Ineos (United States)

The use of electronic health records challenges the nurse-patient relationship. Collaborative documentation could help to change this. The aim of this review was to provide a synthesis of current knowledge on the impacts, as well as barriers and facilitators of collaborative electronic documentation in nursing settings. A mixed-methods systematic review was conducted. The search was conducted in November 2022. The study used thematic analysis for qualitative data and descriptive analysis for quantitative data. Data integration was performed using a convergent integrated approach according to the Joanna Briggs Institute methodology. The methodological quality of the included studies was critically appraised using the Mixed-Methods Appraisal Tool. A total of 17 studies were included. Study types were qualitative (n = 10), quantitative (n = 2), and mixed methods (n = 5). Multiple implementation practices were identified in different types of nursing settings. The facilitators and barriers were related to characteristics of nurses, patients, technology, and organization. Education and organizational support were identified to be essential in successful implementation. Collaborative documentation could be a way to overcome the challenges in nursing process associated with electronic documentation, as it can save nurses' time and improve patient experience. Implementation needs to be carried out with end-user patients and nurses.

Despite the fact that digital transformation introduces multiple advantages, it also introduces crucial security challenges, since it combines heterogeneous communications, the integration of digital devices, legacy technologies. In the case of power grid, in addition to damage to the availability, integrity and confidentiality of information; there may be manipulation and take control of assets through the infection of operational systems. In this context, powerful cybersecurity schemes and mechanisms that guarantee the safe transmission of information and the safe operation of assets are required. The goal is develop cyber security schemes and mechanisms based on intelligent cyber defense mechanisms that provide flexibility and self-learning capacity to support humans in the analysis and generation of containment measures against cyber-attacks. This paper presents the developed and validation of an Intrusion Detection and Prediction System (IDPS) based on individual classifiers and ensemble algorithms. The IDPS has demonstrated be an efficient countermeasure against several cyberattacks. The proposed IDPS uses J48 (decision tree), CLONAL-G (artificial immune system), bayesian classifier and ensemble algorithm and was validated with the KDDCup databases. The attacks in the data set are categorized into four attack types: DoS (denial-of-service attacks), R2L (root-to-local attacks), U2R (user-to-root attack), and Probe (probing attacks). The results show that the individual classifiers perform well for particular attack, so it was necessary to build an ensemble algorithm that combine the information from each classifier for better performance. The idea is not to rely on a single classifier for the decision, but rather individual information from different classifiers is combined to make the final decision.

No abstract available.

This paper discusses the technical assessment of recommended train unavailability and component unreliability baselines for the US Nuclear Regulatory Commission Mitigating Systems Performance Index. To perform this evaluation, recent data were compared with the recommended baselines. Comparisons indicate that the recommended baselines appear to accurately represent recent (1999 – 2001) industry experience.

A universal solvent extraction (UNEX) process for the simultaneous separation of cesium, strontium, and the actinides from actual radioactive acidic tank waste was demonstrated at the Idaho National Engineering and Environmental Laboratory. The waste solution used in the countercurrent flowsheet demonstration was obtained from tank WM-185. The UNEX process uses a tertiary solvent containing 0.08 M chlorinated cobalt dicarbollide, 0.5% polyethylene glycol-400 (PEG-400), and 0.02 M diphenyl-N,N-dibutylcarbamoyl phosphine oxide (Ph2Bu2CMPO) in a diluent consisting of phenyltrifluoromethyl sulfone (FS-13). The countercurrent flowsheet demonstration was performed in a shielded cell facility using 24 stages of 2-cm diameter centrifugal contactors. Removal efficiencies of 99.4%, 99.995%, and 99.96% were obtained for 137Cs, 90Sr, and total alpha, respectively. This is sufficient to reduce the activities of 137Cs, 90Sr, and actinides in the WM-185 waste to below NRC Class A LLW requirement s. Flooding and/or precipitate formation were not observed during testing. Significant amounts of the Zr (87%), Ba (>99%), Pb (98.8%), Fe (8%), Ca (10%), Mo (32%), and K (28%) were also removed from the feed with the universal solvent extraction flowsheet. 99Tc, Al, Hg, and Na were essentially inextractable (<1% extracted).

During the summer and fall of Fiscal Year 1997, a Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) Treatability Study was performed at the Idaho National Engineering and Environmental Laboratory. The study involved subsurface stabilization of a mixed waste contaminated soil site called the Acid Pit. This study represents the culmination of a successful technology development effort that spanned Fiscal Years 1994-1996. Research and development of the in situ grout stabilization technique was conducted. Hardware and implementation techniques are currently documented in a patent pending with the United States Patent and Trademark Office. The stabilization technique involved using jet grouting of an innovative grouting material to form a monolith out of the contamination zone. The monolith simultaneously provides a barrier to further contaminant migration and closes voids in the soil structure against further subsidence. This is accomplished by chemical incorporation of contaminants into less soluble species and achieving a general reduction in hydraulic conductivity within the monolith. The grout used for this study was TECT-HG, a relatively dense iron oxide-based cementitious grout. The treatability study involved cold testing followed by in situ stabilization of the Acid Pit. Volume 1 of this report discusses cold testing, performed as part of a ''Management Readiness Assessment'' in preparation for going hot. Volume 2 discusses the results of the hot Acid Pit Stabilization phase of this project. Drilling equipment was specifically rigged to reduce the spread of contamination, and all grouting was performed under a concrete block containing void space to absorb any grout returns. Data evaluation included examination of implementability of the grouting process and an evaluation of the contaminant spread during grouting. Following curing of the stabilized pit, cores were obtained and evaluated for toxicity characteristic leach ing procedure protocol for the main contaminant of concern, which was mercury. In addition, the cores were evaluated for the extent of mixing of the injected grout and the contaminated soil. A postgrouting geophysical evaluation of the grouted pit is presented.