at three sites along the intra‐aortic balloon (IAB) at 0 and 45°. Flow rate, used for the calculation of displaced volume, was also recorded distal to the tip of the balloon. An in vitro experimental setup was used, featuring physiological impedances on either side of the IAB ends. IAB inflation at an angle of 45° showed that D increases at the tip of the IAB first, presenting a resistance to the flow displaced away from the tip of the balloon. The duration of inflation decreased by 15.5%, the inflation pressure pulse decreased by 9.6%, and volume decreased by 2.5%. Similarly, changing the position of the balloon from 0 to 45°, the balloon deflation became slower by 35%, deflation pressure pulse decreased by 14.7%, and volume suctioned was decreased by 15.2%. IAB wall movement showed that operating at 45° results in slower deflation compared with 0°. Slow wall movement, and changes in inflation and deflation onsets, result in a decreased volume displacement and pressure pulse generation. Operating the balloon at an angle to the horizontal, which is the preferred nursing position in intensive care units, results in reduced IAB inflation and deflation performance, possibly compromising its clinical benefits. PMID:25959284

Process analysis and economics of drinking water production from coastal aquifers containing chromophoric dissolved organic matter and bromide using nanofiltration and ozonation.

PubMed

Sobhani, R; McVicker, R; Spangenberg, C; Rosso, D

2012-01-01

In regions characterized by water scarcity, such as coastal Southern California, groundwater containing chromophoric dissolved organic matter is a viable source of water supply. In the coastal aquifer of Orange County in California, seawater intrusion driven by coastal groundwater pumping increased the concentration of bromide in extracted groundwater from 0.4 mg l⁻¹ in 2000 to over 0.8 mg l⁻¹ in 2004. Bromide, a precursor to bromate formation is regulated by USEPA and the California Department of Health as a potential carcinogen and therefore must be reduced to a level below 10 μg l⁻¹. This paper compares two processes for treatment of highly coloured groundwater: nanofiltration and ozone injection coupled with biologically activated carbon. The requirement for bromate removal decreased the water production in the ozonation process to compensate for increased maintenance requirements, and required the adoption of catalytic carbon with associated increase in capital and operating costs per unit volume. However, due to the absence of oxidant addition in nanofiltration processes, this process is not affected by bromide. We performed a process analysis and a comparative economic analysis of capital and operating costs for both technologies. Our results show that for the case studied in coastal Southern California, nanofiltration has higher throughput and lower specific capital and operating cost, when compared to ozone injection with biologically activate carbon. Ozone injection with biologically activated carbon, compared to nanofiltration, has 14% higher capital cost and 12% higher operating costs per unit water produced while operating at the initial throughput. Due to reduced ozone concentration required to accommodate for bromate reduction, the ozonation process throughput is reduced and the actual cost increase (per unit water produced) is 68% higher for capital cost and 30% higher for operations. Copyright © 2011 Elsevier Ltd. All rights reserved.

Survey of United States Army Reserve (USAR) Troop Program Unit (TPU) soldiers 1989. Tabulation of Questionnaire Responses: Cross-Sectional Sample: Officers and Enlisted Personnel

DTIC Science & Technology

1989-09-30

26 QUESTIONNAIRE INSTRUMENT ri. -I., DATA TABULATION VOLUMES This material provides information for use by readers to interpret...The second longitudinal Tabulation Volume reports the 1988 questionnaire responses of the junior enlisted "stayers" who were used as the sample to...the specific crossing variables used for the cross-sectional and longitudinal Tabulation Volumes. Cross-Sectional Tabulation Volumes. Demographic

Dynamic Density: An Air Traffic Management Metric

NASA Technical Reports Server (NTRS)

Laudeman, I. V.; Shelden, S. G.; Branstrom, R.; Brasil, C. L.

1998-01-01

The definition of a metric of air traffic controller workload based on air traffic characteristics is essential to the development of both air traffic management automation and air traffic procedures. Dynamic density is a proposed concept for a metric that includes both traffic density (a count of aircraft in a volume of airspace) and traffic complexity (a measure of the complexity of the air traffic in a volume of airspace). It was hypothesized that a metric that includes terms that capture air traffic complexity will be a better measure of air traffic controller workload than current measures based only on traffic density. A weighted linear dynamic density function was developed and validated operationally. The proposed dynamic density function includes a traffic density term and eight traffic complexity terms. A unit-weighted dynamic density function was able to account for an average of 22% of the variance in observed controller activity not accounted for by traffic density alone. A comparative analysis of unit weights, subjective weights, and regression weights for the terms in the dynamic density equation was conducted. The best predictor of controller activity was the dynamic density equation with regression-weighted complexity terms.

Impact of hospital volume on perioperative outcomes and costs of radical cystectomy: analysis of the Maryland Health Services Cost Review Commission database.

PubMed

Gorin, Michael A; Kates, Max; Mullins, Jeffrey K; Pierorazio, Phillip M; Matlaga, Brian R; Schoenberg, Mark P; Bivalacqua, Trinity J

2014-02-01

The objective of this study was to evaluate the impact of hospital case volume on perioperative outcomes and costs of radical cystectomy (RC) after controlling for differences in patient case mix. The Maryland Health Services Cost Review Commission database was queried for patients who underwent an open RC between 2000 and 2011. Patients were divided into tertiles based on hospital case volume. Groups were compared for differences in length of intensive care unit (ICU) stay, length of total hospital stay, rate of in-hospital deaths and procedure-related costs. In total, 1620 patients underwent a RC during the study period. Of these patients, 457 (28.2%) underwent surgery at 37 low volume centers, 465 (28.7%) at six mid volume centers and 698 (43.1%) at a single high volume center. The mean case volume of each group was 1.1, 7.0 and 63.5 RC/center/year, respectively. After controlling for marked differences in patient case mix, having surgery at the single high-volume center was independently associated with a decrease in length of ICU stay (coefficient = -0.41 days, 95% CI -0.78--0.05, p = 0.03), in-hospital mortality (OR 0.18, 95% CI 0.04-0.80, p = 0.02) and total medical costs (coefficient = -2.91k USD, 95% CI -4.15--1.67, p < 0.001). Decreased total costs were driven by reductions in charges associated with the operating room, drugs, radiology tests, labs, supplies and physical/occupational therapy (all p < 0.001). Undergoing RC at a high volume medical center was associated with improved outcomes and reduced costs. These data support the centralization of RC to high volume centers.

46 CFR 96.30-1 - Application.

Code of Federal Regulations, 2011 CFR

2011-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than...

46 CFR 96.30-1 - Application.

Code of Federal Regulations, 2013 CFR

2013-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than...

46 CFR 96.30-1 - Application.

Code of Federal Regulations, 2012 CFR

2012-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than...

46 CFR 96.30-1 - Application.

Code of Federal Regulations, 2014 CFR

2014-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than...

46 CFR 96.30-1 - Application.

Code of Federal Regulations, 2010 CFR

2010-10-01

... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than... equipped with any refrigeration unit using— (1) Ammonia to refrigerate any space with a volume of more than...

Elimination of Cu(II) toxicity by powdered waste sludge (PWS) addition to an activated sludge unit treating Cu(II) containing synthetic wastewater.

PubMed

Pamukoglu, M Yunus; Kargi, Fikret

2007-09-05

Copper(II) ion toxicity onto activated sludge organisms was eliminated by addition of powdered waste sludge (PWS) to the feed wastewater for removal of Cu(II) ions by biosorption before biological treatment. The synthetic feed wastewater containing 14 or 22 mgl(-1) Cu(II) was mixed with PWS in a mixing tank where Cu(II) ions were adsorbed onto PWS and the mixture was fed to a sedimentation tank to separate Cu(II) containing PWS from the feed wastewater. The activated sludge unit fed with the effluent of the sedimentation tank was operated at a hydraulic residence time (HRT) of 10h and sludge age (SRT) of 10 days. To investigate Cu(II), COD and toxicity removal performance of the activated sludge unit at different PWS loadings, the system was operated at different PWS loading rates (0.1-1 gPWSh(-1)) while the Cu(II) loading rate was constant throughout the operation. Percent copper, COD and toxicity removals increased with increasing PWS loading rate due to increased adsorption of Cu(II) onto PWS yielding low Cu(II) contents in the feed. Biomass concentration in the aeration tank increased and the sludge volume index (SVI) decreased with increasing PWS loading rate due to elimination of Cu(II) from the feed wastewater by PWS addition. PWS addition to the Cu(II) containing wastewater was proven to be effective for removal of Cu(II) by biosorption before biological treatment. Approximately, 1 gPWSh(-1) should be added for 28 mgCuh(-1) loading rate for complete removal of Cu(II) from the feed wastewater to obtain high COD removals in the activated sludge unit.

Ebola Laboratory Response at the Eternal Love Winning Africa Campus, Monrovia, Liberia, 2014–2015

PubMed Central

de Wit, Emmie; Rosenke, Kyle; Fischer, Robert J.; Marzi, Andrea; Prescott, Joseph; Bushmaker, Trenton; van Doremalen, Neeltje; Emery, Shannon L.; Falzarano, Darryl; Feldmann, Friederike; Groseth, Allison; Hoenen, Thomas; Juma, Bonventure; McNally, Kristin L.; Ochieng, Melvin; Omballa, Victor; Onyango, Clayton O.; Owuor, Collins; Rowe, Thomas; Safronetz, David; Self, Joshua; Williamson, Brandi N.; Zemtsova, Galina; Grolla, Allen; Kobinger, Gary; Rayfield, Mark; Ströher, Ute; Strong, James E.; Best, Sonja M.; Ebihara, Hideki; Zoon, Kathryn C.; Nichol, Stuart T.; Nyenswah, Tolbert G.; Bolay, Fatorma K.; Massaquoi, Moses; Feldmann, Heinz; Fields, Barry

2016-01-01

West Africa experienced the first epidemic of Ebola virus infection, with by far the greatest number of cases in Guinea, Sierra Leone, and Liberia. The unprecedented epidemic triggered an unparalleled response, including the deployment of multiple Ebola treatment units and mobile/field diagnostic laboratories. The National Institute of Allergy and Infectious Diseases and the Centers for Disease Control and Prevention deployed a joint laboratory to Monrovia, Liberia, in August 2014 to support the newly founded Ebola treatment unit at the Eternal Love Winning Africa (ELWA) campus. The laboratory operated initially out of a tent structure but quickly moved into a fixed-wall building owing to severe weather conditions, the need for increased security, and the high sample volume. Until May 2015, when the laboratory closed, the site handled close to 6000 clinical specimens for Ebola virus diagnosis and supported the medical staff in case patient management. Laboratory operation and safety, as well as Ebola virus diagnostic assays, are described and discussed; in addition, lessons learned for future deployments are reviewed. PMID:27333914

Unitized Regenerative Fuel Cell System Development

NASA Technical Reports Server (NTRS)

Burke, Kenneth A.

2003-01-01

Unitized Regenerative Fuel Cells (URFC) have recently been developed by several fuel cell manufacturers. These manufacturers have concentrated their efforts on the development of the cell stack technology itself, and have not up to this point devoted much effort to the design and development of the balance of plant. A fuel cell technology program at the Glenn Research Center (GRC) that has as its goal the definition and feasibility testing of the URFC system balance of plant. Besides testing the feasibility, the program also intends to minimize the system weight, volume, and parasitic power as its goal. The design concept currently being developed uses no pumps to circulate coolant or reactants, and minimizes the ancillary components to only the oxygen and hydrogen gas storage tanks, a water storage tank, a loop heat pipe to control the temperature and two pressure control devices to control the cell stack pressures during operation. The information contained in this paper describes the design and operational concepts employed in this concept. The paper also describes the NASA Glenn research program to develop this concept and test its feasibility.

Tower Shielding Reactor II design and operation report: Vol. 2. Safety Analysis

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

Holland, L. B.; Kolb, J. O.

1970-01-01

Information on the Tower Shielding Reactor II is contained in the TSR-II Design and Operation Report and in the Tower Shielding Facility Manual. The TSR-II Design and Operating Report consists of three volumes. Volume 1 is Descriptions of the Tower Shielding Reactor II and Facility; Volume 2 is Safety analysis of the Tower Shielding Reactor II; and Volume 3 is the Assembly and Testing of the Tower Shielding Reactor II Control Mechanism Housing.

Recruitment, Job Search, and the United States Employment Service. Volume II: Tables and Methods.

ERIC Educational Resources Information Center

Camil Associates, Inc., Philadelphia, PA.

This volume contains the appendixes to Volume I of the report on recruitment, job search, and the United States Employment Service in 20 middle-sized American cities. Appendix A contains 165 pages of tables. Appendix B (63 pages) contains details of sample design, data analysis, and estimate precision under the categories of: Overview of the study…

The supply and demand situation for oak timber

Treesearch

Kenneth L. Quigley

1971-01-01

Twenty oak species in the eastern United States account for one-third of the hardwood sawtimber volume and almost 10 percent of both hardwood and softwood growing-stock volume. The oak-hickory and oak-pine forest types occupy about 38 percent of the forest land in the eastern United States. Oak timber volume is increasing. Annual growth exceeds annual removals by about...

Pre-operative renal volume predicts peak creatinine after congenital heart surgery in neonates.

PubMed

Carmody, J Bryan; Seckeler, Michael D; Ballengee, Cortney R; Conaway, Mark; Jayakumar, K Anitha; Charlton, Jennifer R

2014-10-01

Acute kidney injury is common in neonates following surgery for congenital heart disease. We conducted a retrospective analysis to determine whether neonates with smaller pre-operative renal volume were more likely to develop post-operative acute kidney injury. We conducted a retrospective review of 72 neonates who underwent congenital heart surgery for any lesion other than patent ductus arteriosus at our institution from January 2007 to December 2011. Renal volume was calculated by ultrasound using the prolate ellipsoid formula. The presence and severity of post-operative acute kidney injury was determined both by measuring the peak serum creatinine in the first 7 days post-operatively and by using the Acute Kidney Injury Network scoring system. Using a linear change point model, a threshold renal volume of 17 cm³ was identified. Below this threshold, there was an inverse linear relationship between renal volume and peak post-operative creatinine for all patients (p = 0.036) and the subgroup with a single morphologic right ventricle (p = 0.046). There was a non-significant trend towards more acute kidney injury using Acute Kidney Injury Network criteria in all neonates with renal volume ≤17 cm³ (p = 0.11) and in the subgroup with a single morphologic right ventricle (p = 0.17). Pre-operative renal volume ≤17 cm³ is associated with a higher peak post-operative creatinine and potentially greater risk for post-operative acute kidney injury for neonates undergoing congenital heart surgery. Neonates with a single right ventricle may be at higher risk.

Engineering solutions for polymer composites solar water heaters production

NASA Astrophysics Data System (ADS)

Frid, S. E.; Arsatov, A. V.; Oshchepkov, M. Yu.

2016-06-01

Analysis of engineering solutions aimed at a considerable decrease of solar water heaters cost via the use of polymer composites in heaters construction and solar collector and heat storage integration into a single device representing an integrated unit results are considered. Possibilities of creating solar water heaters of only three components and changing welding, soldering, mechanical treatment, and assembly of a complicate construction for large components molding of polymer composites and their gluing are demonstrated. Materials of unit components and engineering solutions for their manufacturing are analyzed with consideration for construction requirements of solar water heaters. Optimal materials are fiber glass and carbon-filled plastics based on hot-cure thermosets, and an optimal molding technology is hot molding. It is necessary to manufacture the absorbing panel as corrugated and to use a special paint as its selective coating. Parameters of the unit have been optimized by calculation. Developed two-dimensional numerical model of the unit demonstrates good agreement with the experiment. Optimal ratio of daily load to receiving surface area of a solar water heater operating on a clear summer day in the midland of Russia is 130‒150 L/m2. Storage tank volume and load schedule have a slight effect on solar water heater output. A thermal insulation layer of 35‒40 mm is sufficient to provide an efficient thermal insulation of the back and side walls. An experimental model layout representing a solar water heater prototype of a prime cost of 70‒90/(m2 receiving surface) has been developed for a manufacturing volume of no less than 5000 pieces per year.

A useful method for assessing differences of compensatory hypertrophy in the contralateral kidney before and after radical nephrectomy in patients with renal cell carcinoma: ellipsoid formula on computed tomography.

PubMed

Park, Bong Hee; Cho, Kang Jun; Kim, Jung Im; Bae, Sang Rak; Lee, Yong Seok; Kang, Sung Hak; Kim, Joon Chul; Han, Chang Hee

2018-02-01

To investigate the usefulness of the ellipsoid formula for assessing compensatory hypertrophy of the contralateral kidney on pre-operative and post-operative CT in renal cell carcinoma (RCC) patients. We retrospectively identified 389 patients who had radical nephrectomy for RCC between 2011  and 2015. Contrast-enhanced CT was performed within 3 months pre-operative and at 1 year post-operative. The kidney volumes were calculated from CT using the ellipsoid formula. We subdivided patients into three groups based on tumour size (I: ≤4 cm, II: 4-7 cm, III: >7 cm). Volumetric renal parameters were compared and multivariate analyses were performed to determine predictors associated with pre-operative  and post-operative compensatory hypertrophy. Kidney volume calculation using the ellipsoid  method took a median of 51 s. Group III had a significantly larger median pre-operative contralateral renal volume than Groups I and II (I:  140.4, II: 141.6, III: 166.7 ml, p < 0.05). However, the median ratio of post-operative contralateral renal volume change was significantly higher in Groups I and II than Group III (I: 0.36, II: 0.23, III: 0.12, p < 0.001). On multivariate analysis, tumour size revealed the strongest positive association with pre-operative contralateral kidney volume (partial regression coefficient: β = 30.8, >7 cm) and ratio of post-operative contralateral kidney volume change (β  = 0.214, I vs III; β = 0.168, II vs III). Kidney volume calculation for assessing pre- and post-operative compensatory hypertrophy of the contralateral kidney in RCC patients can be easily and rapidly performed from CT images using the ellipsoid formula. Advances in knowledge: The ellipsoid formula allows reliable method for assessing pre-operative and post-operative compensatory hypertrophy of the contralateral kidney in RCC.

75 FR 39612 - Allocation of Second Additional Fiscal Year (FY) 2010 In-Quota Volume for Raw Cane Sugar

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-09

...) 2010 In-Quota Volume for Raw Cane Sugar AGENCY: Office of the United States Trade Representative... the tariff-rate quota (TRQ) for imported raw cane sugar. DATES: Effective Date: July 9, 2010... Harmonized Tariff Schedule of the United States (HTS), the United States maintains TRQs for imports of raw...

Variation in critical care unit admission rates and outcomes for patients with acute coronary syndromes or heart failure among high- and low-volume cardiac hospitals.

PubMed

van Diepen, Sean; Bakal, Jeffrey A; Lin, Meng; Kaul, Padma; McAlister, Finlay A; Ezekowitz, Justin A

2015-02-27

Little is known about cross-hospital differences in critical care units admission rates and related resource utilization and outcomes among patients hospitalized with acute coronary syndromes (ACS) or heart failure (HF). Using a population-based sample of 16,078 patients admitted to a critical care unit with a primary diagnosis of ACS (n=14,610) or HF (n=1467) between April 1, 2003 and March 31, 2013 in Alberta, Canada, we stratified hospitals into high (>250), medium (200 to 250), or low (<200) volume based on their annual volume of all ACS and HF hospitalization. The percentage of hospitalized patients admitted to critical care units varied across low, medium, and high-volume hospitals for both ACS and HF as follows: 77.9%, 81.3%, and 76.3% (P<0.001), and 18.0%, 16.3%, and 13.0% (P<0.001), respectively. Compared to low-volume units, critical care patients with ACS and HF admitted to high-volume hospitals had shorter mean critical care stays (56.6 versus 95.6 hours, P<0.001), more critical care procedures (1.9 versus 1.2 per patient, <0.001), and higher resource-intensive weighting (2.8 versus 1.5, P<0.001). No differences in in-hospital mortality (5.5% versus 6.2%, adjusted odds ratio 0.93; 95% CI, 0.61 to 1.41) were observed between high- and low-volume hospitals; however, 30-day cardiovascular readmissions (4.6% versus 6.8%, odds ratio 0.77; 95% CI, 0.60 to 0.99) and cardiovascular emergency-room visits (6.6% versus 9.5%, odds ratio 0.80; 95% CI, 0.69 to 0.94) were lower in high-volume compared to low-volume hospitals. Outcomes stratified by ACS or HF admission diagnosis were similar. Cardiac patients hospitalized in low-volume hospitals were more frequently admitted to critical care units and had longer hospitals stays despite lower resource-intensive weighting. These findings may provide opportunities to standardize critical care utilization for ACS and HF patients across high- and low-volume hospitals. © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Operative volume in the new era: a comparison of resident operative volume before and after implementation of 80-hour work week restrictions.

PubMed

Bruce, Pamela J; Helmer, Stephen D; Osland, Jacqueline S; Ammar, Alex D

2010-01-01

To determine the effect of the 80-hour work week restrictions on general surgery resident operative volume in a large, community-based, university-affiliated, general surgery residency program. We performed a retrospective review of Accreditation Council for Graduate Medical Education (ACGME) operative logs of general surgery residents graduating from a single residency. The control group consisted of the residents graduating in the 3 years prior to the work-hour restriction implementation (2001, 2002, and 2003). Our comparison group consisted of those residents graduating in the first 2 classes whose entire residency was conducted after the implementation of the 80-hour work week (2008 and 2009). Comparisons were made between the control and the comparison groups in the 19 ACGME defined categories, total number of major cases, total number of chief cases, and total number of teaching assist cases. Operative volumes in 13 categories (skin/soft tissue/breast, alimentary tract, abdominal, liver, pancreas, vascular, endocrine, pediatrics, endoscopy, laparoscopic-complex, total chief cases, total major cases, and teaching cases) were not significantly affected by the implementation of the 80-hour work week. One of the 19 categories (laparoscopic-basic) showed a significant increase in operative volume (p < 0.0001). In 4 of the 19 categories (head/neck, operative-trauma, thoracic, and plastics), operative volume was significantly decreased in the post-80-hour work week era (p < 0.05). Nonoperative trauma could not be assessed, as the category did not exist before the work-hour restrictions. Resident operative volume at our institution's general surgery residency program largely has been unaffected by implementation of the 80-hour work week. Residencies in general surgery can be structured in a manner to allow for compliance with duty-hour regulations while maintaining the required operative volume outlined by the ACGME defined categories. Copyright © 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Utility of Early Post-operative High Resolution Volumetric MR Imaging after Transsphenoidal Pituitary Tumor Surgery

PubMed Central

Patel, Kunal S.; Kazam, Jacob; Tsiouris, Apostolos J.; Anand, Vijay K.; Schwartz, Theodore H.

2014-01-01

Objective Controversy exists over the utility of early post-operative magnetic resonance imaging (MRI) after transsphenoidal pituitary surgery for macroadenomas. We investigate whether valuable information can be derived from current higher resolution scans. Methods Volumetric MRI scans were obtained in the early (<10 days) and late (>30 days) post-operative periods in a series of patients undergoing transsphenoidal pituitary surgery. The volume of the residual tumor, resection cavity, and corresponding visual field tests were recorded at each time point. Statistical analyses of changes in tumor volume and cavity size were calculated using the late MRI as the gold standard. Results 40 patients met the inclusion criteria. Pre-operative tumor volume averaged 8.8 cm3. Early postoperative assessment of average residual tumor volume (1.18 cm3) was quite accurate and did not differ statistically from late post-operative volume (1.23 cm3, p=.64), indicating the utility of early scans to measure residual tumor. Early scans were 100% sensitive and 91% specific for predicting ≥ 98% resection (p<.001, Fisher’s exact test). The average percent decrease in cavity volume from pre-operative MRI (tumor volume) to early post-operative imaging was 45% with decreases in all but 3 patients. There was no correlation between the size of the early cavity and the visual outcome. Conclusions Early high resolution volumetric MRI is valuable in determining the presence or absence of residual tumor. Cavity volume almost always decreases after surgery and a lack of decrease should alert the surgeon to possible persistent compression of the optic apparatus that may warrant re-operation. PMID:25045791

Regenerative flywheel storage system, volume 2

NASA Astrophysics Data System (ADS)

1980-06-01

A vehicle propulsion system was simulated on a digital computer in order to determine the optimum system operating strategies and to establish a calculated range improvement over a nonregenerative, all electric vehicle. Fabrication of the inductor motor, the flywheel, the power conditioner, and the system control are described. Test results of the system operating over the SAE J227a Schedule D driving cycle are given and are compared to the calculated value. The flywheel energy storage system consists of a solid rotor, synchronous, inductor type, flywheel drive machine electrically coupled to a dc battery electric propulsion system through a load commutated inverter. The motor/alternator unit is coupled mechanically to a small steel flywheel which provides a portion of the vehicle's accelerating energy and regenerates the vehicle's braking energy.

Defining the uncertainty of electro-optical identification system performance estimates using a 3D optical environment derived from satellite

NASA Astrophysics Data System (ADS)

Ladner, S. D.; Arnone, R.; Casey, B.; Weidemann, A.; Gray, D.; Shulman, I.; Mahoney, K.; Giddings, T.; Shirron, J.

2009-05-01

Current United States Navy Mine-Counter-Measure (MCM) operations primarily use electro-optical identification (EOID) sensors to identify underwater targets after detection via acoustic sensors. These EOID sensors which are based on laser underwater imaging by design work best in "clear" waters and are limited in coastal waters especially with strong optical layers. Optical properties and in particular scattering and absorption play an important role on systems performance. Surface optical properties alone from satellite are not adequate to determine how well a system will perform at depth due to the existence of optical layers. The spatial and temporal characteristics of the 3d optical variability of the coastal waters along with strength and location of subsurface optical layers maximize chances of identifying underwater targets by exploiting optimum sensor deployment. Advanced methods have been developed to fuse the optical measurements from gliders, optical properties from "surface" satellite snapshot and 3-D ocean circulation models to extend the two-dimensional (2-D) surface satellite optical image into a three-dimensional (3-D) optical volume with subsurface optical layers. Modifications were made to an EOID performance model to integrate a 3-D optical volume covering an entire region of interest as input and derive system performance field. These enhancements extend present capability based on glider optics and EOID sensor models to estimate the system's "image quality". This only yields system performance information for a single glider profile location in a very large operational region. Finally, we define the uncertainty of the system performance by coupling the EOID performance model with the 3-D optical volume uncertainties. Knowing the ensemble spread of EOID performance field provides a new and unique capability for tactical decision makers and Navy Operations.

An operator calculus for surface and volume modeling

NASA Technical Reports Server (NTRS)

Gordon, W. J.

1984-01-01

The mathematical techniques which form the foundation for most of the surface and volume modeling techniques used in practice are briefly described. An outline of what may be termed an operator calculus for the approximation and interpolation of functions of more than one independent variable is presented. By considering the linear operators associated with bivariate and multivariate interpolation/approximation schemes, it is shown how they can be compounded by operator multiplication and Boolean addition to obtain a distributive lattice of approximation operators. It is then demonstrated via specific examples how this operator calculus leads to practical techniques for sculptured surface and volume modeling.

Novel laboratory approaches to multi-purpose aquatic bioregenerative closed-loop food production systems

NASA Astrophysics Data System (ADS)

Blüm, V.; Andriske, M.; Kreuzberg, K.; Paassen, U.; Schreibman, M. P.; Voeste, D.

Based on the construction principle of the Closed Equilibrated Biological Aquatic System (C.E.B.A.S.) two novel combined animal-plant production systems were developed in laboratory scale the first of which is dedicated to mid-term operation in closed state up to two years. In principle both consist of the "classic" C.E.B.A.S. subcomponents: animal tank (Zoological Component), plant cultivators (Botanical Component), ammonia converting bacteria filter (Microbial Component) and data acquisition/control unit (Electronical Component). The innovative approach in the first system is the utilization of minimally three aquatic plant cultivators for different species. In this one the animal tank has a volume of about 160 liters and is constructed as an "endless-way system" surronding a central unit containing the heat exchanger and the bacteria filter with volumes of about 1.5 liters each. A suspension plant cultivator (1 liter) for the edible duckweed Wolffia arrhiza is externally connected. The second plant cultivator is a meandric microalgal bioreactor for filamentous green algae. The third plant growth facilitiy is a chamber with about 2.5 liters volume for cultivation of the "traditional" C.E.B.A.S. plant species, the rootless buoyant Ceratophyllum demersum. Both latter units are illuminated with 9 W fluorescent lamps. In the current experiment the animal tank contains the live-bearing teleost fish Xiphophorus helleri and the small pulmonate water snail Biomphalaria glabrata because their physiological adaptation to the closed system conditions is well known from many previous C.E.B.A.S. experiments. The water temperature is maintained at 25 °C and the oxygen level is regulated between 4 and 7 mg/1 by switching on and off the plant cultivator illuminations according to a suitable pattern thus utilizing solely the oxygen produced by photosynthesis. The animals and the micoorganisms of filter and bioflim provide the plants with a sufficient amount of carbon dioxide. Oxygen concentration, pH value, temperature and redox potential are on-line recorded. Ion concentrations and numbers of living germs in the system water are determined twice monthly in the laboratory from samples taken from a special "sample removal module"; the sample volume is automatically replaced from an reservoir container. A rotatory pump produces a water flow of about 38 l/min. For a similar smaller test system with approx. 10 I volume developed from the C.E.B.A.S.-MINI-MODULE a novel indirect solar energy supply is tested which has a buffer capacity to maintain the system for 7 days in darkness under central European climate conditions also in winter. It contains only a single plant cultivator which is operated with Wollfla arrhiza. This lemnacean plant is able to produce large amounts of plant biomass in a short time by vegetative reproduction via daughter fronds. This easy-to-handle apparartus is dedicated to be operative more than 4 month. The experimental animals and microorganisms are the same as in the large system. The paper provides detailed information on the system construction principles and the biological, physical and chemical data of the initial phase of the test runs of both systems with the main focus on the large one.

Novel laboratory approaches to multi-purpose aquatic bioregenerative closed-loop food production systems.

PubMed

Blum, V; Andriske, M; Kreuzberg, K; Paassen, U; Schreibman, M P; Voeste, D

1998-01-01

Based on the construction principle of the Closed Equilibrated Biological Aquatic System (C.E.B.A.S.) two novel combined animal-plant production systems were developed in laboratory scale the first of which is dedicated to mid-term operation in closed state up to two years. In principle both consist of the "classic" C.E.B.A.S. subcomponents: animal tank (Zoological Component), plant cultivators (Botanical Component), ammonia converting bacteria filter (Microbial Component) and data acquisition/control unit (Electronical Component). The innovative approach in the first system is the utilization of minimally three aquatic plant cultivators for different species. In this one the animal tank has a volume of about 160 liters and is constructed as an "endless-way system" surrounding a central unit containing the heat exchanger and the bacteria filter with volumes of about 1.5 liters each. A suspension plant cultivator (1 liter) for the edible duckweed Wolffia arrhiza is externally connected. The second plant cultivator is a meandric microalgal bioreactor for filamentous green algae. The third plant growth facility is a chamber with about 2.5 liters volume for cultivation of the "traditional" C.E.B.A.S. plant species, the rootless buoyant Ceratophyllum demersum. Both latter units are illuminated with 9 W fluorescent lamps. In the current experiment the animal tank contains the live-bearing teleost fish Xiphophorus helleri and the small pulmonate water snail Biomphalaria glabrata because their physiological adaptation to the closed system conditions is well known from many previous C.E.B.A.S. experiments. The water temperature is maintained at 25 degrees C and the oxygen level is regulated between 4 and 7 mg/l by switching on and off the plant cultivator illuminations according to a suitable pattern thus utilizing solely the oxygen produced by photosynthesis. The animals and the microorganisms of filter and biofilm provide the plants with a sufficient amount of carbon dioxide. Oxygen concentration, pH value, temperature and redox potential are on-line recorded. Ion concentrations and numbers of living germs in the system water are determined twice monthly in the laboratory from samples taken from a special "sample removal module"; the sample volume is automatically replaced from an reservoir container. A rotatory pump produces a water flow of about 38 l/min. For a similar smaller test system with approx. 10 l volume developed from the C.E.B.A.S.-MINI-MODULE a novel indirect solar energy supply is tested which has a buffer capacity to maintain the system for 7 days in darkness under central European climate conditions also in winter. It contains only a single plant cultivator which is operated with Wollfia arrhiza. This lemnacean plant is able to produce large amounts of plant biomass in a short time by vegetative reproduction via daughter fronds. This easy-to-handle apparatus is dedicated to be operative more than 4 month. The experimental animals and microorganisms are the same as in the large system. The paper provides detailed information on the system construction principles and the biological, physical and chemical data of the initial phase of the test runs of both systems with the main focus on the large one.

Prescriptive Package. Improving Patrol Productivity. Volume I. Routine Patrol.

ERIC Educational Resources Information Center

Gay, William G.; Schack, Stephen

Designed to assist police departments in improving the productivity of their patrol operations, this volume on routine patrol and a companion volume on specialized patrol operations are intended for use by various sizes of departments. The volume on routine patrol focuses on the major issues of patrol productivity and recommends a number of…

Developing a Robust, Interoperable GNSS Space Service Volume (SSV) for the Global Space User Community

NASA Technical Reports Server (NTRS)

Bauer, Frank H.; Parker, Joel J. K.; Welch, Bryan; Enderle, Werner

2017-01-01

For over two decades, researchers, space users, Global Navigation Satellite System (GNSS) service providers, and international policy makers have been working diligently to expand the space-borne use of the Global Positioning System (GPS) and, most recently, to employ the full complement of GNSS constellations to increase spacecraft navigation performance. Space-borne Positioning, Navigation, and Timing (PNT) applications employing GNSS are now ubiquitous in Low Earth Orbit (LEO). GNSS use in space is quickly expanding into the Space Service Volume (SSV), the signal environment in the volume surrounding the Earth that enables real-time PNT measurements from GNSS systems at altitudes of 3000 km and above. To support the current missions and planned future missions within the SSV, initiatives are being conducted in the United States and internationally to ensure that GNSS signals are available, robust, and yield precise navigation performance. These initiatives include the Interagency Forum for Operational Requirements (IFOR) effort in the United States, to support GPS SSV signal robustness through future design changes, and the United Nations-sponsored International Committee on GNSS (ICG), to coordinate SSV development across all international GNSS constellations and regional augmentations. The results of these efforts have already proven fruitful, enabling new missions through radically improved navigation and timing performance, ensuring quick recovery from trajectory maneuvers, improving space vehicle autonomy and making GNSS signals more resilient from potential disruptions. Missions in the SSV are operational now and have demonstrated outstanding PNT performance characteristics; much better than what was envisioned less than a decade ago. The recent launch of the first in a series of US weather satellites will employ the use of GNSS in the SSV to substantially improve weather prediction and public-safety situational awareness of fast moving events, including hurricanes, flash floods, severe storms, tornados and wildfires. Thus, the benefits of the GNSS expansion and use into the SSV are tremendous, resulting in orders of magnitude return in investment to national governments and extraordinary societal benefits, including lives saved and critical infrastructure and property protected. However, this outstanding success is tempered by dual challenges: that for GPS, the current SSV specifications do not adequately protect SSV future use; and that for GNSS, the capabilities that are currently available are not protected in the future by specifications.

Volume equations for the Northern Research Station's Forest Inventory and Analysis Program as of 2010

Treesearch

Patrick D. Miles; Andrew D. Hill

2010-01-01

The U.S. Forest Service's Forest Inventory and Analysis (FIA) program collects sample plot data on all forest ownerships across the United States. This report documents the methodology used to estimate live-tree gross, net, and sound volume for the 24 States inventoried by the Northern Research Station's (NRS) FIA unit. Sound volume is of particular interest...

Timber resource statistics for the Upper Yukon inventory unit, Alaska, 1980.

Treesearch

Willem W.S. van Hees

1987-01-01

The 1980 inventory of the forest resources of the Upper Yukon unit was designed to produce inventory estimates of timberland area, volume of timber, and volumes of timber growth and mortality. Timberland area is estimated at 742,000 acres. Cubic-foot volume on all timberland is estimated at 475 million cubic feet. Timber growth and mortality are estimated at -615,000...

Probing the Natural World, Volume 3A, Environmental Science, Crusty Problems, and Why You're You.

ERIC Educational Resources Information Center

Florida State Univ., Tallahassee. Dept. of Science Education.

This volume is the first of a three volume, one year program for use in junior high school, and consists of these three units: Environmental Science, Crusty Problems (earth science), and Why You're You (heredity). The environmental science unit is composed of chapters relating to these subjects: the black death (plague); energy, food chain, and…

Ceramic microsystem incorporating a microreactor with immobilized biocatalyst for enzymatic spectrophotometric assays.

PubMed

Baeza, Mireia; López, Carmen; Alonso, Julián; López-Santín, Josep; Alvaro, Gregorio

2010-02-01

Low-temperature cofired ceramics (LTCC) technology is a versatile fabrication technique used to construct microflow systems. It permits the integration of several unitary operations (pretreatment, separation, (bio)chemical reaction, and detection stage) of an analytical process in a modular or monolithic way. Moreover, because of its compatibility with biological material, LTCC is adequate for analytical applications based on enzymatic reactions. Here we present the design, construction, and evaluation of a LTCC microfluidic system that integrates a microreactor (internal volume, 24.28 microL) with an immobilized beta-galactosidase from Escherichia coli (0.479 activity units) and an optical flow cell to measure the product of the enzymatic reaction. The enzyme was immobilized on a glyoxal-agarose support, maintaining its activity along the time of the study. As a proof of concept, the LTCC-beta-galactosidase system was tested by measuring the conversion of ortho-nitrophenyl beta-D-galactopyranoside, the substrate usually employed for activity determinations. Once packed in a monolithically integrated microcolumn, the miniaturized flow system was characterized, the operational conditions optimized (flow rate and injection volume), and its performance successfully evaluated by determining the beta-galactosidase substrate concentration at the millimolar level.

[Prevention of refractory cough with mediastinal fat to fill the residual cavity after radical systematic mediastinal lymphadenectomy in patients with right lung cancer].

PubMed

Huang, Jia; Luo, Qingquan; Shentu, Yang; Zhao, Xiaojing

2010-10-01

The aim of this study is to analyze the impact on the cough after radical systematic mediastinal lymphadenectomy and prevention of refractory cough with mediastinal fat to fill the residual cavity after radical systematic mediastinal lymphadenectomy. Sixty patients clinically diagnosed of lung cancer were selected according to the adopt standardization, from January 2008 to December 2008. All of the patients were divided into two groups randomly: the filling-fat group and the non-filling-fat group. The surgical information such as operation duration time bleeding volume during operation, post-operation bleeding volume were recorded. After one month, FACT-L and LCQ were completed. There are no remarkably differences between the operation duration time, bleeding volume in operation and 1st postoperation day's drainage volume of the two groups. There's significant difference in the scores of cough at night after taking off the chest tube, as well as in the scores of LCQ after one month and in the scores of last items of FACT-L. Filling the fat of the mediastinal to cover the residual cavity left by completely systematic mediastinal lymphadenectomy can reduce the refractory cough after surgery, and can also improve the quality of the life. It has no effect on the the operation duration time, bleeding volume in operation and 1st post-operation day's drainage volume of the patients.

Health Occupations Curriculum. Skills and Theory for Health Assistant. Volume I, Units 1-4.

ERIC Educational Resources Information Center

Arizona State Dept. of Education, Phoenix.

This volume consists of the first four units of a basic core curriculum that is intended for all health workers. The units deal with the following topics: (1) the health care facility, the long-term care facility, the health team, and the nursing team; (2) verbal and nonverbal communication, written communication, human behavior, ethical behavior,…

Have Large Dams Altered Extreme Precipitation Patterns?

NASA Astrophysics Data System (ADS)

Hossain, Faisal; Jeyachandran, Indumathi; Pielke, Roger

2009-12-01

Dams and their impounded waters are among the most common civil infrastructures, with a long heritage of modern design and operations experience. In particular, large dams, defined by the International Commission on Large Dams (ICOLD) as having a height greater than 15 meters from the foundation and holding a reservoir volume of more than 3 million cubic meters, have the potential to vastly transform local climate, landscapes, regional economics, and urbanization patterns. In the United States alone, about 75,000 dams are capable of storing a volume of water equaling almost 1 year's mean runoff of the nation [Graf, 1999]. The World Commission on Dams (WCD) reports that at least 45,000 large dams have been built worldwide since the 1930s. These sheer numbers raise the question of the extent to which large dams and their impounded waters alter patterns that would have been pervasive had the dams not been built.

Stormwater runoff characterized by GIS determined source areas and runoff volumes.

PubMed

Liu, Yang; Soonthornnonda, Puripus; Li, Jin; Christensen, Erik R

2011-02-01

Runoff coefficients are usually considered in isolation for each drainage area with resulting large uncertainties in the areas and coefficients. Accurate areas and coefficients are obtained here by optimizing runoff coefficients for characteristic Geographic Information Systems (GIS) subareas within each drainage area so that the resulting runoff coefficients of each drainage area are consistent with those obtained from runoff and rainfall volumes. Lack of fit can indicate that the ArcGIS information is inaccurate or more likely, that the drainage area needs adjustment. Results for 18 drainage areas in Milwaukee, WI for 2000-2004 indicate runoff coefficients ranging from 0.123 for a mostly residential area to 0.679 for a freeway-related land, with a standard error of 0.047. Optimized runoff coefficients are necessary input parameters for monitoring, and for the analysis and design of in situ stormwater unit operations and processes for the control of both urban runoff quantity and quality.

Direct filtration for recovery of Schistosoma mansoni cercariae in the field.

PubMed

Sandt, D G

1973-01-01

The recovery of schistosome cercariae from natural waters has been limited by variations in turbidity and in the accuracy of recovery with different techniques. A modification of the Rowan vacuum paper filtration method employing a battery-operated pumping system, a glass-silicone plate filter, and a specially designed filter holder is described and evaluated. Field tests on St Lucia indicate a mean filtration volume of 12.2 litres per filter at a mean turbidity of 20.3 Jackson turbidity units. Overall, 86% of the volumes filtered per filter were in excess of 6 litres. Particle size, rather than turbidity, was found to be the main factor influencing filter blockage, reading time, and accuracy. Recoveries of 0.01 cercaria (Schistosoma mansoni) per litre sampled were obtained, but the practical limit of the method is considered to be closer to 0.1 cercaria per litre sampled.

Study of Permanent Magnet Focusing for Astronomical Camera Tubes

NASA Technical Reports Server (NTRS)

Long, D. C.; Lowrance, J. L.

1975-01-01

A design is developed of a permanent magnet assembly (PMA) useful as the magnetic focusing unit for the 35 and 70 mm (diagonal) format SEC tubes. Detailed PMA designs for both tubes are given, and all data on their magnetic configuration, size, weight, and structure of magnetic shields adequate to screen the camera tube from the earth's magnetic field are presented. A digital computer is used for the PMA design simulations, and the expected operational performance of the PMA is ascertained through the calculation of a series of photoelectron trajectories. A large volume where the magnetic field uniformity is greater than 0.5% appears obtainable, and the point spread function (PSF) and modulation transfer function(MTF) indicate nearly ideal performance. The MTF at 20 cycles per mm exceeds 90%. The weight and volume appear tractable for the large space telescope and ground based application.

Journal of Air Transportation, Volume 8, No. 2. Volume 8, No. 2

NASA Technical Reports Server (NTRS)

Bowen, Brent (Editor); Kabashkin, Igor (Editor); Nickerson, Jocelyn (Editor)

2003-01-01

The mission of the Journal of Air Transportation (JAT) is to provide the global community immediate key resource information in all areas of air transportation. This journal contains articles on the following:Fuel Consumption Modeling of a Transport Category Aircraft: A FlightOperationsQualityAssurance (F0QA) Analysis;Demand for Air Travel in the United States: Bottom-Up Econometric Estimation and Implications for Forecasts by Origin and Destination Pairs;Blind Flying on the Beam: Aeronautical Communication, Navigation and Surveillance: Its Origins and the Politics of Technology: Part I1 Political Oversight and Promotion;Blind Flying on the Beam: Aeronautical Communication, Navigation and Surveillance: Its Origins and the Politics of Technology: Part 111: Emerging Technologies;Ethics Education in University Aviation Management Programs in the US: Part Two B-Statistical Analysis of Current Practice;Integrating Human Factors into the Human-computer Interface: and How Best to Display Meteorological Information for Critical Aviation Decision-making and Performance.

The thermal expansion of (Fe1-y Ni y )Si.

PubMed

Hunt, Simon A; Wann, Elizabeth T H; Dobson, David P; Vočadlo, Lindunka; Wood, Ian G

2017-08-23

We have measured the thermal expansion of (Fe 1-y Ni y )Si for y  =  0, 0.1 and 0.2, between 40 and 1273 K. Above ~700 K the unit-cell volumes of the samples decrease approximately linearly with increasing Ni content. Below ~200 K the unit-cell volume of FeSi falls to a value between that of (Fe 0.9 Ni 0.1 )Si and (Fe 0.8 Ni 0.2 )Si. We attribute this extra contraction of the FeSi, which is a narrow band-gap semiconductor, to the depopulation of the conduction band at low temperatures; in the two alloys the additional electrons introduced by the substitution of Ni lead to the conduction band always being populated. We have fit the unit-cell volume data with a Debye internal energy model of thermal expansion and an additional volume term, above 800 K, to take account of the volumetric changes associated with changes in the composition of the sample. Using the thermophysical parameters of the fit we have estimated the band gap in FeSi to be 21(1) meV and the unit-cell volume change in FeSi associated with the depopulation of the conduction band to be 0.066(35) Å 3 /unit-cell.

A positioning system with no line-of-sight restrictions for cluttered environments

NASA Astrophysics Data System (ADS)

Prigge, Eric A.

Accurate sensing of vehicle location and attitude is a fundamental requirement in many mobile-robot applications, but is a very challenging problem in the cluttered and unstructured environment of the real world. Many existing indoor positioning systems are limited in workspace and robustness because they require clear lines of sight or do not provide absolute, drift-free measurements. Examples include overhead vision systems, where an unobstructed view must be maintained between robot and camera, and inertial systems, where the measurements drift over time. The research presented in this dissertation provides a new location- and attitude-sensing system designed specifically to meet the challenges of operation in a realistic, cluttered indoor environment, such as that of an office building or warehouse. The system is not limited by line-of-sight restrictions and produces drift-free measurements throughout a three-dimensional operating volume that can span a large building. Accuracy of several centimeters and a few degrees is delivered at 10 Hz, and any number of the small sensor units can be in operation, all providing estimates in a common reference frame. This positioning system is based on extremely-low-frequency magnetic fields, which have excellent characteristics for penetrating line-of-sight obstructions. Beacons located throughout the workspace create the low-level fields. A sensor unit on the mobile robot samples the local magnetic field and processes the measurements to determine its location and attitude. This research overcomes limitations in existing magnetic-based systems. The design of the signal structure, based on pseudorandom codes, enables the use of multiple, distributed L-beacons and greatly expands coverage volume. The development of real-time identification and correction methods mitigates the impact of distortions caused by materials in the environment. A novel solution algorithm combats both challenges, providing increased coverage volume and reduced sensitivity to materials. This dissertation examines the concept for the system, the challenges encountered during its development, the research solutions that enable the system, the design of a prototype, and results from experimental demonstrations. The positioning system developed through this research provides an effective solution not only for mobile robots navigating cluttered environments, but has application in other areas such as object tracking, augmented reality, and construction.

Clinical target volume delineation in glioblastomas: pre-operative versus post-operative/pre-radiotherapy MRI

PubMed Central

Farace, P; Giri, M G; Meliadò, G; Amelio, D; Widesott, L; Ricciardi, G K; Dall'Oglio, S; Rizzotti, A; Sbarbati, A; Beltramello, A; Maluta, S; Amichetti, M

2011-01-01

Objectives Delineation of clinical target volume (CTV) is still controversial in glioblastomas. In order to assess the differences in volume and shape of the radiotherapy target, the use of pre-operative vs post-operative/pre-radiotherapy T1 and T2 weighted MRI was compared. Methods 4 CTVs were delineated in 24 patients pre-operatively and post-operatively using T1 contrast-enhanced (T1PRECTV and T1POSTCTV) and T2 weighted images (T2PRECTV and T2POSTCTV). Pre-operative MRI examinations were performed the day before surgery, whereas post-operative examinations were acquired 1 month after surgery and before chemoradiation. A concordance index (CI) was defined as the ratio between the overlapping and composite volumes. Results The volumes of T1PRECTV and T1POSTCTV were not statistically different (248 ± 88 vs 254 ± 101), although volume differences >100 cm3 were observed in 6 out of 24 patients. A marked increase due to tumour progression was shown in three patients. Three patients showed a decrease because of a reduced mass effect. A significant reduction occurred between pre-operative and post-operative T2 volumes (139 ± 68 vs 78 ± 59). Lack of concordance was observed between T1PRECTV and T1POSTCTV (CI = 0.67 ± 0.09), T2PRECTV and T2POSTCTV (CI = 0.39 ± 0.20) and comparing the portion of the T1PRECTV and T1POSTCTV not covered by that defined on T2PRECTV images (CI = 0.45 ± 0.16 and 0.44 ± 0.17, respectively). Conclusion Using T2 MRI, huge variations can be observed in peritumoural oedema, which are probably due to steroid treatment. Using T1 MRI, brain shifts after surgery and possible progressive enhancing lesions produce substantial differences in CTVs. Our data support the use of post-operative/pre-radiotherapy T1 weighted MRI for planning purposes. PMID:21045069

Comparison of stored red blood cell washing techniques for priming extracorporeal circuits.

PubMed

Sasaki, Jun; Tirotta, Christopher; Lim, Hyunsoo; Kubes, Kathleen; Salvaggio, Jane; Hannan, Robert; Burke, Redmond; Ojito, Jorge

2018-03-01

The aim of this study was to compare three different blood washing techniques and describe the differences for the composition of the washed red blood cells (RBC). Stored RBCs less than 5 days old were washed using three different techniques. 1) Washing with normal saline with the COBE Model 2991 blood processor in the blood bank (BB-S). 2) Washing with normal saline with the Continuous AutoTransfusion System (C.A.T.S) in the operating room (OR-S). 3) Washing with Plasma-Lyte with the C.A.T.S in the operating room (OR-PL). Then, we compared the values for hemoglobin (Hb), hematocrit (Hct), blood volume, RBC volume, lactate, glucose, sodium and potassium of the three different groups. Forty-five units of RBCs were washed and analyzed (15 for each technique). The OR-S RBCs, when compared to the BB-S RBCs, had lower hemoglobin (g/dL) (22.8 vs 24.1, p=0.006), lower hematocrit (%) (67 vs 71, p=0.006), higher RBC volume (ml) (161 vs 130, p<0.001), higher glucose (mg/dL) (185 vs 46, p<0.001) and lower sodium (mmol/L) (153 vs 158, p<0.001). When compared to the OR-S RBCs, the OR-PL RBCs showed higher potassium (mmol/L) (5.3 vs 2, p<0.001) and lower sodium (mmol/L) (129 vs 153, p<0.001). RBCs washed with an autotransfusion device had a higher RBC volume and more physiological levels of glucose and sodium when compared with the blood processor in the blood bank. It can be an alternative option to use RBCs washed with an autotransfusion device for priming the extracorporeal circuits utilized in patients undergoing cardiac surgery.

Architectural constructs of Ampex DST

NASA Technical Reports Server (NTRS)

Johnson, Clay

1993-01-01

The DST 800 automated library is a high performance, automated tape storage system, developed by AMPEX, providing mass storage to host systems. Physical Volume Manager (PVM) is a volume server which supports either a DST 800, DST 600 stand alone tape drive, or a combination of DST 800 and DST 600 subsystems. The objective of the PVM is to provide the foundation support to allow automated and operator assisted access to the DST cartridges with continuous operation. A second objective is to create a data base about the media, its location, and its usage so that the quality and utilization of the media on which specific data is recorded and the performance of the storage system may be managed. The DST tape drive architecture and media provides several unique functions that enhance the ability to achieve high media space utilization and fast access. Access times are enhanced through the implementation of multiple areas (called system zones) on the media where the media may be unloaded. This reduces positioning time in loading and unloading the cartridge. Access times are also reduced through high speed positioning in excess of 800 megabytes per second. A DST cartridge can be partitioned into fixed size units which can be reclaimed for rewriting without invalidating other recorded data on the tape cartridge. Most tape management systems achieve space reclamation by deleting an entire tape volume, then allowing users to request a 'scratch tape' or 'nonspecific' volume when they wish to record data to tape. Physical cartridge sizes of 25, 75, or 165 gigabytes will make this existing process inefficient or unusable. The DST cartridge partitioning capability provides an efficient mechanism for addressing the tape space utilization problem.

Fuel Gas Demonstration Plant Program. Volume I. Demonstration plant

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

Not Available

1979-01-01

The objective of this project is for Babcock Contractors Inc. (BCI) to provide process designs, and gasifier retort design for a fuel gas demonstration plant for Erie Mining Company at Hoyt Lake, Minnesota. The fuel gas produced will be used to supplement natural gas and fuel oil for iron ore pellet induration. The fuel gas demonstration plant will consist of five stirred, two-stage fixed-bed gasifier retorts capable of handling caking and non-caking coals, and provisions for the installation of a sixth retort. The process and unit design has been based on operation with caking coals; however, the retorts have beenmore » designed for easy conversion to handle non-caking coals. The demonstration unit has been designed to provide for expansion to a commercial plant (described in Commercial Plant Package) in an economical manner.« less

Convexity, Jensen's inequality, and benefits of noisy or biologically variable life support (Keynote Address)

NASA Astrophysics Data System (ADS)

Mutch, W. Alan C.

2005-05-01

Life support with a mechanical ventilator is used to manage patients with a variety of lung diseases including acute respiratory distress syndrome (ARDS). Recently, management of ARDS has concentrated on ventilating at lower airway pressure using lower tidal volume. A large international study demonstrated a 22% reduction in mortality with the low tidal volume approach. The potential advantages of adding physiologic noise with fractal characteristics to the respiratory rate and tidal volume as delivered by a mechanical ventilator are discussed. A so-called biologically variable ventilator (BVV), incorporating such noise, has been developed. Here we show that the benefits of noisy ventilation - at lower tidal volumes - can be deduced from a simple probabilistic result known as Jensen"s Inequality. Using the local convexity of the pressure-volume relationship in the lung we demonstrate that the addition of noise results in higher mean tidal volume or lower mean airway pressure. The consequence is enhanced gas exchange or less stress on the lungs, both clinically desirable. Jensen"s Inequality has important considerations in engineering, information theory and thermodynamics. Here is an example of the concept applied to medicine that may have important considerations for the clinical management of critically ill patients. Life support devices, such as mechanical ventilators, are of vital use in critical care units and operating rooms. These devices usually have monotonous output. Improving mechanical ventilators and other life support devices may be as simple as adding noise to their output signals.

Oceanography from satellites

NASA Technical Reports Server (NTRS)

Wilson, W. S.

1981-01-01

It is pointed out that oceanographers have benefited from the space program mainly through the increased efficiency it has brought to ship operations. For example, the Transit navigation system has enabled oceanographers to compile detailed maps of sea-floor properties and to more accurately locate moored subsurface instrumentation. General descriptions are given of instruments used in satellite observations (altimeter, color scanner, infrared radiometer, microwave radiometer, scatterometer, synthetic aperture radar). It is pointed out that because of the large volume of data that satellite instruments generate, the development of algorithms for converting the data into a form expressed in geophysical units has become especially important.

USAF Bioenvironmental Noise Data Handbook. Volume 167: MA-3M air conditioner

NASA Astrophysics Data System (ADS)

Rau, T. H.

1982-06-01

The MA-3M is an electric motor-driven air conditioner designed to cool electronic equipment on aircraft during ground maintenance. This report provides measured and extrapolated data defining the bioacoustic environments produced by this unit operating at a normal rated condition. Near-field data are reported for 37 locations in a wide variety of physical and psychoacoustic measures: overall and band sound pressure levels, C-weighted and A-weighted sound levels, preferred speech interference levels, perceived noise levels, and limiting times for total daily exposure of personnel with and without standard Air Force ear protectors.

Flowsheets and source terms for radioactive waste projections

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

Forsberg, C.W.

1985-03-01

Flowsheets and source terms used to generate radioactive waste projections in the Integrated Data Base (IDB) Program are given. Volumes of each waste type generated per unit product throughput have been determined for the following facilities: uranium mining, UF/sub 6/ conversion, uranium enrichment, fuel fabrication, boiling-water reactors (BWRs), pressurized-water reactors (PWRs), and fuel reprocessing. Source terms for DOE/defense wastes have been developed. Expected wastes from typical decommissioning operations for each facility type have been determined. All wastes are also characterized by isotopic composition at time of generation and by general chemical composition. 70 references, 21 figures, 53 tables.

SIRU development. Volume 3: Software description and program documentation

NASA Technical Reports Server (NTRS)

Oehrle, J.

1973-01-01

The development and initial evaluation of a strapdown inertial reference unit (SIRU) system are discussed. The SIRU configuration is a modular inertial subsystem with hardware and software features that achieve fault tolerant operational capabilities. The SIRU redundant hardware design is formulated about a six gyro and six accelerometer instrument module package. The six axes array provides redundant independent sensing and the symmetry enables the formulation of an optimal software redundant data processing structure with self-contained fault detection and isolation (FDI) capabilities. The basic SIRU software coding system used in the DDP-516 computer is documented.

Continued Development and Implementation of the Universal Network Interface Device (UNID) II, Digital Engineering Laboratory Network (DELNET) Volume 1.

DTIC Science & Technology

1984-12-01

overloaded if the hosts initiate data Into the -network faster than it can be processed and delivered. Somea method oF controlling the 1i9ount or d...target hardware SBC. Once tile .o -- wace was validated to show that it did, indeed, coute- datagra,1s, 3aICketi Irnd rinsCOrreCtly, it was transferred...operating system. rhis method was used with the S13C 544 board and could be used with the 3tBC 38/45 board simulating the UNIt) to UNTOI initerface

Quantitative computer tomography analysis of post-operative subdural fluid volume predicts recurrence of chronic subdural haematoma.

PubMed

Xu, Fei-Fan; Chen, Jin-Hong; Leung, Gilberto Ka Kit; Hao, Shu-Yu; Xu, Long; Hou, Zong-Gang; Mao, Xiang; Shi, Guang-Zhi; Li, Jing-Sheng; Liu, Bai-Yun

2014-01-01

Post-operative volume of subdural fluid is considered to correlate with recurrence in chronic subdural haematoma (CSDH). Information on the applications of computer-assisted volumetric analysis in patients with CSDHs is lacking. To investigate the relationship between haematoma recurrence and longitudinal changes in subdural fluid volume using CT volumetric analysis. Fifty-four patients harbouring 64 CSDHs were studied prospectively. The association between recurrence rate and CT findings were investigated. Eleven patients (20.4%) experienced post-operative recurrence. Higher pre-operative (over 120 ml) and/or pre-discharge subdural fluid volumes (over 22 ml) were significantly associated with recurrence; the probability of non-recurrence for values below these thresholds were 92.7% and 95.2%, respectively. CSDHs with larger pre-operative (over 15.1 mm) and/or residual (over 11.7 mm) widths also had significantly increased recurrence rates. Bilateral CSDHs were not found to be more likely to recur in this series. On receiver-operating characteristic curve, the areas under curve for the magnitude of changes in subdural fluid volume were greater than a single time-point measure of either width or volume of the subdural fluid cavity. Close imaging follow-up is important for CSDH patients for recurrence prediction. Using quantitative CT volumetric analysis, strong evidence was provided that changes in the residual fluid volume during the 'self-resolution' period can be used as significantly radiological predictors of recurrence.

Survey of United States Army Reserve (USAR) Troop Program Unit (TPU) soldiers - 1989

DTIC Science & Technology

1989-09-30

TABULATION VOLUMES This material provides information for use by readers to interpret the tabulation volumes accompanying the final project report...questionnaire responses of the junior enlisted "stayers" who were used as the sample to generate the first longitudinal Tabulation Volume. Comparing...crossed by Iselected demographic variables (as described below). Detailed below are the specific crossing variables used for the cross-sectional and

Volume measurement of cryogenic deuterium pellets by Bayesian analysis of single shadowgraphy images

NASA Astrophysics Data System (ADS)

Szepesi, T.; Kálvin, S.; Kocsis, G.; Lang, P. T.; Wittmann, C.

2008-03-01

In situ commissioning of the Blower-gun injector for launching cryogenic deuterium pellets at ASDEX Upgrade tokamak was performed. This injector is designed for high repetitive launch of small pellets for edge localised modes pacing experiments. During the investigation the final injection geometry was simulated with pellets passing to the torus through a 5.5m long guiding tube. For investigation of pellet quality at launch and after tube passage laser flash camera shadowgraphy diagnostic units before and after the tube were installed. As indicator of pellet quality we adopted the pellet mass represented by the volume of the main remaining pellet fragment. Since only two-dimensional (2D) shadow images were obtained, a reconstruction of the full three-dimensional pellet body had to be performed. For this the image was first converted into a 1-bit version prescribing an exact 2D contour. From this contour the expected value of the volume was calculated by Bayesian analysis taking into account the likely cylindrical shape of the pellet. Under appropriate injection conditions sound pellets with more than half of their nominal mass are detected after acceleration; the passage causes in average an additional loss of about 40% to the launched mass. Analyzing pellets arriving at tube exit allowed for deriving the injector's optimized operational conditions. For these more than 90% of the pellets were arriving with sound quality when operating in the frequency range 5-50Hz.

Effect of Hospital Volume on Prosthesis Use and Mortality in Aortic Valve Operations in the Elderly.

PubMed

McNeely, Christian; Markwell, Stephen; Filson, Kathryn; Hazelrigg, Stephen; Vassileva, Christina

2016-02-01

This study was designed to examine the effect of hospital procedural volume on outcomes in aortic valve replacement (AVR) in the elderly. The study included 277,928 Medicare beneficiaries who underwent AVR from 2000 through 2009 at one of 1,255 participating hospitals. Operative mortality and the use of mechanical prostheses were analyzed according to hospital annual procedural volume. Annual AVR volume was divided into 5 different categories: the smallest volume group with less than 10 AVRs per year to the largest group averaging more than 70 AVRs per year. The overall observed operative mortality rate was 7.3%; for isolated AVR it was 5.5%. Lower-volume hospitals exhibited increased adjusted operative mortality: 10 cases or fewer per year--odds ratio (OR), 1.55; 95% confidence interval (CI), 1.39 to 1.72; 11 to 20 cases per year--OR, 1.35; 95% CI, 1.23 to 1.47; 21 to 40 cases per year--OR, 1.15; 95% CI, 1.06 to 1.25; 41 to 70 cases per year--OR, 1.10; 95% CI, 1.01 to 1.20 relative to those hospitals performing more than 70 cases per year. The discrepancy in operative mortality between low- and high-volume hospitals diverged during the study. Mechanical valve use decreased with increasing hospital volume (p = 0.0001). Mechanical valves were used in 64.5% of AVRs in hospitals with an annual AVR volume less than 10 in contrast to only 25.4% in hospitals with an annual AVR volume more than 70. After adjustment, the use of mechanical valves was independently associated with increased operative mortality (OR, 1.15; 95% CI, 1.11-1.19). Low-volume centers were characterized by increased adjusted operative mortality and greater use of mechanical prostheses, a trend that persisted during the 10-year course of the study. These data would support the center-of-excellence concept for AVR and may be particularly relevant in the elderly population. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Do biomass harvesting guidelines influence herpetofauna following harvests of logging residues for renewable energy?.

PubMed

Fritts, Sarah; Moorman, Christopher; Grodsky, Steven; Hazel, Dennis; Homyack, Jessica; Farrell, Chris; Castleberry, Steven

2016-04-01

Forests are a major supplier of renewable energy; however, gleaning logging residues for use as woody biomass feedstock could negatively alter habitat for species dependent on downed wood. Biomass Harvesting Guidelines (BHGs) recommend retaining a portion of woody biomass on the forest floor following harvest. Despite BHGs being developed to help ensure ecological sustainability, their contribution to biodiversity has not been evaluated experimentally at operational scales. We compared herpetofauanal evenness, diversity, and richness and abundance of Anaxyrus terrestris and Gastrophryne carolinensis among six treatments that varied in volume and spatial arrangement of woody biomass retained after clearcutting loblolly pine (Pinus taeda) plantations in North Carolina, USA (n = 4), 2011-2014 and Georgia (n = 4), USA 2011-2013. Treatments were: (1) biomass harvest with no BHGs, (2) 15% retention with biomass clustered, (3) 15% retention with biomass dispersed, (4) 30% retention with biomass clustered, (5) 30% retention with biomass dispersed, and (6) no biomass harvest. We captured individuals with drift fence arrays and compared evenness, diversity, and richness metrics among treatments with repeated-measure, linear mixed-effects models. We determined predictors of A. terrestris and G. carolinensis abundances using a priori candidate N-mixture models with woody biomass volume, vegetation structure, and groundcover composition as covariates. We had 206 captures of 25 reptile species and 8710 captures of 17 amphibian species during 53690 trap nights. Herpetofauna diversity, evenness, and richness were similar among treatments. A. terrestris abundance was negatively related to volume of retained woody biomass in treatment units in North Carolina in 2013. G. carolinensis abundance was positively related with volume of retained woody debris in treatment units in Georgia in 2012. Other relationships between A. terrestris and G. carolinensis abundances and habitat metrics were weak or absent. The lack of consistent community or population responses suggests the addition of a woody biomass harvest to a clearcut in pine plantations does not impact herpetofauna use of Coastal Plain loblolly plantations in the southeastern United States. We recommend additional research to examine relationships between woody biomass harvesting and rarer species or amphibians with high desiccation risk, particularly in other regions and harvesting systems.

StratBAM: A Discrete-Event Simulation Model to Support Strategic Hospital Bed Capacity Decisions.

PubMed

Devapriya, Priyantha; Strömblad, Christopher T B; Bailey, Matthew D; Frazier, Seth; Bulger, John; Kemberling, Sharon T; Wood, Kenneth E

2015-10-01

The ability to accurately measure and assess current and potential health care system capacities is an issue of local and national significance. Recent joint statements by the Institute of Medicine and the Agency for Healthcare Research and Quality have emphasized the need to apply industrial and systems engineering principles to improving health care quality and patient safety outcomes. To address this need, a decision support tool was developed for planning and budgeting of current and future bed capacity, and evaluating potential process improvement efforts. The Strategic Bed Analysis Model (StratBAM) is a discrete-event simulation model created after a thorough analysis of patient flow and data from Geisinger Health System's (GHS) electronic health records. Key inputs include: timing, quantity and category of patient arrivals and discharges; unit-level length of care; patient paths; and projected patient volume and length of stay. Key outputs include: admission wait time by arrival source and receiving unit, and occupancy rates. Electronic health records were used to estimate parameters for probability distributions and to build empirical distributions for unit-level length of care and for patient paths. Validation of the simulation model against GHS operational data confirmed its ability to model real-world data consistently and accurately. StratBAM was successfully used to evaluate the system impact of forecasted patient volumes and length of stay in terms of patient wait times, occupancy rates, and cost. The model is generalizable and can be appropriately scaled for larger and smaller health care settings.

Transit car demonstration test program on the roll dynamics unit. Volume 2. Demonstration of a transit car performance test on the roll dynamic unit. Final report

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

Arnold, G.; Nelson, S.; Cooperrider, N.K.

1982-02-11

This report, Volume II, contains the results, conclusions, and recommendations of the first performance test of a transit care on the RDU. This report is limited to performance tests. The objective is to identify advantages and disadvantages of performance testing on the rollers of the RDU as highlighted by the SOAC test. The report involved separate testing, done by TTC personnel, in such traditional performance areas of transit vehicle operation ass traction, acceleration/deceleration, energy consumption, and spin/slide performance. The results of the successful performance test of a transit car on a roller unit is presented and the advantages of thismore » method of testing is discussed. Acceleration, deceleration, spin/slide, and power consumption tests, although of limited scope in comparison to the track tests performed on the same transit car, did show the feasibility of roller testing. It is concluded that the RDU is most suited for developmental testing of transit car systems particularly for power consumption and for cars with non-standard wheel gage. Tests should be of such scope as to justify the cost of car setup on the RDU. The following two test are recommended: (1) a power consumption study for a standard/non-standard gage transit car which investigates methods of reducing power consumption and (2) a non-standard gage full performance test.« less

[The Application of Internal Iliac Artery Balloon Occlusion in Pernicious Placenta Previa].

PubMed

Qi, Xiao-Rong; Liu, Xing-Hui; You, Yong; Wang, Xiao-Dong; Zhou, Rong; Xing, Ai-Yun; Zhang, Li; Ning, Gang; Zhao, Fu-Min; Li, Kai-Ming

2016-07-01

To evaluate the clinical application value of internal iliac artery balloon occlusion in pernicious placenta previa. We retrospectively reviewed the medical records of the patients of pernicious placenta previa in a single center from Jan, 2010 to Jan, 2015. The patients were divided into two groups, internal iliac artery balloon occlusion group and the control group without endovascular intervention. Blood loss in operation, volume of transfused blood products, caesarean hysterectomy, operating time, hospital days after operation and postoperative morbidity were compared between the two groups. The balloon occlusion group had significantly less blood loss, the volume of transfused blood products, caesarean hysterectomy, hospital day after operation than the control group had. There was no statistical difference in operating time, intensive care units (ICU), hypotension, infection, hypoxemia, bladder injury, bowel obstruction, neonatal asphyxia between the two groups. The balloon occlusion group had significantly higher rate in coagulopathy, hypoalbuminemia, electrolyte imbalance. Among the patients whose uterus were preserved, the blood loss was not significantly difference between the two groups. Among the patients with the complication of placenta accreta, caesarean hysterectomy was less in balloon group, and blood loss between the two groups was not significantly different. Among the patients without placenta accrete, the blood loss was less in balloon group, and caesarean hysterectomy between the two groups was not significantly different. The risk of hysterectomy in balloon group was related to placenta accreta, uterine arteries engorgement, placental invasive serosa, taking placenta by hand, placental invasive bladder, barrel-shaped thickening of lower uterine segment, unable to remove placenta. Internal iliac artery balloon occlusion is an effective treatment for pernicious placenta previa.

Operating manual for the High Flux Isotope Reactor. Volume I. Description of the facility

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

Not Available

1982-09-01

This volume contains a comprehensive description of the High Flux Isotope Reactor Facility. Its primary purpose is to supplement the detailed operating procedures, providing the reactor operators with background information on the various HFIR systems. The detailed operating procdures are presented in another report.

Resident operative experience in general surgery, plastic surgery, and urology 5 years after implementation of the ACGME duty hour policy.

PubMed

Simien, Christopher; Holt, Kathleen D; Richter, Thomas H; Whalen, Thomas V; Coburn, Michael; Havlik, Robert J; Miller, Rebecca S

2010-08-01

Resident duty hour restrictions were implemented in 2002-2003. This study examines changes in resident surgical experience since these restrictions were put into place. Operative log data for 3 specialties were examined: general surgery, urology, and plastic surgery. The academic year immediately preceding the duty hour restrictions, 2002-2003, was used as a baseline for comparison to subsequent academic years. Operative log data for graduating residents through 2007-2008 were the primary focus of the analysis. Examination of associated variables that may moderate the relationship between fewer duty hours and surgical volume was also included. Plastic surgery showed no changes in operative volume following duty hour restrictions. Operative volume increased in urology programs. General surgery showed a decrease in volume in some operative categories but an increase in others. Specifically the procedures in vascular, plastic, and thoracic areas showed a consistent decrease. There was no increase in the percentage of programs' graduates falling below minimum requirements. Procedures in pancreas, endocrine, and laparoscopic areas demonstrated an increase in volume. Graduates in larger surgical programs performed fewer procedures than graduates in smaller programs; this was not the case for urology or plastic surgery programs. The reduction of duty hours has not resulted in an across the board decrease in operative volume. Factors other than duty hour reforms may be responsible for some of the observed findings.

48 CFR 242.1402 - Volume movements within the contiguous United States.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Volume movements within the contiguous United States. 242.1402 Section 242.1402 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE CONTRACT MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT...

Preoperative sclerotherapy of facial venous malformations: impact on surgical parameters and long-term follow-up.

PubMed

James, Charles A; Braswell, Leah E; Wright, Lonnie B; Roberson, Paula K; Moore, Mary B; Waner, Milton; Buckmiller, Lisa M

2011-07-01

To analyze the operative benefit of preoperative sclerotherapy of facial venous malformations and assess long-term patient outcome. Preoperative sclerotherapy was performed in 24 consecutive patients referred before resection of facial venous malformation. Pretreatment imaging was reviewed for malformation dimensions (length, width, and height), and volumes were estimated. Sclerotherapy was performed with 3% sodium tetradecyl in the first 15 patients and 98% dehydrated alcohol in the remaining 9 patients. Operative blood loss, operative time, transfusion requirement, and hospital stay were recorded. Operative time per lesion volume and operative blood loss per lesion volume were calculated. Results were compared with 15 historical control patients who underwent resection of facial venous malformations without preoperative sclerotherapy. Long-term follow-up of study and control patients was performed. Compared with controls, patients undergoing preoperative venous sclerotherapy were significantly older (P = .0206) and had larger lesions in all three dimensions (height, P = .0002; length, P = .0010; width, P = .0004). Patients receiving sclerotherapy had shorter operative time per lesion volume (P < .0001) and reduced blood loss per lesion volume (P < .0001). Neither hospital stay nor the need for blood transfusion differed from the control patients (P = .2449 and P = .6857). Mild periprocedural complications were encountered in 12.5% of cases, and nerve paresis occurred in 8.3% of cases. Long-term follow-up revealed retreatment was required in 2 of 24 patients (8.3%). Preoperative sclerotherapy of venous malformations was associated with less operative time per lesion volume and less operative blood loss per lesion volume. Long-term follow-up revealed a low need for retreatment. Copyright © 2011 SIR. Published by Elsevier Inc. All rights reserved.