bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Effective is Cultural Competence Training of Healthcare Providers on Improving Patient Satisfaction of Minority Groups? A Systematic Review of Literature
Authors: Govere Linda , Govere Ephraim M. 
Published: October 2016

ABSTRACTBackgroundWith the rapid growth of minority populations in the United States, the need to train healthcare providers to give culturally competent care has never been greater. Extensive research on cultural competence of healthcare providers has been conducted, but no systematic review specifically focused on the effect of cultural competence training on patient satisfaction of clients from minority groups.AimsTo search and critically appraise published research articles that evaluated the effectiveness of cultural competence training of healthcare providers on improving patient satisfaction of clients from minority groups.MethodsUsing MeSH entry terms: Competency, Cultural; Cultural Competencies; Cultural Competence; Competence, Cultural; Satisfaction, Patient; and non‐MeSh text words: Cultural Awareness, Cultural Sensitivity, Cultural Competence Training, Cultural Sensitivity Training, and Cultural Awareness Training, a comprehensive literature search of peer‐reviewed articles from 2002 to 2014 in CINAHL, Cochrane, PsycINFO, PubMed, and Web of Science databases was conducted. Original studies that reported cultural competence training and measured its impact on patient satisfaction were included. Quality of the reviewed studies was assessed on the basis of methodological limitations related to experimental design, sample size and sampling approaches, and ethnic spread of the participants.ResultsSeven studies met the inclusion criteria. Six studies revealed that cultural competence training intervention significantly increased the cultural competence level of healthcare providers. Five studies demonstrated that cultural competence training of healthcare providers was significantly associated with increased patient satisfaction.Linking Evidence to ActionCultural competence training is an effective intervention that enables healthcare providers to give culturally competent care that increases satisfaction of patients from minority groups. However, more research with better research designs, large sample sizes, and validated standardized cultural competence and patient satisfaction assessment tools is needed to unequivocally attribute cultural competence training to patient satisfaction.
Health Risk Assessment for Transport Corridors in Delhi through Vehicular Air Polluting Mapping
Authors: Kumar Nitin , Kumar Amrit 
Published: October 2016

Vehicles are recognized as one of the major sources of air pollution. Delhi having a very large number of vehicles produces a lot of air pollution. There is an utter need to ascertain the concentration of the pollutants and their impact on the health of the people of the concerned region. This paper makes an attempt towards such an examination. The method employed here is based on Epidemiology. The assessment of health risks due to increased levels of various pollutants on people represented in this paper is based on the spreadsheet model, Risk of Mortality/Morbidity due to Air Pollution (Ri–MAP). This paper presents the findings of the study that evaluates the Impact of increasing air pollution on human health, especially vehicular pollution, in the monitored region, i.e., National Capital Territory of Delhi (NCT Delhi) during the year 2015 by choosing fifteen study sites from different parts of the capital city. The findings are in terms of excess number of cases of cardiovascular and respiratory mortality, and cardiovascular and respiratory morbidity for all fifteen transport corridors. Among others, Noida link road recorded highest excess number of cases of cardiovascular mortality and morbidity and respiratory Morbidity. In case of respiratory mortality, Wazirabad road recorded maximum excess number of cases. With respect to least excess number of cases, it was Connaught Place (Outer circle). The excess number of cases are directly proportional to the population density of the respective region. Also, the regions showing smaller excess number of cases are the planned, less crowded and posh regions of the national capital territory of Delhi.
DEODORIZING MORINDA CITRIFOLIA (MENGKUDU) STRONG ODOR JUICE BY β-CYCLODEXTRIN-ORGANIC ACIDS INCLUSION
Authors: Shong Yien Yeap , Hassan Osman , Zubairi Saiful Irwan 
Published: October 2016

Morinda citrifolia (noni) which is locally known as mengkudu in Malaysia, is a small evergreen tree usually found growing in open coastal regions at sea level and in forest areas. It has been reported to have various therapeutic effects, including having anticancer activities, in clinical practices and laboratory animal models. However, consumers mostly avoid consuming mengkudu products due to mengkudu’s sensory properties such as a strong rancid-like odor that is released when the mengkudu fruit is fully ripe. Therefore, this study was conducted to determine the effectiveness of β-cyclodextrin in deodorizing the unpleasant odors in mengkudu juice which are mainly caused by medium chain fatty acids such as hexanoic acid, octanoic acid and decanoic acid. Initially, the optimal molar ratio for the encapsulation of hexanoic, octanoic and decanoic acid by β-cyclodextrin was constructed as a model system prior to the encapsulation of the juice. The formation of inclusion complex between all acids and β-cyclodextrin was verified by means of differential scanning calorimetry (DSC). Next, four dry weight ratios of mengkudu juice to β–cyclodextrin (1:0.5, 1:1, 1:1.5 and 1:2) were selected to determine the degree of the effectiveness of β-cyclodextrin in encapsulating unpleasant odors via gas chromatography-mass spectrometry (GC-MS). Based on the results, inclusion complex formation was confirmed by DSC through the disappearance of a melting point for pure acid, and shifting to a lower melting point from the pure β–cyclodextrin after the encapsulation process. Moreover, there were significant differences observed between hexanoic acid and octanoic acid content in the mengkudu juice before and after adding β-cyclodextrin (p<0.05). On the other hand, the results obtained from GC-MS and sensory evaluation had contributed to an optimum entrapment of fatty acids at the optimal dry weight ratio of 1:0.5 (dry weight of mengkudu: β-cyclodextrin). Hence, the ability of β-cyclodextrin as a masking agent has been proven to be able to reduce the odor-based fatty acids in mengkudu juice.
PREDICTION AND OPTIMIZATION OF ETHANOL CONCENTRATION IN BIOFUEL PRODUCTION USING FUZZY NEURAL NETWORK
Authors: Ezzatzadegan Leila , Morad Noor Azian , Yusof Rubiyah 
Published: October 2016

In recent years, producing economical biofuels especially bio-ethanol from lignocellulosic materials has been widely considered. Fermentation is an important step in ethanol production process. Fermentation process is completely nonlinear and depends on some parameters such as temperature, sugar content, and PH. One of the difficulties in producing biomass is finding the optimum point of the interrelated parameters in the fermentation step. In this study, an elaborate prediction Neuro-Fuzzy model was built to predict the bio-ethanol production from corn stover. Also, particle swarm optimization (PSO) method was used to optimize the three studied parameters: temperature, glucose content, and fermentation time. The attained correlation coefficient (0.99), and root mean square error (0.637) for model validation show the reliability of the model. Optimization of the model shows the optimum fermentation time and required temperature quantities, 69.39hours and 34.50 ͦC, respectively. The good result for ANFIS modeling on fermentation process in bio-ethanol production from corn stover shows that this method can be used to investigate more about other biomass lignocellulos sources.
INVESTIGATION OF LOW SALINE WATER’S EFFECTS ON RELATIVE PERMEABILITY IN CARBONATE RESERVOIRS
Authors: Hematpour Hamed , Parvazdavani Mohammad , Abbasi Saeed , Mahmood Syed Mohammad 
Published: October 2016

Low Salinity Water flooding (LSW) is one of the favorable subsets of water flooding EOR methods due to its great advantages over normal water flooding; having a low cost of operation and being environmentally-friendly. LSW has been studied in mathematical, experimentally and practically point of view in numerous numbers of sandstone cases in the worldwide. Existing of giant carbonate reservoirs containing a great amount of petroleum in the regions of the North Sea and the Middle East have been turned into a motivation for the relevant experts to focuses on the possibility of running an LSW project in a carbonate reservoir. Accordingly, this paper aims to investigate this possibility through running two sets of flooding tests on selected cores from one of Iranian carbonate reservoirs. In more details, on each core two water flooding tests have been conducted in which the first test have been run by a sample of water from the Persian Gulf with high salinity and in the second one the injected water has been from Karoon River with a lower rate of salinity. Then, the recovery factor from both tests of a target core has been compared. The results indicate that running an LSW have been caused improvement in recovery factors which was approved by relative permeability curves analysis.
Experimental Study of Steam Pressure Suppression by Condensation in a Water Tank at Sub-Atmospheric Pressure
Authors: Mazed Dahmane , Lo Frano Rosa , Aquaro Donato , Del Serra Daniele , Sekachev Igor , Orlandi Francesco 
Published: October 2016

The Vacuum Vessel Pressure Suppression System (VVPSS), a key safety system of the ITER plant, is designed to protect the Vacuum Vessel (VV) from over pressure occurring in the case of LOCA (Loss Of Coolant Accident) or other pressurizing accidents such as LOVA (Loss Of Vacuum Accident). The steam condensation in the Suppression Tanks (main elements of the VVPSS system), occurs at sub-atmospheric pressure.
The steam condensation, at pressures equal or greater than the atmospheric, has been numerically analyzed and experimentally investigated in the past in order to optimize the design of the pressure suppression system of boiling water nuclear reactors.
However, very limited experimental data is available concerning the steam condensation in a water tank at sub-atmospheric pressure. In order to analyze the steam condensation in these operating conditions, an experimental study, funded by ITER Organization, is conducted at the Department of Civil and Industrial Engineering (DICI) of University of Pisa.
The tests analyze the condensation of saturated or superheated steam at sub-atmospheric pressures (4.2 kPa and slightly above the water vapour saturation pressure), and pool temperature up to 50°C at several heights of water head.
The experimental facility, to perform this study, has been set up with a significant scaling factor regarding the full size installation at ITER. In this paper the experimental rig, the conditions of the experiments, and the test matrix are presented. The temperature and pressure measurements with details of the data acquisition system are described.
The tests were performed at different patterns of the sparger exit holes (1, 3 and 9) and for three steam mass flow rates per one hole. The results show very high efficiency of condensation for all examined conditions.
Finally, a comparison between the condensation regimen at sub-atmospheric and at atmospheric pressure is discussed.
Experimental Investigation of Static Characteristics of Swing and Tilting Disc Check Valves
Authors: Marcinkiewicz Jerzy , Adamkowski Adam , Lewandowski Mariusz , Janicki Waldemar 
Published: October 2016

The presented experimental investigations of static characteristics of check valves are a contribution to work leading to improve check valve models in 1D network programs. Two designs of check valves were tested: a swing disc and a tilting disc check valve. For each type of these valves static characteristics for the two directions of water flow were performed.
Following physical quantities were measured during the experiments: the angular position of the valve closing element (disc), water discharge, pressure losses caused by the check valve, moment of the hydrodynamic forces acting on the valve disc and pressure at selected locations of the flow system of the test rig.
The paper describes the test rig designed for developing the static characteristics of the check valves and presents the results of tests for the characteristics of the swing and tilting disc check valve under steady flow conditions. These characteristics are presented as time-averaged parameters measured during the tests. Following dimensionless quantities are calculated basing on these parameters:
- the flow rate coefficient,
- the coefficient of the moment of hydrodynamic forces acting on the valve disc,
- the local loss coefficient of the valve.
The above-mentioned coefficients were determined for disc angular position of selected values (opening rate) and interpolated within the full range of openings for both directions of flow through the valve.
The static behaviors of the tested valves are discussed and compared with each other.
Research on Manufacturing Technology of China Experimental Fast Reactor Fuel Rod
Authors: Hu Yu , Wang Jianhong 
Published: October 2016

CEFR, which is the acronym of China Experimental Fast Reactor, as the fourth generation advanced nuclear power system, plays a very important role in the development of nuclear industry in the future. Currently, as a kind of study, has not yet formed a fuel rod and fuel assembly manufacturing company in China. Realizing the localization of fast reactor fuel rod, fuel assembly and equipment has a very positive meaning to China’s nuclear industry development. At the same time for the CJNF’s development, promoting the manufacture level and scientific research technology of product, the research plays an extremely important role.
In this paper, a fuel rod extrusion pit device and a fuel rod cladding pipe wire equipment have been designed according to the characteristic of fast reactor components. The fuel rod extrusion pit device to ensure pit deepness is 1.8–2.0mm, the radius of pit is 3mm, three pits into each other 120°, deviation is ±5°, the distance is 450.4±0.3mm. And the fuel rod cladding pipe wire equipment meet the product technical requirements for the pitch of 100±5mm, each distance deviation shall not be more than ±15mm, wire tension force for 100±20N. Massive tests on the extrude pits, press plug, load pellet, wire and spot welding, fuel rods ring welding and other important process step have been conducted and develop a set of optimized production plan.
Fast reactor fuel rods structure have a enormous difference with the past other types of products have, the control of the input power for welding and an increase in the pressure of sealed welding chambers have been employed and avoided the problem of weld inflatable and weld porosity successfully. Results showed that the study on manufacturing of fast reactor fuel rod achieves success and realize the localization of fast reactor fuel rod in CJNF.
Improvement of FAC Maintenance Program Issued From BRT-CICERO™ via CFD Calculations
Authors: Gipon Elodie 
Published: October 2016

Flow Accelerated Corrosion (FAC) is very effective for nuclear power plant. This generalized corrosion can lead to the rupture of pipe and in some dramatic cases to casualties. During the last 20 years Electricité de France (EDF) has developed software called BRT-CICERO™ for the surveillance of the carbon steel piping system of its Nuclear Power Plants (NPPs). This software enables the operator to calculate the FAC wear rates by taking into account all the influencing parameters such as pipe isometrics, alloy content, chemical conditioning, design and operating parameters of the steam water circuit (temperature, pressure, etc…). This is a major tool to help operators organize their maintenance and inspections plan.
The algorithms implemented in BRT-CICERO™ are based on tests conducted by EDF R&D, empirical results (national and international feedback), literature reviews and on permanent adjustments based on the operating feedback, via statistical studies. However, for some piping components, from the turbine’s hall, flow dynamics are not optimized and calculated FAC kinetics may be too conservative.
EDF is committed for optimizing and increasing reliability of its maintenance programs to prevent the risk of pipe rupture due to FAC. As in consequence EDF is leading continuous improvement in parameters and calculation algorithms for BRT-CICERO™. Furthermore studies on the geometric characteristics of the pipes were conducted. In BRT-CICERO™ geometric effect of a pipe component (elbow reduction, tees …) is taken into account by considering a factor called “Geo” in the calculation to tune the thickness loss rate according the component type, its characteristics and specific effect on flow mass transfer.
EDF implements finite element analysis software to compute the mass transfer coefficient k and so ascertain the “Geo” coefficient. These computed “Geo” coefficients are compared to those used in BRT-CICERO™. If necessary, current “Geo” coefficients used in BRT-CICERO™ will be adjusted and optimized to improve maintenance programs issued from the software.
The presentation deals with the calculation method used for these studies and some results will be shown on tube and elbows.
Trend Analysis of Loss of Offsite Power Events
Authors: Volkanovski Andrija , Ballesteros Avila Antonio , Peinador Veira Miguel 
Published: October 2016

This paper presents the results of the trend analysis of Loss of Offsite Power (LOOP) events registered in two reviewed databases. The reviewed databases include the Nuclear Regulatory Commission (NRC) Licensee Event Reports (LERs) database and the IAEA International Reporting System (IRS). Both databases were screened for the relevant events registered in period 1990 to 2012.
The statistical analysis of the identified relevant LOOP events is done. The analysis includes assessment of the LOOP initiating event frequency, distribution of the events per year in the analysed period and trend analysis of the identified events. The LOOP frequency is calculated for LOOP events registered in NRC LERs subdivided into four types by cause or location: plant centered, switchyard centered, grid related, and weather related. These four LOOP categories are assessed for two modes of operation (critical and shutdown operation).
The number of LOOP events in each year over the analysed period and distribution of events per unit in given year were assessed from the reviewed databases.
Trend analysis of the identified events is performed with the utilization of four trend measures. Analysis is done for events registered during power and shutdown operation and their sum. The obtained LOOP frequency for events registered NRC LERs for critical and shutdown mode is comparable to the one assessed in NUREG/CR-6890.
Decreasing trend is obtained for the LOOP events registered for events in NRC LER database. Different trends are identified during critical and shutdown modes of operation for the events registered in the IAEA database. The sum of the LOOP events reported during critical and shutdown modes in IAEA IRS show no trend.
Stand-Alone Containment Analysis of the PHÉBUS FPT-1 Test With the ASTEC and the MELCOR Codes
Authors: Gonfiotti Bruno , Paci Sandro 
Published: October 2016

The estimation of Fission Products (FPs) release from the containment system of a nuclear plant to the external environment during a Severe Accident (SA) is a quite complex task. In the last 30–40 years several efforts were made to understand and to investigate the different phenomena occurring in such a kind of accidents in the primary coolant system and in the containment. These researches moved along two tracks: understanding of involved phenomenologies through the execution of different experiments, and creation of numerical codes capable to simulate such phenomena. These codes are continuously developed to reflect the actual SA state-of-the-art, but it is necessary to continuously check that modifications and improvements are able to increase the quality of the obtained results. For this purpose, a continuous verification and validation work should be carried out.
Therefore, the aim of the present work is to re-analyze the Phébus FPT-1 test employing the ASTEC (F) and MELCOR (USA) codes. The analysis focuses on the stand-alone containment aspects of the test, and three different modellisations of the containment vessel have been developed showing that at least 15/20 Control Volumes (CVs) are necessary for the spatial schematization to correctly predict thermal-hydraulics and the aerosol behavior. Furthermore, the paper summarizes the main thermal-hydraulic results, and presents different sensitivity analyses carried out on the aerosols and FPs behavior.
Probabilistic Prediction of Fatigue Life of Pipes Under Turbulent Fluid Mixing
Authors: Costa Garrido Oriol , Cizelj Leon 
Published: October 2016

This paper presents a recently proposed analysis of the uncertainties involved in the thermal fatigue assessment of pipes under turbulent fluid mixing. The assumed overriding contributor to the uncertainty of the predicted fatigue life is the variability inherent in the temperature histories of the turbulently mixing fluids, which intrinsically depends on the length of temperature histories considered in the assessment.
The fluid temperature histories are generated with an improved spectral loading approach within the temperature variation space, which includes all physically possible temperature fluctuations and all flow regimes. The results of the presented analysis are compared with the typical sinusoidal method, emphasizing the well-known over-conservatism of this method.
This paper extends the analyses to the initial thermo-mechanical transient of the pipe wall around the mixing fluids and its influence on fatigue life predictions. The high stresses arising at the beginning of the transient yield, generally, conservative life time results. In a separate sensitivity analysis, the impact of the heat transfer coefficient on fatigue predictions is also studied. This is the first attempt to correlate the uncertainties in the physical fluid mixing conditions and heat transfer to the estimated fatigue life.