Environmental Fatigue Screening of Primary Equipment for Subsequent License Renewal

2021 ◽  
Author(s):  
Adam Walker ◽  
Gregory Imbrogno ◽  
Mark Gray ◽  
Charles Tomes
Keyword(s):  
License Renewal

scholarly journals Site Visits Reveal Common Gaps in Instrument Reprocessing and Sterilization at Philadelphia Dental Clinics

2020 ◽  
Vol 41 (S1) ◽  
pp. s389-s390
Author(s):  
Tiina Peritz ◽  
Susan Coffin
Keyword(s):  
Public Health ◽  
Infection Prevention And Control ◽  
Environmental Cleaning ◽  
Department Of State ◽  
Inappropriate Use ◽  
Dental Clinics ◽  
Point Of Use ◽  
Policies And Procedures ◽  
License Renewal ◽  
And Control

Background: Most dental clinics lack resources and oversight related to infection prevention and control (IPC) practices. Few dental clinics undergo inspections by regulatory authorities unless the state licensing authorities receive a specific complaint. Many states, including Pennsylvania, do not have continuing IPC education requirements for dental providers. In 2018–2019, the Philadelphia Department of Public Health (PDPH) received and responded to multiple complaints and concerns related to IPC practices at dental clinics. Complaints were investigated in collaboration with the Pennsylvania Department of State (PADOS). Methods: Unannounced site visits were conducted at 7 Philadelphia dental clinics from December 2018 through September 2019 as part of the public health responses. Clinic evaluations and observations by PDPH certified infection preventionists focused on (1) IPC policies and procedures, (2) staff IPC training, (3) hand hygiene, (4) personal protective equipment, (5) instrument reprocessing and sterilization, (6) injection safety, and (7) environmental cleaning and disinfection. The CDC and the Organization of Safety, Antisepsis and Prevention (OSAP) checklists were adapted for this purpose. Results: Most dental practices we visited were small, unaffiliated, owner-operated clinics. The most common gaps we identified were associated with instrument reprocessing and sterilization practices, including inadequate separation between clean and dirty work areas, limited space and availability of sinks, inappropriate use of glutaraldehyde products for instrument cleaning (n = 3, 43%), extended reuse of cleaning brushes (n = 5, 71%), sterilization or storage of sterilized instruments without appropriate packaging (n = 2, 29%), lack of spore testing or reviewing results (n = 2, 29%), and lack of documentation of sterilizer run cycles and maintenance (n = 7, 100%). Additionally, most clinics did not have well-developed IPC policies and procedures, and staff IPC trainings were neither documented nor conducted annually. Alcohol-based hand sanitizer was often not available at the point of use. Conclusions: In Philadelphia, dental clinics often lacked IPC support and oversight. Lapses across multiple key IPC domains were common. These findings suggest that public health may have a role in providing IPC support to unaffiliated dental clinics. Licensing entities can also serve a role in improving IPC practices by more widely mandating continuing IPC education as part of the dental license renewal process.Funding: NoneDisclosures: None

scholarly journals Analysis of the structural girders of a crane for the license renewal of a BWR Nuclear Power Plant

2019 ◽  
Vol 17 ◽  
pp. 115-122
Author(s):  
Juan Cruz Castro ◽  
Edgar Hernández Palafox ◽  
Luis Héctor Hernández Gómez ◽  
Gilberto Soto Mendoza ◽  
Yunuén López Grijalba ◽  
...  
Keyword(s):  
Power Plant ◽  
Nuclear Power Plant ◽  
Nuclear Power ◽  
License Renewal

Overview of EAF Screening Results on the 900 MWe NPP French Fleet

2016 ◽  
Author(s):  
Thomas Métais ◽  
Nicolas Robert ◽  
Pierre Genette ◽  
Nicolas Etchegaray
Keyword(s):  
Power Plants ◽  
Screening Method ◽  
Experimental Tests ◽  
Degradation Process ◽  
Primary System ◽  
Transfer Coefficients ◽  
Screening Process ◽  
The Usa ◽  
License Renewal ◽  
The Impact

In the wake of numerous experimental tests carried out in air and also in a PWR environment, both abroad and in France, an update of the current thermal fatigue codification is underway in France. Proposals are currently being integrated in the RCC-M code [1]. In parallel, it is necessary to evaluate the impact of codification evolution on the RCS components. In the USA, such evaluations have already been implemented for license renewal to operate power plants beyond their initial 40 years of operation. In order to reduce the scope of the calculations to perform, a preliminary screening was carried out on the various areas of the primary system components: this screening is detailed in an EPRI report [2]. The output of this screening process is a list of locations that are most prone to EAF degradation process and it is on these zones only that detailed EAF calculations are carried out. In France, a similar approach was defined in the perspective of the fourth ten-year visit of the 900 MWe plants (VD4 900 MWe) so as to map out all the locations that are most impacted by EAF and hence concentrate the calculation effort on these specific areas for the VD4 900 MWe. In that respect, a specific methodology to evaluate the factor to account for environmental effects or Fen [3] based on correlations [4] for hot and cold shocks was established. These correlations use data that is readily accessible in transient description documents and stress reports such as temperature change, heat transfer coefficients, ramp duration and geometry. The need for these correlations is specific to the French context due to a need for a preliminary and yet precise idea of the overall impact of the modifications brought to the RCC-M code in fatigue before the VD4 900 MWe. This paper presents the results of the screening method that was applied to the whole RCS of the 900 MWe NPP fleet.

Operating Nuclear Plant License Renewal Program Status and Trends

2011 ◽  
Author(s):  
Garry G. Young
Keyword(s):  
Renewal Process ◽  
Nuclear Plant ◽  
Positive Trend ◽  
Plant Operation ◽  
Renewal Program ◽  
Status And Trends ◽  
The Status ◽  
Main Factors ◽  
License Renewal ◽  
The U.S

As of February 2011, the NRC has renewed the operating licenses for 62 nuclear units, which will allow for up to 60 years of safe nuclear plant operation. In addition, the NRC has license renewal applications under review for 20 units and nuclear plant owners of more than 17 units have announced plans to submit license renewal applications over the next few years. This brings the total of renewed licenses and announced plans for license renewal to over 95% of the 104 currently operating nuclear units in the U.S. This paper presents the status of the U.S. license renewal process, the positive trend in regulatory stability through 2007, and the negative trend in regulatory stability after 2007. From 2000 through 2007, the NRC was able to complete the license renewal review and issue renewed licenses in 30 months or less for 100% of the license renewal applicants. In fact, approximately 77% of the reviews were completed in 22 months or less. Since 2007, NRC reviews have become much less predictable, with 21% of the reviews exceeding 30 months and only 7% being completed in 22 months or less. In fact, some reviews currently underway have exceeded 60 months and the reviews remain incomplete. One of the main factors leading to the loss of timely regulatory reviews has been the NRC adjudicatory process for license renewal, although the safety and environmental review processes have also become less timely since 2007. The factors that contributed to the positive and the negative trends are presented.

Driver License Renewal for the Elderly: A Case Study

2003 ◽  
Vol 22 (1) ◽  
pp. 42-56 ◽  
Author(s):  
Nikiforos Stamatiadis ◽  
Kenneth R. Agent ◽  
Michael Ridgeway
Keyword(s):  
The Elderly ◽  
License Renewal

scholarly journals The patient with epilepsy and medicolegal aspects: a view for the neurologist

2019 ◽  
Vol 77 (10) ◽  
pp. 741-745
Author(s):  
Amur FERREIRA NETO SEGUNDO ◽  
Maren de Moraes e SILVA ◽  
Pilar Bueno Siqueira MERCER ◽  
Carolina REINERT ◽  
Emerson Faria BORGES ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Epileptic Seizures ◽  
Federal Law ◽  
Employment Agreement ◽  
Antiepileptic Medication ◽  
Driver's License ◽  
The Individual ◽  
License Renewal ◽  
Attending Physician ◽  
Patients With Epilepsy

ABSTRACT Patients with epilepsy face innumerable obstacles in daily life, related to work, permission to drive and interpersonal relationships, which require medical guidance. This paper reports a literature review based on scientific articles and civil and traffic system, as a way to resolve doubts about medical obligations in the patient’s permission to drive and work. An employment agreement requires the contractor to guarantee safety conditions as well as requiring the patient, at the pre-employment medical examination, to let the physician know previous medical conditions, including epilepsy. More than 90% of patients with epilepsy omit this information during the application assessment, thus being subject to imputation of ideological falsehood crime as disposied on article 299 of Brazilian Penal Code. Medical confidentiality breaches may only occur in specific situations. In Brazil, the authorization and driver’s license renewal is governed by the Brazilian Traffic Code (Federal Law n° 9503/1997). For patient evaluations, two groups are considered: those on antiepileptic medication and those on medication withdrawal. A favorable report from the attending physician is also required, in both categories. Seizures that occur exclusively during sleep, and focal aware events or prolonged aura are not differentiated from other seizure types disposed in the traffic law. It is the responsibility of the attending physician to analyze each patient individually to resolve conflicts between public safety and the individual patient’s independence. A frank and honest doctor-patient relationship is essential for the patient to understand the public and individual consequences of epileptic seizures and to feel comfortable seeking medical help.

Sign in / Sign up

Export Citation Format

Share Document