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Journal articles on the topic "Pill prep"

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Pelletier, Sara Jeanne, Marie-Pierre Gagnon, Souleymane Diabaté, et al. "Pre-Exposure Prophylaxis (PrEP) in Men Who have Sex with Men in Bouaké, Côte d’Ivoire: A Qualitative Evaluation of Acceptability." Open AIDS Journal 13, no. 1 (2019): 49–58. http://dx.doi.org/10.2174/1874613601913010049.

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Background: HIV remains an important public health issue throughout the world. In Côte d’Ivoire, a high burden of HIV is observed in men who have sex with men (MSM). Objective: We assessed the acceptability of Pre-Exposure Prophylaxis (PrEP) among men who have sex with men (MSM) in Bouaké, Côte d’Ivoire. Methods: We conducted and analysed four focus groups with 31 HIV-negative MSM and eight in-depth individual interviews with participants recruited from the focus groups. Results: Four MSM (13%) were aware of PrEP before participating in the study. All the participants were interested in taking PrEP if available: 19 (61.3%) would prefer the daily regimen and 12 (38.7%) would opt for the on-demand regimen. Many advantages of PrEP were mentioned: protection in case of a condom break, protection in case of high-risk sexual behaviour, self-reliance, decreasing HIV fear and ease of use. Barriers to the use of PrEP included: it does not protect against other Sexually Transmitted Tnfections (STIs), taking a pill regularly is necessary, the size of the pill, possibility of side effects, the cost and accessibility. Six participants (19.3%) admitted that they would use condoms less if they take PrEP. Conclusion: Findings indicate that PrEP is acceptable within the MSM community. Implementation should be done rapidly, and PrEP should be part of a global prevention program which includes counselling, STI screening and promotion of safe sex practices. Health authorities should consider PrEP for all high-risk groups to avoid worsening stigmatization by targeting MSM only.
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Dimitrov, Dobromir, James R. Moore, Daniel Wood, et al. "Predicted Effectiveness of Daily and Nondaily Preexposure Prophylaxis for Men Who Have Sex With Men Based on Sex and Pill-taking Patterns From the Human Immuno Virus Prevention Trials Network 067/ADAPT Study." Clinical Infectious Diseases 71, no. 2 (2019): 249–55. http://dx.doi.org/10.1093/cid/ciz799.

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Abstract Background The HIV Prevention Trials Network (HPTN) 067/Alternative Dosing to Augment PrEP Pill Taking (ADAPT) Study evaluated the feasibility of daily and nondaily human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) regimens among high-risk populations, including men who have sex with men (MSM) and transgender women, in Bangkok, Thailand and Harlem, New York. We used a mathematical model to predict the efficacy and effectiveness of different dosing regimens. Methods An individual-based mathematical model was used to simulate annual HIV incidence among MSM cohorts. PrEP efficacy for covered sex acts, as defined in the HPTN 067/ADAPT protocol, was estimated using subgroup efficacy estimates from the preexposure prophylaxis initiative (iPrEx) trial. Effectiveness was estimated by comparison of the HIV incidence with and without PrEP use. Results We estimated that PrEP was highly protective (85%–96% efficacy across regimens and sites) for fully covered acts. PrEP was more protective for partially covered acts in Bangkok (71%–88% efficacy) than in Harlem (62%–81% efficacy). Our model projects 80%, 62%, and 68% effectiveness of daily, time-driven, and event-driven PrEP for MSM in Harlem compared with 90%, 85%, and 79% for MSM in Bangkok. Halving the efficacy for partially covered acts decreases effectiveness by 8–9 percentage points in Harlem and by 5–9 percentage points in Bangkok across regimens. Conclusions Our analysis suggests that PrEP was more effective among MSM in Thailand than in the United States as a result of more fully covered sex acts and more pills taken around partially covered acts. Overall, nondaily PrEP was less effective than daily PrEP, especially in the United States where the sex act coverage associated with daily use was substantially higher.
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Giovenco, Danielle, Caroline Kuo, Kristen Underhill, Jacqueline Hoare, and Don Operario. "“The Time Has Arrived”: Perceptions of Behavioral Adjustments in the Context of Pre-Exposure Prophylaxis Availability Among Adolescents in South Africa." AIDS Education and Prevention 30, no. 6 (2018): 463–73. http://dx.doi.org/10.1521/aeap.2018.30.6.463.

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Antiretroviral pre-exposure prophylaxis (PrEP) holds enormous potential to reduce HIV acquisition in key populations globally. We conducted an exploratory PrEP acceptability study using qualitative methodology among adolescents and service providers in the Western Cape Province of South Africa to inform future PrEP implementation challenges in South Africa and other high-prevalence African countries. Semistructured focus groups and in-depth individual interviews were conducted among 57 adolescents 16–17 years of age, living with and without HIV, and 25 clinical service providers. Adolescents and service providers expressed concerns that the availability of PrEP would lead to sexual disinhibition and a reduction in condom use among adolescents. Unexpected positive impacts included predictions that PrEP might encourage disclosure in serodiscordant partnerships and help normalize pill-taking in the community. Careful age, gender, and developmentally appropriate messaging will be needed to ensure adolescents understand partial efficacy and view PrEP as a component of combination prevention.
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Pines, HA, SA Strathdee, CW Hendrix, et al. "Oral and vaginal HIV pre-exposure prophylaxis product attribute preferences among female sex workers in the Mexico-US border region." International Journal of STD & AIDS 30, no. 1 (2018): 45–55. http://dx.doi.org/10.1177/0956462418793038.

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To assess the potential uptake of HIV pre-exposure prophylaxis (PrEP) products among female sex workers (FSWs) vulnerable to HIV infection, we examined the influence of product attributes on willingness to use products among 271 HIV-negative FSWs in Tijuana and Ciudad Juarez, Mexico (2016–2017). Via five-point Likert scale ratings, participants indicated their willingness to use hypothetical products with six attributes: formulation (pill, gel, liquid, or ring), frequency of use (daily, on-demand, or monthly), cost per use (10 or 200 pesos), effectiveness (40% or 80%), side effects (none or mild), and access point (healthcare clinic or non-governmental organization). Conjoint analysis was used to determine the impact of attributes on product ratings and identify preferred product attributes. Multinomial logistic regression was used to identify factors associated with formulation preferences. In both cities, formulation and frequency of use had the greatest impact on ratings. Participants in Ciudad Juarez indicated a strong preference for oral pills, whereas participants in Tijuana indicated roughly equal preferences for oral pills and vaginal gels. Monthly product use was preferred in both cities. Compared to preferring oral pills (38%), preferring vaginal gels (28%) was associated with practicing vaginal lubrication (adjusted odds ratio = 2.08; 95% confidence interval: 1.07–4.04). Oral PrEP may be acceptable to many FSWs in Tijuana and Ciudad Juarez; however, continued development of behaviorally-congruent vaginal PrEP products may also facilitate uptake and ensure sufficient coverage.
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Marsh, Ketzela Jacobowitz, and Meghan Rothenberger. "A Young Black MSM on PrEP Is Lost to Follow-Up and Acquires HIV Infection: A Case to Call for Improved Strategies to Support Youth Adherence and Engagement in HIV Prevention." Journal of the International Association of Providers of AIDS Care (JIAPAC) 18 (January 1, 2019): 232595821985383. http://dx.doi.org/10.1177/2325958219853834.

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Young men who have sex with men (YMSM) are disproportionately affected by HIV in the United States. High-risk sexual behaviors are difficult to modify; thus, HIV pre-exposure prophylaxis (PrEP) with a daily pill is a promising prevention tool for this vulnerable population. We present a case of a young black MSM who was able to successfully access PrEP with the help of a community program but was not able to adhere to the regimen or engage in care. He ultimately acquired HIV infection. We review the existing literature and advocate for increased services and research to support youth’s adherence to PrEP and engagement in HIV prevention programs, with a focus on YMSM of color.
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Wirtz, Andrea L., Brian Wilson Weir, Sandra Hsu Hnin Mon, et al. "Testing the Effectiveness and Cost-Effectiveness of a Combination HIV Prevention Intervention Among Young Cisgender Men Who Have Sex With Men and Transgender Women Who Sell or Exchange Sex in Thailand: Protocol for the Combination Prevention Effectiveness Study." JMIR Research Protocols 9, no. 1 (2020): e15354. http://dx.doi.org/10.2196/15354.

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Background Pre-exposure prophylaxis (PrEP) is highly effective in the prevention of HIV acquisition, particularly for men who have sex with men (MSM). Questions remain on the benefits of PrEP and implementation strategies for those at occupational risk of HIV acquisition in sex work, as well as on methods to support adherence among young people who initiate PrEP. Objective The Combination Prevention Effectiveness study for young cisgender MSM and transgender women (TGW) aims to assess the effectiveness and cost-effectiveness of a combination intervention among HIV-uninfected young MSM and TGW engaged in sex work in Thailand. Methods This open-label, nonrandomized assessment compares the relative effectiveness of a combination prevention intervention with and without daily oral emtricitabine and tenofovir disoproxil fumarate (Truvada) PrEP with SMS-based adherence support. HIV-uninfected young MSM and TGW aged 18 to 26 years in Bangkok and Pattaya who self-report selling/exchanging sex at least once in the previous 12 months are recruited by convenience sampling and peer referral and are eligible regardless of their intent to initiate PrEP. At baseline, participants complete a standard assessment for PrEP eligibility and may initiate PrEP then or at any time during study participation. All participants complete a survey and HIV testing at baseline and every 3 months. Participants who initiate PrEP complete monthly pill pickups and may opt-in to SMS reminders. All participants are sent brief weekly SMS surveys to assess behavior with additional adherence questions for those who initiated PrEP. Adherence is defined as use of 4 or more pills within the last 7 days. The analytic plan uses a person-time approach to assess HIV incidence, comparing participant time on oral PrEP to participant time off oral PrEP for 12 to 24 months of follow-up, using a propensity score to control for confounders. Enrollment is based on the goal of observing 620 person-years (PY) on PrEP and 620 PY off PrEP. Results As of February 2019, 445 participants (417 MSM and 28 TGW) have contributed approximately 168 PY with 95% (73/77) retention at 12 months. 74.2% (330/445) of enrolled participants initiated PrEP at baseline, contributing to 134 PY of PrEP adherence, 1 PY nonadherence, and 33 PY PrEP nonuse/noninitiation. Some social harms, predominantly related to unintentional participant disclosure of PrEP use and peer stigmatization of PrEP and HIV, have been identified. Conclusions The majority of cisgender MSM and TGW who exchange sex and participate in this study are interested in PrEP, report taking sufficient PrEP, and stay on PrEP, though additional efforts are needed to address community misinformation and stigma. This novel multilevel, open-label study design and person-time approach will allow evaluation of the effectiveness and cost-effectiveness of combination prevention intervention in the contexts of both organized sex work and exchanged sex. International Registered Report Identifier (IRRID) RR1-10.2196/15354
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Giovenco, Danielle, Katherine Gill, Lauren Fynn, et al. "Experiences of oral pre-exposure prophylaxis (PrEP) use disclosure among South African adolescent girls and young women and its perceived impact on adherence." PLOS ONE 16, no. 3 (2021): e0248307. http://dx.doi.org/10.1371/journal.pone.0248307.

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Introduction There is limited understanding of how social dynamics impact pre-exposure prophylaxis (PrEP) adherence among adolescent girls and young women (AGYW) in generalized HIV-epidemic settings. We examined experiences of oral PrEP use disclosure to various social groups with the goal of identifying supportive relationships that can be leveraged to promote adherence. Methods We used qualitative methods to explore experiences disclosing PrEP use and the perceived impact of disclosure on adherence among 22 South African AGYW (16–25 years) taking daily oral PrEP. Serial in-depth-interviews (IDIs) were conducted 1-, 3-, and 12-months post-PrEP initiation. Respondents also self-reported their disclosures separately for various social groups and adherence was assessed using intracellular tenofovir-diphosphate levels. Results Qualitative respondents had a median age of 20.5 years and reported disclosing their PrEP use to friends (n = 36 total disclosures), partners, siblings, other family members (n = 24 disclosures each), and parents (n = 19 disclosures). IDI data revealed that parents and partners provided the most support to respondents and a lack of support from these groups was most often perceived as negatively affecting PrEP use. AGYW described difficulties explaining PrEP to their mothers, who believed PrEP was HIV treatment or would lead to HIV infection. Disclosure to household members was notably meaningful for AGYW (both positively and negatively). Respondents reported leveraging supportive relationships for pill reminders. For respondents who perceived a household member would be unsupportive, however, non-disclosure was less feasible and PrEP use was often stigmatized. To avoid stigma, several respondents hid or discontinued PrEP. Conclusions While supportive relationships may facilitate PrEP use, disclosure can also lead to stigma. Counselors should support AGYW in disclosing to key people in their social networks and provide AGYW with materials that lend credibility to explanations of PrEP. Community education is necessary to alleviate PrEP-related stigma and facilitate disclosure.
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Harling, Guy, Aisa Muya, Katrina F. Ortblad, et al. "HIV risk and pre-exposure prophylaxis interest among female bar workers in Dar es Salaam: cross-sectional survey." BMJ Open 9, no. 3 (2019): e023272. http://dx.doi.org/10.1136/bmjopen-2018-023272.

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ObjectiveFemale bar workers (FBW) in East Africa often conduct sex work to supplement their incomes, and may be vulnerable to HIV acquisition. Pre-exposure prophylaxis (PrEP) offers protection against HIV acquisition. However, there is little research on FBW’s sexual health. Our objective was to determine HIV risk behaviours and interest in PrEP among FBW in the largest city in East Africa.DesignCross-sectional survey covering respondents’ work and personal lives, including social and behavioural risk factors for HIV. The survey aimed to determine the feasibility of working with FBW and HIV prevalence estimates. Those who did not report being HIV positive were asked about their knowledge of and interest in PrEP. All women were offered free on-site HIV testing and counselling (HTC).SettingEight randomly selected workplaces, that is, bars, in Kinondoni district, Dar es Salaam (DSM).Participants66 FBW (≥18 years) selected at random from all women working in selected bars on the day of visit.ResultsHalf of respondents reported having had sex for money: 20% with bar clients only, 15% with other men only and 15% with both. Almost all (98%) reported ≥1 non-commercial partners in the past 12 months; only 30% reported using condoms with these partners. 85% of respondents had ever been pregnant; 44% had had an unintended pregnancy. Only 5% of respondents had ever heard of PrEP. However, 54% were somewhat/very interested in daily-pill PrEP and 79% were somewhat/very interested in long-acting injectable PrEP. When asked to rank modalities, long-acting injectable PrEP was the most preferred. Seven per cent of the 56 respondents who completed HTC tested HIV positive.ConclusionsFBW in DSM have elevated risk factors for HIV acquisition, and PrEP appears highly acceptable. Studies developing PrEP delivery models and assessing PrEP initiation and adherence in FBW appear warranted.
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Puppo, Costanza, Xavier Mabire, Laurent Cotte, et al. "Community-Based Care in the ANRS-IPERGAY Trial: The Challenges of Combination Prevention." AIDS Education and Prevention 31, no. 3 (2019): 259–72. http://dx.doi.org/10.1521/aeap.2019.31.3.259.

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ANRS-IPERGAY was a community-based randomized trial investigating the efficacy of sexual activity-based HIV pre-exposure prophylaxis (PrEP) in a population of males and transgender females who had sex with men and were at high risk of HIV infection. We qualitatively analyzed the support provided to participants by community-based health workers (CBHW) throughout the trial's double-blind and open-label extension phases. In particular, we showed that the relationship between participants and CBHW strongly influenced self-managed pill intake. The delicate construction of this relationship, balanced between trust and dependence, played an important role in PrEP adherence. CBHW had to deal with various issues surrounding participants' feelings of empowerment regarding their role in the trial, as well as related tensions between various logics and rationalities. They were essential to participants' continued involvement.
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Corneli, Amy, Brian Perry, Kawango Agot, Khatija Ahmed, Fulufhelo Malamatsho, and Lut Van Damme. "Facilitators of Adherence to the Study Pill in the FEM-PrEP Clinical Trial." PLOS ONE 10, no. 4 (2015): e0125458. http://dx.doi.org/10.1371/journal.pone.0125458.

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Dissertations / Theses on the topic "Pill prep"

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Zborowski, Wiktor, and Arash Mizani. "Pill Prep : Hjälpmedel för tabletthantering." Thesis, Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-42601.

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Serhrouchni, Ahmed. "Pil : outil de pre-implementation de lotos." Paris 6, 1990. http://www.theses.fr/1990PA066686.

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Lotos (language of temporal ordering specification) et estelle (extended state transition language) sont les deux techniques de description formelles normalisees a l'iso et au ccitt. Cette these propose une methodologie pour aller d'une specification lotos vers des implementations. Pour cela nous avons introduit le concept de pre-implementation comme etape intermediaire entre le monde formel represente par lotos et les mondes informels representes par les differents types d'implementations que nous pouvons envisager pour lotos. La pre-implementation se base sur un modele/langage nomme primol que nous avons defini pour coller au mieux a lotos. Primol est une hierarchie d'automates a etats finis et etendues, chaque automate controle et synchronise ses sous-automates. La semantique de lotos et primol est representee par des systemes de transitions etiquetees par le meme ensemble d'actions. Le controle etant fini en primol, seul un sous-ensemble de lotos est considere. Des transformations syntaxiques qui conservent la semantique initiale sont definies sur primol. Ces transformations se basent sur un mecanisme elementaire: la fusion d'un automate avec un de ses sous-automates. Par transformations successives d'une pre-implementation primol nous obtenons l'automate global. Ces transformations permettent egalement de faire des preuves de theoremes, d'orienter vers differents types d'implementation et de faire de la verification. L'outil pil est une mise en uvre de la methodologie proposee
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Rangel, Cortes Juan José. "Sistema para pre-diagnosticar el cáncer de piel tipo melanoma." Tesis de maestría, Universidad Autónoma del Estado de México, 2019. http://hdl.handle.net/20.500.11799/105224.

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El cáncer de piel más común es el de tipo melanoma. Dicho cáncer, ha aumentado en múltiples partes del mundo. Por lo anterior, se trabajó en la clasificación de melanomas para apoyar la posible detección de melanomas malignos que causan cáncer de piel. Se utilizaron redes neuronales convolucionales o (CNN) por sus siglas en inglés, para la clasificación de los melanomas en malignos o benignos. Se utilizaron imágenes disponibles de International Skin Imaging Collaboration (ISIC). Se aplicaron cuatro técnicas: 1) Se clasificaron melanomas añadiendo metadatos de edad, género y tamaño del melanoma, dentro de la misma matriz de pixeles. 2) Se procesaron las imágenes quitando la piel de la lesión. 3) Se aplicó la CNN con un tamaño de 300 x 300 pixeles y con 2000 imágenes. 4) Se aplica la CNN disminuyendo el tamaño de las imágenes (100x100 pixeles) y se aumentaran las épocas hasta 1000. Se llevó a cabo el entrenamiento y validación en cada técnica. Al final, se probó cada técnica con imágenes nuevas no usadas en el entrenamiento ni validación y se obtuvieron resultados. En los resultados, se obtuvo un mejor resultado en la cuarta técnica cuando se añadieron más épocas.
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Venegas, Flores Dulce Charin. "Sistema para pre-diagnóstico de cáncer de melanomas usando redes neuronales artificiales." Tesis de Licenciatura, Universidad Autónoma del Estado de México, 2019. http://hdl.handle.net/20.500.11799/99685.

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Se propone el desarrollo de un sistema de pre-diagnóstico para cáncer de piel, que se delimitara específicamente en lunares (médicamente conocido como melanomas). El sistema se formara con un algoritmo de Redes neuronales artificiales, obteniendo una respuesta elevada en la predicción, en base a la colección de imágenes almacenadas, donde serán clasificadas según su carácter (como benigno o maligno). Ya que, las redes neuronales seleccionan y otorgan el pre-diagnóstico resultando como positivo o negativo.
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Prästings, Anders. "Aspects on probabilistic approach to design : From uncertainties in pre-investigation to final design." Licentiate thesis, KTH, Jord- och bergmekanik, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-178088.

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Geotechnical engineering is strongly associated with large uncertainties. Exploring a medium (soil) that is almost entirely and completely hidden from us is no easy task. Investigations can be made only at discrete points, and the majority of a specific soil volume is never tested. All soils experience inherent spatial variability, which contributes to some uncertainty in the design process of a geotechnical structure. Furthermore, uncertainties also arise during testing and when design properties are inferred from these tests. To master the art of making decisions in the presence of uncertainties, probabilistic description of soil properties and reliability-based design play vital roles. Historically, the observational method (sometimes referred to as the “learn-as-you-go-approach”), sprung from ideas by Karl Terzaghi and later formulated by Ralph Peck, has been used in projects where the uncertainties are large and difficult to assess. The design approach is still highly suitable for numerous situations and is defined in Eurocode 7 for geotechnical design. In paper I, the Eurocode definition of the observational method is discussed. This paper concluded that further work in the probabilistic description of soil properties is highly needed, and, by extension, reliability-based design should be used in conjunction with the observational method. Although great progress has been made in the field of reliability-based design during the past decade, few geotechnical engineers are familiar with probabilistic approaches to design. In papers II and III, aspects of probabilistic descriptions of soil properties and reliability-based design are discussed. The connection between performing qualitative investigations and potential design savings is discussed in paper III. In the paper, uncertainties are assessed for two sets of investigations, one consisting of more qualitative investigations and hence with less uncertainty. A simplified Bayesian updating technique, referred to as “the multivariate approach”, is used to cross-validate data to reduce the evaluated total uncertainty. Furthermore, reliability-based design was used to compare the two sets of investigations with the calculated penetration depth for a sheet-pile wall. The study is a great example of how a small amount of both time and money (in the pre-investigation phase) can potentially lead to greater savings in the final design.<br><p>QC 20160201</p><br>TRUST, Transparent Underground Structures
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Guerra, Joan Lorraine. "A Comparison of Infaunal Community Structure Between Pre- and Post Construction Sampling of Artificial FDOT Rock- Pile Reefs in Broward County, Florida." NSUWorks, 2015. http://nsuworks.nova.edu/occ_stuetd/399.

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Artificial reefs (ARs) are generally created with the intention of increasing local fish populations, biodiversity and corresponding habitat productivity, most often in support of commercial and recreational uses (e.g., diving and fishing). Numerous studies have investigated the communities that develop on artificial reefs. By contrast, far less research has focused on the surrounding infaunal communities, which represent critical trophic resources for many species that populate both natural and artificial reefs, and which may be affected both by AR deployment and the organisms that subsequently recruit to them. This study compared infaunal organism abundances at four sites between the inner and middle reefs off Broward County, Florida, before deployment of a series of Florida Department of Transportation (FDOT) AR boulders in 2009 (pre-construction) and four years later in 2013 (post-construction). Samples consisted of sediment collected in hand-held core tubes taken on open sediment adjacent to the proposed ARs and along transects at distances 3 m and 7 m from the ARs post-construction. Sample depths ranged from 12.1 to 14.6 m. Analyses were carried out on organisms retained on a >0.5 mm sieve and identified to the lowest practical taxonomic level. Data consisted of abundances rather than densities, because pre-construction samples did not record sediment volume per core. A total of 163 taxa were identified, of which only 50 were identified to genus and 64 to species. Polychaete families Spionidae, Sabellidae, Syllidae, and Hesionidae, and sipunculan superfamily Phascolosomatidea dominated pre-construction samples. Polychaetes also dominated post-construction samples, with high relative abundances of Sabellidae and Hesionidae, but with increased proportions of bivalves and amphipods. Statistical analyses (PRIMER, PERMANOVA, and SIMPER) determined whether infaunal composition, richness and, diversity differed among samples by year, site and distance from AR boulders. A slight but statistically insignificant difference in species diversity appeared between 3- and 7-m distances between years. However, composition, richness, and diversity of infauna did not differ either between pre-and post-construction samples or by sample distance from the adjacent AR boulders. The increase in homogeneity among samples post-construction may reflect recovery following the disturbance created by AR deployment, or a response to different benthic conditions generated by AR deployment. As other studies have suggested that AR fauna may influence surrounding infaunal communities to distances greater than 7 m, and that conditions may not stabilize around ARs for up to ten years following deployment, additional sampling is recommended to determine the longer-term effects of the FDOT ARs on infauna and benthic habitat (e.g., sediment composition, water movement) and assist in determining best practices for future AR deployments (e.g., composition, structure, location).
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Sánchez, Sánchez Violeta Mabel. "Revisión crítica : efectividad del baño diario con agua y jabón frente al baño solo con agua estéril sobre la piel del recién nacido pre término." Bachelor's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2018. http://tesis.usat.edu.pe/handle/usat/1339.

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Múltiples son los riesgos a los que se encuentra sometido el recién nacido, durante sus primeros días de vida, especialmente los recién nacidos prematuros, uno de ellos es el baño diario con el uso frecuente de jabones, esta rutina diaria puede deshacer el manto ácido, eliminar la película de lípidos, eleva el PH de la piel, lo que promueve la colonización de la piel por microorganismos del medio. El objetivo fue determinar el efecto del baño diario con agua y jabón frente al baño sólo con agua estéril sobre la piel del recién nacido prematuro. La metodología utilizada fue la Enfermería basada en evidencia (EBE); elaborándose la pregunta PICOT ¿cuál es el efecto del baño diario con agua y jabón frente al baño solo con agua estéril sobre la piel del recién nacido pre término? La búsqueda de evidencias se realizó en las bases de datos como: evidentia, padmed y dialnet. Recopilándose 9 artículos científicos, aplicándose la guía de utilidad aparente y validez de Gálvez Toro siendo solo un artículo elegido. El comentario crítico del artículo final seleccionado se analizó utilizando el programa de lectura crítica Caspe, plantilla para ayudar a entender estudios de un ensayo clínico. Los resultados respondieron al objetivo, poniendo de manifiesto que el baño de recién nacidos prematuros con solamente agua o con jabón y agua produce efectos similares sobre la colonización en la piel de un recién nacido prematuro. Ambos son eficaces para disminuir el número de colonias de bacterias Gram-negativas y Gram-positivas.<br>Trabajo académico
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Huang, Yuan-Pin, and 黃原彬. "Estimation of Uplift capacity for Pre-Bored Planted pile in the Sand Layer." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/55638459588256021120.

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Tsao, Min-Chu, and 曹敏莒. "A Study of the bearing capacity of pre-bored PC pile based on SPT N values - a case of pile load tests in Ta Lin power station site." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/30604628308148016352.

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碩士<br>國立高雄第一科技大學<br>營建工程研究所<br>101<br>This study used results of the pile load test obtained from construction sites in Talin Power Plant and China Steel Corporation to analyze the soil characteristics and to discuss the bearing capacity of pre-bored PC piles. It also refer to variant formulas for evaluating pile bearing capacity by N values of soil to derive applicable empirical formula by regression analysis. In compare to former empirical formulas and cases as well as cross-checking parameters, the results is applicable for reference on design, planning, construction characteristic, improvement mechanism, scope of application and specifying construction parameter of areas with similar environmental factor and soil condition. The results are also useful on design and construction of pre-bored PC piles in Taipower’s projects or other construction projects to save cost and expedite work. For the side resistance of ultimate load capacity of pre-bored PC piles, the results show that α value (i.e., f/N) varies with the depth of pile. By analyzing data collected from pile load tests, the formula of side resistance was derived on the basis of the relation between α and N as well as the correlative function of α and depth d. With identical method to derive tip capacity, then, the formula of ultimate load capacity (Qu) of pre-bored PC piles is concluded as follows, Qu=10*N*Ab +Σα*NS*LS*Φ (sandy soils) +Σ NS*LS*Φ (clay) For verification, the data taken from related load test cases were substituted into derived formula and empirical formulas in Building Technical Regulations (2001), Japanese Seismic Design Specifications for Highway Bridges (1996) and CSC method (2008), and apply comparative analysis approach to investigate the differences on varied bearing capacity formulas evaluated by N values of soil. Then, the ultimate bearing capacity formula obtained in this study was verified.
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Books on the topic "Pill prep"

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Publishing, RH Value. Amer Her Picl His Of T Pres Us. Random House Value Publishing, 1989.

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Book chapters on the topic "Pill prep"

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Zhou, Jiajin, Xiaonan Gong, and Rihong Zhang. "Field Tests on Behavior of Pre-bored Grouted Planted Pile in Soft Soil Area with Existing Pile Foundation." In Springer Series in Geomechanics and Geoengineering. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-97115-5_49.

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Wang, Jiliang, and Chenxi Zhang. "Field Investigation on Thermo-Mechanical Behaviors of Pre-melting Lime Pile in Permafrost Regions." In Springer Series in Geomechanics and Geoengineering. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-97115-5_113.

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Ling, Zao, Wei-dong Wang, Jiang-bin Wu, and Ju-yun Yuan. "Full-Scale Loading Test on Pre-bored Precast Pile with Enlarged Base in Shanghai." In Proceedings of GeoShanghai 2018 International Conference: Advances in Soil Dynamics and Foundation Engineering. Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-0131-5_69.

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Bennett, Jeffrey A. "Chronic Citizenship." In Biocitizenship. NYU Press, 2018. http://dx.doi.org/10.18574/nyu/9781479845194.003.0005.

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The tenuous relationship between duty and pleasure is one that has underwritten HIV/AIDS activism since the early 1980s. Most recently the tensions between duty and pleasure surfaced again in the debates concerning Truvada, an HIV-prevention pill that, if taken daily, can reduce risk of infection by up to 92%. Using the debates over pre-exposure prophylaxis (or PrEP) as a catalyst, the chapter examines the implications this technology has for the civic identities of queer men, their safe-sex practices, and AIDS activism. As HIV has moved from being an epidemic to an endemic, the ways queer men come to understand themselves in relation to this manageable condition is evolving. Members of queer communities now exist, by association, as “chronic citizens.” This rendering of citizenship influences the ways we understand traditional postulates concerning duty and pleasure, looking for ways to avoid sex shaming while thinking through new avenues for queer world making.
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Geiringer, David. "Early life and pre-marital sexuality." In The Pope and the pill. Manchester University Press, 2019. http://dx.doi.org/10.7765/9781526138392.00011.

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"Oral Contraceptive Pills, Hormonal Replacement Therapy, Pre-Eclampsia, and Hypertension." In Hypertension. CRC Press, 2005. http://dx.doi.org/10.1201/b14127-59.

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Chakrabarti, Rajesh, and Kaushiki Sanyal. "The Journey to the Right to Education Act, 2009." In Shaping Policy in India. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780199475537.003.0005.

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This chapter chronicles the evolution of the Right to Education Act. After listing the evolution milestones of the education system from pre-independence era, the chapter identifies two judicial orders in the early 90s, in the cases of Mohini Jain and Unnikrishnan, as the impetus to a move towards RTE. Several NGOs used the opportunity to start a campaign for education as a fundamental right till they formed a broad coalition under the banner of NAFRE in the late 1990s that intensified grass-root campaign for RTE. The campaign and PILs pushed the government to amend the constitution in 2001 to make education after age six a fundamental right. A long legislative journey ensued that led to the enactment in 2009. None of the existing theories fit the entire journey though some stages correspond to different specific frameworks.
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Díez Fernández, Rubén, Jerónimo Matas, Ricardo Arenas, et al. "Two-step obduction of the Porvenir serpentinites: A cryptic Devonian suture in SW Iberian Massif (Ossa-Morena Complex)." In Plate Tectonics, Ophiolites, and Societal Significance of Geology: A Celebration of the Career of Eldridge Moores. Geological Society of America, 2021. http://dx.doi.org/10.1130/2021.2552(07).

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ABSTRACT The Porvenir serpentinites are an ∼600-m-thick body of meta-peridotites exposed in SW Iberia (Variscan Orogen). The serpentinites occur as a horse within a Carboniferous, out-of-sequence thrust system (Espiel thrust). This thrust juxtaposes the serpentinites and peri-Gondwanan strata onto younger peri-Gondwanan strata, with the serpentinites occupying an intermediate position. Reconstruction of the pre-Espiel thrust structure results in a vertical juxtaposition of terranes: Cambrian strata below, Porvenir serpentinites in the middle, and the strata at the footwall to the Espiel thrust culminating the tectonic pile. The reconstructed tectonic pile accounts for yet another major thrusting event, since a section of upper mantle (Porvenir serpentinites) was sandwiched between two tectonic slices of continental crust (a suture zone sensu lato). The primary lower plate to the suture is now overlying the upper plate due to the Espiel thrust. Lochkovian strata in the upper plate and the Devonian, NE-verging folds in the lower plate suggest SW-directed accretion of the lower plate during the Devonian, i.e., Laurussia-directed underthrusting for the closure of a Devonian intra-Gondwana basin. Obduction of the Porvenir serpentinites was a two-step process: one connected to the development of a Devonian suture zone, and another related to out-of-sequence thrusting that cut the suture zone and brought upward a tectonic slice of upper mantle rocks hosted in that suture. The primary Laurussia-dipping geometry inferred for this partially obducted suture zone fits the geometry, kinematics, and timing of the Late Devonian suture zone exposed in NW Iberia and may represent the continuation of such suture into SW Iberia.
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Pan, L., G. Du, S. Liu, and C. Yu. "Shaft capacity of pre-stressed tubular concrete pile in marine soft ground." In Geotechnics of Soft Soils: Focus on Ground Improvement. Taylor & Francis, 2008. http://dx.doi.org/10.1201/9780203883334.ch40.

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"Vertical bearing capacity of bored pre-cast pile with enlarged base considering diameter of the enlarged excavation around pile toe." In Advances in Deep Foundations. Taylor & Francis, 2007. http://dx.doi.org/10.1201/9780203938416.ch22.

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Conference papers on the topic "Pill prep"

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Neve, Oliver. "Modular CLT – Time to swallow the offsite pill." In IABSE Congress, New York, New York 2019: The Evolving Metropolis. International Association for Bridge and Structural Engineering (IABSE), 2019. http://dx.doi.org/10.2749/newyork.2019.0641.

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&lt;p&gt;The threatening title of the United Kingdom’s 2016 Farmer Review ‘Modernise or Die’ was a stark prognosis for the construction industry likened to a sick or dying patient. The review recommended a shift towards pre- manufacture approaches and away from the traditional methods that we seem so reluctant to divert from. The paper recommends that Design for Manufacture and Assembly (DfMA) is to be explored as the potential medicine required to cure the symptoms of a deteriorating industry.&lt;/p&gt; &lt;p&gt;The antidote comes in the form of modular cross laminated timber (CLT). Originally, CLT was associated with in-situ construction techniques, which are reliant on-site operations. The industry has since progressed to a hybrid state of using both in-situ techniques with some pre-fabrication. Modular CLT is the next step in the evolution of mass timber which looks to solve the housing crisis affecting multiple global cities in terms of sustainability, cost and speed.&lt;/p&gt; &lt;p&gt;The paper will look at:&lt;/p&gt; &lt;ul&gt; &lt;li&gt;The advantages and opportunities for modular CLT&lt;/li&gt; &lt;li&gt;The engineering challenges that need to be overcome&lt;/li&gt; &lt;li&gt;Digitalisation techniques employed in the design of modular CLT&lt;/li&gt; &lt;li&gt;A case study of the Watts Grove project in London, UK&lt;/li&gt; &lt;/ul&gt;
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Roberts, Graeme, T. Sriskandarajah, Umberto Arosio, Nick McDonald, Dirk Pingen, and Sabesan Rajaratnam. "Peak Accelerations of Equipment Within a Bundle Towhead During Pile Driving Operations." In ASME 2015 34th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/omae2015-41002.

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Pipeline bundles are towed to site between towhead manifold structures which are designed to contain all the manifold valve-work and control equipment. The towhead is a space frame that not only supports and protects the on-board equipment during service but also allows the attachment of temporary buoyancy units that are necessary for the towing and controlled ballasting operations during installation. Pre-installed equipment within the towhead space-frame must be operable following the bundle on-shore transportation, launch, offshore tow and pile driving operations that are necessary to secure some towheads to the seabed. The analysis work reported in this paper focuses on pile driving activities and was carried out to demonstrate that forced acceleration of pre-installed equipment, caused by transmission of pile driving energy to the towhead, did not exceed the equipment’s recommended allowable shock limits. The desired outcome of the analyses was an understanding that equipment pre-installation offered an acceptable design solution for a particular towhead configuration founded on a soft silty clay soil in the North Sea and that this outcome would be applicable to future similar towheads.
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Shibata, Akira, Junichi Nakano, Masao Ohmi, et al. "Technical Development for IASCC Irradiation Experiments at the JMTR." In 16th International Conference on Nuclear Engineering. ASMEDC, 2008. http://dx.doi.org/10.1115/icone16-48588.

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Irradiation assisted stress corrosion cracking (IASCC) is considered to be one of the key issues from a viewpoint of the life management of core components in the aged Light Water Reactors (LWRs). To simulate IASCC behavior by the in-pile IASCC experiment or post-irradiation experiment (PIE), it is necessary to irradiate specimens up to a neutron fluence that is higher than the so-called IASCC threshold fluence in a test reactor. There are, however, some technical hurdles to overcome for the experiments. For the in-pile IASCC test, techniques assembling pre-irradiated specimens into an in-pile test capsule in a hot cell by remote handling are necessary, and the Japan Atomic Energy Agency (JAEA) developed the techniques for the in-pile test to be carried out in the Japan Material Testing Reactor (JMTR). To examine crack growth and crack initiation behaviors under neutron irradiation, pre-irradiated specimens were relocated from pre-irradiation capsules to an in-pile capsule. Hence, a remote welding machine has been newly developed and welding work for inner and outer tubes of capsule are carried out with rotating of the capsule. The other hurdle is the material integrity of the capsule of the capsule housing for a long term irradiation. Since the changes in microstructure, micro chemistry and mechanical properties of materials increase with neutron fluence, the integrity for capsules of long irradiation period was evaluated by tensile tests in the air and slow strain rate test (SSRT) in oxygenated water. Specimens were obtained from the outer tubes of capsule irradiated to 1.0–3.9 × 1026 n/m2 (E&amp;gt; 1 MeV) previously. Elongation more than 15% in tensile test at 423 K was confirmed and no IGSCC fraction was shown in SSRT at 423 K which was estimated as temperature at the outer tubes of the capsule under irradiation.
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Xue, Junqing, Yibiao Lin, Ruihuan Fu, Bruno Briseghella, Fuyun Huang, and Camillo Nuti. "Pseudo-static Test on Mechanic Behavior of Pile with Pre-Hole filled by Foam in IABs." In IABSE Congress, New York, New York 2019: The Evolving Metropolis. International Association for Bridge and Structural Engineering (IABSE), 2019. http://dx.doi.org/10.2749/newyork.2019.2038.

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&lt;p&gt;Comparing with the conventional jointed bridges, integral abutment bridges (IABs) have not the typical durability problems of expansion joints and bearings and could have better seismic performance due to the high redundancy and integrity. The concrete piles supporting the abutments are often considered as the most vulnerable component in IABs under longitudinal deformation of superstructure caused by temperature variation and seismic load. The pre‐hole method could be adopted to absorb the longitudinal deformation transferred from superstructure to the piles. Therefore, how to improve the energy dissipation of concrete piles to reduce the influence of seismic load is the key issue in IABs. In this paper, a technology based on piles with pre‐holes filled by damping material (called pre‐hole isolation pile) is proposed to improve the seismic response of IABs. The piles supporting the abutments of one real integral abutment bridge were chosen as case study. Pseudo‐static tests of two model piles with the scaled factor of 1/12.5 considering soil‐pile interaction (SPI) were performed. Foam was chosen as damping material. It could be found that compared with conventional piles, the hysteresis curve and the equivalent viscous damping ratio of pre‐hole isolation pile considering SPI was fuller and larger. According to the obtained results, the pre‐hole filled with foam technology could improve the energy dissipation of the concrete piles in integral abutment bridges and their seismic performance.&lt;/p&gt;
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Gibson, Jacob, Paul H. Javora, and Mike Adkins. "Pre-Cross-Linked Pills Provide Efficient and Consistent Fluid Loss Control." In SPE European Formation Damage Conference. Society of Petroleum Engineers, 2011. http://dx.doi.org/10.2118/144213-ms.

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Gu¨rtner, Arne, and Joachim Berger. "Results From Model Testing of Ice Protection Piles in Shallow Water." In 25th International Conference on Offshore Mechanics and Arctic Engineering. ASMEDC, 2006. http://dx.doi.org/10.1115/omae2006-92100.

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The development of oil and gas fields in shallow icy waters, for instance in the Northern Caspian Sea, have increased the awareness of protecting offshore structures by means of ice barriers from the impacts of drifting ice. Protection could be provided by Ice Protection Piles (IPPs), installed in close vicinity to the offshore structure to be protected. Piles then take the main loads from the drifting ice by pre-fracturing the advancing ice sheet. Hence, the partly shielded offshore structure could be designed according to significant lower global design ice loads. In this regard, various configurations of pile arrangements have been model tested during the MATRA-OSE research project in the Ice Model Test Basin of the Hamburg Sip Model Basin (HSVA). The main objective was to analyse the behaviour of ice interactions with the protection piles together with the establishment of design ice loads on an individual pile within the pile arrangement. The pile to pile distances within each arrangement were varied from 2 to 8 times the pile diameter for both, vertical and inclined (30° to the horizontal) pile arrangements. Two test runs with 0.1 m and 0.5 m thick ice (full scale values) were conducted respectively. The full scale water depth was 4 m. Based on the model test observations, it was found that the rubble generation increases with decreasing pile to pile distances. Inclined piles were capable to produce more rubble than vertical piles and considerable lower ice loads were measured on inclined arrangements compared to vertical arrangements. As initial rubble has formed in front of the arrangements, the rubble effect accelerated considerable. Subsequent to the build-up of rubble accumulations, no effect of the pile inclination on the exerted ice loads could be observed. If piles are used as ice barriers, the distance between the piles should be less than 4D for inclined piles and 6D for vertical piles to allow sufficient rubble generation. Larger distances only generated significant ice rubble after initial grounding of the ice had occurred.
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Xianren, Zeng, Zuo Yanyan, and Wei Mingtao. "Vibration Modal Analysis of Centrifuge Pipe-Die for Pre-Stressed Concrete Square Pile." In 2013 Fourth International Conference on Digital Manufacturing & Automation (ICDMA). IEEE, 2013. http://dx.doi.org/10.1109/icdma.2013.393.

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Kaji, Yoshiyuki, Hirokazu Ugachi, Takashi Tsukada, et al. "In-Pile SCC Growth Behavior of Type 304 Stainless Steel in High Temperature Water at JMTR." In 14th International Conference on Nuclear Engineering. ASMEDC, 2006. http://dx.doi.org/10.1115/icone14-89338.

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Irradiation assisted stress corrosion cracking (IASCC) is one of the critical concerns when stainless steel components have been in service in light water reactors (LWRs) for a long period. In general, IASCC can be reproduced on the materials irradiated over a certain threshold fluence level of fast neutron by the post-irradiation examinations (PIEs). It is, however, considered that the reproduced IASCC by PIEs must be carefully compared with the actual IASCC in nuclear power plants, because the actual IASCC occurs in the core under simultaneous effects of radiation, stress and high temperature water environment. In the research field of IASCC, mainly PIEs for irradiated materials have been carried out, because there are many difficulties on SCC tests under neutron irradiation. Hence as a part of the key techniques for in-pile SCC tests, we have embarked on a development of the test technique to obtain information concerning effects of applied stress level, water chemistry, irradiation conditions, etc. A high temperature water loop facility was installed at the Japan Materials Testing Reactor (JMTR) to carry out the in-pile IASCC testing under a framework of cooperative research program between JAERI and the JAPC. In-pile IASCC growth tests have been successfully carried out using the compact tension (CT) type specimens of type 304 stainless steel that had been pre-irradiated up to a neutron fluence level around 1×1025n/m2 before the in-pile testing since 2004. The tests were carried out in pure water simulated boiling water reactor (BWR) coolant condition. In the paper, results of the in-pile SCC growth tests will be discussed comparing with the result obtained by PIEs from a viewpoint of the synergistic effects on IASCC.
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Mladenovic, I., and Ch Weindl. "Development of the partial discharges inception voltage for different sets of pre-aged PILC cable samples." In 2010 IEEE International Symposium on Electrical Insulation (ISEI). IEEE, 2010. http://dx.doi.org/10.1109/elinsl.2010.5549817.

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Wright, Steven A., and Matthew W. Ales. "Lessons learned from in-pile testing of pre-prototypical particle bed fuel elements in the pipe experiments." In Proceedings of the tenth symposium on soacpace nuclear and propulsion. AIP, 1993. http://dx.doi.org/10.1063/1.43100.

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