Utilization of short-stay hospitals: summary of nonmedical statistics, United States-1972

Statistics are presented on the utilization of short-stay hospitals based on data collected in the Hospital Discharge Survey from a national sample of hospital records of discharged patients. Discharges, days of care, and average length of stay are distributed by each of the variables age, sex, and color of patient and by geographic region, bed size, and type of ownership (control) of hospital.[W. Frank Lewis, Division of Health Resources Utilization Statistics.Includes bibliographical references (p. 12)

Telerobotic Surgery: An Intelligent Systems Approach to Mitigate the Adverse Effects of Communication Delay

An extremely innovative approach has been presented, which is to have the surgeon operate through a simulator running in real-time enhanced with an intelligent controller component to enhance the safety and efficiency of a remotely conducted operation. The use of a simulator enables the surgeon to operate in a virtual environment free from the impediments of telecommunication delay. The simulator functions as a predictor and periodically the simulator state is corrected with truth data. Three major research areas must be explored in order to ensure achieving the objectives. They are: simulator as predictor, image processing, and intelligent control. Each is equally necessary for success of the project and each of these involves a significant intelligent component in it. These are diverse, interdisciplinary areas of investigation, thereby requiring a highly coordinated effort by all the members of our team, to ensure an integrated system. The following is a brief discussion of those areas. Simulator as a predictor: The delays encountered in remote robotic surgery will be greater than any encountered in human-machine systems analysis, with the possible exception of remote operations in space. Therefore, novel compensation techniques will be developed. Included will be the development of the real-time simulator, which is at the heart of our approach. The simulator will present real-time, stereoscopic images and artificial haptic stimuli to the surgeon. Image processing: Because of the delay and the possibility of insufficient bandwidth a high level of novel image processing is necessary. This image processing will include several innovative aspects, including image interpretation, video to graphical conversion, texture extraction, geometric processing, image compression and image generation at the surgeon station. Intelligent control: Since the approach we propose is in a sense predictor based, albeit a very sophisticated predictor, a controller, which not only optimizes end effector trajectory but also avoids error, is essential. We propose to investigate two different approaches to the controller design. One approach employs an optimal controller based on modern control theory; the other one involves soft computing techniques, i.e. fuzzy logic, neural networks, genetic algorithms and hybrids of these

Modelling of the Am(III) - Cm(III) kinetic separation effect observed during metal ion extraction by bis-(1,2,4)-triazine ligands

The kinetic separation effect was observed leading to a separation factor for Am(III) over Cm(III) as high as 7.9 by using 2,9-bis-(1,2,4-triazin-3-yl)-1,10-phenantroline (BTPhen) ligands in our recent study. In an attempt to explain the observed tendencies, several kinetic models were tested. A model based on mass transfer as the rate-controlling process was found to best describe the kinetic data and allowed to simulate the dependence of Am/Cm separation factor on time. The calculated values of the overall mass-transfer coefficients confirmed that the observed kinetic effect was caused by the different rates of Am(III) and Cm(III) extraction. This kinetic separation phenomenon and its explanation paves the way for potential new approaches to separation of metal ions with very similar properties, such as the adjacent minor actinides Am(III) and Cm(III)

Separation of the minor actinides americium(III) and curium(III) by hydrophobic and hydrophilic BTPhen ligands: exploiting differences in their rates of extraction and effective separations at equilibrium

The complexation and extraction of the adjacent minor actinides Am(III) and Cm(III) by both hydrophobic and hydrophilic pre-organized 2,9-bis(1,2,4-triazin-3-yl)-1,10-phenanthroline (BTPhen) ligands has been studied in detail. It has been shown that Am(III) is extracted more rapidly than Cm(III) by the hydrophobic CyMe4-BTPhen ligand into different organic diluents under non-equilibrium extraction conditions, leading to separation factors for Am over Cm (SFAm/Cm) as high as 7.9. Furthermore, the separation of Am(III) from Cm(III) can be tuned through careful choice of the extraction conditions (organic diluent, contact time, mixing speed, ligand concentration). This ‘kinetic’ effect is attributed to the higher presumed kinetic lability of the Am(III) aqua complex towards ligand substitution. A dependence of the Am(III)/Cm(III) selectivity on the structure of the alkyl groups attached to the triazine rings is also observed, and BTPhens bearing linear alkyl groups are less able to separate Am(III) from Cm(III) than CyMe4-BTPhen. Under equilibrium extraction conditions, hydrophilic tetrasulfonated BTPhen ligands complex selectively Am(III) over Cm(III) and prevent the extraction of Am(III) from nitric acid by the hydrophobic O-donor ligand N,N,N’,N’-tetraoctyldiglycolamide (TODGA), giving separation factors for Cm(III) over Am(III) (SFCm/Am) of up to 4.6. These results further underline the utility of the BTPhen ligands for the extremely challenging separation of the chemically similar minor actinides Am(III) and Cm(III) in future processes to close the nuclear fuel cycle