Experimental investigation of the impact characteristics of non-metallic materials Final report

Impact tests on samples of volcanic pumice and basal

The Impact of European pools on a meeting planner’s booking decision

In a city of constant change and competition, many Las Vegas resort properties are offering topless pools (Yeskel, 2008). This phenomenon is known as “adult bathing” or “European-style” tanning, and many of the properties offering this service refer to their venues as “European pools” (Villano, 2007). A number of properties, including at least eight on the Las Vegas Strip, two in off-strip “locals’ casinos”, and one in the downtown area, have added this option for adult sunbathers. While this may be an appealing feature for many leisure travelers, its potential impact on the meeting business for those facilities is not yet known

An Industry Perspective on Canadian Patients\u27 Involvement in Medical Tourism: Implications for Public Health

Background: The medical tourism industry, which assists patients with accessing non-emergency medical careabroad, has grown rapidly in recent years. A lack of reliable data about medical tourism makes it difficult to createpolicy, health system, and public health responses to address the associated risks and shortcomings, such as spreadof infectious diseases, associated with this industry. This article addresses this knowledge gap by analyzinginterviews conducted with Canadian medical tourism facilitators in order to understand Canadian patients’involvement in medical tourism and the implications of this involvement for public health. Methods: Semi-structured phone interviews were conducted with 12 medical facilitators from 10 companies in2010. An exhaustive recruitment strategy was used to identify interviewees. Questions focused on businessdimensions, information exchange, medical tourists’ decision-making, and facilitators’ roles in medical tourism.Thematic analysis was undertaken following data collection.Results: Facilitators helped their Canadian clients travel to 11 different countries. Estimates of the number ofclients sent abroad annually varied due to demand factors. Facilitators commonly worked with medical touristsaged between 40 and 60 from a variety of socio-economic backgrounds who faced a number of potential barriersincluding affordability, fear of the unfamiliar, and lack of confidence. Medical tourists who chose not to usefacilitators’ services were thought to be interested in saving money or have cultural/familial connections to thedestination country. Canadian doctors were commonly identified as barriers to securing clients. Conclusions: No effective Canadian public health response to medical tourism can treat medical tourists as aunified group with similar motivations for engaging in medical tourism and choosing similar mechanisms fordoing so. This situation may be echoed in other countries with patients seeking care abroad. Therefore, a call for acomprehensive public health response to medical tourism and its effects should be coupled with a clearunderstanding that medical tourism is a highly diverse practice. This response must also acknowledge facilitators asimportant stakeholders in medical tourism

Risk communication and informed consent in the medical tourism industry: A thematic content analysis of canadian broker websites

<p>Abstract</p> <p>Background</p> <p>Medical tourism, thought of as patients seeking non-emergency medical care outside of their home countries, is a growing industry worldwide. Canadians are amongst those engaging in medical tourism, and many are helped in the process of accessing care abroad by medical tourism brokers - agents who specialize in making international medical care arrangements for patients. As a key source of information for these patients, brokers are likely to play an important role in communicating the risks and benefits of undergoing surgery or other procedures abroad to their clientele. This raises important ethical concerns regarding processes such as informed consent and the liability of brokers in the event that complications arise from procedures. The purpose of this article is to examine the language, information, and online marketing of Canadian medical tourism brokers' websites in light of such ethical concerns.</p> <p>Methods</p> <p>An exhaustive online search using multiple search engines and keywords was performed to compile a comprehensive directory of English-language Canadian medical tourism brokerage websites. These websites were examined using thematic content analysis, which included identifying informational themes, generating frequency counts of these themes, and comparing trends in these counts to the established literature.</p> <p>Results</p> <p>Seventeen websites were identified for inclusion in this study. It was found that Canadian medical tourism broker websites varied widely in scope, content, professionalism and depth of information. Three themes emerged from the thematic content analysis: training and accreditation, risk communication, and business dimensions. Third party accreditation bodies of debatable regulatory value were regularly mentioned on the reviewed websites, and discussion of surgical risk was absent on 47% of the websites reviewed, with limited discussion of risk on the remaining ones. Terminology describing brokers' roles was somewhat inconsistent across the websites. Finally, brokers' roles in follow up care, their prices, and the speed of surgery were the most commonly included business dimensions on the reviewed websites.</p> <p>Conclusion</p> <p>Canadian medical tourism brokers currently lack a common standard of care and accreditation, and are widely lacking in providing adequate risk communication for potential medical tourists. This has implications for the informed consent and consequent safety of Canadian medical tourists.</p

From manufacture to assembly of the ITER central solenoid

The Central Solenoid (CS), a key component of the ITER Magnet system, using a 45 kA Nb 3 Sn conductor, includes six identical coils, called modules, to form a solenoid, enclosed inside a structure providing vertical pre-compression and mechanical support. Procurement of the components of the ITER CS is the responsibility of US ITER, the US Domestic Agency (USDA), while the assembly of these components will be carried out by the ITER Organization (IO). Procurement of all the coil modules was awarded in 2011 to General Atomics, while procurement of the structure is split among several manufacturers, using existing equipment, sometimes among the largest ones in the world. Assembly of the ITER CS will require a dedicated area in the ITER Assembly Hall, conventional tooling and special tooling. US ITER is in charge of the procurement of special tooling, while IO is responsible for the procurement of the conventional ones. A detailed assembly procedure is under development at US ITER, in close collaboration with IO and with the support of CEA. Procurement of the special Assembly Tooling is carried out by US ITER and the main part of the first item, the Assembly Platform, was delivered to IO in 2017

Starting Manufacture of the ITER Central Solenoid

The central solenoid (CS) is a key component of the ITER magnet system to provide the magnetic flux swing required to drive induced plasma current up to 15 MA. The manufacture of its different subcomponents has now started, following completion of the design analyses and achievement of the qualification of the manufacturing procedures. A comprehensive set of analyses has been produced to demonstrate that the CS final design meets all requirements. This includes in particular structural analyses carried out with different finite-element models and addressing normal and fault conditions. Following the Final Design Review, held in November 2013, and the subsequent design modifications, the analyses were updated for consistency with the final design details and provide evidence that the Magnet Structural Design Criteria are fully met. Before starting any manufacturing activity of a CS component, a corresponding dedicated qualification program has been carried out. This includes manufacture of mockups using the real manufacturing tools to be tested in relevant conditions. Acceptance criteria have been established for materials and components, winding including joints, cooling inlets and outlets, insulation, precompression, and support structure elements

Qualification of the Manufacturing Procedures of the ITER Correction Coils

The system of correction coils (CC) is a component of the ITER magnet system, required to correct toroidal asymmetries and reduce error magnetic fields detrimental for physical processes in the plasma. It includes 18 coils, inserted in between toroidal field coils and poloidal field coils and split into 3 sets of 6 coils each: bottom correction coils (BCC), side correction coils (SCC), and top correction coils (TCC). BCC and TCC are planar coils, whereas SCC are wound on a cylinder. All CC coils are wound using a 10 kA NbTi cable-in-conduit conductor and are manufactured by ASIPP laboratory (Institute of Plasma Physics, Chinese Academy of Sciences), under the responsibility of ITER China. A manufacturing line was installed in 2013 at ASIPP in a dedicated workshop for the construction of the CC. In order to qualify the manufacturing procedures, a comprehensive qualification program has been set up. This program includes a set of mock-ups, manufactured according to the process to be used for the coils and submitted to different tests. These qualification items are winding, insulation and vacuum pressure impregnation, helium inlet/outlet, terminal joints, case material, filler material between winding-pack and case, case assembly, and terminal service box. Qualification of conductor winding, He inlet/outlet manufacture, winding-pack turn and ground insulation installation and impregnation, case material, winding-pack-case filler material is achieved. This included mechanical testing of materials at room and cryogenic temperature in specialized testing laboratories and high-voltage tests performed at the CC workshop. Joint qualification, relying on electrical tests of joints in a dedicated test facility, is nearly complete. Remaining qualification items are case assembly, winding-pack insertion into case, and case closure welding. Manufacture of the first coil started in 2015 and its winding-pack is near completion