Management of the patient with minor traumatic brain injury

Staff in the accident and emergency department and critical care unit are often confronted with patients who have sustained life-threatening injuries. In such situations the symptoms of a minor traumatic brain injury (MTBI) may be missed. It is important that, when the physical symptoms begin to subside, nurses are aware of the symptoms of MTBI and respond accordingly. A post-concussion syndrome may develop 2 weeks to 2 months after a MTBI. This syndrome can affect the patient's ability to perform the usual activities of living. This article defines MTBI, describes the symptoms encountered in patients with MTBI, and outlines the pathophysiology, clinical findings, treatment and nursing interventions.     

Tuning a three-loop steam temperature regulation system using the method of evolutionary simulation

We present the results from tuning a PI controller and two differentiators for a three-loop steam temperature regulation system with two leading speed signals. The calculation was carried out with a numerical method using a simulation model and with the application of the authors’ version of the evolutionary optimization algorithm.     

Assessment of underground cable ratings based on distributed temperature sensing

Numerous power utilities have installed advanced distributed temperature sensing (DTS) systems to measure the temperature of underground cables. This paper presents a general procedure for real-time assessment of underground cable ratings based on DTS. After the identification and location of hot spots on a cable, the cable installation data, load, and DTS-recorded temperature over a period of time are used to estimate soil thermal parameters and assess cable ratings under normal and overloading conditions. In order to accurately estimate soil thermal parameters, a combined technique of the finite-element method and gradient-based optimization is used. The technique was validated in the laboratory and applied to a rating assessment of a 230-kV/500-MVA cable circuit. The assessed continuous and emergency ratings are helpful in improving the operation of this circuit.     

Effects of e-enforcement in the Netherlands

E-enforcement, or electronic enforcement, is the use of electronic tools in law enforcement. We shall distinguish between the first and second generations of e-enforcement. The first generation of e-enforcement tools provided means of "automated enforcement". This article is based on our research into the effects of two forms of second generation e-enforcement: the digital tachograph and 'Weigh in Motion' (WIM). The digital tachograph replaces the analog tachograph in all heavy goods vehicles within the European Union. The equipment registers drivers' driving and rest times. Weigh in Motion with Video (WIM-Vid) is a system involving sensors in the road and cameras, which detect and register overloading of heavy goods vehicles. The WIM-Vid system was developed and implemented in the Netherlands and is currently attracting international attention. We compare the situation prior to the introduction of these e-enforcement measures to the situation after the introduction of e-enforcement.     

Point/Counterpoint

POINT: AOP Will See Widespread Adoption Adrian Colyer, Rob Harrop, Rod Johnson, and Alexandre Vasseur AOP offers both the short--and long-term return on investment needed to ensure its widespread adoption. COUNTERPOINT: AOP Has Yet to Prove Its Value Danio Beuche and Cédric Beust Where is the proof that nonhierarchical modularization into aspects makes systems development cheaper or better?     

Software architecture-centric methods and agile development

The agile software development paradigm and plan-driven approaches each have their strengths and shortcomings. The former emphasizes rapid, flexible development, while the latter emphasizes project and process infrastructure. Many practitioners, particularly of agile methods, tend-to view software architecture in light of the plan-driven side of the spectrum. They think that architecture-centric methods are too much work, equating them with high-ceremony processes emphasizing document production. But many elements make up a successful development approach, including process, product, technology, people, and tools. Software architecture is part of product quality and isn't tied to a particular process, technology, culture, or tool. This article explores the relationship and synergies between architecture-centric design and analysis methods and the extreme programming framework. We chose to focus on XP because it's one of the most mature and best-known agile practices.     

Long-term testing and applications of high-stress MV EPR cables

High-stress design 35-kV ethylene propylene rubber (EPR)-insulated cables with 1.14-mm (45-mil) wall reduction have been in service for more than ten years. In the mid 1990s, an extensive cable testing program was initiated to demonstrate that high-stress designs up to 4 kV/mm (101.6 V/mil) exhibit a significant electrical and mechanical safety margin to operate on typical utility network systems. Investigations were also undertaken to demonstrate the suitability of accessories for high-stress designs. This paper will present the results of six-year, long-term wet electrical testing conducted to demonstrate that with proper design, the aging performance of standard wall and high-stress design cables provide satisfactory results and suitable performance for the intended application. Additionally, utility field experience is presented on 35- and 15-kV cables operating at high stress. The experience for these 15-kV medium-voltage EPR cable designs employ the highest recommended stress for cables of this class, as well as taking into account the complete system performance.     

Removal efficiency of subsurface vertical flow constructed wetlands for different organic loads.

Using subsurface vertical flow constructed wetlands (SSVFCWs) with intermittent loading it is possible to fulfil the stringent Austrian effluent standards regarding nitrification. For small plants (less than 500 persons) standards for ammonia nitrogen concentration have to be met at water temperatures higher than 12 degrees C, effluent concentrations and treatment efficiencies for organic matter have to be met the whole year around. According to the Austrian design standards the required surface area for SSVFCWs treating wastewater was 5 m2 per person. Within the first part of an Austrian research project the goal was to optimise, i.e. minimise the surface area requirement of vertical flow beds. Therefore, three SSVFCWs with a surface area of 20 m2 each have been operated in parallel. The organic loads applied were 20, 27 and 40 g COD/m2/d, which corresponds to a specific surface area requirement of 4, 3 and 2 m2 per PE, respectively. The paper compares the effluent concentrations and elimination efficiencies of the three parallel operated beds. It could be shown that a specific area demand of 4 m2 per person is suitable to be included in the revision of the Austrian design standard. Additionally it could be shown that during the warmer seasons (May-October) when the temperature of the effluent is higher than 12 degrees C the specific surface area might be further reduced; even 2 m2 per person has been proven to be adequate.