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Funding Acknowledgements Type of funding sources: Public grant(s) – EU funding. Main funding source(s): European Community’s 7th Framework Programme (HEALTH-F2-2009-602299) Ministry of Health, Czech Republic Background Three-dimensional (e.g., vectorcardiography) loops of normal physiologic QRS complex and T wave are known to be planar. Non-planarity of these electrocardiogram (ECG) loops was described in cardiac patients, mainly in relation to ischemic heart disease, but predictive values of the extent of non-planarity of the loops have not been systematically researched. Methods Pre-implantation digital ECGs were collected in 1948 cardiac patients (381 females, median age 65, inter-quartile range 56 – 72 years, 62% ischemic heart disease) who obtained an implantable cardioverter-defibrillator (ICD) for primary prophylactic reasons. In each ECG, QRS and T wave 3-dimensional loops were constructed using singular value decomposition and the non-planarity of the loops was measured as the relative power of the 3rd, least significant decomposition component. The non-planarity (i.e., the spatial twist) of the loops was related to all-cause mortality and to appropriate ICD shocks that occurred during the first 5 years after device implantation. This predictive power was compared to that of age, heart rate, left ventricular ejection fraction, QRS duration, spatial QRS-T angle, QTc interval, and T-peak to T-end interval. Results Non-planarity of the QRS loop was significantly associated with follow-up deaths despite ICD protection (p Conclusions The analysed data of recipients of prophylactic ICDs suggest that non-planarity of QRS complex and T wave loops offers distinction between patients who are at greater risk of death despite ICD protection and those who are likely to utilize the defibrillator protection.

Optical properties of Zr and its oxide have been measured on the surface of nuclear fuel cladding tubes. It has been shown that ellipsometry with focusing can routinely be used to measure thin layers and surface properties on Zr tubes with a diameter as small as 9.1 mm. Multi-sample and depth profiling models have been used to determine reference dielectric function spectra for both the Zr substrate and its oxide. Temporal behavior of the oxide thickness has been measured for oxidation temperatures of 600 °C and 800 °C. A vertical inhomogeneity of the oxide properties has been found by the optical measurements as well as by depth-profiling X-ray photoelectron spectroscopy investigations that revealed the formation of sub-oxides at the interface region of Zr and its surface oxide.

In order to evaluate the effect of zirconium breakaway oxidation on the behaviour of nuclear fuel in LOCA (Loss-of-coolant accident) conditions, high temperature (800–1200 °C) oxidation tests with E110 type cladding were performed in steam atmosphere. The onset time of breakaway oxidation was detected using an online method based on hydrogen release. The experimental results showed that the breakaway oxidation starts not earlier than 5 min after the start of the oxidation that is longer than the duration of dry phase in a design basis accident LOCA. The experiments give preliminary indication that the breakaway oxidation does not play role in design basis accident LOCA conditions with the E110 alloy. This is to be confirmed by transient oxidation tests.

In the course of recent years, several experiments were performed at MTA EK (Centre for Energy Research, Hungarian Academy of Sciences) on the isothermal high-temperature oxidation of the improved Russian cladding alloy E110G in steam/argon atmosphere. Using these data and designing additional supporting experiments, the oxidation kinetics of the E110G alloy was investigated in a wide temperature range, between 600 °C and 1200 °C. For short durations (below 500 s) or high temperatures (above 1065 °C) the oxidation kinetics was found to follow a square-root-of-time dependence, while for longer durations and in the intermediate temperature range (800–1000 °C) it was found to approach a cube-root-of-time dependence rather than a square-root one. Based on the results a new best-estimate and a conservative oxidation kinetics model were created.

Three different cladding types were tested for nuclear fuel in traditional light water reactors and generation IV gas-cooled fast reactors. Cr coated Zr cladding was tested in steam atmosphere up to 1200 °C to demonstrate moderate oxidation and hydrogen production in accident conditions. 15-15Ti stainless steel alloy and SiCf/SiC cladding tube samples were treated in helium atmosphere with different impurities for several hours at 1000 °C. Additional mechanical testing and microstructure examinations were carried out with as-received samples and with specimens after high temperature treatments. The experiments results indicated the applicability of the tested materials for reactor conditions in the investigated range of parameters.

The aim of the study was to evaluate the influence of the pore size of a polypropylene mesh on the shrinkage and elasticity of the mesh-tissue complex and the inflammatory reaction to the implant in an open onlay hernia repair.Twenty-one 10 × 10 cm samples of polypropylene meshes of a different pore size (3.0 × 2.8 mm-PP3, 1.0 × 0.8 mm-PP1 and 0.6 × 0.5 mm-PP.5) were implanted in an onlay position in 21 New Zealand white rabbits. After 90 days of implantation the shrinkage, elasticity and foreign body reaction (FBR) were assessed.The shrinkage of PP3 was 30.6 ± 4.3 %, PP1 49.3 ± 2.9 % and PP.5 49.5 ± 2.6 %. The shrinkage of PP3 was significantly lower (PP3 × PP1 p = 0.007, PP3 × PP.5 p = 0.005), PP1 and PP.5 were similar. The elasticity was similar. The strength of FBR in mesh pores was similar. The width of foreign body granuloma layers at the mesh-tissue interface was significantly reduced with increasing pore size (inner: PP3 10.1 ± 1.2; PP1 12.5 ± 2.9; PP.5 17.4 ± 5.2 and outer: PP3 21.2 ± 2.5; PP1 30.6 ± 6.3; PP.5 60.4 ± 14.9). All differences between the widths of granuloma layers were statistically significant (p 0.010). One animal (PP1) was excluded because of a mesh infection.Implantation of polypropylene mesh of a pore size of 3 mm in an onlay position is associated with a significant reduction of shrinkage in comparison to a 1 mm pore lightweight and 0.5 mm pore heavyweight mesh. A pore size increase to 3 mm is not sufficient for an improvement of mesh-tissue complex elasticity in comparison to a 1 mm pore lightweight and 0.5 mm heavyweight mesh. Polypropylene mesh with enlarged pores to 3 mm is associated with a similar strength of FBR in mesh pores and a reduced foreign body granuloma in comparison to a 1 mm pore lightweight and 0.5 mm pore heavyweight mesh.

An experimental database of E110 alloy has been developed on the basis of about 600 separate and combined effect tests of the Hungarian Academy of Sciences KFKI Atomic Energy Research Institute. It contains the data of oxidation, ballooning, tensile and compression tests, the results of post-test investigations, photos, figures, information concerning the test conditions and the corresponding English-language publications. The aim of this database is to give adequate information on the E110 cladding behaviour (oxidation, hydrogen uptake, mechanical performance) under accident conditions and to provide valuable experimental data for model development and code validation. This database is a part of the International Fuel Performance Experimental Database. It is accessible on-line, via the internet. This paper gives an overview of the experiments, the test facilities and conditions involved in the database. It presents the most important results and consequences and introduces the directory structure of the database.

A cleaning tank incident at Paks NPP resulted in severe fuel damage of thirty VVER-440 type assemblies. The fuel rods heated up due to insufficient cooling and the zirconium components suffered heavy oxidation. Opening of the tank and quenching of the assemblies by cold water led to fragmentation of brittle zirconium components. In order to improve the understanding of the phenomena that took place during the Paks-2 incident, integral tests with electrically heated fuel rods have been carried out. The experiments covered the whole scenario of the incident, including the long term oxidation in hydrogen rich steam atmosphere and final quenching by cold water. The final state of the bundles was very brittle, the fuel rods were fragmented and they showed many similarities with the results of the incident at the NPP. For this reason, it is very probable that the thermal conditions and chemical reactions were also similar in the tests and in the incident. The maximum temperature in the cleaning tank was probably in the range of 1200–1300 °C. The hydrogen in the Zr components could reach 20,000 ppm, while the hydrogen concentration in the atmosphere of the cleaning tank could be above 80 vol.%. The post-test examination of test bundles indicated that the high degree of embrittlement was a combined result of oxidation and hydrogen uptake by the Zr components.

Optical methods have been used for the sensitive characterization of surfaces and thin films for more than a century. The first ellipsometric measurement was conducted on metal surfaces by Paul Drude in 1889. The word 'ellipsometer' was first used by Rothen in a study of antigen-antibody interactions on polished metal surfaces in 1945. The 'bible' of ellipsometry has been published in the second half of the '70s. The publications in the topic of ellipsometry started to increase rapidly by the end of the '80s, together with concepts like surface plasmon resonance, later new topics like photonic crystals emerged. These techniques find applications in many fields, including sensorics or photovoltaics. In optical sensorics, the highest sensitivities were achieved by waveguide interferometry and plasmon resonance configurations. The instrumentation of ellipsometry is also being developed intensively towards higher sensitivity and performance by combinations with plasmonics, scatterometry, imaging or waveguide methods, utilizing the high sensitivity, high speed, non-destructive nature and mapping capabilities. Not only the instrumentation but also the methods of evaluation show a significant development, which leads to the characterization of structures with increasing complexity, including photonic, porous or metal surfaces. This article discusses a selection of interesting applications of photonics in the Centre for Energy Research of the Hungarian Academy of Sciences.

Three different liquid scintillation detectors NE213 with volumes varying by a factor of 32 were investigated for their response to high-energy photons

(1992). Crane's Maggie, A Girl of the Streets. The Explicator: Vol. 50, No. 4, pp. 225-228.

Positron emission tomography (PET) is used to distinguish between benign and malign tumors, to diagnose relapse or post-therapeutic changes. Lately, PET is used to predict the treatment response. and also a complementary method to determine target volumes in radiotherapy. Daily using of PET in the oncology praxis can change treatment strategy and improve its outcome. Results of this pilot study show the role of PET with 8-F-fluorodeoxyglucose ((18)FDG) for staging of cervical carcinoma and in the radiotherapeutic planning. Between March 2005 and May 2007, 51 patients with cervical carcinoma were treated with combination of external beam radiotherapy and HDR brachytherapy, with or without concomitant cisplatin. The lymphatic nodes treatment field size was determined by PET/CT fusion. Treatment results were evaluated by PET 3 and 9 months after treatment. The differences in the results of PET and CT were evaluated in this study. In 32 cases (62.75%) the results of PET and CT were identical, in 14 cases (27.45%) the nodal involvement was more extensive according to PET, in 5 cases (9.8%) the nodal involvement was more extensive according to CT. PET results 3 months after treatment were as follows: in 3 cases (5.88%) stable disease, in 35 cases (68.63 %) negative, in 4 cases (7.84%), progression of disease, in 3 cases (5.88 %) partial regression. There were no false positive results caused by inflammatory reaction persisting 3 months after radiotherapy, as was confirmed by repeating PET 9 months after treatment. The results of this study confirmed the important role of PET in diagnosis and treatment of cervical carcinoma and in determination of target volumes in radiotherapy. PET was found to be a standard staging examination of cervical carcinoma in Masaryk Memorial Cancer Institute. The predictive value of PET has not yet been validated.

The authors present their experience with treatment of 74 patients operated on for hepatocellular carcinoma. Resection could be performed only in 44 patients. In 19 cases, a catheter for regional chemotherapy was implanted. Tumor destruction with alcohol was performed 4 times and radiofrequency thermal ablation 5 times either as a single intervention or in addition to the resection. Liver cirrhosis was verified by histology in 29 operated patients. Hospital mortality: 2 operated patients. Median survival after the liver resection: 42 months, mean survival: 72 months. The importance of preoperative indocyanine green elimination test for the exact determination of functional capacity of the liver and the priority of radical resection as compared to the other treatment modalities are emphasized (Tab. 2, Ref. 12). Full Text (Free, PDF) www.bmj.sk.

In 2003 Georgian Parliament restricted smoking in all healthcare facilities to designated smoking areas. Observed compliance has been low. This quantitative study of airborne nicotine and particulate concentrations in nine healthcare facilities in Tbilisi and Region Kakheti in February, 2007 was a pilot to assess the degree of noncompliance with the law and to identify potential strategies for increasing compliance. Passive sampling of nicotine and active sampling of PM(2.5) in selected healthcare facilities. None of the facilities we monitored had designated smoking areas that met the legal requirements. Fifty of the 51 samplers registered concentrations of nicotine above the level of detection. Of these, 52% showed concentrations below 1 microg/m(3) nicotine, 27% showed concentrations between 1 and 5 microg/m(3) and 20% were above 5 microg/m(3). The highest nicotine levels were found in medical staff offices, and in undesignated "informal smoking areas". These data support qualitative observations that the law restricting smoking in Georgian healthcare facilities to designated areas is poorly enforced and does not protect patients and employees from secondhand smoke. These findings suggest that Georgian law should be changed to make all healthcare institutions smoke free environments and that there is a need for tobacco control programs targeted at medical professionals in Georgia.

Medulloblastoma, a primitive neuroectodermal tumor growing in cerebellum, is one of the most sensitive to radiation therapy childhood brain tumors. The radiotherapy is an essential method of treatment for these tumours, but the surgery is the primary treatment of choice in medulloblastoma. I this study between January 1997 and March 2005 were post-operative irradiated a total number of 33 pediatric patients aged under 15 years (median age 8.7 years) with medulloblastoma. All tumors were histologically proved and were localizated infratentorially in the posterior fossa. All of the patients were irradiated with a dose of 24-36 Gy to the whole craniospinal axis and boost with conformal therapy restricted to the tumor bed to the total dose of 50-54 Gy (30-36 Gy "high risk", 24-30 Gy "standard risk" group). Chemotherapy received 26 patients (78%). Patients with craniospinal irradiation were placed in supine position and fixed by a vacuum-form body immobilizer and head mask. Irradiation was performed using standard fractionation (5 fractions per week) with a single dose of 1.5-1.8 Gy for craniospinal axis by photon beam (6 MV) of the linear accelerator. The median overall survival for the whole group was 55.3 months. The median of disease-free survival was 20.6 months, 8 patients (24%) died. In our study the statistical difference in survival rate between standard and high-risk patients with medulloblastoma was not shown. No relationship was found between survival and age, sex or tumor size. Endocrine deficits occurred in 45% (8 patients of the group were hypothyroid, 6 patients needed growth hormone replacement therapy, 1 patient had early puberty). This results (results of overall and disease-free survival) and side-effects of technique of craniospinal axis irradiation in supine position are comparable with results of technique in prone position. Further evaluation of the effectiveness of our therapy is not feasible due to the small number of patients.

Augmented reality (AR) technologies are rapidly expanding into new application areas. However, the development of AR user interfaces and appropriate interaction techniques remains a complex and time-consuming task. Starting from scratch is more common than building upon existing solutions. Furthermore, adaptation is difficult, often resulting in poor quality and limited flexibility with regard to user requirements. In order to overcome these problems, we introduce an infrastructure for supporting the development of specific AR interaction techniques and their adaptation to individual user needs. Our approach is threefold: a flexible AR framework providing independence from particular input devices and rendering platforms, an interaction prototyping mechanism allowing for fast prototyping of new interaction techniques, and a high-level user interface description, extending user interface descriptions into the domain of AR. The general usability and applicability of the approach is demonstrated by means of three example AR projects.

Invertebrate central pattern generators (CPGs) can serve as the basis for building biomimetic controllers based on real biological principles. Here we describe a CPG made of electronic neurons and synapses for robotic applications and for possible use in a clinical neuroprosthetic device

Airway pressure release ventilation (APRV) allows ventilation and oxygenation to occur at lower peak and mean airway pressures than conventional positive pressure ventilation. The use of APRV in adults is an effective method of ventilation for patients with acute lung injury and acute respiratory distress syndrome. However, the use of APRV in children is less established. We report the use of APRV with a short release time of 0.2 s in a child with acute respiratory distress syndrome secondary to respiratory syncytial virus pneumonia.

OBJECTIVE: To develop estimates of state Medicaid expenditures attributable to smoking for fiscal year 1993. METHODS: The smoking-attributable fractions (SAFs) of state Medicaid expenditures were estimated using a national model that describes the relationship between smoking and medical expenditures, controlling for a variety of sociodemographic, economic, and behavioral factors. RESULTS: In fiscal year 1993, the SAF for all states (all types of expenditures) was 14.4%, with a range from 8.6% in Washington DC to 19.2% in Nevada. On average, SAFs ranged from a low of 7.9% for home health services expenditures to 21.7% for hospital expenditures. An estimated total of $12.9 billion of fiscal year 1993 Medicaid expenditures was attributable to smoking. The relative error of this estimate was 40.3%. CONCLUSIONS: Cigarette smoking accounts for a substantial portion of annual state Medicaid expenditures, with considerable variation among states. The range in expenditures among the states is due to differences in smoking prevalence, health status, other socioeconomic variables used in the model, and the level and scope of the Medicaid program.

Dosimetric characteristics of neutron and photon components of the mixed field have been determined at those four work places of nuclear power plant Dukovany where neutrons are of concern. The results were compared with data obtained at the nuclear power plant Ringhals and at the Central interim storage facility Oskarshamn, Sweden.

The response of an NE213 scintillator has been determined for photons induced in the detector assembly by neutrons with energies between 1 MeV and 16 MeV. Coupled MCNP4A/EGS4 Monte Carlo simulations were compared and adjusted to experimental data. The complete set of response matrices for neutrons, photons and neutron induced photons was then used to determined the spectral neutron and photon fluence of 239 Pu/ 13 C and 241 Am/ 9 Be sources.

SYNOPSIS A new species of the family Colpodidae, genus Colpoda O. F. Muller, Colpoda spiralis sp. n. is described. This organism has been found only in treehole fluid. Its species status is based on the possession of a unique and prominent preoral protuberance, multimicronuclearity, and the preference for a treehole habitat. Its range is known to include the tri-state area of Arizona, New Mexico and Utah, and the mixed-deciduous forests of Maryland. This species prefers treehole fluids with a pH > 7 and is naturally limited to tree species which possess these alkaline treeholes. It encysts as a treehole dries and excysts when the treehole is again filled by fluids from the tree, or rainwater.

Antigen detection methods may facilitate diagnosis of Giardia lamblia in stool specimens. As determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis analysis and immunoblotting, G. lamblia cysts and trophozoites share several antigens, especially in the 65-kilodalton and 30- to 34-kilodalton regions. By using blind methods, we compared results obtained by counterimmunoelectrophoresis using cyst-immune rabbit serum and by enzyme-linked immunosorbent assay (ELISA) using trophozoite-immune rabbit serum with results obtained by microscopic examination of a preserved, concentrated, and permanently stained stool specimen. Results were similar when these three methods were used to examine 118 stool specimens from clinical microbiology laboratories (53 specimens with G. lamblia) and specimens from 239 day-care-center toddlers (39 specimens with G. lamblia). Compared with microscopy, we found, for counterimmunoelectrophoresis and ELISA, respectively: sensitivity, 88 versus 94%; specificity, 97 versus 95%; positive predictive value, 86 versus 76%; negative predictive value, 98 versus 97%; and concordance, 89%. The false-positive rate by ELISA was 24% (10 of 42) in day-care-center toddlers but only 3% (1 of 32) in healthy adults (P less than 0.04) as corroborated by microscopy. This discrepancy suggests that the ELISA may be more sensitive than microscopy, which is considered the reference standard, and that results may be dependent, in part, on the epidemiology of the infection in the study subjects.

State immunization laws which exempt religious groups present difficult problems in disease control in measles epidemics. Two outbreaks are described, 136 cases in a college for Christian Scientists, and 51 cases associated with a camp attended by Christian Scientists. Control measures at the college included immunization and quarantine. An alternative strategy at the camp consisted of dispersal of exposed persons from the camp and their being quarantined in their home States. Three deaths (case-fatality ratio = 2.2 percent) were reported at the college; no serious complications were reported from the camp-associated epidemic. No transmission into the general community occurred in either epidemic. Public health officials are encouraged to be aware of the legal rights and obligations of religiously exempt groups so that outbreaks in these groups can be effectively controlled, even if standard immunization strategies are not possible. Early reporting and rapid case identification, investigation, and quarantine or vaccination procedures by public health workers are necessary for disease control in these settings.