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Sample records for alert interactive verification

  1. Physicians' responses to computerized drug interaction alerts with password overrides.

    PubMed

    Nasuhara, Yasuyuki; Sakushima, Ken; Endoh, Akira; Umeki, Reona; Oki, Hiromitsu; Yamada, Takehiro; Iseki, Ken; Ishikawa, Makoto

    2015-08-28

    Although evidence has suggested that computerized drug-drug interaction alert systems may reduce the occurrence of drug-drug interactions, the numerous reminders and alerts generated by such systems could represent an excessive burden for clinicians, resulting in a high override rate of not only unimportant, but also important alerts. We analyzed physicians' responses to alerts of relative contraindications and contraindications for coadministration in a computerized drug-drug interaction alert system at Hokkaido University Hospital. In this system, the physician must enter a password to override an alert and continue an order. All of the drug-drug interaction alerts generated between December 2011 and November 2012 at Hokkaido University Hospital were included in this study. The system generated a total of 170 alerts of relative contraindications and contraindication for coadministration; 59 (34.7 %) of the corresponding orders were cancelled after the alert was accepted, and 111 (65.3 %) were overridden. The most frequent contraindication alert was for the combination of 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors and fibrates. No incidents involving drug-drug interactions were reported among patients who were prescribed contraindicated drug pairs after an override. Although computerized drug-drug interaction alert systems that require password overrides appear useful for promoting medication safety, having to enter passwords to override alerts may represent an excessive burden for the prescribing physician. Therefore, both patient safety and physicians' workloads should be taken into consideration in future designs of computerized drug-drug interaction alert systems.

  2. Drug Interaction Alert Override Rates in the Meaningful Use Era

    PubMed Central

    Bryant, A.D.; Fletcher, G.S.

    2014-01-01

    Summary Background Interruptive drug interaction alerts may reduce adverse drug events and are required for Stage I Meaningful Use attestation. For the last decade override rates have been very high. Despite their widespread use in commercial EHR systems, previously described interventions to improve alert frequency and acceptance have not been well studied. Objectives (1) To measure override rates of inpatient medication alerts within a commercial clinical decision support system, and assess the impact of local customization efforts. (2) To compare override rates between drug-drug interaction and drug-allergy interaction alerts, between attending and resident physicians, and between public and academic hospitals. (3) To measure the correlation between physicians’ individual alert quantities and override rates as an indicator of potential alert fatigue. Methods We retrospectively analyzed physician responses to drug-drug and drug-allergy interaction alerts, as generated by a common decision support product in a large teaching hospital system. Results (1) Over four days, 461 different physicians entered 18,354 medication orders, resulting in 2,455 visible alerts; 2,280 alerts (93%) were overridden. (2) The drug-drug alert override rate was 95.1%, statistically higher than the rate for drug-allergy alerts (90.9%) (p < 0.001). There was no significant difference in override rates between attendings and residents, or between hospitals. (3) Physicians saw a mean of 1.3 alerts per day, and the number of alerts per physician was not significantly correlated with override rate (R2 = 0.03, p = 0.41). Conclusions Despite intensive efforts to improve a commercial drug interaction alert system and to reduce alerting, override rates remain as high as reported over a decade ago. Alert fatigue does not seem to contribute. The results suggest the need to fundamentally question the premises of drug interaction alert systems. PMID:25298818

  3. Alertness can be improved by an interaction between orienting attention and alerting attention in schizophrenia

    PubMed Central

    2011-01-01

    Background Attention is impaired in schizophrenia. Early attention components include orienting and alerting, as well as executive control networks. Previous studies have shown mainly executive control deficits, while few of them found orienting and alerting abnormalities. Here we explore the different attentive networks, their modulation and interactions in patients with schizophrenia. Methods Twenty-one schizophrenic patients (DSMIV), compared to 21 controls, performed a modified version of the Attention Network Task, in which an orienting paradigm (with valid, invalid and no cues) was combined with a flanker task (congruent/incongruent) and an alerting signal (tone/no tone), to assess orienting, executive control and alerting networks independently. Results Patients showed an abnormal alerting effect and slower overall reaction time compared to controls. Moreover, there was an interaction between orienting and alerting: patients are helped more than controls by the alerting signal in a valid orientation to solve the incongruent condition. Conclusion These results suggest that patients with schizophrenia have altered alerting abilities. However, the orienting and alerting cues interact to improve their attention performance in the resolution of conflict, creating possibilities for cognitive remediation strategies. PMID:21729299

  4. Management of drug-interaction alerts in community pharmacies.

    PubMed

    Indermitte, J; Beutler, M; Bruppacher, R; Meier, C R; Hersberger, K E

    2007-04-01

    Drug-interaction alert systems are commonly used in community pharmacies to identify potential drug-drug interactions. However, depending on the software default setting, pharmacists may override alerts because they are too numerous. We explored the handling of drug-interaction alerts by community pharmacies in Switzerland. Data were collected by 15 trained pharmacy students in 15 Swiss community pharmacies. The medication history and the drug-interaction alerts of 600 patients who had >or=2 drugs on prescription were assessed, and the pharmacists in charge were interviewed about their management of drug-interaction alerts. In the 15 pharmacies studied, the computer systems were programmed to flag only 'severe' drug interactions in four, 'severe or moderate' in six or 'severe, moderate or minor' in five pharmacies. The median frequency of drug-interaction alerts increased with decreasing default severity level from 0.5 to 40, respectively, to 76 per 40 patient visits and pharmacy. Because of these default settings, 277 (35 x 2%) of 787 potential drug-interaction alerts on new or repeated prescriptions were overridden by the computer systems. Only 256 (32 x 5%) of 787 potential drug interactions emerged from new prescriptions. The alert systems produced 656 alerts of which 146 were irrelevant because of multiple alerting of the same interaction or of drug combinations currently no longer taken. Of the 510 remaining relevant drug-interaction alerts, 289 (56 x 7%) were overridden by community pharmacists without any action taken. If the pharmacist took care of a patient's prescription him- or herself (as opposed to just controlling a prescription after a technician took care of the patient), fewer drug-interaction alerts were overridden by the pharmacist [Odds ratio (OR) 0 x 6, 95% confidence interval (CI) 0 x 42-0 x 98; P=0 x 042). Technical overrides (by default settings) and pharmacists' overrides together accounted for 71 x 9% (566 of 787 potential drug

  5. "Stealth" alerts to improve warfarin monitoring when initiating interacting medications.

    PubMed

    Koplan, Kate E; Brush, Alan D; Packer, Marvin S; Zhang, Fang; Senese, Margaret D; Simon, Steven R

    2012-12-01

    As electronic health records (EHRs) become widely adopted, alerts and reminders can improve medication safety, but excessive alerts may irritate or overwhelm clinicians, thereby reducing their effectiveness. We developed a novel "stealth" alert in an EHR to improve anticoagulation monitoring for patients prescribed a medication that could interact with warfarin. Instead of alerting the prescribing provider, the system notified a multidisciplinary anticoagulation management service, so that the prescribing clinicians never saw the alerts. We aimed to determine whether these "stealth" alerts increased the frequency of anticoagulation monitoring following the co-prescription of warfarin and a potentially interacting medication. We conducted a pre-post intervention study, analyzed using an interrupted time-series, within a large, multispecialty group practice that uses a common EHR. The study included a 12-month period preceding the intervention, a 2-month period during intervention implementation, and a 6-month post-intervention period. The primary outcome measure was the proportion of patients completing anticoagulation monitoring within 5 days of a new co-prescribing event. Prior to implementation of the stealth alert, 34 % of patients completed anticoagulation monitoring within 5 days after the prescription of a medication with a potential warfarin interaction. After implementation of the alert, 39 % completed testing within 5 days (odds ratio 1.24, 95 % confidence interval 1.12-1.37). Stealth alerts increased the proportion of patients who underwent anticoagulation monitoring following the prescription of a medication that could potentially interact with warfarin. This team-based approach to clinical-decision support directs alerts away from prescribing clinicians and toward individuals who can directly implement them.

  6. Participatory design for drug-drug interaction alerts.

    PubMed

    Luna, Daniel; Otero, Carlos; Almerares, Alfredo; Stanziola, Enrique; Risk, Marcelo; González Bernaldo de Quirós, Fernán

    2015-01-01

    The utilization of decision support systems, in the point of care, to alert drug-drug interactions has been shown to improve quality of care. Still, the use of these systems has not been as expected, it is believed, because of the difficulties in their knowledge databases; errors in the generation of the alerts and the lack of a suitable design. This study expands on the development of alerts using participatory design techniques based on user centered design process. This work was undertaken in three stages (inquiry, participatory design and usability testing) it showed that the use of these techniques improves satisfaction, effectiveness and efficiency in an alert system for drug-drug interactions, a fact that was evident in specific situations such as the decrease of errors to meet the specified task, the time, the workload optimization and users overall satisfaction in the system.

  7. Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts

    PubMed Central

    Boro, Maureen S; Korman, Nancy E; Davoren, J Ben

    2011-01-01

    Objective To categorize the appropriateness of provider and pharmacist responses to warfarin critical drug–drug interaction (cDDI) alerts, assess responses and actions to the cDDI, and determine the occurrence of warfarin adverse drug events (ADE) after alerts. Design An 18-month, retrospective study of acute care admissions at a single Veterans Affairs medical center using computerized provider order entry (CPOE). Measurements Patients included had at least one warfarin cDDI alert. Chart reviews included baseline laboratory values and demographics, provider actions, patient outcomes, and associated factors, including other interacting medications and number of simultaneously processed alerts. Results 137 admissions were included (133 unique patients). Amiodarone, vitamin E in a multivitamin, sulfamethoxazole, and levothyroxine accounted for 75% of warfarin cDDI. Provider responses were clinically appropriate in 19.7% of admissions and pharmacist responses were appropriate in 9.5% of admissions. There were 50 ADE (36.6% of admissions) with warfarin; 80% were rated as having no or mild clinical effect. An increased number of non-critical alerts at the time of the reference cDDI alert was the only variable associated with an inappropriate provider response (p=0.01). Limitations This study was limited by being a retrospective review and the possibility of confounding variables, such as other interacting medications. Conclusion The large number of CPOE alerts may lead to inappropriate responses by providers and pharmacists. The high rate of ADE suggests a need for improved medication management systems for patients on warfarin. This study highlights the possibility of alert fatigue contributing to the high prevalence of inappropriate alert over-ride text responses. PMID:22037888

  8. Drug interaction alert override rates in the Meaningful Use era: no evidence of progress.

    PubMed

    Bryant, A D; Fletcher, G S; Payne, T H

    2014-01-01

    Interruptive drug interaction alerts may reduce adverse drug events and are required for Stage I Meaningful Use attestation. For the last decade override rates have been very high. Despite their widespread use in commercial EHR systems, previously described interventions to improve alert frequency and acceptance have not been well studied. (1) To measure override rates of inpatient medication alerts within a commercial clinical decision support system, and assess the impact of local customization efforts. (2) To compare override rates between drug-drug interaction and drug-allergy interaction alerts, between attending and resident physicians, and between public and academic hospitals. (3) To measure the correlation between physicians' individual alert quantities and override rates as an indicator of potential alert fatigue. We retrospectively analyzed physician responses to drug-drug and drug-allergy interaction alerts, as generated by a common decision support product in a large teaching hospital system. (1) Over four days, 461 different physicians entered 18,354 medication orders, resulting in 2,455 visible alerts; 2,280 alerts (93%) were overridden. (2) The drug-drug alert override rate was 95.1%, statistically higher than the rate for drug-allergy alerts (90.9%) (p < 0.001). There was no significant difference in override rates between attendings and residents, or between hospitals. (3) Physicians saw a mean of 1.3 alerts per day, and the number of alerts per physician was not significantly correlated with override rate (R2 = 0.03, p = 0.41). Despite intensive efforts to improve a commercial drug interaction alert system and to reduce alerting, override rates remain as high as reported over a decade ago. Alert fatigue does not seem to contribute. The results suggest the need to fundamentally question the premises of drug interaction alert systems.

  9. Quality of drug interaction alerts in prescribing and dispensing software.

    PubMed

    Sweidan, Michelle; Reeve, James F; Brien, Jo-anne E; Jayasuriya, Pradeep; Martin, Jennifer H; Vernon, Graeme M

    2009-03-02

    To investigate the quality of drug interaction decision support in selected prescribing and dispensing software systems, and to compare this information with that found in a range of reference sources. A comparative study, conducted between June 2006 and February 2007, of the support provided for making decisions about 20 major and 20 minor drug interactions in six prescribing and three dispensing software systems used in primary care in Australia. Five electronic reference sources were evaluated for comparison. Sensitivity, specificity and quality of information; for major interactions: whether information on clinical effects, timeframe and pharmacological mechanism was included, whether management advice was helpful, and succinctness. Six of the nine software systems had a sensitivity rate > or = 90%, detecting most of the major interactions. Only 3/9 systems had a specificity rate of > or = 80%, with other systems providing inappropriate or unhelpful alerts for many minor interactions. Only 2/9 systems provided adequate information about clinical effects for more than half the major drug interactions, and 1/9 provided useful management advice for more than half of these. The reference sources had high sensitivity and in general provided more comprehensive clinical information than the software systems. Drug interaction decision support in commonly used prescribing and dispensing software has significant shortcomings.

  10. Development of an Alert System to Detect Drug Interactions with Herbal Supplements using Medical Record Data

    PubMed Central

    Archer, Melissa; Proulx, Joshua; Shane-McWhorter, Laura; Bray, Bruce E.; Zeng-Treitler, Qing

    2014-01-01

    While potential medication-to-medication interaction alerting engines exist in many clinical applications, few systems exist to automatically alert on potential medication to herbal supplement interactions. We have developed a preliminary knowledge base and rules alerting engine that detects 259 potential interactions between 9 supplements, 62 cardiac medications, and 19 drug classes. The rules engine takes into consideration 12 patient risk factors and 30 interaction warning signs to help determine which of three different alert levels to categorize each potential interaction. A formative evaluation was conducted with two clinicians to set initial thresholds for each alert level. Additional work is planned add more supplement interactions, risk factors, and warning signs as well as to continue to set and adjust the inputs and thresholds for each potential interaction. PMID:25954326

  11. A Successful Model and Visual Design for Creating Context-Aware Drug-Drug Interaction Alerts

    PubMed Central

    Duke, Jon D.; Bolchini, Davide

    2011-01-01

    Evaluating the potential harm of a drug-drug interaction (DDI) requires knowledge of a patient’s relevant co-morbidities and risk factors. Current DDI alerts lack such patient-specific contextual data. In this paper, we present an efficient model for integrating pertinent patient data into DDI alerts. This framework is designed to be interoperable across multiple drug knowledge bases and clinical information systems. To evaluate the model, we generated a set of contextual DDI data using our local drug knowledge base then conducted an evaluation study of a prototype contextual alert design. The alert received favorable ratings from study subjects, who agreed it was an improvement over traditional alerts and was likely to support clinical management and save physician time. This framework may ultimately help reduce alert fatigue through the dynamic display of DDI alerts based on patient risk. PMID:22195086

  12. Formal verification of human-automation interaction.

    PubMed

    Degani, Asaf; Heymann, Michael

    2002-01-01

    This paper discusses a formal and rigorous approach to the analysis of operator interaction with machines. It addresses the acute problem of detecting design errors in human-machine interaction and focuses on verifying the correctness of the interaction in complex and automated control systems. The paper describes a systematic methodology for evaluating whether the interface provides the necessary information about the machine to enable the operator to perform a specified task successfully and unambiguously. It also addresses the adequacy of information provided to the user via training material (e.g., user manual) about the machine's behavior. The essentials of the methodology, which can be automated and applied to the verification of large systems, are illustrated by several examples and through a case study of pilot interaction with an autopilot aboard a modern commercial aircraft. The expected application of this methodology is an augmentation and enhancement, by formal verification, of human-automation interfaces.

  13. Formal verification of human-automation interaction

    NASA Technical Reports Server (NTRS)

    Degani, Asaf; Heymann, Michael

    2002-01-01

    This paper discusses a formal and rigorous approach to the analysis of operator interaction with machines. It addresses the acute problem of detecting design errors in human-machine interaction and focuses on verifying the correctness of the interaction in complex and automated control systems. The paper describes a systematic methodology for evaluating whether the interface provides the necessary information about the machine to enable the operator to perform a specified task successfully and unambiguously. It also addresses the adequacy of information provided to the user via training material (e.g., user manual) about the machine's behavior. The essentials of the methodology, which can be automated and applied to the verification of large systems, are illustrated by several examples and through a case study of pilot interaction with an autopilot aboard a modern commercial aircraft. The expected application of this methodology is an augmentation and enhancement, by formal verification, of human-automation interfaces.

  14. High Override Rate for Opioid Drug-allergy Interaction Alerts: Current Trends and Recommendations for Future.

    PubMed

    Topaz, Maxim; Seger, Diane L; Lai, Kenneth; Wickner, Paige G; Goss, Foster; Dhopeshwarkar, Neil; Chang, Frank; Bates, David W; Zhou, Li

    2015-01-01

    This study examined trends in drug-allergy interaction (DAI) alert overrides for opioid medications - the most commonly triggered alerts in the computerized provider order entry (CPOE). We conducted an observational analysis of the DAI opioid alerts triggered over the last decade (2004-2013, n=342,338) in two large academic hospitals in Boston (United States). We found an increasing rate of DAI alert overrides culminating in 89.7% in 2013. Allergic reactions included a high proportion (38.2%) of non-immune mediated opioid reactions (e.g. gastrointestinal upset). The DAI alert override rate was high for immune mediated (88.6%) and life threatening reactions (87.8%). Exact allergy-medication matches were overridden less frequently (about 70%) compared to non-exact matches within allergy groups (over 90%). About one-third of the alert override reasons pointed to irrelevant alerts (i.e."Patient has tolerated the medication before") and 44.9% were unknown. Those findings warrant further investigation into providers' reasons for high override rate. User interfaces should evolve to enable less interruptive and more accurate alerts to decrease alert fatigue.

  15. The role of clinical decision support in pharmacist response to drug-interaction alerts.

    PubMed

    Miller, Luke; Steinmetz Pater, Karen; Corman, Shelby

    2015-01-01

    With over 100,000 different types of drug-drug interactions health care professionals rely heavily on automated drug-interaction alerts. Substantial variance in drug-interaction alerts yields opportunities for the use of clinical decision support (CDS) as a potential benefit to pharmacists. The purpose of this research was to determine whether decision support during dispensing impacts pharmacist response to drug-interaction alerts. A brief survey was administered to pharmacists in the community consisting of three patient cases, each containing three drug-drug interactions of varying severity. For each interaction, pharmacists were asked how they would respond, one group of pharmacists was randomly assigned to receive CDS while the other group did not. There were no significant differences in pharmacist response to alerts between the two groups. The control group did appear to be more likely to consult a drug reference, but this difference was not significant. While this study did not demonstrate a significant difference, drug-interaction alerts are still an area where improvements could be made. Advancements have the potential to reduce risk to patients and limit unnecessary hospital admissions. This study suggests that this level of clinical decision support has limited impact, but may prove beneficial by reducing the need to consult additional references. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Patient needs and preferences for herb-drug-disease interaction alerts: a structured interview study.

    PubMed

    Christensen, Carrie M; Morris, Rebecca S; Kapsandoy, Seraphine Chepkemoi; Archer, Melissa; Kuang, Jinqiu; Shane-McWhorter, Laura; Bray, Bruce E; Zeng-Treitler, Qing

    2017-05-19

    While complementary and alternative medicine (CAM) is commonly used in the United States and elsewhere, and hazardous interactions with prescription drugs can occur, patients do not regularly communicate with physicians about their CAM use. The objective of this study was to discover patient information needs and preferences for herb-drug-disease interaction alerts. We recruited 50 people from several locations within the University of Utah Hospital to participate in this structured interview study. They were asked to provide their preferences for the herb-drug-disease interaction alerts. Qualitative methods were used to reveal the themes that emerged from the interviews. Most participants reported they had previously used, or they were currently using, CAM therapies. The majority had made the effort to inform their healthcare provider(s) about their CAM usage, although some had not. We found that most respondents were interested in receiving alerts and information about potential interactions. Many preferred to receive the alerts in a variety of ways, both in person and electronically. In addition to conventional medicine, many patients regularly use complementary and alternative therapies. And yet, communication between patients and providers about CAM use is not consistent. There is a demand for interventions in health care that provide timely, integrative communication support. Delivering the herb-drug-disease alerts through multiple channels could help meet critical patient information needs.

  17. Impact of Participatory Design for Drug-Drug Interaction Alerts. A Comparison Study Between Two Interfaces.

    PubMed

    Luna, Daniel; Otero, Carlos; Risk, Marcelo; Stanziola, Enrique; González Bernaldo de Quirós, Fernán

    2016-01-01

    Decision support systems for alert drug-drug interactions have been shown as valid strategy to reduce medical error. Even so the use of these systems has not been as expected, probably due to the lack of a suitable design. This study compares two interfaces, one of them developed using participatory design techniques (based on user centered design processes). This work showed that the use of these techniques improves satisfaction, effectiveness and efficiency in an alert system for drug-drug interactions, a fact that was evident in specific situations such as the decrease of errors to meet the specified task, the time, the workload optimization and users overall satisfaction with the system.

  18. Physician Perspectives of CYP2C19 and Clopidogrel Drug-Gene Interaction Active Clinical Decision Support Alerts

    PubMed Central

    Nishimura, Adam A.; Shirts, Brian H.; Salama, Joseph; Smith, Joe W.; Devine, Beth; Tarczy-Hornoch, Peter

    2015-01-01

    Objective To determine if physicians find clinical decision support alerts for pharmacogenomic drug-gene interactions useful and assess their perceptions of usability aspects that impact usefulness. Materials and Methods 52 physicians participated in an online simulation and questionnaire involving a prototype alert for the clopidogrel and CYP2C19 drug-gene interaction. Results Only 4% of participants stated they would override the alert. 92% agreed that the alerts were useful. 87% found the visual interface appropriate, 91% felt the timing of the alert was appropriate and 75% were unfamiliar with the specific drug-gene interaction. 80% of providers preferred the ability to order the recommended medication within the alert. Qualitative responses suggested that supplementary information is important, but should be provided as external links, and that the utility of pharmacogenomic alerts depends on the broader ecosystem of alerts. Principal Conclusions Pharmacogenomic alerts would be welcomed by many physicians, can be built with minimalist design principles, and are appropriately placed at the end of the prescribing process. Since many physicians lack familiarity with pharmacogenomics but have limited time, information and educational resources within the alert should be carefully selected and presented in concise ways. PMID:26642939

  19. Experimental verification, and domain definition, of structural alerts for protein binding: epoxides, lactones, nitroso, nitros, aldehydes and ketones.

    PubMed

    Nelms, M D; Cronin, M T D; Schultz, T W; Enoch, S J

    2013-01-01

    This study outlines how a combination of in chemico and Tetrahymena pyriformis data can be used to define the applicability domain of selected structural alerts within the profilers of the OECD QSAR Toolbox. Thirty-three chemicals were profiled using the OECD and OASIS profilers, enabling the applicability domain of six structural alerts to be defined, the alerts being: epoxides, lactones, nitrosos, nitros, aldehydes and ketones. Analysis of the experimental data showed the applicability domains for the epoxide, nitroso, aldehyde and ketone structural alerts to be well defined. In contrast, the data showed the applicability domains for the lactone and nitro structural alerts needed modifying. The accurate definition of the applicability domain for structural alerts within in silico profilers is important due to their use in the chemical category in predictive and regulatory toxicology. This study highlights the importance of utilizing multiple profilers in category formation.

  20. Interactions between phasic alerting and consciousness in the fronto-striatal network

    PubMed Central

    Chica, Ana B.; Bayle, Dimitri J.; Botta, Fabiano; Bartolomeo, Paolo; Paz-Alonso, Pedro M.

    2016-01-01

    Only a small fraction of all the information reaching our senses can be the object of conscious report or voluntary action. Although some models propose that different attentional states (top-down amplification and vigilance) are necessary for conscious perception, few studies have explored how the brain activations associated with different attentional systems (such as top-down orienting and phasic alerting) lead to conscious perception of subsequent visual stimulation. The aim of the present study was to investigate the neural mechanisms associated with endogenous spatial attention and phasic alertness, and their interaction with the conscious perception of near-threshold stimuli. The only region demonstrating a neural interaction between endogenous attention and conscious perception was the thalamus, while a larger network of cortical and subcortical brain activations, typically associated with phasic alerting, was highly correlated with participants’ conscious reports. Activation of the anterior cingulate cortex, supplementary motor area, frontal eye fields, thalamus, and caudate nucleus was related to perceptual consciousness. These data suggest that not all attentional systems are equally effective in enhancing conscious perception, highlighting the importance of thalamo-cortical circuits on the interactions between alerting and consciousness. PMID:27555378

  1. User-centered design improves the usability of drug-drug interaction alerts: Experimental comparison of interfaces.

    PubMed

    Luna, Daniel R; Rizzato Lede, Daniel A; Otero, Carlos M; Risk, Marcelo R; González Bernaldo de Quirós, Fernán

    2017-02-01

    Clinical Decision Support Systems can alert health professionals about drug interactions when they prescribe medications. The Hospital Italiano de Buenos Aires in Argentina developed an electronic health record with drug-drug interaction alerts, using traditional software engineering techniques and requirements. Despite enhancing the drug-drug interaction knowledge database, the alert override rate of this system was very high. We redesigned the alert system using user-centered design (UCD) and participatory design techniques to enhance the drug-drug interaction alert interface. This paper describes the methodology of our UCD. We used crossover method with realistic, clinical vignettes to compare usability of the standard and new software versions in terms of efficiency, effectiveness, and user satisfaction. Our study showed that, compared to the traditional alert system, the UCD alert system was more efficient (alerts faster resolution), more effective (tasks completed with fewer errors), and more satisfying. These results indicate that UCD techniques that follow ISO 9241-210 can generate more usable alerts than traditional design. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ investigation of the human-computer interaction.

    PubMed

    Russ, Alissa L; Zillich, Alan J; McManus, M Sue; Doebbeling, Bradley N; Saleem, Jason J

    2012-04-01

    Few studies have examined prescribers' interactions with medication alerts at the point of prescribing. We conducted an in situ, human factors investigation of outpatient prescribing to uncover factors that influence the prescriber-alert interaction and identify strategies to improve alert design. Field observations and interviews were conducted with outpatient prescribers at a major Veterans Affairs Medical Center. Physicians, clinical pharmacists, and nurse practitioners were recruited across five primary care clinics and eight specialty clinics. Prescribers were observed in situ as they ordered medications for patients and resolved alerts. Researchers collected 351 pages of typed notes across 102 hours of observations and interviews. An interdisciplinary team identified emergent themes via inductive qualitative analysis. Altogether, 320 alerts were observed among 30 prescribers and their interactions with 146 patients. Qualitative analysis uncovered 44 emergent themes and 9 overarching factors, which were organized into a framework that describes the prescriber-alert interaction. Prescribers' ability to act on alerts was impeded by the alert interface, which did not adequately support all prescriber types. This empiric study produced a novel framework for understanding the prescriber-alert interaction. Results revealed key components of the alert interface that influence prescribers and indicate a need for more universal design. Actionable design recommendations are presented and may be used to enhance alert design and patient safety. Published by Elsevier Ireland Ltd.

  3. Enterprise-wide drug-drug interaction alerting system.

    PubMed

    Greim, Julie A; Shek, Caroline; Jones, Linda; Macauley, Robert; Paterno, Marilyn; Blumenfeld, Barry H; Kuperman, Gilad

    2003-01-01

    According to the Institute of Medicine's (IOM) 1999 report To Err is Human: Building a safer Health System, "medical errors kill some 44,000-98,0001 people in U.S. hospitals each year. Partners HealthCare System (PHS) is a large integrated delivery network in Boston, MA, which has as a goal improving patient care by preventing adverse drug events (ADE) and reducing medication errors enterprise-wide. PHS has developed a drug-drug Interaction (DDI) detection feature, for the suite of clinical applications currently used by its two major teaching institutions, Brigham & Women's Hospital (BWH) and Mass General Hospital (MGH). The following clinical applications will be using this drug-drug interaction feature: NICU Order Entry (OE) at BWH, MGH OE for pediatrics and adults, the Partners outpatient medical record, The LMR, and BICS OE at BWH.

  4. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts.

    PubMed

    Payne, Thomas H; Hines, Lisa E; Chan, Raymond C; Hartman, Seth; Kapusnik-Uner, Joan; Russ, Alissa L; Chaffee, Bruce W; Hartman, Christian; Tamis, Victoria; Galbreth, Brian; Glassman, Peter A; Phansalkar, Shobha; van der Sijs, Heleen; Gephart, Sheila M; Mann, Gordon; Strasberg, Howard R; Grizzle, Amy J; Brown, Mary; Kuperman, Gilad J; Steiner, Chris; Sullins, Amanda; Ryan, Hugh; Wittie, Michael A; Malone, Daniel C

    2015-11-01

    To establish preferred strategies for presenting drug-drug interaction (DDI) clinical decision support alerts. A DDI Clinical Decision Support Conference Series included a workgroup consisting of 24 clinical, usability, and informatics experts representing academia, health information technology (IT) vendors, healthcare organizations, and the Office of the National Coordinator for Health IT. Workgroup members met via web-based meetings 12 times from January 2013 to February 2014, and two in-person meetings to reach consensus on recommendations to improve decision support for DDIs. We addressed three key questions: (1) what, how, where, and when do we display DDI decision support? (2) should presentation of DDI decision support vary by clinicians? and (3) how should effectiveness of DDI decision support be measured? Our recommendations include the consistent use of terminology, visual cues, minimal text, formatting, content, and reporting standards to facilitate usability. All clinicians involved in the medication use process should be able to view DDI alerts and actions by other clinicians. Override rates are common but may not be a good measure of effectiveness. Seven core elements should be included with DDI decision support. DDI information should be presented to all clinicians. Finally, in their current form, override rates have limited capability to evaluate alert effectiveness. DDI clinical decision support alerts need major improvements. We provide recommendations for healthcare organizations and IT vendors to improve the clinician interface of DDI alerts, with the aim of reducing alert fatigue and improving patient safety. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  5. Formal verification of an oral messages algorithm for interactive consistency

    NASA Technical Reports Server (NTRS)

    Rushby, John

    1992-01-01

    The formal specification and verification of an algorithm for Interactive Consistency based on the Oral Messages algorithm for Byzantine Agreement is described. We compare our treatment with that of Bevier and Young, who presented a formal specification and verification for a very similar algorithm. Unlike Bevier and Young, who observed that 'the invariant maintained in the recursive subcases of the algorithm is significantly more complicated than is suggested by the published proof' and who found its formal verification 'a fairly difficult exercise in mechanical theorem proving,' our treatment is very close to the previously published analysis of the algorithm, and our formal specification and verification are straightforward. This example illustrates how delicate choices in the formulation of the problem can have significant impact on the readability of its formal specification and on the tractability of its formal verification.

  6. Alertness in Young Healthy Subjects: An fMRI Study of Brain Region Interactivity Enhanced by a Warning Signal

    ERIC Educational Resources Information Center

    Perin, B.; Godefroy, O.; Fall, S.; de Marco, G.

    2010-01-01

    An effective connectivity study was carried out on 16 young, healthy subjects performing an alertness task. The objective of this study was to develop and to evaluate a putative network model of alertness by adapting structural equation modeling to fMRI data. This study was designed to evaluate the directed interactivity of an attentional network…

  7. An Interactive System for Graduation Verification.

    ERIC Educational Resources Information Center

    Wang, Y.; Dasarathy, B.

    1981-01-01

    This description of a computerized graduation verification system developed and implemented at the University of South Carolina at Columbia discusses the "table-driven" feature of the programs and details the implementation of the system, including examples of the Extended Backus Naur Form (EBNF) notation used to represent the system…

  8. Alcohol Alert

    MedlinePlus

    ... Us You are here Home » Alcohol Alert Alcohol Alert The NIAAA Alcohol Alert is a quarterly bulletin that disseminates important research ... text. To order single copies of select Alcohol Alerts, see ordering Information . To view publications in PDF ...

  9. Human-computer interaction for alert warning and attention allocation systems of the multimodal watchstation

    NASA Astrophysics Data System (ADS)

    Obermayer, Richard W.; Nugent, William A.

    2000-11-01

    The SPAWAR Systems Center San Diego is currently developing an advanced Multi-Modal Watchstation (MMWS); design concepts and software from this effort are intended for transition to future United States Navy surface combatants. The MMWS features multiple flat panel displays and several modes of user interaction, including voice input and output, natural language recognition, 3D audio, stylus and gestural inputs. In 1999, an extensive literature review was conducted on basic and applied research concerned with alerting and warning systems. After summarizing that literature, a human computer interaction (HCI) designer's guide was prepared to support the design of an attention allocation subsystem (AAS) for the MMWS. The resultant HCI guidelines are being applied in the design of a fully interactive AAS prototype. An overview of key findings from the literature review, a proposed design methodology with illustrative examples, and an assessment of progress made in implementing the HCI designers guide are presented.

  10. Novel Measure of Driver and Vehicle Interaction Demonstrates Transient Changes Related to Alerting

    PubMed Central

    Brooks, Justin R.; Kerick, Scott E.; McDowell, Kaleb

    2015-01-01

    ABSTRACT Driver behavior and vehicle-road kinematics have been shown to change over prolonged periods of driving; however, the interaction between these two indices has not been examined. Here we develop a measure that examines how drivers turn the steering wheel relative to heading error velocity, which the authors call the relative steering wheel compensation (RSWC). The RSWC transiently changes on a short time scale coincident with a verbal query embedded within the study paradigm. In contrast, more traditional variables are dynamic over longer time scales consistent with previous research. The results suggest drivers alter their behavioral output (steering wheel correction) relative to sensory input (vehicle heading error velocity) on a distinct temporal scale and may reflect an interaction of alerting and control. PMID:25356659

  11. Core drug-drug interaction alerts for inclusion in pediatric electronic health records with computerized prescriber order entry.

    PubMed

    Harper, Marvin B; Longhurst, Christopher A; McGuire, Troy L; Tarrago, Rod; Desai, Bimal R; Patterson, Al

    2014-03-01

    The study aims to develop a core set of pediatric drug-drug interaction (DDI) pairs for which electronic alerts should be presented to prescribers during the ordering process. A clinical decision support working group composed of Children's Hospital Association (CHA) members was developed. CHA Pharmacists and Chief Medical Information Officers participated. Consensus was reached on a core set of 19 DDI pairs that should be presented to pediatric prescribers during the order process. We have provided a core list of 19 high value drug pairs for electronic drug-drug interaction alerts to be recommended for inclusion as high value alerts in prescriber order entry software used with a pediatric patient population. We believe this list represents the most important pediatric drug interactions for practical implementation within computerized prescriber order entry systems.

  12. The RELativistic Electron Alert System for Exploration (RELEASE): Scope, Verification and Validation Status, and Intended Future Use

    NASA Astrophysics Data System (ADS)

    Posner, A.; Rother, O.; Heber, B.; Mueller-Mellin, R.; Krause, A.

    2008-12-01

    The RELEASE method of short-term forecasting of the intensity of prompt solar energetic protons of hazardous energies (~40 MeV) with relativistic electrons has been developed. Electrons are well known to provide the first sign of a solar particle event in progress, approximately one our ahead of more dangerous protons. The forecasting of sudden intensity increases of protons from solar energetic particle events is relevant for in-situ and regional (e.g., Earth-moon system) radiation protection of humans on exploration missions. The method utilizes the speed advantage of electrons over up to 40 MeV protons and newly discovered correlations of inverse rise time and intensity between the two dominant particle species of solar eruptions. The effectiveness of this tool bases on the observed similarities in particle transport between the Sun and 1 AU. Electrons act as test particles by probing the ever- changing heliospheric transport conditions that act on the slower moving protons. In February 2008, the method has been implemented with near-real- time data of the COSTEP instrument onboard SOHO located at L1. Forecasting output is available live via the internet. The ongoing verification and validation activity so far has proven the robustness and reliability of the tool under quiet conditions with an extremely low false-alarm rate. Ongoing activities aimed at improving the method with archived COSTEP data over a full solar cycle will be presented.

  13. Optimization of drug-drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.

    PubMed

    Simpao, Allan F; Ahumada, Luis M; Desai, Bimal R; Bonafide, Christopher P; Gálvez, Jorge A; Rehman, Mohamed A; Jawad, Abbas F; Palma, Krisha L; Shelov, Eric D

    2015-03-01

    To develop and evaluate an electronic dashboard of hospital-wide electronic health record medication alerts for an alert fatigue reduction quality improvement project. We used visual analytics software to develop the dashboard. We collaborated with the hospital-wide Clinical Decision Support committee to perform three interventions successively deactivating clinically irrelevant drug-drug interaction (DDI) alert rules. We analyzed the impact of the interventions on care providers' and pharmacists' alert and override rates using an interrupted time series framework with piecewise regression. We evaluated 2 391 880 medication alerts between January 31, 2011 and January 26, 2014. For pharmacists, the median alert rate prior to the first DDI deactivation was 58.74 alerts/100 orders (IQR 54.98-60.48) and 25.11 alerts/100 orders (IQR 23.45-26.57) following the three interventions (p<0.001). For providers, baseline median alert rate prior to the first round of DDI deactivation was 19.73 alerts/100 orders (IQR 18.66-20.24) and 15.11 alerts/100 orders (IQR 14.44-15.49) following the three interventions (p<0.001). In a subgroup analysis, we observed a decrease in pharmacists' override rates for DDI alerts that were not modified in the system from a median of 93.06 overrides/100 alerts (IQR 91.96-94.33) to 85.68 overrides/100 alerts (IQR 84.29-87.15, p<0.001). The medication serious safety event rate decreased during the study period, and there were no serious safety events reported in association with the deactivated alert rules. An alert dashboard facilitated safe rapid-cycle reductions in alert burden that were temporally associated with lower pharmacist override rates in a subgroup of DDIs not directly affected by the interventions; meanwhile, the pharmacists' frequency of selecting the 'cancel' option increased. We hypothesize that reducing the alert burden enabled pharmacists to devote more attention to clinically relevant alerts. © The Author 2014. Published by

  14. Model Checking for Verification of Interactive Health IT Systems

    PubMed Central

    Butler, Keith A.; Mercer, Eric; Bahrami, Ali; Tao, Cui

    2015-01-01

    Rigorous methods for design and verification of health IT systems have lagged far behind their proliferation. The inherent technical complexity of healthcare, combined with the added complexity of health information technology makes their resulting behavior unpredictable and introduces serious risk. We propose to mitigate this risk by formalizing the relationship between HIT and the conceptual work that increasingly typifies modern care. We introduce new techniques for modeling clinical workflows and the conceptual products within them that allow established, powerful modeling checking technology to be applied to interactive health IT systems. The new capability can evaluate the workflows of a new HIT system performed by clinicians and computers to improve safety and reliability. We demonstrate the method on a patient contact system to demonstrate model checking is effective for interactive systems and that much of it can be automated. PMID:26958166

  15. Development and validation of a survey instrument for assessing prescribers' perception of computerized drug-drug interaction alerts.

    PubMed

    Zheng, Kai; Fear, Kathleen; Chaffee, Bruce W; Zimmerman, Christopher R; Karls, Edward M; Gatwood, Justin D; Stevenson, James G; Pearlman, Mark D

    2011-12-01

    To develop a theoretically informed and empirically validated survey instrument for assessing prescribers' perception of computerized drug-drug interaction (DDI) alerts. The survey is grounded in the unified theory of acceptance and use of technology and an adapted accident causation model. Development of the instrument was also informed by a review of the extant literature on prescribers' attitude toward computerized medication safety alerts and common prescriber-provided reasons for overriding. To refine and validate the survey, we conducted a two-stage empirical validation study consisting of a pretest with a panel of domain experts followed by a field test among all eligible prescribers at our institution. The resulting survey instrument contains 28 questionnaire items assessing six theoretical dimensions: performance expectancy, effort expectancy, social influence, facilitating conditions, perceived fatigue, and perceived use behavior. Satisfactory results were obtained from the field validation; however, a few potential issues were also identified. We analyzed these issues accordingly and the results led to the final survey instrument as well as usage recommendations. High override rates of computerized medication safety alerts have been a prevalent problem. They are usually caused by, or manifested in, issues of poor end user acceptance. However, standardized research tools for assessing and understanding end users' perception are currently lacking, which inhibits knowledge accumulation and consequently forgoes improvement opportunities. The survey instrument presented in this paper may help fill this methodological gap. We developed and empirically validated a survey instrument that may be useful for future research on DDI alerts and other types of computerized medication safety alerts more generally.

  16. Time-dependent Drug–Drug Interaction Alerts in Care Provider Order Entry: Software May Inhibit Medication Error Reductions

    PubMed Central

    van der Sijs, Heleen; Lammers, Laureen; van den Tweel, Annemieke; Aarts, Jos; Berg, Marc; Vulto, Arnold; van Gelder, Teun

    2009-01-01

    Time-dependent drug–drug interactions (TDDIs) are drug combinations that result in a decreased drug effect due to coadministration of a second drug. Such interactions can be prevented by separately administering the drugs. This study attempted to reduce drug administration errors due to overridden TDDIs in a care provider order entry (CPOE) system. In four periods divided over two studies, logged TDDIs were investigated by reviewing the time intervals prescribed in the CPOE and recorded on the patient chart. The first study showed significant drug administration error reduction from 56.4 to 36.2% (p < 0.05), whereas the second study was not successful (46.7 and 45.2%; p > 0.05). Despite interventions, drug administration errors still occurred in more than one third of cases and prescribing errors in 79–87%. Probably the low alert specificity, the unclear alert information content, and the inability of the software to support safe and efficient TDDI alert handling all diminished correct prescribing, and consequently, insufficiently reduced drug administration errors. PMID:19717806

  17. Time-dependent drug-drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

    PubMed

    van der Sijs, Heleen; Lammers, Laureen; van den Tweel, Annemieke; Aarts, Jos; Berg, Marc; Vulto, Arnold; van Gelder, Teun

    2009-01-01

    Time-dependent drug-drug interactions (TDDIs) are drug combinations that result in a decreased drug effect due to coadministration of a second drug. Such interactions can be prevented by separately administering the drugs. This study attempted to reduce drug administration errors due to overridden TDDIs in a care provider order entry (CPOE) system. In four periods divided over two studies, logged TDDIs were investigated by reviewing the time intervals prescribed in the CPOE and recorded on the patient chart. The first study showed significant drug administration error reduction from 56.4 to 36.2% (p<0.05), whereas the second study was not successful (46.7 and 45.2%; p>0.05). Despite interventions, drug administration errors still occurred in more than one third of cases and prescribing errors in 79-87%. Probably the low alert specificity, the unclear alert information content, and the inability of the software to support safe and efficient TDDI alert handling all diminished correct prescribing, and consequently, insufficiently reduced drug administration errors.

  18. Alertness - decreased

    MedlinePlus

    ... alertness, including: Chronic kidney disease Extreme tiredness or lack of sleep High blood sugar level or low blood sugar ... or breathing problems, such as: Abnormal heart rhythm Lack of ... medicines Side effect of almost any medicine, such as those used ...

  19. Integration of heterogeneous clinical decision support systems and their knowledge sets: feasibility study with Drug-Drug Interaction alerts.

    PubMed

    Kam, Hye Jin; Kim, Jeong Ah; Cho, InSook; Kim, Yoon; Park, Rae Woong

    2011-01-01

    There exist limitations in both commercial and in-house clinical decision support systems (CDSSs) and issues related to the integration of different knowledge sources and CDSSs. We chose Standard-based Shareable Active Guideline Environment (SAGE) as a new architecture with knowledge integration and a centralized knowledge base which includes authoring/management functions and independent CDSS, and applied it to Drug-Drug Interaction (DDI) CDSS. The aim of this study was to evaluate the feasibility of the newly integrated DDI alerting CDSS into a real world hospital information system involving construction of an integrated CDSS derived from two heterogeneous systems and their knowledge sets. The proposed CDSS was successfully implemented and compensated for the weaknesses of the old CDSS from knowledge integration and management, and its applicability in actual situations was verified. Although the DDI CDSS was constructed as an example case, the new CDS architecture might prove applicable to areas of CDSSs.

  20. INITIATE: An Intelligent Adaptive Alert Environment.

    PubMed

    Jafarpour, Borna; Abidi, Samina Raza; Ahmad, Ahmad Marwan; Abidi, Syed Sibte Raza

    2015-01-01

    Exposure to a large volume of alerts generated by medical Alert Generating Systems (AGS) such as drug-drug interaction softwares or clinical decision support systems over-whelms users and causes alert fatigue in them. Some of alert fatigue effects are ignoring crucial alerts and longer response times. A common approach to avoid alert fatigue is to devise mechanisms in AGS to stop them from generating alerts that are deemed irrelevant. In this paper, we present a novel framework called INITIATE: an INtellIgent adapTIve AlerT Environment to avoid alert fatigue by managing alerts generated by one or more AGS. We have identified and categories the lifecycle of different alerts and have developed alert management logic as per the alerts' lifecycle. Our framework incorporates an ontology that represents the alert management strategy and an alert management engine that executes this strategy. Our alert management framework offers the following features: (1) Adaptability based on users' feedback; (2) Personalization and aggregation of messages; and (3) Connection to Electronic Medical Records by implementing a HL7 Clinical Document Architecture parser.

  1. The Relationship between Alertness and Executive Control

    ERIC Educational Resources Information Center

    Weinbach, Noam; Henik, Avishai

    2012-01-01

    The current study focuses on the relationship between alerting and executive attention. Previous studies reported an increased flanker congruency effect following alerting cues. In the first two experiments, we found that the alertness-congruency interaction did not exist for all executive tasks (it appeared for a flanker task but not for a Stroop…

  2. The Relationship between Alertness and Executive Control

    ERIC Educational Resources Information Center

    Weinbach, Noam; Henik, Avishai

    2012-01-01

    The current study focuses on the relationship between alerting and executive attention. Previous studies reported an increased flanker congruency effect following alerting cues. In the first two experiments, we found that the alertness-congruency interaction did not exist for all executive tasks (it appeared for a flanker task but not for a Stroop…

  3. Verifying an interactive consistency circuit: A case study in the reuse of a verification technology

    NASA Technical Reports Server (NTRS)

    Bickford, Mark; Srivas, Mandayam

    1990-01-01

    The work done at ORA for NASA-LRC in the design and formal verification of a hardware implementation of a scheme for attaining interactive consistency (byzantine agreement) among four microprocessors is presented in view graph form. The microprocessors used in the design are an updated version of a formally verified 32-bit, instruction-pipelined, RISC processor, MiniCayuga. The 4-processor system, which is designed under the assumption that the clocks of all the processors are synchronized, provides software control over the interactive consistency operation. Interactive consistency computation is supported as an explicit instruction on each of the microprocessors. An identical user program executing on each of the processors decides when and on what data interactive consistency must be performed. This exercise also served as a case study to investigate the effectiveness of reusing the technology which was developed during the MiniCayuga effort for verifying synchronous hardware designs. MiniCayuga was verified using the verification system Clio which was also developed at ORA. To assist in reusing this technology, a computer-aided specification and verification tool was developed. This tool specializes Clio to synchronous hardware designs and significantly reduces the tedium involved in verifying such designs. The tool is presented and how it was used to specify and verify the interactive consistency circuit is described.

  4. Alert dwell time: introduction of a measure to evaluate interruptive clinical decision support alerts

    PubMed Central

    McDaniel, Robert B; Burlison, Jonathan D; Baker, Donald K; Hasan, Murad; Robertson, Jennifer; Hartford, Christine; Howard, Scott C; Sablauer, Andras

    2016-01-01

    Metrics for evaluating interruptive prescribing alerts have many limitations. Additional methods are needed to identify opportunities to improve alerting systems and prevent alert fatigue. In this study, the authors determined whether alert dwell time—the time elapsed from when an interruptive alert is generated to when it is dismissed—could be calculated by using historical alert data from log files. Drug–drug interaction (DDI) alerts from 3 years of electronic health record data were queried. Alert dwell time was calculated for 25,965 alerts, including 777 unique DDIs. The median alert dwell time was 8 s (range, 1–4913 s). Resident physicians had longer median alert dwell times than other prescribers (P < .001). The 10 most frequent DDI alerts (n = 8759 alerts) had shorter median dwell times than alerts that only occurred once (P < .001). This metric can be used in future research to evaluate the effectiveness and efficiency of interruptive prescribing alerts. PMID:26499101

  5. Experimental verification of interactions between randomly distributed fine magnetic particles

    NASA Astrophysics Data System (ADS)

    Taketomi, Susamu; Shull, Robert D.

    2003-10-01

    We experimentally examined whether or not a magnetic fluid (MF) is really superparamagnetic by comparing the initial magnetic susceptibilities of the mother MFs with those of their highly diluted solutions (more than 1000 times diluted) in which the dipole-dipole interaction between the particles was negligible. We used three mother MFs, SA 1, SB 1, and SC 1, and their highly diluted solutions, SA 2, SB 2, and SC 2, respectively. The particles' dispersability was best in SA 1 and poorest in SC 1. From the static field experiment, it was found that the mutual interaction between the particles in SB 1, and SC 1 made clusters of particles with magnetically closed flux circuits even at zero field while no interaction was detected in SA 1. The initial complex magnetic susceptibility, χ˜, as a function of temperature, T, under an AC field experiment revealed that the complex susceptibility of both the samples SA 1 and SA 2 showed peaks as a function of T. However, their χ˜ vs. T curves were not similar, leading to the conclusion that the sample SA 1 was not superparamagnetic. Instead, SA 1 was a magnetic spin-glass induced by the weak interaction between the particle spins. The existence of the spin-glass state was also confirmed by the Volgel-Fulcher law dependence of the AC-susceptibility peak temperature, Tp, or the frequency of the AC field.

  6. Two Years into Verification and Validation of the Relativistic Electron Alert System for Exploration (REleASE): An Update into Rising Solar Activity

    NASA Astrophysics Data System (ADS)

    Posner, A.; Rother, O. M.; Heber, B.; Müller-Mellin, R.; Lee, J.

    2010-12-01

    For the past two years, the REleASE method of short-term forecasting of the intensity of prompt solar energetic protons of hazardous energies (~40 MeV) with relativistic electrons has been implemented. Since February 2008, REleASE translates near-real-time electron data of the SOHO/COSTEP instrument from L1 into near-future proton fluxes. The live forecasting output is available online. Electrons are well known to provide the first sign of a solar particle event in progress, approximately one hour ahead of more dangerous protons. The forecasting of the sudden increase in intensity of protons from solar energetic particle events is relevant for radiation protection of humans on exploration missions. The method utilizes the speed advantage of electrons over up to 40 MeV protons and the correlations of inverse rise time and intensity between electrons and protons in solar particle events. The effectiveness of this tool is based on the observed similarities in particle transport between the Sun and 1 AU. Electrons act as test particles by probing the ever-changing heliospheric transport conditions that act on the slower moving protons. This presentation is the first detailed analysis of the REleASE output and shows its strengths and weaknesses through the early signs of solar activity in 2010. Electrons of a Solar Energetic Particle (SEP) event arrive at 1 AU and provide an early sign of more hazardous protons. The REleASE model would issue an alert at this time. Typically one hour into the event, the more hazardous ions from the SEP arrive at L1 or 1 AU along the same magnetic field lines as the electrons. This presentation analyzes the accuracy of this live warning system. The false/missed warning rate will be assessed and the accuracy of REleASE's forecast proton flux will be compared with measured fluxes.

  7. Wireless Emergency Alerts

    MedlinePlus

    ... Us Main Content Frequently Asked Questions: Wireless Emergency Alerts This section contains answers to a list of frequently asked questions about Wireless Emergency Alerts (WEAs). Why are Wireless Emergency Alerts (WEA) important ...

  8. Control structural interaction testbed: A model for multiple flexible body verification

    NASA Technical Reports Server (NTRS)

    Chory, M. A.; Cohen, A. L.; Manning, R. A.; Narigon, M. L.; Spector, V. A.

    1993-01-01

    Conventional end-to-end ground tests for verification of control system performance become increasingly complicated with the development of large, multiple flexible body spacecraft structures. The expense of accurately reproducing the on-orbit dynamic environment and the attendant difficulties in reducing and accounting for ground test effects limits the value of these tests. TRW has developed a building block approach whereby a combination of analysis, simulation, and test has replaced end-to-end performance verification by ground test. Tests are performed at the component, subsystem, and system level on engineering testbeds. These tests are aimed at authenticating models to be used in end-to-end performance verification simulations: component and subassembly engineering tests and analyses establish models and critical parameters, unit level engineering and acceptance tests refine models, and subsystem level tests confirm the models' overall behavior. The Precision Control of Agile Spacecraft (PCAS) project has developed a control structural interaction testbed with a multibody flexible structure to investigate new methods of precision control. This testbed is a model for TRW's approach to verifying control system performance. This approach has several advantages: (1) no allocation for test measurement errors is required, increasing flight hardware design allocations; (2) the approach permits greater latitude in investigating off-nominal conditions and parametric sensitivities; and (3) the simulation approach is cost effective, because the investment is in understanding the root behavior of the flight hardware and not in the ground test equipment and environment.

  9. Code verification for unsteady 3-D fluid-solid interaction problems

    NASA Astrophysics Data System (ADS)

    Yu, Kintak Raymond; Étienne, Stéphane; Hay, Alexander; Pelletier, Dominique

    2015-12-01

    This paper describes a procedure to synthesize Manufactured Solutions for Code Verification of an important class of Fluid-Structure Interaction (FSI) problems whose behaviors can be modeled as rigid body vibrations in incompressible fluids. We refer this class of FSI problems as Fluid-Solid Interaction problems, which can be found in many practical engineering applications. The methodology can be utilized to develop Manufactured Solutions for both 2-D and 3-D cases. We demonstrate the procedure with our numerical code. We present details of the formulation and methodology. We also provide the reasonings behind our proposed approach. Results from grid and time step refinement studies confirm the verification of our solver and demonstrate the versatility of the simple synthesis procedure. In addition, the results also demonstrate that the modified decoupled approach to verify flow problems with high-order time-stepping schemes can be employed equally well to verify code for multi-physics problems (here, those of the Fluid-Solid Interaction) when the numerical discretization is based on the Method of Lines.

  10. A proposal for a pharmacokinetic interaction significance classification system (PISCS) based on predicted drug exposure changes and its potential application to alert classifications in product labelling.

    PubMed

    Hisaka, Akihiro; Kusama, Makiko; Ohno, Yoshiyuki; Sugiyama, Yuichi; Suzuki, Hiroshi

    2009-01-01

    Pharmacokinetic drug-drug interactions (DDIs) are one of the major causes of adverse events in pharmacotherapy, and systematic prediction of the clinical relevance of DDIs is an issue of significant clinical importance. In a previous study, total exposure changes of many substrate drugs of cytochrome P450 (CYP) 3A4 caused by coadministration of inhibitor drugs were successfully predicted by using in vivo information. In order to exploit these predictions in daily pharmacotherapy, the clinical significance of the pharmacokinetic changes needs to be carefully evaluated. The aim of the present study was to construct a pharmacokinetic interaction significance classification system (PISCS) in which the clinical significance of DDIs was considered with pharmacokinetic changes in a systematic manner. Furthermore, the classifications proposed by PISCS were compared in a detailed manner with current alert classifications in the product labelling or the summary of product characteristics used in Japan, the US and the UK. A matrix table was composed by stratifying two basic parameters of the prediction: the contribution ratio of CYP3A4 to the oral clearance of substrates (CR), and the inhibition ratio of inhibitors (IR). The total exposure increase was estimated for each cell in the table by associating CR and IR values, and the cells were categorized into nine zones according to the magnitude of the exposure increase. Then, correspondences between the DDI significance and the zones were determined for each drug group considering the observed exposure changes and the current classification in the product labelling. Substrate drugs of CYP3A4 selected from three therapeutic groups, i.e. HMG-CoA reductase inhibitors (statins), calcium-channel antagonists/blockers (CCBs) and benzodiazepines (BZPs), were analysed as representative examples. The product labelling descriptions of drugs in Japan, US and UK were obtained from the websites of each regulatory body. Among 220

  11. Human factors considerations for contraindication alerts.

    PubMed

    van der Sijs, Heleen; Baboe, Imtiaaz; Phansalkar, Shobha

    2013-01-01

    Alert fatigue is a ubiquitous problem in clinical decision support systems. Several remedies to alert fatigue have been proposed including improving the specificity of alerts and compliance with human factors principles. Human factors principles that are relevant for drug safety alerting have been identified and operationalized for drug-drug interactions (DDIs), resulting in a previously developed and validated quantitative instrument. Such an instrument is lacking for contraindications. This study describes the operationalization of human factors principles for contraindication alerting. Thirty items associated with 10 human factors principles are included in the instrument: 4 items are new, 5 are similar, and 21 are equal to the DDI-instrument. The instrument was further operationalized to a test protocol. Three independent persons used the test protocol. Inter-rater reliability indicated moderate agreement (κ=0.540) It is feasible to test the implementation of human factors in contraindication alert design with the newly developed instrument.

  12. Medical alert bracelet (image)

    MedlinePlus

    People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will ... People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will ...

  13. Wireless Emergency Alerts

    MedlinePlus

    ... through your mobile carrier. 3. What types of alerts will I receive?  Extreme weather, and other threatening emergencies in your area  AMBER ... you receive emergency alerts. Other sources include NOAA Weather Radio, ... the Emergency Alert System on radio and TV programs, outdoor sirens, and ...

  14. Jetliner Alert Systems

    NASA Technical Reports Server (NTRS)

    1983-01-01

    NASA research and design has significantly improved crew alert systems. The Engine Indication and Crew Alerting System (EICAS), developed by Psycho-Linguistic Research Associates, is technologically advanced and able to order alerts by priority. Ames has also developed computer controlled voice synthesizers for readouts during difficult landing approaches. This is available to airplane manufacturers.

  15. Effects of training on neuronal activity and interactions in primary and higher visual cortices in the alert cat.

    PubMed

    Salazar, Rodrigo F; Kayser, Christoph; König, Peter

    2004-02-18

    The effects of behavioral training on early visual representations have been elusive when assessed with firing rates. Learning-induced changes in performance, however, suggest that representations should encompass early cortical stages. Here, we address the question of whether training-induced effects are pertinent to neuronal activity outside the task proper, which is a requirement if subsequent perceptional processes should profit from training. To search for a neuronal signature of training effects beyond firing rates, we measured local field potentials, multiunit and isolated spike activity during passive viewing of previously learned stimulus response associations (S+ and S-) in areas 17/18 and 21a of two alert cats. Evoked potential responses as well as gamma oscillations even during the first 200 msec were found to be stronger for S+ in both areas. Most importantly, the later parts of the response (>200 msec) not only exhibit a highly significant difference in coherent gamma oscillations for S+ and S- both within and across areas, but are also characterized by a pronounced preference in firing rate for S+ in area 21a, whereas primary cortex shows a nonsignificant trend for weaker spike responses. From these results, we conclude that training-induced plasticity occurs in adult visual cortex for behaviorally relevant stimuli by changing primarily the temporal structure of neuronal activity at early stages of cortical processing, whereas later stages of cortical processing express the increased coherence of their input in elevated firing rates.

  16. Visual Alert System

    NASA Astrophysics Data System (ADS)

    1985-01-01

    A visual alert system resulted from circuitry developed by Applied Cybernetics Systems for Langley as part of a space related telemetry system. James Campman, Applied Cybernetics president, left the company and founded Grace Industries, Inc. to manufacture security devices based on the Langley technology. His visual alert system combines visual and audible alerts for hearing impaired people. The company also manufactures an arson detection device called the electronic nose, and is currently researching additional applications of the NASA technology.

  17. Visual Alert System

    NASA Technical Reports Server (NTRS)

    1985-01-01

    A visual alert system resulted from circuitry developed by Applied Cybernetics Systems for Langley as part of a space related telemetry system. James Campman, Applied Cybernetics president, left the company and founded Grace Industries, Inc. to manufacture security devices based on the Langley technology. His visual alert system combines visual and audible alerts for hearing impaired people. The company also manufactures an arson detection device called the electronic nose, and is currently researching additional applications of the NASA technology.

  18. Alert Exchange Process Protocol

    NASA Technical Reports Server (NTRS)

    Groen, Frank

    2015-01-01

    The National Aeronautics and Space Administration of the United States of America (NASA), and the European Space Agency (ESA), and the Japanese Aerospace Exploration Agency (JAXA), acknowledging that NASA, ESA and JAXA have a mutual interest in exchanging Alerts and Alert Status Lists to enhance the information base for each system participant while fortifying the general level of cooperation between the policy agreement subscribers, and each Party will exchange Alert listings on regular basis and detailed Alert information on a need to know basis to the extent permitted by law.

  19. Insider Alert 1.0 Beta Version

    SciTech Connect

    Abbott, Robert

    2004-02-01

    Insider Alert 1.0 Beta Version supports interactive selection and graphical display of data generated by the Sandia Cognitive Framework, which simulates the examination of security data by experts of various specialties. Insider Alert also encompasses the configuration and data files input to the Cognitive Framework for this application. Insider Alert 1.0 Beta Version is a computer program for analyzing data indicative of possible espionage or improper handling of data by employees at Sandia National Laboratories (or other facilities with comparable policies and procedures for managing sensitive information) It prioritizes and displays information for review by security analysts.

  20. Methods, Computational Platform, Verification, and Application of Earthquake-Soil-Structure-Interaction Modeling and Simulation

    NASA Astrophysics Data System (ADS)

    Tafazzoli, Nima

    Seismic response of soil-structure systems has attracted significant attention for a long time. This is quite understandable with the size and the complexity of soil-structure systems. The focus of three important aspects of ESSI modeling could be on consistent following of input seismic energy and a number of energy dissipation mechanisms within the system, numerical techniques used to simulate dynamics of ESSI, and influence of uncertainty of ESSI simulations. This dissertation is a contribution to development of one such tool called ESSI Simulator. The work is being done on extensive verified and validated suite for ESSI Simulator. Verification and validation are important for high fidelity numerical predictions of behavior of complex systems. This simulator uses finite element method as a numerical tool to obtain solutions for large class of engineering problems such as liquefaction, earthquake-soil-structure-interaction, site effect, piles, pile group, probabilistic plasticity, stochastic elastic-plastic FEM, and detailed large scale parallel models. Response of full three-dimensional soil-structure-interaction simulation of complex structures is evaluated under the 3D wave propagation. Domain-Reduction-Method is used for applying the forces as a two-step procedure for dynamic analysis with the goal of reducing the large size computational domain. The issue of damping of the waves at the boundary of the finite element models is studied using different damping patterns. This is used at the layer of elements outside of the Domain-Reduction-Method zone in order to absorb the residual waves coming out of the boundary layer due to structural excitation. Extensive parametric study is done on dynamic soil-structure-interaction of a complex system and results of different cases in terms of soil strength and foundation embedment are compared. High efficiency set of constitutive models in terms of computational time are developed and implemented in ESSI Simulator

  1. The COMESEP Alert System

    NASA Astrophysics Data System (ADS)

    Crosby, Norma; Veronig, Astrid; Rodriguez, Luciano; Vrsnak, Bojan; Vennerstrom, Susanne; Malandraki, Olga; Dalla, Silvia; Srivastava, Nandita; Hesse, Michael; Odstrcil, Dusan; Robbrecht, Eva

    2014-05-01

    Tools for forecasting geomagnetic storms and solar energetic particle (SEP) radiation storms have been developed under the three-year EU FP7 COMESEP (COronal Mass Ejections and Solar Energetic Particles) collaborative project. To enhance our understanding of the 3D kinematics and interplanetary propagation of coronal mass ejections (CMEs), the structure, propagation and evolution of CMEs have been investigated. In parallel, the sources and propagation of SEPs have been examined and modeled. During the third year of the COMESEP project the produced tools have been validated and implemented into an operational space weather alert system. The COMESEP Alert System provides notifications for the space weather community. To achieve this the system relies on both models and data, the latter including near real-time data as well as historical data. Geomagnetic and SEP radiation storm alerts are based on the COMESEP definition of risk. The COMESEP Alert System has recently been launched. Receiving COMESEP alerts are free of charge, but registration is required. For more information see the project website (http://www.comesep.eu/). This work has received funding from the European Commission FP7 Project COMESEP (263252).

  2. Alarms about structural alerts.

    PubMed

    Alves, Vinicius; Muratov, Eugene; Capuzzi, Stephen; Politi, Regina; Low, Yen; Braga, Rodolpho; Zakharov, Alexey V; Sedykh, Alexander; Mokshyna, Elena; Farag, Sherif; Andrade, Carolina; Kuz'min, Victor; Fourches, Denis; Tropsha, Alexander

    2016-08-21

    Structural alerts are widely accepted in chemical toxicology and regulatory decision support as a simple and transparent means to flag potential chemical hazards or group compounds into categories for read-across. However, there has been a growing concern that alerts disproportionally flag too many chemicals as toxic, which questions their reliability as toxicity markers. Conversely, the rigorously developed and properly validated statistical QSAR models can accurately and reliably predict the toxicity of a chemical; however, their use in regulatory toxicology has been hampered by the lack of transparency and interpretability. We demonstrate that contrary to the common perception of QSAR models as "black boxes" they can be used to identify statistically significant chemical substructures (QSAR-based alerts) that influence toxicity. We show through several case studies, however, that the mere presence of structural alerts in a chemical, irrespective of the derivation method (expert-based or QSAR-based), should be perceived only as hypotheses of possible toxicological effect. We propose a new approach that synergistically integrates structural alerts and rigorously validated QSAR models for a more transparent and accurate safety assessment of new chemicals.

  3. Transient Alerts in LSST

    NASA Astrophysics Data System (ADS)

    Kantor, J.

    During LSST observing, transient events will be detected and alerts generated at the LSST Archive Center at NCSA in Champaign-Illinois. As a very high rate of alerts is expected, approaching ˜ 10 million per night, we plan for VOEvent-compliant Distributor/Brokers (http://voevent.org) to be the primary end-points of the full LSST alert streams. End users will then use these Distributor/Brokers to classify and filter events on the stream for those fitting their science goals. These Distributor/Brokers are envisioned to be operated as a community service by third parties who will have signed MOUs with LSST. The exact identification of Distributor/Brokers to receive alerts will be determined as LSST approaches full operations and may change over time, but it is in our interest to identify and coordinate with them as early as possible. LSST will also operate a limited Distributor/Broker with a filtering capability at the Archive Center, to allow alerts to be sent directly to a limited number of entities that for some reason need to have a more direct connection to LSST. This might include, for example, observatories with significant follow-up capabilities whose observing may temporarily be more directly tied to LSST observing. It will let astronomers create simple filters that limit what alerts are ultimately forwarded to them. These user defined filters will be possible to specify using an SQL-like declarative language, or short snippets of (likely Python) code. We emphasize that this LSST-provided capability will be limited, and is not intended to satisfy the wide variety of use cases that a full-fledged public Event Distributor/Broker could. End users will not be able to subscribe to full, unfiltered, alert streams coming directly from LSST. In this session, we will discuss anticipated LSST data rates, and capabilities for alert processing and distribution/brokering. We will clarify what the LSST Observatory will provide versus what we anticipate will be a

  4. Clinical Decision Support Alert Appropriateness: A Review and Proposal for Improvement

    PubMed Central

    McCoy, Allison B.; Thomas, Eric J.; Krousel-Wood, Marie; Sittig, Dean F.

    2014-01-01

    Background Many healthcare providers are adopting clinical decision support (CDS) systems to improve patient safety and meet meaningful use requirements. Computerized alerts that prompt clinicians about drug-allergy, drug-drug, and drug-disease warnings or provide dosing guidance are most commonly implemented. Alert overrides, which occur when clinicians do not follow the guidance presented by the alert, can hinder improved patient outcomes. Methods We present a review of CDS alerts and describe a proposal to develop novel methods for evaluating and improving CDS alerts that builds upon traditional informatics approaches. Our proposal incorporates previously described models for predicting alert overrides that utilize retrospective chart review to determine which alerts are clinically relevant and which overrides are justifiable. Results Despite increasing implementations of CDS alerts, detailed evaluations rarely occur because of the extensive labor involved in manual chart reviews to determine alert and response appropriateness. Further, most studies have solely evaluated alert overrides that are appropriate or justifiable. Our proposal expands the use of web-based monitoring tools with an interactive dashboard for evaluating CDS alert and response appropriateness that incorporates the predictive models. The dashboard provides 2 views, an alert detail view and a patient detail view, to provide a full history of alerts and help put the patient's events in context. Conclusion The proposed research introduces several innovations to address the challenges and gaps in alert evaluations. This research can transform alert evaluation processes across healthcare settings, leading to improved CDS, reduced alert fatigue, and increased patient safety. PMID:24940129

  5. Divers Alert Network

    MedlinePlus

    ... has always been about the partnership between our organization and the scuba divers who support it. DAN Members enjoy great benefits, including TravelAssist, Alert Diver magazine, WorldCue® Planner and access to industry-leading insurance products. But the best benefit is ...

  6. Project "Hypertension Alert."

    ERIC Educational Resources Information Center

    Sailors, Emma Lou

    1983-01-01

    "Hypertension Alert," a 1979-80 blood pressure screening-awareness project of the Yonkers, New York Public Schools, is described. Data is analyzed in tables for ethnic composition, and range of blood pressure readings for the high school, junior high school, and elementary school students tested. (Author/JMK)

  7. Project "Hypertension Alert."

    ERIC Educational Resources Information Center

    Sailors, Emma Lou

    1983-01-01

    "Hypertension Alert," a 1979-80 blood pressure screening-awareness project of the Yonkers, New York Public Schools, is described. Data is analyzed in tables for ethnic composition, and range of blood pressure readings for the high school, junior high school, and elementary school students tested. (Author/JMK)

  8. With Free Google Alert Services

    ERIC Educational Resources Information Center

    Gunn, Holly

    2005-01-01

    Alert services are a great way of keeping abreast of topics that interest you. Rather than searching the Web regularly to find new content about your areas of interest, an alert service keeps you informed by sending you notices when new material is added to the Web that matches your registered search criteria. Alert services are examples of push…

  9. With Free Google Alert Services

    ERIC Educational Resources Information Center

    Gunn, Holly

    2005-01-01

    Alert services are a great way of keeping abreast of topics that interest you. Rather than searching the Web regularly to find new content about your areas of interest, an alert service keeps you informed by sending you notices when new material is added to the Web that matches your registered search criteria. Alert services are examples of push…

  10. INTEGRAL burst alert service

    NASA Technical Reports Server (NTRS)

    Pedersen, H.; Jennings, D.; Mereghetti, S.; Teegarden, B.

    1997-01-01

    The detection, accurate positioning, and spectral analysis of cosmic gamma ray bursts is an objective of the International Gamma Ray Astrophysics Laboratory (INTEGRAL) mission. Due to their unpredictable nature, gamma ray bursts can only be observed in serendipity mode. In order to allow and promote multiwavelength follow-up observations of such events, it is desirable to make the information available to the astrophysics community with a minimum delay through the use of Internet. Ideally, the data dissemination should occur within a few seconds of the start of the burst event so that follow up observations can proceed while gamma rays are still being emitted. The technical feasibility of building such a system to disseminate INTEGRAL burst alerts in real time is currently under consideration, the preliminary results of which are presented. It is concluded that such an alert service is technically feasible.

  11. INTEGRAL burst alert service

    NASA Technical Reports Server (NTRS)

    Pedersen, H.; Jennings, D.; Mereghetti, S.; Teegarden, B.

    1997-01-01

    The detection, accurate positioning, and spectral analysis of cosmic gamma ray bursts is an objective of the International Gamma Ray Astrophysics Laboratory (INTEGRAL) mission. Due to their unpredictable nature, gamma ray bursts can only be observed in serendipity mode. In order to allow and promote multiwavelength follow-up observations of such events, it is desirable to make the information available to the astrophysics community with a minimum delay through the use of Internet. Ideally, the data dissemination should occur within a few seconds of the start of the burst event so that follow up observations can proceed while gamma rays are still being emitted. The technical feasibility of building such a system to disseminate INTEGRAL burst alerts in real time is currently under consideration, the preliminary results of which are presented. It is concluded that such an alert service is technically feasible.

  12. Volcanic alert in antarctica

    NASA Astrophysics Data System (ADS)

    Bush, Susan

    1992-01-01

    On January 14, members of the Council of Managers of National Antarctic Programs (COMNAP) were alerted to possible volcanic activity on Deception Island, Antarctica. The island, located at latitude 62%57‧S, longitude 60'40‧W, attracts many tourists.COMNAP is a group of national program managers of 25 countries that have government programs in the Antarctic. Its function is to implement measures adopted by the Antarctic Treaty parties, including fostering international cooperation in scientific research.

  13. Global Environmental Alert Service

    NASA Astrophysics Data System (ADS)

    Singh, A.; Grasso, V. F.

    There is a pressing need to build a mechanism which can consolidate scientific information and evidences package this knowledge in a form usable to international and national decision makers and actively disseminate this information to those users Although much information and many data sets are available in the public domain currently there is no information broker who searches and packages the policy relevant material and delivers that information in an easily understandable format to the public and decision makers A Global Environmental Alert Service GEAS could provide information emanating from monitoring earth observing and early warning systems to users in a near real time mode and bridge the gap between the scientific community and policy makers A state-of-art analysis of existing alert systems indicates that efforts are necessary for turning the tide in early warning processes and technologies A comparison analysis of existing warning systems is presented in order to assess feasibility and performance of existing systems of interest Several criteria have been chosen for the comparison analysis so as to provide a comprehensive description of the systems regarding coverage of contents impact and accessibility to information A critical review of existing alert systems reveals a major gap and need for an innovative service Characteristics and operational aspects of such a service are proposed Early warning represents the process to effectively and timely detect a potential risk

  14. Decision Support Alerts for Medication Ordering in a Computerized Provider Order Entry (CPOE) System: A systematic approach to decrease alerts.

    PubMed

    Beccaro, M A Del; Villanueva, R; Knudson, K M; Harvey, E M; Langle, J M; Paul, W

    2010-01-01

    We sought to determine the frequency and type of decision support alerts by location and ordering provider role during Computerized Provider Order Entry (CPOE) medication ordering. Using these data we adjusted the decision support tools to reduce the number of alerts. Retrospective analyses were performed of dose range checks (DRC), drug-drug interaction and drug-allergy alerts from our electronic medical record. During seven sampling periods (each two weeks long) between April 2006 and October 2008 all alerts in these categories were analyzed. Another audit was performed of all DRC alerts by ordering provider role from November 2008 through January 2009. Medication ordering error counts were obtained from a voluntary error reporting system. MEASUREMENTRESULTS: Between April 2006 and October 2008 the percent of medication orders that triggered a dose range alert decreased from 23.9% to 7.4%. The relative risk (RR) for getting an alert was higher at the start of the interventions versus later (RR= 2.40, 95% CI 2.28-2.52; p< 0.0001). The percentage of medication orders that triggered alerts for drug-drug interactions also decreased from 13.5% to 4.8%. The RR for getting a drug interaction alert at the start was 1.63, 95% CI 1.60-1.66; p< 0.0001. Alerts decreased in all clinical areas without an increase in reported medication errors. We reduced the quantity of decision support alerts in CPOE using a systematic approach without an increase in reported medication errors.

  15. Verification and Validation of Numerical Models for Air/Water Flow on Coastal and Navigation Fluid-Structure Interaction Applications

    NASA Astrophysics Data System (ADS)

    Kees, C. E.; Farthing, M.; Dimakopoulos, A.; DeLataillade, T.

    2015-12-01

    Performance analysis and optimization of coastal and navigation structures is becoming feasible due to recent improvements in numerical methods for multiphase flows and the steady increase in capacity and availability of high performance computing resources. Now that the concept of fully three-dimensional air/water flow modelling for real world engineering analysis is achieving acceptance by the wider engineering community, it is critical to expand careful comparative studies on verification,validation, benchmarking, and uncertainty quantification for the variety of competing numerical methods that are continuing to evolve. Furthermore, uncertainty still remains about the relevance of secondary processes such as surface tension, air compressibility, air entrainment, and solid phase (structure) modelling so that questions about continuum mechanical theory and mathematical analysis of multiphase flow are still required. Two of the most popular and practical numerical approaches for large-scale engineering analysis are the Volume-Of-Fluid (VOF) and Level Set (LS) approaches. In this work we will present a publically available verification and validation test set for air-water-structure interaction problems as well as computational and physical model results including a hybrid VOF-LS method, traditional VOF methods, and Smoothed Particle Hydrodynamics (SPH) results. The test set repository and test problem formats will also be presented in order to facilitate future comparative studies and reproduction of scientific results.

  16. The effects of alerting signals in masked priming

    PubMed Central

    Fischer, Rico; Plessow, Franziska; Kiesel, Andrea

    2013-01-01

    Alerting signals often serve to reduce temporal uncertainty by predicting the time of stimulus onset. The resulting response time benefits have often been explained by facilitated translation of stimulus codes into response codes on the basis of established stimulus-response (S-R) links. In paradigms of masked S-R priming alerting signals also modulate response activation processes triggered by subliminally presented prime stimuli. In the present study we tested whether facilitation of visuo-motor translation processes due to alerting signals critically depends on established S-R links. Alerting signals resulted in significantly enhanced masked priming effects for masked prime stimuli that included and that did not include established S-R links (i.e., target vs. novel primes). Yet, the alerting-priming interaction was more pronounced for target than for novel primes. These results suggest that effects of alerting signals on masked priming are especially evident when S-R links between prime and target exist. At the same time, an alerting-priming interaction also for novel primes suggests that alerting signals also facilitate stimulus-response translation processes when masked prime stimuli provide action-trigger conditions in terms of programmed S-R links. PMID:23882248

  17. Implementing national patient safety alerts.

    PubMed

    Moore, Sally; Taylor, Natalie; Lawton, Rebecca; Slater, Beverley

    National patient safety alerts are sometimes difficult to implement in an effective way. All trusts have to declare compliance with alerts as part of a three-step process to improve patient safety. This article discusses an alternative way of implementing national patient safety alerts and describes how behaviour-change methods can be used to successfully implement lasting changes in practice at ward or departmental level.

  18. Thermodynamic Alerter for Microbursts (TAMP)

    NASA Technical Reports Server (NTRS)

    Eccles, Peter J.

    1991-01-01

    The following subject areas are covered: microburst detection, location and measurement; thermal alerter for microbursts prototypes (TAMP); sensor-transmitters (Senstrans) design; TAMP installation; and DAPAD software.

  19. CISN ShakeAlert: Decision Module Enhancements for Earthquake Alerts

    NASA Astrophysics Data System (ADS)

    Neuhauser, D. S.; Henson, I.; Allen, R. M.; CISN EEW Team

    2011-12-01

    The California Integrated Seismic Network (CISN) has been developing CISN ShakeAlert, a prototype end-to-end earthquake early warning system for the purpose of testing earthquake alerts with a small group of users in California. Rather than adopting a single methodology, the CISN is building a system that can accept event detections, magnitude estimates, and ground shaking predictions and observations from several systems at once. The Decision Module is the ShakeAlert component that receives earthquake detections and hazard assessments from multiple independent algorithms and methodologies, aggregates and correlates this information, and provides a single evolving view of the earthquake in progress to be delivered as an alert to people in harm's way. The alert messages generated by the Decision Module include the best or average estimate of earthquake magnitude, location, and can include predicted peak ground motion. As additional information is received from the detection algorithms, the Decision Module updates its view of the event and its assessment of the reliability of the prediction, and continues to distribute updated alert messages. The Decision Module publishes all of its alerts to a subscription-based messaging system, which allows different applications to utilize the earthquake alerts for their specific use and to make decisions based on the assessed reliability estimates from ShakeAlert. The Decision Module is designed to allow the incorporation of a Baysian approach to provide the most likely estimate of the earthquake parameters and their uncertainties. Recent enhancements to the Decision Module include processing of state-of-health packets from the multiple event detection system and the generation of state-of-health messages to allow downstream systems to assess and track the status of the earthquake alert system.

  20. Air Defence Alerting Device

    NASA Astrophysics Data System (ADS)

    Trapmore, Clive

    1990-04-01

    The Air Defence Alerting Device, otherwise known as ADAD, is a passive infra-red system which detects the presence of a potentially hostile airborne threat and relays its bearings to a Close Air Defence Weapon System (CADWS). The equipment is therefore a cueing device which directs a weapon system operator (or his sight) to the bearing of the threat. From an overall weapon system point of view, use of ADAD realises a very significant increase in weapon effectiveness which is greatly welcomed in these times of constrained defence budgets. The ADAD system is believed to be the first of its kind in the world to be procured in production quantities - it will go into service with the UK Army in the early 1990's.

  1. Toxic substances alert program

    NASA Technical Reports Server (NTRS)

    Junod, T. L.

    1978-01-01

    A toxicity profile is provided, of 187 toxic substances procured by NASA Lewis Research Center during a 3 1/2 year period, including 27 known or suspected carcinogens. The goal of the program is to assure that the center's health and safety personnel are aware of the procurement and use of toxic substances and to alert and inform the users of these materials as to the toxic characteristics and the control measures needed to ensure their safe use. The program also provides a continuing record of the toxic substances procured, who procured them, what other toxic substances the user has obtained in the past, and where similar materials have been used elsewhere at the center.

  2. Analysis of dynamic interaction between catenary and pantograph with experimental verification and performance evaluation in new high-speed line

    NASA Astrophysics Data System (ADS)

    Lee, Jin Hee; Park, Tae Won; Oh, Hyuck Keun; Kim, Young Guk

    2015-08-01

    Understanding the dynamic interaction between the catenary and pantograph of a high-speed train is the one of the most important technical issues in the railway industry. This is because the catenary-pantograph system plays a crucial role in providing electric power to the railway vehicle for stable operation. The aim of the present paper is to estimate the current-collection performance of this system by using numerical analysis, in particular, the flexible multibody dynamic analysis technique. To implement large deformable catenary wires, an absolute nodal coordinate formulation is used for the cable element. Additionally, an efficient contact element and an interactive model for the catenary-pantograph system are introduced. Each developed model is then used for analytical and experimental verification. Actual on-line test results of existing high-speed railway vehicles are presented and used to verify the analysis model. Finally, the performance characteristics of a new 400 km/h-class high-speed line are estimated and evaluated on the basis of international standards.

  3. GSK3β Interactions with Amyloid Genes: An Autopsy Verification and Extension.

    PubMed

    Hohman, Timothy J; Chibnik, Lori; Bush, William S; Jefferson, Angela L; De Jaeger, Phillip L; Thornton-Wells, Tricia A; Bennett, David A; Schneider, Julie A

    2015-10-01

    Glyocogen synthase kinase 3 (GSK3) plays an important role in the pathophysiology of Alzheimer's disease (AD) through the phosphorylation of tau. Recent work has suggested that GSK3β also plays a role in the amyloid pathway of AD through genetic interactions with APP and APBB2 on in vivo measures of amyloid. This project extends the previously identified genotype interactions to an autopsy measure of amyloid, while also testing the same interactions leveraging gene expression data quantified in the prefrontal cortex. 797 participants (251 cognitively normal, 196 mild cognitive impairment, and 350 Alzheimer's disease) were drawn from the Religious Orders Study and Rush Memory and Aging Project. A mean score of amyloid load was calculated across eight brain regions, gene expression levels from frozen sections of the dorsolateral prefrontal cortex were quantified using RNA amplification, and expression signals were generated using Beadstudio. Three SNPs previously identified in genetic interactions were genotyped using the Illumina 1M genotyping chip. Covariates included age, sex, education, and diagnosis. We were able to evaluate 2 of the 3 previously identified interactions, of which the interaction between GSK3β (rs334543) and APBB2 (rs2585590) was found in this autopsy sample (p = 0.04). We observed a comparable interaction between GSK3β and APBB2 when comparing the highest tertile of gene expression to the lowest tertile, t(1) = -2.03, p = 0.043. These results provide additional evidence of a genetic interaction between GSK3β and APBB2 and further suggest that GSK3β is involved in the pathophysiology of both of the primary neuropathologies of Alzheimer's disease.

  4. Nutritional Alert in hospitalized patients.

    PubMed

    Brieux, Humberto Fernán Mandirola; Kaminker, Diego; Campos, Fernando; Guillen, Sebastian; Alejandris, Javier; Luna, Daniel; Baum, Analia; de Quirós, Fernán Gonzalez Bernaldo

    2014-01-01

    The objective of the study is to assess a nutritional risk alert using an Informatics System in hospitalized patients versus the conventional methodology. We studied 400 medical patients at the Belgrano Hospital Critical Care Unit. We considered two groups of 200 patients. In the first the group (Control Group), nutritional risk was diagnosed in a traditional way. In the second group (Alarm Group), nutritional risk was diagnosed with an alert system. The alert was triggered when a patient showed low levels of, at least, two of the following variables: albumin, cholesterol, triglyceride, lymphocyte or low body mass index (BMI). Nutritional risk was detected in 20.3% of the Control Group patients while, in the Alert Group, nutritional risk was detected in 34.3% of the patients; the difference between the two groups was significant (p<0.001), with a sensitivity rate of 99% and a specificity rate of 98%. Malnutrition is more easily detected when using an alert system.

  5. 49 CFR 229.140 - Alerters.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... alerters shall provide an audio alarm upon expiration of the timing cycle interval. An alerter on a... indication to the operator at least five seconds prior to an audio alarm. The visual indication on an alerter...

  6. Factors influencing alert acceptance: a novel approach for predicting the success of clinical decision support

    PubMed Central

    Seidling, Hanna M; Phansalkar, Shobha; Seger, Diane L; Paterno, Marilyn D; Shaykevich, Shimon; Haefeli, Walter E

    2011-01-01

    Background Clinical decision support systems can prevent knowledge-based prescription errors and improve patient outcomes. The clinical effectiveness of these systems, however, is substantially limited by poor user acceptance of presented warnings. To enhance alert acceptance it may be useful to quantify the impact of potential modulators of acceptance. Methods We built a logistic regression model to predict alert acceptance of drug–drug interaction (DDI) alerts in three different settings. Ten variables from the clinical and human factors literature were evaluated as potential modulators of provider alert acceptance. ORs were calculated for the impact of knowledge quality, alert display, textual information, prioritization, setting, patient age, dose-dependent toxicity, alert frequency, alert level, and required acknowledgment on acceptance of the DDI alert. Results 50 788 DDI alerts were analyzed. Providers accepted only 1.4% of non-interruptive alerts. For interruptive alerts, user acceptance positively correlated with frequency of the alert (OR 1.30, 95% CI 1.23 to 1.38), quality of display (4.75, 3.87 to 5.84), and alert level (1.74, 1.63 to 1.86). Alert acceptance was higher in inpatients (2.63, 2.32 to 2.97) and for drugs with dose-dependent toxicity (1.13, 1.07 to 1.21). The textual information influenced the mode of reaction and providers were more likely to modify the prescription if the message contained detailed advice on how to manage the DDI. Conclusion We evaluated potential modulators of alert acceptance by assessing content and human factors issues, and quantified the impact of a number of specific factors which influence alert acceptance. This information may help improve clinical decision support systems design. PMID:21571746

  7. Alert Notification System Router

    NASA Technical Reports Server (NTRS)

    Gurganus, Joseph; Carey, Everett; Antonucci, Robert; Hitchener, Peter

    2009-01-01

    The Alert Notification System Router (ANSR) software provides satellite operators with notifications of key events through pagers, cell phones, and e-mail. Written in Java, this application is specifically designed to meet the mission-critical standards for mission operations while operating on a variety of hardware environments. ANSR is a software component that runs inside the Mission Operations Center (MOC). It connects to the mission's message bus using the GMSEC [Goddard Space Flight Center (GSFC) Mission Services Evolution Center (GMSEC)] standard. Other components, such as automation and monitoring components, can use ANSR to send directives to notify users or groups. The ANSR system, in addition to notifying users, can check for message acknowledgements from a user and escalate the notification to another user if there is no acknowledgement. When a firewall prevents ANSR from accessing the Internet directly, proxies can be run on the other side of the wall. These proxies can be configured to access the Internet, notify users, and poll for their responses. Multiple ANSRs can be run in parallel, providing a seamless failover capability in the event that one ANSR system becomes incapacitated.

  8. BEMFAM delivers AIDS alert.

    PubMed

    1993-05-01

    The Sociedade Civil Bem-Estar Familiar (BEMFAM) of Brazil developed a project using integrated communication strategies to alert prostitutes and their clients about the risks of contracting HIV. The project specifically promoted condom use and was conducted within the context of BEMFAM's Integrated Family Planning Program. Villa Mimoza, a prostitution zone in the Estacio neighborhood of Rio de Janeiro, was the site of the intervention. This neighborhood harbors 44 houses of prostitution where an estimated 500 female prostitutes receive clients. An agreement was reached with the Association of Prostitutes of the State of Rio de Janeiro whereby it would help mobilize local women, merchants, brothel owners, and clients. Initial needs were assessed by BEMFAM and AIDSCOM through questionnaires and focus groups. It was subsequently resolved that radio programs, counter displays of educational materials in brothels, and posters in brothel rooms would be the most effective channels through which to carry integrated, effective messages to the community. Final evaluation found a change in attitude and an awareness of the importance of measures to prevent AIDS along with a prevalent increase in condom use.

  9. Science Alerts with Gaia

    NASA Astrophysics Data System (ADS)

    Mignard, François

    2011-06-01

    Gaia is before all a survey mission designed to observe the sky in a continuous manner. The sky coverage results from the spin of the satellite over a period of 6h, combined with a much slower motion of the spin axis, allowing after six months complete sky coverage. The CCD counts are stored on-board and sent to the ground station every day during the visibility period of the spacecraft by the ground antenna. The satellite design has been optimized for a survey mission, with ground treatment and not for an immediate access to the data, let alone to some scientifically immediately usable information. The processing comprises several more or less independent pipelines, each involving some sort of global processing requiring the accumulation of a substantial amount of data over several weeks or months. However, it remains possible to carry out a quick, but crude in regard of the accuracy achievable on a longer term, analysis of the data stream arriving on the ground to detec! t transient phenomena, like photometric burst or fast motion of solar system objects. This dedicated processing, largely distinct from the general processing, and the associated validation systems put in place, is referred to as Science Alerts within the DPAC community.

  10. Frequency of tsunami alert bulletins in California

    NASA Astrophysics Data System (ADS)

    Dengler, L. A.

    2009-12-01

    To illustrate how likely a California coastal emergency manager is likely to encounter a tsunami alert bulletin, the last century of earthquake history is examined to see how many warnings, watches, or advisories would have been issued if today’s alert protocol were being used. Using the current protocol, eleven tsunami warnings would have been issued. Four of these - 1946, 1952, 1960, and 1964 - were caused by great earthquakes far away and would have resulted in all or nearly all of the California coast being placed in a warning. The sources were located 4.5 to16 hours travel time away from California. All of these events actually caused damage in California and the 1964 tsunami is ranked as a major disaster. The other seven warnings would have been issued for earthquakes in the magnitude 7 to 8 range located close to the US west coast. The 1906 “San Francisco” earthquake would have resulted in a warning for all of Northern California. The 1927 “Lompoc” earthquake would have caused a warning for Southern and Central California and the remaining warnings would have been limited to California’s North Coast. In contrast to far-field events, the travel time between the earthquake and the arrival of the first waves in these near field events is typically a half hour or less. These events did all produce small tsunamis, but none caused damage. Unlike the far-field events where the water level detection system can detect whether a significant wave has been produced before California is put into the warning classification, the near-field events don’t provide the luxury of verification before a warning is issued. Eight tsunami advisory bulletins would likely have been issued in the past century. Of these, six were from large earthquakes elsewhere in the Pacific and two were from North Coast earthquakes located further offshore than the warning events above. Two of these events, 1957 and 2006, caused significant damage in Crescent City. Thirteen earthquake

  11. Education and Training Module in Alertness Management

    NASA Technical Reports Server (NTRS)

    Mallis, M. M.; Brandt, S. L.; Oyung, R. L.; Reduta, D. D.; Rosekind, M. R.

    2006-01-01

    The education and training module (ETM) in alertness management has now been integrated as part of the training regimen of the Pilot Proficiency Awards Program ("WINGS") of the Federal Aviation Administration. Originated and now maintained current by the Fatigue Countermeasures Group at NASA Ames Research Center, the ETM in Alertness Management is designed to give pilots the benefit of the best and most recent research on the basics of sleep physiology, the causes of fatigue, and strategies for managing alertness during flight operations. The WINGS program is an incentive program that encourages pilots at all licensing levels to participate in recurrent training, upon completion of which distinctive lapel or tie pins (wings) and certificates of completion are awarded. In addition to flight training, all WINGS applicants must attend at least one FAA-sponsored safety seminar, FAA-sanctioned safety seminar, or industry recurrent training program. The Fatigue Countermeasures Group provides an FAA-approved industry recurrent training program through an on-line General Aviation (GA) WINGS ETM in alertness management to satisfy this requirement. Since 1993, the Fatigue Countermeasures Group has translated fatigue and alertness information to operational environments by conducting two-day ETM workshops oriented primarily toward air-carrier operations subject to Part 121 of the Federal Aviation Regulations pertaining to such operations. On the basis of the information presented in the two-day ETM workshops, an ETM was created for GA pilots and was transferred to a Web-based version. To comply with the requirements of the WINGS Program, the original Web-based version has been modified to include hypertext markup language (HTML) content that makes information easily accessible, in-depth testing of alertness-management knowledge, new interactive features, and increased informational resources for GA pilots. Upon successful completion of this training module, a participant

  12. Cooperative Monitoring Center Occasional Paper/9: De-Alerting Strategic Ballistic Missiles

    SciTech Connect

    Connell, Leonard W.; Edenburn, Michael W.; Fraley, Stanley K.; Trost, Lawrence C.

    1999-03-01

    This paper presents a framework for evaluating the technical merits of strategic ballistic missile de-alerting measures, and it uses the framework to evaluate a variety of possible measures for silo-based, land-mobile, and submarine-based missiles. De-alerting measures are defined for the purpose of this paper as reversible actions taken to increase the time or effort required to launch a strategic ballistic missile. The paper does not assess the desirability of pursuing a de-alerting program. Such an assessment is highly context dependent. The paper postulates that if de-alerting is desirable and is used as an arms control mechanism, de-alerting measures should satisfy specific cirteria relating to force security, practicality, effectiveness, significant delay, and verifiability. Silo-launched missiles lend themselves most readily to de-alerting verification, because communications necessary for monitoring do not increase the vulnerabilty of the weapons by a significant amount. Land-mobile missile de-alerting measures would be more challenging to verify, because monitoring measures that disclose the launcher's location would potentially increase their vulnerability. Submarine-launched missile de-alerting measures would be extremely challlenging if not impossible to monitor without increasing the submarine's vulnerability.

  13. Nature and frequency of drug therapy alerts generated by clinical decision support in community pharmacy.

    PubMed

    Heringa, Mette; Floor-Schreudering, Annemieke; Tromp, P Chris; de Smet, Peter A G M; Bouvy, Marcel L

    2016-01-01

    The purpose of this study is to investigate the nature, frequency, and determinants of drug therapy alerts generated by a clinical decision support system (CDSS) in community pharmacy in order to propose CDSS improvement strategies. This is a retrospective analysis of dispensed drugs and drug therapy alerts generated by a CDSS in community pharmacies. Data were extracted from the CDSS of 123 community pharmacies. After taking a 10% random sample of patients with a prescription in the period August 2013-July 2014, 1,672,169 dispensed prescriptions from 81,742 patients were included in the analysis. Of all processed prescriptions, 43% led to one or more drug safety alerts, most frequently drug-drug interaction alerts (15% of all prescriptions), drug-disease interaction alerts (14%), duplicate medication alerts (13%), and dosing alerts (7%). The majority of prescriptions with alerts (80%) were clustered in a minority of patients (16%). The therapeutic drug group of the prescribed drug was the most important determinant of alert generation. Prescriptions for antithrombotic agents accounted for 9.4% of all prescriptions with an alert, beta-blocking agents for 7.5% and angiotensin-converting-enzyme inhibitors for 6.1%. The investigated CDSS in Dutch community pharmacy generated one or more drug therapy alerts in nearly half of the processed prescriptions. The majority of alerts were concentrated in a minority of therapeutic drug groups and patients. To decrease the alert burden, CDSS improvements should be directed at the prioritization and integration of drug therapy alerts for these therapeutic groups within patients. Copyright © 2015 John Wiley & Sons, Ltd.

  14. Global Environmental Alert Service

    NASA Astrophysics Data System (ADS)

    Grasso, V. F.; Cervone, G.; Singh, A.; Kafatos, M.

    2006-12-01

    Environmental Alert Service (GEAS) that could provide information from monitoring, Earth observing and early warning systems to users in a near real time mode and bridge the gap between the scientific community and policy makers. Characteristics and operational aspects of GEAS are discussed.

  15. CISN ShakeAlert: The Decision Module for Earthquake Alerts

    NASA Astrophysics Data System (ADS)

    Neuhauser, D. S.; Khainovsky, O.; Böse, M.; Solanki, K.; Cua, G. B.; Heaton, T. H.; Allen, R. M.; Cisn Earthquake Early Warning Team

    2010-12-01

    The CISN is currently in the process of developing and implementing CISN ShakeAlert, a prototype end-to-end earthquake early warning system for the purpose of testing earthquake alerts with a small group of users. The Decision Module is the component of this system that takes earthquake detections and hazard assessments from several independent systems, and provides a single view of the earthquake in progress that can be forwarded as an alert to people in harm's way. Over the last few years, several methodologies for earthquake alerts have been tested by the CISN group in California and yet more methodologies are now being tested around the world. A variety of approaches to earthquake early warning have proven to work. Rather than adopting a single methodology, the CISN is building a system that can accept event detections, magnitude estimates, and ground shaking predictions from several systems at once. The Decision Module reconciles and integrates the event information coming from the various systems and provides a unified view of the earthquakes in progress, generating alert messages when appropriate. Initially, the Decision Module will be very basic, providing the capability of identifying earthquake detections from different systems as the same event, and distributing the best or average estimate of earthquake magnitude, location, ground shaking intensity, etc. However, the system is being designed to allow the incorporation of a Baysian approach to provide the most likely estimate of the earthquake parameters and their uncertainties. The Decision Module publishes its results to a subscription-based messaging system to allow different applications to utilize the earthquake alerts for their specific use.

  16. Aircraft Alerting Systems Standardization Study

    DTIC Science & Technology

    1980-02-01

    Non - Verbal ) 6 2.1.4 Voice Waridaig Signals 7 2.1.5 Crew Option and Control 8 2.2 Tests 1 and 2 Results - Visual Alerts 8 2.2.1 Visual Master 9 2.2.2...cost. 2.1.3 AURAL ALERTING SIGNALS ( NON VERBAL ) 1. Frecuency - It is important that no signalling device use a single frequency, but rather they should...phoneme-synthesized verbal messages. The voice modeling approach is more acceptable to pilots since it more closoly resembles every day speech. 1

  17. Nature and management of duplicate medication alerts.

    PubMed

    Heringa, Mette; Floor, Annemieke; Meijer, Willemijn M; De Smet, Peter A G M; Bouvy, Marcel L

    2015-07-01

    To investigate the nature of duplicate medication (DM) alerts, their management by community pharmacists, and potential characteristics of DM alerts that lead to interventions by pharmacists. Observational study in 53 community pharmacies. Each pharmacist registered the nature and management of 24 DM alerts on a structured form. On average, the clinical decision support systems generated 20.4 DM alerts per 100 dispensed drugs. In half of the 1272 registered alerts, the pharmacists judged that there was no risk for concurrent use of both prescriptions. In 32% of the alerts, the DM alert was generated for an intentional combination. In 17% of the alerts, there was a risk for unintentional concurrent use. In 32% of the alerts the pharmacists decided that one or more actions were needed: the electronic patient record was updated in 15% of the alerts and in 19% of the alerts the pharmacists performed an external action-for example, informing the patient or modifying the prescription (including 5 therapeutic prescription modifications and 22 logistic prescription modifications). Alerts concerning first dispensing were more likely to be followed by an external action than alerts concerning refills (40% vs 14%, P < .001). In community pharmacy, prescription modifications based on DM alerts are rare, but DM alerts lead with some regularity to other actions-for example, patient instruction and update of the electronic patient record. As the current DM alerts are diverse and nonspecific in detecting situations where external action is considered relevant, other ways of alerting should therefore be considered. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. 75 FR 67201 - Flightcrew Alerting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-02

    ... and regulations for flightcrew warning, caution, and advisory alerting systems. This action will... the flightcrew and aiding them in decision making than the discrete colored lights for warning... and identify a non-normal operational or airplane system condition. Warnings, cautions, and advisories...

  19. Career Alert Planning. Instructor Guide.

    ERIC Educational Resources Information Center

    Lankard, Bettina; And Others

    This instructor's guide to the Career Alert Planning (CAP) program is one of 14 components (see note) of a set of individualized materials designed to help participants find out about themselves and about the kind of work for which they are suited. In this program, participants become acquainted with occupations that are representative of 10 basic…

  20. Reader Survey for INSECT ALERTS.

    ERIC Educational Resources Information Center

    Miller, Mason E.; Sauer, Richard J.

    To determine what might be done to improve "Insect Alerts," which is a newsletter that carries "information on insect biology, abundance, activity and interpretation of control need," put out through the Michigan Cooperative Extension Service 26 weeks a year, a survey was conducted. A mail questionnaire was sent to all 120 county extension…

  1. Evaluation of the personalized bar-code identification card to verify high-risk, high-alert medications.

    PubMed

    Thomas, Maria

    2013-09-01

    An effective intervention to decrease medication errors related to high-risk, high-alert medications is to implement double checks and second verification using the five rights of medication administration. To evaluate the effectiveness and use of the Personalized Bar-Code Identification card in verifying high-risk, high-alert medications, the High-Risk, High-Alert Medication Verification Audit Tool was used to collect data from the medical records of patients who received high-risk, high-alert medications in four ICUs. Data were collected for administered high-risk, high-alert medication, primary registered nurses who administered the high-risk, high-alert medication, and secondary registered nurses who verified the medication. The percentage of medications that were "not verified," "Personalized Bar-Code Identification verified," and "verified" using a method other than the Personalized Bar-Code Identification was calculated and compared using Z tests for two proportions. The percentage of Personalized Bar-Code Identification-verified medications (83.5%) was significantly higher than the percentage of medications that were not verified (10.9%) (Z = 38.43, P < .05). Also, the difference between the proportion of the Personalized Bar-Code Identification-verified medications and those that were verified using another method (5.6%) was significant (Z = 41.42, P < .05). The results show that nurses generally tend to follow the standardized procedure for verifying high-risk, high-alert medications in the four ICUs.

  2. 21 CFR 26.20 - Alert system.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN... Provisions for Pharmaceutical Good Manufacturing Practices § 26.20 Alert system. (a) The details of an alert...

  3. 21 CFR 26.20 - Alert system.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN... Provisions for Pharmaceutical Good Manufacturing Practices § 26.20 Alert system. (a) The details of an alert...

  4. 21 CFR 26.20 - Alert system.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN... Provisions for Pharmaceutical Good Manufacturing Practices § 26.20 Alert system. (a) The details of an alert...

  5. 21 CFR 26.20 - Alert system.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN... Provisions for Pharmaceutical Good Manufacturing Practices § 26.20 Alert system. (a) The details of an alert...

  6. 77 FR 41331 - Commercial Mobile Alert System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-13

    ... COMMISSION 47 CFR Part 10 Commercial Mobile Alert System AGENCY: Federal Communications Commission. ACTION... collection requirements associated with the Commission's Commercial Mobile Alert System (CMS), Second Report... relating to the Commercial Mobile Alert System rules contained in the Commission's Second Report and Order...

  7. Cockpit Interfaces, Displays, and Alerting Messages for the Interval Management Alternative Clearances (IMAC) Experiment

    NASA Technical Reports Server (NTRS)

    Baxley, Brian T.; Palmer, Michael T.; Swieringa, Kurt A.

    2015-01-01

    This document describes the IM cockpit interfaces, displays, and alerting capabilities that were developed for and used in the IMAC experiment, which was conducted at NASA Langley in the summer of 2015. Specifically, this document includes: (1) screen layouts for each page of the interface; (2) step-by-step instructions for data entry, data verification and input error correction; (3) algorithm state messages and error condition alerting messages; (4) aircraft speed guidance and deviation indications; and (5) graphical display of the spatial relationships between the Ownship aircraft and the Target aircraft. The controller displays for IM will be described in a separate document.

  8. Decision Support Alerts for Medication Ordering in a Computerized Provider Order Entry (CPOE) System

    PubMed Central

    Beccaro, M. A. Del; Villanueva, R.; Knudson, K. M.; Harvey, E. M.; Langle, J. M.; Paul, W.

    2010-01-01

    Objective We sought to determine the frequency and type of decision support alerts by location and ordering provider role during Computerized Provider Order Entry (CPOE) medication ordering. Using these data we adjusted the decision support tools to reduce the number of alerts. Design Retrospective analyses were performed of dose range checks (DRC), drug-drug interaction and drug-allergy alerts from our electronic medical record. During seven sampling periods (each two weeks long) between April 2006 and October 2008 all alerts in these categories were analyzed. Another audit was performed of all DRC alerts by ordering provider role from November 2008 through January 2009. Medication ordering error counts were obtained from a voluntary error reporting system. Measurement/Results Between April 2006 and October 2008 the percent of medication orders that triggered a dose range alert decreased from 23.9% to 7.4%. The relative risk (RR) for getting an alert was higher at the start of the interventions versus later (RR= 2.40, 95% CI 2.28-2.52; p< 0.0001). The percentage of medication orders that triggered alerts for drug-drug interactions also decreased from 13.5% to 4.8%. The RR for getting a drug interaction alert at the start was 1.63, 95% CI 1.60-1.66; p< 0.0001. Alerts decreased in all clinical areas without an increase in reported medication errors. Conclusion We reduced the quantity of decision support alerts in CPOE using a systematic approach without an increase in reported medication errors PMID:23616845

  9. CISN ShakeAlert Earthquake Early Warning System Monitoring Tools

    NASA Astrophysics Data System (ADS)

    Henson, I. H.; Allen, R. M.; Neuhauser, D. S.

    2015-12-01

    CISN ShakeAlert is a prototype earthquake early warning system being developed and tested by the California Integrated Seismic Network. The system has recently been expanded to support redundant data processing and communications. It now runs on six machines at three locations with ten Apache ActiveMQ message brokers linking together 18 waveform processors, 12 event association processes and 4 Decision Module alert processes. The system ingests waveform data from about 500 stations and generates many thousands of triggers per day, from which a small portion produce earthquake alerts. We have developed interactive web browser system-monitoring tools that display near real time state-of-health and performance information. This includes station availability, trigger statistics, communication and alert latencies. Connections to regional earthquake catalogs provide a rapid assessment of the Decision Module hypocenter accuracy. Historical performance can be evaluated, including statistics for hypocenter and origin time accuracy and alert time latencies for different time periods, magnitude ranges and geographic regions. For the ElarmS event associator, individual earthquake processing histories can be examined, including details of the transmission and processing latencies associated with individual P-wave triggers. Individual station trigger and latency statistics are available. Detailed information about the ElarmS trigger association process for both alerted events and rejected events is also available. The Google Web Toolkit and Map API have been used to develop interactive web pages that link tabular and geographic information. Statistical analysis is provided by the R-Statistics System linked to a PostgreSQL database.

  10. Alert!

    ERIC Educational Resources Information Center

    Villano, Matt

    2008-01-01

    Now more than ever, campus safety is of paramount importance. A reliable emergency mass notification system is one way to ensure the safety of constituents, and Brandeis University (MA) recently invested in a system that does the job. In this article, the author interviews John Turner, the school's director of networks and systems. Turner…

  11. Alert!

    ERIC Educational Resources Information Center

    Villano, Matt

    2008-01-01

    Now more than ever, campus safety is of paramount importance. A reliable emergency mass notification system is one way to ensure the safety of constituents, and Brandeis University (MA) recently invested in a system that does the job. In this article, the author interviews John Turner, the school's director of networks and systems. Turner…

  12. Applying human factors principles to alert design increases efficiency and reduces prescribing errors in a scenario-based simulation

    PubMed Central

    Russ, Alissa L; Zillich, Alan J; Melton, Brittany L; Russell, Scott A; Chen, Siying; Spina, Jeffrey R; Weiner, Michael; Johnson, Elizabette G; Daggy, Joanne K; McManus, M Sue; Hawsey, Jason M; Puleo, Anthony G; Doebbeling, Bradley N; Saleem, Jason J

    2014-01-01

    Objective To apply human factors engineering principles to improve alert interface design. We hypothesized that incorporating human factors principles into alerts would improve usability, reduce workload for prescribers, and reduce prescribing errors. Materials and methods We performed a scenario-based simulation study using a counterbalanced, crossover design with 20 Veterans Affairs prescribers to compare original versus redesigned alerts. We redesigned drug–allergy, drug–drug interaction, and drug–disease alerts based upon human factors principles. We assessed usability (learnability of redesign, efficiency, satisfaction, and usability errors), perceived workload, and prescribing errors. Results Although prescribers received no training on the design changes, prescribers were able to resolve redesigned alerts more efficiently (median (IQR): 56 (47) s) compared to the original alerts (85 (71) s; p=0.015). In addition, prescribers rated redesigned alerts significantly higher than original alerts across several dimensions of satisfaction. Redesigned alerts led to a modest but significant reduction in workload (p=0.042) and significantly reduced the number of prescribing errors per prescriber (median (range): 2 (1–5) compared to original alerts: 4 (1–7); p=0.024). Discussion Aspects of the redesigned alerts that likely contributed to better prescribing include design modifications that reduced usability-related errors, providing clinical data closer to the point of decision, and displaying alert text in a tabular format. Displaying alert text in a tabular format may help prescribers extract information quickly and thereby increase responsiveness to alerts. Conclusions This simulation study provides evidence that applying human factors design principles to medication alerts can improve usability and prescribing outcomes. PMID:24668841

  13. Optimizing Smart Pump Technology by Increasing Critical Safety Alerts and Reducing Clinically Insignificant Alerts

    PubMed Central

    Mansfield, Jennifer; Jarrett, Steven

    2015-01-01

    Background: Alerts generated by intravenous (IV) infusion pump safety software prevent life-threatening situations that might otherwise go unnoticed. However, when alerts are often clinically insignificant, health care workers may become desensitized and discount their importance, resulting in potentially dangerous situations. Little research has been devoted to visual alert desensitization. Method: This paper describes how the Carolinas HealthCare System decreased the number of nonclinically relevant infusion pump alerts by analyzing alert data that were formatted into scatter plots. This in turn enabled the identification of the medications associated with the most meaningful alerts and those associated with the least meaningful alerts. Conclusion: By revising drug library limits for specific medications, it was possible to decrease the number of less clinically meaningful alerts, reduce alert fatigue, and thereby increase the effectiveness of the smart infusion pumps. This added another layer of safety to patient care. PMID:25717206

  14. False alerts in air traffic control conflict alerting system: is there a "cry wolf" effect?

    PubMed

    Wickens, Christopher D; Rice, Stephen; Keller, David; Hutchins, Shaun; Hughes, Jamie; Clayton, Krisstal

    2009-08-01

    The aim is to establish the extent to which the high false-alarm rate of air traffic control midair conflict alerts is responsible for a "cry wolf' effect-where true alerts are not responded to and all alerts are delayed in their response. Some aircraft collisions have been partly attributed to the cry wolf effect, and in other domains (health care and systems monitoring), there is a causal connection between false-alarm rate and cry wolf behavior. We hypothesized that a corresponding relationship exists in air traffic control (ATC). Aircraft track and alert system behavior data surrounding 495 conflict alerts were analyzed to identify true and false alerts, trajectory type, and controller behavior. Forty-five percent of the alerts were false, ranging from 0.28 to 0.58. Although centers with more false alerts contributed to more nonresponses, there was no evidence that these were nonresponses to true alerts or that response times were delayed in those centers. Instead, controllers showed desirable anticipatory behavior by issuing trajectory changes prior to the alert. Those trajectory pairs whose conflicts were more difficult to visualize induced more reliance on, and less compliance with, the alerting system. The high false-alarm rate does not appear to induce cry wolf behavior in the context of en route ATC conflict alerts. There is no need to substantially modify conflict alert algorithms, but the conflict alert system may be modified to address difficult-to-visualize conflicts.

  15. Alert Override Reasons: A Failure to Communicate

    PubMed Central

    Chused, Amy E.; Kuperman, Gilad J.; Stetson, Peter D.

    2008-01-01

    In 2007, the Leapfrog CPOE standard required that all clinical alert overrides be accompanied by an override reason. We wanted to know how many of the free text comments left by clinicians were actually override reasons, and how many were other types of communication. We reviewed 3583 free text comments left voluntarily by clinicians while responding to an alert in a CPOE system. Of the comments received, 58% were override reasons, 28% were acknowledgement of the alert, 9% were content free and over 5% were misdirected communication, written with intent to reach someone who did not receive the alert comments. This is particularly concerning because much of the misdirected communication contained clinical instructions. Those clinical instructions were stored with the alert rather than with any clinical orders, and thus were not viewed by anyone receiving the orders. Our results show that free text alert comments may cause communication failures. PMID:18999082

  16. Alert Triage v 0.1 beta

    SciTech Connect

    Doak, Justin E.; Ingram, Joe; Johnson, Josh; Franklin, Dustin; Shelfburg, Jeff

    2016-01-06

    In the cyber security operations of a typical organization, data from multiple sources are monitored, and when certain conditions in the data are met, an alert is generated in an alert management system. Analysts inspect these alerts to decide if any deserve promotion to an event requiring further scrutiny. This triage process is manual, time-consuming, and detracts from the in-depth investigation of events. We have created a software system that uses supervised machine learning to automatically prioritize these alerts. In particular we utilize active learning to make efficient use of the pool of unlabeled alerts, thereby improving the performance of our ranking models over passive learning. We have demonstrated the effectiveness of our system on a large, real-world dataset of cyber security alerts.

  17. Development and implementation of sepsis alert systems

    PubMed Central

    Harrison, Andrew M.; Gajic, Ognjen; Pickering, Brian W.; Herasevich, Vitaly

    2016-01-01

    Synopsis/Summary Development and implementation of sepsis alert systems is challenging, particularly outside the monitored intensive care unit (ICU) setting. Important barriers to wider use of sepsis alerts include evolving clinical definitions of sepsis, information overload & alert fatigue, due to suboptimal alert performance. Outside the ICU, additional barriers include differences in health care delivery models, charting behaviors, and availability of electronic data. Currently available evidence does not support routine use of sepsis alert systems in clinical practice. However, continuous improvement in both the afferent (data availability and accuracy of detection algorithms) and efferent (evidence-based decision support and smoother integration into clinical workflow) limbs of sepsis alert systems will help translate theoretical advantages into measurable patient benefit. PMID:27229639

  18. Evaluation of medication alerts in electronic health records for compliance with human factors principles

    PubMed Central

    Phansalkar, Shobha; Zachariah, Marianne; Seidling, Hanna M; Mendes, Chantal; Volk, Lynn; Bates, David W

    2014-01-01

    Introduction Increasing the adoption of electronic health records (EHRs) with integrated clinical decision support (CDS) is a key initiative of the current US healthcare administration. High over-ride rates of CDS alerts strongly limit these potential benefits. As a result, EHR designers aspire to improve alert design to achieve better acceptance rates. In this study, we evaluated drug–drug interaction (DDI) alerts generated in EHRs and compared them for compliance with human factors principles. Methods We utilized a previously validated questionnaire, the I-MeDeSA, to assess compliance with nine human factors principles of DDI alerts generated in 14 EHRs. Two reviewers independently assigned scores evaluating the human factors characteristics of each EHR. Rankings were assigned based on these scores and recommendations for appropriate alert design were derived. Results The 14 EHRs evaluated in this study received scores ranging from 8 to 18.33, with a maximum possible score of 26. Cohen's κ (κ=0.86) reflected excellent agreement among reviewers. The six vendor products tied for second and third place rankings, while the top system and bottom five systems were home-grown products. The most common weaknesses included the absence of characteristics such as alert prioritization, clear and concise alert messages indicating interacting drugs, actions for clinical management, and a statement indicating the consequences of over-riding the alert. Conclusions We provided detailed analyses of the human factors principles which were assessed and described our recommendations for effective alert design. Future studies should assess whether adherence to these recommendations can improve alert acceptance. PMID:24780721

  19. Evaluation of medication alerts in electronic health records for compliance with human factors principles.

    PubMed

    Phansalkar, Shobha; Zachariah, Marianne; Seidling, Hanna M; Mendes, Chantal; Volk, Lynn; Bates, David W

    2014-10-01

    Increasing the adoption of electronic health records (EHRs) with integrated clinical decision support (CDS) is a key initiative of the current US healthcare administration. High over-ride rates of CDS alerts strongly limit these potential benefits. As a result, EHR designers aspire to improve alert design to achieve better acceptance rates. In this study, we evaluated drug-drug interaction (DDI) alerts generated in EHRs and compared them for compliance with human factors principles. We utilized a previously validated questionnaire, the I-MeDeSA, to assess compliance with nine human factors principles of DDI alerts generated in 14 EHRs. Two reviewers independently assigned scores evaluating the human factors characteristics of each EHR. Rankings were assigned based on these scores and recommendations for appropriate alert design were derived. The 14 EHRs evaluated in this study received scores ranging from 8 to 18.33, with a maximum possible score of 26. Cohen's κ (κ=0.86) reflected excellent agreement among reviewers. The six vendor products tied for second and third place rankings, while the top system and bottom five systems were home-grown products. The most common weaknesses included the absence of characteristics such as alert prioritization, clear and concise alert messages indicating interacting drugs, actions for clinical management, and a statement indicating the consequences of over-riding the alert. We provided detailed analyses of the human factors principles which were assessed and described our recommendations for effective alert design. Future studies should assess whether adherence to these recommendations can improve alert acceptance. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  20. Evaluation of Helmet Mounted Display Alerting Symbology

    NASA Technical Reports Server (NTRS)

    DeMaio, Joe; Rutkowski, Michael (Technical Monitor)

    2000-01-01

    Proposed helicopter helmet mounted displays will be used to alert the pilot to a variety of conditions, from threats to equipment problems. The present research was performed under the NASA Safe All-weather Flight Operations Research (SAFOR) program supported by a joint Army/NASA research agreement. The purpose of the research was to examine ways to optimize the alerting effectiveness of helmet display symbology. The research used two approaches to increasing the effectiveness of alerts. One was to increase the ability of the alert to attract attention by using the entire display surface. The other was to include information about the required response in the alert itself. The investigation was conducted using the NASA Ames Research Center's six-degree-of-freedom vertical motion simulator (VMS) with a rotorcraft cockpit. Helmet display symbology was based on the AH-64's pilot night vision system (PNVS), cruise mode symbology. A standardized mission was developed, that consisted of 11 legs. The mission included four tasks, which allowed variation in the frequency of alerts. The general trend in the data points to a small benefit from both the full-screen alert and the partial information alert.

  1. Auditory alert systems with enhanced detectability

    NASA Technical Reports Server (NTRS)

    Begault, Durand R. (Inventor)

    2008-01-01

    Methods and systems for distinguishing an auditory alert signal from a background of one or more non-alert signals. In a first embodiment, a prefix signal, associated with an existing alert signal, is provided that has a signal component in each of three or more selected frequency ranges, with each signal component in each of three or more selected level at least 3-10 dB above an estimated background (non-alert) level in that frequency range. The alert signal may be chirped within one or more frequency bands. In another embodiment, an alert signal moves, continuously or discontinuously, from one location to another over a short time interval, introducing a perceived spatial modulation or jitter. In another embodiment, a weighted sum of background signals adjacent to each ear is formed, and the weighted sum is delivered to each ear as a uniform background; a distinguishable alert signal is presented on top of this weighted sum signal at one ear, or distinguishable first and second alert signals are presented at two ears of a subject.

  2. Static Analysis Alert Audits: Lexicon and Rules

    DTIC Science & Technology

    2016-11-04

    should not deference NULL pointers. • The condition can be determined from the definition of the alert itself, or from the coding taxonomy the alert...public release and unlimited distribution. Audit Rules External Inputs Example import java.io.*; class DeserializeExample { public static Object

  3. Outlier Detection for Patient Monitoring and Alerting

    PubMed Central

    Hauskrecht, Milos; Batal, Iyad; Valko, Michal; Visweswaran, Shyam; Cooper, Gregory F.; Clermont, Gilles

    2012-01-01

    We develop and evaluate a data-driven approach for detecting unusual (anomalous) patient-management decisions using past patient cases stored in electronic health records (EHRs). Our hypothesis is that a patient-management decision that is unusual with respect to past patient care may be due to an error and that it is worthwhile to generate an alert if such a decision is encountered. We evaluate this hypothesis using data obtained from EHRs of 4,486 post-cardiac surgical patients and a subset of 222 alerts generated from the data. We base the evaluation on the opinions of a panel of experts. The results of the study support our hypothesis that the outlier-based alerting can lead to promising true alert rates. We observed true alert rates that ranged from 25% to 66% for a variety of patient-management actions, with 66% corresponding to the strongest outliers. PMID:22944172

  4. Outlier detection for patient monitoring and alerting.

    PubMed

    Hauskrecht, Milos; Batal, Iyad; Valko, Michal; Visweswaran, Shyam; Cooper, Gregory F; Clermont, Gilles

    2013-02-01

    We develop and evaluate a data-driven approach for detecting unusual (anomalous) patient-management decisions using past patient cases stored in electronic health records (EHRs). Our hypothesis is that a patient-management decision that is unusual with respect to past patient care may be due to an error and that it is worthwhile to generate an alert if such a decision is encountered. We evaluate this hypothesis using data obtained from EHRs of 4486 post-cardiac surgical patients and a subset of 222 alerts generated from the data. We base the evaluation on the opinions of a panel of experts. The results of the study support our hypothesis that the outlier-based alerting can lead to promising true alert rates. We observed true alert rates that ranged from 25% to 66% for a variety of patient-management actions, with 66% corresponding to the strongest outliers.

  5. Predictive Information: Status or Alert Information?

    NASA Technical Reports Server (NTRS)

    Trujillo, Anna C.; Bruneau, Daniel; Press, Hayes N.

    2008-01-01

    Previous research investigating the efficacy of predictive information for detecting and diagnosing aircraft system failures found that subjects like to have predictive information concerning when a parameter would reach an alert range. This research focused on where the predictive information should be located, whether the information should be more closely associated with the parameter information or with the alert information. Each subject saw 3 forms of predictive information: (1) none, (2) a predictive alert message, and (3) predictive information on the status display. Generally, subjects performed better and preferred to have predictive information available although the difference between status and alert predictive information was minimal. Overall, for detection and recalling what happened, status predictive information is best; however for diagnosis, alert predictive information holds a slight edge.

  6. 47 CFR 10.310 - Federal alert gateway. [Reserved

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Federal alert gateway. 10.310 Section 10.310 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM System Architecture § 10.310 Federal alert gateway. ...

  7. 47 CFR 10.300 - Alert aggregator. [Reserved

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Alert aggregator. 10.300 Section 10.300 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM System Architecture § 10.300 Alert aggregator. ...

  8. 47 CFR 10.300 - Alert aggregator. [Reserved

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Alert aggregator. 10.300 Section 10.300 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL WIRELESS EMERGENCY ALERTS System Architecture § 10.300 Alert aggregator. ...

  9. 47 CFR 10.310 - Federal alert gateway. [Reserved

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Federal alert gateway. 10.310 Section 10.310 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM System Architecture § 10.310 Federal alert gateway. ...

  10. 47 CFR 10.310 - Federal alert gateway. [Reserved

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Federal alert gateway. 10.310 Section 10.310 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM System Architecture § 10.310 Federal alert gateway. ...

  11. 47 CFR 10.300 - Alert aggregator. [Reserved

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Alert aggregator. 10.300 Section 10.300 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM System Architecture § 10.300 Alert aggregator. ...

  12. 47 CFR 10.310 - Federal alert gateway. [Reserved

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Federal alert gateway. 10.310 Section 10.310 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL WIRELESS EMERGENCY ALERTS System Architecture § 10.310 Federal alert gateway. ...

  13. 47 CFR 10.300 - Alert aggregator. [Reserved

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Alert aggregator. [Reserved] 10.300 Section 10.300 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL WIRELESS EMERGENCY ALERTS System Architecture § 10.300 Alert aggregator. [Reserved] ...

  14. 47 CFR 10.300 - Alert aggregator. [Reserved

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Alert aggregator. 10.300 Section 10.300 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM System Architecture § 10.300 Alert aggregator....

  15. A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety.

    PubMed

    Page, N; Baysari, M T; Westbrook, J I

    2017-09-01

    To assess the evidence of the effectiveness of different categories of interruptive medication prescribing alerts to change prescriber behavior and/or improve patient outcomes in hospital computerized provider order entry (CPOE) systems. PubMed, Embase, CINAHL and the Cochrane Library were searched for relevant articles published between January 2000 and February 2016. Studies were included if they compared the outcomes of automatic, interruptive medication prescribing alert/s to a control/comparison group to determine alert effectiveness. Twenty-three studies describing 32 alerts classified into 11 alert categories were identified. The most common alert categories studied were drug-condition interaction (n=6), drug-drug interaction alerts (n=6) and corollary order alerts (n=6). All 23 papers investigated the effect of the intervention alert on at least one outcome measure of prescriber behavior. Just over half of the studies (53%, n=17) reported a statistically significant beneficial effect from the intervention alert; 34% (n=11) reported no statistically significant effect, and 6% (n=2) reported a significant detrimental effect. Two studies also evaluated the effect of alerts on patient outcome measures; neither finding that patient outcomes significantly improved following alert implementation (6%, n=2). The greatest volume of evidence relates to three alert categories: drug-condition, drug-drug and corollary order alerts. Of these, drug-condition alerts had the greatest number of studies reporting positive effects (five out of six studies). Only two of six studies of drug-drug interaction and one of six of corollary alerts reported positive benefits. The current evidence-base does not show a clear indication that particular categories of alerts are more effective than others. While the majority of alert categories were shown to improve outcomes in some studies, there were also many cases where outcomes did not improve. This lack of evidence hinders decisions

  16. Identity Verification, Control, and Aggression in Marriage

    ERIC Educational Resources Information Center

    Stets, Jan E.; Burke, Peter J.

    2005-01-01

    In this research we study the identity verification process and its effects in marriage. Drawing on identity control theory, we hypothesize that a lack of verification in the spouse identity (1) threatens stable self-meanings and interaction patterns between spouses, and (2) challenges a (nonverified) spouse's perception of control over the…

  17. Swarm Verification

    NASA Technical Reports Server (NTRS)

    Holzmann, Gerard J.; Joshi, Rajeev; Groce, Alex

    2008-01-01

    Reportedly, supercomputer designer Seymour Cray once said that he would sooner use two strong oxen to plow a field than a thousand chickens. Although this is undoubtedly wise when it comes to plowing a field, it is not so clear for other types of tasks. Model checking problems are of the proverbial "search the needle in a haystack" type. Such problems can often be parallelized easily. Alas, none of the usual divide and conquer methods can be used to parallelize the working of a model checker. Given that it has become easier than ever to gain access to large numbers of computers to perform even routine tasks it is becoming more and more attractive to find alternate ways to use these resources to speed up model checking tasks. This paper describes one such method, called swarm verification.

  18. Real-Time Mapping alert system; user's manual

    USGS Publications Warehouse

    Torres, L.A.

    1996-01-01

    The U.S. Geological Survey has an extensive hydrologic network that records and transmits precipitation, stage, discharge, and other water- related data on a real-time basis to an automated data processing system. Data values are recorded on electronic data collection platforms at field monitoring sites. These values are transmitted by means of orbiting satellites to receiving ground stations, and by way of telecommunication lines to a U.S. Geological Survey office where they are processed on a computer system. Data that exceed predefined thresholds are identified as alert values. These alert values can help keep water- resource specialists informed of current hydrologic conditions. The current alert status at monitoring sites is of critical importance during floods, hurricanes, and other extreme hydrologic events where quick analysis of the situation is needed. This manual provides instructions for using the Real-Time Mapping software, a series of computer programs developed by the U.S. Geological Survey for quick analysis of hydrologic conditions, and guides users through a basic interactive session. The software provides interactive graphics display and query of real-time information in a map-based, menu-driven environment.

  19. CISN ShakeAlert: Beta Test Users Receive Earthquake Early Warning Alerts and Provide Feedback for Improving Alert Delivery

    NASA Astrophysics Data System (ADS)

    Hellweg, M.; Vinci, M.; Allen, R. M.; Boese, M.; Henson, I. H.; Felizardo, C.

    2012-12-01

    Earthquake Early Warning (EEW) is the ability to detect an earthquake quickly and provide a few seconds of warning before destructive seismic waves arrive. The California Integrated Seismic Network (CISN) is implementing and testing a prototype system, the ShakeAlert system, which includes delivery of earthquake alerts to potential users. The alerts will be used to provide situational awareness, but also to automatically perform an operation that can impact personal safety or reduce losses to critical infrastructures and inventories. We are working with a group of 15 selected Beta Test Users from institutions and industries throughout California that have potential uses for EEW information. ShakeAlert Beta Test Users are currently running the ShakeAlert UserDisplay. In return, they provide feedback which includes suggestions to improve the UserDisplay and other alert delivery mechanisms, as well as information on their potential uses of EEW. Our currently most "advanced" user is the Bay Area Rapid Transit (BART) System. Their train control system now automatically slows and stops trains based on basic EEW information; EEW alerts are being added as an additional trigger. Beta Test User suggestions are incorporated into revisions of the UserDisplay and other elements of the ShakeAlert system, as appropriate. To form a knowledge base for EEW implementation into a public system, we also collect feedback detailing implementation costs and challenges within the Test User organizations, as well as anticipated benefits and savings. Thus, Beta Test Users are contributing to an operational Earthquake Early Warning system that will meet the needs of the public.

  20. DAIDALUS: Detect and Avoid Alerting Logic for Unmanned Systems

    NASA Technical Reports Server (NTRS)

    Munoz, Cesar; Narkawicz, Anthony; Hagen, George; Upchurch, Jason; Dutle, Aaron; Consiglio, Maria; Chamberlain, James

    2015-01-01

    This paper presents DAIDALUS (Detect and Avoid Alerting Logic for Unmanned Systems), a reference implementation of a detect and avoid concept intended to support the integration of Unmanned Aircraft Systems into civil airspace. DAIDALUS consists of self-separation and alerting algorithms that provide situational awareness to UAS remote pilots. These algorithms have been formally specified in a mathematical notation and verified for correctness in an interactive theorem prover. The software implementation has been verified against the formal models and validated against multiple stressing cases jointly developed by the US Air Force Research Laboratory, MIT Lincoln Laboratory, and NASA. The DAIDALUS reference implementation is currently under consideration for inclusion in the appendices to the Minimum Operational Performance Standards for Unmanned Aircraft Systems presently being developed by RTCA Special Committee 228.

  1. Verification of the FBR fuel bundle-duct interaction analysis code BAMBOO by the out-of-pile bundle compression test with large diameter pins

    NASA Astrophysics Data System (ADS)

    Uwaba, Tomoyuki; Ito, Masahiro; Nemoto, Junichi; Ichikawa, Shoichi; Katsuyama, Kozo

    2014-09-01

    The BAMBOO computer code was verified by results for the out-of-pile bundle compression test with large diameter pin bundle deformation under the bundle-duct interaction (BDI) condition. The pin diameters of the examined test bundles were 8.5 mm and 10.4 mm, which are targeted as preliminary fuel pin diameters for the upgraded core of the prototype fast breeder reactor (FBR) and for demonstration and commercial FBRs studied in the FaCT project. In the bundle compression test, bundle cross-sectional views were obtained from X-ray computer tomography (CT) images and local parameters of bundle deformation such as pin-to-duct and pin-to-pin clearances were measured by CT image analyses. In the verification, calculation results of bundle deformation obtained by the BAMBOO code analyses were compared with the experimental results from the CT image analyses. The comparison showed that the BAMBOO code reasonably predicts deformation of large diameter pin bundles under the BDI condition by assuming that pin bowing and cladding oval distortion are the major deformation mechanisms, the same as in the case of small diameter pin bundles. In addition, the BAMBOO analysis results confirmed that cladding oval distortion effectively suppresses BDI in large diameter pin bundles as well as in small diameter pin bundles.

  2. Tone-activated, remote, alert communication system

    NASA Technical Reports Server (NTRS)

    Baker, C. D.; Couvillon, L. A.; Hubbard, W. P.; Kollar, F. J.; Postal, R. B.; Tegnelia, C. R.

    1971-01-01

    Pocket sized transmitter, frequency modulated by crystal derived tones, with integral loop antenna provides police with easy operating alert signal communicator which uses patrol car radio to relay signal. Communication channels are time shared by several patrol units.

  3. Alcohol Alert: Link Between Stress and Alcohol

    MedlinePlus

    ... Alcohol Policy Special Populations & Co-occurring Disorders Publications & Multimedia Brochures & Fact Sheets NIAAA Journal Alcohol Alert Bulletin ... Cortisol also has a role in cognition, including learning and memory. In particular, it has been found ...

  4. Prototype Conflict Alerting Logic for Free Flight

    NASA Technical Reports Server (NTRS)

    Yang, Lee C.; Kuchar, James K.

    1997-01-01

    This paper discusses the development of a prototype alerting system for a conceptual Free Flight environment. The concept assumes that datalink between aircraft is available and that conflicts are primarily resolved on the flight deck. Four alert stages are generated depending on the likelihood of a conflict. If the conflict is not resolved by the flight crews, Air Traffic Control is notified to take over separation authority. The alerting logic is based on probabilistic analysis through modeling of aircraft sensor and trajectory uncertainties. Monte Carlo simulations were used over a range of encounter situations to determine conflict probability. The four alert stages were then defined based on probability of conflict and on the number of avoidance maneuvers available to the flight crew. Preliminary results from numerical evaluations and from a piloted simulator study at NASA Ames Research Center are summarized.

  5. 21 CFR 26.20 - Alert system.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN... Provisions for Pharmaceutical Good Manufacturing Practices § 26.20 Alert system. (a) The details of an...

  6. An electronic alert to decrease Kayexalate ordering

    PubMed Central

    Leaf, David E.; Cheng, Xingxing S.; Sanders, Jason L.; Mendu, Mallika; Schiff, Gordon D.; Mount, David B.; Bazari, Hasan

    2016-01-01

    Important safety concerns have recently emerged regarding the use of sodium polystyrene sulfonate (Kayexalate), a cation-exchange resin commonly used for the treatment of hyperkalemia. We implemented an electronic alert system at a tertiary care academic medical center to warn providers of the safety concerns of Kayexalate. We assessed the number of Kayexalate prescriptions per month, as well as the number of grams of Kayexalate ordered per month, one year before versus one year after implementing the alert. The mean (±SD) number of Kayexalate orders decreased from 123 (±12) to 76 (±14) orders/month (38% absolute reduction, p < 0.001) after implementing the alert. Additionally, the mean (±SD) amount of Kayexalate prescribed decreased from 3332 (±329) to 1885 (±358) g/month (43% absolute reduction, p < 0.001). We conclude that an electronic alert is an effective tool to decrease Kayexalate ordering. PMID:27183825

  7. Chemical Safety Alert: Safer Technology and Alternatives

    EPA Pesticide Factsheets

    This alert is intended to introduce safer technology concepts and general approaches, explains the concepts and principles, and gives brief examples of the integration of safer technologies into facility risk management activities.

  8. An Obstacle Alerting System for Agricultural Application

    NASA Technical Reports Server (NTRS)

    DeMaio, Joe

    2003-01-01

    Wire strikes are a significant cause of helicopter accidents. The aircraft most at risk are aerial applicators. The present study examines the effectiveness of a wire alert delivered by way of the lightbar, a GPS-based guidance system for aerial application. The alert lead-time needed to avoid an invisible wire is compared with that to avoid a visible wire. A flight simulator was configured to simulate an agricultural application helicopter. Two pilots flew simulated spray runs in fields with visible wires, invisible wires, and no wires. The wire alert was effective in reducing wire strikes. A lead-time of 3.5 sec was required for the alert to be effective. The lead- time required was the same whether the pilot could see the wire or not.

  9. Emergency vehicle alert system (EVAS)

    NASA Technical Reports Server (NTRS)

    Reed, Bill; Crump, Roger; Harper, Warren; Myneni, Krishna

    1995-01-01

    The Emergency Vehicle Alert System (EVAS) program is sponsored by the NASA/MSFC Technology Utilization (TU) office. The program was conceived to support the needs of hearing impaired drivers. The objective of the program is to develop a low-cost, small device which can be located in a personal vehicle and warn the driver, via a visual means, of the approach of an emergency vehicle. Many different technologies might be developed for this purpose and each has its own advantages and drawbacks. The requirements for an acoustic detection system, appear to be pretty stringent and may not allow the development of a reliable, low-cost device in the near future. The problems include variations in the sirens between various types of emergency vehicles, distortions due to wind and surrounding objects, competing background noise, sophisticated signal processing requirements, and omni-directional coverage requirements. Another approach is to use a Radio Frequency (RF) signal between the Emergency Vehicle (EV) and the Personal Vehicle (PV). This approach requires a transmitter on each EV and a receiver in each PV, however it is virtually assured that a system can be developed which works. With this approach, the real technology issue is how to make a system work as inexpensively as possible. This report gives a brief summary of the EVAS program from its inception and concentrates on describing the activities that occurred during Phase 4. References 1-3 describe activities under Phases 1-3. In the fourth phase of the program, the major effort to be expended was in development of the microcontroller system for the PV, refinement of some system elements and packaging for demonstration purposes. An EVAS system was developed and demonstrated which used standard spread spectrum modems with minor modifications.

  10. Aircraft Alerting Systems Criteria Study. Volume 1. Collation and Analysis of Aircraft Alerting Systems Data

    DTIC Science & Technology

    1977-05-01

    and ()provide recommendations for standardization of alerting functions/ methods. The output includes a collation of human factors data pertinent to...alerting sys- tems, cursory test plans for obtaining missing human factors data required to complete definition of and validate the standards...Warning, Warning Systems, Dlocument is available to the U,S. . * Stimulus Response, Human Factors Alerting public through the National Technical Systems

  11. Echo Ranging/Probe Alert Performance Analysis.

    DTIC Science & Technology

    1982-11-04

    contract included technical analyses of acoustic communication equipment, system performance predictions, sea test design and data analysis, and...proposing functional system design alternatives. 2.0 SUMMARY OF WORK PERFORMED The JAYCOR effort focused on the analysis of the Echo Ranging/ Probe Alert...JAYCOR Document No. J640-020-82-2242, 16 August 1982, CONFIDENTIAL. 13. Probe Alert Design System Performance Estimates (U), J.L. Collins, JAYCOR Document

  12. Multilingual Video and Audio News Alerting

    DTIC Science & Technology

    2004-01-01

    Multilingual Video and Audio News Alerting David D. Palmer, Patrick Bray, Marc Reichman, Katherine Rhodes, Noah White Virage Advanced...enable searching of multilingual video news sources by a monolingual speaker. In addition to full search capabilities, the system also enables real...DATE 2004 2. REPORT TYPE 3. DATES COVERED 00-00-2004 to 00-00-2004 4. TITLE AND SUBTITLE Multilingual Video and Audio News Alerting 5a

  13. Public Alerts for Hyper-Hazard Events

    NASA Astrophysics Data System (ADS)

    Woo, G.

    2011-12-01

    Hyper-hazard events pose an exceptional risk to threatened populations around the world. Because of the potentially grave number of casualties, special procedures need to be enacted to alert the public. This paper will consider the decision analysis associated with the provision of public alerts, and what training measures are required. Special focus will be on the issue of false alarms, and the social pyschology of population response to hazard warnings.

  14. Individual alerting efficiency modulates time perception

    PubMed Central

    Liu, Peiduo; Yang, Wenjing; Yuan, Xiangyong; Bi, Cuihua; Chen, Antao; Huang, Xiting

    2015-01-01

    Time perception plays a fundamental role in human perceptual and motor activities, and can be influenced by various factors, such as selective attention and arousal. However, little is known about the influence of individual alerting efficiency on perceived duration. In this study, we explored this question by running two experiments. The Attentional Networks Test was used to evaluate individual differences in alerting efficiency in each experiment. Temporal bisection (Experiment 1) and time generalization task (Experiment 2) were used to explore the participants’ perception of duration. The results indicated that subjects in the high alerting efficiency group overestimated interval durations and estimated durations more accurately compared with subjects in the low alerting efficiency group. The two experiments showed that the sensitivity of time was not influenced by individual alerting efficiency. Based on previous studies and current findings, we infer that individual differences in alerting efficiency may influence time perception through modulating the latency of the attention-controlled switch and the speed of the peacemaker within the framework of the internal clock model. PMID:25904881

  15. Triggering Interventions for Influenza: The ALERT Algorithm

    PubMed Central

    Reich, Nicholas G.; Cummings, Derek A. T.; Lauer, Stephen A.; Zorn, Martha; Robinson, Christine; Nyquist, Ann-Christine; Price, Connie S.; Simberkoff, Michael; Radonovich, Lewis J.; Perl, Trish M.

    2015-01-01

    Background. Early, accurate predictions of the onset of influenza season enable targeted implementation of control efforts. Our objective was to develop a tool to assist public health practitioners, researchers, and clinicians in defining the community-level onset of seasonal influenza epidemics. Methods. Using recent surveillance data on virologically confirmed infections of influenza, we developed the Above Local Elevated Respiratory Illness Threshold (ALERT) algorithm, a method to identify the period of highest seasonal influenza activity. We used data from 2 large hospitals that serve Baltimore, Maryland and Denver, Colorado, and the surrounding geographic areas. The data used by ALERT are routinely collected surveillance data: weekly case counts of laboratory-confirmed influenza A virus. The main outcome is the percentage of prospective seasonal influenza cases identified by the ALERT algorithm. Results. When ALERT thresholds designed to capture 90% of all cases were applied prospectively to the 2011–2012 and 2012–2013 influenza seasons in both hospitals, 71%–91% of all reported cases fell within the ALERT period. Conclusions. The ALERT algorithm provides a simple, robust, and accurate metric for determining the onset of elevated influenza activity at the community level. This new algorithm provides valuable information that can impact infection prevention recommendations, public health practice, and healthcare delivery. PMID:25414260

  16. Alert generation and cockpit presentation for an integrated microburst alerting system

    NASA Technical Reports Server (NTRS)

    Wanke, Craig; Hansman, R. John, Jr.

    1991-01-01

    Alert generation and cockpit presentation issues for low level wind shear (microburst) alerts are investigated. Alert generation issues center on the development of a hazard criterion which allows integration of both ground based and airborne wind shear detection systems to form an accurate picture of the aviation hazard posed by a particular wind shear situation. A methodology for the testing of a hazard criteria through flight simulation has been developed, and has been used to examine the effectiveness and feasibility of several possible criteria. Also, an experiment to evaluate candidate graphical cockpit displays for microburst alerts using a piloted simulator has been designed.

  17. Improving patient safety by modifying provider ordering behavior using alerts (CDSS) in CPOE system.

    PubMed

    Saxena, Kshitij; Lung, Barry R; Becker, Jody R

    2011-01-01

    Medication errors are not unusual in acute care settings. This prospective time series analysis/study evaluates the use of Clinical Decision Support System (CDSS)/alerts in helping providers not to make errors, when putting in orders in a CPOE system. We reviewed electronic health records for all the inpatients coming to 5 community hospitals for a 6 months duration (July 2010 - December 2010). Responses to 9 synchronous alerts (CDSS tools) were studied, that were prompted on computer screens when providers were putting in medication orders in EMR. These alerts guided the providers regarding any drug duplications, interactions, contraindications of the prescribed medicine with patient's clinical condition etc. The CDSS system in place changed the physician behavior & patient therapy 41.75% of the times when medication orders were placed. These alerts substantially decreased the medication error rate/adverse drug events (ADE's) in the patients receiving care at these 5 hospitals.

  18. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics.

    PubMed

    Kane-Gill, Sandra L; O'Connor, Michael F; Rothschild, Jeffrey M; Selby, Nicholas M; McLean, Barbara; Bonafide, Christopher P; Cvach, Maria M; Hu, Xiao; Konkani, Avinash; Pelter, Michele M; Winters, Bradford D

    2017-09-01

    To provide ICU clinicians with evidence-based guidance on tested interventions that reduce or prevent alert fatigue within clinical decision support systems. Systematic review of PubMed, Embase, SCOPUS, and CINAHL for relevant literature from 1966 to February 2017. Focus on critically ill patients and included evaluations in other patient care settings, as well. Identified interventions designed to reduce or prevent alert fatigue within clinical decision support systems. Study selection was based on one primary key question to identify effective interventions that attempted to reduce alert fatigue and three secondary key questions that covered the negative effects of alert fatigue, potential unintended consequences of efforts to reduce alert fatigue, and ideal alert quantity. Data were abstracted by two reviewers independently using a standardized abstraction tool. Surveys, meeting abstracts, "gray" literature, studies not available in English, and studies with non-original data were excluded. For the primary key question, articles were excluded if they did not provide a comparator as key question 1 was designed as a problem, intervention, comparison, and outcome question. We anticipated that reduction in alert fatigue, including the concept of desensitization may not be directly measured and thus considered interventions that reduced alert quantity as a surrogate marker for alert fatigue. Twenty-six articles met the inclusion criteria. Approaches for managing alert fatigue in the ICU are provided as a result of reviewing tested interventions that reduced alert quantity with the anticipated effect of reducing fatigue. Suggested alert management strategies include prioritizing alerts, developing sophisticated alerts, customizing commercially available alerts, and including end user opinion in alert selection. Alert fatigue itself is studied less frequently, as an outcome, and there is a need for more precise evaluation. Standardized metrics for alert fatigue is

  19. 16 CFR 613.1 - Duration of active duty alerts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Duration of active duty alerts. 613.1 Section 613.1 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT DURATION OF ACTIVE DUTY ALERTS § 613.1 Duration of active duty alerts. The duration of an active duty alert shall be...

  20. 76 FR 80780 - Review of the Emergency Alert System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-27

    ... COMMISSION 47 CFR Part 11 Review of the Emergency Alert System AGENCY: Federal Communications Commission... Alert System (EAS) rules to extend the deadline for EAS Participants to be able to receive Common Alerting Protocol (CAP)- formatted EAS alerts to no later than June 30, 2012. This is intended to provide...

  1. 78 FR 16806 - The Commercial Mobile Alert System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    ... COMMISSION 47 CFR Part 10 The Commercial Mobile Alert System AGENCY: Federal Communications Commission... Commercial Mobile Alert System (CMAS) to Wireless Emergency Alerts (WEA). This is intended to conform the name used for the wireless alert system regulated under Commission rules to the name used by the major...

  2. 78 FR 22270 - Special Fraud Alert: Physician-Owned Entities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-15

    ... HUMAN SERVICES Office of Inspector General Special Fraud Alert: Physician-Owned Entities AGENCY: Office... issued Special Fraud Alert on Physician-Owned Entities. Specifically, the Special Fraud Alert addressed... INFORMATION: In our publication of the Special Fraud Alert on Physician-Owned Entities, an inadvertent error...

  3. 76 FR 35810 - Review of the Emergency Alert System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ... Docket No. 04-296; FCC 11-82] Review of the Emergency Alert System AGENCY: Federal Communications... Commission (Commission) seeks comment on proposed changes to its rules governing the Emergency Alert System (EAS) to codify the obligation to process alert messages formatted in the Common Alerting Protocol (CAP...

  4. The Swift Burst Alert Telescope

    NASA Astrophysics Data System (ADS)

    Parsons, A.; Barthelmy, S.; Barbier, L.; Gehrels, N.; Palmer, D.; Tueller, J.; Fenimore, E.; BAT Engineering Team

    2000-10-01

    The Swift Gamma Ray Burst MIDEX is a multiwavelength observatory scheduled to be launched in September 2003 to study gamma-ray bursts (GRBs) and their x-ray and optical afterglow emission. Swift will exploit these newly discovered GRB afterglow characteristics to make a comprehensive study of ~ 1000 GRBs and use the afterglow phenomenon as a tool for probing their source and evolution. Swift will also be able to use GRBs to probe the early Universe. The Burst Alert Telescope (BAT), a large coded aperture instrument with a wide field-of-view (FOV), provides the gamma-ray burst triggers and locations for the Swift Mission. BAT will observe and locate hundreds of bursts per year to better than 4 arc minutes accuracy. Using this prompt burst location information, Swift can slew quickly (within 20 - 70 s) to point on-board x-ray (XRT) and optical (UVOT) instrumentation at the burst for continued afterglow studies. The BAT instrument consists of a large (5200 cm2) hard x-ray detector plane positioned one meter away from an even larger (2.6 m2) coded aperture mask. The BAT detector plane consists of 128 CdZnTe semiconductor detector modules each containing 256 individual, planar 4 mm x 4 mm x 2 mm CdZnTe detectors that are read out by a pair of XA1 Application Specific Integrated Circuits (ASICs). The BAT mask will be constructed using 5 mm x 5 mm x 1 mm lead tiles attached to a self-supporting 0.4 g/cm2 substrate fabricated from Kevlar fiber/honeycomb materials. With 4 mm square focal plane detector elements and 5 mm square mask pixels, BAT will have angular resolution better than 22 arc minutes and will determine GRB source locations to ~ 4 arc minutes for bursts detected at 5 sigma or brighter. A full description of the BAT instrument and its capabilities will be presented along with results from performance tests of prototype detector modules.

  5. Verification Games: Crowd-Sourced Formal Verification

    DTIC Science & Technology

    2016-03-01

    Formal Verification the verification tools developed by the Programming Languages and Software Engineering group were improved. A series of games... software makes it imperative to find more effective and efficient mechanisms for improving software reliability. Formal verification is an important part...of this effort, since it is the only way to be certain that a given piece of software is free of (certain types of) errors. To date, formal

  6. Generic Verification Protocol for Verification of Online Turbidimeters

    EPA Science Inventory

    This protocol provides generic procedures for implementing a verification test for the performance of online turbidimeters. The verification tests described in this document will be conducted under the Environmental Technology Verification (ETV) Program. Verification tests will...

  7. Phasic alertness and residual switch costs in task switching.

    PubMed

    Schneider, Darryl W

    2017-02-01

    Residual switch costs are deficits in task-switching performance that occur despite considerable time to prepare for a task switch. In the present study, the author investigated whether increased phasic alertness modulates residual switch costs. In 2 experiments involving the task-cuing procedure, subjects performed numerical categorization tasks on target digits, with and without an alerting stimulus presented shortly before the target (alert and no-alert trials, respectively). Switch costs were obtained that decreased with a longer cue-target interval, indicating subjects engaged in preparation, but large residual switch costs remained. Alerting effects were obtained in the form of faster overall performance on alert than on no-alert trials, indicating the alerting stimuli increased phasic alertness. Critically, residual switch costs were similar on alert and no-alert trials in both experiments, unaffected by manipulations of alert type, alert availability, and alert-target interval. Implications of the results for understanding the relationship between phasic alertness and cognitive control in task switching are discussed. (PsycINFO Database Record

  8. The Seismic Alert System of Mexico and their automatic Alert Signals broadcast improvements

    NASA Astrophysics Data System (ADS)

    Espinosa Aranda, J.; Cuellar Martinez, A.; Garcia, A.; Ibarrola, G.; Islas, R.; Maldonado, S.

    2009-12-01

    The Mexican Seismic Alert System (SASMEX), is integrated by the Seismic Alert System of Mexico City (SAS), in continuous operation since 1991, and the Seismic Alert System of Oaxaca City (SASO) that started its service in 2003. The SAS generates automatic broadcast of Public and Preventive Alert Signals to the cities of Mexico, Toluca, Acapulco and Chilpancingo, and SASO by now only to Oaxaca City. Two types of SASMEX Seismic Alert Signal ranges were determinated in accordance with each local Civil Protection Authorities: Public Alert if they expect strong earthquake effects and Preventive Alert Signal, for moderated once. SAS has 12 field sensor stations covering partial segment of the Guerrero coast, and the SASO has 35 field sensor stations operating in the coast, central and north of the Oaxaca, covering the seismic danger territory. Since 1993, the SAS is pioneer in the automatic public alert broadcast services, thanks to the support of the Asociación de Radiodifusores del Valle de México, A.C. (ARVM). Historically in Mexico City, due to their great distance to the coast of Guerrero, the SAS has been issued its Alert Signals with an opportunity average of 60 seconds. In Oaxaca City the SASO gives 30 seconds time opportunity, if the earthquake detected is occurring in the Oaxaca coast region, or less time, if the seismic event hits near of this town. Also the SASO has been supported since its implementation for local commercial radio stations. Today the SAS and SASO have been generated respectively 13 and 3 Public Alert signals, also 63 and 5 Preventive Alerts ones. Nevertheless, the final effectiveness of the SASMEX Alert Signal services is sensible to the particular conditions of the user in risk, they must have their radio receiver or TV set turned on, also they must know what to do if the seismic warning is issued, other way they do not have opportunity to react reducing their vulnerability, mainly at night. These reason justify the support of the

  9. Subjective alertness rhythms in elderly people

    NASA Technical Reports Server (NTRS)

    Monk, T. H.; Buysse, D. J.; Reynolds, C. F. 3rd; Kupfer, D. J.; Houck, P. R.

    1996-01-01

    The aim of this study was to evaluate age-related changes in the circadian rhythm of subjective alertness and to explore the circadian mechanisms underlying such changes. Using a visual analogue scale (VAS) instrument, 25 older men and women (71 y and older; 15 female, 10 male) rated their subjective alertness about 7 times per day during 5 baseline days of temporal isolation during which habitual bedtimes and waketimes were enforced. Comparisons were made with 13 middle-aged men (37-52 y) experiencing the same protocol. Advancing age (particularly in the men) resulted in less rhythmic alertness patterns, as indicated by lower amplitudes and less reliability of fitted 24-h sinusoids. This appeared in spite of the absence of any reliable age-related diminution in circadian temperature rhythm amplitude, thus suggesting the effect was not due to SCN weakness per se, but to weakened transduction of SCN output. In a further experiment, involving 36 h of constant wakeful bedrest, differences in the amplitude of the alertness rhythm were observed between 9 older men (79 y+), 7 older women (79 y+), and 17 young controls (9 males, 8 females, 19-28 y) suggesting that with advancing age (particularly in men) there is less rhythmic input into subjective alertness from the endogenous circadian pacemaker. These results may explain some of the nocturnal insomnia and daytime hypersomnia that afflict many elderly people.

  10. Subjective alertness rhythms in elderly people

    NASA Technical Reports Server (NTRS)

    Monk, T. H.; Buysse, D. J.; Reynolds, C. F. 3rd; Kupfer, D. J.; Houck, P. R.

    1996-01-01

    The aim of this study was to evaluate age-related changes in the circadian rhythm of subjective alertness and to explore the circadian mechanisms underlying such changes. Using a visual analogue scale (VAS) instrument, 25 older men and women (71 y and older; 15 female, 10 male) rated their subjective alertness about 7 times per day during 5 baseline days of temporal isolation during which habitual bedtimes and waketimes were enforced. Comparisons were made with 13 middle-aged men (37-52 y) experiencing the same protocol. Advancing age (particularly in the men) resulted in less rhythmic alertness patterns, as indicated by lower amplitudes and less reliability of fitted 24-h sinusoids. This appeared in spite of the absence of any reliable age-related diminution in circadian temperature rhythm amplitude, thus suggesting the effect was not due to SCN weakness per se, but to weakened transduction of SCN output. In a further experiment, involving 36 h of constant wakeful bedrest, differences in the amplitude of the alertness rhythm were observed between 9 older men (79 y+), 7 older women (79 y+), and 17 young controls (9 males, 8 females, 19-28 y) suggesting that with advancing age (particularly in men) there is less rhythmic input into subjective alertness from the endogenous circadian pacemaker. These results may explain some of the nocturnal insomnia and daytime hypersomnia that afflict many elderly people.

  11. CISN ShakeAlert: Using early warnings for earthquakes in California

    NASA Astrophysics Data System (ADS)

    Hellweg, M.; Vinci, M.; CISN-EEW Project Team

    2011-12-01

    As part of a USGS-funded project, the California Integrated Seismic Network (CISN) is now implementing and testing a prototype, end-to-end system for earthquake early warning, the ShakeAlert system. Having an alert of shaking just before it starts can improve resilience if the recipient of the alert has developed plans for responding to it and acts on them. We are working with a suite of perspective users from critical industries and institutions throughout California, such as the Bay Area Rapid Transit District, to identify information necessary for ShakeAlert users, as well as delivery mechanisms, procedures and products. At the same time, we will support their efforts to determine and implement appropriate responses to alerts of expected earthquake shaking, and to assess possible uses and especially benefits to themselves and to society. Thus, a detailed introduction to the CISN ShakeAlert system is an integral part of our interaction with the users, as are regular opportunities for feedback and support. In a final workshop, users will be surveyed for evaluations of perspective uses for early warning in their organizations as well as expected improvements in their response to earthquakes due to the early warning and their expected savings in terms of lives, damage and resilience.

  12. Ready, set, point: the effects of alertness on prism adaptation in healthy adults.

    PubMed

    Kintzel, Franziska; Ishigami, Yoko; Eskes, Gail A

    2015-05-01

    Prism adaptation (PA) is a promising rehabilitation technique for visuo-spatial neglect, an attention disorder that is characterized by spatial attention deficits (i.e., deficits in orienting). PA involves visuo-motor adaptation to rightward shifting prism goggles. Following goggle removal, this adaptation results in leftward shifts in visuo-motor aiming and amelioration of spatial neglect. Even though some studies clearly support the beneficial effects of PA for spatial neglect, not all studies find benefits, thus it remains unclear how PA effects could be improved. Taking advantage of the known interactions between orienting and alerting reported in the attention literature (i.e., alerting enhances orienting function; e.g., Ishigami and Klein in J Individ Differ 30:220-237. doi: 10.1027/1614-0001.30.4.220 , 2009, in J Neurosci Methods 190:117-28. doi: 10.1016/j.jneumeth.2010.04.019 , 2010; Robertson et al. in Nature 395:169-72. doi: 10.1038/25993 , 1998), we examined the effects of alerting tones on PA with healthy young and older adults. We found that the effects of alerting on PA with young adults were negative, while there was a positive effect with older adults, specifically on a visuo-motor outcome task. Thus, enhancement of PA effects by alerting may be age specific and task specific. Therefore, we can conclude that while the impact of alerting tones is not always positive, further research in patients with neglect may be warranted.

  13. Columbus pressurized module verification

    NASA Technical Reports Server (NTRS)

    Messidoro, Piero; Comandatore, Emanuele

    1986-01-01

    The baseline verification approach of the COLUMBUS Pressurized Module was defined during the A and B1 project phases. Peculiarities of the verification program are the testing requirements derived from the permanent manned presence in space. The model philosophy and the test program have been developed in line with the overall verification concept. Such critical areas as meteoroid protections, heat pipe radiators and module seals are identified and tested. Verification problem areas are identified and recommendations for the next development are proposed.

  14. Verification of VLSI designs

    NASA Technical Reports Server (NTRS)

    Windley, P. J.

    1991-01-01

    In this paper we explore the specification and verification of VLSI designs. The paper focuses on abstract specification and verification of functionality using mathematical logic as opposed to low-level boolean equivalence verification such as that done using BDD's and Model Checking. Specification and verification, sometimes called formal methods, is one tool for increasing computer dependability in the face of an exponentially increasing testing effort.

  15. Alert odor from skin gland in deer.

    PubMed

    Müller-Schwarze, D; Altieri, R; Porter, N

    1984-12-01

    Black-tailed deer (Odocoileus hemionus columbianus) discharge an odor from the metatarsal (MT) gland, located on the hindleg, when disturbed or alarmed. Freely moving, captive deer were exposed to the MT odor by means of a remote-release apparatus. Responses by males and females to MT odor from both sexes were recorded with a coding system and a video camera. When the odor was present, females became more alert and left the site more often than in the presence of control odors, odorless air, or deer urine. It is concluded that the MT secretion provides an alert signal, placing the odor into the class of alarm pheromones. There is no evidence that the closely related white-tailed deer,O. virginianus, possesses this alert (or alarm) odor system to the same degree.

  16. Prioritizing earthquake and tsunami alerting efforts

    NASA Astrophysics Data System (ADS)

    Allen, R. M.; Allen, S.; Aranha, M. A.; Chung, A. I.; Hellweg, M.; Henson, I. H.; Melgar, D.; Neuhauser, D. S.; Nof, R. N.; Strauss, J. A.

    2015-12-01

    The timeline of hazards associated with earthquakes ranges from seconds for the strong shaking at the epicenter, to minutes for strong shaking at more distant locations in big quakes, to tens of minutes for a local tsunami. Earthquake and tsunami warning systems must therefore include very fast initial alerts, while also taking advantage of available time in bigger and tsunami-generating quakes. At the UC Berkeley Seismological Laboratory we are developing a suite of algorithms to provide the fullest possible information about earthquake shaking and tsunami inundation from seconds to minutes after a quake. The E-larmS algorithm uses the P-wave to rapidly detect an earthquake and issue a warning. It is currently issuing alerts to test users in as little as 3 sec after the origin time. Development of a new waveform detector may lead to even faster alerts. G-larmS uses permanent deformation estimates from GNSS stations to estimate the geometry and extent of rupture underway providing more accurate ground shaking estimates in big (M>~7) earthquakes. It performed well in the M6.0 2014 Napa earthquake. T-larmS is a new algorithm designed to extend alert capabilities to tsunami inundation. Rapid estimates of source characteristics for subduction zones event can not only be used to warn of the shaking hazard, but also the local tsunami inundation hazard. These algorithms are being developed, implemented and tested with a focus on the western US, but are also now being tested in other parts of the world including Israel, Turkey, Korea and Chile. Beta users in the Bay Area are receiving the alerts and beginning to implement automated actions. They also provide feedback on users needs, which has led to the development of the MyEEW smartphone app. This app allows beta users to receive the alerts on their cell phones. All these efforts feed into our ongoing assessment of directions and priorities for future development and implementation efforts.

  17. Alerting strategies in computerized physician order entry: a novel use of a dashboard-style analytics tool in a children's hospital.

    PubMed

    Reynolds, George; Boyer, Dean; Mackey, Kevin; Povondra, Lynne; Cummings, Allana

    2008-11-06

    Utilizing a commercially available business analytics tool offering dashboard-style graphical indicators and a data warehouse strategy, we have developed an interactive, web-based platform that allows near-real-time analysis of CPOE adoption by hospital area and practitioner specialty. Clinical Decision Support (CDS) metrics include the percentage of alerts that result in a change in clinician decision-making. This tool facilitates adjustments in alert limits in order to reduce alert fatigue.

  18. Verification of Adaptive Systems

    SciTech Connect

    Pullum, Laura L; Cui, Xiaohui; Vassev, Emil; Hinchey, Mike; Rouff, Christopher; Buskens, Richard

    2012-01-01

    Adaptive systems are critical for future space and other unmanned and intelligent systems. Verification of these systems is also critical for their use in systems with potential harm to human life or with large financial investments. Due to their nondeterministic nature and extremely large state space, current methods for verification of software systems are not adequate to provide a high level of assurance for them. The combination of stabilization science, high performance computing simulations, compositional verification and traditional verification techniques, plus operational monitors, provides a complete approach to verification and deployment of adaptive systems that has not been used before. This paper gives an overview of this approach.

  19. Alerts of forest disturbance from MODIS imagery

    NASA Astrophysics Data System (ADS)

    Hammer, Dan; Kraft, Robin; Wheeler, David

    2014-12-01

    This paper reports the methodology and computational strategy for a forest cover disturbance alerting system. Analytical techniques from time series econometrics are applied to imagery from the Moderate Resolution Imaging Spectroradiometer (MODIS) sensor to detect temporal instability in vegetation indices. The characteristics from each MODIS pixel's spectral history are extracted and compared against historical data on forest cover loss to develop a geographically localized classification rule that can be applied across the humid tropical biome. The final output is a probability of forest disturbance for each 500 m pixel that is updated every 16 days. The primary objective is to provide high-confidence alerts of forest disturbance, while minimizing false positives. We find that the alerts serve this purpose exceedingly well in Pará, Brazil, with high probability alerts garnering a user accuracy of 98 percent over the training period and 93 percent after the training period (2000-2005) when compared against the PRODES deforestation data set, which is used to assess spatial accuracy. Implemented in Clojure and Java on the Hadoop distributed data processing platform, the algorithm is a fast, automated, and open source system for detecting forest disturbance. It is intended to be used in conjunction with higher-resolution imagery and data products that cannot be updated as quickly as MODIS-based data products. By highlighting hotspots of change, the algorithm and associated output can focus high-resolution data acquisition and aid in efforts to enforce local forest conservation efforts.

  20. For Emergency Alerts, Some Colleges Try Sirens

    ERIC Educational Resources Information Center

    Young, Jeffrey R.

    2008-01-01

    Colleges and universities, ever more mindful of campus safety, are installing outdoor sirens. The systems can blast spoken messages or tone alerts of danger--and one of the preset messages on many of the public-address systems warns: "There is a shooter on campus. Seek shelter immediately." As college officials reviewed their…

  1. Innovative Software Tools Measure Behavioral Alertness

    NASA Technical Reports Server (NTRS)

    2014-01-01

    To monitor astronaut behavioral alertness in space, Johnson Space Center awarded Philadelphia-based Pulsar Informatics Inc. SBIR funding to develop software to be used onboard the International Space Station. Now used by the government and private companies, the technology has increased revenues for the firm by an average of 75 percent every year.

  2. CEI-PEA Alert, Summer 2006

    ERIC Educational Resources Information Center

    Center for Educational Innovation - Public Education Association, 2006

    2006-01-01

    The "CEI-PEA Alert" is an advocacy newsletter that deals with topics of interest to all concerned with the New York City public schools. This issue includes: (1) Practical Skills & High Academic Standards: Career Technical Education; (2) Parents: Help Your Children Gain "Soft Skills" for the Workforce; (3) Culinary Arts…

  3. Assessment in Education. IBE Special Alert

    ERIC Educational Resources Information Center

    UNESCO International Bureau of Education, 2014

    2014-01-01

    As another year is approaching, the time seems appropriate to look back and reflect on all the things that have been done, and more importantly learned during 2014. Along the same lines, and in order to offer further food for thought, the IBE is happy to share with you its latest Thematic alert on the topic of assessment in education. More…

  4. Project ALERT. Workplace Education. External Evaluators Reports.

    ERIC Educational Resources Information Center

    Philippi, Jorie W.; Mikulecky, Larry; Lloyd, Paul

    This document contains four evaluations of Project ALERT (Adult Literacy Enhanced & Redefined through Training), a workplace literacy partnership of Wayne State University, the Detroit Public Schools, and several city organizations, unions, and manufacturers in the automobile industry that was formed to meet employees' job-specific basic skills…

  5. CEI-PEA Alert, Fall 2005

    ERIC Educational Resources Information Center

    Center for Educational Innovation - Public Education Association, 2005

    2005-01-01

    The "CEI-PEA Alert" is an advocacy newsletter that deals with topics of interest to all concerned with the New York City public schools. This issue includes: (1) Chancellor Joel I. Klein Announces New Accountability System for NYC Schools; (2) Students Achieve Record-High Scores!; (3) Use Data to Help Your Child Improve Performance; (4)…

  6. Alerting or Somnogenic Light: Pick Your Color

    PubMed Central

    Bourgin, Patrice; Hubbard, Jeffrey

    2016-01-01

    In mammals, light exerts pervasive effects on physiology and behavior in two ways: indirectly through clock synchronization and the phase adjustment of circadian rhythms, and directly through the promotion of alertness and sleep, respectively, in diurnal and nocturnal species. A recent report by Pilorz and colleagues describes an even more complex role for the acute effects of light. In mice, blue light acutely causes behavioral arousal, whereas green wavelengths promote sleep. These opposing effects are mediated by melanopsin-based phototransduction through different neural pathways. These findings reconcile nocturnal and diurnal species through a common alerting response to blue light. One can hypothesize that the opposite responses to natural polychromatic light in night- or day-active animals may reflect higher sensitivity of nocturnal species to green, and diurnals to blue wavelengths, resulting in hypnogenic and alerting effects, respectively. Additional questions remain to be clarified. How do different light wavelengths affect other behaviors such as mood and cognition? How do those results apply to humans? How does light pose either a risk or benefit, depending on whether one needs to be asleep or alert? Indeed, in addition to timing, luminance levels, and light exposure duration, these findings stress the need to understand how best to adapt the color spectrum of light to our needs and to take this into account for the design of daily lighting concepts—a key challenge for today’s society, especially with the emergence of LED light technology. PMID:27525420

  7. Self-Regulation: Calm, Alert, and Learning

    ERIC Educational Resources Information Center

    Shanker, Stuart

    2010-01-01

    There is a growing awareness among developmental scientists that the better a child can self-regulate, the better she can rise to the challenge of mastering ever more complex skills and concepts. In the simplest terms, self-regulation can be defined as the ability to stay calmly focused and alert, which often involves--but cannot be reduced…

  8. Alerting or Somnogenic Light: Pick Your Color.

    PubMed

    Bourgin, Patrice; Hubbard, Jeffrey

    2016-08-01

    In mammals, light exerts pervasive effects on physiology and behavior in two ways: indirectly through clock synchronization and the phase adjustment of circadian rhythms, and directly through the promotion of alertness and sleep, respectively, in diurnal and nocturnal species. A recent report by Pilorz and colleagues describes an even more complex role for the acute effects of light. In mice, blue light acutely causes behavioral arousal, whereas green wavelengths promote sleep. These opposing effects are mediated by melanopsin-based phototransduction through different neural pathways. These findings reconcile nocturnal and diurnal species through a common alerting response to blue light. One can hypothesize that the opposite responses to natural polychromatic light in night- or day-active animals may reflect higher sensitivity of nocturnal species to green, and diurnals to blue wavelengths, resulting in hypnogenic and alerting effects, respectively. Additional questions remain to be clarified. How do different light wavelengths affect other behaviors such as mood and cognition? How do those results apply to humans? How does light pose either a risk or benefit, depending on whether one needs to be asleep or alert? Indeed, in addition to timing, luminance levels, and light exposure duration, these findings stress the need to understand how best to adapt the color spectrum of light to our needs and to take this into account for the design of daily lighting concepts-a key challenge for today's society, especially with the emergence of LED light technology.

  9. For Emergency Alerts, Some Colleges Try Sirens

    ERIC Educational Resources Information Center

    Young, Jeffrey R.

    2008-01-01

    Colleges and universities, ever more mindful of campus safety, are installing outdoor sirens. The systems can blast spoken messages or tone alerts of danger--and one of the preset messages on many of the public-address systems warns: "There is a shooter on campus. Seek shelter immediately." As college officials reviewed their…

  10. Self-Regulation: Calm, Alert, and Learning

    ERIC Educational Resources Information Center

    Shanker, Stuart

    2010-01-01

    There is a growing awareness among developmental scientists that the better a child can self-regulate, the better she can rise to the challenge of mastering ever more complex skills and concepts. In the simplest terms, self-regulation can be defined as the ability to stay calmly focused and alert, which often involves--but cannot be reduced…

  11. Assessment in Education. IBE Special Alert

    ERIC Educational Resources Information Center

    UNESCO International Bureau of Education, 2014

    2014-01-01

    As another year is approaching, the time seems appropriate to look back and reflect on all the things that have been done, and more importantly learned during 2014. Along the same lines, and in order to offer further food for thought, the IBE is happy to share with you its latest Thematic alert on the topic of assessment in education. More…

  12. 47 CFR 80.1111 - Distress alerting.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... distress message format, which is relayed through space stations. (b) The distress alert must be sent... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE... authority of the person responsible for the ship, aircraft or other vehicle carrying the mobile station...

  13. 47 CFR 80.1111 - Distress alerting.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... distress message format, which is relayed through space stations. (b) The distress alert must be sent... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE... authority of the person responsible for the ship, aircraft or other vehicle carrying the mobile station...

  14. 47 CFR 80.1111 - Distress alerting.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... distress message format, which is relayed through space stations. (b) The distress alert must be sent... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE... authority of the person responsible for the ship, aircraft or other vehicle carrying the mobile station...

  15. 47 CFR 80.1111 - Distress alerting.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... distress message format, which is relayed through space stations. (b) The distress alert must be sent... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE... authority of the person responsible for the ship, aircraft or other vehicle carrying the mobile station...

  16. Intrusion Detection System Visualization of Network Alerts

    DTIC Science & Technology

    2010-07-01

    Intrusion Detection System Visualization of Network Alerts Dolores M. Zage and Wayne M. Zage Ball State University Final Report July 2010...contracts. Staff Wayne Zage, Director of the S2ERC and Professor, Department of Computer Science, Ball State University Dolores Zage, Research

  17. Methods of Evaluating the Utility of Continuous Glucose Monitor Alerts

    PubMed Central

    Kamath, Apurv; Mahalingam, Aarthi; Brauker, James

    2010-01-01

    Background The evaluation of continuous glucose monitor (CGM) alert performance should reflect patient use in real time. By evaluating alerts as real-time events, their ability to both detect and predict low and high blood glucose (BG) events can be examined. Method True alerts (TA) were defined as a CGM alert occurring within ± 30 minutes from the beginning of a low or a high BG event. The TA time to detection was calculated as [time of CGM alert] – [beginning of event]. False alerts (FA) were defined as a BG event outside of the alert zone within ± 30 minutes from a CGM alert. Analysis was performed comparing DexCom™ SEVEN® PLUS CGM data to BG measured with a laboratory analyzer. Results Of 49 low glucose events (BG ≤70 mg/dl), with the CGM alert set to 90 mg/dl, the TA rate was 91.8%. For 50% of TAs, the CGM alert preceded the event by at least 21 minutes. The FA rate was 25.0%. Similar results were found for high alerts. Conclusion Continuous glucose monitor alerts are capable of both detecting and predicting low and high BG events. The setting of alerts entails a trade-off between predictive ability and FA rate. Realistic analysis of this trade-off will guide patients in the effective utilization of CGM. PMID:20167168

  18. LANL measurements verification acceptance criteria

    SciTech Connect

    Chavez, D. M.

    2001-01-01

    The possibility of SNM diversion/theft is a major concern to organizations charged with control of Special Nuclear Material (SNM). Verification measurements are used to aid in the detection of SNM losses. The acceptance/rejection criteria for verification measurements are dependent on the facility-specific processes, the knowledge of the measured item, and the measurement technique applied. This paper will discuss some of the LANL measurement control steps and criteria applied for the acceptance of a verification measurement. The process involves interaction among the facility operations personnel, the subject matter experts of a specific instrument/technique, the process knowledge on the matrix of the measured item, and the measurement-specific precision and accuracy values. By providing an introduction to a site-specific application of measurement verification acceptance criteria, safeguards, material custodians, and SNM measurement professionals are assisted in understanding the acceptance/rejection process for measurements and their contribution of the process to the detection of SNM diversion.

  19. 2. Missile Alert Facility, south side, view from baseball bleachers. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. Missile Alert Facility, south side, view from baseball bleachers. Lyon - Whiteman Air Force Base, Oscar O-1 Minuteman Missile Alert Facility, Southeast corner of Twelfth & Vendenberg Avenues, Knob Noster, Johnson County, MO

  20. 4. Missile Alert Facility, outside gate, view looking southwest. Thalheimer ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. Missile Alert Facility, outside gate, view looking southwest. Thalheimer - Whiteman Air Force Base, Oscar O-1 Minuteman Missile Alert Facility, Southeast corner of Twelfth & Vendenberg Avenues, Knob Noster, Johnson County, MO

  1. 3. Missile Alert Facility, northwest corner, view from bleachers. Lyon ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. Missile Alert Facility, northwest corner, view from bleachers. Lyon - Whiteman Air Force Base, Oscar O-1 Minuteman Missile Alert Facility, Southeast corner of Twelfth & Vendenberg Avenues, Knob Noster, Johnson County, MO

  2. 6. Missile Alert Facility, west side. Thalheimer Whiteman Air ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    6. Missile Alert Facility, west side. Thalheimer - Whiteman Air Force Base, Oscar O-1 Minuteman Missile Alert Facility, Southeast corner of Twelfth & Vendenberg Avenues, Knob Noster, Johnson County, MO

  3. 8. Missile Alert Facility, northeast corner. Lyon Whiteman Air ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    8. Missile Alert Facility, northeast corner. Lyon - Whiteman Air Force Base, Oscar O-1 Minuteman Missile Alert Facility, Southeast corner of Twelfth & Vendenberg Avenues, Knob Noster, Johnson County, MO

  4. 29. Launch Control Center, view looking in, alert crew mannequin ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    29. Launch Control Center, view looking in, alert crew mannequin at end of Launch Control Center. Lyon - Whiteman Air Force Base, Oscar O-1 Minuteman Missile Alert Facility, Southeast corner of Twelfth & Vendenberg Avenues, Knob Noster, Johnson County, MO

  5. 1. Missile Alert Facility, east side, view from bleachers on ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Missile Alert Facility, east side, view from bleachers on athletic field. Lyon - Whiteman Air Force Base, Oscar O-1 Minuteman Missile Alert Facility, Southeast corner of Twelfth & Vendenberg Avenues, Knob Noster, Johnson County, MO

  6. 5. Missile Alert Facility, east and north sides, looking southwest. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. Missile Alert Facility, east and north sides, looking southwest. Thalheimer - Whiteman Air Force Base, Oscar O-1 Minuteman Missile Alert Facility, Southeast corner of Twelfth & Vendenberg Avenues, Knob Noster, Johnson County, MO

  7. Prescription order risk factors for pediatric dosing alerts.

    PubMed

    Stultz, J S; Porter, K; Nahata, M C

    2015-02-01

    To determine dosing alert rates based on prescription order characteristics and identify prescription order risk factors for the occurrence of dosing alerts. A retrospective analysis of inpatient medication orders and dosing alerts occurring during October 2011 and January, April, and July 2012 at a pediatric institution. Prescription orders and alerts were categorized by: medication class, patient age, route of administration, and month of the year. There were 228,259 orders during the studied period, with 11,072 alerted orders (4.9%). The most frequently alerted medication class was the non-analgesic central nervous system agent class (14% of alerts). Age, route, medication class, and month all independently affected dosing alert rates. The alert rate was highest for immunosuppressive agents (54%), neonates (6.7%), and orders for rectal administration (9.5%). The alert rate was higher in adult patients receiving their care at a pediatric institution (5.7%) compared to children (4.7%), but after multivariate analysis, pediatric orders had higher odds for an alert (OR 1.1, 95% CI 1.05-1.16). Mercaptopurine had the highest alert rate when categorized by active ingredient (73.9%). Albuterol 2.5mg/mL continuous aerosol and heparin 1000 units in 0.9% sodium chloride injection solution were the unique medications with the highest alert rates (100.0% and 97.7%, respectively). Certain types of prescription orders have a higher risk for causing dosing alerts than others. Patient age, medication class, route of administration, and the month of year can affect dosing alert rates. Design and customization efforts should focus on these medications and prescription order characteristics that increase the risk for dosing alerts. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  8. 47 CFR 80.277 - Ship Security Alert System (SSAS).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Ship Security Alert System (SSAS). 80.277... SERVICES STATIONS IN THE MARITIME SERVICES Equipment Authorization for Compulsory Ships § 80.277 Ship Security Alert System (SSAS). (a) Vessels equipped with a Ship Security Alert System pursuant to the Safety...

  9. 47 CFR 80.277 - Ship Security Alert System (SSAS).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Ship Security Alert System (SSAS). 80.277... SERVICES STATIONS IN THE MARITIME SERVICES Equipment Authorization for Compulsory Ships § 80.277 Ship Security Alert System (SSAS). (a) Vessels equipped with a Ship Security Alert System pursuant to the Safety...

  10. 47 CFR 80.277 - Ship Security Alert System (SSAS).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Ship Security Alert System (SSAS). 80.277... SERVICES STATIONS IN THE MARITIME SERVICES Equipment Authorization for Compulsory Ships § 80.277 Ship Security Alert System (SSAS). (a) Vessels equipped with a Ship Security Alert System pursuant to the Safety...

  11. 47 CFR 80.277 - Ship Security Alert System (SSAS).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Ship Security Alert System (SSAS). 80.277... SERVICES STATIONS IN THE MARITIME SERVICES Equipment Authorization for Compulsory Ships § 80.277 Ship Security Alert System (SSAS). (a) Vessels equipped with a Ship Security Alert System pursuant to the Safety...

  12. 47 CFR 80.277 - Ship Security Alert System (SSAS).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false Ship Security Alert System (SSAS). 80.277... SERVICES STATIONS IN THE MARITIME SERVICES Equipment Authorization for Compulsory Ships § 80.277 Ship Security Alert System (SSAS). (a) Vessels equipped with a Ship Security Alert System pursuant to the Safety...

  13. 47 CFR 80.1113 - Transmission of a distress alert.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Transmission of a distress alert. 80.1113... Procedures for Distress and Safety Communications § 80.1113 Transmission of a distress alert. (a) The... stations that a ship is in distress. These alerts are based on the use of transmissions via...

  14. 47 CFR 80.1113 - Transmission of a distress alert.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Transmission of a distress alert. 80.1113... Procedures for Distress and Safety Communications § 80.1113 Transmission of a distress alert. (a) The... stations that a ship is in distress. These alerts are based on the use of transmissions via...

  15. 47 CFR 80.1113 - Transmission of a distress alert.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Transmission of a distress alert. 80.1113... Procedures for Distress and Safety Communications § 80.1113 Transmission of a distress alert. (a) The... coast earth stations that a ship is in distress. These alerts are based on the use of transmissions...

  16. 47 CFR 80.1113 - Transmission of a distress alert.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Transmission of a distress alert. 80.1113... Procedures for Distress and Safety Communications § 80.1113 Transmission of a distress alert. (a) The... coast earth stations that a ship is in distress. These alerts are based on the use of transmissions...

  17. 47 CFR 80.1113 - Transmission of a distress alert.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false Transmission of a distress alert. 80.1113... Procedures for Distress and Safety Communications § 80.1113 Transmission of a distress alert. (a) The... stations that a ship is in distress. These alerts are based on the use of transmissions via...

  18. 75 FR 4760 - Review of the Emergency Alert System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ... COMMISSION 47 CFR Part 11 Review of the Emergency Alert System AGENCY: Federal Communications Commission... seeking comment on its proposal to amend the Commission's rules governing the Emergency Alert System (EAS... issue a national alert. DATES: Comments are due on or before March 1, 2010 and reply comments are due on...

  19. 78 FR 19271 - Special Fraud Alert: Physician-Owned Entities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-29

    ... HUMAN SERVICES Office of Inspector General Special Fraud Alert: Physician-Owned Entities AGENCY: Office of Inspector General (OIG), HHS. ACTION: Notice. SUMMARY: This Special Fraud Alert addresses.... Introduction This Special Fraud Alert addresses physician-owned entities that derive revenue from selling, or...

  20. 76 FR 12600 - Review of the Emergency Alert System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-08

    ... COMMISSION 47 CFR Part 11 Review of the Emergency Alert System AGENCY: Federal Communications Commission... its rules governing the Emergency Alert System (EAS) to provide for national EAS testing and... a national Presidential alert. DATES: Effective March 8, 2011. FOR FURTHER INFORMATION CONTACT: Lisa...

  1. 77 FR 33661 - Review of the Emergency Alert System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-07

    ... COMMISSION 47 CFR Part 11 Review of the Emergency Alert System AGENCY: Federal Communications Commission... information collection associated with the Commission's Review of the Emergency Alert System, Fifth Report and...--Emergency Alert System, Fifth Report and Order, FCC 12-7. Form Number: N/A. Respondents: Business or other...

  2. 47 CFR 10.320 - Provider alert gateway requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Provider alert gateway requirements. 10.320 Section 10.320 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL WIRELESS EMERGENCY ALERTS System Architecture § 10.320 Provider alert gateway requirements. This section specifies the functions...

  3. 47 CFR 10.320 - Provider alert gateway requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Provider alert gateway requirements. 10.320 Section 10.320 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM System Architecture § 10.320 Provider alert gateway requirements. This section specifies the functions...

  4. 47 CFR 10.320 - Provider alert gateway requirements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Provider alert gateway requirements. 10.320 Section 10.320 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL WIRELESS EMERGENCY ALERTS System Architecture § 10.320 Provider alert gateway requirements. This section specifies the functions...

  5. 47 CFR 10.310 - Federal alert gateway. [Reserved

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Federal alert gateway. [Reserved] 10.310 Section 10.310 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL WIRELESS EMERGENCY ALERTS System Architecture § 10.310 Federal alert gateway. [Reserved] ...

  6. Evaluation of the Early Alert Program, Spring 1999.

    ERIC Educational Resources Information Center

    Cartnal, Ryan; Hagen, Peter F.

    This report evaluates the Early Alert program at Cuesta College (California). The report is divided into four main sections: services accessed, accessibility, actions taken as a result of receiving an Early Alert letter, and timing and utility of the Early Alert program. These are followed by the demography of the respondents, a brief background…

  7. 47 CFR 10.320 - Provider alert gateway requirements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Section 10.320 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM System Architecture § 10.320 Provider alert gateway requirements. This section specifies the functions... protocols between the Federal alert gateway and the CMS provider gateway. (d) Geographic targeting. The...

  8. Simulation verification techniques study

    NASA Technical Reports Server (NTRS)

    Schoonmaker, P. B.; Wenglinski, T. H.

    1975-01-01

    Results are summarized of the simulation verification techniques study which consisted of two tasks: to develop techniques for simulator hardware checkout and to develop techniques for simulation performance verification (validation). The hardware verification task involved definition of simulation hardware (hardware units and integrated simulator configurations), survey of current hardware self-test techniques, and definition of hardware and software techniques for checkout of simulator subsystems. The performance verification task included definition of simulation performance parameters (and critical performance parameters), definition of methods for establishing standards of performance (sources of reference data or validation), and definition of methods for validating performance. Both major tasks included definition of verification software and assessment of verification data base impact. An annotated bibliography of all documents generated during this study is provided.

  9. Risk models to improve safety of dispensing high-alert medications in community pharmacies.

    PubMed

    Cohen, Michael R; Smetzer, Judy L; Westphal, John E; Comden, Sharon Conrow; Horn, Donna M

    2012-01-01

    To determine whether sociotechnical probabilistic risk assessment can create accurate approximations of detailed risk models that describe error pathways, estimate the incidence of preventable adverse drug events (PADEs) with high-alert medications, rank the effectiveness of interventions, and provide a more informative picture of risk in the community pharmacy setting than is available currently. Developmental study. 22 community pharmacies representing three U.S. regions. Model-building group: six pharmacists and three technicians. Model validation group: 11 pharmacists; staff at two pharmacies observed. A model-building team built 10 event trees that estimated the incidence of PADEs for four high-alert medications: warfarin, fentanyl transdermal systems, oral methotrexate, and insulin analogs. Validation of event tree structure and incidence of defined PADEs with targeted medications. PADEs with the highest incidence included dispensing the wrong dose/strength of warfarin as a result of data entry error (1.83/1,000 prescriptions), dispensing warfarin to the wrong patient (1.22/1,000 prescriptions), and dispensing an inappropriate fentanyl system dose due to a prescribing error (7.30/10,000 prescriptions). PADEs with the lowest incidence included dispensing the wrong drug when filling a warfarin prescription (9.43/1 billion prescriptions). The largest quantifiable reductions in risk were provided by increasing patient counseling (27-68% reduction), conducting a second data entry verification process during product verification (50-87% reduction), computer alerts that can't be bypassed easily (up to 100% reduction), opening the bag at the point of sale (56% reduction), and use of barcoding technology (almost a 100,000% increase in risk if technology not used). Combining two or more interventions resulted in further overall reduction in risk. The risk models define thousands of ways process failures and behavioral elements combine to lead to PADEs. This level of

  10. Software verification and testing

    NASA Technical Reports Server (NTRS)

    1985-01-01

    General procedures for software verification and validation are provided as a guide for managers, programmers, and analysts involved in software development. The verification and validation procedures described are based primarily on testing techniques. Testing refers to the execution of all or part of a software system for the purpose of detecting errors. Planning, execution, and analysis of tests are outlined in this document. Code reading and static analysis techniques for software verification are also described.

  11. Phasic and tonic alerting in mild cognitive impairment: A preliminary study.

    PubMed

    Martella, Diana; Manzanares, Salvadora; Campoy, Guillermo; Roca, Javier; Antúnez, Carmen; Fuentes, Luis J

    2014-01-01

    In this preliminary study we assessed the functioning of the different attentional networks in mild cognitive impairment (MCI) patients, taking as theoretical framework the Posner's cognitive neuroscience approach. Two groups of participants were tested in a single short experiment: 20 MCI patients (6 amnestic, 6 non-amnestic and 8 multiple-domain) and 18 healthy matched controls (HC). For attentional assessment we used a version of the Attention Network Test (the ANTI-V) that provided not only a score of the orienting, the executive, and the alerting networks and their interactions, but also an independent measure of vigilance (tonic alerting). The results showed that all subtypes of MCI patients exhibited a selective impairment in the tonic component of alerting, as indexed by a decrease in the d' sensitivity index, and their performance in executive network increased up to the HC group level when phasic alerting was provided by a warning tone. Our findings suggest that a core attentional deficit, especially the endogenous component of alerting, may significantly contribute to the behavioral and cognitive deficits associated with MCI.

  12. Reduced visual disengagement but intact phasic alerting in young children with autism.

    PubMed

    Kleberg, Johan Lundin; Thorup, Emilia; Falck-Ytter, Terje

    2017-03-01

    Children with autism may have difficulties with visual disengagement-that is, inhibiting current fixations and orienting to new stimuli in the periphery. These difficulties may limit these children's ability to flexibly monitor the environment, regulate their internal states, and interact with others. In typical development, visual disengagement is influenced by a phasic alerting network that increases the processing speed of the visual system after salient events. The role of the phasic alerting effect in the putative atypical disengagement performance in autism spectrum disorder (ASD) is not known. Here, we compared visual disengagement in six-year-old children with autism (N = 18) and typically developing children (N = 17) matched for age and nonverbal IQ. We manipulated phasic alerting during a visual disengagement task by adding spatially nonpredictive sounds shortly before the onset of the visual peripheral targets. Children with ASD showed evidence of delayed disengagement compared to the control group. Sounds facilitated visual disengagement similarly in both groups, suggesting typical modulation by phasic alerting in ASD in the context of this task. These results support the view that atypical visual disengagement in ASD is related to other factors than atypicalities in the alerting network. Autism Res 2017, 10: 539-545. © 2016 The Authors Autism Research published by Wiley Periodicals, Inc. on behalf of International Society for Autism Research.

  13. Rapid deployable global sensing hazard alert system

    DOEpatents

    Cordaro, Joseph V; Tibrea, Steven L; Shull, Davis J; Coleman, Jerry T; Shuler, James M

    2015-04-28

    A rapid deployable global sensing hazard alert system and associated methods of operation are provided. An exemplary system includes a central command, a wireless backhaul network, and a remote monitoring unit. The remote monitoring unit can include a positioning system configured to determine a position of the remote monitoring unit based on one or more signals received from one or more satellites located in Low Earth Orbit. The wireless backhaul network can provide bidirectional communication capability independent of cellular telecommunication networks and the Internet. An exemplary method includes instructing at least one of a plurality of remote monitoring units to provide an alert based at least in part on a location of a hazard and a plurality of positions respectively associated with the plurality of remote monitoring units.

  14. Caffeine: implications for alertness in athletes.

    PubMed

    Rogers, Naomi L; Dinges, David F

    2005-04-01

    Caffeine is one of the most widely consumed drugs in the world, taken socially and for its alertness- and performance-promoting actions. Extensive reports assert that caffeine increases alertness and cognitive performance levels and, when taken before exercise, demonstrates ergogenic properties. Caffeine ingestion has been associated with increased performance during endurance submaximal, and acute, high-intensity exercise. The exact mechanism of action for the performance effects of caffeine is unknown, although several physiologically and psychologically based theories exist as to how caffeine achieves increased performance capabilities. This paper outlines the known sites of caffeine activity in the body,and discusses these with respect to the effects of caffeine observed during performance assessments.

  15. Report Details Solar Radiation Alert and Recommendations

    NASA Astrophysics Data System (ADS)

    Staedter, Tracy

    2006-06-01

    High-energy particles from the Sun and from regions beyond the solar system constantly bombard Earth. Thanks to the planet's atmosphere and magnetic field, comsic radiation is not a significant threat to those rooted on terra firma. But airline crew and passengers flying at high altitudes, or over the poles where the Earth's magnetic field provides no protection, are particularly vulnerable to unpredictable flares on the Sun's surface that launch streams of sub-atomic particles toward Earth. The report, ``Solar Radiation Alert System,'' published by the Federal Aviation Administration (FAA) and the Cooperative Institute for Research in Environmental Sciences (CIRES) at the University of Colorado, Boulder, in July 2005 (www.faa.gov/library/reports/medical/oamtechreports/2000s/media/0514.pdf) details in alert system designed to estimate the ionizing radiation at aircraft flight altitudes and, depending on the resulting dose rate, issue a warning.

  16. Nuclear Data Verification and Standardization

    SciTech Connect

    Karam, Lisa R.; Arif, Muhammad; Thompson, Alan K.

    2011-10-01

    The objective of this interagency program is to provide accurate neutron interaction verification and standardization data for the U.S. Department of Energy Division of Nuclear Physics programs which include astrophysics, radioactive beam studies, and heavy-ion reactions. The measurements made in this program are also useful to other programs that indirectly use the unique properties of the neutron for diagnostic and analytical purposes. These include homeland security, personnel health and safety, nuclear waste disposal, treaty verification, national defense, and nuclear based energy production. The work includes the verification of reference standard cross sections and related neutron data employing the unique facilities and capabilities at NIST and other laboratories as required; leadership and participation in international intercomparisons and collaborations; and the preservation of standard reference deposits. An essential element of the program is critical evaluation of neutron interaction data standards including international coordinations. Data testing of critical data for important applications is included. The program is jointly supported by the Department of Energy and the National Institute of Standards and Technology.

  17. Wireless Emergency Alerts: New York City Demonstration

    DTIC Science & Technology

    2013-06-01

    Wireless Emergency Alerts: New York City Demonstration Elizabeth Trocki Stark, SRA International, Inc. Jennifer Lavan, SRA International, Inc...Acknowledgments We thank Mark Frankel, information security officer at the New York City Office of Emergency Management, for generously volunteering his time to...share information and experiences with us. CMU/SEI-2012-SR-016 | viii CMU/SEI-2012-SR-016 | ix Executive Summary The Wireless Emergency

  18. Commercial Mobile Alert Service (CMAS) Scenarios

    DTIC Science & Technology

    2012-05-01

    www.3csoftware.com/blog/the-five-ws-and-one-h-of- designing -systems (2011). [Bass 2003] Bass, L.; Clements, P. C.; & Kazman, R. Software Architecture...Evaluate Architectural Design Approaches in a Major System Acquisition: A Case Study (CMU/SEI-2000-TN-010). Software Engineering Institute, Carnegie...Commercial Mobile Alert Service (CMAS) Scenarios The WEA Project Team May 2012 SPECIAL REPORT CMU/SEI-2012-SR-020 CERT® Division, Software

  19. Real-Time Mapping alert system; characteristics and capabilities

    USGS Publications Warehouse

    Torres, L.A.; Lambert, S.C.; Liebermann, T.D.

    1995-01-01

    The U.S. Geological Survey has an extensive hydrologic network that records and transmits precipitation, stage, discharge, and other water-related data on a real-time basis to an automated data processing system. Data values are recorded on electronic data collection platforms at field sampling sites. These values are transmitted by means of orbiting satellites to receiving ground stations, and by way of telecommunication lines to a U.S. Geological Survey office where they are processed on a computer system. Data that exceed predefined thresholds are identified as alert values. The current alert status at monitoring sites within a state or region is of critical importance during floods, hurricanes, and other extreme hydrologic events. This report describes the characteristics and capabilities of a series of computer programs for real-time mapping of hydrologic data. The software provides interactive graphics display and query of hydrologic information from the network in a real-time, map-based, menu-driven environment.

  20. Can Seizure-Alert Dogs predict seizures?

    PubMed

    Brown, Stephen W; Goldstein, Laura H

    2011-12-01

    An index observation where a dog was trained to alert to, as well as respond to, human tonic-clonic seizures led to further research and refinement of training techniques. This was followed by anecdotal reports of pet dogs spontaneously anticipating human epileptic seizures. An industry has since developed training Seizure-Alert Dogs (SADs) to give humans warnings of their seizures. In some cases this has been accompanied by a reduction in seizure frequency. SADs may be trained along with the person with epilepsy, responding specifically to that person's seizures, or may be trained separately. Recent sceptical reports of non-epileptic seizures in some people with SADs have cast doubt on dogs' ability to anticipate true epileptic seizures. This may reflect selection criteria for training programmes as well as training methods used, but does not necessarily indicate that SADs might not be able to predict epileptic seizures. Whether the seizures are epileptic or non-epileptic, it is speculated that SADs probably alert to subtle pre-ictal human behaviour changes, but may also be sensitive to heart rate or olfactory cues. As yet, however, no rigorous data exist as to whether seizure prediction by SADS is better than chance, and what false positive and negative prediction rates might be.

  1. Chronotype and time-of-day influences on the alerting, orienting, and executive components of attention.

    PubMed

    Matchock, Robert L; Mordkoff, J Toby

    2009-01-01

    Recent research on attention has identified three separable components, known as alerting, orienting, and executive functioning, which are thought to be subserved by distinct neural networks. Despite systematic investigation into their relatedness to each other and to psychopathology, little is known about how these three networks might be modulated by such factors as time-of-day and chronotype. The present study administered the Attentional Network Test (ANT) and a self-report measure of alertness to 80 participants at 0800, 1200, 1600, and 2000 hours on the same day. Participants were also chronotyped with a morningness/eveningness questionnaire and divided into evening versus morning/neither-type groups; morning chronotypes tend to perform better early in the day, while evening chronotypes show enhanced performance later in the day. The results replicated the lack of any correlations between alerting, orienting, and executive functioning, supporting the independence of these three networks. There was an effect of time-of-day on executive functioning with higher conflict scores at 1200 and 1600 hours for both chronotypes. The efficiency of the orienting system did not change as a function of time-of-day or chronotype. The alerting measure, however, showed an interaction between time-of-day and chronotype such that alerting scores increased only for the morning/neither-type participants in the latter half of the day. There was also an interaction between time-of-day and chronotype for self-reported alertness, such that it increased during the first half of the day for all participants, but then decreased for morning/neither types (only) toward evening. This is the first report to examine changes in the trinity of attentional networks measured by the ANT throughout a normal day in a large group of normal participants, and it encourages more integration between chronobiology and cognitive neuroscience for both theoretical and practical reasons.

  2. Alerts Visualization and Clustering in Network-based Intrusion Detection

    SciTech Connect

    Yang, Dr. Li; Gasior, Wade C; Dasireddy, Swetha

    2010-04-01

    Today's Intrusion detection systems when deployed on a busy network overload the network with huge number of alerts. This behavior of producing too much raw information makes it less effective. We propose a system which takes both raw data and Snort alerts to visualize and analyze possible intrusions in a network. Then we present with two models for the visualization of clustered alerts. Our first model gives the network administrator with the logical topology of the network and detailed information of each node that involves its associated alerts and connections. In the second model, flocking model, presents the network administrator with the visual representation of IDS data in which each alert is represented in different color and the alerts with maximum similarity move together. This gives network administrator with the idea of detecting various of intrusions through visualizing the alert patterns.

  3. How Regrouping Alerts in Computerized Physician Order Entry Layout Influences Physicians' Prescription Behavior: Results of a Crossover Randomized Trial.

    PubMed

    Wipfli, Rolf; Ehrler, Frederic; Bediang, Georges; Bétrancourt, Mireille; Lovis, Christian

    2016-06-02

    As demonstrated in several publications, low positive predictive value alerts in computerized physician order entry (CPOE) induce fatigue and may interrupt physicians unnecessarily during prescription of medication. Although it is difficult to increase the consideration of medical alerts by physician through an improvement of their predictive value, another approach consists to act on the way they are presented. The interruption management model inspired us to propose an alternative alert display strategy of regrouping the alerts in the screen layout, as a possible solution for reducing the interruption in physicians' workflow. In this study, we compared 2 CPOE designs based on a particular alert presentation strategy: one design involved regrouping the alerts in a single place on the screen, and in the other, the alerts were located next to the triggering information. Our objective was to evaluate experimentally whether the new design led to fewer interruptions in workflow and if it affected alert handling. The 2 CPOE designs were compared in a controlled crossover randomized trial. All interactions with the system and eye movements were stored for quantitative analysis. The study involved a group of 22 users consisting of physicians and medical students who solved medical scenarios containing prescription tasks. Scenario completion time was shorter when the alerts were regrouped (mean 117.29 seconds, SD 36.68) than when disseminated on the screen (mean 145.58 seconds, SD 75.07; P=.045). Eye tracking revealed that physicians fixated longer on alerts in the classic design (mean 119.71 seconds, SD 76.77) than in the centralized alert design (mean 70.58 seconds, SD 33.53; P=.001). Visual switches between prescription and alert areas, indicating interruption, were reduced with centralized alerts (mean 41.29, SD 21.26) compared with the classic design (mean 57.81, SD 35.97; P=.04). Prescription behavior (ie, prescription changes after alerting), however, did not change

  4. Comparing the Effectiveness of Alerts and Dynamically Annotated Visualizations (DAVs) in Improving Clinical Decision Making.

    PubMed

    Rayo, Michael F; Kowalczyk, Nina; Liston, Beth W; Sanders, Elizabeth B-N; White, Susan; Patterson, Emily S

    2015-09-01

    The aim of this study was to compare the effectiveness of two types of real-time decision support, an interrupting pop-up alert and a noninterrupting dynamically annotated visualization (DAV), in reducing clinically inappropriate diagnostic imaging orders. Alerts in electronic health record software are frequently disregarded due to high false-alarm rates, interruptions, and uncertainty about what triggered the alert. In other settings, providing visualizations and improving understandability of the guidance has been shown to improve overall decision making. Using a between-subject design, we examined the effect of two forms of decision support, alerts and DAVs, on reducing the proportion of inappropriate diagnostic imaging orders for 11 patients in a simulated environment. Nine attending and 11 resident physicians with experience using an electronic health record were randomly assigned to the form of decision support. Secondary measures were self-reported understandability, algorithm transparency, and clinical relevance. Fewer inappropriate diagnostic imaging tests were ordered with DAVs than with alerts (18% vs. 34%, p < .001). The DAV was rated higher for all three secondary measures (p < .001) for all participants. DAVs were more effective than alerts in reducing inappropriate imaging orders and were preferred for all patient scenarios, especially scenarios where guidance was ambiguous or based on inaccurate information. Creating visualizations that are permanently displayed and vary in the strength of their guidance can mitigate the risk of system performance degradation due to incomplete or incorrect data. This interaction paradigm may be applicable for other settings with high false-alarm rates or where there is a need to reduce interruptions during decision making. © 2015, Human Factors and Ergonomics Society.

  5. CAT: the INGV Tsunami Alert Center

    NASA Astrophysics Data System (ADS)

    Michelini, A.

    2014-12-01

    After the big 2004 Sumatra earthquake, the tsunami threat posed by large earthquakes occurring in the Mediterranean sea was formally taken into account by many countries around the Mediterranean basin. In the past, large earthquakes that originated significant tsunamis occurred nearly once per century (Maramai et al., 2014, Annals of Geophysics). The Intergovernmental Oceanographic Commission of UNESCO (IOC-UNESCO) received a mandate from the international community to coordinate the establishment of the ICG/NEAMTWS (http://neamtic.ioc-unesco.org) through Resolution IOC-XXIII-14. Since then, several countries (France, Turkey, Greece) have started operating as candidate Tsunami Watch Provider (cTWP) in the Mediterranean. Italy started operating as cTWP on October 1st, 2014. The Italian cTWP is formed by INGV ("Istituto Nazionale di Geofisica e Vulcanologia)", DPC ("Dipartimento di Protezione Civile") and ISPRA ("Istituto Superiore per la Protezione e la Ricerca Ambientale"). INGV is in charge of issuing the alert for potentially tsunamigenic earthquakes, ISPRA provides the sea level recordings and DPC is in charge of disseminating the alert. INGV established the tsunami alert center (CAT, "Centro di Allerta Tsunami") at the end of 2013. CAT is co-located with the INGV national seismic surveillance center operated since many years. In this work, we show the technical and personnel organization of CAT, its response to recent earthquakes, and the new procedures under development for implementation. (*) INGV-CAT WG: Amato A., Basili R., Bernardi F., Bono A., Danecek P., De Martini P.M., Govoni A., Graziani L., Lauciani V., Lomax, A., Lorito S., Maramai A., Mele F., Melini D., Molinari I., Nostro C., Piatanesi A., Pintore S., Quintiliani M., Romano F., Selva J., Selvaggi G., Sorrentino D., Tonini R.

  6. A mobile care system with alert mechanism.

    PubMed

    Lee, Ren-Guey; Chen, Kuei-Chien; Hsiao, Chun-Chieh; Tseng, Chwan-Lu

    2007-09-01

    Hypertension and arrhythmia are chronic diseases, which can be effectively prevented and controlled only if the physiological parameters of the patient are constantly monitored, along with the full support of the health education and professional medical care. In this paper, a role-based intelligent mobile care system with alert mechanism in chronic care environment is proposed and implemented. The roles in our system include patients, physicians, nurses, and healthcare providers. Each of the roles represents a person that uses a mobile device such as a mobile phone to communicate with the server setup in the care center such that he or she can go around without restrictions. For commercial mobile phones with Bluetooth communication capability attached to chronic patients, we have developed physiological signal recognition algorithms that were implemented and built-in in the mobile phone without affecting its original communication functions. It is thus possible to integrate several front-end mobile care devices with Bluetooth communication capability to extract patients' various physiological parameters [such as blood pressure, pulse, saturation of haemoglobin (SpO2), and electrocardiogram (ECG)], to monitor multiple physiological signals without space limit, and to upload important or abnormal physiological information to healthcare center for storage and analysis or transmit the information to physicians and healthcare providers for further processing. Thus, the physiological signal extraction devices only have to deal with signal extraction and wireless transmission. Since they do not have to do signal processing, their form factor can be further reduced to reach the goal of microminiaturization and power saving. An alert management mechanism has been included in back-end healthcare center to initiate various strategies for automatic emergency alerts after receiving emergency messages or after automatically recognizing emergency messages. Within the time

  7. The ANTARES telescope neutrino alert system

    NASA Astrophysics Data System (ADS)

    Ageron, M.; Aguilar, J. A.; Al Samarai, I.; Albert, A.; André, M.; Anghinolfi, M.; Anton, G.; Anvar, S.; Ardid, M.; Assis Jesus, A. C.; Astraatmadja, T.; Aubert, J.-J.; Baret, B.; Basa, S.; Bertin, V.; Biagi, S.; Bigi, A.; Bigongiari, C.; Bogazzi, C.; Bou-Cabo, M.; Bouhou, B.; Bouwhuis, M. C.; Brunner, J.; Busto, J.; Camarena, F.; Capone, A.; Cârloganu, C.; Carminati, G.; Carr, J.; Cecchini, S.; Charif, Z.; Charvis, Ph.; Chiarusi, T.; Circella, M.; Coniglione, R.; Costantini, H.; Coyle, P.; Curtil, C.; Decowski, M. P.; Dekeyser, I.; Deschamps, A.; Distefano, C.; Donzaud, C.; Dornic, D.; Dorosti, Q.; Drouhin, D.; Eberl, T.; Emanuele, U.; Enzenhöfer, A.; Ernenwein, J.-P.; Escoffier, S.; Fermani, P.; Ferri, M.; Flaminio, V.; Folger, F.; Fritsch, U.; Fuda, J.-L.; Galatà, S.; Gay, P.; Giacomelli, G.; Giordano, V.; Gómez-González, J. P.; Graf, K.; Guillard, G.; Halladjian, G.; Hallewell, G.; van Haren, H.; Hartman, J.; Heijboer, A. J.; Hello, Y.; Hernández-Rey, J. J.; Herold, B.; Hößl, J.; Hsu, C. C.; de Jong, M.; Kadler, M.; Kalekin, O.; Kappes, A.; Katz, U.; Kavatsyuk, O.; Kooijman, P.; Kopper, C.; Kouchner, A.; Kreykenbohm, I.; Kulikovskiy, V.; Lahmann, R.; Lamare, P.; Larosa, G.; Lattuada, D.; Lefèvre, D.; Lim, G.; Lo Presti, D.; Loehner, H.; Loucatos, S.; Mangano, S.; Marcelin, M.; Margiotta, A.; Martínez-Mora, J. A.; Meli, A.; Montaruli, T.; Moscoso, L.; Motz, H.; Neff, M.; Nezri, E.; Palioselitis, D.; Păvălaş, G. E.; Payet, K.; Payre, P.; Petrovic, J.; Piattelli, P.; Picot-Clemente, N.; Popa, V.; Pradier, T.; Presani, E.; Racca, C.; Reed, C.; Richardt, C.; Richter, R.; Rivière, C.; Robert, A.; Roensch, K.; Rostovtsev, A.; Ruiz-Rivas, J.; Rujoiu, M.; Russo, G. V.; Salesa, F.; Sapienza, P.; Schöck, F.; Schuller, J.-P.; Schüssler, F.; Shanidze, R.; Simeone, F.; Spies, A.; Spurio, M.; Steijger, J. J. M.; Stolarczyk, Th.; Sánchez-Losa, A.; Taiuti, M.; Tamburini, C.; Toscano, S.; Vallage, B.; van Elewyck, V.; Vannoni, G.; Vecchi, M.; Vernin, P.; Wijnker, G.; Wilms, J.; de Wolf, E.; Yepes, H.; Zaborov, D.; Zornoza, J. D.; Zúñiga, J.

    2012-03-01

    The ANTARES telescope has the capability to detect neutrinos produced in astrophysical transient sources. Potential sources include gamma-ray bursts, core collapse supernovae, and flaring active galactic nuclei. To enhance the sensitivity of ANTARES to such sources, a new detection method based on coincident observations of neutrinos and optical signals has been developed. A fast online muon track reconstruction is used to trigger a network of small automatic optical telescopes. Such alerts are generated for special events, such as two or more neutrinos, coincident in time and direction, or single neutrinos of very high energy.

  8. Verification and implementation of microburst day potential index (MDPI) and wind INDEX (WINDEX) forecasting tools at Cape Canaveral Air Station

    NASA Technical Reports Server (NTRS)

    Wheeler, Mark

    1996-01-01

    This report details the research, development, utility, verification and transition on wet microburst forecasting and detection the Applied Meteorology Unit (AMU) did in support of ground and launch operations at Kennedy Space Center (KSC) and Cape Canaveral Air Station (CCAS). The unforecasted wind event on 16 August 1994 of 33.5 ms-1 (65 knots) at the Shuttle Landing Facility raised the issue of wet microburst detection and forecasting. The AMU researched and analyzed the downburst wind event and determined it was a wet microburst event. A program was developed for operational use on the Meteorological Interactive Data Display System (MIDDS) weather system to analyze, compute and display Theta(epsilon) profiles, the microburst day potential index (MDPI), and wind index (WINDEX) maximum wind gust value. Key microburst nowcasting signatures using the WSR-88D data were highlighted. Verification of the data sets indicated that the MDPI has good potential in alerting the duty forecaster to the potential of wet microburst and the WINDEX values computed from the hourly surface data do have potential in showing a trend for the maximum gust potential. WINDEX should help in filling in the temporal hole between the MDPI on the last Cape Canaveral rawinsonde and the nowcasting radar data tools.

  9. Verification of Space Weather Forecasts using Terrestrial Weather Approaches

    NASA Astrophysics Data System (ADS)

    Henley, E.; Murray, S.; Pope, E.; Stephenson, D.; Sharpe, M.; Bingham, S.; Jackson, D.

    2015-12-01

    The Met Office Space Weather Operations Centre (MOSWOC) provides a range of 24/7 operational space weather forecasts, alerts, and warnings, which provide valuable information on space weather that can degrade electricity grids, radio communications, and satellite electronics. Forecasts issued include arrival times of coronal mass ejections (CMEs), and probabilistic forecasts for flares, geomagnetic storm indices, and energetic particle fluxes and fluences. These forecasts are produced twice daily using a combination of output from models such as Enlil, near-real-time observations, and forecaster experience. Verification of forecasts is crucial for users, researchers, and forecasters to understand the strengths and limitations of forecasters, and to assess forecaster added value. To this end, the Met Office (in collaboration with Exeter University) has been adapting verification techniques from terrestrial weather, and has been working closely with the International Space Environment Service (ISES) to standardise verification procedures. We will present the results of part of this work, analysing forecast and observed CME arrival times, assessing skill using 2x2 contingency tables. These MOSWOC forecasts can be objectively compared to those produced by the NASA Community Coordinated Modelling Center - a useful benchmark. This approach cannot be taken for the other forecasts, as they are probabilistic and categorical (e.g., geomagnetic storm forecasts give probabilities of exceeding levels from minor to extreme). We will present appropriate verification techniques being developed to address these forecasts, such as rank probability skill score, and comparing forecasts against climatology and persistence benchmarks. As part of this, we will outline the use of discrete time Markov chains to assess and improve the performance of our geomagnetic storm forecasts. We will also discuss work to adapt a terrestrial verification visualisation system to space weather, to help

  10. ToxAlerts: A Web Server of Structural Alerts for Toxic Chemicals and Compounds with Potential Adverse Reactions

    PubMed Central

    2012-01-01

    The article presents a Web-based platform for collecting and storing toxicological structural alerts from literature and for virtual screening of chemical libraries to flag potentially toxic chemicals and compounds that can cause adverse side effects. An alert is uniquely identified by a SMARTS template, a toxicological endpoint, and a publication where the alert was described. Additionally, the system allows storing complementary information such as name, comments, and mechanism of action, as well as other data. Most importantly, the platform can be easily used for fast virtual screening of large chemical datasets, focused libraries, or newly designed compounds against the toxicological alerts, providing a detailed profile of the chemicals grouped by structural alerts and endpoints. Such a facility can be used for decision making regarding whether a compound should be tested experimentally, validated with available QSAR models, or eliminated from consideration altogether. The alert-based screening can also be helpful for an easier interpretation of more complex QSAR models. The system is publicly accessible and tightly integrated with the Online Chemical Modeling Environment (OCHEM, http://ochem.eu). The system is open and expandable: any registered OCHEM user can introduce new alerts, browse, edit alerts introduced by other users, and virtually screen his/her data sets against all or selected alerts. The user sets being passed through the structural alerts can be used at OCHEM for other typical tasks: exporting in a wide variety of formats, development of QSAR models, additional filtering by other criteria, etc. The database already contains almost 600 structural alerts for such endpoints as mutagenicity, carcinogenicity, skin sensitization, compounds that undergo metabolic activation, and compounds that form reactive metabolites and, thus, can cause adverse reactions. The ToxAlerts platform is accessible on the Web at http://ochem.eu/alerts, and it is constantly

  11. Electronic Immunization Alerts and Spillover Effects on Other Preventive Care.

    PubMed

    Kim, Julia M; Rivera, Maria; Persing, Nichole; Bundy, David G; Psoter, Kevin J; Ghazarian, Sharon R; Miller, Marlene R; Solomon, Barry S

    2017-08-01

    The impact of electronic health record (EHR) immunization clinical alert systems on the delivery of other preventive services remains unknown. We assessed for spillover effects of an EHR immunization alert on delivery of 6 other preventive services, in children 18 to 30 months of age needing immunizations. We conducted a secondary data analysis, with additional primary data collection, of a randomized, historically controlled trial to improve immunization rates with EHR alerts, in an urban, primary care clinic. No significant differences were found in screening for anemia, lead, development, nutrition, and injury prevention counseling in children prompting EHR immunization alerts (n = 129), compared with controls (n = 135). Significant increases in oral health screening in patients prompting EHR alerts (odds ratio = 4.8, 95% CI = 1.8-13.0) were likely due to practice changes over time. An EHR clinical alert system targeting immunizations did not have a spillover effect on the delivery of other preventive services.

  12. On light as an alerting stimulus at night.

    PubMed

    Figueiro, Mariana G; Bullough, John D; Bierman, Andrew; Fay, Charles R; Rea, Mark S

    2007-01-01

    Light exposure at night increases alertness; however, it is not clear if light affects nocturnal alertness in the same way that it affects measures of circadian regulation. The purpose of this study was to determine if a previously established functional relationship between light and nocturnal melatonin suppression was the same as that relating light exposure and nocturnal alertness. Four levels of narrow-band blue light at the cornea were presented during nighttime sessions. The ratio of electroencephalographic alpha power density with eyes closed to eyes open (alpha attenuation coefficient, AAC) and the Norris mood scale were used. The AAC and ratings of alertness increased monotonically with irradiance and were highly correlated. Both measures of alertness were highly correlated with model predictions of nocturnal melatonin suppression for the same circadian light stimulus, consistent with the inference that the suprachiasmatic nuclei play an important role in nocturnal alertness as well as circadian regulation.

  13. Aircraft Alerting Systems Standardization Study. Volume II. Aircraft Alerting System Design Guidelines

    DTIC Science & Technology

    1981-01-01

    Characters ................................... 75 3.2.7 Display Type ................................. 77 3.2,8 Test Requirements...for Two Groups of Pilots and Messages of Different Contextual Makeup .................................. 135 5.1-1 General Type of Logic Required to...Aircraft Type ...................... ................ 4 1.1-3 Aircraft Alerting Systems Standardization Study (DOT-FA79WA-4268

  14. The Common Alerting Protocol (CAP) adaption in National Early Warning Alerting Systems of China

    NASA Astrophysics Data System (ADS)

    Li, Chao

    2017-04-01

    The Common Alerting Protocol (CAP) [1] is an XML-based data format for exchanging public warnings and emergencies between alerting technologies. In China, from local communities to entire nations, there was a patchwork of specialized hazard public alerting systems. And each system was often designed just for certain emergency situations and for certain communications media. Application took place in the NEWAS (National Early Warning Alerting Systems) [2]project where CAP serves as central message to integrate all kind of hazard situations, including the natural calamity, accident disaster, public health emergency , social safety etc. Officially operated on May 2015, NEWAS now has completed docking work with 14 departments including civil administration, safety supervision, forestry, land, water conservancy, earthquake, traffic, meteorology, agriculture, tourism, food and drug supervision, public security and oceanic administration. Thus, several items in CAP has been modified, redefined and extended according to the various grading standards and publishing strategies, as well as the characteristics of Chinese Geocoding. NEWAS successfully delivers information to end users through 4 levels (i.e. State, province, prefecture and county) structure and by various means. [1] CAP, http://www.oasis-emergency.org/cap [2] http://www.12379.cn/

  15. Implementation and verification of nuclear interactions in a Monte-Carlo code for the Procom-ProGam proton therapy planning system

    NASA Astrophysics Data System (ADS)

    Kostyuchenko, V. I.; Makarova, A. S.; Ryazantsev, O. B.; Samarin, S. I.; Uglov, A. S.

    2014-06-01

    A great breakthrough in proton therapy has happened in the new century: several tens of dedicated centers are now operated throughout the world and their number increases every year. An important component of proton therapy is a treatment planning system. To make calculations faster, these systems usually use analytical methods whose reliability and accuracy do not allow the advantages of this method of treatment to implement to the full extent. Predictions by the Monte Carlo (MC) method are a "gold" standard for the verification of calculations with these systems. At the Institute of Experimental and Theoretical Physics (ITEP) which is one of the eldest proton therapy centers in the world, an MC code is an integral part of their treatment planning system. This code which is called IThMC was developed by scientists from RFNC-VNIITF (Snezhinsk) under ISTC Project 3563.

  16. Sleepiness and alertness in American industries

    SciTech Connect

    Coleman, R.M.; Dillingham, J.; Dement, W.C.

    1989-01-01

    Recent evidence that industrial accidents may be caused in part by shiftworkers' lack of alertness has caused growing concern at the US Nuclear Regulatory Commission and within the scientific community. The purpose of the study reported in this paper was threefold: (1) Is sleepiness on the job specific to utility plants (2) Are performance and safety problems caused by sleepiness specific to utility plants (3) Are specific shift schedules associated with a higher prevalence of sleepiness Findings indicate sleepiness on the job among shiftworkers is a widespread problem, not limited to the nuclear power industry. The most common solution in American industry is to overstaff each shift and discipline sleeping employees. Results show this is not effective. A more proactive solution is recommended including some of the following: (1) Provide employees education to assist adjustment to shiftwork. (2) Design and implement shift schedules that are more compatible with human physiological capabilities. (3) Allow officially sanctioned napping on shift as is done in Japan. (4) Divide 6-, 8-, or 12-h shifts into smaller blocks of 2 to 3 h of primary duty. (5) make the environment where employees work more conductive to alertness. (6) Develop a firehouse type of schedule where some employees sleep throughout the night, but are awakened if operational problems arise. (7) Provide incentives to employees to adjust their life style to the night shift and reward them with time off.

  17. Description of the AILS Alerting Algorithm

    NASA Technical Reports Server (NTRS)

    Samanant, Paul; Jackson, Mike

    2000-01-01

    This document provides a complete description of the Airborne Information for Lateral Spacing (AILS) alerting algorithms. The purpose of AILS is to provide separation assurance between aircraft during simultaneous approaches to closely spaced parallel runways. AILS will allow independent approaches to be flown in such situations where dependent approaches were previously required (typically under Instrument Meteorological Conditions (IMC)). This is achieved by providing multiple levels of alerting for pairs of aircraft that are in parallel approach situations. This document#s scope is comprehensive and covers everything from general overviews, definitions, and concepts down to algorithmic elements and equations. The entire algorithm is presented in complete and detailed pseudo-code format. This can be used by software programmers to program AILS into a software language. Additional supporting information is provided in the form of coordinate frame definitions, data requirements, calling requirements as well as all necessary pre-processing and post-processing requirements. This is important and required information for the implementation of AILS into an analysis, a simulation, or a real-time system.

  18. Validation of the CME Geomagnetic Forecast Alerts Under the COMESEP Alert System

    NASA Astrophysics Data System (ADS)

    Dumbović, Mateja; Srivastava, Nandita; Rao, Yamini K.; Vršnak, Bojan; Devos, Andy; Rodriguez, Luciano

    2017-08-01

    Under the European Union 7th Framework Programme (EU FP7) project Coronal Mass Ejections and Solar Energetic Particles (COMESEP, http://comesep.aeronomy.be), an automated space weather alert system has been developed to forecast solar energetic particles (SEP) and coronal mass ejection (CME) risk levels at Earth. The COMESEP alert system uses the automated detection tool called Computer Aided CME Tracking (CACTus) to detect potentially threatening CMEs, a drag-based model (DBM) to predict their arrival, and a CME geoeffectiveness tool (CGFT) to predict their geomagnetic impact. Whenever CACTus detects a halo or partial halo CME and issues an alert, the DBM calculates its arrival time at Earth and the CGFT calculates its geomagnetic risk level. The geomagnetic risk level is calculated based on an estimation of the CME arrival probability and its likely geoeffectiveness, as well as an estimate of the geomagnetic storm duration. We present the evaluation of the CME risk level forecast with the COMESEP alert system based on a study of geoeffective CMEs observed during 2014. The validation of the forecast tool is made by comparing the forecasts with observations. In addition, we test the success rate of the automatic forecasts (without human intervention) against the forecasts with human intervention using advanced versions of the DBM and CGFT (independent tools available at the Hvar Observatory website, http://oh.geof.unizg.hr). The results indicate that the success rate of the forecast in its current form is unacceptably low for a realistic operation system. Human intervention improves the forecast, but the false-alarm rate remains unacceptably high. We discuss these results and their implications for possible improvement of the COMESEP alert system.

  19. Alertness management in 24/7 settings: lessons from aviation.

    PubMed

    Rosekind, Mark R; Boyd, John N; Gregory, Kevin B; Glotzbach, Steven F; Blank, Reid C

    2002-01-01

    Round-the-clock operational requirements pose physiological challenges for human operators. Fatigue due to sleep loss and circadian disruption can reduce safety, performance quality, and alertness. The authors describe the physiological factors underlying fatigue and provide examples from NASA research in aviation settings that demonstrate how fatigue affects real-world operations. A comprehensive alertness management approach to address fatigue effectively includes education, alertness strategies, scheduling, policy, and healthy sleep components. There is a need for cultural change that will encourage attitudes, behaviors, and practices that will reduce fatigue-related risks and improve safety, performance, and alertness in 24/7 operational settings.

  20. Pilot Non-Conformance to Alerting System Commands

    NASA Technical Reports Server (NTRS)

    Pritchett, Amy R.; Hansman, R. John

    1997-01-01

    Instances of pilot non-conformance to alerting system commands have been identified in previous studies. Pilot non-conformance changes the final behavior of the system, and therefore may reduce actual performance from that anticipated. A simulator study has examined pilot non-conformance, using the task of collision avoidance during closely spaced parallel approaches as a case study. Consonance between the display and the alerting system was found to significantly improve subject agreement with automatic alerts. Based on these results, a more general discussion of the factors involved in pilot conformance is given, and design guidelines for alerting systems are given.

  1. Voltage verification unit

    DOEpatents

    Martin, Edward J [Virginia Beach, VA

    2008-01-15

    A voltage verification unit and method for determining the absence of potentially dangerous potentials within a power supply enclosure without Mode 2 work is disclosed. With this device and method, a qualified worker, following a relatively simple protocol that involves a function test (hot, cold, hot) of the voltage verification unit before Lock Out/Tag Out and, and once the Lock Out/Tag Out is completed, testing or "trying" by simply reading a display on the voltage verification unit can be accomplished without exposure of the operator to the interior of the voltage supply enclosure. According to a preferred embodiment, the voltage verification unit includes test leads to allow diagnostics with other meters, without the necessity of accessing potentially dangerous bus bars or the like.

  2. Modular Machine Code Verification

    DTIC Science & Technology

    2007-05-01

    assembly level program verification is to design a type system for assembly language. Partly inspired by the Typed Intermediate Language (TIL) [57... designed to support direct verification of assembly programs with non-trivial 126 properties not expressible in traditional types. Besides the examples...provably sound tal for back-end opti- mization. In Proc. 2003 ACM Conference on Programming Language Design and Imple- mentation, pages 208–219. ACM

  3. Missed drug therapy alerts as a consequence of incomplete electronic patient records in Dutch community pharmacies.

    PubMed

    Floor-Schreudering, Annemieke; Heringa, Mette; Buurma, Henk; Bouvy, Marcel L; De Smet, Peter A G M

    2013-10-01

    Complete and up-to-date medical and pharmaceutical information in the electronic patient record (EPR) is a prerequisite for risk management in community pharmacy. To analyze which information is missing in the EPR and which drug therapy alerts, therefore, fail to appear. Pharmacy students selected patients who were dispensed a prescription drug and enlisted for >3 months in the participating pharmacies. Patients received a questionnaire in which they were asked to verify their medication history, and to provide additional patient information. For each enrolled patient, the students collected all relevant information from the EPR. Self-reported data from the patient were compared with data retrieved from the EPR. Missed information in the EPR was evaluated based on national professional guidelines. Questionnaires were received from 67% of the selected patients (442/660). Prescription drugs were missing in the EPR of 14% of the 442 patients, nonprescription drugs in 44%, diseases in 83%, and intolerabilities in 16%. In 38% of the patients (166/442), drug therapy alerts failed to appear because of missing information: drug-disease interactions in 34% of the patients, duplicate medications in 4%, drug-drug interactions (DDIs) in 4%, and drug intolerabilities in 2%. Among the (non-)prescription drugs missing, NSAIDs were most frequently responsible for the missed alerts. Diseases most frequently associated with missed alerts were gastroesophageal reflux disease, renal insufficiency, asthma/chronic obstructive pulmonary disease, and heart failure. Relevant patient information was frequently missing in the EPRs. The nonappearance of drug therapy alerts may have had clinical consequences for patients.

  4. Alerting, orienting and executive control: the effects of sleep deprivation on attentional networks.

    PubMed

    Martella, Diana; Casagrande, Maria; Lupiáñez, Juan

    2011-04-01

    Sleep deprivation alters attentional functions like vigilance or tonic alerting (i.e., sustaining an alert state over a period of time). However, the effects of sleep loss on both orienting and executive control are still not clear, and no study has assessed whether sleep deprivation might affect the relationships among these three attentional systems. In order to investigate the efficiency of the three attentional networks--alerting, orienting and executive control--within a single task, we used the Attention Network Test (ANT). Eighteen right-handed male participants took part in the experiment, which took place on two consecutive days. On the first day, each participant performed a 20 min training session of the ANT. On the second day, participants remained awake for 24 h during which time the ANT was performed once at 5:00 p.m. and once at 4:00 a.m. Results showed an overall slowing of reaction times in the nocturnal session, indicating a strong decrease in vigilance. Furthermore, sleep deprivation did affect attentional orienting and executive control. Results are consistent with the hypothesis that the tonic component of alerting interacts with both attentional orienting and executive functions.

  5. Computational Approach to Structural Alerts: Furans, Phenols, Nitroaromatics, and Thiophenes.

    PubMed

    Dang, Na Le; Hughes, Tyler B; Miller, Grover P; Swamidass, S Joshua

    2017-04-17

    Structural alerts are commonly used in drug discovery to identify molecules likely to form reactive metabolites and thereby become toxic. Unfortunately, as useful as structural alerts are, they do not effectively model if, when, and why metabolism renders safe molecules toxic. Toxicity due to a specific structural alert is highly conditional, depending on the metabolism of the alert, the reactivity of its metabolites, dosage, and competing detoxification pathways. A systems approach, which explicitly models these pathways, could more effectively assess the toxicity risk of drug candidates. In this study, we demonstrated that mathematical models of P450 metabolism can predict the context-specific probability that a structural alert will be bioactivated in a given molecule. This study focuses on the furan, phenol, nitroaromatic, and thiophene alerts. Each of these structural alerts can produce reactive metabolites through certain metabolic pathways but not always. We tested whether our metabolism modeling approach, XenoSite, can predict when a given molecule's alerts will be bioactivated. Specifically, we used models of epoxidation, quinone formation, reduction, and sulfur-oxidation to predict the bioactivation of furan-, phenol-, nitroaromatic-, and thiophene-containing drugs. Our models separated bioactivated and not-bioactivated furan-, phenol-, nitroaromatic-, and thiophene-containing drugs with AUC performances of 100%, 73%, 93%, and 88%, respectively. Metabolism models accurately predict whether alerts are bioactivated and thus serve as a practical approach to improve the interpretability and usefulness of structural alerts. We expect that this same computational approach can be extended to most other structural alerts and later integrated into toxicity risk models. This advance is one necessary step toward our long-term goal of building comprehensive metabolic models of bioactivation and detoxification to guide assessment and design of new therapeutic

  6. Minuteman III Cost Per Alert Hour Analysis

    DTIC Science & Technology

    2012-03-22

    directly contribute to war fighting capabilities; rather they are more a function of our foreign policy. The Marines implemented many ABC...leWirc 11,314,000 S4,7SO 3,942,000 164.250 Sponsor: AFNWC/LG AFC AIG C PAH Model DLR:; + Cun~·unwbles + Per:;unm:l A/ert HQUTS Cost Per Alert Hou r...t.Jll! l5,7at_.tl l I C!,IIU l ! OSD C AIG C PAH Model Bas@:donOffic@: ofSf:cr@:t aryofO@:f @:ns@: Cost A nalysis lmp rov@:mol’:nt Gro u p f l

  7. The IceCube realtime alert system

    NASA Astrophysics Data System (ADS)

    Aartsen, M. G.; Ackermann, M.; Adams, J.; Aguilar, J. A.; Ahlers, M.; Ahrens, M.; Altmann, D.; Andeen, K.; Anderson, T.; Ansseau, I.; Anton, G.; Archinger, M.; Argüelles, C.; Auffenberg, J.; Axani, S.; Bai, X.; Barwick, S. W.; Baum, V.; Bay, R.; Beatty, J. J.; Becker Tjus, J.; Becker, K.-H.; BenZvi, S.; Berley, D.; Bernardini, E.; Bernhard, A.; Besson, D. Z.; Binder, G.; Bindig, D.; Bissok, M.; Blaufuss, E.; Blot, S.; Bohm, C.; Börner, M.; Bos, F.; Bose, D.; Böser, S.; Botner, O.; Braun, J.; Brayeur, L.; Bretz, H.-P.; Bron, S.; Burgman, A.; Carver, T.; Casier, M.; Cheung, E.; Chirkin, D.; Christov, A.; Clark, K.; Classen, L.; Coenders, S.; Collin, G. H.; Conrad, J. M.; Cowen, D. F.; Cross, R.; Day, M.; de André, J. P. A. M.; De Clercq, C.; del Pino Rosendo, E.; Dembinski, H.; De Ridder, S.; Desiati, P.; de Vries, K. D.; de Wasseige, G.; de With, M.; DeYoung, T.; Díaz-Vélez, J. C.; di Lorenzo, V.; Dujmovic, H.; Dumm, J. P.; Dunkman, M.; Eberhardt, B.; Ehrhardt, T.; Eichmann, B.; Eller, P.; Euler, S.; Evenson, P. A.; Fahey, S.; Fazely, A. R.; Feintzeig, J.; Felde, J.; Filimonov, K.; Finley, C.; Flis, S.; Fösig, C.-C.; Franckowiak, A.; Friedman, E.; Fuchs, T.; Gaisser, T. K.; Gallagher, J.; Gerhardt, L.; Ghorbani, K.; Giang, W.; Gladstone, L.; Glauch, T.; Glüsenkamp, T.; Goldschmidt, A.; Gonzalez, J. G.; Grant, D.; Griffith, Z.; Haack, C.; Hallgren, A.; Halzen, F.; Hansen, E.; Hansmann, T.; Hanson, K.; Hebecker, D.; Heereman, D.; Helbing, K.; Hellauer, R.; Hickford, S.; Hignight, J.; Hill, G. C.; Hoffman, K. D.; Hoffmann, R.; Hoshina, K.; Huang, F.; Huber, M.; Hultqvist, K.; In, S.; Ishihara, A.; Jacobi, E.; Japaridze, G. S.; Jeong, M.; Jero, K.; Jones, B. J. P.; Kang, W.; Kappes, A.; Karg, T.; Karle, A.; Katz, U.; Kauer, M.; Keivani, A.; Kelley, J. L.; Kheirandish, A.; Kim, J.; Kim, M.; Kintscher, T.; Kiryluk, J.; Kittler, T.; Klein, S. R.; Kohnen, G.; Koirala, R.; Kolanoski, H.; Konietz, R.; Köpke, L.; Kopper, C.; Kopper, S.; Koskinen, D. J.; Kowalski, M.; Krings, K.; Kroll, M.; Krückl, G.; Krüger, C.; Kunnen, J.; Kunwar, S.; Kurahashi, N.; Kuwabara, T.; Labare, M.; Lanfranchi, J. L.; Larson, M. J.; Lauber, F.; Lennarz, D.; Lesiak-Bzdak, M.; Leuermann, M.; Lu, L.; Lünemann, J.; Madsen, J.; Maggi, G.; Mahn, K. B. M.; Mancina, S.; Mandelartz, M.; Maruyama, R.; Mase, K.; Maunu, R.; McNally, F.; Meagher, K.; Medici, M.; Meier, M.; Meli, A.; Menne, T.; Merino, G.; Meures, T.; Miarecki, S.; Montaruli, T.; Moulai, M.; Nahnhauer, R.; Naumann, U.; Neer, G.; Niederhausen, H.; Nowicki, S. C.; Nygren, D. R.; Obertacke Pollmann, A.; Olivas, A.; O'Murchadha, A.; Palczewski, T.; Pandya, H.; Pankova, D. V.; Peiffer, P.; Penek, Ö.; Pepper, J. A.; Pérez de los Heros, C.; Pieloth, D.; Pinat, E.; Price, P. B.; Przybylski, G. T.; Quinnan, M.; Raab, C.; Rädel, L.; Rameez, M.; Rawlins, K.; Reimann, R.; Relethford, B.; Relich, M.; Resconi, E.; Rhode, W.; Richman, M.; Riedel, B.; Robertson, S.; Rongen, M.; Rott, C.; Ruhe, T.; Ryckbosch, D.; Rysewyk, D.; Sabbatini, L.; Sanchez Herrera, S. E.; Sandrock, A.; Sandroos, J.; Sarkar, S.; Satalecka, K.; Schlunder, P.; Schmidt, T.; Schoenen, S.; Schöneberg, S.; Schumacher, L.; Seckel, D.; Seunarine, S.; Soldin, D.; Song, M.; Spiczak, G. M.; Spiering, C.; Stanev, T.; Stasik, A.; Stettner, J.; Steuer, A.; Stezelberger, T.; Stokstad, R. G.; Stößl, A.; Ström, R.; Strotjohann, N. L.; Sullivan, G. W.; Sutherland, M.; Taavola, H.; Taboada, I.; Tatar, J.; Tenholt, F.; Ter-Antonyan, S.; Terliuk, A.; Tešić, G.; Tilav, S.; Toale, P. A.; Tobin, M. N.; Toscano, S.; Tosi, D.; Tselengidou, M.; Turcati, A.; Unger, E.; Usner, M.; Vandenbroucke, J.; van Eijndhoven, N.; Vanheule, S.; van Rossem, M.; van Santen, J.; Vehring, M.; Voge, M.; Vogel, E.; Vraeghe, M.; Walck, C.; Wallace, A.; Wallraff, M.; Wandkowsky, N.; Weaver, Ch.; Weiss, M. J.; Wendt, C.; Westerhoff, S.; Whelan, B. J.; Wickmann, S.; Wiebe, K.; Wiebusch, C. H.; Wille, L.; Williams, D. R.; Wills, L.; Wolf, M.; Wood, T. R.; Woolsey, E.; Woschnagg, K.; Xu, D. L.; Xu, X. W.; Xu, Y.; Yanez, J. P.; Yodh, G.; Yoshida, S.; Zoll, M.

    2017-06-01

    Although high-energy astrophysical neutrinos were discovered in 2013, their origin is still unknown. Aiming for the identification of an electromagnetic counterpart of a rapidly fading source, we have implemented a realtime analysis framework for the IceCube neutrino observatory. Several analyses selecting neutrinos of astrophysical origin are now operating in realtime at the detector site in Antarctica and are producing alerts for the community to enable rapid follow-up observations. The goal of these observations is to locate the astrophysical objects responsible for these neutrino signals. This paper highlights the infrastructure in place both at the South Pole site and at IceCube facilities in the north that have enabled this fast follow-up program to be implemented. Additionally, this paper presents the first realtime analyses to be activated within this framework, highlights their sensitivities to astrophysical neutrinos and background event rates, and presents an outlook for future discoveries.

  8. Visual cues keep treatment team alert.

    PubMed

    2014-09-01

    At Good Samaritan Medical Center in West Palm Beach, FL, a throughput initiative that uses colored magnets to indicate anticipated discharges has cut emergency department holding time and increased the number of discharges by 2 p.m. The charge nurse, case manager, and discharge planner meet daily, make their best clinical guess about the patient's discharge and place a red, yellow, or green magnet on a white board at the nurses station. When team members pass the board, they are alerted to anticipated discharges and know to make patients with a green magnet a priority. The case managers and nurses write the expected discharge on a white board in the patient rooms and initiate a discussion with patients and family members to prepare them for discharge.

  9. Improved satellite-based emergency alerting system

    NASA Astrophysics Data System (ADS)

    Bernard, E. N.; Milburn, H. B.

    1991-12-01

    Rapid-onset natural hazards have claimed more than 2.8 million lives worldwide in the past 20 years. This category includes such events as earthquakes, landslides, hurricanes, tornadoes, floods, volcanic eruptions, wildfires, and tsunamis. Effective hazard mitigation is particularly difficult in such cases, since the time available to issue warnings can be very short or even nonexistent. A general approach to mitigate the effects of these disasters was demonstrated in 1988 that included preevent emergency planning, real-time hazard assessment, and rapid warning via satellite communication links. This article reports on improvements in this satellite-based emergency alerting communication system that have reduced the response time from 87 to 17 sec and expanded the broadcast coverage from 40 percent to 62 percent of the earth's surface.

  10. NAPS as an Alertness Management Strategy

    NASA Technical Reports Server (NTRS)

    Rosekind, Mark R.; Smith, Roy M.; Miller, Donna L.; Co, Elizabeth L.; Gregory, Kevin B.; Gander, Philippa H.; Lebacqz, J. Victor

    2001-01-01

    Today, 24-hour operations are necessary to meet the demands of our society and the requirements of our industrialized global economy. These around-the-clock demands pose unique physiological challenges for the humans who remain central to safe and productive operations. Optimal alertness and performance are critical factors that are increasingly challenged by unusual, extended, or changing work/rest schedules. Technological advancements and automated systems can exacerbate the challenges faced by the human factor in these environments. Shift work, transportation demands, and continuous operations engender sleep loss and circadian disruption. Both of these physiological factors can lead to increased sleepiness, decreased performance, and a reduced margin of safety. These factors can increase vulnerability to incidents and accidents in operational settings. The consequences can have both societal effects (e.g., major destructive accidents such as Three Mile Island, Exxon Valdez, Bhopal) and personal effects (e.g., an accident driving home after a night shift).

  11. Stability of alert survivable forces during reductions

    SciTech Connect

    Canavan, G.H.

    1998-01-01

    The stability of current and projected strategic forces are discussed within a framework that contains elements of current US and Russian analyses. For current force levels and high alert, stability levels are high, as are the levels of potential strikes, due to the large forces deployed. As force levels drop towards those of current value target sets, the analysis becomes linear, concern shifts from stability to reconstitution, and survivable forces drop out. Adverse marginal costs generally provide disincentives for the reduction of vulnerable weapons, but the exchange of vulnerable for survivable weapons could reduce cost while increasing stability even for aggressive participants. Exchanges between effective vulnerable and survivable missile forces are studied with an aggregated, probabilistic model, which optimizes each sides` first and determines each sides` second strikes and costs by minimizing first strike costs.

  12. Swift Burst Alert Telescope (BAT) Instrument Response

    SciTech Connect

    Parsons, A.; Barthelmy, S.; Cummings, J.; Gehrels, N.; Hullinger, D.; Krimm, H.; Markwardt, C.; Tueller, J.; Sato, G.; Takahashi, T.; Nakazawa, K.; Okada, Y.; Takahashi, H.; Suzuki, M.; Tashiro, M.

    2004-09-28

    The Burst Alert Telescope (BAT), a large coded aperture instrument with a wide field-of-view (FOV), provides the gamma-ray burst triggers and locations for the Swift Gamma-Ray Burst Explorer. In addition to providing this imaging information, BAT will perform a 15 keV - 150 keV all-sky hard x-ray survey based on the serendipitous pointings resulting from the study of gamma-ray bursts, and will also monitor the sky for transient hard x-ray sources. For BAT to provide spectral and photometric information for the gamma-ray bursts, the transient sources and the all-sky survey, the BAT instrument response must be determined to an increasingly greater accuracy. This paper describes the spectral models and the ground calibration experiments used to determine the BAT response to an accuracy suitable for gamma-ray burst studies.

  13. Skylab short-lived event alert program

    NASA Technical Reports Server (NTRS)

    Citron, R. A.

    1974-01-01

    During the three manned Skylab missions, the Center for Short-Lived Phenomena (CSLP) reported a total of 39 significant events to the Johnson Space Center (JSC) as part of the Skylab Short-Lived Event Alert Program. The telegraphed daily status reports included the names and locations of the events, the track number and revolution number during which the event could be observed, the time (GMT) to within plus or minus 2 sec when Skylab was closest to the event area, and the light condition (daylight or darkness) at that time and place. The messages sent to JSC during the Skylab 4 mission also included information pertaining to ground-truth studies and observations being conducted on the events. Photographic priorities were assigned for each event.

  14. Land Ice Verification and Validation Kit

    SciTech Connect

    2015-07-15

    To address a pressing need to better understand the behavior and complex interaction of ice sheets within the global Earth system, significant development of continental-scale, dynamical ice-sheet models is underway. The associated verification and validation process of these models is being coordinated through a new, robust, python-based extensible software package, the Land Ice Verification and Validation toolkit (LIVV). This release provides robust and automated verification and a performance evaluation on LCF platforms. The performance V&V involves a comprehensive comparison of model performance relative to expected behavior on a given computing platform. LIVV operates on a set of benchmark and test data, and provides comparisons for a suite of community prioritized tests, including configuration and parameter variations, bit-4-bit evaluation, and plots of tests where differences occur.

  15. Land Ice Verification and Validation Kit

    SciTech Connect

    2015-07-15

    To address a pressing need to better understand the behavior and complex interaction of ice sheets within the global Earth system, significant development of continental-scale, dynamical ice-sheet models is underway. The associated verification and validation process of these models is being coordinated through a new, robust, python-based extensible software package, the Land Ice Verification and Validation toolkit (LIVV). This release provides robust and automated verification and a performance evaluation on LCF platforms. The performance V&V involves a comprehensive comparison of model performance relative to expected behavior on a given computing platform. LIVV operates on a set of benchmark and test data, and provides comparisons for a suite of community prioritized tests, including configuration and parameter variations, bit-4-bit evaluation, and plots of tests where differences occur.

  16. An Evaluation of Alert Services: Quantity versus Quality

    ERIC Educational Resources Information Center

    Zandian, Fatemeh; Riahinia, Nosrat; Azimi, Ali; Poursalehi, Nastaran

    2010-01-01

    Purpose: Online information vendors currently offer a variety of additional services; among these are alert services which present requested information on recent publications to registered users. This paper aims to investigate a variety of alert services provided by four online information vendors. Design/methodology/approach: A comparison of the…

  17. 12 CFR 1022.121 - Active duty alerts.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Active duty alerts. 1022.121 Section 1022.121 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION FAIR CREDIT REPORTING (REGULATION V) Duties of Consumer Reporting Agencies Regarding Identity Theft § 1022.121 Active duty alerts. (a) Duration....

  18. 12 CFR 1022.121 - Active duty alerts.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Active duty alerts. 1022.121 Section 1022.121 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION FAIR CREDIT REPORTING (REGULATION V) Duties of Consumer Reporting Agencies Regarding Identity Theft § 1022.121 Active duty alerts. (a) Duration....

  19. 12 CFR 1022.121 - Active duty alerts.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 8 2014-01-01 2014-01-01 false Active duty alerts. 1022.121 Section 1022.121 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION FAIR CREDIT REPORTING (REGULATION V) Duties of Consumer Reporting Agencies Regarding Identity Theft § 1022.121 Active duty alerts. (a) Duration....

  20. R&D Alert. Volume 7, Number 2, 2005

    ERIC Educational Resources Information Center

    White, Noel, Ed.

    2005-01-01

    "R&D Alert" covers issues affecting schools in the Western Regional Educational Laboratory's four-state region--Arizona, California, Nevada, and Utah--and throughout the United States. This issue of "R&D Alert" shares what WestEd is learning from a sample of their latest work, focusing on three points in the process:…

  1. R&D Alert. Volume 7, Number 1, 2005

    ERIC Educational Resources Information Center

    White, Noel, Ed.

    2005-01-01

    "R&D Alert" covers issues affecting schools in the Western Regional Educational Laboratory's four-state region--Arizona, California, Nevada, and Utah--and throughout the United States. WestEd researchers and assistance providers have been focused on secondary education for many years. This issue of "R&D Alert" goes beyond describing the problem…

  2. An Evaluation of Alert Services: Quantity versus Quality

    ERIC Educational Resources Information Center

    Zandian, Fatemeh; Riahinia, Nosrat; Azimi, Ali; Poursalehi, Nastaran

    2010-01-01

    Purpose: Online information vendors currently offer a variety of additional services; among these are alert services which present requested information on recent publications to registered users. This paper aims to investigate a variety of alert services provided by four online information vendors. Design/methodology/approach: A comparison of the…

  3. Silver Alerts and the Problem of Missing Adults with Dementia

    ERIC Educational Resources Information Center

    Carr, Dawn; Muschert, Glenn W.; Kinney, Jennifer; Robbins, Emily; Petonito, Gina; Manning, Lydia; Brown, J. Scott

    2010-01-01

    In the months following the introduction of the National AMBER (America's Missing: Broadcast Emergency Response) Alert plan used to locate missing and abducted children, Silver Alert programs began to emerge. These programs use the same infrastructure and approach to find a different missing population, cognitively impaired older adults. By late…

  4. 2. VIEW OF SOUTH END OF STRUCTURE NO. 540 (ALERT ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. VIEW OF SOUTH END OF STRUCTURE NO. 540 (ALERT AIRCRAFT PARKING APRON) LOOKING SOUTHEAST FROM THE MASTER SURVEILLANCE AND CONTROL TOWER (BUILDING 8990) WITH CREW READINESS BUILDING (BUILDING 8970) IN BACKGROUND. - Loring Air Force Base, Alert Area, Southeastern portion of base, east of southern end of runway, Limestone, Aroostook County, ME

  5. Good "Geofences" Make Good Neighbors in Age of Mobile Alerts

    ERIC Educational Resources Information Center

    Bender, Jim

    2013-01-01

    For every institution of higher education, the safety and protection of its campus community is of primary importance. Recent events have shown an increase in campus crime, assaults and even a tragic loss of life. Apps such as Ping4alerts! allow campuses to send hyperlocal smartphone alerts related to public safety, school closings, local events,…

  6. Silver Alerts and the Problem of Missing Adults with Dementia

    ERIC Educational Resources Information Center

    Carr, Dawn; Muschert, Glenn W.; Kinney, Jennifer; Robbins, Emily; Petonito, Gina; Manning, Lydia; Brown, J. Scott

    2010-01-01

    In the months following the introduction of the National AMBER (America's Missing: Broadcast Emergency Response) Alert plan used to locate missing and abducted children, Silver Alert programs began to emerge. These programs use the same infrastructure and approach to find a different missing population, cognitively impaired older adults. By late…

  7. Good "Geofences" Make Good Neighbors in Age of Mobile Alerts

    ERIC Educational Resources Information Center

    Bender, Jim

    2013-01-01

    For every institution of higher education, the safety and protection of its campus community is of primary importance. Recent events have shown an increase in campus crime, assaults and even a tragic loss of life. Apps such as Ping4alerts! allow campuses to send hyperlocal smartphone alerts related to public safety, school closings, local events,…

  8. Delivering Alert Messages to Members of a Work Force

    NASA Technical Reports Server (NTRS)

    Loftis, Julia; Nickens, Stephanie; Pell, Melissa; Pell, Vince

    2008-01-01

    Global Alert Resolution Network (GARNET) is a software system for delivering emergency alerts as well as less-urgent messages to members of the Goddard Space Flight Center work force via an intranet or the Internet, and can be adapted to similar use in other large organizations.

  9. Wireless Emergency Alerts (WEA) Cybersecurity Risk Management Strategy for Alert Originators

    DTIC Science & Technology

    2014-03-01

    attacker’s goal is to send people to a dangerous loca- tion, hoping to inflict physical and emotional harm on them. The key to this attack is capturing a...message. This scenario could produce catastrophic consequences, depending on the severity of the event with which the attack is linked. Health and...be sent to IPAWS, affecting the availability of IPAWS to all alert originators. Ultimately, the attack could adversely affect public health and

  10. Validation of the CME Geomagnetic forecast alerts under COMESEP alert system

    NASA Astrophysics Data System (ADS)

    Dumbovic, Mateja; Srivastava, Nandita; Khodia, Yamini; Vršnak, Bojan; Devos, Andy; Rodriguez, Luciano

    2017-04-01

    An automated space weather alert system has been developed under the EU FP7 project COMESEP (COronal Mass Ejections and Solar Energetic Particles: http://comesep.aeronomy.be) to forecast solar energetic particles (SEP) and coronal mass ejection (CME) risk levels at Earth. COMESEP alert system uses automated detection tool CACTus to detect potentially threatening CMEs, drag-based model (DBM) to predict their arrival and CME geo-effectiveness tool (CGFT) to predict their geomagnetic impact. Whenever CACTus detects a halo or partial halo CME and issues an alert, DBM calculates its arrival time at Earth and CGFT calculates its geomagnetic risk level. Geomagnetic risk level is calculated based on an estimation of the CME arrival probability and its likely geo-effectiveness, as well as an estimate of the geomagnetic-storm duration. We present the evaluation of the CME risk level forecast with COMESEP alert system based on a study of geo-effective CMEs observed during 2014. The validation of the forecast tool is done by comparing the forecasts with observations. In addition, we test the success rate of the automatic forecasts (without human intervention) against the forecasts with human intervention using advanced versions of DBM and CGFT (self standing tools available at Hvar Observatory website: http://oh.geof.unizg.hr). The results implicate that the success rate of the forecast is higher with human intervention and using more advanced tools. This work has received funding from the European Commission FP7 Project COMESEP (263252). We acknowledge the support of Croatian Science Foundation under the project 6212 „Solar and Stellar Variability".

  11. Alert Messaging in the CMS Distributed Workflow System

    NASA Astrophysics Data System (ADS)

    Maxa, Zdenek

    2012-12-01

    WMAgent is the core component of the CMS workload management system. One of the features of this job managing platform is a configurable messaging system aimed at generating, distributing and processing alerts: short messages describing a given alert-worthy information or pathological condition. Apart from the framework's sub-components running within the WMAgent instances, there is a stand-alone application collecting alerts from all WMAgent instances running across the CMS distributed computing environment. The alert framework has a versatile design that allows for receiving alert messages also from other CMS production applications, such as PhEDEx data transfer manager. We present implementation details of the system, including its Python implementation using ZeroMQ, CouchDB message storage and future visions as well as operational experiences. Inter-operation with monitoring platforms such as Dashboard or Lemon is described.

  12. Warfarin monitoring in nursing homes assessed by case histories. Do recommendations and electronic alerts affect judgements?

    PubMed

    Teruel, Reyes Serrano; Thue, Geir; Fylkesnes, Svein Ivar; Sandberg, Sverre; Kristoffersen, Ann Helen

    2017-09-01

    Older adults treated with warfarin are prone to complications, and high-quality monitoring is essential. The aim of this case history based study was to assess the quality of warfarin monitoring in a routine situation, and in a situation with an antibiotic-warfarin interaction, before and after receiving an electronic alert. In April 2014, a national web-based survey with two case histories was distributed among Norwegian nursing home physicians and general practitioners working part-time in nursing homes. Case A represented a patient on stable warfarin treatment, but with a substantial INR increase within the therapeutic interval. Case B represented a more challenging patient with trimethoprim sulfamethoxazole (TMS) treatment due to pyelonephritis. In both cases, the physicians were asked to state the next warfarin dose and the INR recall interval. In case B, the physicians could change their suggestions after receiving an electronic alert on the TMS-warfarin interaction. Three hundred and ninety eight physicians in 292 nursing homes responded. Suggested INR recall intervals and warfarin doses varied substantially in both cases. In case A, 61% gave acceptable answers according to published recommendations, while only 9% did so for case B. Regarding the TMS-warfarin interaction in case history B, the electronic alert increased the percentage of respondents correctly suggesting a dose reduction from 29% to 53%. Having an INR instrument in the nursing home was associated with shortened INR recall times. Practical advice on handling of warfarin treatment and drug interactions is needed. Electronic alerts as presented in electronic medical records seem insufficient to change practice. Availability of INR instruments may be important regarding recall time.

  13. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients

    PubMed Central

    Stultz, Jeremy S; Nahata, Milap C

    2014-01-01

    Objectives To evaluate dosing alert appropriateness, categorize orders with alerts, and compare the appropriateness of alerts due to customized and non-customized dose ranges at a pediatric hospital. Methods This was a retrospective analysis of medication orders causing dosing alerts. Orders for outpatient prescriptions, patients ≥18 years of age, and research protocols were excluded. Patient medical records were reviewed and ordered doses compared with a widely used pediatric reference (Lexi-Comp) and institutional recommendations. The alerted orders were categorized and the occurrence of appropriate alerts was compared. Results There were 47 181 inpatient orders during the studied period; 1935 orders caused 3774 dosing alerts for 369 medications in 573 patients (median age 6.1 years). All alerted orders had an alert overridden by the prescriber. The majority (86.2%) of alerted orders inappropriately caused alerts; 58.0% were justifiable doses and 28.2% were within Lexi-Comp. However, 13.8% of alerted orders appropriately caused alerts; 8.0% were incorrect doses and 5.8% had no dosing recommendations available. Appropriately alerted orders occurred in 19.7% of alerted orders due to customized ranges compared to 12.8% due to non-customized ranges (p=0.002). Preterm and term neonates, infants, and children (2–5 years) had higher proportions of inappropriate alerts compared to appropriate alerts (all p<0.01). Conclusions The vast majority of dosing alerts were presented to practitioners inappropriately, potentially contributing to alert fatigue. Appropriate alerts occurred more often when alerts were due to customized ranges. Advances in dosing alerts should aim to provide accurate and clinically relevant alerts that minimize excessive inappropriate alerting. Medications requiring dosing adjustments based on clinical parameters must be taken into account when designing and evaluating dosing alerts. PMID:23813540

  14. Implementation of an alert and response system in Haiti during the early stage of the response to the cholera epidemic.

    PubMed

    Santa-Olalla, Patricia; Gayer, Michelle; Magloire, Roc; Barrais, Robert; Valenciano, Marta; Aramburu, Carmen; Poncelet, Jean Luc; Gustavo Alonso, Juan Carlos; Van Alphen, Dana; Heuschen, Florence; Andraghetti, Roberta; Lee, Robert; Drury, Patrick; Aldighieri, Sylvain

    2013-10-01

    The start of the cholera epidemic in Haiti quickly highlighted the necessity of the implementation of an Alert and Response (A&R) System to complement the existing national surveillance system. The national system had been able to detect and confirm the outbreak etiology but required external support to monitor the spread of cholera and coordinate response, because much of the information produced was insufficiently timely for real-time monitoring and directing of a rapid, targeted response. The A&R System was designed by the Pan American Health Organization/World Health Organization in collaboration with the Haiti Ministry of Health, and it was based on a network of partners, including any institution, structure, or individual that could identify, verify, and respond to alerts. The defined objectives were to (1) save lives through early detection and treatment of cases and (2) control the spread through early intervention at the community level. The operational structure could be broken down into three principle categories: (1) alert (early warning), (2) verification and assessment of the information, and (3) efficient and timely response in coordination with partners to avoid duplication. Information generated by the A&R System was analyzed and interpreted, and the qualitative information was critical in qualifying the epidemic and defining vulnerable areas, particularly because the national surveillance system reported incomplete data for more than one department. The A&R System detected a number of alerts unrelated to cholera and facilitated rapid access to that information. The sensitivity of the system and its ability to react quickly was shown in May of 2011, when an abnormal increase in alerts coming from several communes in the Sud-Est Department in epidemiological weeks (EWs) 17 and 18 were noted and disseminated network-wide and response activities were implemented. The national cholera surveillance system did not register the increase until EWs 21 and

  15. Implementation of an Alert and Response System in Haiti during the Early Stage of the Response to the Cholera Epidemic

    PubMed Central

    Santa-Olalla, Patricia; Gayer, Michelle; Magloire, Roc; Barrais, Robert; Valenciano, Marta; Aramburu, Carmen; Poncelet, Jean Luc; Gustavo Alonso, Juan Carlos; Van Alphen, Dana; Heuschen, Florence; Andraghetti, Roberta; Lee, Robert; Drury, Patrick; Aldighieri, Sylvain

    2013-01-01

    The start of the cholera epidemic in Haiti quickly highlighted the necessity of the implementation of an Alert and Response (A&R) System to complement the existing national surveillance system. The national system had been able to detect and confirm the outbreak etiology but required external support to monitor the spread of cholera and coordinate response, because much of the information produced was insufficiently timely for real-time monitoring and directing of a rapid, targeted response. The A&R System was designed by the Pan American Health Organization/World Health Organization in collaboration with the Haiti Ministry of Health, and it was based on a network of partners, including any institution, structure, or individual that could identify, verify, and respond to alerts. The defined objectives were to (1) save lives through early detection and treatment of cases and (2) control the spread through early intervention at the community level. The operational structure could be broken down into three principle categories: (1) alert (early warning), (2) verification and assessment of the information, and (3) efficient and timely response in coordination with partners to avoid duplication. Information generated by the A&R System was analyzed and interpreted, and the qualitative information was critical in qualifying the epidemic and defining vulnerable areas, particularly because the national surveillance system reported incomplete data for more than one department. The A&R System detected a number of alerts unrelated to cholera and facilitated rapid access to that information. The sensitivity of the system and its ability to react quickly was shown in May of 2011, when an abnormal increase in alerts coming from several communes in the Sud-Est Department in epidemiological weeks (EWs) 17 and 18 were noted and disseminated network-wide and response activities were implemented. The national cholera surveillance system did not register the increase until EWs 21 and

  16. A fresh look at runway incursions: onboard surface movement awareness and alerting system based on SVS

    NASA Astrophysics Data System (ADS)

    Vernaleken, Christoph; Mihalic, Lamir; Güttler, Mathias; Klingauf, Uwe

    2006-05-01

    Increasing traffic density on the aerodrome surface due to the continuous worldwide growth in the number of flight operations does not only cause capacity and efficiency problems, but also increases the risk of serious incidents and accidents on the airport movement area. Of these, Runway Incursions are the by far most safety-critical. In fact, the worst-ever accident in civil aviation, the collision of two Boeing B747s on Tenerife in 1977 with 583 fatalities, was caused by a Runway Incursion. Therefore, various Runway Safety programs have recently been initiated around the globe, often focusing on ground-based measures such as improved surveillance. However, as a lack of flight crew situational awareness is a key causal factor in many Runway Incursion incidents and accidents, there is a strong need for an onboard solution, which should be capable of interacting cooperatively with ground-based ATM systems, such as A-SMGCS where available. This paper defines the concept of preventive and reactive Runway Incursion avoidance and describes a Surface Movement Awareness & Alerting System (SMAAS) designed to alert the flight crew if they are at risk of infringing a runway. Both the SVS flight deck displays and the corresponding alerting algorithms utilize an ED 99A/RTCA DO-272A compliant aerodrome database, as well as airport operational, traffic and clearance data received via ADS-B or other data links, respectively. The displays provide the crew with enhanced positional, operational, clearance and traffic awareness, and they are used to visualize alerts. A future enhancement of the system will provide intelligent alerting for conflicts caused by surrounding traffic.

  17. Explaining Verification Conditions

    NASA Technical Reports Server (NTRS)

    Deney, Ewen; Fischer, Bernd

    2006-01-01

    The Hoare approach to program verification relies on the construction and discharge of verification conditions (VCs) but offers no support to trace, analyze, and understand the VCs themselves. We describe a systematic extension of the Hoare rules by labels so that the calculus itself can be used to build up explanations of the VCs. The labels are maintained through the different processing steps and rendered as natural language explanations. The explanations can easily be customized and can capture different aspects of the VCs; here, we focus on their structure and purpose. The approach is fully declarative and the generated explanations are based only on an analysis of the labels rather than directly on the logical meaning of the underlying VCs or their proofs. Keywords: program verification, Hoare calculus, traceability.

  18. Voice verification upgrade

    NASA Astrophysics Data System (ADS)

    Davis, R. L.; Sinnamon, J. T.; Cox, D. L.

    1982-06-01

    This contractor has two major objectives. The first was to build, test, and deliver to the government an entry control system using speaker verification (voice authentication) as the mechanism for verifying the user's claimed identity. This system included a physical mantrap, with an integral weight scale to prevent more than one user from gaining access with one verification (tailgating). The speaker verification part of the entry control system contained all the updates and embellishments to the algorithm that was developed earlier for the BISS (Base and Installation Security System) system under contract with the Electronic Systems Division of the USAF. These updates were tested prior to and during the contract on an operational system used at Texas Instruments in Dallas, Texas, for controlling entry to the Corporate Information Center (CIC).

  19. Wind gust warning verification

    NASA Astrophysics Data System (ADS)

    Primo, Cristina

    2016-07-01

    Operational meteorological centres around the world increasingly include warnings as one of their regular forecast products. Warnings are issued to warn the public about extreme weather situations that might occur leading to damages and losses. In forecasting these extreme events, meteorological centres help their potential users in preventing the damage or losses they might suffer. However, verifying these warnings requires specific methods. This is due not only to the fact that they happen rarely, but also because a new temporal dimension is added when defining a warning, namely the time window of the forecasted event. This paper analyses the issues that might appear when dealing with warning verification. It also proposes some new verification approaches that can be applied to wind warnings. These new techniques are later applied to a real life example, the verification of wind gust warnings at the German Meteorological Centre ("Deutscher Wetterdienst"). Finally, the results obtained from the latter are discussed.

  20. Nuclear disarmament verification

    SciTech Connect

    DeVolpi, A.

    1993-12-31

    Arms control treaties, unilateral actions, and cooperative activities -- reflecting the defusing of East-West tensions -- are causing nuclear weapons to be disarmed and dismantled worldwide. In order to provide for future reductions and to build confidence in the permanency of this disarmament, verification procedures and technologies would play an important role. This paper outlines arms-control objectives, treaty organization, and actions that could be undertaken. For the purposes of this Workshop on Verification, nuclear disarmament has been divided into five topical subareas: Converting nuclear-weapons production complexes, Eliminating and monitoring nuclear-weapons delivery systems, Disabling and destroying nuclear warheads, Demilitarizing or non-military utilization of special nuclear materials, and Inhibiting nuclear arms in non-nuclear-weapons states. This paper concludes with an overview of potential methods for verification.

  1. Verification and validation benchmarks.

    SciTech Connect

    Oberkampf, William Louis; Trucano, Timothy Guy

    2007-02-01

    Verification and validation (V&V) are the primary means to assess the accuracy and reliability of computational simulations. V&V methods and procedures have fundamentally improved the credibility of simulations in several high-consequence fields, such as nuclear reactor safety, underground nuclear waste storage, and nuclear weapon safety. Although the terminology is not uniform across engineering disciplines, code verification deals with assessing the reliability of the software coding, and solution verification deals with assessing the numerical accuracy of the solution to a computational model. Validation addresses the physics modeling accuracy of a computational simulation by comparing the computational results with experimental data. Code verification benchmarks and validation benchmarks have been constructed for a number of years in every field of computational simulation. However, no comprehensive guidelines have been proposed for the construction and use of V&V benchmarks. For example, the field of nuclear reactor safety has not focused on code verification benchmarks, but it has placed great emphasis on developing validation benchmarks. Many of these validation benchmarks are closely related to the operations of actual reactors at near-safety-critical conditions, as opposed to being more fundamental-physics benchmarks. This paper presents recommendations for the effective design and use of code verification benchmarks based on manufactured solutions, classical analytical solutions, and highly accurate numerical solutions. In addition, this paper presents recommendations for the design and use of validation benchmarks, highlighting the careful design of building-block experiments, the estimation of experimental measurement uncertainty for both inputs and outputs to the code, validation metrics, and the role of model calibration in validation. It is argued that the understanding of predictive capability of a computational model is built on the level of

  2. Requirement Assurance: A Verification Process

    NASA Technical Reports Server (NTRS)

    Alexander, Michael G.

    2011-01-01

    Requirement Assurance is an act of requirement verification which assures the stakeholder or customer that a product requirement has produced its "as realized product" and has been verified with conclusive evidence. Product requirement verification answers the question, "did the product meet the stated specification, performance, or design documentation?". In order to ensure the system was built correctly, the practicing system engineer must verify each product requirement using verification methods of inspection, analysis, demonstration, or test. The products of these methods are the "verification artifacts" or "closure artifacts" which are the objective evidence needed to prove the product requirements meet the verification success criteria. Institutional direction is given to the System Engineer in NPR 7123.1A NASA Systems Engineering Processes and Requirements with regards to the requirement verification process. In response, the verification methodology offered in this report meets both the institutional process and requirement verification best practices.

  3. Voice Verification Upgrade.

    DTIC Science & Technology

    1982-06-01

    to develop speaker verification techniques for use over degraded commun- ication channels -- specifically telephone lines. A test of BISS type speaker...verification technology was performed on a degraded channel and compensation techniques were then developed . The fifth program [103 (Total Voice SV...UPGAW. *mbit aL DuI~sel Jme T. SImmoon e~d David L. Cox AAWVLP FIR MIEW RMAS Utgl~rIMIW At" DT11C AU9 231f CD, _ ROME AIR DEVELOPMENT CENTER Air

  4. General Environmental Verification Specification

    NASA Technical Reports Server (NTRS)

    Milne, J. Scott, Jr.; Kaufman, Daniel S.

    2003-01-01

    The NASA Goddard Space Flight Center s General Environmental Verification Specification (GEVS) for STS and ELV Payloads, Subsystems, and Components is currently being revised based on lessons learned from GSFC engineering and flight assurance. The GEVS has been used by Goddard flight projects for the past 17 years as a baseline from which to tailor their environmental test programs. A summary of the requirements and updates are presented along with the rationale behind the changes. The major test areas covered by the GEVS include mechanical, thermal, and EMC, as well as more general requirements for planning, tracking of the verification programs.

  5. Determinants of Behavioral Alertness in Adults with Heart Failure.

    PubMed

    Masterson Creber, Ruth; Pak, Victoria M; Varrasse, Miranda; Dinges, David F; Wald, Joyce; Riegel, Barbara

    2016-04-15

    The primary objective of this study was to describe characteristics of sleep across the three domains of sleep quality, daytime sleepiness, and behavioral alertness in community-dwelling adults with heart failure. The secondary objective was to identify modifiable factors associated with behavioral alertness. A sample of 280 adults with chronic heart failure was enrolled. Widely used, validated, and sensitive measures of sleep quality (Pittsburgh Sleep Quality Index), daytime sleepiness (Epworth Sleepiness Scale, Stanford Sleepiness Scale), and behavioral alertness (Psychomotor Vigilance Test [PVT]) were collected at baseline, 3 and 6 months. Sociodemographic and clinical characteristics, including exercise, were measured at baseline. Participants were primarily male and functionally compromised with a mean left ventricular ejection fraction of 35 percent. The majority of the sample (73%) reported poor sleep quality. The mean (± SD) Epworth Sleepiness Scale score was low (7.0 ± 4.6), indicating they did not perceive daytime sleepiness. In contrast, behavioral alertness was relatively poor as evidenced by a slow PVT mean response time (3.09 ± 0.76). Participants who reported exercising at least one hour in the past week were more alert and had faster response times than those reporting no exercise. Although sleep quality was poor and behavioral alertness was compromised, these heart failure patients did not feel sleepy. Exercise may help to promote behavioral alertness and reduce daytime sleepiness in adults with heart failure. © 2016 American Academy of Sleep Medicine.

  6. Smart alerts: development of software to optimize data monitoring.

    PubMed

    Dherte, Patrick Marcel; Negrão, Mariana Pires Gentil; Mori Neto, Silvio; Holzhacker, Rafael; Shimada, Vanessa; Taberner, Paula; Carmona, Maria José Carvalho

    2011-01-01

    Monitoring is useful for vital follow-ups and prevention, diagnosis, and treatment of several events in anesthesia. Although alarms can be useful in monitoring they can cause dangerous user's desensitization. The objective of this study was to describe the development of specific software to integrate intraoperative monitoring parameters generating "smart alerts" that can help decision making, besides indicating possible diagnosis and treatment. A system that allowed flexibility in the definition of alerts, combining individual alarms of the parameters monitored to generate a more elaborated alert system was designed. After investigating a set of smart alerts, considered relevant in the surgical environment, a prototype was designed and evaluated, and additional suggestions were implemented in the final product. To verify the occurrence of smart alerts, the system underwent testing with data previously obtained during intraoperative monitoring of 64 patients. The system allows continuous analysis of monitored parameters, verifying the occurrence of smart alerts defined in the user interface. With this system a potential 92% reduction in alarms was observed. We observed that in most situations that did not generate alerts individual alarms did not represent risk to the patient. Implementation of software can allow integration of the data monitored and generate information, such as possible diagnosis or interventions. An expressive potential reduction in the amount of alarms during surgery was observed. Information displayed by the system can be oftentimes more useful than analysis of isolated parameters. Copyright © 2011 Elsevier Editora Ltda. All rights reserved.

  7. Silver alerts and the problem of missing adults with dementia.

    PubMed

    Carr, Dawn; Muschert, Glenn W; Kinney, Jennifer; Robbins, Emily; Petonito, Gina; Manning, Lydia; Brown, J Scott

    2010-04-01

    In the months following the introduction of the National AMBER (America's Missing: Broadcast Emergency Response) Alert plan used to locate missing and abducted children, Silver Alert programs began to emerge. These programs use the same infrastructure and approach to find a different missing population, cognitively impaired older adults. By late 2008, 17 states had enacted Silver Alert policies, and several more planned to take advantage of National Silver Alert grant funding to initiate policies in 2009. To date, however, no research has examined the efficacy of such programs, which have widely varying parameters and criteria to initiate the alerts. In this study, we empirically examine the 17 existing state Silver Alert and related policies. The analysis includes an examination of the varieties of programs: dementia related and AMBER extension, the dates of enactment, the criteria for activation, and the process of activation. We conclude with two salient questions that emerged from the analysis. We examine these questions and make recommendations for future research, including examining whether Silver Alerts are an appropriate response to address the problem of missing adults with dementia or cognitive impairments and examining the costs and benefits of the programs including determining how best to balance efforts to keep cognitively impaired elders safe while keeping their basic human rights of autonomy and empowerment intact.

  8. Attentional and sensory effects of lowered levels of intrinsic alertness.

    PubMed

    Matthias, Ellen; Bublak, Peter; Costa, Anna; Müller, Hermann J; Schneider, Werner X; Finke, Kathrin

    2009-12-01

    Low levels of intrinsic alertness are associated with lateralized performance in visual tasks, similar to neglect of the left (ipsilesional) visual hemi-field. However, it is unclear whether reduced alertness produces a specific lateralization of spatial-attentional processes in terms of the prioritization of right- over left-side stimuli, or whether it affects more basic functions of visuo-sensory coding, and/or higher function of the top-down control of selection, of stimuli on the left side. To decide between these alternatives, the present study examined the effects of lowered alertness, induced by a 50-min vigilance task, in a partial-report paradigm of briefly presented letter displays. With only one (unilateral) stimulus in display, no specific hemi-field effects were found under low-alertness conditions, indicating that reduced alertness impairs neither sensory effectiveness nor the top-town control of selection. However, with dual, bilateral stimuli, report accuracy was specifically affected for left-side targets (in subjects who showed comparable performance for both sides under normal-alertness conditions). This pattern can be interpreted in terms of a specific bias in spatial-attentional weighting, where prioritization of stimuli on the right leads to (mild) extinction of targets on the left. Moreover, participants who had a lower general level of alertness also showed a more pronounced re-distribution of weights, evidenced by a more severe imbalance in report accuracy, in a low compared to a normal state of alertness. This suggests that a low general level of intrinsic alertness engenders a specific vulnerability to neglect-like performance with a (mild) left-side extinction.

  9. Gaia Science Alerts: Early Validation Phase Data from Gaia

    NASA Astrophysics Data System (ADS)

    Walton, Nicholas; Hodgkin, Simon; van Leeuwen, Floor

    2015-08-01

    The ESA Gaia satellite launched Dec 2013, and after successful completion of its in orbit commissioning in July 2014, begun routine operations, with the aim to accurately measure the astrometric and astrophysical properties of more than a billion stars in our Milky Way.As a significant by product of its observational scanning law, where each point on the sky is observed multiple times (~80 revisits on average) over the nominal 5 year mission, Gaia has significant utility in detecting new transients, both flux (e.g. Supernovae, Flare stars) and positional (e.g. Asteroids).We will present the current status of the Gaia Photometric Science Alerts (PSA) system that has been developed within the Gaia DPAC. The PSA pipeline provides a quick look analysis of the daily data stream from Gaia, and identifies new photometric alerts, from analysis of the object photometric and the low resolution spectro-photometric data. Via a set of filters, those identified as astrophysical in nature, are published to the community. The information provided currently includes positional and flux information.The Gaia Alerts working group has organised a significant early stage followup campaign, providing access to a wide variety of followup facilities. These have been used to provide classification spectra of the Gaia alert candidates, with the early phase data confirming that the alerts issued are indeed largely astrophysical transients, with only a small contamination rate.The presentation will address the early phase issues that have been addressed in localising and classifying alerts in the early phase of Gaia observations (for instance, how lack of early knowledge of the sky as seen by Gaia was mitigated by reference to external image data), and how the alert rate published by the PSA will ramp up towards the end of 2015, with the availability of more Gaia sky data.Information concerning the Gaia alerts system can be found at http://gaia.ac.uk/selected-gaia-science-alerts

  10. Perceptual evaluation of visual alerts in surveillance videos

    NASA Astrophysics Data System (ADS)

    Rogowitz, Bernice E.; Topkara, Mercan; Pfeiffer, William; Hampapur, Arun

    2015-03-01

    Visual alerts are commonly used in video monitoring and surveillance systems to mark events, presumably making them more salient to human observers. Surprisingly, the effectiveness of computer-generated alerts in improving human performance has not been widely studied. To address this gap, we have developed a tool for simulating different alert parameters in a realistic visual monitoring situation, and have measured human detection performance under conditions that emulated different set-points in a surveillance algorithm. In the High-Sensitivity condition, the simulated alerts identified 100% of the events with many false alarms. In the Lower-Sensitivity condition, the simulated alerts correctly identified 70% of the targets, with fewer false alarms. In the control condition, no simulated alerts were provided. To explore the effects of learning, subjects performed these tasks in three sessions, on separate days, in a counterbalanced, within subject design. We explore these results within the context of cognitive models of human attention and learning. We found that human observers were more likely to respond to events when marked by a visual alert. Learning played a major role in the two alert conditions. In the first session, observers generated almost twice as many False Alarms as in the No-Alert condition, as the observers responded pre-attentively to the computer-generated false alarms. However, this rate dropped equally dramatically in later sessions, as observers learned to discount the false cues. Highest observer Precision, Hits/(Hits + False Alarms), was achieved in the High Sensitivity condition, but only after training. The successful evaluation of surveillance systems depends on understanding human attention and performance.

  11. Can self-verification strivings fully transcend the self-other barrier? Seeking verification of ingroup identities.

    PubMed

    Gómez, Angel; Seyle, D Conor; Huici, Carmen; Swann, William B

    2009-12-01

    Recent research has demonstrated self-verification strivings in groups, such that people strive to verify collective identities, which are personal self-views (e.g., "sensitive") associated with group membership (e.g., "women"). Such demonstrations stop short of showing that the desire for self-verification can fully transcend the self-other barrier, as in people working to verify ingroup identities (e.g., "Americans are loud") even when such identities are not self-descriptive ("I am quiet and unassuming"). Five studies focus on such ingroup verification strivings. Results indicate that people prefer to interact with individuals who verify their ingroup identities over those who enhance these identities (Experiments 1-5). Strivings for ingroup identity verification were independent of the extent to which the identities were self-descriptive but were stronger among participants who were highly invested in their ingroup identities, as reflected in high certainty of these identities (Experiments 1-4) and high identification with the group (Experiments 1-5). In addition, whereas past demonstrations of self-verification strivings have been limited to efforts to verify the content of identities (Experiments 1 to 3), the findings also show that they strive to verify the valence of their identities (i.e., the extent to which the identities are valued; Experiments 4 and 5). Self-verification strivings, rather than self-enhancement strivings, appeared to motivate participants' strivings for ingroup identity verification. Links to collective self-verification strivings and social identity theory are discussed.

  12. The Global Outbreak Alert and Response Network

    PubMed Central

    Mackenzie, John S.; Drury, Patrick; Arthur, Ray R.; Ryan, Michael J.; Grein, Thomas; Slattery, Raphael; Suri, Sameera; Domingo, Christine Tiffany; Bejtullahu, Armand

    2014-01-01

    The Global Outbreak Alert and Response Network (GOARN) was established in 2000 as a network of technical institutions, research institutes, universities, international health organisations and technical networks willing to contribute and participate in internationally coordinated responses to infectious disease outbreaks. It reflected a recognition of the need to strengthen and coordinate rapid mobilisation of experts in responding to international outbreaks and to overcome the sometimes chaotic and fragmented operations characterising previous responses. The network partners agreed that the World Health Organization would coordinate the network and provide a secretariat, which would also function as the operational support team. The network has evolved to comprise 153 institutions/technical partners and 37 additional networks, the latter encompassing a further 355 members and has been directly involved in 137 missions to 79 countries, territories or areas. Future challenges will include supporting countries to achieve the capacity to detect and respond to outbreaks of international concern, as required by the International Health Regulations (2005). GOARN's increasing regional focus and expanding geographic composition will be central to meeting these challenges. The paper summarises some of network's achievements over the past 13 years and presents some of the future challenges. PMID:25186571

  13. Fatigue Countermeasures: Alertness Management in Flight Operations

    NASA Technical Reports Server (NTRS)

    Co, E. L.; Rosekind, M. R.; Johnson, J. M.; Weldon, K. J.; Smith, R. M.; Gregory, K. G.; Miller, D. L.; Gander, P. H.; Lebacqz, J. V.; Statler, Irving C. (Technical Monitor)

    1994-01-01

    Since 1980, the NASA Ames Fatigue Countermeasures Program has studied the effects and impact of fatigue on flight operations . Sleep loss and circadian disruption are two of the primary physiological factors that underlie fatigue in flight operations. The Program has developed an array of fatigue countermeasure recommendations that can be used to combat the effects of fatigue and continues to research potential new countermeasures. For example, one such strategy involved a NASA/FAA study on the effects of planned cockpit rest to improve crewmember alertness and performance. Based partly on the study results, the FAA is currently reviewing a proposed Advisory Circular for controlled rest on the flight deck. Since there is no simple answer to the issue of fatigue in aviation, an Education and Training Module has been developed to provide the industry with pertinent information on sleep, circadian rhythms, how flight operations affect these physiological factors, and recommendations for fatigue countermeasures. The Module will be updated as the Program's continued research efforts uncover new information and develop new countermeasure strategies,

  14. The global outbreak alert and response network.

    PubMed

    Mackenzie, John S; Drury, Patrick; Arthur, Ray R; Ryan, Michael J; Grein, Thomas; Slattery, Raphael; Suri, Sameera; Domingo, Christine Tiffany; Bejtullahu, Armand

    2014-01-01

    The Global Outbreak Alert and Response Network (GOARN) was established in 2000 as a network of technical institutions, research institutes, universities, international health organisations and technical networks willing to contribute and participate in internationally coordinated responses to infectious disease outbreaks. It reflected a recognition of the need to strengthen and coordinate rapid mobilisation of experts in responding to international outbreaks and to overcome the sometimes chaotic and fragmented operations characterising previous responses. The network partners agreed that the World Health Organization would coordinate the network and provide a secretariat, which would also function as the operational support team. The network has evolved to comprise 153 institutions/technical partners and 37 additional networks, the latter encompassing a further 355 members and has been directly involved in 137 missions to 79 countries, territories or areas. Future challenges will include supporting countries to achieve the capacity to detect and respond to outbreaks of international concern, as required by the International Health Regulations (2005). GOARN's increasing regional focus and expanding geographic composition will be central to meeting these challenges. The paper summarises some of network's achievements over the past 13 years and presents some of the future challenges.

  15. Seismicity alert probabilities at Parkfield, California, revisited

    USGS Publications Warehouse

    Michael, A.J.; Jones, L.M.

    1998-01-01

    For a decade, the US Geological Survey has used the Parkfield Earthquake Prediction Experiment scenario document to estimate the probability that earthquakes observed on the San Andreas fault near Parkfield will turn out to be foreshocks followed by the expected magnitude six mainshock. During this time, we have learned much about the seismogenic process at Parkfield, about the long-term probability of the Parkfield mainshock, and about the estimation of these types of probabilities. The probabilities for potential foreshocks at Parkfield are reexamined and revised in light of these advances. As part of this process, we have confirmed both the rate of foreshocks before strike-slip earthquakes in the San Andreas physiographic province and the uniform distribution of foreshocks with magnitude proposed by earlier studies. Compared to the earlier assessment, these new estimates of the long-term probability of the Parkfield mainshock are lower, our estimate of the rate of background seismicity is higher, and we find that the assumption that foreshocks at Parkfield occur in a unique way is not statistically significant at the 95% confidence level. While the exact numbers vary depending on the assumptions that are made, the new alert probabilities are lower than previously estimated. Considering the various assumptions and the statistical uncertainties in the input parameters, we also compute a plausible range for the probabilities. The range is large, partly due to the extra knowledge that exists for the Parkfield segment, making us question the usefulness of these numbers.

  16. Around Gaia Alerts in 20 questions

    NASA Astrophysics Data System (ADS)

    Wyrzykowski, Łukasz; Hodgkin, Simon

    2012-04-01

    Gaia is a European Space Agency (ESA) astrometry space mission, and a successor to the ESA Hipparcos mission. Gaia's main goal is to collect high-precision astrometric data (positions, parallaxes, and proper motions) for the 1 billion brightest objects in the sky. Those data, complemented with multi-band, multi-epoch photometric and spectroscopic data observed from the same observing platform, will allow astronomers to reconstruct the formation history, structure, and evolution of the Galaxy. Gaia will observe the whole sky for 5 years, providing a unique opportunity for the discovery of large numbers of transient and anomalous events such as supernovæ, novæ and microlensing events, GRB afterglows, fallback supernovæ, and other theoretical or unexpected phenomena. The Photometric Science Alerts team has been tasked with the early detection, classification and prompt release of anomalous sources in the Gaia data stream. In this paper we discuss the challenges we face in preparing to use Gaia to search for transient pheonomena at optical wavelengths.

  17. Self-indicating radiation alert dosemeter (SIRAD).

    PubMed

    Riel, Gordon K; Winters, Patrick; Patel, Gordhan; Patel, Paresh

    2006-01-01

    In an event of a nuclear or dirty bomb explosion and a radiological accident, there is a need for self-indicating instant radiation dosemeter for monitoring radiation exposure. The self-indicating instant radiation alert dosemeter (SIRAD) is a credit card size radiation dosemeter for monitoring ionising radiation from a few hundredths of a Gray to a few Gray. It is always active and is ready to use. It needs no battery. The dosemeter develops colour instantly upon exposure, and the colour intensifies with dose. It has a colour chart so that the dose on the active element may be read by matching its colour with the chart that is printed next to it on the card. However, in this work, the dose is measured by the optical density of the element. The dosemeter cannot be reset. The response changes by <1% per degrees C from -20 to +60 degrees C. The shelf-life is >3 y at room temperature. It contains no hazardous materials. The dosemeter would meet the requirements of instantly monitoring high dose in an event of a nuclear or dirty bomb explosion or a radiation accident.

  18. Real-time alerts and reminders using information systems.

    PubMed

    Wanderer, Jonathan P; Sandberg, Warren S; Ehrenfeld, Jesse M

    2011-09-01

    Adoption of information systems throughout the hospital environment has enabled the development of real-time physiologic alerts and clinician reminder systems. These clinical tools can be made available through the deployment of anesthesia information management systems (AIMS). Creating usable alert systems requires understanding of technical considerations. Various successful implementations are reviewed, encompassing cost reduction, improved revenue capture, timely antibiotic administration, and postoperative nausea and vomiting prophylaxis. Challenges to the widespread use of real-time alerts and reminders include AIMS adoption rates and the difficulty in choosing appropriate areas and approaches for information systems support. Copyright © 2011 Elsevier Inc. All rights reserved.

  19. Processing electrophysiological signals for the monitoring of alertness

    NASA Technical Reports Server (NTRS)

    Lai, D. C.

    1974-01-01

    Mathematical techniques are described for processing EEG signals associated with varying states of alertness. Fast algorithms for implementing real-time computations of alertness estimates were developed. A realization of the phase-distortionless digital filter is presented which approaches real-time filtering and a transform for EEG signals. This transform provides information for the alertness estimates and can be performed in real time. A statistical test for stationarity in EEG signals is being developed that will provide a method for determining the duration of the EEG signals necessary for estimating the short-time power or energy spectra for nonstationary analysis of EEG signals.

  20. MAGIC electromagnetic follow-up of gravitational wave alerts

    NASA Astrophysics Data System (ADS)

    de Lotto, Barbara; Ansoldi, Stefano; Antonelli, Angelo; Berti, Alessio; Carosi, Alessandro; Longo, Francesco; Stamerra, Antonio

    The year 2015 witnessed the first direct observations of a transient gravitational-wave (GW) signal from binary black hole mergers by the Advanced Laser Interferometer Gravitational-wave Observatory (aLIGO) Collaboration with the Virgo Collaboration. The MAGIC two 17m diameter Cherenkov telescopes system joined since 2014 the vast collaboration of electromagnetic facilities for follow-up of gravitational wave alerts. During the 2015 LIGO-Virgo science run we set up the procedure for GW alerts follow-up and took data following the last GW alert. MAGIC results on the data analysis and prospects for the forthcoming run are presented.

  1. ENVIRONMENTAL TECHNOLOGY VERIFICATION PROGRAM

    EPA Science Inventory

    This presentation will be given at the EPA Science Forum 2005 in Washington, DC. The Environmental Technology Verification Program (ETV) was initiated in 1995 to speed implementation of new and innovative commercial-ready environemntal technologies by providing objective, 3rd pa...

  2. ENVIRONMENTAL TECHNOLOGY VERIFICATION PROGRAM

    EPA Science Inventory

    This presentation will be given at the EPA Science Forum 2005 in Washington, DC. The Environmental Technology Verification Program (ETV) was initiated in 1995 to speed implementation of new and innovative commercial-ready environemntal technologies by providing objective, 3rd pa...

  3. Computer Graphics Verification

    NASA Technical Reports Server (NTRS)

    1992-01-01

    Video processing creates technical animation sequences using studio quality equipment to realistically represent fluid flow over space shuttle surfaces, helicopter rotors, and turbine blades.Computer systems Co-op, Tim Weatherford, performing computer graphics verification. Part of Co-op brochure.

  4. FPGA Verification Accelerator (FVAX)

    NASA Technical Reports Server (NTRS)

    Oh, Jane; Burke, Gary

    2008-01-01

    Is Verification Acceleration Possible? - Increasing the visibility of the internal nodes of the FPGA results in much faster debug time - Forcing internal signals directly allows a problem condition to be setup very quickly center dot Is this all? - No, this is part of a comprehensive effort to improve the JPL FPGA design and V&V process.

  5. Exomars Mission Verification Approach

    NASA Astrophysics Data System (ADS)

    Cassi, Carlo; Gilardi, Franco; Bethge, Boris

    According to the long-term cooperation plan established by ESA and NASA in June 2009, the ExoMars project now consists of two missions: A first mission will be launched in 2016 under ESA lead, with the objectives to demonstrate the European capability to safely land a surface package on Mars, to perform Mars Atmosphere investigation, and to provide communi-cation capability for present and future ESA/NASA missions. For this mission ESA provides a spacecraft-composite, made up of an "Entry Descent & Landing Demonstrator Module (EDM)" and a Mars Orbiter Module (OM), NASA provides the Launch Vehicle and the scientific in-struments located on the Orbiter for Mars atmosphere characterisation. A second mission with it launch foreseen in 2018 is lead by NASA, who provides spacecraft and launcher, the EDL system, and a rover. ESA contributes the ExoMars Rover Module (RM) to provide surface mobility. It includes a drill system allowing drilling down to 2 meter, collecting samples and to investigate them for signs of past and present life with exobiological experiments, and to investigate the Mars water/geochemical environment, In this scenario Thales Alenia Space Italia as ESA Prime industrial contractor is in charge of the design, manufacturing, integration and verification of the ESA ExoMars modules, i.e.: the Spacecraft Composite (OM + EDM) for the 2016 mission, the RM for the 2018 mission and the Rover Operations Control Centre, which will be located at Altec-Turin (Italy). The verification process of the above products is quite complex and will include some pecu-liarities with limited or no heritage in Europe. Furthermore the verification approach has to be optimised to allow full verification despite significant schedule and budget constraints. The paper presents the verification philosophy tailored for the ExoMars mission in line with the above considerations, starting from the model philosophy, showing the verification activities flow and the sharing of tests

  6. Multibody modeling and verification

    NASA Technical Reports Server (NTRS)

    Wiens, Gloria J.

    1989-01-01

    A summary of a ten week project on flexible multibody modeling, verification and control is presented. Emphasis was on the need for experimental verification. A literature survey was conducted for gathering information on the existence of experimental work related to flexible multibody systems. The first portion of the assigned task encompassed the modeling aspects of flexible multibodies that can undergo large angular displacements. Research in the area of modeling aspects were also surveyed, with special attention given to the component mode approach. Resulting from this is a research plan on various modeling aspects to be investigated over the next year. The relationship between the large angular displacements, boundary conditions, mode selection, and system modes is of particular interest. The other portion of the assigned task was the generation of a test plan for experimental verification of analytical and/or computer analysis techniques used for flexible multibody systems. Based on current and expected frequency ranges of flexible multibody systems to be used in space applications, an initial test article was selected and designed. A preliminary TREETOPS computer analysis was run to ensure frequency content in the low frequency range, 0.1 to 50 Hz. The initial specifications of experimental measurement and instrumentation components were also generated. Resulting from this effort is the initial multi-phase plan for a Ground Test Facility of Flexible Multibody Systems for Modeling Verification and Control. The plan focusses on the Multibody Modeling and Verification (MMV) Laboratory. General requirements of the Unobtrusive Sensor and Effector (USE) and the Robot Enhancement (RE) laboratories were considered during the laboratory development.

  7. Improved Verification for Aerospace Systems

    NASA Technical Reports Server (NTRS)

    Powell, Mark A.

    2008-01-01

    Aerospace systems are subject to many stringent performance requirements to be verified with low risk. This report investigates verification planning using conditional approaches vice the standard classical statistical methods, and usage of historical surrogate data for requirement validation and in verification planning. The example used in this report to illustrate the results of these investigations is a proposed mission assurance requirement with the concomitant maximum acceptable verification risk for the NASA Constellation Program Orion Launch Abort System (LAS). This report demonstrates the following improvements: 1) verification planning using conditional approaches vice classical statistical methods results in plans that are more achievable and feasible; 2) historical surrogate data can be used to bound validation of performance requirements; and, 3) incorporation of historical surrogate data in verification planning using conditional approaches produces even less costly and more reasonable verification plans. The procedures presented in this report may produce similar improvements and cost savings in verification for any stringent performance requirement for an aerospace system.

  8. 10. DETAIL OF NUCLEAR ALERT INSIGNIA, EAST WALL NORTHWEST OFFICE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    10. DETAIL OF NUCLEAR ALERT INSIGNIA, EAST WALL NORTHWEST OFFICE ABOVE FORMER FALSE CEILING - Selfridge Field, Building Nos. 1424, 1425, South of Carswell Street, west of Castle Avenue, Mount Clemens, Macomb County, MI

  9. Chemical Safety Alert: Hazards of Delayed Coker Unit (DCU) Operations

    EPA Pesticide Factsheets

    EPA and OSHA jointly publish this Chemical Safety Alert/Safety and Health Information Bulletin (CSA/SHIB) to increase awareness. DCU is a severe form of thermal cracking requiring high temperatures for long periods, for refining crude oils.

  10. Real-Time Alerts and Reminders Using Information Systems

    PubMed Central

    Sandberg, Warren S; Ehrenfeld, Jesse M

    2011-01-01

    Synopsis Adoption of information systems throughout the hospital environment has enabled the development of real-time physiologic alerts and clinician reminder systems. Within the operating room environment, these clinical tools can be made available through the deployment of anesthesia information management systems (AIMS). Creating usable alert systems requires understanding technical considerations including system latency, workflow integration and the availability of appropriate alerting technology. A variety of successful implementations are reviewed, encompass cost reduction, improved revenue capture, timely antibiotic administration and post-op nausea and vomiting prophylaxis. Challenges to the widespread use of real-time alerts and reminders include AIMS adoption rates and the difficulty in appropriately choosing areas and approaches for information systems support. PMID:21871401

  11. ISS Update: e-Textiles, Alerting Future Astronauts

    NASA Image and Video Library

    NASA Public Affairs Officer Lynnette Madison talks with students from the University of Minnesota about wearable technology, or e-textiles, containing visual, tactile and audio sensors to alert fut...

  12. Alcohol Alert: Alcohol's Damaging Effects on the Brain

    MedlinePlus

    ... Alcohol Policy Special Populations & Co-occurring Disorders Publications & Multimedia Brochures & Fact Sheets NIAAA Journal Alcohol Alert Bulletin ... blacked out during that time. The students reported learning later that they had participated in a wide ...

  13. Phasic alertness and the residual task-switching cost.

    PubMed

    Meiran, Nachshon; Chorev, Ziv

    2005-01-01

    Participants switched between two randomly ordered discrimination tasks and each trial began with the presentation of a task cue instructing which task to execute. The authors induced phasic alertness by presenting a salient uninformative stimulus after the task cue was provided, and at variable intervals before the target stimulus was presented (Experiments 1-3) or before the task cue (Experiment 4). When the alerting stimulus preceded the target stimulus or the task cue by an optimal interval, RT was faster, indicating an alert state and the task-switching cost was reduced. These results support the suggestion of De Jong (Acta Psychologica, 1999) that alertness improves the overcoming of retrieval competition through improved goal representation, but also show that the effect is specific to the residual task-switching cost.

  14. Pilot Non-Conformance to Alerting System Commands

    NASA Technical Reports Server (NTRS)

    Pritchett, Amy

    1997-01-01

    This research project examined the effects of consonance between cockpit displays and alerting system as a technique to encourage pilots to conform to alerting system commands. An experiment used the task of collision avoidance during closely spaced parallel approaches as a case study, building upon previous experiments which identified instances of non-conformance and conflicts between the alerting criteria preferred by pilots, compared to that used by alerting systems. Using a workstation based, part-task simulator, each of 45 subjects completed 45 experiment runs. In each run, the subjects were told they were flying an approach. Their primary task was to keep their wings level despite turbulence through the use of a sidestick. The sidestick commands did not affect the path of the aircraft, however, so that consistent approach paths were be followed. Their secondary task was to indicate when an aircraft on a parallel approach is blundering towards them, as evidenced by the traffic display. Subjects were asked to press different buttons indicating whether they feel an avoidance maneuver is required by the traffic situation or not. At the completion of each run, subjects were asked to rate their confidence in their decision and, if appropriate, to rate the timeliness of automatic alerts when had been given. Three different automatic alert conditions were tested. The "No Automatic Alerts Given" condition is self-explanatory. In the "Automatic Alerts Based on NTZ Criteria" condition, an automatic alert was given when the NTZ criteria was triggered; this criteria is consistent with subject reactions in other studies, in which subjects were found to react, on average, when the other aircraft was 1350 min to the side of the own aircraft. In the "Automatic Alerts Based on MIT Criteria" condition, an automatic alert was given when the MIT criteria was triggered; this criteria was developed by Carpenter and Kuchar for parallel approaches to have better performance, at the

  15. The Seismic Alert System of Mexico (SASMEX): Performance and Evolution

    NASA Astrophysics Data System (ADS)

    Espinosa Aranda, J.

    2013-05-01

    Originally the Seismic Alert System of Mexico (SASMEX) was proposed to integrate the Seismic Alert System of Mexico City (SAS), operating since 1991, with the Seismic Alert System of Oaxaca City (SASO), in services since 2003. And today, after the intense big earthquake activity observed in our world during 2010 and 2011, local governments of Mexico City, Oaxaca Estate, and the Mexican Ministry of the Interior have been promoting the expansion of this technological EEW development. Until 2012 SASMEX better coverage includes 48 new field seismic sensors (FS) deployed over the seismic region of Jalisco, Colima, Michoacan and Puebla, with someone enhancements over Guerrero and Oaxaca, to reach 97 FS. During 2013, 35 new FS has been proposed to SASMEX enhancements covering the Chiapas and Veracruz seismic regions. The SASMEX, with the support of the Mexico Valley Broadcasters Association (ARVM) since 1993, automatically issue Public and Preventive earthquake early warning signals in the Cities of Mexico, Toluca, Acapulco, Chilpancingo, and Oaxaca. The seismic warning range in each case is seated in accordance with local Civil Protection Authorities: Public Alert, if they expect strong earthquake effects, and Preventive Alert one, the effect could be moderated. Now the SASMEX warning time opportunity could be different to the 60 sec. average typically generated when SAS warned earthquake effects coming from Guerrero to Mexico City valley. Mexican EEW issued today reach: 16 Public and 62 Preventive Alert in Mexico City; 25 Public and 19 Preventive Alerts in Oaxaca City; also 14 Public and 4 Preventive Alerts in Acapulco; 14 Public and 5 Preventive Alerts in Chilpancingo. The earthquakes events registered by SASMEX FS until now reach 3448. With the support of private and Federal telecommunications infrastructure like, TELMEX, Federal Electric Commission, and the Mexican Security Ministry, it was developed a redundant communication system with pads to link the different

  16. Swift Burst Alert Telescope (BAT) Instrument Response

    NASA Technical Reports Server (NTRS)

    Parsons, A.; Hullinger, D.; Markwardt, C.; Barthelmy, S.; Cummings, J.; Gehrels, N.; Krimm, H.; Tueller, J.; Fenimore, E.; Palmer, D.

    2004-01-01

    The Burst Alert Telescope (BAT), a large coded aperture instrument with a wide field-of-view (FOV), provides the gamma-ray burst triggers and locations for the Swift Gamma-Ray Burst Explorer. In addition to providing this imaging information, BAT will perform a 15 keV - 150 keV all-sky hard x-ray survey based on the serendipitous pointings resulting from the study of gamma-ray bursts and will also monitor the sky for transient hard x-ray sources. For BAT to provide spectral and photometric information for the gamma-ray bursts, the transient sources and the all-sky survey, the BAT instrument response must be determined to an increasingly greater accuracy. In this talk, we describe the BAT instrument response as determined to an accuracy suitable for gamma-ray burst studies. We will also discuss the public data analysis tools developed to calculate the BAT response to sources at different energies and locations in the FOV. The level of accuracy required for the BAT instrument response used for the hard x-ray survey is significantly higher because this response must be used in the iterative clean algorithm for finding fainter sources. Because the bright sources add a lot of coding noise to the BAT sky image, fainter sources can be seen only after the counts due to the bright sources are removed. The better we know the BAT response, the lower the noise in the cleaned spectrum and thus the more sensitive the survey. Since the BAT detector plane consists of 32768 individual, 4 mm square CZT gamma-ray detectors, the most accurate BAT response would include 32768 individual detector response functions to separate mask modulation effects from differences in detector efficiencies! We describe OUT continuing work to improve the accuracy of the BAT instrument response and will present the current results of Monte Carlo simulations as well as BAT ground calibration data.

  17. Swift Burst Alert Telescope (BAT) Instrument Response

    NASA Technical Reports Server (NTRS)

    Parsons, A.; Hullinger, D.; Markwardt, C.; Barthelmy, S.; Cummings, J.; Gehrels, N.; Krimm, H.; Tueller, J.; Fenimore, E.; Palmer, D.

    2004-01-01

    The Burst Alert Telescope (BAT), a large coded aperture instrument with a wide field-of-view (FOV), provides the gamma-ray burst triggers and locations for the Swift Gamma-Ray Burst Explorer. In addition to providing this imaging information, BAT will perform a 15 keV - 150 keV all-sky hard x-ray survey based on the serendipitous pointings resulting from the study of gamma-ray bursts and will also monitor the sky for transient hard x-ray sources. For BAT to provide spectral and photometric information for the gamma-ray bursts, the transient sources and the all-sky survey, the BAT instrument response must be determined to an increasingly greater accuracy. In this talk, we describe the BAT instrument response as determined to an accuracy suitable for gamma-ray burst studies. We will also discuss the public data analysis tools developed to calculate the BAT response to sources at different energies and locations in the FOV. The level of accuracy required for the BAT instrument response used for the hard x-ray survey is significantly higher because this response must be used in the iterative clean algorithm for finding fainter sources. Because the bright sources add a lot of coding noise to the BAT sky image, fainter sources can be seen only after the counts due to the bright sources are removed. The better we know the BAT response, the lower the noise in the cleaned spectrum and thus the more sensitive the survey. Since the BAT detector plane consists of 32768 individual, 4 mm square CZT gamma-ray detectors, the most accurate BAT response would include 32768 individual detector response functions to separate mask modulation effects from differences in detector efficiencies! We describe OUT continuing work to improve the accuracy of the BAT instrument response and will present the current results of Monte Carlo simulations as well as BAT ground calibration data.

  18. Monitoring alert and drowsy states by modeling EEG source nonstationarity

    NASA Astrophysics Data System (ADS)

    Hsu, Sheng-Hsiou; Jung, Tzyy-Ping

    2017-10-01

    Objective. As a human brain performs various cognitive functions within ever-changing environments, states of the brain characterized by recorded brain activities such as electroencephalogram (EEG) are inevitably nonstationary. The challenges of analyzing the nonstationary EEG signals include finding neurocognitive sources that underlie different brain states and using EEG data to quantitatively assess the state changes. Approach. This study hypothesizes that brain activities under different states, e.g. levels of alertness, can be modeled as distinct compositions of statistically independent sources using independent component analysis (ICA). This study presents a framework to quantitatively assess the EEG source nonstationarity and estimate levels of alertness. The framework was tested against EEG data collected from 10 subjects performing a sustained-attention task in a driving simulator. Main results. Empirical results illustrate that EEG signals under alert versus drowsy states, indexed by reaction speeds to driving challenges, can be characterized by distinct ICA models. By quantifying the goodness-of-fit of each ICA model to the EEG data using the model deviation index (MDI), we found that MDIs were significantly correlated with the reaction speeds (r  =  ‑0.390 with alertness models and r  =  0.449 with drowsiness models) and the opposite correlations indicated that the two models accounted for sources in the alert and drowsy states, respectively. Based on the observed source nonstationarity, this study also proposes an online framework using a subject-specific ICA model trained with an initial (alert) state to track the level of alertness. For classification of alert against drowsy states, the proposed online framework achieved an averaged area-under-curve of 0.745 and compared favorably with a classic power-based approach. Significance. This ICA-based framework provides a new way to study changes of brain states and can be applied to

  19. AlertSim - Serbian Contribution to the LSST

    NASA Astrophysics Data System (ADS)

    Jevremović, Darko; Vujčić, Veljko; Srećković, Vladimir A.; Aleksić, Jovan; Erkapić, Sanja; Milovanović, Nenad

    2017-06-01

    We present simulator of alerts for the Large Synoptic Survey Telescope (LSST) developed by Belgrade group. This simulator will be used in testing the functionality of external event brokers/Complex Event Processing (CEP) engines. It is based on current LSST Simulation framework and allows for different classes of objects to be `alerted'. A Web service based on our simulator is prototyped and can be accessed by developers of brokers/CEP engines.

  20. Monitoring alert and drowsy states by modeling EEG source nonstationarity.

    PubMed

    Hsu, Sheng-Hsiou; Jung, Tzyy-Ping

    2017-10-01

    As a human brain performs various cognitive functions within ever-changing environments, states of the brain characterized by recorded brain activities such as electroencephalogram (EEG) are inevitably nonstationary. The challenges of analyzing the nonstationary EEG signals include finding neurocognitive sources that underlie different brain states and using EEG data to quantitatively assess the state changes. This study hypothesizes that brain activities under different states, e.g. levels of alertness, can be modeled as distinct compositions of statistically independent sources using independent component analysis (ICA). This study presents a framework to quantitatively assess the EEG source nonstationarity and estimate levels of alertness. The framework was tested against EEG data collected from 10 subjects performing a sustained-attention task in a driving simulator. Empirical results illustrate that EEG signals under alert versus drowsy states, indexed by reaction speeds to driving challenges, can be characterized by distinct ICA models. By quantifying the goodness-of-fit of each ICA model to the EEG data using the model deviation index (MDI), we found that MDIs were significantly correlated with the reaction speeds (r  =  -0.390 with alertness models and r  =  0.449 with drowsiness models) and the opposite correlations indicated that the two models accounted for sources in the alert and drowsy states, respectively. Based on the observed source nonstationarity, this study also proposes an online framework using a subject-specific ICA model trained with an initial (alert) state to track the level of alertness. For classification of alert against drowsy states, the proposed online framework achieved an averaged area-under-curve of 0.745 and compared favorably with a classic power-based approach. This ICA-based framework provides a new way to study changes of brain states and can be applied to monitoring cognitive or mental states of human

  1. Alert management for home healthcare based on home automation analysis.

    PubMed

    Truong, T T; de Lamotte, F; Diguet, J-Ph; Said-Hocine, F

    2010-01-01

    Rising healthcare for elder and disabled people can be controlled by offering people autonomy at home by means of information technology. In this paper, we present an original and sensorless alert management solution which performs multimedia and home automation service discrimination and extracts highly regular home activities as sensors for alert management. The results of simulation data, based on real context, allow us to evaluate our approach before application to real data.

  2. Performance Assessment of Network Intrusion-Alert Prediction

    DTIC Science & Technology

    2012-09-01

    suspicious ( Albin , 2011). However, if an attack is genuine, the system usually reports the attack only after it has happened since most attacks happen in...we extracted the alert log file to determine whether the tests are detected. Similar experiments were conducted in ( Albin , 2011), which identified...and report. Snort is not able to detect client-side attacks and pcap replay ( Albin , 2011). To reduce the number of “reset outside window” alerts, we

  3. Maximizing Trust in the Wireless Emergency Alerts (WEA) Service

    DTIC Science & Technology

    2014-02-01

    CMAS). Alert originators (AOs) at emer- gency management agencies ( EMAs ) must trust WEA to deliver alerts to the public in an accurate and timely...that they receive before they will act on them. Clearly, the AOs, the EMAs , and the Federal Emergency Management Agency (FEMA) must all strive to...some factors, such as security, FEMA has requirements that an EMA and its contractors must satisfy. System reliability is a shared responsibility as it

  4. Acute alerting effects of light: A systematic literature review.

    PubMed

    Souman, Jan L; Tinga, Angelica M; Te Pas, Susan F; van Ee, Raymond; Vlaskamp, Björn N S

    2017-09-12

    Periodic, well timed exposure to light is important for our health and wellbeing. Light, in particular in the blue part of the spectrum, is thought to affect alertness both indirectly, by modifying circadian rhythms, and directly, giving rise to acute effects. We performed a systematic review of empirical studies on direct, acute effects of light on alertness to evaluate the reliability of these effects. In total, we identified 68 studies in which either light intensity, spectral distribution, or both were manipulated, and evaluated the effects on behavioral measures of alertness, either subjectively or measured in reaction time performance tasks. The results show that increasing the intensity of polychromatic white light has been found to increase subjective ratings of alertness in a majority of studies, though a substantial proportion of studies failed to find significant effects, possibly due to small sample sizes or high baseline light intensities. The effect of the color temperature of white light on subjective alertness is less clear. Some studies found increased alertness with higher color temperatures, but other studies reported no detrimental effects of filtering out the short wavelengths from the spectrum. Similarly, studies that used monochromatic light exposure showed no systematic pattern for the effects of blue light compared to longer wavelengths. Far fewer studies investigated the effects of light intensity or spectrum on alertness as measured with reaction time tasks and of those, very few reported significant effects. In general, the small sample sizes used in studies on acute alerting effects of light make it difficult to draw definitive conclusions and better powered studies are needed, especially studies that allow for the construction of dose-response curves. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Modeling Pilot State in Next Generation Aircraft Alert Systems

    NASA Technical Reports Server (NTRS)

    Carlin, Alan S.; Alexander, Amy L.; Schurr, Nathan

    2011-01-01

    The Next Generation Air Transportation System will introduce new, advanced sensor technologies into the cockpit that must convey a large number of potentially complex alerts. Our work focuses on the challenges associated with prioritizing aircraft sensor alerts in a quick and efficient manner, essentially determining when and how to alert the pilot This "alert decision" becomes very difficult in NextGen due to the following challenges: 1) the increasing number of potential hazards, 2) the uncertainty associated with the state of potential hazards as well as pilot slate , and 3) the limited time to make safely-critical decisions. In this paper, we focus on pilot state and present a model for anticipating duration and quality of pilot behavior, for use in a larger system which issues aircraft alerts. We estimate pilot workload, which we model as being dependent on factors including mental effort, task demands. and task performance. We perform a mathematically rigorous analysis of the model and resulting alerting plans. We simulate the model in software and present simulated results with respect to manipulation of the pilot measures.

  6. Real-time monitoring of the human alertness level

    NASA Astrophysics Data System (ADS)

    Alvarez, Robin; del Pozo, Francisco; Hernando, Elena; Gomez, Eduardo; Jimenez, Antonio

    2003-04-01

    Many accidents are associated with a driver or machine operator's alertness level. Drowsiness often develops as a result of repetitive or monotonous tasks, uninterrupted by external stimuli. In order to enhance safety levels, it would be most desirable to monitor the individual's level of attention. In this work, changes in the power spectrum of the electroencephalographic signal (EEG) are associated with the subject's level of attention. This study reports on the initial research carried out in order to answer the following important questions: (i) Does a trend exist in the shape of the power spectrum, which will indicate the state of a subject's alertness state (drowsy, relaxed or alert)? (ii) What points on the cortex are most suitable to detect drowsiness and/or high alertness? (iii) What parameters in the power spectrum are most suitable to establish a workable alertness classification in human subjects? In this work, we answer these questions and combine power spectrum estimation and artificial neural network techniques to create a non-invasive and real - time system able to classify EEG into three levels of attention: High, Relaxed and Drowsiness. The classification is made every 10 seconds o more, a suitable time span for giving an alarm signal if the individual is with insufficient level of alertness. This time span is set by the user. The system was tested on twenty subjects. High and relaxed attention levels were measured in randomise hours of the day and drowsiness attention level was measured in the morning after one night of sleep deprivation.

  7. Interactions of microbial biofilms with toxic trace metals; 2: Prediction and verification of an integrated computer model of lead (II) distribution in the presence of microbial activity

    SciTech Connect

    Hsieh, K.M.; Murgel, G.A.; Lion, L.W.; Shuler, M.L. )

    1994-06-20

    The interfacial interactions of a toxic trace metal, Pb, with a surface modified by a marine film-forming bacterium, Pseudomonas atlantica, were predicted by a structured biofilm model used in conjunction with a chemical speciation model. The validity of the integrated model was tested for batch and continuous operations. Dynamic responses of the biophase due to transient lead concentration increases were also simulated. The reasonable predictions achieved by the model demonstrate its utility in describing trace metal distributions in complex systems where the adsorption properties of inorganic surfaces are modified by adherent bacteria and bacterial production of extracellular polymers.

  8. Signal verification can promote reliable signalling

    PubMed Central

    Broom, Mark; Ruxton, Graeme D.; Schaefer, H. Martin

    2013-01-01

    The central question in communication theory is whether communication is reliable, and if so, which mechanisms select for reliability. The primary approach in the past has been to attribute reliability to strategic costs associated with signalling as predicted by the handicap principle. Yet, reliability can arise through other mechanisms, such as signal verification; but the theoretical understanding of such mechanisms has received relatively little attention. Here, we model whether verification can lead to reliability in repeated interactions that typically characterize mutualisms. Specifically, we model whether fruit consumers that discriminate among poor- and good-quality fruits within a population can select for reliable fruit signals. In our model, plants either signal or they do not; costs associated with signalling are fixed and independent of plant quality. We find parameter combinations where discriminating fruit consumers can select for signal reliability by abandoning unprofitable plants more quickly. This self-serving behaviour imposes costs upon plants as a by-product, rendering it unprofitable for unrewarding plants to signal. Thus, strategic costs to signalling are not a prerequisite for reliable communication. We expect verification to more generally explain signal reliability in repeated consumer–resource interactions that typify mutualisms but also in antagonistic interactions such as mimicry and aposematism. PMID:24068354

  9. A framework for evaluating the appropriateness of clinical decision support alerts and responses.

    PubMed

    McCoy, Allison B; Waitman, Lemuel R; Lewis, Julia B; Wright, Julie A; Choma, David P; Miller, Randolph A; Peterson, Josh F

    2012-01-01

    Alerting systems, a type of clinical decision support, are increasingly prevalent in healthcare, yet few studies have concurrently measured the appropriateness of alerts with provider responses to alerts. Recent reports of suboptimal alert system design and implementation highlight the need for better evaluation to inform future designs. The authors present a comprehensive framework for evaluating the clinical appropriateness of synchronous, interruptive medication safety alerts. Through literature review and iterative testing, metrics were developed that describe successes, justifiable overrides, provider non-adherence, and unintended adverse consequences of clinical decision support alerts. The framework was validated by applying it to a medication alerting system for patients with acute kidney injury (AKI). Through expert review, the framework assesses each alert episode for appropriateness of the alert display and the necessity and urgency of a clinical response. Primary outcomes of the framework include the false positive alert rate, alert override rate, provider non-adherence rate, and rate of provider response appropriateness. Application of the framework to evaluate an existing AKI medication alerting system provided a more complete understanding of the process outcomes measured in the AKI medication alerting system. The authors confirmed that previous alerts and provider responses were most often appropriate. The new evaluation model offers a potentially effective method for assessing the clinical appropriateness of synchronous interruptive medication alerts prior to evaluating patient outcomes in a comparative trial. More work can determine the generalizability of the framework for use in other settings and other alert types.

  10. A framework for evaluating the appropriateness of clinical decision support alerts and responses

    PubMed Central

    Waitman, Lemuel R; Lewis, Julia B; Wright, Julie A; Choma, David P; Miller, Randolph A; Peterson, Josh F

    2011-01-01

    Objective Alerting systems, a type of clinical decision support, are increasingly prevalent in healthcare, yet few studies have concurrently measured the appropriateness of alerts with provider responses to alerts. Recent reports of suboptimal alert system design and implementation highlight the need for better evaluation to inform future designs. The authors present a comprehensive framework for evaluating the clinical appropriateness of synchronous, interruptive medication safety alerts. Methods Through literature review and iterative testing, metrics were developed that describe successes, justifiable overrides, provider non-adherence, and unintended adverse consequences of clinical decision support alerts. The framework was validated by applying it to a medication alerting system for patients with acute kidney injury (AKI). Results Through expert review, the framework assesses each alert episode for appropriateness of the alert display and the necessity and urgency of a clinical response. Primary outcomes of the framework include the false positive alert rate, alert override rate, provider non-adherence rate, and rate of provider response appropriateness. Application of the framework to evaluate an existing AKI medication alerting system provided a more complete understanding of the process outcomes measured in the AKI medication alerting system. The authors confirmed that previous alerts and provider responses were most often appropriate. Conclusion The new evaluation model offers a potentially effective method for assessing the clinical appropriateness of synchronous interruptive medication alerts prior to evaluating patient outcomes in a comparative trial. More work can determine the generalizability of the framework for use in other settings and other alert types. PMID:21849334

  11. [Verification of a decrease in the rigidity of the phage lambda DNA polymeric chain in low ionic strength aqueous solutions by testing the polymer-polymer interlink interactions].

    PubMed

    Arutiunian, A V; Ivanova, M A; Kurliand, D I; Kapshin, Iu S; Landa, S B; Poshekhonov, S T; Drobchenko, E A; Shevelev, I V

    2011-01-01

    Changes in the rigidity of the polymetric chain of phage lambda double-strand DNA have been studied by laser correlation spectroscopy. It was shown that, as the ionic strength increases, the effect of the screening of the hydrodynamic interaction of the links of the polymeric chain specific for polymeric coils arises in a DNA solution. It is assumed that the screening occurs when the threshold of the overlapping of DNA coils is achieved. The overlapping of coils is the result of a previously observed significant rise of DNA coil size from abnormally small DNA coils in low ionic strength buffers (about 10(-2) M Na+ or less) to maximum possible large coils in the 5SSC and 5SSC-like buffers. Further analysis of the far interlink interactions in linear lambda phage DNA coils in similar buffers at pH 7 and 4 confirms the earlier proposal about the role of H+ ions in the appearance of abnormally small DNA coils. The abnormal decrease in the DNA coil size in low ionic strength buffers is not a specific feature of lambda phage DNA only.

  12. RESRAD-BUILD verification.

    SciTech Connect

    Kamboj, S.; Yu, C.; Biwer, B. M.; Klett, T.

    2002-01-31

    The results generated by the RESRAD-BUILD code (version 3.0) were verified with hand or spreadsheet calculations using equations given in the RESRAD-BUILD manual for different pathways. For verification purposes, different radionuclides--H-3, C-14, Na-22, Al-26, Cl-36, Mn-54, Co-60, Au-195, Ra-226, Ra-228, Th-228, and U-238--were chosen to test all pathways and models. Tritium, Ra-226, and Th-228 were chosen because of the special tritium and radon models in the RESRAD-BUILD code. Other radionuclides were selected to represent a spectrum of radiation types and energies. Verification of the RESRAD-BUILD code was conducted with an initial check of all the input parameters for correctness against their original source documents. Verification of the calculations was performed external to the RESRAD-BUILD code with Microsoft{reg_sign} Excel to verify all the major portions of the code. In some cases, RESRAD-BUILD results were compared with those of external codes, such as MCNP (Monte Carlo N-particle) and RESRAD. The verification was conducted on a step-by-step basis and used different test cases as templates. The following types of calculations were investigated: (1) source injection rate, (2) air concentration in the room, (3) air particulate deposition, (4) radon pathway model, (5) tritium model for volume source, (6) external exposure model, (7) different pathway doses, and (8) time dependence of dose. Some minor errors were identified in version 3.0; these errors have been corrected in later versions of the code. Some possible improvements in the code were also identified.

  13. Robust verification analysis

    SciTech Connect

    Rider, William; Witkowski, Walt; Kamm, James R.; Wildey, Tim

    2016-02-15

    We introduce a new methodology for inferring the accuracy of computational simulations through the practice of solution verification. We demonstrate this methodology on examples from computational heat transfer, fluid dynamics and radiation transport. Our methodology is suited to both well- and ill-behaved sequences of simulations. Our approach to the analysis of these sequences of simulations incorporates expert judgment into the process directly via a flexible optimization framework, and the application of robust statistics. The expert judgment is systematically applied as constraints to the analysis, and together with the robust statistics guards against over-emphasis on anomalous analysis results. We have named our methodology Robust Verification. Our methodology is based on utilizing multiple constrained optimization problems to solve the verification model in a manner that varies the analysis' underlying assumptions. Constraints applied in the analysis can include expert judgment regarding convergence rates (bounds and expectations) as well as bounding values for physical quantities (e.g., positivity of energy or density). This approach then produces a number of error models, which are then analyzed through robust statistical techniques (median instead of mean statistics). This provides self-contained, data and expert informed error estimation including uncertainties for both the solution itself and order of convergence. Our method produces high quality results for the well-behaved cases relatively consistent with existing practice. The methodology can also produce reliable results for ill-behaved circumstances predicated on appropriate expert judgment. We demonstrate the method and compare the results with standard approaches used for both code and solution verification on well-behaved and ill-behaved simulations.

  14. Robust verification analysis

    NASA Astrophysics Data System (ADS)

    Rider, William; Witkowski, Walt; Kamm, James R.; Wildey, Tim

    2016-02-01

    We introduce a new methodology for inferring the accuracy of computational simulations through the practice of solution verification. We demonstrate this methodology on examples from computational heat transfer, fluid dynamics and radiation transport. Our methodology is suited to both well- and ill-behaved sequences of simulations. Our approach to the analysis of these sequences of simulations incorporates expert judgment into the process directly via a flexible optimization framework, and the application of robust statistics. The expert judgment is systematically applied as constraints to the analysis, and together with the robust statistics guards against over-emphasis on anomalous analysis results. We have named our methodology Robust Verification. Our methodology is based on utilizing multiple constrained optimization problems to solve the verification model in a manner that varies the analysis' underlying assumptions. Constraints applied in the analysis can include expert judgment regarding convergence rates (bounds and expectations) as well as bounding values for physical quantities (e.g., positivity of energy or density). This approach then produces a number of error models, which are then analyzed through robust statistical techniques (median instead of mean statistics). This provides self-contained, data and expert informed error estimation including uncertainties for both the solution itself and order of convergence. Our method produces high quality results for the well-behaved cases relatively consistent with existing practice. The methodology can also produce reliable results for ill-behaved circumstances predicated on appropriate expert judgment. We demonstrate the method and compare the results with standard approaches used for both code and solution verification on well-behaved and ill-behaved simulations.

  15. Microcode Verification Project.

    DTIC Science & Technology

    1980-05-01

    MICROCOPY RESOLUTION TEST CHART MADCTR.S042 /2>t w NI TeduIem R"pm’ 00 0 MICRQCODE VERIFICATION PROJECT Unhvrsity of Southern California Stephen D...in the production, testing , and maintenance of Air Force software. This effort was undertaken in response to that goal. The objective of the effort was...rather than hard wiring, is a recent development in computer technology. Hardware diagnostics do not fulfill testing requirements for these computers

  16. NES++: number system for encryption based privacy preserving speaker verification

    NASA Astrophysics Data System (ADS)

    Xu, Lei; Feng, Tao; Zhao, Xi; Shi, Weidong

    2014-05-01

    As speech based operation becomes a main hand-free interaction solution between human and mobile devices (i.e., smartphones, Google Glass), privacy preserving speaker verification receives much attention nowadays. Privacy preserving speaker verification can be achieved through many different ways, such as fuzzy vault and encryption. Encryption based solutions are promising as cryptography is based on solid mathematic foundations and the security properties can be easily analyzed in a well established framework. Most current asymmetric encryption schemes work on finite algebraic structures, such as finite group and finite fields. However, the encryption scheme for privacy preserving speaker verification must handle floating point numbers. This gap must be filled to make the overall scheme practical. In this paper, we propose a number system that meets the requirements of both speaker verification and the encryption scheme used in the process. It also supports addition homomorphic property of Pailliers encryption, which is crucial for privacy preserving speaker verification. As asymmetric encryption is expensive, we propose a method of packing several numbers into one plain-text and the computation overhead is greatly reduced. To evaluate the performance of this method, we implement Pailliers encryption scheme over proposed number system and the packing technique. Our findings show that the proposed solution can fulfill the gap between speaker verification and encryption scheme very well, and the packing technique improves the overall performance. Furthermore, our solution is a building block of encryption based privacy preserving speaker verification, the privacy protection and accuracy rate are not affected.

  17. Computerized pharmacy surveillance and alert system for drug-related problems.

    PubMed

    Ferrández, O; Urbina, O; Grau, S; Mateu-de-Antonio, J; Marin-Casino, M; Portabella, J; Mojal, S; Riu, M; Salas, E

    2017-04-01

    Because of the impact of drug-related problems (DRPs) on morbidity and mortality, there is a need for computerized strategies to increase drug safety. The detection and identification of the causes of potential DRPs can be facilitated by the incorporation of a pharmacy warning system (PWS) in the computerized prescriber order entry (CPOE) and its application in the routine validation of inpatient drug therapy. A limited number of studies have evaluated a clinical decision support system to monitor drug treatment. Most of these applications have utilized a small range of drugs with alerts and/or types of alert. The objective of this study was to describe the implementation of a PWS integrated in the electronic medical record (EMR). The PWS was developed in 2003-2004. Pharmacological information to generate drug alerts was entered on demographic data, drug dosage, laboratory tests related to the prescribed drug and drug combinations (interactions, duplications and necessary combinations). The PWS was applied in the prescription reviews conducted in patients admitted to the hospital in 2012. Information on 83% of the drugs included in the pharmacopeia was introduced into the PWS, allowing detection of 2808 potential DRPs, representing 79·1% of all potential DRPs detected during the study period. Twenty per cent of PWS DRPs were clinically relevant, requiring pharmacist intervention. The PWS detected most potential DRPs, thus increasing inpatient safety. The detection ability of the PWS was higher than that reported for other tools described in the literature. © 2017 John Wiley & Sons Ltd.

  18. Successful ShakeAlert Performance for the Napa Quake

    NASA Astrophysics Data System (ADS)

    Allen, R. M.; Given, D. D.; Heaton, T. H.; Vidale, J. E.

    2014-12-01

    ShakeAlert, the demonstration earthquake early warning system, developed by the USGS, UC Berkeley, Caltech, ETH, and the University of Washington, functioned as expected for the August 24, 2014, M6.0 Napa earthquake. The first ShakeAlert was generated by the ElarmS algorithm 5.1 sec after the origin time of the earthquake, and 3.3 sec after the P-wave arrived at the closest station 6.5 km from the epicenter. This initial alert, based on P-wave triggers from four stations, estimated the magnitude to be 5.7. The warning was received at the UC Berkeley Seismological Laboratory 5 seconds before the S-wave and about 10 sec prior to the onset of the strongest shaking. ShakeAlert beta-testers across the San Francisco Bay Area simultaneously received the alert, including the San Francisco 911 center with 8 sec warning, and the BART train system. BART has implemented an automated train-stopping system that was activated (although no trains were running at 3:20 am). With the available network geometry and communications, the blind zone of the first alert had a radius of 16 km. The four stations that contributed to the first alert all encapsulate data into 1-second packets, but the latency in transmitting data to the processing center ranged from 0.27 to 2.62 seconds. If all the stations were to deliver data in 0.27 seconds, then the alert would have been available 2.3 sec sooner and the blind zone would be reduced to about 8 km. This would also mean that the city of Napa would have received about 1 second of warning. The magnitude estimate and event location were accurate from the initial alert onwards. The magnitude estimate did first increase to 5.8 and then dip to 5.4 2.6 sec after the initial alert, stayed at that level for 2 sec, and then returned to 5.7. The final magnitude estimate was 6.0, consistent with the ANSS catalog.

  19. Speech Auditory Alerts Promote Memory for Alerted Events in a Video-Simulated Self-Driving Car Ride.

    PubMed

    Nees, Michael A; Helbein, Benji; Porter, Anna

    2016-05-01

    Auditory displays could be essential to helping drivers maintain situation awareness in autonomous vehicles, but to date, few or no studies have examined the effectiveness of different types of auditory displays for this application scenario. Recent advances in the development of autonomous vehicles (i.e., self-driving cars) have suggested that widespread automation of driving may be tenable in the near future. Drivers may be required to monitor the status of automation programs and vehicle conditions as they engage in secondary leisure or work tasks (entertainment, communication, etc.) in autonomous vehicles. An experiment compared memory for alerted events-a component of Level 1 situation awareness-using speech alerts, auditory icons, and a visual control condition during a video-simulated self-driving car ride with a visual secondary task. The alerts gave information about the vehicle's operating status and the driving scenario. Speech alerts resulted in better memory for alerted events. Both auditory display types resulted in less perceived effort devoted toward the study tasks but also greater perceived annoyance with the alerts. Speech auditory displays promoted Level 1 situation awareness during a simulation of a ride in a self-driving vehicle under routine conditions, but annoyance remains a concern with auditory displays. Speech auditory displays showed promise as a means of increasing Level 1 situation awareness of routine scenarios during an autonomous vehicle ride with an unrelated secondary task. © 2016, Human Factors and Ergonomics Society.

  20. TFE Verification Program

    SciTech Connect

    Not Available

    1990-03-01

    The objective of the semiannual progress report is to summarize the technical results obtained during the latest reporting period. The information presented herein will include evaluated test data, design evaluations, the results of analyses and the significance of results. The program objective is to demonstrate the technology readiness of a TFE suitable for use as the basic element in a thermionic reactor with electric power output in the 0.5 to 5.0 MW(e) range, and a full-power life of 7 years. The TF Verification Program builds directly on the technology and data base developed in the 1960s and 1970s in an AEC/NASA program, and in the SP-100 program conducted in 1983, 1984 and 1985. In the SP-100 program, the attractive but concern was expressed over the lack of fast reactor irradiation data. The TFE Verification Program addresses this concern. The general logic and strategy of the program to achieve its objectives is shown on Fig. 1-1. Five prior programs form the basis for the TFE Verification Program: (1) AEC/NASA program of the 1960s and early 1970; (2) SP-100 concept development program;(3) SP-100 thermionic technology program; (4) Thermionic irradiations program in TRIGA in FY-86; (5) and Thermionic Technology Program in 1986 and 1987. 18 refs., 64 figs., 43 tabs.

  1. Orbital period of a satellite of a planet in the relativistic theory of gravitation and in general relativity and the possibility of experimental verification of delay due to gravitational interaction

    SciTech Connect

    Logunov, A.A.; Loskutov, Yu.M.

    1986-10-01

    The orbital period of a satellite revolving around a planet is calculated in the framework of the relativistic theory of gravitation and in general relativity. The difference between the theoretical predictions is amenable to experimental verification.

  2. Optical and X-Ray Early Follow-Up of ANTARES Neutrino Alerts

    NASA Technical Reports Server (NTRS)

    Adrian-Martinez, S.; Ageron, M.; Albert, A.; Samarai, I. Al; Andre, M.; Anton, G.; Ardid, M.; Aubert, J.-J.; Baret, B.; Barrios-Marti, J.; hide

    2016-01-01

    High-energy neutrinos could be produced in the interaction of charged cosmic rays with matter or radiation surrounding astrophysical sources. Even with the recent detection of extraterrestrial high-energy neutrinos by the IceCube experiment, no astrophysical neutrinosource has yet been discovered. Transient sources, such as gamma-ray bursts, core-collapse supernovae, or active galactic nuclei are promising candidates. Multi-messenger programs offer a unique opportunity to detect these transient sources. By combining the information provided by the ANTARES neutrino telescope with information coming from other observatories, the probability of detecting a source is enhanced, allowing the possibility of identifyinga neutrino progenitor from a single detected event. A method based on optical and X-ray follow-ups of high-energy neutrino alerts has been developed within the ANTARES collaboration. This method does not require any assumptions on the relation between neutrino and photon spectra other than time-correlation. This program, denoted as TAToO, triggers a network of robotic optical telescopes (TAROTand ROTSE) and the Swift-XRT with a delay of only a few seconds after a neutrino detection, and is therefore well-suited to search for fast transient sources. To identify an optical or Xraycounterpart to a neutrino signal, the images provided by the follow-up observations areanalysed with dedicated pipelines. A total of 42 alerts with optical and 7 alerts with X-ray images taken with a maximum delay of 24 hours after the neutrino trigger have been analyzed. No optical or X-ray counterparts associated to the neutrino triggers have been found, and upper limits on transient source magnitudes have been derived. The probability to reject the gamma-ray burst origin hypothesis has been computed for each alert.

  3. Optical and X-ray early follow-up of ANTARES neutrino alerts

    SciTech Connect

    Adrián-Martínez, S.; Ardid, M.; André, M.; Anton, G.; Baret, B.; and others

    2016-02-01

    High-energy neutrinos could be produced in the interaction of charged cosmic rays with matter or radiation surrounding astrophysical sources. Even with the recent detection of extraterrestrial high-energy neutrinos by the IceCube experiment, no astrophysical neutrino source has yet been discovered. Transient sources, such as gamma-ray bursts, core-collapse supernovae, or active galactic nuclei are promising candidates. Multi-messenger programs offer a unique opportunity to detect these transient sources. By combining the information provided by the ANTARES neutrino telescope with information coming from other observatories, the probability of detecting a source is enhanced, allowing the possibility of identifying a neutrino progenitor from a single detected event. A method based on optical and X-ray follow-ups of high-energy neutrino alerts has been developed within the ANTARES collaboration. This method does not require any assumptions on the relation between neutrino and photon spectra other than time-correlation. This program, denoted as TAToO, triggers a network of robotic optical telescopes (TAROT and ROTSE) and the Swift-XRT with a delay of only a few seconds after a neutrino detection, and is therefore well-suited to search for fast transient sources. To identify an optical or X-ray counterpart to a neutrino signal, the images provided by the follow-up observations are analysed with dedicated pipelines. A total of 42 alerts with optical and 7 alerts with X-ray images taken with a maximum delay of 24 hours after the neutrino trigger have been analysed. No optical or X-ray counterparts associated to the neutrino triggers have been found, and upper limits on transient source magnitudes have been derived. The probability to reject the gamma-ray burst origin hypothesis has been computed for each alert.

  4. Optical and X-ray early follow-up of ANTARES neutrino alerts

    NASA Astrophysics Data System (ADS)

    Adrián-Martínez, S.; Ageron, M.; Albert, A.; Samarai, I. Al; André, M.; Anton, G.; Ardid, M.; Aubert, J.-J.; Baret, B.; Barrios-Martí, J.; Basa, S.; Bertin, V.; Biagi, S.; Bogazzi, C.; Bormuth, R.; Bou-Cabo, M.; Bouwhuis, M. C.; Bruijn, R.; Brunner, J.; Busto, J.; Capone, A.; Caramete, L.; Carr, J.; Chiarusi, T.; Circella, M.; Coniglione, R.; Costantini, H.; Coyle, P.; Creusot, A.; Dekeyser, I.; Deschamps, A.; De Bonis, G.; Distefano, C.; Donzaud, C.; Dornic, D.; Drouhin, D.; Dumas, A.; Eberl, T.; Elsässer, D.; Enzenhöfer, A.; Fehn, K.; Felis, I.; Fermani, P.; Folger, F.; Fusco, L. A.; Galatà, S.; Gay, P.; Geißelsöder, S.; Geyer, K.; Giordano, V.; Gleixner, A.; Gracia-Ruiz, R.; Graf, K.; van Haren, H.; Heijboer, A. J.; Hello, Y.; Hernández-Rey, J. J.; Herrero, A.; Hößl, J.; Hofestädt, J.; Hugon, C.; James, C. W.; de Jong, M.; Kadler, M.; Kalekin, O.; Katz, U.; Kießling, D.; Kooijman, P.; Kouchner, A.; Kreykenbohm, I.; Kulikovskiy, V.; Lahmann, R.; Lambard, G.; Lattuada, D.; Lefèvre, D.; Leonora, E.; Loucatos, S.; Mangano, S.; Marcelin, M.; Margiotta, A.; Martínez-Mora, J. A.; Martini, S.; Mathieu, A.; Michael, T.; Migliozzi, P.; Moussa, A.; Mueller, C.; Neff, M.; Nezri, E.; Păvălaš, G. E.; Pellegrino, C.; Perrina, C.; Piattelli, P.; Popa, V.; Pradier, T.; Racca, C.; Riccobene, G.; Richter, R.; Roensch, K.; Rostovtsev, A.; Saldaña, M.; Samtleben, D. F. E.; Sanguineti, M.; Sapienza, P.; Schmid, J.; Schnabel, J.; Schulte, S.; Schüssler, F.; Seitz, T.; Sieger, C.; Spurio, M.; Steijger, J. J. M.; Stolarczyk, Th.; Sánchez-Losa, A.; Taiuti, M.; Tamburini, C.; Trovato, A.; Tselengidou, M.; Tönnis, C.; Turpin, D.; Vallage, B.; Vallée, C.; Van Elewyck, V.; Vecchi, M.; Visser, E.; Vivolo, D.; Wagner, S.; Wilms, J.; Zornoza, J. D.; Zúñiga, J.; Klotz, A.; Boer, M.; Le Van Suu, A.; Akerlof, C.; Zheng, W.; Evans, P.; Gehrels, N.; Kennea, J.; Osborne, J. P.; Coward, D. M.

    2016-02-01

    High-energy neutrinos could be produced in the interaction of charged cosmic rays with matter or radiation surrounding astrophysical sources. Even with the recent detection of extraterrestrial high-energy neutrinos by the IceCube experiment, no astrophysical neutrino source has yet been discovered. Transient sources, such as gamma-ray bursts, core-collapse supernovae, or active galactic nuclei are promising candidates. Multi-messenger programs offer a unique opportunity to detect these transient sources. By combining the information provided by the ANTARES neutrino telescope with information coming from other observatories, the probability of detecting a source is enhanced, allowing the possibility of identifying a neutrino progenitor from a single detected event. A method based on optical and X-ray follow-ups of high-energy neutrino alerts has been developed within the ANTARES collaboration. This method does not require any assumptions on the relation between neutrino and photon spectra other than time-correlation. This program, denoted as TAToO, triggers a network of robotic optical telescopes (TAROT and ROTSE) and the Swift-XRT with a delay of only a few seconds after a neutrino detection, and is therefore well-suited to search for fast transient sources. To identify an optical or X-ray counterpart to a neutrino signal, the images provided by the follow-up observations are analysed with dedicated pipelines. A total of 42 alerts with optical and 7 alerts with X-ray images taken with a maximum delay of 24 hours after the neutrino trigger have been analysed. No optical or X-ray counterparts associated to the neutrino triggers have been found, and upper limits on transient source magnitudes have been derived. The probability to reject the gamma-ray burst origin hypothesis has been computed for each alert.

  5. Alertness-training in neglect: behavioral and imaging results.

    PubMed

    Sturm, W; Thimm, M; Küst, J; Karbe, H; Fink, G R

    2006-01-01

    It has been proposed that the right hemisphere alerting network co-activates, either directly or via the brainstem, the spatial attention system in the parietal cortex. The observation that measures of impaired alertness and sustained attention can be used to predict the outcome of neglect might suggest such a relationship, too. The aim of the present study was to investigate the effects of alertness training on hemispatial neglect. A three-week computerised alertness training was applied to patients with chronic (> 3 months) stable visuospatial hemineglect. Training effects were investigated both in a single case and in a group of 7 patients by means of neuropsychological tests and functional magnetic resonance imaging (fMRI). After the training, the patients showed a significant improvement in a neglect test battery above any natural fluctuation during a three-week baseline phase. Improvements in the neglect tasks were accompanied by an increase of both right and left hemisphere frontal, anterior cingulate and superior parietal activation, areas known to be associated with both alertness and spatial attention. Four weeks after the end of the training, the patients' neglect test performance had mostly returned to baseline. Despite decreases of activation in some of the initially reactivated areas, increases in neural activity bilaterally in frontal areas, in the right anterior cingulate cortex, the right angular gyrus and in the left temporoparietal cortex remained. An Optokinetic Stimulation Training (OKS) in a control group of another 7 neglect patients led to comparable behavioral results. After the training, however, there was a reactivation mainly in posterior parts of both hemispheres suggesting training specific functional reorganization. The limited stability of the behavioral and reactivation results over time demonstrates that a three-week alertness or OKS training alone does not result in long lasting behavioral improvements and stable reactivation

  6. The ALERT-ES Project for earthquakes in Cape San Vicente region, SW Spain

    NASA Astrophysics Data System (ADS)

    Buforn, E.; Mattesini, M.; Martin Davila, J.; Goula, X.; Colom, Y.; Zollo, A.; Udias, A.; Pazos, A.; Roca, A. M.; Lozano, L.; Carrilho, F.; Hanka, W.; Madariaga, R. I.; Bezzeghoud, M.

    2011-12-01

    The main goal of the ALERT-ES project ("Sistema de Alerta Sismica Temprana: Aplicacion al Sur de España" ) is to study the feasibility of an Earthquake Early Warning System (EEWS) for the potentially damaging earthquakes that occur in the zone Cape S. Vicente-Gulf of Cadiz (S. Spain). This area is characterized by the occurrence of large and damaging earthquakes such as the 1755 Lisbon (Imax=X) or 1969 S. Vicente Cape (Ms=8,1) events. Most earthquakes in this area have their epicenters offshore at epicentral distances between 150 and 250 kms off the coast line, so a feasibility study is needed before an EEWS system implementation. The project has two different parts: the development of algorithms for the rapid estimation of the magnitude for South Spain earthquakes from the very beginning of P-waves and the development of the corresponding new software modules and their implementation in the EarthWorm and SeisComP systems. A pilot experience will be carried out during the project, using observations from coastal stations and OBS. Broadband records from a selection of 19 earthquakes (M≥4.0) occurred in the period 2006 to 2010 in Cape S. Vicente and Gulf of Cadiz have been used for an off line testing of PRESTO methodology developed at Naples University (Italy). Preliminary results show that for a Mw 6.1 shock with epicenter 200 km SW of Cape of S. Vicente the blind area has a radius of 227 km, providing with a lead-time of 28s in Huelva, 36s in Cadiz and 47s in Seville.

  7. Quantum money with classical verification

    NASA Astrophysics Data System (ADS)

    Gavinsky, Dmitry

    2014-12-01

    We propose and construct a quantum money scheme that allows verification through classical communication with a bank. This is the first demonstration that a secure quantum money scheme exists that does not require quantum communication for coin verification. Our scheme is secure against adaptive adversaries - this property is not directly related to the possibility of classical verification, nevertheless none of the earlier quantum money constructions is known to possess it.

  8. Quantum money with classical verification

    SciTech Connect

    Gavinsky, Dmitry

    2014-12-04

    We propose and construct a quantum money scheme that allows verification through classical communication with a bank. This is the first demonstration that a secure quantum money scheme exists that does not require quantum communication for coin verification. Our scheme is secure against adaptive adversaries - this property is not directly related to the possibility of classical verification, nevertheless none of the earlier quantum money constructions is known to possess it.

  9. Comparison of methods of alert acknowledgement by critical care clinicians in the ICU setting

    PubMed Central

    Harrison, Andrew M.; Thongprayoon, Charat; Aakre, Christopher A.; Jeng, Jack Y.; Dziadzko, Mikhail A.; Gajic, Ognjen; Pickering, Brian W.

    2017-01-01

    Background Electronic Health Record (EHR)-based sepsis alert systems have failed to demonstrate improvements in clinically meaningful endpoints. However, the effect of implementation barriers on the success of new sepsis alert systems is rarely explored. Objective To test the hypothesis time to severe sepsis alert acknowledgement by critical care clinicians in the ICU setting would be reduced using an EHR-based alert acknowledgement system compared to a text paging-based system. Study Design In one arm of this simulation study, real alerts for patients in the medical ICU were delivered to critical care clinicians through the EHR. In the other arm, simulated alerts were delivered through text paging. The primary outcome was time to alert acknowledgement. The secondary outcomes were a structured, mixed quantitative/qualitative survey and informal group interview. Results The alert acknowledgement rate from the severe sepsis alert system was 3% (N = 148) and 51% (N = 156) from simulated severe sepsis alerts through traditional text paging. Time to alert acknowledgement from the severe sepsis alert system was median 274 min (N = 5) and median 2 min (N = 80) from text paging. The response rate from the EHR-based alert system was insufficient to compare primary measures. However, secondary measures revealed important barriers. Conclusion Alert fatigue, interruption, human error, and information overload are barriers to alert and simulation studies in the ICU setting. PMID:28316887

  10. Maintaining alertness and performance during sleep deprivation: modafinil versus caffeine.

    PubMed

    Wesensten, Nancy Jo; Belenky, Gregory; Kautz, Mary A; Thorne, David R; Reichardt, Rebecca M; Balkin, Thomas J

    2002-01-01

    The performance and alertness effects of modafinil were evaluated to determine whether modafinil should replace caffeine for restoring performance and alertness during total sleep deprivation in otherwise healthy adults. Study objectives were to determine (a) the relative efficacy of three doses of modafinil versus an active control dose of caffeine 600 mg; (b) whether modafinil effects are dose-dependent; and (c) the extent to which both agents maintain performance and alertness during the circadian trough. Fifty healthy young adults remained awake for 54.5 h (from 6:30 a.m. day 1 to 1:00 p.m. on day 3) and performance and alertness tests were administered bi-hourly from 8:00 a.m. day 1 until 10:00 p.m. day 2. At 11:55 p.m. on day 2 (after 41.5 h awake), subjects received double blind administration of one of five drug doses: placebo; modafinil 100, 200, or 400 mg; or caffeine 600 mg ( n=10 per group), followed by hourly testing from midnight through 12:00 p.m. on day 3. Performance and alertness were significantly improved by modafinil 200 and 400 mg relative to placebo, and effects were comparable to those obtained with caffeine 600 mg. Although a trend toward better performance at higher modafinil doses suggested a dose-dependent effect, differences between modafinil doses were not significant. Performance enhancing effects were especially salient during the circadian nadir (6:00 a.m. through 10:00 a.m.). Few instances of adverse subjective side effects (nausea, heart pounding) were reported. Like caffeine, modafinil maintained performance and alertness during the early morning hours, when the combined effects of sleep loss and the circadian trough of performance and alertness trough were manifest. Thus, equivalent performance- and alertness-enhancing effects were obtained with drugs possessing different mechanisms of action. However, modafinil does not appear to offer advantages over caffeine (which is more readily available and less expensive) for improving

  11. Modeling, Analyzing, and Mitigating Dissonance Between Alerting Systems

    NASA Technical Reports Server (NTRS)

    Song, Lixia; Kuchar, James K.

    2003-01-01

    Alerting systems are becoming pervasive in process operations, which may result in the potential for dissonance or conflict in information from different alerting systems that suggests different threat levels and/or actions to resolve hazards. Little is currently available to help in predicting or solving the dissonance problem. This thesis presents a methodology to model and analyze dissonance between alerting systems, providing both a theoretical foundation for understanding dissonance and a practical basis from which specific problems can be addressed. A state-space representation of multiple alerting system operation is generalized that can be tailored across a variety of applications. Based on the representation, two major causes of dissonance are identified: logic differences and sensor error. Additionally, several possible types of dissonance are identified. A mathematical analysis method is developed to identify the conditions for dissonance originating from logic differences. A probabilistic analysis methodology is developed to estimate the probability of dissonance originating from sensor error, and to compare the relative contribution to dissonance of sensor error against the contribution from logic differences. A hybrid model, which describes the dynamic behavior of the process with multiple alerting systems, is developed to identify dangerous dissonance space, from which the process can lead to disaster. Methodologies to avoid or mitigate dissonance are outlined. Two examples are used to demonstrate the application of the methodology. First, a conceptual In-Trail Spacing example is presented. The methodology is applied to identify the conditions for possible dissonance, to identify relative contribution of logic difference and sensor error, and to identify dangerous dissonance space. Several proposed mitigation methods are demonstrated in this example. In the second example, the methodology is applied to address the dissonance problem between two air

  12. Fully integrated surface-subsurface flow modelling of groundwater-lake interaction in an esker aquifer: Model verification with stable isotopes and airborne thermal imaging

    NASA Astrophysics Data System (ADS)

    Ala-aho, Pertti; Rossi, Pekka M.; Isokangas, Elina; Kløve, Bjørn

    2015-03-01

    Water resources management is moving towards integration, where groundwater (GW), surface water (SW) and related aquatic ecosystems are considered one management unit. Because of this paradigm shift, more information and new tools are needed to understand the ecologically relevant fluxes (water, heat, solutes) at the GW-SW interface. This study estimated the magnitude, temporal variability and spatial distribution of water fluxes at the GW-SW interface using a fully integrated hydrological modelling code (HydroGeoSphere). The model domain comprised a hydrologically complex esker aquifer in Northern Finland with interconnected lakes, streams and wetlands. The model was calibrated in steady state for soil hydraulic conductivity and anisotropy and it reproduced the hydraulic head and stream baseflow distribution throughout the aquifer in both transient and steady state modes. In a novel analysis, model outputs were compared with the locations and magnitude of GW discharge to lakes estimated using field techniques. Spatial occurrence of GW-lake interaction was interpreted from airborne thermal infrared imaging. The observed GW inflow locations coincided well with model nodes showing positive exchange flux between surface and subsurface domains. Order of magnitude of simulated GW inflow to lakes showed good agreement with flux values calculated with a stable water isotope technique. Finally, time series of GW inflow, extracted as model output, showed moderate annual variability and demonstrated different interannual inflow changes in seepage and drainage lakes of the aquifer. Overall, this study demonstrated the ability of a fully integrated numerical model to reproduce observed GW-SW exchange processes in a complex unconfined aquifer system. The model-based estimates obtained for GW influx magnitude and spatial distribution, along with information on GW quality can be used to estimate ecologically relevant fluxes in future water resources management.

  13. Providing accurate near real-time fire alerts for Protected Areas through NASA FIRMS: Opportunities and Challenges

    NASA Astrophysics Data System (ADS)

    Ilavajhala, S.; Davies, D.; Schmaltz, J. E.; Wong, M.; Murphy, K. J.

    2013-12-01

    The NASA Fire Information for Resource Management System (FIRMS) is at the forefront of providing global near real-time (NRT) MODIS thermal anomalies / hotspot location data to end-users . FIRMS serves the data via an interactive Web GIS named Web Fire Mapper, downloads of NRT active fire, archive data downloads for MODIS hotspots dating back to 1999 and a hotspot email alert system The FIRMS Email Alerts system has been successfully alerting users of fires in their area of interest in near real-time and/or via daily and weekly email summaries, with an option to receive MODIS hotspot data as a text file (CSV) attachment. Currently, there are more than 7000 email alert subscriptions from more than 100 countries. Specifically, the email alerts system is designed to generate and send an email alert for any region or area on the globe, with a special focus on providing alerts for protected areas worldwide. For many protected areas, email alerts are particularly useful for early fire detection, monitoring on going fires, as well as allocating resources to protect wildlife and natural resources of particular value. For protected areas, FIRMS uses the World Database on Protected Areas (WDPA) supplied by United Nations Environment Program - World Conservation Monitoring Centre (UNEP-WCMC). Maintaining the most up-to-date, accurate boundary geometry for the protected areas for the email alerts is a challenge as the WDPA is continuously updated due to changing boundaries, merging or delisting of certain protected areas. Because of this dynamic nature of the protected areas database, the FIRMS protected areas database is frequently out-of-date with the most current version of WDPA database. To maintain the most up-to-date boundary information for protected areas and to be in compliance with the WDPA terms and conditions, FIRMS needs to constantly update its database of protected areas. Currently, FIRMS strives to keep its database up to date by downloading the most recent

  14. Infant Responsiveness, Alertness, Hemoglobin and Growth in Rural Sidama, Ethiopia

    PubMed Central

    Aubuchon-Endsley, Nicki L.; Grant, Stephanie L.; Thomas, David G.; Kennedy, Tay S.; Berhanu, Getenesh; Stoecker, Barbara J.; Hubbs-Tait, Laura; Hambidge, K. Michael

    2011-01-01

    Several recent studies have supported relations between infant behavior (alertness and responsiveness) and nutrition (e.g. Dempsey 2008, Wachs et al 2005) in addition to investigating infant behavior within the context of changes in iron status over time (e.g. Black et al. 2004, Murray-Kolb & Beard 2009). Existing research is typically limited to investigation of the effects of a single vitamin or mineral and no studies have been found that examined the influence that early alertness and responsiveness have on growth in early infancy, despite the fact that relations between behavior and nutritional status may be bidirectional (Hulthén 2003). The current study used a sample of Ethiopian infants and investigated anthropometrics, hemoglobin, the frequency of alertness, and the frequency of responsiveness at 6 and 9 months of age. Six-month weight-for-age predicted 9-month frequency of alertness, while 6-month hemoglobin predicted 9-month frequency of responsiveness. Compared to responsive infants, non-responsive infants at 6 months remained more non-responsive at 9 months, though weight-for-age for both groups converged at 9 months. Results support relations between nutrition and behavior (alertness and responsiveness) and provide evidence of a potentially useful tool (the Laboratory Temperament Assessment Battery [Lab-TAB]) that was adapted to evaluate these relations in Ethiopia. PMID:22233352

  15. Duplicated laboratory tests: evaluation of a computerized alert intervention abstract.

    PubMed

    Bridges, Sharon A; Papa, Linda; Norris, Anne E; Chase, Susan K

    2014-01-01

    Redundant testing contributes to reductions in healthcare system efficiency. The purpose of this study was to: (1) determine if the use of a computerized alert would reduce the number and cost of duplicated Acute Hepatitis Profile (AHP) laboratory tests and (2) assess what patient, test, and system factors were associated with duplication. This study used a quasi-experimental pre- and post-test design to determine the proportion of duplication of the AHP test before and after implementation of a computerized alert intervention. The AHP test was duplicated if the test was requested again within 15 days of the initial test being performed and the result present in the medical record. The intervention consisted of a computerized alert (pop-up window) that indicated to the clinician that the test had recently been ordered. A total of 674 AHP tests were performed in the pre-intervention period and 692 in the postintervention group. In the pre-intervention period, 53 (7.9%) were duplicated and in postintervention, 18 (2.6%) were duplicated (p<.001). The implementation of the alert was shown to significantly reduce associated costs of duplicated AHP tests (p≤.001). Implementation of computerized alerts may be useful in reducing duplicate laboratory tests and improving healthcare system efficiency. © 2012 National Association for Healthcare Quality.

  16. Humid tropical forest disturbance alerts using Landsat data

    NASA Astrophysics Data System (ADS)

    Hansen, Matthew C.; Krylov, Alexander; Tyukavina, Alexandra; Potapov, Peter V.; Turubanova, Svetlana; Zutta, Bryan; Ifo, Suspense; Margono, Belinda; Stolle, Fred; Moore, Rebecca

    2016-03-01

    A Landsat-based humid tropical forest disturbance alert was implemented for Peru, the Republic of Congo and Kalimantan, Indonesia. Alerts were mapped on a weekly basis as new terrain-corrected Landsat 7 and 8 images were made available; results are presented for all of 2014 and through September 2015. The three study areas represent different stages of the forest land use transition, with all featuring a variety of disturbance dynamics including logging, smallholder agriculture, and agroindustrial development. Results for Peru were formally validated and alerts found to have very high user’s accuracies and moderately high producer’s accuracies, indicating an appropriately conservative product suitable for supporting land management and enforcement activities. Complete pan-tropical coverage will be implemented during 2016 in support of the Global Forest Watch initiative. To date, Global Forest Watch produces annual global forest loss area estimates using a comparatively richer set of Landsat inputs. The alert product is presented as an interim update of forest disturbance events between comprehensive annual updates. Results from this study are available for viewing and download at http://glad.geog.umd.edu/forest-alerts and www.globalforestwatch.org.

  17. Optimizing the response to surveillance alerts in automated surveillance systems.

    PubMed

    Izadi, Masoumeh; Buckeridge, David L

    2011-02-28

    Although much research effort has been directed toward refining algorithms for disease outbreak alerting, considerably less attention has been given to the response to alerts generated from statistical detection algorithms. Given the inherent inaccuracy in alerting, it is imperative to develop methods that help public health personnel identify optimal policies in response to alerts. This study evaluates the application of dynamic decision making models to the problem of responding to outbreak detection methods, using anthrax surveillance as an example. Adaptive optimization through approximate dynamic programming is used to generate a policy for decision making following outbreak detection. We investigate the degree to which the model can tolerate noise theoretically, in order to keep near optimal behavior. We also evaluate the policy from our model empirically and compare it with current approaches in routine public health practice for investigating alerts. Timeliness of outbreak confirmation and total costs associated with the decisions made are used as performance measures. Using our approach, on average, 80 per cent of outbreaks were confirmed prior to the fifth day of post-attack with considerably less cost compared to response strategies currently in use. Experimental results are also provided to illustrate the robustness of the adaptive optimization approach and to show the realization of the derived error bounds in practice.

  18. Flood alert system based on bayesian techniques

    NASA Astrophysics Data System (ADS)

    Gulliver, Z.; Herrero, J.; Viesca, C.; Polo, M. J.

    2012-04-01

    The problem of floods in the Mediterranean regions is closely linked to the occurrence of torrential storms in dry regions, where even the water supply relies on adequate water management. Like other Mediterranean basins in Southern Spain, the Guadalhorce River Basin is a medium sized watershed (3856 km2) where recurrent yearly floods occur , mainly in autumn and spring periods, driven by cold front phenomena. The torrential character of the precipitation in such small basins, with a concentration time of less than 12 hours, produces flash flood events with catastrophic effects over the city of Malaga (600000 inhabitants). From this fact arises the need for specific alert tools which can forecast these kinds of phenomena. Bayesian networks (BN) have been emerging in the last decade as a very useful and reliable computational tool for water resources and for the decision making process. The joint use of Artificial Neural Networks (ANN) and BN have served us to recognize and simulate the two different types of hydrological behaviour in the basin: natural and regulated. This led to the establishment of causal relationships between precipitation, discharge from upstream reservoirs, and water levels at a gauging station. It was seen that a recurrent ANN model working at an hourly scale, considering daily precipitation and the two previous hourly values of reservoir discharge and water level, could provide R2 values of 0.86. BN's results slightly improve this fit, but contribute with uncertainty to the prediction. In our current work to Design a Weather Warning Service based on Bayesian techniques the first steps were carried out through an analysis of the correlations between the water level and rainfall at certain representative points in the basin, along with the upstream reservoir discharge. The lower correlation found between precipitation and water level emphasizes the highly regulated condition of the stream. The autocorrelations of the variables were also

  19. Space Debris Alert System for Aviation

    NASA Astrophysics Data System (ADS)

    Sgobba, Tommaso

    2013-09-01

    Despite increasing efforts to accurately predict space debris re-entry, the exact time and location of re-entry is still very uncertain. Partially, this is due to a skipping effect uncontrolled spacecraft may experience as they enter the atmosphere at a shallow angle. Such effect difficult to model depends on atmospheric variations of density. When the bouncing off ends and atmospheric re-entry starts, the trajectory and the overall location of surviving fragments can be precisely predicted but the time to impact with ground, or to reach the airspace, becomes very short.Different is the case of a functional space system performing controlled re-entry. Suitable forecasts methods are available to clear air and maritime traffic from hazard areas (so-called traffic segregation).In US, following the Space Shuttle Columbia accident in 2003, a re-entry hazard areas location forecast system was putted in place for the specific case of major malfunction of a Reusable Launch Vehicles (RLV) at re-entry. The Shuttle Hazard Area to Aircraft Calculator (SHAAC) is a system based on ground equipment and software analyses and prediction tools, which require trained personnel and close coordination between the organization responsible for RLV operation (NASA for Shuttle) and the Federal Aviation Administration. The system very much relies on the operator's capability to determine that a major malfunction has occurred.This paper presents a US pending patent by the European Space Agency, which consists of a "smart fragment" using a GPS localizer together with pre- computed debris footprint area and direct broadcasting of such hazard areas.The risk for aviation from falling debris is very remote but catastrophic. Suspending flight over vast swath of airspace for every re-entering spacecraft or rocket upper stage, which is a weekly occurrence, would be extremely costly and disruptive.The Re-entry Direct Broadcasting Alert System (R- DBAS) is an original merging and evolution of the Re

  20. Production readiness verification testing

    NASA Technical Reports Server (NTRS)

    James, A. M.; Bohon, H. L.

    1980-01-01

    A Production Readiness Verification Testing (PRVT) program has been established to determine if structures fabricated from advanced composites can be committed on a production basis to commercial airline service. The program utilizes subcomponents which reflect the variabilities in structure that can realistically be expected from current production and quality control technology to estimate the production qualities, variation in static strength, and durability of advanced composite structures. The results of the static tests and a durability assessment after one year of continuous load/environment testing of twenty two duplicates of each of two structural components (a segment of the front spar and cover of a vertical stabilizer box structure) are discussed.

  1. Verification of LHS distributions.

    SciTech Connect

    Swiler, Laura Painton

    2006-04-01

    This document provides verification test results for normal, lognormal, and uniform distributions that are used in Sandia's Latin Hypercube Sampling (LHS) software. The purpose of this testing is to verify that the sample values being generated in LHS are distributed according to the desired distribution types. The testing of distribution correctness is done by examining summary statistics, graphical comparisons using quantile-quantile plots, and format statistical tests such as the Chisquare test, the Kolmogorov-Smirnov test, and the Anderson-Darling test. The overall results from the testing indicate that the generation of normal, lognormal, and uniform distributions in LHS is acceptable.

  2. Passive pavement-mounted acoustical linguistic drive alert system and method

    DOEpatents

    Kisner, Roger A.; Anderson, Richard L.; Carnal, Charles L.; Hylton, James O.; Stevens, Samuel S.

    2001-01-01

    Systems and methods are described for passive pavement-mounted acoustical alert of the occupants of a vehicle. A method of notifying a vehicle occupant includes providing a driving medium upon which a vehicle is to be driven; and texturing a portion of the driving medium such that the textured portion interacts with the vehicle to produce audible signals, the textured portion pattern such that a linguistic message is encoded into the audible signals. The systems and methods provide advantages because information can be conveyed to the occupants of the vehicle based on the location of the vehicle relative to the textured surface.

  3. Dynamic malware containment under an epidemic model with alert

    NASA Astrophysics Data System (ADS)

    Zhang, Tianrui; Yang, Lu-Xing; Yang, Xiaofan; Wu, Yingbo; Tang, Yuan Yan

    2017-03-01

    Alerting at the early stage of malware invasion turns out to be an important complement to malware detection and elimination. This paper addresses the issue of how to dynamically contain the prevalence of malware at a lower cost, provided alerting is feasible. A controlled epidemic model with alert is established, and an optimal control problem based on the epidemic model is formulated. The optimality system for the optimal control problem is derived. The structure of an optimal control for the proposed optimal control problem is characterized under some conditions. Numerical examples show that the cost-efficiency of an optimal control strategy can be enhanced by adjusting the upper and lower bounds on admissible controls.

  4. Dopamine in motivational control: rewarding, aversive, and alerting

    PubMed Central

    Bromberg-Martin, Ethan S.; Matsumoto, Masayuki; Hikosaka, Okihide

    2010-01-01

    SUMMARY Midbrain dopamine neurons are well known for their strong responses to rewards and their critical role in positive motivation. It has become increasingly clear, however, that dopamine neurons also transmit signals related to salient but non-rewarding experiences such as aversive and alerting events. Here we review recent advances in understanding the reward and non-reward functions of dopamine. Based on this data, we propose that dopamine neurons come in multiple types that are connected with distinct brain networks and have distinct roles in motivational control. Some dopamine neurons encode motivational value, supporting brain networks for seeking, evaluation, and value learning. Others encode motivational salience, supporting brain networks for orienting, cognition, and general motivation. Both types of dopamine neurons are augmented by an alerting signal involved in rapid detection of potentially important sensory cues. We hypothesize that these dopaminergic pathways for value, salience, and alerting cooperate to support adaptive behavior. PMID:21144997

  5. Feasibility Testing of the Alert for AFib Intervention

    PubMed Central

    McCabe, Pamela J.; Douglas, Kristin Vickers; Barton, Debra L.; Austin, Christine; Delgado, Adriana; DeVon, Holli A.

    2016-01-01

    Improving early detection and treatment of atrial fibrillation (AF) is critical because untreated AF is a major contributor to stroke and heart failure. We sought to generate knowledge about the feasibility of conducting a randomized controlled trial to test the effect of the Alert for AFib intervention on knowledge, attitudes, and beliefs about treatment-seeking for signs and symptoms of AF. Adults ≥65 years old (96% White) at risk for developing AF were randomized to receive the Alert for AFib intervention (n = 40) or an attention control session (n = 40). Feasibility goals for recruitment, participant retention, adherence, perceived satisfaction and burden, and intervention fidelity were met. From baseline to study completion, knowledge (p = .005) and attitudes (p < .001) about treatment-seeking improved more in the intervention group compared with the control group. Results support testing the effectiveness of the Alert for AFib intervention in a large trial. PMID:27387372

  6. Diurnal Spectral Sensitivity of the Acute Alerting Effects of Light

    PubMed Central

    Rahman, Shadab A.; Flynn-Evans, Erin E.; Aeschbach, Daniel; Brainard, George C.; Czeisler, Charles A.; Lockley, Steven W.

    2014-01-01

    Study Objectives: Previous studies have demonstrated short-wavelength sensitivity for the acute alerting response to nocturnal light exposure. We assessed daytime spectral sensitivity in alertness, performance, and waking electroencephalogram (EEG). Design: Between-subjects (n = 8 per group). Setting: Inpatient intensive physiologic monitoring unit. Participants: Sixteen healthy young adults (mean age ± standard deviation = 23.8 ± 2.7 y). Interventions: Equal photon density exposure (2.8 × 1013 photons/cm2/s) to monochromatic 460 nm (blue) or 555 nm (green) light for 6.5 h centered in the middle of the 16-h episode of wakefulness during the biological day. Results were compared retrospectively to 16 individuals who were administered the same light exposure during the night. Measurements and Results: Daytime and nighttime 460-nm light exposure significantly improved auditory reaction time (P < 0.01 and P < 0.05, respectively) and reduced attentional lapses (P < 0.05), and improved EEG correlates of alertness compared to 555-nm exposure. Whereas subjective sleepiness ratings did not differ between the two spectral conditions during the daytime (P > 0.05), 460-nm light exposure at night significantly reduced subjective sleepiness compared to 555-nm light exposure at night (P < 0.05). Moreover, nighttime 460-nm exposure improved alertness to near-daytime levels. Conclusions: The alerting effects of short-wavelength 460-nm light are mediated by counteracting both the circadian drive for sleepiness and homeostatic sleep pressure at night, but only via reducing the effects of homeostatic sleep pressure during the day. Citation: Rahman SA; Flynn-Evans EE; Aeschbach D; Brainard GC; Czeisler CA; Lockley SW. Diurnal spectral sensitivity of the acute alerting effects of light. SLEEP 2014;37(2):271-281. PMID:24501435

  7. The agile alert system for gamma-ray transients

    SciTech Connect

    Bulgarelli, A.; Trifoglio, M.; Gianotti, F.; Fioretti, V.; Chen, A. W.; Pittori, C.; Verrecchia, F.; Lucarelli, F.; Santolamazza, P.; Fanari, G.; Giommi, P.; Pellizzoni, A.; and others

    2014-01-20

    In recent years, a new generation of space missions has offered great opportunities for discovery in high-energy astrophysics. In this article we focus on the scientific operations of the Gamma-Ray Imaging Detector (GRID) on board the AGILE space mission. AGILE-GRID, sensitive in the energy range of 30 MeV-30 GeV, has detected many γ-ray transients of both galactic and extragalactic origin. This work presents the AGILE innovative approach to fast γ-ray transient detection, which is a challenging task and a crucial part of the AGILE scientific program. The goals are to describe (1) the AGILE Gamma-Ray Alert System, (2) a new algorithm for blind search identification of transients within a short processing time, (3) the AGILE procedure for γ-ray transient alert management, and (4) the likelihood of ratio tests that are necessary to evaluate the post-trial statistical significance of the results. Special algorithms and an optimized sequence of tasks are necessary to reach our goal. Data are automatically analyzed at every orbital downlink by an alert pipeline operating on different timescales. As proper flux thresholds are exceeded, alerts are automatically generated and sent as SMS messages to cellular telephones, via e-mail, and via push notifications from an application for smartphones and tablets. These alerts are crosschecked with the results of two pipelines, and a manual analysis is performed. Being a small scientific-class mission, AGILE is characterized by optimization of both scientific analysis and ground-segment resources. The system is capable of generating alerts within two to three hours of a data downlink, an unprecedented reaction time in γ-ray astrophysics.

  8. The AGILE Alert System for Gamma-Ray Transients

    NASA Astrophysics Data System (ADS)

    Bulgarelli, A.; Trifoglio, M.; Gianotti, F.; Tavani, M.; Parmiggiani, N.; Fioretti, V.; Chen, A. W.; Vercellone, S.; Pittori, C.; Verrecchia, F.; Lucarelli, F.; Santolamazza, P.; Fanari, G.; Giommi, P.; Beneventano, D.; Argan, A.; Trois, A.; Scalise, E.; Longo, F.; Pellizzoni, A.; Pucella, G.; Colafrancesco, S.; Conforti, V.; Tempesta, P.; Cerone, M.; Sabatini, P.; Annoni, G.; Valentini, G.; Salotti, L.

    2014-01-01

    In recent years, a new generation of space missions has offered great opportunities for discovery in high-energy astrophysics. In this article we focus on the scientific operations of the Gamma-Ray Imaging Detector (GRID) on board the AGILE space mission. AGILE-GRID, sensitive in the energy range of 30 MeV-30 GeV, has detected many γ-ray transients of both galactic and extragalactic origin. This work presents the AGILE innovative approach to fast γ-ray transient detection, which is a challenging task and a crucial part of the AGILE scientific program. The goals are to describe (1) the AGILE Gamma-Ray Alert System, (2) a new algorithm for blind search identification of transients within a short processing time, (3) the AGILE procedure for γ-ray transient alert management, and (4) the likelihood of ratio tests that are necessary to evaluate the post-trial statistical significance of the results. Special algorithms and an optimized sequence of tasks are necessary to reach our goal. Data are automatically analyzed at every orbital downlink by an alert pipeline operating on different timescales. As proper flux thresholds are exceeded, alerts are automatically generated and sent as SMS messages to cellular telephones, via e-mail, and via push notifications from an application for smartphones and tablets. These alerts are crosschecked with the results of two pipelines, and a manual analysis is performed. Being a small scientific-class mission, AGILE is characterized by optimization of both scientific analysis and ground-segment resources. The system is capable of generating alerts within two to three hours of a data downlink, an unprecedented reaction time in γ-ray astrophysics.

  9. Alertness management in aviation operations: enhancing performance and sleep.

    PubMed

    Rosekind, Mark R; Gregory, Kevin B; Mallis, Melissa M

    2006-12-01

    Fatigue is an acknowledged safety risk in diverse operational settings. As a result, there has been growing interest in developing and implementing activities to improve alertness, performance, and safety in real-world operations where fatigue is a factor. A comprehensive Alertness Management Program (AMP) that included education, alertness strategies, scheduling, and healthy sleep was implemented in a commercial airline. An operational evaluation was conducted with 29 flight crewmembers, first when flying a standard schedule without AMP components (i.e., standard condition) compared with full AMP implementation, which included flying an innovative schedule that incorporated physiological sleep and alertness principles (i.e., intervention condition). The evaluation included objective measures of sleep quantity (actigraphy), psychomotor vigilance task (PVT) performance, and subjective reports of daily activities and sleep. The results showed that the 3.5-h educational CD improved pre-education test scores from an average 74% correct to a post-education average of 98%. Alertness strategies showed minimal changes, though the daily diary did not allow for refined evaluation of duration, frequency, and timing of use. The intervention condition was associated with significantly more sleep (1 h, 9 min; p < 0.01) during the trip period compared with the standard schedule. All performance metrics showed significantly better performance during the intervention condition trip schedule (p < 0.01) compared with the standard condition. This first-ever evaluation of a comprehensive AMP showed significantly improved knowledge, support for the use of alertness strategies, and increased sleep and performance during actual operations. The robust and consistent findings support the use of an AMP approach to effectively manage fatigue in operational settings.

  10. Robotic telepresence versus standardly supervised stroke alert team assessments.

    PubMed

    O'Carroll, Cumara B; Hentz, Joseph G; Aguilar, Maria I; Demaerschalk, Bart M

    2015-03-01

    Telemedicine has created access to emergency stroke care for patients in all communities, regardless of geography. We hypothesized that there is no difference in speed of assessment between vascular neurologist (VN) robotic telepresence and standard VN-supervised stroke alert patients in a metropolitan primary stroke center. A retrospective stroke alert database was used to identify all robotic telepresence and standardly supervised stroke alert patient assessments at a primary stroke center emergency department from 2009 to 2012. The primary outcome measure was the duration of assessment from stroke alert activation to treatment or downgrade. The sample size was 196 subjects. The mean duration of time from stroke alert activation to initiation of intravenous (IV) thrombolytic treatment or downgrade was 8.6 min longer in the robotic group than in the standard group (p=0.03). Among the subgroup of acute ischemic stroke patients treated with IV thrombolysis, the mean duration of time from activation to treatment was 18 min longer in the robotic group than in the standard group (p=0.01). Safety outcomes including thrombolysis protocol violations (0% versus 1%), post-thrombolysis symptomatic intracranial hemorrhagic complications (3% versus 1%), and death during hospitalization (8% versus 6%) were low in the robotic group and not significantly different from that in the standard group. Standard VN-supervised acute stroke team assessments were swifter than those supervised by robotic telepresence. Safety outcomes of robotic telepresence-supervised stroke alerts were excellent, and this modality may be preferred in circumstances when a VN is not immediately available on-site.

  11. A Metrics Taxonomy and Reporting Strategy for Rule-Based Alerts

    PubMed Central

    Krall, Michael; Gerace, Alexander

    2015-01-01

    Context: Because institutions rely on rule-based alerts as an important component of their safety and quality strategies, they should determine whether the alerts achieve the expected benefit. Objective: To develop and to test a method of reporting outcome metrics for rule-based electronic health record alerts on a large scale. Methods: We empirically developed an action-oriented alerts taxonomy according to structure, actions, and implicit intended process outcomes using a set of 333 rule-based alerts at Kaiser Permanente Northwest. Next we developed a method for producing metrics reports for alert classes. Finally, we applied this method to alert taxa. Main Outcome Measures: Outcome measures were the successful development of a rule-based alerts taxonomy and the demonstration of its application in a reporting strategy. Results: We identified 9 major and 17 overall classes of alerts. We developed a specific metric approach for 5 of these classes, including the 3 most numerous ones in our institution, accounting for 224 (67%) of our alerts. Some alert classes do not readily lend themselves to this approach. Conclusions: We developed a taxonomy for rule-based alerts and demonstrated its application in developing outcome metrics reports on a large scale. This information allows tuning or retiring alerts and may inform the need to develop complementary or alternative approaches to address organizational imperatives. A method that assigns alerts to classes each amenable to a particular reporting strategy could reduce the difficulty of producing metrics reports. PMID:26057684

  12. Optimizing drug-dose alerts using commercial software throughout an integrated health care system.

    PubMed

    Saiyed, Salim M; Greco, Peter J; Fernandes, Glenn; Kaelber, David C

    2017-11-01

    All default electronic health record and drug reference database vendor drug-dose alerting recommendations (single dose, daily dose, dose frequency, and dose duration) were silently turned on in inpatient, outpatient, and emergency department areas for pediatric-only and nonpediatric-only populations. Drug-dose alerts were evaluated during a 3-month period. Drug-dose alerts fired on 12% of orders (104 098/834 911). System-level and drug-specific strategies to decrease drug-dose alerts were analyzed. System-level strategies included: (1) turning off all minimum drug-dosing alerts, (2) turning off all incomplete information drug-dosing alerts, (3) increasing the maximum single-dose drug-dose alert threshold to 125%, (4) increasing the daily dose maximum drug-dose alert threshold to 125%, and (5) increasing the dose frequency drug-dose alert threshold to more than 2 doses per day above initial threshold. Drug-specific strategies included changing drug-specific maximum single and maximum daily drug-dose alerting parameters for the top 22 drug categories by alert frequency. System-level approaches decreased alerting to 5% (46 988/834 911) and drug-specific approaches decreased alerts to 3% (25 455/834 911). Drug-dose alerts varied between care settings and patient populations. © The Author 2017. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. Deductive Verification of Cryptographic Software

    NASA Technical Reports Server (NTRS)

    Almeida, Jose Barcelar; Barbosa, Manuel; Pinto, Jorge Sousa; Vieira, Barbara

    2009-01-01

    We report on the application of an off-the-shelf verification platform to the RC4 stream cipher cryptographic software implementation (as available in the openSSL library), and introduce a deductive verification technique based on self-composition for proving the absence of error propagation.

  14. Software Verification and Validation Procedure

    SciTech Connect

    Olund, Thomas S.

    2008-09-15

    This Software Verification and Validation procedure provides the action steps for the Tank Waste Information Network System (TWINS) testing process. The primary objective of the testing process is to provide assurance that the software functions as intended, and meets the requirements specified by the client. Verification and validation establish the primary basis for TWINS software product acceptance.

  15. HDL to verification logic translator

    NASA Astrophysics Data System (ADS)

    Gambles, J. W.; Windley, P. J.

    The increasingly higher number of transistors possible in VLSI circuits compounds the difficulty in insuring correct designs. As the number of possible test cases required to exhaustively simulate a circuit design explodes, a better method is required to confirm the absence of design faults. Formal verification methods provide a way to prove, using logic, that a circuit structure correctly implements its specification. Before verification is accepted by VLSI design engineers, the stand alone verification tools that are in use in the research community must be integrated with the CAD tools used by the designers. One problem facing the acceptance of formal verification into circuit design methodology is that the structural circuit descriptions used by the designers are not appropriate for verification work and those required for verification lack some of the features needed for design. We offer a solution to this dilemma: an automatic translation from the designers' HDL models into definitions for the higher-ordered logic (HOL) verification system. The translated definitions become the low level basis of circuit verification which in turn increases the designer's confidence in the correctness of higher level behavioral models.

  16. HDL to verification logic translator

    NASA Technical Reports Server (NTRS)

    Gambles, J. W.; Windley, P. J.

    1992-01-01

    The increasingly higher number of transistors possible in VLSI circuits compounds the difficulty in insuring correct designs. As the number of possible test cases required to exhaustively simulate a circuit design explodes, a better method is required to confirm the absence of design faults. Formal verification methods provide a way to prove, using logic, that a circuit structure correctly implements its specification. Before verification is accepted by VLSI design engineers, the stand alone verification tools that are in use in the research community must be integrated with the CAD tools used by the designers. One problem facing the acceptance of formal verification into circuit design methodology is that the structural circuit descriptions used by the designers are not appropriate for verification work and those required for verification lack some of the features needed for design. We offer a solution to this dilemma: an automatic translation from the designers' HDL models into definitions for the higher-ordered logic (HOL) verification system. The translated definitions become the low level basis of circuit verification which in turn increases the designer's confidence in the correctness of higher level behavioral models.

  17. E-Learning. Trends and Issues Alert.

    ERIC Educational Resources Information Center

    Imel, Susan

    Electronic learning, also known as e-learning, is generally defined as instruction and learning experiences that are delivered via electronic technology such as the Internet, audiotape and videotape, satellite broadcast, interactive television, and CD-ROM. Web-based learning, computer-based learning, and virtual classrooms are some of the…

  18. Hanford Site Emergency Alerting System siren testing report

    SciTech Connect

    Weidner, L.B.

    1997-08-13

    The purpose of the test was to determine the effective coverage of the proposed upgrades to the existing Hanford Site Emergency Alerting System (HSEAS). The upgrades are to enhance the existing HSEAS along the Columbia River from the Vernita Bridge to the White Bluffs Boat Launch as well as install a new alerting system in the 400 Area on the Hanford Site. Five siren sites along the Columbia River and two sites in the 400 Area were tested to determine the site locations that will provide the desired coverage.

  19. Silver Alerts: A Notification System for Communities with Missing Adults.

    PubMed

    Gergerich, Erika; Davis, Lindsey

    2017-04-01

    As the U.S. population ages, the prevalence of dementia will grow and communities will face the problem of older adults wandering or becoming lost. Silver Alert systems are programs designed to locate missing older adults with dementia or other mental disabilities. Such programs have been initiated in all but five states. Data collection for these programs is often minimal or incomplete. Social workers should be involved in prevention, follow up and education with caregivers, community members and law enforcement officers. When reviewing Silver Alert policy, special attention must be given to ethical concerns and protection of older adults' civil rights.

  20. MAXI Nova Alert System and the Latest Scientific Results

    SciTech Connect

    Negoro, H.; Miyoshi, S.; Ozawa, H.; Ishiwata, R.; Nakajima, N.; Matsuoka, M.; Kawasaki, K.; Ueno, S.; Tomida, H.; Suzuki, M.; Ishikawa, M.; Mihara, T.; Kohama, M.; Sugizaki, M.; Nakagawa, Y.; Tsunemi, H.; Kawai, N.; Morii, M.; Yoshida, A.; Yamaoka, K.

    2010-07-15

    MAXI, Monitor of All-sky X-ray Image, is the first astronomical telescope onboard the ISS. One of the main goals of our mission is to discover new transient objects by scanning more than 95% of the sky every {approx}92 min with two types of X-ray cameras, Gas Slit Camera (GSC) and Solid-state Slit Camera (SSC). We have developed a completely new data analysis system, a nova alert system, to find transient objects and send alerts to the world as soon as possible. Here we describe the current status of the system, and transient objects discovered with the system.

  1. TFE Verification Program

    SciTech Connect

    Not Available

    1993-05-01

    The objective of the semiannual progress report is to summarize the technical results obtained during the latest reporting period. The information presented herein will include evaluated test data, design evaluations, the results of analyses and the significance of results. The program objective is to demonstrate the technology readiness of a TFE (thermionic fuel element) suitable for use as the basic element in a thermionic reactor with electric power output in the 0.5 to 5.0 MW(e) range, and a full-power life of 7 years. The TFE Verification Program builds directly on the technology and data base developed in the 1960s and early 1970s in an AEC/NASA program, and in the SP-100 program conducted in 1983, 1984 and 1985. In the SP-100 program, the attractive features of thermionic power conversion technology were recognized but concern was expressed over the lack of fast reactor irradiation data. The TFE Verification Program addresses this concern.

  2. On the Formal Verification of Conflict Detection Algorithms

    NASA Technical Reports Server (NTRS)

    Munoz, Cesar; Butler, Ricky W.; Carreno, Victor A.; Dowek, Gilles

    2001-01-01

    Safety assessment of new air traffic management systems is a main issue for civil aviation authorities. Standard techniques such as testing and simulation have serious limitations in new systems that are significantly more autonomous than the older ones. In this paper, we present an innovative approach, based on formal verification, for establishing the correctness of conflict detection systems. Fundamental to our approach is the concept of trajectory, which is a continuous path in the x-y plane constrained by physical laws and operational requirements. From the Model of trajectories, we extract, and formally prove, high level properties that can serve as a framework to analyze conflict scenarios. We use the Airborne Information for Lateral Spacing (AILS) alerting algorithm as a case study of our approach.

  3. Diagnostic accuracy of NicAlert cotinine test strips in saliva for verifying smoking status.

    PubMed

    Cooke, Fiona; Bullen, Chris; Whittaker, Robyn; McRobbie, Hayden; Chen, Mei-Hua; Walker, Natalie

    2008-04-01

    Semiquantitative immunoassay technology, in the form of rapid test strips, offers a less time-consuming and less costly alternative to other methods of verifying self-reported smoking status, such as gas chromatography-nitrogen phosphorus detection (GC). Unfortunately, information on the validity and reliability of some test strips in urine and saliva samples is not always available. This paper describes the diagnostic accuracy of one type of test strip currently available (NicAlert cotinine test strips; NCTS). GC was used as the reference standard and saliva as the sample medium. The study involved 86 people (41 smokers and 45 nonsmokers) aged 18 years or over, who were able to understand written English and provide written consent. Pregnant women, women with infants less than 6 weeks old, and people who had eaten 30 min prior to sample collection were excluded. Two saliva samples were collected simultaneously from each participant, with one sample tested using NCTS and the other by GC analysis. People with at least 10 ng/ml cotinine (in both tests) in their saliva were considered smokers. NCTS were found to have a specificity of 95% (95% CI 89%-100%), a sensitivity of 93% (95% CI 85%-100%), a positive predictive value of 95% (95% CI 89%-100%), and a negative predictive value of 93% (95% CI 86%-100%). The use of NCTS is a valid and reliable method, compared with GC, to test saliva samples for verification of smoking status.

  4. Development of a Standardized Rating Tool for Drug Alerts to Reduce Information Overload.

    PubMed

    Pfistermeister, Barbara; Sedlmayr, Brita; Patapovas, Andrius; Suttner, Gerald; Tektas, Ozan; Tarkhov, Aleksey; Kornhuber, Johannes; Fromm, Martin F; Bürkle, Thomas; Prokosch, Hans-Ulrich; Maas, Renke

    2016-12-07

    A well-known problem in current clinical decision support systems (CDSS) is the high number of alerts, which are often medically incorrect or irrelevant. This may lead to the so-called alert fatigue, an overriding of alerts, including those that are clinically relevant, and underuse of CDSS in general. The aim of our study was to develop and to apply a standardized tool that allows its users to evaluate the quality of system-generated drug alerts. The users' ratings can subsequently be used to derive recommendations for developing a filter function to reduce irrelevant alerts. We developed a rating tool for drug alerts and performed a web-based evaluation study that also included a user review of alerts. In this study the following categories were evaluated: "data linked correctly", "medically correct", "action required", "medication change", "critical alert", "information gained" and "show again". For this purpose, 20 anonymized clinical cases were randomly selected and displayed in our customized CDSS research prototype, which used the summary of product characteristics (SPC) for alert generation. All the alerts that were provided were evaluated by 13 physicians. The users' ratings were used to derive a filtering algorithm to reduce overalerting. In total, our CDSS research prototype generated 399 alerts. In 98 % of all alerts, medication data were rated as linked correctly to drug information; in 93 %, the alerts were assessed as "medically correct"; 19.5 % of all alerts were rated as "show again". The interrater-agreement was, on average, 68.4 %. After the application of our filtering algorithm, the rate of alerts that should be shown again decreased to 14.8 %. The new standardized rating tool supports a standardized feedback of user-perceived clinical relevance of CDSS alerts. Overall, the results indicated that physicians may consider the majority of alerts formally correct but clinically irrelevant and override them. Filtering may help to reduce

  5. Sensitivity to alert rates at moderate force levels

    SciTech Connect

    Canavan, G.H.

    1998-07-01

    This analysis extends previous studies of sensitivity to survivability and alert rates to low force levels. Stability and first strike considerations favor reduction of both survivable and vulnerable forces for a range of conditions. Reductions in the number of weapons per vulnerable missile always increases first strike costs, and would have to be offset by non-stability considerations.

  6. Evaluation in Adult Literacy Research. Project ALERT. Phase II.

    ERIC Educational Resources Information Center

    Ntiri, Daphne Williams, Ed.

    This document contains an evaluation handbook for adult literacy programs and feedback from/regarding the evaluation instruments developed during the project titled Adult Literacy and Evaluation Research Team (also known as Project ALERT), a two-phase project initiated by the Detroit Literacy Coalition (DLC) for the purpose of developing and…

  7. Evaluation in Adult Literacy Research. Project ALERT. [Phase I.

    ERIC Educational Resources Information Center

    Ntiri, Daphne Williams, Ed.

    The Adult Literacy and Evaluation Research Team (also known as Project ALERT) was a project conducted by the Detroit Literacy Coalition (DLC) at Wayne State University in 1993-1994 to develop and pilot a user-friendly program model for evaluating literacy operations of community-based organizations throughout Michigan under the provisions of…

  8. R&D Alert. Volume 7, Number 3, 2005

    ERIC Educational Resources Information Center

    White, Noel, Ed.

    2005-01-01

    "R&D Alert" covers issues affecting schools in the Western Regional Educational Laboratory's four-state region--Arizona, California, Nevada, and Utah--and throughout the United States. This issue focuses on early childhood education. While the importance of early childhood education has long been recognized, traditional ideas of …

  9. 47 CFR 10.320 - Provider alert gateway requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... file into the format supported by mobile devices. (2) Reception. The CMS provider gateway must support... Section 10.320 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL MOBILE ALERT SYSTEM... that each Participating Commercial Mobile Service provider is required to support and perform at...

  10. 44 CFR 208.36 - Reimbursement for Alert.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Reimbursement for Alert. 208.36 Section 208.36 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE NATIONAL URBAN SEARCH AND RESCUE RESPONSE SYSTEM Response...

  11. 44 CFR 208.36 - Reimbursement for Alert.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Reimbursement for Alert. 208.36 Section 208.36 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE NATIONAL URBAN SEARCH AND RESCUE RESPONSE SYSTEM Response...

  12. 44 CFR 208.36 - Reimbursement for Alert.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Reimbursement for Alert. 208.36 Section 208.36 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE NATIONAL URBAN SEARCH AND RESCUE RESPONSE SYSTEM Response...

  13. 44 CFR 208.36 - Reimbursement for Alert.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Reimbursement for Alert. 208.36 Section 208.36 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE NATIONAL URBAN SEARCH AND RESCUE RESPONSE SYSTEM Response...

  14. FAB (Functionally Alert Behavior Strategies) to Improve Self-Control

    ERIC Educational Resources Information Center

    Pagano, John

    2015-01-01

    This paper describes the FAB (Functionally Alert Behavior) Strategies approach to improve behavior in children and adolescents with complex behavioral challenges. FAB Strategies include evidence-based environmental adaptations, sensory modulation, positive behavioral support, and physical self-regulation strategies. FAB Strategies can be used by…

  15. New research and tools lead to improved earthquake alerting protocols

    USGS Publications Warehouse

    Wald, David J.

    2009-01-01

    What’s the best way to get alerted about the occurrence and potential impact of an earthquake? The answer to that question has changed dramatically of late, in part due to improvements in earthquake science, and in part by the implementation of new research in the delivery of earthquake information

  16. Developing, Implementing, and Assessing an Early Alert System

    ERIC Educational Resources Information Center

    Tampke, Dale R.

    2013-01-01

    Early alert systems offer institutions systematic approaches to identifying and intervening with students exhibiting at-risk behaviors. Many of these systems rely on a common format for student referral to central receiving point. Systems at larger institutions often use web-based technology to allow for a scalable (available campus wide) approach…

  17. The Educational Pipeline: Big Investment, Big Returns. Policy Alert

    ERIC Educational Resources Information Center

    National Center for Public Policy and Higher Education, 2004

    2004-01-01

    "Policy Alert" is a publication series that summarizes important policy findings affecting the future of higher education. This issue looks at the benefits of increasing a state's "educational capital," and highlights four key transition points of the "educational pipeline" marking students' progress from high school to completion of a college…

  18. An Operational Alert System for the European-Mediterranean Region

    NASA Astrophysics Data System (ADS)

    Mazet-Roux, G.; Bossu, R.; Carreno, E.; Guilbert, J.; Godey, S.

    2003-12-01

    The European-Mediterranean Seismological Centre (EMSC) has been running for several years an operational alert system for potentially damaging earthquakes which occur in the European-Mediterranean region. This alert system, - sub-part of the EMSC real time information service available on the web site (www.emsc-csem.org) - is based on parametric data provided through the Internet by 40 different networks representing 800 stations in the Euro.-Med. region. In case of potentially damaging earthquake, the seismologist on duty connects to EMSC facilities, merges and processes all available data and, as soon as a reliable solution is available, disseminates alert messages by fax and email. Alert messages are sent by fax to official organisations (e.g., Civil Protection Agency, rescue teams, Council of Europe, ECHO, etc.), to the seismological community and to the public by emails (800 emails). Furthermore, data and results are made automatically available in real time on the web. In case of technical problems or maintenance activities, the duty is taken over by IGN (Madrid, Spain), which runs full back-up procedures. EMSC commits itself to a maximum dissemination time (time lag between the occurrence of the earthquake and the messages' dissemination) of 1 hour. This delay is respected in the vast majority of cases with a median dissemination time of less than 40 minutes. We will give an overview of this system and its performances and put a special emphasis on the processing of the recent earthquake in Algeria.

  19. Alerting, Orienting, and Executive Attention in Children with ADHD

    ERIC Educational Resources Information Center

    Mullane, Jennifer C.; Corkum, Penny V.; Klein, Raymond M.; McLaughlin, Elizabeth N.; Lawrence, Michael A.

    2011-01-01

    Objective: This study evaluated the alerting, orienting, and executive attention abilities of children with ADHD and their typically developing (TD) peers using a modified version of the adult attention network test (ANT-I). Method: A total of 25 children with ADHD, Combined Type (ADHD-C, mean age = 9.20 years), 20 children with ADHD,…

  20. Changing Adolescent Propensities to Use Drugs: Results from Project ALERT.

    ERIC Educational Resources Information Center

    Ellickson, Phyllis L.; And Others

    1993-01-01

    Evaluation with over 4,000 seventh and eighth graders in California and Oregon showed that Project ALERT, a curriculum to curb drug use by teaching resistance to pressures, successfully dampened cognitive risk factors for cigarette and marijuana use but had limited impact on beliefs about alcohol. (SK)

  1. Structural alerts for estimating the carcinogenicity of pesticides and biocides.

    PubMed

    Devillers, J; Mombelli, E; Samsera, R

    2011-03-01

    More than 20 years ago, Ashby and Tennant showed the interest of structural alerts for the prediction of the carcinogenicity of chemicals. These structural alerts are functional groups or structural features of various sizes that are linked to the level of carcinogenicity of chemicals. Since this pioneering work it has been possible to refine the alerts over time, as more experimental results have become available and additional mechanistic insights have been gained. To date, one of the most advanced lists of structural alerts for evaluating the carcinogenic potential of chemicals is the list proposed by Benigni and Bossa and that is implemented as a rule-based system in Toxtree and in the OECD QSAR Application Toolbox. In order to gain insight into the applicability of this system to the detection of potential carcinogens we screened about 200 pesticides and biocides showing a high structural diversity. Prediction results were compared with experimental data retrieved from an extensive bibliographical review. The prediction correctness was only equal to 60.14%. Attempts were made to analyse the sources of mispredictions.

  2. 44 CFR 208.36 - Reimbursement for Alert.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... § 208.41 of this part. (4) Food and beverages for Task Force Members and Support Specialists when DHS does not provide meals during the Alert. DHS will limit food and beverage reimbursement to the amount... where such food and beverages were provided, multiplied by the number of personnel who received them. (b...

  3. Visual Alertness in Neonates as Evoked by Maternal Care

    ERIC Educational Resources Information Center

    Korner, Anneliese F.; Thoman, Evelyn B.

    1970-01-01

    Forty crying and 24 sleeping 2- to 3-day-old healthy, full-term newborns were given six interventions whichentailed contact and/or vestibular stimulation. Scores obtained on a six-point scale assessing levels of alertness imply that the vestibular stimulation which attends maternal caretaking activities is crucial, at least during the neonatal…

  4. Developing, Implementing, and Assessing an Early Alert System

    ERIC Educational Resources Information Center

    Tampke, Dale R.

    2013-01-01

    Early alert systems offer institutions systematic approaches to identifying and intervening with students exhibiting at-risk behaviors. Many of these systems rely on a common format for student referral to central receiving point. Systems at larger institutions often use web-based technology to allow for a scalable (available campus wide) approach…

  5. 47 CFR 80.1114 - False distress alerts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false False distress alerts. 80.1114 Section 80.1114 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and...

  6. 47 CFR 80.1114 - False distress alerts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false False distress alerts. 80.1114 Section 80.1114 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and...

  7. 47 CFR 80.1114 - False distress alerts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false False distress alerts. 80.1114 Section 80.1114 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and...

  8. 47 CFR 80.1114 - False distress alerts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false False distress alerts. 80.1114 Section 80.1114 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and...

  9. 47 CFR 80.1114 - False distress alerts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false False distress alerts. 80.1114 Section 80.1114 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and...

  10. Alerting, Orienting, and Executive Attention in Children with ADHD

    ERIC Educational Resources Information Center

    Mullane, Jennifer C.; Corkum, Penny V.; Klein, Raymond M.; McLaughlin, Elizabeth N.; Lawrence, Michael A.

    2011-01-01

    Objective: This study evaluated the alerting, orienting, and executive attention abilities of children with ADHD and their typically developing (TD) peers using a modified version of the adult attention network test (ANT-I). Method: A total of 25 children with ADHD, Combined Type (ADHD-C, mean age = 9.20 years), 20 children with ADHD,…

  11. The NAS Alert System: A look at the first eight years

    USGS Publications Warehouse

    Fuller, Pamela L.; Neilson, Matt; Huge, Dane H.

    2013-01-01

    The U.S. Geological Survey's Nonindigenous Aquatic Species (NAS) database program (http://nas.er.usgs.gov) tracks the distribution of introduced aquatic organisms across the United States. Awareness of, and timely response to, novel species introductions by those involved in nonindigenous aquatic species management and research requires a framework for rapid dissemination of occurrence data as it is incorporated into the NAS database. In May 2004, the NAS program developed an alert system to notify registered users of new introductions as part of a national early detection/rapid response system. This article summarizes information on system users and dispatched alerts from the system's inception through the end of 2011. The NAS alert system has registered over 1,700 users, with approximately 800 current subscribers. A total of 1,189 alerts had been transmitted through 2011. More alerts were sent for Florida (134 alerts) than for any other state. Fishes comprise the largest taxonomic group of alerts (440), with mollusks, plants, and crustaceans each containing over 100 alerts. Most alerts were for organisms that were intentionally released (414 alerts), with shipping, escape from captivity, and hitchhiking also representing major vectors. To explore the archive of sent alerts and to register, the search and signup page for the alert system can be found online at http://nas.er.usgs.gov/AlertSystem/default.aspx.

  12. Sleep, alertness and alertness management among commercial airline pilots on short-haul and long-haul flights.

    PubMed

    Sallinen, Mikael; Sihvola, Maria; Puttonen, Sampsa; Ketola, Kimmo; Tuori, Antti; Härmä, Mikko; Kecklund, Göran; Åkerstedt, Torbjörn

    2017-01-01

    Airline pilots' sleep and on-duty alertness are important focus areas in commercial aviation. Until now, studies pertaining to this topic have mainly focused on specific characteristics of flights and thus a comprehensive picture of the matter is not well established. In addition, research knowledge of what airline pilots actually do to maintain their alertness while being on duty is scarce. To address these gaps in research knowledge, we conducted a field study on a representative sample of the airline pilots of a medium-sized airline. The sample consisted of 90 pilots, of whom 30 flew long-haul (LH) routes, 30 short-haul (SH) routes, and 30 flew both. A total of 86 pilots completed the measurements that lasted for almost two months per pilot. The measurements resulted in a total of 965 flight duty periods (FDPs) including SH flights and 627 FDPs including LH flights. During the measurement periods, sleep was measured by a diary and actigraphs, on-duty alertness by the Karolinska Sleepiness Scale (KSS) in all flight phases, and on-duty alertness management strategies by the diary. Results showed that SH and LH FDPs covering the whole domicile night (00:00-06:00 at home base) were most consistently associated with reduced sleep-wake ratio and subjective alertness. Approximately every 3rd FDP falling into this category involved a reduced sleep-wake ratio (1:3 or lower) and every 2nd a reduced level of subjective alertness (KSS rating 8-9 in at least one flight phase). The corresponding frequencies for the SH and LH FDPs that partly covered the domicile night were every 10th and every 5th FDP and for the pure non-night FDPs every 30th and every 36th FDP, respectively. The results also showed that the pilots tended to increase the use of effective on-duty alertness management strategies (consuming alertness-promoting products and taking strategic naps) in connection with the FDPs that overlapped the domicile night. Finally, the results showed that the frequency of

  13. ShakeAlert Users Transition to the Production Prototype System

    NASA Astrophysics Data System (ADS)

    Strauss, J. A.; Vinci, M.; Steele, W. P.; Hellweg, M.; Allen, R. M.; DeGroot, R. M.

    2016-12-01

    The ShakeAlert Earthquake Early Warning system transitioned from the demonstration system into the fully-fledged production prototype system this year. Users were migrated over to the new system concurrent with the release of the ShakeAlert UserDisplay Version 2.5.0. The production prototype system provides robust connectivity, fail-over mechanisms to ensure that alarms are deliverd even if one connection fails, and provides a framework to connect future stations, participants, and other sources as the project expands to the full public system. We will present an overview of key user sectors that are either testing or launching pilot projects for the system within their organizations. We will outline the implementation of certain actions, and highlight accomplishments and challenges the Beta Users encounter in fully implementing ShakeAlert within their organizations. By better studying these issues, project partners can better assist the users in incorporating early warning in their operations. Opening up the system to allow for pilot projects enables ShakeAlert users to develop hardware, software, and policy solutions for actions in response to early warning alerts in a controlled environment. This is the first step on the path toward limited rollouts. The pilot groups leverage the expertise of our stakeholders to develop the `last mile' alert distribution and responses. The transition went smoothly in February 2015, for users in California, and we expect to connect with more beta users and pilot groups in this next phase. User transition is planned for Fall 2016 for users in the Pacific Northwest. Beta Users, such as municipalities, emergency response groups, and county officials, lifelines, schools, and private industry continue to meet with ShakeAlert partners to 1) further education and training on both benefits and limitations 2) strategize on implementation actions, such as opening fire house bay doors in response to an alarm, and 3) coordinate continued

  14. Shift Verification and Validation

    SciTech Connect

    Pandya, Tara M.; Evans, Thomas M.; Davidson, Gregory G; Johnson, Seth R.; Godfrey, Andrew T.

    2016-09-07

    This documentation outlines the verification and validation of Shift for the Consortium for Advanced Simulation of Light Water Reactors (CASL). Five main types of problems were used for validation: small criticality benchmark problems; full-core reactor benchmarks for light water reactors; fixed-source coupled neutron-photon dosimetry benchmarks; depletion/burnup benchmarks; and full-core reactor performance benchmarks. We compared Shift results to measured data and other simulated Monte Carlo radiation transport code results, and found very good agreement in a variety of comparison measures. These include prediction of critical eigenvalue, radial and axial pin power distributions, rod worth, leakage spectra, and nuclide inventories over a burn cycle. Based on this validation of Shift, we are confident in Shift to provide reference results for CASL benchmarking.

  15. Online fingerprint verification.

    PubMed

    Upendra, K; Singh, S; Kumar, V; Verma, H K

    2007-01-01

    As organizations search for more secure authentication methods for user access, e-commerce, and other security applications, biometrics is gaining increasing attention. With an increasing emphasis on the emerging automatic personal identification applications, fingerprint based identification is becoming more popular. The most widely used fingerprint representation is the minutiae based representation. The main drawback with this representation is that it does not utilize a significant component of the rich discriminatory information available in the fingerprints. Local ridge structures cannot be completely characterized by minutiae. Also, it is difficult quickly to match two fingerprint images containing different number of unregistered minutiae points. In this study filter bank based representation, which eliminates these weakness, is implemented and the overall performance of the developed system is tested. The results have shown that this system can be used effectively for secure online verification applications.

  16. Verification of VENTSAR

    SciTech Connect

    Simpkins, A.A.

    1995-01-01

    The VENTSAR code is an upgraded and improved version of the VENTX code, which estimates concentrations on or near a building from a release at a nearby location. The code calculates the concentrations either for a given meteorological exceedance probability or for a given stability and wind speed combination. A single building can be modeled which lies in the path of the plume, or a penthouse can be added to the top of the building. Plume rise may also be considered. Release types can be either chemical or radioactive. Downwind concentrations are determined at user-specified incremental distances. This verification report was prepared to demonstrate that VENTSAR is properly executing all algorithms and transferring data. Hand calculations were also performed to ensure proper application of methodologies.

  17. Requirements for Nuclear Test Verification

    NASA Astrophysics Data System (ADS)

    Dreicer, M.

    2001-05-01

    Verification comprises the collection and assessment of reliable, relevant information for ascertaining the degree to which our foreign partners are adhering to their international security commitments. In the past, treaty verification was largely a bilateral and the information used to make compliance judgements was under government control. Verification data was collected in joint bilaterally-controlled conditions or at large distances. The international verification regime being developed by the Comprehensive Test Ban Treaty Preparatory Commission will be providing a vast amount of data to a large number of Member States and scientific researchers. The increasingly rapid communication of data from many global sources, including the International Monitoring System, has shifted the traditional views of how verification should be implemented. The newly formed Bureau of Verification and Compliance in the U.S. Department of State is working to develop an overall concept of what sources of information and day-to-day activities are needed to carry out its verification and compliance functions. This presentation will set out preliminary ideas of how this will be and will include ideas of what types of research and development are needed.

  18. Site Specific Verification Guidelines.

    SciTech Connect

    Harding, Steve; Gordon, Frederick M.; Kennedy, Mike

    1992-05-01

    The Bonneville Power Administration (BPA) and the Northwest region have moved from energy surplus to a time when demand for energy is likely to exceed available supplies. The Northwest Power Planning Council is calling for a major push to acquire new resources.'' To meet anticipated loads in the next decade, BPA and the region must more than double that rate at which we acquire conservation resources. BPA hopes to achieve some of this doubling by programs independently designed and implemented by utilities and other parties without intensive BPA involvement. BPA will accept proposals for programs using performance-based payments, in which BPA bases its reimbursement to the sponsor on measured energy savings rather than program costs. To receive payment for conservation projects developed under performance-based programs, utilities and other project developers must propose verification plans to measure the amount of energy savings. BPA has traditionally used analysis of billing histories, before and after measure installation, adjusted by a comparison group on non-participating customers to measure conservation savings. This approach does not work well for all conversation projects. For large or unusual facilities the comparison group approach is not reliable due to the absence of enough comparable non-participants to allow appropriate statistical analysis. For these facilities, which include large commercial and institutional buildings, industrial projects, and complex combinations of building types served by a single utility meter, savings must be verified on a site-specific basis. These guidelines were written to help proposers understand what Bonneville considers the important issues in site specific verification of conservation performance. It also provides a toolbox of methods with guidance on their application and use. 15 refs.

  19. Physicians’ response to computerised alerts for psychotropic drugs in older persons: a multilevel analysis of the associated alert, patient and physician characteristics

    PubMed Central

    Tamblyn, Robyn; Reidel, Kristen; Patel, Vaishali

    2012-01-01

    Objective Computerised drug alerts are expected to reduce patients’ risk of adverse drug events. However, physicians over-ride most drug alerts, because they believe that the benefit exceeds the risk. The purpose of this study was to determine the drug alert, patient and physician characteristics associated with the: (1) occurrence of psychotropic drug alerts for elderly patients and the (2) response to these alerts by their primary care physicians. Setting Primary care, Quebec, Canada. Design Prospective cohort study. Participants Sixty-one physicians using an electronic prescribing and drug alert decision-support system in their practice, and 3413 elderly patients using psychotropic drugs. Primary and secondary measures Psychotropic drug class, alert severity, patient risk for fall injuries and physician experience, practice volume and computer use were evaluated in relationship to the likelihood of having: (1) a psychotropic drug alert, (2) the prescription revised in response to an alert. Cluster-adjusted alternating logistic regression was used to assess multilevel predictors of alert occurrence and response. Results In total 13 080 psychotropic drug alerts were generated in 8931 visits. Alerts were more likely to be generated for male patients at higher risk of fall-related injury and for physicians who established the highest alert threshold. In 9.9% of alerts seen, the prescription was revised. The highest revision rate was for antipsychotic alerts (22.6%). Physicians were more likely to revise prescriptions for severe alerts (OR 2.03; 95%CI 1.39 to 2.98), if patients had cognitive impairment (OR 1.95; 95%CI 1.13 to 3.36), and if they made more visits to their physician (OR 1.05 per 5 visits; 95%CI 1 to 1.09). Conclusions Physicians view and respond to a small proportion of alerts, mainly for higher-risk patients. To reduce the risk of psychotropic drug-related fall injuries, a new generation of evidence-based drug alerts should be developed. PMID

  20. Detection Algorithms of the Seismic Alert System of Mexico (SASMEX)

    NASA Astrophysics Data System (ADS)

    Cuellar Martinez, A.; Espinosa Aranda, J.; Ramos Perez, S.; Ibarrola Alvarez, G.; Zavala Guerrero, M.; Sasmex

    2013-05-01

    The importance of a rapid and reliable detection of an earthquake, allows taking advantage with more opportunity time of any possible opportunity warnings to the population. Thus detection algorithms in the sensing field station (FS) of an earthquake early earning system, must have a high rate of correct detection; this condition lets perform numerical processes to obtain appropriate parameters for the alert activation. During the evolution and continuous service of the Mexican Seismic Alert System (SASMEX) in more than 23 operation years, it has used various methodologies in the detection process to get the largest opportunity time when an earthquake occurs and it is alerted. In addition to the characteristics of the acceleration signal observed in sensing field stations, it is necessary the site conditions reducing urban noise, but sometimes it is not present through of the first operation years, however, urban growth near to FS cause urban noise, which should be tolerated while carrying out the relocation process of the station, and in the algorithm design should be contemplating the robustness to reduce possible errors and false detections. This work presents some results on detection algorithms used in Mexico for early warning systems for earthquakes considering recent events and different opportunity times obtained depending of the detections on P and S phases of the earthquake detected in the station. Some methodologies are reviewed and described in detail in this work and the main features implemented in The Seismic Alert System of Mexico City (SAS), in continuous operation since 1991, and the Seismic Alert System of Oaxaca City (SASO), today both comprise the SASMEX.

  1. The Montsec Observatory and the Gaia science alerts

    NASA Astrophysics Data System (ADS)

    Carrasco, J. M.; Burgaz, U.; Vilardell, F.; Jordi, C.

    2017-03-01

    The continuous and reiterative scan of the whole sky performed by Gaia ESA's mission during its (at least) 5 years of mission allows to detect transient events (e.g., supernovae, microlensing events, cataclysmic variables, etc) almost in real time among the daily millions of observations. The pipeline in charge to discover these alerts does a quick look analysis of the daily data stream, identify those sources increasing their brightness with respect to previous Gaia observations and also analyse their spectrophotometry to decide if those sources are good candidates to be published as a Gaia Photometric Science Alerts. These events are publicly announced for follow-up observations (both photometric and spectroscopic are needed). Observatories around the world confirm, classify and study them in detail. Observations are put in common and analysed together in a common interface in order to get a single analysis as detailed and precise as possible. Our team in Barcelona contributes to this Gaia science alerts follow-up programme with the 0.8 m robotic telescope Joan Oró (TJO), at the Montsec Observatory (OAdM), located at Sant Esteve de la Sarga (Lleida, Spain) performing photometric observations to derive the lightcurves of the most interesting alerts accessible from the observatory. Until now we have contributed with about 4500 images in multicolour Johnson-Cousins passbands obtained with TJO for a total of 38 Gaia science alerts, becoming the third most contributing observatory in the programme. Here we summarise the procedure to select new targets to be observed by TJO, submit follow-up observations and we explain the analysis we did for some interesting obtained lightcurves.

  2. Physician Alerts to Prevent Symptomatic Venous Thromboembolism in Hospitalized Patients

    PubMed Central

    Piazza, Gregory; Rosenbaum, Erin J.; Pendergast, William; Jacobson, Joseph O.; Pendleton, Robert C.; McLaren, Gordon D.; Elliott, C. Gregory; Stevens, Scott M.; Patton, William F.; Dabbagh, Ousama; Paterno, Marilyn D.; Catapane, Elaine; Li, Zhongzhen; Goldhaber, Samuel Z.

    2010-01-01

    Background Venous thromboembolism (VTE) prophylaxis remains underutilized among hospitalized patients. We designed and carried out a large multicenter randomized controlled trial to test the hypothesis that an alert from a hospital staff member to the Attending Physician will reduce the rate of symptomatic VTE among high-risk patients not receiving prophylaxis. Methods and Results We enrolled patients using a validated point score system to detect hospitalized patients at high risk for symptomatic VTE who were not receiving prophylaxis. 2,493 patients (82% on Medical Services) from 25 study sites were randomized to the intervention group (n=1,238), in which the responsible physician was alerted by another hospital staff member, versus the control group (n=1,255), in which no alert was issued. The primary end point was symptomatic, objectively confirmed VTE within 90 days. Patients whose physicians were alerted were more than twice as likely to receive VTE prophylaxis as controls (46.0% versus 20.6%, p<0.0001). The symptomatic VTE rate was lower in the intervention group (2.7% versus 3.4%; hazard ratio, 0.79; 95% confidence interval, 0.50 to 1.25), but the difference did not achieve statistical significance. The rate of major bleeding at 30 days in the alert group was similar to the control group (2.1% versus 2.3%, p=0.68). Conclusions A strategy of direct staff member to physician notification increases prophylaxis utilization and leads toward reducing the rate of symptomatic VTE in hospitalized patients. However, VTE prophylaxis continues to be underutilized even after physician notification, especially among Medical Service patients. PMID:19364975

  3. Computational derivation of structural alerts from large toxicology data sets.

    PubMed

    Ahlberg, Ernst; Carlsson, Lars; Boyer, Scott

    2014-10-27

    Structural alerts have been one of the backbones of computational toxicology and have applications in many areas including cosmetic, environmental, and pharmaceutical toxicology. The development of structural alerts has always involved a manual analysis of existing data related to a relevant end point followed by the determination of substructures that appear to be related to a specific outcome. The substructures are then analyzed for their utility in posterior validation studies, which at times have stretched over years or even decades. With higher throughput methods now being employed in many areas of toxicology, data sets are growing at an unprecedented rate. This growth has made manual analysis of data sets impractical in many cases. This report outlines a fully automatic method that highlights significant substructures for toxicologically important data sets. The method identifies important substructures by computationally breaking chemical structures into fragments and analyzing those fragments for their contribution to the given activity by the calculation of a p-value and a substructure accuracy. The method is intended to aid the expert in locating and analyzing alerts by automatic retrieval of alerts or by enhancing existing alerts. The method has been applied to a data set of AMES mutagenicity results and compared to the substructures generated by manual curation of this same data set as well as another computationally based substructure identification method. The results show that this method can retrieve significant substructures quickly, that the substructures are comparable and in some cases superior to those derived from manual curation, that the substructures found covers all previously known substructures, and that they can be used to make reasonably accurate predictions of AMES activity.

  4. 40 CFR 1065.390 - PM balance verifications and weighing process verification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 34 2012-07-01 2012-07-01 false PM balance verifications and weighing... § 1065.390 PM balance verifications and weighing process verification. (a) Scope and frequency. This section describes three verifications. (1) Independent verification of PM balance performance within 370...

  5. 40 CFR 1065.390 - PM balance verifications and weighing process verification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 33 2011-07-01 2011-07-01 false PM balance verifications and weighing... § 1065.390 PM balance verifications and weighing process verification. (a) Scope and frequency. This section describes three verifications. (1) Independent verification of PM balance performance within 370...

  6. 40 CFR 1065.390 - PM balance verifications and weighing process verification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false PM balance verifications and weighing... § 1065.390 PM balance verifications and weighing process verification. (a) Scope and frequency. This section describes three verifications. (1) Independent verification of PM balance performance within 370...

  7. 40 CFR 1065.390 - PM balance verifications and weighing process verification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false PM balance verifications and weighing... § 1065.390 PM balance verifications and weighing process verification. (a) Scope and frequency. This section describes three verifications. (1) Independent verification of PM balance performance within 370...

  8. 40 CFR 1065.390 - PM balance verifications and weighing process verification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false PM balance verifications and weighing... § 1065.390 PM balance verifications and weighing process verification. (a) Scope and frequency. This section describes three verifications. (1) Independent verification of PM balance performance within 370...

  9. 76 FR 62321 - Airworthiness Directives; Aviation Communication & Surveillance Systems (ACSS) Traffic Alert and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ... Communication & Surveillance Systems (ACSS) Traffic Alert and Collision Avoidance System (TCAS) Units AGENCY... certain Aviation Communication & Surveillance Systems (ACSS) traffic alert and collision avoidance system... Federal holidays. For service information identified in this AD, contact Aviation...

  10. V-Alert: Description and Validation of a Vulnerable Road User Alert System in the Framework of a Smart City.

    PubMed

    Hernandez-Jayo, Unai; De-la-Iglesia, Idoia; Perez, Jagoba

    2015-07-29

    V-Alert is a cooperative application to be deployed in the frame of Smart Cities with the aim of reducing the probability of accidents involving Vulnerable Road Users (VRU) and vehicles. The architecture of V-Alert combines short- and long-range communication technologies in order to provide more time to the drivers and VRU to take the appropriate maneuver and avoid a possible collision. The information generated by mobile sensors (vehicles and cyclists) is sent over this heterogeneous communication architecture and processed in a central server, the Drivers Cloud, which is in charge of generating the messages that are shown on the drivers' and cyclists' Human Machine Interface (HMI). First of all, V-Alert has been tested in a simulated scenario to check the communications architecture in a complex scenario and, once it was validated, all the elements of V-Alert have been moved to a real scenario to check the application reliability. All the results are shown along the length of this paper.

  11. V-Alert: Description and Validation of a Vulnerable Road User Alert System in the Framework of a Smart City

    PubMed Central

    Hernandez-Jayo, Unai; De-la-Iglesia, Idoia; Perez, Jagoba

    2015-01-01

    V-Alert is a cooperative application to be deployed in the frame of Smart Cities with the aim of reducing the probability of accidents involving Vulnerable Road Users (VRU) and vehicles. The architecture of V-Alert combines short- and long-range communication technologies in order to provide more time to the drivers and VRU to take the appropriate maneuver and avoid a possible collision. The information generated by mobile sensors (vehicles and cyclists) is sent over this heterogeneous communication architecture and processed in a central server, the Drivers Cloud, which is in charge of generating the messages that are shown on the drivers’ and cyclists’ Human Machine Interface (HMI). First of all, V-Alert has been tested in a simulated scenario to check the communications architecture in a complex scenario and, once it was validated, all the elements of V-Alert have been moved to a real scenario to check the application reliability. All the results are shown along the length of this paper. PMID:26230695

  12. CISN ShakeAlert: Development of a Prototype User Display for Providing Earthquake Alerts to End Users

    NASA Astrophysics Data System (ADS)

    Böse, M.; Solanki, K.; Allen, R. M.; Brown, H.; Cua, G. B.; Given, D.; Hauksson, E.; Heaton, T. H.; Cisn Earthquake Early Warning Project Team

    2010-12-01

    Providing earthquake alerts (EA) requires fast and robust estimates of earthquake source and predictions of ground motion parameters shortly after the initiation of an earthquake. Over the past four years the California Integrated Seismic Network (CISN) has tested the real-time performance of three algorithms for providing EA in California. In the next two years we will migrate to an end-to-end prototype processing thread, called CISN ShakeAlert, which will provide a continuum of earthquake alert information. We have developed a User Display based on a Java applet to provide this information to a small group of collaborating test users. In turn, these test users will assist in developing procedures and formats that could be used to improve delivery of information via the ShakeAlert. The first version of the display runs on a user computer, and shows the user location, estimated location of the earthquake, location of the P- and S-wave fronts, estimated magnitude, as well as the predicted level of intensity of shaking at the user site and time until this shaking is expected to arrive. In future versions, we plan to assign uncertainty estimates to all predicted parameters.

  13. Effects of Redundant Alerts on Platoon Leader Performance and Decision Making

    DTIC Science & Technology

    2007-04-01

    demanding tasks such as scanning displays, response time can be as much as 63% slower for a single visual alert, compared to the redundant alerts...that were as much as 63% faster than a single visual alert. These results suggest that alerts provide an effective method of information...Appendix B. Scenarios OBJ GATOR LD PL PEACH MINE DIRECT FIRE INDIRECT FIRE DANGER AREA SCENARIO 1 AXIS FLORIDA 22

  14. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug Alerts and Their Utility in Preventing Adverse Drug Events in the Emergency Department

    PubMed Central

    Genco, Emma K.; Forster, Jeri E.; Flaten, Hanna; Goss, Foster; Heard, Kennon J.; Hoppe, Jason; Monte, Andrew A.

    2016-01-01

    Study objective We examine the characteristics of clinical decision support alerts triggered when opioids are prescribed, including alert type, override rates, adverse drug events associated with opioids, and preventable adverse drug events. Methods This was a retrospective chart review study assessing adverse drug event occurrences for emergency department (ED) visits in a large urban academic medical center using a commercial electronic health record system with clinical decision support. Participants include those aged 18 to 89 years who arrived to the ED every fifth day between September 2012 and January 2013. The main outcome was characteristics of opioid drug alerts, including alert type, override rates, opioid-related adverse drug events, and adverse drug event preventability by clinical decision support. Results Opioid drug alerts were more likely to be overridden than nonopioid alerts (relative risk 1.35; 95% confidence interval [CI] 1.21 to 1.50). Opioid drug-allergy alerts were twice as likely to be overridden (relative risk 2.24; 95% CI 1.74 to 2.89). Opioid duplicate therapy alerts were 1.57 times as likely to be overridden (95% CI 1.30 to 1.89). Fourteen of 4,581 patients experienced an adverse drug event (0.31%; 95% CI 0.15% to 0.47%), and 8 were due to opioids (57.1%). None of the adverse drug events were preventable by clinical decision support. However, 46 alerts were accepted for 38 patients that averted a potential adverse drug event. Overall, 98.9% of opioid alerts did not result in an actual or averted adverse drug event, and 96.3% of opioid alerts were overridden. Conclusion Overridden opioid alerts did not result in adverse drug events. Clinical decision support successfully prevented adverse drug events at the expense of generating a large volume of inconsequential alerts. To prevent 1 adverse drug event, providers dealt with more than 123 unnecessary alerts. It is essential to refine clinical decision support alerting systems to eliminate

  15. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug Alerts and Their Utility in Preventing Adverse Drug Events in the Emergency Department.

    PubMed

    Genco, Emma K; Forster, Jeri E; Flaten, Hanna; Goss, Foster; Heard, Kennon J; Hoppe, Jason; Monte, Andrew A

    2016-02-01

    We examine the characteristics of clinical decision support alerts triggered when opioids are prescribed, including alert type, override rates, adverse drug events associated with opioids, and preventable adverse drug events. This was a retrospective chart review study assessing adverse drug event occurrences for emergency department (ED) visits in a large urban academic medical center using a commercial electronic health record system with clinical decision support. Participants include those aged 18 to 89 years who arrived to the ED every fifth day between September 2012 and January 2013. The main outcome was characteristics of opioid drug alerts, including alert type, override rates, opioid-related adverse drug events, and adverse drug event preventability by clinical decision support. Opioid drug alerts were more likely to be overridden than nonopioid alerts (relative risk 1.35; 95% confidence interval [CI] 1.21 to 1.50). Opioid drug-allergy alerts were twice as likely to be overridden (relative risk 2.24; 95% CI 1.74 to 2.89). Opioid duplicate therapy alerts were 1.57 times as likely to be overridden (95% CI 1.30 to 1.89). Fourteen of 4,581 patients experienced an adverse drug event (0.31%; 95% CI 0.15% to 0.47%), and 8 were due to opioids (57.1%). None of the adverse drug events were preventable by clinical decision support. However, 46 alerts were accepted for 38 patients that averted a potential adverse drug event. Overall, 98.9% of opioid alerts did not result in an actual or averted adverse drug event, and 96.3% of opioid alerts were overridden. Overridden opioid alerts did not result in adverse drug events. Clinical decision support successfully prevented adverse drug events at the expense of generating a large volume of inconsequential alerts. To prevent 1 adverse drug event, providers dealt with more than 123 unnecessary alerts. It is essential to refine clinical decision support alerting systems to eliminate inconsequential alerts to prevent alert

  16. Framework to Define Structure and Boundaries of Complex Health Intervention Systems: The ALERT Project.

    PubMed

    Boriani, Elena; Esposito, Roberto; Frazzoli, Chiara; Fantke, Peter; Hald, Tine; Rüegg, Simon R

    2017-01-01

    Health intervention systems are complex and subject to multiple variables in different phases of implementation. This constitutes a concrete challenge for the application of translational science in real life. Complex systems as health-oriented interventions call for interdisciplinary approaches with carefully defined system boundaries. Exploring individual components of such systems from different viewpoints gives a wide overview and helps to understand the elements and the relationships that drive actions and consequences within the system. In this study, we present an application and assessment of a framework with focus on systems and system boundaries of interdisciplinary projects. As an example on how to apply our framework, we analyzed ALERT [an integrated sensors and biosensors' system (BEST) aimed at monitoring the quality, health, and traceability of the chain of the bovine milk], a multidisciplinary and interdisciplinary project based on the application of measurable biomarkers at strategic points of the milk chain for improved food security (including safety), human, and ecosystem health (1). In fact, the European food safety framework calls for science-based support to the primary producers' mandate for legal, scientific, and ethical responsibility in food supply. Because of its multidisciplinary and interdisciplinary approach involving human, animal, and ecosystem health, ALERT can be considered as a One Health project. Within the ALERT context, we identified the need to take into account the main actors, interactions, and relationships of stakeholders to depict a simplified skeleton of the system. The framework can provide elements to highlight how and where to improve the project development when project evaluations are required.

  17. Framework to Define Structure and Boundaries of Complex Health Intervention Systems: The ALERT Project

    PubMed Central

    Boriani, Elena; Esposito, Roberto; Frazzoli, Chiara; Fantke, Peter; Hald, Tine; Rüegg, Simon R.

    2017-01-01

    Health intervention systems are complex and subject to multiple variables in different phases of implementation. This constitutes a concrete challenge for the application of translational science in real life. Complex systems as health-oriented interventions call for interdisciplinary approaches with carefully defined system boundaries. Exploring individual components of such systems from different viewpoints gives a wide overview and helps to understand the elements and the relationships that drive actions and consequences within the system. In this study, we present an application and assessment of a framework with focus on systems and system boundaries of interdisciplinary projects. As an example on how to apply our framework, we analyzed ALERT [an integrated sensors and biosensors’ system (BEST) aimed at monitoring the quality, health, and traceability of the chain of the bovine milk], a multidisciplinary and interdisciplinary project based on the application of measurable biomarkers at strategic points of the milk chain for improved food security (including safety), human, and ecosystem health (1). In fact, the European food safety framework calls for science-based support to the primary producers’ mandate for legal, scientific, and ethical responsibility in food supply. Because of its multidisciplinary and interdisciplinary approach involving human, animal, and ecosystem health, ALERT can be considered as a One Health project. Within the ALERT context, we identified the need to take into account the main actors, interactions, and relationships of stakeholders to depict a simplified skeleton of the system. The framework can provide elements to highlight how and where to improve the project development when project evaluations are required. PMID:28804707

  18. Prediction of Vigilant Attention and Cognitive Performance Using Self-Reported Alertness, Circadian Phase, Hours since Awakening, and Accumulated Sleep Loss

    PubMed Central

    Bermudez, Eduardo B.; Klerman, Elizabeth B.; Czeisler, Charles A.; Cohen, Daniel A.; Wyatt, James K.; Phillips, Andrew J. K.

    2016-01-01

    Sleep restriction causes impaired cognitive performance that can result in adverse consequences in many occupational settings. Individuals may rely on self-perceived alertness to decide if they are able to adequately perform a task. It is therefore important to determine the relationship between an individual’s self-assessed alertness and their objective performance, and how this relationship depends on circadian phase, hours since awakening, and cumulative lost hours of sleep. Healthy young adults (aged 18–34) completed an inpatient schedule that included forced desynchrony of sleep/wake and circadian rhythms with twelve 42.85-hour “days” and either a 1:2 (n = 8) or 1:3.3 (n = 9) ratio of sleep-opportunity:enforced-wakefulness. We investigated whether subjective alertness (visual analog scale), circadian phase (melatonin), hours since awakening, and cumulative sleep loss could predict objective performance on the Psychomotor Vigilance Task (PVT), an Addition/Calculation Test (ADD) and the Digit Symbol Substitution Test (DSST). Mathematical models that allowed nonlinear interactions between explanatory variables were evaluated using the Akaike Information Criterion (AIC). Subjective alertness was the single best predictor of PVT, ADD, and DSST performance. Subjective alertness alone, however, was not an accurate predictor of PVT performance. The best AIC scores for PVT and DSST were achieved when all explanatory variables were included in the model. The best AIC score for ADD was achieved with circadian phase and subjective alertness variables. We conclude that subjective alertness alone is a weak predictor of objective vigilant or cognitive performance. Predictions can, however, be improved by knowing an individual’s circadian phase, current wake duration, and cumulative sleep loss. PMID:27019198

  19. Prediction of Vigilant Attention and Cognitive Performance Using Self-Reported Alertness, Circadian Phase, Hours since Awakening, and Accumulated Sleep Loss.

    PubMed

    Bermudez, Eduardo B; Klerman, Elizabeth B; Czeisler, Charles A; Cohen, Daniel A; Wyatt, James K; Phillips, Andrew J K

    2016-01-01

    Sleep restriction causes impaired cognitive performance that can result in adverse consequences in many occupational settings. Individuals may rely on self-perceived alertness to decide if they are able to adequately perform a task. It is therefore important to determine the relationship between an individual's self-assessed alertness and their objective performance, and how this relationship depends on circadian phase, hours since awakening, and cumulative lost hours of sleep. Healthy young adults (aged 18-34) completed an inpatient schedule that included forced desynchrony of sleep/wake and circadian rhythms with twelve 42.85-hour "days" and either a 1:2 (n = 8) or 1:3.3 (n = 9) ratio of sleep-opportunity:enforced-wakefulness. We investigated whether subjective alertness (visual analog scale), circadian phase (melatonin), hours since awakening, and cumulative sleep loss could predict objective performance on the Psychomotor Vigilance Task (PVT), an Addition/Calculation Test (ADD) and the Digit Symbol Substitution Test (DSST). Mathematical models that allowed nonlinear interactions between explanatory variables were evaluated using the Akaike Information Criterion (AIC). Subjective alertness was the single best predictor of PVT, ADD, and DSST performance. Subjective alertness alone, however, was not an accurate predictor of PVT performance. The best AIC scores for PVT and DSST were achieved when all explanatory variables were included in the model. The best AIC score for ADD was achieved with circadian phase and subjective alertness variables. We conclude that subjective alertness alone is a weak predictor of objective vigilant or cognitive performance. Predictions can, however, be improved by knowing an individual's circadian phase, current wake duration, and cumulative sleep loss.

  20. Generic interpreters and microprocessor verification

    NASA Technical Reports Server (NTRS)

    Windley, Phillip J.

    1990-01-01

    The following topics are covered in viewgraph form: (1) generic interpreters; (2) Viper microprocessors; (3) microprocessor verification; (4) determining correctness; (5) hierarchical decomposition; (6) interpreter theory; (7) AVM-1; (8) phase-level specification; and future work.

  1. 14 CFR 135.180 - Traffic Alert and Collision Avoidance System.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Traffic Alert and Collision Avoidance... Aircraft and Equipment § 135.180 Traffic Alert and Collision Avoidance System. (a) Unless otherwise... equipped with an approved traffic alert and collision avoidance system. If a TCAS II system is...

  2. 78 FR 49292 - American Medical Alert Corporation, DBA Tunstall, Clovis, New Mexico; Amended Certification...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    ... Employment and Training Administration American Medical Alert Corporation, DBA Tunstall, Clovis, New Mexico..., applicable to workers of American Medical Alert Corporation, doing business as Tunstall, Long Island City... of American Medical Alert Corporation, doing business as Tunstall, Clovis, New Mexico, who became...

  3. Developing an Early-Alert System to Promote Student Visits to Tutor Center

    ERIC Educational Resources Information Center

    Cai, Qijie; Lewis, Carrie L.; Higdon, Jude

    2015-01-01

    An early-alert system (MavCLASS) was developed and piloted in a large gateway math class with 611 freshman students to identify academically at-risk students and provide alert messages. It was found that there was significant association between the alert messages students received and their visits to the university's tutor center. Further, the…

  4. Living with the Active Alert Child: Groundbreaking Strategies for Parents. Third Edition.

    ERIC Educational Resources Information Center

    Budd, Linda S.

    Bright, controlling, fearful, and highly energetic, active alert children are frequently misdiagnosed as hyperactive or learning disabled. This book offers guidance for the special challenge of parenting the active alert infant, child, and adolescent. Part 1 of the book profiles the active alert child and examines 11 traits that characterize…

  5. 76 FR 81904 - Solicitation of New Safe Harbors and Special Fraud Alerts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ... Fraud Alerts AGENCY: Office of Inspector General (OIG), HHS. ACTION: Notice of intent to develop... Social Security Act), as well as developing new OIG Special Fraud Alerts. DATES: To assure consideration... recommendations for developing new or revised safe harbors and Special Fraud Alerts. Please assist us by...

  6. 78 FR 78807 - Solicitation of New Safe Harbors and Special Fraud Alerts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ... Fraud Alerts AGENCY: Office of Inspector General (OIG), HHS. ACTION: Notice of intent to develop... Social Security Act), as well as developing new OIG Special Fraud Alerts. DATES: To ensure consideration... the public on recommendations for developing new or revised safe harbors and Special Fraud Alerts...

  7. 75 FR 26269 - Draft Programmatic Environmental Assessment for the Integrated Public Alert and Warning Program's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ... Public Alert and Warning Program's Construction Projects AGENCY: Federal Emergency Management Agency, DHS... Public Alert and Warning Program (IPAWS). The construction actions will be taken to ensure that FEMA meets its responsibilities under Executive Order 13407, Public Alert and Warning System, by providing...

  8. 77 FR 76434 - Solicitation of New Safe Harbors and Special Fraud Alerts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-28

    ... CFR Part 1001 Solicitation of New Safe Harbors and Special Fraud Alerts AGENCY: Office of Inspector... developing new OIG Special Fraud Alerts. DATES: To ensure consideration, public comments must be delivered to... the public on recommendations for developing new or revised safe harbors and Special Fraud Alerts...

  9. 75 FR 2105 - Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical Equipment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ... Alert on Telemarketing by Durable Medical Equipment Suppliers AGENCY: Office of Inspector General (OIG... Special Fraud Alert addressing telemarketing by durable medical equipment (DME) suppliers. For the most part, OIG Special Fraud Alerts address national trends in health care fraud, including potential...

  10. 75 FR 26196 - Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical Equipment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ... HUMAN SERVICES Office of Inspector General Publication of OIG Updated Special Fraud Alert on... published on January 10, 2010 (75 FR 2105), addressing our recently issued Updated Special Fraud Alert. Specifically, the Updated Special Fraud Alert addressed the statutory provision prohibiting durable medical...

  11. 75 FR 81556 - Solicitation of New Safe Harbors and Special Fraud Alerts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ... Fraud Alerts AGENCY: Office of Inspector General (OIG), HHS. ACTION: Notice of intent to develop... Social Security Act), as well as developing new OIG Special Fraud Alerts. DATES: To assure consideration... developing new or revised safe harbors and Special Fraud Alerts. Please assist us by referencing the file...

  12. 47 CFR 80.335 - Procedures for canceling false distress alerts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... alert. (a) VHF Digital Selective Calling. (1) Reset the equipment immediately; (2) Immediately cancel the distress alert orally over the telephony distress traffic channel associated with each DSC channel on which the distress alert was transmitted; (3) Set to Channel 16; and (4) Transmit a broadcast...

  13. Method and apparatus for extraction of low-frequency artifacts from brain waves for alertness detection

    DOEpatents

    Clapp, Ned E.; Hively, Lee M.

    1997-01-01

    Methods and apparatus automatically detect alertness in humans by monitoring and analyzing brain wave signals. Steps include: acquiring the brain wave (EEG or MEG) data from the subject, digitizing the data, separating artifact data from raw data, and comparing trends in f-data to alertness indicators, providing notification of inadequate alertness.

  14. Method and apparatus for extraction of low-frequency artifacts from brain waves for alertness detection

    DOEpatents

    Clapp, N.E.; Hively, L.M.

    1997-05-06

    Methods and apparatus automatically detect alertness in humans by monitoring and analyzing brain wave signals. Steps include: acquiring the brain wave (EEG or MEG) data from the subject, digitizing the data, separating artifact data from raw data, and comparing trends in f-data to alertness indicators, providing notification of inadequate alertness. 4 figs.

  15. 14 CFR 135.180 - Traffic Alert and Collision Avoidance System.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Traffic Alert and Collision Avoidance... Aircraft and Equipment § 135.180 Traffic Alert and Collision Avoidance System. (a) Unless otherwise... equipped with an approved traffic alert and collision avoidance system. If a TCAS II system is...

  16. 14 CFR 135.180 - Traffic Alert and Collision Avoidance System.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Traffic Alert and Collision Avoidance... Aircraft and Equipment § 135.180 Traffic Alert and Collision Avoidance System. (a) Unless otherwise... equipped with an approved traffic alert and collision avoidance system. If a TCAS II system is...

  17. 14 CFR 135.180 - Traffic Alert and Collision Avoidance System.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Traffic Alert and Collision Avoidance... Aircraft and Equipment § 135.180 Traffic Alert and Collision Avoidance System. (a) Unless otherwise... equipped with an approved traffic alert and collision avoidance system. If a TCAS II system is...

  18. 47 CFR 11.56 - EAS Participants receive CAP-formatted alerts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false EAS Participants receive CAP-formatted alerts... SYSTEM (EAS) Emergency Operations § 11.56 EAS Participants receive CAP-formatted alerts. Notwithstanding anything herein to the contrary, all EAS Participants must be able to receive CAP-formatted EAS alerts no...

  19. Self-Alert Training: Volitional Modulation of Autonomic Arousal Improves Sustained Attention

    ERIC Educational Resources Information Center

    O'Connell, Redmond G.; Bellgrove, Mark A.; Dockree, Paul M.; Lau, Adam; Fitzgerald, Michael; Robertson, Ian H.

    2008-01-01

    The present study examines a new alertness training strategy (Self-Alert Training, SAT) designed to explore the relationship between the top-down control processes governing arousal and sustained attention. In order to maximally target frontal control systems SAT combines a previously validated behavioural self-alerting technique [Robertson, I.…

  20. Living with the Active Alert Child: Groundbreaking Strategies for Parents. Third Edition.

    ERIC Educational Resources Information Center

    Budd, Linda S.

    Bright, controlling, fearful, and highly energetic, active alert children are frequently misdiagnosed as hyperactive or learning disabled. This book offers guidance for the special challenge of parenting the active alert infant, child, and adolescent. Part 1 of the book profiles the active alert child and examines 11 traits that characterize…

  1. Developing an Early-Alert System to Promote Student Visits to Tutor Center

    ERIC Educational Resources Information Center

    Cai, Qijie; Lewis, Carrie L.; Higdon, Jude

    2015-01-01

    An early-alert system (MavCLASS) was developed and piloted in a large gateway math class with 611 freshman students to identify academically at-risk students and provide alert messages. It was found that there was significant association between the alert messages students received and their visits to the university's tutor center. Further, the…

  2. 30 CFR 75.352 - Actions in response to AMS malfunction, alert, or alarm signals.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... program of instruction. (d) If there is an alert or alarm signal from a methane sensor installed in... capabilities with the AMS operator at intervals not to exceed 2,000 feet and report contaminant levels to the... either the alert or alarm level specified in § 75.351(i), or the alternate alert and alarm levels...

  3. Self-Alert Training: Volitional Modulation of Autonomic Arousal Improves Sustained Attention

    ERIC Educational Resources Information Center

    O'Connell, Redmond G.; Bellgrove, Mark A.; Dockree, Paul M.; Lau, Adam; Fitzgerald, Michael; Robertson, Ian H.

    2008-01-01

    The present study examines a new alertness training strategy (Self-Alert Training, SAT) designed to explore the relationship between the top-down control processes governing arousal and sustained attention. In order to maximally target frontal control systems SAT combines a previously validated behavioural self-alerting technique [Robertson, I.…

  4. Formal verification of an MMU and MMU cache

    NASA Technical Reports Server (NTRS)

    Schubert, E. T.

    1991-01-01

    We describe the formal verification of a hardware subsystem consisting of a memory management unit and a cache. These devices are verified independently and then shown to interact correctly when composed. The MMU authorizes memory requests and translates virtual addresses to real addresses. The cache improves performance by maintaining a LRU (least recently used) list from the memory resident segment table.

  5. On the alert: future priorities for alerts in clinical decision support for computerized physician order entry identified from a European workshop

    PubMed Central

    2013-01-01

    Background Clinical decision support (CDS) for electronic prescribing systems (computerized physician order entry) should help prescribers in the safe and rational use of medicines. However, the best ways to alert users to unsafe or irrational prescribing are uncertain. Specifically, CDS systems may generate too many alerts, producing unwelcome distractions for prescribers, or too few alerts running the risk of overlooking possible harms. Obtaining the right balance of alerting to adequately improve patient safety should be a priority. Methods A workshop funded through the European Regional Development Fund was convened by the University Hospitals Birmingham NHS Foundation Trust to assess current knowledge on alerts in CDS and to reach a consensus on a future research agenda on this topic. Leading European researchers in CDS and alerts in electronic prescribing systems were invited to the workshop. Results We identified important knowledge gaps and suggest research priorities including (1) the need to determine the optimal sensitivity and specificity of alerts; (2) whether adaptation to the environment or characteristics of the user may improve alerts; and (3) whether modifying the timing and number of alerts will lead to improvements. We have also discussed the challenges and benefits of using naturalistic or experimental studies in the evaluation of alerts and suggested appropriate outcome measures. Conclusions We have identified critical problems in CDS, which should help to guide priorities in research to evaluate alerts. It is hoped that this will spark the next generation of novel research from which practical steps can be taken to implement changes to CDS systems that will ultimately reduce alert fatigue and improve the design of future systems. PMID:24083548

  6. Mechanical verification of a schematic Byzantine clock synchronization algorithm

    NASA Technical Reports Server (NTRS)

    Shankar, Natarajan

    1991-01-01

    Schneider generalizes a number of protocols for Byzantine fault tolerant clock synchronization and presents a uniform proof for their correctness. The authors present a machine checked proof of this schematic protocol that revises some of the details in Schneider's original analysis. The verification was carried out with the EHDM system developed at the SRI Computer Science Laboratory. The mechanically checked proofs include the verification that the egocentric mean function used in Lamport and Melliar-Smith's Interactive Convergence Algorithm satisfies the requirements of Schneider's protocol.

  7. Reduction in alert fatigue in an assisted electronic prescribing system, through the Lean Six Sigma methodology.

    PubMed

    Cuéllar Monreal, Mª Jesús; Reig Aguado, Jorge; Font Noguera, Isabel; Poveda Andrés, José Luis

    2017-01-01

    To reduce the alert fatigue in our Assisted Electronic Prescribing System (AEPS), through the Lean Six Sigma (LSS) methodology. An observational (transversal) and retrospective study, in a general hospital with 850 beds and AEPS. The LSS methodology was followed in order to evaluate the alert fatigue situation in the AEPS system, to implement improvements, and to assess outcomes. The alerts generated during two trimesters studied (before and after the intervention) were analyzed. In order to measure the qualitative indicators, the most frequent alert types were analyzed, as well as the molecules responsible for over 50% of each type of alert. The action by the prescriber was analyzed in a sample of 496 prescriptions that generated such alerts. For each type of alert and molecule, there was a prioritization of the improvements to be implemented according to the alert generated and its quality. A second survey evaluated the pharmacist action for the alerts most highly valued by physicians. The problem, the objective, the work team and the project schedule were defined. A survey was designed in order to understand the opinion of the client about the alert system in the program. Based on the surveys collected (n = 136), the critical characteristics and the quanti/qualitative indicators were defined. Sixty (60) fields in the alert system were modified, corresponding to 32 molecules, and this led to a 28% reduction in the total number of alerts. Regarding quality indicators, false po sitive results were reduced by 25% (p < 0.05), 100% of those alerts ignored with justification were sustained, and there were no significant differences in user adherence to the system. The project improvements and outcomes were reviewed by the work team. LSS methodology has demonstrated being a valid tool for the quantitative and qualitative improvement of the alert system in an Assisted Electronic Prescription Program, thus reducing alert fatigue. Copyright AULA MEDICA EDICIONES 2014

  8. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.

    PubMed

    Scott, Gregory P T; Shah, Priya; Wyatt, Jeremy C; Makubate, Boikanyo; Cross, Frank W

    2011-01-01

    Expert authorities recommend clinical decision support systems to reduce prescribing error rates, yet large numbers of insignificant on-screen alerts presented in modal dialog boxes persistently interrupt clinicians, limiting the effectiveness of these systems. This study compared the impact of modal and non-modal electronic (e-) prescribing alerts on prescribing error rates, to help inform the design of clinical decision support systems. A randomized study of 24 junior doctors each performing 30 simulated prescribing tasks in random order with a prototype e-prescribing system. Using a within-participant design, doctors were randomized to be shown one of three types of e-prescribing alert (modal, non-modal, no alert) during each prescribing task. The main outcome measure was prescribing error rate. Structured interviews were performed to elicit participants' preferences for the prescribing alerts and their views on clinical decision support systems. Participants exposed to modal alerts were 11.6 times less likely to make a prescribing error than those not shown an alert (OR 11.56, 95% CI 6.00 to 22.26). Those shown a non-modal alert were 3.2 times less likely to make a prescribing error (OR 3.18, 95% CI 1.91 to 5.30) than those not shown an alert. The error rate with non-modal alerts was 3.6 times higher than with modal alerts (95% CI 1.88 to 7.04). Both kinds of e-prescribing alerts significantly reduced prescribing error rates, but modal alerts were over three times more effective than non-modal alerts. This study provides new evidence about the relative effects of modal and non-modal alerts on prescribing outcomes.

  9. Provider acceptance of an automated electronic alert for acute kidney injury

    PubMed Central

    Oh, Janice; Bia, Joshua R.; Ubaid-Ullah, Muhamad; Testani, Jeffrey M.; Wilson, Francis Perry

    2016-01-01

    Background Clinical decision support systems, including electronic alerts, ideally provide immediate and relevant patient-specific information to improve clinical decision-making. Despite the growing capabilities of such alerts in conjunction with an expanding electronic medical record, there is a paucity of information regarding their perceived usefulness. We surveyed healthcare providers' opinions concerning the practicality and efficacy of a specific text-based automated electronic alert for acute kidney injury (AKI) in a single hospital during a randomized trial of AKI alerts. Methods Providers who had received at least one electronic AKI alert in the previous 6 months, as part of a separate randomized controlled trial (clinicaltrials.gov #01862419), were asked to complete a survey concerning their opinions about this specific AKI alert system. Individual approval of the alert system was defined by a provider's desire to continue receiving the alert after termination of the trial. Results A total of 98 individuals completed the survey, including 62 physicians, 27 pharmacists and 7 non-physician providers. Sixty-nine percent of responders approved the alert, with no significant difference among the various professions (P = 0.28). Alert approval was strongly correlated with the belief that the alerts improved patient care (P < 0.0001), and negatively correlated with the belief that alerts did not provide novel information (P = 0.0001). With each additional 30 days of trial duration, odds of approval decreased by 20% (3–35%) (P = 0.02). Conclusions The alert system was generally well received, although approval waned with time. Approval was correlated with the belief that this type of alert improved patient care. These findings suggest that perceived efficacy is critical to the success of future alert trials. PMID:27478598

  10. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors

    PubMed Central

    Shah, Priya; Wyatt, Jeremy C; Makubate, Boikanyo; Cross, Frank W

    2011-01-01

    Objective Expert authorities recommend clinical decision support systems to reduce prescribing error rates, yet large numbers of insignificant on-screen alerts presented in modal dialog boxes persistently interrupt clinicians, limiting the effectiveness of these systems. This study compared the impact of modal and non-modal electronic (e-) prescribing alerts on prescribing error rates, to help inform the design of clinical decision support systems. Design A randomized study of 24 junior doctors each performing 30 simulated prescribing tasks in random order with a prototype e-prescribing system. Using a within-participant design, doctors were randomized to be shown one of three types of e-prescribing alert (modal, non-modal, no alert) during each prescribing task. Measurements The main outcome measure was prescribing error rate. Structured interviews were performed to elicit participants' preferences for the prescribing alerts and their views on clinical decision support systems. Results Participants exposed to modal alerts were 11.6 times less likely to make a prescribing error than those not shown an alert (OR 11.56, 95% CI 6.00 to 22.26). Those shown a non-modal alert were 3.2 times less likely to make a prescribing error (OR 3.18, 95% CI 1.91 to 5.30) than those not shown an alert. The error rate with non-modal alerts was 3.6 times higher than with modal alerts (95% CI 1.88 to 7.04). Conclusions Both kinds of e-prescribing alerts significantly reduced prescribing error rates, but modal alerts were over three times more effective than non-modal alerts. This study provides new evidence about the relative effects of modal and non-modal alerts on prescribing outcomes. PMID:21836158

  11. Cold fusion verification

    NASA Astrophysics Data System (ADS)

    North, M. H.; Mastny, G. F.; Wesley, E. J.

    1991-03-01

    The objective of this work to verify and reproduce experimental observations of Cold Nuclear Fusion (CNF), as originally reported in 1989. The method was to start with the original report and add such additional information as became available to build a set of operational electrolytic CNF cells. Verification was to be achieved by first observing cells for neutron production, and for those cells that demonstrated a nuclear effect, careful calorimetric measurements were planned. The authors concluded, after laboratory experience, reading published work, talking with others in the field, and attending conferences, that CNF probably is chimera and will go the way of N-rays and polywater. The neutron detector used for these tests was a completely packaged unit built into a metal suitcase that afforded electrostatic shielding for the detectors and self-contained electronics. It was battery-powered, although it was on charge for most of the long tests. The sensor element consists of He detectors arranged in three independent layers in a solid moderating block. The count from each of the three layers as well as the sum of all the detectors were brought out and recorded separately. The neutron measurements were made with both the neutron detector and the sample tested in a cave made of thick moderating material that surrounded the two units on the sides and bottom.

  12. Woodward Effect Experimental Verifications

    NASA Astrophysics Data System (ADS)

    March, Paul

    2004-02-01

    The work of J. F. Woodward (1990 1996a; 1996b; 1998; 2002a; 2002b; 2004) on the existence of ``mass fluctuations'' and their use in exotic propulsion schemes was examined for possible application in improving space flight propulsion and power generation. Woodward examined Einstein's General Relativity Theory (GRT) and assumed that if the strong Machian interpretation of GRT as well as gravitational / inertia like Wheeler-Feynman radiation reaction forces hold, then when an elementary particle is accelerated through a potential gradient, its rest mass should fluctuate around its mean value during its acceleration. Woodward also used GRT to clarify the precise experimental conditions necessary for observing and exploiting these mass fluctuations or ``Woodward effect'' (W-E). Later, in collaboration with his ex-graduate student T. Mahood, they also pushed the experimental verification boundaries of these proposals. If these purported mass fluctuations occur as Woodward claims, and his assumption that gravity and inertia are both byproducts of the same GRT based phenomenon per Mach's Principle is correct, then many innovative applications such as propellantless propulsion and gravitational exotic matter generators may be feasible. This paper examines the reality of mass fluctuations and the feasibility of using the W-E to design propellantless propulsion devices in the near to mid-term future. The latest experimental results, utilizing MHD-like force rectification systems, will also be presented.

  13. Reliable Entanglement Verification

    NASA Astrophysics Data System (ADS)

    Arrazola, Juan; Gittsovich, Oleg; Donohue, John; Lavoie, Jonathan; Resch, Kevin; Lütkenhaus, Norbert

    2013-05-01

    Entanglement plays a central role in quantum protocols. It is therefore important to be able to verify the presence of entanglement in physical systems from experimental data. In the evaluation of these data, the proper treatment of statistical effects requires special attention, as one can never claim to have verified the presence of entanglement with certainty. Recently increased attention has been paid to the development of proper frameworks to pose and to answer these type of questions. In this work, we apply recent results by Christandl and Renner on reliable quantum state tomography to construct a reliable entanglement verification procedure based on the concept of confidence regions. The statements made do not require the specification of a prior distribution nor the assumption of an independent and identically distributed (i.i.d.) source of states. Moreover, we develop efficient numerical tools that are necessary to employ this approach in practice, rendering the procedure ready to be employed in current experiments. We demonstrate this fact by analyzing the data of an experiment where photonic entangled two-photon states were generated and whose entanglement is verified with the use of an accessible nonlinear witness.

  14. Impact of implementing alerts about medication black-box warnings in electronic health records.

    PubMed

    Yu, Donghui Tony; Seger, Diane L; Lasser, Karen E; Karson, Andrew S; Fiskio, Julie M; Seger, Andrew C; Bates, David W

    2011-02-01

    The Food and Drug Administration issues black-box warnings (BBWs) regarding medications with serious risks, yet physician adherence to the warnings is low. We evaluated the impact of delivering BBW-based alerts about drug-drug, drug-disease, and drug-laboratory interactions for prescription medications in outpatients in an electronic health record with clinical decision support. We compared the frequency of non-adherence to all BBWs about drug-drug, drug-disease, and drug-laboratory interactions for 30 drugs/drug classes, and by individual drugs/drug groups with BBWs between the pre- and post-intervention periods. We used multivariate analysis to identify independent risk factors for non-adherence to BBWs. There was a slightly higher frequency of non-adherence to BBWs after the intervention (4.8% vs. 5.1%, p=0.045). In multivariate analyses, after adjustment for patient and provider characteristics and site of care, medications prescribed during the pre-intervention period were less likely to violate BBWs compared to those prescribed during the post-intervention period (OR 0.67, 95% CI, 0.47-0.96). However, black-box warning violations did decrease after the intervention for BBWs about drug-drug interactions (6.1% vs. 1.8%, p<0.0001) and drug-pregnancy interactions (5.1% vs. 3.6%, p=0.01). Ambulatory care computerized order entry with prescribing alerts about BBWs did not improve clinicians' overall adherence to BBWs, though it did improve adherence for specific clinically important subcategories. Copyright © 2010 John Wiley & Sons, Ltd.

  15. Development of a Human Motor Model for the Evaluation of an Integrated Alerting and Notification Flight Deck System

    NASA Technical Reports Server (NTRS)

    Daiker, Ron; Schnell, Thomas

    2010-01-01

    A human motor model was developed on the basis of performance data that was collected in a flight simulator. The motor model is under consideration as one component of a virtual pilot model for the evaluation of NextGen crew alerting and notification systems in flight decks. This model may be used in a digital Monte Carlo simulation to compare flight deck layout design alternatives. The virtual pilot model is being developed as part of a NASA project to evaluate multiple crews alerting and notification flight deck configurations. Model parameters were derived from empirical distributions of pilot data collected in a flight simulator experiment. The goal of this model is to simulate pilot motor performance in the approach-to-landing task. The unique challenges associated with modeling the complex dynamics of humans interacting with the cockpit environment are discussed, along with the current state and future direction of the model.

  16. BacT/Alert: an automated colorimetric microbial detection system.

    PubMed Central

    Thorpe, T C; Wilson, M L; Turner, J E; DiGuiseppi, J L; Willert, M; Mirrett, S; Reller, L B

    1990-01-01

    BacT/Alert (Organon Teknika Corp., Durham, N.C.) is an automated microbial detection system based on the colorimetric detection of CO2 produced by growing microorganisms. Results of an evaluation of the media, sensor, detection system, and detection algorithm indicate that the system reliably grows and detects a wide variety of bacteria and fungi. Results of a limited pilot clinical trial with a prototype research instrument indicate that the system is comparable to the radiometric BACTEC 460 system in its ability to grow and detect microorganisms in blood. On the basis of these initial findings, large-scale clinical trials comparing BacT/Alert with other commercial microbial detection systems appear warranted. PMID:2116451

  17. SC-228 Inclusion of DAA Warning Alert for TCAS Interoperability

    NASA Technical Reports Server (NTRS)

    Fern, Lisa

    2016-01-01

    This white paper summarizes NASA research results that have informed Special Committee 228 (SC-228) discussions and decisions regarding the inclusion of a warning-level alert within the detect and avoid (DAA) alerting structure for unmanned aircraft systems (UAS). For UAS, the removal of the pilot from onboard the aircraft has eliminated the ability of the ground-based pilot in command (PIC) to use out-the-window visual information to make judgments about a potential threat of a loss of well clear with another aircraft. As a result, the DAA traffic display will be the primary source of information that the PIC can use to execute the three primary well clear functions: 1) detect a potential loss of well clear, 2) determine a resolution maneuver, and 3) upload that maneuver to the aircraft via the ground control station (GCS). In addition, pilots are required to coordinate with air traffic control (ATC) prior to maneuvering off of their approved flight plan. In determining an appropriate resolution maneuver to avoid a loss of well clear, the PIC must decide both when and how to maneuver, and both the timeliness and the accuracy (i.e., correctness) of the maneuver are critical to reducing the likelihood and/or severity of a loss of well clear. Alerting information is one of three critical components of the DAA display, along with traffic information elements (e.g., relative heading, speed and altitude) and maneuver guidance. Alerting information and maneuver guidance, in particular, have been found to have a significant impact, both statistically and practically, on pilots' ability to avoid and minimize the severity of losses of well clear While all three display components are key to pilots performing the traffic avoidance task of remaining well clear, in general, alerting information provides crucial information about when a resolution maneuver is required while maneuver guidance assists the pilot in determining how best to maneuver. A fundamental task of the DAA

  18. Space Environment Automated Alerts & Anomaly Analysis Assistant (SEA5)

    NASA Astrophysics Data System (ADS)

    Boblitt, J. M.; Maddox, M. M.; Schiewe, T.; Jiang, D.; Zheng, Y.; Wold, A. M.

    2016-12-01

    Space Environment Automated Alerts & Anomaly Analysis Assistant (SEA5) is a comprehensive analysis and dissemination system that will provide past, present, and predicted space environment information for specific missions, orbits, and user-specified locations throughout the heliosphere, geospace, and on the ground. Existing space weather resources provide global and large-scale environmental information, but presently there are no highly-tailored services that target specific missions, orbits, or locations in space for any given time period. The targeted outcome of this project is to build an extensible software system for NASA that provides an unprecedented capability for (1) viewing space environment conditions for specific missions/orbits, (2) providing automated space weather alerts for specific missions/orbits, (3) assimilating and displaying spacecraft anomaly information, and (4) managing and displaying spacecraft/mission data.

  19. Centralized Alert-Processing and Asset Planning for Sensorwebs

    NASA Technical Reports Server (NTRS)

    Castano, Rebecca; Chien, Steve A.; Rabideau, Gregg R.; Tang, Benyang

    2010-01-01

    A software program provides a Sensorweb architecture for alert-processing, event detection, asset allocation and planning, and visualization. It automatically tasks and re-tasks various types of assets such as satellites and robotic vehicles in response to alerts (fire, weather) extracted from various data sources, including low-level Webcam data. JPL has adapted cons iderable Sensorweb infrastructure that had been previously applied to NASA Earth Science applications. This NASA Earth Science Sensorweb has been in operational use since 2003, and has proven reliability of the Sensorweb technologies for robust event detection and autonomous response using space and ground assets. Unique features of the software include flexibility to a range of detection and tasking methods including those that require aggregation of data over spatial and temporal ranges, generality of the response structure to represent and implement a range of response campaigns, and the ability to respond rapidly.

  20. How feasible was a bed-height alert system?

    PubMed

    Tzeng, Huey-Ming; Prakash, Atul; Brehob, Mark; Anderson, Allison; Devecsery, David Andrew; Yin, Chang-Yi

    2013-08-01

    This qualitative and descriptive study examined the feasibility of a bed-height alert system as a fall-prevention strategy. The alpha prototype was developed to measure and record bed height, and to remind staff to keep patient beds in the lowest position. This pilot project was conducted in a 52-bed adult acute surgical inpatient care unit of a Michigan community hospital. Qualitative and quantitative information was gathered during semistructured interviews of nursing staff (18 RNs and 13 PCAs; January-April 2011). Descriptive content analysis and descriptive analyses were performed. The overall response rate was 44.9%. The mean values of the feasibility questions are all favorable. Staff's comments also support the view that the alert system would promote patient safety and prevent falls. In short, this system was found to be somewhat useful, feasible, appropriate, and accurate. It has the potential to promote patient safety and prevent bed-associated injurious falls in inpatient care settings.