Need for Aeromedical Evacuation High-Level Containment Transport Guidelines

Circumstances exist that call for the aeromedical evacuation high-level containment transport (AE-HLCT) of patients with highly hazardous communicable diseases. A small number of organizations maintain AE-HLCT capabilities, and little is publicly available regarding the practices. The time is ripe for the development of standards and consensus guidelines involving AE-HLCT

Independent evaluation of a simple clinical prediction rule to identify right ventricular dysfunction in patients with shortness of breath

BACKGROUND: Many patients have unexplained persistent dyspnea after negative computed tomographic pulmonary angiography (CTPA). We hypothesized that many of these patients have isolated right ventricular (RV) dysfunction from treatable causes. We previously derived a clinical decision rule (CDR) for predicting RV dysfunction consisting of persistent dyspnea and normal CTPA, finding that 53% of CDR-positive patients had isolated RV dysfunction. Our goal is to validate this previously derived CDR by measuring the prevalence of RV dysfunction and outcomes in dyspneic emergency department patients. METHODS: A secondary analysis of a prospective observational multicenter study that enrolled patients presenting with suspected PE was performed. We included patients with persistent dyspnea, a nonsignificant CTPA, and formal echo performed. Right ventricular dysfunction was defined as RV hypokinesis and/or dilation with or without moderate to severe tricuspid regurgitation. RESULTS: A total of 7940 patients were enrolled. Two thousand six hundred sixteen patients were analyzed after excluding patients without persistent dyspnea and those with a significant finding on CTPA. One hundred ninety eight patients had echocardiography performed as standard care. Of those, 19% (95% confidence interval [CI], 14%-25%) and 33% (95% CI, 25%-42%) exhibited RV dysfunction and isolated RV dysfunction, respectively. Patients with isolated RV dysfunction or overload were more likely than those without RV dysfunction to have a return visit to the emergency department within 45 days for the same complaint (39% vs 18%; 95% CI of the difference, 4%-38%). CONCLUSION: This simple clinical prediction rule predicted a 33% prevalence of isolated RV dysfunction or overload. Patients with isolated RV dysfunction had higher recidivism rates and a trend toward worse outcomes

1935: Abilene Christian College Bible Lectures - Full Text

Delivered in the auditorium of Abilene Christian College, Abilene, Texas, February 193

Analysis of the impact of dislocation distribution on the breakdown voltage of GaAs-based power varactor diodes

A synchrotron x-ray topography analysis of the impact of the distribution of defects/dislocations on the electrical performance of GaAs power varactor diodes was carried out. Diodes fabricated on or near Liquid Encapsulated Czochralski cellular dislocation networks in the substrate, which are also known to be rich in As precipitates near these cell walls, were observed to have reduced breakdown voltages (VBR). This is consistent with the possibility that the presence of space-charge cylinders surrounding these dislocations gives rise to reduced VBR if they thread a p-n junction; it is also in accord with the possibility that the As precipitates themselves can act as sites for local field enhancement, thus promoting premature avalanche breakdown

Need for Aeromedical Evacuation High-Level Containment Transport Guidelines

Circumstances exist that call for the aeromedical evacuation high-level containment transport (AE-HLCT) of patients with highly hazardous communicable diseases. A small number of organizations maintain AE-HLCT capabilities, and little is publicly available regarding the practices. The time is ripe for the development of standards and consensus guidelines involving AE-HLCT

Search for fast particles produced at large lab angles at NAL

An experiment is proposed to look for charged particles emitted at large lab angles that are normally forbidden kinematically. These particles if found would correspond to hitherto unobserved events such as the production of particles with imaginary mass values (''tachyons''). Also, they wish to look for fractionally-charged particles produced at these angles. These particles, if found, would correspond to strongly-bound quark-quark states formed in a dissociation of the target nucleon. The detection system will consist of wire-chambers, dE/dx and time-of-flight counters. The basic hardware is under construction and the final system will be ready for test runs at a lower-energy machine in six months. The detection telescope will view interactions of the primary proton beam from backward (in lab) directions and the first choice experimental site is the straight section B with a thin internal target. They would like to use the highest available beam at NAL and since the beam transport and intensity requirements are very minimal, they will be able to run parasitically during the tuning periods of the NAL machine in the next year. The machine time required for this experiment is about three months

IN-SITU MONITORING OF CORROSION DURING A LABORATORY SIMULATION OF OXALIC ACID CHEMICAL CLEANING

The Savannah River Site (SRS) will disperse or dissolve precipitated metal oxides as part of radioactive waste tank closure operations. Previously SRS used oxalic acid to accomplish this task. To better understand the conditions of oxalic acid cleaning of the carbon steel waste tanks, laboratory simulations of the process were conducted to determine the corrosion rate of carbon steel and the generation of gases such as hydrogen and carbon dioxide. Open circuit potential measurements, linear polarization measurements, and coupon immersion tests were performed in-situ to determine the corrosion behavior of carbon steel during the demonstration. Vapor samples were analyzed continuously to determine the constituents of the phase. The combined results from these measurements indicated that in aerated environments, such as the tank, that the corrosion rates are manageable for short contact times and will facilitate prediction and control of the hydrogen generation rate during operations