Shipping container response to three severe railway accident scenarios

The probability of damage and the potential resulting hazards are analyzed for a representative rail shipping container for three severe rail accident scenarios. The scenarios are: (1) the rupture of closure bolts and resulting opening of closure lid due to a severe impact, (2) the puncture of container by an impacting rail-car coupler, and (3) the yielding of container due to side impact on a rigid uneven surface. The analysis results indicate that scenario 2 is a physically unreasonable event while the probabilities of a significant loss of containment in scenarios 1 and 3 are extremely small. Before assessing the potential risk for the last two scenarios, the uncertainties in predicting complex phenomena for rare, high- consequence hazards needs to be addressed using a rigorous methodology

Summary and evaluation of steel billet testing

Tests were performed at Sandia National Laboratories (SNL) and Lawrence Livermore National Laboratory (LLNL) to assess loading conditions on a spent fuel storage cask for end drops, side drops and tipover events. The tests were performed with a 1/3-scale model billet and a 1/3-scale model concrete pad, and included a variety of substrate materials. A NUREG/CR report was prepared for the Nuclear Regulatory Commission (NRC) and provides a summary and an evaluation of all the billet testing conducted. This paper provides a description of the testing and analysis method, and a summary of the results. A generic or representative cask was modeled with the benchmarked finite element analysis approach and evaluated for ISFSI end and side drops and tipover events. The analytical method can be applied to similar casks to estimate deceleration loads on storage casks resulting from low-velocity drop or tipover impacts onto concrete storage pads

Evaluation of impact tests of solid steel billet onto concrete pads, and application to generic ISFSI storage cask for tipover and side drop

Twelve tests were performed at LLNL to assess loading conditions on a spent fuel casts for side drops, end drops and tipover events. The tests were performed with a 1/3-scale model concrete pad to benchmark the structural analysis code DYNA3D. The side drop and tipover test results are discussed in this report. The billet and test pad were modified with DYNA3D using material properties and techniques used in earlier tests. The peak or maximum deceleration test results were compared to the simulated analytical results. It was concluded that an analytical model based on DYNA3D code and has been adequately benchmarked for this type of application. A generic or represented cask was modified with the DYNA3D code and evaluated for ISFSI side drop and tipover events. The analytical method can be applied to similar casks to estimate impact loads on storage casks resulting from low-velocity side or tip impacts onto concrete storage pads

T Cell Cancer Therapy Requires CD40-CD40L Activation of Tumor Necrosis Factor and Inducible Nitric-Oxide-Synthase-Producing Dendritic Cells

Effective cancer immunotherapy requires overcoming immunosuppressive tumor microenvironments. We\ua0found that local nitric oxide (NO) production by tumor-infiltrating myeloid cells is important for adoptively transferred CD8(+) cytotoxic T\ua0cells to destroy tumors. These myeloid cells are phenotypically similar to inducible nitric oxide synthase (NOS2)- and tumor necrosis factor (TNF)-producing dendritic cells (DC), or Tip-DCs. Depletion of immunosuppressive, colony stimulating factor 1 receptor (CSF-1R)-dependent arginase 1(+) myeloid cells enhanced NO-dependent tumor killing. Tumor elimination via NOS2 required the CD40-CD40L pathway. We also uncovered a strong correlation between survival of colorectal cancer patients and NOS2, CD40, and TNF expression in their tumors. Our results identify a network of pro-tumor factors that can be targeted to boost cancer immunotherapies

Sex Differences in Poststroke Cognitive Impairment : A Multicenter Study in 2343 Patients With Acute Ischemic Stroke

Funding Information: Dr Exalto is supported by Alzheimer Nederland WE.03-2019-15 and Netherlands CardioVascular Research Initiative: the Dutch Heart Foundation (CVON 2018-28 & 2012-06). The Meta-VCI Map consortium is supported by Vici Grant 918.16.616 from The Netherlands Organisation for Health Research and Development (ZonMw) to Dr Biessels. Harmonization analyses were supported by a Rudolf Magnus Young Talent Fellowship from the University Medical Center Utrecht Brain Center to Dr Biesbroek. The CASPER cohort was supported by Maastricht University, Health Foundation Limburg, and Stichting Adriana van Rinsum-Ponsen. The CROMIS-2 cohort was funded by the UK Stroke Association and the British Heart Foundation (grant number TSA BHF 2009/01). The CU-STRIDE cohort was supported by the Health and Health Services Research Fund of the Food and Health Bureau of the Government of Hong Kong (grant number 0708041), the Lui Che Woo Institute of Innovative Medicine, and Therese Pei Fong Chow Research Center for Prevention of Dementia. The GRECogVASC cohort was funded by Amiens University Hospital and by a grant from the French Ministry of Health (grant number DGOS R1/2013/144). The MSS-2 cohort is funded by the Wellcome Trust (grant number WT088134/Z/09/A to Dr Wardlaw) and the Row Fogo Charitable Trust. The PROCRAS cohort was funded via ZonMW as part of the TopZorg project in 2015 (grant number 842003011). The CODECS cohort (ongoing) is supported by a grant from Stichting Coolsingel (grant number 514). The Bundang VCI and Hallym VCI cohort groups do not wish to report any relevant funding sources. At the time of contribution, Dr Hamilton was funded by the College of Medicine and Veterinary Medicine at the University of Edinburgh and was supported by the Wellcome Trust through the Translational Neuroscience PhD program at the University of Edinburgh. Publisher Copyright: © 2023 Lippincott Williams and Wilkins. All rights reserved.Peer reviewedPublisher PD

The Meta VCI Map consortium for meta-analyses on strategic lesion locations for vascular cognitive impairment using lesion-symptom mapping: design and multicenter pilot study

Introduction: The Meta VCI Map consortium performs meta-analyses on strategic lesion locations for vascular cognitive impairment using lesion-symptom mapping. Integration of data from different cohorts will increase sample sizes, to improve brain lesion coverage and support comprehensive lesion-symptom mapping studies. Methods: Cohorts with available imaging on white matter hyperintensities or infarcts and cognitive testing were invited. We performed a pilot study to test the feasibility of multicenter data processing and analysis and determine the benefits to lesion coverage. Results: Forty-seven groups have joined Meta VCI Map (stroke n = 7800 patients; memory clinic n = 4900; population-based n = 14,400). The pilot study (six ischemic stroke cohorts, n = 878) demonstrated feasibility of multicenter data integration (computed tomography/magnetic resonance imaging) and achieved marked improvement of lesion coverage. Discussion: Meta VCI Map will provide new insights into the relevance of vascular lesion location for cognitive dysfunction. After the successful pilot study, further projects are being prepared. Other investigators are welcome to join

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

The use of scans for impact studies of transportation packages

This paper presents the results of an impact study using the computer program SCANS (Shipping Cask ANalysis System), which was developed by Lawrence Livermore National Laboratory (LLNL) for the US Nuclear Regulatory Commission (NRC) and the Department of Energy (DOE) for structural analysis of transportation packages of radioactive materials. The program operates on IBM PC and compatible microcomputers. It has capabilities for other analysis such as heat transfer, pressure and thermal stress analysis. However, this study uses only the impact analysis capability, which includes a quasi-static and a dynamic analysis option. It is shown that the program produces reasonable results for a wide range of impact conditions. The results are in agreement with existing information on impact analysis and phenomenon. In view of its simplicity in modelling and convenience in usage, the SCANS program can be effectively used for confirmatory analysis, preliminary design study, and quick assessment of the need for detailed impact analysis. 2 refs., 7 figs., 2 tabs