INTEC CPP-603 Basin Water Treatment System Closure: Process Design

This document describes the engineering activities that have been completed in support of the closure plan for the Idaho Nuclear Technology and Engineering Center (INTEC) CPP-603 Basin Water Treatment System. This effort includes detailed assessments of methods and equipment for performing work in four areas: 1. A cold (nonradioactive) mockup system for testing equipment and procedures for vessel cleanout and vessel demolition. 2. Cleanout of process vessels to meet standards identified in the closure plan. 3. Dismantlement and removal of vessels, should it not be possible to clean them to required standards in the closure plan. 4. Cleanout or removal of pipelines and pumps associated with the CPP-603 basin water treatment system. Cleanout standards for the pipes will be the same as those used for the process vessels

Going home after infant cardiac surgery: a UK qualitative study

National Institute for Health Research Health Services and Delivery Research programme (Project No: 10/2002/29)

Outcomes of Allogeneic Hematopoietic Cell Transplantation in Children and Young Adults with Chronic Myeloid Leukemia: A CIBMTR Cohort Analysis

Chronic myeloid leukemia (CML) in children and young adults is uncommon. Young patients have long life expectancies and low morbidity with hematopoietic cell transplantation (HCT). Prolonged tyrosine kinase inhibitor (TKI) use may cause significant morbidity. In addition indication for HCT in patients in first chronic phase is not established

Author Correction:Study of 300,486 individuals identifies 148 independent genetic loci influencing general cognitive function

Christina M. Lill, who contributed to analysis of data, was inadvertently omitted from the author list in the originally published version of this article. This has now been corrected in both the PDF and HTML versions of the article

Quality assurance systems for medical education - a cost benefit analysis

About the book: With economic winter facing many healthcare and health education budgets, the high costs of medical education are bringing it under close scrutiny. However, the costs of not providing high quality medical education – not least human costs in morbidity and mortality from medical error – are also high, presenting medical educators, funding managers, policy makers and economists with an unenviable dilemma. To add to their difficulties, remarkably little has been written on cost effectiveness in medical education, including how to calculate costs, how to get maximal value for money and even what constitutes value for money. In this book, the first of its kind, world leading experts comprehensively outline what is known about cost effectiveness in each of their fields. Undergraduate, postgraduate and continuing professional education are all explored, as are e-learning, simulation, cost benefit analysis and numerous other areas. Lecturers and researchers in medical education, clinical tutors and educational supervisors and appraisers, managers responsible for funding medical education and health economists and health policy makers and shapers will find this an invaluable resource

Cost-benefit analysis of curriculum design for medicine

Deciding on the wisdom of investing in a potential project has always required a little more than guesswork, and there are several related economic methods that have been developed to try to measure the benefit of a potential new project or new venture. Cost-benefit analysis is one such method, and it relies on it being possible to ascribe a precise monetary value to the various changes that would be wrought were the project to go ahead. It also requires the venture to be viewed as a project with reasonably well-defined boundaries; otherwise, the estimation of benefits and costs becomes much less precise because of intervening effects. Developing or modifying a curriculum could be viewed as a project, and it will have effects beyond its own boundaries

Sci45: The development of a Specialty Choice Inventory

Objective: To devise a valid career selection instrument to help doctors in training choose from a range of specialties that match their attributes and aspirations and to help selection interviewers focus on the key issues pertaining to the suitability of candidates for particular training opportunities. Design: A psychometric instrument of 130 4-response choice items was developed to match individual personal and professional preferences to possible career specialty choices. The development process involved semi-structured interviews with consultants in 35 specialties, a national postal survey of consultants in 45 specialties, factor analysis of the results, design of the pilot instruments, testing on 450 senior house officers (doctors in basic specialist training within 2–5 years of leaving medical school), and further item analysis to derive the final instrument. A scoring system and software were developed to indicate the best and worst fit specialties for the respondent. Participants: The participants were hospital consultants, general practitioners and senior house officers (SHOs) in basic specialist training. Outcome measure: The successful construction of a valid and accessible career choice instrument (Specialty Choice Inventory/Sci45). Conclusions: This project has yielded a psychometrically valid computer- or paper-based instrument that can be used by doctors at any stage of training to assist in career choice. It can be used as part of the selection process, for careers guidance, for analysis of career problems, for research or to validate a particular range of career options

A new locality for Middle Cambrian fossils near Noxon, Montana

Fossils representing the fauna of the Stephen formation of British Columbia were found in a highway cut on the north side of the Clark Fork River a few miles east of the Idaho line. They occur in what is probably a down-dropped wedge in the Hope fault. One more isolated point is added to the data on lower Paleozoic-Belt relationships and on Cambrian paleogeography

A new locality for Middle Cambrian fossils near Noxon, Montana

Fossils representing the fauna of the Stephen formation of British Columbia were found in a highway cut on the north side of the Clark Fork River a few miles east of the Idaho line. They occur in what is probably a down-dropped wedge in the Hope fault. One more isolated point is added to the data on lower Paleozoic-Belt relationships and on Cambrian paleogeography