Category Archives: Health

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Smart Medical Campus Power

University of California Berkeley

One of the standing items on our advocacy agenda for the better part of 10 years has been to promote formal reliability studies and impedance grounding methods to increase the reliability of large customer-owned power grids that are common in the education industry.   These approaches are already applied in data centers and mission critical facilities; we simply suggest scaling them upward onto medium voltage campus power grids — starting with university-affiliated medical campus power grids.   In California, for example, there are fire safety benefits to impedance grounding since California has significant seismic risks.   Impedance grounding can limit damages to campus buildings in disaster and it can hasten the return to the normal power distribution operation.   Formal reliability studies offer insight into the performance of for the utility interactive power systems common on university-affiliated medical campuses.

More details are  described in the video recordings below.

Formal reliability approaches

Impedance grounding

Issue: [11-25]

Category: Electrical, #SmartCampus, Facility Asset Management

Colleagues: Mike Anthony, Robert G. Arno, Neal Dowling, Jim Harvey, Kane Howard, Jerry Jimenez, Jim Murphy,

LEARN MORE:

IEEE PC62.92.5: Guide for the Application of Neutral Grounding in Electrical Utility Systems, Part V-Transmission Systems and Subtransmission Systems.  The scope of this document is to give the basic factors and general considerations in selecting the class and means of neutral grounding for a particular ac transmission or subtransmission system, and the suggested method and apparatus to be used to achieve the desired grounding. Definitions of grounding terms used in this part of the guide can be found in IEEE Std C62.92.1(TM)-2017.

IEEE SA PC62.92.5


Posted August 1, 2018

For the past several revision cycles of the NFPA 70 suite* of electrical consensus documents we have been advocating stronger language in National Electrical Code Article 250 (NFPA 70) for other-than-solid grounding methods for large campus power distribution systems.    These resistance system grounding methods face stiff “technical-cultural” headwinds from the electrical design and enforcement community that are most comfortable with solid system grounding methods.  Safety and reliability design approaches based upon subtleties in resistance grounding regimes are applied routinely in data centers.  They are easily conveyed onto 5 to 500 MVA campus power systems at moderate cost.

In the video presentation to the IEEE Education & Healthcare Facilities Committee we find that the University of California Berkeley has had a resistance grounded system in place for decades — a system that has dramatically reduced fault energy to which electricians are exposed and provides a signature for instrumentation to provide early warning of a condition that would lead to a forced power outage.  Forced power outages on many college and university campuses can cost millions of dollars per minute.

Click on image

NEC Code Panel 5 received public input for the 2020 National Electrical Code revision.  Of particular interest is the public input on Section II System Grounding.   The public input and the results of the balloting are available by clicking here.   The National Fire Protection Association Electrical Division is now in the process of preparing the results for public comment on July 6th.

Comments are due August 30th.

We hope to continue our enlightenment of education facility managers about the possibility of safer and more reliable campus power systems as the emergent #SmartCampus accelerates.   While there is already competition among trade associations and the event industry for ownership of the #SmartCampus space we think we have the authoritative voice.  We collaborate closely with the IEEE Industrial Applications Society that is developing a recommended practice for smarter campus power systems (see ANSI/IEEE Recommended Practice for the System Grounding of Industrial and Commercial Power Systems 3003.1).

All NFPA consensus documents are on the standing agenda of our weekly Open Door teleconference every Wednesday, 11 AM Eastern Time.  Click here to log in.   This topic and others will also be on the agenda of the September 11th online meeting of the IEEE Education & Healthcare Facilities Committee; also open to the public.   Click here to log in.

Issue: [11-25]

Category: Electrical, #SmartCampus, Facility Asset Management

Colleagues: Mike Anthony, Jim Harvey, Kane Howard, Jerry Jimenez, Jim Murphy, Richard Robben

* By NFPA 70 suite we mean the following:

NFPA 70 National Electrical Code

NFPA 70A National Electrical Code Requirements for One- and Two-Family Dwellings

NFPA 70B Recommended Practice for Electrical Equipment Maintenance

NFPA 70E Standard for Electrical Safety in the Workplace

Health Care System Branding

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Tomothérapie

There are several international standards for tomography manufacturers that ensure the safety, quality, and performance of tomography machines.

International Electrotechnical Commission Medical electrical equipment 60601 Part -2-44 sets requirements for the safety and performance of X-ray equipment used in diagnostic and therapeutic applications. This standard includes requirements for X-ray tube output, radiation dose limits, electrical safety, and mechanical safety, among other things.

National Electrical Manufacturers Association:  Access Controls for Computed Tomography—Identification, Interlocks, and Logs.  This title set standards for clinicians; including permissions to selected uses that are above those needed for daily routine scanning, such as the authorization to save protocols and adds provisions to secure the user interface based on a manual lock. Contains the functionality for use in a facility’s quality assurance program such as capturing operator and patient information as well as information related to saved changes in protocols.

International standards setting in this domain will gather pace as “medical tourism” — a term used to describe the practice of traveling to another country for medical treatment — gathers pace.

 

Gray Book

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H.R. 9404: COVID-19 on child and adolescent immunization schedules

117th Congress Swearing In Floor Proceedings – January 3, 2021, House Chamber

 

 

Negative Impacts of Using the Internet Among Nursing Students

 

Emerging Technologies and the Negative Impacts of Using the Internet Among Nursing Students

Atallah Alenezi, et al

College of Applied Medical Science, Shaqra University, Riyadh, Kingdom of Saudi Arabia

 

Abstract: World wide Web or the internet is gaining more challenges and has been one of the most exciting major events in the second half of the 20th century and has brought negative impact that cannot be ignored. Aim of this study is to develop solutions to deal with negative impacts of using internet among nursing students in a government university. Design, descriptive methodological design (cross-sectional) to achieve the study objectives. Setting, sample of 185 undergraduate male and female nursing students from three campuses of applied medical sciences college of Shaqra university. Results, 75.7% of students ages ranged from 20–25, health impacts came at the first level of negative impacts of using internet and got arithmetic mean (32.74), and no statistically significant correlation between student’s personal characteristics regarding the negative impacts of using the internet.

CLICK HERE to order complete paper

Helena Theurer Pavilion

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Medical Instrumentation

“The Agnew Clinic” 1889 / Thomas Eakins

Most US states have marquee medical research and clinical delivery enterprises; most of them associated with one or more research universities.   In many cases, these enterprises deliver the bulk of revenue to the university system; a topic we cover separately every month during our Healthcare teleconferences (See our CALENDAR).

Save for power and information and communication technology, the safety and sustainability requirements for university-affiliated healthcare systems are virtually identical to private, for-profit healthcare systems; even those for-profit systems that appropriate the word “university” in order to secure their brand.  To be fair, most of them are “teaching hospitals”, though the medical profession (like most other professions) are always teaching.   Conversely, many universities have close financial ties to for-profit healthcare systems.   Students learn from off-campus clinical experience.

Both entities benefit from the possibility that cutting edge research is only footsteps away from the patient bed; and vice-versa — especially in cases where the university-affiliated hospital is the location for compassionate “right-to-try” treatment.   University-affiliated hospitals have a statistical profile that should be understood in light of being the locus of last-resort treatment.

The AAMI bears the imprimateur of very well-financed non-profit organization; as one might expect for an organization servicing an industry that is about 25 percent of United States gross domestic product.   The landing page for its standards catalog is linked below:

AAMI Standards Development

It is based in Arlington, Virginia, a city close to Washington D.C. that is home to many, many non-profit organizations.   We maintain the AAMI catalog on the standing agenda of our Health colloquia.   We also collaborate with the IEEE Education & Healthcare Facilities Committee and the IEEE Engineering in Medicine and Biology Society on a selection of healthcare electrotechnology issues related to medical instrumentation.   See our CALENDAR for the next online meeting; open to everyone.  All war stories and data — even anecdotal, messy data — are welcomed.

 

Issue: [Various]

Category: Academics, Healthcare Technology, Electrical, ICT

Colleagues: Mike Anthony, Robert G. Arno, Neal Dowling, Matt Dozier, Jim Harvey, Guiseppe Parise, Luigi Parise, Walt Vernon

 

 

 

 

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