Anti-Nuclear Activism and the Past, Present and Future of United States Nuclear Energy Policy

Nuclear power has had a long and controversial history leading people to have many different views on the topic. Even though nuclear power does provide the nation with a significant portion of its electricity, many still fear its risks, especially after the events at Fukushima last spring. This thesis explores how public opinion, current events, and anti-nuclear activism have shaped nuclear power in America today. After reviewing the literature on nuclear energy in the United States, I discuss the past and current state of United States nuclear energy policy, and then describe changing American attitudes toward nuclear power over time. My final chapter focuses on anti-nuclear activism in the United States, looking in depth at the controversy currently surrounding two specific plants: Indian Point Energy Center and Vermont Yankee Nuclear Power Plant. In conclusion, I have developed my own opinion on the role of which nuclear power should play in American energy policy and its future

Failure of Ceftriaxone in an Intravenous Drug User with Invasive Infection Due to Ralstonia pickettii

Abstract. : We report a case of septic arthritis due to Ralstonia pickettii in an intravenous drug user with unfavorable clinical course under antibiotic therapy with ceftriaxone despite in vitro susceptibility to the drug. The treatment failure may have been due to a discrepancy between in vitro and in vivo susceptibility of R. pickettii, or to resistance development mediated by a recently described inducible ß-lactamas

System and performance audit of surface ozone, carbon monoxide, methane, carbon dioxide and nitrous oxide at the Global GAW Station Izaña, Spain

The 7th system and performance audit by WCC-Empa at the global GAW station Izaña, which is run by the State Meteorological Agency of Spain (AEMET), was conducted from 15 to 21 May 2019 in agreement with the WMO/GAW quality assurance system (WMO, 2017).Activities of WCC-Empa and QA/SAC Switzerland are financially supported by MeteoSwiss and Empa

Vibrationally excited populations from IR‐multiphoton absorption. I. Absorbed energy and reaction yield measurements

The molecule 1,1,2‐trifluroethane (TFE) was used in experiments to determine the population distribution of excited molecules produced by infrared multiphoton absorption induced by high power TEA CO2 lasers operating at 1079.85 cm−1 [9.6 μm R(22) line]. Optoacoustic measurements of absorbed laser power provided a measure of the mean energy of the population distribution, while very low pressure photolysis measurements of the collision‐free decomposition yield gave information about the high‐energy tail of the distribution. The experimental results were accurately simulated using a Master Equation model that incorporated Quack’s statistical–dynamical theory of infrared multiphoton absorption (cases B and C), RRKM unimolecular reactions (three channels), and collisional energy transfer. The computer simulations included known TFE molecular properties and only four adjustable parameters, which were very highly constrained in order to fit the experimental data. From the simulations, we conclude that the optical coupling matrix elements are dramatically reduced in magnitude for energies above the reaction thresholds. This effect is symptomatic of the vibrational anharmonicity due to the presence of the reaction channels, even in molecules that have not yet reacted, resulting in vibrational frequency shifts of the absorption lines out of resonance with the laser line. This effect is expected to be present and observable in other highly vibrationally excited molecules.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/69859/2/JCPSA6-83-12-6251-1.pd

Optimization of imaging before pulmonary vein isolation by radiofrequency ablation: breath-held ungated versus ECG/breath-gated MRA

Isolation of the pulmonary veins has emerged as a new therapy for atrial fibrillation. Pre-procedural magnetic resonance (MR) imaging enhances safety and efficacy; moreover, it reduces radiation exposure of the patients and interventional team. The purpose of this study was to optimize the MR protocol with respect to image quality and acquisition time. In 31 patients (23-73years), the anatomy of the pulmonary veins, left atrium and oesophagus was assessed on a 1.5-Tesla scanner with four different sequences: (1) ungated two-dimensional true fast imaging with steady precession (2D-TrueFISP), (2) ECG/breath-gated 3D-TrueFISP, (3) ungated breath-held contrast-enhanced three-dimensional turbo fast low-angle shot (CE-3D-tFLASH), and (4) ECG/breath-gated CE-3D-TrueFISP. Image quality was scored from 1 (structure not visible) to 5 (excellent visibility), and the acquisition time was monitored. The pulmonary veins and left atrium were best visualized with CE-3D-tFLASH (scores 4.50 ± 0.52 and 4.59 ± 0.43) and ECG/breath-gated CE-3D-TrueFISP (4.47 ± 0.49 and 4.63 ± 0.39). Conspicuity of the oesophagus was optimal with CE-3D-TrueFISP and 2D-TrueFISP (4.59 ± 0.35 and 4.19 ± 0.46) but poor with CE-3D-tFLASH (1.03 ± 0.13) (p < 0.05). Acquisition times were shorter for 2D-TrueFISP (44 ± 1s) and CE-3D-tFLASH (345 ± 113s) compared with ECG/breath-gated 3D-TrueFISP (634 ± 197s) and ECG/breath-gated CE-3D-TrueFISP (636 ± 230s) (p < 0.05). In conclusion, an MR imaging protocol comprising CE-3D-tFLASH and 2D-TrueFISP allows assessment of the pulmonary veins, left atrium and oesophagus in less than 7 min and can be recommended for pre-procedural imaging before electric isolation of pulmonary vein

Contact tracing investigation after professional exposure to tuberculosis in a Swiss hospital using both tuberculin skin test and IGRA.

SETTING: A 950 bed teaching hospital in Switzerland. AIM: To describe the result of a contact investigation among health care workers (HCW) and patients after exposure to a physician with smear-positive pulmonary tuberculosis in a hospital setting using standard tuberculin skin tests (TST) and Interferon-gamma release assay (IGRA). METHOD: HCW with a negative or unknown TST at hiring had a TST two weeks after the last contact with the index case (T0), repeated six weeks later if negative (T6). All exposed HCW had a T-SPOT.TB at T0 and T6. Exposed patients had a TST six weeks after the last contact, and a T-SPOT.TB if the TST was positive. RESULTS: Among 101 HCW, 17/73 (22%) had a positive TST at T0. TST was repeated in 50 at T6 and converted from negative to positive in eight (16%). Twelve HCW had a positive T-SPOT.TB at T0 and ten converted from negative to positive at T6. Seven HCW with a positive T-SPOT.TB reverted to negative at T6 or at later controls, most of them with test values close to the cut-off. Among 27 exposed patients tested at six weeks, ten had a positive TST, five of them confirmed by a positive T-SPOT.TB. CONCLUSIONS: HCW tested twice after exposure to a case of smear-positive pulmonary TB demonstrated a possible conversion in 10% with T-SPOT and 16% with TST. Some T-SPOT.TB reverted from positive to negative during the follow-up, mostly tests with a value close to the cut-off. Due to the variability of the test results, it seems advisable to repeat the test with values close to the cut-off before diagnosing the presence of a tuberculous infection

Outcome of treatment of pulmonary tuberculosis in Switzerland in 1996.

Adequate treatment of pulmonary tuberculosis cures patients and reduces transmission. The study assesses treatment outcomes under current conditions in Switzerland. Retrospective cohort study including all TB cases with positive sputum cultures notified to the national surveillance system between July 1996 and June 1997. Ten months after notification, treating physicians reported the outcomes using WHO categories. Of 265 patients, 209 (79%) completed at least 6 months' treatment, 3 (1%) were treatment failures, 23 (9%) died, 8 (3%) defaulted from treatment and 22 (8%) left the country. The proportion of successful treatments did not significantly differ between the 103 Swiss-born (80%) and the 162 foreign-born (78%) patients. There were 19 deaths (18%) in the Swiss-born and 4 (2%) in the foreign-born groups; death was caused by TB in two patients, 10 died of other causes (cause unknown in 11). In the foreign-born group there were 31 (19%) potentially unsatisfactory outcomes (treatment failure, default from treatment, transfer abroad) and in the Swiss-born group 2 (2%). Default from treatment involved 8 patients, 6 of whom were asylum seekers. In a multivariate analysis potentially unsatisfactory outcomes were not significantly associated with foreign origin but with status as a foreigner of irregular or unknown legal status (adj. OR 8.8; 95% CI 1.4 to 53.7). Overall treatment success rates are satisfactory and similar to those of other western European countries. Potentially unsatisfactory outcomes are more common in foreign-born persons of irregular legal status. Tracking of non-adherent patients by health workers could further improve outcomes