Concordance Rate of Colposcopy in Detecting Cervical Intraepithelial Lesions

Background: The purpose of this research is to estimate the rate of concordance, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of colposcopy for high-grade squamous lesions and carcinomas (HSIL+). Methods: We conducted a retrospective study of colposcopies performed in the certified Dysplasia Unit in Erlangen between January 2015 and May 2022 (7.5 years). The colposcopic findings were correlated with biopsies obtained during examinations or surgery. Cases without histology were excluded. The primary outcome was the rate of concordance between the colposcopic and histological findings in relation to the type of transformation zone (TZ), examiner’s level of experience and age of the patients. Results: A total of 4778 colposcopies in 4001 women were analyzed. The rates of concordance for CIN I/LSIL, CIN II/HSIL, CIN III/HSIL, and carcinoma were 43.4%, 59.5%, 78.5%, and 53.9%, respectively. The rate of concordance was lowest for TZ3 and highest for colposcopists with more than 10 years’ experience. Conclusions: Colposcopy is an important, feasible, and effective method. Careful work-up needs to be performed for women with TZ3 who are over 35 years old, as they are at the highest risk of being misdiagnosed. The highest concordance for detecting HSIL+ was seen for colposcopists with >10 years’ experience

The role of Z-pinch fusion transmutation of waste in the nuclear fuel cycle.

The resurgence of interest in reprocessing in the United States with the Global Nuclear Energy Partnership has led to a renewed look at technologies for transmuting nuclear waste. Sandia National Laboratories has been investigating the use of a Z-Pinch fusion driver to burn actinide waste in a sub-critical reactor. The baseline design has been modified to solve some of the engineering issues that were identified in the first year of work, including neutron damage and fuel heating. An on-line control feature was added to the reactor to maintain a constant neutron multiplication with time. The transmutation modeling effort has been optimized to produce more accurate results. In addition, more attention was focused on the integration of this burner option within the fuel cycle including an investigation of overall costs. This report presents the updated reactor design, which is able to burn 1320 kg of actinides per year while producing 3,000 MWth

Lawson criterion for ignition exceeded in an inertial fusion experiment

For more than half a century, researchers around the world have been engaged in attempts to achieve fusion ignition as a proof of principle of various fusion concepts. Following the Lawson criterion, an ignited plasma is one where the fusion heating power is high enough to overcome all the physical processes that cool the fusion plasma, creating a positive thermodynamic feedback loop with rapidly increasing temperature. In inertially confined fusion, ignition is a state where the fusion plasma can begin "burn propagation" into surrounding cold fuel, enabling the possibility of high energy gain. While "scientific breakeven" (i.e., unity target gain) has not yet been achieved (here target gain is 0.72, 1.37 MJ of fusion for 1.92 MJ of laser energy), this Letter reports the first controlled fusion experiment, using laser indirect drive, on the National Ignition Facility to produce capsule gain (here 5.8) and reach ignition by nine different formulations of the Lawson criterion

Fusion transmutation of waste: design and analysis of the in-zinerator concept.

Due to increasing concerns over the buildup of long-lived transuranic isotopes in spent nuclear fuel waste, attention has been given in recent years to technologies that can burn up these species. The separation and transmutation of transuranics is part of a solution to decreasing the volume and heat load of nuclear waste significantly to increase the repository capacity. A fusion neutron source can be used for transmutation as an alternative to fast reactor systems. Sandia National Laboratories is investigating the use of a Z-Pinch fusion driver for this application. This report summarizes the initial design and engineering issues of this ''In-Zinerator'' concept. Relatively modest fusion requirements on the order of 20 MW can be used to drive a sub-critical, actinide-bearing, fluid blanket. The fluid fuel eliminates the need for expensive fuel fabrication and allows for continuous refueling and removal of fission products. This reactor has the capability of burning up 1,280 kg of actinides per year while at the same time producing 3,000 MWth. The report discusses the baseline design, engineering issues, modeling results, safety issues, and fuel cycle impact

Mass Customization in der deutschen Nahrungsmittelindustrie : welche Trends sind grundlegend für das Geschäftsmodell und welche Erfolge erzielen Produzenten durch Mass Customization gegenwärtig?

Die vorliegende Bachelorarbeit zeigt auf wie sich der Markt der deutschen Nahrungsmittelindustrie verändert, wie Marktteilnehmer Innovationen nutzen und gibt essentielle Ausblicke um Unternehmungen in diesem Bereich erfolg-reich zu machen. Ziel dieser Arbeit ist es, aufzuzeigen, welchen innovativen Trends die Nahrungsmittelbranche folgt und wie diese Trends mit einer Mass Customiza-tion Strategie in das Portfolio der jeweiligen Unternehmen integriert werden. Ferner wird veranschaulicht welche wirtschaftlichen Auswirkungen diese in-novative Form eines Marktes innerhalb der Net Economy hat, welche Gewinne Unternehmen erzielen und wie existenziell gefährdend sich dieser, von großem Wachstum begleitete Markt, auf Händler abseits des Web 2.0 auswirkt