Experimental electron shielding studies Technical summary report

Electron shielding - comparison of thick target energy straggling and angular distributions with Monte Carlo calculation

Gamma and neutron dose measurements for a thermal tungsten nuclear rocket critical experiment

Measurements of gamma and neutron dose distributions in core of thermal tungsten nuclear rocket experimen

Exame médico admissional e demissional

TCC (especialização). Universidade Federal de Santa Catarina. Associação Catarinense de Medicina. Curso de Especialização em Medicina do TrabalhoA presente monografia destina-se a conclusão do XIV CURSO DE ESPECIALIZAÇÃO EM MEDICINA DO TRABALHO, realizado pela UNIVERSIDADE FEDERAL DE SANTA CATARINA, em convênio com a ASSOCIAÇÃO CATARINENSE DE MEDICINA, e FUNDAÇÃO DE APOIO à PESQUISA E EXTENSÃO UNIVERSITÁRIA, na cidade de Rio do Sul, na dependências da Universidade para o desenvolvimento do Alto Vale do Itajaí, no período de outubro de l997 a outubro de 1998. Tendo como coordenador geral o Doutor Sebastião Ivone Vieira e como coordenador local o Doutor Ralfino Hafemann. Realizamos pesquisa bibliográficas em revistas, livros e jornais, dos seguintes temas: Exame médico admissional e demissional, de trabalhadores adultos normais e subnormais, mulheres e menores. Abordamos assuntos diversos como o exame clínico (anamnese e exame físico), exames complementares como laboratórios, esquemas imunológico, provas funcionais (audiométricos, oftalmológicos, neurológico, cardiocirculatório, neuropsíquico e robustez), parâmetros para controle biológicos da exposição a alguns agentes químicos, parâmetros para monitorização da exposição ocupacional a alguns riscos à saúde. Também foi abordado Ética em Medicina do Trabalho e a responsabilidade do empregador em realizar exames admissionais e demissionais

Electron shielding studies Technical progress report, 1 Nov. 1965 - 31 Mar. 1966

Experimental and theoretical studies in spectroscopy and transport problems of electron shieldin

Utility of Surgeon-Performed Ultrasound Assessment of the Lateral Neck for Metastatic Papillary Thyroid Cancer

Ultrasound is the recommended staging modality for papillary thyroid cancer. Surgeons proficient in US assessment of the neck and experienced in the management of papillary thyroid cancer (PTC) appear uniquely qualified to assess the lateral cervical lymph nodes for metastatic disease. Of 310 patients treated for PTC between 2000 and 2008, 109 underwent surgeon-performed ultrasound (SUS) of the lateral neck preoperatively. Fine needle aspiration was performed on suspicious lateral lymph nodes. SUS findings were compared with FNA cytology and results of postoperative imaging studies. The sensitivity and negative predictive value of SUS were 88% and 97%, respectively. Four patients were found to have missed metastatic disease within 6 months. No patient underwent a nontherapeutic neck dissection. SUS combined with US-guided FNA of suspicious lymph nodes can accurately stage PTC to reliably direct surgical management

Tungsten nuclear rocket, phase I, part 1 Final report

Tungsten water moderated nuclear rocket reactor experiments and analyse

Computer-assisted versus non-computer-assisted preoperative planning of corrective osteotomy for extra-articular distal radius malunions: a randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>Malunion is the most common complication of distal radius fracture. It has previously been demonstrated that there is a correlation between the quality of anatomical correction and overall wrist function. However, surgical correction can be difficult because of the often complex anatomy associated with this condition. Computer assisted surgical planning, combined with patient-specific surgical guides, has the potential to improve pre-operative understanding of patient anatomy as well as intra-operative accuracy. For patients with malunion of the distal radius fracture, this technology could significantly improve clinical outcomes that largely depend on the quality of restoration of normal anatomy. Therefore, the objective of this study is to compare patient outcomes after corrective osteotomy for distal radius malunion with and without preoperative computer-assisted planning and peri-operative patient-specific surgical guides.</p> <p>Methods/Design</p> <p>This study is a multi-center randomized controlled trial of conventional planning versus computer-assisted planning for surgical correction of distal radius malunion. Adult patients with extra-articular malunion of the distal radius will be invited to enroll in our study. After providing informed consent, subjects will be randomized to two groups: one group will receive corrective surgery with conventional preoperative planning, while the other will receive corrective surgery with computer-assisted pre-operative planning and peri-operative patient specific surgical guides. In the computer-assisted planning group, a CT scan of the affected forearm as well as the normal, contralateral forearm will be obtained. The images will be used to construct a 3D anatomical model of the defect and patient-specific surgical guides will be manufactured. Outcome will be measured by DASH and PRWE scores, grip strength, radiographic measurements, and patient satisfaction at 3, 6, and 12 months postoperatively.</p> <p>Discussion</p> <p>Computer-assisted surgical planning, combined with patient-specific surgical guides, is a powerful new technology that has the potential to improve the accuracy and consistency of orthopaedic surgery. To date, the role of this technology in upper extremity surgery has not been adequately investigated, and it is unclear whether its use provides any significant clinical benefit over traditional preoperative imaging protocols. Our study will represent the first randomized controlled trial investigating the use of computer assisted surgery in corrective osteotomy for distal radius malunions.</p> <p>Trial registration</p> <p>NCT01193010</p

Incidence and Functional Outcomes of Scapholunate Diastases Associated Distal Radius Fractures: A 2-year Follow-Up Scapholunate Dissociation

Background: The Scapholunate Interosseous Ligament (SLIL) is the first intrinsic carpal ligament to be injured in wrist trauma, present in up to 64% of the distal radius fractures. However, it remains unclear what patients develop symptoms, making primary treatment of these injuries accompanying distal radius fractures remains questionable. Objective: The aim of this study was to evaluate the functional outcomes of patients with scapholunate diastasis associated with distal radius fractures. Methods: We evaluated 391 patients with a distal radius fracture. Using Computer Tomography (CT) scans the scapholunate interval was measured. We identified 14 patients with an SLD (>3mm) of the injured wrist, which underwent a CT-scan of the contralateral wrist. To evaluate the functional outcomes at a mean follow up of 136±90 weeks, we used the Quick Disabilities of the Arm, Shoulder and Hand (qDASH) Score. Results: There were 8 patients with bilateral SLD and 6 patients with unilateral SLD. Five patients had a qDASH score of 0 and one patient showed a qDASH score of 18.2. The patient with a poor score had bilateral preexisting osteoarthritis of the wrist. No patient had additional surgery of the SLIL. Conclusion: In patients with distal radius fractures, more than half of the 14 patients with an SL gap on CT had widening on the contralateral side. It is therefore worthwhile to image the contralateral wrist before diagnosing a SLD. The patients with unilateral SLD should not be surgically treated at initial presentation because they may have good functional outcomes after a follow up of 2 years

The next generation of oxy-fuel boiler systems

Research in the area of oxy-fuel combustion which is being pioneered by Jupiter Oxygen Corporation combined with boiler research conducted by the USDOE/Albany Research Center has been applied to designing the next generation of oxy-fuel combustion systems. The new systems will enhance control of boiler systems during turn-down and improve response time while improving boiler efficiency. These next generation boiler systems produce a combustion product that has been shown to be well suited for integrated pollutant removal. These systems have the promise of reducing boiler foot-print and boiler construction costs. The modularity of the system opens the possibility of using this design for replacement of boilers for retrofit on existing systems

Clinical Study Utility of Surgeon-Performed Ultrasound Assessment of the Lateral Neck for Metastatic Papillary Thyroid Cancer

Ultrasound is the recommended staging modality for papillary thyroid cancer. Surgeons proficient in US assessment of the neck and experienced in the management of papillary thyroid cancer (PTC) appear uniquely qualified to assess the lateral cervical lymph nodes for metastatic disease. Of 310 patients treated for PTC between 2000 and 2008, 109 underwent surgeon-performed ultrasound (SUS) of the lateral neck preoperatively. Fine needle aspiration was performed on suspicious lateral lymph nodes. SUS findings were compared with FNA cytology and results of postoperative imaging studies. The sensitivity and negative predictive value of SUS were 88% and 97%, respectively. Four patients were found to have missed metastatic disease within 6 months. No patient underwent a nontherapeutic neck dissection. SUS combined with US-guided FNA of suspicious lymph nodes can accurately stage PTC to reliably direct surgical management