scholarly journals Wet loads – a phenomenon or by design?

Author(s):  
Alan Heavey

Having been involved in moist heat sterilization and autoclaves for over 40 years it fascinates me that there still exists in our industry confusion and misunderstanding in relation to wet loads. I have therefore decided to write this short story to highlight the fact that, despite the occasional (or should we say frequent) denial within our industry of the existence of wet loads, they do actually occur in relation to porous/hardware loads autoclaved within the pharmaceutical and biotech industry. In fact, I would like to receive a pound for every time I have been asked the question, “Alan, when is wet, wet?” This story is not to discuss whether loads should be wet or dry, but rather to discuss how to avoid the manifestation of a wet load in the first place by effective system design and good practice. And to save production time. Isn’t that worth reading about? So, where to start? I would suggest that like all good stories, we should start at the beginning…….

2007 ◽  
Vol 6 (4) ◽  
pp. 217-223
Author(s):  
Gillian Thompson

AbstractThis paper explores some of the issues around implementing a consent policy within the radiotherapy department. Consent can be defined as a patient’s agreement for a health care professional to provide care. The NHS Plan1 highlighted the need for quality care centred around the patient and for changes in the way patients are asked to give their consent to treatment. This led to the Department of Health (DoH) publishing a Good Practice in Consent Implementation Guide (2001)2 for use within all NHS Trusts from 1 April 2002, which aimed to provide consistency across the NHS and provides a policy model and generic consent forms.The policy recommends that the health professional carrying out the procedure is ultimately responsible for ensuring that the patient is genuinely consenting to what is being done, as it is they who would be held responsible in law should a case be made by a patient against a health professional. In radiotherapy, it is the Clinical Oncologist who obtains consent as they are responsible for prescribing courses of treatment; however, it is the Radiographer’s role to deliver this treatment. This paper discusses some of the issues around implementing a consent policy in terms of who can give and confirm consent, and what are the requirements for training if the patient is to receive the appropriate information before making the decision to consent to treatment.


2013 ◽  
Vol 457-458 ◽  
pp. 793-796
Author(s):  
I. Mimorov ◽  
I. Livshits ◽  
V. Vasilev

This paper describes the new method that improves the processing and storing of data, which was used during the development of distance teaching system. Usage of a modern methodologies and good practice has reduced the time cost for working with information, helps to identify the out of day information, operate potential risks and shows how to receive competitive advantages.


1999 ◽  
Author(s):  
Edmund J. Hughes ◽  
Thomas G. Richards ◽  
Derek G. Tilley

Abstract Fluid power system design is a skilful and complex task requiring significant practical experience and heuristic knowledge gained over many years. Industries specifying and/or designing fluid power systems in their products are at risk should they lose key personnel with this knowledge. This problem is compounded by a lack of formal training at the graduate level, creating a shortfall in qualified fluid power designers. Design support tools that assist and guide designers in their work, as part of a Concurrent Engineering approach, should be capable of providing both good practice guidance and a framework into which product specific information can be stored for later reuse. This paper discusses the early development of a fluid power system design tool that seeks to offer this support using a methodology developed in hypermedia.


2015 ◽  
pp. 867-933
Author(s):  
N V Lowe ◽  
G Douglas

Most of the legislation governing the financial arrangements on the ending of a marriage dates back over 40 years, when attitudes and economic and social factors affecting marriage were very different. This chapter examines courts' attempts to keep the law in step with societal changes through case-law. It considers how the orders made by the courts are enforced or altered in the light of subsequent events, and what provision can be made for spouses who are divorced abroad and may have been unable to receive appropriate financial protection in those proceedings. It concludes by discussing proposals for thoroughgoing reform of this area of law.


Author(s):  
Taishi Muraoka

AbstractCognitively demanding electoral systems increase the chance that voters make their choices based on politically irrelevant cues. To illustrate this argument, I analyze the effect of candidate name complexity—a visual cue that contains no politically meaningful information—in Japan, where voters need to write their preferred candidate's name on a blank ballot paper. I find that when electoral systems require voters to weigh a large number of candidates and simultaneously reduce the usefulness of partisan cues, candidates with more complex names tend to receive lower vote shares. By contrast, under less cognitively demanding systems, candidate name complexity has no effect on election outcomes. These findings have important implications for the debate on the “best” electoral system design.


2007 ◽  
Vol 29 (6) ◽  
pp. 30-31

Bristol University's Department of Biochemistry has won a prestigious silver SWAN (Scientific Women's Academic Network) award for excellence in recruiting and encouraging women in SET (science, engineering and technology). It is the first biochemistry department in the country to receive the honour. The department has increased the number of female academic staff and significantly increased the number of women applying for, and securing, promotion. Bristol University won a bronze SWAN award last year. Head of Department and Chair of the Biochemical Journal Editorial Board Professor George Banting said: “The department appreciates this external recognition of what it considers to be ongoing good practice within the Department of Biochemistry. The Royal Society's Athena organization is an august body and we are proud to be the first biochemistry department in the country, and the first department in the University of Bristol, to receive a silver SWAN award.” The Biochemist asked him to tell us more.


Author(s):  
Claude Velter ◽  
Hugo Nijkamp ◽  
Simone Jay

Abstract In June 2018, about 218 metric tons of heavy fuel oil gushed into the harbor of Rotterdam (NL) following the rupturing of the hull of the Bow Jubail at a jetty. Due to tidal activity, the oil from the unloaded chemical tanker quickly spread out over a 30+ km waterway where many hundreds of Mute swans were moulting at the time. A citizen's initiative quickly led to the capture of over 200 swans from the water and shores, and their transport to some bird rehab centers in the immediate neighborhood. For the authorities this massive impact that overwhelmed the available resources of the permanent centers was the trigger to activate the national oiled wildlife response plan. The activation of the national plan goes hand in hand with the decision to build a large temporary facility that needs to be fully operational within 48 hours to receive the impacted live animals for treatment. The building of the such a facility, but also the staffing that is needed to care for 600 impacted swans is a challenging task and needs fast decision taking by experts who can oversee the particular needs of swans, and are able to inform logistics about equipment and materials needed. In parallel, a large number of experts must be mobilized who can lead and process the impacted animals once the temporary facility is ready for operations. For some part these resources were available in the Netherlands, but many more experts needed to be mobilized from abroad. The mobilization procedures of both EUROWA network and the GOWRS network were activated, leading to a large number of experts who indicated their availability. Meanwhile, the authorities took decisions on the authorization of the international mobilization, and when green lighted, the experts were asked to come over. This paper describes the decision making in the early days, and the way that arriving experts were deployed in the facility. The use of international guidelines for this process and the ease by which international experts could work together thanks to many years of investments into local and international preparedness will be highlighted. The rehabilitation of 522 mute swans took a full month (30 days), after which 97.5% of the animals had been successfully released.


PEDIATRICS ◽  
1968 ◽  
Vol 41 (4) ◽  
pp. 815-817
Author(s):  
Robert J. Haggerty

Anyone who is sure of the indications for removing tonsils and adenoids is surely naive and anyone who attempts to write about it impolitic, for little in medicine elicits more strong or divergent opinions. Living in Rochester, New York, where Dr. Albert Kaiser carried out his courageous community studies1 over 40 years ago may give me some license to write about the problem but should also keep one humble for even here, its hometown, the study is little known. In the early 1920's Kaiser was able to organize a community-wide program which accomplished the incredible job of removing tonsils and adenoids from 10,000 of the then 50,000 children in Rochester in a 5-month period. The major follow-up data2 were on 5,000 of these children who had the operation and were able to be followed for 10 years after operation. Comparison was made between a subsample of 2,200 of these and a like number who had been recommended for tonsillectomy and adenoidectomy but never had had the operation. While there are many defects in this study compared to the ideal controlled trial, it would comfort Dr. Kaiser to know that no other study since has been able to do much better, since clinical trials to determine the effectiveness of an operation can rarely be controlled in the sense of random assignment of patients and practically never double blind (this would require sham operations). It is worth reading Kaiser's works again for, though widely touted as a condemnation of the procedure, they are in fact no such thing.


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