Science.gov

Sample records for extremity monitoring recommended

  1. Monitoring Extreme-scale Lustre Toolkit

    SciTech Connect

    Brim, Michael J; Lothian, Josh

    2015-01-01

    We discuss the design and ongoing development of the Monitoring Extreme-scale Lustre Toolkit (MELT), a unified Lustre performance monitoring and analysis infrastructure that provides continuous, low-overhead summary information on the health and performance of Lustre, as well as on-demand, in-depth problem diagnosis and root-cause analysis. The MELT infrastructure leverages a distributed overlay network to enable monitoring of center-wide Lustre filesystems where clients are located across many network domains. We preview interactive command-line utilities that help administrators and users to observe Lustre performance at various levels of resolution, from individual servers or clients to whole filesystems, including job-level reporting. Finally, we discuss our future plans for automating the root-cause analysis of common Lustre performance problems.

  2. The Solar Extreme Ultraviolet Monitor for MAVEN

    NASA Astrophysics Data System (ADS)

    Eparvier, F. G.; Chamberlin, P. C.; Woods, T. N.; Thiemann, E. M. B.

    2015-12-01

    The Extreme Ultraviolet (EUV) monitor is an instrument on the NASA Mars Atmosphere and Volatile EvolutioN (MAVEN) mission, designed to measure the variability of the solar soft x-rays and EUV irradiance at Mars. The solar output in this wavelength range is a primary energy input to the Mars atmosphere and a driver for the processes leading to atmospheric escape. The MAVEN EUV monitor consists of three broadband radiometers. The radiometers consist of silicon photodiodes with different bandpass-limiting filters for each channel. The filters for the radiometers are: Channel A: thin foil C/Al/Nb/C for 0.1-3 nm and 17-22 nm, Channel B: thin foil C/Al/Ti/C for 0.1-7 nm, and Channel C: interference filter for 121-122 nm. A fourth, covered photodiode is used to monitor variations in dark signal due to temperature and radiation background changes. The three science channels will monitor emissions from the highly variable corona and transition region of the solar atmosphere. The EUV monitor is mounted on the top deck of the MAVEN spacecraft and is pointed at the Sun for most of its orbit around Mars. The measurement cadence is 1-second. The broadband irradiances can be used to monitor the most rapid changes in solar irradiance due to flares. In combination with time-interpolated observations at Earth of slower varying solar spectral emissions, the broadband MAVEN EUV monitor measurements will also be used in a spectral irradiance model to generate the full EUV spectrum at Mars from 0 to 190 nm in 1-nm bins on a time cadence of 1-minute and daily averages.

  3. Coordinated bird monitoring: Technical recommendations for military lands

    USGS Publications Warehouse

    Bart, Jonathan; Manning, Ann; Fischer, Richard; Eberly, Chris

    2012-01-01

    following these procedures, DoD will minimize the possibility for a proposed action to unintentionally take migratory birds at a level that would violate any of the migratory bird treaties and potentially impact mission activities. In addition, implementing conservation and monitoring programs for migratory birds supports the ecosystem integrity necessary to sustain DoD's natural resources for the military mission.Non-compliance with the procedural requirements of the MBTA could result in a private party lawsuit under the Administrative Procedures Act (APA). A lawsuit filed under APA involving a Navy bombing range is the basis for a court ruling that unintentional take of migratory birds applies to federal actions. Ensuring the necessary data is available to adequately assess impacts of a proposed action will help avoid lawsuits or help ensure such lawsuits have no grounds. The data gathered in a bird monitoring program will provide the best scientific data available to assess the expected impacts of a proposed action on migratory bird species through the NEPA process. This report presents recommendations developed by the U.S. Geological Survey (USGS) for the Department of Defense (DoD) on establishing a "Coordinated Bird Monitoring (CBM) Plan." The CBM Plan is intended to ensure that DoD meets its conservation and regulatory responsibilities for monitoring birds (Chapter 1). The report relies heavily on recommendations in the report, "Opportunities for improving avian monitoring" (http://www.nabci-us.org/aboutnabci/monitoringreportfinal0307.pdf), by the U.S. North American Bird Conservation Initiative (U.S. NABCI Monitoring Subcommittee, 2007) and on a review of 358 current DoD bird monitoring programs carried out as part of this project (Chapter 2). This report contains 12 recommendations which, if followed, would result in a comprehensive, efficient, and useful approach to bird monitoring. The recommendations are based on the entire report but are presented together at

  4. Recommendations for Health Monitoring and Reporting for Zebrafish Research Facilities.

    PubMed

    Collymore, Chereen; Crim, Marcus J; Lieggi, Christine

    2016-07-01

    The presence of subclinical infection or clinical disease in laboratory zebrafish may have a significant impact on research results, animal health and welfare, and transfer of animals between institutions. As use of zebrafish as a model of disease increases, a harmonized method for monitoring and reporting the health status of animals will facilitate the transfer of animals, allow institutions to exclude diseases that may negatively impact their research programs, and improve animal health and welfare. All zebrafish facilities should implement a health monitoring program. In this study, we review important aspects of a health monitoring program, including choice of agents, samples for testing, available testing methodologies, housing and husbandry, cost, test subjects, and a harmonized method for reporting results. Facilities may use these recommendations to implement their own health monitoring program. PMID:26991393

  5. Initial CTBT international monitoring system security findings and recommendations

    SciTech Connect

    Craft, R.L.; Draelos, T.J.

    1996-08-01

    An initial security evaluation of the proposed International Monitoring System (IMS) suggests safeguards at various points in the IMS to provide reliable information to the user community. Modeling the IMS as a network of information processing nodes provides a suitable architecture for assessing data surety needs of the system. The recommendations in this paper include the use of public-key authentication for data from monitoring stations and for commands issued to monitoring stations. Other monitoring station safeguards include tamper protection of sensor subsystems, preservation of data (i.e. short-term archival), and limiting the station`s network services. The recommendations for NDCs focus on the need to provide a backup to the IDC for data archival and data routing. Safeguards suggested for the IDC center on issues of reliability. The production of event bulletins should employ {open_quotes}two-man{close_quotes} procedures. As long as the data maintains its integrity, event bulletins can be produced by NDCs as well. The effective use of data authentication requires a sound key management system. Key management systems must be developed for the authentication of data, commands, and event bulletins if necessary. It is recommended that the trust placed in key management be distributed among multiple parties. The recommendations found in this paper offer safeguards for identified vulnerabilities in the IMS with regard to data surety. However, several outstanding security issues still exist. These issues include the need to formalize and obtain a consensus on a threat model and a trust model for the IMS. The final outstanding security issue that requires in-depth analysis concerns the IDC as a potential single point of failure in the current IMS design.

  6. ASSESSMENT OF PHYSICAL ACTIVITY USING WEARABLE MONITORS: RECOMMENDATIONS FOR MONITOR CALIBRATION AND USE IN THE FIELD

    PubMed Central

    Freedson, Patty; Bowles, Heather R.; Troiano, Richard; Haskell, William

    2011-01-01

    This paper provides recommendations for the use of wearable monitors for assessing physical activity. We have provided recommendations for measurement researchers, end users, and developers of activity monitors. We discuss new horizons and future directions in the field of objective measurement of physical activity and present challenges that remain for the future. These recommendations are based on the proceedings from the workshop, “Objective Measurement of Physical Activity: Best Practices & Future Direction,” July 20-21, 2009, and also on data and information presented since the workshop. PMID:22157769

  7. Wireless pilot monitoring system for extreme race conditions.

    PubMed

    Pino, Esteban J; Arias, Diego E; Aqueveque, Pablo; Melin, Pedro; Curtis, Dorothy W

    2012-01-01

    This paper presents the design and implementation of an assistive device to monitor car drivers under extreme conditions. In particular, this system is designed in preparation for the 2012 Atacama Solar Challenge to be held in the Chilean desert. Actual preliminary results show the feasibility of such a project including physiological and ambient sensors, real-time processing algorithms, wireless data transmission and a remote monitoring station. Implementation details and field results are shown along with a discussion of the main problems found in real-life telemetry monitoring. PMID:23367054

  8. Space based observations for monitoring extreme weather and climate events

    SciTech Connect

    Rao, P.K.

    1996-12-31

    Observations are essential for monitoring, understanding, and predicting the potential for extreme weather and climate events. These events occur on all time and spatial scales. Current NOAA operational satellites have a unique capability of providing many of the observations that are critical for monitoring these events. These observations and derived geophysical quantities can also be used for diagnostics and prediction purposes. Extreme weather conditions such as severe thunderstorms and flash floods, occur very quickly, may last for a short time, and create a considerable amount of damage. Advance warnings of the order of a few minutes are needed to alert the public so they may take adequate precautions. Some extreme weather conditions such as tropical storms (hurricanes) may last for days, and in order to predict the exact track, intensity of the storm and forecast the land fall, frequent observations are critical. Examples of satellite data that are obtained from the NOAA satellites are presented to demonstrate their ability to monitor the extreme weather phenomena. Examples of extreme climate conditions are droughts over continents and the annual depletion of ozone over the Antarctic. Data derived from NOAA satellites were used to monitor the severe drought over Texas and Southwestern U.S.A. in early 1996. Similar data are being used by other countries to monitor the drought in their regions. The development of the ozone hole over the Antarctic during the last fifteen years has been a major scientific and environmental concern. Data from NOAA operational satellites have been extensively used to show the yearly development and dissipation of the ozone hole during the Southern Hemisphere springtime.

  9. Recommendations for new monitoring wells at Everest, Kansas.

    SciTech Connect

    LaFreniere, L. M.

    2007-05-03

    On February 15, 2007, the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) submitted Recommendations for Remedial Action at Everest, Kansas. Those Recommendations were accepted by the Kansas Department of Health and Environment (KDHE) in a letter to the CCC/USDA dated March 5, 2007. The approved Recommendations document outlines a plan for systematic groundwater sampling and monitoring at Everest to provide data necessary for the critical evaluation of remedial options - including a phytoremediation alternative - for restoration of the groundwater and protection of the surface waters of the intermittent creek at this site. Phase I of the KDHE-approved monitoring plan includes the following activities: (1) Groundwater sampling at existing monitoring wells, with analyses for volatile organic compounds (VOCs) and selected biodegradation parameters; (2) Sampling of surface waters along the intermittent creek for VOCs analyses; and (3) Periodic manual measurement and automated recording of groundwater and surface water levels in the vicinity of the intermittent creek. The locations selected for groundwater and surface water sampling and analyses under the approved monitoring program were determined in consultation with the KDHE. As a result of subsequent discussions among representatives of the KDHE, the CCC/USDA, and Argonne regarding the technical program at Everest, the CCC/USDA seeks KDHE approval for the installation of up to four new permanent monitoring wells along the upper reach of the intermittent creek west of the Nigh property, as shown in Figure 1. The proposed new well locations lie progressively downgradient in the anticipated direction of future groundwater and contaminant movement; all of the recommended points lie at least 2,000 ft upgradient, however, of the confirmed area of groundwater discharge to the creek identified near Highway 73. The proposed new wells will supplement the existing network of groundwater and surface

  10. Recommended standards for reports dealing with lower extremity ischemia: revised version.

    PubMed

    Rutherford, R B; Baker, J D; Ernst, C; Johnston, K W; Porter, J M; Ahn, S; Jones, D N

    1997-09-01

    Recommended standards for analyzing and reporting on lower extremity ischemia were first published by the Journal of Vascular Surgery in 1986 after approval by the Joint Council of The Society for Vascular Surgery and the North American Chapter of the International Society for Cardiovascular Surgery. Many of these standards have been accepted and are used in the current literature on peripheral arterial occlusive disease. With the passage of time, some oversights, aspects that require clarification, and better modifications have been recognized. This report attempts to correct these shortcomings while reinforcing those recommendations that have proven satisfactory. Explanatory comments are added to facilitate understanding and application. This version is intended to replace the original version. PMID:9308598

  11. Noninvasive Brain Physiology Monitoring for Extreme Environments: A Critical Review.

    PubMed

    Hiles, Laura A; Donoviel, Dorit B; Bershad, Eric M

    2015-10-01

    Our ability to monitor the brain physiology is advancing; however, most of the technology is bulky, expensive, and designed for traditional clinical settings. With long-duration space exploration, there is a need for developing medical technologies that are reliable, low energy, portable, and semiautonomous. Our aim was to review the state of the art for noninvasive technologies capable of monitoring brain physiology in diverse settings. A literature review of PubMed and the Texas Medical Center library sites was performed using prespecified search criteria to identify portable technologies for monitoring physiological aspects of the brain physiology. Most brain-monitoring technologies require a moderate to high degree of operator skill. Some are low energy, but many require a constant external power supply. Most of the technologies lack the accuracy seen in gold standard measures, due to the need for calibration, but may be useful for screening or monitoring relative changes in a parameter. Most of the technologies use ultrasound or electromagnetic radiation as energy sources. There is an important need for further development of portable technologies that can be operated in a variety of extreme environments to monitor brain health. PMID:25811362

  12. Extreme Events in GOES Space Environment Monitor Data 1974 - 2011

    NASA Astrophysics Data System (ADS)

    Wilkinson, D. C.; Sundaravel, A. S.

    2011-12-01

    The GOES satellite mission has monitored the space environment from geostationary orbit since the launch of SMS-1 in 1974. The data archive includes data from the X-ray Sensor, Energetic Particle Sensor and Magnetometer. These instruments remained relatively consistent from satellite to satellite making it possible to compare events separated by many years. In addition to graphical displays of extreme events, daily values will display long term trends in these data. This presentation will incorporate time-averages from 1974 - 1985 which were made available to the public for the first time this Fall.

  13. 40 CFR 141.605 - Subpart V compliance monitoring location recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... HAA5 monitoring for subpart V of this part should be conducted. You must base your recommendations on... systems serving fewer than 500 people, only one location with a dual sample set per monitoring period...

  14. Overview and Update of the North America Drought Monitor and North America Climate Extremes Monitoring System

    NASA Astrophysics Data System (ADS)

    Heim, R. R.

    2006-12-01

    The North America Drought Monitor (NADM) is a joint operational drought monitoring activity between scientists and other specialists in the United States, Mexico, and Canada. Like all weather phenomena, drought occurs irrespective of political and international boundaries. The monthly map and narrative product created by this first-of-its-kind effort provides an integrated continental-scale drought assessment tool for decision-makers in all three countries involved in drought monitoring, drought mitigation, and related climate services. The product is prepared by a rotating primary author who utilizes drought indicators which are computed using standard methodologies for stations across the continent, plus national drought monitoring products and feedback from local experts in each of the three countries. The participants include, within the United States: the NOAA National Climatic Data Center, NOAA Climate Prediction Center, USDA Joint Agricultural Weather Facility, and National Drought Mitigation Center; within Mexico: Servicio Meteorologico Nacional/Comision Nacional del Agua; and within Canada: Agriculture and Agrifood Canada and the Meteorological Service of Canada. The NADM is part of a North America Climate Extremes Monitoring (NACEM) system which will monitor and assess climate extremes across the continent. Several climate indicators are currently computed from station daily data to measure (in addition to drought) heavy precipitation, heat waves, and cold waves. Future efforts will add indicators to monitor storm severity and severe weather, including the creation of a North America Climate Extremes Index (NACEI) patterned after the U.S. Climate Extremes Index (USCEI). This presentation will review the history of the NADM/NACEM effort, the data utilized, the indicators computed, and the product preparation and peer review process.

  15. Evolution of extreme body size disparity in monitor lizards (Varanus).

    PubMed

    Collar, David C; Schulte, James A; Losos, Jonathan B

    2011-09-01

    Many features of species' biology, including life history, physiology, morphology, and ecology are tightly linked to body size. Investigation into the causes of size divergence is therefore critical to understanding the factors shaping phenotypic diversity within clades. In this study, we examined size evolution in monitor lizards (Varanus), a clade that includes the largest extant lizard species, the Komodo dragon (V. komodoensis), as well as diminutive species that are nearly four orders of magnitude smaller in adult body mass. We demonstrate that the remarkable body size disparity of this clade is a consequence of different selective demands imposed by three major habitat use patterns-arboreality, terrestriality, and rock-dwelling. We reconstructed phylogenetic relationships and ancestral habitat use and applied model selection to determine that the best-fitting evolutionary models for species' adult size are those that infer oppositely directed adaptive evolution associated with terrestriality and rock-dwelling, with terrestrial lineages evolving extremely large size and rock-dwellers becoming very small. We also show that habitat use affects the evolution of several ecologically important morphological traits independently of body size divergence. These results suggest that habitat use exerts a strong, multidimensional influence on the evolution of morphological size and shape disparity in monitor lizards. PMID:21884063

  16. Recommendations

    ERIC Educational Resources Information Center

    Brazelton, G. Blue; Renn, Kristen A.; Stewart, Dafina-Lazarus

    2015-01-01

    In this chapter, the editors provide a summary of the information shared in this sourcebook about the success of students who have minoritized identities of sexuality or gender and offer recommendations for policy, practice, and further research.

  17. Recommendations for continuous emissions monitoring of mixed waste incinerators

    SciTech Connect

    Quigley, G.P.

    1992-02-01

    Considerable quantities of incinerable mixed waste are being stored in and generated by the DOE complex. Mixed waste is defined as containing a hazardous component and a radioactive component. At the present time, there is only one incinerator in the complex which has the proper TSCA and RCRA permits to handle mixed waste. This report describes monitoring techniques needed for the incinerator.

  18. QTc prolongation with antipsychotics: is routine ECG monitoring recommended?

    PubMed

    Shah, Asim A; Aftab, Awais; Coverdale, John

    2014-05-01

    Whether or not QTc interval should be routinely monitored in patients receiving antipsychotics is a controversial issue, given logistic and fiscal dilemmas. There is a link between antipsychotic medications and prolongation of QTc interval, which is associated with an increased risk of torsade de pointes (TdP). Our goal is to provide clinically practical guidelines for monitoring QTc intervals in patients being treated with antipsychotics. We provide an overview of the pathophysiology of the QT interval, its relationship to TdP, and a discussion of the QT prolonging effects of antipsychotics. A literature search for articles relevant to the QTc prolonging effects of antipsychotics and TdP was conducted utilizing the databases PubMed and Embase with various combinations of search words. The overall risk of TdP and sudden death associated with antipsychotics has been observed to be low. Medications, genetics, gender, cardiovascular status, pathological conditions, and electrolyte disturbances have been found to be related to prolongation of the QTc interval. We conclude that, while electrocardiogram (ECG) monitoring is useful when administering antipsychotic medications in the presence of co-existing risk factors, it is not mandatory to perform ECG monitoring as a prerequisite in the absence of cardiac risk factors. An ECG should be performed if the initial evaluation suggests increased cardiac risk or if the antipsychotic to be prescribed has been established to have an increased risk of TdP and sudden death. PMID:24847993

  19. GROUNDWATER QUALITY MONITORING RECOMMENDATIONS FOR IN SITU OIL SHALE DEVELOPMENT

    EPA Science Inventory

    This study addresses the two primary groups of uncertainties regarding the implementation of a groundwater quality monitoring program for MIS oil shale development such as proposed for Federal Prototype Lease Tracts C-a and C-b. Hydrogeologic characterization, an essential elemen...

  20. Recommendations on the proposed Monitored Retrievable Storage Facility

    SciTech Connect

    Not Available

    1985-10-01

    Following the Department of Energy's announcement in April 1985 that three Tennessee sites were to be considered for the Monitored Retrievable Storage facility, Governor Lamar Alexander initiated a review of the proposal to be coordinated by his Safe Growth Team. Roane County and the City of Oak Ridge, the local governments sharing jurisdiction over DOE's primary and secondary sites, were invited to participate in the state's review of the MRS proposal. Many issues related to the proposed MRS are being considered by the Governor's Safe Growth Team. The primary objective of the Clinch River MRS Task Force has been to determine whether the proposed Monitored Retrievable Storage facility should be accepted by the local governments, and if so, under what conditions. The Clinch River MRS Task Force is organized into an Executive Committee cochaired by the Roane County Executive and Mayor of Oak Ridge and three Study Groups focusing on environmental (including health and safety), socioeconomic, and transportation issues.

  1. Closing the loop from continuous M-health monitoring to fuzzy logic-based optimized recommendations.

    PubMed

    Benharref, Abdelghani; Serhani, Mohamed Adel; Nujum, Al Ramzana

    2014-01-01

    Continuous sensing of health metrics might generate a massive amount of data. Generating clinically validated recommendations, out of these data, to patients under monitoring is of prime importance to protect them from risk of falling into severe health degradation. Physicians also can be supported with automated recommendations that gain from historical data and increasing learning cycles. In this paper, we propose a Fuzzy Expert System that relies on data collected from continuous monitoring. The monitoring scheme implements preprocessing of data for better data analytics. However, data analytics implements the loopback feature in order to constantly improve fuzzy rules, knowledge base, and generated recommendations. Both techniques reduced data quantity, improved data quality and proposed recommendations. We evaluate our solution through a series of experiments and the results we have obtained proved that our fuzzy expert system combined with the intelligent monitoring and analytic techniques provide a high accuracy of collected data and valid advices. PMID:25570547

  2. Monitoring of radioactivity in imported foodstuffs - experience gained and recommendations

    SciTech Connect

    Abdul-Fattah, A.F.; Mamoon, A.M.; Abdul-Majid, S.

    1987-01-01

    Saudi Arabia has had a unique experience in radiation monitoring of imported foodstuffs for possible contamination due to the Chernobyl reactor accident. A considerable amount of various food items is imported by Saudi Arabia and much of it comes from European countries. The quantity of imported food items is greatly increased around the time of the Moslem pilgrimage to Holy Mecca. Furthermore, many additional thousands of live animals (mainly sheep and cows) are imported for sacrificing on a certain day for religious reasons. The radiation monitoring of food items at inlets to the county was not done before and a lot of preparatory work and planning had to be done to initiate the monitoring process. The experience gained in this respect might be of value to other developing countries in a similar position. King Abdulaziz Univ. (KAU) was directed by the government in about mid-June 1986 to carry out radiological inspection of food items reaching the Jeddah, Yanbu, and Jizan seaports as well as food arrivals at King Abdulaziz International Airport at Jeddah. The KAU team has met with some difficulties in carrying out its inspection responsibilities. These difficulties are of a general nature and might occur, in a similar inspection process, in other developing countries. The problems can be classified essentially into the two categories discussed: (1) problems of an administrative and management nature, and (2) problems of a technical nature.

  3. Recommendations on the proposed Monitored Retrievable Storage Facility

    SciTech Connect

    Not Available

    1985-10-01

    Following the Department of Energy`s announcement in April 1985 that three Tennessee sites were to be considered for the Monitored Retrievable Storage facility, Governor Lamar Alexander initiated a review of the proposal to be coordinated by his Safe Growth Team. Roane County and the City of Oak Ridge, the local governments sharing jurisdiction over DOE`s primary and secondary sites, were invited to participate in the state`s review of the MRS proposal. Many issues related to the proposed MRS are being considered by the Governor`s Safe Growth Team. The primary objective of the Clinch River MRS Task Force has been to determine whether the proposed Monitored Retrievable Storage facility should be accepted by the local governments, and if so, under what conditions. The Clinch River MRS Task Force is organized into an Executive Committee cochaired by the Roane County Executive and Mayor of Oak Ridge and three Study Groups focusing on environmental (including health and safety), socioeconomic, and transportation issues.

  4. US National Breastfeeding Monitoring and Surveillance: Current Status and Recommendations

    PubMed Central

    Chapman, Donna J.; Pérez-Escamilla, Rafael

    2009-01-01

    Eleven federally-funded datasets assessing breastfeeding behaviors in the US (Early Childhood Longitudinal Survey, Infant Feeding Practices Survey II, National Health and Nutrition Examination Survey, National Immunization Survey, National Survey of Children's Health, National Survey of Early Childhood Health, National Survey of Family Growth, Pediatric Nutrition Surveillance System, Pregnancy Nutrition Surveillance System, Pregnancy Risk Assessment Survey, and WIC Participant and Program Characteristics) were reviewed to evaluate the breastfeeding variables (initiation, duration and exclusivity) and determine if relevant breastfeeding determinants were collected to evaluate breastfeeding practices from a health disparities perspective. The datasets utilized inconsistent breastfeeding definitions, limited ethnic descriptors, and varied regarding availability of relevant determinants. Multiple datasets collect breastfeeding data, but a coordinated US breastfeeding monitoring and surveillance system does not exist. Suggestions to improve this system include: standardizing breastfeeding definitions, expanding ethnic/racial descriptors, collecting additional relevant variables, and reducing recall periods. PMID:19286840

  5. Groundwater monitoring of hydraulic fracturing in California: Recommendations for permit-required monitoring

    NASA Astrophysics Data System (ADS)

    Esser, B. K.; Beller, H. R.; Carroll, S.; Cherry, J. A.; Jackson, R. B.; Jordan, P. D.; Madrid, V.; Morris, J.; Parker, B. L.; Stringfellow, W. T.; Varadharajan, C.; Vengosh, A.

    2015-12-01

    California recently passed legislation mandating dedicated groundwater quality monitoring for new well stimulation operations. The authors provided the State with expert advice on the design of such monitoring networks. Factors that must be considered in designing a new and unique groundwater monitoring program include: Program design: The design of a monitoring program is contingent on its purpose, which can range from detection of individual well leakage to demonstration of regional impact. The regulatory goals for permit-required monitoring conducted by operators on a well-by-well basis will differ from the scientific goals of a regional monitoring program conducted by the State. Vulnerability assessment: Identifying factors that increase the probability of transport of fluids from the hydrocarbon target zone to a protected groundwater zone enables the intensity of permit-required monitoring to be tiered by risk and also enables prioritization of regional monitoring of groundwater basins based on vulnerability. Risk factors include well integrity; proximity to existing wellbores and geologic features; wastewater disposal; vertical separation between the hydrocarbon and groundwater zones; and site-specific hydrogeology. Analyte choice: The choice of chemical analytes in a regulatory monitoring program is guided by the goals of detecting impact, assuring public safety, preventing resource degradation, and minimizing cost. Balancing these goals may be best served by tiered approach in which targeted analysis of specific chemical additives is triggered by significant changes in relevant but more easily analyzed constituents. Such an approach requires characterization of baseline conditions, especially in areas with long histories of oil and gas development. Monitoring technology: Monitoring a deep subsurface process or a long wellbore is more challenging than monitoring a surface industrial source. The requirement for monitoring multiple groundwater aquifers across

  6. Effectiveness of Pharmacist-Led Amiodarone Monitoring Services on Improving Adherence to Amiodarone Monitoring Recommendations: A Systematic Review.

    PubMed

    Dixon, Dave L; Dunn, Steven P; Kelly, Michael S; McLlarky, Timothy R; Brown, Roy E

    2016-02-01

    Amiodarone remains the mostly frequently used antiarrhythmic in clinical practice and is most often used to maintain normal sinus rhythm in patients with atrial fibrillation who have failed a rate control strategy. Amiodarone has superior efficacy over other antiarrhythmics, a lower risk of torsade de pointes, and a better cardiovascular safety profile in patients with structural heart disease. However, amiodarone is associated with notable noncardiac toxicities affecting the thyroid, lungs, eyes, liver, and central nervous system. Since 2000, clinicians have been advised to follow amiodarone monitoring guidelines provided by the Heart Rhythm Society. Adherence to these recommendations in clinical practice, however, is suboptimal. Pharmacists play a major role in ensuring the safe and effective use of medications, particularly high-risk medications such as amiodarone. This qualitative review details the evidence supporting the role of pharmacist-led amiodarone monitoring services (AMS) in improving adherence to amiodarone monitoring guidelines and identifying adverse effects. Five studies were identified, and, overall, these programs had a favorable impact on improving adherence to guideline-recommended monitoring standards for amiodarone. The available evidence is limited by the significant variations in study designs and outcome definitions, lack of patient randomization, and limited generalizability. Nevertheless, available studies suggest that pharmacist-led AMS may improve adherence to recommended monitoring guidelines and identification of amiodarone-related adverse effects. Further study is warranted to demonstrate whether these services impact the overall quality of care provided to patients receiving amiodarone, which may justify broader implementation. PMID:26846446

  7. Recommendations for self-monitoring in pediatric diabetes: a consensus statement by the ISPED.

    PubMed

    Scaramuzza, Andrea; Cherubini, Valentino; Tumini, Stefano; Bonfanti, Riccardo; Buono, Pietro; Cardella, Francesca; d'Annunzio, Giuseppe; Frongia, Anna Paola; Lombardo, Fortunato; Monciotti, Anna Carla Maria; Rabbone, Ivana; Schiaffini, Riccardo; Toni, Sonia; Zucchini, Stefano; Frontino, Giulio; Iafusco, Dario

    2014-04-01

    A panel of experts of the Italian Society of Pediatric Endocrinology and Diabetology comprehensively discussed and approved the Italian recommendations regarding self-monitoring of blood glucose, continuous glucose monitoring and other measures of glycemic control in children and adolescents with type 1 diabetes. After an extensive review of the literature, we took these issues into account: self-monitoring blood glucose, continuous glucose monitoring, glycemic variability, glycosuria, ketonuria, ketonemia, glycated hemoglobin, fructosamine and glycated albumin, logbook, data downloading, lancing devices, carbohydrate counting, and glycemic measurements at school. We concluded that clinical guidelines on self-management should be developed in every country with faithful adaptation to local languages and taking into account specific contexts and local peculiarities, without any substantial modifications to the international recommendations. We believe that the National Health Service should provide all necessary resources to ensure self-monitoring of blood glucose and possibly continuous glucose monitoring of all children and adolescents with type 1 diabetes, according to the standards of care provided by these recommendations and internationally. PMID:24162715

  8. Recommendations of the Brazilian Society of Cardiac Arrhythmias for Holter Monitoring Services

    PubMed Central

    Lorga Filho, Adalberto; Cintra, Fatima Dumas; Lorga, Adalberto; Grupi, Cesar José; Pinho, Claudio; Moreira, Dalmo Antonio Ribeiro; Sobral Filho, Dario C.; de Brito, Fabio Sandoli; Kruse, José Claudio Lupi; Neto, José Sobral

    2013-01-01

    Background There are innumerous indicators to assure the quality of a service. However, medical competence and the proper performance of a procedure determine its final quality. The Brazilian Society of Cardiac Arrhythmias recommends minimum parameters necessary to guarantee the excellence of ambulatory electrocardiographic monitoring services. Objective To recommend minimum medical competences and the information required to issue a Holter monitoring report. Methods This study was grounded in the concept of evidence-based medicine and, when evidence was not available, the opinion of a writing committee was used to formulate the recommendation. That committee consisted of professionals with experience on the difficulties of the method and management in providing services in that area. Results The professional responsible for the Holter monitoring analysis should know cardiovascular pathologies and have consistent formation on electrocardiography, including cardiac arrhythmias and their differential diagnoses. The report should be written in a clear and objective way. The minimum parameters that comprise a Holter report should include statistics of the exam, as well as quantification and analysis of the rhythm disorders observed during monitoring. Conclusion Ambulatory electrocardiographic monitoring should be performed by professionals knowledgeable about electrocardiographic analysis, whose report should comprise the minimum parameters mentioned in this document. PMID:24030077

  9. Pilot system on extreme climate monitoring and early warning for long range forecast in Korea

    NASA Astrophysics Data System (ADS)

    Cho, K.; Park, B. K.; E-hyung, P.; Gong, Y.; Kim, H. K.; Park, S.; Min, S. K.; Yoo, H. D.

    2015-12-01

    Recently, extreme weather/climate events such as heat waves, flooding/droughts etc. have been increasing in frequency and intensity under climate change over the world. Also, they can have substantial impacts on ecosystem and human society (agriculture, health, and economy) of the affected regions. According to future projections of climate, extreme weather and climate events in Korea are expected to occure more frequently with stronger intensity over the 21st century. For the better long range forecast, it is also fundamentally ruquired to develop a supporting system in terms of extreme weather and climate events including forequency and trend. In this context, the KMA (Korea Meteorological Administration) has recently initiated a development of the extreme climate monintoring and early warning system for long range forecast, which consists of three sub-system components; (1) Real-time climate monitoring system, (2) Ensemble prediction system, and (3) Mechanism analysis and display system for climate extremes. As a first step, a pilot system has been designed focusing on temperature extremes such heat waves and cold snaps using daily, monthly and seasonal observations and model prediction output on the global, regional and national levels. In parallel, the skills of the KMA long range prediction system are being evaluated comprehensively for weather and climate extremes, for which varous case studies are conducted to better understand the observed variations of extrem climates and responsible mechanisms and also to assess predictability of the ensemble prediction system for extremes. Details in the KMA extreme climate monitoring and early warning system will be intorduced and some preliminary results will be discussed for heat/cold waves in Korea.

  10. DIEL DISSOLVED OXYGEN MONITORING OF THE SPOKANE RIVER DURING EXTREME LOW FLOW. KOOTENAI COUNTY, IDAHO, 1992

    EPA Science Inventory

    Diel monitoring of dissolved oxygen and temperature was conducted on an impounded and free-flowing reach of the Spokane River, in north Idaho (17010303) on 2 occasions during an extreme low flow event in water year 1992. The objective was to document excursions from water qualit...

  11. EVALUATING AND TESTING EMERGENCY TESTING MONITORING DEVICES IN EXTREME COLD TEMPERATURES

    EPA Science Inventory

    EPA Identifier: F8P11070
    Title: Evaluating and Testing Emergency Testing Monitoring Devices in Extreme Cold Temperatures
    Fellow (Principal Investigator): Tyler S. O’Dell
    Institution: Lake Superior State University
    EPA GRANT Represent...

  12. Policy Recommendations for the Argentinean Water Resources National Plan Related to Extreme Events in Forested Mountain Basins.

    NASA Astrophysics Data System (ADS)

    Urciuolo, A. B.; Iturraspe, R. J.; Lofiego, R.

    2007-05-01

    In the framework of activities developed by COHIFE (Federal Water Resource Council), Argentina is preparing the Water Resources National Plan. To achieve an integrating project and considering that Argentina is a federal country, each province is working on the basis of its own Water Resources Provincial Plan. The first step of the plan consists in the identification of problems, with the purpose of further defining solutions based on structural and non structural actions. The general perception of the stakeholders involved in the plan development is the necessity of the analysis of strategies for the integrated water resource management Although a first document for water policy, named "Principios Rectores de Política Hídrica" is available, there are not specific strategies for integrated management of water and land use oriented to extreme events. In other way, there are a lack of policies oriented to Mountain basin with forest coverage, may be because of most of the population and the economical structure of the country is located on plain regions. This article proposes recommendations for policy to be integrated to the Water Resources National Plan, based on studies developed in a pilot basin representative of the Andean-Patagonia eco-region, in the framework of the EPIC FORCE proyect, financed by the European Union. Project methodology includes basin instrumentation, reconstruction and analysis of extreme events and land-water management practices revision. Climate, flow and sediment Data are available for simulation using the Shetran model on different land use scenarios, including changes in the basin forest coverage. On the basis of the first results of the project, policy guides oriented to fill mentioned policy lacks were defined.

  13. Recommended methods for range-wide monitoring of prairie dogs in the United States

    USGS Publications Warehouse

    McDonald, Lyman L.; Stanley, Thomas R.; Otis, David L.; Biggins, Dean E.; Stevens, Patricia D.; Koprowski, John L.; Ballard, Warren

    2011-01-01

    One of the greatest challenges for conserving grassland, prairie scrub, and shrub-steppe ecosystems is maintaining prairie dog populations across the landscape. Of the four species of prairie dogs found in the United States, the Utah prairie dog (Cynomys parvidens) is listed under the Endangered Species Act (ESA) as threatened, the Gunnison's prairie dog (C. gunnisoni) is a candidate for listing in a portion of its range, and the black-tailed prairie dog (C. ludovicianus) and white-tailed prairie dog (C. leucurus) have each been petitioned for listing at least once in recent history. Although the U.S. Fish and Wildlife Service (USFWS) determined listing is not warranted for either the black-tailed prairie dog or white-tailed prairie dog, the petitions and associated reviews demonstrated the need for the States to monitor and manage for self-sustaining populations. In response to these findings, a multi-State conservation effort was initiated for the nonlisted species which included the following proposed actions: (1) completing an assessment of each prairie dog species in each State, (2) developing a range-wide monitoring protocol for each species using a statistically valid sampling procedure that would allow comparable analyses across States, and (3) monitoring prairie dog status every 3-5 years depending upon the species. To date, each State has completed an assessment and currently is monitoring prairie dog status; however, for some species, the inconsistency in survey methodology has made it difficult to compare data year-to-year or State-to-State. At the Prairie Dog Conservation Team meeting held in November 2008, there was discussion regarding the use of different methods to survey prairie dogs. A recommendation from this meeting was to convene a panel in a workshop-type forum and have the panel review the different methods being used and provide recommendations for range-wide monitoring protocols for each species of prairie dog. Consequently, the Western

  14. Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus: Clinical Dilemmas and Recommendations for Practice

    PubMed Central

    Afors, Karolina; Chandraharan, Edwin

    2011-01-01

    The aim of intrapartum continuous electronic fetal monitoring using a cardiotocograph (CTG) is to identify a fetus exposed to intrapartum hypoxic insults so that timely and appropriate action could be instituted to improve perinatal outcome. Features observed on a CTG trace reflect the functioning of somatic and autonomic nervous systems and the fetal response to hypoxic or mechanical insults during labour. Although, National Guidelines on electronic fetal monitoring exist for term fetuses, there is paucity of recommendations based on scientific evidence for monitoring preterm fetuses during labour. Lack of evidence-based recommendations may pose a clinical dilemma as preterm births account for nearly 8% (1 in 13) live births in England and Wales. 93% of these preterm births occur after 28 weeks, 6% between 22–27 weeks, and 1% before 22 weeks. Physiological control of fetal heart rate and the resultant features observed on the CTG trace differs in the preterm fetus as compared to a fetus at term making interpretation difficult. This review describes the features of normal fetal heart rate patterns at different gestations and the physiological responses of a preterm fetus compared to a fetus at term. We have proposed an algorithm “ACUTE” to aid management. PMID:21922045

  15. Practice recommendations for the monitoring of renal function in pediatric non-renal organ transplant recipients.

    PubMed

    Filler, Guido; Melk, Anette; Marks, Stephen D

    2016-05-01

    The management of non-renal pediatric solid organ transplant recipients has become complex over the last decade with innovations in immunosuppression and surgical techniques. Post-transplantation follow-up is essential to ensure that children have functioning allografts for as long as possible. CKD is highly prevalent in these patients, often under recognized, and has a profound impact on patient survival. These practice recommendations focus on the early detection and management of hypertension, proteinuria, and renal dysfunction in non-renal pediatric solid organ transplant recipients. We present seven practice recommendations. Renal function should be monitored regularly in organ transplant recipients, utilizing assessment of serum creatinine and cystatin C. GFR should be calculated using the new Schwartz formula. Transplant physicians should also monitor blood pressure using automated oscillometric devices and confirm repeated abnormal measures with manual blood pressure readings and ambulatory 24-h blood pressure monitoring. Proteinuria and microalbuminuria should also be assessed regularly. Referrals to a pediatric nephrologist should be made for non-renal organ transplant recipients with repeated blood pressures >95th percentile using the Fourth Task Force reference intervals, microalbumin/creatinine ratio >32.5 mg/g (3.7 mg/mmol) creatinine on repeated testing and/or GFR <90 mL/min/1.73 m(2) . PMID:26917052

  16. Therapeutic drug monitoring for triazoles: A needs assessment review and recommendations from a Canadian perspective

    PubMed Central

    Laverdiere, Michel; Bow, Eric J; Rotstein, Coleman; Autmizguine, Julie; Broady, Raewyn; Garber, Gary; Haider, Shariq; Hussaini, Trana; Husain, Shahid; Ovetchkine, Philippe; Seki, Jack T; Théorêt, Yves

    2014-01-01

    Invasive fungal infections cause significant morbidity and mortality in patients with concomitant underlying immunosuppressive diseases. The recent addition of new triazoles to the antifungal armamentarium has allowed for extended-spectrum activity and flexibility of administration. Over the years, clinical use has raised concerns about the degree of drug exposure following standard approved drug dosing, questioning the need for therapeutic drug monitoring (TDM). Accordingly, the present guidelines focus on TDM of triazole antifungal agents. A review of the rationale for triazole TDM, the targeted patient populations and available laboratory methods, as well as practical recommendations based on current evidence from an extended literature review are provided in the present document. PMID:25587296

  17. Realtime Monitoring of the Extreme Oceanic Conditions in the Kangjin Bay, South Sea, Korea

    NASA Astrophysics Data System (ADS)

    Ro, Y.; Jung, K.

    2006-05-01

    Realtime(RT) monitoring system for the oceanic state variables was developed and has been operating since April, 2004 in the Kangjin Bay, South Sea, Korea shown. The RT production of data stream and display on the Internet web page are made possible in continuous functions of various system elements. Detailed technical information for the RT monitoring system can be referred to Ro et al. (2004). The water quality parameters, current and meteorological conditions are continuously monitored with very high sampling resolution (10 min.) throughout the year and are being published on the Internet web pages (http://oceaninfo.co.kr/kangjin). The research project encompass several important subjects focusing on the extreme oceanic conditions such as very cold water mass formation during the wintertime cold outbreak, highly diluted sea water during the dam water discharge in the summertime monsoon and the subsequent formation of the hypoxia in the shallow Kangjin Bay. These are the typical extreme events captured possibly by the RT monitoring system, without which could never have been observed and understood. These extreme conditions would exert dramatic ecological impact to the local aqua-culture ecology. This study would elucidate the series of physico-chemical processes and its implication of the local eco-system. To understand the complicated processes, various research tools have been employed such as numerical modeling of tidal circulation, density-driven current, water-quality and formation of hypoxia, time series analyses of various water quality properties including multi-variate correlation.

  18. Recommendations for strengthening the infrared technology component of any condition monitoring program

    NASA Astrophysics Data System (ADS)

    Nicholas, Jack R., Jr.; Young, R. K.

    1999-03-01

    This presentation provides insights of a long term 'champion' of many condition monitoring technologies and a Level III infra red thermographer. The co-authors present recommendations based on their observations of infra red and other components of predictive, condition monitoring programs in manufacturing, utility and government defense and energy activities. As predictive maintenance service providers, trainers, informal observers and formal auditors of such programs, the co-authors provide a unique perspective that can be useful to practitioners, managers and customers of advanced programs. Each has over 30 years experience in the field of machinery operation, maintenance, and support the origins of which can be traced to and through the demanding requirements of the U.S. Navy nuclear submarine forces. They have over 10 years each of experience with programs in many different countries on 3 continents. Recommendations are provided on the following: (1) Leadership and Management Support (For survival); (2) Life Cycle View (For establishment of a firm and stable foundation for a program); (3) Training and Orientation (For thermographers as well as operators, managers and others); (4) Analyst Flexibility (To innovate, explore and develop their understanding of machinery condition); (5) Reports and Program Justification (For program visibility and continued expansion); (6) Commitment to Continuous Improvement of Capability and Productivity (Through application of updated hardware and software); (7) Mutual Support by Analysts (By those inside and outside of the immediate organization); (8) Use of Multiple Technologies and System Experts to Help Define Problems (Through the use of correlation analysis of data from up to 15 technologies. An example correlation analysis table for AC and DC motors is provided.); (9) Root Cause Analysis (Allows a shift from reactive to proactive stance for a program); (10) Master Equipment Identification and Technology Application (To

  19. Monitoring and evaluation of a large-scale community-based program: recommendations for overcoming barriers to structured implementation.

    PubMed

    Stubbs, Joanne Marguerite; Achat, Helen Mary

    2011-02-01

    Accountability for the use of limited health resources requires quality information for ongoing monitoring of program effectiveness. We outline the challenges involved in the monitoring and evaluation of a large-scale community nurse home visiting program. Efforts to establish and maintain rigorous assessment were impaired by interrelated difficulties, impacting on the quality of information collected. The consequences and outcomes of these challenges are discussed. Recommendations to facilitate the monitoring and evaluation of community-based programs are made. Successful program monitoring and evaluation, guided by these recommendations, will support the ongoing review of program activities and evidence-based decision making to inform current operation and future planning. PMID:21692589

  20. Monitoring of the extreme alpha_ox variations in the luminous NL QSO PHL 1092

    NASA Astrophysics Data System (ADS)

    Miniutti, Giovanni

    2009-10-01

    During a 2008 XMM-Newton observation the luminous Narrow-Line quasar PHL 1092 showed a dramatic X-ray flux drop by a factor ~200 with respect to previous X-ray observations, becoming one of the most extreme X-ray weak QSO (alpha_ox = -2.44), after being X-ray "normal" (alpha_ox = -1.56) only 4.5 years earlier. Note that the extreme 2008 X-ray weakness corresponds to a factor ~320 with respect to the expected X-ray flux of QSO with the given luminosity. The aim of this proposal is to continue our UV and X-ray monitoring of this extreme source with two 25 ks exposures (one for each visibility window, hence separated by about 6 months) to unveil the timescale over which transitions from X-ray weak to normal QSO states take place in this most extraordinary AGN.

  1. Near-infrared spectroscopy provides continuous monitoring of compromised lower extremity perfusion during cardiac surgery.

    PubMed

    Prkic, Ivana; Stuth, Eckehard A E

    2016-06-01

    Near-infrared spectroscopy (NIRS) is more frequently used to monitor regional oxygenation/perfusion of the cerebral and somatorenal vascular bed during congenital heart surgery. However, NIRS probes can be placed elsewhere to assess regional perfusion. We report the intraoperative use of NIRS probes on both calves of an infant to continuously monitor changes in the regional oxygenation/perfusion of a lower extremity whose perfusion was compromised after femoral arterial line placement. The NIRS trend of the compromised limb was compared with the contralateral limb throughout congenital heart surgery including the period on cardiopulmonary bypass (CPB). Our case report illustrates that NIRS technology can be used to monitor ongoing lower extremity vascular compromise during congenital heart surgery when it is not practical to directly access and continuously assess the limb. Transient vascular compromise after invasive femoral arterial line or sheath placement for cardiac catheterization in small infants is not infrequent. NIRS technology in such circumstances may help to decide whether watchful waiting is acceptable or immediate interventions are indicated. Continuous NIRS monitoring showed that limb regional oxygenation remained depressed during CPB but dramatically increased in the post-CPB period. PMID:27185674

  2. Bronchiolitis: Recommendations for diagnosis, monitoring and management of children one to 24 months of age

    PubMed Central

    Friedman, Jeremy N; Rieder, Michael J; Walton, Jennifer M

    2014-01-01

    Bronchiolitis is the most common reason for admission to hospital in the first year of life. There is tremendous variation in the clinical management of this condition across Canada and around the world, including significant use of unnecessary tests and ineffective therapies. This statement pertains to generally healthy children ≤2 years of age with bronchiolitis. The diagnosis of bronchiolitis is based primarily on the history of illness and physical examination findings. Laboratory investigations are generally unhelpful. Bronchiolitis is a self-limiting disease, usually managed with supportive care at home. Groups at high risk for severe disease are described and guidelines for admission to hospital are presented. Evidence for the efficacy of various therapies is discussed and recommendations are made for management. Monitoring requirements and discharge readiness from hospital are also discussed. PMID:25414585

  3. Digital Divide in Sub-Saharan African Universities: Recommendations and Monitoring

    SciTech Connect

    Barry, Boubakar; Chukwuma, Victor; Petitdidier, Monique; Cottrell, Les; Bartons, Charles; /Australian Natl. U., RSES

    2009-12-17

    The Digital Divide prevents Africa from taking advantages of new information technologies. One of the most urgent priorities is to bring the Internet in African Universities, Research, and Learning Centers to the level of other regions of the world. eGY-Africa, and the Sharing Knowledge Foundation are two bottom-up initiatives by scientists to secure better cyber-infrastructure and Internet facilities in Africa. Recommendations by the present scientific communities are being formulated at national, regional and international levels. The Internet capabilities are well documented at country level overall, but this is not the case at the University level. The snapshot of the Internet status in universities in 17 African countries, obtained by a questionnaire survey, is consistent with measures of Internet penetration in the corresponding country. The monitoring of Internet performance has been proposed to those African universities to provide an information base for arguing the need to improve the coverage for Africa. A pilot program is recommended that will start scientific collaboration with Europe in western Africa using ICT. The program will lay the foundations for the arrival of new technologies like Grids.

  4. Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes

    PubMed Central

    Waterman, Pamela D.; Spasojevic, Jasmina; Li, Wenhui; Maduro, Gil; Van Wye, Gretchen

    2016-01-01

    Objectives. We evaluated use of the Index of Concentration at the Extremes (ICE) for public health monitoring. Methods. We used New York City data centered around 2010 to assess cross-sectional associations at the census tract and community district levels, for (1) diverse ICE measures plus the US poverty rate, with (2) infant mortality, premature mortality (before age 65 years), and diabetes mortality. Results. Point estimates for rate ratios were consistently greatest for the novel ICE that jointly measured extreme concentrations of income and race/ethnicity. For example, the census tract–level rate ratio for infant mortality comparing the bottom versus top quintile for an ICE contrasting low-income Black versus high-income White equaled 2.93 (95% confidence interval [CI] = 2.11, 4.09), but was 2.19 (95% CI = 1.59, 3.02) for low versus high income, 2.77 (95% CI = 2.02, 3.81) for Black versus White, and 1.56 (95% CI = 1.19, 2.04) for census tracts with greater than or equal to 30% versus less than 10% below poverty. Conclusions. The ICE may be a useful metric for public health monitoring, as it simultaneously captures extremes of privilege and deprivation and can jointly measure economic and racial/ethnic segregation. PMID:26691119

  5. Impurity Monitoring on NSTX-U with Three New Extreme Ultraviolet Spectrometers

    NASA Astrophysics Data System (ADS)

    Weller, M. E.; Beiersdorfer, P.; Soukhanovskii, V. A.; Magee, E. W.; Rognlien, T. D.; Stratton, B. C.

    2015-11-01

    The National Spherical Torus Experiment - Upgrade (NSTX-U) is a significant advancement from NSTX offering increased toroidal field, plasma current, and neutral beam injector input power. Due to these improvements generating more intense plasma conditions, impurities penetrating into the core could also be enhanced, despite efforts to improve wall conditioning (bake out, boronization, and lithium evaporation). To monitor and study these impurities, three extreme ultraviolet (EUV) spectrometers have been implemented on NSTX-U. All three are flat field grazing incident spectrometers capable of capturing time-resolved data to about 5.0 ms. Two of the spectrometers, the X-ray and Extreme Ultraviolet Spectrometer (XEUS, 5 - 65 Å) the Long-Wavelength and Extreme Ultraviolet Spectrometer (LoWEUS, 190 - 440 Å) were previously implemented on NSTX. The third has been dubbed the Metal Monitor and Lithium Spectrometer Assembly (MonaLisa, 50 - 220 Å). A new laser blow-off (LBO) system has also been developed in conjuncture with the spectrometers to introduce low and high-Z elements to study core impurity transport. The three spectrometers, along with the new LBO system, provide a unique opportunity to attain highly resolved spectra of impurities from 5 - 440 Å with time-resolution. This work was performed under the auspices of the US Department of Energy under DE-AC52-07NA27344 and DE-AC02- 09CH11466.

  6. The new EC technical recommendations for monitoring individuals occupationally exposed to external radiation.

    PubMed

    Alves, J G; Ambrosi, P; Bartlett, D T; Currivan, L; van Dijk, J W E; Fantuzzi, E; Kamenopoulou, V

    2011-03-01

    The purpose of the European Commission technical recommendations (TR) for monitoring individuals occupationally exposed to external radiation is to provide guidance on those aspects of the implementation of the European Union Parliament and Council Directives directly related to individual monitoring of external radiation, and to encourage harmonisation thereof. They are mainly aimed at the management and staff of IM services but also at manufacturers, laboratories supplying type-testing services, national authorities trying to harmonise approval procedures, and government bodies to harmonise regulations and guidance. The TR main topics are: objectives and aims of IM for external radiation; dosimetry concepts; accuracy requirements; calibration, type testing and performance testing; approval procedures; quality assurance and quality control; and dose record keeping. Attention is paid to particular aspects, such as wide energy ranges for the use of personal dosemeters, pulsed fields and non-charged particle equilibrium; and use of active personal dosemeters. The TR give proposals towards achieving harmonisation in IM and the eventual mutual recognition of services and of dose results. PMID:20959338

  7. Short-term techniques for monitoring coral reefs: Review, results, and recommendations

    SciTech Connect

    Mann, G.S.; Hunte, W.

    1994-12-31

    The health of coral reefs is in question on a global scale. The degradation of reefs has been attributed to both natural (e.g., el nino, crown-of-thorns, and hurricanes) and anthropogenic (e.g., sedimentation, nutrient overloading, oil spills, and thermal pollution) factors. Demonstrating the deleterious effects of lethal factors has not been difficult. However, it has been more difficult to quantitatively link those factors which do not cause rapid coral mortality to reef degradation. Classic techniques, such as cross-transplantation and x-ray analysis of growth bands, have proven to be successful bioassessments of chronic exposure to stressful conditions. The resolution of these techniques generally limits their usefulness as only long-term exposure (months to years) can provide quantitative differences between impacted and controlled conditions. Short-term monitoring techniques using corals have received relatively little attention from researchers. Two short-term methods have been successfully used to discriminated polluted from less-polluted sites in Barbados. The first is based on adult growth in several coral species. The second focuses on growth and survival of newly-settled juvenile corals. Both methods allowed discrimination in less than two weeks. These methods and others need to be evaluated and standardized in order to permit better, more efficient monitoring of the worlds reefs. Recommendations will be made on what life-history characteristics should be considered when choosing a coral species for use in bioassessment studies.

  8. Dynamic extreme values modeling and monitoring by means of sea shores water quality biomarkers and valvometry.

    PubMed

    Durrieu, Gilles; Pham, Quang-Khoai; Foltête, Anne-Sophie; Maxime, Valérie; Grama, Ion; Tilly, Véronique Le; Duval, Hélène; Tricot, Jean-Marie; Naceur, Chiraz Ben; Sire, Olivier

    2016-07-01

    Water quality can be evaluated using biomarkers such as tissular enzymatic activities of endemic species. Measurement of molluscs bivalves activity at high frequency (e.g., valvometry) during a long time period is another way to record the animal behavior and to evaluate perturbations of the water quality in real time. As the pollution affects the activity of oysters, we consider the valves opening and closing velocities to monitor the water quality assessment. We propose to model the huge volume of velocity data collected in the framework of valvometry using a new nonparametric extreme values statistical model. The objective is to estimate the tail probabilities and the extreme quantiles of the distribution of valve closing velocity. The tail of the distribution function of valve closing velocity is modeled by a Pareto distribution with parameter t,τ , beyond a threshold τ according to the time t of the experiment. Our modeling approach reveals the dependence between the specific activity of two enzymatic biomarkers (Glutathione-S-transferase and acetylcholinesterase) and the continuous recording of oyster valve velocity, proving the suitability of this tool for water quality assessment. Thus, valvometry allows in real-time in situ analysis of the bivalves behavior and appears as an effective early warning tool in ecological risk assessment and marine environment monitoring. PMID:27286974

  9. Stratification and monitoring of natalizumab-associated progressive multifocal leukoencephalopathy risk: recommendations from an expert group

    PubMed Central

    McGuigan, C; Craner, M; Guadagno, J; Kapoor, R; Mazibrada, G; Molyneux, P; Nicholas, R; Palace, J; Pearson, O R; Rog, D; Young, C A

    2016-01-01

    The use of natalizumab for highly active relapsing-remitting multiple sclerosis (MS) is influenced by the occurrence of progressive multifocal leukoencephalopathy (PML). Through measurement of the anti-JCV antibody index, and in combination with the presence or absence of other known risk factors, it may be possible to stratify patients with MS according to their risk of developing PML during treatment with natalizumab and detect early suspected PML using MRI including a diffusion-weighted imaging sequence. This paper describes a practical consensus guideline for treating neurologists, based on current evidence, for the introduction into routine clinical practice of anti-JCV antibody index testing of immunosuppressant-naïve patients with MS, either currently being treated with, or initiating, natalizumab, based on their anti-JCV antibody status. Recommendations for the frequency and type of MRI screening in patients with varying index-associated PML risks are also discussed. This consensus paper presents a simple and pragmatic algorithm to support the introduction of anti-JCV antibody index testing and MRI monitoring into standard PML safety protocols, in order to allow some JCV positive patients who wish to begin or continue natalizumab treatment to be managed with a more individualised analysis of their PML risk. PMID:26492930

  10. Recommendations for standards of monitoring during anaesthesia and recovery 2015: Association of Anaesthetists of Great Britain and Ireland.

    PubMed

    Checketts, M R; Alladi, R; Ferguson, K; Gemmell, L; Handy, J M; Klein, A A; Love, N J; Misra, U; Morris, C; Nathanson, M H; Rodney, G E; Verma, R; Pandit, J J

    2016-01-01

    This guideline updates and replaces the 4th edition of the AAGBI Standards of Monitoring published in 2007. The aim of this document is to provide guidance on the minimum standards for physiological monitoring of any patient undergoing anaesthesia or sedation under the care of an anaesthetist. The recommendations are primarily aimed at anaesthetists practising in the United Kingdom and Ireland. Minimum standards for monitoring patients during anaesthesia and in the recovery phase are included. There is also guidance on monitoring patients undergoing sedation and also during transfer of anaesthetised or sedated patients. There are new sections discussing the role of monitoring depth of anaesthesia, neuromuscular blockade and cardiac output. The indications for end-tidal carbon dioxide monitoring have been updated. PMID:26582586

  11. 40 CFR 141.605 - Subpart V compliance monitoring location recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the criteria in paragraphs (b) through (e) of this section. (b) You must select the number of... Systems on quarterly monitoring must take dual sample sets every 90 days at each monitoring location... monitoring must take dual sample sets at each monitoring location. All other systems on annual monitoring...

  12. 40 CFR 141.605 - Subpart V compliance monitoring location recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the criteria in paragraphs (b) through (e) of this section. (b) You must select the number of... Systems on quarterly monitoring must take dual sample sets every 90 days at each monitoring location... monitoring must take dual sample sets at each monitoring location. All other systems on annual monitoring...

  13. Heart Rhythm Monitoring in the Constellation Lunar and Launch/Landing EVA Suit: Recommendations from an Expert Panel

    NASA Technical Reports Server (NTRS)

    Scheuring, Richard A.; Hamilton, Doug; Jones, Jeffrey A.; Alexander, David

    2009-01-01

    There are currently several physiological monitoring requirements for EVA in the Human-Systems Interface Requirements (HSIR) document. There are questions as to whether the capability to monitor heart rhythm in the lunar surface space suit is a necessary capability for lunar surface operations. Similarly, there are questions as to whether the capability to monitor heart rhythm during a cabin depressurization scenario in the launch/landing space suit is necessary. This presentation seeks to inform space medicine personnel of recommendations made by an expert panel of cardiovascular medicine specialists regarding in-suit ECG heart rhythm monitoring requirements during lunar surface operations. After a review of demographic information and clinical cases and panel discussion, the panel recommended that ECG monitoring capability as a clinical tool was not essential in the lunar space suit; ECG monitoring was not essential in the launch/landing space suit for contingency scenarios; the current hear rate monitoring capability requirement for both launch/landing and lunar space suits should be maintained; lunar vehicles should be required to have ECG monitoring capability with a minimum of 5-lead ECG for IVA medical assessments; and, exercise stress testing for astronaut selection and retention should be changed from the current 85% maximum heart rate limit to maximal, exhaustive 'symptom-limited' testing to maximize diagnostic utility as a screening tool for evaluating the functional capacity of astronauts and their cardiovascular health.

  14. Accolades and Recommendations: A Longitudinal Analysis of Monitoring Reports for Two Charter Schools Serving Native American Students

    ERIC Educational Resources Information Center

    Anderson, Derek L.; Holder, K. C.

    2012-01-01

    This longitudinal case study examines 10 years' worth of annual monitoring reports for two rural Native American Charter Schools. Using data from multiple sources including interviews, site visits, and document analyses, the authors used provisional coding and constant comparison analysis to categorize the accolades and recommendations embedded in…

  15. NRL-ATM extreme ultraviolet solar image TV monitor flown on Skylab

    NASA Technical Reports Server (NTRS)

    Crockett, W. R.; Purcell, J. D.; Schumacher, R. J.; Tousey, R.; Patterson, N. P.

    1977-01-01

    An instrument for recording extreme ultraviolet television images of the sun was flown in the Apollo Telescope Mount on Skylab. Solar radiation in the 171-630 A wavelength range, defined by the transmission band of three thin-film aluminum filters, was focused onto a p-quaterphenyl photon conversion layer by a platinum-coated mirror at normal incidence. The conversion layer was attached to the faceplate of a low light level SEC vidicon. An onboard video monitor enabled the Skylab crews to observe the images in real-time and to identify and follow the development of solar features. Images were also transmitted to the mission control center, where they were used in planning the ATM observing schedule.

  16. ELF (Extremely Low Frequency) communications systems ecological monitoring program: Wetland studies

    NASA Astrophysics Data System (ADS)

    Guntenspergen, Glenn; Keough, Janet; Stearns, Forest; Wikum, Douglas

    1989-11-01

    The results and conclusions are presented of in situ studies designed to monitor for possible effects on wetland flora from exposure to electromagnetic (EM) fields produced by the U.S. Navy's Extremely Low Frequency (ELF) Communications System. The studies examined for possible effects to herbs, shrubs, and trees growing on peat bogs near the Navy's Wisconsin Transmitting Facility (WTF). Plant characteristics studied included foliar cation content, stomatal resistance, and rate of foliar decomposition. Eleven bogs similar in plant community structure and interstitial water chemistry were used as study sites. Treatment sites were located immediately adjacent to the WTF antenna or its grounds, and experienced EM field intensities at least two orders of magnitude greater than control sites.

  17. Supporting patients to self-monitor their oral anticoagulation therapy: recommendations based on a qualitative study of patients’ experiences

    PubMed Central

    Tompson, Alice; Heneghan, Carl; Fitzmaurice, David; Sutton, Stephen; Harrison, Sian; Ward, Alison

    2015-01-01

    Background Clinical trials suggest that oral anticoagulation therapy (OAT) self-monitoring is safe and effective, however little is known about the patient experience of this process. There is a lack of understanding about how best to train and support patients embarking on OAT self-monitoring. Aim To collect in-depth information about patients’ experiences of OAT self-monitoring outside of clinical trial conditions and to produce a set of recommendations on how best to support such patients. Design and setting Semi-structured qualitative interviews with patients who self-monitor and live in England. Method In total, 26 of the 267 (9.7%) who participated in the Cohort study of Anticoagulation Self-Monitoring (CASM) and were still self-monitoring after 12 months’ follow-up were interviewed. Topics discussed included experiences of OAT self-monitoring, healthcare support, training, and decision making. Framework analysis was used. Results Following initial problems using the monitoring device, interviewees described a mostly positive experience. Although less effort was expended attending monitoring appointments with health professionals, effort was required to conduct self-monitoring tests and to interpret and act on the results. Desire to self-manage was variable, especially when dosing advice systems worked promptly and reliably. Interviewees overcame patchy healthcare system knowledge and support of self-monitoring by educating themselves. Family and friends provided support with learning to use the monitor and managing OAT dosage adjustments. Conclusion Better, more-consistent training and health-service support would have alleviated a number of problems encountered by these patients who were self-monitoring. This training and support will become even more important if self-monitoring becomes more accessible to the general population of people on OAT. PMID:26077266

  18. Preface: Monitoring and modelling to guide coastal adaptation to extreme storm events in a changing climate

    NASA Astrophysics Data System (ADS)

    Brown, J. M.; Ciavola, P.; Masselink, G.; McCall, R.; Plater, A. J.

    2016-02-01

    Storms across the globe and their associated consequences in coastal zones (flooding and erosion), combined with the long-term geomorphic evolution of our coastlines, are a threat to life and assets, both socioeconomic and environmental. In a changing climate, with a rising global sea level, potentially changing patterns in storm tracks and storminess, and rising population density and pressures on the coastal zone, the future risk of coastal storm impacts is likely to increase. Coastal managers and policy makers therefore need to make effective and timely decisions on the use of resources for the immediate and longer Research focused on "monitoring and modelling to guide coastal adaptation to extreme storm events in a changing climate" is becoming more common; its goal is to provide science-based decision support for effective adaptation to the consequences of storm impacts, both now and under future climate scenarios at the coast. The growing transfer of information between the science community and end-users is enabling leading research to have a greater impact on the socioeconomic resilience of coastal communities. This special issue covers recent research activities relating to coastal hazard mapping in response to extreme events, economic impacts of long-term change, coastal processes influencing management decisions and the development of online decision support tools.

  19. 40 CFR 141.605 - Subpart V compliance monitoring location recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS Initial Distribution... locations. You should distribute locations throughout the distribution system to the extent possible. Source water type Population size category Monitoring frequency 1 Distribution system monitoring location...

  20. 40 CFR 141.605 - Subpart V compliance monitoring location recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS Initial Distribution... locations. You should distribute locations throughout the distribution system to the extent possible. Source water type Population size category Monitoring frequency 1 Distribution system monitoring location...

  1. Thermal implications of high SAR's in the body extremities at the ANSI-recommended MF-VHF safety levels

    SciTech Connect

    Chen, J.Y.; Gandhi, O.P.

    1988-06-01

    Surface temperature elevation of the wrist and the ankle sections were measured for a healthy human subject at room temperature (22-25/sup 0/C) for a variety of RF currents and SAR's in the frequency band 1-50 MHz. The observed highest rates of temperature increase in /sup 0/C/min are given by the best-fit relationships: 0.0045 x SAR in W/kg for the ankle section and 0.0048 x SAR for the wrist section, the latter being involved for conditions of contact with undergrounded bodies like cars, trucks, fences, etc. Since ankle-section SAR's on the order of 182-243 W/kg and wrist-section SAR's as high as 1045 W/kg have previously been projected for the E fields recommended in the ANSI C95.1-1982 safety guide, fairly high rates of temperature increase are therefore anticipated.

  2. Recommendations for Haemodynamic and Neurological Monitoring in Repair of Acute Type A Aortic Dissection

    PubMed Central

    Harrington, Deborah K.; Ranasinghe, Aaron M.; Shah, Anwar; Oelofse, Tessa; Bonser, Robert S.

    2011-01-01

    During treatment of acute type A aortic dissection there is potential for both pre- and intra-operative malperfusion. There are a number of monitoring strategies that may allow for earlier detection of potentially catastrophic malperfusion (particularly cerebral malperfusion) phenomena available for the anaesthetist and surgeon. This review article sets out to discuss the benefits of the current standard monitoring techniques available as well as desirable/experimental techniques which may serve as adjuncts in the monitoring of these complex patients. PMID:21776255

  3. Engaging stakeholders in review and recommendations for models of outcome monitoring for substance abuse treatment.

    PubMed

    Rush, Brian; Martin, Garth; Corea, Larry; Rotondi, Nooshin Khobzi

    2012-10-01

    We present an example of a collaborative process designed to review models of outcome monitoring for substance abuse services, with a view to assessing the feasibility of different approaches in Ontario, Canada. A conceptual framework that describes the parameters of an outcome monitoring system and four models of outcome monitoring were identified. Consultations were held with stakeholders (managers, directors, researchers, clinicians, and governmental representatives) about the types of information they would like to obtain from an outcome monitoring system. Our process is useful as a model for collaborative research with respect to performance measurement. The study's implications and limitations are noted. PMID:22780842

  4. SiC Sensors in Extreme Environments: Real-time Hydrogen Monitoring for Energy Plant Applications

    NASA Astrophysics Data System (ADS)

    Ghosh, Ruby

    2008-03-01

    Clean, efficient energy production, such as the gasification of coal (syngas), requires physical and chemical sensors for exhaust gas monitoring as well as real-time control of the combustion process. Wide-bandgap semiconducting materials systems can meet the sensing demands in these extreme environments consisting of chemically corrosive gases at high temperature and pressure. We have developed a SiC based micro-sensor for detection of hydrogen containing species with millisecond response at 600 C. The sensor is a Pt-SiO2-SiC device with a dense Pt catalytic sensing film, capable of withstanding months of continuous high temperature operation. The device was characterized in robust sensing module that is compatible with an industrial reactor. We report on the performance of the SiC sensor in a simulated syngas ambient at 370 C containing the common interferants CO2, CH4 and CO [1]. In addition we demonstrate that hours of exposure to >=1000 ppm H2S and 15% water vapor does not degrade the sensor performance. To elucidate the mechanisms responsible for the hydrogen response of the sensor we have modeled the hydrogen adsorptions kinetics at the internal Pt-SiO2 interface, using both the Tempkin and Langmuir isotherms. Under the conditions appropriate for energy plant applications, the response of our sensor is significantly larger than that obtained from ultra-high vacuum electrochemical sensor measurements at high temperatures. We will discuss the role of morphology, at the nano to micro scale, on the enhanced catalytic activity observed for our Pt sensing films in response to a heated hydrogen gas stream at atmospheric pressure. [1] R. Loloee, B. Chorpening, S. Beers & R. Ghosh, Hydrogen monitoring for power plant applications using SiC sensors, Sens. Actuators B:Chem. (2007), doi:10.1016/j.snb.2007.07.118

  5. Recommendations for Standardizing Validation Procedures Assessing Physical Activity of Older Persons by Monitoring Body Postures and Movements

    PubMed Central

    Lindemann, Ulrich; Zijlstra, Wiebren; Aminian, Kamiar; Chastin, Sebastien F.M.; de Bruin, Eling D.; Helbostad, Jorunn L.; Bussmann, Johannes B.J.

    2014-01-01

    Physical activity is an important determinant of health and well-being in older persons and contributes to their social participation and quality of life. Hence, assessment tools are needed to study this physical activity in free-living conditions. Wearable motion sensing technology is used to assess physical activity. However, there is a lack of harmonisation of validation protocols and applied statistics, which make it hard to compare available and future studies. Therefore, the aim of this paper is to formulate recommendations for assessing the validity of sensor-based activity monitoring in older persons with focus on the measurement of body postures and movements. Validation studies of body-worn devices providing parameters on body postures and movements were identified and summarized and an extensive inter-active process between authors resulted in recommendations about: information on the assessed persons, the technical system, and the analysis of relevant parameters of physical activity, based on a standardized and semi-structured protocol. The recommended protocols can be regarded as a first attempt to standardize validity studies in the area of monitoring physical activity. PMID:24434881

  6. Mental performance in extreme environments: results from a performance monitoring study during a 438-day spaceflight.

    PubMed

    Manzey, D; Lorenz, B; Poljakov, V

    1998-04-01

    During their stay in a space habitat, astronauts are exposed to many different stressors that may entail detrimental effects on mood and performance. In order to monitor the effects of the space environment on different human information processing functions during an extraordinary long-term space mission, the cognitive. visuo-motor and time-sharing performance of one Russian cosmonaut was repeatedly assessed (29 times) during his 438-day stay in space. The performance tasks used were chosen from the AGARD-STRES battery and included grammatical reasoning, Sternberg memory-search, unstable tracking, and a dual-tasks consisting of unstable tracking with concurrent memory-search. In addition to performance assessment, several subjective ratings concerning mood and workload were collected. Comparisons of pre-flight, in-flight, post-flight and two follow-up assessments 6 months after the mission revealed, (1) no impairments of basic cognitive functions during the flight, (2) clear impairments of mood, feelings of raised workload, and disturbances of tracking performance and time-sharing during the first 3 weeks in space and the first 2 weeks after return to Earth, (3) an impressive stability of mood and performance during the second to fourteenth month in space, where mood and performance had returned to pre-flight baseline level, and (4) no long-lasting performance deficits at follow-up assessments. From these results it is concluded that the first 3 weeks of long-term spaceflights and the first 2 weeks back on Earth represent critical periods where adverse effects on attentional processes are to be expected, induced by the demands to adjust to the extreme environmental changes. The stability of mood and performance observed after successful adaptation to the space environment indicates that mental efficiency and emotional state can be maintained on a level as high as on Earth even during extraordinary long-term space missions. PMID:9557591

  7. Diagnosis, monitoring, and treatment of primary ciliary dyskinesia: PCD foundation consensus recommendations based on state of the art review.

    PubMed

    Shapiro, Adam J; Zariwala, Maimoona A; Ferkol, Thomas; Davis, Stephanie D; Sagel, Scott D; Dell, Sharon D; Rosenfeld, Margaret; Olivier, Kenneth N; Milla, Carlos; Daniel, Sam J; Kimple, Adam J; Manion, Michele; Knowles, Michael R; Leigh, Margaret W

    2016-02-01

    Primary ciliary dyskinesia (PCD) is a genetically heterogeneous, rare lung disease resulting in chronic oto-sino-pulmonary disease in both children and adults. Many physicians incorrectly diagnose PCD or eliminate PCD from their differential diagnosis due to inexperience with diagnostic testing methods. Thus far, all therapies used for PCD are unproven through large clinical trials. This review article outlines consensus recommendations from PCD physicians in North America who have been engaged in a PCD centered research consortium for the last 10 years. These recommendations have been adopted by the governing board of the PCD Foundation to provide guidance for PCD clinical centers for diagnostic testing, monitoring, and appropriate short and long-term therapeutics in PCD patients. PMID:26418604

  8. RECOMMENDED METHODS FOR AMBIENT AIR MONITORING OF NO, NO2, NOY, AND INDIVIDUAL NOZ SPECIES

    EPA Science Inventory

    The most appropriate monitoring methods for reactive nitrogen oxides are identified subject to the requirements for diagnostic testing of air quality simulation models. Measurements must be made over 1 h or less and with an uncertainty of

  9. Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men

    PubMed Central

    Lunenfeld, Bruno; Zitzmann, Michael; Arver, Stefan; Kalinchenko, Svetlana; Tishova, Yuliya; Morgentaler, Abraham

    2015-01-01

    Hypogonadism or Testosterone Deficiency (TD) in adult men as defined by low levels of serum testosterone accompanied by characteristic symptoms and/or signs as detailed further on can be found in long-recognized clinical entities such as Klinefelter syndrome, Kallmann syndrome, pituitary or testicular disorders, as well as in men with idiopathic, metabolic or iatrogenic conditions that result in testosterone deficiency. These recommendations do not encompass the full range of pathologies leading to hypogonadism (testosterone deficiency), but instead focus on the clinical spectrum of hypogonadism related to metabolic and idiopathic disorders that contribute to the majority of cases that occur in adult men. PMID:25657080

  10. [Monitoring of blood parameters under course-modified MS therapy : Substance-specific relevance and current recommendations for action].

    PubMed

    Klotz, L; Berthele, A; Brück, W; Chan, A; Flachenecker, P; Gold, R; Haghikia, A; Hellwig, K; Hemmer, B; Hohlfeld, R; Korn, T; Kümpfel, T; Lang, M; Limmroth, V; Linker, R A; Meier, U; Meuth, S G; Paul, F; Salmen, A; Stangel, M; Tackenberg, B; Tumani, H; Warnke, C; Weber, M S; Ziemssen, T; Zipp, F; Wiendl, H

    2016-06-01

    With the approval of various substances for the immunotherapy of multiple sclerosis (MS), treatment possibilities have improved significantly over the last few years. Indeed, the choice of individually tailored preparations and treatment monitoring for the treating doctor is becoming increasingly more complex. This is particularly applicable for monitoring for a treatment-induced compromise of the immune system. The following article by members of the German Multiple Sclerosis Skills Network (KKNMS) and the task force "Provision Structures and Therapeutics" summarizes the practical recommendations for approved immunotherapy for mild to moderate and for (highly) active courses of MS. The focus is on elucidating the substance-specific relevance of particular laboratory parameters with regard to the mechanism of action and the side effects profile. To enable appropriate action to be taken in clinical practice, any blood work changes that can be expected, in addition to any undesirable laboratory findings and their causes and relevance, should be elucidated. PMID:26927677

  11. HotSense: a high temperature piezoelectric platform for sensing and monitoring in extreme environments (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Stevenson, Tim; Wines, Thomas; Martin, David; Vickers, William; Laws, Michael

    2016-04-01

    Effective monitoring of asset integrity subject to corrosion and erosion while minimizing the exposure of personnel to difficult and hazardous working environments has always been a major problem in many industries. One solution of this problem is permanently installed ultrasonic monitoring equipment which can continuously provide information on the rate of corrosion or cracking, even in the most severe environments and at extreme temperatures to prevent the need for shutdown. Here, a permanently installed 5 MHz ultrasonic monitoring system based on our HotSense® technology is designed and investigated. The system applicability for wall thickness, crack monitoring and weld inspection in high temperature environments is demonstrated through experimental studies on a range of Schedule 40 pipes at temperatures up to 350 °C continuously. The applicability for this technology to be distributed to Aerospace and Nuclear sectors are also explored and preliminary results discussed.

  12. Monitoring Cellular Events in Living Mast Cells Stimulated with an Extremely Small Amount of Fluid on a Microchip

    NASA Astrophysics Data System (ADS)

    Munaka, Tatsuya; Abe, Hirohisa; Kanai, Masaki; Sakamoto, Takashi; Nakanishi, Hiroaki; Yamaoka, Tetsuji; Shoji, Shuichi; Murakami, Akira

    2006-07-01

    We successfully developed a measurement system for real-time analysis of cellular function using a newly designed microchip. This microchip was equipped with a micro cell incubation chamber (240 nl) and was stimulated by a very small amount of stimuli (as small as 24 nl). Using the microchip system, cultivation of mast cells was successfully carried out. Monitoring of the cellular events after stimulation with an extremely small amount of fluid on a microchip was performed. This system could be applicable for various types of cellular analysis including real-time monitoring of cellular response by stimulation.

  13. Application of time-domain reflectometry to monitoring conditions in crushed tuff test plots at Los Alamos, New Mexico: Interpretation and recommendations for landfill monitoring

    SciTech Connect

    Filippone, C.L.; Schofield, T.G.

    1994-08-01

    Horizontal and vertical measurements of moisture content were obtained daily using time domain reflectometry (TDR) at four sites in two crushed tuff experimental plots over a period of 287 days. Moisture contents were also measured weekly at the same locations and at two additional locations in the plots using the neutron probe method. Results are assessed to determine the influence of waveguide length and waveguide orientation on TDR moisture content measurements, the degree of spatial variability in measured moisture content in this engineered porous material, and the ability of TDR to resolve vertical moisture content gradients. Recommendations are made for TDR instrumentation of mixed waste landfill monitoring systems.

  14. Compilation of 1986 annual reports of the Navy ELF (Extremely Low Frequency) communications system ecological monitoring program, volume 2

    NASA Astrophysics Data System (ADS)

    1987-07-01

    The U.S. Navy is conducting a long-term program to monitor for possible effects from the operation of its Extremely Low Frequency (ELF) Communications System to resident biota and their ecological relationships. This report documents progress of the following studies: soil amoeba; soil and litter arthropoda and earthworm studies; biological studies on pollinating insects: megachilid bees; and small vertebrates: small mammals and nesting birds.

  15. Using multimodal imaging techniques to monitor limb ischemia: a rapid noninvasive method for assessing extremity wounds

    NASA Astrophysics Data System (ADS)

    Luthra, Rajiv; Caruso, Joseph D.; Radowsky, Jason S.; Rodriguez, Maricela; Forsberg, Jonathan; Elster, Eric A.; Crane, Nicole J.

    2013-03-01

    Over 70% of military casualties resulting from the current conflicts sustain major extremity injuries. Of these the majority are caused by blasts from improvised explosive devices. The resulting injuries include traumatic amputations, open fractures, crush injuries, and acute vascular disruption. Critical tissue ischemia—the point at which ischemic tissues lose the capacity to recover—is therefore a major concern, as lack of blood flow to tissues rapidly leads to tissue deoxygenation and necrosis. If left undetected or unaddressed, a potentially salvageable limb may require more extensive debridement or, more commonly, amputation. Predicting wound outcome during the initial management of blast wounds remains a significant challenge, as wounds continue to "evolve" during the debridement process and our ability to assess wound viability remains subjectively based. Better means of identifying critical ischemia are needed. We developed a swine limb ischemia model in which two imaging modalities were combined to produce an objective and quantitative assessment of wound perfusion and tissue viability. By using 3 Charge-Coupled Device (3CCD) and Infrared (IR) cameras, both surface tissue oxygenation as well as overall limb perfusion could be depicted. We observed a change in mean 3CCD and IR values at peak ischemia and during reperfusion correlate well with clinically observed indicators for limb function and vitality. After correcting for baseline mean R-B values, the 3CCD values correlate with surface tissue oxygenation and the IR values with changes in perfusion. This study aims to not only increase fundamental understanding of the processes involved with limb ischemia and reperfusion, but also to develop tools to monitor overall limb perfusion and tissue oxygenation in a clinical setting. A rapid and objective diagnostic for extent of ischemic damage and overall limb viability could provide surgeons with a more accurate indication of tissue viability. This may

  16. [Recommendation for validation and routine monitoring of sterilization processes with ethylene oxide for medical devices].

    PubMed

    Jakimiak, B; Röhm-Rodowald, E

    1999-01-01

    The European Medical Device Directives specifically address sterilization issues in a number of instances. The European Standards for sterilization of medical devices, especially EN 550, EN 554, EN 556 regulate the manufacture, installation and operation of sterilizers as well as the validation of sterilization processes, on using ethylene oxide (EN 550) or moist heat (EN 554) for sterilization. This recommendation is intended as a source of information for conducting validation according to EN 550 and concomitantly for ensuring that the medical devices reprocessed (cleaned, disinfected, packed, sterilized, stored) in the hospital setting or in other healthcare establishments are endowed with the same level of safety with respect to sterility as that of industrially produced and marketed sterile medical devices. PMID:10474298

  17. Group on Earth Observations (GEO) Global Drought Monitor Portal: Adding Capabilities for Forecasting Hydrological Extremes and Early Warning Networking

    NASA Astrophysics Data System (ADS)

    Pozzi, W.; de Roo, A.; Vogt, J.; Lawford, R. G.; Pappenberger, F.; Heim, R. R.; Stefanski, R.

    2011-12-01

    The Intergovernmental Panel on Climate Change (IPCC 2007) has suggested the hydrometeorological extremes of both drought and flooding may increase under climate change. Drought zones can grow over large tracts of continental area and are a global-scale phenomenon (Sheffield and Wood 2011). The Group on Earth Observations Global Drought Monitor Portal (GDMP) was established as a demonstration for the 5th Earth Observation Ministerial Summit in Beijing in 2010. The European Drought Observatory, the North American Drought Monitor, the Princeton University experimental African Drought Monitor, and the University College London experimental global drought monitor were made "interoperable" through installation of Open Geospatial Consortium (OGC) Web Mapping Services (WMS) on their respective servers, allowing maps of current drought conditions to be exchanged and assembled into maps of global drought coverage on the NIDIS portal. Partners from the Republic of Argentina, the Commonwealth of Australia, China, Jordan, Brazil, and Uruguay have also joined. The GEO Global Drought Monitoring, Forecasting, and Early Warning effort involves multiple parties and institutions, including the World Meteorological Organization, the World Climate Research Program Drought Interest Group, NASA, and others. The GEO Secretariat held a launch workshop in Geneva on 4-6 May 2010 to initiate drafting the final GEO Work Plan, and, during this meeting, additional capabilities were added to the existing GDMP: 1) drought forecasting was added to drought "current conditions" monitoring, in a partnership with Joint Research Centre (and other partners) aiming at a combined platform for Hydrological Extremes (drought and flooding); 2) extending drought forecasts from the medium-range 15-day window to a 30-day window; this will be tested through pilot projects over Europe and Africa, as part of the Global Water Scarcity Information Service (GLOWASIS)and the Improved Drought Early Warning Forecasting

  18. Recommended Methods for Monitoring Skeletal Health in Astronauts to Distinguish Specific Effects of Prolonged Spaceflight

    NASA Technical Reports Server (NTRS)

    Vasadi, Lukas J.; Spector, Elizabeth R.; Smith, Scott A.; Yardley, Gregory L.; Evans, Harlan J.; Sibonga, Jean D.

    2016-01-01

    NASA uses areal bone mineral density (aBMD) by dual-energy X-ray absorptiometry (DXA) to monitor skeletal health in astronauts after typical 180-day spaceflights. The osteoporosis field and NASA, however, recognize the insufficiency of DXA aBMD as a sole surrogate for fracture risk. This is an even greater concern for NASA as it attempts to expand fracture risk assessment in astronauts, given the complicated nature of spaceflight-induced bone changes and the fact that multiple 1-year missions are planned. In the past decade, emerging analyses for additional surrogates have been tested in clinical trials; the potential use of these technologies to monitor the biomechanical integrity of the astronaut skeleton will be presented. OVERVIEW: An advisory panel of osteoporosis policy-makers provided NASA with an evidence-based assessment of astronaut biomedical and research data. The panel concluded that spaceflight and terrestrial bone loss have significant differences and certain factors may predispose astronauts to premature fractures. Based on these concerns, a proposed surveillance program is presented which a) uses Quantitative Computed Tomography (QCT) scans of the hip to monitor the recovery of spaceflight-induced deficits in trabecular BMD by 2 years after return, b) develops Finite Element Models [FEM] of QCT data to evaluate spaceflight effect on calculated hip bone strength and c) generates Trabecular Bone Score [TBS] from serial DXA scans of the lumbar spine to evaluate the effect of age, spaceflight and countermeasures on this novel index of bone microarchitecture. SIGNIFICANCE: DXA aBMD is a widely-applied, evidence-based predictor for fractures but not applicable as a fracture surrogate for premenopausal females and males <50 years. Its inability to detect structural parameters is a limitation for assessing changes in bone integrity with and without countermeasures. Collective use of aBMD, TBS, QCT, and FEM analysis for astronaut surveillance could

  19. Urban development under extreme hydrologic and weather conditions for El Paso-Juarez: Recommendations resulting from hydrologic modeling, GIS, and remote sensing analyses

    NASA Astrophysics Data System (ADS)

    Barud-Zubillaga, Alberto

    During the 2006 El Paso-Juarez flood there were many concerns regarding the capability of the existing stormwater system to handle 50- and 100-year flood events in El Paso, Texas and Juarez, Mexico area. Moreover in 2008, a considerable wet year from the normal 223 mm of annual precipitation for El Paso demonstrated that the area could very well received large amounts of precipitation at localized areas in short periods of time, representing a great flood threat to residents living in areas prone to flood. Some climate change projections for the area are exactly what had occurred over the last two decades; an increased number of torrential rainstorms over smaller concentrated pieces of land separated by longer years of drought between rainstorms. This study consisted in three projects focused on three critical regions within the El Paso-Juarez area that were greatly affected by the 2006 Flood. The goal was to identify if natural arroyos or the existent built stormwater system, could properly managed the projected precipitation patterns. The three projects described in this dissertation touch on the following points: (a) the importance of a reliable precipitation model that could accurately describes precipitation patterns in the region under extreme drought and wet climates conditions; (b) differences in land use/land cover characteristics as factors promoting or disrupting the possibility for flooding, and (c) limitations and capabilities of existent stormwater systems and natural arroyos as means to control flooding. Conclusions and recommendations are shown below, which apply not only to each particular project, but also to all study areas and similar areas in the El Paso-Juarez region. Urbanization can improve or worsen a pre-existing natural stormwater system if built under its required capacity. Such capacity should be calculated considering extreme weather conditions, based on a denser network of precipitation stations to capture the various microclimates

  20. Monitoring strategies and scale-appropriate hydrologic and biogeochemical modelling for natural resource management: Conclusions and recommendations from a session held at the iEMSs 2008

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This short communication paper presents recommendations for developing scale-appropriate monitoring and modelling strategies to assist decision making in natural resource management. These ideas presented here were discussed in the session (S5) ‘Monitoring strategies and scale-appropriate hydrologic...

  1. Bone Health Monitoring in Astronauts: Recommended Use of Quantitative Computed Tomography [QCT] for Clinical and Operational Decisions

    NASA Technical Reports Server (NTRS)

    Sibonga, J. D.; Truskowski, P.

    2010-01-01

    This slide presentation reviews the concerns that astronauts in long duration flights might have a greater risk of bone fracture as they age than the general population. A panel of experts was convened to review the information and recommend mechanisms to monitor the health of bones in astronauts. The use of Quantitative Computed Tomography (QCT) scans for risk surveillance to detect the clinical trigger and to inform countermeasure evaluation is reviewed. An added benefit of QCT is that it facilitates an individualized estimation of bone strength by Finite Element Modeling (FEM), that can inform approaches for bone rehabilitation. The use of FEM is reviewed as a process that arrives at a composite number to estimate bone strength, because it integrates multiple factors.

  2. The role of self-monitoring of blood glucose in patients treated with SGLT-2 inhibitors: a European expert recommendation.

    PubMed

    Schnell, Oliver; Alawi, Hasan; Battelino, Tadej; Ceriello, Antonio; Diem, Peter; Felton, Anne-Marie; Harno, Kari; Satman, Ilhan; Vergès, Bruno

    2014-07-01

    The role for the novel treatment approach of sodium-glucose cotransporter-2 (SGLT-2) in type 2 diabetes is increasing. Structured self-monitoring of blood glucose (SMBG), based on a less intensive and a more intensive scheme, may contribute to an optimization of SGLT-2 inhibitor based treatment. The current expert recommendation suggests individualized approaches of SMBG, using simple and clinically applicable schemes. Potential benefits of SMBG in SGLT-2 inhibitor based treatment approaches are early assessment of treatment success or failure, timely modification of treatment, detection of hypoglycemic episodes, assessment of glucose excursions, and support of diabetes management and education. The length and frequency of SMBG should depend on the clinical setting and the quality of metabolic control. PMID:24876442

  3. Estimation of density and population size and recommendations for monitoring trends of Bahama parrots on Great Abaco and Great Inagua

    USGS Publications Warehouse

    Rivera-Milan, F. F.; Collazo, J.A.; Stahala, C.; Moore, W.J.; Davis, A.; Herring, G.; Steinkamp, M.; Pagliaro, R.; Thompson, J.L.; Bracey, W.

    2005-01-01

    Once abundant and widely distributed, the Bahama parrot (Amazona leucocephala bahamensis) currently inhabits only the Great Abaco and Great lnagua Islands of the Bahamas. In January 2003 and May 2002-2004, we conducted point-transect surveys (a type of distance sampling) to estimate density and population size and make recommendations for monitoring trends. Density ranged from 0.061 (SE = 0.013) to 0.085 (SE = 0.018) parrots/ha and population size ranged from 1,600 (SE = 354) to 2,386 (SE = 508) parrots when extrapolated to the 26,154 ha and 28,162 ha covered by surveys on Abaco in May 2002 and 2003, respectively. Density was 0.183 (SE = 0.049) and 0.153 (SE = 0.042) parrots/ha and population size was 5,344 (SE = 1,431) and 4,450 (SE = 1,435) parrots when extrapolated to the 29,174 ha covered by surveys on Inagua in May 2003 and 2004, respectively. Because parrot distribution was clumped, we would need to survey 213-882 points on Abaco and 258-1,659 points on Inagua to obtain a CV of 10-20% for estimated density. Cluster size and its variability and clumping increased in wintertime, making surveys imprecise and cost-ineffective. Surveys were reasonably precise and cost-effective in springtime, and we recommend conducting them when parrots are pairing and selecting nesting sites. Survey data should be collected yearly as part of an integrated monitoring strategy to estimate density and other key demographic parameters and improve our understanding of the ecological dynamics of these geographically isolated parrot populations at risk of extinction.

  4. Infrasound network implementation in Iceland - examples of volcano monitoring in an extreme environment

    NASA Astrophysics Data System (ADS)

    Jónsdóttir, Kristín; Ripepe, Maurizio; Barsotti, Sara; Björnsson, Halldór; Del Donne, Dario; Vogfjörð, Kristín

    2015-04-01

    The installation of a network of infrasound arrays for volcano monitoring has been initiated in Iceland. In collaboration with the University of Florence (UNIFI), The Icelandic Meteorological Office (IMO) has been operating infrasound arrays since the Eyjafjallajökull eruption in 2010. An important support came through the 26 partner FP7 FUTUREVOLC project which runs from 2012 - 2016. This project which is relevant to the EU "Supersite concept" for long term monitoring in geologically active regions of Europe, is led by the University of Iceland together with IMO which leads long-term monitoring of geohazards in Iceland and is responsible for maintaining instrument networks for this purpose. As a part of the ground based FUTUREVOLC network, infrasound arrays, are used to monitor volcanic eruptive activity. The arrays are composed of 4 elements with a triangular geometry and an aperture of 120 m where each element has a differential pressure transducer with a sensitivity of 25 mV/Pa in the frequency band 0.001-50 Hz and a noise level of 10-2 Pa. Infrasound is recorded on site at 100 Hz and 24 bits and transmitted via Internet link both to the IMO and UNIFI. Three arrays are installed in South Iceland, one in Gunnarsholt, one in Þjórsárdalur and one in Kirkjubæjarklaustur. These places were chosen with the aim to optimize wind noice reduction (onsite bushes and trees) and close proximity to volcanoes such as Hekla, Katla, Torfajökull, Eyjafjallajökull, Vestmannaeyjar and the Vatnajökull ice cap which covers four central volcanoes known for explosive eruptions. In September 2014, the fourth array was installed a few km north of Vatnajökull glacier, just north of the large effusive eruption in Holuhraun which started on 29 August 2014 and is still ongoing in January 2015. The eruption is associated with the ongoing Bárðarbunga volcanic unrest and caldera collapse which is being monitored closely by the IMO and FUTUREVOLC partners. The new array has the

  5. Capabilities of a Global 3D MHD Model for Monitoring Extremely Fast CMEs

    NASA Astrophysics Data System (ADS)

    Wu, C. C.; Plunkett, S. P.; Liou, K.; Socker, D. G.; Wu, S. T.; Wang, Y. M.

    2015-12-01

    Since the start of the space era, spacecraft have recorded many extremely fast coronal mass ejections (CMEs) which have resulted in severe geomagnetic storms. Accurate and timely forecasting of the space weather effects of these events is important for protecting expensive space assets and astronauts and avoiding communications interruptions. Here, we will introduce a newly developed global, three-dimensional (3D) magnetohydrodynamic (MHD) model (G3DMHD). The model takes the solar magnetic field maps at 2.5 solar radii (Rs) and intepolates the solar wind plasma and field out to 18 Rs using the algorithm of Wang and Sheeley (1990, JGR). The output is used as the inner boundary condition for a 3D MHD model. The G3DMHD model is capable of simulating (i) extremely fast CME events with propagation speeds faster than 2500 km/s; and (ii) multiple CME events in sequence or simultaneously. We will demonstrate the simulation results (and comparison with in-situ observation) for the fastest CME in record on 23 July 2012, the shortest transit time in March 1976, and the well-known historic Carrington 1859 event.

  6. Extremely Low Frequency (ELF) communications system ecological monitoring program. Summary of 1984 progress

    NASA Astrophysics Data System (ADS)

    Zapotosky, J. E.

    1985-07-01

    A long-term program is being conducted to monitor for possible effects from the operation of the U.S. Navy's ELF Communications System to resident biota and their ecological relationships. Monitoring studies were selected through a peer-reviewed, competitive bidding process in mid-1982; studies were initiated in late summer of that year. Currently, 16 general types of organisms from three major ecosystems in the ELF Communications System are being examined. During 1984, the Program continued and extended those major activities initiated in 1983, consisting of site selection, the characterization of critical study aspects, and, to a lesser degree, the validation of assumptions made in the original proposals. Progress is summarized for the 11 projects that comprise the Program as well as for the support activities of IIT Research Institute.

  7. A twenty-first century California observing network for monitoring extreme weather events

    USGS Publications Warehouse

    White, A.B.; Anderson, M.L.; Dettinger, M.D.; Ralph, F.M.; Hinojosa, A.; Cayan, D.R.; Hartman, R.K.; Reynolds, D.W.; Johnson, L.E.; Schneider, T.L.; Cifelli, R.; Toth, Z.; Gutman, S.I.; King, C.W.; Gehrke, F.; Johnston, P.E.; Walls, C.; Mann, Dorte; Gottas, D.J.; Coleman, T.

    2013-01-01

    During Northern Hemisphere winters, the West Coast of North America is battered by extratropical storms. The impact of these storms is of paramount concern to California, where aging water supply and flood protection infrastructures are challenged by increased standards for urban flood protection, an unusually variable weather regime, and projections of climate change. Additionally, there are inherent conflicts between releasing water to provide flood protection and storing water to meet requirements for water supply, water quality, hydropower generation, water temperature and flow for at-risk species, and recreation. In order to improve reservoir management and meet the increasing demands on water, improved forecasts of precipitation, especially during extreme events, is required. Here we describe how California is addressing their most important and costliest environmental issue – water management – in part, by installing a state-of-the-art observing system to better track the area’s most severe wintertime storms.

  8. Manaus city Flow Warning system and extreme events monitoring in the Amazon Basin

    NASA Astrophysics Data System (ADS)

    Santos, A. L. M. R.; Oliveira, D.; Oliveira, M. A.; Moreira, D.; Maciel, J. S. C.

    2012-04-01

    The Amazon basin is the biggest watershed in the world, in the center of this basin, there is a city called Manaus, with population next to 2 million habitants. Manaus city is bounded by Negro River; one of the main rivers in Amazon, this river has its level checked by Fluvial Station in the Manaus harbor, which has a range of 100 years of hydrological data records. The hydrological cycle in the region next to Manaus has certain regularity, its common variety is considered of 7 months of rising river, in other words, the fluvial quotes rising and 5 months of falling (ebb). Although, the water level variation in Manaus Harbor, from its draft to flow can achieve the variation up to 16 meters of water level height, this difference can affect all the Amazon region, happening impacts such as the interference of regional agriculture and fluvial transportation, besides the economic activities in the harbor and local population welfare, arising from extreme events. Considering the relevance of prediction and accompanying of flows and drafts, the Geologic Survey of Brazil implemented, since 1989, a warning system to these extreme events. This paper focused to demonstrate the a warning system implemented from equations based on the Manaus Harbor quotes, since Negro River has a regular hydrological cycle, thus, it is possible to predict the highest quotes in the hydrological year, in advance till 75 days with accurate prediction, in a gap of 45 to 15 days before the flow. This paper presents, also, the biggest events occurred in a hundred years of records collected by Manaus Harbor, as example, the draft happened in December 2010 and the flow in June 2009, as well demonstrating the values and impacts in the Amazon region.

  9. Textile technology for the vital signs monitoring in telemedicine and extreme environments.

    PubMed

    Di Rienzo, Marco; Meriggi, Paolo; Rizzo, Francesco; Castiglioni, Paolo; Lombardi, Carolina; Ferratini, Maurizio; Parati, Gianfranco

    2010-05-01

    This paper illustrates two extensive applications of a smart garment we previously developed for the monitoring of ECG, respiration, and movement. In the first application, the device, named Maglietta Interattiva Computerizzata (MagIC), was used for the home monitoring of cardiac patients. The used platform included MagIC for signals collection, a touchscreen computer with a dedicated software for data handling, and a universal mobile telecommunications system (UMTS) dongle for data transmission, via email, to three cardiologists. Three patients daily-performed 3-min telemonitoring sessions for 30 days by using the platform. The whole system behaved correctly in 85 out of 90 sessions. In five instances, a second session was required due to UMTS traffic congestion. Only in three sessions, cardiologists asked the patient to repeat the acquisition because of poor signal quality. In the second application, MagIC was used to evaluate the effects of high-altitude hypoxia on sleep and 24 h daily life in 30 healthy subjects at 3500 and 5400 m above sea level on Mount Everest slopes. The use of MagIC garment was reported to be simple and requiring short instrumentation time even in the demanding expedition environment. The signal quality was adequate in 111 out of 115 recordings and 90% of the subjects found the vest comfortable. PMID:20421189

  10. ELF (Extremely Low Frequency) communications system ecological monitoring program: Slime mold studies

    NASA Astrophysics Data System (ADS)

    Goodman, Eugene; Greenebaum, Ben

    1990-01-01

    It was previously shown that continuous exposure of the slime mold Physarum polycephalum to extremely low frequency (ELF) electromagnetic fields (EMF) simulating those generated by the Navy's ELF communication system (then Project Sanguine) could depress the rate of respiration, and lengthen the mitotic cell cycle. In a series of experiments beginning in 1981 and ending in 1987, it was determined that whether exposing Physarum to the field environment around the Wisconsin Transmitting Facility (WTF) could induce an altered physiological state. A laboratory component was also included to help verify methodology and to supplement studies performed at the WTF. Initially, the experimental effort was directed to devising methods to maintain axenic Physarum cultures under ambient environmental conditions. This involved using growth chambers that admit the electric field or current density from the surrounding environment; the cultures were returned to the laboratory for analysis. The successful methods placed the organism on an agar bed inside double containment and introduced the samples to be assayed into shaken liquid culture medium upon arrival at the laboratory. Both WTF-generated electromagnetic fields and background strengths were measured with the help of IITRI at study locations near the antenna, at the west ground of the WTF antenna, as well as at control sites.

  11. High resolution diagnosis and monitoring of extreme precipitation events using multi-sensor multi-platform remotely sensed data

    NASA Astrophysics Data System (ADS)

    Aumann, H. H.; Desouza-Machado, S. G.; Behrangi, A.

    2010-12-01

    The study of extreme precipitation/storm events is of significant value due to their socioeconomic impacts and their applications in aviation and hydroclimatic studies. The emergence of various satellite sensors aboard multiple platforms creates unprecedented opportunities to study storm events statistically and with case studies. High spectral resolution data from the Advanced Infrared Sounder (AIRS), the Advanced Microwave Temperature Sounder (AMSU) and the Advanced Microwave Scanning Radiometer for EOS (AMSRE), were used for a statistical analysis of very deep convective systems. It was found that combination of information from atmospheric window, water vapor and temperature sounding channels can provide strong insights to diagnose such deep convective systems near the tropopause. Associated with deep convective clouds is a local upward displacement of the tropopause , a cold bulge which can be seen directly in the brightness temperatures of AIRS and AMSU channels with weighting functions peaking between 40 and 2 hPa. The bulge is not resolved by the analysis in numerical weather prediction models. Such extreme systems yield very intense precipitation, as indicated by the measurements from AMSRE, and are likely associated with high vertical wind speeds. Since AIRS data can be used to emulate the spectral bands offered by the GOES and the Spinning Enhanced Visible and Infrared Imager (SEVIRI) infrared sensors, we investigate, if such extreme events can be detected and monitored from geostationary platforms, such as GOES and SEVIRI, with very high time and space resolution. As a case study, we discuss the combination of high resolution (time and space) infrared/water vapor data from geostationary platforms and AIRS data to analyze the conditions for the Air France flight 447 crash on June 1, 2009. We present encouraging first results and discuss the future extension of this work.

  12. A review on emerging contaminants in wastewaters and the environment: current knowledge, understudied areas and recommendations for future monitoring.

    PubMed

    Petrie, Bruce; Barden, Ruth; Kasprzyk-Hordern, Barbara

    2015-04-01

    This review identifies understudied areas of emerging contaminant (EC) research in wastewaters and the environment, and recommends direction for future monitoring. Non-regulated trace organic ECs including pharmaceuticals, illicit drugs and personal care products are focused on due to ongoing policy initiatives and the expectant broadening of environmental legislation. These ECs are ubiquitous in the aquatic environment, mainly derived from the discharge of municipal wastewater effluents. Their presence is of concern due to the possible ecological impact (e.g., endocrine disruption) to biota within the environment. To better understand their fate in wastewaters and in the environment, a standardised approach to sampling is needed. This ensures representative data is attained and facilitates a better understanding of spatial and temporal trends of EC occurrence. During wastewater treatment, there is a lack of suspended particulate matter analysis due to further preparation requirements and a lack of good analytical approaches. This results in the under-reporting of several ECs entering wastewater treatment works (WwTWs) and the aquatic environment. Also, sludge can act as a concentrating medium for some chemicals during wastewater treatment. The majority of treated sludge is applied directly to agricultural land without analysis for ECs. As a result there is a paucity of information on the fate of ECs in soils and consequently, there has been no driver to investigate the toxicity to exposed terrestrial organisms. Therefore a more holistic approach to environmental monitoring is required, such that the fate and impact of ECs in all exposed environmental compartments are studied. The traditional analytical approach of applying targeted screening with low resolution mass spectrometry (e.g., triple quadrupoles) results in numerous chemicals such as transformation products going undetected. These can exhibit similar toxicity to the parent EC, demonstrating the necessity

  13. Cultivation and molecular monitoring of halophilic microorganisms inhabiting an extreme environment presented by a salt-attacked monument

    NASA Astrophysics Data System (ADS)

    Ettenauer, Jörg; Sterflinger, Katja; Piñar, Guadalupe

    2010-01-01

    In the last few years several investigations, based on culture-dependent and -independent techniques, have shown that salt-attacked stone surfaces present a habitat for extremely salt tolerant and moderate halophilic microorganisms. The inner walls of the Chapel of St. Virgil in Vienna (Austria) are an example of this phenomenon. Salt crusts cover most of the wall surfaces and salt crystallization in the porous space of the stone is causing decohesion of material and destruction of the original medieval paintings. The salt, together with the oligotrophic conditions, creates a very special and extreme habitat for halotolerant and halophilic microorganisms. In this study we investigate and monitor the cultivable and non-cultivable members of the microbial community present on the stonework of the medieval Chapel of St. Virgil after several severe disturbances of the microbial environment caused by desalination and disinfection treatments. With this finality, a combination of culture-dependent and -independent techniques was selected. The genetic diversity of a total of 104 bacterial strains isolated from the stone samples was analysed by denaturing gradient gel electrophoresis (DGGE), random amplified polymorphic DNA (RAPD) analysis and 16S rRNA gene sequencing. Strains were distributed over 29 groups on the basis of their RAPD patterns. Only 19 groups were differentiated by DGGE. Comparative sequence analyses showed that the isolated strains belong to related species of the genera Halobacillus (47.1%), Bacillus (35.6%), Acinetobacter (4.8%), Halomonas (3.9%), Nesterenkonia (2.9%), Paucisalibacillus (2.9%), Paenibacillus (1%), Staphylococcus (1%) and Exiguobacterium (1%). In addition, polymerase chain reaction DGGE fingerprints, in combination with the creation of clone libraries and sequencing analyses, were used to monitor and identify Archaea, the non-cultivable fraction of the microbial community. The detected archaeal sequences were closely related to different

  14. Using the New Floating Month Drought Index to Monitor Extreme Moisture Spells and Assess Century-Scale Climate Change

    NASA Astrophysics Data System (ADS)

    Heim, R. R.

    2009-12-01

    The evolution of drought indices over the 20th century culminated in the U.S. Drought Monitor (USDM) as a drought monitoring tool that incorporated the various existing drought indicators, drought impacts information, and input from local field experts. A set of objective blends was created to integrate appropriately-scaled indices which assessed short-term and long-term moisture conditions. Unfortunately, the objective blends provide indeterminate information when short-term conditions are wet and long-term conditions are dry, or vice versa. The new Floating Month Drought Index (FMDI) improves upon the objective blends by including a temporal component. The FMDI computes the precipitation percentile for the current month and for the current N-month dry spell, the length and starting year/month of the current dry spell, and the Dx dry spell category based on USDM categories (and similar statistics for wet spells). In this way, the FMDI provides an objective decision-support tool for integrating the multiple time scales of drought. This presentation will discuss the development of the FMDI and how it can be used to assess changes in extreme moisture conditions on regional and national scales over the 20th to 21st centuries.

  15. Monitoring Surface Moisture of Crater-fill Sediment in Extreme hydroclimatic conditions (Ubehebe Volcanic Field, Death Valley, California).

    NASA Astrophysics Data System (ADS)

    Bonaccorsi, R.; Zent, A.; McKay, C. P.

    2014-12-01

    The long term monitoring of soil surface moisture is key for constraining surface hydrology processes in extreme weather and climatic settings and their impact on biological and geological components of desert environments. We tested and applied the use of miniature data loggers to acquire novel Temperature (T) and water content (weight percent, wt%) of fine-grained sediments deposited during rain events at Ubehebe Crater (UC), the larger and deeper crater within a volcanic field in Death Valley. The Miniaturized in situ systems are compliant with Death Valley National Park's regulations to conduct scientific research in wilderness and sacred sites. About 130,000 hours of recorded soil moisture and temperature were acquired in relation to the hydroclimatic conditions (2009-current). Total annual rainfall in the area range from ~50mm to <250 mm/y in water years (WY) 2004-to date. These values are representative of the climatic context of the Mojave Region as they encompass the wettest (2005, 2011) and driest years (2002, 2007, 2012, 2013, 2014) of the last ~120 years (Western Regional Climate Center, www.wrcc.dri.edu). To date, surface (0.5 cm to 2 cm-depth) moisture of intra-crater deposits can vary from dry-very dry (1-3wt % to - 10 wt%) to wet-saturated (10-60 wt%). Over saturated conditions occur in ephemeral ponds, which appear to form once a year as a result of winter and summer rainstorms, and may last for one-two weeks (2009-2014 study years). Summer storms can yield ca. 40% to 60% of the total annual precipitation (WY 2011 thru 2014). The intensity and temporal distribution of annual storms together with ground temperature extremes (-16 to +67 ºC) influence moisture distribution and retention within the crater's floor.

  16. Soft X-ray irradiance measured by the Solar Aspect Monitor on the Solar Dynamic Observatory Extreme ultraviolet Variability Experiment

    NASA Astrophysics Data System (ADS)

    Lin, C. Y.; Bailey, S. M.; Jones, A.; Woodraska, D.; Caspi, A.; Woods, T. N.; Eparvier, F. G.; Wieman, S. R.; Didkovsky, L. V.

    2016-04-01

    The Solar Aspect Monitor (SAM) is a pinhole camera on the Extreme ultraviolet Variability Experiment (EVE) aboard the Solar Dynamics Observatory. SAM projects the solar disk onto the CCD through a metallic filter designed to allow only solar photons shortward of 7 nm to pass. Contamination from energetic particles and out-of-band irradiance is, however, significant in the SAM observations. We present a technique for isolating the 0.01-7 nm integrated irradiance from the SAM signal to produce the first results of broadband irradiance for the time period from May 2010 to May 2014. The results of this analysis agree with a similar data product from EVE's EUV SpectroPhotometer to within 25%. We compare our results with measurements from the Student Nitric Oxide Explorer Solar X-ray Photometer and the Thermosphere Ionosphere Mesosphere Energetics and Dynamics Solar EUV Experiment at similar levels of solar activity. We show that the full-disk SAM broadband results compared well to the other measurements of the 0.01-7 nm irradiance. We also explore SAM's capability toward resolving spatial contribution from regions of solar disk in irradiance and demonstrate this feature with a case study of several strong flares that erupted from active regions on 11 March 2011.

  17. Heart Rhythm Monitoring in the Constellation Lunar and Launch/Landing EVA Suit: Recommendations from an Expert Panel

    NASA Technical Reports Server (NTRS)

    Scheuring, Richard A.; Hamilton, D.; Jones, J. A.; Alexander, D.

    2008-01-01

    Currently there are several physiological monitoring requirements for Extravehicular Activity (EVA) in the Human-Systems Interface Requirements (HSIR) document, including continuous heart rhythm monitoring. However, it is not known whether heart rhythm monitoring in the lunar surface space suit is a necessary capability for lunar surface operations or in launch/landing suit the event of a cabin depressurization enroute to or from the moon. Methods: Current US astronaut corps demographic information was provided to an expert panel of cardiovascular medicine experts, including specialists in electrophysiology, exercise physiology, interventional cardiology and arrhythmia. This information included averages for male/female age, body mass index (BMI), blood pressure, cholesterol, inflammatory markers, echocardiogram, ranges for coronary artery calcium (CAC) scores for long duration astronauts, and ranges for heart rate (HR) and metabolic (MET) rates obtained during microgravity and lunar EVA. Results: The panel determined that no uncontrolled hazard was likely to occur in the suit during lunar surface or contingency microgravity ops that would require ECG monitoring in the highly screened US astronaut population. However having the capability for rhythm monitoring inside the vehicle (IVA) was considered critical to manage an astronaut in distress. Discussion: Heart rate (HR) monitoring alone allows effective monitoring of astronaut health and function. Consequently, electrocardiographic (ECG) monitoring capability as a clinical tool is not essential in the lunar or launch/landing space suit. However, the panel considered that rhythm monitoring could be useful in certain clinical situations, it was not considered required for safe operations. Also, lunar vehicles should be required to have ECG monitoring capability with a minimum of 5-lead ECG (derived 12- lead) for IVA medical assessments.

  18. RECOMMENDED OPERATING PROCEDURE NO. 2.3: SAMPLING AND ANALYSIS OF TOTAL HYDROCARBONS FROM SOURCES BY CONTINUOUS EMISSION MONITOR

    EPA Science Inventory

    The report is a recommended operating procedure (ROP) prepared for use in research activities conducted by EPA's Air and Energy Engineering Research Laboratory (AEERL). he described method is applicable to the continuous measurement of total hydrocarbons (THCs), also known as tot...

  19. Instrumentation Recommendations for Volcano Monitoring at U.S. Volcanoes Under the National Volcano Early Warning System

    USGS Publications Warehouse

    Moran, Seth C.; Freymueller, Jeff T.; LaHusen, Richard G.; McGee, Kenneth A.; Poland, Michael P.; Power, John A.; Schmidt, David A.; Schneider, David J.; Stephens, George; Werner, Cynthia A.; White, Randall A.

    2008-01-01

    As magma moves toward the surface, it interacts with anything in its path: hydrothermal systems, cooling magma bodies from previous eruptions, and (or) the surrounding 'country rock'. Magma also undergoes significant changes in its physical properties as pressure and temperature conditions change along its path. These interactions and changes lead to a range of geophysical and geochemical phenomena. The goal of volcano monitoring is to detect and correctly interpret such phenomena in order to provide early and accurate warnings of impending eruptions. Given the well-documented hazards posed by volcanoes to both ground-based populations (for example, Blong, 1984; Scott, 1989) and aviation (for example, Neal and others, 1997; Miller and Casadevall, 2000), volcano monitoring is critical for public safety and hazard mitigation. Only with adequate monitoring systems in place can volcano observatories provide accurate and timely forecasts and alerts of possible eruptive activity. At most U.S. volcanoes, observatories traditionally have employed a two-component approach to volcano monitoring: (1) install instrumentation sufficient to detect unrest at volcanic systems likely to erupt in the not-too-distant future; and (2) once unrest is detected, install any instrumentation needed for eruption prediction and monitoring. This reactive approach is problematic, however, for two reasons. 1. At many volcanoes, rapid installation of new ground-1. based instruments is difficult or impossible. Factors that complicate rapid response include (a) eruptions that are preceded by short (hours to days) precursory sequences of geophysical and (or) geochemical activity, as occurred at Mount Redoubt (Alaska) in 1989 (24 hours), Anatahan (Mariana Islands) in 2003 (6 hours), and Mount St. Helens (Washington) in 1980 and 2004 (7 and 8 days, respectively); (b) inclement weather conditions, which may prohibit installation of new equipment for days, weeks, or even months, particularly at

  20. The International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: a list of recommendations and additional conclusions: a statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine.

    PubMed

    Le Roux, Peter; Menon, David K; Citerio, Giuseppe; Vespa, Paul; Bader, Mary Kay; Brophy, Gretchen; Diringer, Michael N; Stocchetti, Nino; Videtta, Walter; Armonda, Rocco; Badjatia, Neeraj; Bösel, Julian; Chesnut, Randall; Chou, Sherry; Claassen, Jan; Czosnyka, Marek; De Georgia, Michael; Figaji, Anthony; Fugate, Jennifer; Helbok, Raimund; Horowitz, David; Hutchinson, Peter; Kumar, Monisha; McNett, Molly; Miller, Chad; Naidech, Andrew; Oddo, Mauro; Olson, DaiWai; O'Phelan, Kristine; Provencio, J Javier; Puppo, Corinna; Riker, Richard; Roberson, Claudia; Schmidt, Michael; Taccone, Fabio

    2014-12-01

    Careful patient monitoring using a variety of techniques including clinical and laboratory evaluation, bedside physiological monitoring with continuous or non-continuous techniques and imaging is fundamental to the care of patients who require neurocritical care. How best to perform and use bedside monitoring is still being elucidated. To create a basic platform for care and a foundation for further research the Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to develop recommendations about physiologic bedside monitoring. This supplement contains a Consensus Summary Statement with recommendations and individual topic reviews as a background to the recommendations. In this article, we highlight the recommendations and provide additional conclusions as an aid to the reader and to facilitate bedside care. PMID:25501689

  1. Matching Recommendation Technologies and Domains

    NASA Astrophysics Data System (ADS)

    Burke, Robin; Ramezani, Maryam

    Recommender systems form an extremely diverse body of technologies and approaches. The chapter aims to assist researchers and developers to identify the recommendation technologies that are most likely to be applicable to different domains of recommendation. Unlike other taxonomies of recommender systems, our approach is centered on the question of knowledge: what knowledge does a recommender system need in order to function, and where does that knowledge come from? Different recommendation domains (books vs condominiums, for example) provide different opportunities for the gathering and application of knowledge. These considerations give rise to a mapping between domain characteristics and recommendation technologies.

  2. Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level

    PubMed Central

    DE HERT, MARC; COHEN, DAN; BOBES, JULIO; CETKOVICH-BAKMAS, MARCELO; LEUCHT, STEFAN; M. NDETEI, DAVID; W. NEWCOMER, JOHN; UWAKWE, RICHARD; ASAI, ITSUO; MÖLLER, HANS-JURGEN; GAUTAM, SHIV; DETRAUX, JOHAN; U. CORRELL, CHRISTOPH

    2011-01-01

    Physical disorders are, compared to the general population, more prevalent in people with severe mental illness (SMI). Although this excess morbidity and mortality is largely due to modifiable lifestyle risk factors, the screening and assessment of physical health aspects remains poor, even in developed countries. Moreover, specific patient, provider, treatment and system factors act as barriers to the recognition and to the management of physical diseases in people with SMI. Psychiatrists can play a pivotal role in the improvement of the physical health of these patients by expanding their task from clinical psychiatric care to the monitoring and treatment of crucial physical parameters. At a system level, actions are not easy to realize, especially for developing countries. However, at an individual level, even simple and very basic monitoring and treatment actions, undertaken by the treating clinician, can already improve the problem of suboptimal medical care in this population. Adhering to monitoring and treatment guidelines will result in a substantial enhancement of physical health outcomes. Furthermore, psychiatrists can help educate and motivate people with SMI to address their suboptimal lifestyle, including smoking, unhealthy diet and lack of exercise. The adoption of the recommendations presented in this paper across health care systems throughout the world will contribute to a significant improvement in the medical and related psychiatric health outcomes of patients with SMI. PMID:21633691

  3. Climate Monitoring and Recommendations on the Optimum Sowing Period for the Main Crops in the Transylvanian Plain, Romania

    NASA Astrophysics Data System (ADS)

    Rusu, T.; Moraru, P. I.; Sopterean, M. L.; Pop, A. I.; Cacovean, H.

    2012-04-01

    The Transylvanian Plain (TP) is a geographical region located in north-central Romania and is bordered by large rivers to the north and south, the Somes and the Mures, respectively. TP with an area of approx. 395,616 ha, includes areas of three counties (Cluj - CJ, Mures -MS, Bistrita-Nasaud - BN), has a predominantly agricultural character, and is characterized by hilly climate floor with oceanic influences, 6-10 0C average annual temperatures and 500-700 mm/year average annual precipitations. The presence of the Carpathian mountains ring and the arrangement, almost concentric, of the relief from Transylvanian Depression, determines the development of a zonal sequence of soil types, a horizontal zonality as a direct influence of lithology and indirect of the relief, by changing climate and vegetation. Diversity of the pedogenetical factors - highly fragmented relief, forest and herbaceous vegetation grafted on a lithological background predominantly acid in the north - west and predominantly basic in south - est, parent rock composition and especially their combination in the contact zones, have conditioned in this hilly area of TP a tessellated soil cover. During soil pedogenesis, soil properties and features developed in response to differential lithology and macro/microrelief. Evaluated soils were found to largely be a complex mix of Cernisols, Luvisols and Antrisols. Zoning cultures and establishing the optimum sowing periods was made after the observations arising from practice and after the results obtained in the agricultural experimental research stations. Climate changes in recent years and climate monitoring from TP offers the possibility to check the calendar for the optimum sowing period. Monitorization of the thermal and water regime from TP was performed with twenty HOBO microstations which determine the temperature (to a height of 1 m) and rainfalls, same as temperature (at 10, 30, 50 cm depth in soil) and soil moisture (at 10 cm depth). Recorded

  4. Fermi/Gamma-ray Burst Monitor Analysis of SGR J1550-5418 Bursts During an Extreme Outburst in January 2009

    NASA Astrophysics Data System (ADS)

    Van Der Horst, Alexander Jonathan; Kouveliotou, C.; Kaneko, Y.; Gogus, E.; Gorgone, N.; GBM Magnetar Team

    2011-05-01

    In 2008 October, the Soft Gamma Repeater (SGR) J1550-5418 entered a burst active period that lasted one week. On 2009 January 22, the source entered a second, extremely active period, which lasted for one month, and was followed by a third, small episode in 2009 March. The highest number of bursts from the SGR ( 450) was observed on January 22 with the Fermi/Gamma-ray Burst Monitor (GBM). The combination of the unique GBM temporal and spectral capabilities has enabled us to study spectra of most of these SGR bursts in great detail. We present here the results of our time integrated spectral and temporal analysis of all the bursts observed with GBM during the source's active period in January 2009. Further, we compare the properties of these bursts with bursts observed from other SGR sources during extreme activations.

  5. How extreme are extremes?

    NASA Astrophysics Data System (ADS)

    Cucchi, Marco; Petitta, Marcello; Calmanti, Sandro

    2016-04-01

    High temperatures have an impact on the energy balance of any living organism and on the operational capabilities of critical infrastructures. Heat-wave indicators have been mainly developed with the aim of capturing the potential impacts on specific sectors (agriculture, health, wildfires, transport, power generation and distribution). However, the ability to capture the occurrence of extreme temperature events is an essential property of a multi-hazard extreme climate indicator. Aim of this study is to develop a standardized heat-wave indicator, that can be combined with other indices in order to describe multiple hazards in a single indicator. The proposed approach can be used in order to have a quantified indicator of the strenght of a certain extreme. As a matter of fact, extremes are usually distributed in exponential or exponential-exponential functions and it is difficult to quickly asses how strong was an extreme events considering only its magnitude. The proposed approach simplify the quantitative and qualitative communication of extreme magnitude

  6. On Recommending.

    ERIC Educational Resources Information Center

    Furner, Jonathan

    2002-01-01

    Discusses recommendation, or preference ordering, in document retrieval systems that ranks documents in order of the likelihood with which they match the preferences of any person searching the system. Describes the ERIn (Evaluation-Recommendation-Information) model, a decision-theoretic framework for understanding information-related activity…

  7. Recommender systems

    NASA Astrophysics Data System (ADS)

    Lü, Linyuan; Medo, Matúš; Yeung, Chi Ho; Zhang, Yi-Cheng; Zhang, Zi-Ke; Zhou, Tao

    2012-10-01

    The ongoing rapid expansion of the Internet greatly increases the necessity of effective recommender systems for filtering the abundant information. Extensive research for recommender systems is conducted by a broad range of communities including social and computer scientists, physicists, and interdisciplinary researchers. Despite substantial theoretical and practical achievements, unification and comparison of different approaches are lacking, which impedes further advances. In this article, we review recent developments in recommender systems and discuss the major challenges. We compare and evaluate available algorithms and examine their roles in the future developments. In addition to algorithms, physical aspects are described to illustrate macroscopic behavior of recommender systems. Potential impacts and future directions are discussed. We emphasize that recommendation has great scientific depth and combines diverse research fields which makes it interesting for physicists as well as interdisciplinary researchers.

  8. Narrative psychological content analysis as a tool for psychological status monitoring of crews in isolated, confined and extreme settings

    NASA Astrophysics Data System (ADS)

    Ehmann, B.; Balázs, L.; Fülöp, É.; Hargitai, R.; Kabai, P.; Péley, B.; Pólya, T.; Vargha, A.; László, J.

    2011-05-01

    This paper is about a pilot application of narrative psychological content analysis in the psychological status monitoring of Crew 71 of a space analog simulation environment, the Mars Desert Research Station (MDRS). Both the method and its theoretical framework, Scientific Narrative Psychology, are original developments by Hungarian psychologists [5] (László, 2008). The software was NooJ, a multilingual linguistic development environment [11] (Silberztein, 2008). Three measures were conceptualized and assessed: emotional status, team spirit and subjective physical comfort. The results showed the patterns of these three measures on a daily basis at group level, and allowed for detecting individual differences as well. The method is adaptable to languages involved in space psychology, e.g. Russian, French and German in addition to English.

  9. Recommended Paperbacks.

    ERIC Educational Resources Information Center

    Horn Book Magazine, 1980

    1980-01-01

    Lists recommended paperback books for children in the following categories: picture books; stories for younger, for intermediate, and for older readers; folklore, legend, and mythology; and nonfiction. Tells if and when the original editions were reviewed in this journal. (GT)

  10. Long-term monitoring reveals cold-water corals in extreme conditions off the southeast US coast

    NASA Astrophysics Data System (ADS)

    Mienis, F.; Duineveld, G.; Davies, A. J.; Ross, S. W.; Lavaleye, M.; Van Weering, T.

    2011-12-01

    Cold-water corals are common on the SE slope of the US (SEUS) from Florida to Cape Hatteras between depths of 400-600 m. Near Cape Hatteras cold-water corals have formed mound structures that are up to 60 m high, which are mainly covered by living colonies of the coral species Lophelia pertusa. Past explorations of major reef sites of N Carolina using remote and manned submersibles have shown living Lophelia pertusa colonies on the current facing side of the mound structures and a high biodiversity of associated fauna, especially fish. The coral areas lie in the vicinity of the Gulf Stream characterized by strong currents transporting relatively warm water northwards along the SEUS slope. Thus far little is known about the environmental conditions inside the SEUS coral communities and particularly the effects of the nearby Gulf Stream. In December 2009 two autonomous benthic landers were deployed amidst Lophelia reefs off Cape Lookout (NC) for a period of 6 months to define oceanographic patterns that are relevant for the development and persistence of cold-water coral ecosystems. Landers recorded temperature, fluorescence, turbidity, and current speed and direction. Furthermore, a sediment trap was mounted on the landers that collected material at a 16-days interval. A first analysis of the lander data shows that instability of the Gulf Stream causes rapid rises in temperature, current speed and turbidity lasting for days to more than a week. Peak temperature and turbidity levels are the highest measured in coral habitats studied so far. We did not see clear cut effects of Gulf Stream instabilities on the near bed flux of phytodetritus as opposed to reports of meanders inducing upwelling and enhanced production in the photic zone. Data analyzed so far suggest that cwc habitats of Cape Lookout experience extreme and adverse conditions for prolonged periods. The findings of this study are compared with methodologically similar studies that have been conducted in

  11. Values of Deploying a Compact Polarimetric Radar to Monitor Extreme Precipitation in a Mountainous Area: Mineral County, Colorado

    NASA Astrophysics Data System (ADS)

    Cheong, B. L.; Kirstetter, P. E.; Yu, T. Y.; Busto, J.; Speeze, T.; Dennis, J.

    2015-12-01

    Precipitation in mountainous regions can trigger flash floods and landslides especially in areas affected by wildfire. Because of the small space-time scales required for observation, they remain poorly observed. A light-weighted X-band polarimetric radar can rapidly respond to the situation and provide continuous rainfall information with high resolution for flood forecast and emergency management. A preliminary assessment of added values to the operational practice in Mineral county, Colorado was performed in Fall 2014 and Summer 2015 with a transportable polarimetric radar deployed at the Lobo Overlook. This region is one of the numerous areas in the Rocky Mountains where the WSR-88D network does not provide sufficient weather coverage due to blockages, and the limitations have impeded forecasters and local emergency managers from making accurate predictions and issuing weather warnings. High resolution observations were collected to document the precipitation characteristics and demonstrate the added values of deploying a small weather radar in such context. The analysis of the detailed vertical structure of precipitation explain the decreased signal sampled by the operational radars. The specific microphysics analyzed though polarimetry suggest that the operational Z-R relationships may not be appropriate to monitor severe weather over this wildfire affected region. Collaboration with the local emergency managers and the National Weather Service shows the critical value of deploying mobile, polarimetric and unmanned radars in complex terrain. Several selected cases are provided in this paper for illustration.

  12. When to Recommend Intervention.

    ERIC Educational Resources Information Center

    Olswang, Lesley B.; Bain, Barbara A.

    1991-01-01

    This article reviews the critical issues that influence whether a child with language impairments can benefit from intervention. It recommends three procedures (profiling, dynamic assessment, and tracking/monitoring) as tools for helping speech-language pathologists make informed decisions about intervention. (Author/JDD)

  13. Monitors.

    ERIC Educational Resources Information Center

    Powell, David

    1984-01-01

    Provides guidelines for selecting a monitor to suit specific applications, explains the process by which graphics images are produced on a CRT monitor, and describes four types of flat-panel displays being used in the newest lap-sized portable computers. A comparison chart provides prices and specifications for over 80 monitors. (MBR)

  14. Extreme events monitoring from space

    NASA Astrophysics Data System (ADS)

    Kerr, Yann; Bitar, Ahmad Al; Mahmoodi, Ali; Richaume, Philippe; Al-Yaari, Amen; Wigneron, Jean-Pierre

    2016-04-01

    The SMOS (Soil Moisture and Ocean Salinity) satellite was successfully launched in November 2009. This ESA led mission for Earth Observation is dedicated to provide soil moisture over continental surface (with an accuracy goal of 0.04 m3/m3), vegetation water content over land, and ocean salinity. These geophysical features are important as they control the energy balance between the surface and the atmosphere. Their knowledge at a global scale is of interest for climatic and weather researches, and in particular in improving model forecasts. The Soil Moisture and Ocean Salinity mission has now been collecting data for 6 years. The whole data set has just been reprocessed (Version 620 for levels 1 and 2 and version 3 for level 3 CATDS). After 6 years it seems important to start using data for having a look at anomalies and see how they can relate to large scale events The purpose of this communication is to present the mission results after more than six years in orbit in a climatic trend perspective, as through such a period anomalies can be detected. Thereby we benefit from consistent datasets provided through the latest reprocessing using most recent algorithm enhancements. Using the above mentioned products it is possible to follow large events such as the evolution of the droughts in North America, or water fraction evolution over the Amazonian basin. In this occasion we will focus on the analysis of SMOS and ancillary products anomalies to reveal two climatic trends, the temporal evolution of water storage over the Indian continent in relation to rainfall anomalies, and the global impact of El Nino types of events on the general water storage distribution. This presentation shows in detail the use of long term data sets of L-band microwave radiometry in two specific cases, namely droughts and water budget over a large basin. Several other analyses are under way currently. Obviously, vegetation water content, but also dielectric constant, are carrying a wealth of information and some interesting perspectives will be presented.

  15. Personalized professional content recommendation

    DOEpatents

    Xu, Songhua

    2015-10-27

    A personalized content recommendation system includes a client interface configured to automatically monitor a user's information data stream transmitted on the Internet. A hybrid contextual behavioral and collaborative personal interest inference engine resident to a non-transient media generates automatic predictions about the interests of individual users of the system. A database server retains the user's personal interest profile based on a plurality of monitored information. The system also includes a server programmed to filter items in an incoming information stream with the personal interest profile and is further programmed to identify only those items of the incoming information stream that substantially match the personal interest profile.

  16. Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association.

    PubMed

    Miller, R A; Gardner, R M

    1997-01-01

    In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention. PMID:9391932

  17. Monitoring

    DOEpatents

    Orr, Christopher Henry; Luff, Craig Janson; Dockray, Thomas; Macarthur, Duncan Whittemore

    2004-11-23

    The invention provides apparatus and methods which facilitate movement of an instrument relative to an item or location being monitored and/or the item or location relative to the instrument, whilst successfully excluding extraneous ions from the detection location. Thus, ions generated by emissions from the item or location can successfully be monitored during movement. The technique employs sealing to exclude such ions, for instance, through an electro-field which attracts and discharges the ions prior to their entering the detecting location and/or using a magnetic field configured to repel the ions away from the detecting location.

  18. The Efficacy of Intraoperative Neurophysiological Monitoring Using Transcranial Electrically Stimulated Muscle-evoked Potentials (TcE-MsEPs) for Predicting Postoperative Segmental Upper Extremity Motor Paresis After Cervical Laminoplasty

    PubMed Central

    Manabe, Hideki; Izumi, Bunichiro; Tanaka, Hiroyuki; Kawai, Kazumi; Tanaka, Nobuhiro

    2016-01-01

    Study Design: Prospective study. Objective: To investigate the efficacy of transcranial electrically stimulated muscle-evoked potentials (TcE-MsEPs) for predicting postoperative segmental upper extremity palsy following cervical laminoplasty. Summary of Background Data: Postoperative segmental upper extremity palsy, especially in the deltoid and biceps (so-called C5 palsy), is the most common complication following cervical laminoplasty. Some papers have reported that postoperative C5 palsy cannot be predicted by TcE-MsEPs, although others have reported that it can be predicted. Methods: This study included 160 consecutive cases that underwent open-door laminoplasty, and TcE-MsEP monitoring was performed in the biceps brachii, triceps brachii, abductor digiti minimi, tibialis anterior, and abductor hallucis. A >50% decrease in the wave amplitude was defined as an alarm point. According to the monitoring alarm, interventions were performed, which include steroid administration, foraminotomies, etc. Results: Postoperative deltoid and biceps palsy occurred in 5 cases. Among the 155 cases without segmental upper extremity palsy, there were no monitoring alarms. Among the 5 deltoid and biceps palsy cases, 3 had significant wave amplitude decreases in the biceps during surgery, and palsy occurred when the patients awoke from anesthesia (acute type). In the other 2 cases in which the palsy occurred 2 days after the operation (delayed type), there were no significant wave decreases. In all of the cases, the palsy was completely resolved within 6 months. Discussion: The majority of C5 palsies have been reported to occur several days after surgery, but some of them have been reported to occur immediately after surgery. Our results demonstrated that TcE-MsEPs can predict the acute type, whereas the delayed type cannot be predicted. Conclusions: A >50% wave amplitude decrease in the biceps is useful to predict acute-type segmental upper extremity palsy. Further examination

  19. Compilation of 1986 annual reports of the Navy ELF (extremely low frequency) communications system ecological-monitoring program. Volume 2. Tabs D-G. Annual progress report, January-December 1986

    SciTech Connect

    Not Available

    1987-07-01

    The U.S. Navy is conducting a long-term program to monitor for possible effects from the operation of its Extremely Low Frequency (ELF) Communications System to resident biota and their ecological relationships. This report documents progress of the following studies: Soil Amoeba; Soil and Litter Arthropoda and Earthworm Studies; Biological Studies on Pollinating insects: Megachilid Bees; and Small Vertebrates: Small Mammals and Nesting Birds.

  20. [Current status and recommendations on the use of continuous blood glucose monitoring systems in children and adolescents with type 1 diabetes mellitus].

    PubMed

    Torres Lacruz, M; Barrio Castellanos, R; García Cuartero, B; Gómez Gila, A; González Casado, I; Hermoso López, F; Luzuriaga Tomás, C; Oyarzabal Irigoyen, M; Rica Etxebarria, I; Rodríguez Rigual, M

    2011-08-01

    Glucose monitoring methods have made great advances in the last decade with the appearance of the continuous glucose monitoring systems (CGMS) that measure the glucose levels in the interstitial liquid, providing information about glucose patterns and trends, but do not replace the self-monitoring of capillary glucose. Improvement in diabetes control using the CGMS depends on the motivation and training received by the patient and family and on the continuity in its use. Due to the development and widespread use of these systems in clinical practice, the diabetes group of the Sociedad Española de Endocrinología Pediátrica has drafted a document of consensus for their indication and use in children and adolescents. Only a limited number of trials have been performed in children and adolescent populations. More data are needed on the use of this technology in order to define the impact on metabolic control. PMID:21478062

  1. Monitoring the impact of litter in large vertebrates in the Mediterranean Sea within the European Marine Strategy Framework Directive (MSFD): constraints, specificities and recommendations.

    PubMed

    Galgani, F; Claro, F; Depledge, M; Fossi, C

    2014-09-01

    In its decision (2010/477/EU) relating to the European Marine Strategy Framework Directive (MSFD, 2008/56/EC), the European Commission identified the following points as focuses for monitoring: (i) 10.1.1: Trends in the amount, source and composition of litter washed ashore and/or deposited on coastlines, (ii) 10.1.2: Trends in the amount and composition of litter in the water column and accumulation on the sea floor, (iii) 10.1.3: Trends in the amount, distribution and composition of micro-particles (mainly microplastics), and (iv) 10.2.1: Trends in the amount and composition of litter ingested by marine animals. Monitoring the impacts of litter will be considered further in 2014. At that time, the strategy will be discussed in the context of the Mediterranean Sea, providing information on constraints, protocols, existing harm and research needed to support monitoring efforts. The definition of targets and acceptable levels of harm must take all factors into account, whether entanglement, ingestion, the transport and release of pollutants, the transport of alien species and socio-economic impacts. It must also reflect on the practical deployment of "ingestion" measures (10.2.1). The analysis of existing data will reveal the potential and suitability of some higher trophic level organisms (fish, turtles, birds and mammals) for monitoring the adverse effects of litter. Sea turtles appear to be useful indicator species, but the definition of an ecological quality objective is still needed, as well as research on alternative potential indicator species. PMID:24612883

  2. Improving Bone-Health Monitoring in Astronauts: Recommended Use of Quantitative Computed Tomography [QCT] for Clinical and Operational Decisions by NASA

    NASA Technical Reports Server (NTRS)

    Sibonga, J. D.; Truszkowski, P.

    2010-01-01

    DXA measurement of areal bone mineral density [aBMD,g/cm2] is required by NASA for assessing skeletal integrity in astronauts. Due to the abundance of population-based data that correlate hip and spine BMDs to fragility fractures, BMD is widely applied as a predictor of fractures in the general aging population. In contrast, QCT is primarily a research technology that measures three-dimensional , volumetric BMD (vBMD,mg/cm3) of bone and is therefore capable of differentiating between cortical and trabecular components. Additionally, when combined with Finite Element Modeling [FEM], a computational tool, QCT data can be used to estimate the whole bone strength of the hip [FE strength] for a specific load vector. A recent report demonstrated that aBMD failed to correlate with incurred changes in FE strength (for fall and stance loading) by astronauts over typical 180-day ISS (International Space Station) missions. While there are no current guidelines for using QCT data in clinical practice, QCT increases the understanding of how bone structure and mineral content are affected by spaceflight and recovery on Earth. In order to understand/promote/consider the use of QCT, NASA convened a panel of clinicians specializing in osteoporosis. After reviewing the available, albeit limited, medical and research information from long-duration astronauts (e.g., data from DXA, QCT, FEM, biochemistry analyses, medical records and in-flight exercise performance) the panelists were charged with recommending how current and future research data and analyses could inform clinical and operational decisions. The Panel recommended that clinical bone tests on astronauts should include QCT (hip and lumbar spine) for occupational risk surveillance and for the estimation of whole hip bone strength as derived by FEM. FE strength will provide an improved index that NASA could use to select astronauts of optimal bone health for extended duration missions, for repeat missions or for specific

  3. SUMMARY AND RECOMMENDATIONS OF THE EXPERT PANEL OVERSIGHT COMMITTEE MEETING ON DOUBLE-SHELL TANK CORROSION MONITORING AND TESTING HELD AUGUST 4-5 2008

    SciTech Connect

    BOOMER KD

    2009-01-08

    The Expert Panel Oversight Committee (EPOC) on Double-Shell Tank Corrosion Monitoring and Testing has been overseeing the Fiscal Year FY 2008 experimental program being performed at CC Technologies (CCT) to optimize the chemistry control for corrosion limits in Double-Shell Tanks (DSTs). The EPOC met at the M & D Professional Services Conference Facility on August 4 and 5, 2008 to discuss various aspects of that responsibility including FY 2009 planning. Formal presentations were made to update the EPOC on the these subjects.

  4. Compilation of 1988 annual reports of the Navy ELF (extremely low frequency) Communications System Ecological Monitoring Program. Volume 2. Annual progress report No. 7, January-December 1988

    SciTech Connect

    Not Available

    1989-08-01

    This is the seventh compilation of annual reports for the Navy's ELF Communications System Ecological Monitoring Program. The reports document the progress of eight studies performed during 1988 at the Wisconsin and Michigan Transmitting Facilities. The purpose of the monitoring is to determine whether electromagnetic fields produced by the ELF Communications System will affect resident biota or their ecological relationships.

  5. Extreme Physics

    NASA Astrophysics Data System (ADS)

    Colvin, Jeff; Larsen, Jon

    2013-11-01

    Acknowledgements; 1. Extreme environments: what, where, how; 2. Properties of dense and classical plasmas; 3. Laser energy absorption in matter; 4. Hydrodynamic motion; 5. Shocks; 6. Equation of state; 7. Ionization; 8. Thermal energy transport; 9. Radiation energy transport; 10. Magnetohydrodynamics; 11. Considerations for constructing radiation-hydrodynamics computer codes; 12. Numerical simulations; Appendix: units and constants, glossary of symbols; References; Bibliography; Index.

  6. Extremity angiography

    MedlinePlus

    ... angiography. Angiography uses x-rays and a special dye to see inside the arteries. Arteries are blood ... like monitor, and uses them as a guide. Dye flows through the catheter and into the arteries. ...

  7. Biomedical monitoring of phosphate removal by hemodialysis.

    PubMed

    Michalec, Michał; Fiedoruk-Pogrebniak, Marta; Matuszkiewicz-Rowińska, Joanna; Tymecki, Łukasz; Koncki, Robert

    2016-07-15

    A compact flow analysis system for non-invasive, dialysate-side monitoring of phosphate removal in the course of clinical hemodialysis treatment is presented. The monitor is based on solenoid operated micro-pumps and extremely cheap optoelectronic flow-through detector allowing photometric determination of phosphate in spent dialysate using a molybdenum blue method. The monitor can operate in both, discrete and continuous modes of measurement. The analytical utility of monitor has been tested with samples of spent dialysate produced by artificial kidney in the course of real hemodialysis sessions. The results of monitoring are comparable with those obtained using reference off-line method recommended for clinical analysis. Additionally, the possibility of two-side (dialysate and blood) monitoring of hemodialysis treatments with optoelectronic flow-through detectors has been announced. PMID:27136282

  8. High-Resolution Monitoring of CO2 Injection with Permanent Electrodes: A 5-Year Retrospect from the Ketzin Site and Design Recommendations for Future Projects

    NASA Astrophysics Data System (ADS)

    Wagner, F. M.; Bergmann, P.; Labitzke, T.; Schmidt-Hattenberger, C.; Guenther, T.; Maurer, H.

    2014-12-01

    Reliable and cost-efficient reservoir surveillance techniques play an important role in the context of geological carbon dioxide storage. Electrical methods are particularly suited to image the displacement of highly conductive formation fluids by a more resistive CO2 plume. At the Ketzin site close to Berlin, Germany, a permanent installation of 45 ring-shaped stainless steel electrodes distributed in an injection well and two observation wells is in operation since the start of injection in June 2008. The depth of the installation intervals in the three wells ranges from 590 m to 735 m. Based on our practical experience after more than five years of injection (until August 2013), we draw conclusions with regard to the usefulness and versatility of such an electrode array as well as associated challenges under the aspect of technical longevity. With regard to future installations, we present an experimental design approach to estimate optimum electrode locations along the borehole trajectories with the objective to maximize the resolution within a prescribed target horizon. Our results show that a sparse but well-conceived set of electrodes with a refinement of the electrode spacing in the target region can provide a large portion of the information content offered by very dense electrode layouts. Using Ketzin as a case study for realistic CO2 plume migration, we compare the optimized layout to the existing equidistant installation at Ketzin with a focus on the offered resolution and the inversion performance. The presented results can assist practitioners in the design of reliable and cost-efficient monitoring systems for future underground storage sites.

  9. An assessment of the potential of earth observation data to detect and monitor storm cells associated with natural hazards - an application to an extreme weather event in southeastern Mediterranean

    NASA Astrophysics Data System (ADS)

    Mavrakou, T.; Cartalis, C.

    2015-04-01

    Storm cells that evolve in Mesoscale Convective Systems (MCSs) can be recognised with the use of satellite images. In this study, Meteosat images are used for the early detection and monitoring of the evolution of storm cells associated with MCSs. The developed methodology is based on the estimation of the "Airmass" and "Convective storm" composites, at fifteen minutes intervals. The methodology was applied on a selected four-day case study in February 2013, when a depression was developed over Africa and moved across the Mediterranean resulting in deep convection along its trajectory and in an extreme weather event (heavy rainfall associated with severe flooding) at the wider urban agglomeration of Athens. The produced composites detect potential vorticity (PV) anomaly related to cyclogenesis and increase the potential to detect and monitor storm cells associated with natural hazards.

  10. Self-Monitoring of Blood Glucose in Diabetes: From Evidence to Clinical Reality in Central and Eastern Europe—Recommendations from the International Central-Eastern European Expert Group

    PubMed Central

    Barkai, László; Bolgarska, Svetlana; Bronisz, Agata; Broz, Jan; Cypryk, Katarzyna; Honka, Marek; Janez, Andrej; Krnic, Mladen; Lalic, Nebojsa; Martinka, Emil; Rahelic, Dario; Roman, Gabriela; Tankova, Tsvetalina; Várkonyi, Tamás; Wolnik, Bogumił; Zherdova, Nadia

    2014-01-01

    Abstract Self-monitoring of blood glucose (SMBG) is universally considered to be an integral part of type 1 diabetes management and crucial for optimizing the safety and efficacy of complex insulin regimens. This extends to type 2 diabetes patients on intensive insulin therapy, and there is also a growing body of evidence suggesting that structured SMBG is beneficial for all type 2 diabetes patients, regardless of therapy. However, access to SMBG can be limited in many countries in Central and Eastern Europe. A consensus group of diabetes experts from 10 countries in this region (with overlapping historical, political, and social environments)—Bulgaria, Croatia, Czech Republic, Hungary, Poland, Romania, Serbia, Slovakia, Slovenia, and Ukraine—was formed to discuss the role of SMBG across the spectrum of patients with diabetes. The group considered SMBG to be an essential tool that should be accessible to all patients with diabetes, including those with non–insulin-treated type 2 diabetes. The current article summarizes the evidence put forward by the consensus group and provides their recommendations for the appropriate use of SMBG as part of individualized patient management. The ultimate goal of these evidence-based recommendations is to help patients and providers in Central and Eastern Europe to make optimal use of SMBG in order to maximize the efficacy and safety of glucose-lowering therapies, to prevent complications, and to empower the patient to play a more active role in the management of their diabetes. PMID:24716890

  11. Extremely-low-frequency (ELF) communications system ecological monitoring program: Summary of 1990 progress. Technical report, 1 Jan-31 Dec 90

    SciTech Connect

    Abromavage, M.M.; Zapotosky, J.E.

    1991-12-01

    A long term ecological monitoring program is being conducted to monitor for possible electromagnetic effects that operation of the U.S. Navy's ELF Communications System might have to resident biota and their ecological relationships. Monitoring studies were selected through a peer reviewed, competitive bidding process in mid-1982, and work on most studies began in late summer of that year. Preliminary activities of the program consisted of site selection, characterization of critical study aspects, and validation of assumptions made in original proposals. Data collection for studies at the Naval Radio Transmitting Facility (NRTF)-Clam Lake, Wisconsin was completed, as scheduled, during 1990. Data collection for studies at the NRTF-Republic, Michigan is planned to continue through 1992. This report summarizes the progress of the monitoring program during 1990. To date, investigators conclude that on effects have occurred on biota exposed to EM Fields produced by either a fully operational or an intermittently energized ELF transmitting produced by either a fully operational or an intermittently energized ELF transmitting facility.

  12. Extreme Events

    NASA Astrophysics Data System (ADS)

    Nott, Jonathan

    2006-04-01

    The assessment of risks posed by natural hazards such as floods, droughts, earthquakes, tsunamis or cyclones, is often based on short-term historical records that may not reflect the full range or magnitude of events possible. As human populations grow, especially in hazard-prone areas, methods for accurately assessing natural hazard risks are becoming increasingly important. In Extreme Events Jonathan Nott describes the many methods used to reconstruct such hazards from natural long-term records. He demonstrates how long-term (multi-century to millennial) records are essential in gaining a realistic understanding of the variability of natural hazards, and how short-term historical records can often misrepresent the likely risks associated with natural hazards. This book will form a useful resource for students taking courses covering natural hazards and risk assessment. It will also be valuable for urban planners, policy makers and non-specialists as a guide to understanding and reconstructing long-term records of natural hazards. Explains mechanisms that cause extreme events and discusses their prehistoric records Describes how to reconstruct long-term records of natural hazards in order to make accurate risk assessments Demonstrates that natural hazards can follow cycles over time and do not occur randomly

  13. Compilation of annual reports of the Navy ELF (Extremely Low Frequency) communications system ecological monitoring program. Volume 1: Tabs A-E

    NASA Astrophysics Data System (ADS)

    Anderson, M.; Bruhn, J.; Cattelino, P.; Janke, R.; Jurgensen, M.; Mroz, G.; Reed, E. J.; Trettin, C.

    1984-07-01

    A long-term program of studying ELF electromagnetic influences on ecosystems in northwestern Wisconsin and the Upper Peninsula of Michigan is being conducted. Selection of study sites, monitoring protocols, and analytical methods were initiated in 1982. Data collection was initiated in 1983. Progress is described for studying the terrestrial, aquatic, and wetland ecosystems for the 10 projects comprising the ecological monitoring program. The 10 projects contain Herbaceous Plant Cover and Tree Studies; Litter Decomposition and Microflora; The Effects of Exposing the Slime Mold Physarum polycephalum; Soil Amoeba; Soil and Litter Arthropoda and Earthworm Studies; Biological Studies on Pollinating Insects (Megachilid Bees); Small Vertebrates (Small Mammals and Nesting Birds); Aquatic Ecosystems; Wetland Studies; and Field Studies of Effects of ELF on Migrating Birds.

  14. Solar Weather Ice Monitoring Station (SWIMS). A low cost, extreme/harsh environment, solar powered, autonomous sensor data gathering and transmission system

    NASA Astrophysics Data System (ADS)

    Chetty, S.; Field, L. A.

    2013-12-01

    The Arctic ocean's continuing decrease of summer-time ice is related to rapidly diminishing multi-year ice due to the effects of climate change. Ice911 Research aims to develop environmentally respectful materials that when deployed will increase the albedo, enhancing the formation and/preservation of multi-year ice. Small scale deployments using various materials have been done in Canada, California's Sierra Nevada Mountains and a pond in Minnesota to test the albedo performance and environmental characteristics of these materials. SWIMS is a sophisticated autonomous sensor system being developed to measure the albedo, weather, water temperature and other environmental parameters. The system (SWIMS) employs low cost, high accuracy/precision sensors, high resolution cameras, and an extreme environment command and data handling computer system using satellite and terrestrial wireless communication. The entire system is solar powered with redundant battery backup on a floating buoy platform engineered for low temperature (-40C) and high wind conditions. The system also incorporates tilt sensors, sonar based ice thickness sensors and a weather station. To keep the costs low, each SWIMS unit measures incoming and reflected radiation from the four quadrants around the buoy. This allows data from four sets of sensors, cameras, weather station, water temperature probe to be collected and transmitted by a single on-board solar powered computer. This presentation covers the technical, logistical and cost challenges in designing, developing and deploying these stations in remote, extreme environments. Image captured by camera #3 of setting sun on the SWIMS station One of the images captured by SWIMS Camera #4

  15. Extreme Geohazards: Reducing Disaster Risk and Increasing Resilience

    NASA Astrophysics Data System (ADS)

    Plag, Hans-Peter; Stein, Seth; Brocklebank, Sean; Jules-Plag, Shelley; Campus, Paola

    2014-05-01

    damage on a global scale for a globally connected and stressed society. In particular, large volcanic eruptions could impact climate, damage anthropogenic infrastructure and interrupt resource supplies on a global scale. The occurrence of one or more of the largest volcanic eruptions that took place during the last 2,000 years under today's conditions would likely cause global disasters or catastrophes challenging civilization. Integration of these low-probability, high-impact events in DRR requires an approach focused on resilience and antifragility, as well as the ability to cope with, and recover from failure of infrastructures and social systems. Resilience results from social capital even more than from the robustness of infrastructure. While it is important to understand the hazards through the contribution of geosciences, it is equally important to understand through the contribution of social sciences and engineering the societal processes involved with coping with hazards or leading to failure. For comprehensive development of resilience to natural hazards and, in particular, extreme geohazards, synergy between geosciences, engineering and social sciences, jointed to an improved science-policy relationship is key to success. For example, a simple cost-benefit analysis shows that a comprehensive monitoring system that could identify the onset of an extreme volcanic eruption with sufficient lead time to allow for a globally coordinated preparation makes economic sense. The WP recommends implementation of such a monitoring system with global coverage, assesses the existing assets in current monitoring systems, and illustrates many benefits, besides providing early warning for extreme volcanic eruptions. However, such a monitoring system can provide resilience only via the capability of the global community to react to early warnings. The WP recommends achieving this through the establishment of a global coordination platform comparable to IPCC's role in addressing

  16. CO2, CO and CH4 measurements from the NOAA Earth System Research Laboratory's Tall Tower Greenhouse Gas Observing Network: instrumentation, uncertainty analysis and recommendations for future high-accuracy greenhouse gas monitoring efforts

    NASA Astrophysics Data System (ADS)

    Andrews, A. E.; Kofler, J. D.; Trudeau, M. E.; Williams, J. C.; Neff, D. H.; Masarie, K. A.; Chao, D. Y.; Kitzis, D. R.; Novelli, P. C.; Zhao, C. L.; Dlugokencky, E. J.; Lang, P. M.; Crotwell, M. J.; Fischer, M. L.; Parker, M. J.; Lee, J. T.; Baumann, D. D.; Desai, A. R.; Stanier, C. O.; de Wekker, S. F. J.; Wolfe, D. E.; Munger, J. W.; Tans, P. P.

    2013-02-01

    A robust in situ CO2 and CO analysis system has been developed and deployed at eight sites in the NOAA Earth System Research Laboratory's (ESRL) Tall Tower Greenhouse Gas Observing Network. The network uses very tall (> 300 m) television and radio transmitter towers that provide a convenient platform for mid-boundary layer trace gas sampling. Each analyzer has three sample inlets for profile sampling, and a complete vertical profile is obtained every 15 min. The instrument suite at one site has been augmented with a cavity ring-down spectrometer for measuring CO2 and CH4. The long-term stability of the systems in the field is typically better than 0.1 ppm for CO2, 6 ppb for CO, and 0.5 ppb for CH4, as determined from repeated standard gas measurements. The instrumentation is fully automated and includes sensors for measuring a variety of status parameters, such as temperatures, pressures and flow rates that are inputs for automated alerts and quality control algorithms. These algorithms provide detailed and time-dependent uncertainty estimates for all of the gases and could be adapted to other species or analysis systems. The design emphasizes use of off the shelf parts and modularity to facilitate network operations and ease of maintenance. The systems report high-quality data with > 93% uptime. Recurrent problems and limitations of the current system are discussed along with general recommendations for high accuracy trace-gas monitoring. The network is a key component of the North American Carbon Program and a useful model for future research-grade operational greenhouse gas monitoring efforts.

  17. CO2, CO, and CH4 measurements from tall towers in the NOAA Earth System Research Laboratory's Global Greenhouse Gas Reference Network: instrumentation, uncertainty analysis, and recommendations for future high-accuracy greenhouse gas monitoring efforts

    NASA Astrophysics Data System (ADS)

    Andrews, A. E.; Kofler, J. D.; Trudeau, M. E.; Williams, J. C.; Neff, D. H.; Masarie, K. A.; Chao, D. Y.; Kitzis, D. R.; Novelli, P. C.; Zhao, C. L.; Dlugokencky, E. J.; Lang, P. M.; Crotwell, M. J.; Fischer, M. L.; Parker, M. J.; Lee, J. T.; Baumann, D. D.; Desai, A. R.; Stanier, C. O.; De Wekker, S. F. J.; Wolfe, D. E.; Munger, J. W.; Tans, P. P.

    2014-02-01

    A reliable and precise in situ CO2 and CO analysis system has been developed and deployed at eight sites in the NOAA Earth System Research Laboratory's (ESRL) Global Greenhouse Gas Reference Network. The network uses very tall (> 300 m) television and radio transmitter towers that provide a convenient platform for mid-boundary-layer trace-gas sampling. Each analyzer has three sample inlets for profile sampling, and a complete vertical profile is obtained every 15 min. The instrument suite at one site has been augmented with a cavity ring-down spectrometer for measuring CO2 and CH4. The long-term stability of the systems in the field is typically better than 0.1 ppm for CO2, 6 ppb for CO, and 0.5 ppb for CH4, as determined from repeated standard gas measurements. The instrumentation is fully automated and includes sensors for measuring a variety of status parameters, such as temperatures, pressures, and flow rates, that are inputs for automated alerts and quality control algorithms. Detailed and time-dependent uncertainty estimates have been constructed for all of the gases, and the uncertainty framework could be readily adapted to other species or analysis systems. The design emphasizes use of off-the-shelf parts and modularity to facilitate network operations and ease of maintenance. The systems report high-quality data with > 93% uptime. Recurrent problems and limitations of the current system are discussed along with general recommendations for high-accuracy trace-gas monitoring. The network is a key component of the North American Carbon Program and a useful model for future research-grade operational greenhouse gas monitoring efforts.

  18. Measles -- Recommendations for Prevention

    MedlinePlus

    ... Prevent News and Media Resources News Newsletters Events Measles - Recommendations for Prevention Recommend on Facebook Tweet Share ... safest protection you can give your child against measles. Children should be given the first dose of ...

  19. Robust Collaborative Recommendation

    NASA Astrophysics Data System (ADS)

    Burke, Robin; O'Mahony, Michael P.; Hurley, Neil J.

    Collaborative recommender systems are vulnerable to malicious users who seek to bias their output, causing them to recommend (or not recommend) particular items. This problem has been an active research topic since 2002. Researchers have found that the most widely-studied memory-based algorithms have significant vulnerabilities to attacks that can be fairly easily mounted. This chapter discusses these findings and the responses that have been investigated, especially detection of attack profiles and the implementation of robust recommendation algorithms.

  20. Does an Early and Aggressive Combined Wrapping and Dangling Procedure Affect the Clinical Outcome of Lower Extremity Free Flaps?-A Randomized Controlled Prospective Study Using Microdialysis Monitoring.

    PubMed

    Neubert, Nils; Vogt, P M; May, M; Boyce, M; Koenneker, S; Budde, E; Jokuszies, A

    2016-05-01

    Background The ideal starting point for flap training (FT) with the combined wrapping and dangling procedure is still a question of debate. Most units follow their own established protocols and currently evidence of flap compromise due to FT is still lacking. The aim of this study was to prove if an early and "aggressive" wrapping and dangling protocol could lead to metabolic changes, measured by microdialysis, indicating ischemia resulting in compromised flap perfusion. Methods Between 2010 and 2014, 49 patients with microvascular free flap reconstruction of the lower limb were included in this study. Patients were randomized into two groups. Group I started FT on the 7th postoperative day, and group II started on day 3. FT consisted of a combined wrapping and dangling procedure doubling its duration daily and ending at day 5. Flaps were monitored clinically and by microdialysis for ischemia-induced changes and metabolic parameters in the flap tissue in respect to different starting points of FT. Results All 49 patients in both groups were able to complete the postoperative FT without complications. Noninferiority of the early group could be proven and microdialysis results showed no differences between both groups. Conclusion We could prove by microdialysis that an early start of FT does not lead to compromised flap perfusion. Moreover, an early start of FT can lead to a reduced length of hospital stay. Furthermore, a reduced risk for deep vein thrombosis, pulmonary embolism, and pneumonia due to earlier mobilization might be an appreciated side effect. PMID:26676676

  1. Mania: diagnosis and treatment recommendations.

    PubMed

    Malhi, Gin S; Tanious, Michelle; Berk, Michael

    2012-12-01

    This article provides recommendations for the diagnosis and treatment of mania, which characterizes bipolar I disorder (BD I). Failure to detect mania leads to misdiagnosis and suboptimal treatment. To diagnose mania, clinicians should include a detailed mood history within their assessment of patients presenting with depression, agitation, psychosis or insomnia. With regards to treatment, by synthesizing the findings from recent treatment guidelines, and reviewing relevant literature, this paper has distilled recommendations for both acute and long-term management. Antimanic agents including atypical antipsychotics and traditional mood stabilizers are employed to reduce acute manic symptoms, augmented by benzodiazepines if needed, and in refractory or severe cases with behavioural and/or psychotic disturbance, electroconvulsive therapy may occasionally be necessary. Maintenance/prophylaxis therapy aims to reduce recurrences/relapse, for which the combination of psychological interventions with pharmacotherapy is beneficial as it ensures adherence and monitoring of tolerability. PMID:22986995

  2. Recommendations for the management of autoinflammatory diseases.

    PubMed

    ter Haar, Nienke M; Oswald, Marlen; Jeyaratnam, Jerold; Anton, Jordi; Barron, Karyl S; Brogan, Paul A; Cantarini, Luca; Galeotti, Caroline; Grateau, Gilles; Hentgen, Veronique; Hofer, Michael; Kallinich, Tilmann; Kone-Paut, Isabelle; Lachmann, Helen J; Ozdogan, Huri; Ozen, Seza; Russo, Ricardo; Simon, Anna; Uziel, Yosef; Wouters, Carine; Feldman, Brian M; Vastert, Sebastiaan J; Wulffraat, Nico M; Benseler, Susanne M; Frenkel, Joost; Gattorno, Marco; Kuemmerle-Deschner, Jasmin B

    2015-09-01

    : Autoinflammatory diseases are characterised by fever and systemic inflammation, with potentially serious complications. Owing to the rarity of these diseases, evidence-based guidelines are lacking. In 2012, the European project Single Hub and Access point for paediatric Rheumatology in Europe (SHARE) was launched to optimise and disseminate regimens for the management of children and young adults with rheumatic diseases, facilitating the clinical practice of paediatricians and (paediatric) rheumatologists. One of the aims of SHARE was to provide evidence-based recommendations for the management of the autoinflammatory diseases cryopyrin-associated periodic syndromes (CAPS), tumour necrosis factor (TNF) receptor-associated periodic syndrome (TRAPS) and mevalonate kinase deficiency (MKD). These recommendations were developed using the European League Against Rheumatism standard operating procedure. An expert committee of paediatric and adult rheumatologists was convened. Recommendations derived from the systematic literature review were evaluated by an online survey and subsequently discussed at a consensus meeting using Nominal Group Technique. Recommendations were accepted if more than 80% agreement was reached. In total, four overarching principles, 20 recommendations on therapy and 14 recommendations on monitoring were accepted with ≥80% agreement among the experts. Topics included (but were not limited to) validated disease activity scores, therapy and items to assess in monitoring of a patient. By developing these recommendations, we aim to optimise the management of patients with CAPS, TRAPS and MKD. PMID:26109736

  3. Recommendation Knowledge Discovery

    NASA Astrophysics Data System (ADS)

    McSherry, David; Stretch, Christopher

    Recently we presented a novel approach to the discovery of recommendation rules from a product case base that take account of all features of a recommended product, including those with respect to which the user's preferences are unknown. In this paper, we investigate the potential role of default preferences in the discovery of recommendation rules. As we show in the domain of digital cameras, the potential benefits include a dramatic reduction in the effective length of the discovered rules and increased coverage of queries representing the user's personal preferences. Another important finding of the research presented is that in a recommender system that takes account of default preferences, many of the products in the case base may never be recommended.

  4. New Sub-nanometer Spectral Estimates of the 0-5 nm Solar Soft X-Ray Irradiance at Mars Using the Extreme UltraViolet Monitor (EUVM) Onboard MAVEN

    NASA Astrophysics Data System (ADS)

    Thiemann, E.; Eparvier, F. G.; Chamberlin, P. C.; Woods, T. N.; Peterson, W. K.; Mitchell, D. L.; Xu, S.; Liemohn, M. W.

    2015-12-01

    The Extreme UltraViolet Monitor (EUVM) onboard the Mars Atmosphere and Volatile EvolutioN (MAVEN) probe at Mars characterizes the solar extreme ultraviolet (EUV) and soft x-ray (SXR) input into the Martian atmosphere. EUVM measures solar irradiance at 0-7 nm, 17-22 nm and 121.6 nm at a nominal 1 second cadence. These bands were selected to capture variability originating at different heights in the solar atmosphere; and are used to drive the Flare Irradiance Solar Model at Mars (FISM-M) that is a model of the solar spectrum from 0.1-190 nm with 1 nm resolution and produced routinely as the EUVM Level 3 data product. The 0-5 nm range of the solar spectrum is of particular aeronomic interest because the primary species of the Mars upper atmosphere have Auger transitions in this range. When an Auger transition is excited by incident SXR radiation, secondary electrons are emitted with sufficient energy to further ionize the atmosphere. Because these transitions are highly structured, sub-nm resolution of the solar spectrum is needed in the 0-5 nm range to fully constrain the solar input and more accurately characterize the energetics of the upper atmosphere. At Earth, .1 nm resolution estimates of the solar 0-5 nm range are produced by the X-ray Photometer System (XPS) onboard the SOlar Radiation and Climate Experiment (SORCE) satellite by combining broad-band SXR measurements with solar flare temperature measurements to drive an atomic physics based forward model of solar coronal emissions. This spectrum has been validated with other models as well as with photo-electron and day glow measurements at Earth. Similar to XPS, the EUVM 0-7 nm and 17-22 nm bands can be used to produce an XPS-like model at Mars, but with reduced precision due to differences in the available bands. We present first results of this technique applied to a set of solar flares observed by MAVEN EUVM and Earth assets. In addition to comparing EUVM and Earth-asset derived 0-5 nm solar spectra to

  5. Summary recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, The Computer-based Patient Record Institute, The Medical Library Association, The Association of Academic Health Science Libraries, The American Health Information Management Association, and The American Nurses Association.

    PubMed

    Miller, R A; Gardner, R M

    1997-11-01

    Clinical software systems are becoming ubiquitous. A growing literature documents how these systems can improve health care delivery, but concerns about patient safety must now be formally addressed. In 1996, the U.S. Food and Drug Administration (FDA) called for discussions on regulation of software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. These recommendations were revised and approved by the American Medical informatics Association Public Policy Committee and Board. Other organizations reviewed, modified, and approved the recommendations, and the Boards of Directors of most of the organizations in the consortium endorsed the guidelines. The consortium proposes four categories of clinical system risk and four classes of monitoring and regulatory action that can be applied on the basis of the risk level. The consortium recommends that most clinical software systems be supervised locally and that developers of health care information systems adopt a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively; therefore, the FDA should exempt most clinical software systems and focus on systems that pose high clinical risk and provide limited opportunity for competent human intervention. PMID:9382409

  6. Updated Lightning Safety Recommendations.

    ERIC Educational Resources Information Center

    Vavrek, R. James; Holle, Ronald L.; Lopez, Raul E.

    1999-01-01

    Summarizes the recommendations of the Lightning Safety Group (LSG), which was first convened during the 1998 American Meteorological Society Conference. Findings outline appropriate actions under various circumstances when lightning threatens. (WRM)

  7. New Insulin Delivery Recommendations.

    PubMed

    Frid, Anders H; Kreugel, Gillian; Grassi, Giorgio; Halimi, Serge; Hicks, Debbie; Hirsch, Laurence J; Smith, Mike J; Wellhoener, Regine; Bode, Bruce W; Hirsch, Irl B; Kalra, Sanjay; Ji, Linong; Strauss, Kenneth W

    2016-09-01

    Many primary care professionals manage injection or infusion therapies in patients with diabetes. Few published guidelines have been available to help such professionals and their patients manage these therapies. Herein, we present new, practical, and comprehensive recommendations for diabetes injections and infusions. These recommendations were informed by a large international survey of current practice and were written and vetted by 183 diabetes experts from 54 countries at the Forum for Injection Technique and Therapy: Expert Recommendations (FITTER) workshop held in Rome, Italy, in 2015. Recommendations are organized around the themes of anatomy, physiology, pathology, psychology, and technology. Key among the recommendations are that the shortest needles (currently the 4-mm pen and 6-mm syringe needles) are safe, effective, and less painful and should be the first-line choice in all patient categories; intramuscular injections should be avoided, especially with long-acting insulins, because severe hypoglycemia may result; lipohypertrophy is a frequent complication of therapy that distorts insulin absorption, and, therefore, injections and infusions should not be given into these lesions and correct site rotation will help prevent them; effective long-term therapy with insulin is critically dependent on addressing psychological hurdles upstream, even before insulin has been started; inappropriate disposal of used sharps poses a risk of infection with blood-borne pathogens; and mitigation is possible with proper training, effective disposal strategies, and the use of safety devices. Adherence to these new recommendations should lead to more effective therapies, improved outcomes, and lower costs for patients with diabetes. PMID:27594187

  8. Social Tagging Recommender Systems

    NASA Astrophysics Data System (ADS)

    Marinho, Leandro Balby; Nanopoulos, Alexandros; Schmidt-Thieme, Lars; Jäschke, Robert; Hotho, Andreas; Stumme, Gerd; Symeonidis, Panagiotis

    The new generation of Web applications known as (STS) is successfully established and poised for continued growth. STS are open and inherently social; features that have been proven to encourage participation. But while STS bring new opportunities, they revive old problems, such as information overload. Recommender Systems are well known applications for increasing the level of relevant content over the "noise" that continuously grows as more and more content becomes available online. In STS however, we face new challenges. Users are interested in finding not only content, but also tags and even other users. Moreover, while traditional recommender systems usually operate over 2-way data arrays, STS data is represented as a third-order tensor or a hypergraph with hyperedges denoting (user, resource, tag) triples. In this chapter, we survey the most recent and state-of-the-art work about a whole new generation of recommender systems built to serve STS.We describe (a) novel facets of recommenders for STS, such as user, resource, and tag recommenders, (b) new approaches and algorithms for dealing with the ternary nature of STS data, and (c) recommender systems deployed in real world STS. Moreover, a concise comparison between existing works is presented, through which we identify and point out new research directions.

  9. Biological Contamination of Mars: Issues and Recommendations

    NASA Technical Reports Server (NTRS)

    1992-01-01

    The ad hoc Task Group on Planetary Protection formed by the Space Studies Board (SSB) of the National Research Council focused on making recommendations concerning the protection of Mars from forward contamination (i.e., Earth to Mars) during upcoming missions by both the United States and the former Soviet Union. In so doing, it distinguished between missions whose goals include reconnaissance and measurement and those that specifically include experiments to detect life. The task group also discussed what additional knowledge will be needed in order to assure that future recommendations regarding contamination of Earth from Mars might be made with a higher degree of certainty than is now possible. Following a short introduction to the rationale underlying planetary exploration (Chapter 1) is a brief summary of approved and contemplated missions to Mars (Chapter 2). Chapter 3 briefly reviews the state of knowledge in several areas pertinent to the problem of planetary protection, in the limits of life on Earth and the abilities of known terrestrial organisms to withstand extreme environment conditions, as well as new approaches to detecting life forms. Chapter 5 includes a review and comments (made in light of current knowledge)- on the recommendations made in 'Recommendations on Quarantine Policy for Mars, Jupiter, Saturn, Uranus, Neptune, and Titan'. Updates to the recommendations made in 1978 are also given in Chapter 5. Chapter 6 gives additional recommendations concerning collection of essential data, spacecraft sterilization and bioburden assessment, and future research, as well as legal and social issues and NASA's overall planetary protection program.

  10. Distributed Deliberative Recommender Systems

    NASA Astrophysics Data System (ADS)

    Recio-García, Juan A.; Díaz-Agudo, Belén; González-Sanz, Sergio; Sanchez, Lara Quijano

    Case-Based Reasoning (CBR) is one of most successful applied AI technologies of recent years. Although many CBR systems reason locally on a previous experience base to solve new problems, in this paper we focus on distributed retrieval processes working on a network of collaborating CBR systems. In such systems, each node in a network of CBR agents collaborates, arguments and counterarguments its local results with other nodes to improve the performance of the system's global response. We describe D2ISCO: a framework to design and implement deliberative and collaborative CBR systems that is integrated as a part of jcolibritwo an established framework in the CBR community. We apply D2ISCO to one particular simplified type of CBR systems: recommender systems. We perform a first case study for a collaborative music recommender system and present the results of an experiment of the accuracy of the system results using a fuzzy version of the argumentation system AMAL and a network topology based on a social network. Besides individual recommendation we also discuss how D2ISCO can be used to improve recommendations to groups and we present a second case of study based on the movie recommendation domain with heterogeneous groups according to the group personality composition and a group topology based on a social network.

  11. Modeling mutual feedback between users and recommender systems

    NASA Astrophysics Data System (ADS)

    Zeng, An; Yeung, Chi Ho; Medo, Matúš; Zhang, Yi-Cheng

    2015-07-01

    Recommender systems daily influence our decisions on the Internet. While considerable attention has been given to issues such as recommendation accuracy and user privacy, the long-term mutual feedback between a recommender system and the decisions of its users has been neglected so far. We propose here a model of network evolution which allows us to study the complex dynamics induced by this feedback, including the hysteresis effect which is typical for systems with non-linear dynamics. Despite the popular belief that recommendation helps users to discover new things, we find that the long-term use of recommendation can contribute to the rise of extremely popular items and thus ultimately narrow the user choice. These results are supported by measurements of the time evolution of item popularity inequality in real systems. We show that this adverse effect of recommendation can be tamed by sacrificing part of short-term recommendation accuracy.

  12. VALIDATION OF HANFORD PERSONNEL AND EXTREMITY DOSIMETERS IN PLUTONIUM ENVIRONMENTS

    SciTech Connect

    Scherpelz, Robert I.; Fix, John J.; Rathbone, Bruce A.

    2000-02-10

    A study was performed in the Plutonium Finishing Plant to assess the performance of Hanford personnel neutron dosimetry. The study was assessed whole body dosimetry and extremity dosimetry performance. For both parts of the study, the TEPC was used as the principle instrument for characterizing workplace neutron fields. In the whole body study, 12.7-cm-diameter TEPCs were used in ten different locations in the facility. TLD and TED personnel dosimeters were exposed on a water-filled phantom to enable a comparison of TEPC and dosimeter response. In the extremity study, 1.27-cm-diameter TEPCs were exposed inside the fingers of a gloveboxe glove. Extremity dosimeters were wrapped around the TEPCs. The glove was then exposed to six different cans of plutonium, simulating the exposure that a worker's fingers would receive in a glovebox. The comparison of TEPC-measured neutron dose equivalent to TLD-measured gamma dose equivalent provided neutron-to-gamma ratios that can be used to estimate the neutron dose equivalent received by a worker's finger based on the gamma readings of an extremity dosimeter. The study also utilized a Snoopy and detectors based on bubble technology for assessing neutron exposures, providing a comparison of the effectiveness of these instruments for workplace monitoring. The study concludes that the TLD component of the HCND performs adequately overall, with a positive bias of 30%, but exhibits excessive variability in individual results due to instabilities in the algorithm. The TED response was less variable but only 20% of the TEPC reference dose on average because of the low neutron energies involved. The neutron response of the HSD was more variable than the TLD component of the HCND and biased high by a factor of 8 overall due to its calibration to unmoderated 252Cf. The study recommends further work to correct instabilities in the HCND algorithm and to explore the potential shown by the bubble-based dosimeters.

  13. Order Theoretical Semantic Recommendation

    SciTech Connect

    Joslyn, Cliff A.; Hogan, Emilie A.; Paulson, Patrick R.; Peterson, Elena S.; Stephan, Eric G.; Thomas, Dennis G.

    2013-07-23

    Mathematical concepts of order and ordering relations play multiple roles in semantic technologies. Discrete totally ordered data characterize both input streams and top-k rank-ordered recommendations and query output, while temporal attributes establish numerical total orders, either over time points or in the more complex case of startend temporal intervals. But also of note are the fully partially ordered data, including both lattices and non-lattices, which actually dominate the semantic strcuture of ontological systems. Scalar semantic similarities over partially-ordered semantic data are traditionally used to return rank-ordered recommendations, but these require complementation with true metrics available over partially ordered sets. In this paper we report on our work in the foundations of partial order measurement in ontologies, with application to top-k semantic recommendation in workflows.

  14. Space Station Software Recommendations

    NASA Technical Reports Server (NTRS)

    Voigt, S. (Editor)

    1985-01-01

    Four panels of invited experts and NASA representatives focused on the following topics: software management, software development environment, languages, and software standards. Each panel deliberated in private, held two open sessions with audience participation, and developed recommendations for the NASA Space Station Program. The major thrusts of the recommendations were as follows: (1) The software management plan should establish policies, responsibilities, and decision points for software acquisition; (2) NASA should furnish a uniform modular software support environment and require its use for all space station software acquired (or developed); (3) The language Ada should be selected for space station software, and NASA should begin to address issues related to the effective use of Ada; and (4) The space station software standards should be selected (based upon existing standards where possible), and an organization should be identified to promulgate and enforce them. These and related recommendations are described in detail in the conference proceedings.

  15. Personalized Movie Recommendation

    NASA Astrophysics Data System (ADS)

    Lekakos, George; Charami, Matina; Caravelas, Petros

    This article proposes a movie recommender system, named MoRe, which follows a hybrid approach that combines content-based and collaborative filtering. MoR's performance is empirically evaluated upon the predictive accuracy of the algorithms as well as other important indicators such as the percentage of items that the system can actually predict (called prediction coverage) and the time required for generating predictions. The remainder of this article is organized as follows. The next section is devoted to the fundamental background of recommender systems describing the main recommendation techniques along with their advantages and limitations. Right after, we illustrate the MoRe system overview and in the section following, we describe in detail the algorithms implemented. The empirical evaluation results are then presented, while the final section provides a discussion about conclusions and future research.

  16. Extreme Scale Visual Analytics

    SciTech Connect

    Wong, Pak C.; Shen, Han-Wei; Pascucci, Valerio

    2012-05-08

    Extreme-scale visual analytics (VA) is about applying VA to extreme-scale data. The articles in this special issue examine advances related to extreme-scale VA problems, their analytical and computational challenges, and their real-world applications.

  17. Evaluating Recommendation Systems

    NASA Astrophysics Data System (ADS)

    Shani, Guy; Gunawardana, Asela

    Recommender systems are now popular both commercially and in the research community, where many approaches have been suggested for providing recommendations. In many cases a system designer that wishes to employ a recommendation system must choose between a set of candidate approaches. A first step towards selecting an appropriate algorithm is to decide which properties of the application to focus upon when making this choice. Indeed, recommendation systems have a variety of properties that may affect user experience, such as accuracy, robustness, scalability, and so forth. In this paper we discuss how to compare recommenders based on a set of properties that are relevant for the application. We focus on comparative studies, where a few algorithms are compared using some evaluation metric, rather than absolute benchmarking of algorithms. We describe experimental settings appropriate for making choices between algorithms. We review three types of experiments, starting with an offline setting, where recommendation approaches are compared without user interaction, then reviewing user studies, where a small group of subjects experiment with the system and report on the experience, and finally describe large scale online experiments, where real user populations interact with the system. In each of these cases we describe types of questions that can be answered, and suggest protocols for experimentation. We also discuss how to draw trustworthy conclusions from the conducted experiments. We then review a large set of properties, and explain how to evaluate systems given relevant properties. We also survey a large set of evaluation metrics in the context of the properties that they evaluate.

  18. Assuring the Proper Analytical Performance of Measurement Procedures for Immunosuppressive Drug Concentrations in Clinical Practice: Recommendations of the International Association of Therapeutic Drug Monitoring and Clinical Toxicology Immunosuppressive Drug Scientific Committee.

    PubMed

    Seger, Christoph; Shipkova, Maria; Christians, Uwe; Billaud, Elaine M; Wang, Ping; Holt, David W; Brunet, Mercè; Kunicki, Paweł K; Pawiński, Thomasz; Langman, Loralie J; Marquet, Pierre; Oellerich, Michael; Wieland, Eberhard; Wallemacq, Pierre

    2016-04-01

    Monitoring immunosuppressive drugs (ISDs) in blood or plasma is still a key therapeutic drug monitoring (TDM) application in clinical settings. Narrow target ranges and severe side effects at drug underexposure or overexposure make accurate and precise measurements a must. This overview prepared by the Immunosuppressive Drugs Scientific Committee of the International Association of Therapeutic Drug Monitoring and Clinical Toxicology is intended to serve as a summary and guidance document describing the current state-of-the-art in the TDM of ISDs. PMID:26982493

  19. Environment Monitor

    NASA Technical Reports Server (NTRS)

    1988-01-01

    Viking landers touched down on Mars equipped with a variety of systems to conduct automated research, each carrying a compact but highly sophisticated instrument for analyzing Martian soil and atmosphere. Instrument called a Gas Chromatography/Mass Spectrometer (GC/MS) had to be small, lightweight, shock resistant, highly automated and extremely sensitive, yet require minimal electrical power. Viking Instruments Corporation commercialized this technology and targeted their primary market as environmental monitoring, especially toxic and hazardous waste site monitoring. Waste sites often contain chemicals in complex mixtures, and the conventional method of site characterization, taking samples on-site and sending them to a laboratory for analysis is time consuming and expensive. Other terrestrial applications are explosive detection in airports, drug detection, industrial air monitoring, medical metabolic monitoring and for military, chemical warfare agents.

  20. Concluding Comments and Recommendations

    ERIC Educational Resources Information Center

    Carson, Russell L.; Landers, Rian Q.; Blankenship, Bonnie Tjeerdsma

    2010-01-01

    Using the expertise from the academy interest areas of the National Association for Sport and Physical Education, the 2010 All-Academy Symposium and this feature set out to discern the promises and pitfalls of youth sport specialization. This final article offers a few conclusions and recommendations based on the multidisciplinary perspectives and…

  1. CASE's ESEA Reauthorization Recommendations

    ERIC Educational Resources Information Center

    Council of Administrators of Special Education (NJ1), 2011

    2011-01-01

    This paper presents the recommendations by the Council of Administrators of Special Education, Inc. (CASE) for the reauthorization of the Elementary and Secondary Education Act (ESEA). CASE is a non-profit professional organization which provides leadership and support to approximately 5,000 members by influencing policies and practices to improve…

  2. CETA: Assessment and Recommendations.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Committee on Evaluation of Employment and Training Programs.

    This document presents the principal findings and recommendations of a study conducted by the Committee on Evaluation of Employment and Training Program to assess the impact of CETA (Comprehensive Employment and Training Act) on manpower programs. This report is divided into two parts. Part 1 provides an overview of CETA's history, summarizes…

  3. Assessment: DEC Recommended Practices.

    ERIC Educational Resources Information Center

    Neisworth, John T.

    This paper lists practices recommended by the Division for Early Childhood for assessment in early intervention and early childhood special education (EI/ECSE) programs for infants and young children with special needs and their families. Introductory text examines the role of assessment, materials and procedures used, and assessment principles,…

  4. Recommendations for Alternative Credit.

    ERIC Educational Resources Information Center

    Lenderman, Ed; And Others

    Following a review of the mathematics topics taught in accounting, electronics, auto, food and clothing, and metals courses at Linn-Benton Community College, Albany, Oregon, recommendations were made to grant one semester of mathematics credit for completing a two-year sequence of these courses. The other required semester of mathematics should be…

  5. Writing Letters of Recommendation

    ERIC Educational Resources Information Center

    Withers, Jennie

    2009-01-01

    The purpose of this essay is to instruct teachers how to write a letter of recommendation for their students. It includes when to say no, what the student needs to provide the teacher and how to write a strong letter. I am a teacher with sixteen years experience and therefore have written many letters for students. This instructional essay will…

  6. Recommendations for Neophyte Innovators.

    ERIC Educational Resources Information Center

    Gilman, Peter J.

    1979-01-01

    The study recorded the origin, development, and implementation of the physical facilities, organizational structure, and program of Chamisa Elementary School, Los Alamos, New Mexico. Recommendations made pertain to administrative and public support, physical facilities, faculty selection, innovating on a limited scale, curriculum development, team…

  7. Evolutions from extremality

    NASA Astrophysics Data System (ADS)

    Booth, Ivan

    2016-04-01

    We examine the evolution of extremal spherically symmetric black holes, developing both general theory as well as the specific cases of (charged) null dust and massless scalar field spacetimes. As matter accretes onto extremal marginally trapped tubes, they generically evolve to become nonextremal, with the initial extremal horizon bifurcating into inner and outer nonextremal horizons. At the start of this process arbitrarily slow matter accretion can cause a geometrically invariant measure of horizon growth to jump from zero to infinity. We also consider dynamical horizons that are extremal throughout their evolution and see that such spacetimes contain two extremal black hole horizons: an inner isolated one and an outer dynamical one. We compare these extremal dynamical horizons with the dynamical extreme event horizon spacetimes of Murata, Reall and Tanahashi.

  8. Analyses of Extreme Weather Indices in the Mountain: A Case Study of the Gandaki River Basin, Nepal

    NASA Astrophysics Data System (ADS)

    Shrestha, N. S.; Dahal, P.

    2014-12-01

    This paper provides the analysis of observed temperature and precipitation extremes in Gandaki River Basin, Nepal. Daily maximum and minimum surface air temperature and precipitation data recorded by Department of Hydrology and Meteorology, Government of Nepal were used for this analysis. Temperature data from 5 stations and precipitation data from 20 stations were used based on quality and long term availability of data. Twenty-seven core extreme indices recommended by the Expert Team on Climate Change Detection, Monitoring and Indices (ETCCDMI) were calculated using computer software RClimDex. General increasing trend has been observed in the temperature extremes. Most stations show increase in percentage of warm days and nights whereas the cool nights and cool days are found to be decreasing. The trend is of relatively higher magnitude in mountainous region. Changes in indices of precipitation showed mixed pattern and do not show substantial, spatially coherent trends, unlike the situation for temperature means and extremes. The trends of very wet and extremely wet days have been found to be increasing in majority of stations with decreasing in rainy days. Results also show that, all the stations have positive trend of Consecutive Dry Days (CDD) and 60% of the stations show negative trend of Consecutive Wet Days (CWD). Since increase in extreme weather and climate events have greater negative impacts on human society and natural environments than changes in climate means, this study may be useful for policy makers for the development of climate resilient societies.

  9. Improved Personalized Recommendation Based on Causal Association Rule and Collaborative Filtering

    ERIC Educational Resources Information Center

    Lei, Wu; Qing, Fang; Zhou, Jin

    2016-01-01

    There are usually limited user evaluation of resources on a recommender system, which caused an extremely sparse user rating matrix, and this greatly reduce the accuracy of personalized recommendation, especially for new users or new items. This paper presents a recommendation method based on rating prediction using causal association rules.…

  10. 21st Birthday Drinking: Extremely Extreme

    ERIC Educational Resources Information Center

    Rutledge, Patricia C.; Park, Aesoon; Sher, Kenneth J.

    2008-01-01

    Despite public recognition of the hazards of 21st birthday drinking, there is little empirical information concerning its prevalence, severity, and risk factors. Data from a sample of 2,518 college students suggest that 21st birthday drinking poses an extreme danger: (a) 4 of every 5 participants (83%) reported drinking to celebrate, (b) birthday…

  11. How extreme is extreme hourly precipitation?

    NASA Astrophysics Data System (ADS)

    Papalexiou, Simon Michael; Dialynas, Yannis G.; Pappas, Christoforos

    2016-04-01

    The importance of accurate representation of precipitation at fine time scales (e.g., hourly), directly associated with flash flood events, is crucial in hydrological design and prediction. The upper part of a probability distribution, known as the distribution tail, determines the behavior of extreme events. In general, and loosely speaking, tails can be categorized in two families: the subexponential and the hyperexponential family, with the first generating more intense and more frequent extremes compared to the latter. In past studies, the focus has been mainly on daily precipitation, with the Gamma distribution being the most popular model. Here, we investigate the behaviour of tails of hourly precipitation by comparing the upper part of empirical distributions of thousands of records with three general types of tails corresponding to the Pareto, Lognormal, and Weibull distributions. Specifically, we use thousands of hourly rainfall records from all over the USA. The analysis indicates that heavier-tailed distributions describe better the observed hourly rainfall extremes in comparison to lighter tails. Traditional representations of the marginal distribution of hourly rainfall may significantly deviate from observed behaviours of extremes, with direct implications on hydroclimatic variables modelling and engineering design.

  12. Implementing AORN recommended practices for hand hygiene.

    PubMed

    Patrick, Marcia; Van Wicklin, Sharon A

    2012-04-01

    This article focuses on implementing the revised AORN "Recommended practices for hand hygiene in the perioperative setting." The content of the document has been expanded and reorganized from the previous iteration and now includes specific activity statements about water temperature, water and soap dispensing controls, the type of dispensers to use, paper towel dispenser requirements, placement of soap and rub dispensers, and regulatory requirements for products and recommendations for hand hygiene practices. A successful hand hygiene program allows end users to have input into the selection and evaluation of products and should include educating personnel about proper hand hygiene, product composition and safety, and how and when to use specific products. Measures for competency evaluation and compliance monitoring include observations, quizzes, skills labs, electronic monitoring systems, handheld device applications, and data collection forms. PMID:22464622

  13. Radiation Exposure from CT Scans: How to Close Our Knowledge Gaps, Monitor and Safeguard Exposure—Proceedings and Recommendations of the Radiation Dose Summit, Sponsored by NIBIB, February 24–25, 2011

    PubMed Central

    Boone, John M.; Hendee, William R.; McNitt-Gray, Michael F.

    2012-01-01

    This article summarizes the proceedings of a portion of the Radiation Dose Summit, which was organized by the National Institute of Biomedical Imaging and Bioengineering and held in Bethesda, Maryland, in February 2011. The current understandings of ways to optimize the benefit-risk ratio of computed tomography (CT) examinations are summarized and recommendations are made for priority areas of research to close existing gaps in our knowledge. The prospects of achieving a submillisievert effective dose CT examination routinely are assessed. © RSNA, 2012 PMID:22966066

  14. Radiation recommendation series: administratively required dental radiographs

    SciTech Connect

    Not Available

    1981-09-01

    Administrative requirements for radiographs are found in many segments of the United States health care system. This document presents an FDA radiation recommendation on administratively required dental x-ray examinations. In general, such examinations are not requested to further the patient's dental health, but rather as a means of monitoring claims. However, the administrative use of radiographs that have been taken in the normal course of patient care is usually appropriate, as long as the patient's right to privacy is respected.

  15. Paediatric personnel extremity dose study.

    PubMed

    Gallet, J M C; Reed, M H

    2002-03-01

    Concern has been expressed in paediatric radiology regarding the magnitude of the extremity dose received by attending personnel during routine fluoroscopic procedures and CT. Common procedures that may be of short duration in adults can be quite the opposite in paediatric patients. The extremities of attending personnel are more likely to be exposed to the primary beam and for a longer period of time owing to a variety of reasons such as assisting in the procedure or physically restraining the patient during the examination. During the period mid 1998 to mid 2000, two paediatric radiologists, four senior radiographers and two paediatric nurses were monitored using ring thermoluminescent dosemeters (TLDs). Each participant wore the ring TLD on either the left or right ring finger, depending on which hand the individual favoured. Left/right asymmetrical studies were not conducted, nor were records kept of whether an examination used a grid or gridless technique. Initial apprehension about higher paediatric fluoroscopic and CT extremity doses was dispelled as a result of this quantitative dosimetric study. PMID:11932219

  16. Panel summary of recommendations

    NASA Technical Reports Server (NTRS)

    Dunbar, Bonnie J.; Coleman, Martin E.; Mitchell, Kenneth L.

    1990-01-01

    The following Space Station internal contamination topics were addressed: past flight experience (Skylab and Spacelab missions); present flight activities (Spacelabs and Soviet Space Station Mir); future activities (materials science and life science experiments); Space Station capabilities (PPMS, FMS, ECLSS, and U.S. Laboratory overview); manned systems/crew safety; internal contamination detection; contamination control - stowage and handling; and contamination control - waste gas processing. Space Station design assumptions are discussed. Issues and concerns are discussed as they relate to (1) policy and management, (2) subsystem design, (3) experiment design, and (4) internal contamination detection and control. The recommendations generated are summarized.

  17. Extremity x-ray

    MedlinePlus

    An extremity x-ray is an image of the hands, wrist, feet, ankle, leg, thigh, forearm humerus or upper arm, hip, shoulder ... term "extremity" often refers to a human limb. X-rays are a form of radiation that passes through ...

  18. Bivariate extreme value distributions

    NASA Technical Reports Server (NTRS)

    Elshamy, M.

    1992-01-01

    In certain engineering applications, such as those occurring in the analyses of ascent structural loads for the Space Transportation System (STS), some of the load variables have a lower bound of zero. Thus, the need for practical models of bivariate extreme value probability distribution functions with lower limits was identified. We discuss the Gumbel models and present practical forms of bivariate extreme probability distributions of Weibull and Frechet types with two parameters. Bivariate extreme value probability distribution functions can be expressed in terms of the marginal extremel distributions and a 'dependence' function subject to certain analytical conditions. Properties of such bivariate extreme distributions, sums and differences of paired extremals, as well as the corresponding forms of conditional distributions, are discussed. Practical estimation techniques are also given.

  19. Recommendations for management of diabetes during Ramadan: update 2015

    PubMed Central

    Ibrahim, Mahmoud; Abu Al Magd, Megahed; Annabi, Firas A; Assaad-Khalil, Samir; Ba-Essa, Ebtesam M; Fahdil, Ibtihal; Karadeniz, Sehnaz; Meriden, Terry; Misha'l, Aly A; Pozzilli, Paolo; Shera, Samad; Thomas, Abraham; Bahijri, Suhad; Tuomilehto, Jaakko; Yilmaz, Temel; Umpierrez, Guillermo E

    2015-01-01

    Since the first ADA working group report on the recommendations for management of diabetes during Ramadan in 2005 and our update in 2010, we received many inquiries asking for regular updates on information regarding education, nutritional habits and new oral and injectable agents that may be useful for the management of patients with diabetes during Ramadan. Patients can be stratified into their risk of hypoglycemia and/or complications prior to the start of the fasting period of Ramadan. Those at high risk of hypoglycemia and with multiple diabetic complications should be advised against prolonged fasting. Even in the lower hypoglycemia risk group, adverse effects may still occur. In order to minimize adverse side effects during fasting in patients with diabetes and improve or maintain glucose control, education and discussion of glucose monitoring and treatment regimens should occur several weeks prior to Ramadan. Agents such as metformin, thiazolidinediones and dipeptidyl peptidase-4 inhibitors appear to be safe and do not need dose adjustment. Most sulfonylureas may not be used safely during Ramadan except with extreme caution; besides, older agents, such as chlorpropamide or glyburide, should not be used. Reduction of the dosage of sulfonylurea is needed depending on the degree of control prior to fasting. Misconceptions and local habits should be addressed and dealt with in any educational intervention and therapeutic planning with patients with diabetes. In this regard, efforts are still needed for controlled prospective studies in the field of efficacy and safety of the different interventions during the Ramadan Fast. PMID:26113983

  20. A Top Pilot Tunnel Preconditioning Method for the Prevention of Extremely Intense Rockbursts in Deep Tunnels Excavated by TBMs

    NASA Astrophysics Data System (ADS)

    Zhang, Chuanqing; Feng, Xiating; Zhou, Hui; Qiu, Shili; Wu, Wenping

    2012-05-01

    The headrace tunnels at the Jinping II Hydropower Station cross the Jinping Mountain with a maximum overburden depth of 2,525 m, where 80% of the strata along the tunnels consist of marble. A number of extremely intense rockbursts occurred during the excavation of the auxiliary tunnels and the drainage tunnel. In particular, a tunnel boring machine (TBM) was destroyed by an extremely intense rockburst in a 7.2-m-diameter drainage tunnel. Two of the four subsequent 12.4-m-diameter headrace tunnels will be excavated with larger size TBMs, where a high risk of extremely intense rockbursts exists. Herein, a top pilot tunnel preconditioning method is proposed to minimize this risk, in which a drilling and blasting method is first recommended for the top pilot tunnel excavation and support, and then the TBM excavation of the main tunnel is conducted. In order to evaluate the mechanical effectiveness of this method, numerical simulation analyses using the failure approaching index, energy release rate, and excess shear stress indices are carried out. Its construction feasibility is discussed as well. Moreover, a microseismic monitoring technique is used in the experimental tunnel section for the real-time monitoring of the microseismic activities of the rock mass in TBM excavation and for assessing the effect of the top pilot tunnel excavation in reducing the risk of rockbursts. This method is applied to two tunnel sections prone to extremely intense rockbursts and leads to a reduction in the risk of rockbursts in TBM excavation.

  1. The Chauvet 2014 Meeting Report: Psychiatric and Psychosocial Evaluation and Outcomes of Upper Extremity Grafted Patients.

    PubMed

    Jowsey-Gregoire, Sheila G; Kumnig, Martin; Morelon, Emmanuel; Moreno, Elisa; Petruzzo, Palmina; Seulin, Christian

    2016-07-01

    Under the auspices for the International Society on Hand and Composite Tissue Allotransplantation, a section of The Transplantation Society (IHCTAS), a meeting was convened on March 21-22, 2014 in Paris to review the following areas that were deemed significant in the understanding of the psychosocial evaluation and outcomes of upper extremity transplant recipients: required domains of the evaluation, screening instruments, clinical monitoring pretransplant, clinical monitoring posttransplant, patient and team expectations, body image, psychiatric complications, functional goals and quality of life, ethics and media relations. Experts in the fields of psychiatry and psychology, transplantation, social work, ethics, and transplant administration met and reviewed center experiences and literature. The attendees highlighted the importance and the complexity of the psychiatric assessment in this field of transplantation. Moreover, the necessity to develop common instruments and evaluation protocols to predict psychosocial outcomes as well as to understand whether we are transplanting the right patients and how the transplantation is affecting the patients were pointed out. Psychiatric complications in upper extremity transplanted patients have been reported by the majority of teams. Preexisting psychiatric difficulties, the initial trauma of amputation, or adjusting to the transplantation process itself (especially the medical follow-up and rehabilitation process) appeared to be important factors. Monitoring during the whole follow-up was recommended to detect psychiatric issues and to facilitate and ensure long-term adherence. The participants proposed an annual meeting format to build upon the findings of this inaugural meeting to be called the Chauvet Workgroup meeting. PMID:26636738

  2. Outcomes for extremely premature infants.

    PubMed

    Glass, Hannah C; Costarino, Andrew T; Stayer, Stephen A; Brett, Claire M; Cladis, Franklyn; Davis, Peter J

    2015-06-01

    Premature birth is a significant cause of infant and child morbidity and mortality. In the United States, the premature birth rate, which had steadily increased during the 1990s and early 2000s, has decreased annually for 7 years and is now approximately 11.39%. Human viability, defined as gestational age at which the chance of survival is 50%, is currently approximately 23 to 24 weeks in developed countries. Infant girls, on average, have better outcomes than infant boys. A relatively uncomplicated course in the intensive care nursery for an extremely premature infant results in a discharge date close to the prenatal estimated date of confinement. Despite technological advances and efforts of child health experts during the last generation, the extremely premature infant (less than 28 weeks gestation) and extremely low birth weight infant (<1000 g) remain at high risk for death and disability with 30% to 50% mortality and, in survivors, at least 20% to 50% risk of morbidity. The introduction of continuous positive airway pressure, mechanical ventilation, and exogenous surfactant increased survival and spurred the development of neonatal intensive care in the 1970s through the early 1990s. Routine administration of antenatal steroids during premature labor improved neonatal mortality and morbidity in the late 1990s. The recognition that chronic postnatal administration of steroids to infants should be avoided may have improved outcomes in the early 2000s. Evidence from recent trials attempting to define the appropriate target for oxygen saturation in preterm infants suggests arterial oxygen saturation between 91% and 95% (compared with 85%-89%) avoids excess mortality; however, final analyses of data from these trials have not been published, so definitive recommendations are still pending. The development of neonatal neurocritical intensive care units may improve neurocognitive outcomes in this high-risk group. Long-term follow-up to detect and address

  3. Wind Farm Recommendation Report

    SciTech Connect

    John Reisenauer

    2011-05-01

    On April 21, 2011, an Idaho National Laboratory (INL) Land Use Committee meeting was convened to develop a wind farm recommendation for the Executive Council and a list of proposed actions for proceeding with the recommendation. In terms of land use, the INL Land Use Committee unanimously agrees that Site 6 is the preferred location of the alternatives presented for an INL wind farm. However, further studies and resolution to questions raised (stated in this report) by the INL Land Use Committee are needed for the preferred location. Studies include, but are not limited to, wind viability (6 months), bats (2 years), and the visual impact of the wind farm. In addition, cultural resource surveys and consultation (1 month) and the National Environmental Policy Act process (9 to 12 months) need to be completed. Furthermore, there is no documented evidence of developers expressing interest in constructing a small wind farm on INL, nor a specific list of expectations or concessions for which a developer might expect INL to cover the cost. To date, INL assumes the National Environmental Policy Act activities will be paid for by the Department of Energy and INL (the environmental assessment has only received partial funding). However, other concessions also may be expected by developers such as roads, fencing, power line installation, tie-ins to substations, annual maintenance, snow removal, access control, down-time, and remediation. These types of concessions have not been documented, as a request, from a developer and INL has not identified the short and long-term cost liabilities for such concessions should a developer expect INL to cover these costs. INL has not identified a go-no-go funding level or the priority this Wind Farm Project might have with respect to other nuclear-related projects, should the wind farm remain an unfunded mandate. The Land Use Committee recommends Legal be consulted to determine what, if any, liabilities exist with the Wind Farm Project and

  4. Music Search and Recommendation

    NASA Astrophysics Data System (ADS)

    Brandenburg, Karlheinz; Dittmar, Christian; Gruhne, Matthias; Abeßer, Jakob; Lukashevich, Hanna; Dunker, Peter; Gärtner, Daniel; Wolter, Kay; Grossmann, Holger

    In the last ten years, our ways to listen to music have drastically changed: In earlier times, we went to record stores or had to use low bit-rate audio coding to get some music and to store it on PCs. Nowadays, millions of songs are within reach via on-line distributors. Some music lovers already got terabytes of music on their hard disc. Users are now no longer desparate to get music, but to select, to find the music they love. A number of technologies has been developed to adress these new requirements. There are techniques to identify music and ways to search for music. Recommendation today is a hot topic as well as organizing music into playlists.

  5. Clinical Recommendation: Labial Adhesions.

    PubMed

    Bacon, Janice L; Romano, Mary E; Quint, Elisabeth H

    2015-10-01

    Labial adhesions, also known as labial agglutination, are a common finding in prepubertal adolescents. They are defined as fusion of the labia minora in the midline or are termed vulvar adhesions when they occur below the labia minora (inner labia). Patients are often asymptomatic but might present with genitourinary complaints. The decision for treatment is based on symptoms. The mainstay of treatment in asymptomatic patients is conservative, with careful attention to vulvar hygiene and reassurance to parents. In symptomatic patients, topical treatment with estrogen and/or steroid cream is often curative. Less often, corrective surgery is necessary. Recurrence is common until a patient goes through puberty. These recommendations are intended for pediatric and gynecologic health care providers who care for pediatric and adolescent girls to facilitate diagnosis and treatment. PMID:26162697

  6. IRIS Product Recommendations

    NASA Technical Reports Server (NTRS)

    Short, David A.

    2000-01-01

    This report presents the Applied Meteorology Unit's (AMU) evaluation of SIGMET Inc.'s Integrated Radar Information System (IRIS) Product Generator and recommendations for products emphasizing lightning and microburst tools. The IRIS Product Generator processes radar reflectivity data from the Weather Surveillance Radar, model 74C (WSR-74C), located on Patrick Air Force Base. The IRIS System was upgraded from version 6.12 to version 7.05 in late December 1999. A statistical analysis of atmospheric temperature variability over the Cape Canaveral Air Force Station (CCAFS) Weather Station provided guidance for the configuration of radar products that provide information on the mixed-phase (liquid and ice) region of clouds, between 0 C and -20 C. Mixed-phase processes at these temperatures are physically linked to electrification and the genesis of severe weather within convectively generated clouds. Day-to-day variations in the atmospheric temperature profile are of sufficient magnitude to warrant periodic reconfiguration of radar products intended for the interpretation of lightning and microburst potential of convectively generated clouds. The AMU also examined the radar volume-scan strategy to determine the scales of vertical gaps within the altitude range of the 0 C to -20 C isotherms over the Kennedy Space Center (KSC)/CCAFS area. This report present's two objective strategies for designing volume scans and proposes a modified scan strategy that reduces the average vertical gap by 37% as a means for improving radar observations of cloud characteristics in the critical 0 C to -20 C layer. The AMU recommends a total of 18 products, including 11 products that require use of the IRIS programming language and the IRIS User Product Insert feature. Included is a cell trends product and display, modeled after the WSR-88D cell trends display in use by the National Weather Service.

  7. Epilepsy surgery: recommendations for India.

    PubMed

    Chandra, P Sarat; Tripathi, Manjari

    2010-04-01

    The following article recommends guidelines for epilepsy surgery for India. This article reviews the indications, the various surgical options available and the outcome of surgery for drug resistant epilepsy based on current evidence. Epilepsy surgery is a well-established option for patients who have been diagnosed to have drug resistant epilepsy (DRE) (on at least two appropriate, adequate anti-epileptic drugs (AEDs) (either in monotherapy or in combination) with continuing seizures), where the presurgical work-up has shown concordance of structural imaging (magnetic resonance imaging) and electrical mapping data (electroencephalography (EEG), video EEG). There may be a requirement of functional imaging techniques in a certain number of DRE like positron emission tomography (PET), single photon emission tomography, (SPECT)). Invasive monitoring should be restricted to a few when all noninvasive investigations are inconclusive, there is a dual pathology or there is a discordance of noninvasive data. The types of surgery could be curative (resective surgeries: amygdalo hippocampectomy, lesionectomy and multilobar resections; functional surgeries: hemispherotomy) and palliative (multiple subpial transaction, corpus callosotomy, vagal nerve stimulation). Epilepsy surgery in indicated cases has a success range from 50 to 86% in achieving seizure freedom as compared with <5% success rate with AEDs only in persons with DRE. Centers performing surgery should be categorized into Level I and Level II. PMID:20814490

  8. Survival of extreme opinions

    NASA Astrophysics Data System (ADS)

    Hsu, Jiann-wien; Huang, Ding-wei

    2009-12-01

    We study the survival of extreme opinions in various processes of consensus formation. All the opinions are treated equally and subjected to the same rules of changing. We investigate three typical models to reach a consensus in each case: (A) personal influence, (B) influence from surroundings, and (C) influence to surroundings. Starting with uniformly distributed random opinions, our calculated results show that the extreme opinions can survive in both models (A) and (B), but not in model (C). We obtain a conclusion that both personal influence and passive adaptation to the environment are not sufficient enough to eradicate all the extreme opinions. Only the active persuasion to change the surroundings eliminates the extreme opinions completely.

  9. Improving extreme value statistics.

    PubMed

    Shekhawat, Ashivni

    2014-11-01

    The rate of convergence in extreme value statistics is nonuniversal and can be arbitrarily slow. Further, the relative error can be unbounded in the tail of the approximation, leading to difficulty in extrapolating the extreme value fit beyond the available data. We introduce the T method, and show that by using simple nonlinear transformations the extreme value approximation can be rendered rapidly convergent in the bulk, and asymptotic in the tail, thus fixing both issues. The transformations are often parametrized by just one parameter, which can be estimated numerically. The classical extreme value method is shown to be a special case of the proposed method. We demonstrate that vastly improved results can be obtained with almost no extra cost. PMID:25493780

  10. Extreme environments and exobiology

    NASA Technical Reports Server (NTRS)

    Friedmann, E. I.

    1993-01-01

    Ecological research on extreme environments can be applied to exobiological problems such as the question of life on Mars. If life forms (fossil or extant) are found on Mars, their study will help to solve fundamental questions about the nature of life on Earth. Extreme environments that are beyond the range of adaptability of their inhabitants are defined as "absolute extreme". Such environments can serve as terrestrial models for the last stages of life in the history of Mars, when the surface cooled down and atmosphere and water disappeared. The cryptoendolithic microbial community in porous rocks of the Ross Desert in Antarctica and the microbial mats at the bottom of frozen Antarctic lakes are such examples. The microbial communities of Siberian permafrost show that, in frozen but stable communities, long-term survival is possible. In the context of terraforming Mars, selected microorganisms isolated from absolute extreme environments are considered for use in creation of a biological carbon cycle.

  11. Hardware removal - extremity

    MedlinePlus

    ... this page: //medlineplus.gov/ency/article/007644.htm Hardware removal - extremity To use the sharing features on this page, please enable JavaScript. Surgeons use hardware such as pins, plates, or screws to help ...

  12. Advanced Instrumentation for Extreme Environments

    SciTech Connect

    Melin, Alexander M; Kisner, Roger; Fugate, David L

    2013-01-01

    The Department of Energy (DOE) Office of Nuclear Energy (NE) is pursuing embedded instrumentation and controls (I&C) technology for next generation nuclear power generation applications. Embedded systems encompass a wide range of configurations and technologies; we define embedding in this instance as the integration of the sensors and the control system design into the component design using a systems engineering process. Embedded I&C systems are often an essential part of developing new capabilities, improving reliability, enhancing performance, and reducing operational costs. The new intrinsically safe, more efficient, and cost effective reactor technologies (Next Generation Nuclear Plant and Small Modular Reactors) require the development and application of new I&C technologies. These new designs raise extreme environmental challenges such as high temperatures (over 700 C) and material compatibility (e.g., molten salts). The desired reliability and functionality requires measurements in these extreme conditions including high radiation environments which were not previously monitored in real time. The DOE/NE Nuclear Energy Enabling Technologies (NEET) program currently has several projects investigating I&C technologies necessary to make these reactor designs realizable. The project described in this paper has the specific goal of investigating embedded I&C with the following objectives: 1.Explore and quantify the potential gains from embedded I&C improved reliability, increased performance, and reduced cost 2.Identify practical control, sensing, and measurement techniques for the extreme environments found in high-temperature reactors 3.Design and fabricate a functional prototype high-temperature cooling pump for molten salts represents target demonstration of improved performance, reliability, and widespread usage There are many engineering challenges in the design of a high-temperature liquid salt cooling pump. The pump and motor are in direct contact with

  13. Space Station Induced Monitoring

    NASA Technical Reports Server (NTRS)

    Spann, James F. (Editor); Torr, Marsha R. (Editor)

    1988-01-01

    This report contains the results of a conference convened May 10-11, 1988, to review plans for monitoring the Space Station induced environment, to recommend primary components of an induced environment monitoring package, and to make recommendations pertaining to suggested modifications of the Space Station External Contamination Control Requirements Document JSC 30426. The contents of this report are divided as Follows: Monitoring Induced Environment - Space Station Work Packages Requirements, Neutral Environment, Photon Emission Environment, Particulate Environment, Surface Deposition/Contamination; and Contamination Control Requirements.

  14. Extreme Programming: Maestro Style

    NASA Technical Reports Server (NTRS)

    Norris, Jeffrey; Fox, Jason; Rabe, Kenneth; Shu, I-Hsiang; Powell, Mark

    2009-01-01

    "Extreme Programming: Maestro Style" is the name of a computer programming methodology that has evolved as a custom version of a methodology, called extreme programming that has been practiced in the software industry since the late 1990s. The name of this version reflects its origin in the work of the Maestro team at NASA's Jet Propulsion Laboratory that develops software for Mars exploration missions. Extreme programming is oriented toward agile development of software resting on values of simplicity, communication, testing, and aggressiveness. Extreme programming involves use of methods of rapidly building and disseminating institutional knowledge among members of a computer-programming team to give all the members a shared view that matches the view of the customers for whom the software system is to be developed. Extreme programming includes frequent planning by programmers in collaboration with customers, continually examining and rewriting code in striving for the simplest workable software designs, a system metaphor (basically, an abstraction of the system that provides easy-to-remember software-naming conventions and insight into the architecture of the system), programmers working in pairs, adherence to a set of coding standards, collaboration of customers and programmers, frequent verbal communication, frequent releases of software in small increments of development, repeated testing of the developmental software by both programmers and customers, and continuous interaction between the team and the customers. The environment in which the Maestro team works requires the team to quickly adapt to changing needs of its customers. In addition, the team cannot afford to accept unnecessary development risk. Extreme programming enables the Maestro team to remain agile and provide high-quality software and service to its customers. However, several factors in the Maestro environment have made it necessary to modify some of the conventional extreme

  15. Electronics for Extreme Environments

    NASA Astrophysics Data System (ADS)

    Patel, J. U.; Cressler, J.; Li, Y.; Niu, G.

    2001-01-01

    Most of the NASA missions involve extreme environments comprising radiation and low or high temperatures. Current practice of providing friendly ambient operating environment to electronics costs considerable power and mass (for shielding). Immediate missions such as the Europa orbiter and lander and Mars landers require the electronics to perform reliably in extreme conditions during the most critical part of the mission. Some other missions planned in the future also involve substantial surface activity in terms of measurements, sample collection, penetration through ice and crust and the analysis of samples. Thus it is extremely critical to develop electronics that could reliably operate under extreme space environments. Silicon On Insulator (SOI) technology is an extremely attractive candidate for NASA's future low power and high speed electronic systems because it offers increased transconductance, decreased sub-threshold slope, reduced short channel effects, elimination of kink effect, enhanced low field mobility, and immunity from radiation induced latch-up. A common belief that semiconductor devices function better at low temperatures is generally true for bulk devices but it does not hold true for deep sub-micron SOI CMOS devices with microscopic device features of 0.25 micrometers and smaller. Various temperature sensitive device parameters and device characteristics have recently been reported in the literature. Behavior of state of the art technology devices under such conditions needs to be evaluated in order to determine possible modifications in the device design for better performance and survivability under extreme environments. Here, we present a unique approach of developing electronics for extreme environments to benefit future NASA missions as described above. This will also benefit other long transit/life time missions such as the solar sail and planetary outposts in which electronics is out open in the unshielded space at the ambient space

  16. [Recommendations for neonatal transport].

    PubMed

    Moreno Hernando, J; Thió Lluch, M; Salguero García, E; Rite Gracia, S; Fernández Lorenzo, J R; Echaniz Urcelay, I; Botet Mussons, F; Herranz Carrillo, G; Sánchez Luna, M

    2013-08-01

    During pregnancy, it is not always possible to identify maternal or foetal risk factors. Infants requiring specialised medical care are not always born in centres providing intensive care and will need to be transferred to a referral centre where intensive care can be provided. Therefore Neonatal Transport needs to be considered as part of the organisation of perinatal health care. The aim of Neonatal Transport is to transfer a newborn infant requiring intensive care to a centre where specialised resources and experience can be provided for the appropriate assessment and continuing treatment of a sick newborn infant. Intrauterine transfer is the ideal mode of transport when the birth of an infant with risk factors is diagnosed. Unfortunately, not all problems can be detected in advance with enough time to safely transfer a pregnant woman. Around 30- 50% of risk factors will be diagnosed during labour or soon after birth. Therefore, it is important to have the knowledge and resources to resuscitate and stabilise a newborn infant, as well as a specialised neonatal transport system. With this specialised transport it is possible to transfer newly born infants with the same level of care that they would receive if they had been born in a referral hospital, without increasing their risks or affecting the wellbeing of the newborn. The Standards Committee of the Spanish Society of Neonatology reviewed and updated recommendations for intrauterine transport and indications for neonatal transfer. They also reviewed organisational and logistic factors involved with performing neonatal transport. The Committee review included the type of personnel who should be involved; communication between referral and receiving hospitals; documentation; mode of transport; equipment to stabilise newly born infants; management during transfer, and admission at the referral hospital. PMID:23434016

  17. Compilation of 1985 annual reports of the Navy elf (extremely low frequency) communications system ecological monitoring program. Volume 1. Tabs A-C. Annual progress report, January-December 1985

    SciTech Connect

    Becker, C.; Bruhn, J.; Cattelino, P.; Fuller, L.; Jurgensen, M.

    1986-07-01

    This is the fourth compilation of annual reports for the Navy's ELF Communications System Ecological Monitoring Program. The reports document the progress of ten studies performed during 1985 at the Wisconsin and Michigan Transmitting Facilities. The purpose of the monitoring is to determine whether electromagnetic fields produced by the ELF Communications System will affect resident biota or their ecological relationships. This volume consists of three reports: Herbaceous Plant Cover and Tree Studies; Litter Decomposition and Microflora; and The Effects of Exposing the Slime MOld Physarum polycephalum to Electromagnetic Fields.

  18. Analytical Performance Requirements for Systems for Self-Monitoring of Blood Glucose With Focus on System Accuracy: Relevant Differences Among ISO 15197:2003, ISO 15197:2013, and Current FDA Recommendations.

    PubMed

    Freckmann, Guido; Schmid, Christina; Baumstark, Annette; Rutschmann, Malte; Haug, Cornelia; Heinemann, Lutz

    2015-07-01

    In the European Union (EU), the ISO (International Organization for Standardization) 15197 standard is applicable for the evaluation of systems for self-monitoring of blood glucose (SMBG) before the market approval. In 2013, a revised version of this standard was published. Relevant revisions in the analytical performance requirements are the inclusion of the evaluation of influence quantities, for example, hematocrit, and some changes in the testing procedures for measurement precision and system accuracy evaluation, for example, number of test strip lots. Regarding system accuracy evaluation, the most important change is the inclusion of more stringent accuracy criteria. In 2014, the Food and Drug Administration (FDA) in the United States published their own guidance document for the premarket evaluation of SMBG systems with even more stringent system accuracy criteria than stipulated by ISO 15197:2013. The establishment of strict accuracy criteria applicable for the premarket evaluation is a possible approach to further improve the measurement quality of SMBG systems. However, the system accuracy testing procedure is quite complex, and some critical aspects, for example, systematic measurement difference between the reference measurement procedure and a higher-order procedure, may potentially limit the apparent accuracy of a given system. Therefore, the implementation of a harmonized reference measurement procedure for which traceability to standards of higher order is verified through an unbroken, documented chain of calibrations is desirable. In addition, the establishment of regular and standardized post-marketing evaluations of distributed test strip lots should be considered as an approach toward an improved measurement quality of available SMBG systems. PMID:25872965

  19. Adventure and Extreme Sports.

    PubMed

    Gomez, Andrew Thomas; Rao, Ashwin

    2016-03-01

    Adventure and extreme sports often involve unpredictable and inhospitable environments, high velocities, and stunts. These activities vary widely and include sports like BASE jumping, snowboarding, kayaking, and surfing. Increasing interest and participation in adventure and extreme sports warrants understanding by clinicians to facilitate prevention, identification, and treatment of injuries unique to each sport. This article covers alpine skiing and snowboarding, skateboarding, surfing, bungee jumping, BASE jumping, and whitewater sports with emphasis on epidemiology, demographics, general injury mechanisms, specific injuries, chronic injuries, fatality data, and prevention. Overall, most injuries are related to overuse, trauma, and environmental or microbial exposure. PMID:26900120

  20. Extremal entanglement witnesses

    NASA Astrophysics Data System (ADS)

    Hansen, Leif Ove; Hauge, Andreas; Myrheim, Jan; Sollid, Per Øyvind

    2015-02-01

    We present a study of extremal entanglement witnesses on a bipartite composite quantum system. We define the cone of witnesses as the dual of the set of separable density matrices, thus TrΩρ≥0 when Ω is a witness and ρ is a pure product state, ρ=ψψ† with ψ=ϕ⊗χ. The set of witnesses of unit trace is a compact convex set, uniquely defined by its extremal points. The expectation value f(ϕ,χ)=TrΩρ as a function of vectors ϕ and χ is a positive semidefinite biquadratic form. Every zero of f(ϕ,χ) imposes strong real-linear constraints on f and Ω. The real and symmetric Hessian matrix at the zero must be positive semidefinite. Its eigenvectors with zero eigenvalue, if such exist, we call Hessian zeros. A zero of f(ϕ,χ) is quadratic if it has no Hessian zeros, otherwise it is quartic. We call a witness quadratic if it has only quadratic zeros, and quartic if it has at least one quartic zero. A main result we prove is that a witness is extremal if and only if no other witness has the same, or a larger, set of zeros and Hessian zeros. A quadratic extremal witness has a minimum number of isolated zeros depending on dimensions. If a witness is not extremal, then the constraints defined by its zeros and Hessian zeros determine all directions in which we may search for witnesses having more zeros or Hessian zeros. A finite number of iterated searches in random directions, by numerical methods, leads to an extremal witness which is nearly always quadratic and has the minimum number of zeros. We discuss briefly some topics related to extremal witnesses, in particular the relation between the facial structures of the dual sets of witnesses and separable states. We discuss the relation between extremality and optimality of witnesses, and a conjecture of separability of the so-called structural physical approximation (SPA) of an optimal witness. Finally, we discuss how to treat the entanglement witnesses on a complex Hilbert space as a subset of the

  1. Extreme black hole holography

    NASA Astrophysics Data System (ADS)

    Hartman, Thomas Edward

    The connection between black holes in four dimensions and conformal field theories (CFTs) in two dimensions is explored, focusing on zero temperature (extreme) black holes and their low-temperature cousins. It is shown that extreme black holes in a theory of quantum gravity are holographically dual to field theories living in two dimensions without gravity, and that the field theory reproduces a variety of black hole phenomena in detail. The extreme black hole/CFT correspondence is derived from a symmetry analysis near the horizon of a Kerr black hole with mass M and maximal angular momentum J=M 2. The asymptotic symmetry generators form one copy of the Virasoro algebra with central charge c=12J, which implies that the near-horizon quantum states are identical to those of a two-dimensional CFT. We discuss extensions of this result to near-extreme black holes and cosmological horizons. Astrophysical black holes are never exactly extremal, but the black hole GRS1915+105 observed through X-ray and radio telescopy is likely within 1% of the extremal spin, suggesting that this extraordinary and well studied object is approximately dual to a two-dimensional CFT with c˜1079. As evidence for the correspondence, microstate counting in the CFT is used to derive the Bekenstein-Hawking area law for the Kerr entropy, S=Horizon area/4. Furthermore, the correlators in the dual CFT are shown to reproduce the scattering amplitudes of a charged scalar or spin-½ field by a near-extreme Kerr-Newman black hole, and a neutral spin-1 or spin-2 field by a near-extreme Kerr black hole. Scattering amplitudes probe the vacuum of fields living on the black hole background. For scalars, bound superradiant modes lead to an instability, while for fermions, it is shown that the bound superradiant modes condense and form a Fermi sea which extends well outside the ergosphere. Assuming no further instabilities, the low energy effective theory near the black hole is described by ripples in the

  2. Compilation of 1986 annual reports of the Navy ELF (extremely low frequency) communications system ecological-monitoring program. Volume 1. Tabs A-C. Annual progress report, January-December 1986

    SciTech Connect

    Not Available

    1987-07-01

    This is the fifth compilation of annual reports for the Navy's ELF Communications System Ecological Monitoring Program. This report documents the progress of the following studies: Herbaceous Plant Cover and Tree Studies; Litter Decomposition and Microflora; and The Effects of Exposing the Slime Mold Physarum Polycephalum to Electromagnetic Fields.

  3. Extreme Geomagnetic Storms - 1868 - 2010

    NASA Astrophysics Data System (ADS)

    Vennerstrom, S.; Lefevre, L.; Dumbović, M.; Crosby, N.; Malandraki, O.; Patsou, I.; Clette, F.; Veronig, A.; Vršnak, B.; Leer, K.; Moretto, T.

    2016-05-01

    We present the first large statistical study of extreme geomagnetic storms based on historical data from the time period 1868 - 2010. This article is the first of two companion papers. Here we describe how the storms were selected and focus on their near-Earth characteristics. The second article presents our investigation of the corresponding solar events and their characteristics. The storms were selected based on their intensity in the aa index, which constitutes the longest existing continuous series of geomagnetic activity. They are analyzed statistically in the context of more well-known geomagnetic indices, such as the Kp and Dcx/Dst index. This reveals that neither Kp nor Dcx/Dst provide a comprehensive geomagnetic measure of the extreme storms. We rank the storms by including long series of single magnetic observatory data. The top storms on the rank list are the New York Railroad storm occurring in May 1921 and the Quebec storm from March 1989. We identify key characteristics of the storms by combining several different available data sources, lists of storm sudden commencements (SSCs) signifying occurrence of interplanetary shocks, solar wind in-situ measurements, neutron monitor data, and associated identifications of Forbush decreases as well as satellite measurements of energetic proton fluxes in the near-Earth space environment. From this we find, among other results, that the extreme storms are very strongly correlated with the occurrence of interplanetary shocks (91 - 100 %), Forbush decreases (100 %), and energetic solar proton events (70 %). A quantitative comparison of these associations relative to less intense storms is also presented. Most notably, we find that most often the extreme storms are characterized by a complexity that is associated with multiple, often interacting, solar wind disturbances and that they frequently occur when the geomagnetic activity is already elevated. We also investigate the semiannual variation in storm occurrence

  4. Developing Effective Communications about Extreme Weather Risks.

    NASA Astrophysics Data System (ADS)

    Bruine de Bruin, W.

    2014-12-01

    Members of the general public often face complex decisions about the risks that they face, including those associated with extreme weather and climate change adaptation. Scientific experts may be asked to develop communications with the goal of improving people's understanding of weather and climate risks, and informing people's decisions about how to protect against these risks. Unfortunately, scientific experts' communication efforts may fail if they lack information about what people need or want to know to make more informed decisions or what wording people prefer use to describe relevant concepts. This presentation provides general principles for developing effective risk communication materials that aim for widespread dissemination, such as brochures and websites. After a brief review of the social science evidence on how to design effective risk communication materials, examples will focus on communications about extreme weather events and climate change. Specifically, data will be presented from ongoing projects on flood risk perception, public preparedness for heat waves, and public perceptions of climate change. The presentation will end with specific recommendations about how to improve recipients' understanding about risks and inform decisions. These recommendations should be useful to scientific experts who aim to communicate about extreme weather, climate change, or other risks.

  5. Imaging of neuro-cognitive performance in extreme Environments—A (p)review

    NASA Astrophysics Data System (ADS)

    Schneider, Stefan; Bubeev, Juri A.; Choukèr, Alexander; Morukov, Boris; Johannes, Bernd; Strüder, Heiko K.

    2012-12-01

    Living in extreme environments is accompanied by a number of stressors, which can be classified either as physiological stressors (e.g. microgravity, missing sunlight) or psychological stressors (e.g. confinement). From earth bound studies a negative impact of stress on mental health and cognitive performance is well known and both factors might impair mission success and mission safety during longer inhabitation of space. Accordingly there is the need to identify adequate countermeasures. Nevertheless causal research of neuro-cognitive impairments in space remains speculative due to missing possibilities of brain imaging. Furthermore the reliability of current psychological tests used to assess and monitor cognitive performance in extreme environments seems to be vulnerable due to a lack of compliance. With on-going plans of international space agencies to send people to moon and/or mars, this manuscript aims to summarize and review research attempts of the past two decades and to identify methodological shortcomings. Finally, following the guideline that research has no legacy for its own but must serve the self-concept and well-being of man, this manuscript presents a number of recommendations to enhance future neuro-cognitive research in extreme environments. A deeper insight into neuro-cognitive coherence is not only desirable to understand the effects of stress on mental health, which seems to be a major issue for our current society, and to develop adequate countermeasures but will also help to maintain and improve mission success and mission safety in manned space flight.

  6. The Extreme Case of Magnetars

    NASA Technical Reports Server (NTRS)

    Kouveliotou, Chryssa

    2011-01-01

    Magnetars are magnetically powered rotating neutron stars with extreme magnetic fields (over 10(exp 14) Gauss). They were discovered in the X- and gamma-rays where they predominantly emit their radiation. Very few sources (roughly 18) have been found since their discovery in 1987. NASA's Fermi Gamma-ray Space Telescope was launched June 11, 2009; since then the Fermi Gamma-ray Burst Monitor (GBM) recorded emission from four magnetar sources. Two of these were brand new sources, SGR J0501+4516, discovered with Swift and extensively monitored with Swift and GBM, SGR J0418+5729, discovered with GBM and the Interplanetary Network (IPN). A third was SGR J1550-5418, a source originally classified as an Anomalous X-ray Pulsar (AXP 1E1547.0-5408), but exhibiting a very prolific outburst with over 400 events recorded in January 2009. In my talk I will give a short history of magnetars and describe how this, once relatively esoteric field, has emerged as a link between several astrophysical areas including Gamma-Ray Bursts. Finally, I will describe the exciting new results of Fermi in this field and the current status of our knowledge of the magnetar population properties and magnetic fields.

  7. Hydrological extremes and security

    NASA Astrophysics Data System (ADS)

    Kundzewicz, Z. W.; Matczak, P.

    2015-04-01

    Economic losses caused by hydrological extremes - floods and droughts - have been on the rise. Hydrological extremes jeopardize human security and impact on societal livelihood and welfare. Security can be generally understood as freedom from threat and the ability of societies to maintain their independent identity and their functional integrity against forces of change. Several dimensions of security are reviewed in the context of hydrological extremes. The traditional interpretation of security, focused on the state military capabilities, has been replaced by a wider understanding, including economic, societal and environmental aspects that get increasing attention. Floods and droughts pose a burden and serious challenges to the state that is responsible for sustaining economic development, and societal and environmental security. The latter can be regarded as the maintenance of ecosystem services, on which a society depends. An important part of it is water security, which can be defined as the availability of an adequate quantity and quality of water for health, livelihoods, ecosystems and production, coupled with an acceptable level of water-related risks to people, environments and economies. Security concerns arise because, over large areas, hydrological extremes - floods and droughts - are becoming more frequent and more severe. In terms of dealing with water-related risks, climate change can increase uncertainties, which makes the state's task to deliver security more difficult and more expensive. However, changes in population size and development, and level of protection, drive exposure to hydrological hazards.

  8. Going to Extremes

    ERIC Educational Resources Information Center

    Coy, Mary

    2008-01-01

    In this article, the author describes a project which gave students a chance to explore the idea of using "extreme" materials in a sculpture. While the process was, at times, challenging and stressful for teacher and student alike, the results proved that, with proper planning, even young students can independently demonstrate multiple solutions…

  9. Climate Extremes and Society

    NASA Astrophysics Data System (ADS)

    Mote, Philip

    2009-10-01

    In October 2005, as the United States still was reeling from Hurricane Katrina in August and as the alphabet was too short to contain all of that year's named Atlantic tropical storms (Hurricane Wilma was forming near Jamaica), a timely workshop in Bermuda focused on climate extremes and society (see Eos, 87(3), 25, 17 January 2006). This edited volume, which corresponds roughly to the presentations given at that workshop, offers a fascinating look at the critically important intersection of acute climate stress and human vulnerabilities. A changing climate affects humans and other living things not through the variable that most robustly demonstrates the role of rising greenhouse gases—globally averaged temperature—but through local changes, especially changes in extremes. The first part of this book, “Defining and modeling the nature of weather and climate extremes,” focuses on natural science. The second part, “Impacts of weather and climate extremes,” focuses on societal impacts and responses, emphasizing an insurance industry perspective because a primary sponsor of the workshop was the Risk Prediction Initiative, whose aim is to “support scientific research on topics of interest to its sponsors” (p. 320).

  10. Optimization using Extremal Dynamics

    NASA Astrophysics Data System (ADS)

    Boettcher, Stefan

    2001-03-01

    We explore a new heuristic for finding high-quality solutions to NP-hard optimization problems which we have recently introduced [see ``Nature's Way of Optimizing," Artificial Intelligence 119, 275-286 (2000) and cond-mat/0010337]. The method, called extremal optimization, is inspired by self-organized criticality, a concept introduced to describe emergent complexity in physical systems. Extremal optimization successively replaces extremely undesirable elements of a single sub-optimal solution with new, random ones. Large fluctuations ensue that efficiently explore many local optima. With only one adjustable parameter, its performance has proved competitive with more elaborate methods, especially near phase transitions which are believed to contain the hardest instances. In particular, extremal optimization is superior to simulated annealing in the partitioning of sparse graphs, it finds the overlap of all ground-states at the phase transition of the 3-coloring problem, and it provides independent confirmation for the ground-state energy of spin glasses, previously obtained with elaborate genetic algorithms.

  11. Extreme Ultraviolet Explorer Science Operation Center

    NASA Technical Reports Server (NTRS)

    Wong, G. S.; Kronberg, F. A.; Meriwether, H. D.; Wong, L. S.; Grassi, C. L.

    1993-01-01

    The EUVE Science Operations Center (ESOC) is a satellite payload operations center for the Extreme Ultraviolet Explorer project, located on the Berkeley campus of the University of California. The ESOC has the primary responsibility for commanding the EUVE telescopes and monitoring their telemetry. The ESOC is one of a very few university-based satellite operations facilities operating with NASA. This article describes the history, operation, and advantages of the ESOC as an on-campus operations center.

  12. Recommended guidelines for infant hearing screening: analysis.

    PubMed

    Turner, R G

    1990-09-01

    as good as, other possible protocols. Like all protocols, it has advantages and disadvantages. That is not to say that all possible protocols are appropriate. For example, protocols that delay diagnostic testing beyond 6 months should be rejected if the goal is habilitation by 6 months. Protocols that use screening tests with extremely poor hit rates may be undesirable in most situations. There remains one fundamental question. Is it even appropriate to recommend a particular protocol when, by necessity, many important local factors must be ignored? Perhaps it would be better to provide the basic data and techniques that would permit audiologists to design EID protocols that are optimum for their own circumstances. PMID:2222566

  13. Recent and future extreme precipitation over Ukraine

    NASA Astrophysics Data System (ADS)

    Vyshkvarkova, Olena; Voskresenskaya, Elena

    2014-05-01

    The aim of study is to analyze the parameters of precipitation extremes and inequality over Ukraine in recent climate epoch and their possible changes in the future. Data of observations from 28 hydrometeorological stations over Ukraine and output of GFDL-CM3 model (CMIP5) for XXI century were used in the study. The methods of concentration index (J. Martin-Vide, 2004) for the study of precipitation inequality while the extreme precipitation indices recommended by the ETCCDI - for the frequency of events. Results. Precipitation inequality on the annual and seasonal scales was studied using estimated CI series for 1951-2005. It was found that annual CI ranges vary from 0.58 to 0.64. They increase southward from the north-west (forest zone) and the north-east (forest steppe zone) of Ukraine. CI maxima are located in the coastal regions of the Black Sea and the Sea of Azov. Annual CI spatial distribution indicates that the contribution of extreme precipitation into annual totals is most significant at the boundary zone between steppe and marine regions. At the same time precipitation pattern at the foothill of Carpathian Mountains is more homogenous. The CI minima (0.54) are typical for the winter season in foothill of Ukrainian Carpathians. The CI maxima reach 0.71 in spring at the steppe zone closed to the Black Sea coast. It should be noted that the greatest ranges of CI maximum and CI minimum deviation are typical for spring. It is associated with patterns of cyclone trajectories in that season. The most territory is characterized by tendency to decrease the contribution of extreme precipitation into the total amount (CI linear trends are predominantly negative in all seasons). Decadal and interdecadal variability of precipitation inequality associated with global processes in ocean-atmosphere system are also studied. It was shown that precipitation inequality over Ukraine on 10 - 15 % stronger in negative phase of Pacific Decadal Oscillation and in positive phase

  14. THE EXTREME HOSTS OF EXTREME SUPERNOVAE

    SciTech Connect

    Neill, James D.; Quimby, Robert; Ofek, Eran; Wyder, Ted K.; Martin, D. Christopher; Barlow, Tom A.; Foster, Karl; Friedman, Peter G.; Morrissey, Patrick; Sullivan, Mark; Gal-Yam, Avishay; Howell, D. Andrew; Nugent, Peter; Seibert, Mark; Overzier, Roderik; Neff, Susan G.; Schiminovich, David; Bianchi, Luciana; Donas, Jose; Heckman, Timothy M.

    2011-01-20

    We use GALEX ultraviolet (UV) and optical integrated photometry of the hosts of 17 luminous supernovae (LSNe, having peak M{sub V} < -21) and compare them to a sample of 26, 000 galaxies from a cross-match between the SDSS DR4 spectral catalog and GALEX interim release 1.1. We place the LSN hosts on the galaxy NUV - r versus M{sub r} color-magnitude diagram (CMD) with the larger sample to illustrate how extreme they are. The LSN hosts appear to favor low-density regions of the galaxy CMD falling on the blue edge of the blue cloud toward the low-luminosity end. From the UV-optical photometry, we estimate the star formation history of the LSN hosts. The hosts have moderately low star formation rates (SFRs) and low stellar masses (M{sub *}) resulting in high specific star formation rates (sSFR). Compared with the larger sample, the LSN hosts occupy low-density regions of a diagram plotting sSFR versus M{sub *} in the area having higher sSFR and lower M{sub *}. This preference for low M{sub *}, high sSFR hosts implies that the LSNe are produced by an effect having to do with their local environment. The correlation of mass with metallicity suggests that perhaps wind-driven mass loss is the factor that prevents LSNe from arising in higher-mass, higher-metallicity hosts. The massive progenitors of the LSNe (>100 M{sub sun}), by appearing in low-SFR hosts, are potential tests for theories of the initial mass function that limit the maximum mass of a star based on the SFR.

  15. Extreme saline water advection into the Don River delta and ice advections into Kerch Strait

    NASA Astrophysics Data System (ADS)

    Matishov, G. G.

    2015-11-01

    Analysis of such extreme natural phenomena as inflow of saline transformed waters from the Black Sea into the Don River delta, ice drift, and some others, which have been observed in the Sea of Azov in the recent years, is performed. The process and consequences of the ice movement from the Sea of Azov into Kerch Strait under the effect of hurricane-force NE winds is characterized. Data on the salinity and water level changes during the intensive westerly winds are given. The relationship between salinity and water level during episodes of the surges and downsurges is found. Recommendations for organizing the monitoring measures, intended to increase the accuracy of forecasting emergency situations in the Gulf of Taganrog, Sea of Azov, are presented.

  16. Context-Aware Recommender Systems

    NASA Astrophysics Data System (ADS)

    Adomavicius, Gediminas; Tuzhilin, Alexander

    The importance of contextual information has been recognized by researchers and practitioners in many disciplines, including e-commerce personalization, information retrieval, ubiquitous and mobile computing, data mining, marketing, and management. While a substantial amount of research has already been performed in the area of recommender systems, most existing approaches focus on recommending the most relevant items to users without taking into account any additional contextual information, such as time, location, or the company of other people (e.g., for watching movies or dining out). In this chapter we argue that relevant contextual information does matter in recommender systems and that it is important to take this information into account when providing recommendations. We discuss the general notion of context and how it can be modeled in recommender systems. Furthermore, we introduce three different algorithmic paradigms - contextual prefiltering, post-filtering, and modeling - for incorporating contextual information into the recommendation process, discuss the possibilities of combining several contextaware recommendation techniques into a single unifying approach, and provide a case study of one such combined approach. Finally, we present additional capabilities for context-aware recommenders and discuss important and promising directions for future research.

  17. Teacher Leadership: Federal Policy Recommendations

    ERIC Educational Resources Information Center

    Gran, Jackie; Young, Margaret; Broin, Alexandra

    2015-01-01

    This policy brief was developed specifically for federal policymakers, and builds upon the policy recommendations included in "Leading from Every Seat: Empowering Principals to Cultivate Teacher Leadership for School Improvement." The recommendations in this report include the following: (1) Uncover New Leadership Ideas and Seed…

  18. Extremal quantum cloning machines

    SciTech Connect

    Chiribella, G.; D'Ariano, G. M.; Perinotti, P.; Cerf, N.J.

    2005-10-15

    We investigate the problem of cloning a set of states that is invariant under the action of an irreducible group representation. We then characterize the cloners that are extremal in the convex set of group covariant cloning machines, among which one can restrict the search for optimal cloners. For a set of states that is invariant under the discrete Weyl-Heisenberg group, we show that all extremal cloners can be unitarily realized using the so-called double-Bell states, whence providing a general proof of the popular ansatz used in the literature for finding optimal cloners in a variety of settings. Our result can also be generalized to continuous-variable optimal cloning in infinite dimensions, where the covariance group is the customary Weyl-Heisenberg group of displacement000.

  19. Promoting cold-start items in recommender systems.

    PubMed

    Liu, Jin-Hu; Zhou, Tao; Zhang, Zi-Ke; Yang, Zimo; Liu, Chuang; Li, Wei-Min

    2014-01-01

    As one of the major challenges, cold-start problem plagues nearly all recommender systems. In particular, new items will be overlooked, impeding the development of new products online. Given limited resources, how to utilize the knowledge of recommender systems and design efficient marketing strategy for new items is extremely important. In this paper, we convert this ticklish issue into a clear mathematical problem based on a bipartite network representation. Under the most widely used algorithm in real e-commerce recommender systems, the so-called item-based collaborative filtering, we show that to simply push new items to active users is not a good strategy. Interestingly, experiments on real recommender systems indicate that to connect new items with some less active users will statistically yield better performance, namely, these new items will have more chance to appear in other users' recommendation lists. Further analysis suggests that the disassortative nature of recommender systems contributes to such observation. In a word, getting in-depth understanding on recommender systems could pave the way for the owners to popularize their cold-start products with low costs. PMID:25479013

  20. Promoting Cold-Start Items in Recommender Systems

    PubMed Central

    Liu, Jin-Hu; Zhou, Tao; Zhang, Zi-Ke; Yang, Zimo; Liu, Chuang; Li, Wei-Min

    2014-01-01

    As one of the major challenges, cold-start problem plagues nearly all recommender systems. In particular, new items will be overlooked, impeding the development of new products online. Given limited resources, how to utilize the knowledge of recommender systems and design efficient marketing strategy for new items is extremely important. In this paper, we convert this ticklish issue into a clear mathematical problem based on a bipartite network representation. Under the most widely used algorithm in real e-commerce recommender systems, the so-called item-based collaborative filtering, we show that to simply push new items to active users is not a good strategy. Interestingly, experiments on real recommender systems indicate that to connect new items with some less active users will statistically yield better performance, namely, these new items will have more chance to appear in other users' recommendation lists. Further analysis suggests that the disassortative nature of recommender systems contributes to such observation. In a word, getting in-depth understanding on recommender systems could pave the way for the owners to popularize their cold-start products with low costs. PMID:25479013

  1. Rehabilitation in extremity fractures.

    PubMed

    Moskowitz, E

    1975-03-01

    General principles in the rehabilitation of a patient with an extremity fracture include: treat the patient, not the x-ray; move all joints not immobilized; prevent disuse atrophy; use gravity to assist in mobilizing a joint; stabilize proximal joints to avoid reverse action of biarticular muscles; permit early protected weight bearing until adequate joint mobility is achieved; appropriately instruct the patient in a home program, and avoid all stretching. PMID:1114932

  2. Penetrating extremity trauma.

    PubMed

    Ivatury, Rao R; Anand, Rahul; Ordonez, Carlos

    2015-06-01

    Penetrating extremity trauma (PET) usually becomes less important when present along with multiple truncal injuries. The middle eastern wars documented the terrible mortality and morbidity resulting from PET. Even in civilian trauma, PET can lead to significant morbidity and mortality. There are now well-established principles in the evaluation and management of vascular, bony, soft tissue, and neurologic lesions that will lead to a reduction of the poor outcomes. This review will summarize some of these recent concepts. PMID:25413177

  3. Blood Pressure Monitoring at Home

    MedlinePlus

    ... They are extremely sensitive to position and body temperature, and are more expensive than other monitors (often ... stethoscope, you must be able to hear heart sounds through it. Cost may be an important factor. ...

  4. Extended Monitoring during Endoscopy.

    PubMed

    Mahmud, Nadim; Berzin, Tyler M

    2016-07-01

    Gastrointestinal endoscopic sedation has improved procedural and patient outcomes but is associated with attendant risks of oversedation and hemodynamic compromise. Therefore, close monitoring during endoscopic procedures using sedation is critical. This monitoring begins with appropriate staff trained in visual assessment of patients and analysis of basic physiologic parameters. It also mandates an array of devices widely used in practice to evaluate hemodynamics, oxygenation, ventilation, and depth of sedation. The authors review the evidence behind monitoring practices and current society recommendations and discuss forthcoming technologies and techniques that are poised to improve noninvasive monitoring of patients under endoscopic sedation. PMID:27372773

  5. Environmental monitoring plan

    SciTech Connect

    Holland, R.C.

    1997-02-01

    This Environmental Monitoring Plan was written to fulfill the requirements of Department of Energy (DOE) Order 5400.1 and DOE Environmental Regulatory Guide DOE/EH 0173T. This Plan documents the background, organizational structure, and methods used for effluent monitoring and environmental surveillance at Sandia National Laboratories/California. The design, rationale, and historical results of the environmental monitoring system are discussed in detail. Throughout the Plan, recommendations for improvements to the monitoring system are made. 52 refs., 10 figs., 12 tabs.

  6. On extreme geomagnetic storms

    NASA Astrophysics Data System (ADS)

    Cid, Consuelo; Palacios, Judith; Saiz, Elena; Guerrero, Antonio; Cerrato, Yolanda

    2014-10-01

    Extreme geomagnetic storms are considered as one of the major natural hazards for technology-dependent society. Geomagnetic field disturbances can disrupt the operation of critical infrastructures relying on space-based assets, and can also result in terrestrial effects, such as the Quebec electrical disruption in 1989. Forecasting potential hazards is a matter of high priority, but considering large flares as the only criterion for early-warning systems has demonstrated to release a large amount of false alarms and misses. Moreover, the quantification of the severity of the geomagnetic disturbance at the terrestrial surface using indices as Dst cannot be considered as the best approach to give account of the damage in utilities. High temporal resolution local indices come out as a possible solution to this issue, as disturbances recorded at the terrestrial surface differ largely both in latitude and longitude. The recovery phase of extreme storms presents also some peculiar features which make it different from other less intense storms. This paper goes through all these issues related to extreme storms by analysing a few events, highlighting the March 1989 storm, related to the Quebec blackout, and the October 2003 event, when several transformers burnt out in South Africa.

  7. Environmental Monitoring Plan

    SciTech Connect

    Holland, R.C.

    1993-07-01

    This Environmental Monitoring Plan was written to fulfill the requirements of Department of Energy (DOE) Order 5400.1 and DOE Environmental Regulatory Guide DOE/EH 0173T. This Plan documents the background, organizational structure, and methods used for effluent monitoring and environmental surveillance at Sandia National Laboratories/California. The design, rationale, and historical results of the environmental monitoring system are discussed in detail. Throughout the Plan, recommendations for improvements to the monitoring system are made. This revision to the Environmental Monitoring Plan was written to document the changes made to the Monitoring Program during 1992. Some of the data (most notably the statistical analyses of past monitoring data) has not been changed.

  8. Comprehensive air monitoring plan: general monitoring report

    SciTech Connect

    Not Available

    1980-03-31

    Recommendations are provided for general monitoring of hydrogen sulfide (H/sub 2/S) in ambient air in parts of Colusa, Lake, Mendocino, Napa, and Sonoma counties potentially impacted by emissions from geothermal development projects in the Geysers-Calistoga Known Geothermal Resource Area. Recommendations for types, placement, performance guidelines, and criteria and procedure for triggering establishment and termination of CAMP monitoring equipment were determined after examination of four factors: population location; emission sources; meteorological considerations; and data needs of permitting agencies and applicants. Three alternate financial plans were developed. Locations and equipment for immediate installation are recommended for: two air quality stations in communities where the State ambient air quality standard for H/sub 2/S has been exceeded; three air quality trend stations to monitor progress in reduction of H/sub 2/S emissions; two meteorological observation stations to monitor synoptic wind flow over the area; and one acoustic radar and one rawinsonde station to monitor air inversions which limit the depth of the mixing layer.

  9. Ada training evaluation and recommendation

    NASA Technical Reports Server (NTRS)

    Murphy, Robert; Stark, Michael

    1987-01-01

    This paper documents the Ada training experiences and recommendations of the Gamma Ray Observatory dynamics simulator Ada development team. A two month Ada training program for software developers is recommended which stresses the importance of teaching design methodologies early, as well as the use of certain training aids such as videotaped lectures and computer-aided instruction. Furthermore, a separate training program for managers is recommended, so that they may gain a better understanding of modified review products and resource allocation associated with Ada projects.

  10. Medical and psychosocial implications of adolescent extreme obesity – acceptance and effects of structured care, short: Youth with Extreme Obesity Study (YES)

    PubMed Central

    2013-01-01

    Background Prevalence rates of overweight and obesity have increased in German children and adolescents in the last three decades. Adolescents with extreme obesity represent a distinct risk group. On the basis of data obtained by the German Child and Youth Survey (KiGGS) and the German district military offices we estimate that the group of extremely obese adolescents (BMI ≥ 35 kg/m2) currently encompasses approximately 200.000 adolescents aged 14 to 21 yrs. Conventional approaches focusing on weight reduction have largely proven futile for them. In addition, only a small percentage of adolescents with extreme obesity seek actively treatment for obesity while contributing disproportionately strong to health care costs. Because of somatic and psychiatric co-morbidities and social problems adolescents with extreme obesity require special attention within the medical care system. We have initiated the project “Medical and psychosocial implications of adolescents with extreme obesity - acceptance and effects of structured care, short: ‘Youths with Extreme Obesity Study (YES)’”, which aims at improving the medical care and social support structures for youths with extreme obesity in Germany. Methods/Design We focus on identification of these subjects (baseline examination) and their acceptance of diagnostic and subsequent treatment procedures. In a randomized controlled trial (RCT) we will investigate the effectiveness of a low key group intervention not focusing on weight loss but aimed at the provision of obesity related information, alleviation of social isolation, school and vocational integration and improvement of self-esteem in comparison to a control group treated in a conventional way with focus on weight loss. Interested individuals who fulfill current recommended criteria for weight loss surgery will be provided with a structured preparation and follow-up programs. All subjects will be monitored within a long-term observational study to

  11. Impact of climate change on European weather extremes

    NASA Astrophysics Data System (ADS)

    Duchez, Aurelie; Forryan, Alex; Hirschi, Joel; Sinha, Bablu; New, Adrian; Freychet, Nicolas; Scaife, Adam; Graham, Tim

    2015-04-01

    An emerging science consensus is that global climate change will result in more extreme weather events with concomitant increasing financial losses. Key questions that arise are: Can an upward trend in natural extreme events be recognised and predicted at the European scale? What are the key drivers within the climate system that are changing and making extreme weather events more frequent, more intense, or both? Using state-of-the-art coupled climate simulations from the UK Met Office (HadGEM3-GC2, historical and future scenario runs) as well as reanalysis data, we highlight the potential of the currently most advanced forecasting systems to progress understanding of the causative drivers of European weather extremes, and assess future frequency and intensity of extreme weather under various climate change scenarios. We characterize European extremes in these simulations using a subset of the 27 core indices for temperature and precipitation from The Expert Team on Climate Change Detection and Indices (Tank et al., 2009). We focus on temperature and precipitation extremes (e.g. extremes in daily and monthly precipitation and temperatures) and relate them to the atmospheric modes of variability over Europe in order to establish the large-scale atmospheric circulation patterns that are conducive to the occurrence of extreme precipitation and temperature events. Klein Tank, Albert M.G., and Francis W. Zwiers. Guidelines on Analysis of Extremes in a Changing Climate in Support of Informed Decisions for Adaptation. WMO-TD No. 1500. Climate Data and Monitoring. World Meteorological Organization, 2009.

  12. Developing control charts to review and monitor medication errors.

    PubMed

    Ciminera, J L; Lease, M P

    1992-03-01

    There is a need to monitor reported medication errors in a hospital setting. Because the quantity of errors vary due to external reporting, quantifying the data is extremely difficult. Typically, these errors are reviewed using classification systems that often have wide variations in the numbers per class per month. The authors recommend the use of control charts to review historical data and to monitor future data. The procedure they have adopted is a modification of schemes using absolute (i.e., positive) values of successive differences to estimate the standard deviation when only single incidence values are available in time rather than sample averages, and when many successive differences may be zero. PMID:10116719

  13. Acute Stroke: Current Evidence-based Recommendations for Prehospital Care

    PubMed Central

    Glober, Nancy K.; Sporer, Karl A.; Guluma, Kama Z.; Serra, John P.; Barger, Joe A.; Brown, John F.; Gilbert, Gregory H.; Koenig, Kristi L.; Rudnick, Eric M.; Salvucci, Angelo A.

    2016-01-01

    Introduction In the United States, emergency medical services (EMS) protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of a patient with a suspected stroke and to compare these recommendations against the current protocols used by the 33 EMS agencies in the state of California. Methods We performed a literature review of the current evidence in the prehospital treatment of a patient with a suspected stroke and augmented this review with guidelines from various national and international societies to create our evidence-based recommendations. We then compared the stroke protocols of each of the 33 EMS agencies for consistency with these recommendations. The specific protocol components that we analyzed were the use of a stroke scale, blood glucose evaluation, use of supplemental oxygen, patient positioning, 12-lead electrocardiogram (ECG) and cardiac monitoring, fluid assessment and intravenous access, and stroke regionalization. Results Protocols across EMS agencies in California varied widely. Most used some sort of stroke scale with the majority using the Cincinnati Prehospital Stroke Scale (CPSS). All recommended the evaluation of blood glucose with the level for action ranging from 60 to 80mg/dL. Cardiac monitoring was recommended in 58% and 33% recommended an ECG. More than half required the direct transport to a primary stroke center and 88% recommended hospital notification. Conclusion Protocols for a patient with a suspected stroke vary widely across the state of California. The evidence-based recommendations that we present for the prehospital diagnosis and treatment of this condition may be useful for EMS medical directors tasked with creating and revising these protocols. PMID:26973735

  14. Pantex lightning study recommendations report

    SciTech Connect

    Chen, K.C.; Merewether, K.O.

    1993-12-01

    A brief history of lightning protection at Pantex nuclear explosive areas (NEAs) is given. An assessment of current Pantex lightning protection at NEAs is summarized. Recommendations for further improvements in lightning protection are described.

  15. Recommended Immunizations for Adults 50+

    MedlinePlus

    ... page please turn Javascript on. Health Screenings and Immunizations Recommended Immunizations For Adults 50+ The content in this section ... out more, visit How Vaccines Prevent Disease . Vaccines, Vaccinations, and Immunizations Understanding the difference between vaccines, vaccinations, ...

  16. NUCLEAR DATA EVALUATIONS AND RECOMMENDATIONS

    SciTech Connect

    HOLDEN, N.E.

    2005-05-08

    The published scientific literature is scanned and periodically evaluated for neutron and non-neutron nuclear data and the resulting recommendations are published [1,2]. After the literature has been scanned and appropriate data collected, there are often problems with regard to the treatment of the various types of data during this evaluation process and with regard to the method by which the recommendations are drawn from the assessment of the collection of individual measurements. Some-problems with uncertainties are presented.

  17. Introduction on health recommender systems.

    PubMed

    Sanchez-Bocanegra, C L; Sanchez-Laguna, F; Sevillano, J L

    2015-01-01

    People are looking for appropriate health information which they are concerned about. The Internet is a great resource of this kind of information, but we have to be careful if we don't want to get harmful info. Health recommender systems are becoming a new wave for apt health information as systems suggest the best data according to the patients' needs.The main goals of health recommender systems are to retrieve trusted health information from the Internet, to analyse which is suitable for the user profile and select the best that can be recommended, to adapt their selection methods according to the knowledge domain and to learn from the best recommendations.A brief definition of recommender systems will be given and an explanation of how are they incorporated in the health sector. A description of the main elementary recommender methods as well as their most important problems will also be made. And, to finish, the state of the art will be described. PMID:25417084

  18. Metagenomics of extreme environments.

    PubMed

    Cowan, D A; Ramond, J-B; Makhalanyane, T P; De Maayer, P

    2015-06-01

    Whether they are exposed to extremes of heat or cold, or buried deep beneath the Earth's surface, microorganisms have an uncanny ability to survive under these conditions. This ability to survive has fascinated scientists for nearly a century, but the recent development of metagenomics and 'omics' tools has allowed us to make huge leaps in understanding the remarkable complexity and versatility of extremophile communities. Here, in the context of the recently developed metagenomic tools, we discuss recent research on the community composition, adaptive strategies and biological functions of extremophiles. PMID:26048196

  19. Upper Extremity Regional Anesthesia

    PubMed Central

    Neal, Joseph M.; Gerancher, J.C.; Hebl, James R.; Ilfeld, Brian M.; McCartney, Colin J.L.; Franco, Carlo D.; Hogan, Quinn H.

    2009-01-01

    Brachial plexus blockade is the cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. As part of the American Society of Regional Anesthesia and Pain Medicine’s commitment to providing intensive evidence-based education related to regional anesthesia and analgesia, this article is a complete update of our 2002 comprehensive review of upper extremity anesthesia. The text of the review focuses on (1) pertinent anatomy, (2) approaches to the brachial plexus and techniques that optimize block quality, (4) local anesthetic and adjuvant pharmacology, (5) complications, (6) perioperative issues, and (6) challenges for future research. PMID:19282714

  20. Mineralogy under extreme conditions

    SciTech Connect

    Shu, Jinfu

    2012-02-07

    We have performed measurements of minerals based on the synchrotron source for single crystal and powder X-ray diffraction, inelastic scattering, spectroscopy and radiography by using diamond anvil cells. We investigated the properties of iron (Fe), iron-magnesium oxides (Fe, Mg)O, silica(SiO{sub 2}), iron-magnesium silicates (Fe, Mg)SiO{sub 3} under simulated high pressure-high temperature extreme conditions of the Earth's crust, upper mantle, low mantle, core-mantle boundary, outer core, and inner core. The results provide a new window on the investigation of the mineral properties at Earth's conditions.

  1. Occupational Exposure to Asbestos; Criteria for a Recommended Standard.

    ERIC Educational Resources Information Center

    National Inst. for Occupational Safety and Health (DHEW/PHS), Rockville, MD.

    Recommended standards for control of exposure to asbestos dust in the workplace are set out from the following standpoints: environmental, medical, labeling, personal protective equipment and clothing, apprisal of employees, work practices, and monitoring and recordkeeping requirements. The goal is maintenance of a low level of concentration to…

  2. Recommending personally interested contents by text mining, filtering, and interfaces

    DOEpatents

    Xu, Songhua

    2015-10-27

    A personalized content recommendation system includes a client interface device configured to monitor a user's information data stream. A collaborative filter remote from the client interface device generates automated predictions about the interests of the user. A database server stores personal behavioral profiles and user's preferences based on a plurality of monitored past behaviors and an output of the collaborative user personal interest inference engine. A programmed personal content recommendation server filters items in an incoming information stream with the personal behavioral profile and identifies only those items of the incoming information stream that substantially matches the personal behavioral profile. The identified personally relevant content is then recommended to the user following some priority that may consider the similarity between the personal interest matches, the context of the user information consumption behaviors that may be shown by the user's content consumption mode.

  3. Meteorological Monitoring Program

    SciTech Connect

    Hancock, H.A. Jr.; Parker, M.J.; Addis, R.P.

    1994-09-01

    The purpose of this technical report is to provide a comprehensive, detailed overview of the meteorological monitoring program at the Savannah River Site (SRS) near Aiken, South Carolina. The principle function of the program is to provide current, accurate meteorological data as input for calculating the transport and diffusion of any unplanned release of an atmospheric pollutant. The report is recommended for meteorologists, technicians, or any personnel who require an in-depth understanding of the meteorological monitoring program.

  4. Lightcurves of Extreme Debris Disks

    NASA Astrophysics Data System (ADS)

    Rieke, George; Meng, Huan; Su, Kate

    2012-12-01

    We have recently discovered that some planetary debris disks with extreme fractional luminosities are variable on the timescale of a few years. This behavior opens a new possibility to understand planet building. Two of the known variable disks are around solar-like stars in the age range of 30 to 100+ Myr, which is the expected era of the final stages of terrestrial planet building. Such variability can be attributed to violent collisions (up to ones on the scale of the Moon-forming event between the proto-Earth and another proto-planet). The collisional cascades that are the aftermaths of these events can produce large clouds of tiny dust grains, possibly even condensed from silica vapor. A Spitzer pilot program has obtained the lightcurve of such a debris disk and caught two minor outbursts. Here we propose to continue the lightcurve monitoring with higher sampling rates and to expand it to more disks. The proposed time domain observations are a new dimension of debris disk studies that can bring unique insight to their evolution, providing important constraints on the collisional and dynamical models of terrestrial planet formation.

  5. Solar extreme events

    NASA Astrophysics Data System (ADS)

    Hudson, Hugh S.

    2015-08-01

    Solar flares and CMEs have a broad range of magnitudes. This review discusses the possibility of “extreme events,” defined as those with magnitudes greater than have been seen in the existing historical record. For most quantitative measures, this direct information does not extend more than a century and a half into the recent past. The magnitude distributions (occurrence frequencies) of solar events (flares/CMEs) typically decrease with the parameter measured or inferred (peak flux, mass, energy etc. Flare radiation fluxes tend to follow a power law slightly flatter than S-2, where S represents a peak flux; solar particle events (SPEs) follow a still flatter power law up to a limiting magnitude, and then appear to roll over to a steeper distribution, which may take an exponential form or follow a broken power law. This inference comes from the terrestrial 14C record and from the depth dependence of various radioisotope proxies in the lunar regolith and in meteorites. Recently major new observational results have impacted our use of the relatively limited historical record in new ways: the detection of actual events in the 14C tree-ring records, and the systematic observations of flares and “superflares” by the Kepler spacecraft. I discuss how these new findings may affect our understanding of the distribution function expected for extreme solar events.

  6. "Triangular" extremal dilatonic dyons

    NASA Astrophysics Data System (ADS)

    Gal'tsov, Dmitri; Khramtsov, Mikhail; Orlov, Dmitri

    2015-04-01

    Explicit dyonic solutions in four-dimensional Einstein-Maxwell-dilaton theory are known only for three particular values of the dilaton coupling constant: a = 0 , 1 ,√{ 3}. However, numerical evidence was presented on existence of dyons admitting an extremal limit in theories with more general sequence of dilaton couplings a =√{ n (n + 1) / 2 } labeled by an integer n. Apart from the lower members n = 0 , 1 , 2, this family of theories does not have motivation from supergravity/string theory, and analytical origin of the above sequence remained unclear so far. We fill the gap showing that this formula follows from analyticity of the dilaton function at the AdS2 ×S2 event horizon of the extremal dyonic black hole, with n being the leading dilaton power in the Taylor expansion. We also derive generalization of this rule for asymptotically anti-de Sitter dyonic black holes with spherical, planar and hyperbolic topology of the horizon.

  7. [Recommendations of Polish Gynecological Society concerning perinatal care in obese pregnant women].

    PubMed

    Wender-Ozegowska, Ewa; Bomba-Opoń, Dorota; Brazert, Jacek; Celewicz, Zbigniew; Czajkowski, Krzysztof; Karowicz-Bilińska, Agata; Malinowska-Polubiec, Aneta; Meczekalski, Błazej; Zawiejska, Agnieszka

    2012-10-01

    Maternal obesity (defined as prepregnancy maternal BMI> or = 30 kg/m2) is a risk factor strongly associated with serious perinatal complications and its prevalence has increased rapidly in a general population during the last decades. Therefore, following international approach to regulate perinatal care in this population, Group of Experts of Polish Gynecological Society developed these new guidelines concerning perinatal care in obese pregnant women, including women after bariatric surgery. The recommendations cover detailed information on specific needs and risks associated with obesity in women of reproductive age, pregnancy planning, antenatal care, screening, prophylaxis and treatment for other pregnancy complications characteristic for maternal obesity fetal surveillance, intrapartum care and post-partum follow-up. Pregnancy planning in these patients should involve dietary recommendations aiming at well balanced diet and daily caloric uptake below 2000 kcal and modest but regular physical activity with sessions every two days starting from 15 min and increased gradually to 40 min. Laboratory work-up should include tests recommended in general population plus fasting glycemia and oral glucose tolerance if necessary thyroid function, lipidprofile, blood pressure and ECG. Patients after bariatric surgery should allow at least one year before they conceive and have their diet fortified with iron, folic acid, calcium and vit. B12. Antenatal care should include monitoring body weight gain with a target increase in body weight less than 7 kg, thromboprophylaxis, strict monitoring of blood pressure and diagnostic for gestational diabetes in early pregnancy. Fetal ultrasonic scans should be arranged following protocols recommended by US section of Polish Gynaecological Society with additional scan assessing fetal growth performed within 7 days before delivery and aiming at assessing a risk for shoulder dystocia in a patient. Intrapartum care should be delivered in

  8. Dynamics of molecules in extreme rotational states

    PubMed Central

    Yuan, Liwei; Teitelbaum, Samuel W.; Robinson, Allison; Mullin, Amy S.

    2011-01-01

    We have constructed an optical centrifuge with a pulse energy that is more than 2 orders of magnitude larger than previously reported instruments. This high pulse energy enables us to create large enough number densities of molecules in extreme rotational states to perform high-resolution state-resolved transient IR absorption measurements. Here we report the first studies of energy transfer dynamics involving molecules in extreme rotational states. In these studies, the optical centrifuge drives CO2 molecules into states with J ∼ 220 and we use transient IR probing to monitor the subsequent rotational, translational, and vibrational energy flow dynamics. The results reported here provide the first molecular insights into the relaxation of molecules with rotational energy that is comparable to that of a chemical bond.

  9. Noninvasive vital signal monitoring

    NASA Astrophysics Data System (ADS)

    Wang, Zenan; Chee, Jonny; Chua, Kok Poo; Chen, ZhouDe

    2010-05-01

    Vital signals of patients, such as heart rate, temperature and movement are crucial to monitor patients in hospital. Current heart rate measurement is obtained by using Electrocardiograph, which normally applies electrodes to the patient's body. As electrodes are extremely uncomfortable to ware and hinder patient's movement, a non-invasive vital signal-monitoring device will be a better solution. Similar to Electrocardiograph, the device detects the voltage difference across the heart by using concept of capacitance, which can be obtained by two conductive fiber sewing on the bed sheet. Simultaneous temperature reading can also be detected by using surface mounted temperature sensor. This paper will mainly focus on the heart rate monitoring.

  10. Extreme Scale Computational Astrophysics

    NASA Astrophysics Data System (ADS)

    Shoemaker, Deirdre

    2009-11-01

    We live in extraordinary times. With increasingly sophisticated observatories opening up new vistas on the universe, astrophysics is becoming more complex and data-driven. The success in understanding astrophysical systems that are inherently multi-physical, nonlinear systems demands realism in our models of the phenomena. We cannot hope to advance the realism of these models to match the expected sophistication of future observations without extreme-scale computation. Just one example is the advent of gravitational wave astronomy. Detectors like LIGO are about to make the first ever detection of gravitational waves. The gravitational waves are produced during violent events such as the merger of two black holes. The detection of these waves or ripples in the fabric of spacetime is a formidable undertaking, requiring innovative engineering, powerful data analysis tools and careful theoretical modeling. I will discuss the computational and theoretical challenges ahead in our new understanding of physics and astronomy where gravity exhibits its strongest grip on our spacetime.

  11. Diagnosis and treatment of acute extremity compartment syndrome.

    PubMed

    von Keudell, Arvind G; Weaver, Michael J; Appleton, Paul T; Appelton, Paul T; Bae, Donald S; Dyer, George S M; Heng, Marilyn; Jupiter, Jesse B; Vrahas, Mark S

    2015-09-26

    Acute compartment syndrome of the extremities is well known, but diagnosis can be challenging. Ineffective treatment can have devastating consequences, such as permanent dysaesthesia, ischaemic contractures, muscle dysfunction, loss of limb, and even loss of life. Despite many studies, there is no consensus about the way in which acute extremity compartment syndromes should be diagnosed. Many surgeons suggest continuous monitoring of intracompartmental pressure for all patients who have high-risk extremity injuries, whereas others suggest aggressive surgical intervention if acute compartment syndrome is even suspected. Although surgical fasciotomy might reduce intracompartmental pressure, this procedure also carries the risk of long-term complications. In this paper in The Lancet Series about emergency surgery we summarise the available data on acute extremity compartment syndrome of the upper and lower extremities in adults and children, discuss the underlying pathophysiology, and propose a clinical guideline based on the available data. PMID:26460664

  12. Recommended Practices in Thrust Measurements

    NASA Technical Reports Server (NTRS)

    Polk, James E.; Pancotti, Anthony; Haag, Thomas; King, Scott; Walker, Mitchell; Blakely, Joseph; Ziemer, John

    2013-01-01

    Accurate, direct measurement of thrust or impulse is one of the most critical elements of electric thruster characterization, and one of the most difficult measurements to make. The American Institute of Aeronautics and Astronautics has started an initiative to develop standards for many important measurement processes in electric propulsion, including thrust measurements. This paper summarizes recommended practices for the design, calibration, and operation of pendulum thrust stands, which are widely recognized as the best approach for measuring micro N- to mN-level thrust and micro Ns-level impulse bits. The fundamentals of pendulum thrust stand operation are reviewed, along with its implementation in hanging pendulum, inverted pendulum, and torsional balance configurations. Methods of calibration and recommendations for calibration processes are presented. Sources of error are identified and methods for data processing and uncertainty analysis are discussed. This review is intended to be the first step toward a recommended practices document to help the community produce high quality thrust measurements.

  13. Investigating NARCCAP Precipitation Extremes via Bivariate Extreme Value Theory (Invited)

    NASA Astrophysics Data System (ADS)

    Weller, G. B.; Cooley, D. S.; Sain, S. R.; Bukovsky, M. S.; Mearns, L. O.

    2013-12-01

    We introduce methodology from statistical extreme value theory to examine the ability of reanalysis-drive regional climate models to simulate past daily precipitation extremes. Going beyond a comparison of summary statistics such as 20-year return values, we study whether the most extreme precipitation events produced by climate model simulations exhibit correspondence to the most extreme events seen in observational records. The extent of this correspondence is formulated via the statistical concept of tail dependence. We examine several case studies of extreme precipitation events simulated by the six models of the North American Regional Climate Change Assessment Program (NARCCAP) driven by NCEP reanalysis. It is found that the NARCCAP models generally reproduce daily winter precipitation extremes along the Pacific coast quite well; in contrast, simulation of past daily summer precipitation extremes in a central US region is poor. Some differences in the strength of extremal correspondence are seen in the central region between models which employ spectral nudging and those which do not. We demonstrate how these techniques may be used to draw a link between extreme precipitation events and large-scale atmospheric drivers, as well as to downscale extreme precipitation simulated by a future run of a regional climate model. Specifically, we examine potential future changes in the nature of extreme precipitation along the Pacific coast produced by the pineapple express (PE) phenomenon. A link between extreme precipitation events and a "PE Index" derived from North Pacific sea-surface pressure fields is found. This link is used to study PE-influenced extreme precipitation produced by a future-scenario climate model run.

  14. Action Recommendation for Cyber Resilience

    SciTech Connect

    Choudhury, Sutanay; Rodriguez, Luke R.; Curtis, Darren S.; Oler, Kiri J.; Nordquist, Peter L.; Chen, Pin-Yu; Ray, Indrajit

    2015-09-01

    This paper presents an unifying graph-based model for representing the infrastructure, behavior and missions of an enterprise. We describe how the model can be used to achieve resiliency against a wide class of failures and attacks. We introduce an algorithm for recommending resilience establishing actions based on dynamic updates to the models. Without loss of generality, we show the effectiveness of the algorithm for preserving latency based quality of service (QoS). Our models and the recommendation algorithms are implemented in a software framework that we seek to release as an open source framework for simulating resilient cyber systems.

  15. Performance testing of extremity dosimeters against a draft standard

    SciTech Connect

    Harty, R.; Reece, W.D.; Hooker, C.D.; McDonald, J.C.

    1990-09-01

    The assurance of worker radiation safety is directly related to the performance of personnel dosimetry. The US Department of Energy (DOE) has long recognized this critical relationship and has addressed this issue by instituting the DOE Laboratory Accreditation Program (DOELAP) which strives to improve the quality of personnel dosimetry through performance testing, dosimetry calibration, intercomparisons, evaluations and accreditations. One area of personnel dosimetry that has not been specifically addressed by DOELAP is extremity dosimeter testing. This task was directed at assessing the problems of implementing extremity dosimeter performance testing. A series of performance tests were made based on a draft standard written by the Health Physics Society Standards Committee (HPSSC) using extremity dosimeters currently in use at DOE and DOE contractor facilities. The results of this study indicate the need to incorporate performance testing of extremity dosimetry systems into DOELAP. Based on the results of this study, recommendations are made for improvements to the draft standard. 20 refs., 6 figs., 3 tabs.

  16. Design and Manufacturing of Extremely Low Mass Flight Systems

    NASA Technical Reports Server (NTRS)

    Johnson, Michael R.

    2002-01-01

    Extremely small flight systems pose some unusual design and manufacturing challenges. The small size of the components that make up the system generally must be built with extremely tight tolerances to maintain the functionality of the assembled item. Additionally, the total mass of the system is extremely sensitive to what would be considered small perturbations in a larger flight system. The MUSES C mission, designed, built, and operated by Japan, has a small rover provided by NASA that falls into this small flight system category. This NASA-provided rover is used as a case study of an extremely small flight system design. The issues that were encountered with the rover portion of the MUSES C program are discussed and conclusions about the recommended mass margins at different stages of a small flight system project are presented.

  17. Reports, safety recommendations and responses availability

    SciTech Connect

    Not Available

    1980-06-19

    A discussion on the U.S. National Transportation Safety Board safety reports covers recommendations to the U.S. Coast Guard, including increased monitoring of vessels carrying/transferring liquefied gases in or near the Port of New Orleans and review of the ''Voluntary Traffic Control Agreement of the Maritime Industry of the Sabine Waterways'' to prevent collisions similar to those involving the ''Inca Tupac Yupanqui'' and the butane barge Panama City in Good Hope, LA, on 8/30/79, the Sea Witch and Esso Brussels in New York Harbor on 6/2/73, and the Mobil Vigilant and Marine Duval, which were carrying 41,198 and 23,866 tons of crude oil and molten sulfur, respectively, near Beaumont, Texas, on 2/25/79; responses by the American Gas Association and the U.S. Department of Transporation on the adequacy of the orginal burial depths of pipelines (Abstract No. 27-51219) and on compliance with hazardous materials regulations, respectively; and other safety recommendations to, and responses by, railroad, aircraft, highway, and federal agencies.

  18. Wireless Sensor Applications in Extreme Aeronautical Environments

    NASA Technical Reports Server (NTRS)

    Wilson, William C.; Atkinson, Gary M.

    2013-01-01

    NASA aeronautical programs require rigorous ground and flight testing. Many of the testing environments can be extremely harsh. These environments include cryogenic temperatures and high temperatures (greater than 1500 C). Temperature, pressure, vibration, ionizing radiation, and chemical exposure may all be part of the harsh environment found in testing. This paper presents a survey of research opportunities for universities and industry to develop new wireless sensors that address anticipated structural health monitoring (SHM) and testing needs for aeronautical vehicles. Potential applications of passive wireless sensors for ground testing and high altitude aircraft operations are presented. Some of the challenges and issues of the technology are also presented.

  19. Computer-assisted upper extremity training using interactive biking exercise (iBikE) platform.

    PubMed

    Jeong, In Cheol; Finkelstein, Joseph

    2012-01-01

    Upper extremity exercise training has been shown to improve clinical outcomes in different chronic health conditions. Arm-operated bicycles are frequently used to facilitate upper extremity training however effective use of these devices at patient homes is hampered by lack of remote connectivity with clinical rehabilitation team, inability to monitor exercise progress in real time using simple graphical representation, and absence of an alert system which would prevent exertion levels exceeding those approved by the clinical rehabilitation team. We developed an interactive biking exercise (iBikE) platform aimed at addressing these limitations. The platform uses a miniature wireless 3-axis accelerometer mounted on a patient wrist that transmits the cycling acceleration data to a laptop. The laptop screen presents an exercise dashboard to the patient in real time allowing easy graphical visualization of exercise progress and presentation of exercise parameters in relation to prescribed targets. The iBikE platform is programmed to alert the patient when exercise intensity exceeds the levels recommended by the patient care provider. The iBikE platform has been tested in 7 healthy volunteers (age range: 26-50 years) and shown to reliably reflect exercise progress and to generate alerts at pre-setup levels. Implementation of remote connectivity with patient rehabilitation team is warranted for future extension and evaluation efforts. PMID:23367319

  20. Ubiquitous Multicriteria Clinic Recommendation System.

    PubMed

    Chen, Toly

    2016-05-01

    Advancements in information, communication, and sensor technologies have led to new opportunities in medical care and education. Patients in general prefer visiting the nearest clinic, attempt to avoid waiting for treatment, and have unequal preferences for different clinics and doctors. Therefore, to enable patients to compare multiple clinics, this study proposes a ubiquitous multicriteria clinic recommendation system. In this system, patients can send requests through their cell phones to the system server to obtain a clinic recommendation. Once the patient sends this information to the system, the system server first estimates the patient's speed according to the detection results of a global positioning system. It then applies a fuzzy integer nonlinear programming-ordered weighted average approach to assess four criteria and finally recommends a clinic with maximal utility to the patient. The proposed methodology was tested in a field experiment, and the experimental results showed that it is advantageous over two existing methods in elevating the utilities of recommendations. In addition, such an advantage was shown to be statistically significant. PMID:26984357

  1. Reading First: Cautions and Recommendations.

    ERIC Educational Resources Information Center

    Yatvin, Joanne; Weaver, Constance; Garan, Elaine

    2003-01-01

    Identifies inaccuracies and distortions in the research supporting the No Child Left Behind legislation, as well as in government documents and the National Reading Panel "Summary Booklet." Offers alternatives to the limitations of the Reading First initiative through five major sections. Presents 12 recommendations regarding Reading First. (SG)

  2. Adolescent contraception. Review and recommendations.

    PubMed

    Turetsky, R A; Strasburger, V C

    1983-05-01

    In the light of the increase in teenage sexual activity over the past decade, the authors review current social, psychological, and educational attitudes. Together with a summary of the legal ramifications, they provide recommendations for treatment of this patient group. PMID:6839616

  3. Recommendations for Institutional Prematriculation Immunizations

    ERIC Educational Resources Information Center

    Journal of American College Health, 2011

    2011-01-01

    The recommendations presented in this article are provided to colleges and universities to facilitate the implementation of a comprehensive institutional prematriculation immunization policy. Vaccine-preventable diseases continue to occur on American campuses. In response to changing epidemiology and the introduction of new vaccines, the ACHA…

  4. Recommendations for Institutional Prematriculation Immunizations

    ERIC Educational Resources Information Center

    Journal of American College Health, 2006

    2006-01-01

    The "Recommendations for Institutional Prematriculation Immunizations" described in this article are provided to colleges and universities to facilitate the implementation of a comprehensive institutional prematriculation immunization policy. In response to changing epidemiology and the introduction of new vaccines, the American College Health…

  5. Recommendations for the Maryland Conference.

    ERIC Educational Resources Information Center

    Frazer, M. J.

    1981-01-01

    Presents 15 recommendations to be discussed by delegates attending the international conference on chemical education at the University of Maryland during August 1981, including: exchange of information, new organizations, college instruction, new experiments and low cost equipment, academic-industry cooperation, popularizing chemistry, and…

  6. Grower Recommendations: Fusarium Race 4

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Fusarium, particularly race 4, has become a significant management issue in the San Joaquin Valley cotton production area of California. Recommendations for limiting spread of inoculum of this fungal disease have been modified somewhat over the approximately 10 years of experience with this disease,...

  7. Percentage of Surgical Patients Receiving Recommended Care

    MedlinePlus

    ... Recommended Care Percentage of Surgical Patients Receiving Recommended Care This is a composite measure based on individual ... Age Group Percentage of Surgical Patients Receiving Recommended Care by Age Group uzrc-9bvr Download these data » ...

  8. New Recommendations for Mefloquine Use in Pregnancy

    MedlinePlus

    ... CDC Malaria Branch clinician. malaria@cdc.gov Update: New Recommendations for Mefloquine Use in Pregnancy Recommend on Facebook Tweet Share Compartir Update: New Recommendations for Mefloquine Use in Pregnancy The Centers ...

  9. A Flexible Electronic Commerce Recommendation System

    NASA Astrophysics Data System (ADS)

    Gong, Songjie

    Recommendation systems have become very popular in E-commerce websites. Many of the largest commerce websites are already using recommender technologies to help their customers find products to purchase. An electronic commerce recommendation system learns from a customer and recommends products that the customer will find most valuable from among the available products. But most recommendation methods are hard-wired into the system and they support only fixed recommendations. This paper presented a framework of flexible electronic commerce recommendation system. The framework is composed by user model interface, recommendation engine, recommendation strategy model, recommendation technology group, user interest model and database interface. In the recommender strategy model, the method can be collaborative filtering, content-based filtering, mining associate rules method, knowledge-based filtering method or the mixed method. The system mapped the implementation and demand through strategy model, and the whole system would be design as standard parts to adapt to the change of the recommendation strategy.

  10. Workshop on Extreme Physics

    NASA Astrophysics Data System (ADS)

    Mundell, Carole; Sullivan, Mark

    2012-04-01

    abstract-type="normal">SummaryNever before has there been such a wealth of versatile ground- and space-based facilities with which to detect variable emission across the electromagnetic spectrum and beyond, to non-EM signals such as neutrinos and gravitational waves, to probe the most extreme phenomena in the Universe. The variable sky is already providing a wealth of new and surprising observations of phenomena such as GRBs, SNe and AGN that are pushing current theories beyond the state of the art. Multi-messenger follow-up will soon become de rigeur, and upcoming radio and optical all-sky transient surveys will revolutionise the study of the transient Universe. In addition to the technical and data challenges presented by such surveys, a major new challenge will be the interpretation of the wealth of available data and the identification of the underlying physics of new classes of variable (and potentially exotic) objects. Theoretical predictions will be vital for interpreting these future transient discoveries. The goal of this workshop was to bring together theorists and observers in order to identify unexplored synergies across three main research areas of extreme physics: gamma-ray bursts, supernovæ and, more generically, relativistic jets. It aimed to discuss key outstanding questions in these rapidly moving fields, such as the composition and acceleration of GRB and AGN jets, GRB progenitors and central engines, the origin of the wide range of observed variability time-scales in GRB prompt and after-glow light curves and related cosmological applications, the physics of the newly-discovered ultra-luminous SN-like optical transients-as well as to speculate on what we might hope to discover with future technology. The workshop absorbed two 90-minute sessions, selecting 3 main science topics (Relativistic Jets, GRBs and SNe) which it organised as structured discussions driven by a series of short but provocative questions. The final session featured a panel

  11. Safety system status monitoring

    SciTech Connect

    Lewis, J.R.; Morgenstern, M.H.; Rideout, T.H.; Cowley, P.J.

    1984-03-01

    The Pacific Northwest Laboratory has studied the safety aspects of monitoring the preoperational status of safety systems in nuclear power plants. The goals of the study were to assess for the NRC the effectiveness of current monitoring systems and procedures, to develop near-term guidelines for reducing human errors associated with monitoring safety system status, and to recommend a regulatory position on this issue. A review of safety system status monitoring practices indicated that current systems and procedures do not adequately aid control room operators in monitoring safety system status. This is true even of some systems and procedures installed to meet existing regulatory guidelines (Regulatory Guide 1.47). In consequence, this report suggests acceptance criteria for meeting the functional requirements of an adequate system for monitoring safety system status. Also suggested are near-term guidelines that could reduce the likelihood of human errors in specific, high-priority status monitoring tasks. It is recommended that (1) Regulatory Guide 1.47 be revised to address these acceptance criteria, and (2) the revised Regulatory Guide 1.47 be applied to all plants, including those built since the issuance of the original Regulatory Guide.

  12. Detectors in Extreme Conditions

    SciTech Connect

    Blaj, G.; Carini, G.; Carron, S.; Haller, G.; Hart, P.; Hasi, J.; Herrmann, S.; Kenney, C.; Segal, J.; Tomada, A.

    2015-08-06

    Free Electron Lasers opened a new window on imaging the motion of atoms and molecules. At SLAC, FEL experiments are performed at LCLS using 120Hz pulses with 1012 - 1013 photons in 10 femtoseconds (billions of times brighter than the most powerful synchrotrons). This extreme detection environment raises unique challenges, from obvious to surprising. Radiation damage is a constant threat due to accidental exposure to insufficiently attenuated beam, focused beam and formation of ice crystals reflecting the beam onto the detector. Often high power optical lasers are also used (e.g., 25TW), increasing the risk of damage or impeding data acquisition through electromagnetic pulses (EMP). The sample can contaminate the detector surface or even produce shrapnel damage. Some experiments require ultra high vacuum (UHV) with strict design, surface contamination and cooling requirements - also for detectors. The setup is often changed between or during experiments with short turnaround times, risking mechanical and ESD damage, requiring work planning, training of operators and sometimes continuous participation of the LCLS Detector Group in the experiments. The detectors used most often at LCLS are CSPAD cameras for hard x-rays and pnCCDs for soft x-rays.

  13. Extreme ultraviolet lithography machine

    DOEpatents

    Tichenor, Daniel A.; Kubiak, Glenn D.; Haney, Steven J.; Sweeney, Donald W.

    2000-01-01

    An extreme ultraviolet lithography (EUVL) machine or system for producing integrated circuit (IC) components, such as transistors, formed on a substrate. The EUVL machine utilizes a laser plasma point source directed via an optical arrangement onto a mask or reticle which is reflected by a multiple mirror system onto the substrate or target. The EUVL machine operates in the 10-14 nm wavelength soft x-ray photon. Basically the EUV machine includes an evacuated source chamber, an evacuated main or project chamber interconnected by a transport tube arrangement, wherein a laser beam is directed into a plasma generator which produces an illumination beam which is directed by optics from the source chamber through the connecting tube, into the projection chamber, and onto the reticle or mask, from which a patterned beam is reflected by optics in a projection optics (PO) box mounted in the main or projection chamber onto the substrate. In one embodiment of a EUVL machine, nine optical components are utilized, with four of the optical components located in the PO box. The main or projection chamber includes vibration isolators for the PO box and a vibration isolator mounting for the substrate, with the main or projection chamber being mounted on a support structure and being isolated.

  14. Stacked Extreme Learning Machines.

    PubMed

    Zhou, Hongming; Huang, Guang-Bin; Lin, Zhiping; Wang, Han; Soh, Yeng Chai

    2015-09-01

    Extreme learning machine (ELM) has recently attracted many researchers' interest due to its very fast learning speed, good generalization ability, and ease of implementation. It provides a unified solution that can be used directly to solve regression, binary, and multiclass classification problems. In this paper, we propose a stacked ELMs (S-ELMs) that is specially designed for solving large and complex data problems. The S-ELMs divides a single large ELM network into multiple stacked small ELMs which are serially connected. The S-ELMs can approximate a very large ELM network with small memory requirement. To further improve the testing accuracy on big data problems, the ELM autoencoder can be implemented during each iteration of the S-ELMs algorithm. The simulation results show that the S-ELMs even with random hidden nodes can achieve similar testing accuracy to support vector machine (SVM) while having low memory requirements. With the help of ELM autoencoder, the S-ELMs can achieve much better testing accuracy than SVM and slightly better accuracy than deep belief network (DBN) with much faster training speed. PMID:25361517

  15. Understanding water extremes with caution

    NASA Astrophysics Data System (ADS)

    Stehlík, Milan; Stehlíková, Silvia; Torres, Sebastián

    2016-06-01

    We discuss a sensitive topic, how to scientifically estimate extremes in water quality managements. Such extremes are incorporating establishment of thresholds or levels of certain chemicals in the drinking water. In particular, we address the water fluoridation and quality of drinking water in Chile. Statistical approaches demonstrating the necessary background of water manager will be given in a survey exposition to establish link between statistics of extremes and practice.

  16. Upper Extremity Amputations and Prosthetics

    PubMed Central

    Ovadia, Steven A.; Askari, Morad

    2015-01-01

    Upper extremity amputations are most frequently indicated by severe traumatic injuries. The location of the injury will determine the level of amputation. Preservation of extremity length is often a goal. The amputation site will have important implications on the functional status of the patient and options for prosthetic reconstruction. Advances in amputation techniques and prosthetic reconstructions promote improved quality of life. In this article, the authors review the principles of upper extremity amputation, including techniques, amputation sites, and prosthetic reconstructions. PMID:25685104

  17. Extremely secure identification documents

    SciTech Connect

    Tolk, K.M.; Bell, M.

    1997-09-01

    The technology developed in this project uses biometric information printed on the document and public key cryptography to ensure that an adversary cannot issue identification documents to unauthorized individuals or alter existing documents to allow their use by unauthorized individuals. This process can be used to produce many types of identification documents with much higher security than any currently in use. The system is demonstrated using a security badge as an example. This project focused on the technologies requiring development in order to make the approach viable with existing badge printing and laminating technologies. By far the most difficult was the image processing required to verify that the picture on the badge had not been altered. Another area that required considerable work was the high density printed data storage required to get sufficient data on the badge for verification of the picture. The image processing process was successfully tested, and recommendations are included to refine the badge system to ensure high reliability. A two dimensional data array suitable for printing the required data on the badge was proposed, but testing of the readability of the array had to be abandoned due to reallocation of the budgeted funds by the LDRD office.

  18. Invited review: Culling: nomenclature, definitions, and recommendations.

    PubMed

    Fetrow, J; Nordlund, K V; Norman, H D

    2006-06-01

    Replacing cows on a dairy is a major cost of operation. There is a need for the industry to adopt a more standardized approach to reporting the rate at which cows exit from the dairy, and to reporting the reasons why cows are replaced and their destination as they exit the dairy. Herd turnover rate is recommended as the preferred term for characterizing the cows exiting a dairy, in preference to herd replacement rate, culling rate, or percent exiting, all of which have served as synonyms. Herd turnover rate should be calculated as the number of cows that exit in a defined period divided by the animal time at risk for the population being characterized. The terms voluntary and involuntary culling suffer from problems of definition and their use should be discouraged. Destination should be recorded for all cows that exit the dairy and opportunities to record one or more reasons for exiting should be provided by management systems. Comparing reported reasons between dairies requires considerable caution because of differences in case definitions and recording methods. Relying upon culling records to monitor disease has been and will always be an ineffective management strategy. Dairies are encouraged to record and monitor disease events and reproductive performance and use this information as the basis for management efforts aimed at reducing the need to replace cows. PMID:16702253

  19. Extreme horizontal branch stars

    NASA Astrophysics Data System (ADS)

    Heber, U.

    A review is presented on the properties, origin and evolutionary links of hot subluminous stars which are generally believed to be extreme Horizontal Branch stars or closely related objects. They exist both in the disk and halo populations (globular clusters) of the Galaxy. Amongst the field stars a large fraction of sdBs are found to reside in close binaries. The companions are predominantly white dwarfs, but also low mass main sequence stars are quite common. Systems with sufficiently massive white dwarf companions may qualify as Supernova Ia progenitors. Recently evidence has been found that the masses of some unseen companions might exceed the Chandrasekhar mass, hence they must be neutron stars or black holes. Even a planet has recently been detected orbiting the pulsating sdB star V391 Peg. Quite to the opposite,in globular clusters, only very few sdB binaries amongst are found indicating that the dominant sdB formation processes is different in a dense environment. Binary population synthesis models identify three formation channels, (i) stable Roche lobe overflow, (ii) one or two common envelope ejection phases and (iii) the merger of two helium white dwarfs. The latter channel may explain the properties of the He-enriched subluminous O stars, the hotter sisters of the sdB stars, because their binary fraction is lower than that of the sdBs by a factor of ten or more. The rivaling ''late hot flasher'' scenario is also discussed. Pulsating subluminous B (sdB) stars play an important role for asteroseismology as this technique has already led to mass determinations for a handful of stars. A unique hyper-velocity sdO star moving so fast that it is unbound to the Galaxy has probably been ejected by the super-massive black hole in the Galactic centre.

  20. Extreme Environments: Why NASA?

    NASA Astrophysics Data System (ADS)

    Meyer, M. A.

    2002-12-01

    Life on our planet is the only known example in the universe and so we are relegated to this planet for the study of life. However, life may be a natural consequence of planet formation, and so the study of the origin, evolution, distribution and future of life may be greatly informed by planetary exploration. Astrobiology has adopted several approaches to study life on Earth, for deducing our origins, for determining the likelihood of life elsewhere, and for enabling the search for evidence of past or present life. The first approach has been the Exobiology Program, centered around understanding the origins of life and which supports individual investigator research. Second has been the construction of consortia-type research in which researchers from different disciplines focus on a larger problem. This structure began with NASA Specialized Centers of Research and Training and has grown to include the Astrobiology Institute - a collection of competitively selected groups of researchers attacking problems in Astrobiology as individual teams and as a consolidated Institute. With the formation of an intellectual basis for exploring for life elsewhere, Astrobiology has initiated the competitive research and development program in instrument development (Astrobiology Science and Technology for Instrument Development [ASTID] Program) that would enable future mission instruments for the exploration of planetary bodies in the search for prebiotic chemistry, habitable environments (past or present), biomarkers, and possibly life itself. However, the act of exploring requires robust instrumentation, mobile robotic platforms, efficient operations, and a high level of autonomy. To this end, Astrobiology has started a new research activity that promotes scientifically-driven robotic exploration of extreme environments on Earth that are analogous to suspected habitable environments on other planetary bodies. The program is called Astrobiology Science and Technology for

  1. TrustRank: a Cold-Start tolerant recommender system

    NASA Astrophysics Data System (ADS)

    Zou, Haitao; Gong, Zhiguo; Zhang, Nan; Zhao, Wei; Guo, Jingzhi

    2015-02-01

    The explosive growth of the World Wide Web leads to the fast advancing development of e-commerce techniques. Recommender systems, which use personalised information filtering techniques to generate a set of items suitable to a given user, have received considerable attention. User- and item-based algorithms are two popular techniques for the design of recommender systems. These two algorithms are known to have Cold-Start problems, i.e., they are unable to effectively handle Cold-Start users who have an extremely limited number of purchase records. In this paper, we develop TrustRank, a novel recommender system which handles the Cold-Start problem by leveraging the user-trust networks which are commonly available for e-commerce applications. A user-trust network is formed by friendships or trust relationships that users specify among them. While it is straightforward to conjecture that a user-trust network is helpful for improving the accuracy of recommendations, a key challenge for using user-trust network to facilitate Cold-Start users is that these users also tend to have a very limited number of trust relationships. To address this challenge, we propose a pre-processing propagation of the Cold-Start users' trust network. In particular, by applying the personalised PageRank algorithm, we expand the friends of a given user to include others with similar purchase records to his/her original friends. To make this propagation algorithm scalable to a large amount of users, as required by real-world recommender systems, we devise an iterative computation algorithm of the original personalised TrustRank which can incrementally compute trust vectors for Cold-Start users. We conduct extensive experiments to demonstrate the consistently improvement provided by our proposed algorithm over the existing recommender algorithms on the accuracy of recommendations for Cold-Start users.

  2. Automatic home medical product recommendation.

    PubMed

    Luo, Gang; Thomas, Selena B; Tang, Chunqiang

    2012-04-01

    Web-based personal health records (PHRs) are being widely deployed. To improve PHR's capability and usability, we proposed the concept of intelligent PHR (iPHR). In this paper, we use automatic home medical product recommendation as a concrete application to demonstrate the benefits of introducing intelligence into PHRs. In this new application domain, we develop several techniques to address the emerging challenges. Our approach uses treatment knowledge and nursing knowledge, and extends the language modeling method to (1) construct a topic-selection input interface for recommending home medical products, (2) produce a global ranking of Web pages retrieved by multiple queries, and (3) provide diverse search results. We demonstrate the effectiveness of our techniques using USMLE medical exam cases. PMID:20703712

  3. Transfer of R&D Projects to NIE: Recommendations to Commissioner of Education.

    ERIC Educational Resources Information Center

    Silberman, Harry F.

    This report contains the National Institute of Education (NIE) Planning Unit's recommendations for transfer of U.S. Office of Education (USOE) funded R&D projects to NIE upon its effective date of operation. The report recommends that candidates for transfer should generally be ongoing projects monitored in programs scheduled for NIE transfer and…

  4. Finding and Recommending Scholarly Articles

    NASA Astrophysics Data System (ADS)

    Kurtz, Michael J.; Henneken, Edwin A.

    2014-05-01

    The rate at which scholarly literature is being produced has been increasing at approximately 3.5 percent per year for decades. This means that during a typical 40 year career the amount of new literature produced each year increases by a factor of four. The methods scholars use to discover relevant literature must change. Just like everybody else involved in information discovery, scholars are confronted with information overload. Two decades ago, this discovery process essentially consisted of paging through abstract books, talking to colleagues and librarians, and browsing journals. A time-consuming process, which could even be longer if material had to be shipped from elsewhere. Now much of this discovery process is mediated by online scholarly information systems. All these systems are relatively new, and all are still changing. They all share a common goal: to provide their users with access to the literature relevant to their specific needs. To achieve this each system responds to actions by the user by displaying articles which the system judges relevant to the user's current needs. Recently search systems which use particularly sophisticated methodologies to recommend a few specific papers to the user have been called "recommender systems". These methods are in line with the current use of the term "recommender system" in computer science. We do not adopt this definition, rather we view systems like these as components in a larger whole, which is presented by the scholarly information systems themselves. In what follows we view the recommender system as an aspect of the entire information system; one which combines the massive memory capacities of the machine with the cognitive abilities of the human user to achieve a human-machine synergy.

  5. Automatic Home Nursing Activity Recommendation

    PubMed Central

    Luo, Gang; Tang, Chunqiang

    2009-01-01

    The rapid deployment of Web-based, consumer-centric electronic medical records (CEMRs) is an important trend in healthcare. In this paper, we incorporate nursing knowledge into CEMR so that it can automatically recommend home nursing activities (HNAs). Those more complex HNAs are made clickable for users to find detailed implementation procedures. We demonstrate the effectiveness of our techniques using USMLE medical exam cases. PMID:20351888

  6. Recommendation for DSM-V

    PubMed Central

    2010-01-01

    Causal specifiers are certain and possible causes of mental disorders and can be biological, genetic, environmental, developmental, social, psychodynamic, behavioral, cognitive, or personality characteristics. Depending upon the clinical judgment of the degree of certainty, a causal specifier can be a definite etiopathogenesis or a factor contributing to manifestations of mental disorders. The author recommends adding causal specifiers to Axis I diagnoses in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition to improve communication among clinicians. PMID:21274393

  7. Screening recommendations for the elderly.

    PubMed Central

    Beers, M H; Fink, A; Beck, J C

    1991-01-01

    BACKGROUND. Studies have documented the potential contributions of preventive health care programs. Yet little is known about which screening tests should be included in public health programs for older persons. This study offers recommendations regarding these tests. METHODS. The recommendations come from synthesizing the findings of the US Preventive Services Task Force, the literature, and the consensus of experts in geriatrics, gerontology, and health policy research. The literature was evaluated to identify methodologically sound studies of the prevalence of selected disorders and benefits and availability of screening procedures for those disorders. Experts from various fields specializing in the care of the elderly formed panels to assist in evaluating the literature and providing further information from gerontological and public health perspectives. RESULTS. We recommend vision testing for refractive error; inspection of the skin surface for fungal infection and skin cancer, drug eruptions, and xerosis; a history for symptoms of xerosis; audiometric testing for presbycusis; surveys for hearing loss; otoscopic inspection for cerumen impaction; dental examination for caries; measurement of blood pressure for hypertension; and breast examination and mammography for cancer. CONCLUSIONS. Our study suggests that these screening procedures are useful for public health screening programs. More information is needed on the effects of screening services on the health and functioning of older persons. PMID:1951823

  8. Aggregated Recommendation through Random Forests

    PubMed Central

    2014-01-01

    Aggregated recommendation refers to the process of suggesting one kind of items to a group of users. Compared to user-oriented or item-oriented approaches, it is more general and, therefore, more appropriate for cold-start recommendation. In this paper, we propose a random forest approach to create aggregated recommender systems. The approach is used to predict the rating of a group of users to a kind of items. In the preprocessing stage, we merge user, item, and rating information to construct an aggregated decision table, where rating information serves as the decision attribute. We also model the data conversion process corresponding to the new user, new item, and both new problems. In the training stage, a forest is built for the aggregated training set, where each leaf is assigned a distribution of discrete rating. In the testing stage, we present four predicting approaches to compute evaluation values based on the distribution of each tree. Experiments results on the well-known MovieLens dataset show that the aggregated approach maintains an acceptable level of accuracy. PMID:25180204

  9. Impact of a physician recommendation

    PubMed Central

    Darden, Paul M; Jacobson, Robert M

    2014-01-01

    HPV vaccination has failed to achieve uptake comparable to the other adolescent-specific vaccines. Gargano et al. conducted a survey of parents of adolescents in a single Georgia county and found uptake similar to national surveys. They also found among the most commonly cited reasons for receiving vaccines a recommendation from a health care provider and among the most commonly cited reasons for not getting any of the adolescent vaccines were concerns for adverse effects. Of note, they found that the recommendation for any one vaccine had a positive effect on the uptake of other vaccines. Their findings of the importance of provider recommendations matched findings from other studies of adolescent vaccines, infant vaccines, and adult vaccines. This is despite flaws in their study including a very poor response rate (effectively 4.5%) of those surveyed and in their reporting including a lack of details of survey methods. Local surveys of vaccination have much to offer the national and local discussion about immunization delivery and how delivery should be optimized, but such surveys should use standardized approaches as well as pursue more comprehensive investigations at the local level to address the nuances national complex-cluster surveys cannot. PMID:25483503

  10. Aggregated recommendation through random forests.

    PubMed

    Zhang, Heng-Ru; Min, Fan; He, Xu

    2014-01-01

    Aggregated recommendation refers to the process of suggesting one kind of items to a group of users. Compared to user-oriented or item-oriented approaches, it is more general and, therefore, more appropriate for cold-start recommendation. In this paper, we propose a random forest approach to create aggregated recommender systems. The approach is used to predict the rating of a group of users to a kind of items. In the preprocessing stage, we merge user, item, and rating information to construct an aggregated decision table, where rating information serves as the decision attribute. We also model the data conversion process corresponding to the new user, new item, and both new problems. In the training stage, a forest is built for the aggregated training set, where each leaf is assigned a distribution of discrete rating. In the testing stage, we present four predicting approaches to compute evaluation values based on the distribution of each tree. Experiments results on the well-known MovieLens dataset show that the aggregated approach maintains an acceptable level of accuracy. PMID:25180204

  11. Union Agency Lecture: Predicting and Managing Extreme Events

    NASA Astrophysics Data System (ADS)

    Lubchenco, J.

    2011-12-01

    From tsunamis to tornadoes to hurricanes, floods, droughts, and heat waves, 2011 has been a year of extreme events reminding us of the vulnerability of the nation's communities to such events and the need to enhance our ability to anticipate and mitigate impacts of extreme events. Among its many roles, NOAA is responsible for providing critical environmental intelligence to the nation. To deliver this intelligence, we observe, monitor, and forecast environmental changes, including extreme events. The different time horizons for different types of extreme events require different observing, analytical and modeling approaches. Short-fuse events such as tornadoes, heavy rainfall, and solar storms present different challenges from those whose development can be tracked: hurricanes, droughts, heat waves, extended flooding, hypoxia, or dispersion of volcanic ash, wildfire smoke or oil following a spill. Occurrence of compound or cascading events, such as heat, drought, and poor air quality, add complexity to our ability to predict. Recent extreme events not only challenge us to improve monitoring and forecasting abilities, but also to improve capabilities to deliver credible and actionable information widely. This talk discusses some of the larger scientific, technological, and social science challenges in predicting and reducing impacts from extreme events.

  12. Impact of an extreme climatic event on community assembly.

    PubMed

    Thibault, Katherine M; Brown, James H

    2008-03-01

    Extreme climatic events are predicted to increase in frequency and magnitude, but their ecological impacts are poorly understood. Such events are large, infrequent, stochastic perturbations that can change the outcome of entrained ecological processes. Here we show how an extreme flood event affected a desert rodent community that has been monitored for 30 years. The flood (i) caused catastrophic, species-specific mortality; (ii) eliminated the incumbency advantage of previously dominant species; (iii) reset long-term population and community trends; (iv) interacted with competitive and metapopulation dynamics; and (v) resulted in rapid, wholesale reorganization of the community. This and a previous extreme rainfall event were punctuational perturbations-they caused large, rapid population- and community-level changes that were superimposed on a background of more gradual trends driven by climate and vegetation change. Captured by chance through long-term monitoring, the impacts of such large, infrequent events provide unique insights into the processes that structure ecological communities. PMID:18303115

  13. Denitrification by extremely halophilic bacteria

    NASA Technical Reports Server (NTRS)

    Hochstein, L. I.; Tomlinson, G. A.

    1985-01-01

    Extremely halophilic bacteria were isolated from widely separated sites by anaerobic enrichment in the presence of nitrate. The anaerobic growth of several of these isolates was accompanied by the production of nitrite, nitrous oxide, and dinitrogen. These results are a direct confirmation of the existence of extremely halophilic denitrifying bacteria, and suggest that such bacteria may be common inhabitants of hypersaline environments.

  14. Gender, Education, Extremism and Security

    ERIC Educational Resources Information Center

    Davies, Lynn

    2008-01-01

    This paper examines the complex relationships between gender, education, extremism and security. After defining extremism and fundamentalism, it looks first at the relationship of gender to violence generally, before looking specifically at how this plays out in more extremist violence and terrorism. Religious fundamentalism is also shown to have…

  15. Towards Information Enrichment through Recommendation Sharing

    NASA Astrophysics Data System (ADS)

    Weng, Li-Tung; Xu, Yue; Li, Yuefeng; Nayak, Richi

    Nowadays most existing recommender systems operate in a single organisational basis, i.e. a recommender system recommends items to customers of one organisation based on the organisation's datasets only. Very often the datasets of a single organisation do not have sufficient resources to be used to generate quality recommendations. Therefore, it would be beneficial if recommender systems of different organisations with similar nature can cooperate together to share their resources and recommendations. In this chapter, we present an Ecommerce-oriented Distributed Recommender System (EDRS) that consists of multiple recommender systems from different organisations. By sharing resources and recommendations with each other, these recommenders in the distributed recommendation system can provide better recommendation service to their users. As for most of the distributed systems, peer selection is often an important aspect. This chapter also presents a recommender selection technique for the proposed EDRS, and it selects and profiles recommenders based on their stability, average performance and selection frequency. Based on our experiments, it is shown that recommenders' recommendation quality can be effectively improved by adopting the proposed EDRS and the associated peer selection technique.

  16. Survival of high latitude fringing corals in extreme temperatures: Red Sea oceanography

    NASA Astrophysics Data System (ADS)

    Moustafa, M. Z.; Moustafa, M. S.; Moustafa, Z. D.; Moustafa, S. E.

    2014-04-01

    This multi-year study set out to establish a comprehensive knowledgebase for a fringing coral reef in the Gulf of Suez, while also investigating the link between coral reef survivability and the extreme environmental conditions present in the region. The Gulf of Suez is a narrow branch of the northern Red Sea for which all forms of environmental and scientific data are severely lacking. Monitoring oceanographic and meteorological data provides evidence of both seasonal variability and interannual variability in this region, and may reveal correlations between reef health and prevailing climate conditions. Specifically, this research sought to document the environmental conditions under which Zaki's Reef, a small fringing coral reef (29.5°N and 32.4°E) that lies at the northernmost limit of tropical reefs worldwide, is able to survive, in order to determine how extreme the conditions are. Results of observed seawater temperature revealed that coral species at Zaki's Reef regularly experience 2-4 °C and 10-15 °C daily and seasonal temperature variations, respectively. Seawater temperature monthly means reached a minimum of 14 °C in February and a maximum of 33 °C in August. Monthly mean sea surface temperature climatology obtained from satellite measurements was comparable to observed seawater temperatures, while annual air and seawater temperature means were identical at 22 °C. Observed seawater temperatures exceeded established coral bleaching thresholds for extended periods of time, suggesting that coral species at this location may have developed a mechanism to cope with such extreme temperatures. Further scrutiny of these species and the mechanisms by which they are able to thrive is recommended.

  17. Observations of an extreme planetary system

    NASA Astrophysics Data System (ADS)

    Raetz, Stefanie; Schmidt, Tobias O. B.; Briceno, Cesar; Neuhäuser, Ralph

    2015-12-01

    Almost 500 planet host stars are already known to be surrounded by more than one planet. Most of them (except HR8799) are old and all planets were found with the same or similar detection method.We present an unique planetary system. For the first time, a close in transiting and a wide directly imaged planet are found to orbit a common host star which is a low mass member of a young open cluster. The inner candidate is the first possible young transiting planet orbiting a previously known weak-lined T-Tauri star and was detected in our international monitoring campaign of young stellar clusters. The transit shape is changing between different observations and the transit even disappears and reappears. This unusual transit behaviour can be explained by a precessing planet transiting a gravity-darkened star.The outer candidate was discovered in the course of our direct imaging survey with NACO at ESO/VLT. Both objects are consistent with a <5 Jupiter mass planet. With ~2.4 Myrs it is among the youngest exoplanet systems. Both planets orbit its star in very extreme conditions. The inner planet is very close to its Roche limiting orbital radius while the outer planet is far away from its host star at a distance of ~660 au. The detailed analysis will provide important constraints on planet formation and migration time-scales and their relation to protoplanetary disc lifetimes. Furthermore, this system with two planets on such extreme orbits gives us the opportunity to study the possible outcome of planet-planet scattering theories for the first time by observations.I will report on our monitoring and photometric follow-up observations as well as on the direct detection and the integral field spectroscopy of this extreme planetary system.

  18. Modeling extreme risks in ecology.

    PubMed

    Burgman, Mark; Franklin, James; Hayes, Keith R; Hosack, Geoffrey R; Peters, Gareth W; Sisson, Scott A

    2012-11-01

    Extreme risks in ecology are typified by circumstances in which data are sporadic or unavailable, understanding is poor, and decisions are urgently needed. Expert judgments are pervasive and disagreements among experts are commonplace. We outline approaches to evaluating extreme risks in ecology that rely on stochastic simulation, with a particular focus on methods to evaluate the likelihood of extinction and quasi-extinction of threatened species, and the likelihood of establishment and spread of invasive pests. We evaluate the importance of assumptions in these assessments and the potential of some new approaches to account for these uncertainties, including hierarchical estimation procedures and generalized extreme value distributions. We conclude by examining the treatment of consequences in extreme risk analysis in ecology and how expert judgment may better be harnessed to evaluate extreme risks. PMID:22817845

  19. Extremal properties of random trees

    NASA Astrophysics Data System (ADS)

    Ben-Naim, E.; Krapivsky, P. L.; Majumdar, Satya N.

    2001-09-01

    We investigate extremal statistical properties such as the maximal and the minimal heights of randomly generated binary trees. By analyzing the master evolution equations we show that the cumulative distribution of extremal heights approaches a traveling wave form. The wave front in the minimal case is governed by the small-extremal-height tail of the distribution, and conversely, the front in the maximal case is governed by the large-extremal-height tail of the distribution. We determine several statistical characteristics of the extremal height distribution analytically. In particular, the expected minimal and maximal heights grow logarithmically with the tree size, N, hmin~vmin ln N, and hmax~vmax ln N, with vmin=0.373365... and vmax=4.31107..., respectively. Corrections to this asymptotic behavior are of order O(ln ln N).

  20. Representing Extremes in Agricultural Models

    NASA Technical Reports Server (NTRS)

    Ruane, Alex

    2015-01-01

    AgMIP and related projects are conducting several activities to understand and improve crop model response to extreme events. This involves crop model studies as well as the generation of climate datasets and scenarios more capable of capturing extremes. Models are typically less responsive to extreme events than we observe, and miss several forms of extreme events. Models also can capture interactive effects between climate change and climate extremes. Additional work is needed to understand response of markets and economic systems to food shocks. AgMIP is planning a Coordinated Global and Regional Assessment of Climate Change Impacts on Agricultural Production and Food Security with an aim to inform the IPCC Sixth Assessment Report.

  1. Extreme Mean and Its Applications

    NASA Technical Reports Server (NTRS)

    Swaroop, R.; Brownlow, J. D.

    1979-01-01

    Extreme value statistics obtained from normally distributed data are considered. An extreme mean is defined as the mean of p-th probability truncated normal distribution. An unbiased estimate of this extreme mean and its large sample distribution are derived. The distribution of this estimate even for very large samples is found to be nonnormal. Further, as the sample size increases, the variance of the unbiased estimate converges to the Cramer-Rao lower bound. The computer program used to obtain the density and distribution functions of the standardized unbiased estimate, and the confidence intervals of the extreme mean for any data are included for ready application. An example is included to demonstrate the usefulness of extreme mean application.

  2. Optimizing Guideline-Recommended Antibiotic Doses for Pediatric Infective Endocarditis.

    PubMed

    Nichols, Kristen R; Israel, Emily N; Thomas, Christopher A; Knoderer, Chad A

    2016-05-01

    The American Heart Association recently published an updated scientific statement on the management of infective endocarditis in childhood. The recommendations included for vancomycin, aminoglycoside, and β-lactam dosing and monitoring are based primarily on expert opinion and do not consider available evidence for dose optimization based on pharmacokinetic and pharmacodynamic principles in pediatric patients. This is concerning because even when clinically necessary, some practitioners may be hesitant to deviate from guideline-recommended doses. In this perspective, we highlight potential areas for improvement in the statement-recommended doses and summarize evidence supporting antibiotic dosing optimization. The addition of a pediatric clinical pharmacist with expertise in antibiotic dosing to the panel would be beneficial for future updates. PMID:26917819

  3. Research of intelligent recommendation for mobile reading

    NASA Astrophysics Data System (ADS)

    Li, Qu

    2013-07-01

    Mobile reading is the trend of current publishing industry. Intelligent Recommendation system is useful and profitable for mobile reading platforms. Currently, intelligent recommendation systems mainly focus on news recommendation or production recommendation in e-commerce. In this paper, we designed and implemented an intelligent recommendation system based on slope one algorithm. Results show that our algorithm can help the users to find their interested books and thus greatly improve the income of mobile reading platform.

  4. Life in extreme environments: how will humans perform on Mars?

    NASA Technical Reports Server (NTRS)

    Newman, D. J.

    2000-01-01

    This review of astronaut extravehicular activity (EVA) and the details of American and Soviet/Russian spacesuit design focuses on design recommendations to enhance astronaut safety and effectiveness. Innovative spacesuit design is essential, given the challenges of future exploration-class missions in which astronauts will be called upon to perform increasingly complex and physically demanding tasks in the extreme environments of microgravity and partial gravity.

  5. Multi - Region Analysis of a New Climate Extremes Index

    NASA Astrophysics Data System (ADS)

    Dittus, A. J.; Karoly, D. J.; Lewis, S. C.; Alexander, L. V.

    2014-12-01

    In this study, a new Climate Extremes Index (CEI) is introduced, extending the earlier combined CEI proposed by Karl et al. (1996). It is based on the use of standard extreme indices derived from daily meteorological station data, facilitating the computation of this index and making use of two global gridded extreme indices datasets. The index combines the fraction of area experiencing extreme conditions in daily temperature and daily and annual precipitation, therefore representing a combined measure of extremes. The analysis of this index at the global scale is limited by data availability. In this study, the four continental-scale regions analysed are Europe, North America, Asia and Australia over the period from 1951 to 2010. Additionally, the index is also computed for the entire Northern Hemisphere, corresponding to the first CEI results at the hemispheric scale. Results show statistically significant increases in the percentage area experiencing much above average warm days and nights and much below average cool days and nights for all regions, with the exception of North America for maximum temperature extremes. Increases in the area affected by precipitation extremes are also found for the Northern Hemisphere regions, particularly Europe. This study shows the potential of this new index for climate monitoring and other applications by documenting large-scale changes in the areas experiencing climate extremes. Preliminary detection and attribution results will also be presented using extreme indices computed for the Coupled Model Intercomparison Project Phase 5 climate model simulations (Sillmann et al., 2013). Karl, T. R., R. W. Knight, D. R. Easterling, and R. G. Quayle, 1996: Indices of climate change for the United States. Bull. Amer. Meteor. Soc., 77, 279-292. Sillmann, J., V. V. Kharin, X. Zhang, F. W. Zwiers, and D. Bronaugh (2013), Climate extremes indices in the CMIP5 multimodel ensemble: Part 1. Model evaluation in the present climate, J. Geophys

  6. WRS: The Wikipedia Recommender System

    NASA Astrophysics Data System (ADS)

    Lefévre, Thomas; Jensen, Christian Damsgaard; Korsgaard, Thomas Rune

    In 2005, the Wikipedia became the most popular reference website on the Internet and it has continued to grow in size and popularity ever since. With the increasing reliance on the Wikipedia comes issues of the credibility and provenance of content. In order to address these issues, we have developed a Recommender System for the Wikipedia, which allows the users of the Wikipedia to rate articles in order to guide other users about the quality of articles. This rating system provides both an incentive for authors to improve articles and a quantifiable measure of the perceived quality of articles.

  7. Clinical recommendation: pediatric lichen sclerosus.

    PubMed

    Bercaw-Pratt, Jennifer L; Boardman, Lori A; Simms-Cendan, Judith S

    2014-04-01

    Lichen sclerosus is a chronic inflammatory condition affecting the anogenital region that may present in the prepubertal or adolescent patient. Clinical presentations include significant pruritus, labial adhesions, and loss of pigmentation. Treatment includes topical anti-inflammatory agents and long-term follow-up as there is a high risk of recurrence and an increased risk of vulvar cancer in adult women with history of lichen sclerosus. These recommendations are intended for pediatricians, gynecologists, nurse practitioners and others who care for pediatric/adolescent girls in order to facilitate diagnosis and treatment. PMID:24602304

  8. Senate committee recommends replacing FEMA

    NASA Astrophysics Data System (ADS)

    Zielinski, Sarah

    2006-05-01

    Flaws in the U.S. Federal Emergency Management Agency (FEMA) that were exposed after Hurricane Katrina struck the U.S. Gulf Coast in August 2005 are too substantial to be fixed, and the agency should be replaced with a more capable structure, recommends a 27 April report released by the Senate Committee on Homeland Security and Government Affairs. ``FEMA is discredited, demoralized, and dysfunctional. It is beyond repair. Just tweaking the organizational chart will not solve the problem,'' said Committee Chair Sen. Susan Collins (R-Maine).

  9. Recommended Dosimetry Cross Section Compendium.

    Energy Science and Technology Software Center (ESTSC)

    1994-07-11

    Version 00 The data is recommended for spectrum determination applications and for the prediction of neutron activation of typical radiation sensor materials. The library has been tested for consistency of the cross sections in a wide variety of neutron environments. The results and cautions from this testing have been documented. The data has been interfaced with radiation transport codes, such as TWODANT-SYS (CCC-547) and MCNP (CCC-200), in order to compare calculated and measured activities formore » benchmark reactor experiments.« less

  10. Thermal Evaluation of Fiber Bragg Gratings at Extreme Temperatures

    NASA Technical Reports Server (NTRS)

    Juergens, Jeffrey; Adamovsky, Grigory; Bhatt, Ramakrishna; Morscher, Gregory; Floyd, Bertram

    2005-01-01

    The development of integrated fiber optic sensors for use in aerospace health monitoring systems demands that the sensors be able to perform in extreme environments. In order to use fiber optic sensors effectively in an extreme environment one must have a thorough understanding of the sensor's capabilities, limitations, and performance under extreme environmental conditions. This paper reports on our current sensor evaluation examining the performance of freestanding fiber Bragg gratings (FBG) at extreme temperatures. While the ability of FBGs to survive at extreme temperatures has been established, their performance and long term survivability is not well documented. At extreme temperatures the grating structure would be expected to dissipate, degrading the sensors performance and eventually ceasing to return a detectable signal. The fiber jacket will dissipate leaving a brittle, unprotected fiber. For FBGs to be used in aerospace systems their performance and limitations need to be thoroughly understood at extreme temperatures. As the limits of the FBGs performance are pushed the long term survivability and performance of the sensor comes into question. We will not only examine the ability of FBGs to survive extreme temperatures but also look at their performance during many thermal cycles. This paper reports on test results of the performance of thermal cycling commercially available FBGs, at temperatures up to 1000 C, seen in aerospace applications. Additionally this paper will report on the performance of commercially available FBGs held at 1000 C for hundreds of hours. Throughout the evaluation process, various parameters of the FBGs performance were monitored and recorded. Several test samples were subjected to identical test conditions to allow for statistical analysis of the data. Test procedures, calibrations, referencing techniques, performance data, and interpretations and explanations of results are presented in the paper along with directions for

  11. Applications of tethers in space: A review of workshop recommendations

    NASA Technical Reports Server (NTRS)

    Vontiesenhausen, G. (Editor)

    1986-01-01

    Well-organized and structured efforts of considerable magnitude involving NASA, industry, and academia have explored and defined the engineering and technological requirements of the use of tethers in space and have discovered their broad range of operational and economic benefits. The results of these efforts have produced a family of extremely promising candidate applications. The extensive efforts now in progress are gaining momentum and a series of flight demonstrations are being planned and can be expected to take place in a few years. This report provides an analysis and a review of NASA's second major workshop on Applications of Tethers in Space held in October 15 to 17, 1985, in Venice, Italy. It provides a summary of an up-to-date assessment and recommendations by the NASA Tether Applications in Space Program Planning Group, consisting of representatives of seven NASA Centers and responsible for tether applications program planning implementation as recommended by the workshop panels.

  12. Nonparametric Spatial Models for Extremes: Application to Extreme Temperature Data.

    PubMed

    Fuentes, Montserrat; Henry, John; Reich, Brian

    2013-03-01

    Estimating the probability of extreme temperature events is difficult because of limited records across time and the need to extrapolate the distributions of these events, as opposed to just the mean, to locations where observations are not available. Another related issue is the need to characterize the uncertainty in the estimated probability of extreme events at different locations. Although the tools for statistical modeling of univariate extremes are well-developed, extending these tools to model spatial extreme data is an active area of research. In this paper, in order to make inference about spatial extreme events, we introduce a new nonparametric model for extremes. We present a Dirichlet-based copula model that is a flexible alternative to parametric copula models such as the normal and t-copula. The proposed modelling approach is fitted using a Bayesian framework that allow us to take into account different sources of uncertainty in the data and models. We apply our methods to annual maximum temperature values in the east-south-central United States. PMID:24058280

  13. Lower extremity muscle perforator flaps for lower extremity reconstruction.

    PubMed

    Hallock, Geoffrey G

    2004-10-01

    A true muscle perforator flap is distinguished by the requisite intramuscular dissection of its musculocutaneous perforator to capture the same musculocutaneous territory but with total exclusion of the muscle, and thereby results in minimal functional impairment. Adhering to this definition, several lower extremity donor sites now are available, each with specific attributes especially useful for consideration in the treatment of lower extremity defects. In this author's experience over the past two decades, 20 lower extremity muscle perforator flaps using multiple donor sites proved advantageous for lower extremity coverage problems as either a local pedicled flap or as a microsurgical tissue transfer. Significant complications occurred in 30 percent of flaps (six of 20) in that further intervention was required. Venous insufficiency and bulkiness were found to be the major inherent shortcomings. However, giant flaps, lengthy and large-caliber vascular pedicles, and the possibility for combined flaps were important assets. The choice of a lower extremity muscle perforator flap for lower extremity reconstruction limited the surgical intervention and morbidity to a single body region. PMID:15457022

  14. Space Station atmospheric monitoring systems.

    PubMed

    Buoni, C; Coutant, R; Barnes, R; Slivon, L

    1988-05-01

    A technology assessment study on atmospheric monitoring systems was performed by Battelle Columbus Division for the National Aeronautics and Space Administration's John F. Kennedy Space Center under Contract No. NAS 10-11033. In this assessment, the objective was to identify, analyze, and recommend systems to sample and measure Space Station atmospheric contaminants and identify where additional research and technology advancements were required. To achieve this objective, it was necessary to define atmospheric monitoring requirements and to assess the state of the art and advanced technology and systems for technical and operational compatibility with monitoring goals. Three technical tasks were defined to support these needs: Definition of Monitoring Requirements, Assessment of Sampling and Analytical Technology, and Technology Screening and Recommendations. Based on the analysis, the principal candidates recommended for development at the Space Station's initial operational capability were: (1) long-path Fourier transform infrared for rapid detection of high-risk contamination incidences, and (2) gas chromatography/mass spectrometry utilizing mass selective detection (or ion-trap) technologies for detailed monitoring of extended crew exposure to low level (ppbv) contamination. The development of a gas chromatography/mass spectrometry/matrix isolation-Fourier transform infrared system was recommended as part of the long range program of upgrading Space Station trace-contaminant monitoring needs. PMID:11542838

  15. Space Station atmospheric monitoring systems

    NASA Technical Reports Server (NTRS)

    Buoni, C.; Coutant, R.; Barnes, R.; Slivon, L.

    1988-01-01

    A technology assessment study on atmospheric monitoring systems was performed by Battelle Columbus Division for the National Aeronautics and Space Administration's John F. Kennedy Space Center under Contract No. NAS 10-11033. In this assessment, the objective was to identify, analyze, and recommend systems to sample and measure Space Station atmospheric contaminants and identify where additional research and technology advancements were required. To achieve this objective, it was necessary to define atmospheric monitoring requirements and to assess the state of the art and advanced technology and systems for technical and operational compatibility with monitoring goals. Three technical tasks were defined to support these needs: Definition of Monitoring Requirements, Assessment of Sampling and Analytical Technology, and Technology Screening and Recommendations. Based on the analysis, the principal candidates recommended for development at the Space Station's initial operational capability were: (1) long-path Fourier transform infrared for rapid detection of high-risk contamination incidences, and (2) gas chromatography/mass spectrometry utilizing mass selective detection (or ion-trap) technologies for detailed monitoring of extended crew exposure to low level (ppbv) contamination. The development of a gas chromatography/mass spectrometry/matrix isolation-Fourier transform infrared system was recommended as part of the long range program of upgrading Space Station trace-contaminant monitoring needs.

  16. Safety recommendations for laser pointers.

    PubMed

    Rockwell, R J; Ertle, W J; Moss, C E

    1998-08-01

    The use of laser diode pointers that operate in the visible radiation region (400-760 nm) is becoming widespread. These pointers are intended for use by educators while presenting talks in the classroom or at conventions and meetings. They are also useful in any situation where one needs to point out special items during any instructive situation. The pointers can be purchased in novelty stores, mail-order magazines, office supply stores, common electronic stores, and over the internet. The power omitted by these laser pointers ranges from 1 to 5 mW. The potential for hazard with laser pointers is generally considered to be limited to the unprotected eyes of individuals who might be exposed by a direct beam (intrabeam viewing). No skin hazard usually exists. There are, however, even more powerful laser pointers now appearing. The units are imported into the U.S. often without proper manufacturer certification or labeling. The potential for hazards with these devices is not well understood by the general public and workers, and numerous exposure incidents have been recorded by the authors. Users of these products need to be alerted to the potential hazards and be encouraged to follow appropriate safety recommendations. These factors are discussed and safety recommendations for laser pointers are presented. PMID:10182367

  17. Amma - Monitoring and Management Application

    NASA Astrophysics Data System (ADS)

    Rakesh Adapa, Swamy

    Agriculture has been the part and parcel of the human life. It has been the major occupation around the world prior to the industrial revolution. Today many of the developing countries had their strong economical fundamentals from it. UN has been doing a great job in uplifting the rural population in terms of health and education. There is a need for uplifting the agricultural sector which has been lagging in the present economies. More than 70% of the rural employment comes from agricultural activities. So, there is a need for utilization of cutting edge technologies to make it more profitable. The problems that are being mainly faced by the farmers are illiteracy, climatic changes, improper data transfer, low technical skills, migration, natural disasters etc; AMMA helps the farmers to utilize the fruits of Geoinformatics ,tele-education, mobile technology etc; The farmer gets registered at our website through the Village Resource Centre (VRC), or AMMA Centre. The coordinator collects the data from the farmer about the past status of the crop; his economic status etc; now the process goes like this..,1.The coordinator sends the crop status through images and text data.2. The expert group sends the advice on viewing the crop status, satellite images on weekly basis.3.The coordinator on receiving the report explains it to the farmer about how to execute the recommendations that are made by the expert group.4.The farmer follows the recommendations that were said by his coordinator and takes appropriate steps. He gives back the feedback after the recommendations made by the agricultural supervisor are implemented.5.The feedback sent back by the farmer is verified by the agricultural geographer, whether the recommendations made by the experts are implemented or not.So, through the above process the crop is strictly monitored and extreme care is taken in the management of the crop. This cycle is repeated every week through internet. Here at AMMA a quantitative and

  18. Performance evaluation of recommendation algorithms on Internet of Things services

    NASA Astrophysics Data System (ADS)

    Mashal, Ibrahim; Alsaryrah, Osama; Chung, Tein-Yaw

    2016-06-01

    Internet of Things (IoT) is the next wave of industry revolution that will initiate many services, such as personal health care and green energy monitoring, which people may subscribe for their convenience. Recommending IoT services to the users based on objects they own will become very crucial for the success of IoT. In this work, we introduce the concept of service recommender systems in IoT by a formal model. As a first attempt in this direction, we have proposed a hyper-graph model for IoT recommender system in which each hyper-edge connects users, objects, and services. Next, we studied the usefulness of traditional recommendation schemes and their hybrid approaches on IoT service recommendation (IoTSRS) based on existing well known metrics. The preliminary results show that existing approaches perform reasonably well but further extension is required for IoTSRS. Several challenges were discussed to point out the direction of future development in IoTSR.

  19. EURRECA-Evidence-based methodology for deriving micronutrient recommendations.

    PubMed

    Dhonukshe-Rutten, Rosalie A M; Bouwman, Jildau; Brown, Kerry A; Cavelaars, Adriënne E J M; Collings, Rachel; Grammatikaki, Evangelia; de Groot, Lisette C P G M; Gurinovic, Mirjana; Harvey, Linda J; Hermoso, Maria; Hurst, Rachel; Kremer, Bas; Ngo, Joy; Novakovic, Romana; Raats, Monique M; Rollin, Fanny; Serra-Majem, Lluis; Souverein, Olga W; Timotijevic, Lada; Van't Veer, Pieter

    2013-01-01

    The EURopean micronutrient RECommendations Aligned (EURRECA) Network of Excellence explored the process of setting micronutrient recommendations to address the variance in recommendations across Europe. Work centered upon the transparent assessment of nutritional requirements via a series of systematic literature reviews and meta-analyses. In addition, the necessity of assessing nutritional requirements and the policy context of setting micronutrient recommendations was investigated. Findings have been presented in a framework that covers nine activities clustered into four stages: stage one "Defining the problem" describes Activities 1 and 2: "Identifying the nutrition-related health problem" and "Defining the process"; stage two "Monitoring and evaluating" describes Activities 3 and 7: "Establishing appropriate methods," and "Nutrient intake and status of population groups"; stage three "Deriving dietary reference values" describes Activities 4, 5, and 6: "Collating sources of evidence," "Appraisal of the evidence," and "Integrating the evidence"; stage four "Using dietary reference values in policy making" describes Activities 8 and 9: "Identifying policy options," and "Evaluating policy implementation." These activities provide guidance on how to resolve various issues when deriving micronutrient requirements and address the methodological and policy decisions, which may explain the current variation in recommendations across Europe. [Supplementary materials are available for this article. Go to the publisher's online edition of Critical Reviews in Food Science and Nutrition for the following free supplemental files: Additional text, tables, and figures.]. PMID:23952085

  20. A heterogeneous graph-based recommendation simulator

    SciTech Connect

    Yeonchan, Ahn; Sungchan, Park; Lee, Matt Sangkeun; Sang-goo, Lee

    2013-01-01

    Heterogeneous graph-based recommendation frameworks have flexibility in that they can incorporate various recommendation algorithms and various kinds of information to produce better results. In this demonstration, we present a heterogeneous graph-based recommendation simulator which enables participants to experience the flexibility of a heterogeneous graph-based recommendation method. With our system, participants can simulate various recommendation semantics by expressing the semantics via meaningful paths like User Movie User Movie. The simulator then returns the recommendation results on the fly based on the user-customized semantics using a fast Monte Carlo algorithm.

  1. A Group Recommender System for Tourist Activities

    NASA Astrophysics Data System (ADS)

    Garcia, Inma; Sebastia, Laura; Onaindia, Eva; Guzman, Cesar

    This paper introduces a method for giving recommendations of tourist activities to a group of users. This method makes recommendations based on the group tastes, their demographic classification and the places visited by the users in former trips. The group recommendation is computed from individual personal recommendations through the use of techniques such as aggregation, intersection or incremental intersection. This method is implemented as an extension of the e-Tourism tool, which is a user-adapted tourism and leisure application, whose main component is the Generalist Recommender System Kernel (GRSK), a domain-independent taxonomy-driven search engine that manages the group recommendation.

  2. Muscles of the Lower Extremity

    MedlinePlus

    ... Home » Cancer Registration & Surveillance Modules » Anatomy & Physiology » Muscular System » Muscle Groups » Lower Extremity Cancer Registration & Surveillance Modules Anatomy & Physiology Intro to the Human Body Body Functions & Life Process Anatomical Terminology Review Quiz ...

  3. Extreme events in computational turbulence

    PubMed Central

    Yeung, P. K.; Zhai, X. M.; Sreenivasan, Katepalli R.

    2015-01-01

    We have performed direct numerical simulations of homogeneous and isotropic turbulence in a periodic box with 8,1923 grid points. These are the largest simulations performed, to date, aimed at improving our understanding of turbulence small-scale structure. We present some basic statistical results and focus on “extreme” events (whose magnitudes are several tens of thousands the mean value). The structure of these extreme events is quite different from that of moderately large events (of the order of 10 times the mean value). In particular, intense vorticity occurs primarily in the form of tubes for moderately large events whereas it is much more “chunky” for extreme events (though probably overlaid on the traditional vortex tubes). We track the temporal evolution of extreme events and find that they are generally short-lived. Extreme magnitudes of energy dissipation rate and enstrophy occur simultaneously in space and remain nearly colocated during their evolution. PMID:26424452

  4. EULAR recommendations for the management of familial Mediterranean fever.

    PubMed

    Ozen, Seza; Demirkaya, Erkan; Erer, Burak; Livneh, Avi; Ben-Chetrit, Eldad; Giancane, Gabriella; Ozdogan, Huri; Abu, Illana; Gattorno, Marco; Hawkins, Philip N; Yuce, Sezin; Kallinich, Tilmann; Bilginer, Yelda; Kastner, Daniel; Carmona, Loreto

    2016-04-01

    Familial Mediterranean fever (FMF) is the most common monogenic autoinflammatory disease, but many rheumatologists are not well acquainted with its management. The objective of this report is to produce evidence-based recommendations to guide rheumatologists and other health professionals in the treatment and follow-up of patients with FMF. A multidisciplinary panel, including rheumatologists, internists, paediatricians, a nurse, a methodologist and a patient representative, was assembled. Panellists came from the Eastern Mediterranean area, Europe and North America. A preliminary systematic literature search on the pharmacological treatment of FMF was performed following which the expert group convened to define aims, scope and users of the guidelines and established the need for additional reviews on controversial topics. In a second meeting, recommendations were discussed and refined in light of available evidence. Finally, agreement with the recommendations was obtained from a larger group of experts through a Delphi survey. The level of evidence (LoE) and grade of recommendation (GR) were then incorporated. The final document comprises 18 recommendations, each presented with its degree of agreement (0-10), LoE, GR and rationale. The degree of agreement was greater than 7/10 in all instances. The more controversial statements were those related to follow-up and dose change, for which supporting evidence is limited. A set of widely accepted recommendations for the treatment and monitoring of FMF is presented, supported by the best available evidence and expert opinion. It is believed that these recommendations will be useful in guiding physicians in the care of patients with FMF. PMID:26802180

  5. Extreme seismicity and disaster risks: Hazard versus vulnerability (Invited)

    NASA Astrophysics Data System (ADS)

    Ismail-Zadeh, A.

    2013-12-01

    Although the extreme nature of earthquakes has been known for millennia due to the resultant devastation from many of them, the vulnerability of our civilization to extreme seismic events is still growing. It is partly because of the increase in the number of high-risk objects and clustering of populations and infrastructure in the areas prone to seismic hazards. Today an earthquake may affect several hundreds thousand lives and cause significant damage up to hundred billion dollars; it can trigger an ecological catastrophe if occurs in close vicinity to a nuclear power plant. Two types of extreme natural events can be distinguished: (i) large magnitude low probability events, and (ii) the events leading to disasters. Although the first-type events may affect earthquake-prone countries directly or indirectly (as tsunamis, landslides etc.), the second-type events occur mainly in economically less-developed countries where the vulnerability is high and the resilience is low. Although earthquake hazards cannot be reduced, vulnerability to extreme events can be diminished by monitoring human systems and by relevant laws preventing an increase in vulnerability. Significant new knowledge should be gained on extreme seismicity through observations, monitoring, analysis, modeling, comprehensive hazard assessment, prediction, and interpretations to assist in disaster risk analysis. The advanced disaster risk communication skill should be developed to link scientists, emergency management authorities, and the public. Natural, social, economic, and political reasons leading to disasters due to earthquakes will be discussed.

  6. Centrifugal fan monitoring guidelines

    SciTech Connect

    Piety, K.R.; Piety, R.W.; Greene, R.H.; Johnson, E.L. )

    1991-07-01

    This study provide guidelines on the vibration monitoring of centrifugal fans in fossil-fired utility plants. Based on an intensive analysis of a fan database, it provides a substantial amount of detailed information relating to vibration patterns and vibration amplitudes and recommends parameter bands and alarm levels. The study focuses on forced draft, induced draft, primary air, and gas recirculating fans. 8 refs., 19 figs., 19 tabs.

  7. SYNTHETIC SLING FAILURE - EVALUATIONS & RECOMMENDATIONS

    SciTech Connect

    MACKEY TC; HENDERSON CS

    2009-10-26

    The information and evaluations provided in this report were compiled to address the recurring problem of synthetic sling failure. As safety is the number one priority in all work aspects, a solution must be devised to prevent accidents from occurring. A total of thirteen cases regarding synthetic sling failure were evaluated in order to determine their causes, effects, and preventative measures. From the collected data, it was found that all cases in which the synthetic sling contacted the edge of its load resulted in sling failure. It is required that adequate synthetic sling protection devices be used to protect slings in any lift where the sling comes in direct contact with the edge or corner of its load. However, there are no consensus codes or standards stating the type, material, or purpose of the type of protective device used to protect the sling from being cut. Numerous industry standards and codes provide vague descriptions on how to protect synthetic slings. Without a clear, concise statement of how to protect synthetic slings, it is common for inadequate materials and sling protection devices to be used in an attempt to meet the intent of these requirements. The use of an inadequate sling protection device is the main cause of synthetic sling failure in all researched cases. Commercial sling protection devices come in many shapes and sizes, and have a variety of names, as well as advertised uses. 'Abrasion pads' and 'wear protectors' are two different names for products with the same intended purpose. There is no distinguishable way to determine the extent of sling protection which these devices will provide, or what specific scenarios they are made for. This creates room for error in a field where error is unacceptable. This report provides a recommended action for hoisting and rigging activities which require synthetic slings to contact a load, as well as recommended changes to industry standards which will benefit overall industry safety.

  8. Recommendations for the design, optimization, and qualification of cell-based assays used for the detection of neutralizing antibody responses elicited to biological therapeutics.

    PubMed

    Gupta, Shalini; Indelicato, Stephen R; Jethwa, Vijay; Kawabata, Thomas; Kelley, Marian; Mire-Sluis, Anthony R; Richards, Susan M; Rup, Bonita; Shores, Elizabeth; Swanson, Steven J; Wakshull, Eric

    2007-04-10

    The administration of biological therapeutics can evoke some level of immune response to the drug product in the receiving subjects. An immune response comprised of neutralizing antibodies can lead to loss of efficacy or potentially more serious clinical sequelae. Therefore, it is important to monitor the immunogenicity of biological therapeutics throughout the drug product development cycle. Immunoassays are typically used to screen for the presence and development of anti-drug product antibodies. However, in-vitro cell-based assays prove extremely useful for the characterization of immunoassay-positive samples to determine if the detected antibodies have neutralizing properties. This document provides scientific recommendations based on the experience of the authors for the development of cell-based assays for the detection of neutralizing antibodies in non-clinical and clinical studies. PMID:17307199

  9. Treatment of psoriatic arthritis: management recommendations.

    PubMed

    Gossec, Laure; Smolen, Josef S

    2015-01-01

    Given the varied therapeutic options available for the management of psoriatic arthritis (PsA), recommendations for the management of PsA have been developed by several expert groups. These recommendations deal mainly with pharmacological treatments. At the international level, 2 recommendations sets are available: these have been developed by the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) and by the European League against Rheumatism (EULAR). These recommendations were published in 2009 and in 2012, respectively; and updates of these recommendations are currently ongoing. The first sets of recommendations dealt with non-steroidal anti-inflammatory drugs, glucocorticoids, conventional synthetic disease modifying drugs and tumour necrosis factor inhibitors; the 2015 sets of recommendations also deal with new drugs with other mechanisms of action, namely ustekinumab, secukinumab and apremilast. In the present paper, we will review these management recommendations. PMID:26471459

  10. Preventive Care Recommendations for Adults with MS

    MedlinePlus

    Preventive Care Recommendations THE BASIC FACTS MULTIPLE SCLEROSIS The Three Most Common Eye Disorders Carlos Healey, diagnosed in 2001 in Multiple Sclerosis Medical checklist: Recommendations: Dates of last & next test ...

  11. Changes in climate extremes indices over Mexico

    NASA Astrophysics Data System (ADS)

    Teufel, B. S.; Mora Rodriguez, J.; Pineda-Martinez, L. F.

    2013-05-01

    There is scientific consensus on the fact that any change in the frequency or intensity of climate extremes (one of the consequences of global climate change) will have a great impact on the environment and on society. There has been an international effort, led by the Expert Team on Climate Change Detection and Indices (ETCCDI), to develop a set of climate extremes indices, so individuals, regions and countries can calculate such indices in the same way, enabling them to be compared across borders. Daily records of temperature and precipitation are required to calculate these climate extremes indices and their behavior over long periods shows if the frequency or intensity of climate extremes has changed. For this work, the full database of the National Meteorological Service of Mexico (Servicio Meteorologico Nacional), which contains data for over 5000 meteorological stations, was used. First, quality control and homogeneity procedures, as recommended by the World Meteorological Organization (WMO), were used to analyze and filter the database, removing erroneous or inconsistent data. The following climate indices were obtained for all stations that met the WMO's criteria for calculating climate normals: - Percentage of days with daily minimum temperatures lower than the 10th percentile. - Percentage of days with daily maximum temperatures lower than the 10th percentile. - Percentage of days with daily minimum temperatures higher than the 90th percentile. - Percentage of days with daily maximum temperatures higher than the 90th percentile. - Percentage of days with daily precipitation above the 95th percentile. - Percentage of days with daily precipitation above the 99th percentile. The results are presented as regionally averaged time series for the period 1930 - 2010. Additionally, the spatial distribution of the magnitude and statistical significance of the changes in the indices is presented. Widespread and statistically significant changes in the temperature

  12. Monitoring materials

    DOEpatents

    Orr, Christopher Henry; Luff, Craig Janson; Dockray, Thomas; Macarthur, Duncan Whittemore

    2002-01-01

    The apparatus and method provide techniques for effectively implementing alpha and/or beta and/or gamma monitoring of items or locations as desired. Indirect alpha monitoring by detecting ions generated by alpha emissions, in conjunction with beta and/or gamma monitoring is provided. The invention additionally provides for screening of items prior to alpha monitoring using beta and/or gamma monitoring, so as to ensure that the alpha monitoring apparatus is not contaminated by proceeding direct to alpha monitoring of a heavily contaminated item or location. The invention provides additional versatility in the emission forms which can be monitored, whilst maintaining accuracy and avoiding inadvertent contamination.

  13. Using a Recommender System and Hyperwave Attributes To Augment an Electronic Resource Library.

    ERIC Educational Resources Information Center

    Fenn, B.; Lennon, J.

    There has been increasing interest over the past few years in systems that help users exchange recommendations about World Wide Web documents. Programs have ranged from those that rely totally on user pre-selection, to others that are based on artificial intelligence. This paper proposes a system that falls between these two extremes, providing…

  14. Classroom-tested Recommendations for Teaching Problem Solving within a Traditional College Course: Genetics.

    ERIC Educational Resources Information Center

    Smith, Mike U.

    Both teachers and students alike acknowledge that genetics and genetics problem-solving are extremely difficult to learn and to teach. Therefore, a number of recommendations for teaching college genetics are offered. Although few of these ideas have as yet been tested in controlled experiments, they are supported by research and experience and may…

  15. Challenges of physiological monitoring in a Navy operational setting

    NASA Technical Reports Server (NTRS)

    Banta, Guy R.

    1988-01-01

    Challenges to physiological monitoring in the Navy include environmental extremes, acceptance of use by test subjects, data transfer, data interpretation, and capability of relating collected data to valid operational relevant criterion measures. These problems are discussed with respect to diving, electrophysiological monitoring, in-flight monitoring, aircrew fatigue, in-flight cardiac stress, and in-flight monitoring devices.

  16. Decision-Guided Recommenders with Composite Alternatives

    ERIC Educational Resources Information Center

    Alodhaibi, Khalid

    2011-01-01

    Recommender systems aim to support users in their decision-making process while interacting with large information spaces and recommend items of interest to users based on preferences they have expressed, either explicitly or implicitly. Recommender systems are increasingly used with product and service selection over the Internet. Although…

  17. 78 FR 41352 - Adoption of Recommendations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-10

    ... Disclosure Concerning the Use of Cost- Benefit and Similar Analyses in Regulation, 44 FR 38826 (July 3, 1979... Program, 56 FR 33847 (July 24, 1991); Recommendation 90-4, Social Security Disability Program Appeals Process: Supplementary Recommendation, 55 FR 34213 (Aug. 22, 1990); Recommendation 89-10, Improved Use...

  18. 28 CFR 0.36 - Recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Recommendations. 0.36 Section 0.36 Judicial Administration DEPARTMENT OF JUSTICE ORGANIZATION OF THE DEPARTMENT OF JUSTICE Office of the Pardon Attorney § 0.36 Recommendations. The Pardon Attorney shall submit all recommendations in...

  19. Distribute The Highest Selected Textual Recommendation (DTHSTR)

    Energy Science and Technology Software Center (ESTSC)

    2012-05-01

    The DTHSTR computer code uses a set of documents as seed documents to recommend documents of interest from a large, target set of documents. The computer code provides results that show the highest recommended documents as well as the terms in common between the recommend document and the corresponding seed document that is most similar.

  20. Group Recommender Systems: Combining Individual Models

    NASA Astrophysics Data System (ADS)

    Masthoff, Judith

    This chapter shows how a system can recommend to a group of users by aggregating information from individual user models and modelling the users affective state. It summarizes results from previous research in this area. It also shows how group recommendation techniques can be applied when recommending to individuals, in particular for solving the cold-start problem and dealing with multiple criteria.

  1. Linking Extreme Weather Events and Extreme ENSO States

    NASA Astrophysics Data System (ADS)

    Perlwitz, J.; Hoerling, M. P.; Xu, T.; Hoell, A.; Cheng, L.; Wolter, K.

    2015-12-01

    To what extent are the risks of extreme weather events over the contiguous US, such as heavy precipitation, heat and cold waves, conditioned by the state of tropical east Pacific SSTs? Further, do extreme magnitudes of El Niño and La Niña events exert a unique and particularly strong controlling effect on weather extremes? Here, we utilize both observations and multi-model large ensemble historical simulations to characterize the behavior of 5-day maximum precipitation distributions. We focus on relations between ENSO impacts on seasonal means and weather extremes, and explore the distinction between effects based on ENSO phase and intensity. For the cold season (November to April), overall ENSO impacts on mean precipitation are shown to be consistent with observations. This signal includes enhanced seasonal mean precipitation over the southern part of the U.S. and central Great Plains during El Niño, and enhanced seasonal mean precipitation over the Midwest during La Nina. We further demonstrate how these signals change under the influence of the most extreme ENSO events, conditions that are difficult to verify from observations owing to small sample sizes, but are modeled via large ensemble methods. The statistics of 5-day maximum precipitation, with a focus on 20-year return levels that characterizes rare but potentially damaging events, are examined. We demonstrate substantial differences in changes in the risk of extreme 5-day precipitation and the seasonal mean precipitation signal, especially in such regions as California, and the western Great Plains including the Front Range of the Rockies from Montana to New Mexico. The plausibility of such behavior is discussed via physical considerations and by examining the structural uncertainty in such outcomes across three different climate models.

  2. Monitoring the source monitoring.

    PubMed

    Luna, Karlos; Martín-Luengo, Beatriz

    2013-11-01

    The hypothesis that the retrieval of correct source memory cues, those leading to a correct source attribution, increases confidence, whereas the retrieval of incorrect source memory cues, those leading to a source misattribution, decreases confidence was tested. Four predictions were derived from this hypothesis: (1) confidence should be higher for correct than incorrect source attribution except; (2) when no source cues are retrieved; (3) only the source misattributions inferred from the retrieval of incorrect source cues will be rated with low confidence; and (4) the number of source cues retrieved, either correct or incorrect, will affect the confidence in the source attributions. To test these predictions, participants read two narratives from two witnesses to a bank robbery, a customer and a teller. Then, participants completed a source monitoring test with four alternatives, customer, teller, both, or neither, and rated their confidence in their source attribution. Results supported the first three predictions, but they also suggested that the number of correct source monitoring cues retrieved did not play a role in the monitoring of the accuracy of the source attributions. Attributions made from the recovery of incorrect source cues could be tagged as dubious or uncertain, thus leading to lowered confidence irrespective of the number of incorrect source cues or whether another correct source cue was also recovered. This research has potential applications for eyewitness memory because it shows that confidence can be an indicator of the accuracy of a source attribution. PMID:23553316

  3. Are hourly precipitation extremes increasing faster than daily precipitation extremes?

    NASA Astrophysics Data System (ADS)

    Barbero, Renaud; Fowler, Hayley; Blenkinsop, Stephen; Lenderink, Geert

    2016-04-01

    Extreme precipitation events appear to be increasing with climate change in many regions of the world, including the United States. These extreme events have large societal impacts, as seen during the recent Texas-Oklahoma flooding in May 2015 which caused several billion in damages and left 47 deaths in its path. Better understanding of past changes in the characteristics of extreme rainfall events is thus critical for reliable projections of future changes. Although it has been documented in several studies that daily precipitation extremes are increasing across parts of the contiguous United States, very few studies have looked at hourly extremes. However, this is of primary importance as recent studies on the temperature scaling of extreme precipitation have shown that increases above the Clausius-Clapeyron (~ 7% °C‑1) are possible for hourly precipitation. In this study, we used hourly precipitation data (HPD) from the National Climatic Data Center and extracted more than 1,000 stations across the US with more than 40 years of data spanning the period 1950-2010. As hourly measurements are often associated with a range of issues, the data underwent multiple quality control processes to exclude erroneous data. While no significant changes were found in annual maximum precipitation using both hourly and daily resolution datasets, significant increasing trends in terms of frequency of episodes exceeding present-day 95th percentiles of wet hourly/daily precipitation were observed across a significant portion of the US. The fraction of stations with significant increasing trends falls outside the confidence interval range during all seasons but the summer. While less than 12% of stations exhibit significant trends at the daily scale in the wintertime, more than 45% of stations, mostly clustered in central and Northern United States, show significant increasing trends at the hourly scale. This suggests that short-duration storms have increased faster than daily

  4. Study of extreme nuclear shapes in extreme conditions

    SciTech Connect

    Banerjee, Sudhee Ranjan

    2014-08-14

    Studies of extreme nuclear shapes have always fascinated scientists and are being pursued quite strongly over the years. Nuclei present themselves with interesting shapes and structures at different conditions of spin, excitation and also with the number of neutrons and/or protons in them. Gamma decays from the Giant dipole Resonances in nuclei can probe directly their shapes at different extreme conditions by looking at their resonant line-shapes, e.g., Jacobi shapes and shape-transitions, super/hyper-deformation etc. Similar such studies, done for the first time, using the LAMBDA high energy gamma spectrometer developed at VECC, is discussed here.

  5. Study of extreme nuclear shapes in extreme conditions

    NASA Astrophysics Data System (ADS)

    Banerjee, Sudhee Ranjan

    2014-08-01

    Studies of extreme nuclear shapes have always fascinated scientists and are being pursued quite strongly over the years. Nuclei present themselves with interesting shapes and structures at different conditions of spin, excitation and also with the number of neutrons and/or protons in them. Gamma decays from the Giant dipole Resonances in nuclei can probe directly their shapes at different extreme conditions by looking at their resonant line-shapes, e.g., Jacobi shapes and shape-transitions, super/hyper-deformation etc. Similar such studies, done for the first time, using the LAMBDA high energy gamma spectrometer developed at VECC, is discussed here.

  6. The NASA Energy and Water Cycle Extreme (NEWSE) Integration Project

    NASA Technical Reports Server (NTRS)

    House, P. R.; Lapenta, W.; Schiffer, R.

    2008-01-01

    Skillful predictions of water and energy cycle extremes (flood and drought) are elusive. To better understand the mechanisms responsible for water and energy extremes, and to make decisive progress in predicting these extremes, the collaborative NASA Energy and Water cycle Extremes (NEWSE) Integration Project, is studying these extremes in the U.S. Southern Great Plains (SGP) during 2006-2007, including their relationships with continental and global scale processes, and assessment of their predictability on multiple space and time scales. It is our hypothesis that an integrative analysis of observed extremes which reflects the current understanding of the role of SST and soil moisture variability influences on atmospheric heating and forcing of planetary waves, incorporating recently available global and regional hydro- meteorological datasets (i.e., precipitation, water vapor, clouds, etc.) in conjunction with advances in data assimilation, can lead to new insights into the factors that lead to persistent drought and flooding. We will show initial results of this project, whose goals are to provide an improved definition, attribution and prediction on sub-seasonal to interannual time scales, improved understanding of the mechanisms of decadal drought and its predictability, including the impacts of SST variability and deep soil moisture variability, and improved monitoring/attributions, with transition to applications; a bridging of the gap between hydrological forecasts and stakeholders (utilization of probabilistic forecasts, education, forecast interpretation for different sectors, assessment of uncertainties for different sectors, etc.).

  7. Fiberoptic characteristics for extreme operating environments

    NASA Technical Reports Server (NTRS)

    Delcher, R. C.

    1992-01-01

    Fiberoptics could offer several major benefits for cryogenic liquid-fueled rocket engines, including lightning immunity, weight reduction, and the possibility of implementing a number of new measurements for engine condition monitoring. The technical feasibility of using fiberoptics in the severe environments posed by cryogenic liquid-fueled rocket engines was determined. The issues of importance and subsequent requirements for this use of fiberoptics were compiled. These included temperature ranges, moisture embrittlement succeptability, and the ability to withstand extreme shock and vibration levels. Different types of optical fibers were evaluated and several types of optical fibers' ability to withstand use in cryogenic liquid-fueled rocket engines was demonstrated through environmental testing of samples. This testing included: cold-bend testing, moisture embrittlement testing, temperature cycling, temperature extremes testing, vibration testing, and shock testing. Three of five fiber samples withstood the tests to a level proving feasibility, and two of these remained intact in all six of the tests. A fiberoptic bundle was also tested, and completed testing without breakage. Preliminary cabling and harnessing for fiber protection was also demonstrated. According to cable manufacturers, the successful -300 F cold bend, vibration, and shock tests are the first instance of any major fiberoptic cable testing below roughly -55 F. This program has demonstrated the basic technical feasibility of implementing optical fibers on cryogenic liquid-fueled rocket engines, and a development plan is included highlighting requirements and issues for such an implementation.

  8. Understanding extreme winds in Iceland

    NASA Astrophysics Data System (ADS)

    Petersen, Gudrun Nina

    2015-04-01

    Iceland is a fairly windy country, due to it's location adjacent the North Atlantic storm track. The orography of the island is rugged, mountains are steep and fjords and valleys narrow, and this impacts local winds. Thus, mountain wind phenomena such as low level jets, gap winds, down-slope wind storms, mountain waves and wind wakes are common. To increase our knowledge of the behaviour of wind in Iceland an extreme value analysis was conducted based on observations from 61 automatic weather stations, applying the Peak Over Threshold technique on maximum daily wind speed and maximum daily wind gust at each site. The time series included at least 10 years of data and the threshold was chosen as the 0.9 quantile of maximum mean wind speed/maximum wind gust at each location. Among the results is the larger impact the local orography has on the extreme wind gusts compared to the mean wind. With extreme value models in place, a few significant weather events were selected from recent years and the observed wind speeds compared to the models in order to evaluate how extreme the events were and how large area they impacted. Actually, in most of these events the observed wind speed only turned out to be extreme at a few stations, emphasising the local effects. However, in an event from December 2007, when the observed maximum wind speed exceeded 23 m/s in most of western Iceland, the event was estimated as rare at a number of weather stations. Clearly this gives indication for further studying this particular weather event. An automatic system has been set up, running once an hour, comparing observed wind measurements to the extreme value models and producing maps of the return periods for all sites. This system gives us the possibility to, on a daily basis, evaluate the extremeness of each situation and simultaneously increase our knowledge of extreme wind behaviour in Iceland. This work is a foundation for studying changes in extreme winds in Iceland.

  9. Transverse deformations of extreme horizons

    NASA Astrophysics Data System (ADS)

    Li, Carmen; Lucietti, James

    2016-04-01

    We consider the inverse problem of determining all extreme black hole solutions to the Einstein equations with a prescribed near-horizon geometry. We investigate this problem by considering infinitesimal deformations of the near-horizon geometry along transverse null geodesics. We show that, up to a gauge transformation, the linearised Einstein equations reduce to an elliptic PDE for the extrinsic curvature of a cross-section of the horizon. We deduce that for a given near-horizon geometry there exists a finite dimensional moduli space of infinitesimal transverse deformations. We then establish a uniqueness theorem for transverse deformations of the extreme Kerr horizon. In particular, we prove that the only smooth axisymmetric transverse deformation of the near-horizon geometry of extreme Kerr, such that cross-sections of the horizon are marginally trapped surfaces, corresponds to that of the extreme Kerr black hole. Furthermore, we determine all smooth and biaxisymmetric transverse deformations of the near-horizon geometry of the five-dimensional extreme Myers-Perry black hole with equal angular momenta. We find a three parameter family of solutions such that cross-sections of the horizon are marginally trapped, which is more general than the known black hole solutions. We discuss the possibility that they correspond to new five-dimensional vacuum black holes.

  10. Vietnam recommended dietary allowances 2007.

    PubMed

    Khan, Nguyen Cong; Hoan, Pham Van

    2008-01-01

    It has been well acknowledged that Vietnam is undergoing a nutrition transition. With a rapid change in the country's reform and economic growth, food supply at the macronutrient level has improved. Changes of the Vietnamese diet include significantly more foods of animal origin, and an increase of fat/oils, and ripe fruits. Consequently, nutritional problems in Vietnam now include not only malnutrition but also overweight/obesity, metabolic syndrome and other chronic diseases related to nutrition and lifestyles. The recognition of these shifts, which is also associated with morbidity and mortality, was a major factor in the need to review and update the Recommended Dietary Allowances (RDA) for the Vietnamese population. This revised RDA established an important science-based tool for evaluation of nutrition adequacy, for teaching, and for scientific communications within Vietnam. It is expected that the 2007 Vietnam RDA and its conversion to food-based dietary guidelines will facilitate education to the public, as well as the policy implementation of programs for prevention of non-communicable chronic diseases and addressing the double burden of both under and over nutrition. PMID:18460440

  11. Vitamin D recommendations: beyond deficiency.

    PubMed

    Biesalski, Hans K

    2011-01-01

    Vitamin D plays an important role in regular bone growth and in adequate function of the innate immune system, including barrier functions of mucous membranes. A sufficient supply during pregnancy and lactation protects the child from infectious diseases. Clinical symptoms of severe vitamin D deficiency (rickets) are well known and can be easily detected. Signs and symptoms beyond deficiency, however, remain to be elucidated. Based on clinical and observational data, the plasma level of 25(OH)D may serve as a 'marker' to detect or define a subclinical deficiency. Levels below 50 nmol/l might be insufficient to maintain the non-bone-related activities of vitamin D. Finally, it has to be considered that all of the nonbone activities of vitamin D are in concert with vitamin A (9-cis retinoic acid). Studies combining both vitamins in sufficient amounts (cod liver oil) demonstrated a beneficial effect on the prevention of respiratory tract infections. Consequently, it should be strongly recommended to increase the intake of vitamin D and to ensure a daily intake of vitamin A as counseled. PMID:22123631

  12. Recommendations for pathology peer review.

    PubMed

    Morton, Daniel; Sellers, Rani S; Barale-Thomas, Erio; Bolon, Brad; George, Catherine; Hardisty, Jerry F; Irizarry, Armando; McKay, Jennifer S; Odin, Marielle; Teranishi, Munehiro

    2010-12-01

    Pathology peer review verifies and improves the accuracy and quality of pathology diagnoses and interpretations. Pathology peer review is recommended when important risk assessment or business decisions are based on nonclinical studies. For pathology peer review conducted before study completion, the peer-review pathologist reviews sufficient slides and pathology data to assist the study pathologist in refining pathology diagnoses and interpretations. Materials to be reviewed are selected by the peer-review pathologist. Consultations with additional experts or a formal (documented) pathology working group may be used to resolve discrepancies. The study pathologist is solely responsible for the content of the final pathology data and report, makes changes resulting from peer-review discussions, initiates the audit trail for microscopic observations after all changes resulting from peer-review have been made, and signs the final pathologist's report. The peer-review pathologist creates a signed peer-review memo describing the peer-review process and confirming that the study pathologist's report accurately and appropriately reflects the pathology data. The study pathologist also may sign a statement of consensus. It is not necessary to archive working notes created during the peer-review process. PMID:20924082

  13. Argon Purification Reference and Recommendation

    SciTech Connect

    Wu, J.; /Fermilab

    1991-05-23

    This engineering note is a reference for future consideration on the purification of argon. The original concern was for the possibility of argon contamination from components in the cryostats over long-term storage. An argon purification system could also be useful for purifying the contents of the argon dewar. The general conclusion is that most of the systems researched are too expensive at this time, but the recommended choice would be Centorr Furnaces. There were three basic types of purification systems which were to be considered. The first was the molecular sieve. This method would have been the preferred one, because it was claimed that it could purify liquid argon, removing liquid oxygen from the argon. However, none of the commercial companies researched provided this type of purification for use with liquid argon. Most companies said that this type of purification was impossible, and tests at IB-4 confirmed this. The second system contained a copper oxide to remove gaseous oxygen from argon gas. The disadvantage of this system wass that the argon had to be heated to a gas, and then cooled back down to liquid. The third system was similar to the second, except that it used tungsten or another material like titanium. This system also needed to heat the argon to gas, however the advantage of this system was that it supposedly removed all contaminants, that is, everything except for inert gases. Of the three systems, the third is the type manufactured by Centorr Furnaces, which uses a titanium charge.

  14. Nutritional recommendations for synchronized swimming.

    PubMed

    Robertson, Sherry; Benardot, Dan; Mountjoy, Margo

    2014-08-01

    The sport of synchronized swimming is unique, because it combines speed, power, and endurance with precise synchronized movements and high-risk acrobatic maneuvers. Athletes must train and compete while spending a great amount of time underwater, upside down, and without the luxury of easily available oxygen. This review assesses the scientific evidence with respect to the physiological demands, energy expenditure, and body composition in these athletes. The role of appropriate energy requirements and guidelines for carbohydrate, protein, fat, and micronutrients for elite synchronized swimmers are reviewed. Because of the aesthetic nature of the sport, which prioritizes leanness, the risks of energy and macronutrient deficiencies are of significant concern. Relative Energy Deficiency in Sport and disordered eating/eating disorders are also of concern for these female athletes. An approach to the healthy management of body composition in synchronized swimming is outlined. Synchronized swimmers should be encouraged to consume a well-balanced diet with sufficient energy to meet demands and to time the intake of carbohydrate, protein, and fat to optimize performance and body composition. Micronutrients of concern for this female athlete population include iron, calcium, and vitamin D. This article reviews the physiological demands of synchronized swimming and makes nutritional recommendations for recovery, training, and competition to help optimize athletic performance and to reduce risks for weight-related medical issues that are of particular concern for elite synchronized swimmers. PMID:24667278

  15. Erotomania and Recommendations for Treatment.

    PubMed

    Seeman, Mary V

    2016-06-01

    The aim of this paper is to help clinicians better understand how erotomania originates in order to facilitate treatment and make it more effective. Data sources are the narratives of six women who spoke in detail about the beginnings of their delusional beliefs and about the nature of the evidence that convinced them that their beliefs were well-founded. In every case, low self-esteem and emotional arousal preceded the emergence of the delusion. Misperceptions and misattributions appeared responsible for keeping the delusion alive. Despite external disconfirmation, social isolation protected the delusional beliefs from revision and extinction. The erotomanic delusion provided a sense of well-being that probably contributed to its maintenance. As well, a delusion-induced boost in well-being delayed help-seeking. Recommendations for treatment include staged interventions, first establishing a therapeutic alliance with a focus on understanding the psychological factors contributing to the origin and maintenance of the delusion. The next stage is the provision of social support and strategies directed at the restoration of self-esteem. The third stage is the gradual introduction of techniques to correct cognitive biases. Medication and risk management form an integral part of overall management. Objective evidence for the effectiveness of this approach is, however, not yet available. PMID:26442945

  16. Strategies to assess the validity of recommendations: a study protocol

    PubMed Central

    2013-01-01

    Background Clinical practice guidelines (CPGs) become quickly outdated and require a periodic reassessment of evidence research to maintain their validity. However, there is little research about this topic. Our project will provide evidence for some of the most pressing questions in this field: 1) what is the average time for recommendations to become out of date?; 2) what is the comparative performance of two restricted search strategies to evaluate the need to update recommendations?; and 3) what is the feasibility of a more regular monitoring and updating strategy compared to usual practice?. In this protocol we will focus on questions one and two. Methods The CPG Development Programme of the Spanish Ministry of Health developed 14 CPGs between 2008 and 2009. We will stratify guidelines by topic and by publication year, and include one CPG by strata. We will develop a strategy to assess the validity of CPG recommendations, which includes a baseline survey of clinical experts, an update of the original exhaustive literature searches, the identification of key references (reference that trigger a potential recommendation update), and the assessment of the potential changes in each recommendation. We will run two alternative search strategies to efficiently identify important new evidence: 1) PLUS search based in McMaster Premium LiteratUre Service (PLUS) database; and 2) a Restrictive Search (ReSe) based on the least number of MeSH terms and free text words needed to locate all the references of each original recommendation. We will perform a survival analysis of recommendations using the Kaplan-Meier method and we will use the log-rank test to analyse differences between survival curves according to the topic, the purpose, the strength of recommendations and the turnover. We will retrieve key references from the exhaustive search and evaluate their presence in the PLUS and ReSe search results. Discussion Our project, using a highly structured and transparent

  17. Functional metagenomics of extreme environments.

    PubMed

    Mirete, Salvador; Morgante, Verónica; González-Pastor, José Eduardo

    2016-04-01

    The bioprospecting of enzymes that operate under extreme conditions is of particular interest for many biotechnological and industrial processes. Nevertheless, there is a considerable limitation to retrieve novel enzymes as only a small fraction of microorganisms derived from extreme environments can be cultured under standard laboratory conditions. Functional metagenomics has the advantage of not requiring the cultivation of microorganisms or previous sequence information to known genes, thus representing a valuable approach for mining enzymes with new features. In this review, we summarize studies showing how functional metagenomics was employed to retrieve genes encoding for proteins involved not only in molecular adaptation and resistance to extreme environmental conditions but also in other enzymatic activities of biotechnological interest. PMID:26901403

  18. Extreme, expedition, and wilderness medicine.

    PubMed

    Imray, Christopher H E; Grocott, Michael P W; Wilson, Mark H; Hughes, Amy; Auerbach, Paul S

    2015-12-19

    Extreme, expedition, and wilderness medicine are modern and rapidly evolving specialties that address the spirit of adventure and exploration. The relevance of and interest in these specialties are changing rapidly to match the underlying activities, which include global exploration, adventure travel, and military deployments. Extreme, expedition, and wilderness medicine share themes of providing best available medical care in the outdoors, especially in austere or remote settings. Early clinical and logistics decision making can often have important effects on subsequent outcomes. There are lessons to be learned from out-of-hospital care, military medicine, humanitarian medicine, and disaster medicine that can inform in-hospital medicine, and vice-versa. The future of extreme, expedition, and wilderness medicine will be defined by both recipients and practitioners, and empirical observations will be transformed by evidence-based practice. PMID:26738718

  19. Extreme hydrological events and security

    NASA Astrophysics Data System (ADS)

    Kundzewicz, Z. W.; Matczak, P.

    2015-06-01

    Economic losses caused by hydrological extremes - floods and droughts - have been on the rise, worldwide. Hydrological extremes jeopardize human security and cause serious threats to human life and welfare and societal livelihood. Floods and droughts can undermine societies' security, understood as freedom from threat and the ability of societies to maintain their independent identity and their functional integrity against forces of change. Several dimensions of security are reviewed in the context of hydrological extremes. Floods and droughts pose a burden and serious challenges to the state, responsible to sustain economic development, societal and environmental security - the maintenance of ecosystem services, on which a society depends. It is shown that reduction of risk of hydrological disasters improves human security.

  20. Hybrid recommendation methods in complex networks

    NASA Astrophysics Data System (ADS)

    Fiasconaro, A.; Tumminello, M.; Nicosia, V.; Latora, V.; Mantegna, R. N.

    2015-07-01

    We propose two recommendation methods, based on the appropriate normalization of already existing similarity measures, and on the convex combination of the recommendation scores derived from similarity between users and between objects. We validate the proposed measures on three data sets, and we compare the performance of our methods to other recommendation systems recently proposed in the literature. We show that the proposed similarity measures allow us to attain an improvement of performances of up to 20% with respect to existing nonparametric methods, and that the accuracy of a recommendation can vary widely from one specific bipartite network to another, which suggests that a careful choice of the most suitable method is highly relevant for an effective recommendation on a given system. Finally, we study how an increasing presence of random links in the network affects the recommendation scores, finding that one of the two recommendation algorithms introduced here can systematically outperform the others in noisy data sets.

  1. [Monitoring of neuromuscular blocking].

    PubMed

    Chamorro, C; Silva, J A

    2008-02-01

    Neuromuscular blockade monitoring aims should be based on effectiveness criteria, that is, to administer the lowest effective dose, and on security criteria, avoiding overdosage and detecting possible residual blockade before patient extubation. A neuromuscular blockade monitoring and usage protocol should be available with predefined objectives for each patient to achieve the minimum effective doses. Maintenance of a light blockade level probably influences the decrease in complications associated with these drugs' use. Train-of-four monitoring, along with muscular movement detection allow adjustment to meet these aims. Ulnar nerve stimulation with response detection in the adductor pollicis muscle is the recommended neurostimulation in critically ill patients, while facial neurostimulation is recommended in situations where edema or skin temperature prevent correct ulnar nerve stimulation. Ensuring adequate sedation and analgesia in a paralysed patient is essential. An inadequately sedated but paralysed patient may subsequently suffer serious psychological and emotional stress. Bispectral index monitoring with sedative doses adjusted to 40-60 values assures, in most situations, correct sedation. PMID:18405539

  2. Extreme Conditions Modeling Workshop Report

    SciTech Connect

    Coe, R. G.; Neary, V. S.; Lawson, M. J.; Yu, Y.; Weber, J.

    2014-07-01

    Sandia National Laboratories (SNL) and the National Renewable Energy Laboratory (NREL) hosted the Wave Energy Converter (WEC) Extreme Conditions Modeling (ECM) Workshop in Albuquerque, NM on May 13th-14th, 2014. The objective of the workshop was to review the current state of knowledge on how to model WECs in extreme conditions (e.g. hurricanes and other large storms) and to suggest how U.S. Department of Energy (DOE) and national laboratory resources could be used to improve ECM methods for the benefit of the wave energy industry.

  3. Effect of interferents on the performance of direct-reading organic vapor monitors

    PubMed Central

    LeBouf, Ryan F.; Coffey, Christopher C.

    2015-01-01

    Direct-reading organic vapor monitors are often used to measure volatile organic compound concentrations in complex chemical gas mixtures. However, there is a paucity of data on the impact of multiple gases on monitor performance, even though it is known that monitor sensitivity may vary by chemical. This study investigated the effects of interferents on the performance of the MIRAN SapphIRe Portable Ambient Air Analyzer (SAP) and Century Portable Toxic Vapor Analyzer (TVA-1000) when sampling a specific agent of interest (cyclohexane). The TVA-1000 contained a dual detector: a photoionization detector (PID) and a flame ionization detector (FID). Three devices of each monitor were challenged with different combinations of cyclohexane and potential interferent vapors (hexane, methyl ethyl ketone, trichloroethylene, and toluene) at 21°C and 90% relative humidity (RH), an extreme environmental condition. Five replicates at four target concentrations were tested: 30, 150, 300, and 475 ppm. Multiple proportions of cyclohexane to interferent enabled the determination of the interferent effect on monitor performance. The monitor concentrations were compared to reference concentrations measured using NIOSH Method 1500. Three scenarios were investigated: no response factor, cyclohexane response factor, and weighted-mixed response factor applied. False negatives occurred more frequently for PID (21.1%), followed by FID (4.8%) and SAP (0.2%). Measurements from all monitors generally had a positive bias compared to the reference measurements. Some monitor measurements exceeded twice the reference concentrations: PID (36.8%), SAP (19.8%), and FID (6.3%). Evaluation of the 95% confidence intervals indicated that performance of all monitors varied by concentration. In addition, the performance of the PID and SAP varied by presence of an interfering compound, especially toluene and hexane for the PID and trichloroethylene for the SAP. Variability and bias associated with all these

  4. Limb salvage in a child with severely injured mangled lower extremity and muscle rigor.

    PubMed

    Elsharawy, Mohamed A; Maher, Karay; Elsaid, Aymen S

    2012-12-01

    Most surgeons make their decision to amputate or perform limb salvage of a mangled extremity based on scoring systems and grading of acute ischemic limb. We report on a child in whom limb salvage was achieved in spite of a clinical picture of irreversible ischemia with high mangled severity scores. Attempts to revascularize the mangled extremity of children are recommended, regardless of their severity scores and condition of the foot. PMID:23019608

  5. Dynamical phenomena: implications for extreme event attribution

    NASA Astrophysics Data System (ADS)

    Mitchell, Dann; Davini, Paolo; Harvey, Ben; Massey, Neil; Haustein, Karsten; Woollings, Tim; Jones, Richard; Otto, Fredi; Guillod, Benoit; Sparrow, Sarah; Wallom, David; Allen, Myles

    2016-04-01

    Atmospheric modes of variability relevant for extreme temperature and precipitation events are evaluated in models currently being used for extreme event attribution. A multi-thousand initial condition ensemble of the global circulation model HadAM3P is compared with both the multi-model ensemble from the Coupled Model Inter-comparison Project, Phase 5 (CMIP-5) and the CMIP-5 atmosphere-only counterparts (AMIP-5). The analysis focuses on mid Northern Latitudes (primarily Europe) during winter, and is compared with ERA-Interim reanalysis. The tri-modal Atlantic Eddy-driven jet distribution is remarkably well captured in HadAM3P, but not so in CMIP-5 or AMIP-5. The well known underestimation of blocking in the Atlantic region is apparent in CMIP-5 and AMIP-5, and to a lesser extent in HadAM3P. Pacific blocking features are well produced in all modeling initiatives. Blocking duration is generally biased towards models reproducing too many short-lived events. Associated storm tracks are too zonal over the Atlantic in the CMIP-5 ensemble, but well simulated in HadAM3P with the exception of being too weak over Western Europe. In all cases, the CMIP-5 and AMIP-5 performances were almost identical, suggesting that the atmospheric modes considered here are not strongly coupled to SSTs, and perhaps other model characteristics such as resolution are more important. It is recommended that only models capable of producing the necessary dynamical phenomena be used for event attribution analyses.

  6. Monitoring drug therapy.

    PubMed

    Buclin, Thierry; Gotta, Verena; Fuchs, Aline; Widmer, Nicolas; Aronson, Jeffrey

    2012-06-01

    Drug development has improved over recent decades, with refinements in analytical techniques, population pharmacokinetic-pharmacodynamic (PK-PD) modelling and simulation, and new biomarkers of efficacy and tolerability. Yet this progress has not yielded improvements in individualization of treatment and monitoring, owing to various obstacles: monitoring is complex and demanding, many monitoring procedures have been instituted without critical assessment of the underlying evidence and rationale, controlled clinical trials are sparse, monitoring procedures are poorly validated and both drug manufacturers and regulatory authorities take insufficient account of the importance of monitoring. Drug concentration and effect data should be increasingly collected, analyzed, aggregated and disseminated in forms suitable for prescribers, along with efficient monitoring tools and evidence-based recommendations regarding their best use. PK-PD observations should be collected for both novel and established critical drugs and applied to observational data, in order to establish whether monitoring would be suitable. Methods for aggregating PK-PD data in systematic reviews should be devised. Observational and intervention studies to evaluate monitoring procedures are needed. Miniaturized monitoring tests for delivery at the point of care should be developed and harnessed to closed-loop regulated drug delivery systems. Intelligent devices would enable unprecedented precision in the application of critical treatments, i.e. those with life-saving efficacy, narrow therapeutic margins and high interpatient variability. Pharmaceutical companies, regulatory agencies and academic clinical pharmacologists share the responsibility of leading such developments, in order to ensure that patients obtain the greatest benefit and suffer the least harm from their medicines. PMID:22360377

  7. Magnetars: Challenging the Extremes of Nature

    NASA Technical Reports Server (NTRS)

    Kouveliotou, Chryssa

    2011-01-01

    Magnetars are magnetically powered rotating neutron stars with extreme magnetic fields (over 10(exp 14) Gauss). They are discovered and emit predominantly in the X- and gamma-rays. Very few sources (roughly 15) have been found since their discovery in 1987. NASA s Fermi Observatory was launched June 11, 2009; the Fermi Gamma Ray Burst Monitor (GBM) began normal operations on July 14, about a month after launch, when the trigger algorithms were enabled. Since then, we recorded emission from four magnetar sources; of these, only one was an old magnetar: SGR 1806+20. The other three detections were two brand new sources, SGR J0501+4516, discovered with Swift and extensively monitored with both Swift and GBM, SGR J0418+5729, discovered with GBM and the Interplanetary Network (IPN), and SGR J1550-5418, a source originally classified as an Anomalous X-ray Pulsar (AXP 1E1547.0-5408). In my talk I will give a short history of the discovery of magnetars and describe how this, once relatively esoteric field, has emerged as a link between several astrophysical areas including Gamma-Ray Bursts. Finally, I will describe the properties of these sources and the current status of our knowledge of the magnetar population and birth rate.

  8. Optimizing outcomes with azacitidine: recommendations from Canadian centres of excellence.

    PubMed

    Wells, R A; Leber, B; Zhu, N Y; Storring, J M

    2014-02-01

    Myelodysplastic syndromes (mdss) constitute a heterogeneous group of malignant hematologic disorders characterized by marrow dysplasia, ineffective hematopoiesis, peripheral blood cytopenias, and pronounced risk of progression to acute myeloid leukemia. Azacitidine has emerged as an important treatment option and is recommended by the Canadian Consortium on Evidence-Based Care in mds as a first-line therapy for intermediate-2 and high-risk patients not eligible for allogeneic stem cell transplant; however, practical guidance on how to manage patients through treatment is limited. This best practice guideline provides recommendations by a panel of experts from Canadian centres of excellence on the selection and clinical management of mds patients with azacitidine. Familiarity with the referral process, treatment protocols, dose scheduling, treatment expectations, response monitoring, management of treatment breaks and adverse events, and multidisciplinary strategies for patient support will improve the opportunity for optimizing treatment outcomes with azacitidine. PMID:24523604

  9. Optimizing outcomes with azacitidine: recommendations from Canadian centres of excellence

    PubMed Central

    Wells, R.A.; Leber, B.; Zhu, N.Y.; Storring, J.M.

    2014-01-01

    Myelodysplastic syndromes (mdss) constitute a heterogeneous group of malignant hematologic disorders characterized by marrow dysplasia, ineffective hematopoiesis, peripheral blood cytopenias, and pronounced risk of progression to acute myeloid leukemia. Azacitidine has emerged as an important treatment option and is recommended by the Canadian Consortium on Evidence-Based Care in mds as a first-line therapy for intermediate-2 and high-risk patients not eligible for allogeneic stem cell transplant; however, practical guidance on how to manage patients through treatment is limited. This best practice guideline provides recommendations by a panel of experts from Canadian centres of excellence on the selection and clinical management of mds patients with azacitidine. Familiarity with the referral process, treatment protocols, dose scheduling, treatment expectations, response monitoring, management of treatment breaks and adverse events, and multidisciplinary strategies for patient support will improve the opportunity for optimizing treatment outcomes with azacitidine. PMID:24523604

  10. How Cells Endure Extreme Conditions

    SciTech Connect

    2009-01-01

    One of natures most gripping feats of survival is now better understood. For the first time, Berkeley Lab scientists observed the chemical changes in individual cells that enable them to survive in conditions that should kill them. http://newscenter.lbl.gov/feature-stories/2009/07/07/cells-endure-extremes/

  11. Quorum Sensing in Extreme Environments

    PubMed Central

    Montgomery, Kate; Charlesworth, James C.; LeBard, Rebecca; Visscher, Pieter T.; Burns, Brendan P.

    2013-01-01

    Microbial communication, particularly that of quorum sensing, plays an important role in regulating gene expression in a range of organisms. Although this phenomenon has been well studied in relation to, for example, virulence gene regulation, the focus of this article is to review our understanding of the role of microbial communication in extreme environments. Cell signaling regulates many important microbial processes and may play a pivotal role in driving microbial functional diversity and ultimately ecosystem function in extreme environments. Several recent studies have characterized cell signaling in modern analogs to early Earth communities (microbial mats), and characterization of cell signaling systems in these communities may provide unique insights in understanding the microbial interactions involved in function and survival in extreme environments. Cell signaling is a fundamental process that may have co-evolved with communities and environmental conditions on the early Earth. Without cell signaling, evolutionary pressures may have even resulted in the extinction rather than evolution of certain microbial groups. One of the biggest challenges in extremophile biology is understanding how and why some microbial functional groups are located where logically they would not be expected to survive, and tightly regulated communication may be key. Finally, quorum sensing has been recently identified for the first time in archaea, and thus communication at multiple levels (potentially even inter-domain) may be fundamental in extreme environments. PMID:25371335

  12. Extreme precipitation: Increases all round

    NASA Astrophysics Data System (ADS)

    Ingram, William

    2016-05-01

    Globally, extreme rainfall is expected to increase with warming, but regional changes over land have been less certain. Now research shows that this intense precipitation has increased across both the wetter and the drier parts of the continents, and will continue to do so as global warming continues.

  13. Astrobiology: Life in Extreme Environments

    ERIC Educational Resources Information Center

    Kaur, Preeti

    2011-01-01

    Astrobiology is the study of the origin, evolution and distribution of life in the universe. It seeks to answer two important scientific questions: how did we get here and are we alone in the universe? Scientists begin by studying life on Earth and its limits. The discovery of extremophiles on Earth capable of surviving extremes encourages the…

  14. Tetrasulfide extreme pressure lubricant additives

    SciTech Connect

    Gast, L.E.; Kenney, H.E.; Schwab, A.W.

    1980-08-19

    A novel class of compounds has been prepared comprising the tetrasulfides of /sup 18/C hydrocarbons, /sup 18/C fatty acids, and /sup 18/C fatty and alkyl and triglyceride esters. These tetrasulfides are useful as extreme pressure lubricant additives and show potential as replacements for sulfurized sperm whale oil.

  15. Applied extreme-value statistics

    SciTech Connect

    Kinnison, R.R.

    1983-05-01

    The statistical theory of extreme values is a well established part of theoretical statistics. Unfortunately, it is seldom part of applied statistics and is infrequently a part of statistical curricula except in advanced studies programs. This has resulted in the impression that it is difficult to understand and not of practical value. In recent environmental and pollution literature, several short articles have appeared with the purpose of documenting all that is necessary for the practical application of extreme value theory to field problems (for example, Roberts, 1979). These articles are so concise that only a statistician can recognise all the subtleties and assumptions necessary for the correct use of the material presented. The intent of this text is to expand upon several recent articles, and to provide the necessary statistical background so that the non-statistician scientist can recognize and extreme value problem when it occurs in his work, be confident in handling simple extreme value problems himself, and know when the problem is statistically beyond his capabilities and requires consultation.

  16. Performance testing of extremity dosimeters

    SciTech Connect

    Harty, R.; Reece, W.D.; Hooker, C.D.

    1987-06-01

    The Health Physics Society Standing Committee (HPSSC) Working Group on Performance Testing of Extremity Dosimeters has issued a draft of a proposed standard for extremity dosimeters. The draft standard proposes methods to be used for testing dosimetry systems that determine occupational radiation dose to the extremities and the performance criterion used to determine compliance. The draft standard has been evaluated by testing the performance of existing processors of extremity dosimeters against the standard's proposed criterion. The proposed performance criterion is: absolute value of B + S less than or equal to 0.35, where B is the bias (calculated as the average of the performance quotients) of 15 dosimeter measurements and S is the standard deviation of the performance quotients. Dosimeter performance was tested in seven irradiation categories: low-energy photons (general and accident dosimetry), high-energy photons (general and accident dosimetry), beta particles, neutrons, and a mixture category. Twenty-one types of extremity dosimeters (both finger ring and wrist/ankle dosimeters) were received from 11 processors. The dosimeters were irradiated by the Pacific Northwest Laboratory (PNL) to specific dose levels in one or more of the seven categories as specified in the draft standard and were returned to the processors. The processors evaluated the doses and returned the results to PNL for analysis. The results were evaluated against the performance criterion specified in the draft standard. The results indicate that approximately 60% of both the finger ring and the wrist/ankle dosimeters met the performance criterion. Two-thirds of the dosimeters that did not meet the performance criterion had large biases (ranging from 0.25 to 0.80) but small standard deviations (less than 0.15). 21 refs., 3 figs., 20 tabs.

  17. The Extreme Universe Space Observatory

    NASA Technical Reports Server (NTRS)

    Adams, Jim; Six, N. Frank (Technical Monitor)

    2002-01-01

    This talk will describe the Extreme Universe Space Observatory (EUSO) mission. EUSO is an ESA mission to explore the most powerful energy sources in the universe. The mission objectives of EUSO are to investigate EECRs, those with energies above 3x10(exp 19) eV, and very high-energy cosmic neutrinos. These objectives are directly related to extreme conditions in the physical world and possibly involve the early history of the big bang and the framework of GUTs. EUSO tackles the basic problem posed by the existence of these extreme-energy events. The solution could have a unique impact on fundamental physics, cosmology, and/or astrophysics. At these energies, magnetic deflection is thought to be so small that the EECR component would serve as the particle channel for astronomy. EUSO will make the first measurements of EAS from space by observing atmospheric fluorescence in the Earth's night sky. With measurements of the airshower track, EUSO will determine the energy and arrival direction of these extreme-energy events. EUSO will make high statistics observations of CRs beyond the predicted GZK cutoff energy and widen the channel for high-energy neutrino astronomy. The energy spectra, arrival directions, and shower profiles will be analyzed to distinguish the nature of these events and search for their sources. With EUSO data, we will have the possibility to discover a local EECR source, test Z-burst scenarios and other theories, and look for evidence of the breakdown of the relativity principle at extreme Lorentz factors.

  18. Extremal higher spin black holes

    NASA Astrophysics Data System (ADS)

    Bañados, Máximo; Castro, Alejandra; Faraggi, Alberto; Jottar, Juan I.

    2016-04-01

    The gauge sector of three-dimensional higher spin gravities can be formulated as a Chern-Simons theory. In this context, a higher spin black hole corresponds to a flat connection with suitable holonomy (smoothness) conditions which are consistent with the properties of a generalized thermal ensemble. Building on these ideas, we discuss a definition of black hole extremality which is appropriate to the topological character of 3 d higher spin theories. Our definition can be phrased in terms of the Jordan class of the holonomy around a non-contractible (angular) cycle, and we show that it is compatible with the zero-temperature limit of smooth black hole solutions. While this notion of extremality does not require supersymmetry, we exemplify its consequences in the context of sl(3|2) ⊕ sl(3|2) Chern-Simons theory and show that, as usual, not all extremal solutions preserve supersymmetries. Remarkably, we find in addition that the higher spin setup allows for non-extremal supersymmetric black hole solutions. Furthermore, we discuss our results from the perspective of the holographic duality between sl(3|2) ⊕ sl(3|2) Chern-Simons theory and two-dimensional CFTs with W (3|2) symmetry, the simplest higher spin extension of the N = 2 super-Virasoro algebra. In particular, we compute W (3|2) BPS bounds at the full quantum level, and relate their semiclassical limit to extremal black hole or conical defect solutions in the 3 d bulk. Along the way, we discuss the role of the spectral flow automorphism and provide a conjecture for the form of the semiclassical BPS bounds in general N = 2 two-dimensional CFTs with extended symmetry algebras.

  19. Climate Networks and Extreme Events

    NASA Astrophysics Data System (ADS)

    Kurths, J.

    2014-12-01

    We analyse some climate dynamics from a complex network approach. This leads to an inverse problem: Is there a backbone-like structure underlying the climate system? For this we propose a method to reconstruct and analyze a complex network from data generated by a spatio-temporal dynamical system. This approach enables us to uncover relations to global circulation patterns in oceans and atmosphere. The global scale view on climate networks offers promising new perspectives for detecting dynamical structures based on nonlinear physical processes in the climate system. Moreover, we evaluate different regional climate models from this aspect. This concept is also applied to Monsoon data in order to characterize the regional occurrence of extreme rain events and its impact on predictability. Changing climatic conditions have led to a significant increase in magnitude and frequency of spatially extensive extreme rainfall events in the eastern Central Andes of South America. These events impose substantial natural hazards for population, economy, and ecology by floods and landslides. For example, heavy floods in Bolivia in early 2007 affected more than 133.000 households and produced estimated costs of 443 Mio. USD. Here, we develop a general framework to predict extreme events by combining a non-linear synchronization technique with complex networks. We apply our method to real-time satellite-derived rainfall data and are able to predict a large amount of extreme rainfall events. Our study reveals a linkage between polar and subtropical regimes as responsible mechanism: Extreme rainfall in the eastern Central Andes is caused by the interplay of northward migrating frontal systems and a low-level wind channel from the western Amazon to the subtropics, providing additional moisture. Frontal systems from the Antarctic thus play a key role for sub-seasonal variability of the South American Monsoon System.

  20. Network-based recommendation algorithms: A review

    NASA Astrophysics Data System (ADS)

    Yu, Fei; Zeng, An; Gillard, Sébastien; Medo, Matúš

    2016-06-01

    Recommender systems are a vital tool that helps us to overcome the information overload problem. They are being used by most e-commerce web sites and attract the interest of a broad scientific community. A recommender system uses data on users' past preferences to choose new items that might be appreciated by a given individual user. While many approaches to recommendation exist, the approach based on a network representation of the input data has gained considerable attention in the past. We review here a broad range of network-based recommendation algorithms and for the first time compare their performance on three distinct real datasets. We present recommendation topics that go beyond the mere question of which algorithm to use-such as the possible influence of recommendation on the evolution of systems that use it-and finally discuss open research directions and challenges.

  1. On the Evolution of Critiquing Recommenders

    NASA Astrophysics Data System (ADS)

    McGinty, Lorraine; Reilly, James

    Over the past decade a significant amount of recommender systems research has demonstrated the benefits of conversational architectures that employ critique-based interfacing (e.g., Show me more like item A, but cheaper). The critiquing phenomenon has attracted great interest in line with the growing need for more sophisticated decision/recommendation support systems to assist online users who are overwhelmed by multiple product alternatives. Originally proposed as a powerful yet practical solution to the preference elicitation problem central to many conversational recommenders, critiquing has proved to be a popular topic in a variety of related areas (e.g., group recommendation, mixed-initiative recommendation, adaptive user interfacing, recommendation explanation). This chapter aims to provide a comprehensive, yet concise, source of reference for researchers and practitioners starting out in this area. Specifically, we present a deliberately non-technical overview of the critiquing research which has been covered in recent years.

  2. Gamma ray slush hydrogen monitor

    NASA Technical Reports Server (NTRS)

    Singh, Jag J.; Shen, Chih-Peng; Sprinkle, Danny R.

    1992-01-01

    Mass attenuation for 109Cd radiation have been measured in mixtures of phases and in single phases of five chemical compounds. As anticipated, the mass attenuation coefficients are independent of the phases of the test chemicals. It is recommended that a slush hydrogen monitoring system based on low energy gamma ray attenuation be developed for utilization aboard the NASP.

  3. Recommendation advertising method based on behavior retargeting

    NASA Astrophysics Data System (ADS)

    Zhao, Yao; YIN, Xin-Chun; CHEN, Zhi-Min

    2011-10-01

    Online advertising has become an important business in e-commerce. Ad recommended algorithms are the most critical part in recommendation systems. We propose a recommendation advertising method based on behavior retargeting which can avoid leakage click of advertising due to objective reasons and can observe the changes of the user's interest in time. Experiments show that our new method can have a significant effect and can be further to apply to online system.

  4. Uncovering the information core in recommender systems

    NASA Astrophysics Data System (ADS)

    Zeng, Wei; Zeng, An; Liu, Hao; Shang, Ming-Sheng; Zhou, Tao

    2014-08-01

    With the rapid growth of the Internet and overwhelming amount of information that people are confronted with, recommender systems have been developed to effectively support users' decision-making process in online systems. So far, much attention has been paid to designing new recommendation algorithms and improving existent ones. However, few works considered the different contributions from different users to the performance of a recommender system. Such studies can help us improve the recommendation efficiency by excluding irrelevant users. In this paper, we argue that in each online system there exists a group of core users who carry most of the information for recommendation. With them, the recommender systems can already generate satisfactory recommendation. Our core user extraction method enables the recommender systems to achieve 90% of the accuracy of the top-L recommendation by taking only 20% of the users into account. A detailed investigation reveals that these core users are not necessarily the large-degree users. Moreover, they tend to select high quality objects and their selections are well diversified.

  5. Uncovering the information core in recommender systems.

    PubMed

    Zeng, Wei; Zeng, An; Liu, Hao; Shang, Ming-Sheng; Zhou, Tao

    2014-01-01

    With the rapid growth of the Internet and overwhelming amount of information that people are confronted with, recommender systems have been developed to effectively support users' decision-making process in online systems. So far, much attention has been paid to designing new recommendation algorithms and improving existent ones. However, few works considered the different contributions from different users to the performance of a recommender system. Such studies can help us improve the recommendation efficiency by excluding irrelevant users. In this paper, we argue that in each online system there exists a group of core users who carry most of the information for recommendation. With them, the recommender systems can already generate satisfactory recommendation. Our core user extraction method enables the recommender systems to achieve 90% of the accuracy of the top-L recommendation by taking only 20% of the users into account. A detailed investigation reveals that these core users are not necessarily the large-degree users. Moreover, they tend to select high quality objects and their selections are well diversified. PMID:25142186

  6. Uncovering the information core in recommender systems

    PubMed Central

    Zeng, Wei; Zeng, An; Liu, Hao; Shang, Ming-Sheng; Zhou, Tao

    2014-01-01

    With the rapid growth of the Internet and overwhelming amount of information that people are confronted with, recommender systems have been developed to effectively support users' decision-making process in online systems. So far, much attention has been paid to designing new recommendation algorithms and improving existent ones. However, few works considered the different contributions from different users to the performance of a recommender system. Such studies can help us improve the recommendation efficiency by excluding irrelevant users. In this paper, we argue that in each online system there exists a group of core users who carry most of the information for recommendation. With them, the recommender systems can already generate satisfactory recommendation. Our core user extraction method enables the recommender systems to achieve 90% of the accuracy of the top-L recommendation by taking only 20% of the users into account. A detailed investigation reveals that these core users are not necessarily the large-degree users. Moreover, they tend to select high quality objects and their selections are well diversified. PMID:25142186

  7. Social Manipulation of Online Recommender Systems

    NASA Astrophysics Data System (ADS)

    Lang, Juan; Spear, Matt; Wu, S. Felix

    Online recommender systems are a common target of attack. Existing research has focused on automated manipulation of recommender systems through the creation of shill accounts, and either do not consider attacks by coalitions of real users, downplay the impact of such attacks, or state that such attacks are difficult to impossible to detect. In this study, we examine a recommender system that is part of an online social network, show that users successfully induced other users to manipulate their recommendations, that these manipulations were effective, and that most such manipulations are detectable even when performed by ordinary, non-automated users.

  8. Recommendations for the school health physical examination in Lebanon.

    PubMed

    Hamadeh, G N; Saab, B R; Adib, S M; Mroueh, S M

    1999-01-01

    School health developed gradually over the years; starting with efforts to keep contagion out of schools to global programs of comprehensive services. One of its components, school medicine, covers screening examinations, record maintenance, emergency care, immunization monitoring and health counseling. This paper proposes the essential health activities to be performed during a screening school examination in Lebanon. The recommendations are based on a combination of international literature review of evidence and the existence of Lebanese epidemiological reports identifying specific problems. Vaccination record review, tuberculin testing, vision, hearing, dental and skin disorders screening procedures are proposed as essential activities of the school physical examination. PMID:10758706

  9. Squamous cell carcinoma of the extremities

    SciTech Connect

    Lifeso, R.M.; Bull, C.A.

    1985-06-15

    Between January 1976 and January 1983, 37 cases of squamous cell carcinoma of the extremities have been treated at the King Faisal Specialist Hospital and Research Centre by the authors. Each case has arisen in an area of preexisting scar or sinus. Twenty-nine cases were treated by definitive amputation, with 2 local recurrences and 12 nodal metastases. Seven cases had local excision, with three local recurrences and two nodal metastases. Recurrence rate was highest in Grade II and Grade III lesions, and 11 of 15 cases with Grade II disease had metastases to the regional lymph nodes an average of 5 months after surgery. With Grade I disease patients, 4 of 15 had nodal metastases an average of 5 months after surgery. Prophylactic regional nodal irradiation or node dissection was performed in seven cases. None of these cases have shown nodal metastases at an average of 24 months following definitive surgery and radiation. Routine prophylactic regional node irradiation is recommended in all cases of peripheral squamous cell carcinoma.

  10. Long-term Monitoring Plan for the Central Nevada Test Area

    SciTech Connect

    A. Hassan

    2003-09-02

    simulations and probability based approaches to select the first set of monitoring wells that will serve two purposes. The first is to place the wells in areas likely to encounter migration pathways thereby enhancing the probability of detecting radionuclide migration in the long run. The second objective is crucial in the short run and is aimed at using this set of wells to collect validation data for the model. The selection criteria should thus balance these two objectives. Based on the results of the validation process that progresses concurrently with the first monitoring stage, either more wells will be needed in this first stage or the second stage will be initiated. The second monitoring design stage will be based on an optimum design methodology that uses a suitable statistical approach, combined with an optimization approach, to augment the initial set of wells and develop the final long-term monitoring network. The first-stage probabilistic analysis conducted using the CNTA model indicates that the likelihood of migration away from the test cavity is very low and the probability of detecting radionuclides in the next 100 years is extremely low. Therefore, it is recommended to place one well in the downstream direction along the model longitudinal centerline (i.e., directly north of the working point), which is the location with the highest probability of encountering the plume. Lack of significant plume spreading, coupled with the extremely low velocities, suggests that this one well is sufficient for the first stage. Data from this well, and from additional wells located with validation as the prime objective, will benefit the model validation process. In the long run, this first monitoring well is going to be crucial for the long-term monitoring of the site (assuming that the flow model is validated), as it will be the most likely place to detect any plume migration away from the cavity.

  11. Nutrition for Tennis: Practical Recommendations

    PubMed Central

    Ranchordas, Mayur K.; Rogersion, David; Ruddock, Alan; Killer, Sophie C.; Winter, Edward M.

    2013-01-01

    Tennis is a pan-global sport that is played year-round in both hemispheres. This places notable demands on the physical and psychological preparation of players and included in these demands are nutritional and fluid requirements both of training and match- play. Thus, the purpose of this article is to review nutritional recommendations for tennis. Notably, tennis players do not excel in any particular physiological or anthropometric characteristic but are well adapted in all areas which is probably a result of the varied nature of the training demands of tennis match play. Energy expenditures of 30.9 ± 5.5 and 45.3 ± 7.3 kJ·min-1 have been reported in women and men players respectively regardless of court surface. Tennis players should follow a habitually high carbohydrate diet of between 6-10 g·kg-1·d-1 to ensure adequate glycogen stores, with women generally requiring slightly less than men. Protein intake guidelines for tennis players training at a high intensity and duration on a daily basis should be ~1.6 g·kg-1·d-1 and dietary fat intake should not exceed 2 g·kg-1·d-1. Caffeine in doses of 3 mg·kg-1 provides ergogenic benefit when taken before and/or during tennis match play. Depending on environmental conditions, sweat rates of 0.5 to and over 5 L·hr-1 and sodium losses of 0.5 - 1.8 g have been recorded in men and women players. 200 mL of fluid containing electrolytes should be consumed every change-over in mild to moderate temperatures of < 27°C but in temperatures greater than 27°C players should aim for ≤ 400 mL. 30-60 g·hr-1 of carbohydrate should be ingested when match play exceeds 2 hours. Key Points Tennis players should follow a habitually high carbohydrate diet of between 6-10 g·kg-1 to ensure adequate glycogen stores, with women generally requiring slightly less than men. Protein intake guidelines for tennis players training at a high intensity and duration on a daily basis should be ~1.6 g·kg-1·d-1. Dietary fat intake should

  12. Operational early warning platform for extreme meteorological events

    NASA Astrophysics Data System (ADS)

    Mühr, Bernhard; Kunz, Michael

    2015-04-01

    Operational early warning platform for extreme meteorological events Most natural disasters are related to extreme weather events (e.g. typhoons); weather conditions, however, are also highly relevant for humanitarian and disaster relief operations during and after other natural disaster like earthquakes. The internet service "Wettergefahren-Frühwarnung" (WF) provides various information on extreme weather events, especially when these events are associated with a high potential for large damage. The main focus of the platform is on Central Europe, but major events are also monitored worldwide on a daily routine. WF provides high-resolution forecast maps for many weather parameters which allow detailed and reliable predictions about weather conditions during the next days in the affected areas. The WF service became operational in February 2004 and is part of the Center for Disaster Management and Risk Reduction Technology (CEDIM) since 2007. At the end of 2011, CEDIM embarked a new type of interdisciplinary disaster research termed as forensic disaster analysis (FDA) in near real time. In case of an imminent extreme weather event WF plays an important role in CEDIM's FDA group. It provides early and precise information which are always available and updated several times during a day and gives advice and assists with articles and reports on extreme events.

  13. Definition of air quality measurements for monitoring space shuttle launches

    NASA Technical Reports Server (NTRS)

    Thorpe, R. D.

    1978-01-01

    A description of a recommended air quality monitoring network to characterize the impact on ambient air quality in the Kennedy Space Center (KSC) (area) of space shuttle launch operations is given. Analysis of ground cloud processes and prevalent meteorological conditions indicates that transient HCl depositions can be a cause for concern. The system designed to monitor HCl employs an extensive network of inexpensive detectors combined with a central analysis device. An acid rain network is also recommended. A quantitative measure of projected minimal long-term impact involves the limited monitoring of NOx and particulates. All recommended monitoring is confined ti KSC property.

  14. Moving in extreme environments: what's extreme and who decides?

    PubMed

    Cotter, James David; Tipton, Michael J

    2014-01-01

    Humans work, rest and play in immensely varied extreme environments. The term 'extreme' typically refers to insufficiency or excess of one or more stressors, such as thermal energy or gravity. Individuals' behavioural and physiological capacity to endure and enjoy such environments varies immensely. Adverse effects of acute exposure to these environments are readily identifiable (e.g. heat stroke or bone fracture), whereas adverse effects of chronic exposure (e.g. stress fractures or osteoporosis) may be as important but much less discernable. Modern societies have increasingly sought to protect people from such stressors and, in that way, minimise their adverse effects. Regulations are thus established, and advice is provided on what is 'acceptable' exposure. Examples include work/rest cycles in the heat, hydration regimes, rates of ascent to and duration of stay at altitude and diving depth. While usually valuable and well intentioned, it is important to realise the breadth and importance of limitations associated with such guidelines. Regulations and advisories leave less room for self-determination, learning and perhaps adaptation. Regulations based on stress (e.g. work/rest cycles relative to WBGT) are more practical but less direct than those based on strain (e.g. core temperature), but even the latter can be substantively limited (e.g. by lack of criterion validation and allowance for behavioural regulation in the research on which they are based). Extreme Physiology & Medicine is publishing a series of reviews aimed at critically examining the issues involved with self- versus regulation-controlled human movement acutely and chronically in extreme environments. These papers, arising from a research symposium in 2013, are about the impact of people engaging in such environments and the effect of rules and guidelines on their safety, enjoyment, autonomy and productivity. The reviews will cover occupational heat stress, sporting heat stress, hydration, diving

  15. Experts' recommendations for the management of cardiogenic shock in children.

    PubMed

    Brissaud, Olivier; Botte, Astrid; Cambonie, Gilles; Dauger, Stéphane; de Saint Blanquat, Laure; Durand, Philippe; Gournay, Véronique; Guillet, Elodie; Laux, Daniela; Leclerc, Francis; Mauriat, Philippe; Boulain, Thierry; Kuteifan, Khaldoun

    2016-12-01

    Cardiogenic shock which corresponds to an acute state of circulatory failure due to impairment of myocardial contractility is a very rare disease in children, even more than in adults. To date, no international recommendations regarding its management in critically ill children are available. An experts' recommendations in adult population have recently been made (Levy et al. Ann Intensive Care 5(1):52, 2015; Levy et al. Ann Intensive Care 5(1):26, 2015). We present herein recommendations for the management of cardiogenic shock in children, developed with the grading of recommendations' assessment, development, and evaluation system by an expert group of the Groupe Francophone de Réanimation et Urgences Pédiatriques (French Group for Pediatric Intensive Care and Emergencies). The recommendations cover four major fields of application such as: recognition of early signs of shock and the patient pathway, management principles and therapeutic goals, monitoring hemodynamic and biological variables, and circulatory support (indications, techniques, organization, and transfer criteria). Major principle care for children with cardiogenic shock is primarily based on clinical and echocardiographic assessment. There are few drugs reported as effective in childhood in the medical literature. The use of circulatory support should be facilitated in terms of organization and reflected in the centers that support these children. Children with cardiogenic shock are vulnerable and should be followed regularly by intensivist cardiologists and pediatricians. The experts emphasize the multidisciplinary nature of management of children with cardiogenic shock and the importance of effective communication between emergency medical assistance teams (SAMU), mobile pediatric emergency units (SMUR), pediatric emergency departments, pediatric cardiology and cardiac surgery departments, and pediatric intensive care units. PMID:26879087

  16. ENVIRONMENTAL MONITORING FOR PUBLIC ACCESS AND COMMUNITY TRACKING (EMPACT) PROGRAM MICROBIOLOGICAL MONITORING OF RECREATIONAL WATER

    EPA Science Inventory

    Current Environmental Protection Agency (EPA) recommended microbiological monitoring practices for bathing beach water quality were suggested in 1968, as a part of the fecal coliform guideline developed by the Federal Water Pollution Control Administration. The guideline stated ...

  17. Intensive care unit telemedicine: review and consensus recommendations.

    PubMed

    Cummings, Joseph; Krsek, Cathleen; Vermoch, Kathy; Matuszewski, Karl

    2007-01-01

    Intensive care unit telemedicine involves nurses and physicians located at a remote command center providing care to patients in multiple, scattered intensive care units via computer and telecommunication technology. The command center is equipped with a workstation that has multiple monitors displaying real-time patient vital signs, a complete electronic medical record, a clinical decision support tool, a high-resolution radiographic image viewer, and teleconferencing for every patient and intensive care unit room. In addition to communication functions, the video system can be used to view parameters on ventilator screens, infusion pumps, and other bedside equipment, as well as to visually assess patient conditions. The intensivist can conduct virtual rounds, communicate with on-site caregivers, and be alerted to important patient conditions automatically via software-monitored parameters. This article reviews the technology's background, status, significance, clinical literature, financial effect, implementation issues, and future developments. Recommendations from a University HealthSystem Consortium task force are also presented. PMID:17656728

  18. Recommendations Service for Chronic Disease Patient in Multimodel Sensors Home Environment

    PubMed Central

    Hussain, Maqbool; Ali, Taqdir; Khan, Wajahat Ali; Afzal, Muhammad; Latif, Khalid

    2015-01-01

    Abstract With advanced technologies in hand, there exist potential applications and services built around monitoring activities of daily living (ADL) of elderly people at nursing homes. Most of the elderly people in these facilities are suffering from different chronic diseases such as dementia. Existing technologies are mainly focusing on non-medication interventions and monitoring of ADL for addressing loss of autonomy or well-being. Monitoring and managing ADL related to cognitive behaviors for non-medication intervention are very effective in improving dementia patients' conditions. However, cognitive functions of patients can be improved if appropriate recommendations of medications are delivered at a particular time. Previously we developed the Secured Wireless Sensor Network Integrated Cloud Computing for Ubiquitous-Life Care (SC3). SC3 services were limited to monitoring ADL of elderly people with Alzheimer's disease and providing non-medication recommendations to the patient. In this article, we propose a system called the Smart Clinical Decision Support System (CDSS) as an integral part of the SC3 platform. Using the Smart CDSS, patients are provided with access to medication recommendations of expert physicians. Physicians are provided with an interface to create clinical knowledge for medication recommendations and to observe the patient's condition. The clinical knowledge created by physicians as the knowledge base of the Smart CDSS produces recommendations to the caregiver for medications based on each patient's symptoms. PMID:25559934

  19. Recommendations service for chronic disease patient in multimodel sensors home environment.

    PubMed

    Hussain, Maqbool; Ali, Taqdir; Khan, Wajahat Ali; Afzal, Muhammad; Lee, Sungyoung; Latif, Khalid

    2015-03-01

    With advanced technologies in hand, there exist potential applications and services built around monitoring activities of daily living (ADL) of elderly people at nursing homes. Most of the elderly people in these facilities are suffering from different chronic diseases such as dementia. Existing technologies are mainly focusing on non-medication interventions and monitoring of ADL for addressing loss of autonomy or well-being. Monitoring and managing ADL related to cognitive behaviors for non-medication intervention are very effective in improving dementia patients' conditions. However, cognitive functions of patients can be improved if appropriate recommendations of medications are delivered at a particular time. Previously we developed the Secured Wireless Sensor Network Integrated Cloud Computing for Ubiquitous-Life Care (SC(3)). SC(3) services were limited to monitoring ADL of elderly people with Alzheimer's disease and providing non-medication recommendations to the patient. In this article, we propose a system called the Smart Clinical Decision Support System (CDSS) as an integral part of the SC(3) platform. Using the Smart CDSS, patients are provided with access to medication recommendations of expert physicians. Physicians are provided with an interface to create clinical knowledge for medication recommendations and to observe the patient's condition. The clinical knowledge created by physicians as the knowledge base of the Smart CDSS produces recommendations to the caregiver for medications based on each patient's symptoms. PMID:25559934

  20. Method for extreme ultraviolet lithography

    DOEpatents

    Felter, T. E.; Kubiak, G. D.

    2000-01-01

    A method of producing a patterned array of features, in particular, gate apertures, in the size range 0.4-0.05 .mu.m using projection lithography and extreme ultraviolet (EUV) radiation. A high energy laser beam is used to vaporize a target material in order to produce a plasma which in turn, produces extreme ultraviolet radiation of a characteristic wavelength of about 13 nm for lithographic applications. The radiation is transmitted by a series of reflective mirrors to a mask which bears the pattern to be printed. The demagnified focused mask pattern is, in turn, transmitted by means of appropriate optics and in a single exposure, to a substrate coated with photoresists designed to be transparent to EUV radiation and also satisfy conventional processing methods.

  1. Method for extreme ultraviolet lithography

    DOEpatents

    Felter, T. E.; Kubiak, Glenn D.

    1999-01-01

    A method of producing a patterned array of features, in particular, gate apertures, in the size range 0.4-0.05 .mu.m using projection lithography and extreme ultraviolet (EUV) radiation. A high energy laser beam is used to vaporize a target material in order to produce a plasma which in turn, produces extreme ultraviolet radiation of a characteristic wavelength of about 13 nm for lithographic applications. The radiation is transmitted by a series of reflective mirrors to a mask which bears the pattern to be printed. The demagnified focused mask pattern is, in turn, transmitted by means of appropriate optics and in a single exposure, to a substrate coated with photoresists designed to be transparent to EUV radiation and also satisfy conventional processing methods.

  2. On causality of extreme events

    PubMed Central

    2016-01-01

    Multiple metrics have been developed to detect causality relations between data describing the elements constituting complex systems, all of them considering their evolution through time. Here we propose a metric able to detect causality within static data sets, by analysing how extreme events in one element correspond to the appearance of extreme events in a second one. The metric is able to detect non-linear causalities; to analyse both cross-sectional and longitudinal data sets; and to discriminate between real causalities and correlations caused by confounding factors. We validate the metric through synthetic data, dynamical and chaotic systems, and data representing the human brain activity in a cognitive task. We further show how the proposed metric is able to outperform classical causality metrics, provided non-linear relationships are present and large enough data sets are available. PMID:27330866

  3. The 2014 Silba Precipitation Extreme

    NASA Astrophysics Data System (ADS)

    Rasol, Dubravka; Ólafsson, Haraldur

    2015-04-01

    On 30 July 2014 a 24 h precipitation record of 218 mm was set at the island of Silba in the N-Adriatic Sea. The precipitation was of convective nature and significantly less precipitation was recorded only small distances away, at the coast of mainland Croatia. The event is reproduced numerically and discussed in terms of dynamics and predictability. On a large scale, the precipitation extreme was associated with a slow-moving upper tropospheric low that formed over the N-Atlantic several days earlier. At lower levels, there were humid mediterranean airmasses. On a smaller scale, there are indications that the extreme convection may have been triggered by an orographic disturbance.

  4. The Extreme Ultraviolet Explorer mission

    NASA Technical Reports Server (NTRS)

    Welsh, Barry Y.

    1991-01-01

    The Extreme Ultraviolet Explorer (EUVE) is a NASA astronomy mission which will operate in the 70-760A spectral band. The science payload consists of three grazing incidence scanning telescopes and an EUV spectrometer/deep survey instrument. An overview of the planned mission profile is given, and the instrumentation which comprises the science payload is discussed. The EUVE is scheduled for launch in late August 1991.

  5. [Genes for extreme violent behaviour?].

    PubMed

    Jordan, Bertrand

    2015-01-01

    A new genetic study focussing on the degree of violence in criminals and using both candidate gene and GWAS approaches finds statistically significant associations of extreme violent behaviour with low activity alleles of monoamine oxydase A (MAOA) and with the CD13 gene. However, the alleles implicated are common in the general population, thus they cannot be causal, and only represent potential indicators of increased risk. PMID:25658738

  6. Attribution of climate extreme events

    NASA Astrophysics Data System (ADS)

    Trenberth, Kevin E.; Fasullo, John T.; Shepherd, Theodore G.

    2015-08-01

    There is a tremendous desire to attribute causes to weather and climate events that is often challenging from a physical standpoint. Headlines attributing an event solely to either human-induced climate change or natural variability can be misleading when both are invariably in play. The conventional attribution framework struggles with dynamically driven extremes because of the small signal-to-noise ratios and often uncertain nature of the forced changes. Here, we suggest that a different framing is desirable, which asks why such extremes unfold the way they do. Specifically, we suggest that it is more useful to regard the extreme circulation regime or weather event as being largely unaffected by climate change, and question whether known changes in the climate system's thermodynamic state affected the impact of the particular event. Some examples briefly illustrated include 'snowmaggedon' in February 2010, superstorm Sandy in October 2012 and supertyphoon Haiyan in November 2013, and, in more detail, the Boulder floods of September 2013, all of which were influenced by high sea surface temperatures that had a discernible human component.

  7. Upper extremity injuries in golf.

    PubMed

    Bayes, Matthew C; Wadsworth, L Tyler

    2009-04-01

    Golf is an asymmetric sport with unique patterns of injury depending upon the skill level. Higher handicap players typically experience injuries that result from swing mechanics, whereas lower handicap and professional players have overuse as the major cause of their injuries. The majority of shoulder injuries affecting golfers occur in the nondominant shoulder. Common shoulder injuries include subacromial impingement, rotator cuff pathology, glenohumeral instability, and arthritis involving the acromioclavicular and/or glenohumeral joints. Lead arm elbow pain resulting from lateral epicondylosis (tennis elbow) is the leading upper extremity injury in amateur golfers. Tendon injury is the most common problem seen in the wrist and forearm of the golfer. Rehabilitation emphasizing improvement in core muscle streng is important in the treatment of golf injury. Emerging treatments for tendinopathy include topical nitrates, ultrasound-guided injection of therapeutic substances, and eccentric rehabilitation. There is evidence supporting physiotherapy, and swing modification directed by a teaching professional, for treatment of upper extremity golf injuries. This article focuses on upper extremity injuries in golf, including a discussion of the epidemiology, causes, diagnosis, treatment, and prevention of injuries occurring in the shoulder, elbow, wrist, and hand. PMID:20048492

  8. Typologies of Extreme Longevity Myths

    PubMed Central

    Young, Robert D.; Desjardins, Bertrand; McLaughlin, Kirsten; Poulain, Michel; Perls, Thomas T.

    2010-01-01

    Purpose. Political, national, religious, and other motivations have led the media and even scientists to errantly accept extreme longevity claims prima facie. We describe various causes of false claims of extraordinary longevity. Design and Methods. American Social Security Death Index files for the period 1980–2009 were queried for individuals with birth and death dates yielding ages 110+ years of age. Frequency was compared to a list of age-validated supercentenarians maintained by the Gerontology Research Group who died during the same time period. Age claims of 110+ years and the age validation experiences of the authors facilitated a list of typologies of false age claims. Results. Invalid age claim rates increase with age from 65% at age 110-111 to 98% by age 115 to 100% for 120+ years. Eleven typologies of false claims were: Religious Authority Myth, Village Elder Myth, Fountain of Youth Myth (substance), Shangri-La Myth (geographic), Nationalist Pride, Spiritual Practice, Familial Longevity, Individual and/or Family Notoriety, Military Service, Administrative Entry Error, and Pension-Social Entitlement Fraud. Conclusions. Understanding various causes of false extreme age claims is important for placing current, past, and future extreme longevity claims in context and for providing a necessary level of skepticism. PMID:21461047

  9. Investigation of spatial gusts with extreme rise time on the extreme loads of pitch-regulated wind turbines

    NASA Astrophysics Data System (ADS)

    Bierbooms, Wim

    2005-01-01

    It is assumed that the extreme loading of pitch-regulated turbines is caused by gusts with an extreme rise time rather than an extreme gust amplitude. A special kind of wind field simulation, so-called constrained stochastic simulation, is dealt with in order to generate the desired gusts. Just as in wind field simulation for fatigue purposes, it is assumed that turbulence is Gaussian; a possibility is mentioned of how to deal with non-Gaussian behaviour. On the basis of the presented theory it can be stated that the stochastic gusts produced in this way are, in a statistical sense, not distinguishable from gusts selected from a (very long) time series. An example of a spatial gust as well as the mean spatial gust shape is shown. For a reference turbine the maximum blade root flapping moment has been determined as a function of the gust centre in the rotor plane; the maximum response is obtained in the case where the gust hits one of the rotor blades at 75% of the radius. When the gust duration is large compared with the integral time constant of the controller, the controller can handle the gust as expected. However, even for small rise times it turns out that the maximum flap moment due to the gust is not significantly higher than that due to the background turbulence and 1P excitations. This may indicate that perhaps extreme rise time gusts do not lead to extreme loading of pitch-regulated wind turbines. For a final judgement a proper probabilistic approach is necessary; an outline of such an approach has been sketched. Furthermore, it is recommended to do research on other gust types in order to find out the type which leads to the extreme wind turbine loading. Copyright

  10. The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.

    PubMed

    Daskalopoulou, Stella S; Rabi, Doreen M; Zarnke, Kelly B; Dasgupta, Kaberi; Nerenberg, Kara; Cloutier, Lyne; Gelfer, Mark; Lamarre-Cliche, Maxime; Milot, Alain; Bolli, Peter; McKay, Donald W; Tremblay, Guy; McLean, Donna; Tobe, Sheldon W; Ruzicka, Marcel; Burns, Kevin D; Vallée, Michel; Ramesh Prasad, G V; Lebel, Marcel; Feldman, Ross D; Selby, Peter; Pipe, Andrew; Schiffrin, Ernesto L; McFarlane, Philip A; Oh, Paul; Hegele, Robert A; Khara, Milan; Wilson, Thomas W; Brian Penner, S; Burgess, Ellen; Herman, Robert J; Bacon, Simon L; Rabkin, Simon W; Gilbert, Richard E; Campbell, Tavis S; Grover, Steven; Honos, George; Lindsay, Patrice; Hill, Michael D; Coutts, Shelagh B; Gubitz, Gord; Campbell, Norman R C; Moe, Gordon W; Howlett, Jonathan G; Boulanger, Jean-Martin; Prebtani, Ally; Larochelle, Pierre; Leiter, Lawrence A; Jones, Charlotte; Ogilvie, Richard I; Woo, Vincent; Kaczorowski, Janusz; Trudeau, Luc; Petrella, Robert J; Hiremath, Swapnil; Stone, James A; Drouin, Denis; Lavoie, Kim L; Hamet, Pavel; Fodor, George; Grégoire, Jean C; Fournier, Anne; Lewanczuk, Richard; Dresser, George K; Sharma, Mukul; Reid, Debra; Benoit, Geneviève; Feber, Janusz; Harris, Kevin C; Poirier, Luc; Padwal, Raj S

    2015-05-01

    The Canadian Hypertension Education Program reviews the hypertension literature annually and provides detailed recommendations regarding hypertension diagnosis, assessment, prevention, and treatment. This report provides the updated evidence-based recommendations for 2015. This year, 4 new recommendations were added and 2 existing recommendations were modified. A revised algorithm for the diagnosis of hypertension is presented. Two major changes are proposed: (1) measurement using validated electronic (oscillometric) upper arm devices is preferred over auscultation for accurate office blood pressure measurement; (2) if the visit 1 mean blood pressure is increased but < 180/110 mm Hg, out-of-office blood pressure measurements using ambulatory blood pressure monitoring (preferably) or home blood pressure monitoring should be performed before visit 2 to rule out white coat hypertension, for which pharmacologic treatment is not recommended. A standardized ambulatory blood pressure monitoring protocol and an update on automated office blood pressure are also presented. Several other recommendations on accurate measurement of blood pressure and criteria for diagnosis of hypertension have been reorganized. Two other new recommendations refer to smoking cessation: (1) tobacco use status should be updated regularly and advice to quit smoking should be provided; and (2) advice in combination with pharmacotherapy for smoking cessation should be offered to all smokers. The following recommendations were modified: (1) renal artery stenosis should be primarily managed medically; and (2) renal artery angioplasty and stenting could be considered for patients with renal artery stenosis and complicated, uncontrolled hypertension. The rationale for these recommendation changes is discussed. PMID:25936483

  11. Technical characteristics of current cardiotocographic monitors.

    PubMed

    Ayres-de-Campos, Diogo; Nogueira-Reis, Zilma

    2016-01-01

    Cardiotocographic (CTG) monitors are complex electronic devices developed to acquire, process and display foetal heart rate (FHR) and uterine contraction (UC) signals. This chapter describes the main characteristics of current CTG monitors, in order to allow a better understanding of the technology. An ultrasound transducer is used for the external monitoring of FHR signals, whereas a tocodynamometer is used for the external monitoring of UCs. These technologies are recommended for routine clinical use in both the antepartum and intrapartum periods. Foetal electrode and intrauterine pressure sensors provide internal monitoring of FHR and UC signals, respectively, which are more precise than external signals. They are only applicable during labour, after cervical dilatation and ruptured membranes, and they have established contraindications. The registration of foetal movements, simultaneous monitoring of twins and triplets, continuous maternal heart rate monitoring, monitoring of other maternal parameters, alarms, digital outputs and telemetry are other available characteristics in some CTG monitors. PMID:26206513

  12. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  13. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  14. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  15. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  16. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  17. Culinary Occupations. Instructional Materials Committee Recommendations Report.

    ERIC Educational Resources Information Center

    Louisiana State Technical Resource Center, Natchitoches.

    This resource listing contains those culinary occupations instructional materials given a rating of "highly recommended" or "recommended" by a committee of instructors. Titles are arranged alphabetically by title within each of the following Classification of Instructional Programs (CIP) categories: institutional management; personal services;…

  18. 40 CFR 1502.10 - Recommended format.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Recommended format. 1502.10 Section... § 1502.10 Recommended format. Agencies shall use a format for environmental impact statements which will... following standard format for environmental impact statements should be followed unless the...

  19. 40 CFR 108.6 - Recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Recommendations. 108.6 Section 108.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS EMPLOYEE PROTECTION HEARINGS § 108.6 Recommendations. At the conclusion of any hearing under this part, the Administrative...

  20. Recommendations for future research in hypersonic instrumentation

    NASA Technical Reports Server (NTRS)

    Ocheltree, S. L.

    1993-01-01

    An overview of the NATO Advanced Research Workshop is presented. It describes the process followed to obtain a group consensus on the main technical recommendations for each of the five technical sessions of the Workshop and presents the general conclusions and recommendations for future research agreed upon by the workshop participants.

  1. 5 CFR 2638.506 - Director's recommendation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where the Director has made a finding under § 2638.504(e) or has issued a decision and order under §...

  2. 5 CFR 2638.506 - Director's recommendation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where the Director has made a finding under § 2638.504(e) or has issued a decision and order under §...

  3. 40 CFR 108.6 - Recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Recommendations. 108.6 Section 108.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS EMPLOYEE PROTECTION HEARINGS § 108.6 Recommendations. At the conclusion of any hearing under this part, the Administrative...

  4. 40 CFR 231.5 - Recommended determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 26 2012-07-01 2011-07-01 true Recommended determination. 231.5 Section 231.5 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(c) PROCEDURES § 231.5 Recommended determination. (a) The Regional Administrator or his designee shall, within 30 days after the conclusion of...

  5. Educators' Liability for Negative Letters of Recommendation.

    ERIC Educational Resources Information Center

    Tidwell, James A.

    1986-01-01

    Discusses the protection of "qualified privilege" provided by the law to teachers writing letters of recommendation for students. The letter must be written in good faith and with a belief that it contains no inaccurate information. Reviews some related court decisions and provides seven recommendations for writing such letters. (MD)

  6. 40 CFR 231.5 - Recommended determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Recommended determination. 231.5 Section 231.5 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(c) PROCEDURES § 231.5 Recommended determination. (a) The Regional Administrator or his...

  7. Developing a Standardized Letter of Recommendation

    ERIC Educational Resources Information Center

    Walters, Alyssa M.; Kyllonen, Patrick C.; Plante, Janice W.

    2006-01-01

    The Standardized Letter of Recommendation (SLR) is a Web-based admission tool designed to replace traditional, narrative letters of recommendation with a more systematic and equitable source of information about applicants to institutions of higher education. The SLR includes a rating scale and open-ended response space that prompt evaluators to…

  8. Vitamin D recommendations for older adults

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This position paper of the International Osteoporosis Foundation makes recommendations for vitamin D nutrition in elderly men and women from an evidence-based perspective. The key recommendations are that the optimal level of 25-hydroxyvitamin D for musculoskeletal health is 75 nmol/L. An intake of ...

  9. 40 CFR 231.5 - Recommended determination.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 25 2014-07-01 2014-07-01 false Recommended determination. 231.5 Section 231.5 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(c) PROCEDURES § 231.5 Recommended determination. (a) The Regional Administrator or his...

  10. 40 CFR 108.6 - Recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 23 2012-07-01 2012-07-01 false Recommendations. 108.6 Section 108.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS EMPLOYEE PROTECTION HEARINGS § 108.6 Recommendations. At the conclusion of any hearing under this part, the Administrative...

  11. 5 CFR 2638.506 - Director's recommendation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where... of the respondent employee's agency that appropriate disciplinary action be taken. If the...

  12. 78 FR 2939 - Adoption of Recommendations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-15

    ... their implementation. The Conference based these recommendations on research reports that it has posted... FR 84954 (Dec. 24, 1980); Administrative Conference of the United States, Recommendation 82-3, Federal Venue Provisions Applicable to Suits Against the United States, 47 FR 30706 (June 18,...

  13. Higher Education Funding Recommendations, 1997-98.

    ERIC Educational Resources Information Center

    New Mexico Commission on Higher Education.

    This report summarizes recommendations by New Mexico's Commission on Higher Education for funding the state's two- and four-year colleges in fiscal year 1997-98. Following a preface reviewing the 3-year policy framework and priorities used by the Commission in making its funding recommendations, the first section provides a summary of the…

  14. Higher Education Funding Recommendations. 1989-99.

    ERIC Educational Resources Information Center

    New Mexico Commission on Higher Education.

    This report presents the recommendations of the New Mexico Commission on Higher Education for funding public institutions of higher education in fiscal year 1998-99. An executive summary notes the recommendations' four key components: (1) a $28.7 million overall increase in higher education funding; (2) a commitment by institutions and the…

  15. ACS Task Force Frames Recommendations on Education.

    ERIC Educational Resources Information Center

    Chemical and Engineering News, 1984

    1984-01-01

    Discusses findings and recommendations of an American Chemical Society (ACS) task force study on the status of chemical education in the United States. Recommendations relate to national concerns; all educational levels; elementary, secondary, university, college, and two-year college chemistry and science; chemistry careers; and industry and…

  16. 45 CFR 1606.9 - Recommended decision.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recommended decision. 1606.9 Section 1606.9 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION TERMINATION AND DEBARMENT PROCEDURES; RECOMPETITION § 1606.9 Recommended decision. (a) Within 20 calendar days after...

  17. Aggregation Trade Offs in Family Based Recommendations

    NASA Astrophysics Data System (ADS)

    Berkovsky, Shlomo; Freyne, Jill; Coombe, Mac

    Personalized information access tools are frequently based on collaborative filtering recommendation algorithms. Collaborative filtering recommender systems typically suffer from a data sparsity problem, where systems do not have sufficient user data to generate accurate and reliable predictions. Prior research suggested using group-based user data in the collaborative filtering recommendation process to generate group-based predictions and partially resolve the sparsity problem. Although group recommendations are less accurate than personalized recommendations, they are more accurate than general non-personalized recommendations, which are the natural fall back when personalized recommendations cannot be generated. In this work we present initial results of a study that exploits the browsing logs of real families of users gathered in an eHealth portal. The browsing logs allowed us to experimentally compare the accuracy of two group-based recommendation strategies: aggregated group models and aggregated predictions. Our results showed that aggregating individual models into group models resulted in more accurate predictions than aggregating individual predictions into group predictions.

  18. Milliwave melter monitoring system

    DOEpatents

    Daniel, William E.; Woskov, Paul P.; Sundaram, Shanmugavelayutham K.

    2011-08-16

    A milliwave melter monitoring system is presented that has a waveguide with a portion capable of contacting a molten material in a melter for use in measuring one or more properties of the molten material in a furnace under extreme environments. A receiver is configured for use in obtaining signals from the melt/material transmitted to appropriate electronics through the waveguide. The receiver is configured for receiving signals from the waveguide when contacting the molten material for use in determining the viscosity of the molten material. Other embodiments exist in which the temperature, emissivity, viscosity and other properties of the molten material are measured.

  19. Extreme weather events and global crop production

    NASA Astrophysics Data System (ADS)

    Ray, D. K.; Gerber, J. S.; West, P. C.

    2014-12-01

    Extreme weather events can lead to significant loss in crop production and even trigger global price spikes. However it is still not clear where exactly and what types of extreme events have resulted in sharp declines in crop production. Neither is it clear how frequently such extreme events have resulted in extreme crop production losses. Using extreme event metrics with a newly developed high resolution and long time series of crop statistics database we identify the frequency and type of extreme event driven crop production losses globally at high resolutions. In this presentation we will present our results as global maps identifying the frequency and type of extreme weather events that resulted in extreme crop production losses and quantify the losses. Understanding how extreme events affects crop production is critical for managing risk in the global food system

  20. Prospect for extreme field science

    NASA Astrophysics Data System (ADS)

    Tajima, T.

    2009-11-01

    The kind of laser extreme light infrastructure (ELI) provides will usher in a class of experiments we have only dreamed of for years. The characteristics that ELI brings in include: the highest intensity ever, large fluence, and relatively high repetition rate. A personal view of the author on the prospect of harnessing this unprecedented opportunity for advancing science of extreme fields is presented. The first characteristic of ELI, its intensity, will allow us to access, as many have stressed already, extreme fields that hover around the Schwinger field or at the very least the neighboring fields in which vacuum begins to behave as a nonlinear medium. In this sense, we are seriously probing the “material” property of vacuum and thus the property that theory of relativity itself described and will entail. We will probe both special theory and general theory of relativity in regimes that have been never tested so far. We may see a glimpse into the reach of relativity or even its breakdown in some extreme regimes. We will learn Einstein and may even go beyond Einstein, if our journey is led. Laser-driven acceleration both by the laser field itself and by the wakefield that is triggered in a plasma is huge. Energies, if not luminosity, we can access, may be unprecedented going far beyond TeV. The nice thing about ELI is that it has relatively high repetition rate and average fluence as compared with other extreme lasers. This high fluence can be a key element that leads to applications to high energy physics, such as gamma-gamma collider driver experiment, and some gamma ray experiments that may be relevant in the frontier of photo-nuclear physics, and atomic energy applications. Needless to say, high fluence is one of most important features that industrial and medical applications may need. If we are lucky, we may see a door opens at the frontier of novel physics that may not be available by any other means. Finally, as the last lecture of this workshop the

  1. Congressional panel makes recommendations on belt safety

    SciTech Connect

    Fiscor, S.

    2007-12-15

    The Mine Improvement and New Emergency Response Act of 2006 (MINER Act) called for a Technical Study Panel to present a review and make recommendations on the use of belt air and the composition and fire retardant properties of belt materials in underground coal mining. In October 2007 the Panel released 20 recommendations publicly. These are presented in the article. Many recommendations encouraged the MSHA to enforce existing laws of maintenance and fire protection or example more vigorously. Maybe the biggest change recommended was that the industry should adopt the Belt Evaluation Laboratory Test (BELT) standard proposed in 1992. Another important recommendation was one that would help eliminate hazards associated with point feeding. 1 photo.

  2. Recommendations for field measurements of aircraft noise

    NASA Technical Reports Server (NTRS)

    Marsh, A. H.

    1982-01-01

    Specific recommendations for environmental test criteria, data acquisition procedures, and instrument performance requirements for measurement of noise levels produced by aircraft in flight are provided. Recommendations are also given for measurement of associated airplane and engine parameters and atmospheric conditions. Recommendations are based on capabilities which were available commercially in 1981; they are applicable to field tests of aircraft flying subsonically past microphones located near the surface of the ground either directly under or to the side of a flight path. Aircraft types covered by the recommendations include fixed-wing airplanes powered by turbojet or turbofan engines or by propellers. The recommended field-measurement procedures are consistent with assumed requirements for data processing and analysis.

  3. Designing and Evaluating Explanations for Recommender Systems

    NASA Astrophysics Data System (ADS)

    Tintarev, Nava; Masthoff, Judith

    This chapter gives an overview of the area of explanations in recommender systems. We approach the literature from the angle of evaluation: that is, we are interested in what makes an explanation "good", and suggest guidelines as how to best evaluate this. We identify seven benefits that explanations may contribute to a recommender system, and relate them to criteria used in evaluations of explanations in existing systems, and how these relate to evaluations with live recommender systems. We also discuss how explanations can be affected by how recommendations are presented, and the role the interaction with the recommender system plays w.r.t. explanations. Finally, we describe a number of explanation styles, and how they may be related to the underlying algorithms. Examples of explanations in existing systems are mentioned throughout.

  4. Moving in extreme environments: extreme loading; carriage versus distance.

    PubMed

    Lucas, Samuel J E; Helge, Jørn W; Schütz, Uwe H W; Goldman, Ralph F; Cotter, James D

    2016-01-01

    This review addresses human capacity for movement in the context of extreme loading and with it the combined effects of metabolic, biomechanical and gravitational stress on the human body. This topic encompasses extreme duration, as occurs in ultra-endurance competitions (e.g. adventure racing and transcontinental races) and expeditions (e.g. polar crossings), to the more gravitationally limited load carriage (e.g. in the military context). Juxtaposed to these circumstances is the extreme metabolic and mechanical unloading associated with space travel, prolonged bedrest and sedentary lifestyle, which may be at least as problematic, and are therefore included as a reference, e.g. when considering exposure, dangers and (mal)adaptations. As per the other reviews in this series, we describe the nature of the stress and the associated consequences; illustrate relevant regulations, including why and how they are set; present the pros and cons for self versus prescribed acute and chronic exposure; describe humans' (mal)adaptations; and finally suggest future directions for practice and research. In summary, we describe adaptation patterns that are often U or J shaped and that over time minimal or no load carriage decreases the global load carrying capacity and eventually leads to severe adverse effects and manifest disease under minimal absolute but high relative loads. We advocate that further understanding of load carrying capacity and the inherent mechanisms leading to adverse effects may advantageously be studied in this perspective. With improved access to insightful and portable technologies, there are some exciting possibilities to explore these questions in this context. PMID:27110357

  5. Home monitoring of blood pressure

    PubMed Central

    McGrath, Barry P

    2015-01-01

    Summary Home blood pressure monitoring is the self-measurement of blood pressure by patients. In the diagnosis and management of high blood pressure it is complementary to 24-hour ambulatory blood pressure monitoring and clinic blood pressure measurements. Home monitoring can also help to identify white-coat and masked hypertension. Home monitoring has good reproducibility, is well tolerated and relatively inexpensive. It is superior to blood pressure taken in the clinic in predicting cardiovascular events and mortality. Twice-daily measurements are recommended, usually in the morning and evening for a minimum of five days. The threshold for defining hypertension is an average home blood pressure of 135/85 mmHg or above. Patients are engaged with their management when they monitor their own blood pressure. This results in increased adherence to therapy and lower blood pressure. PMID:26648605

  6. Analysis of the UK recommendations on obesity based on a proposed implementation framework

    PubMed Central

    2010-01-01

    Background There is considerable expertise in the obesity field in identifying, appraising, and synthesising evidence to develop guidelines and recommendations for policy and practice. The recommendations, while based on evidence, are not formulated in a way that readily leads to implementation. This paper analyses the recent UK recommendations on obesity using a proposed implementation framework. Methods Two bibliographic databases (Medline and Embase) and various health related and government websites were systematically searched for obesity recommendations published between 1996 and 2007. All the documents published on recommendations for either prevention or treatment of obesity in the UK were assessed. A proposed implementation framework was developed for the purpose of this review. All the UK recommendations were critically appraised and results summarised according to the criteria used within the framework. Cross-country applicability of the proposed framework was assessed using the Swedish policy recommendations on obesity. Results Most recommendations on obesity while demonstrating their basis in evidence, fail to meet the implementation standards. They tend to be non-specific in identifying who is responsible for implementation and monitoring, and often no timescale is indicated. The costs of implementation are rarely estimated and those responsible for such funding are not specified. There are some notable exemptions to the general pattern emanating from more operational and locally based groups. The Swedish policy details 79 proposals with responsibility clearly identified and costs are presented for 20 of them. This policy satisfied most of the framework criteria but failed to give details on evaluation, monitoring and the timeframe for implementation. Conclusions Public health has developed skills in appraising evidence and formulating recommendations based on appropriate evidence but these are often not implemented. Different skills are required to

  7. Extreme Event impacts on Seafloor Ecosystems

    NASA Astrophysics Data System (ADS)

    Canals, Miquel; Sanchez-Vidal, Anna; Calafat, Antoni; Pedrosa-Pàmies, Rut; Lastras, Galderic

    2013-04-01

    The Mediterranean region is among those presenting the highest concentration of cyclogenesis during the northern hemisphere winter, thus is frequently subjected to sudden events of extreme weather. The highest frequency of storm winds occur in its northwestern basin, and is associated to NE and NW storms. The occurrence of such extreme climatic events represents an opportunity of high scientific value to investigate how natural processes at their peaks of activity transfer matter and energy, as well as how impact ecosystems. Due to the approximately NE-SW orientation of the western Mediterranean coast, windforced motion coming from eastern storms generate the most intense waves and with very long fetch in the continental shelf and the coast, causing beach erosion, overwash and inundation of low-lying areas, and damage to infrastructures and coastal resources. On December 26, 2008 a huge storm afforded us the opportunity to understand the effect of storms on the deep sea ecosystems, as impacted violently an area of the Catalan coast covered by a dense network of monitoring devices including sediment traps and currentmeters. The storm, with measured wind gusts of more than 70 km h-1 and associated storm surge reaching 8 m, lead to the remobilisation of a shallow water large reservoir of marine organic carbon associated to fine particles and to its redistribution across the deep basin, and also ignited the motion of large amounts of coarse shelf sediment resulting in the abrasion and burial of benthic communities. In addition to eastern storms, increasing evidence has accumulated during the last few years showing the significance of Dense Shelf Water Cascading (DSWC), a type of marine current driven exclusively by seawater density contrast caused by strong and persistent NW winds, as a key driver of the deep Mediterranean Sea in many aspects. A network of mooring lines with sediment traps and currentmeters deployed in the Cap de Creus canyon in winter 2005-06 recorded

  8. Satellite Observation of Extremes in Precipitation

    NASA Technical Reports Server (NTRS)

    Adler, Robert F.; Huffman, George; Curtis, Scott; Bolvin, David; Nelkin, Eric; Einaudi, Franco (Technical Monitor)

    2002-01-01

    whole and when the area is restricted to just land. The data sets are also explored to monitor extremes in precipitation related to localized and regional flooding and the occurrence of droughts.

  9. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015.

    PubMed

    Hebert, Debbie; Lindsay, M Patrice; McIntyre, Amanda; Kirton, Adam; Rumney, Peter G; Bagg, Stephen; Bayley, Mark; Dowlatshahi, Dar; Dukelow, Sean; Garnhum, Maridee; Glasser, Ev; Halabi, Mary-Lou; Kang, Ester; MacKay-Lyons, Marilyn; Martino, Rosemary; Rochette, Annie; Rowe, Sarah; Salbach, Nancy; Semenko, Brenda; Stack, Bridget; Swinton, Luchie; Weber, Valentine; Mayer, Matthew; Verrilli, Sue; DeVeber, Gabrielle; Andersen, John; Barlow, Karen; Cassidy, Caitlin; Dilenge, Marie-Emmanuelle; Fehlings, Darcy; Hung, Ryan; Iruthayarajah, Jerome; Lenz, Laura; Majnemer, Annette; Purtzki, Jacqueline; Rafay, Mubeen; Sonnenberg, Lyn K; Townley, Ashleigh; Janzen, Shannon; Foley, Norine; Teasell, Robert

    2016-06-01

    Stroke rehabilitation is a progressive, dynamic, goal-orientated process aimed at enabling a person with impairment to reach their optimal physical, cognitive, emotional, communicative, social and/or functional activity level. After a stroke, patients often continue to require rehabilitation for persistent deficits related to spasticity, upper and lower extremity dysfunction, shoulder and central pain, mobility/gait, dysphagia, vision, and communication. Each year in Canada 62,000 people experience a stroke. Among stroke survivors, over 6500 individuals access in-patient stroke rehabilitation and stay a median of 30 days (inter-quartile range 19 to 45 days). The 2015 update of the Canadian Stroke Best Practice Recommendations: Stroke Rehabilitation Practice Guidelines is a comprehensive summary of current evidence-based recommendations for all members of multidisciplinary teams working in a range of settings, who provide care to patients following stroke. These recommendations have been developed to address both the organization of stroke rehabilitation within a system of care (i.e., Initial Rehabilitation Assessment; Stroke Rehabilitation Units; Stroke Rehabilitation Teams; Delivery; Outpatient and Community-Based Rehabilitation), and specific interventions and management in stroke recovery and direct clinical care (i.e., Upper Extremity Dysfunction; Lower Extremity Dysfunction; Dysphagia and Malnutrition; Visual-Perceptual Deficits; Central Pain; Communication; Life Roles). In addition, stroke happens at any age, and therefore a new section has been added to the 2015 update to highlight components of stroke rehabilitation for children who have experienced a stroke, either prenatally, as a newborn, or during childhood. All recommendations have been assigned a level of evidence which reflects the strength and quality of current research evidence available to support the recommendation. The updated Rehabilitation Clinical Practice Guidelines feature several

  10. Antiplatelet Therapy in TAVI: Current Clinical Practice and Recommendations.

    PubMed

    Magkoutis, Nikolaos A; Fradi, Sabi; Azmoun, Alexandre; Ramadan, Ramsi; Ben Ouanes, Sami; Vavuranakis, Manolis; Vrachatis, Dimitrios A; Papaioannou, Theodore G; Tousoulis, Dimitrios; Ghostine, Saïd

    2016-01-01

    Transcatheter aortic valve implantation (TAVI) is all the more used therapeutic option for patients suffering from symptomatic severe aortic valvular stenosis declined by surgeons because of high surgical risk. Given the high bleeding and ischemic risk of this vulnerable population, their antithrombotic treatment becomes a crucial issue. There is no consensus on antithrombotic treatment after TAVI and dual antiplatelet therapy (DAPT) with aspirin (indefinitely) and clopidogrel (1-6 months) is, in general, recommended. With regards to patients with an indication for oral anticoagulation (OAC), a combination of OAC plus aspirin or clopidogrel is commonly suggested. This review underscores that it is extremely difficult to compare different antithrombotic regimens in patients undergoing TAVI because of their variable demographic characteristics. Nevertheless, available data suggest that DAPT results to more bleeding events. Still, whether it positively affects ischemic episodes is doubtful. Ongoing trials are expected to draw a clearer picture on the field. PMID:26898915

  11. High-flow nasal cannula: Mechanisms, evidence and recommendations.

    PubMed

    Manley, Brett J; Owen, Louise S

    2016-06-01

    The use of high-flow nasal cannula (HF) therapy as respiratory support for preterm infants is rapidly increasing, due to its perceived ease of use and other potential benefits over the standard 'non-invasive' respiratory support, continuous positive airway pressure (CPAP). The evidence from randomized trials suggests that HF is an alternative to CPAP for post-extubation support of preterm infants. Limited data are available from randomized trials comparing HF with CPAP as primary support, and few trials have included extremely preterm infants. This review discusses the proposed mechanisms of action of HF, the evidence from clinical trials of HF use in preterm infants, and proposes recommendations for evidence-based practice. PMID:26869581

  12. Radiotherapy for Management of Extremity Soft Tissue Sarcomas: Why, When, and Where?

    SciTech Connect

    Haas, Rick L.M.; DeLaney, Thomas F.; O'Sullivan, Brian; Keus, Ronald B.; Le Pechoux, Cecile; Olmi, Patricia; Poulsen, Jan-Peter; Seddon, Beatrice; Wang, Dian

    2012-11-01

    This critical review will focus on published data on the indications for radiotherapy in patients with extremity soft tissue sarcomas and its role in local control, survival, and treatment complications. The differences between pre- and postoperative radiotherapy will be discussed and consensus recommendations on target volume delineation proposed.

  13. Extreme ultraviolet spectral irradiance measurements since 1946

    NASA Astrophysics Data System (ADS)

    Schmidtke, G.

    2015-03-01

    In the physics of the upper atmosphere the solar extreme ultraviolet (EUV) radiation plays a dominant role controlling most of the thermospheric/ionospheric (T/I) processes. Since this part of the solar spectrum is absorbed in the thermosphere, platforms to measure the EUV fluxes became only available with the development of rockets reaching altitude levels exceeding 80 km. With the availability of V2 rockets used in space research, recording of EUV spectra started in 1946 using photographic films. The development of pointing devices to accurately orient the spectrographs toward the sun initiated intense activities in solar-terrestrial research. The application of photoelectric recording technology enabled the scientists placing EUV spectrometers aboard satellites observing qualitatively strong variability of the solar EUV irradiance on short-, medium-, and long-term scales. However, as more measurements were performed more radiometric EUV data diverged due to the inherent degradation of the EUV instruments with time. Also, continuous recording of the EUV energy input to the T/I system was not achieved. It is only at the end of the last century that there was progress made in solving the serious problem of degradation enabling to monitore solar EUV fluxes with sufficient radiometric accuracy. The data sets available allow composing the data available to the first set of EUV data covering a period of 11 years for the first time. Based on the sophisticated instrumentation verified in space, future EUV measurements of the solar spectral irradiance (SSI) are promising accuracy levels of about 5% and less. With added low-cost equipment, real-time measurements will allow providing data needed in ionospheric modeling, e.g., for correcting propagation delays of navigation signals from space to earth. Adding EUV airglow and auroral emission monitoring by airglow cameras, the impact of space weather on the terrestrial T/I system can be studied with a spectral terrestrial

  14. Knowledge Data Base of extreme weather events in Europe

    NASA Astrophysics Data System (ADS)

    Friedrich, K.

    2012-04-01

    The knowledge data base is a collection of extreme weather events within the region of RA VI of WMO (Europe and Middle East) for the last 50 years. The focal point of the data base is the impact of weather extremes and damage. The input comes from different data collections as the International Disaster Database (EM-DAT), the Dartmouth Flood Observatory (DFO), the archive of extreme weather events of Karlsruhe Institute of Technology (KIT) and GLIDE Number Database. Different raster datasets were used to define the geographical extent of those events. The combination of information as disaster type, geometry, duration, damage, causes, measured extremes and anomalies with geographical information gives the possibility to visualize those events in GIS and to use a spatial search algorithm to detect events in a certain region. This database will be applied in a Climate Watch System, which has been suggested by the WMO. Climate Watch Systems are early warning systems, which use climate monitoring data and results from long-range forecasts to detect critical weather periods such as heatwave, coldwave, flood, drought, wildfire and others. If the monitoring gives an indication of outstanding weather events and the long-range forecast shows continuation of those events, the knowledge data base can provide information about impact of similar events, hazards and damage in the affected region. The knowledge data base was developed in the WMO RA VI Pilot Regional Climate Centre on Climate Monitoring (RCC-CM). RCCs are Centres of Excellence that assist National Hydrological and Meteorological Services (NHMS) in a given region to deliver better climate services and products including regional long-range forecasts, and to strengthen their capacity to meet national climate information needs. Access to visualization of the data base for NMHS will be provided by connection to the Web Mapping Service of a geo server.

  15. Water monitor system: Phase 1 test report

    NASA Technical Reports Server (NTRS)

    Taylor, R. E.; Jeffers, E. L.

    1976-01-01

    Automatic water monitor system was tested with the objectives of assuring high-quality effluent standards and accelerating the practice of reclamation and reuse of water. The NASA water monitor system is described. Various components of the system, including the necessary sensors, the sample collection system, and the data acquisition and display system, are discussed. The test facility and the analysis methods are described. Test results are reviewed, and recommendations for water monitor system design improvement are presented.

  16. Multi-Canister overpack pressurization monitoring and control methodology for the spent nuclear fuel project

    SciTech Connect

    Pajunen, A.L., Westinghouse Hanford

    1996-07-19

    A control methodology is developed and monitoring alternatives evaluated for controlling pressurization in a Multi- Canister Overpack for the Hanford Spent Nuclear Fuel Project. Monitoring alternative evaluations include concept description, identification of uncertainties, and identification of experimental work required for implementation. A monitoring alternative is recommended and implementation requirements, risks and start up testing associated with the recommendation are discussed.

  17. Monitoring: The missing piece

    SciTech Connect

    Bjorkland, Ronald

    2013-11-15

    The U.S. National Environmental Policy Act (NEPA) of 1969 heralded in an era of more robust attention to environmental impacts resulting from larger scale federal projects. The number of other countries that have adopted NEPA's framework is evidence of the appeal of this type of environmental legislation. Mandates to review environmental impacts, identify alternatives, and provide mitigation plans before commencement of the project are at the heart of NEPA. Such project reviews have resulted in the development of a vast number of reports and large volumes of project-specific data that potentially can be used to better understand the components and processes of the natural environment and provide guidance for improved and efficient environmental protection. However, the environmental assessment (EA) or the more robust and intensive environmental impact statement (EIS) that are required for most major projects more frequently than not are developed to satisfy the procedural aspects of the NEPA legislation while they fail to provide the needed guidance for improved decision-making. While NEPA legislation recommends monitoring of project activities, this activity is not mandated, and in those situations where it has been incorporated, the monitoring showed that the EIS was inaccurate in direction and/or magnitude of the impact. Many reviews of NEPA have suggested that monitoring all project phases, from the design through the decommissioning, should be incorporated. Information gathered though a well-developed monitoring program can be managed in databases and benefit not only the specific project but would provide guidance how to better design and implement future activities designed to protect and enhance the natural environment. -- Highlights: • NEPA statutes created profound environmental protection legislative framework. • Contrary to intent, NEPA does not provide for definitive project monitoring. • Robust project monitoring is essential for enhanced

  18. Recommendations for the nutrition management of phenylalanine hydroxylase deficiency

    PubMed Central

    Singh, Rani H.; Rohr, Fran; Frazier, Dianne; Cunningham, Amy; Mofidi, Shideh; Ogata, Beth; Splett, Patricia L.; Moseley, Kathryn; Huntington, Kathleen; Acosta, Phyllis B.; Vockley, Jerry; Van Calcar, Sandra C.

    2014-01-01

    The effectiveness of a phenylalanine-restricted diet to improve the outcome of individuals with phenylalanine hydroxylase deficiency (OMIM no. 261600) has been recognized since the first patients were treated 60 years ago. However, the treatment regime is complex, costly, and often difficult to maintain for the long term. Improvements and refinements in the diet for phenylalanine hydroxylase deficiency have been made over the years, and adjunctive therapies have proven to be successful for certain patients. Yet evidence-based guidelines for managing phenylalanine hydroxylase deficiency, optimizing outcomes, and addressing all available therapies are lacking. Thus, recommendations for nutrition management were developed using evidence from peer-reviewed publications, gray literature, and consensus surveys. The areas investigated included choice of appropriate medical foods, integration of adjunctive therapies, treatment during pregnancy, monitoring of nutritional and clinical markers, prevention of nutrient deficiencies, providing of access to care, and compliance strategies. This process has not only provided assessment and refinement of current nutrition management and monitoring recommendations but also charted a direction for future studies. This document serves as a companion to the concurrently published American College of Medical Genetics and Genomics guideline for the medical treatment of phenylalanine hydroxylase deficiency. Genet Med 16 2, 121–131. PMID:24385075

  19. Recommendations for the nutrition management of phenylalanine hydroxylase deficiency.

    PubMed

    Singh, Rani H; Rohr, Fran; Frazier, Dianne; Cunningham, Amy; Mofidi, Shideh; Ogata, Beth; Splett, Patricia L; Moseley, Kathryn; Huntington, Kathleen; Acosta, Phyllis B; Vockley, Jerry; Van Calcar, Sandra C

    2014-02-01

    The effectiveness of a phenylalanine-restricted diet to improve the outcome of individuals with phenylalanine hydroxylase deficiency (OMIM no. 261600) has been recognized since the first patients were treated 60 years ago. However, the treatment regime is complex, costly, and often difficult to maintain for the long term. Improvements and refinements in the diet for phenylalanine hydroxylase deficiency have been made over the years, and adjunctive therapies have proven to be successful for certain patients. Yet evidence-based guidelines for managing phenylalanine hydroxylase deficiency, optimizing outcomes, and addressing all available therapies are lacking. Thus, recommendations for nutrition management were developed using evidence from peer-reviewed publications, gray literature, and consensus surveys. The areas investigated included choice of appropriate medical foods, integration of adjunctive therapies, treatment during pregnancy, monitoring of nutritional and clinical markers, prevention of nutrient deficiencies, providing of access to care, and compliance strategies. This process has not only provided assessment and refinement of current nutrition management and monitoring recommendations but also charted a direction for future studies. This document serves as a companion to the concurrently published American College of Medical Genetics and Genomics guideline for the medical treatment of phenylalanine hydroxylase deficiency. PMID:24385075

  20. EURRECA-Principles and future for deriving micronutrient recommendations.

    PubMed

    Claessens, Mandy; Contor, Laura; Dhonukshe-Rutten, Rosalie; De Groot, Lisette C P G M; Fairweather-Tait, Susan J; Gurinovic, Mirjana; Koletzko, Berthold; Van Ommen, Ben; Raats, Monique M; Van't Veer, Pieter

    2013-01-01

    The EURopean micronutrient RECommendations Aligned (EURRECA) Network of Excellence (NoE) explored an approach for setting micronutrient recommendations, which would address the variation in recommendations across Europe. Therefore, a framework for deriving and using micronutrient Dietary Reference Values (DRVs) has been developed. This framework comprises four stages (defining the problem-monitoring and evaluating-deriving dietary reference values-using dietary reference values in policy making). The aim of the present paper is to use this framework to identify specific research gaps and needs related to (1) knowledge available on specific micronutrients (folate, iodine, iron, selenium, vitamin B12, vitamin D, and zinc) and (2) the methodology presented in the framework. Furthermore, the paper describes the different outputs that support the process like protocols, guidelines, systematic review databases, and peer-reviewed publications, as well as the principal routes of dissemination of these outputs to ensure their optimal uptake in policy, practice, and research collaborations. The importance of ensuring transparency in risk assessment and risk management, systematic searching the literature, and taking into account policy options is highlighted. [Supplementary materials are available for this article. Go to the publisher's online edition of Critical Reviews in Food Science and Nutrition for the following free supplemental files: Additional tables.]. PMID:23952093

  1. Towards Privacy Compliant and Anytime Recommender Systems

    NASA Astrophysics Data System (ADS)

    Brun, Armelle; Boyer, Anne

    Recommendation technologies have traditionally been used in domains such as E-commerce and Web navigation to recommend resources to customers so as to help them to get the pertinent resources. Among the possible approaches is collaborative filtering that does not take into account the content of the resources: only the traces of usage of the resources are considered. State of the art models, such as sequential association-rules and Markov models, that can be used in the frame of privacy concerns, are usually studied in terms of performance, state space complexity and time complexity. Many of them have a large time complexity and require a long time to compute recommendations. However, there are domains of application of the models where recommendations may be required quickly. This paper focuses on the study of how these state of the art models can be adapted so as to be anytime. In that case recommendations can be proposed to the user whatever is the computation time available, the quality of the recommendations increases according to the computation time. We show that such models can be adapted so as to be anytime and we propose several strategies to compute recommendations iteratively. We also show that the computation time needed by these new models is not increased compared to classical ones; even so, it sometimes decreases.

  2. Environmental aspects of hydraulic fracturing - Main results and recommendations from two studies on behalf of the German Environment Agency

    NASA Astrophysics Data System (ADS)

    Krischbaum, Bernd; Bertram, Andreas; Böttcher, Christian; Iyimen-Schwarz, Züleyha; Rechenberg, Jörg; Dannwolf, Uwe; Meiners, Georg

    2016-04-01

    The German Environment Agency (UBA) accompanies the debate on fracking for years. Two major reports on risks and environmental impacts regarding the exploration and exploitation of unconventional natural gas, in particular shale gas have been published. On the basis of these studies as well as on scientific evidence UBA considers ecological barriers as a sustainable means to minimize the risks to environment and human health. 1) Recent studies show that the contamination of shallow aquifers by rise of fluids through natural faults or artificially created fractures is extremely unlikely. However, activities on the surface and lack of wellbore integrity pose threats and substantial risks for the quality of shallow aquifers. 2) The need for thorough groundwater monitoring is fully accepted, yet its range and design is subject to discussion. 3) Formerly, analysis and mass balances of flowback and produced water have been insufficient, thus there is a lack of exact information on proportions of frac-fluids, flowback and formation water respectively, as well as data on possible reaction products. 4) Currently, neither on national nor on European level best reference techniques (BREF) for the treatment and disposal of flowback and produced water are available. 5) In addition, land consumption, emission of greenhouse gases, and induced seismicity are major issues. UBA recommends amongst others the implementation of an environmental impact assessment (EIA) for fracking activities, the prohibition of fracking in water protection areas as well as their catchments, and the disclosure of all frac-fluid chemicals within a national chemical registry. To achieve these objectives the German Environment Agency suggests a step-by-step approach. The paper will present the main results from the studies and the recommendations of the German Environment Agency regarding hydraulic fracturing for unconventional gas exploitation.

  3. Gravity and Extreme Magnetism SMEX

    NASA Technical Reports Server (NTRS)

    2012-01-01

    The Gravity and Extreme Magnetism SMEX mission will be the first mission to catalogue the X-ray polarisation of many astrophysical objects including black-holes and pulsars. This first of its kind mission is enabled by the novel use of a time projection chamber as an X-ray polarimeter. The detector has been developed over the last 5 years, with the current effort charged toward a demonstration of it's technical readiness to be at level 6 prior to the preliminary design review. This talk will describe the design GEMS polarimeter and the results to date from the engineering test unit.

  4. Materials Response under extreme conditions

    SciTech Connect

    Remington, B A; Lorenz, K T; Pollaine, S; McNaney, J M

    2005-10-06

    Solid state experiments at extreme pressures, 10-100 GPa (0.1-1 Mbar) and strain rates (10{sup 6}-10{sup 8} s{sup -1}) are being developed on high-energy laser facilities. The goal is an experimental capability to test constitutive models for high-pressure, solid-state strength for a variety of materials. Relevant constitutive models are discussed, and our progress in developing a quasi-isentropic, ramped-pressure, shockless drive is given. Designs to test the constitutive models with experiments measuring perturbation growth due to the Rayleigh-Taylor instability in solid-state samples are presented.

  5. Communication path for extreme environments

    NASA Technical Reports Server (NTRS)

    Jorgensen, Charles C. (Inventor); Betts, Bradley J. (Inventor)

    2010-01-01

    Methods and systems for using one or more radio frequency identification devices (RFIDs), or other suitable signal transmitters and/or receivers, to provide a sensor information communication path, to provide location and/or spatial orientation information for an emergency service worker (ESW), to provide an ESW escape route, to indicate a direction from an ESW to an ES appliance, to provide updated information on a region or structure that presents an extreme environment (fire, hazardous fluid leak, underwater, nuclear, etc.) in which an ESW works, and to provide accumulated thermal load or thermal breakdown information on one or more locations in the region.

  6. Extreme Events: The Indian Experience

    NASA Astrophysics Data System (ADS)

    Murty, K. S.

    2008-05-01

    The geographical situation of India is such that it experiences varied types of climate in different parts of the country and invariably the natural events, extreme and normal, would affect such areas that are prone to them. Cyclones hit the eastern coast, while floods affect mostly northern India, while earthquakes hit any part of the country, particuarly when itbecame evident after the 1967 earthquake of Koyna that the peninsular part toois prone to seismic events. The National Commission on Floods estimated that nearly 40 millionn hectares of land is prone to flooding, which could rise to60 million soon. The cropped area thus affected annually is about 10 millionhectares. On an average 1500 lives are lost during floods annually, while the damage to property could run into billions of dollars. The total loss on account of floods damage to crops is estimated at about Rs 53,000 crores(crore= 100 lakhs), during the period 1953-1998. The other extreme natural event is drought which affects large parts of the country, except the northeast. Both floods and droughts can hit different parts of the country during the same period. The 2001 earthquake that hit Gujarat is perhaps the severest and studies on that event are still in progress. The 2004 tsunami which hit large parts of southeast Asia did not spare India. Its southern coast was battered and many lives were lost. In fact some geogrphic landmarks were lost, while some of the cities have suffered a shift in their position. It was estimated that about 1.2 billion dollars were required ro meet the rehabilitation and relief measures. The seismic zone map of India thus had to be revised more often than before. Apart from these, extreme rainfall has also caused floods in urban areas as in Mumbai in 2005, but this was mostly because of lack of proper drainage system and the existing system proved ineffective. Human hand in such cases is evident. There are systems working to forecast floods, cyclones, and droughts, though

  7. Tritium monitoring techniques

    SciTech Connect

    DeVore, J.R.; Buckner, M.A.

    1996-05-01

    As part of their operations, the U.S. Navy is required to store or maintain operational nuclear weapons on ships and at shore facilities. Since these weapons contain tritium, there are safety implications relevant to the exposure of personnel to tritium. This is particularly important for shipboard operations since these types of environments can make low-level tritium detection difficult. Some of these ships have closed systems, which can result in exposure to tritium at levels that are below normally acceptable levels but could still cause radiation doses that are higher than necessary or could hamper ship operations. This report describes the state of the art in commercial tritium detection and monitoring and recommends approaches for low-level tritium monitoring in these environments.

  8. Mobile Recommendation Based on Link Community Detection

    PubMed Central

    Zhang, Jianpei; Yang, Jing

    2014-01-01

    Since traditional mobile recommendation systems have difficulty in acquiring complete and accurate user information in mobile networks, the accuracy of recommendation is not high. In order to solve this problem, this paper proposes a novel mobile recommendation algorithm based on link community detection (MRLD). MRLD executes link label diffusion algorithm and maximal extended modularity (EQ) of greedy search to obtain the link community structure, and overlapping nodes belonging analysis (ONBA) is adopted to adjust the overlapping nodes in order to get the more accurate community structure. MRLD is tested on both synthetic and real-world networks, and the experimental results show that our approach is valid and feasible. PMID:25243204

  9. Leveraging Position Bias to Improve Peer Recommendation

    PubMed Central

    Lerman, Kristina; Hogg, Tad

    2014-01-01

    With the advent of social media and peer production, the amount of new online content has grown dramatically. To identify interesting items in the vast stream of new content, providers must rely on peer recommendation to aggregate opinions of their many users. Due to human cognitive biases, the presentation order strongly affects how people allocate attention to the available content. Moreover, we can manipulate attention through the presentation order of items to change the way peer recommendation works. We experimentally evaluate this effect using Amazon Mechanical Turk. We find that different policies for ordering content can steer user attention so as to improve the outcomes of peer recommendation. PMID:24919071

  10. Treatment recommendations in Primary Ciliary Dyskinesia.

    PubMed

    Polineni, Deepika; Davis, Stephanie D; Dell, Sharon D

    2016-03-01

    Primary Ciliary Dyskinesia (PCD) is a rare heterogenic disorder leading to significant respiratory morbidity. Health-care providers who treat PCD must familiarize themselves with recommended treatment strategies. However, most of the treatments recommended in PCD have been extrapolated from cystic fibrosis (CF) and non-CF bronchiectasis literature. Mainstays of therapy are reviewed in detail, and should include at a minimum: regular airway clearance, routine microbiological surveillance, antibiotic treatment for pulmonary exacerbation, and health vaccinations. This review summarizes both medical and surgical pulmonary treatment considerations, as well as recommendations for the integration of non-pulmonary subspecialty care in the management of PCD. PMID:26586601

  11. Training Research: Practical Recommendations for Maximum Impact

    PubMed Central

    Beidas, Rinad S.; Koerner, Kelly; Weingardt, Kenneth R.; Kendall, Philip C.

    2011-01-01

    This review offers practical recommendations regarding research on training in evidence-based practices for mental health and substance abuse treatment. When designing training research, we recommend: (a) aligning with the larger dissemination and implementation literature to consider contextual variables and clearly defining terminology, (b) critically examining the implicit assumptions underlying the stage model of psychotherapy development, (c) incorporating research methods from other disciplines that embrace the principles of formative evaluation and iterative review, and (d) thinking about how technology can be used to take training to scale throughout all stages of a training research project. An example demonstrates the implementation of these recommendations. PMID:21380792

  12. The NSABB recommendations: rationale, impact, and implications.

    PubMed

    Keim, Paul S

    2012-01-01

    The National Science Advisory Board for Biosecurity (NSABB) has recommended that two scientific papers concerning the laboratory adaptation of avian H5N1 influenza virus to mammal-to-mammal respiratory transmission restrict their content to prevent others from replicating their work. After hearing from experts in the field of influenza research and public health, the benefits of the research were deemed less important than the potential negative consequences. The evaluation followed established NSABB procedures and prior policy recommendations for identifying dual use research of concern (DURC). This recommendation was received by the United States Government, endorsed and forwarded to the research teams and scientific journals involved with the publications. PMID:22294677

  13. Will extreme climatic events facilitate biological invasions?

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Extreme climatic events, such as intense heat waves, hurricanes, floods and droughts, can dramatically affect ecological and evolutionary processes, and more extreme events are projected with ongoing climate change. However, the implications of these events for biological invasions, which themselves...

  14. Bolt Stress Monitor

    NASA Technical Reports Server (NTRS)

    1978-01-01

    In photo, an engineer is using a new Ultrasonic Bolt Stress Monitor developed by NASA's Langley Research Center to determine whether a bolt is properly tightened. A highly accurate device, the monitor is an important tool in construction of such structures as pressure vessels, bridges and power plants, wherein precise measurement of the stress on a tightened bolt is critical. Overtightened or undertightened bolts can fail and cause serious industrial accidents or costly equipment break-downs. There are a number of methods for measuring bolt stress. Most widely used and least costly is the torque wrench, which is inherently inaccurate; it does not take into account the friction between nut and bolt, which has an influence on stress. At the other end of the spectrum, there are accurate stress-measuring systems, but they are expensive and not portable. The battery-powered Langley monitor fills a need; it is inexpensive, lightweight, portable and extremely accurate because it is not subject to friction error. Sound waves are transmitted to the bolt and a return signal is received. As the bolt is tightened, it undergoes changes in resonance due to stress, in the manner that a violin string changes tone when it is tightened. The monitor measures the changes in resonance and provides a reading of real stress on the bolt. The device, patented by NASA, has aroused wide interest and a number of firms have applied for licenses to produce it for the commercial market.

  15. Bladder Monitor

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Diagnostic Ultrasound Corporation's Bladder Scan Monitor continuously records and monitors bladder fullness and alerts the wearer or caretaker when voiding is required. The sensor is held against the lower abdomen by a belt and connected to the monitor by a cable. The sensor obtains bladder volume data from sound waves reflecting off the bladder wall. The device was developed by Langley Research Center, the Ames Research Center and the NASA Technology Applications Team. It utilizes Langley's advanced ultrasound technology. It is licensed to the ARC for medical applications, and sublicensed to Diagnostics Ultrasound. Central monitoring systems are planned for the future.

  16. Monitoring Instruments

    ERIC Educational Resources Information Center

    Environmental Science and Technology (Environmental Control Issue), 1977

    1977-01-01

    This section contains a listing of the manufacturers of environmental monitoring instruments. The manufacturers are listed alphabetically under product headings. Addresses are included in a different section. (MA)

  17. Recommendations for Third Molar Removal: A Practice-Based Cohort Study

    PubMed Central

    Rothen, Marilynn; Spiekerman, Charles; Drangsholt, Mark; McClellan, Lyle; Huang, Greg J.

    2014-01-01

    Objectives. We investigated general dentists’ reasons for recommending removal or retention of third molars and whether patients adhered to dentists’ recommendations. Methods. In a 2-year prospective cohort study (2009–2011) in the Pacific Northwest, we followed 801 patients aged 16 to 22 years from 50 general dental practices. Generalized estimating equations logistic regressions related patient and dentist characteristics to dentists' recommendations to remove third molars and to patient adherence. Results. General dentists recommended removal of 1683 third molars from 469 (59%) participants, mainly to prevent future problems (79%) or because a third molar had an unfavorable orientation or was unlikely to erupt (57%). Dentists recommended retention and monitoring of 1244 third molars from 366 (46%) participants, because it was too early to decide (73%), eruption path was favorable (39%), or space for eruption was sufficient (26%). When dentists recommended removal, 55% of participants adhered to this recommendation during follow-up, and the main reason was availability of insurance (88%). Conclusions. General dentists frequently recommended removal of third molars for reasons not related to symptoms or pathology, but rather to prevent future problems. PMID:24524519

  18. Absolute dosimetry for extreme-ultraviolet lithography

    NASA Astrophysics Data System (ADS)

    Berger, Kurt W.; Campiotti, Richard H.

    2000-06-01

    The accurate measurement of an exposure dose reaching the wafer on an extreme ultraviolet (EUV) lithographic system has been a technical challenge directly applicable to the evaluation of candidate EUV resist materials and calculating lithography system throughputs. We have developed a dose monitoring sensor system that can directly measure EUV intensities at the wafer plane of a prototype EUV lithographic system. This sensor system, located on the wafer stage adjacent to the electrostatic chuck used to grip wafers, operates by translating the sensor into the aerial image, typically illuminating an 'open' (unpatterned) area on the reticle. The absolute signal strength can be related to energy density at the wafer, and thus used to determine resist sensitivity, and the signal as a function of position can be used to determine illumination uniformity at the wafer plane. Spectral filtering to enhance the detection of 13.4 nm radiation was incorporated into the sensor. Other critical design parameters include the packaging and amplification technologies required to place this device into the space and vacuum constraints of a EUV lithography environment. We describe two approaches used to determine the absolute calibration of this sensor. The first conventional approach requires separate characterization of each element of the sensor. A second novel approach uses x-ray emission from a mildly radioactive iron source to calibrate the absolute response of the entire sensor system (detector and electronics) in a single measurement.

  19. The Extremes of Quasar Variability

    NASA Astrophysics Data System (ADS)

    Stern, Daniel

    2016-04-01

    Variability is one of the key observational properties of quasars, and it can be used as a probe of their fueling, physics, and evolution. A new generation of synoptic sky surveys, in combination with the novel data analytics tools, offers unprecedented data sets for the studies of quasars in the time domain. I will illustrate this with examples from the Catalina Real-Time Transient Survey (CRTS), which has an open and growing archive of 500 million light curves, including 350,000 spectroscopically confirmed quasars, with the time baselines ranging from 10 minutes to 10 years. I will discuss a new approach to discover quasars using a combination of variability and mid-IR colors from WISE, which results in a catalog of over a million quasar candidates. I will then discuss quasars with extreme, anomolous light curves, including quasars that have gone through extreme brightening events over the past decade with concordant large changes in their spectroscopic properties. I will also discuss a small subset of quasars with periodic light curves which we interpret as a signature of close (milliparsec scale) supermassive black hole (SMBH) binaries.

  20. Medical homicide and extreme negligence.

    PubMed

    Duncanson, Emily; Richards, Virginia; Luce, Kasey M; Gill, James R

    2009-03-01

    Deaths that occur during medical care for the treatment of a disease are rarely certified as homicides. Some "medical" deaths, however, have been criminally prosecuted for manslaughter, reckless endangerment, or reckless homicide. We describe 5 deaths due to medical complications that underwent criminal prosecution. Three of the deaths were certified as homicides. Deaths certified as homicides due to the actions (or inactions) of a caregiver occur in 3 circumstances. The first is when the medical caregiver intentionally causes the death of the patient. The second is a death due to treatment by an unlicensed fraud or quack. The final circumstance is due to extreme medical negligence that involves a gross and wanton disregard for the well-being of the patient and is the most controversial in the medical community. The law defines reckless endangerment as the conscious disregard of a known substantial likelihood of injury to the patient. Criminal neglect typically is defined as the failure to provide timely, safe, adequate, and appropriate services, treatment, and/or care to a patient. In instances of extreme medical negligence, a homicide manner of death is appropriate because the fatality is due to the criminal acts (or inactions) of another. It also furthers one of the major goals of the medicolegal death investigation system, which is to safeguard the public health. PMID:19237847

  1. Dome cities for extreme environments

    NASA Technical Reports Server (NTRS)

    Leonard, Raymond S.; Schwartz, Milton

    1992-01-01

    Extreme environments whether they be the frigid nights of the polar regions, the burning sands of the desert, or the harsh environment of space pose interesting challenges to the architect, the engineer, and the constructor in their efforts to create habitats for mankind. In space, the goals are to provide radiation protection while also providing an aesthetic living environment for long duration missions. Because of the need to provide both radiation protection and options for expansion of base facilities, a unique structural system which separates the radiation protection systems from the pressure envelope of the habitats was created. The system uses cable networks in a tensioned structural system, which supports the lunar regolith used for shielding above the facilities. The system is modular, easily expandable, and simple to construct. Additional innovations include the use of rock melting perpetrators for piles and anchoring deadmen, and various sized craters to provide side shielding. The reflective properties of the fabric used in the membrane are utilized to provide diffuse illumination. The use of craters along with the suspended shielding allows the dome to be utilized in fashions similar to those proposed by various designers unaware of the Moon's hostile radiation environment. Additional topics addressed deal with construction techniques for large domes, i.e., on the order of 100's to 1000's of meters, thermal control, the integration of tertiary water treatment schemes with architectural design, human factors, and its implications for the design of habitats for long term use in extreme environments.

  2. Dome cities for extreme environments

    NASA Astrophysics Data System (ADS)

    Leonard, Raymond S.; Schwartz, Milton

    Extreme environments whether they be the frigid nights of the polar regions, the burning sands of the desert, or the harsh environment of space pose interesting challenges to the architect, the engineer, and the constructor in their efforts to create habitats for mankind. In space, the goals are to provide radiation protection while also providing an aesthetic living environment for long duration missions. Because of the need to provide both radiation protection and options for expansion of base facilities, a unique structural system which separates the radiation protection systems from the pressure envelope of the habitats was created. The system uses cable networks in a tensioned structural system, which supports the lunar regolith used for shielding above the facilities. The system is modular, easily expandable, and simple to construct. Additional innovations include the use of rock melting perpetrators for piles and anchoring deadmen, and various sized craters to provide side shielding. The reflective properties of the fabric used in the membrane are utilized to provide diffuse illumination. The use of craters along with the suspended shielding allows the dome to be utilized in fashions similar to those proposed by various designers unaware of the Moon's hostile radiation environment. Additional topics addressed deal with construction techniques for large domes, i.e., on the order of 100's to 1000's of meters, thermal control, the integration of tertiary water treatment schemes with architectural design, human factors, and its implications for the design of habitats for long term use in extreme environments.

  3. Extreme Low Aspect Ratio Stellarators

    NASA Astrophysics Data System (ADS)

    Moroz, Paul

    1997-11-01

    Recently proposed Spherical Stellarator (SS) concept [1] includes the devices with stellarator features and low aspect ratio, A <= 3.5, which is very unusual for stellarators (typical stellarators have A ≈ 7-10 or above). Strong bootstrap current and high-β equilibria are two distinguished elements of the SS concept leading to compact, steady-state, and efficient fusion reactor. Different coil configurations advantageous for the SS have been identified and analyzed [1-6]. In this report, we will present results on novel stellarator configurations which are unusual even for the SS approach. These are the extreme-low-aspect-ratio-stellarators (ELARS), with the aspect ratio A ≈ 1. We succeeded in finding ELARS configurations with extremely compact, modular, and simple design compatible with significant rotational transform (ι ≈ 0.1 - 0.15), large plasma volume, and good particle transport characteristics. [1] P.E. Moroz, Phys. Rev. Lett. 77, 651 (1996); [2] P.E. Moroz, Phys. Plasmas 3, 3055 (1996); [3] P.E. Moroz, D.B. Batchelor et al., Fusion Tech. 30, 1347 (1996); [4] P.E. Moroz, Stellarator News 48, 2 (1996); [5] P.E. Moroz, Plasma Phys. Reports 23, 502 (1997); [6] P.E. Moroz, Nucl. Fusion 37, No. 8 (1997). *Supported by DOE Grant No. DE-FG02-97ER54395.

  4. Min and Max Extreme Interval Values

    ERIC Educational Resources Information Center

    Jance, Marsha L.; Thomopoulos, Nick T.

    2011-01-01

    The paper shows how to find the min and max extreme interval values for the exponential and triangular distributions from the min and max uniform extreme interval values. Tables are provided to show the min and max extreme interval values for the uniform, exponential, and triangular distributions for different probabilities and observation sizes.

  5. Zebra mussel monitoring

    SciTech Connect

    Hennagir, T.

    1994-01-01

    In less than a decade, zebra mussels have become the latest environmental scourge to plague the North American power industry. Infestations in the Great Lakes region have already reached natural disaster proportions. The invasion shows little sign of subsiding; Michigan's inland waters are the next most likely threatened area. In the southern United States, the mussles' migration has extended about 50 miles deeper than experts had originally predicted. By the year 2000, zebra mussel monitoring and control efforts will cost business and industry $5 billion, according to the federal Aquatic Nuisance Prevention and Control Act of 1990. Estimates of more than $1 million to control mussel fouling are projected for the Great Lakes area alone. While small independent hydropower stations are not as susceptible to zebra mussles as coal or nuclear facilities, there is cause for concern. Infestations can quickly foul hydropower plant components, hampering equipment operation and reducing facility efficiency. In extreme cases, leaving the mussels unchecked can result in stoplog gate flow blockage or false water level gauge readings. Advance prevention is often an effective first-line of defense against this troublesome, rapidly spreading and extremely prolific mollusk. Mussel monitoring efforts should begin a year in advance of when zebra mussels are expected to appear in a given location. Hydropower facility components that come into contact or rely exclusively on raw water are at greatest risk, as are other external components such as embayment walls, screens, trashracks and fish ladders.

  6. New Guidelines Recommend Inpatient Rehab After Stroke

    MedlinePlus

    ... nlm.nih.gov/medlineplus/news/fullstory_158656.html New Guidelines Recommend Inpatient Rehab After Stroke American Heart ... skilled nursing facility or nursing home, according to new guidelines by the American Heart Association/American Stroke ...

  7. Recommendations on routine screening pelvic examination

    PubMed Central

    Tonelli, Marcello; Gorber, Sarah Connor; Moore, Ainsley; Thombs, Brett D.

    2016-01-01

    Abstract Objective To review the 2014 American College of Physicians (ACP) guideline on the use of pelvic examinations to screen for cancer (other than cervical), pelvic inflammatory disease, or other benign gynecologic conditions to determine whether the ACP guideline on routine pelvic examinations was consistent with Canadian Task Force on Preventive Health Care (CTFPHC) standards and could be adapted or adopted. Methods The SNAP-IT (Smooth National Adaptation and Presentation of Guidelines to Improve Thrombosis Treatment) method was used to determine whether the ACP guideline was consistent with CTFPHC standards and could be adapted or adopted. Recommendations The CTFPHC recommends not performing a screening pelvic examination to screen for noncervical cancer, pelvic inflammatory disease, or other gynecological conditions in asymptomatic women. This is a strong recommendation with moderate-quality evidence. Conclusion The CTFPHC adopts the recommendation on screening pelvic examination as published by the ACP in 2014. PMID:26975912

  8. Report recommends new 'customer care programme'.

    PubMed

    2014-07-15

    Nurses and other front line health workers in Wales should be sent on customer care training programmes to reduce the number of patient complaints, an independent review has recommended. PMID:25005374

  9. Personalized recommendation based on unbiased consistence

    NASA Astrophysics Data System (ADS)

    Zhu, Xuzhen; Tian, Hui; Zhang, Ping; Hu, Zheng; Zhou, Tao

    2015-08-01

    Recently, in physical dynamics, mass-diffusion-based recommendation algorithms on bipartite network provide an efficient solution by automatically pushing possible relevant items to users according to their past preferences. However, traditional mass-diffusion-based algorithms just focus on unidirectional mass diffusion from objects having been collected to those which should be recommended, resulting in a biased causal similarity estimation and not-so-good performance. In this letter, we argue that in many cases, a user's interests are stable, and thus bidirectional mass diffusion abilities, no matter originated from objects having been collected or from those which should be recommended, should be consistently powerful, showing unbiased consistence. We further propose a consistence-based mass diffusion algorithm via bidirectional diffusion against biased causality, outperforming the state-of-the-art recommendation algorithms in disparate real data sets, including Netflix, MovieLens, Amazon and Rate Your Music.

  10. Travel Recommendations for the Nursing Mother

    MedlinePlus

    ... Physical Activity Overweight & Obesity Healthy Weight Breastfeeding Micronutrient Malnutrition State and Local Programs Travel Recommendations for the ... Physical Activity Overweight & Obesity Healthy Weight Breastfeeding Micronutrient Malnutrition State and Local Programs File Formats Help: How ...

  11. Voltage-clearance recommendations for printed boards

    SciTech Connect

    Jennings, C W; Cave, G; Evans, A; Harrington, D J; Kirchenbaum, J; Martz, R E; Mierendorf, R C; Smith, G A

    1980-01-01

    Present and future trends in printed board designs point to higher circuit densities with narrower lines and closer spacings. Some designers are now laying out boards with 0.13 mm lines and spacings. The reduction of nominal spacing between conductive elements has raised questions concerning the adequacy of present voltage-clearance recommendations. The present recommendations are considered too conservative in that they are weighted with large safety factors, especially for small clearances, and are frequently disregarded by many designers. Published voltage breakdown measurements made on printed boards with comb patterns with their enhanced conductor test lengths show breakdowns occurring at much higher voltages than those specified for the clearances in existing documents. A Task Group was set up to review published breakdown measurements and to make any additional measurements necessary to provide voltage-clearance recommendations. These recommendations are reported.

  12. Nutrition recommendations and the Children's Food and Beverage Advertising Initiative's 2014 approved food and beverage product list.

    PubMed

    Schermbeck, Rebecca M; Powell, Lisa M

    2015-01-01

    We compare the Children's Food and Beverage Advertising Initiative's (CFBAI's) April 2014 list of food and beverage products approved to be advertised on children's television programs with the federal Interagency Working Group's nutrition recommendations for such advertised products. Products were assessed by using the nutrients to limit (saturated fat, trans fat, sugar, and sodium) component of the Interagency Working Group's recommendations. Fifty-three percent of the listed products did not meet the nutrition recommendations and, therefore, were ineligible to be advertised. We recommend continued monitoring of food and beverage products marketed to children. PMID:25906434

  13. A recommender system for prostate cancer websites.

    PubMed

    Witteman, Holly; Chignell, Mark; Krahn, Murray

    2008-01-01

    One of the challenges for people seeking health information online is the difficulty in locating health Websites that are personally relevant, credible and useful. We developed a Web-based recommender system in order to help address this problem in the context of prostate cancer. We are conducting an online randomized controlled trial to evaluate the accuracy of its recommendations and to compare the efficacy of content-based and collaborative filtering. PMID:18999034

  14. Extreme Droughts In Sydney And Melbourne Since The 1850s

    NASA Astrophysics Data System (ADS)

    Dogan, Selim

    2014-05-01

    Sydney and Melbourne are the two highly populated and very well known Australian cities. Population is over 4 million for each. These cities are subject to extreme droughts which affect regional water resources and cause substantial agricultural and economic losses. This study presents a drought analysis of Sydney and Melbourne for the period of 1850s to date by using Effective Drought Index (EDI) and Standardized Precipitation Index (SPI). EDI is a function of precipitation needed for return to normal conditions, the amount of precipitation necessary for recovery from the accumulated deficit since the beginning of a drought. SPI is the most popular and widely used drought index for the last decades. According to the results of EDI analysis; 8 different extreme drought events identified in Sydney, and 5 events in Melbourne since 1850s. The characterization of these extreme drought events were investigated in terms of magnitude, duration, intensity and interarrival time between previous drought event. EDI results were compared with the results of SPI and the similarities and differences were then discussed in more detail. The most severe drought event was identified for the period of July 1979 to February 1981 (lasted 19 months) for Sydney, while the most severe drought took longer in Melbourne for the period of March 2006 to February 2010 (47 months). This study focuses on the benefits of the use of EDI and SPI methods in order to monitor droughts beside presenting the extreme drought case study of Sydney and Melbourne.

  15. Geophysical Hazards and Preventive Disaster Management of Extreme Natural Events

    NASA Astrophysics Data System (ADS)

    Ismail-Zadeh, A.; Takeuchi, K.

    2007-12-01

    Geophysical hazard is potentially damaging natural event and/or phenomenon, which may cause the loss of life or injury, property damage, social and economic disruption, or environmental degradation. Extreme natural hazards are a key manifestation of the complex hierarchical nonlinear Earth system. An understanding, accurate modeling and forecasting of the extreme hazards are most important scientific challenges. Several recent extreme natural events (e.g., 2004 Great Indian Ocean Earthquake and Tsunami and the 2005 violent Katrina hurricane) demonstrated strong coupling between solid Earth and ocean, and ocean and atmosphere. These events resulted in great humanitarian tragedies because of a weak preventive disaster management. The less often natural events occur (and the extreme events are rare by definition), the more often the disaster managers postpone the preparedness to the events. The tendency to reduce the funding for preventive disaster management of natural catastrophes is seldom follows the rules of responsible stewardship for future generations neither in developing countries nor in highly developed economies where it must be considered next to malfeasance. Protecting human life and property against earthquake disasters requires an uninterrupted chain of tasks: from (i) understanding of physics of the events, analysis and monitoring, through (ii) interpretation, modeling, hazard assessment, and prediction, to (iii) public awareness, preparedness, and preventive disaster management.

  16. Development of an extreme wildland fire recovery chronosequence

    NASA Astrophysics Data System (ADS)

    Satterberg, K. L.; Lannom, K. O.; Smith, A. M.; Tinkham, W.; Strand, E. K.; Kolden, C.

    2013-12-01

    In order to predict ecological recovery from extreme wildland fire events under future climate scenarios, datasets are needed to cover the temporal range over which climate effects are observed (i.e. 50-100 years). We explore the utility of developing Extreme Wildland Fire Recovery Chronosequences for the Northern Rockies and the Northern Great Basin. This will be accomplished by evaluating representative forest and rangeland ecosystems in which historically extreme wildland fire events occurred from 1910-2007. The fires selected represent outliers of normal wildland fires, either because of their extreme size, severity, or fire behavior. The fires selected for analysis included fires from 1910, 1934, 1967, 1988, 2000, and 2007. Using a combination of historical regional fire atlas data, World Fire Atlas data, Monitoring Trends in Burn Severity (MTBS) fire perimeter data, and Landsat satellite imagery. Post-fire vegetation indices will be calculated for all fires using archival imagery dating back to 1984. Each fire provides a snapshot in time of post-fire recovery (75-100, 50-75, 17-32, 0-25, 0-12, and 0-5 years post-fire), and will be combined to build a fire recovery chronosequence. Remotely sensed recovery rates for rangeland fires are evaluated by ecological site to assess ecological vulnerability across large landscapes.

  17. The Mexican experience in monitoring and evaluation of public policies addressing social determinants of health.

    PubMed

    Valle, Adolfo Martinez

    2016-01-01

    Monitoring and evaluation (M&E) have gradually become important and regular components of the policy-making process in Mexico since, and even before, the World Health Organization (WHO) Commission on Social Determinants of Health (CSDH) called for interventions and policies aimed at tackling the social determinants of health (SDH). This paper presents two case studies to show how public policies addressing the SDH have been monitored and evaluated in Mexico using reliable, valid, and complete information, which is not regularly available. Prospera, for example, evaluated programs seeking to improve the living conditions of families in extreme poverty in terms of direct effects on health, nutrition, education and income. Monitoring of Prospera's implementation has also helped policy-makers identify windows of opportunity to improve the design and operation of the program. Seguro Popular has monitored the reduction of health inequalities and inequities evaluated the positive effects of providing financial protection to its target population. Useful and sound evidence of the impact of programs such as Progresa and Seguro Popular plus legal mandates, and a regulatory evaluation agency, the National Council for Social Development Policy Evaluation, have been fundamental to institutionalizing M&E in Mexico. The Mexican experience may provide useful lessons for other countries facing the challenge of institutionalizing the M&E of public policy processes to assess the effects of SDH as recommended by the WHO CSDH. PMID:26928215

  18. Standards of Evidence for Behavioral Counseling Recommendations.

    PubMed

    McNellis, Robert J; Ory, Marcia G; Lin, Jennifer S; O'Connor, Elizabeth A

    2015-09-01

    Behavioral counseling interventions to promote healthy behaviors can significantly reduce leading causes of disease and death. Recommendations for delivery of these interventions in primary care have been and continue to be an important part of the U.S. Preventive Services Task Force's portfolio of clinical preventive services recommendations. However, primary and secondary research on the effectiveness of behavioral counseling interventions can be more complex than recommendations for screening or use of preventive medications. The nature of behavior change and interventions to promote it can lead to unique challenges. This paper summarizes and expands upon an extensive discussion held at the U.S. Preventive Services Task Force's Expert Forum on behavioral counseling interventions held in November 2013. The paper describes the foundational challenges for using behavioral outcomes as evidence to support a Task Force recommendation. The paper discusses research design and reporting characteristics needed by behavioral counseling intervention researchers in order for their research to contribute to the evidentiary basis of a Task Force recommendation. Finally, the paper identifies critical issues that need to be considered by the Task Force and other stakeholders to maintain confidence and credibility in the standards of evidence for behavioral counseling recommendations. PMID:26296549

  19. Recommendations for reducing ambiguity in written procedures.

    SciTech Connect

    Matzen, Laura E.

    2009-11-01

    Previous studies in the nuclear weapons complex have shown that ambiguous work instructions (WIs) and operating procedures (OPs) can lead to human error, which is a major cause for concern. This report outlines some of the sources of ambiguity in written English and describes three recommendations for reducing ambiguity in WIs and OPs. The recommendations are based on commonly used research techniques in the fields of linguistics and cognitive psychology. The first recommendation is to gather empirical data that can be used to improve the recommended word lists that are provided to technical writers. The second recommendation is to have a review in which new WIs and OPs and checked for ambiguities and clarity. The third recommendation is to use self-paced reading time studies to identify any remaining ambiguities before the new WIs and OPs are put into use. If these three steps are followed for new WIs and OPs, the likelihood of human errors related to ambiguity could be greatly reduced.

  20. Equal Educational Opportunity in Connecticut. Review and Recommendations for State School Finance Reform.

    ERIC Educational Resources Information Center

    Connecticut State Educational Equity Study Committee, Hartford.

    Formed by the Connecticut legislature to monitor the state's educational aid plan, the Educational Equity Study Committee in this report joins with the state Board of Education in recommending amendments to Connecticut's 1979 school finance reform law, involving changes in the state's Minimum Expenditure Requirement (MER) plan and Guaranteed Tax…