Numerical investigation and thermodynamic analysis of the effect of electrolyte flow rate on performance of all vanadium redox flow batteries

NASA Astrophysics Data System (ADS)

Khazaeli, Ali; Vatani, Ali; Tahouni, Nassim; Panjeshahi, Mohammad Hassan

2015-10-01

In flow batteries, electrolyte flow rate plays a crucial role on the minimizing mass transfer polarization which is at the compensation of higher pressure drop. In this work, a two-dimensional numerical method is applied to investigate the effect of electrolyte flow rate on cell voltage, maximum depth of discharge and pressure drop a six-cell stack of VRFB. The results show that during the discharge process, increasing electrolyte flow rate can raise the voltage of each cell up to 50 mV on average. Moreover, the maximum depth of discharge dramatically increases with electrolyte flow rate. On the other hand, the pressure drop also positively correlates with electrolyte flow rate. In order to investigate all these effects simultaneously, average energy and exergy efficiencies are introduced in this study for the transient process of VRFB. These efficiencies give insight into choosing an appropriate strategy for the electrolyte flow rate. Finally, the energy efficiency of electricity storage using VRFB is investigated and compared with other energy storage systems. The results illustrate that this kind of battery has at least 61% storage efficiency based on the second law of thermodynamics, which is considerably higher than that of their counterparts.

Ozone generation in a kHz-pulsed He-O2 capillary dielectric barrier discharge operated in ambient air

NASA Astrophysics Data System (ADS)

Sands, Brian L.; Ganguly, Biswa N.

2013-12-01

The generation of reactive oxygen species using nonequilibrium atmospheric pressure plasma jet devices has been a subject of recent interest due to their ability to generate localized concentrations from a compact source. To date, such studies with plasma jet devices have primarily utilized radio-frequency excitation. In this work, we characterize ozone generation in a kHz-pulsed capillary dielectric barrier discharge configuration comprised of an active discharge plasma jet operating in ambient air that is externally grounded. The plasma jet flow gas was composed of helium with an admixture of up to 5% oxygen. A unipolar voltage pulse train with a 20 ns pulse risetime was used to drive the discharge at repetition rates between 2-25 kHz. Using UVLED absorption spectroscopy centered at 255 nm near the Hartley-band absorption peak, ozone was detected over 1 cm from the capillary axis. We observed roughly linear scaling of ozone production with increasing pulse repetition rate up to a "turnover frequency," beyond which ozone production steadily dropped and discharge current and 777 nm O(5P→5S°) emission sharply increased. The turnover in ozone production occurred at higher pulse frequencies with increasing flow rate and decreasing applied voltage with a common energy density of 55 mJ/cm3 supplied to the discharge. The limiting energy density and peak ozone production both increased with increasing O2 admixture. The power dissipated in the discharge was obtained from circuit current and voltage measurements using a modified parallel plate dielectric barrier discharge circuit model and the volume-averaged ozone concentration was derived from a 2D ozone absorption measurement. From these measurements, the volume-averaged efficiency of ozone production was calculated to be 23 g/kWh at conditions for peak ozone production of 41 mg/h at 11 kV applied voltage, 3% O2, 2 l/min flow rate, and 13 kHz pulse repetition rate, with 1.79 W dissipated in the discharge.

Quantification of tidally-influenced seasonal groundwater discharge to the Bay of Bengal by seepage meter study

NASA Astrophysics Data System (ADS)

Debnath, Palash; Mukherjee, Abhijit

2016-06-01

Submarine groundwater discharges (SGD) play a major role in solute transport and nutrient flux to the ocean. We have conducted a spatio-temporal high-resolution lunar-tidal cycle-scale seepage meter experiment during pre-monsoon and post-monsoon seasons, to quantify the spatio-temporal patterns and variability of SGD, its terrestrial (T-SGD) and marine components (M-SGD). The measured daily average SGD rates range from no discharge to 3.6 m3 m-2 d-1 during pre-monsoon season and 0.08-5.9 m3 m-2 d-1 during post-monsoon seasons, depending on the tidal pattern. The uncertainty for SGD measurement is calculated as ±0.8% to ±11% for pre-monsoon and ±1.8% to ±17% for post-monsoon respectively. A linear, inverse relationship was observed between the calculated T-SGD and M-SGD components, which varied along the distance from the coast and position in the tidal-cycle, spatial and temporal (daily) variations of seepage rates within the lunar tidal cycle period distinctly demonstrate the influence of tides on groundwater seepage rate. As an instance, for the identification of the bulk discharge location, the centroid of the integrated SGD rate has been calculated and found to be near 20 m offshore area. The average discharge rate per unit area further extrapolated to total SGD fluxes to the Bay of Bengal from eastern Indian coast by extrapolation of the annual and seasonal fluxes observed in the study area, which are first direct/experimental estimate of SGD to the Bay of Bengal. Approximations suggest that in present-day condition, total average annual SGD to the Bay of Bengal is about 8.98 ± 0.6 × 108 m3/y. This is suggested that the SGD input to the ocean through the Bay of Bengal is approximately 0.9% of the global input from the inter-tidal zone and that has an implication on the mass balance of discharging solutes/nutrients to the global oceans. High T-SGD input is observed for all season, which is largest toward landward direction from the delineated saltwater-freshwater interface. The high magnitude of T-SGD could play an important role in mass balance of fresh water discharge and solute transport to the global ocean, thereby influence coastal ecohydrological systems.

Characteristics and Trends of River Discharge into Hudson, James, and Ungava Bays, 1964-2000.

NASA Astrophysics Data System (ADS)

Déry, Stephen J.; Stieglitz, Marc; McKenna, Edward C.; Wood, Eric F.

2005-07-01

The characteristics and trends of observed river discharge into the Hudson, James, and Ungava Bays (HJUBs) for the period 1964-2000 are investigated. Forty-two rivers with outlets into these bays contribute on average 714 km3 yr-1 [= 0.023 Sv (1 Sv 106 m3s-1)] of freshwater to high-latitude oceans. For the system as a whole, discharge attains an annual peak of 4.2 km3 day-1 on average in mid-June, whereas the minimum of 0.68 km3 day-1 occurs on average during the last week of March. The Nelson River contributes as much as 34% of the daily discharge for the entire system during winter but diminishes in relative importance during spring and summer. Runoff rates per contributing area are highest (lowest) on the eastern (western) shores of the Hudson and James Bays. Linear trend analyses reveal decreasing discharge over the 37-yr period in 36 out of the 42 rivers. By 2000, the total annual freshwater discharge into HJUBs diminished by 96 km3 (-13%) from its value in 1964, equivalent to a reduction of 0.003 Sv. The annual peak discharge rate associated with snowmelt has advanced by 8 days between 1964 and 2000 and has diminished by 0.036 km3 day-1 in intensity. There is a direct correlation between the timing of peak spring discharge rates and the latitude of a river's mouth; the spring freshet varies by 5 days for each degree of latitude. Continental snowmelt induces a seasonal pulse of freshwater from HJUBs that is tracked along its path into the Labrador Current. It is suggested that the annual upper-ocean salinity minimum observed on the inner Newfoundland Shelf can be explained by freshwater pulses composed of meltwater from three successive winter seasons in the river basins draining into HJUBs. A gradual salinization of the upper ocean during summer over the period 1966-94 on the inner Newfoundland Shelf is in accord with a decadal trend of a diminishing intensity in the continental meltwater pulses.

Trends and Burden of Bronchiectasis-Associated Hospitalizations in the United States, 1993-2006

PubMed Central

Seitz, Amy E.; Olivier, Kenneth N.; Steiner, Claudia A.; Montes de Oca, Ruben; Holland, Steven M.

2010-01-01

Background: Current data on bronchiectasis prevalence, trends, and risk factors are lacking; such data are needed to estimate the burden of disease and for improved medical care and public health resource allocation. The objective of the present study was to estimate the trends and burden of bronchiectasis-associated hospitalizations in the United States. Methods: We extracted hospital discharge records containing International Classification of Diseases, 9th Revision, Clinical Modification codes for bronchiectasis (494, 494.0, and 494.1) as any discharge diagnosis from the State Inpatient Databases from the Agency for Healthcare Research and Quality. Discharge records were extracted for 12 states with complete and continuous reporting from 1993 to 2006. Results: The average annual age-adjusted hospitalization rate from 1993 to 2006 was 16.5 hospitalizations per 100,000 population. From 1993 to 2006, the age-adjusted rate increased significantly, with an average annual percentage increase of 2.4% among men and 3.0% among women. Women and persons aged > 60 years had the highest rate of bronchiectasis-associated hospitalizations. The median cost for inpatient care was 7,827 US dollars (USD) (range, 13-543,914 USD). Conclusions: The average annual age-adjusted rate of bronchiectasis-associated hospitalizations increased from 1993 to 2006. This study furthers the understanding of the impact of bronchiectasis and demonstrates the need for further research to identify risk factors and reasons for the increasing burden. PMID:20435655

Effect of Risk Acceptance for Bundled Care Payments on Clinical Outcomes in a High-Volume Total Joint Arthroplasty Practice After Implementation of a Standardized Clinical Pathway.

PubMed

Kee, James R; Edwards, Paul K; Barnes, Charles L

2017-08-01

The Bundled Payments for Care Improvement (BPCI) initiative and the Arkansas Payment Improvement (API) initiative seek to incentivize reduced costs and improved outcomes compared with the previous fee-for-service model. Before participation, our practice initiated a standardized clinical pathway (CP) to reduce length of stay (LOS), readmissions, and discharge to postacute care facilities. This practice implemented a standardized CP focused on patient education, managing patient expectations, and maximizing cost outcomes. We retrospectively reviewed all primary total joint arthroplasty patients during the initial 2-year "at risk" period for both BPCI and API and determined discharge disposition, LOS, and readmission rate. During the "at risk" period, the average LOS decreased in our total joint arthroplasty patients and our patients discharged home >94%. Patients within the BPCI group had a decreased discharge to home and decreased readmission rates after total hip arthroplasty, but also tended to be older than both API and nonbundled payment patients. While participating in the BPCI and API, continued use of a standardized CP in a high-performing, high-volume total joint practice resulted in maintenance of a low-average LOS. In addition, BPCI patients had similar outcomes after total knee arthroplasty, but had decreased rates of discharge to home and readmission after total hip arthroplasty. Copyright © 2017 Elsevier Inc. All rights reserved.

Cost associated with stroke: outpatient rehabilitative services and medication.

PubMed

Godwin, Kyler M; Wasserman, Joan; Ostwald, Sharon K

2011-10-01

This study aimed to capture direct costs of outpatient rehabilitative stroke care and medications for a 1-year period after discharge from inpatient rehabilitation. Outpatient rehabilitative services and medication costs for 1 year, during the time period of 2001 to 2005, were calculated for 54 first-time stroke survivors. Costs for services were based on Medicare reimbursement rates. Medicaid reimbursement rates and average wholesale price were used to estimate medication costs. Of the 54 stroke survivors, 40 (74.1%) were categorized as independent, 12 (22.2%) had modified dependence, and 2 (3.7%) were dependent at the time of discharge from inpatient rehabilitation. Average cost for outpatient stroke rehabilitation services and medications the first year post inpatient rehabilitation discharge was $17,081. The corresponding average yearly cost of medication was $5,392, while the average cost of yearly rehabilitation service utilization was $11,689. Cost attributed to medication remained relatively constant throughout the groups. Outpatient rehabilitation service utilization constituted a large portion of cost within each group: 69.7% (dependent), 72.5% (modified dependence), and 66.7% (independent). Stroke survivors continue to incur significant costs associated with their stroke for the first 12 months following discharge from an inpatient rehabilitation setting. Changing public policies affect the cost and availability of care. This study provides a snapshot of outpatient medication and therapy costs prior to the enactment of major changes in federal legislation and serves as a baseline for future studies.

Increasing hip fracture rates among older adults in Ecuador: analysis of the National Hospital Discharge System, 1999-2016.

PubMed

Orces, Carlos H; Gavilanez, Enrique Lopez

2017-12-07

The Ecuadorian hospital discharge system examined trends in hip fracture hospitalization rates among older adults. A significant upward trend in hip fracture rates occurred in both genders over the study period. Previous research has reported increasing hip fracture rates in Ecuador. Thus, this study aimed to extend previous findings by examining the nationwide incidence of hip fractures among adults aged 65 years and older between 1999 and 2016. A secondary objective was to compare hip fracture trends among older Ecuadorians with their counterparts in the United States (U.S.). The National Hospital Discharge System and the Healthcare Cost and Utilization Project net were assessed to identify older adults hospitalized with a principal diagnosis of hip fractures in Ecuador and the U.S., respectively. The Joinpoint regression analysis software was used to examine the average annual percent change in hip fracture rates. A total of 20,091 adults with a mean age of 82.3 (SD 8.1) years were hospitalized with a principal diagnosis of hip fractures during the study period. After an adjustment for age, hip fracture rates increased annually on average by 4.6% (95% CI 3.8%, 5.4%) from 96.4/100,000 in 1999 to 173.1/100,000 persons in 2016. Between 1999 and 2014, hip fracture age-adjusted rates decreased on average by - 2.5% (95% CI - 2.7%, - 2.3%) among older adults in the U.S. while hip fracture rates steadily increased by 4.6% (95% CI, 3.6%, 5.7%) per year in their Ecuadorian counterparts. Hip fracture rates markedly increased among older adults in Ecuador. The present findings should alert public health authorities to implement policies of osteoporosis awareness and prevention in Ecuador.

Ground-Water Resources in Kaloko-Honokohau National Historical Park, Island of Hawaii, and Numerical Simulation of the Effects of Ground-Water Withdrawals

USGS Publications Warehouse

Oki, Delwyn S.; Tribble, Gordon W.; Souza, William R.; Bolke, Edward L.

1999-01-01

Within the Kaloko-Honokohau National Historical Park, which was established in 1978, the ground-water flow system is composed of brackish water overlying saltwater. Ground-water levels measured in the Park range from about 1 to 2 feet above mean sea level, and fluctuate daily by about 0.5 to 1.5 feet in response to ocean tides. The brackish water is formed by mixing of seaward flowing fresh ground water with underlying saltwater from the ocean. The major source of fresh ground water is from subsurface flow originating from inland areas to the east of the Park. Ground-water recharge from the direct infiltration of precipitation within the Park area, which has land-surface altitudes less than 100 feet, is small because of low rainfall and high rates of evaporation. Brackish water flowing through the Park ultimately discharges to the fishponds in the Park or to the ocean. The ground water, fishponds, and anchialine ponds in the Park are hydrologically connected; thus, the water levels in the ponds mark the local position of the water table. Within the Park, ground water near the water table is brackish; measured chloride concentrations of water samples from three exploratory wells in the Park range from 2,610 to 5,910 milligrams per liter. Chromium and copper were detected in water samples from the three wells in the Park and one well upgradient of the Park at concentrations of 1 to 5 micrograms per liter. One semi-volatile organic compound, phenol, was detected in water samples from the three wells in the Park at concentrations between 4 and 10 micrograms per liter. A regional, two-dimensional (areal), freshwater-saltwater, sharp-interface ground-water flow model was used to simulate the effects of regional withdrawals on ground-water flow within the Park. For average 1978 withdrawal rates, the estimated rate of fresh ground-water discharge to the ocean within the Park is about 6.48 million gallons per day, or about 3 million gallons per day per mile of coastline. Although the coastal discharge within the Park is actually brackish water, the model assumes that freshwater and saltwater do not mix and therefore the model-calculated coastal discharge within the Park is in the form of freshwater discharge. Model results indicate that ground-water withdrawals in excess of average 1978 withdrawal rates will reduce the rate of freshwater coastal discharge within the Park. Withdrawals from wells directly upgradient of the Park had the greatest effect on the model-calculated freshwater coastal discharge within the Park, whereas withdrawals from wells south of Papa Bay had little effect on the freshwater discharge within the Park. For an increased ground-water withdrawal rate of 56.8 million gallons per day, relative to average 1978 withdrawal rates in the Kona area, model-calculated freshwater coastal discharge within the Park was reduced by about 47 percent.

Prevalence, clinical and economic burden of mucormycosis-related hospitalizations in the United States: a retrospective study.

PubMed

Kontoyiannis, Dimitrios P; Yang, Hongbo; Song, Jinlin; Kelkar, Sneha S; Yang, Xi; Azie, Nkechi; Harrington, Rachel; Fan, Alan; Lee, Edward; Spalding, James R

2016-12-01

Mucormycosis is a rare but devastating fungal infection primarily affecting immunocompromised patients such as those with hematological malignancy, bone marrow and solid organ transplantation, and patients with diabetes, and, even more rarely, immunocompetent patients. The objective of this study was to assess the prevalence and burden, both clinical and economic, of mucormycosis among hospitalized patients in the U.S. This is a retrospective study using the Premier Perspective TM Comparative Database, with more than 560 participating hospitals covering 104 million patients (January 2005-June 2014). All hospitalizations in the database were evaluated for the presence of mucormycosis using either an ICD-9 code of 117.7 or a positive laboratory result for Mucorales. Hospitalizations were further required to have prescriptions of amphotericin B or posaconazole to be considered as mucormycosis-related hospitalizations. The prevalence of mucormycosis-related hospitalizations among all hospital discharges was estimated. Mortality rate at discharge, length of hospital stay, and readmission rates at 1 and 3 months were evaluated among mucormycosis-related hospitalizations. Cost per hospital stay and average per diem cost (inflated to 2014 USD) were reported. The prevalence of mucormycosis-related hospitalizations was estimated as 0.12 per 10,000 discharges during January 2005-June 2014. It increased to 0.16 per 10,000 discharges if the definition of mucormycosis was relaxed to not require the use of amphotericin B or posaconazole. The median length of stay was 17 days, with 23% dead at discharge; readmission rates were high, with 30 and 37% of patients readmitted within one and three months of discharge, respectively. The average cost per hospital stay was $112,419, and the average per diem cost was $4,096. The study provides a recent estimate of the prevalence and burden of mucormycosis among hospitalized patients. The high clinical and economic burden associated with mucormycosis highlights the importance of establishing active surveillance and optimizing prophylactic and active treatment in susceptible patients.

Measurement of the Electron Density and the Attachment Rate Coefficient in Silane/Helium Discharges.

DTIC Science & Technology

1986-09-01

materials -- in this case hydrogenated amorphous silicon . One of the biggest problems in such a task is the fact that the discharge creates complex radicals...electron density is enhanced -- even on a time-averaged basis, and the silicon deposition rate is also increased. The physical process for the density...etching and deposition of semiconductor materials. Plasma etching (also known as dry etching) Of silicon using flourine bearing gases has made it possible

Hydrological modelling of the Mara River Basin, Kenya: Dealing with uncertain data quality and calibrating using river stage

NASA Astrophysics Data System (ADS)

Hulsman, P.; Bogaard, T.; Savenije, H. H. G.

2016-12-01

In hydrology and water resources management, discharge is the main time series for model calibration. Rating curves are needed to derive discharge from continuously measured water levels. However, assuring their quality is demanding due to dynamic changes and problems in accurately deriving discharge at high flows. This is valid everywhere, but even more in African socio-economic context. To cope with these uncertainties, this study proposes to use water levels instead of discharge data for calibration. Also uncertainties in rainfall measurements, especially the spatial heterogeneity needs to be considered. In this study, the semi-distributed rainfall runoff model FLEX-Topo was applied to the Mara River Basin. In this model seven sub-basins were distinguished and four hydrological response units with each a unique model structure based on the expected dominant flow processes. Parameter and process constrains were applied to exclude unrealistic results. To calibrate the model, the water levels were back-calculated from modelled discharges, using cross-section data and the Strickler formula calibrating parameter `k•s1/2', and compared to measured water levels. The model simulated the water depths well for the entire basin and the Nyangores sub-basin in the north. However, the calibrated and observed rating curves differed significantly at the basin outlet, probably due to uncertainties in the measured discharge, but at Nyangores they were almost identical. To assess the effect of rainfall uncertainties on the hydrological model, the representative rainfall in each sub-basin was estimated with three different methods: 1) single station, 2) average precipitation, 3) areal sub-division using Thiessen polygons. All three methods gave on average similar results, but method 1 resulted in more flashy responses, method 2 dampened the water levels due to averaging the rainfall and method 3 was a combination of both. In conclusion, in the case of unreliable rating curves, water level data can be used instead and a new rating curve can be calibrated. The effect of rainfall uncertainties on the hydrological model was insignificant.

Thermographic Data Analyses for Karst Watersheds

NASA Technical Reports Server (NTRS)

Campbell, C. Warren; McCaleb, Rebecca C. (Technical Monitor)

2001-01-01

Aerial thermography is an emerging technology unsurpassed for locating groundwater discharges. Thermography can be used to locate submerged discharges that are extremely difficult to find by other means. In two large projects, thermography was used to identify almost every significant spring at sites underlain by karst aquifers. This technology effectively converts Brown's Type 5 topology to types 1 or 2 (all discharges known), which has a significant impact on dye tracing. At a north Alabama site, springs located by thermography quadrupled the known groundwater discharge in and around the site. For submerged discharges, thermographic temperatures can be measured down the center of the groundwater plume that rises to the surface in the winter. Using the Cornell Mixing (CORMIX) model, flow rate for one submerged spring was estimated. Once identified, estimates of spring recharge area were desired. The size of the area of recharge was estimated by hydrograph separation of flow data from nearby, unregulated surface streams. Monthly recharge estimates were also made and used to show that in north Alabama the mean annual recharge/discharge occurs during May and December. Spring flow measurements for the same county of north Alabama were averaged to obtain mean flows. Then measurements for May only, were averaged. The two averages usually agreed to within 20 percent. This provides evidence that hydrograph separation determinations of recharge are valid.

Venous Thromboembolism-Related Readmission in Emergency General Surgery Patients: A Role for Prophylaxis on Discharge?

PubMed

DeWane, Michael P; Davis, Kimberly A; Schuster, Kevin M; Maung, Adrian A; Becher, Robert D

2018-06-01

Patients undergoing emergency general surgery (EGS) operations experience high rates of venous thromboembolism (VTE). The rates at which thrombus formation occurs after discharge, and whether VTE prophylaxis at discharge might be warranted to prevent readmission, are unknown. This analysis aimed to determine risk factors associated with VTE formation after discharge for EGS operations. An analysis of the American College of Surgeons NSQIP database from 2013 and 2014 of patients undergoing 10 common EGS operations in an emergent fashion. Multivariable logistic regression modeling was used to determine factors that predicted VTE after discharge. A total of 130,036 patients were included. The 30-day VTE rate was 1.30%, with 35% of all VTEs occurring after discharge. Of those who had VTE develop after discharge, 69.4% required readmission. Predictive factors for post-discharge VTE included prolonged length of stay (odds ratio [OR] 5.25; p < 0.001), presence of metastatic cancer (OR 2.23; p < 0.001), urinary tract infection (OR 1.91; p < 0.001), and postoperative sepsis (OR 1.55; p < 0.001). Identified high-risk groups had a rate of readmission with thrombus 6 times greater than that of average-risk EGS patients. More than 30% of VTEs in the EGS population occur after discharge; of these, a vast majority require readmission. Select high-risk EGS subgroups might benefit from prophylactic anticoagulation at discharge. Copyright © 2018 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

42 CFR 412.331 - Determining hospital-specific rates in cases of hospital merger, consolidation, or dissolution.

Code of Federal Regulations, 2010 CFR

2010-10-01

... each hospital's base period data, the intermediary determines a combined average discharge-weighted... payment determination: (1) Revised hospital-specific rate. Using each hospital's base period data, the... hospital-specific rates are determined as follows: (1) Hospital-specific rate—(i) Adequate base year data...

Pain after discharge following head and neck surgery in children.

PubMed

Wilson, Caroline A; Sommerfield, David; Drake-Brockman, Thomas F E; von Bieberstein, Lita; Ramgolam, Anoop; von Ungern-Sternberg, Britta S

2016-10-01

It is well established that children experience significant pain for a considerable period following adenotonsillectomy. Less is known, however, about pain following other common head and neck operations. The aim of this study was to describe the severity and duration of postoperative pain experienced by children undergoing elective head and neck procedures (primary outcomes). Behavioral disturbance, nausea and vomiting, parental satisfaction, and medical reattendance rates were also measured (secondary outcomes). Parents of children (0-18 years) undergoing common head and neck operations were invited to participate. Pain scores on the day of surgery and each day post discharge were collected via multiple telephone interviews. Data collected included pain levels, analgesia prescribed and given, behavioral disturbance rates, and nausea and vomiting scores. Follow-up was continued until pain resolved. Two hundred and fifty-one patients were analyzed (50 adenoidectomy, 51 adenotonsillectomy, 19 myringoplasty, 52 myringotomy, 43 strabismus, and 36 tongue tie divisions). On the day of surgery myringoplasty, strabismus surgery, and adenotonsillectomy patients on average had moderate pain, whereas adenoidectomy, tongue tie, and myringotomy patients had mild pain. Adenotonsillectomy patients continued to have moderate pain for several days with pain lasting on average 9 days. From day 1 postoperatively mild pain was experienced in the other surgical groups with the average duration of pain varying from 1 to 3 days depending on the surgery performed. Frequency of behavioral issues closely followed pain scores for each group. Analgesic prescribing and regimes at home varied widely, both within and between the different surgical groups. Rates of nausea and vomiting following discharge were low in all groups. The overall unplanned medical reattendance rate was 16%. Adenotonsillectomy patients represent the biggest challenge in postoperative pain management of the head and neck surgeries evaluated. The low rates of pain, nausea, and vomiting reported in the days following surgery for the other procedures suggests that children can be cared for at home with simple analgesia. Discharge information and analgesia prescribing on discharge should be tailored to the operation performed. © 2016 John Wiley & Sons Ltd.

Nitrogen removal from purified swine wastewater using biogas by semi-partitioned reactor.

PubMed

Waki, Miyoko; Yokoyama, Hiroshi; Ogino, Akifumi; Suzuki, Kazuyoshi; Tanaka, Yasuo

2008-09-01

Nitrate and ammonium removal from purified swine wastewater using biogas and air was investigated in continuous reactor operation. A novel type of reactor, a semi-partitioned reactor (SPR), which enables a biological reaction using methane and oxygen in the water phase and discharges these unused gases separately, was operated with a varying gas supply rate. Successful removal of NO(3)(-) and NH(4)(+) was observed when biogas and air of 1L/min was supplied to an SPR of 9L water phase with a NO(2,3)(-)-N and NH(4)(+)-N removal rate of 0.10 g/L/day and 0.060 g/L/day, respectively. The original biogas contained an average of 77.2% methane, and the discharged biogas from the SPR contained an average of 76.9% of unused methane that was useable for energy like heat or electricity production. Methane was contained in the discharged air from the SPR at an average of 2.1%. When gas supply rates were raised to 2L/min and the nitrogen load was increased, NO(3)(-) concentration was decreased, but NO(2)(-) accumulated in the reactor and the NO(2,3)(-)-N and NH(4)(+)-N removal activity declined. To recover the activity, lowering of the nitrogen load and the gas supply rate was needed. This study shows that the SPR enables nitrogen removal from purified swine wastewater using biogas under limited gas supply condition.

Neural correlates of behavioral amplitude modulation sensitivity in the budgerigar midbrain

PubMed Central

Neilans, Erikson G.; Abrams, Kristina S.; Idrobo, Fabio; Carney, Laurel H.

2016-01-01

Amplitude modulation (AM) is a crucial feature of many communication signals, including speech. Whereas average discharge rates in the auditory midbrain correlate with behavioral AM sensitivity in rabbits, the neural bases of AM sensitivity in species with human-like behavioral acuity are unexplored. Here, we used parallel behavioral and neurophysiological experiments to explore the neural (midbrain) bases of AM perception in an avian speech mimic, the budgerigar (Melopsittacus undulatus). Behavioral AM sensitivity was quantified using operant conditioning procedures. Neural AM sensitivity was studied using chronically implanted microelectrodes in awake, unrestrained birds. Average discharge rates of multiunit recording sites in the budgerigar midbrain were insufficient to explain behavioral sensitivity to modulation frequencies <100 Hz for both tone- and noise-carrier stimuli, even with optimal pooling of information across recording sites. Neural envelope synchrony, in contrast, could explain behavioral performance for both carrier types across the full range of modulation frequencies studied (16–512 Hz). The results suggest that envelope synchrony in the budgerigar midbrain may underlie behavioral sensitivity to AM. Behavioral AM sensitivity based on synchrony in the budgerigar, which contrasts with rate-correlated behavioral performance in rabbits, raises the possibility that envelope synchrony, rather than average discharge rate, might also underlie AM perception in other species with sensitive AM detection abilities, including humans. These results highlight the importance of synchrony coding of envelope structure in the inferior colliculus. Furthermore, they underscore potential benefits of devices (e.g., midbrain implants) that evoke robust neural synchrony. PMID:26843608

Changing trends of rainfall and sediment fluxes in the Kinta River catchment, Malaysia

NASA Astrophysics Data System (ADS)

Ismail, W. R.; Hashim, M.

2015-03-01

The Kinta River, draining an area of 2566 km2, originates in the Korbu Mountain in Perak, Malaysia, and flows through heterogeneous, mixed land uses ranging from extensive forests to mining, rubber and oil palm plantations, and urban development. A land use change analysis of the Kinta River catchment was carried out together with assessment of the long-term trend in rainfall and sediment fluxes. The Mann-Kendall test was used to examine and assess the long-term trends in rainfall and its relationship with the sediment discharge trend. The land use analysis shows that forests, water bodies and mining land declined whilst built and agricultural land use increased significantly. This has influenced the sediment flux of the catchment. However, most of the rainfall stations and river gauging stations are experiencing an increasing trends, except at Kinta river at Tg. Rambutan. Sediment flux shows a net erosion for the period from 1961 to 1969. The total annual sediment discharge in the Kinta River catchment was low with an average rate of 1,757 t/km2/year. From 1970 to 1985, the annual sediment yield rose to an average rate of 4062 t/km2/year. Afterwards, from 1986 to 1993, the total annual sediment discharge decreased to an average rate of 1,306 t/km2/year and increased back during the period 1994 to 2000 to 2109 t/km2/year. From 2001 to 2006 the average sediment flux rate declined to 865 t/km2/year. The decline was almost 80% from the 1970s. High sediment flux in the early 1970s is partly associated with reduced tin mining activities in the area. This decreasing trend in sediment delivery leaving the Kinta River catchment is expected to continue dropping in the future.

Geohydrology and simulated ground-water flow, Plymouth-Carver Aquifer, southeastern Massachusetts

USGS Publications Warehouse

Hansen, Bruce P.; Lapham, Wayne W.

1992-01-01

The Plymouth-Carver aquifer underlies an area of 140 square miles and is the second largest aquifer in areal extent in Massachusetts. It is composed primarily of saturated glacial sand and gravel. The water-table and bedrock surface were mapped and used to determine saturated thickness of the aquifer, which ranged from less than 20 feet to greater than 200 feet. Ground water is present mainly under unconfined conditions, except in a few local areas such as beneath Plymouth Harbor. Recharge to the aquifer is derived almost entirely from precipitation and averages about 1.15 million gallons per day per square mile. Water discharges from the aquifer by pumping, evapotranspiration, direct evaporation from the water table, and seepage to streams, ponds, wetlands, bogs, and the ocean. In 1985, water use was about 59.6 million gallons per day, of which 82 percent was used for cranberry production. The Plymouth-Carver aquifer was simulated by a three-dimensional, finite difference ground-water-flow model. Most model boundaries represent the natural hydrologic boundaries of the aquifer. The model simulates aquifer recharge, withdrawals by pumped wells, leakage through streambeds, and discharge to the ocean. The model was calibrated for steady-state and transient conditions. Model results were compared with measured values of hydraulic head and ground-water discharge. Results of simulations indicate that the modeled ground-water system closely simulates actual aquifer conditions. Four hypothetical ground-water development alternatives were simulated to demonstrate the use of the model and to examine the effects on the ground-water system. Simulation of a 2-year period of no recharge and average pumping rates that occurred from 1980-85 resulted in water-level declines exceeding 5 feet throughout most of the aquifer and a decrease of 54 percent in average ground-water discharge to streams. In a second simulation, four wells in the northern part of the area were pumped at 10.4 million gallons per day in excess of rates simulated in the steady-state model for the four wells. This resulted in water-level declines of 2 feet or more in an area of 25 square miles and a decline in average ground-water discharge to streams of 6 percent. When this pumpage was simulated as recharge to the aquifer, water levels beneath the recharge area rose more than 40 feet, and ground-water discharge remained equal to average discharge in the calibrated steady-state model. In a third simulation, all 21 existing production wells were pumped at nearly the design capacity of 17.8 million gallons per day; this pumping rate produced water-level declines of less than 2 feet throughout most of the aquifer. When simulated pumpage was increased to 32.8 million gallons per day from existing wells and from 15 additional wells, the area where water-level declines exceeded 2 feet significantly increased. In another set of simulations, a well field close to a stream was pumped at rates of 2, 4, and 6 million gallons per day. At a pumping rate of 6 million gallons per day, ground-water discharge to the stream decreased 34 percent during periods of normal precipitation and 56 percent during drought conditions.

Sediment yield during typhoon events in relation to landslides, rainfall, and catchment areas in Taiwan

NASA Astrophysics Data System (ADS)

Chen, Chi-Wen; Oguchi, Takashi; Hayakawa, Yuichi S.; Saito, Hitoshi; Chen, Hongey; Lin, Guan-Wei; Wei, Lun-Wei; Chao, Yi-Chiung

2018-02-01

Debris sourced from landslides will result in environmental problems such as increased sediment discharge in rivers. This study analyzed the sediment discharge of 17 main rivers in Taiwan during 14 typhoon events, selected from the catchment area and river length, that caused landslides according to government reports. The measured suspended sediment and water discharge, collected from hydrometric stations of the Water Resources Agency of Taiwan, were used to establish rating-curve relationships, a power-law relation between them. Then sediment discharge during typhoon events was estimated using the rating-curve method and the measured data of daily water discharge. Positive correlations between sediment discharge and rainfall conditions for each river indicate that sediment discharge increases when a greater amount of rainfall or a higher intensity of rainfall falls during a typhoon event. In addition, the amount of sediment discharge during a typhoon event is mainly controlled by the total amount of rainfall, not by peak rainfall. Differences in correlation equations among the rivers suggest that catchments with larger areas produce more sediment. Catchments with relatively low sediment discharge show more distinct increases in sediment discharge in response to increases in rainfall, owing to the little opportunity for deposition in small catchments with high connectivity to rivers and the transportation of the majority of landslide debris to rivers during typhoon events. Also, differences in geomorphic and geologic conditions among catchments around Taiwan lead to a variety of suspended sediment dynamics and the sediment budget. Positive correlation between average sediment discharge and average area of landslides during typhoon events indicates that when larger landslides are caused by heavier rainfall during a typhoon event, more loose materials from the most recent landslide debris are flushed into rivers, resulting in higher sediment discharge. The high proportion of large landslides in Taiwan contributes significantly to the high annual sediment yield, which is among the world's highest despite the small area of Taiwan.

A comparison of methods for deriving solute flux rates using long-term data from streams in the mirror lake watershed

USGS Publications Warehouse

Bukaveckas, P.A.; Likens, G.E.; Winter, T.C.; Buso, D.C.

1998-01-01

Calculation of chemical flux rates for streams requires integration of continuous measurements of discharge with discrete measurements of solute concentrations. We compared two commonly used methods for interpolating chemistry data (time-averaging and flow-weighting) to determine whether discrepancies between the two methods were large relative to other sources of error in estimating flux rates. Flux rates of dissolved Si and SO42- were calculated from 10 years of data (1981-1990) for the NW inlet and Outlet of Mirror Lake and for a 40-day period (March 22 to April 30, 1993) during which we augmented our routine (weekly) chemical monitoring with collection of daily samples. The time-averaging method yielded higher estimates of solute flux during high-flow periods if no chemistry samples were collected corresponding to peak discharge. Concentration-discharge relationships should be used to interpolate stream chemistry during changing flow conditions if chemical changes are large. Caution should be used in choosing the appropriate time-scale over which data are pooled to derive the concentration-discharge regressions because the model parameters (slope and intercept) were found to be sensitive to seasonal and inter-annual variation. Both methods approximated solute flux to within 2-10% for a range of solutes that were monitored during the intensive sampling period. Our results suggest that errors arising from interpolation of stream chemistry data are small compared with other sources of error in developing watershed mass balances.

12 CFR 327.7 - Payment of interest on assessment underpayments and overpayments.

Code of Federal Regulations, 2010 CFR

2010-01-01

... October, respectively, is the coupon equivalent yield of the average discount rate set on the 3-month... underpayment or overpayment of an assessment shall accrue interest at the relevant interest rate. (ii) Interest... discharged. (iii) The relevant interest rate shall be redetermined for each quarterly assessment interval. A...

Ground-water flow paths and traveltime to three small embayments within the Peconic Estuary, eastern Suffolk County, New York

USGS Publications Warehouse

Schubert, Christopher E.

1999-01-01

The Peconic Estuary, at the eastern end of Long Island, has been plagued by a recurrent algal bloom that has caused the severe decline of local marine resources. Although the onset, duration, and cessation of the bloom remain unpredictable, ground-water discharge has been shown to affect surface-water quality in the western part of the estuary. Results from a study on the North Fork of Long Island indicate that local hydrogeologic factors cause differences in ground-water age and characteristics of discharge to the estuary. The need for information on the local patterns and rates of ground-water discharge to the Peconic Estuary prompted analysis of ground-water flow paths and traveltime to three small embayments within the estuary.Meetinghouse Creek, near the west end of the North Fork; Sag Harbor Cove, in the central part of the South Fork; and West Neck Bay, on Shelter Island.Ground-water-flow models were developed, and particle-tracking procedures were applied to the results of each model, to define the flow paths and traveltime of ground water to the three embayments. The steady-state flow models represent the two-dimensional ground-water-flow system along a vertical section through the uplands of each embayment and simulate long-term hydrologic conditions. The particle-tracking procedure used model-generated ground-water levels and flow rates to calculate the water-particle pathlines and times-of-travel through each flow system from the point of entry (recharge) to the point of exit at streams, the shore, or subsea-discharge areas.Results for the Meetinghouse Creek study area indicate that about 50 percent of the total recharge that enters the system flows southward to Meetinghouse Creek; half of this amount discharges as base flow to the fresh-water reach of the creek, and half as shoreline underflow to the estuarine reach. About 85 percent of the total discharge to Meetinghouse Creek has flowed entirely within the upper glacial aquifer, and about 15 percent has flowed through the Magothy aquifer. The average age of all ground water discharged to Meetinghouse Creek is about 60 years; the average age of base flow to the freshwater reach of the creek is about 7 years, and the average age of shoreline underflow to the estuarine reach is about 120 years. The results for the Sag Harbor Cove study area indicate that about 30 percent of the total recharge that enters the system flows northward to Sag Harbor Cove; about half of this amount discharges as shoreline underflow, and half as subsea underflow. About 40 percent of the total discharge to Sag Harbor Cove has flowed entirely within the upper glacial aquifer, and about 60 percent has flowed through the Pleistocene marine clay unit, Pleistocene(?) sand unit, or Magothy aquifer. The average age of all ground water discharged to Sag Harbor Cove is about 110 years; the average age of shoreline underflow is about 25 years, and the average age of subsea underflow is about 190 years.Results for the West Neck Bay study area indicate that about 65 percent of the total recharge that enters the system flows westward to West Neck Bay; virtually all of this amount discharges as shoreline underflow, but a negligible percentage discharges as subsea underflow. Virtually all discharge to West Neck Bay has flowed entirely within the upper glacial aquifer, although a minor amount has flowed through the Pleistocene marine clay unit. The average age of shoreline underflow to West Neck Bay is about 15 years, and the average age of subsea underflow is about 1,800 years.Ground water that discharges to streams and the shores represented in the models is mostly relatively young water that has flowed entirely within the shallow zones of the flow systems, whereas ground water that discharges to the subsea-discharge areas is mostly old water that has flowed through the deep zones. Data obtained from these models allows evaluation of each embayment.s vulnerability to contaminants introduced at the water table and can guide the development of source-area-protection strategies for the corresponding watersheds.

Facility and market factors affecting transitions from nursing home to community.

PubMed

Arling, Greg; Abrahamson, Kathleen A; Cooke, Valerie; Kane, Robert L; Lewis, Teresa

2011-09-01

Research into nursing home transitions has given limited attention to the facility or community contexts. To identify facility and market factors affecting transitions of nursing home residents back to the community. Multilevel models were used to estimate effects of facility and market factors on facility-level community discharge rates after controlling for resident demographic, health, and functional conditions. Facility discharge rates were adjusted using Empirical Bayes estimation. Annual cohort of first-time admissions (N=24,648) to 378 Minnesota nursing facilities in 75 nursing home markets from July 2005 to June 2006. Community discharge within 90 days of admission; facility occupancy, payer mix, ownership, case-mix acuity, size, admissions from hospitals, nurse staffing level, and proportion of admissions preferring or having support to return to the community; and nursing market population size, average occupancy, market concentration, and availability of home and community-based services. Rates of community discharge (Empirical Bayes residual) were highest in facilities with more residents preferring community discharge, more Medicare days, higher nurse staffing levels, and higher occupancy. In addition, facilities had higher community discharge rates if they were located in markets with a greater ratio of home and community-based services recipients to nursing home residents and with larger populations. State Medicaid programs should undertake system-level interventions that encourage nursing facilities to reduce unused bed capacity, balance the mix of payers, invest in nurse staffing, and take other steps to promote community discharges. In addition, states should increase home and community-based services, particularly in markets with low community discharge rates.

Ra and Rn isotopes as natural tracers of submarine groundwater discharge in Tampa Bay, Florida

USGS Publications Warehouse

Swarzenski, P.W.; Reich, C.; Kroeger, K.D.; Baskaran, M.

2007-01-01

A suite of naturally occurring radionuclides in the U/Th decay series (222Rn, 223,224,226,228Ra) were studied during wet and dry conditions in Tampa Bay, Florida, to evaluate their utility as groundwater discharge tracers, both within the bay proper and within the Alafia River/estuary — a prominent free-flowing river that empties into the bay. In Tampa Bay, almost 30% of the combined riverine inputs still remain ungauged. Consequently, groundwater/surface water (hyporheic) exchange in the discharging coastal rivers, as well as submarine groundwater discharge (SGD) within the bay, are still unresolved components of this system's water and material budgets. Based on known inputs and sinks, there exists an excess of 226Ra in the water column of Tampa Bay, which can be evaluated in terms of a submarine groundwater contribution to the bay proper. Submarine groundwater discharge rates calculated using a mass balance of excess 226Ra ranged from 2.2 to 14.5 L m− 2 day− 1, depending on whether the estuarine residence time was calculated using 224Ra/xs228Ra isotope ratios, or whether a long term, averaged model-derived estuarine residence time was used. When extrapolated to the total shoreline length of the bay, such SGD rates ranged from 1.6 to 10.3 m3 m− 1 day− 1. Activities of 222Rn were also elevated in surface water and shallow groundwater of the bay, as well as in the Alafia River estuary, where upstream activities as high as 250 dpm L− 1 indicate enhanced groundwater/surface water exchange, facilitated by an active spring vent. From average nutrient concentrations of 39 shallow, brackish, groundwater samples, rates of nutrient loading into Tampa Bay by SGD rates were estimated, and these ranged from 0.2 to 1.4 × 105 mol day− 1 (PO43−), 0.9–6.2 × 105 mol day− 1 (SiO4−), 0.7–5.0 × 105 mol day− 1 (dissolved organic nitrogen, DON), and 0.2–1.4 × 106 mol day− 1 (total dissolved nitrogen, TDN). Such nutrient loading estimates, when compared to average river discharge estimates (e.g., TDN = 6.9 × 105 mol day− 1), suggest that SGD-derived nutrient fluxes to Tampa Bay are indeed important components to the overall nutrient economy of these coastal waters.

Flood-plain and channel aggradation of selected bridge sites in the Iowa and Skunk River basins, Iowa

USGS Publications Warehouse

Eash, D.A.

1996-01-01

Flood-plain and channel-aggradation rates were estimated at 10 bridge sites on the Iowa River upstream of Coralville Lake and at two bridge sites in the central part of the Skunk River Basin. Four measurement methods were used to quantify aggradation rates: (1) a dendrogeomorphic method that used tree-age data and sediment-deposition depths, (2) a bridge-opening cross-section method that compared historic and recent cross sections of bridge openings, (3) a stage-discharge rating-curve method that compared historic and recent stages for the 5-year flood discharge and the average discharge, and (4) nine sediment pads that were installed on the Iowa River flood plain at three bridge sites in the vicinity of Marshalltown. The sediment pads were installed prior to overbank flooding in 1993. Sediments deposited on the pads as a result of the 1993 flood ranged in depth from 0.004 to 2.95 feet. Measurement periods used to estimate average aggradation rates ranged from 1 to 98 years and varied among methods and sites. The highest aggradation rates calculated for the Iowa River Basin using the dendrogeomorphic and rating- curve measurement methods were for the State Highway 14 crossing at Marshalltown, where these highest rates were 0.045 and 0.124 feet per year, respectively. The highest aggradation rates calculated for the Skunk River Basin were for the U.S. Highway 63 crossing of the South Skunk River near Oskaloosa, where these highest rates were 0.051 and 0.298 feet per year, respectively.

Biogeochemical transport in the Loxahatchee River estuary, Florida: The role of submarine groundwater discharge

USGS Publications Warehouse

Swarzenski, P.W.; Orem, W.H.; McPherson, B.F.; Baskaran, M.; Wan, Y.

2006-01-01

The distributions of dissolved organic carbon (DOC), Ba, U, and a suite of naturally occurring radionuclides in the U/Th decay series (222Rn, 223,224,226,228Ra) were studied during high- and low-discharge conditions in the Loxahatchee River estuary, Florida to examine the role of submarine groundwater discharge in estuarine transport. The fresh water endmember of this still relatively pristine estuary may reflect not only river-borne constituents, but also those advected during active groundwater/surface water (hyporheic) exchange. During both discharge conditions, Ba concentrations indicated slight non-conservative mixing. Such Ba excesses could be attributed either to submarine groundwater discharge or particle desorption processes. Estuarine dissolved organic carbon concentrations were highest at salinities closest to zero. Uranium distributions were lowest in the fresh water sites and mixed mostly conservatively with an increase in salinity. Suspended particulate matter (SPM) concentrations were generally lowest ( 28??dpm L- 1) at the freshwater endmember of the estuary and appear to identify regions of the river most influenced by the discharge of fresh groundwater. Activities of four naturally occurring isotopes of Ra (223,224,226,228Ra) in this estuary and select adjacent shallow groundwater wells yield mean estuarine water-mass transit times of less than 1 day; these values are in close agreement to those calculated by tidal prism and tidal frequency. Submarine groundwater discharge rates to the Loxahatchee River estuary were calculated using a tidal prism approach, an excess 226Ra mass balance, and an electromagnetic seepage meter. Average SGD rates ranged from 1.0 to 3.8 ?? 105??m3 d- 1 (20-74??L m- 2 d- 1), depending on river-discharge stage. Such calculated SGD estimates, which must include both a recirculated as well as fresh water component, are in close agreement with results obtained from a first-order watershed mass balance. Average submarine groundwater discharge rates yield NH4+ and PO4- 3 flux estimates to the Loxahatchee River estuary that range from 62.7 to 1063.1 and 69.2 to 378.5????mol m- 2 d- 1, respectively, depending on river stage. SGD-derived nutrient flux rates are compared to yearly computed riverine total N and total P load estimates. ?? 2006 Elsevier B.V. All rights reserved.

The variation of magma discharge during basaltic eruptions

NASA Technical Reports Server (NTRS)

Wadge, G.

1981-01-01

The rate at which basaltic magma is discharged during many eruptions varies substantially. An individual eruption has an eruption rate, which is the volumetric rate of discharge averaged over the whole or a major part of an eruption, and an effusion rate, which is the volumetric flux rate at any given time. In many cases, the effusion rate soon reaches a maximum after a short period of waxing flow (partly because of magmatic expansion); it then falls more slowly in the later parts of the eruption. The release of elastic strain energy from stored magma and the subvolcanic reservoir during eruption can give a waning flow of this type an exponential form. A comparison of the eruption rates of eruptions of Mauna Loa, Kilauea and Etna shows that for each volcano there is a trend of decreasing effusion rate with increasing duration of eruption. It is noted that this relationship is not predicted by a simple elastic model of magma release. Two other processes are invoked to explain the eruptive histories of these volcanoes: modification of the eruptive conduits and the continued supply of magma from depth during eruption.

Reduction in acute myocardial infarction mortality in the United States: risk-standardized mortality rates from 1995-2006.

PubMed

Krumholz, Harlan M; Wang, Yun; Chen, Jersey; Drye, Elizabeth E; Spertus, John A; Ross, Joseph S; Curtis, Jeptha P; Nallamothu, Brahmajee K; Lichtman, Judith H; Havranek, Edward P; Masoudi, Frederick A; Radford, Martha J; Han, Lein F; Rapp, Michael T; Straube, Barry M; Normand, Sharon-Lise T

2009-08-19

During the last 2 decades, health care professional, consumer, and payer organizations have sought to improve outcomes for patients hospitalized with acute myocardial infarction (AMI). However, little has been reported about improvements in hospital short-term mortality rates or reductions in between-hospital variation in short-term mortality rates. To estimate hospital-level 30-day risk-standardized mortality rates (RSMRs) for patients discharged with AMI. Observational study using administrative data and a validated risk model to evaluate 3,195,672 discharges in 2,755,370 patients discharged from nonfederal acute care hospitals in the United States between January 1, 1995, and December 31, 2006. Patients were 65 years or older (mean, 78 years) and had at least a 12-month history of fee-for-service enrollment prior to the index hospitalization. Patients discharged alive within 1 day of an admission not against medical advice were excluded, because it is unlikely that these patients had sustained an AMI. Hospital-specific 30-day all-cause RSMR. At the patient level, the odds of dying within 30 days of admission if treated at a hospital 1 SD above the national average relative to that if treated at a hospital 1 SD below the national average were 1.63 (95% CI, 1.60-1.65) in 1995 and 1.56 (95% CI, 1.53-1.60) in 2006. In terms of hospital-specific RSMRs, a decrease from 18.8% in 1995 to 15.8% in 2006 was observed (odds ratio, 0.76; 95% CI, 0.75-0.77). A reduction in between-hospital heterogeneity in the RSMRs was also observed: the coefficient of variation decreased from 11.2% in 1995 to 10.8%, the interquartile range from 2.8% to 2.1%, and the between-hospital variance from 4.4% to 2.9%. Between 1995 and 2006, the risk-standardized hospital mortality rate for Medicare patients discharged with AMI showed a significant decrease, as did between-hospital variation.

Effects of Changes in Irrigation Practices and Aquifer Development on Groundwater Discharge to the Jobos Bay National Estuarine Research Reserve near Salinas, Puerto Rico

USGS Publications Warehouse

Kuniansky, Eve L.; Rodriguez, Jose M.

2010-01-01

Since 1990, about 75 acres of black mangroves have died in the Jobos Bay National Estuarine Research Reserve near Salinas, Puerto Rico. Although many factors can contribute to the mortality of mangroves, changes in irrigation practices, rainfall, and water use resulted in as much as 25 feet of drawdown in the potentiometric surface of the aquifer in the vicinity of the reserve between 1986 and 2002. To clarify the issue, the U.S. Geological Survey, in cooperation with the Puerto Rico Department of Natural and Environmental Resources, conducted a study to ascertain how aquifer development and changes in irrigation practices have affected groundwater levels and groundwater flow to the Mar Negro area of the reserve. Changes in groundwater flow to the mangrove swamp and bay from 1986 to 2004 were estimated in this study by developing and calibrating a numerical groundwater flow model. The transient simulations indicate that prior to 1994, high irrigation return flows more than offset the effect of reduced groundwater withdrawals. In this case, the simulated discharge to the coast in the modeled area was 19 million gallons per day. From 1994 through 2004, furrow irrigation was completely replaced by micro-drip irrigation, thus eliminating return flows and the simulated average coastal discharge was 7 million gallons per day, a reduction of 63 percent. The simulated average groundwater discharge to the coastal mangrove swamps in the reserve from 1986 to 1993 was 2 million gallons per day, compared to an average simulated discharge of 0.2 million gallons per day from 1994 to 2004. The average annual rainfall for each of these periods was 38 inches. The groundwater discharge to the coastal mangrove swamps in the Jobos Bay National Estuarine Research Reserve was estimated at about 0.5 million gallons per day for 2003-2004 because of higher than average annual rainfall during these 2 years. The groundwater flow model was used to test five alternatives for increasing groundwater discharge to the coastal mangrove swamps to approximately 1.4 million gallons per day: (1) artificially recharging the aquifer with injection wells or (2) by increasing irrigation return flow by going back to furrow irrigation; (3) termination of groundwater withdrawals near the mangroves; (4) reduction of groundwater withdrawals at irrigation wells by 50 percent; and (5) a combination of alternatives 2 and 4 increasing irrigation return flows and decreasing irrigation withdrawals. Each alternative assumed average climatic conditions and groundwater withdrawals at 2004 rates. Alternative 1 required 1.5 million gallons per day of injected water. Alternative 2 required flooding 958 acres with a rate of 1.84 million gallons per day if no crops are grown. Alternative 3 required the termination of 2.44 million gallons per day of withdrawals to achieve 1.34 million gallons per day of discharge to the mangroves. Alternative 4 did not achieve the objective with only 0.80 million gallons per day simulated discharge to the mangroves, while requiring a 1.26 million gallon per day reduction in groundwater withdrawals. Alternative 5 required flooding fields with additional 1.13 million gallons of day and the same reduction in groundwater withdrawals, but did achieve the objective of about 1.4 million gallons per day discharge to the mangroves. Alternative 1, incorporating injection wells near the reserve required the least amount of water to raise groundwater levels and maintain discharge of 1.4 million gallons per day through the mangroves.

Facilitating emergency hospital evacuation through uniform discharge criteria.

PubMed

Sandra, Keret; Meital, Nahari; Ofer, Merin; Limor, Aharonson-Daniel; Sara, Goldberg; Bruria, Adini

2017-05-01

Though hospitals' operational continuity is crucial, full institutional evacuation may at times be unavoidable. The study's objective was to establish criteria for discharge of patients during complete emergency evacuation and compare scope of patients suitable for discharge pre/post implementation of criteria. Standards for patient discharge during an evacuation were developed based on literature and disaster managers. The standards were reviewed in a two-round Delphi process. All hospitals in Israel were requested to identify inpatients' that could be released home during institutional evacuation. Potential discharges were compared in 2013-2014, before and after formulation of discharge criteria. Consensus exceeding 80% was obtained for four out of five criteria after two Delphi cycles. Average projected discharge rate before and after formulation of criteria was 34.2% and 42.9%, respectively (p<0.001). Variance in potential dischargeable patients was 31-fold less in 2014 than in 2013 (MST=8,452 versus MST=264,366, respectively; p<0.001). Differences were found between small, medium and large hospitals in mean rate of dischargeable patients: 52.1%, 41.5% and 42.2%, respectively (p=0.001). The study's findings enable to forecast the extent of patients that may be released home during full emergency evacuation of a hospital; thereby facilitating preparedness of contingency plans. Copyright © 2016 Elsevier Inc. All rights reserved.

Time-averaged discharge rate of subaerial lava at Kīlauea Volcano, Hawai‘i, measured from TanDEM-X interferometry: Implications for magma supply and storage during 2011-2013

USGS Publications Warehouse

Poland, Michael P.

2014-01-01

Differencing digital elevation models (DEMs) derived from TerraSAR add-on for Digital Elevation Measurements (TanDEM-X) synthetic aperture radar imagery provides a measurement of elevation change over time. On the East Rift Zone (EZR) of Kīlauea Volcano, Hawai‘i, the effusion of lava causes changes in topography. When these elevation changes are summed over the area of an active lava flow, it is possible to quantify the volume of lava emplaced at the surface during the time spanned by the TanDEM-X data—a parameter that can be difficult to measure across the entirety of an ~100 km2 lava flow field using ground-based techniques or optical remote sensing data. Based on the differences between multiple TanDEM-X-derived DEMs collected days to weeks apart, the mean dense-rock equivalent time-averaged discharge rate of lava at Kīlauea between mid-2011 and mid-2013 was approximately 2 m3/s, which is about half the long-term average rate over the course of Kīlauea's 1983–present ERZ eruption. This result implies that there was an increase in the proportion of lava stored versus erupted, a decrease in the rate of magma supply to the volcano, or some combination of both during this time period. In addition to constraining the time-averaged discharge rate of lava and the rates of magma supply and storage, topographic change maps derived from space-based TanDEM-X data provide insights into the four-dimensional evolution of Kīlauea's ERZ lava flow field. TanDEM-X data are a valuable complement to other space-, air-, and ground-based observations of eruptive activity at Kīlauea and offer great promise at locations around the world for aiding with monitoring not just volcanic eruptions but any hazardous activity that results in surface change, including landslides, floods, earthquakes, and other natural and anthropogenic processes.

Simulation of ground-water flow and evaluation of water-management alternatives in the Assabet River Basin, Eastern Massachusetts

USGS Publications Warehouse

DeSimone, Leslie A.

2004-01-01

Water-supply withdrawals and wastewater disposal in the Assabet River Basin in eastern Massachusetts alter the flow and water quality in the basin. Wastewater discharges and stream-flow depletion from ground-water withdrawals adversely affect water quality in the Assabet River, especially during low-flow months (late summer) and in headwater areas. Streamflow depletion also contributes to loss of aquatic habitat in tributaries to the river. In 19972001, water-supply withdrawals averaged 9.9 million gallons per day (Mgal/d). Wastewater discharges to the Assabet River averaged 11 Mgal/d and included about 5.4 Mgal/d that originated from sources outside of the basin. The effects of current (2004) and future withdrawals and discharges on water resources in the basin were investigated in this study. Steady-state and transient ground-water-flow models were developed, by using MODFLOW-2000, to simulate flow in the surficial glacial deposits and underlying crystalline bedrock in the basin. The transient model simulated the average annual cycle at dynamic equilibrium in monthly intervals. The models were calibrated to 19972001 conditions of water withdrawals, wastewater discharges, water levels, and nonstorm streamflow (base flow plus wastewater discharges). Total flow through the simulated hydrologic system averaged 195 Mgal/d annually. Recharge from precipitation and ground-water discharge to streams were the dominant inflow and outflow, respectively. Evapotranspiration of ground water from wetlands and non-wetland areas also were important losses from the hydrologic system. Water-supply withdrawals and infiltration to sewers averaged 5 and 1.3 percent, respectively, of total annual out-flows and were larger components (12 percent in September) of the hydrologic system during low-flow months. Water budgets for individual tributary and main stem subbasins identified areas, such as the Fort Meadow Brook and the Assabet Main Stem Upper subbasins, where flows resulting from anthropo-genic activities were relatively large percentages, compared to other subbasins, (more than 20 percent in September) of total out-flows. Wastewater flows in the Assabet River accounted for 55, 32, and 20 percent of total nonstorm streamflow (base flow plus wastewater discharge) out of the Assabet Main Stem Upper, Middle, and Lower subbasins, respectively, in an average September. The ground-water-flow models were used to evaluate water-management alternatives by simulating hypothetical scenarios of altered withdrawals and discharges. A scenario that included no water management quantified nonstorm stream-flows that would result without withdrawals, discharges, septic-system return flow, or consumptive use. Tributary flows in this scenario increased in most subbasins by 2 to 44 percent relative to 19972001 conditions. The increases resulted mostly from variable combinations of decreased withdrawals and decreased infiltration to sewers. Average annual nonstorm streamflow in the Assabet River decreased slightly in this scenario, by 2 to 3 percent annually, because gains in ground-water discharge were offset by the elimination of wastewater discharges. A second scenario quantified the effects of increasing withdrawals and discharges to currently permitted levels. In this simulation, average annual tributary flows decreased in most subbasins, by less than 1 to 10 percent relative to 19972001 conditions. In the Assabet River, flows increased slightly, 1 to 5 percent annually, and the percentage of wastewater in the river increased to 69, 42, and 27 percent of total nonstorm streamflow out of the Assabet Main Stem Upper, Middle, and Lower subbasins, respectively, in an average September. A third set of scenarios quantified the effects of ground-water discharge of wastewater at four hypothetical sites, while maintaining 19972000 wastewater discharges to the Assabet River. Wastewater, discharged at a constant rate that varied among sites from 0.3 to 1

Discharge variability and bedrock river incision on the Hawaiian island of Kaua'i

NASA Astrophysics Data System (ADS)

Huppert, K.; Deal, E.; Perron, J. T.; Ferrier, K.; Braun, J.

2017-12-01

Bedrock river incision occurs during floods that generate sufficient shear stress to strip riverbeds of sediment cover and erode underlying bedrock. Thresholds for incision can prevent erosion at low flows and slow down erosion at higher flows that do generate excess shear stress. Because discharge distributions typically display power-law tails, with non-negligible frequencies of floods much greater than the mean, models incorporating stochastic discharge and incision thresholds predict that discharge variability can sometimes have greater effects on long-term incision rates than mean discharge. This occurs when the commonly observed inverse scalings between mean discharge and discharge variability are weak or when incision thresholds are high. Because the effects of thresholds and discharge variability have only been documented in a few locations, their influence on long-term river incision rates remains uncertain. The Hawaiian island of Kaua'i provides an ideal natural laboratory to evaluate the effects of discharge variability and thresholds on bedrock river incision because it has one of Earth's steepest spatial gradients in mean annual rainfall and it also experiences dramatic spatial variations in rainfall and discharge variability, spanning a wide range of the conditions reported on Earth. Kaua'i otherwise has minimal variations in lithology, vertical motion, and other factors that can influence erosion. River incision rates averaged over 1.5 - 4.5 Myr timescales can be estimated along the lengths of Kauaian channels from the depths of river canyons and lava flow ages. We characterize rainfall and discharge variability on Kaua'i using records from an extensive network of rain and stream gauges spanning the past century. We use these characterizations to model long-term bedrock river incision along Kauaian channels with a threshold-dependent incision law, modulated by site-specific discharge-channel width scalings. Our comparisons between modeled and observed erosion rates suggest that variations in river incision rates on Kaua'i are dominated by variations in mean rainfall and discharge, rather than by differences in storminess across the island. We explore the implications of this result for the threshold dependence of river incision across Earth's varied climates.

National Hospital Discharge Survey: 2001 annual summary with detailed diagnosis and procedure data.

PubMed

Kozak, Lola Jean; Owings, Maria F; Hall, Margaret J

2004-06-01

This report presents 2001 national estimates and selected trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Admission source and type, collected for the first time in the 2001 National Hospital Discharge Survey, are shown. The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2001, data were collected for approximately 330,000 discharges. Of the 477 eligible non-Federal short-stay hospitals in the sample, 448 (94 percent) responded to the survey. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code numbers. Rates are computed with 2001 population estimates based on the 2000 census. The appendix includes a comparison of rates computed with 1990 and 2000 census-based population estimates. An estimated 32.7 million inpatients were discharged from non-Federal short-stay hospitals in 2001. They used 159.4 million days of care and had an average length of stay of 4.9 days. Common first-listed discharge diagnoses included delivery, psychoses, pneumonia, malignant neoplasm, and coronary atherosclerosis. Males had higher rates for procedures such as cardiac catheterization and coronary artery bypass graft, and females had higher rates for procedures such as cholecystectomy and total knee replacement. The rates of all cesarean deliveries, primary and repeat, rose from 1995 to 2001; the rate of vaginal birth after cesarean delivery dropped 37 percent during this period.

Effect of hole geometry and Electric-Discharge Machining (EDM) on airflow rates through small diameter holes in turbine blade material

NASA Technical Reports Server (NTRS)

Hippensteele, S. A.; Cochran, R. P.

1980-01-01

The effects of two design parameters, electrode diameter and hole angle, and two machine parameters, electrode current and current-on time, on air flow rates through small-diameter (0.257 to 0.462 mm) electric-discharge-machined holes were measured. The holes were machined individually in rows of 14 each through 1.6 mm thick IN-100 strips. The data showed linear increase in air flow rate with increases in electrode cross sectional area and current-on time and little change with changes in hole angle and electrode current. The average flow-rate deviation (from the mean flow rate for a given row) decreased linearly with electrode diameter and increased with hole angle. Burn time and finished hole diameter were also measured.

Damping of acoustic waves in a 1 kHz repetition rate XeCl laser

NASA Astrophysics Data System (ADS)

Sentis, M. L.; Canarelli, P.; Delaporte, Ph.; Forestier, B. M.; Fontaine, B. L.

To increase the pulse repetition frequency, the average power, and the beam quality of excimer laser systems, the problem of damping of the strong acoustic waves induced by the active medium excitation must be solved. In order to achieve this goal, different electrodes and acoustic damping configuration have been studied. Excitation of the active medium at high repetition rate (up to 1000 Hz) in a subsonic loop was achieved by means of a classical discharge, through transfer capacitors. The discharge is preionized by X-rays generated by a wire ion plasma gun. The effects of different kinds of electrodes (solid, screen, nickel felt) and transversal acoustic dampers on the stability of the discharge and on the pulse to pulse output energy are discussed.

Modeling of electron cyclotron resonance discharges

DOE Office of Scientific and Technical Information (OSTI.GOV)

Meyyappan, M.; Govindan, T.R.

The current trend in plasma processing is the development of high density plasma sources to achieve high deposition and etch rates, uniformity over large ares, and low wafer damage. Here, is a simple model to predict the spatially-averaged plasma characteristics of electron cyclotron resonance (ECR) reactors is presented. The model consists of global conservation equations for species concentration, electron density and energy. A gas energy balance is used to predict the neutral temperature self-consistently. The model is demonstrated for an ECR argon discharge. The predicted behavior of the discharge as a function of system variables agrees well with experimental observations.

Grid regulation services for energy storage devices based on grid frequency

DOEpatents

Pratt, Richard M; Hammerstrom, Donald J; Kintner-Meyer, Michael C.W.; Tuffner, Francis K

2013-07-02

Disclosed herein are representative embodiments of methods, apparatus, and systems for charging and discharging an energy storage device connected to an electrical power distribution system. In one exemplary embodiment, a controller monitors electrical characteristics of an electrical power distribution system and provides an output to a bi-directional charger causing the charger to charge or discharge an energy storage device (e.g., a battery in a plug-in hybrid electric vehicle (PHEV)). The controller can help stabilize the electrical power distribution system by increasing the charging rate when there is excess power in the electrical power distribution system (e.g., when the frequency of an AC power grid exceeds an average value), or by discharging power from the energy storage device to stabilize the grid when there is a shortage of power in the electrical power distribution system (e.g., when the frequency of an AC power grid is below an average value).

Grid regulation services for energy storage devices based on grid frequency

DOEpatents

Pratt, Richard M.; Hammerstrom, Donald J.; Kintner-Meyer, Michael C. W.; Tuffner, Francis K.

2017-09-05

Disclosed herein are representative embodiments of methods, apparatus, and systems for charging and discharging an energy storage device connected to an electrical power distribution system. In one exemplary embodiment, a controller monitors electrical characteristics of an electrical power distribution system and provides an output to a bi-directional charger causing the charger to charge or discharge an energy storage device (e.g., a battery in a plug-in hybrid electric vehicle (PHEV)). The controller can help stabilize the electrical power distribution system by increasing the charging rate when there is excess power in the electrical power distribution system (e.g., when the frequency of an AC power grid exceeds an average value), or by discharging power from the energy storage device to stabilize the grid when there is a shortage of power in the electrical power distribution system (e.g., when the frequency of an AC power grid is below an average value).

Grid regulation services for energy storage devices based on grid frequency

DOEpatents

Pratt, Richard M; Hammerstrom, Donald J; Kintner-Meyer, Michael C.W.; Tuffner, Francis K

2014-04-15

Disclosed herein are representative embodiments of methods, apparatus, and systems for charging and discharging an energy storage device connected to an electrical power distribution system. In one exemplary embodiment, a controller monitors electrical characteristics of an electrical power distribution system and provides an output to a bi-directional charger causing the charger to charge or discharge an energy storage device (e.g., a battery in a plug-in hybrid electric vehicle (PHEV)). The controller can help stabilize the electrical power distribution system by increasing the charging rate when there is excess power in the electrical power distribution system (e.g., when the frequency of an AC power grid exceeds an average value), or by discharging power from the energy storage device to stabilize the grid when there is a shortage of power in the electrical power distribution system (e.g., when the frequency of an AC power grid is below an average value).

A Muskingum-based methodology for river discharge estimation and rating curve development under significant lateral inflow conditions

NASA Astrophysics Data System (ADS)

Barbetta, Silvia; Moramarco, Tommaso; Perumal, Muthiah

2017-11-01

Quite often the discharge at a site is estimated using the rating curve developed for that site and its development requires river flow measurements, which are costly, tedious and dangerous during severe floods. To circumvent the conventional rating curve development approach, Perumal et al. in 2007 and 2010 applied the Variable Parameter Muskingum Stage-hydrograph (VPMS) routing method for developing stage-discharge relationships especially at those ungauged river sites where stage measurements and details of section geometry are available, but discharge measurements are not made. The VPMS method enables to estimate rating curves at ungauged river sites with acceptable accuracy. But the application of the method is subjected to the limitation of negligible presence of lateral flow within the routing reach. To overcome this limitation, this study proposes an extension of the VPMS method, henceforth, known herein as the VPMS-Lin method, for enabling the streamflow assessment even when significant lateral inflow occurs along the river reach considered for routing. The lateral inflow is estimated through the continuity equation expressed in the characteristic form as advocated by Barbetta et al. in 2012. The VPMS-Lin, is tested on two rivers characterized by different geometric and hydraulic properties: 1) a 50 km reach of the Tiber River in (central Italy) and 2) a 73 km reach of the Godavari River in the peninsular India. The study demonstrates that both the upstream and downstream discharge hydrographs are well reproduced, with a root mean square error equal on average to about 35 and 1700 m3 s-1 for the Tiber River and the Godavari River case studies, respectively. Moreover, simulation studies carried out on a river stretch of the Tiber River using the one-dimensional hydraulic model MIKE11 and the VPMS-Lin models demonstrate the accuracy of the VMPS-Lin model, which besides enabling the estimation of streamflow, also enables the estimation of reach averaged optimal roughness coefficients for the considered routing events.

Top-down and bottom-up interactions influence fledging success at North America’s largest colony of Caspian terns (Hydroprogne caspia)

USGS Publications Warehouse

Collar, Stefanie; Roby, Daniel D.; Lyons, Donald E.

2017-01-01

Our study investigated the influence of bottom-up and top-down drivers on the declining fledging success at a once thriving breeding colony of Caspian terns (Hydroprogne caspia). Situated at the mouth of the Columbia River, OR, East Sand Island (ESI) is home to the largest Caspian tern breeding colony in North America. Since 2001, the decline in fledging success of Caspian terns at ESI has been associated with a significant increase in average river discharge during May and June. During the years 2001–2011, the abundance of forage fish available to terns in the estuary was inversely related to river discharge. This relationship also apparently affected the reliance of nest predators on the tern colony as a food source, resulting in increased disturbance and decreased fledging success at the tern colony in years of higher river discharge. There was a significant longitudinal increase in disturbance rates by bald eagles (Haliaeetus leucocephalus) during June for terns nesting at the ESI colony, and eagle disturbance rates were positively associated with May river discharge. We also found a significant increase in kleptoparasitism rates of terns by hybrid glaucous-winged/western gulls (Larus glaucescens x Larus occidentalis) since 2001, and Caspian tern fledging success at ESI decreased with increasing average annual rates of gull kleptoparasitism. Our results support the hypothesis that the decline in Caspian tern fledging success at this large estuarine colony was primarily driven by the interaction of bottom-up and top-down factors, influencing tern fledging success through the food supply and triggering potential predators to identify the tern breeding colony as an alternative source of prey.

Exchanges of Water between the Upper Floridan Aquifer and the Lower Suwannee and Lower Santa Fe Rivers, Florida

USGS Publications Warehouse

Grubbs, J.W.; Crandall, C.A.

2007-01-01

Exchanges of water between the Upper Floridan aquifer and the Lower Suwannee River were evaluated using historic and current hydrologic data from the Lower Suwannee River Basin and adjacent areas that contribute ground-water flow to the lowest 76 miles of the Suwannee River and the lowest 28 miles of the Santa Fe River. These and other data were also used to develop a computer model that simulated the movement of water in the aquifer and river, and surface- and ground-water exchanges between these systems over a range of hydrologic conditions and a set of hypothetical water-use scenarios. Long-term data indicate that at least 15 percent of the average annual flow in the Suwannee River near Wilcox (at river mile 36) is derived from ground-water discharge to the Lower Suwannee and Lower Santa Fe Rivers. Model simulations of ground-water flow to this reach during water years 1998 and 1999 were similar to these model-independent estimates and indicated that ground-water discharge accounted for about 12 percent of the flow in the Lower Suwannee River during this time period. The simulated average ground-water discharge to the Lower Suwannee River downstream from the mouth of the Santa Fe River was about 2,000 cubic feet per second during water years 1998 and 1999. Simulated monthly average ground-water discharge rates to this reach ranged from about 1,500 to 3,200 cubic feet per second. These temporal variations in ground-water discharge were associated with climatic phenomena, including periods of strong influence by El Ni?o-associated flooding, and La Ni?a-associated drought. These variations showed a relatively consistent pattern in which the lowest rates of ground-water inflow occurred during periods of peak flood levels (when river levels rose faster than ground-water levels) and after periods of extended droughts (when ground-water storage was depleted). Conversely, the highest rates of ground-water inflow typically occurred during periods of receding levels that followed peak river levels.

Effect of the radio frequency discharge on the dust charging process in a weakly collisional and fully ionized plasma

DOE Office of Scientific and Technical Information (OSTI.GOV)

Motie, Iman; Bokaeeyan, Mahyar, E-mail: Mehyar9798@gmail.com

2015-02-15

A close analysis of dust charging process in the presence of radio frequency (RF) discharge on low pressure and fully ionized plasma for both weak and strong discharge's electric field is considered. When the electromagnetic waves pass throughout fully ionized plasma, the collision frequency of the plasma is derived. Moreover, the disturbed distribution function of plasma particles in the presence of the RF discharge is obtained. In this article, by using the Krook model, we separate the distribution function in two parts, the Maxwellian part and the perturbed part. The perturbed part of distribution can make an extra current, so-calledmore » the accretion rate of electron (or ion) current, towards a dust particle as a function of the average electron-ion collision frequency. It is proven that when the potential of dust grains increases, the accretion rate of electron current experiences an exponential reduction. Furthermore, the accretion rate of electron current for a strong electric field is relatively smaller than that for a weak electric field. The reasons are elaborated.« less

Evaluating use of the Siebens Domain Management Model during inpatient rehabilitation to increase functional independence and discharge rate to home in stroke patients.

PubMed

Kushner, David S; Peters, Kenneth M; Johnson-Greene, Doug

2015-04-01

To evaluate use of the Siebens Domain Management Model (SDMM) during stroke inpatient rehabilitation (IR) to increase functional independence and rate of discharge to home. Before and after study. IR facility. Before the intervention: 154 patients with ischemic/hemorrhagic strokes who were admitted to an IR facility in 2010; on average, they were admitted 9.1 days after receiving acute care. After the intervention: 151 patients with ischemic/hemorrhagic strokes who were admitted to an IR facility in 2012; on average they were admitted 7.3 days after receiving acute care. The comorbidity tier severity and prestroke living setting and living support appeared to be similar in both the preintervention and postintervention groups. Use of the SDMM involving weekly adjustments of IR care focused on potential barriers to discharge home including medical/surgical issues, cognitive/emotional coping issues, physical function, and living environment/community re-entry needs. Use of Functional Independence Measure (FIM) score change during IR length of stay (LOS; FIM-LOS efficiency) and rates of discharge to community/home, acute care, and long-term care (LTC) to compare 2010/preintervention data with postintervention data from 2012, along with comparison of facility data to national aggregate data from the Uniform Data System for Medical Rehabilitation (UDSMR) for both years. Preintervention 2010 FIM-LOS efficiency was 1.44 compared with a 2012 postintervention FIM-LOS efficiency of 2.24, which was significant (t = 4.3; P < .0001). Comparison of the UDSMR 2012 national FIM-LOS efficiency score (1.72) to the 2012 postintervention score of 2.24 reached significance (t = 2.6; P < .01). In addition, a significant difference was found between groups for discharge location: In the preintervention group, 57.8% were discharged to home/community, 14.9% to LTC, and 27.3% back to acute care compared with the postintervention group, in which 81.2% were discharged to home/community, 9.4% to LTC, and 9.4% back to acute care (χ(2) = 8.98; P < .001). Also significant was comparison between the 2012 postintervention group and the 2012 national UDSMR data for the same 3 discharge locations (χ(2) = 3.94; P < .05). Comparison of 2010 to 2012 facility data then shows a 23.4% increase in discharge to the community compared with an increase of 5.8% for the UDSMR 2010 to 2012 data, representing a community discharge rate that is 4 times greater for the 2012 facility postintervention group (χ(2) = 83.596; P < .0001). Use of the SDMM during stroke IR may convey improvement in functional independence and is associated with an increased discharge rate to home/community and a reduction in institutionalization and acute-care transfers. Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

Contribution of fungi to primary biogenic aerosols in the atmosphere: wet and dry discharged spores, carbohydrates, and inorganic ions

NASA Astrophysics Data System (ADS)

Elbert, W.; Taylor, P. E.; Andreae, M. O.; Pöschl, U.

2007-09-01

Biogenic aerosols play important roles in atmospheric chemistry physics, the biosphere, climate, and public health. Here, we show that fungi which actively discharge their spores with liquids into the air, in particular actively wet spore discharging Ascomycota (AAM) and actively wet spore discharging Basidiomycota (ABM), are a major source of primary biogenic aerosol particles and components. We present the first estimates for the global average emission rates of fungal spores. Measurement results and budget calculations based on investigations in Amazonia (Balbina, Brazil, July 2001) indicate that the spores of AAM and ABM may account for a large proportion of coarse particulate matter in tropical rainforest regions during the wet season (0.7-2.3 μg m-3). For the particle diameter range of 1-10 μm, the estimated proportions are ~25% during day-time, ~45% at night, and ~35% on average. For the sugar alcohol mannitol, the budget calculations indicate that it is suitable for use as a molecular tracer for actively wet discharged basidiospores (ABS). ABM emissions seem to account for most of the atmospheric abundance of mannitol (10-68 ng m-3), and can explain the observed diurnal cycle (higher abundance at night). ABM emissions of hexose carbohydrates might also account for a significant proportion of glucose and fructose in air particulate matter (7-49 ng m-3), but the literature-derived ratios are not consistent with the observed diurnal cycle (lower abundance at night). AAM emissions appear to account for a large proportion of potassium in air particulate matter over tropical rainforest regions during the wet season (17-43 ng m-3), and they can also explain the observed diurnal cycle (higher abundance at night). The results of our investigations and budget calculations for tropical rainforest aerosols are consistent with measurements performed at other locations. Based on the average abundance of mannitol reported for extratropical continental boundary layer air (~25 ng m-3), we have also calculated a value of ~17 Tg yr-1 as a first estimate for the global average emission rate of ABS over land surfaces, which is consistent with the typically observed concentrations of ABS (~10³-104 m-3; ~0.1-1 μg m-3). The global average atmospheric abundance and emission rate of total fungal spores, including wet and dry discharged species, are estimated to be higher by a factor of about three, i.e. 1 μg m-3 and ~50 Tg yr-1. Comparisons with estimated rates of emission and formation of other major types of organic aerosol (~47 Tg yr-1 of anthropogenic primary organic aerosol; 12-70 Tg yr-1 of secondary organic aerosol) indicate that emissions from fungi should be taken into account as a significant global source of organic aerosol. The effects of fungal spores and related chemical components might be particularly important in tropical regions, where both physicochemical processes in the atmosphere and biological activity at the Earth's surface are particularly intense, and where the abundance of fungal spores and related chemical compounds are typically higher than in extratropical regions.

Motor unit recruitment in human biceps brachii during sustained voluntary contractions.

PubMed

Riley, Zachary A; Maerz, Adam H; Litsey, Jane C; Enoka, Roger M

2008-04-15

The purpose of the study was to examine the influence of the difference between the recruitment threshold of a motor unit and the target force of the sustained contraction on the discharge of the motor unit at recruitment. The discharge characteristics of 53 motor units in biceps brachii were recorded after being recruited during a sustained contraction. Some motor units (n = 22) discharged action potentials tonically after being recruited, whereas others (n = 31) discharged intermittent trains of action potentials. The two groups of motor units were distinguished by the difference between the recruitment threshold of the motor unit and the target force for the sustained contraction: tonic, 5.9 +/- 2.5%; intermittent, 10.7 +/- 2.9%. Discharge rate for the tonic units decreased progressively (13.9 +/- 2.7 to 11.7 +/- 2.6 pulses s(-1); P = 0.04) during the 99 +/- 111 s contraction. Train rate, train duration and average discharge rate for the intermittent motor units did not change across 211 +/- 153 s of intermittent discharge. The initial discharge rate at recruitment during the sustained contraction was lower for the intermittent motor units (11.0 +/- 3.3 pulses s(-1)) than the tonic motor units (13.7 +/- 3.3 pulses s(-1); P = 0.005), and the coefficient of variation for interspike interval was higher for the intermittent motor units (34.6 +/- 12.3%) than the tonic motor units (21.2 +/- 9.4%) at recruitment (P = 0.001) and remained elevated for discharge duration (34.6 +/- 9.2% versus 19.1 +/- 11.7%, P < 0.001). In an additional experiment, 12 motor units were recorded at two different target forces below recruitment threshold (5.7 +/- 1.9% and 10.5 +/- 2.4%). Each motor unit exhibited the two discharge patterns (tonic and intermittent) as observed for the 53 motor units. The results suggest that newly recruited motor units with recruitment thresholds closer to the target force experienced less synaptic noise at the time of recruitment that resulted in them discharging action potentials at more regular and greater rates than motor units with recruitment thresholds further from the target force.

Magma decompression rates during explosive eruptions of Kīlauea volcano, Hawaii, recorded by melt embayments

USGS Publications Warehouse

Ferguson, David J.; Gonnermann, Helge M.; Ruprecht, Philipp; Plank, Terry; Hauri, Erik H.; Houghton, Bruce F.; Swanson, Donald A.

2016-01-01

The decompression rate of magma as it ascends during volcanic eruptions is an important but poorly constrained parameter that controls many of the processes that influence eruptive behavior. In this study, we quantify decompression rates for basaltic magmas using volatile diffusion in olivine-hosted melt tubes (embayments) for three contrasting eruptions of Kīlauea volcano, Hawaii. Incomplete exsolution of H2O, CO2, and S from the embayment melts during eruptive ascent creates diffusion profiles that can be measured using microanalytical techniques, and then modeled to infer the average decompression rate. We obtain average rates of ~0.05–0.45 MPa s−1 for eruptions ranging from Hawaiian style fountains to basaltic subplinian, with the more intense eruptions having higher rates. The ascent timescales for these magmas vary from around ~5 to ~36 min from depths of ~2 to ~4 km, respectively. Decompression-exsolution models based on the embayment data also allow for an estimate of the mass fraction of pre-existing exsolved volatiles within the magma body. In the eruptions studied, this varies from 0.1 to 3.2 wt% but does not appear to be the key control on eruptive intensity. Our results do not support a direct link between the concentration of pre-eruptive volatiles and eruptive intensity; rather, they suggest that for these eruptions, decompression rates are proportional to independent estimates of mass discharge rate. Although the intensity of eruptions is defined by the discharge rate, based on the currently available dataset of embayment analyses, it does not appear to scale linearly with average decompression rate. This study demonstrates the utility of the embayment method for providing quantitative constraints on magma ascent during explosive basaltic eruptions.

Magma decompression rates during explosive eruptions of Kīlauea volcano, Hawaii, recorded by melt embayments

NASA Astrophysics Data System (ADS)

Ferguson, David J.; Gonnermann, Helge M.; Ruprecht, Philipp; Plank, Terry; Hauri, Erik H.; Houghton, Bruce F.; Swanson, Donald A.

2016-10-01

The decompression rate of magma as it ascends during volcanic eruptions is an important but poorly constrained parameter that controls many of the processes that influence eruptive behavior. In this study, we quantify decompression rates for basaltic magmas using volatile diffusion in olivine-hosted melt tubes (embayments) for three contrasting eruptions of Kīlauea volcano, Hawaii. Incomplete exsolution of H2O, CO2, and S from the embayment melts during eruptive ascent creates diffusion profiles that can be measured using microanalytical techniques, and then modeled to infer the average decompression rate. We obtain average rates of ~0.05-0.45 MPa s-1 for eruptions ranging from Hawaiian style fountains to basaltic subplinian, with the more intense eruptions having higher rates. The ascent timescales for these magmas vary from around ~5 to ~36 min from depths of ~2 to ~4 km, respectively. Decompression-exsolution models based on the embayment data also allow for an estimate of the mass fraction of pre-existing exsolved volatiles within the magma body. In the eruptions studied, this varies from 0.1 to 3.2 wt% but does not appear to be the key control on eruptive intensity. Our results do not support a direct link between the concentration of pre-eruptive volatiles and eruptive intensity; rather, they suggest that for these eruptions, decompression rates are proportional to independent estimates of mass discharge rate. Although the intensity of eruptions is defined by the discharge rate, based on the currently available dataset of embayment analyses, it does not appear to scale linearly with average decompression rate. This study demonstrates the utility of the embayment method for providing quantitative constraints on magma ascent during explosive basaltic eruptions.

Fluctuations in isometric muscle force can be described by one linear projection of low-frequency components of motor unit discharge rates

PubMed Central

Negro, Francesco; Holobar, Aleš; Farina, Dario

2009-01-01

The aim of the study was to investigate the relation between linear transformations of motor unit discharge rates and muscle force. Intramuscular (wire electrodes) and high-density surface EMG (13 × 5 electrode grid) were recorded from the abductor digiti minimi muscle of eight healthy men during 60 s contractions at 5%, 7.5% and 10% of the maximal force. Spike trains of a total of 222 motor units were identified from the EMG recordings with decomposition algorithms. Principal component analysis of the smoothed motor unit discharge rates indicated that one component (first common component, FCC) described 44.2 ± 7.5% of the total variability of the smoothed discharge rates when computed over the entire contraction interval and 64.3 ± 10.2% of the variability when computed over 5 s intervals. When the FCC was computed from four or more motor units per contraction, it correlated with the force produced by the muscle (62.7 ± 10.1%) by a greater degree (P < 0.001) than the smoothed discharge rates of individual motor units (41.4 ± 7.8%). The correlation between FCC and the force signal increased up to 71.8 ± 13.1% when the duration and the shape of the smoothing window for discharge rates were similar to the average motor unit twitch force. Moreover, the coefficients of variation (CoV) for the force and for the FCC signal were correlated in all subjects (R2 range = 0.14–0.56; P < 0.05) whereas the CoV for force was correlated to the interspike interval variability in only one subject (R2= 0.12; P < 0.05). Similar results were further obtained from measures on the tibialis anterior muscle of an additional eight subjects during contractions at forces up to 20% of the maximal force (e.g. FCC explained 59.8 ± 11.0% of variability of the smoothed discharge rates). In conclusion, one signal captures most of the underlying variability of the low-frequency components of motor unit discharge rates and explains large part of the fluctuations in the motor output during isometric contractions. PMID:19840996

Fluctuations in isometric muscle force can be described by one linear projection of low-frequency components of motor unit discharge rates.

PubMed

Negro, Francesco; Holobar, Ales; Farina, Dario

2009-12-15

The aim of the study was to investigate the relation between linear transformations of motor unit discharge rates and muscle force. Intramuscular (wire electrodes) and high-density surface EMG (13 x 5 electrode grid) were recorded from the abductor digiti minimi muscle of eight healthy men during 60 s contractions at 5%, 7.5% and 10% of the maximal force. Spike trains of a total of 222 motor units were identified from the EMG recordings with decomposition algorithms. Principal component analysis of the smoothed motor unit discharge rates indicated that one component (first common component, FCC) described 44.2 +/- 7.5% of the total variability of the smoothed discharge rates when computed over the entire contraction interval and 64.3 +/- 10.2% of the variability when computed over 5 s intervals. When the FCC was computed from four or more motor units per contraction, it correlated with the force produced by the muscle (62.7 +/- 10.1%) by a greater degree (P < 0.001) than the smoothed discharge rates of individual motor units (41.4 +/- 7.8%). The correlation between FCC and the force signal increased up to 71.8 +/- 13.1% when the duration and the shape of the smoothing window for discharge rates were similar to the average motor unit twitch force. Moreover, the coefficients of variation (CoV) for the force and for the FCC signal were correlated in all subjects (R(2) range = 0.14-0.56; P < 0.05) whereas the CoV for force was correlated to the interspike interval variability in only one subject (R(2) = 0.12; P < 0.05). Similar results were further obtained from measures on the tibialis anterior muscle of an additional eight subjects during contractions at forces up to 20% of the maximal force (e.g. FCC explained 59.8 +/- 11.0% of variability of the smoothed discharge rates). In conclusion, one signal captures most of the underlying variability of the low-frequency components of motor unit discharge rates and explains large part of the fluctuations in the motor output during isometric contractions.

Functional relationships between vegetation, channel morphology, and flow efficiency in an alluvial (anabranching) river

NASA Astrophysics Data System (ADS)

Jansen, John D.; Nanson, Gerald C.

2010-12-01

Water and sediment flux interactions are examined in Magela Creek, an alluvial (anabranching) sand bed river in the northern Australian tropics. Dense riparian vegetation stabilizes the channels and floodplains thereby preventing erosional instability at flow depths up to 6.2 times bankfull and discharges up to 15 times bankfull. Narrow anabranching channels characterize >92% of the alluvial reach and transport bed load more efficiently than short reaches of wide single-channels, yet overall 29 ± 12% of the bed load is sequestered and the average vertical accretion rate is 0.41 ± 0.17 mm yr-1 along the 12 km study reach. The most effective discharge for transporting sediment (40-45 m3 s-1) is consistent at all 5 stations (10 channels) examined and is equivalent to the channel-forming discharge. It has an average recurrence interval of 1.01 years, occurs for an exceptionally long portion (13-15%) of the annual flow duration, and averages a remarkable 2.1 times bankfull. The high flow efficiency (i.e., bed load transport rate to stream power ratio) of the anabranches is facilitated by low width/depth channels with banks reinforced by vegetation. Colonnades of bank top trees confine high-velocity flows overbed (i.e., over the channel bed) at stages well above bankfull. At even larger overbank flows, momentum exchange between the channels and forested floodplains restrains overbed velocities, in some cases causing them to decline, thereby limiting erosion. Magela Creek exhibits a complicated set of planform, cross-sectional and vegetative adjustments that boost overbed velocities and enhance bed load yield in multiple channels while restraining velocities and erosion at the largest discharges.

Holocene delta evolution and sediment discharge of the Mekong River, southern Vietnam

NASA Astrophysics Data System (ADS)

Ta, Thi Kim Oanh; Nguyen, Van Lap; Tateishi, Masaaki; Kobayashi, Iwao; Tanabe, Susumu; Saito, Yoshiki

2002-09-01

Evolutionary changes, delta progradation, and sediment discharge of the Mekong River Delta, southern Vietnam, during the late Holocene are presented based on detailed analyses of samples from six boreholes on the lower delta plain. Sedimentological and chronostratigraphic analyses indicate clearly that the last 3 kyr were characterized by delta progradation under increasing wave influence, southeastward sediment dispersal, decreasing progradation rates, beach-ridge formation, and steepening of the face of the delta front. Estimated sediment discharge of the Mekong River for the last 3 kyr, based on sediment-volume analysis, was 144±36 million t yr -1 on average, or almost the same as the present level. The constant rate of delta front migration and stable sediment discharge during the last 3 kyr indicate that a dramatic increase in sediment discharge owing to human activities, as has been suggested for the Yellow River watershed, did not occur. Although Southeast Asian rivers have been considered candidates for such dramatic increases in discharge during the last 2 kyr, the Mekong River example, although it is a typical, large river of this region, does not support this hypothesis. Therefore, estimates of the millennial-scale global pristine sediment flux to the oceans must be revised.

Dynamic rating curve assessment for hydrometric stations and computation of the associated uncertainties: Quality and station management indicators

NASA Astrophysics Data System (ADS)

Morlot, Thomas; Perret, Christian; Favre, Anne-Catherine; Jalbert, Jonathan

2014-09-01

A rating curve is used to indirectly estimate the discharge in rivers based on water level measurements. The discharge values obtained from a rating curve include uncertainties related to the direct stage-discharge measurements (gaugings) used to build the curves, the quality of fit of the curve to these measurements and the constant changes in the river bed morphology. Moreover, the uncertainty of discharges estimated from a rating curve increases with the “age” of the rating curve. The level of uncertainty at a given point in time is therefore particularly difficult to assess. A “dynamic” method has been developed to compute rating curves while calculating associated uncertainties, thus making it possible to regenerate streamflow data with uncertainty estimates. The method is based on historical gaugings at hydrometric stations. A rating curve is computed for each gauging and a model of the uncertainty is fitted for each of them. The model of uncertainty takes into account the uncertainties in the measurement of the water level, the quality of fit of the curve, the uncertainty of gaugings and the increase of the uncertainty of discharge estimates with the age of the rating curve computed with a variographic analysis (Jalbert et al., 2011). The presented dynamic method can answer important questions in the field of hydrometry such as “How many gaugings a year are required to produce streamflow data with an average uncertainty of X%?” and “When and in what range of water flow rates should these gaugings be carried out?”. The Rocherousse hydrometric station (France, Haute-Durance watershed, 946 [km2]) is used as an example throughout the paper. Others stations are used to illustrate certain points.

Service innovation: a comparison of two approaches for physical screening of psychiatric inpatients.

PubMed

Harrison, Mark Richard; McMillan, Catherine Frances; Dickinson, Timothy

2012-06-01

Psychiatric medications have clear links to obesity, diabetes, dyslipidaemia, hypertension, hyperprolactinaemia and movement disorders. These disorders are a common cause of morbidity and mortality in psychiatric patients but physical screening by health services is often haphazard. We report the findings of an audit of physical screening across two hospital wards. Each ward undertook a process of service improvement. One ward modified the admissions proforma and the other developed a discharge screening clinic. The effectiveness of each of these interventions was then compared through a reaudit of practice across both wards. At baseline, screening was performed inconsistently and infrequently. On average, the modified admissions proforma increased screening rates by 4.7% compared to 30.7% for discharge screening clinics. The discharge screening clinic demonstrated statistically significant improvements in screening rates and effectively delivered health promotion advice. Discharge screening clinics are significantly more likely than improved admissions procedures to detect clinically significant abnormalities. If these abnormalities are detected and treated then the long-term physical health of psychiatric patients may be improved.

Fluvial sediments a summary of source, transportation, deposition, and measurement of sediment discharge

USGS Publications Warehouse

Colby, B.R.

1963-01-01

This paper presents a broad but undetailed picture of fluvial sediments in streams, reservoirs, and lakes and includes a discussion of the processes involved in the movement of sediment by flowing water. Sediment is fragmental material that originates from the chemical or physical disintegration of rocks. The disintegration products may have many different shapes and may range in size from large boulders to colloidal particles. In general, they retain about the same mineral composition as the parent rocks. Rock fragments become fluvial sediment when they are entrained in a stream of water. The entrainment may occur as sheet erosion from land surfaces, particularly for the fine particles, or as channel erosion after the surface runoff has accumulated in streams. Fluvial sediments move in streams as bedload (particles moving within a few particle diameters of the streambed) or as suspended sediment in the turbulent flow. The discharge of bedload varies with several factors, which may include particle size and a type of effective shear on the surface of the streambed. The discharge of suspended sediment depends partly on concentration of moving sediment near the streambed and hence on discharge of bedload. However, the concentration of fine sediment near the streambed varies widely, even for equal flows, and, therefore, the discharge of fine sediment normally cannot be computed theoretically. The discharge of suspended sediment also depends on velocity, turbulence, depth of flow, and fall velocity of the particles. In general, the coarse sediment transported by a stream moves intermittently and is discharged at a rate that depends on properties of the flow and of the sediment. If an ample supply of coarse sediment is available at the surface of the streambed, the discharge of the coarse sediment, such as sand, can be roughly computed from properties of the available sediment and of the flow. On the other hand, much of the fine sediment in a stream usually moves nearly continuously at about the velocity of the flow, and even low flows can transport large amounts of fine sediment. Hence, the discharge of fine sediments, being largely dependent on the availability of fine sediment upstream rather than on the properties of the sediment and of the flow at a cross section, can seldom be computed from properties, other than concentrations based directly on samples, that can be observed at the cross section. Sediment particles continually change their positions in the flow; some fall to the streambed, and others are removed from the bed. Sediment deposits form locally or over large areas if the volume rate at which particles settle to the bed exceeds the volume rate at which particles are removed from the bed. In general, large particles are deposited more readily than small particles, whether the point of deposition is behind a rock, on a flood plain, within a stream channel, or at the entrance to a reservoir, a lake, or the ocean. Most samplers used for sediment observations collect a water-sediment mixture from the water surface to within a few tenths of a foot of the streambed. They thus sample most of the suspended sediment, especially if the flow is deep or if the sediment is mostly fine; but they exclude the bedload and some of the suspended sediment in a layer near the streambed where the suspended-sediment concentrations are highest. Measured sediment discharges are usually based on concentrations that are averages of several individual sediment samples for a cross section. If enough average concentrations for a cross section have been determined, the measured sediment discharge can be computed by interpolating sediment concentrations between sampling times. If only occasional samples were collected, an average relation between sediment discharge and flow can be used with a flow-duration curve to compute roughly the average or the total sediment discharges for any periods of time for which the flow-duration c

The case of the 1981 eruption of Mount Etna: An example of very fast moving lava flows

NASA Astrophysics Data System (ADS)

Coltelli, Mauro; Marsella, Maria; Proietti, Cristina; Scifoni, Silvia

2012-01-01

Mount Etna despite being an extremely active volcano which, during the last 400 years, has produced many lava flow flank eruptions has rarely threatened or damaged populated areas. The reconstruction of the temporal evolution of potentially hazardous flank eruptions represents a useful contribution to reducing the impact of future eruptions by and analyzing actions to be taken for protecting sensitive areas. In this work, we quantitatively reconstructed the evolution of the 1981 lava flow field of Mt Etna, which threatened the town of Randazzo. This reconstruction was used to evaluate the cumulated volume, the time averaged discharge rate trend and to estimate its maximum value. The analysis was conducted by comparing pre- and post-eruption topographic surfaces, extracted by processing historical photogrammetric data sets and by utilizing the eruption chronology to establish the lava flow front positions at different times. An unusually high discharge rate (for Etna) of 640 m3/s was obtained, which corresponds well with the very fast advance rate observed for the main lava flow. A comparison with other volcanoes, presenting high discharge rate, was proposed for finding a clue to unveil the 1981 Etna eruptive mechanism. A model was presented to explain the high discharge rate, which includes an additional contribution to the lava discharge caused by the interception of a shallow magma reservoir by a dike rising from depth and the subsequent emptying of the reservoir.

A Quantitative Evaluation of Medication Histories and Reconciliation by Discipline

PubMed Central

Stewart, Michael R.; Fogg, Sarah M.; Schminke, Brandon C.; Zackula, Rosalee E.; Nester, Tina M.; Eidem, Leslie A.; Rosendale, James C.; Ragan, Robert H.; Bond, Jack A.; Goertzen, Kreg W.

2014-01-01

Abstract Background/Objective: Medication reconciliation at transitions of care decreases medication errors, hospitalizations, and adverse drug events. We compared inpatient medication histories and reconciliation across disciplines and evaluated the nature of discrepancies. Methods: We conducted a prospective cohort study of patients admitted from the emergency department at our 760-bed hospital. Eligible patients had their medication histories conducted and reconciled in order by the admitting nurse (RN), certified pharmacy technician (CPhT), and pharmacist (RPh). Discharge medication reconciliation was not altered. Admission and discharge discrepancies were categorized by discipline, error type, and drug class and were assigned a criticality index score. A discrepancy rating system systematically measured discrepancies. Results: Of 175 consented patients, 153 were evaluated. Total admission and discharge discrepancies were 1,461 and 369, respectively. The average number of medications per participant at admission was 8.59 (1,314) with 9.41 (1,374) at discharge. Most discrepancies were committed by RNs: 53.2% (777) at admission and 56.1% (207) at discharge. The majority were omitted or incorrect. RNs had significantly higher admission discrepancy rates per medication (0.59) compared with CPhTs (0.36) and RPhs (0.16) (P < .001). RPhs corrected significantly more discrepancies per participant than RNs (6.39 vs 0.48; P < .001); average criticality index reduction was 79.0%. Estimated prevented adverse drug events (pADEs) cost savings were $589,744. Conclusions: RPhs committed the fewest discrepancies compared with RNs and CPhTs, resulting in more accurate medication histories and reconciliation. RPh involvement also prevented the greatest number of medication errors, contributing to considerable pADE-related cost savings. PMID:25477614

Neuronal activity in the lateral cerebellum of the cat related to visual stimuli at rest, visually guided step modification, and saccadic eye movements

PubMed Central

Marple-Horvat, D E; Criado, J M; Armstrong, D M

1998-01-01

The discharge patterns of 166 lateral cerebellar neurones were studied in cats at rest and during visually guided stepping on a horizontal circular ladder. A hundred and twelve cells were tested against one or both of two visual stimuli: a brief full-field flash of light delivered during eating or rest, and a rung which moved up as the cat approached. Forty-five cells (40%) gave a short latency response to one or both of these stimuli. These visually responsive neurones were found in hemispheral cortex (rather than paravermal) and the lateral cerebellar nucleus (rather than nucleus interpositus).Thirty-seven cells (of 103 tested, 36%) responded to flash. The cortical visual response (mean onset latency 38 ms) was usually an increase in Purkinje cell discharge rate, of around 50 impulses s−1 and representing 1 or 2 additional spikes per trial (1.6 on average). The nuclear response to flash (mean onset latency 27 ms) was usually an increased discharge rate which was shorter lived and converted rapidly to a depression of discharge or return to control levels, so that there were on average only an additional 0.6 spikes per trial. A straightforward explanation of the difference between the cortical and nuclear response would be that the increased inhibitory Purkinje cell output cuts short the nuclear response.A higher proportion of cells responded to rung movement, sixteen of twenty-five tested (64%). Again most responded with increased discharge, which had longer latency than the flash response (first change in dentate output ca 60 ms after start of movement) and longer duration. Peak frequency changes were twice the size of those in response to flash, at 100 impulses s−1 on average and additional spikes per trial were correspondingly 3–4 times higher. Both cortical and nuclear responses were context dependent, being larger when the rung moved when the cat was closer than further away.A quarter of cells (20 of 84 tested, 24%) modulated their activity in advance of saccades, increasing their discharge rate. Four-fifths of these were non-reciprocally directionally selective. Saccade-related neurones were usually susceptible to other influences, i.e. their activity was not wholly explicable in terms of saccade parameters.Substantial numbers of visually responsive neurones also discharged in relation to stepping movements while other visually responsive neurones discharged in advance of saccadic eye movements. And more than half the cells tested were active in relation both to eye movements and to stepping movements. These combinations of properties qualify even individual cerebellar neurones to participate in the co-ordination of visually guided eye and limb movements. PMID:9490874

Conversion of nitrogen oxides in N2:O2:CO2 and N2:O2:CO2:NO2 mixtures subjected to a dc corona discharge

NASA Astrophysics Data System (ADS)

Dors, Mirosław; Mizeraczyk, Jerzy

1996-10-01

This paper concerns the influence of a direct current (dc) corona discharge on production and reduction of NO, NO2 and N2O in N2:O2:CO2 and N2:O2:CO2:NO2 mixtures. The corona discharge was generated in a needle-to-plate reactor. The positively polarized electrode consisted of 7 needles. The grounded electrode was a stainless steel plate. The gas flow rate through the reactor was varied from 28 to 110 cm3/s. The time-averaged discharge current ranged from 0 to 6 mA. It was found that in the N2:O2:CO2 mixture the corona discharge produced NO, NO2 and N2O. In the N2:O2:CO2:NO2 mixture the reduction of NO2 was between 6-56%, depending on the concentration of O2, gas flow rate and corona discharge current. The NO2 reduction was accompanied by production of NO and N2O. The results show that efficient reduction of nitrogen oxides by a corona discharge cannot be expected in the mixtures containing N2 and O2 if reducing additives are not employed.

The Safe Yield and Climatic Variability: Implications for Groundwater Management.

PubMed

Loáiciga, Hugo A

2017-05-01

Methods for calculating the safe yield are evaluated in this paper using a high-quality and long historical data set of groundwater recharge, discharge, extraction, and precipitation in a karst aquifer. Consideration is given to the role that climatic variability has on the determination of a climatically representative period with which to evaluate the safe yield. The methods employed to estimate the safe yield are consistent with its definition as a long-term average extraction rate that avoids adverse impacts on groundwater. The safe yield is a useful baseline for groundwater planning; yet, it is herein shown that it is not an operational rule that works well under all climatic conditions. This paper shows that due to the nature of dynamic groundwater processes it may be most appropriate to use an adaptive groundwater management strategy that links groundwater extraction rates to groundwater discharge rates, thus achieving a safe yield that represents an estimated long-term sustainable yield. An example of the calculation of the safe yield of the Edwards Aquifer (Texas) demonstrates that it is about one-half of the average annual recharge. © 2016, National Ground Water Association.

Measurements of the cesium flow from a surface-plasma H/sup -/ ion source

DOE Office of Scientific and Technical Information (OSTI.GOV)

Smith, H.V.; Allison, P.W.

1979-01-01

A surface ionization gauge (SIG) was constructed and used to measure the Cs/sup 0/ flow rate through the emission slit of a surface-plasma source (SPS) of H/sup -/ ions with Penning geometry. The equivalent cesium density in the SPS discharge is deduced from these flow measurements. For dc operation the optimum H/sup -/ current occurs at an equivalent cesium density of approx. 7 x 10/sup 12/ cm/sup -3/ (corresponding to an average cesium consumption rate of 0.5 mg/h). For pulsed operation the optimum H/sup -/ current occurs at an equivalent cesium density of approx. 2 x 10/sup 13/ cm/sup -3/more » (1-mg/h average cesium consumption rate). Cesium trapping by the SPS discharge was observed for both dc and pulsed operation. A cesium energy of approx. 0.1 eV is deduced from the observed time of flight to the SIG. In addition to providing information on the physics of the source, the SIG is a useful diagnostic tool for source startup and operation.« less

Midcervical neuronal discharge patterns during and following hypoxia

PubMed Central

Sandhu, M. S.; Baekey, D. M.; Maling, N. G.; Sanchez, J. C.; Reier, P. J.

2014-01-01

Anatomical evidence indicates that midcervical interneurons can be synaptically coupled with phrenic motoneurons. Accordingly, we hypothesized that interneurons in the C3–C4 spinal cord can display discharge patterns temporally linked with inspiratory phrenic motor output. Anesthetized adult rats were studied before, during, and after a 4-min bout of moderate hypoxia. Neuronal discharge in C3–C4 lamina I–IX was monitored using a multielectrode array while phrenic nerve activity was extracellularly recorded. For the majority of cells, spike-triggered averaging (STA) of ipsilateral inspiratory phrenic nerve activity based on neuronal discharge provided no evidence of discharge synchrony. However, a distinct STA phrenic peak with a 6.83 ± 1.1 ms lag was present for 5% of neurons, a result that indicates a monosynaptic connection with phrenic motoneurons. The majority (93%) of neurons changed discharge rate during hypoxia, and the diverse responses included both increased and decreased firing. Hypoxia did not change the incidence of STA peaks in the phrenic nerve signal. Following hypoxia, 40% of neurons continued to discharge at rates above prehypoxia values (i.e., short-term potentiation, STP), and cells with initially low discharge rates were more likely to show STP (P < 0.001). We conclude that a population of nonphrenic C3–C4 neurons in the rat spinal cord is synaptically coupled to the phrenic motoneuron pool, and these cells can modulate inspiratory phrenic output. In addition, the C3–C4 propriospinal network shows a robust and complex pattern of activation both during and following an acute bout of hypoxia. PMID:25552641

The over-optimistic portrayal of life-supporting treatments in newspapers and on the Internet: a cross-sectional study using extra-corporeal membrane oxygenation as an example.

PubMed

Chen, Yen-Yuan; Chen, Likwang; Kao, Yu-Hui; Chu, Tzong-Shinn; Huang, Tien-Shang; Ko, Wen-Je

2014-08-01

Extra-corporeal membrane oxygenation has been introduced to clinical practice for several decades. It is unclear how internet and newspapers portray the use of extra-corporeal membrane oxygenation. This study were: (1) to quantify the coverage of extra-corporeal membrane oxygenation use in newspapers and on the Internet; (2) to describe the characteristics of extra-corporeal membrane oxygenation users presented in newspaper articles and the Internet web pages in comparison with those shown in extra-corporeal membrane oxygenation studies in Taiwan; and (3) to examine the survival rates of extra-corporeal membrane oxygenation users presented in newspaper articles and the Internet web pages in comparison with those in Taiwan and in the Extracorporeal Life Support Registry Report International Summary for January 2014. All issues of Taiwan's four major newspapers from 2006 to 2010 were reviewed. In October 2011, a search of Internet web pages was performed based on the subjects of "yeh-ko-mo" (extra-corporeal membrane oxygenation in Traditional Chinese), "ECMO", and "extra-corporeal membrane oxygenation." All the Internet web pages and newspaper articles recounting the use of extra-corporeal membrane oxygenation were reviewed. The information, such as patient characteristic and the status at hospital discharge, was collected. The survival rate of extra-corporeal membrane oxygenation use shown on the Internet (83.97%) was significantly higher than all the survival rates reported in Taiwan's literature (p < .01) and in the Extracorporeal Life Support Registry Report International Summary for January 2014 (p < .01). In addition, the survival rate of extra-corporeal membrane oxygenation use shown in newspapers (61.54%) was significantly higher than the average survival rate (43%) reported in Taiwan's literature, the pediatric average survival rate (51%), and the adult average survival rate (47%) in the Extracorporeal Life Support Registry Report International Summary for January 2014. Internet and newspapers both showed over-optimistic survival to hospital discharge for patients sustained by extra-corporeal membrane oxygenation. Internet was more likely to provide optimistic information for aggressive life-supporting treatments such as extra-corporeal membrane oxygenation than newspapers as indicated by survival to hospital discharge.

Potentiometric surfaces of the upper glacial and Magothy aquifers and selected streamflow statistics, 1943-72, on Long Island, New York

USGS Publications Warehouse

Vaupel, Donald E.; Prince, K.R.; Koehler, A.J.; Runco, Mario

1977-01-01

A brief text describes the two major aquifers and the discharge pattern of major streams on Long Island. Four water-table maps for the years 1943, 1959, 1966, and 1972, an average water-table map for the period 1943-72 supplemented by five well hydrographs representing Kings, Queens, western Nassau, eastern Nassau, and Suffolk Counties, and three potentiometric- surface maps of the Magothy aquifer for the years 1959, 1966, and 1972 are included. A statistical summary of stream discharge presents average annual discharges, annual average discharges, and average 7-day, 10-year low-flow discharges for major streams.

Temporal pattern and memory in sediment transport in an experimental step-pool channel

NASA Astrophysics Data System (ADS)

Saletti, Matteo; Molnar, Peter; Zimmermann, André; Hassan, Marwan A.; Church, Michael; Burlando, Paolo

2015-04-01

In this work we study the complex dynamics of sediment transport and bed morphology in steep streams, using a dataset of experiments performed in a steep flume with natural sediment. High-resolution (1 sec) time series of sediment transport were measured for individual size classes at the outlet of the flume for different combinations of sediment input rates, discharges, and flume slopes. The data show that the relation between instantaneous discharge and sediment transport exhibits large variability on different levels. After dividing the time series into segments of constant water discharge, we quantify the statistical properties of transport rates by fitting the data with a Generalized Extreme Value distribution, whose 3 parameters are related to the average sediment flux. We analyze separately extreme events of transport rate in terms of their fractional composition; if only events of high magnitude are considered, coarse grains become the predominant component of the total sediment yield. We quantify the memory in grain size dependent sediment transport with variance scaling and autocorrelation analyses; more specifically, we study how the variance changes with different aggregation scales and how the autocorrelation coefficient changes with different time lags. Our results show that there is a tendency to an infinite memory regime in transport rate signals, which is limited by the intermittency of the largest fractions. Moreover, the structure of memory is both grain size-dependent and magnitude-dependent: temporal autocorrelation is stronger for small grain size fractions and when the average sediment transport rate is large. The short-term memory in coarse grain transport increases with temporal aggregation and this reveals the importance of the sampling frequency of bedload transport rates in natural streams, especially for large fractions.

Role of aquifer heterogeneity in fresh groundwater discharge and seawater recycling: An example from the Carmel coast, Israel

USGS Publications Warehouse

Weinstein, Y.; Burnett, W.C.; Swarzenski, P.W.; Shalem, Y.; Yechieli, Y.; Herut, B.

2007-01-01

A case study is shown in which the pattern of submarine groundwater discharge and of seawater recycling is controlled by local hydrogeological variability. The coastal aquifer in Dor Bay is composed of two units: a partly confined calcaranitic sandstone (Kurkar) and an overlying loose sand. Groundwater in the Kurkar has elevated activities of 222Rn (∼390 dpm/L) and relatively low 224Ra/223Ra activity ratios (3–4), while the sand groundwater is significantly less radiogenic (6–90 dpm/L) and shows higher 224Ra/223Ra ratios. Groundwater discharging from sand-covered areas of the bay has salinities of 16–31 and an average 222Rn activity of 168 dpm/L, which lies on a mixing line between Rn-rich Kurkar fresh water and Rn-poor seawater. Another key observation is that seawater infiltrates to some extent into onshore sand groundwater, while the fresh water within the submarine Kurkar can be traced up to 40 m offshore. This implies that while fresh water mainly discharges from the Kurkar unit, seawater recycling is limited to the loose sand, and that the discharge from sand-covered areas is a mixture of Kurkar water with recycled seawater. Advection rates from the bay floor were calculated from Rn time series and found to vary between 0 and 36 cm/d, correlating negatively with bay water depth. The average flux was 8.1 cm/d, and it did not seem to change much during March, May, and July 2006. The average amount of fresh water discharging to the bay was 5.0 m3/d per meter of shoreline. Radon activity in the sand groundwater also fluctuates due to influx of Kurkar-type groundwater.

Chemical cardioversion of recent-onset atrial fibrillation in the emergency department using vernakalant hydrochloride achieves safe and rapid restoration of sinus rhythm and facilitates same day discharge.

PubMed

Stoneman, P; Gilligan, P; Mahon, P; Sheahan, R

2017-11-01

Vernakalant hydrochloride is a rapid-acting antiarrhythmic drug licensed in the EU since 2010 for the conversion of recent-onset atrial fibrillation with proven efficacy and safety when compared with placebo and amiodarone in randomized clinical trials. The aim of our study was to determine the feasibility of same day discharge (following 2 h monitoring) from the emergency department after successful cardioversion using vernakalant hydrochloride. Patients with recent-onset atrial fibrillation treated in the emergency department of a large Dublin academic teaching hospital. Patients received a maximum of two weight based 10 min infusions of vernakalant. Hypotensive events (>30% initial blood pressure), arrhythmias, conversion rates, and time to conversion were recorded. Sinus rhythm was restored in 35 out of 42 patients (83%) in an average of 8.8 min (median 8 min), average CHA2DS2-VASc of 0.92, HAS-BLED of 0.21 and average symptoms duration of 12 h. There were no hypotensive or arrhythmogenic events. 41 out of 42 patients were discharged after 2 h of monitoring. Vernakalant hydrochloride has provided a quick, safe, and practical means of achieving rapid restoration of sinus rhythm in our ED population with stable recent-onset AF who would otherwise not have undergone routine electrically cardioversion and same day discharge.

Preceding muscle activity influences motor unit discharge and rate of torque development during ballistic contractions in humans

PubMed Central

Van Cutsem, Michaël; Duchateau, Jacques

2005-01-01

To investigate the effect of initial conditions on the modulation of motor unit discharge during fast voluntary contractions, we compared ballistic isometric contractions of the ankle dorsiflexor muscles that were produced from either a resting state or superimposed on a sustained contraction. The torque of the dorsiflexors and the surface and intramuscular EMGs from the tibialis anterior were recorded. The results showed that the performance of a ballistic contraction from a sustained contraction (∼25% maximal voluntary contraction (MVC)) had a negative effect on the maximal rate of torque development. Although the electromechanical delay was shortened, the EMG activity during the ballistic contraction was less synchronized. These observations were associated with a significant decline in the average discharge rate of single motor units (89.8 ± 3.8 versus 115 ± 5.8 Hz) and in the percentage of units (6.2 versus 15.5% of the whole sample) that exhibited double discharges at brief intervals (= 5 ms). High-threshold units that were not recruited during the sustained contraction displayed the same activation pattern, which indicates that the mechanisms responsible for the decline in discharge rate were not restricted to previously activated units, but appear to influence the entire motor unit pool. When a premotor silent period (SP) was observed at the transition from the sustained muscular activity to the ballistic contraction (19% of the trials), these adjustments in motor unit activity were not present, and the ballistic contractions were similar to those performed from a resting state. Together, these results indicate that initial conditions can influence the capacity for motor unit discharge rate and hence the performance of a fast voluntary contraction. PMID:15539402

Variation in the reference Shields stress for bed load transport in gravel‐bed streams and rivers

USGS Publications Warehouse

Mueller, Erich R.; Pitlick, John; Nelson, Jonathan M.

2005-01-01

The present study examines variations in the reference shear stress for bed load transport (τr) using coupled measurements of flow and bed load transport in 45 gravel‐bed streams and rivers. The study streams encompass a wide range in bank‐full discharge (1–2600 m3/s), average channel gradient (0.0003–0.05), and median surface grain size (0.027–0.21 m). A bed load transport relation was formed for each site by plotting individual values of the dimensionless transport rate W* versus the reach‐average dimensionless shear stress τ*. The reference dimensionless shear stress τ*r was then estimated by selecting the value of τ* corresponding to a reference transport rate of W* = 0.002. The results indicate that the discharge corresponding to τ*r averages 67% of the bank‐full discharge, with the variation independent of reach‐scale morphologic and sediment properties. However, values of τ*r increase systematically with average channel gradient, ranging from 0.025–0.035 at sites with slopes of 0.001–0.006 to values greater than 0.10 at sites with slopes greater than 0.02. A corresponding relation for the bank‐full dimensionless shear stress τ*bf, formulated with data from 159 sites in North America and England, mirrors the relation between τ*r and channel gradient, suggesting that the bank‐full channel geometry of gravel‐ and cobble‐bedded streams is adjusted to a relatively constant excess shear stress, τ*bf − τ*r, across a wide range of slopes.

Estimation of groundwater discharge and associated chemical fluxes into Poyang Lake, China: approaches using stable isotopes (δD and δ18O) and radon

NASA Astrophysics Data System (ADS)

Liao, Fu; Wang, Guangcai; Shi, Zheming; Cheng, Guoqiang; Kong, Qingmin; Mu, Wenqing; Guo, Liang

2018-05-01

Poyang Lake is the largest freshwater lake in China and is well known for its ecological and economic importance. Understanding the contribution of groundwater to Poyang Lake is important for the lake's protection and management. In this study, stable isotopes (δD and δ18O), 222Rn measurements, and corresponding models (222Rn and 18O mass balance models) were employed to evaluate the groundwater discharge and associated chemical inputs to Poyang Lake. The results showed that the distribution of δ18O in the lake water reflects the groundwater discharge into the lake. The groundwater discharge estimated using the 222Rn mass balance model was in reasonable agreement with the groundwater discharge derived from the 18O mass balance model. The 222Rn mass balance model showed that the groundwater discharge rate was 24.18 ± 6.85 mm/d with a groundwater discharge flux of (2.24 ± 0.63) × 107 m3/d, which accounts for 6.52-11.14% of river-water input in the Poyang Lake area. The groundwater discharge flux estimated using the 18O mass balance model was 3.17 × 107 m3/d, and the average groundwater discharge rate was 26.62 mm/d. The estimated groundwater discharge was used to estimate the associated chemical fluxes. It was found that groundwater-derived heavy metals such as iron and manganese are potential threats to the lake ecological system because of their large inputs from groundwater discharge.

Ion thruster performance model

NASA Technical Reports Server (NTRS)

Brophy, J. R.

1984-01-01

A model of ion thruster performance is developed for high flux density, cusped magnetic field thruster designs. This model is formulated in terms of the average energy required to produce an ion in the discharge chamber plasma and the fraction of these ions that are extracted to form the beam. The direct loss of high energy (primary) electrons from the plasma to the anode is shown to have a major effect on thruster performance. The model provides simple algebraic equations enabling one to calculate the beam ion energy cost, the average discharge chamber plasma ion energy cost, the primary electron density, the primary-to-Maxwellian electron density ratio and the Maxwellian electron temperature. Experiments indicate that the model correctly predicts the variation in plasma ion energy cost for changes in propellant gas (Ar, Kr and Xe), grid transparency to neutral atoms, beam extraction area, discharge voltage, and discharge chamber wall temperature. The model and experiments indicate that thruster performance may be described in terms of only four thruster configuration dependent parameters and two operating parameters. The model also suggests that improved performance should be exhibited by thruster designs which extract a large fraction of the ions produced in the discharge chamber, which have good primary electron and neutral atom containment and which operate at high propellant flow rates.

Temporal 222Rn distributions to reveal groundwater discharge into desert lakes: Implication of water balance in the Badain Jaran Desert, China

NASA Astrophysics Data System (ADS)

Luo, Xin; Jiao, Jiu Jimmy; Wang, Xu-sheng; Liu, Kun

2016-03-01

How lake systems are maintained and water is balanced in the lake areas in the Badain Jaran Desert (BJD), northeast of China have been debated for about a decade. In this study, continuous 222Rn measurement is used to quantify groundwater discharge into two representative fresh and brine water lakes in the desert using a steady-state mass-balance model. Two empirical equations are used to calculate atmospheric evasion loss crossing the water-air interface of the lakes. Groundwater discharge rates yielded from the radon mass balance model based on the two empirical equations are well correlated and of almost the same values, confirming the validity of the model. The fresh water and brine lakes have a daily averaged groundwater discharge rate of 7.6 ± 1.7 mm d-1 and 6.4 ± 1.8 mm d-1, respectively. The temporal fluctuations of groundwater discharge show similar patterns to those of the lake water level, suggesting that the lakes are recharged from nearby groundwater. Assuming that all the lakes have the same discharge rate as the two studied lakes, total groundwater discharge into all the lakes in the desert is estimated to be 1.59 × 105 m3 d-1. A conceptual model of water balance within a desert lake catchment is proposed to characterize water behaviors within the catchment. This study sheds lights on the water balance in the BJD and is of significance in sustainable regional water resource utilization in such an ecologically fragile area.

National Hospital Discharge Survey: 2002 annual summary with detailed diagnosis and procedure data.

PubMed

Kozak, Lola J; Owings, Maria F; Hall, Margaret J

2005-03-01

This report presents 2002 national estimates and selected trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes. The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2002, data were collected for approximately 327,000 discharges. Of the 474 eligible non-Federal short-stay hospitals in the sample, 445 (94 percent) responded to the survey. An estimated 33.7 million inpatients were discharged from non-Federal short-stay hospitals in 2002. They used 164.2 million days of care and had an average length of stay of 4.9 days. Common first-listed discharge diagnoses included delivery, ischemic heart disease, psychoses, pneumonia, and malignant neoplasms. Inpatients had 6.8 million cardiovascular procedures and 6.6 million obstetric procedures. Males had higher rates for cardiac procedures such as cardiac catheterization and coronary artery bypass graft, but males and females had similar rates of pacemaker procedures. The number and rate of all cesarean deliveries, primary and repeat, rose from 1995 to 2002; the rate of vaginal birth after cesarean delivery dropped from 35.5 in 1995 to 15.8 in 2002.

A Preliminary Study on Rock Bed Heat Storage from Biomass Combustion for Rice Drying

NASA Astrophysics Data System (ADS)

Nelwan, L. O.; Wulandani, D.; Subrata, I. D. M.

2018-05-01

One of the main constraints of biomass fuel utilization in a small scale rice drying system is the operating difficulties related to the adjustment of combustion/feeding rate. Use of thermal storage may reduce the problem since combustion operation can be accomplished in a much shorter time and then the use of heat can be regulated by simply adjusting the air flow. An integrated biomass furnace-rock bed thermal storage with a storage volume of 540 L was designed and tested. There were four experiments conducted in this study. Charging was performed within 1-2 hours with a combustion rate of 11.5-15.5 kg/h. In discharging process, the mixing of air passing through the rock bed and ambient air were regulated by valves. Without adjusting the valve during the discharging process, air temperature increased up to 80°C, which is not suitable for rice batch drying process. Charging with sufficiently high combustion rate (14 kg/h) within 1 hour continued by adjusting the valve during discharging process below 60°C increased the discharge-charge time ratio (DCTR) up to 5.33 at average air temperature of 49°C and ambient temperature of 33°C.The efficiency of heat discharging was ranged from 34.5 to 45.8%. From the simulation, as much as 156.8-268.8 kg of rice was able to be dried by the discharging conditions.

Improvement in Total Joint Replacement Quality Metrics: Year One Versus Year Three of the Bundled Payments for Care Improvement Initiative.

PubMed

Dundon, John M; Bosco, Joseph; Slover, James; Yu, Stephen; Sayeed, Yousuf; Iorio, Richard

2016-12-07

In January 2013, a large, tertiary, urban academic medical center began participation in the Bundled Payments for Care Improvement (BPCI) initiative for total joint arthroplasty, a program implemented by the Centers for Medicare & Medicaid Services (CMS) in 2011. Medicare Severity-Diagnosis Related Groups (MS-DRGs) 469 and 470 were included. We participated in BPCI Model 2, by which an episode of care includes the inpatient and all post-acute care costs through 90 days following discharge. The goal for this initiative is to improve patient care and quality through a patient-centered approach with increased care coordination supported through payment innovation. Length of stay (LOS), readmissions, discharge disposition, and cost per episode of care were analyzed for year 3 compared with year 1 of the initiative. Multiple programs were implemented after the first year to improve performance metrics: a surgeon-directed preoperative risk-factor optimization program, enhanced care coordination and home services, a change in venous thromboembolic disease (VTED) prophylaxis to a risk-stratified protocol, infection-prevention measures, a continued emphasis on discharge to home rather than to an inpatient facility, and a quality-dependent gain-sharing program among surgeons. There were 721 Medicare primary total joint arthroplasty patients in year 1 and 785 in year 3; their data were compared. The average hospital LOS decreased from 3.58 to 2.96 days. The rate of discharge to an inpatient facility decreased from 44% to 28%. The 30-day all-cause readmission rate decreased from 7% to 5%; the 60-day all-cause readmission rate decreased from 11% to 6%; and the 90-day all-cause readmission rate decreased from 13% to 8%. The average 90-day cost per episode decreased by 20%. Mid-term results from the implementation of Medicare BPCI Model 2 for primary total joint arthroplasty demonstrated decreased LOS, decreased discharges to inpatient facilities, decreased readmissions, and decreased cost of the episode of care in year 3 compared with year 1, resulting in increased value to all stakeholders involved in this initiative and suggesting that continued improvement over initial gains is possible.

Reduction in Acute Myocardial Infarction Mortality in the United States

PubMed Central

Krumholz, Harlan M.; Wang, Yun; Chen, Jersey; Drye, Elizabeth E.; Spertus, John A.; Ross, Joseph S.; Curtis, Jeptha P.; Nallamothu, Brahmajee K.; Lichtman, Judith H.; Havranek, Edward P.; Masoudi, Frederick A.; Radford, Martha J.; Han, Lein F.; Rapp, Michael T.; Straube, Barry M.; Normand, Sharon-Lise T.

2012-01-01

Context During the last 2 decades, health care professional, consumer, and payer organizations have sought to improve outcomes for patients hospitalized with acute myocardial infarction (AMI). However, little has been reported about improvements in hospital short-term mortality rates or reductions in between-hospital variation in short-term mortality rates. Objective To estimate hospital-level 30-day risk-standardized mortality rates (RSMRs) for patients discharged with AMI. Design, Setting, and Patients Observational study using administrative data and a validated risk model to evaluate 3 195 672 discharges in 2 755 370 patients discharged from nonfederal acute care hospitals in the United States between January 1, 1995, and December 31, 2006. Patients were 65 years or older (mean, 78 years) and had at least a 12-month history of fee-for-service enrollment prior to the index hospitalization. Patients discharged alive within 1 day of an admission not against medical advice were excluded, because it is unlikely that these patients had sustained an AMI. Main Outcome Measure Hospital-specific 30-day all-cause RSMR. Results At the patient level, the odds of dying within 30 days of admission if treated at a hospital 1 SD above the national average relative to that if treated at a hospital 1 SD below the national average were 1.63 (95% CI, 1.60-1.65) in 1995 and 1.56 (95% CI, 1.53-1.60) in 2006. In terms of hospital-specific RSMRs, a decrease from 18.8% in 1995 to 15.8% in 2006 was observed (odds ratio, 0.76; 95% CI, 0.75-0.77). A reduction in between-hospital heterogeneity in the RSMRs was also observed: the coefficient of variation decreased from 11.2% in 1995 to 10.8%, the interquartile range from 2.8% to 2.1%, and the between-hospital variance from 4.4% to 2.9%. Conclusion Between 1995 and 2006, the risk-standardized hospital mortality rate for Medicare patients discharged with AMI showed a significant decrease, as did between-hospital variation. PMID:19690309

Hydrogeology and leachate movement near two chemical-waste sites in Oswego County, New York

USGS Publications Warehouse

Anderson, H.R.; Miller, Todd S.

1986-01-01

Forty-five observation wells and test holes were installed at two chemical waste disposal sites in Oswego County, New York, to evaluate the hydrogeologic conditions and the rate and direction of leachate migration. At the site near Oswego groundwater moves northward at an average velocity of 0.4 ft/day through unconsolidated glacial deposits and discharges into White Creek and Wine Creek, which border the site and discharge to Lake Ontario. Leaking barrels by chemical wastes have contaminated the groundwater within the site, as evidenced by detection of 10 ' priority pollutant ' organic compounds, and elevated values of specific conductance, chloride, arsenic, lead, and mercury. At the site near Fulton, where 8,000 barrels of chemical wastes are buried, groundwater in the sandy surficial aquifer bordering the landfill on the south and east moves southward and eastward at an average velocity of 2.8 ft/day and discharges to Bell Creek, which discharges to the Oswego River, or moves beneath the landfill. Leachate is migrating eastward, southeastward, and southwestward, as evidenced by elevated values of specific conductance, temperature, and concentrations of several trace metals at wells east, southeast, and southwest of the site. (USGS)

Quantifying sources of bias in National Healthcare Safety Network laboratory-identified Clostridium difficile infection rates.

PubMed

Haley, Valerie B; DiRienzo, A Gregory; Lutterloh, Emily C; Stricof, Rachel L

2014-01-01

To assess the effect of multiple sources of bias on state- and hospital-specific National Healthcare Safety Network (NHSN) laboratory-identified Clostridium difficile infection (CDI) rates. Sensitivity analysis. A total of 124 New York hospitals in 2010. New York NHSN CDI events from audited hospitals were matched to New York hospital discharge billing records to obtain additional information on patient age, length of stay, and previous hospital discharges. "Corrected" hospital-onset (HO) CDI rates were calculated after (1) correcting inaccurate case reporting found during audits, (2) incorporating knowledge of laboratory results from outside hospitals, (3) excluding days when patients were not at risk from the denominator of the rates, and (4) adjusting for patient age. Data sets were simulated with each of these sources of bias reintroduced individually and combined. The simulated rates were compared with the corrected rates. Performance (ie, better, worse, or average compared with the state average) was categorized, and misclassification compared with the corrected data set was measured. Counting days patients were not at risk in the denominator reduced the state HO rate by 45% and resulted in 8% misclassification. Age adjustment and reporting errors also shifted rates (7% and 6% misclassification, respectively). Changing the NHSN protocol to require reporting of age-stratified patient-days and adjusting for patient-days at risk would improve comparability of rates across hospitals. Further research is needed to validate the risk-adjustment model before these data should be used as hospital performance measures.

Outcomes of an inpatient medical nutritional rehabilitation protocol in children and adolescents with eating disorders.

PubMed

Peebles, Rebecka; Lesser, Andrew; Park, Courtney Cheek; Heckert, Kerri; Timko, C Alix; Lantzouni, Eleni; Liebman, Ronald; Weaver, Laurel

2017-01-01

Medical stabilization through inpatient nutritional rehabilitation is often necessary for patients with eating disorders (EDs) but includes the inherent risk of refeeding syndrome. Here we describe our experience of implementing and sustaining an inpatient nutritional rehabilitation protocol designed to strategically prepare patients with EDs and their families for discharge to a home setting in an efficient and effective manner from a general adolescent medicine unit. We report outcomes at admission, discharge, and 4-weeks follow-up. Protocol development, implementation, and unique features of the protocol, are described. Data were collected retrospectively as part of a continuous quality improvement (QI) initiative. Safety outcomes were the clinical need for phosphorus, potassium, and magnesium supplementation, other evidence of refeeding syndrome, and unexpected readmissions within one month of discharge. The value outcome was length of stay (LOS). Treatment outcomes were the percentage median BMI (MBMI) change from admission to discharge, and from discharge to 4-weeks follow-up visit. A total of 215 patients (88% F, 12% M) were included. Patients averaged 15.3 years old (5.8-23.2y); 64% had AN, 18% had atypical anorexia (AtAN), 6% bulimia nervosa (BN), 5% purging disorder (PD), 4% avoidant-restrictive food intake disorder (ARFID), and 3% had an unspecified food and eating disorder (UFED). Average LOS was 11 days. Initial mean calorie level for patients at admission was 1466 and at discharge 3800 kcals/day. Phosphorus supplementation for refeeding hypophosphatemia (RH) was needed in 14% of inpatients; full-threshold refeeding syndrome did not occur. Only 3.8% were rehospitalized in the thirty days after discharge. Patients averaged 86.1% of a median MBMI for age and gender, 91.4% MBMI at discharge, and 100.9% MBMI at 4-weeks follow-up. Mean percentage MBMI differences between time points were significantly different (admission-discharge: 5.3%, p  <0.001; discharge-follow-up: 9.2%, p  <0.001). Implementation of the CHOP inpatient nutritional rehabilitation protocol aimed at rapid, efficient, and safe weight gain and integration of caregivers in treatment of patients with diverse ED diagnoses led to excellent QI outcomes in percentage MBMI at discharge and 4-weeks follow-up, while maintaining a short LOS and low rates of RH phosphorus supplementation.

Examination of Direct Discharge Measurement Data and Historic Daily Data for Selected Gages on the Middle Mississippi River, 1861-2008

USGS Publications Warehouse

Huizinga, Richard J.

2009-01-01

An examination of data from two continuous stage and discharge streamgages and one continuous stage-only gage on the Middle Mississippi River was made to determine stage-discharge relation changes through time and to investigate cause-and-effect mechanisms through evaluation of hydraulic geometry, channel elevation and water-surface elevation data. Data from discrete, direct measurements at the streamgages at St. Louis, Missouri, and Chester, Illinois, during the period of operation by the U.S. Geological Survey from 1933 to 2008 were examined for changes with time. Daily stage values from the streamgages at St. Louis (1861-2008) and Chester (1891-2008) and the stage-only gage at Cape Girardeau, Missouri (1896-2008), throughout the historic period of record also were examined for changes with time. Stage and discharge from measurements and stage-discharge relations at the streamgages at St. Louis and Chester indicate that stage for a given discharge has changed with time at both locations. An apparent increase in stage for a given discharge at increased flows (greater than flood stage) likely is caused by the raising of levees on the flood plains, and a decrease in stage for a given discharge at low flows (less than one-half flood stage) likely is caused by a combination of dikes in the channel that deepen the channel thalweg at the end of the dikes, and reduced sediment flux into the Middle Mississippi River. Since the 1960s at St. Louis, Missouri, the stage-discharge relations indicated no change or a decrease in stage for a given discharge for all discharges, whereas at Chester, Illinois, the stage-discharge relations indicate increasing stage for a given discharge above bankfull because of sediment infilling of the overflow channel. Top width and average velocity from measurements at a given discharge for the streamgage at St. Louis, Missouri, were relatively constant through time, with the only substantial change in top width resulting from the change in measurement location from the Municipal/MacArthur Bridge to the Poplar Street Bridge in 1968. The average bed elevation appeared to be lowering with time at both measurement locations at St. Louis. Flow in the Horse Island Chute overflow channel for the streamgage at Chester, Illinois had an effect on top width and average velocity from measurements, and this effect changed with time as the inflow channel to Horse Island Chute filled with sediment. Top width from measurements at a given discharge was consistent through time at the Chester streamgage when adjusted to remove the part of the flow through Horse Island Chute. Average velocity from measurements at a given discharge appears to be increasing with time, possibly as a result of a series of dikes built or extended in the channel immediately upstream from the Chester streamgage; however, the average bed elevation for all discharges less than bankfull at the Chester streamgage fluctuate around an average value from 1948 to 2000, and the fluctuations appear to be related to the occurrence of moderate and large floods. Daily stage and discharge values available for the streamgage at St. Louis, Missouri, from 1861 to 1932 display distinct, fixed relations that change slightly with time before operation by the U.S. Geological Survey, indicating daily discharge was obtained from the daily stage value during this timeframe. A sudden and substantial reduction of about 24 percent at the upper end of the ratings for discharge at a given stage occurred between 1932 and 1933 when the U.S. Geological Survey began operating the streamgage. This change likely is the result of the change to Price AA current meters from other, less-accurate methods used for discharge measurements before 1933. Based on modeling results for the Middle Mississippi River by the U.S. Army Corps of Engineers and the findings of this study, the accuracy of the historic record before 1933 is questionable, and needs to be examined further. The differ

Q-switched slab RF discharge CO laser

NASA Astrophysics Data System (ADS)

Ionin, A. A.; Kochetkov, Yu V.; Kozlov, A. Yu; Mokrousova, D. V.; Seleznev, L. V.; Sinitsyn, D. V.; Sunchugasheva, E. S.; Zemtsov, D. S.

2017-05-01

A compact repetitively pulsed cryogenically cooled slab RF discharge CO laser with double path V-type laser resonator equipped with external Q-switching system based on rotating mirror was developed and studied. The laser produced mid-IR (λ ~ 5-7 µm) radiation pulses of ~1 ÷ 2 µs duration (FWHM), peak power up to ~3 kW, and pulse repetition rate up to 130 Hz. Averaged output laser power reached 0.5 W, the laser spectrum consisted of ~80 laser lines with individual peak power up to 80 W.

ANALYTICAL ASSESSMENT OF THE IMPACTS OF PARTIAL MASS DEPLETION IN DNAPL SOURCE ZONES (SAN FRANCISCO, CA)

EPA Science Inventory

Analytical solutions describing the time-dependent DNAPL source-zone mass and contaminant discharge rate are used as a flux-boundary condition in a semi-analytical contaminant transport model. These analytical solutions assume a power relationship between the flow-averaged sourc...

[Influence of the time factor on hospitalised patient's opinion].

PubMed

Santiñà, Manuel; Ascaso, Carlos; Escaramís, Georgia; Prat, Andreu; Asenjo, Miguel A

2003-11-01

An important controversy at the time of studying the perceived quality is which is the best time to know the patient's opinion. The objective of this work was to find out whether this opinion is different at the time of discharge and one month later. We included patients who were discharged between October 1999 and March 2000. We designed a specific opinion survey with 44 items. The survey was administered at the time of discharge. Individuals who responded to the first survey were sent the same one by e-mail 30 days after the discharge. The first survey was responded by 1,061 subjects and the second one by 485 (45.71%). Overall, answers from subjects who responded the survey in both phases showed a 65% agreement rate and a 35% disagreement rate. On the other hand, 84% of questions showed answers with a low agreement's Kappa index, while 6% had a good agreement. Globally considered, the average satisfaction expressed by subjects was equivalent in the two phases of the study, yet the individual degree of satisfaction varied.

Methods for accurate estimation of net discharge in a tidal channel

USGS Publications Warehouse

Simpson, M.R.; Bland, R.

2000-01-01

Accurate estimates of net residual discharge in tidally affected rivers and estuaries are possible because of recently developed ultrasonic discharge measurement techniques. Previous discharge estimates using conventional mechanical current meters and methods based on stage/discharge relations or water slope measurements often yielded errors that were as great as or greater than the computed residual discharge. Ultrasonic measurement methods consist of: 1) the use of ultrasonic instruments for the measurement of a representative 'index' velocity used for in situ estimation of mean water velocity and 2) the use of the acoustic Doppler current discharge measurement system to calibrate the index velocity measurement data. Methods used to calibrate (rate) the index velocity to the channel velocity measured using the Acoustic Doppler Current Profiler are the most critical factors affecting the accuracy of net discharge estimation. The index velocity first must be related to mean channel velocity and then used to calculate instantaneous channel discharge. Finally, discharge is low-pass filtered to remove the effects of the tides. An ultrasonic velocity meter discharge-measurement site in a tidally affected region of the Sacramento-San Joaquin Rivers was used to study the accuracy of the index velocity calibration procedure. Calibration data consisting of ultrasonic velocity meter index velocity and concurrent acoustic Doppler discharge measurement data were collected during three time periods. Two sets of data were collected during a spring tide (monthly maximum tidal current) and one of data collected during a neap tide (monthly minimum tidal current). The relative magnitude of instrumental errors, acoustic Doppler discharge measurement errors, and calibration errors were evaluated. Calibration error was found to be the most significant source of error in estimating net discharge. Using a comprehensive calibration method, net discharge estimates developed from the three sets of calibration data differed by less than an average of 4 cubic meters per second, or less than 0.5% of a typical peak tidal discharge rate of 750 cubic meters per second.

Ground-water discharge by evapotranspiration in a desert environment of southern Nevada, 1987

USGS Publications Warehouse

Johnson, M.J.

1994-01-01

Evapotranspiration (ET) data were collected at two sites where microclimates are typical of the Mojave Desert in southern Nevada-one site with and one without ground-water contributions to ET--under extremely arid desert conditions. By comparing the rate of evapotranspiration at the two sites, the amount of ground-water ET can be inferred. This method may be useful for quantifying ground-water discharge by ET around basin playas or the summer carbonate-aquifer springs, ET rates are greatest in early spring, but are less than 0.6 millimeter per day (mm/d). As the summer progresses and soil moisture is depleted, ET drops below 0.1 mm/d and vegetation wilts. In areas'with a ground-water contribution, under similar climatic conditions, ET rates increase with increasing solar radiation and plant growth from 1 mm/d in winter to an average of 1.5 to 3.0 mm/d in spring. The highest average is about 5.0 mm/d, in June, July, and August, with fluctuations generally between 3.0 and 7.0 mm/d; the rate then decreases from 3.0 to less than 1.0 mm/d by late autumn. A comparison of monthly ET totals based on average daily rates at the two sites indicates that about 520 millimeters of ground water was lost to ET at Ash Meadows during the 6 months of record, April through September 1987. This is in general agreement with the range of values estimated for areas with native vegetation in the Amargosa Desert where the depth to water was between 0.0 and 1.5 meters. Estimated rates ranged from 320 to 760 millimeters per year.

Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

PubMed Central

Menezes, Maria Alexsandra da S.; Garcia, Daniela Cavalcante; de Melo, Enaldo Vieira; Cipolotti, Rosana

2014-01-01

OBJECTIVE: To evaluate clinical outcomes, growth and exclusive breastfeeding rates in premature infants assisted by Kangaroo Mother Care at birth, at discharge and at six months of life. METHODS: Prospective study of a premature infants cohort assisted by Kangaroo Mother Care in a tertiary public maternity in Northeast Brazil with birth weight ≤1750g and with clinical conditions for Kangaroo care. RESULTS: The sample was composed by 137 premature infants, being 62.8% female, with average birth weight of 1365±283g, average gestational age of 32±3 weeks and 26.2% were adequate for gestational age. They have been admitted in the Kangaroo Ward with a median of 13 days of life, weighing 1430±167g and, at this time, 57.7% were classified as small for corrected gestational age. They were discharged with 36.8±21.8 days of chronological age, weighing 1780±165g and 67.9% were small for corrected gestational age. At six months of life (n=76), they had an average weight of 5954±971g, and 68.4% presented corrected weight for gestational age between percentiles 15 and 85 of the World Health Organization (WHO) weight curve. Exclusive breastfeeding rate at discharge was 56.2% and, at six months of life, 14.4%. CONCLUSIONS: In the studied sample, almost two thirds of the children assisted by Kangaroo Mother Care were, at six months of life, between percentiles 15 and 85 of the WHO weight curves. The frequency of exclusive breastfeeding at six months was low. PMID:25119747

Optimizing Transitions of Care - Hospital to Community.

PubMed

Sheridan, Emily; Thompson, Christine; Pinheiro, Tania; Robinson, Nicole; Davies, Karen; Whitmore, Nancy

2017-01-01

Discharging patients from the hospital is a complex process, and preventing avoidable readmissions has the potential to improve both the quality of life for patients and the financial sustainability of the healthcare system (Alper et al. 2016). Improving the discharge process is one method to mitigate readmission to the hospital. Historically, St. Thomas Elgin General Hospital (STEGH) consistently experienced higher-than-expected readmission rates, and only 41% of discharge summaries were sent from the hospital to the community primary care within 48 hours. In addition, the overall percentage of patients attending a follow-up appointment with a primary care physician within seven days of discharge from hospital was lower than the provincial average. Through engagement with primary care providers (PCPs) and clinical associates (CAs) and with the use of standard work and monitoring organizational metrics, STEGH has achieved significant improvements.

Paleohydrological methods and some examples from Swedish fluvial environments. II - River meanders.

USGS Publications Warehouse

Williams, G.P.

1984-01-01

Empirical relations are developed between river-meander features and water-discharge characteristics for 19 reaches along Swedish rivers. In these relations, either average channel width or average radius of curvature of meander arcs can be used to estimate average annual peak discharge and average daily discharge. By accepting certain assumptions, the relations can be applied to other meandering Swedish rivers, present or ancient. The Oster-Dalalven River near Mora is used as an example.-Author

Estimates of peak flood discharge for 21 sites in the Front Range in Colorado in response to extreme rainfall in September 2013

USGS Publications Warehouse

Moody, John A.

2016-03-21

Extreme rainfall in September 2013 caused destructive floods in part of the Front Range in Boulder County, Colorado. Erosion from these floods cut roads and isolated mountain communities for several weeks, and large volumes of eroded sediment were deposited downstream, which caused further damage of property and infrastructures. Estimates of peak discharge for these floods and the associated rainfall characteristics will aid land and emergency managers in the future. Several methods (an ensemble) were used to estimate peak discharge at 21 measurement sites, and the ensemble average and standard deviation provided a final estimate of peak discharge and its uncertainty. Because of the substantial erosion and deposition of sediment, an additional estimate of peak discharge was made based on the flow resistance caused by sediment transport effects.Although the synoptic-scale rainfall was extreme (annual exceedance probability greater than 1,000 years, about 450 millimeters in 7 days) for these mountains, the resulting peak discharges were not. Ensemble average peak discharges per unit drainage area (unit peak discharge, [Qu]) for the floods were 1–2 orders of magnitude less than those for the maximum worldwide floods with similar drainage areas and had a wide range of values (0.21–16.2 cubic meters per second per square kilometer [m3 s-1 km-2]). One possible explanation for these differences was that the band of high-accumulation, high-intensity rainfall was narrow (about 50 kilometers wide), oriented nearly perpendicular to the predominant drainage pattern of the mountains, and therefore entire drainage areas were not subjected to the same range of extreme rainfall. A linear relation (coefficient of determination [R2]=0.69) between Qu and the rainfall intensity (ITc, computed for a time interval equal to the time-of-concentration for the drainage area upstream from each site), had the form: Qu=0.26(ITc-8.6), where the coefficient 0.26 can be considered to be an area-averaged peak runoff coefficient for the September 2013 rain storms in Boulder County, and the 8.6 millimeters per hour to be the rainfall intensity corresponding to a soil moisture threshold that controls the soil infiltration rate. Peak discharge estimates based on the sediment transport effects were generally less than the ensemble average and indicated that sediment transport may be a mechanism that limits velocities in these types of mountain streams such that the Froude number fluctuates about 1 suggesting that this type of floodflow can be approximated as critical flow.

Cost-effectiveness of the U.S. Geological Survey stream-gaging program in Indiana

USGS Publications Warehouse

Stewart, J.A.; Miller, R.L.; Butch, G.K.

1986-01-01

Analysis of the stream gaging program in Indiana was divided into three phases. The first phase involved collecting information concerning the data need and the funding source for each of the 173 surface water stations in Indiana. The second phase used alternate methods to produce streamflow records at selected sites. Statistical models were used to generate stream flow data for three gaging stations. In addition, flow routing models were used at two of the sites. Daily discharges produced from models did not meet the established accuracy criteria and, therefore, these methods should not replace stream gaging procedures at those gaging stations. The third phase of the study determined the uncertainty of the rating and the error at individual gaging stations, and optimized travel routes and frequency of visits to gaging stations. The annual budget, in 1983 dollars, for operating the stream gaging program in Indiana is $823,000. The average standard error of instantaneous discharge for all continuous record gaging stations is 25.3%. A budget of $800,000 could maintain this level of accuracy if stream gaging stations were visited according to phase III results. A minimum budget of $790,000 is required to operate the gaging network. At this budget, the average standard error of instantaneous discharge would be 27.7%. A maximum budget of $1 ,000,000 was simulated in the analysis and the average standard error of instantaneous discharge was reduced to 16.8%. (Author 's abstract)

A longitudinal analysis of the impact of hospital service line profitability on the likelihood of readmission.

PubMed

Navathe, Amol S; Volpp, Kevin G; Konetzka, R Tamara; Press, Matthew J; Zhu, Jingsan; Chen, Wei; Lindrooth, Richard C

2012-08-01

Quality of care may be linked to the profitability of admissions in addition to level of reimbursement. Prior policy reforms reduced payments that differentially affected the average profitability of various admission types. The authors estimated a Cox competing risks model, controlling for the simultaneous risk of mortality post discharge, to determine whether the average profitability of hospital service lines to which a patient was admitted was associated with the likelihood of readmission within 30 days. The sample included 12,705,933 Medicare Fee for Service discharges from 2,438 general acute care hospitals during 1997, 2001, and 2005. There was no evidence of an association between changes in average service line profitability and changes in readmission risk, even when controlling for risk of mortality. These findings are reassuring in that the profitability of patients' admissions did not affect readmission rates, and together with other evidence may suggest that readmissions are not an unambiguous quality indicator for in-hospital care.

Evaluating Siebens Domain Management Model for inpatient rehabilitation to increase functional independence and discharge rate to home in geriatric patients.

PubMed

Kushner, David S; Peters, Kenneth M; Johnson-Greene, Doug

2015-07-01

To evaluate the Siebens Domain Management Model (SDMM) for geriatric inpatient rehabilitation (IR) to increase functional independence and dispositions to home. Before and after study. IR facility. During 2010 (preintervention), 429 patients aged ≥75 years who were on average admitted to IR 8.2 days postacute care, and during 2012 (postintervention), 524 patients aged ≥75 years who were on average admitted to IR 5.5 days postacute care. Case-mix group (CMG) comorbidity tier severity, preadmission living setting, and living support were similar in both groups. The SDMM involving weekly adjustments of IR care focused on potential barriers to discharge home. FIM efficiency, length of stay (LOS), and disposition rates to community/home, acute care, and long-term care (LTC) to compare pre-/postintervention facility data and comparison of facility to national CMG-adjusted data from the Uniform Data System for Medical Rehabilitation for both years (2010/2012). Pre-/postintervention group admission FIM scores were similar (t=2.96, P<.003), but the preintervention group had on average 2.6 days greater LOS during IR and greater time to onset of IR (8.2 vs 5.5d) from acute care. Preintervention FIM efficiency was 2.1, whereas postintervention FIM efficiency was 2.76, a significant difference (t=4.1, P<.0001). There were significantly more discharges to the community in the postintervention group (74.4%) than the preintervention group (58.5%, χ(2)=26.2, P<.0001). There were significantly fewer patients discharged to LTC in the postintervention group (χ(2)=30.47, P<.0001). The preintervention group did not significantly differ from the 2010 national data, but the postintervention group significantly differed from the 2012 national data for both greater FIM efficiency (t=-5.5, P<.0001) and greater discharge to community (χ(2)=34, P<.0001). LOS decreased by 2.6 days in the postintervention group compared with the preintervention group, whereas LOS decreased by only 0.6 days nationally from 2010 to 2012, a significant difference with postintervention LOS lower than the national data (t=31.1, P<.0001). Use of the SDMM during IR in geriatric patients is associated with increased functional independence and discharges to home/community and reduced institutionalization. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

High-power, highly stable KrF laser with a 4-kHz pulse repetition rate

DOE Office of Scientific and Technical Information (OSTI.GOV)

Borisov, V M; El'tsov, A V; Khristoforov, O B

2015-08-31

An electric-discharge KrF laser (248 nm) with an average output power of 300 W is developed and studied. A number of new design features are related to the use of a laser chamber based on an Al{sub 2}O{sub 3} ceramic tube. A high power and pulse repetition rate are achieved by using a volume discharge with lateral preionisation by the UV radiation of a creeping discharge in the form of a homogeneous plasma sheet on the surface of a plane sapphire plate. Various generators for pumping the laser are studied. The maximum laser efficiency is 3.1%, the maximum laser energymore » is 160 mJ pulse{sup -1}, and the pulse duration at half maximum is 7.5 ns. In the case of long-term operation at a pulse repetition rate of 4 kHz and an output power of 300 W, high stability of laser output energy (σ ≤ 0.7%) is achieved using an all-solid-state pump system. (lasers)« less

Development of Compact Ozonizer with High Ozone Output by Pulsed Power

NASA Astrophysics Data System (ADS)

Tanaka, Fumiaki; Ueda, Satoru; Kouno, Kanako; Sakugawa, Takashi; Akiyama, Hidenori; Kinoshita, Youhei

Conventional ozonizer with a high ozone output using silent or surface discharges needs a cooling system and a dielectric barrier, and therefore becomes a large machine. A compact ozonizer without the cooling system and the dielectric barrier has been developed by using a pulsed power generated discharge. The wire to plane electrodes made of metal have been used. However, the ozone output was low. Here, a compact and high repetition rate pulsed power generator is used as an electric source of a compact ozonizer. The ozone output of 6.1 g/h and the ozone yield of 86 g/kWh are achieved at 500 pulses per second, input average power of 280 W and an air flow rate of 20 L/min.

Field assessment of noncontact stream gauging using portable surface velocity radars (SVR)

NASA Astrophysics Data System (ADS)

Welber, Matilde; Le Coz, Jérôme; Laronne, Jonathan B.; Zolezzi, Guido; Zamler, Daniel; Dramais, Guillaume; Hauet, Alexandre; Salvaro, Martino

2016-02-01

The applicability of a portable, commercially available surface velocity radar (SVR) for noncontact stream gauging was evaluated through a series of field-scale experiments carried out in a variety of sites and deployment conditions. Comparisons with various concurrent techniques showed acceptable agreement with velocity profiles, with larger uncertainties close to the banks. In addition to discharge error sources shared with intrusive velocity-area techniques, SVR discharge estimates are affected by flood-induced changes in the bed profile and by the selection of a depth-averaged to surface velocity ratio, or velocity coefficient (α). Cross-sectional averaged velocity coefficients showed smaller fluctuations and closer agreement with theoretical values than those computed on individual verticals, especially in channels with high relative roughness. Our findings confirm that α = 0.85 is a valid default value, with a preferred site-specific calibration to avoid underestimation of discharge in very smooth channels (relative roughness ˜ 0.001) and overestimation in very rough channels (relative roughness > 0.05). Theoretically derived and site-calibrated values of α also give accurate SVR-based discharge estimates (within 10%) for low and intermediate roughness flows (relative roughness 0.001 to 0.05). Moreover, discharge uncertainty does not exceed 10% even for a limited number of SVR positions along the cross section (particularly advantageous to gauge unsteady flood flows and very large floods), thereby extending the range of validity of rating curves.

Nonpoint Pollution Discharge Permit Testing and Control Strategies at Naval Air Station Whidbey Island.

DTIC Science & Technology

1991-01-01

the permit. Monthly maximum and average test results are submitted to the USEPA with an approximation of the weekly flow rate . The quantity of flow is...flow rate . The storm flow data and drainage system hydraulic capacity are being reviewed by Sajan. Inc., Seattle. Figure 2. Visible Soil Staining at...approach is to collect composite samples of the flow, which will reduce fluctuations and allow a more accu- rate determination of total loadings with

High discharge rate characteristics of nickel-cadmium batteries for pulse load filtering

NASA Technical Reports Server (NTRS)

Gearing, G. M.; Cimino, M. B.; Fritts, D. H.; Leonard, J. F.; Terzuoli, A. J., Jr.

1985-01-01

Several tests of specially fabricated nickel-cadmium batteries having circular disk type electrodes were considered. These batteries were evaluated as filter elements between a constant current power supply and a five hertz pulsed load demanding approximately twice the power supply current during the load on portion of the cycle. Short tests lasting 10,000 cycles were conducted at up to a 21 C rate and an equivalent energy density of over 40 Joules per pound. In addition, two batteries were subjected to 10 to the 7 charge/discharge cycles, one at a 6.5 C rate and the other at a 13 C rate. Assuming an electrode to battery weight ratio of 0.5, these tests represent an energy density of about 7 and 14 Joules per pound respectively. Energy density, efficiency, capacitance, average voltage, and available capacity were tracked during these tests. After 10 to the 7 cycles, capacity degradation was negligible for one battery and about 20% for the other. Cadmium electrode failure may be the factor limiting lifetime at extremely low depth of discharge cycling. The output was examined and a simple equivalent circuit was proposed.

A double-blind, placebo-controlled study of the safety and efficacy of ipratropium bromide nasal spray versus placebo in patients with the common cold.

PubMed

Dockhorn, R; Grossman, J; Posner, M; Zinny, M; Tinkleman, D

1992-12-01

Ipratropium bromide (IB) has been found to reduce secretions in the upper respiratory tract; this is accomplished through competitive inhibition of acetylcholine at muscarinic receptors that control rhinorrhea production. This study compared the safety and efficacy of IB with placebo in the symptomatic relief of rhinorrhea in patients with the common cold. Human subjects with symptoms of a common cold, primarily rhinorrhea, were enrolled and treated with either IB (84 micrograms/nostril) or placebo; each was administered as two sprays per nostril, four times a day, for 4 days. Primary efficacy analyses were in-clinic measurements of nasal discharge weights over a 3-hour period after administration on days 1 and 2 and assessment of rhinorrhea symptoms by use of a subjective patient-completed visual analog rating scale. IB significantly reduced rhinorrhea an average of 18% over placebo for days 1 and 2 (p = 0.01). Visual analog scale scores showed an average improvement in rhinorrhea of 22% over placebo (p = 0.001). When patients with relatively minor rhinorrhea (baseline weight of nasal discharge < or = 1.0 gm) were excluded, IB produced an average reduction in nasal discharge of 23% over placebo for days 1 and 2 (p = 0.003).

A self-consistent fluid model for radio-frequency discharges in SiH4-H2 compared to experiments

NASA Astrophysics Data System (ADS)

Nienhuis, G. J.; Goedheer, W. J.; Hamers, E. A. G.; van Sark, W. G. J. H. M.; Bezemer, J.

1997-09-01

A one-dimensional fluid model for radio-frequency glow discharges is presented which describes silane/hydrogen discharges that are used for the deposition of amorphous silicon (a-Si:H). The model is used to investigate the relation between the external settings (such as pressure, gas inlet, applied power, and frequency) and the resulting composition of the gas and the deposition rate. In the model, discharge quantities such as the electric field, densities, and fluxes of the particles are calculated self-consistently. Look-up tables of the rates of the electron impact collisions as a function of the average electron energy are obtained by solving the Boltzmann equation in a two term approximation for a sequence of values of the reduced electric field. These tables are updated as the composition of the background neutral gas evolves under the influence of chemical reactions and pumping. Pumping configuration and gas inlet are taken into account by adding source terms in the density balance equations. The effect of pumping is represented by an average residence time. The gas inlet is represented by uniformly distributed particle sources. Also the radial transport of neutrals from the discharge volume into the discharge-free volume is important. As the fluid model is one dimensional, this radial transport is taken into account by an additional source term in the density balance equations. Plasma-wall interaction of the radicals (i.e., the growth of a-Si:H) is included through the use of sticking coefficients. A sensitivity study has been used to find a minimum set of different particles and reactions needed to describe the discharge adequately and to reduce the computational effort. This study has also been used to identify the most important plasma-chemical processes and resulted in a minimum set of 24 species, 15 electron-neutral reactions, and 22 chemical reactions. In order to verify the model, including the chemistry used, the results are compared with data from experiments. The partial pressures of silane, hydrogen, disilane, and the growth rate of amorphous silicon are compared for various combinations of the operating pressure (10-50 Pa), the power (2.5-10 W), and the frequency (13.56-65 MHz). The model shows good agreement with the experimental data in the dust free α regime. Discharges in the γ' regime, where dust has a significant influence, could not be used to validate the model.

The over-optimistic portrayal of life-supporting treatments in newspapers and on the Internet: a cross-sectional study using extra-corporeal membrane oxygenation as an example

PubMed Central

2014-01-01

Background Extra-corporeal membrane oxygenation has been introduced to clinical practice for several decades. It is unclear how internet and newspapers portray the use of extra-corporeal membrane oxygenation. This study were: (1) to quantify the coverage of extra-corporeal membrane oxygenation use in newspapers and on the Internet; (2) to describe the characteristics of extra-corporeal membrane oxygenation users presented in newspaper articles and the Internet web pages in comparison with those shown in extra-corporeal membrane oxygenation studies in Taiwan; and (3) to examine the survival rates of extra-corporeal membrane oxygenation users presented in newspaper articles and the Internet web pages in comparison with those in Taiwan and in the Extracorporeal Life Support Registry Report International Summary for January 2014. Methods All issues of Taiwan’s four major newspapers from 2006 to 2010 were reviewed. In October 2011, a search of Internet web pages was performed based on the subjects of “yeh-ko-mo” (extra-corporeal membrane oxygenation in Traditional Chinese), “ECMO”, and “extra-corporeal membrane oxygenation.” All the Internet web pages and newspaper articles recounting the use of extra-corporeal membrane oxygenation were reviewed. The information, such as patient characteristic and the status at hospital discharge, was collected. Results The survival rate of extra-corporeal membrane oxygenation use shown on the Internet (83.97%) was significantly higher than all the survival rates reported in Taiwan’s literature (p < .01) and in the Extracorporeal Life Support Registry Report International Summary for January 2014 (p < .01). In addition, the survival rate of extra-corporeal membrane oxygenation use shown in newspapers (61.54%) was significantly higher than the average survival rate (43%) reported in Taiwan’s literature, the pediatric average survival rate (51%), and the adult average survival rate (47%) in the Extracorporeal Life Support Registry Report International Summary for January 2014. Conclusions Internet and newspapers both showed over-optimistic survival to hospital discharge for patients sustained by extra-corporeal membrane oxygenation. Internet was more likely to provide optimistic information for aggressive life-supporting treatments such as extra-corporeal membrane oxygenation than newspapers as indicated by survival to hospital discharge. PMID:25081491

National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data.

PubMed

DeFrances, Carol J; Cullen, Karen A; Kozak, Lola Jean

2007-12-01

This report presents 2005 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, Ninth Revision, Clinical Modification codes. The estimates are based on data collected through the National Hospital Discharge Survey. The survey has been conducted annually since 1965. In 2005, data were collected for approximately 375,000 discharges. Of the 473 eligible nonfederal short-stay hospitals in the sample, 444 (94 percent) responded to the survey. An estimated 34.7 million discharges from nonfederal short-stay hospitals occurred in 2005. Discharges used 165.9 million days of care and had an average length of stay of 4.8 days. Persons 65 years and over accounted for 38 percent of the hospital discharges and 44 percent of the days of care. The proportion of discharges whose status was described as routine discharge or discharged to the patient's home declined with age, from 91 percent for inpatients under 45 years of age to 41 percent for those 85 years and over. Hospitalization for malignant neoplasms decreased from 1990-2005. The hospitalization rate for asthma was the highest for children under 15 years of age and those 65 years of age and over. The rate was lowest for those 15-44 years of age. Thirty-eight percent of hospital discharges had no procedures performed, whereas 12 percent had four or more procedures performed. An episiotomy was performed during a majority of vaginal deliveries in 1980 (64 percent), but by 2005, it was performed during less than one of every five vaginal deliveries (19 percent).

Anaerobic membrane bioreactor for the treatment of leachates from Jebel Chakir discharge in Tunisia.

PubMed

Zayen, Amal; Mnif, Sami; Aloui, Fathi; Fki, Firas; Loukil, Slim; Bouaziz, Mohamed; Sayadi, Sami

2010-05-15

Landfill leachate (LFL) collected from the controlled discharge of Jebel Chakir in Tunisia was treated without any physical or chemical pretreatment in an anaerobic membrane bioreactor (AnMBR). The organic loading rate (OLR) in the AnMBR was gradually increased from 1 g COD l(-1)d(-1) to an average of 6.27 g COD l(-1)d(-1). At the highest OLR, the biogas production was more than 3 volumes of biogas per volume of the bioreactor. The volatile suspended solids (VSSs) reached a value of approximately 3 g l(-1) in the bioreactor. At stable conditions, the treatment efficiency was high with an average COD reduction of 90% and biogas yield of 0.46 l biogas per g COD removed. Copyright (c) 2010 Elsevier B.V. All rights reserved.

Reconviction and revocation rates in Flanders after medium security treatment.

PubMed

Jeandarme, Inge; Habets, Petra; Oei, T I; Bogaerts, Stefan

2016-01-01

To examine the criminal outcome of Flemish forensic psychiatric patients ('internees') after medium security treatment. Also, the effect of conditional release on recidivism of two subgroups (internees under conditional release and internees who received unconditional release) was examined. Reconviction rates and revocation rates were collected for all participants. Kaplan-Meier survival analyses were used to investigate recidivism rates while controlling for time at risk. During the 10-year period, 502 offenders were discharged from medium security treatment. Over a follow-up period averaging 3.6years, 7.4% of discharged patients were reconvicted or received a new 'not guilty by reason of insanity' (NGRI) verdict for a violent offence. One-quarter of the population had their conditional release revoked. Part of the study population was granted unconditional release. Reconviction rates were higher after unconditional release in comparison to conditional release. The results of this study suggest that the court supervision of NGRI patients in Flanders is effective in protecting the community from further offending. Copyright © 2016 Elsevier Ltd. All rights reserved.

Study of runaway electrons using the conditional average sampling method in the Damavand tokamak

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pourshahab, B., E-mail: bpourshahab@gmail.com; Sadighzadeh, A.; Abdi, M. R., E-mail: r.abdi@phys.ui.ac.ir

2017-03-15

Some experiments for studying the runaway electron (RE) effects have been performed using the poloidal magnetic probes system installed around the plasma column in the Damavand tokamak. In these experiments, the so-called runaway-dominated discharges were considered in which the main part of the plasma current is carried by REs. The induced magnetic effects on the poloidal pickup coils signals are observed simultaneously with the Parail–Pogutse instability moments for REs and hard X-ray bursts. The output signals of all diagnostic systems enter the data acquisition system with 2 Msample/(s channel) sampling rate. The temporal evolution of the diagnostic signals is analyzedmore » by the conditional average sampling (CAS) technique. The CASed profiles indicate RE collisions with the high-field-side plasma facing components at the instability moments. The investigation has been carried out for two discharge modes—low-toroidal-field (LTF) and high-toroidal-field (HTF) ones—related to both up and down limits of the toroidal magnetic field in the Damavand tokamak and their comparison has shown that the RE confinement is better in HTF discharges.« less

Formation of manganese nanoclusters in a sputtering/aggregation source and the roles of individual operating parameters

NASA Astrophysics Data System (ADS)

Khojasteh, Malak; Kresin, Vitaly V.

2016-12-01

We describe the production of size selected manganese nanoclusters using a dc magnetron sputtering/aggregation source. Since nanoparticle production is sensitive to a range of overlapping operating parameters (in particular, the sputtering discharge power, the inert gas flow rates, and the aggregation length) we focus on a detailed map of the influence of each parameter on the average nanocluster size. In this way it is possible to identify the main contribution of each parameter to the physical processes taking place within the source. The discharge power and argon flow supply the atomic vapor, and argon also plays the crucial role in the formation of condensation nuclei via three-body collisions. However, neither the argon flow nor the discharge power have a strong effect on the average nanocluster size in the exiting beam. Here the defining role is played by the source residence time, which is governed by the helium supply and the aggregation path length. The size of mass selected nanoclusters was verified by atomic force microscopy of deposited particles.

Influence of source parameters on the growth of metal nanoparticles by sputter-gas-aggregation

NASA Astrophysics Data System (ADS)

Khojasteh, Malak; Kresin, Vitaly V.

2017-11-01

We describe the production of size-selected manganese nanoclusters using a magnetron sputtering/aggregation source. Since nanoparticle production is sensitive to a range of overlapping operating parameters (in particular, the sputtering discharge power, the inert gas flow rates, and the aggregation length), we focus on a detailed map of the influence of each parameter on the average nanocluster size. In this way, it is possible to identify the main contribution of each parameter to the physical processes taking place within the source. The discharge power and argon flow supply the metal vapor, and argon also plays a crucial role in the formation of condensation nuclei via three-body collisions. However, the argon flow and the discharge power have a relatively weak effect on the average nanocluster size in the exiting beam. Here the defining role is played by the source residence time, governed by the helium supply (which raises the pressure and density of the gas column inside the source, resulting in more efficient transport of nanoparticles to the exit) and by the aggregation path length.

Removal of selected non-steroidal anti-inflammatory drugs (NSAIDs), gemfibrozil, carbamazepine, beta-blockers, trimethoprim and triclosan in conventional wastewater treatment plants in five EU countries and their discharge to the aquatic environment.

PubMed

Paxéus, N

2004-01-01

The removal of commonly used pharmaceuticals (ibuprofen, naproxen, diclofenac, gemfibrozil, carbamazepine, atenolol, metoprolol and trimethoprim) and a biocide (triclosan) in operating wastewater treatment plants in five EU countries has been studied. Under normal operating conditions the acidic drugs and triclosan were partially removed with removal rates varying from ca. 20 to >95%. The highest removal rate was found for ibuprofen and triclosan (>90%) followed by naproxen (80%), gemfibrozil (55%) and diclofenac (39%). Ibuprofen undergoes an oxidative transformation to corresponding hydroxy- and carboxy-metabolites, which contributes to its high removal rate. Disturbances in the activated sludge process resulted in lower removal rates for all acidic drugs, mostly for diclofenac (<10% removed) but also for ibuprofen (<60% removed). The treatment of wastewaters by activated sludge usually did not result in any practical removal (<10%) of neutral carbamazepine or basic atenolol, metoprolol and trimethoprim. The removal rates of the investigated drugs and triclosan are discussed in terms of mechanisms responsible for their removal. Discharges of carbamazepine, diclofenac, gemfibrozil, naproxen, triclosan and trimethoprim from WWTPs to the aquatic environment, expressed as the average concentration in the effluent and the daily discharged quantity per person served by WWTPs were assessed.

Life cycle test results of a bipolar nickel hydrogen battery

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1985-01-01

A history is given of low Earth orbit (LEO) laboratory test data on a 6.5 ampere-hour bipolar nickel hydrogen battery designed and built at the NASA Lewis Research Center. The bipolar concept is a means of achieving the goal of producing an acceptable battery, of higher energy density, able to withstand the demands of low-Earth-orbit regimes. Over 4100 LEO cycles were established on a ten cell battery. It seems that any perturbation on normal cycling effects the cells performance. Explanations and theories of the battery's behavior are varied and widespread among those closely associated with it. Deep discharging does provide a reconditioning effect and further experimentation is planned in this area. The battery watt-hour efficiency is about 75 percent and the time averaged, discharge voltage is about 1.26 volts for all cells at both the C/4 and LEO rate. Since a significant portion of the electrode capacity has degraded, the LEO cycle discharges are approaching depths of 90 to 100 percent of the high rate capacity. Therefore, the low end-of-discharge voltages occur precipitously after the knee of the discharge curve and is more an indication of electrode capacity and is a lesser indicator of overall cell performance.

Variability in the measurement of hospital-wide mortality rates.

PubMed

Shahian, David M; Wolf, Robert E; Iezzoni, Lisa I; Kirle, Leslie; Normand, Sharon-Lise T

2010-12-23

Several countries use hospital-wide mortality rates to evaluate the quality of hospital care, although the usefulness of this metric has been questioned. Massachusetts policymakers recently requested an assessment of methods to calculate this aggregate mortality metric for use as a measure of hospital quality. The Massachusetts Division of Health Care Finance and Policy provided four vendors with identical information on 2,528,624 discharges from Massachusetts acute care hospitals from October 1, 2004, through September 30, 2007. Vendors applied their risk-adjustment algorithms and provided predicted probabilities of in-hospital death for each discharge and for hospital-level observed and expected mortality rates. We compared the numbers and characteristics of discharges and hospitals included by each of the four methods. We also compared hospitals' standardized mortality ratios and classification of hospitals with mortality rates that were higher or lower than expected, according to each method. The proportions of discharges that were included by each method ranged from 28% to 95%, and the severity of patients' diagnoses varied widely. Because of their discharge-selection criteria, two methods calculated in-hospital mortality rates (4.0% and 5.9%) that were twice the state average (2.1%). Pairwise associations (Pearson correlation coefficients) of discharge-level predicted mortality probabilities ranged from 0.46 to 0.70. Hospital-performance categorizations varied substantially and were sometimes completely discordant. In 2006, a total of 12 of 28 hospitals that had higher-than-expected hospital-wide mortality when classified by one method had lower-than-expected mortality when classified by one or more of the other methods. Four common methods for calculating hospital-wide mortality produced substantially different results. This may have resulted from a lack of standardized national eligibility and exclusion criteria, different statistical methods, or fundamental flaws in the hypothesized association between hospital-wide mortality and quality of care. (Funded by the Massachusetts Division of Health Care Finance and Policy.).

Prerequisites for Accurate Monitoring of River Discharge Based on Fixed-Location Velocity Measurements

NASA Astrophysics Data System (ADS)

Kästner, K.; Hoitink, A. J. F.; Torfs, P. J. J. F.; Vermeulen, B.; Ningsih, N. S.; Pramulya, M.

2018-02-01

River discharge has to be monitored reliably for effective water management. As river discharge cannot be measured directly, it is usually inferred from the water level. This practice is unreliable at places where the relation between water level and flow velocity is ambiguous. In such a case, the continuous measurement of the flow velocity can improve the discharge prediction. The emergence of horizontal acoustic Doppler current profilers (HADCPs) has made it possible to continuously measure the flow velocity. However, the profiling range of HADCPs is limited, so that a single instrument can only partially cover a wide cross section. The total discharge still has to be determined with a model. While the limitations of rating curves are well understood, there is not yet a comprehensive theory to assess the accuracy of discharge predicted from velocity measurements. Such a theory is necessary to discriminate which factors influence the measurements, and to improve instrument deployment as well as discharge prediction. This paper presents a generic method to assess the uncertainty of discharge predicted from range-limited velocity profiles. The theory shows that a major source of error is the variation of the ratio between the local and cross-section-averaged velocity. This variation is large near the banks, where HADCPs are usually deployed and can limit the advantage gained from the velocity measurement. We apply our theory at two gauging stations situated in the Kapuas River, Indonesia. We find that at one of the two stations the index velocity does not outperform a simple rating curve.

Association between Functional Severity and Amputation Type with Rehabilitation Outcomes in Patients with Lower Limb Amputation

PubMed Central

Graham, James E.; Reistetter, Timothy A.; Kumar, Amit; Niewczyk, Paulette; Granger, Carl V.; Ottenbacher, Kenneth J.

2014-01-01

The purpose of this study was to determine independent influences of functional level and lower limb amputation type on inpatient rehabilitation outcomes. We conducted a secondary data analysis for patients with lower limb amputation who received inpatient medical rehabilitation (N = 26,501). The study outcomes included length of stay, discharge functional status, and community discharge. Predictors included the 3-level case mix group variable and a 4-category amputation variable. Age of the sample was 64.5 years (13.4) and 64% were male. More than 75% of patients had a dysvascular-related amputation. Patients with bilateral transfemoral amputations and higher functional severity experienced longest lengths of stay (average 13.7 days) and lowest functional rating at discharge (average 79.4). Likelihood of community discharge was significantly lower for those in more functionally severe patients but did not differ between amputation categories. Functional levels and amputation type are associated with rehabilitation outcomes in inpatient rehabilitation settings. Patients with transfemoral amputations and those in case mix group 1003 (admission motor score less than 36.25) generally experience poorer outcomes than those in other case mix groups. These relationships may be associated with other demographic and/or health factors, which should be explored in future research. PMID:25400948

A California Nitrogen Mass Balance: Uncertainties and information needs

NASA Astrophysics Data System (ADS)

Liptzin, D.; Dahlgren, R. A.

2011-12-01

The goal of the California Nitrogen (N) Assessment (CNA) is to evaluate the current state of N science, practice, and policy in the state of California. One component is to develop a N mass balance for the state. Because the CNA is an assessment, evaluating the data quality and quantifying uncertainty are also part of the mass balance . We estimate that a total of 1500 Gg of new reactive N is added to California every year. Of this new N, only about half of the N leaves the state while the rest is retained. The main inputs of new reactive N to California are, in order of importance: synthetic N fertilizer, fossil fuel combustion, and biological N fixation. The three largest N outputs from the state are, in order of importance, atmospheric advection, wastewater discharge to the ocean, and riverine discharge to the ocean. Approximately half of the stored N leaches to groundwater, with the other half divided between soils and vegetation, reservoirs, and urban landscapes. These N flows vary not just in magnitude, but also in the uncertainty associated with them. There was no trend in the tonnage of fertilizer sold from 1981-2001, but the 2002-2007 average has remained higher (760 Gg N) than the long-term average (520 Gg N). Bottom up calculations based on crop acreage and fertilization rates are more consistent with the 1980-2001 average suggesting a problem with the sales data. The emission of NOx from fossil fuel burning is one of the most well established flows of N. The production of ammonia and nitrous oxide from fossil fuel combustion is significantly lower than NOx, but there is less evidence to support the emissions inventories. Rates of biological N fixation are speculative with evidence more limited in natural lands than croplands. For most crops it appears that N fixation rates are strongly related to plant production, suggesting that using a single rate across large regions may be inappropriate. In addition, many studies either only measure aboveground N fixation or do not explicitly specify whether the measured rates are total N fixation or only aboveground fixation. There is medium evidence to estimate how much of the emitted NOx and ammonia is redeposited within California. The Community Multiscale Air Quality model is the standard for modeling atmospheric deposition, but is dependent on the quality of the emissions inventory used. There is less agreement among sources on ammonia emissions which will be increasingly problematic as reduced N emissions will soon outpace oxidized N emissions. There is high evidence for wastewater discharge and riverine discharge. Most wastewater facilities are required monitor their N discharge although they often only measure the N species with the highest concentration (either ammonia or nitrate) depending on the level of treatment. Riverine N concentrations and flow in large watersheds are monitored by the US Geological Survey and there are relatively small uncertainties in the model calculating N discharge from these parameters. We suggest that while the best estimate of a mass balance is important, an evaluation of the major uncertainties can be just as important.

Estimated post-Messinian sediment supply and sedimentation rates on the Ebro continental margin, Spain

USGS Publications Warehouse

Nelson, C.H.

1990-01-01

Because of the extensive data base of seismic profiles, radiometric ages, and stratigraphic time markers such as the subaerial Messinian surface, sedimentation rates and Ebro River sediment discharge can be estimated for different periods and environments of the Ebro continental margin. New values for sediment discharge (i.e., 6.2 versus previous estimates of 2-3.5 million t/yr) for the Holocene highstand are more reliable but remain minimum estimates because a small proportion of Ebro sediment advected to the Balearic Rise and Abyssal Plain cannot be accounted for, especially during lowstands. The general highstand conditions of the Pliocene, which were similar to those of the Holocene, resulted in a low discharge of Ebro River sediment (ca. 6.5 million t/yr) and an even thickness of sediment across the margin that deposited at rates of about 24-40 cm/ky. In contrast, sediment supply increased two-three times during the Pleistocene, the margin prograded rapidly and deposition occurred at rates of 101-165 cm/ky on the outer shelf and slope, but basin floor rates remained anomalously low (21-26 cm/ky) because sediment was drained and broadly dispersed eastward in Valencia Trough. During the late Pleistocene rise of sea level, the main depocenters progressively shifted shoreward and sedimentation rates greatly decreased from 175 cm/ky on the upper slope during the early transgression to 106 cm/ky on the outer shelf and then to 63 cm/ky on the mid-shelf during the late transgression as the river sediment discharge dropped to half by Holocene time. Maximal sedimentation rates occurred in active depocenters of sediment dispersal such as the Holocene delta (370 cm/ky) or the youngest Pleistocene Oropesa channel-levee complex (705 cm/ky) where deposition rates increased by an order of magnitude or more compared to average Ebro shelf (38 cm/ky) or base-of-slope rates in the Pleistocene (21 cm/ky). The sedimentation rates verify the importance of sea-level control on the progressive change in location of depocenters and amount of sediment supply, but Pleistocene climatic change and deforestation alone can be observed to double river sediment discharge. The latter observation helps explain the anomalously high deposition rates in Pleistocene turbidite systems compared with older systems that may be controlled more by tectonic and sea-level changes alone. During the past 2000 years, in contrast, man has controlled deposition in the Ebro margin system, first by deforestation that more than doubled river sediment discharge and shelf deposition rates to equal those of Pleistocene time; and second by dam contruction that reduced sediment discharge to less than 5% of the normal Holocene discharge. Similar recent discharge reductions from the Nile and Rhone Rivers suggest that loss of the majority of the river sediment supply in the Mediterranean Sea may result in significant erosion of biologically and agriculturally important lobate delta areas. ?? 1990.

Current status of urban wastewater treatment plants in China.

PubMed

Zhang, Q H; Yang, W N; Ngo, H H; Guo, W S; Jin, P K; Dzakpasu, Mawuli; Yang, S J; Wang, Q; Wang, X C; Ao, D

2016-01-01

The study reported and analyzed the current state of wastewater treatment plants (WWTPs) in urban China from the perspective of treatment technologies, pollutant removals, operating load and effluent discharge standards. By the end of 2013, 3508 WWTPs have been built in 31 provinces and cities in China with a total treatment capacity of 1.48×10(8)m(3)/d. The uneven population distribution between China's east and west regions has resulted in notably different economic development outcomes. The technologies mostly used in WWTPs are AAO and oxidation ditch, which account for over 50% of the existing WWTPs. According to statistics, the efficiencies of COD and NH3-N removal are good in 656 WWTPs in 70 cities. The overall average COD removal is over 88% with few regional differences. The average removal efficiency of NH3-N is up to 80%. Large differences exist between the operating loads applied in different WWTPs. The average operating loading rate is approximately 83%, and 52% of WWTPs operate at loadings of <80%, treating up to 40% of the wastewater generated. The implementation of discharge standards has been low. Approximately 28% of WWTPs that achieved the Grade I-A Discharge Standard of Pollutants for Municipal Wastewater Treatment Plant (GB 18918-2002) were constructed after 2010. The sludge treatment and recycling rates are only 25%, and approximately 15% of wastewater is inefficiently treated. Approximately 60% of WWTPs have capacities of 1×10(4)m(3)/d-5×10(4)m(3)/d. Relatively high energy consumption is required for small-scale processing, and the utilization rate of recycled wastewater is low. The challenges of WWTPs are discussed with the aim of developing rational criteria and appropriate technologies for water recycling. Suggestions regarding potential technical and administrative measures are provided. Copyright © 2016 Elsevier Ltd. All rights reserved.

Estimation of River Bathymetry from ATI-SAR Data

NASA Astrophysics Data System (ADS)

Almeida, T. G.; Walker, D. T.; Farquharson, G.

2013-12-01

A framework for estimation of river bathymetry from surface velocity observation data is presented using variational inverse modeling applied to the 2D depth-averaged, shallow-water equations (SWEs) including bottom friction. We start with with a cost function defined by the error between observed and estimated surface velocities, and introduce the SWEs as a constraint on the velocity field. The constrained minimization problem is converted to an unconstrained minimization through the use of Lagrange multipliers, and an adjoint SWE model is developed. The adjoint model solution is used to calculate the gradient of the cost function with respect to river bathymetry. The gradient is used in a descent algorithm to determine the bathymetry that yields a surface velocity field that is a best-fit to the observational data. In applying the algorithm, the 2D depth-averaged flow is computed assuming a known, constant discharge rate and a known, uniform bottom-friction coefficient; a correlation relating surface velocity and depth-averaged velocity is also used. Observation data was collected using a dual beam squinted along-track-interferometric, synthetic-aperture radar (ATI-SAR) system, which provides two independent components of the surface velocity, oriented roughly 30 degrees fore and aft of broadside, offering high-resolution bank-to-bank velocity vector coverage of the river. Data and bathymetry estimation results are presented for two rivers, the Snohomish River near Everett, WA and the upper Sacramento River, north of Colusa, CA. The algorithm results are compared to available measured bathymetry data, with favorable results. General trends show that the water-depth estimates are most accurate in shallow regions, and performance is sensitive to the accuracy of the specified discharge rate and bottom friction coefficient. The results also indicate that, for a given reach, the estimated water depth reaches a maximum that is smaller than the true depth; this apparent maximum depth scales with the true river depth and discharge rate, so that the deepest parts of the river show the largest bathymetry errors.

[Health status comparative analysis of the emercom of Russia Federal fire service employees and contract servicemen in the Russian Army].

PubMed

Koteev, P K; Kireev, S G; Golovinova, V Iu

2013-08-01

Results of health status comparative analysis of the emercom of Russia Federal fire service employees and contract servicemen in the Russian Army are submitted as following. The emercom of russia firemen's average annual rate of primary morbidity is 459,1, that of labor losses' days 8430,8, of disability 0,9, and mortality cases 0,7. The russian army contract servicemen's average annual rate of primary morbidity during the covered period comes to 410,3, that of discharges 7,4, and mortality cases 1,3. The results of comparative analysis show that the rate of contract servicemen's primary morbidity is lower than that of emercom of Russia firemen below 10.6% (p < 0.001), whereas their discharge level is higher above 87% (p < 0.001). In the course of comparison of the emercom of Russia Federal fire service employees' and the Russian Army contract servicemen's primary morbidity structure it was revealed that the indexes of the diseases of respiratory system, traumas and poisoning are higher among the first ones. On the contrary, their indexes were lower in the sphere of circulatory system, skin and hypodermic cellulose diseases. The indexes of circulatory system diseases in the disability (discharge level) structure of the emercom of Russia Federal fire service employees were higher than those of other diseases. It is expedient to use the results of this research in forming of priority assignments and conducting of a complex of curative and prophylactic measures organized by the medical service of the emercom of Russia.

Characterization of the 20-Ah nickel-cadmium cell used for energy storage on the Orbiting Astronomical Observatory

NASA Technical Reports Server (NTRS)

Ford, F. E.

1972-01-01

Tests were conducted on 20-Ah sealed nickel cadmium cells to evaluate initial and long-term performance at various charge rates, temperatures and voltage-control levels. An average ampere-hour recharge of 103 percent per orbit at 13 C was able to maintain cell capacity; required watt-hour recharge on an orbital basis was 8 to 10 percent greater than required ampere-hour recharge. Cells exhibited an early life burn-in characteristic. A discharge after periods of repetitive cycling yielded two voltage plateaus which were temporarily eliminated by the discharge.

Pulse Repetition Frequency Effects In A High Average Power X-Ray Preionised Excimer Laser

NASA Astrophysics Data System (ADS)

Fontaine, Bernard L.; Forestier, Bernard M.; Delaporte, Philippe C.; Canarelli, Patrick

1989-10-01

Experimental study of waves damping in a high repetition rate excimer laser is undertaken. Excitation of laser active medium in a subsonic loop is achieved by means of a classical discharge, through transfer capacitors. The discharge stability is controlled by a wire ion plasma (w.i.p.) X-rays gun. The strong acoustic waves induced by the active medium excitation may lead to a decrease, at high PRF, of the energy per pulse. First results of the influence of a damping of induced density perturbations between two successive pulses are presented.

A comparative study on the frequency effects of the electrical characteristics of the pulsed dielectric barrier discharge in He/O{sub 2} and in Ar/O{sub 2} at atmospheric pressure

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pan, Guangsheng; Tan, Zhenyu, E-mail: tzy@sdu.edu.cn; Pan, Jie

In this work, a comparative study on the frequency effects of the electrical characteristics of the pulsed dielectric barrier discharges in He/O{sub 2} and in Ar/O{sub 2} at atmospheric pressure has been performed by means of the numerical simulation based on a 1-D fluid model at frequencies below 100 kHz. The frequency dependences of the characteristic quantities of the discharges in the two gases have been systematically calculated and analyzed under the oxygen concentrations below 2%. The characteristic quantities include the discharge current density, the averaged electron density, the electric field, and the averaged electron temperature. Especially, the frequency effects onmore » the averaged particle densities of the reactive species have also been calculated. This work gives the following significant results. For the two gases, there are two bipolar discharges in one period of applied voltage pulse under the considered frequency range and oxygen concentrations, as occurred in the pure noble gases. The frequency affects the two discharges in He/O{sub 2}, but in Ar/O{sub 2}, it induces a strong effect only on the first discharge. For the first discharge in each gas, there is a characteristic frequency at which the characteristic quantities reach their respective minimum, and this frequency appears earlier for Ar/O{sub 2}. For the second discharge in Ar/O{sub 2}, the averaged electron density presents a slight variation with the frequency. In addition, the discharge in Ar/O{sub 2} is strong and the averaged electron temperature is low, compared to those in He/O{sub 2.} The total averaged particle density of the reactive species in Ar/O{sub 2} is larger than those in He/O{sub 2} by about one order of magnitude.« less

Improving handoff communication from hospital to home: the development, implementation and evaluation of a personalized patient discharge letter.

PubMed

Buurman, Bianca M; Verhaegh, Kim J; Smeulers, Marian; Vermeulen, Hester; Geerlings, Suzanne E; Smorenburg, Susanne; de Rooij, Sophia E

2016-06-01

To develop, implement and evaluate a personalized patient discharge letter (PPDL) to improve the quality of handoff communication from hospital to home. From the end of 2006-09 we conducted a quality improvement project; consisting of a before-after evaluation design, and a process evaluation. Four general internal medicine wards, in a 1024-bed teaching hospital in Amsterdam, the Netherlands. All consecutive patients of 18 years and older, admitted for at least 48 h. A PPDL, a plain language handoff communication tool provided to the patient at hospital discharge. Verbal and written information provision at discharge, feasibility of integrating the PPDL into daily practice, pass rates of PPDLs provided at discharge. A total of 141 patients participated in the before-after evaluation study. The results from the first phase of quality improvement showed that providing patient with a PPDL increased the number of patients receiving verbal and written information at discharge. Patient satisfaction with the PPDL was 7.3. The level of implementation was low (30%). In the second phase, the level of implementation improved because of incorporating the PPDL into the electronic patient record (EPR) and professional education. An average of 57% of the discharged patients received the PPDL upon discharge. The number of discharge conversations also increased. Patients and professionals rated the PPDL positively. Key success factors for implementation were: education of interns, residents and staff, standardization of the content of the PPDL, integrating the PPDL into the electronic medical record and hospital-wide policy. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

Traveltime and longitudinal dispersion in Illinois streams

USGS Publications Warehouse

Graf, Julia B.

1986-01-01

Twenty-seven measurements of traveltime and longitudinal dispersion in 10 Illinois streams made from 1975 to 1982 provide data needed for estimating traveltime of peak concentration of a conservative solute, traveltime of the leading edge of a solute cloud, peak concentration resulting from injection of a given quantity of solute, and passage time of solute past a given point on a stream. These four variables can be estimated graphically for each stream from distance of travel and either discharge at the downstream end of the reach or flow-duration frequency. From equations developed from field measurements, the traveltime and dispersion characteristics also can be estimated for other unregulated streams in Illinois that have drainage areas less than about 1,500 square miles. For unmeasured streams, traveltime of peak concentration and of the leading edge of the cloud are related to discharge at the downstream end of the reach and to distance of travel. For both measured and unmeasured streams, peak concentration and passage time are best estimated from the relation of each to traveltime. In measured streams, dispersion efficiency is greater than that predicted by Fickian diffusion theory. The rate of decrease in peak concentration with traveltime is about equal to the rate of increase in passage time. Average velocity in a stream reach, given by the velocity of the center of solute mass in that reach, can be estimated from an equation developed from measured values. The equation relates average reach velocity to discharge at the downstream end of the reach. Average reach velocities computed for 9 of the 10 streams from available equations that are based on hydraulic-geometry relations are high relative to measured values. The estimating equation developed from measured velocities provides estimates of average reach velocity that are closer to measured velocities than are those computed using equations developed from hydraulic-geometry relations.

Hospitalization for urinary tract infections and the quality of preventive health care received by people with spina bifida.

PubMed

Armour, Brian S; Ouyang, Lijing; Thibadeau, Judy; Grosse, Scott D; Campbell, Vincent A; Joseph, David

2009-07-01

The preventive health care needs of people with disabilities often go unmet, resulting in medical complications that may require hospitalization. Such complications could be due, in part, to difficulty accessing care or the quality of ambulatory care services received. To use hospitalizations for urinary tract infections (UTIs) as a marker of the potential quality of ambulatory care services received by people affected by spina bifida. MarketScan inpatient and outpatient medical claims data for 2000 through 2003 were used to identify hospitalizations for UTI, which is an ambulatory care sensitive condition, for people affected by spina bifida and to calculate inpatient discharge rates, average lengths of stay, and average medical care expenditures for such hospitalizations. People affected by spina bifida averaged 0.5 hospitalizations per year, and there were 22.8 inpatient admissions with UTI per 1000 persons with spina bifida during the period 2000-2003, in comparison to an average of 0.44 admission with UTI per 1000 persons for those without spina bifida. If the number of UTI hospitalizations among people affected by spina bifida were reduced by 50%, expenditures could be reduced by $4.4 million per 1000 patients. Consensus on the evaluation and management of bacteriuria could enhance clinical care and reduce the disparity in UTI discharge rates among people affected by spina bifida compared to those without spina bifida. National evidence-based guidelines are needed.

Mass Balance of the Greenland Ice Sheet at High Elevations.

PubMed

Thomas; Akins; Csatho; Fahnestock; Gogineni; Kim; Sonntag

2000-07-21

Comparison of ice discharge from higher elevation areas of the entire Greenland Ice Sheet with total snow accumulation gives estimates of ice thickening rates over the past few decades. On average, the region has been in balance, but with thickening of 21 centimeters per year in the southwest and thinning of 30 centimeters per year in the southeast. The north of the ice sheet shows less variability, with average thickening of 2 centimeters per year in the northeast and thinning of about 5 centimeters per year in the northwest. These results agree well with those from repeated altimeter surveys, except in the extreme south, where we find substantially higher rates of both thickening and thinning.

Mapping Evapotranspiration Units in the Basin and Range Carbonate-Rock Aquifer System, White Pine County, Nevada, and Adjacent Areas in Nevada and Utah

USGS Publications Warehouse

Smith, J. LaRue; Laczniak, Randell J.; Moreo, Michael T.; Welborn, Toby L.

2007-01-01

Accurate estimates of ground-water discharge are crucial in the development of a water budget for the Basin and Range carbonate-rock aquifer system study area. One common method used throughout the southwestern United States is to estimate ground-water discharge from evapotranspiration (ET). ET is a process by which water from the Earth's surface is transferred to the atmosphere. The volume of water lost to the atmosphere by ET can be computed as the product of the ET rate and the acreage of vegetation, open water, and moist soil through which ET occurs. The procedure used in the study groups areas of similar vegetation, water, and soil conditions into different ET units, assigns an average annual ET rate to each unit, and computes annual ET from each ET unit within the outer extent of potential areas of ground-water discharge. Data sets and the procedures used to delineate the ET-unit map used to estimate ground-water discharge from the study area and a qualitative assessment of the accuracy of the map are described in this report.

Differential behaviour of a Lesser Himalayan watershed in extreme rainfall regimes

NASA Astrophysics Data System (ADS)

Chauhan, Pankaj; Singh, Nilendu; Chauniyal, Devi Datt; Ahluwalia, Rajeev S.; Singhal, Mohit

2017-03-01

Climatic extremes including precipitation are bound to intensify in the global warming environment. The present study intends to understand the response of the Tons sub-watershed in Lesser Himalaya, in 3 years with entirely different hydrological conditions (July 2008-June 2011) in terms of discharge, sediment flux and denudation rates. Within an uncertainty limit of ±20%, the mean interannual discharge (5.74 ± 1.44 m 3 s -1) (±SE), was found highly variable (CV: 151%; 0.8-38 m 3 s -1). In a normal rainfall year (2008-2009; ˜1550 mm), the discharge was 5.12 ± 1.75 m 3 s -1, whereas in a drought year (2009-2010), it reduced by 30% with the reduction in ˜23% rainfall (CV: 85%). In an excessive rainfall year (once-in-a-century event) (2010-2011; ˜3050 mm), discharge as well as total solid load was ˜200% higher. Monsoon months (July-September) accounted for more than 90% of the annual solid load transport. The ratio of dissolved to suspended solid (C/P ratio) was consistently low (<1) during monsoon months and higher (1-7) during the rest of the dry period. C/P ratio was inversely ( R 2=0.49), but significantly ( P <0.001) related to the rainfall. The average mechanical erosion rate in the three different rainfall years was 0.24, 0.19 and 1.03 mmyr -1, whereas the chemical erosion was estimated at 0.12, 0.11 and 0.46 mmyr -1, respectively. Thus, the average denudation rate of the Tons sub-watershed has been estimated at 0.33 mmyr -1 (excluding extreme rainfall year: 1.5 mmyr -1). Our results have implications to understand the hydrological behaviour of the Lesser Himalayan watersheds and will be valuable for the proposed and several upcoming small hydropower plants in the region in the context of regional ecology and natural resource management.

Enhancing the electrochemical performance of Li-rich layered oxide Li1.13Ni0.3Mn0.57O2 via WO3 doping and accompanying spontaneous surface phase formation

NASA Astrophysics Data System (ADS)

Huang, Jiajia; Liu, Haodong; Hu, Tao; Meng, Ying Shirley; Luo, Jian

2018-01-01

WO3 doping and accompanying spontaneous formation of a surface phase can substantially improve the discharge capacity, rate capability, and cycling stability of Co-free Li-rich layered oxide Li1.13Ni0.3Mn0.57O2 cathode material. X-ray photoelectron spectroscopy, in conjunction with ion sputtering, shows that W segregates to the particle surfaces, decreases the surface Ni/Mn ratio, and changes the surface valence state. High-resolution transmission electron microscopy further suggests that W segregation increases surface structural disorder. The spontaneous and simultaneous changes in the surface structure, composition, and valence state represent the formation of a surface phase (complexion) as the preferred surface thermodynamic state. Consequently, the averaged discharge capacity is increased by ∼13% from 251 to 284 mAh g-1 at a low rate of C/20 and by ∼200% from 30 to 90 mAh g-1 at a high rate of 40C, in comparison with an undoped specimen processed under identical conditions. Moreover, after 100 cycles at a charge/discharge rate of 1C, the WO3 doped specimen retained a discharge capacity of 188 mAh g-1, being 27% higher than that of the undoped specimen. In a broader context, this work exemplifies an opportunity of utilizing spontaneously-formed surface phases as a scalable and cost-effective method to improve materials properties.

The 1928 eruption of Mount Etna (Italy): Reconstructing lava flow evolution and the destruction and recovery of the town of Mascali

NASA Astrophysics Data System (ADS)

Branca, Stefano; De Beni, Emanuela; Chester, David; Duncan, Angus; Lotteri, Alessandra

2017-04-01

Mount Etna in Sicily (Italy) shows > 2500 years of interactions between volcanic eruptions and human activity, and these are well documented in historical sources. During the last 400 years, flank eruptions have had major impacts on the urban fabric of the Etna region, especially in 1651-54, 1669, 1923 and 1928, and it is the last of these which is the focus of this paper. A detailed field and historical reconstruction of the 1928 eruption is presented which allows three themes to be discussed: the evolution of the flow field, lava volume and average magma discharge rate trend; the eruption's human impact, particularly the destruction of the town of Mascali; and the recovery of the region with re-construction of Mascali in a new location. Detailed mapping of lava flows allowed the following dimensions to be calculated: total area, 4.38 × 106 m2; maximum length, 9.4 km; volume, 52.91 ± 5.21 × 106 m3 and an average effusion rate of 38.5 m3 s-1. Time-averaged discharged rates are calculated allowing the reconstruction of their temporal variations during the course of the eruption evidencing a high maximum effusion rate of 374 m3 s- 1. These trends, in particular with regard to the Lower Fissure main phase of the eruption, are in accordance with the 'idealized discharge model' of Wadge (1981), proposed for basaltic eruptions driven by de-pressurization of magma sources, mainly through reservoir relaxation (i.e. elastic contraction of a magma body). The eruption took place when Italy was governed by Mussolini and the fascist party. The State response both, during and in the immediate aftermath of the eruption and in the years that followed during which Mascali was reconstructed, was impressive. This masked a less benign legacy, however, that can be traced for several subsequent decades of using responses to natural catastrophes to manufacture State prestige by reacting to, rather than planning for, disasters.

Satellite-based global-ocean mass balance estimates of interannual variability and emerging trends in continental freshwater discharge

PubMed Central

Syed, Tajdarul H.; Famiglietti, James S.; Chambers, Don P.; Willis, Josh K.; Hilburn, Kyle

2010-01-01

Freshwater discharge from the continents is a key component of Earth’s water cycle that sustains human life and ecosystem health. Surprisingly, owing to a number of socioeconomic and political obstacles, a comprehensive global river discharge observing system does not yet exist. Here we use 13 years (1994–2006) of satellite precipitation, evaporation, and sea level data in an ocean mass balance to estimate freshwater discharge into the global ocean. Results indicate that global freshwater discharge averaged 36,055 km3/y for the study period while exhibiting significant interannual variability driven primarily by El Niño Southern Oscillation cycles. The method described here can ultimately be used to estimate long-term global discharge trends as the records of sea level rise and ocean temperature lengthen. For the relatively short 13-year period studied here, global discharge increased by 540 km3/y2, which was largely attributed to an increase of global-ocean evaporation (768 km3/y2). Sustained growth of these flux rates into long-term trends would provide evidence for increasing intensity of the hydrologic cycle. PMID:20921364

Effect of positive pulse charge waveforms on cycle life of nickel-zinc cells

NASA Technical Reports Server (NTRS)

Smithrick, J. J.

1979-01-01

Five amp-hour nickel-zinc cells were life cycled to evaluate four different charge methods. Three of the four waveforms investigated were 120 Hz full wave rectified sinusoidal (FWRS), 120 Hz silicon controlled rectified (SCR), and 1 kHz square wave (SW). The fourth, a constant current method, was used as a baseline of comparison. Three sealed Ni-Zn cells connected in series were cycled. Each series string was charged at an average c/20 rate, and discharged at a c/2.5 rate to a 75% rated depth.

Evaluation of the effectiveness of peer pressure to change disposition decisions and patient throughput by emergency physician.

PubMed

Wu, Kuan-Han; Cheng, Fu-Jen; Li, Chao-Jui; Cheng, Hsien-Hung; Lee, Wen-Huei; Lee, Chi-Wei

2013-03-01

The aim of this study was to develop a strategy for imposing peer pressure on emergency physicians to discharge patients and to evaluate patient throughput before and after intervention. A before-and-after study was conducted in a medical center with more than 120 000 annual emergency department (ED) visits. All nontraumatic adult patients who presented to the ED between 7:30 and 11:30 am Wednesday to Sunday were reviewed. We created a "team norm" imposed peer-pressure effect by announcing the patient discharge rate of each emergency physician through monthly e-mail reminders. Emergency department length of stay (LOS) and 8-hour (the end of shift) and final disposition of patients before (June 1, 2011-September 30, 2011) and after (October 1, 2011-January 30, 2012) intervention were compared. Patients enrolled before and after intervention totaled 3305 and 2945. No differences existed for age, sex, or average number of patient visits per shift. The 8-hour discharge rate increased significantly for all patients (53.5% vs 48.2%, P < .001), particularly for triage level III patients (odds ratio, 1.3; 95% confidence interval, 1.09-1.38) after intervention and without corresponding differences in the final disposition (P = .165) or admission rate (33.7% vs 31.6%, P = .079). Patients with a final discharge disposition had a shorter LOS (median, 140.4 min vs 158.3 min; P < .001) after intervention. The intervention strategy used peer pressure to enhance patient flow and throughput. More patients were discharged at the end of shifts, particularly triage level III patients. The ED LOS for patients whose final disposition was discharge decreased significantly. Copyright © 2013 Elsevier Inc. All rights reserved.

A comparison of two treatment protocols in the management of exercise-associated postural hypotension: a randomised clinical trial.

PubMed

Anley, Cameron; Noakes, Timothy; Collins, Malcolm; Schwellnus, Martin P

2011-11-01

To investigate which of two commonly used treatment protocols for exercise-associated postural hypotension (EAPH) resulted in earlier discharge from the medical facility. This randomised clinical field trial was undertaken at two Ironman Triathlon competitions and one ultra-distance footrace. All collapsed athletes admitted to the medical facilities were considered for the trial. Following clinical assessment and special investigations to confirm the diagnosis of EAPH, 28 athletes were randomly assigned to an oral fluid and Trendelenburg position (OT=14) or an intravenous fluid (IV=14) treatment group. Following admission fluid intake was recorded, and all athletes were assessed clinically (blood pressure, heart rate, level of consciousness) every 15 min until discharge criteria were met. The main measure of outcome was the time to discharge (min). On admission, subjects in the OT and IV groups were similar with respect to age, systolic blood pressure, heart rate and serum sodium concentration. There were no significant differences in heart rate, systolic and diastolic blood pressure between groups and over time until discharge. The fluid intake during the treatment period was significantly greater in the IV group (IV 1045 ± 185 ml, OT 204 ± 149 ml; p<0.001). The average time to discharge for the OT group (58 ± 23 min) was similar to that of the IV group (52.5 ± 18 min; p=0.47). Endurance athletes with EAPH can be treated effectively using the Trendelenburg position and oral fluids and the administration of intravenous fluids does not reduce the time to discharge. The findings of this study support the hypothesis that EAPH is a result of venous pooling due to peripheral vasodilatation, rather than dehydration.

Characteristics of the high-rate discharge capability of a nickel/metal hydride battery electrode

DOE Office of Scientific and Technical Information (OSTI.GOV)

Geng, M.; Han, J.; Feng, F.

1999-10-01

The high rate discharge capability of the negative electrode in a Ni/MH battery is mainly determined by the charge transfer process at the interface between the metal hydride (MH) alloy powder and the electrolyte, and the mass transfer process in the bulk MH alloy powder. In this study, the anodic polarization curves of a MH electrode were measured and analyzed. An alloy of nominal composition Mm{sub 0.95}Ti{sub 0.05}Ni{sub 3.85}Co{sub 0.45}Mn{sub 0.35}Al{sub 0.35} was used as the negative electrode material. With increasing number of charge/discharge cycles, the MH alloy powders microcrack into particles several micrometers in diameter. The decrease in themore » MH alloy particle size results in an increase in both the activation surface area and the exchange current density of the MH alloy electrode. The electrode overpotentials of the MH electrode decreases with increasing number of cycles at a large value of anodic polarization current. The decrease in electrode overpotential leads to an increase in the high rate discharge capability of the MH electrode. By using the limiting current, the hydrogen diffusion coefficient in the MH alloy was estimated to be 1.2 x 10{sup {minus}11}cm{sup 2}s{sup {minus}1} assuming an average particle radius of 5 {micro}m.« less

Short-pulse excitation of microwave plasma for efficient diamond growth

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yamada, Hideaki, E-mail: yamada-diamond@aist.go.jp; Chayahara, Akiyoshi; Mokuno, Yoshiaki

To realize a variety of potential applications of diamonds, particularly in the area of power electronics, it is indispensable to improve their growth efficiency. Most conventional approaches have tried to achieve this simply by increasing the gas temperature; however, this makes it difficult to grow large diamond crystals. To improve the growth efficiency while lowering the gas temperature, we propose that using a pulse-modulated microwave plasma with a sub-millisecond pulse width can enhance the power efficiency of the growth rate of single-crystal diamonds. We found that using a sub-millisecond pulse-mode discharge could almost double the growth rate obtained using continuousmore » mode discharge for a fixed average microwave power and gas pressure. A comparison between experimental observations of the optical emission spectra of the discharge and a numerical simulation of the gas temperature suggests that a decrease in the gas temperature was achieved, and highlights the importance of electron-dominated reactions for obtaining the enhancement of the growth rate. This result will have a large impact in the area of diamond growth because it enables diamond growth to be more power efficient at reduced temperatures.« less

Measurement of submarine groundwater discharge using diverse methods in Coleroon Estuary, Tamil Nadu, India

NASA Astrophysics Data System (ADS)

Prakash, R.; Srinivasamoorthy, K.; Gopinath, S.; Saravanan, K.

2018-03-01

Submarine groundwater discharge (SGD) is described as submarine inflow of fresh and brackish groundwater from land into the sea. The release of sewages from point and non-point source pollutants from industries, agricultural and domestic activities gets discharged through groundwater to ocean creating natural disparity like decreasing flora fauna and phytoplankton blooms. Hence, to quantify fluxes of SGD in coastal regions is important. Quantification of SGD was attempted in Coleroon estuary, India, using three dissimilar methods like water budget, Darcy law and manual seepage meter. Three seepage meters were installed at two prominent litho units (alluvium and fluvio marine) at a distance of (0-14.7 km) away from Bay of Bengal. The water budget and Darcy law-quantified submarine seepage at a rate of 6.9 × 106 and 3.2 × 103 to 308.3 × 103 m3 year-1, respectively, and the seepage meter quantified seepage rate of 0.7024 m h-1 at an average. Larger seepage variations were isolated from three different techniques and the seepage rates were found to be influenced by hydrogeological characteristics of the litho units and distance from the coast.

Sensorimotor-correlated discharge recorded from ensembles of cerebellar Purkinje cells varies across the estrous cycle of the rat.

PubMed

Smith, S S

1995-09-01

1. In the present study, locomotor-correlated activity of cerebellar Purkinje cells, recorded using arrays of microwires chronically implanted in adult female rats, was examined across estrous-cycle-associated fluctuations in endogenous sex steroids. Ongoing studies from this laboratory have shown that systemic and local administration of the sex steroid 17 beta-estradiol (E2) augments excitatory responses of cerebellar Purkinje cells to iontophoretically applied glutamate, recorded in vivo from anesthetized female rats. In addition, this steroid potentiated discharge correlated with limb movement. For the present study, extracellular single-unit activity was recorded from as many as 5-11 Purkinje cells simultaneously during treadmill locomotion paradigms. Motor modulation of activity was recorded across three to five consecutive estrous cycles from behaviorally identified cohorts of neurons to test the hypothesis that fluctuations in endogenous sex steroids alter motor modulation of Purkinje cell discharge. 2. Locomotor-associated discharge correlated with treadmill locomotion was increased by a mean of 47% on proestrus, when E2 levels are elevated, relative to diestrus 1. These changes in discharge rate during treadmill locomotion were of significantly greater magnitude than corresponding cyclic alterations in discharge during stationary periods. 3. Correlations with the circadian cycle were also significant, because peak levels of locomotor-associated discharge on the night of behavioral estrus, following elevations in circulating E2, were on average 67% greater than corresponding discharge recorded during the light (proestrus). 4. Alterations in the step cycle were also observed across the estrous cycle: significant decreases in the duration of the flexion phase (by 265 ms, P < 0.05) were noted on estrus compared with diestrus. 5. When recorded on estrus, Purkinje cell discharge correlated with the stance or flexion phase of the step cycle was greater in magnitude and preceded the event by an average of 130 ms, compared with values determined on diestrus. 6. On estrus, responses of Purkinje neurons to iontophoretically applied quisqualate were enhanced fourfold after administration of exogenous E2, assessed in urethan-anesthetized female rats. 7. In addition, systemic administration of E2 (30 ng iv) potentiated responses of cerebellar Purkinje cells to electrical stimulation of the forepaw by an average of 150%, recorded in anesthetized female rats. 8. These results are consistent with the hypothesis that elevations in circulating E2 are associated with enhanced discharge of cerebellar Purkinje cells in response to pharmacological or electrical stimuli or associated with locomotor behavior.

Moderate temperature rechargeable sodium batteries

NASA Technical Reports Server (NTRS)

Abraham, K. M.; Rupich, M. W.; Pitts, L.; Elliott, J. E.

1983-01-01

Cells utilizing the organic electrolyte, NaI in triglyme, operated at approx. 130 C with Na(+) - intercalating cathodes. However, their rate and stability were inadequate. NaAlCl4 was found to be a highly useful electrolyte for cell operation at 165-190 C. Na(+) intercalating chalcogenides reacted with NaAlCl4 during cycling to form stable phases. Thus, VS2 became essentially VS2Cl, with reversible capacity of approx 2.8 e(-)/V, and a mid-discharge voltage of approx 2.5V and 100 deep discharge cycles were readily achieved. A positive electrode consisting of VCl3 and S plus NaAlCl4 was subjected to deep-discharge cycles 300 times and it demonstrated identity with the in-situ-formed BSxCly cathode. NiS2 and NiS which are not Na(+)-intercalating structures formed highly reversible electrodes in NaAlCl4. The indicated discharge mechanism implies a theoretical capacity 4e(-)/Ni for NiS2 and 2e(-)/Ni for NiS. The mid-discharge potentials are, respectively, 2.4V and 2.1V. A Na/NiS2 cell cycling at a C/5 rate has exceeded 500 deep discharge cycles with 2.5e(-)/Ni average utilization. A 4 A-hr nominal capacity prototype Na/NiS2 cell was tested at 190 C. It was voluntarily terminated after 80 cycles. Further development, particularly of cathode structure and hardware should produce a battery capable of at least 50-W-hr/lb and more than 1000 cycles.

Method and system for turbomachinery surge detection

DOEpatents

Faymon, David K.; Mays, Darrell C.; Xiong, Yufei

2004-11-23

A method and system for surge detection within a gas turbine engine, comprises: measuring the compressor discharge pressure (CDP) of the gas turbine over a period of time; determining a time derivative (CDP.sub.D ) of the measured (CDP) correcting the CDP.sub.D for altitude, (CDP.sub.DCOR); estimating a short-term average of CDP.sub.DCOR.sup.2 ; estimating a short-term average of CDP.sub.DCOR ; and determining a short-term variance of corrected CDP rate of change (CDP.sub.roc) based upon the short-term average of CDP.sub.DCOR and the short-term average of CDP.sub.DCOR.sup.2. The method and system then compares the short-term variance of corrected CDP rate of change with a pre-determined threshold (CDP.sub.proc) and signals an output when CDP.sub.roc >CDP.sub.proc. The method and system provides a signal of a surge within the gas turbine engine when CDP.sub.roc remains>CDP.sub.proc for pre-determined period of time.

Hospitals with briefer than average lengths of stays for common surgical procedures do not have greater odds of either re-admission or use of short-term care facilities.

PubMed

Dexter, F; Epstein, R H; Dexter, E U; Lubarsky, D A; Sun, E C

2017-03-01

We considered whether senior hospital managers and department chairs need to be concerned that small reductions in average hospital length of stay (LOS) may be associated with greater rates of re-admission, use of home health care, and/or transfers to short-term care facilities. The 2013 United States Nationwide Readmissions Database was used to study surgical Diagnosis Related Groups (DRG) with 1) national median LOS ≥3 days and 2) ≥10 hospitals in the database that each had ≥100 discharges for the DRG. Dependent variables were considered individually: 1) re-admission within 30 days of discharge, 2) discharge disposition to home health care, and/or 3) discharge disposition of transfer to short-term care facility (i.e., inpatient rehabilitation hospital or skilled nursing facility). While controlling for DRG, each one-day decrease in hospital median LOS was associated with an odds of re-admission nationwide of 0.95 (95% confidence interval [CI] 0.92-0.99; P =0.012), odds of disposition upon discharge being home care of 0.95 (95% CI 0.83-1.10; P =0.64), and odds of transfer to short-term care facility of 0.68 (95% CI 0.54-0.85; P =0.0008). Results were insensitive to the addition of patient-specific data. In the USA, patients at hospitals with briefer median LOS across multiple common surgical procedures did not have a greater risk for either hospital re-admission within 30 days of discharge or transfer to an inpatient rehabilitation hospital or a skilled nursing facility. The generalisable implication is that, across many surgical procedures, DRG-based financial incentives to shorten hospital stays seem not to influence post-acute care decisions.

Spatial Characteristics and Driving Factors of Provincial Wastewater Discharge in China.

PubMed

Chen, Kunlun; Liu, Xiaoqiong; Ding, Lei; Huang, Gengzhi; Li, Zhigang

2016-12-09

Based on the increasing pressure on the water environment, this study aims to clarify the overall status of wastewater discharge in China, including the spatio-temporal distribution characteristics of wastewater discharge and its driving factors, so as to provide reference for developing "emission reduction" strategies in China and discuss regional sustainable development and resources environment policies. We utilized the Exploratory Spatial Data Analysis (ESDA) method to analyze the characteristics of the spatio-temporal distribution of the total wastewater discharge among 31 provinces in China from 2002 to 2013. Then, we discussed about the driving factors, affected the wastewater discharge through the Logarithmic Mean Divisia Index (LMDI) method and classified those driving factors. Results indicate that: (1) the total wastewater discharge steadily increased, based on the social economic development, with an average growth rate of 5.3% per year; the domestic wastewater discharge is the main source of total wastewater discharge, and the amount of domestic wastewater discharge is larger than the industrial wastewater discharge. There are many spatial differences of wastewater discharge among provinces via the ESDA method. For example, provinces with high wastewater discharge are mainly the developed coastal provinces such as Jiangsu Province and Guangdong Province. Provinces and their surrounding areas with low wastewater discharge are mainly the undeveloped ones in Northwest China; (2) The dominant factors affecting wastewater discharge are the economy and technological advance; The secondary one is the efficiency of resource utilization, which brings about the unstable effect; population plays a less important role in wastewater discharge. The dominant driving factors affecting wastewater discharge among 31 provinces are divided into three types, including two-factor dominant type, three-factor leading type and four-factor antagonistic type. In addition, the proposals aimed at reducing the wastewater discharge are provided on the basis of these three types.

Estimating the Critical Point of Crowding in the Emergency Department for the Warning System

NASA Astrophysics Data System (ADS)

Chang, Y.; Pan, C.; Tseng, C.; Wen, J.

2011-12-01

The purpose of this study is to deduce a function from the admissions/discharge rate of patient flow to estimate a "Critical Point" that provides a reference for warning systems in regards to crowding in the emergency department (ED) of a hospital or medical clinic. In this study, a model of "Input-Throughput-Output" was used in our established mathematical function to evaluate the critical point. The function is defined as dPin/dt=dwait/dt+Cp×B+ dPout/dt where Pin= number of registered patients, Pwait= number of waiting patients, Cp= retention rate per bed (calculated for the critical point), B= number of licensed beds in the treatment area, and Pout= number of patients discharged from the treatment area. Using the average Cp of ED crowding, we could start the warning system at an appropriate time and then plan for necessary emergency response to facilitate the patient process more smoothly. It was concluded that ED crowding could be quantified using the average value of Cp and the value could be used as a reference for medical staff to give optimal emergency medical treatment to patients. Therefore, additional practical work should be launched to collect more precise quantitative data.

Flow and chloride transport in the tidal Hudson River, NY

USGS Publications Warehouse

Weiss, Lawrence A.; Schaffranek, Raymond W.; de Vries, M. Peter

1994-01-01

A one-dimensional dynamic-flow model and a one-dimensional solute-transport model were used to evaluate the effects of hypothetical public-supply water withdrawals on saltwater intrusion in a 133-mile reach of the tidal Hudson River between Green Island dam, near Troy, N.Y., and Hastings-on-Hudson, N.Y. Regression techniques were used in analyses of current and extreme historical conditions, and numerical models were used to investigate the effect of various water withdrawals. Of four withdrawal scenarios investigated, simulations of a 27-day period during which discharges at Green Island dam averaged 7,090 ft3/s indicate that increasing the present Chelsea pumping-station withdrawal rate of 100 Mgal/d (million gallons per day) to 300 Mgal/d would have the least effect on upstream saltwater movement. A 90-day simulation, during which discharges at Green Island dam averaged 25,200 ft3/s, indicates that withdrawals of 1,940 Mgal/d at Chelsea would not measurably increase chloride concentrations at Chelsea under normal tidal and meteorological conditions, but withdrawals of twice that rate (3,880 Mgal/d) could increase the chloride concentration at Chelsea to 250 mg/L.

Hospital discharge queues in Massachusetts.

PubMed

Gruenberg, L W; Willemain, T R

1982-02-01

There is growing concern over the inappropriate utilization of health care facilities. The high cost of hospital care and the apparent shortage of nursing home beds have focused attention on one aspect of this problem: the clinically unnecessary days (sometimes called "administrative days" or "ADs") spent in hospitals by patients who are awaiting placement in long-term care facilities. In this study, data from a 1976 Massachusetts Department of Public Health survey of patients backed up in hospitals were analyzed to determine the magnitude of the problem and to examine the influence of several major factors that had been hypothesized in previous studies to contribute to the backup. We demonstrate that the average delay of a patient found waiting in a "snapshot" survey (which is often used to estimate the magnitude of the problem) is significantly greater than the average delay experienced by a typical discharged patient. We show that there are at least two major factors that influence the delay time: nursing home preferences in accepting certain types of patients and nursing home occupancy rates in the hospital service area. Neither medical-surgical occupancy rate nor the number of AD patients waiting in the hospital was significantly correlated with the delay time.

Efficacy of mid-upper arm circumference in identification, follow-up and discharge of malnourished children during nutrition rehabilitation.

PubMed

Mogendi, Joseph Birundu; De Steur, Hans; Gellynck, Xavier; Saeed, Hibbah Araba; Makokha, Anselimo

2015-06-01

Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. Mid-upper arm circumference single cut-off (< 12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential to minimize nutrition rehabilitation costs, particularly in community therapeutic centres in developing countries.

Hysteretic behavior of stage-discharge relationships in urban streams

NASA Astrophysics Data System (ADS)

Miller, A. J.; Lindner, G. A.

2009-12-01

Reliable stage-discharge relationships or rating curves are of critical importance for accurate calculation of streamflow and maintenance of long-term flow records. Urban streams offer particular challenges for the maintenance of accurate rating curves. It is often difficult or impossible to collect direct discharge measurements at high flows, many of which are generated by short-duration high-intensity summer thunderstorms, both because of dangerous conditions in the channel and also because the stream rises and falls so rapidly that field crews cannot reach sites in time and sometimes cannot make measurements rapidly enough to keep pace with changing water levels even when they are on site during a storm. Work in urban streams in the Baltimore metropolitan area has shown that projection of rating curves beyond the range of measured flows can lead to overestimation of flood peaks by as much as 100%, and these can only be corrected when adequate field data are available to support modeling efforts. Even moderate flows that are above safe wading depth and velocity may best be estimated using hydraulic models. Current research for NSF CNH project 0709659 includes the application of 2-d depth-averaged hydraulic models to match existing rating curves over a range of low to moderate flows and to extend rating curves for higher flows, based on field collection of high-water marks. Although it is generally assumed that stage-discharge relationships are single-valued, we find that modeling results in small urban streams often generate hysteretic relationships, with higher discharges on the rising limb of the hydrograph than on the falling limb. The difference between discharges for the same stage on the rising and falling limb can be on the order of 20-30% even for in-channel flows that are less than 1 m deep. As safety considerations dictate that it is preferable to make direct discharge measurements on the falling limb of the hydrograph, the higher direct measurements used in many rating curves probably have been collected on the falling limb and therefore may not capture the correct stage-discharge relationship for the rising limb. In some cases model results selected only from the falling limb are able to match the existing rating curve very closely. Although hysteresis may be explained with reference to the innate properties of the flood wave, other factors also lead to hysteretic behavior. Downstream constrictions and obstructions associated with urban infrastructure may cause substantial backwater effects, particularly during flood flows. Flood conditions at tributary confluences also can exert a controlling influence upstream. Based on our results we recommend that at some sites it is advisable to develop separate rating curves for the rising and falling limbs, and to develop a range of modeling scenarios for predicting the range of potential uncertainty.

Response of nickel to zinc cells to electric vehicle chopper discharge waveforms

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1981-01-01

The preliminary results of simulated electric vehicle chopper controlled discharge of a Nickel/Zinc battery shows delivered energy increases of 5 to 25 percent compared to constant current discharges of the same average current. The percentage increase was a function of chopper frequency, the ratio of peak to average current, and the magnitude of the discharge current. Because the chopper effects are of a complex nature, electric vehicle battery/speed controller interaction must be carefully considered in vehicle design to optimize battery performance.

Alternate charging and discharging of capacitor to enhance the electron production of bioelectrochemical systems.

PubMed

Liang, Peng; Wu, Wenlong; Wei, Jincheng; Yuan, Lulu; Xia, Xue; Huang, Xia

2011-08-01

A bioelectrochemical system (BES) can be operated in both "microbial fuel cell" (MFC) and "microbial electrolysis cell" (MEC) modes, in which power is delivered and invested respectively. To enhance the electric current production, a BES was operated in MFC mode first and a capacitor was used to collect power from the system. Then the charged capacitor discharged electrons to the system itself, switching into MEC mode. This alternate charging and discharging (ACD) mode helped the system produce 22-32% higher average current compared to an intermittent charging (IC) mode, in which the capacitor was first charged from an MFC and then discharged to a resistor, at 21.6 Ω external resistance, 3.3 F capacitance and 300 mV charging voltage. The effects of external resistance, capacitance and charging voltage on average current were studied. The average current reduced as the external resistance and charging voltage increased and was slightly affected by the capacitance. Acquisition of higher average current in the ACD mode was attributed to the shorter discharging time compared to the charging time, as well as a higher anode potential caused by discharging the capacitor. Results from circuit analysis and quantitatively calculation were consistent with the experimental observations.

Increased West Antarctic and unchanged East Antarctic ice discharge over the last 7 years

NASA Astrophysics Data System (ADS)

Gardner, Alex S.; Moholdt, Geir; Scambos, Ted; Fahnstock, Mark; Ligtenberg, Stefan; van den Broeke, Michiel; Nilsson, Johan

2018-02-01

Ice discharge from large ice sheets plays a direct role in determining rates of sea-level rise. We map present-day Antarctic-wide surface velocities using Landsat 7 and 8 imagery spanning 2013-2015 and compare to earlier estimates derived from synthetic aperture radar, revealing heterogeneous changes in ice flow since ˜ 2008. The new mapping provides complete coastal and inland coverage of ice velocity north of 82.4° S with a mean error of < 10 m yr-1, resulting from multiple overlapping image pairs acquired during the daylight period. Using an optimized flux gate, ice discharge from Antarctica is 1929 ± 40 Gigatons per year (Gt yr-1) in 2015, an increase of 36 ± 15 Gt yr-1 from the time of the radar mapping. Flow accelerations across the grounding lines of West Antarctica's Amundsen Sea Embayment, Getz Ice Shelf and Marguerite Bay on the western Antarctic Peninsula, account for 88 % of this increase. In contrast, glaciers draining the East Antarctic Ice Sheet have been remarkably constant over the period of observation. Including modeled rates of snow accumulation and basal melt, the Antarctic ice sheet lost ice at an average rate of 183 ± 94 Gt yr-1 between 2008 and 2015. The modest increase in ice discharge over the past 7 years is contrasted by high rates of ice sheet mass loss and distinct spatial patters of elevation lowering. The West Antarctic Ice Sheet is experiencing high rates of mass loss and displays distinct patterns of elevation lowering that point to a dynamic imbalance. We find modest increase in ice discharge over the past 7 years, which suggests that the recent pattern of mass loss in Antarctica is part of a longer-term phase of enhanced glacier flow initiated in the decades leading up to the first continent-wide radar mapping of ice flow.

[Estimation of spur dike-affected fish habitat area].

PubMed

Ray-Shyan, Wu; Yan-Ru, Chen; Yi-Liang, Ge

2012-04-01

Based on the HEC-RAS and River 2D modes, and taking 5% change rate of weighted usable area (WUA) as the threshold to define the spur dike- affected area of target fish species Acrossocheilus paradoxus in Fazi River in Taiwan, this paper studied the affected area of the fish habitat by spur dike, and, in combining with the references about the installations of spur dikes in Taiwan in recent 10 years, analyzed the relative importance of related affecting factors such as dike height, dike length (water block rate), average slope gradient of river way, single or double spur dike, and flow discharge. In spite of the length of the dike, the affected area in downstream was farther, and was about 2-6 times as large as that in upstream. The ratio of the affected area in downstream / upstream decreased with increasing slope gradient, but increased with increasing dike length and flow discharge. When the discharge was approximate to 10 years return periods, the ratio of the affected area would be close to a constant of 2. Building double spur dike would produce a better WUA than building single spur dike.

Does early functional outcome predict 1-year mortality in elderly patients with hip fracture?

PubMed

Dubljanin-Raspopović, Emilija; Marković-Denić, Ljiljana; Marinković, Jelena; Nedeljković, Una; Bumbaširević, Marko

2013-08-01

Hip fractures in the elderly are followed by considerable risk of functional decline and mortality. The purposes of this study were to (1) explore predictive factors of functional level at discharge, (2) evaluate 1-year mortality after hip fracture compared with that of the general population, and (3) evaluate the affect of early functional outcome on 1-year mortality in patients operated on for hip fractures. A total of 228 consecutive patients (average age, 77.6 ± 7.4 years) with hip fractures who met the inclusion criteria were enrolled in an open, prospective, observational cohort study. Functional level at discharge was measured with the motor Functional Independence Measure (FIM) score, which is the most widely accepted functional assessment measure in use in the rehabilitation community. Mortality rates in the study population were calculated in absolute numbers and as the standardized mortality ratio. Multivariate regression analysis was used to explore predictive factors for motor FIM score at discharge and for 1-year mortality adjusted for important baseline variables. Age, health status, cognitive level, preinjury functional level, and pressure sores after hip fracture surgery were independently related to lower discharge motor FIM scores. At 1-year followup, 57 patients (25%; 43 women and 14 men) had died. The 1-year hip fracture mortality rate compared with that of the general population was 31% in our population versus 7% for men and 23% in our population versus 5% for women 65 years or older. The 1-year standardized mortality rate was 341.3 (95% CI, 162.5-520.1) for men and 301.6 (95% CI, 212.4-391.8) for women, respectively. The all-cause mortality rate observed in this group was higher in all age groups and in both sexes when compared with the all-cause age-adjusted mortality of the general population. Motor FIM score at discharge was the only independent predictor of 1-year mortality after hip fracture. Functional level at discharge is the main determinant of long-term mortality in patients with hip fracture. Motor FIM score at discharge is a reliable predictor of mortality and can be recommended for clinical use.

Annual replenishment of bed material by sediment transport in the Wind River near Riverton, Wyoming

USGS Publications Warehouse

Smalley, M.L.; Emmett, W.W.; Wacker, A.M.

1994-01-01

The U.S. Geological Survey, in cooperation with the Wyoming Department of Transportation, conducted a study during 1985-87 to determine the annual replenishment of sand and gravel along a point bar in the Wind River near Riverton, Wyoming. Hydraulic- geometry relations determined from streamflow measurements; streamflow characteristics determined from 45 years of record at the study site; and analyses of suspended-sediment, bedload, and bed- material samples were used to describe river transport characteristics and to estimate the annual replenishment of sand and gravel. The Wind River is a perennial, snowmelt-fed stream. Average daily discharge at the study site is about 734 cubic feet per second, and bankfull discharge (recurrence interval about 1.5 years) is about 5,000 cubic feet per second. At bankfull discharge, the river is about 136 feet wide and has an average depth of about 5.5 feet and average velocity of about 6.7 feet per second. Streams slope is about 0.0010 foot per foot. Bed material sampled on the point bar before the 1986 high flows ranged from sand to cobbles, with a median diameter of about 22 millimeters. Data for sediment samples collected during water year 1986 were used to develop regression equations between suspended-sediment load and water discharge and between bedload and water discharge. Average annual suspended-sediment load was computed to be about 561,000 tons per year using the regression equation in combination with flow-duration data. The regression equation for estimating bedload was not used; instead, average annual bedload was computed as 1.5 percent of average annual suspended load about 8,410 tons per year. This amount of bedload material is estimated to be in temporary storage along a reach containing seven riffles--a length of approximately 1 river mile. On the basis of bedload material sampled during the 1986 high flows, about 75 percent (by weight) is sand (2 millimeters in diameter or finer); median particle size is about 0.5 milli- meter. About 20 percent (by weight) is medium gravel to small cobbles--12.7 millimeters (0.5 inch) or coarser. The bedload moves slowly (about 0.03 percent of the water speed) and briefly (about 10 percent of the time). The average travel distance of a median-sized particle is about 1 river mile per year. The study results indicate that the average replenishment rate of bedload material coarser than 12.7 millimeters is about 1,500 to 2,000 tons (less than 1,500 cubic yards) per year. Finer material (0.075 to 6.4 millimeters in diameter) is replen- ishment at about 4,500 to 5,000 cubic yards per year. The total volume of potentially usable material would average about 6,000 cubic yards per year.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Antsiferov, P. S., E-mail: Ants@isan.troitsk.ru; Dorokhin, L. A.

The influence of the discharge cavity dimensions on the properties of the spherical plasma formed in a fast discharge was studied experimentally. The passage of a current pulse with an amplitude of 30–40 kA and a rise rate of ~10{sup 12} A/s (a fast discharge) through a spherical ceramic (Al{sub 2}O{sub 3}) cavity with an inner diameter of 11 mm filled with argon at a pressure of 80 Pa results in the formation of a 1- to 2-mm-diameter spherical plasma with an electron temperature of several tens of electronvolts and a density of 10{sup 18}–10{sup 19} cm{sup –3}. It ismore » shown that an increase in the inner diameter of the discharge cavity from 11 to 21 mm leads to the fourfold increase in the formation time of the spherical plasma and a decrease in the average ion charge. A decrease in the cavity diameter to 7 mm makes the spherical plasma unstable.« less

Breakdown of methylene blue and methyl orange by pulsed corona discharge

NASA Astrophysics Data System (ADS)

Grabowski, L. R.; van Veldhuizen, E. M.; Pemen, A. J. M.; Rutgers, W. R.

2007-05-01

The recently developed corona above water technique is applied to water containing 10 mg l-1 methylene blue (MB) or methyl orange (MO). The corona discharge pulses are created with a spark gap switched capacitor followed by a transmission line transformer. The pulse amplitude is 40 kV; its duration is 50 ns. At a pulse repetition rate of 10 Hz this leads to an average power of 0.6 W into the discharge. MB and MO are completely decolourized in ~20 min. This corresponds to a yield of ~4.5 gr kW-1h-1, which is much higher than obtained with other discharge techniques or sonoluminescence. The high yield is reflected in the observed temperature increase of only ~1 K. Tests with additional chemicals show that the initial speed of the conversion can be influenced but the total time required for total decolourization is constant. Further, it follows that the main oxidation path of the dyes is by direct ozone attack and the conversion products are strong acids.

Multifactorial analysis of factors affecting recurrence of stroke in Japan.

PubMed

Omori, Toyonori; Kawagoe, Masahiro; Moriyama, Michiko; Yasuda, Takeshi; Ito, Yasuhiro; Hyakuta, Takeshi; Nagatsuka, Kazuyuki; Matsumoto, Masayasu

2015-03-01

Data on factors affecting stroke recurrence are relatively limited. The authors examined potential factors affecting stroke recurrence, retrospectively. The study participants were 1087 patients who were admitted to stroke centers suffering from first-ever ischemic stroke and returned questionnaires with usable information after discharge. The authors analyzed the association between clinical parameters of the patients and their prognosis. Recurrence rate of during an average of 2 years after discharge was 21.3%, and there were differences among stroke subtypes. It was found that the disability level of the patients after discharge correlated well with the level at discharge (r s = 0.66). Multivariate logistic regression analysis of the data shows that modified Rankin Scale score, National Institute of Health Stroke Scale score, gender, age, and family history had statistically significant impacts on stroke recurrence, and the impact was different depending on subtypes. These findings suggest that aggressive and persistent health education for poststroke patients and management of risk factors are essential to reduce stroke recurrence. © 2012 APJPH.

Small river plumes off the northeastern coast of the Black Sea under average climatic and flooding discharge conditions

NASA Astrophysics Data System (ADS)

Osadchiev, Alexander; Korshenko, Evgeniya

2017-06-01

This study focuses on the impact of discharges of small rivers on the delivery and fate of fluvial water and suspended matter at the northeastern part of the Black Sea under different local precipitation conditions. Several dozens of mountainous rivers flow into the sea at the study region, and most of them, except for several of the largest, have little annual runoff and affect adjacent coastal waters to a limited extent under average climatic conditions. However, the discharges of these small rivers are characterized by a quick response to precipitation events and can significantly increase during and shortly after heavy rains, which are frequent in the considered area. The delivery and fate of fluvial water and terrigenous sediments at the study region, under average climatic and rain-induced flooding conditions, were explored and compared using in situ data, satellite imagery, and numerical modeling. It was shown that the point-source spread of continental discharge dominated by several large rivers under average climatic conditions can change to the line-source discharge from numerous small rivers situated along the coast in response to heavy rains. The intense line-source runoff of water and suspended sediments forms a geostrophic alongshore current of turbid and freshened water, which induces the intense transport of suspended and dissolved constituents discharged with river waters in a northwestern direction. This process significantly influences water quality and causes active sediment load at large segments of the narrow shelf at the northeastern part of the Black Sea compared to average climatic discharge conditions.

Average discharge, perennial flow initiation, and channel initiation - small southern Appalachian basins

Treesearch

B. Lane Rivenbark; C. Rhett Jackson

2004-01-01

Regional average evapotranspiration estimates developed by water balance techniques are frequently used to estimate average discharge in ungaged strttams. However, the lower stream size range for the validity of these techniques has not been explored. Flow records were collected and evaluated for 16 small streams in the Southern Appalachians to test whether the...

Influence of catalyst packing configuration on the discharge characteristics of dielectric barrier discharge reactors: A numerical investigation

NASA Astrophysics Data System (ADS)

Gadkari, Siddharth; Gu, Sai

2018-06-01

A two-dimensional numerical fluid model is developed for studying the influence of packing configurations on dielectric barrier discharge (DBD) characteristics. Discharge current profiles and time averaged electric field strength, electron number density, and electron temperature distributions are compared for the three DBD configurations, plain DBD with no packing, partially packed DBD, and fully packed DBD. The results show that a strong change in discharge behaviour occurs when a DBD is fully packed as compared to partial packing or no packing. While the average electric field strength and electron temperature of a fully packed DBD are higher relative to the other DBD configurations, the average electron density is substantially lower and may impede the DBD reactor performance under certain operating conditions. Possible scenarios of the synergistic effect of the combination of plasma with catalysis are also discussed.

Evaluation of seepage and discharge uncertainty in the middle Snake River, southwestern Idaho

USGS Publications Warehouse

Wood, Molly S.; Williams, Marshall L.; Evetts, David M.; Vidmar, Peter J.

2014-01-01

The U.S. Geological Survey, in cooperation with the State of Idaho, Idaho Power Company, and the Idaho Department of Water Resources, evaluated seasonal seepage gains and losses in selected reaches of the middle Snake River, Idaho, during November 2012 and July 2013, and uncertainty in measured and computed discharge at four Idaho Power Company streamgages. Results from this investigation will be used by resource managers in developing a protocol to calculate and report Adjusted Average Daily Flow at the Idaho Power Company streamgage on the Snake River below Swan Falls Dam, near Murphy, Idaho, which is the measurement point for distributing water to owners of hydropower and minimum flow water rights in the middle Snake River. The evaluated reaches of the Snake River were from King Hill to Murphy, Idaho, for the seepage studies and downstream of Lower Salmon Falls Dam to Murphy, Idaho, for evaluations of discharge uncertainty. Computed seepage was greater than cumulative measurement uncertainty for subreaches along the middle Snake River during November 2012, the non-irrigation season, but not during July 2013, the irrigation season. During the November 2012 seepage study, the subreach between King Hill and C J Strike Dam had a meaningful (greater than cumulative measurement uncertainty) seepage gain of 415 cubic feet per second (ft3/s), and the subreach between Loveridge Bridge and C J Strike Dam had a meaningful seepage gain of 217 ft3/s. The meaningful seepage gain measured in the November 2012 seepage study was expected on the basis of several small seeps and springs present along the subreach, regional groundwater table contour maps, and results of regional groundwater flow model simulations. Computed seepage along the subreach from C J Strike Dam to Murphy was less than cumulative measurement uncertainty during November 2012 and July 2013; therefore, seepage cannot be quantified with certainty along this subreach. For the uncertainty evaluation, average uncertainty in discharge measurements at the four Idaho Power Company streamgages in the study reach ranged from 4.3 percent (Snake River below Lower Salmon Falls Dam) to 7.8 percent (Snake River below C J Strike Dam) for discharges less than 7,000 ft3/s in water years 2007–11. This range in uncertainty constituted most of the total quantifiable uncertainty in computed discharge, represented by prediction intervals calculated from the discharge rating of each streamgage. Uncertainty in computed discharge in the Snake River below Swan Falls Dam near Murphy was 10.1 and 6.0 percent at the Adjusted Average Daily Flow thresholds of 3,900 and 5,600 ft3/s, respectively. All discharge measurements and records computed at streamgages have some level of uncertainty that cannot be entirely eliminated. Knowledge of uncertainty at the Adjusted Average Daily Flow thresholds is useful for developing a measurement and reporting protocol for purposes of distributing water to hydropower and minimum flow water rights in the middle Snake River.

Age Tracers and Residence Time in the Hudson River Estuary

NASA Astrophysics Data System (ADS)

Nadell, S. A.; Geyer, W. R.; Wang, T.

2016-02-01

The Hudson River is one of the most nutrient loaded rivers in the country, however phytoplankton bloom do not occur, possibly as a result of how quickly water moves though the Hudson River estuary. Slower water residence times may then allow for significant phytoplankton growth. Water age and residence time, which are compliments of one another under stead-state conditions, are important factors in determining where phytoplankton move and how long they spend within a favorable portion of the estuary. This research involved introducing a freshwater and saltwater age tracer into the Regional Ocean Modeling System (ROMS) for the Hudson River estuary domain to observe the distribution of ages within the spring-neap tidal cycle and across different river discharge rates. These discharge rates represented average (500 m3/s), relatively high (1000 m3/s), and relatively low (200 m3/s) river flow conditions for the Hudson River. Saltwater age followed a distribution similar to salinity, while freshwater age distribution mostly represented river transit time. Under steady state conditions, combined freshwater and saltwater age may be used to calculate a rough estimate of estuary residence time. The results show that the residence time of the full estuary appears to be at greater than the doubling time of phytoplankton for all discharge rates and by over five days for even the relatively high discharge case. This leads to the conclusion that other estuary factors, including light availability and salinity, may be more important for limiting phytoplankton growth than residence time.

Landfill leachate management in Istanbul: applications and alternatives.

PubMed

Calli, Baris; Mertoglu, Bulent; Inanc, Bulent

2005-05-01

Treatment alternatives for Istanbul, Komurcuoda Landfill (KL) leachate that is currently transported to the nearest central wastewater treatment plant were comprehensively investigated with laboratory scale experiments. As flow rate of leachate increases parallel to increment in landfilled solid waste, an individual treatment will be needed to reduce the transportation cost and pollution load on central treatment. However, if the leachate is separately treated and discharged to a brook, in that case more stringent discharge standards will be valid and therefore advanced processes in addition to conventional ones should be included. In laboratory scale experiments, the young landfill leachate having BOD5/COD ratio above 0.6 was successfully treated with efficiencies above 90% in upflow anaerobic reactors if pH is kept below free ammonia inhibition level. Subsequently, nitrification of anaerobically treated leachate was performed with rates of about 8.5 mg NH4+-Ng-1 VSS h-1 and efficiencies above 99% were provided with automated pH regulation by using sodium bicarbonate. Furthermore, denitrification rates as high as 8.1 mg NOx-N g-1VSS h-1 was obtained when carbon source was externally supplied. In addition to nitrification and denitrification, air stripping and struvite precipitation were also applied to remove ammonia in leachate and in average 94% and 98% efficiencies were achieved, respectively. Finally, in average 85% of biologically inert COD was successfully removed by using either ozone or Fenton's oxidation.

Insurance principles and the design of prospective payment systems.

PubMed

Ellis, R P; McGuire, T G

1988-09-01

This paper applies insurance principles to the issues of optimal outlier payments and designation of peer groups in Medicare's case-based prospective payment system for hospital care. Arrow's principle that full insurance after a deductible is optimal implies that, to minimize hospital risk, outlier payments should be based on hospital average loss per case rather than, as at present, based on individual case-level losses. The principle of experience rating implies defining more homogenous peer groups for the purpose of figuring average cost. The empirical significance of these results is examined using a sample of 470,568 discharges from 469 hospitals.

Neural coding of repetitive clicks in the medial geniculate body of cat.

PubMed

Rouiller, E; de Ribaupierre, Y; Toros-Morel, A; de Ribaupierre, F

1981-09-01

The activity of 418 medial geniculate body (MGB) units was studied in response to repetitive acoustic pulses in 35 nitrous oxide anaesthetized cats. The proportion of MGB neurons insensitive to repetitive clicks was close to 30%. On the basis of their pattern of discharge, the responsive units were divided into three categories. The majority of them (71%), classified as "lockers', showed discharges precisely time-locked to the individual clicks of the train. A few units (8%), called "groupers', had discharges loosely synchronized to low-rate repetitive clicks. When the spikes were not synchronized, the cell had transient or sustained responses for a limited frequency range and was classified as a "special responder' (21%). Responses of "lockers' were time-locked up to a limiting rate, which varied between 10 and 800 Hz; half of the "lockers' had a limiting rate of locking equal to or higher than 100 Hz. The degree of entrainment, defined as the probability that each click evokes at least one spike, regularly decreases for increasing rates; on the other hand, the precision of locking increasing increases with frequency. The time jitter observed at 100 Hz might be as small as 0.2 ms and was 1.2 ms on average. The population of "lockers' can mark with precision the transients of complex sounds and has response properties still compatible with a temporal coding of the fundamental frequency of most animal vocalizations.

2001 floods in the Red River of the North basin in eastern North Dakota and western Minnesota

USGS Publications Warehouse

Macek-Rowland, K. M.

2001-01-01

The Red River of the North is a complex river system in the north-central plains of the United States. The river continues to impact the people and property within its basin. During the spring of 2001, major flooding occurred for the second time in four years on the Red River of the North and its many tributaries in eastern North Dakota and western Minnesota. Unlike the 1997 floods, which were the result of record-high snowpacks region-wide and a late spring blizzard, the 2001 floods were the result of above-average soil moistures in some areas of the basin, rapid melting of above-average snowpacks in the upper basin, and heavy rainfall that swept across the region on April 7, 2001. The U.S. Geological Survey (USGS), one of the principal Federal agencies responsible for the collection and interpretation of water-resources data, works with other Federal, State, and local agencies to ensure that accurate and timely data are available for making decisions regarding the public's welfare. This report presents preliminary water-resources 2001 flood data that were obtained from selected streamflow-gaging stations located in the Red River of the North Basin.Flooding in eastern North Dakota and western Minnesota usually is caused by spring snowmelt, and the severity of the flooding is affected by (1) substantial precipitation in the fall that produces high levels of soil moisture, (2) above-normal snowfall in the winter, (3) moist, frozen ground that prohibits infiltration of moisture, (4) a late spring thaw, (5) above-normal precipitation during spring thaw, and (6) ice jams (temporary dams of ice) on rivers and streams.Stream stages (height of water in a stream above an arbitrarily established datum) and discharges measured by USGS personnel at streamflow-gaging stations are used to define a unique relation between stage and discharge. This relation, commonly called a rating curve, may not be well defined at extreme high discharges because these discharges are rare events of short duration and have unstable conditions that often make measurement extremely difficult. Therefore, estimates for some peak discharges need to be extrapolated from rating curves extended to known peak stages. The peak discharges are used to determine the probability, often expressed in recurrence intervals, that a given discharge will be exceeded in the future. For example, a flood that has a 1-percent chance of exceedance in any given year would, on the long-term average, be expected to occur only about once a century; therefore, the flood would be termed a "100-year flood." However, the chance of such a flood occurring in any given year is 1 percent. Thus, a 100-year flood can occur in successive years at the same location. In some instances, recurrence interval estimates can be based on periods of regulated flow or made with historic adjustments when historic data are available.Historical peak stages and peak discharges and the 2001 peak stages, peak discharges, and recurrence intervals are shown in table 1. The streamflow-gaging stations are listed in downstream order by station number, and station locations are shown in figure 1. Revisions to the 2001 peak stages and peak discharges given in this preliminary report may occur as site surveys are completed and additional field data are reviewed in the upcoming months.

2001 floods in the Red River of the North basin in eastern North Dakota and western Minnesota

USGS Publications Warehouse

Macek-Rowland, K. M.

2001-01-01

The Red River of the North is a complex river system in the north-central plains of the United States. The river continues to impact the people and property within its basin. During the spring of 2001, major flooding occurred for the second time in four years on the Red River of the North and its many tributaries in eastern North Dakota and western Minnesota. Unlike the 1997 floods, which were the result of record-high snowpacks region-wide and a late spring blizzard, the 2001 floods were the result of above-average soil moistures in some areas of the basin, rapid melting of above-average snowpacks in the upper basin, and heavy rainfall that swept across the region on April 7, 2001. The U.S. Geological Survey (USGS), one of the principal Federal agencies responsible for the collection and interpretation of water-resources data, works with other Federal, State, and local agencies to ensure that accurate and timely data are available for making decisions regarding the public's welfare. This report presents preliminary water-resources 2001 flood data that were obtained from selected streamflow-gaging stations located in the Red River of the North Basin. Flooding in eastern North Dakota and western Minnesota usually is caused by spring snowmelt, and the severity of the flooding is affected by (1) substantial precipitation in the fall that produces high levels of soil moisture, (2) above-normal snowfall in the winter, (3) moist, frozen ground that prohibits infiltration of moisture, (4) a late spring thaw, (5) above-normal precipitation during spring thaw, and (6) ice jams (temporary dams of ice) on rivers and streams. Stream stages (height of water in a stream above an arbitrarily established datum) and discharges measured by USGS personnel at streamflow-gaging stations are used to define a unique relation between stage and discharge. This relation, commonly called a rating curve, may not be well defined at extreme high discharges because these discharges are rare events of short duration and have unstable conditions that often make measurement extremely difficult. Therefore, estimates for some peak discharges need to be extrapolated from rating curves extended to known peak stages. The peak discharges are used to determine the probability, often expressed in recurrence intervals, that a given discharge will be exceeded in the future. For example, a flood that has a 1-percent chance of exceedance in any given year would, on the long-term average, be expected to occur only about once a century; therefore, the flood would be termed a "100-year flood." However, the chance of such a flood occurring in any given year is 1 percent. Thus, a 100-year flood can occur in successive years at the same location. In some instances, recurrence interval estimates can be based on periods of regulated flow or made with historic adjustments when historic data are available. Historical peak stages and peak discharges and the 2001 peak stages, peak discharges, and recurrence intervals are shown in table 1. The streamflow-gaging stations are listed in downstream order by station number, and station locations are shown in figure 1. Revisions to the 2001 peak stages and peak discharges given in this preliminary report may occur as site surveys are completed and additional field data are reviewed in the upcoming months.

Changes in motor unit recruitment strategy during pain alters force direction.

PubMed

Tucker, Kylie J; Hodges, Paul W

2010-10-01

Motor unit (MU) recruitment is altered (decreased discharge rate and cessation of discharge in some units, and recruitment of new units) in force-matched contractions during pain compared to contractions performed before pain. As MU's within a motoneurone pool have different force direction properties we hypothesised that altered MU recruitment during experimental knee pain would change the force vector (total force (F(T)): amplitude and angle) generated by the quadriceps. Force was produced at two levels during 1 × 60-s and 3 × 10-s isometric contractions of knee extensors, and recorded by two force transducers at right angles. This enabled calculation of both F(E) (extension force) and F(T). MU recruitment was recorded from the medial and lateral vastii with four fine-wire electrodes. Pain was induced by hypertonic saline injection in the infra-patella fat pad. Nine subjects matched F(E) and six subjects also matched both medial and lateral forces (F(T)) before and during pain. Changes in MU discharge pattern (decreased discharge rate (P<0.001), complete cessation of firing, and recruitment of new units) during pain were associated with a ∼5° change in absolute force angle. As force angle changed in both directions (left/right) for individual subjects with pain there was no change in average F(T) amplitude between conditions. When both medial and lateral forces were matched MU discharge rate decreased (P<0.001) with pain, but, fewer units ceased firing or were newly recruited during pain. Change in motoneurone recruitment during pain alters direction of muscle force. This may be a strategy to avoid pain or protect the painful part. Copyright © 2010 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.

A High-Performance Sintered Iron Electrode for Rechargeable Alkaline Batteries to Enable Large-Scale Energy Storage

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yang, Chenguang; Manohar, Aswin K.; Narayanan, S. R.

Iron-based alkaline rechargeable batteries such as iron-air and nickel-iron batteries are particularly attractive for large-scale energy storage because these batteries can be relatively inexpensive, environment- friendly, and also safe. Therefore, our study has focused on achieving the essential electrical performance and cycling properties needed for the widespread use of iron-based alkaline batteries in stationary and distributed energy storage applications.We have demonstrated for the first time, an advanced sintered iron electrode capable of 3500 cycles of repeated charge and discharge at the 1-hour rate and 100% depth of discharge in each cycle, and an average Coulombic efficiency of over 97%. Suchmore » a robust and efficient rechargeable iron electrode is also capable of continuous discharge at rates as high as 3C with no noticeable loss in utilization. We have shown that the porosity, pore size and thickness of the sintered electrode can be selected rationally to optimize specific capacity, rate capability and robustness. As a result, these advances in the electrical performance and durability of the iron electrode enables iron-based alkaline batteries to be a viable technology solution for meeting the dire need for large-scale electrical energy storage.« less

A High-Performance Sintered Iron Electrode for Rechargeable Alkaline Batteries to Enable Large-Scale Energy Storage

DOE PAGES

Yang, Chenguang; Manohar, Aswin K.; Narayanan, S. R.

2017-01-07

Iron-based alkaline rechargeable batteries such as iron-air and nickel-iron batteries are particularly attractive for large-scale energy storage because these batteries can be relatively inexpensive, environment- friendly, and also safe. Therefore, our study has focused on achieving the essential electrical performance and cycling properties needed for the widespread use of iron-based alkaline batteries in stationary and distributed energy storage applications.We have demonstrated for the first time, an advanced sintered iron electrode capable of 3500 cycles of repeated charge and discharge at the 1-hour rate and 100% depth of discharge in each cycle, and an average Coulombic efficiency of over 97%. Suchmore » a robust and efficient rechargeable iron electrode is also capable of continuous discharge at rates as high as 3C with no noticeable loss in utilization. We have shown that the porosity, pore size and thickness of the sintered electrode can be selected rationally to optimize specific capacity, rate capability and robustness. As a result, these advances in the electrical performance and durability of the iron electrode enables iron-based alkaline batteries to be a viable technology solution for meeting the dire need for large-scale electrical energy storage.« less

Capacitive deionization coupled with microbial fuel cells to desalinate low-concentration salt water.

PubMed

Yuan, Lulu; Yang, Xufei; Liang, Peng; Wang, Lei; Huang, Zheng-Hong; Wei, Jincheng; Huang, Xia

2012-04-01

A new technology (CDI-MFC) that combined capacitive deionization (CDI) and microbial fuel cell (MFC) was developed to treat low-concentration salt water with NaCl concentration of 60mg/L. The water desalination rate was 35.6mg/(Lh), meanwhile the charge efficiency was 21.8%. Two desorption modes were investigated: discharging (DC) mode and short circuit (SC) mode. The desalination rate in the DC mode was 200.6±3.1mg/(Lh), 47.8% higher than that in the SC mode [135.7±15.3mg/(Lh)]. The average current in the DC mode was also much higher than that of the SC mode. The energy stored in the CDI cell has been reused to enhance the electron production of MFC by the discharging desorption mode (DC mode), which offers an approach to recover the electrostatic energy in the CDI cell. Copyright © 2012 Elsevier Ltd. All rights reserved.

Surgical Treatment in Active Infective Endocarditis: Results of a Four-Year Experience

PubMed Central

Rostagno, Carlo; Carone, Enrico; Rossi, Alessandra; Gensini, Gian Franco; Stefano, Pier Luigi

2011-01-01

Background. Aim of present investigation was to analyze survival and recurrence rate in patients with active endocarditis referred to our centre for surgical treatment. Methods. 80 consecutive patients with active infective endocarditis (52 males, 28 females, mean age 59.2 years) were referred to our institution for surgical treatment. 78 patients underwent surgery, and 2 patients died before intervention. Results. Fifty patients had native valve endocarditis, 30 prosthetic valve involvement. Hospital mortality has been 10.2%. Three discharged patients (4.9%) died at an average 18-month followup. Endocarditis recurred in 4 (2 being S. aureus prosthetic tricuspid endocarditis in drug addicts). All patients who underwent valve repair or homograft implant were alive and free of recurrence. Conclusions. Our results suggest that with proper surgical treatment patients with active endocarditis discharged alive from hospital have a survival >90% at 18 months with a low recurrence rate. PMID:22347645

Influence of the operating parameters of the needle-plate electrostatic precipitator on the size distribution of aerosol particles

NASA Astrophysics Data System (ADS)

Arsenov, P. V.; Efimov, A. A.; Protas, N. V.; Ivanov, V. V.

2018-03-01

The influence of the operating parameters (voltage and aerosol flow rate) of the needle-plate electrostatic precipitator (NP-ESP) on the size distribution of aerosol particles has been studied. The NP-ESP consists of a needle and a plate located in the plastic tube used as aerosol transport duct. Alumina (Al2O3) particles were synthesized by a spark discharge and used as a test aerosol with a size range from 25 to 500 nm. It was found that the average particle size decreases with increasing voltage and aerosol flow rate through the NP-ESP. It was also found that the average particle size can be reduced more than in 2 times in comparison with the initial size distribution at a voltage and aerosol flow rate through the NP-ESP are equal to 16 kV and 250 l/min, respectively.

Admission of people with dementia to psychiatric hospitals in Japan: factors that can shorten their hospitalizations.

PubMed

Morikawa, Takako; Maeda, Kiyoshi; Osaki, Tohmi; Kajita, Hiroyuki; Yotsumoto, Kayano; Kawamata, Toshio

2017-11-01

People exhibiting serious behavioural and psychological symptoms of dementia are usually voluntarily or involuntarily committed to psychiatric hospitals for treatment. In Japan, the average hospital stay for individuals with dementia is about 2 years. Ideally, individuals should be discharged once their symptoms have subsided. However, we see cases in Japan where individuals remain institutionalized long after behavioural and psychological symptoms of dementia are no longer apparent. This study will attempt to identify factors contributing to shorter stays in psychiatric hospitals for dementia patients. Questionnaires consisting of 17 items were mailed to 121 psychiatric hospitals with dementia treatment wards in western Japan. Out of 121 hospitals that received the questionnaires, 45 hospitals returned them. The total number of new patient admissions at all 45 hospitals during the month of August 2014 was 1428, including 384 dementia patients (26.9%). The average length of stay in the dementia wards in August 2014 was 482.7 days. Our findings revealed that the rate of discharge after 2 months was 35.4% for the dementia wards. In addition, we found that the average stay in hospitals charging or planning to charge the rehabilitation fee to dementia patients was significantly shorter than in hospitals not charging the rehabilitation fee. In Japan, dementia patients account for over 25% of new admissions to psychiatric hospitals with dementia wards. The average length of stay in a psychiatric hospital dementia ward is more than 1 year. A discharge after fewer than 2 months is exceedingly rare for those in a dementia ward compared with dementia patients in other wards. If institutions focus on rehabilitation, it may be possible to shorten the stay of dementia patients in psychiatric hospitals. © 2017 Japanese Psychogeriatric Society.

LASER APPLICATIONS AND OTHER TOPICS IN QUANTUM ELECTRONICS: Laser-induced extreme UV radiation sources for manufacturing next-generation integrated circuits

NASA Astrophysics Data System (ADS)

Borisov, V. M.; Vinokhodov, A. Yu; Ivanov, A. S.; Kiryukhin, Yu B.; Mishchenko, V. A.; Prokof'ev, A. V.; Khristoforov, O. B.

2009-10-01

The development of high-power discharge sources emitting in the 13.5±0.135-nm spectral band is of current interest because they are promising for applications in industrial EUV (extreme ultraviolet) lithography for manufacturing integrated circuits according to technological precision standards of 22 nm and smaller. The parameters of EUV sources based on a laser-induced discharge in tin vapours between rotating disc electrodes are investigated. The properties of the discharge initiation by laser radiation at different wavelengths are established and the laser pulse parameters providing the maximum energy characteristics of the EUV source are determined. The EUV source developed in the study emits an average power of 276 W in the 13.5±0.135-nm spectral band on conversion to the solid angle 2π sr in the stationary regime at a pulse repetition rate of 3000 Hz.

Denudation rates determined from the accumulation of in situ-produced 10Be in the luquillo experimental forest, Puerto Rico

USGS Publications Warehouse

Brown, Erik Thorson; Stallard, Robert F.; Larsen, Matthew C.; Raisbeck, Grant M.; Yiou, Francoise

1995-01-01

We present a simple method for estimation of long-term mean denudation rates using in situ-produced cosmogenic 10Be in fluvial sediments. Procedures are discussed to account for the effects of soil bioturbation, mass wasting and attenuation of cosmic rays by biomass and by local topography. Our analyses of 10Be in quartz from bedrock outcrops, soils, mass-wasting sites and riverine sediment from the Icacos River basin in the Luquillo Experimental Forest, Puerto Rico, are used to characterize denudation for major landform elements in that basin. The 10Be concentration of a discharge-weighted average of size classes of river sediment corresponds to a long-term average denudation of ≈ 43 m Ma −1, consistent with mass balance results. 

A digital-computer model of the Big Sioux aquifer in Minnehaha County, South Dakota

USGS Publications Warehouse

Koch, N.C.

1982-01-01

A finite-difference digital model was used to simulate steady-state conditions of the Big Sioux aquifer in Minnehaha County. Average water levels and average base flow discharge (4.9 cu ft/s) of the Big Sioux River were based on data from 1970 through 1979. The computer model was calibrated for transient conditions by simulating monthly historic conditions for 1976. During 1976, pumpage was offset mostly by surface-water recharge to the aquifer from January through June and ground-water discharge from storage from July through December. Measured drawdowns during 1976 generally were less than 2 feet except in the Sioux Falls city well field where drawdowns were as much as 15 feet. The model was used to study the effects of increased withdrawals under three hypothetical hydrologic situations. One hypothetical situation consisted of using 1976 pumping rates, recharge, and evapotranspiration but the Big Sioux River dry. The pumping rate after 16 months was decreased by 40 percent from the actual pumping rate for that month in order to complete the monthly simulation without the storage being depleted at a nodal area. The second hypothetical situation consisted of a pumpage rate of 44.4 cubic feet per second from 60 wells spaced throughout the aquifer under historic 1976 hydrologic conditions. The results were that the aquifer could supply the additional withdrawal. The third hypothetical situation used the same hydrologic conditions as the second except that recharge was zero and the Big Sioux River was dry downstream from row 54. After 18 monthly simulations, the pumping rate was decreased by 44 percent to prevent pumping wells from depleting the aquifer, and, at that rate, 63 percent of the water being pumped was being replaced by water from the river. (USGS)

Characterization and comprehension of corona partial discharge in air under power frequency to very low frequency voltage

NASA Astrophysics Data System (ADS)

Yuanxiang, ZHOU; Zhongliu, ZHOU; Ling, ZHANG; Yunxiao, ZHANG; Yajun, MO; Jiantao, SUN

2018-05-01

For the partial discharge test of electrical equipment with large capacitance, the use of low-frequency voltage instead of power frequency voltage can effectively reduce the capacity requirements of test power supply. However, the validity of PD test under low frequency voltage needs to be evaluated. In order to investigate the influence of voltage frequency on corona discharge in the air, the discharge test of the tip-plate electrode under the frequency from 50 to 0.1 Hz is carried out based on the impulse current method. The results show that some of the main features of corona under low frequency do not change. The magnitude of discharge in a positive half cycle is obviously larger than that in a negative cycle. The magnitude of discharge and interval in positive cycle are random, while that in negative cycle are regular. With the decrease of frequency, the inception voltage increases. The variation trend of maximum and average magnitude and repetition rate of the discharge in positive and negative half cycle with the variation of voltage frequency and magnitude is demonstrated, with discussion and interpretation from the aspects of space charge transportation, effective discharge time and transition of discharge modes. There is an obvious difference in the phase resolved pattern of partial discharge and characteristic parameters of discharge patterns between power and low frequency. The experimental results can be the reference for mode identification of partial discharge under low frequency tests. The trend of the measured parameters with the variation of frequency provides more information about the insulation defect than traditional measurements under a single frequency (usually 50 Hz). Also it helps to understand the mechanism of corona discharge with an explanation of the characteristics under different frequencies.

Regional evaluation of hydrologic factors and effects of pumping, St Peter-Jordan aquifer, Iowa

USGS Publications Warehouse

Burkart, M.R.; Buchmiller, Robert

1990-01-01

Pumping has caused changes in the flow system that include regional declines in the potentiometric surface of the aquifer. Simulation indicates that pumping through 1980 increased net vertical leakage into the aquifer to about double the predevelopment rate. Discharge across lateral boundaries has been substantially reduced or reversed by pumping. Aquifer storage provided about one-third of the water required to supply pumping in the 1970's. Simulation of future conditions, assuming no increase in pumping rates, indicates that the rate of decline in water levels will decrease by the year 2020. As equilibrium with pumping is approached in 2020, 75 percent of the pumpage will be balanced by vertical leakage, eight percent by water released from aquifer storage, and 17 percent by increases in boundary recharge or decreases in boundary discharge. Future pumping at an increasing rate of about 10 percent per decade of the average pumping rate in 1975 will require about one and one-half times the vertical leakage of the 1971-1980 period and about fivetimes the net inflow from lateral boundaries; however, the rate of water released from aquifer storage will be about half the 1970's rate. Under these conditions, the head in the aquifer will continue to decline at an almost constant rate until 2020.

Cystic Echinococcosis Epidemiology in Spain Based on Hospitalization Records, 1997-2012

PubMed Central

Siles-Lucas, Mar; Aparicio, Pilar; Lopez-Velez, Rogelio; Gherasim, Alin; Garate, Teresa; Benito, Agustín

2016-01-01

Background Cystic echinococcosis (CE) is a parasitic disease caused by the tapeworm Echinococcus granulosus. Although present throughout Europe, deficiencies in the official reporting of CE result in under-reporting and misreporting of this disease, which in turn is reflected in the wrong opinion that CE is not an important health problem. By using an alternative data source, this study aimed at describing the clinical and temporal-spatial characteristics of CE hospitalizations in Spain between 1997 and 2012. Methodology/Principal Findings We performed a retrospective descriptive study using the Hospitalization Minimum Data Set (CMBD in Spanish). All CMBD’s hospital discharges with echinococcosis diagnosis placed in first diagnostic position were reviewed. Hospitalization rates were computed and clinical characteristics were described. Spatial and temporal distribution of hospital discharges was also assessed. Between 1997 and 2012, 14,010 hospitalizations with diagnosis of CE were recorded, 55% were men and 67% were aged over 45 years. Pediatric hospitalizations occurred during the whole study period. The 95.2% were discharged at home, and only 1.7% were exitus. The average cost was 8,439.11 €. The hospitalization rate per 100,000 per year showed a decreasing trend during the study period. All the autonomous communities registered discharges, even those considered as non-endemic. Maximum rates were reached by Extremadura, Castilla-Leon and Aragon. Comparison of the CMBD data and the official Compulsory Notifiable Diseases (CND) reports from 2005 to 2012 showed that official data were lower than registered hospitalization discharges. Conclusions Hospitalizations distribution was uneven by year and autonomous region. Although CE hospitalization rates have decreased considerably due to the success of control programs, it remains a public health problem due to its severity and economic impact. Therefore, it would be desirable to improve its oversight and surveillance, since officially reported data are underestimating the real burden of CE in Spain. PMID:27547975

First-Principles Study of MoO3/Graphene Composite as Cathode Material for High-Performance Lithium-Ion Batteries

NASA Astrophysics Data System (ADS)

Cui, Yanhua; Zhao, Yu; Chen, Hong; Wei, Kaiyuan; Ni, Shuang; Cui, Yixiu; Shi, Siqi

2018-03-01

Using first-principles calculations, we have systematically investigated the adsorption and diffusion behavior of Li in MoO3 bulk, on MoO3 (010) surface and in MoO3/graphene composite. Our results indicate that, in case of MoO3 bulk, Li diffusion barriers in the interlayer and intralayer spaces are 0.55 eV and 0.58 eV respectively, which are too high to warrant fast Lithium-ion charge/discharge processes. While on MoO3 (010) surface, Li exhibits a diffusion barrier as low as 0.07 eV which guarantees an extremely fast Li diffusion rate during charge/discharge cycling. However, in MoO3/graphene monolayer, Li diffusion barrier is at the same level as that on MoO3 (010) surface, which also ensures a very rapid Li charge/discharge rate. The rapid Li charge/discharge rate in this system originates from the removal of the upper dangling O1 atoms which hinder the Li diffusion on the lower MoO3 layer. Besides this, due to the interaction between Li and graphene, the Li average binding energy increases to 0.14 eV compared to its value on MoO3 (010) surface which contributes to a higher voltage. Additionally, the increased ratio of surface area provides more space for Li storage and the capacity of MoO3/graphene composite increases up to 279.2 mAhg-1. The last but not the least, due to the high conductivity of graphene, the conductivity of MoO3/graphene composite enhances greatly which is beneficial for electrode materials. In the light of present results, MoO3/graphene composite exhibits higher voltage, good conductivity, large Li capacity and very rapid Li charge/discharge rate, which prove it as a promising cathode material for high-performance lithium-ion batteries (LIBs).

Cycle life testing of lithium-ion batteries for small satellite LEO space missions

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mayer, S.T.; Feikert, J.H.; Kaschmitter, J.L.

1993-08-16

In 1990, Sony corporation announced their intention to manufacture a rechargeable lithium ion battery, based on the intercalation of lithium ions into a carbonaceous anode. The cells were first introduced for portable telephone use in June, 1991. (1) A 3.6V average cell voltage (4.1-2.75V range); (2) Excellent cycle life (1200 @ 100% DOD); (3) Good capacity retention (70% after 6 months); (4) Wide temperature range performance ({minus}20 to +60{degrees}C); (5) Excellent Discharge rate (82% capacity at 30 min. discharge rate); (6) Excellent Charge rate (100% Charge in <3 hrs); and (7) High energy density (264 W*hr/1 and 120 Whr/kg formore » ``D`` size cell. These specifications show significant promise for application of these batteries in low earth orbit (LEO) small satellites, particularly when compared to existing NiH{sub 2} and NiCd technology. The very high energy density and specific energy will reduce power system volume and weight. The wide temperature range enables simpler thermal design, particularly for new, small, high power satellites. The materials used in the lithium ion batteries are relatively inexpensive and benign, so that we expect costs to come down substantially in the future. The specified cycle life at 100% DOD is also 50% longer than most NiCds, so low DOD (depth of discharge) performance could be substantial. This study was undertaken to: (a) assess the feasibility for using lithium ion cells on small satellite LEO missions and (b) verify the claims of the manufacturer. This was accomplished by performing a detailed autopsy and various depth of discharge and rate tests on the cells. Of special interest was the cycle life performance of these cell at various depths of discharge DOD`s, to get an initial measure of the reduction in capacity fade with cycle conditions. Low DOD`s are used to extend the life of all batteries used in a space application.« less

When do glaciated landscapes form?

NASA Astrophysics Data System (ADS)

Koppes, M. N.

2015-12-01

Glacial erosion is a fundamental link between climate and the tectonic and surface processes that create topography. Mountain ranges worldwide have undergone large-scale modification due the erosive action of ice masses, yet the mechanisms that control the timing of this modification and the rate by which ice erodes remain poorly understood. Available data report a wide range of erosion rates from individual ice masses over varying timescales, from the modern to orogenic. Recent numerical modeling efforts have focused on replicating the processes that produce the geomorphic signatures of glacial landscapes. Central to these models is a simple index that relates erosion rate to ice dynamics. To provide a quantitative test of the links between glacial erosion, sliding and ice discharge, we examined explicitly the factors controlling modern glacier erosion rates across climatic regimes, from Patagonia to the Antarctic Peninsula. We find that modern, basin-averaged erosion rates vary by three orders of magnitude, from 1->10 mm yr-1 in Patagonia to 0.01-<0.1 mm yr-1 in the AP, largely as a function of temperature and basal thermal regime. Erosion rates also increase non-linearly with both the sliding speed and the ice flux through the ELA, in accord with theories of glacial erosion. Notably, erosion rates decrease by over two orders of magnitude between temperate and polar glaciers with similar discharge rates. The difference in erosion rates between temperate and colder glaciers of similar shape and size is primarily related to the abundance of meltwater accessing the bed. Since all glaciers worldwide have experienced colder than current climatic conditions, the 100-fold decrease in long-term relative to modern erosion rates may in part reflect the temporal averaging of temperate and polar conditions over the lifecycle of these glaciers. Hence, climatic variation, more than the extent of ice cover or tectonic changes, controls the pace at which glaciers shape mountains.

Upscaling Bedrock Erosion Laws from the Point to the Patch and from the Event to the Year

NASA Astrophysics Data System (ADS)

Beer, A. R.; Turowski, J. M.

2017-12-01

Bedrock erosion depends on the interactions between the bedload tools and cover effects. However, it is unclear (i) how well long-term calibrations of existing erosion models can predict individual erosion events, and (ii) whether at-a-point event calibrations can be spatio-temporally upscaled. Here, we evaluate the performance of at-a-point calibrated erosion models by scaling their erosional efficiency coefficients (k-factors). We use continuous measurements of water discharge and bedload transport at 1- minute resolution, supplemented by repeated sub-millimeter-resolution spatial erosion surveys of a concrete slab in a small Swiss pre-alpine stream. Our results confirm the linear dependency of bedrock abrasion on sediment flux under sediment-starved conditions integrated over space (the 0.2m2 slab surface) and time (20 months). The predictive quality of the commonly applied unit stream power (USP) model is strongly susceptible to bedload transport distribution, whereas the bedload-dependent tools-only model yields more reasonable results. Applying the fitted mean model k-factors to a 16-year, 1-minute-resolution time series of discharge and bedload transport shows that the excess USP model EUSP (which includes a discharge threshold for bedload transport) generally predicts cumulative erosion reasonably well. For exceptional events, however, the EUSP model fails to predict the resulting large erosion rates. Hence, for sediment-starved conditions, event-based erosion model calibration can be applied over larger spatio-temporal scales with stationary k-factors, if a discharge threshold for sediment transport is taken into account. The EUSP model is a surrogate to predict long-term erosion given average erosive events, but fails to capture large event erosion rates. Consequently, the erosion tendency during average erosive events is generally matched by overall EUSP modelling, but large and highly erosive events are underpredicted. In such, water discharge does not account for the non-linearity in sediment availability (e.g., due to sudden release of interlocked sediment from the streambed) and in grain impact energies on the bedrock (i.e., large grain impacts dominate total erosion), which are the main drivers of a bedrock channel's morphology.

Trends in Accretion Rates of Riverine Sediments in a Distal Bay and Wetlands Using 7-Beryllium as a Tracer: Fourleague Bay, Louisiana.

NASA Astrophysics Data System (ADS)

Restreppo, G. A.; Bentley, S. J.; Wang, J.; Xu, K.

2017-12-01

To combat land loss along the Mississippi River Delta, Louisiana has launched a historic campaign to sustain and regrow coastal lands using, in part, sediment diversions. Previous research has focused primarily on sand sized sediment load, which is usually deposited proximal to a river's delta or a diversion's outlet. Fine sediments constitute the majority of sediment load in the Mississippi, but are under-studied with respect to dispersal processes, particularly in terms of sediment supply to distal deltaic bays and wetlands. The Atchafalaya River and associated wetlands serve as prime study areas for this purpose. Bimonthly time-series push cores were collected from May 2015 to May 2016 along ten sites within Fourleague Bay, Louisiana. Fourleague Bay has remained stable against the deteriorative effects of relative sea level rise, standing out along Louisiana's declining coastline. Of the ten field sites, five are located across a longitudinal transect in the middle bay, while the other five are located in adjacent marshes. All sites fall within 10 to 30 km of the Atchafalaya Delta, extending south towards the Gulf of Mexico. Cores were extruded in 2 cm intervals, dried, ground, and analyzed via gamma spectrometry for the presence of 7Be. Inventories of 7Be were then calculated and used to determine daily mass accretion rate (MAR) over twelve months. Average MAR values for the bay and the marshes are compared with Atchafalaya River discharge, wind data, and atmospheric pressure through the year of sampling. Peak marsh MAR, 0.88 ± 0.20 kg m-2 d-1, occurs just after historically high river discharge. Peak bay MAR, 1.2 ± 0.67 kg m-2 d-1, occurs during seasonal low river discharge and calm winds. Average bay and marsh MARs have a moderate to strong, negative correlation when compared. Results indicate sediment bypass of the bay floor during periods of moderate to high river discharge, entering the marshes directly when inundation occurs and enhanced by the passage of strong atmospheric fronts. Only during periods of low river discharge and relatively calm winds do riverine sediments aggregate directly onto the bay floor.

Continuous measurements of flow rate in a shallow gravel-bed river by a new acoustic system

NASA Astrophysics Data System (ADS)

Kawanisi, K.; Razaz, M.; Ishikawa, K.; Yano, J.; Soltaniasl, M.

2012-05-01

The continuous measurement of river discharge for long periods of time is crucial in water resource studies. However, the accurate estimation of river discharge is a difficult and labor-intensive procedure; thus, a robust and efficient method of measurement is required. Continuous measurements of flowrate have been carried out in a wide, shallow gravel bed river (water depth ≈ 0.6 m under low-flow conditions, width ≈ 115 m) using Fluvial Acoustic Tomography System (FATS) that has 25 kHz broadband transducers with horizontally omnidirectional and vertically hemispherical beam patterns. Reciprocal sound transmissions were performed between the two acoustic stations located diagonally on both sides of the river. The horizontal distance between the transducers was 301.96 m. FATS enabled the measurement of the depth- and range-averaged sound speed and flow velocity along the ray path. In contrast to traditional point/transect measurements of discharge, in a fraction of a second, FATS covers the entire cross section of river in a single measurement. The flow rates measured by FATS were compared to those estimated by moving boat Acoustic Doppler Current Profiler (ADCP) and rating curve (RC) methods. FATS estimates were in good agreement with ADCP estimates over a range of 20 to 65 m3 s-1. The RMS of residual between the two measurements was 2.41 m3 s-1. On the other hand the flowrate by RC method fairly agreed with FATS estimates for greater discharges than around 40 m3 s-1. This inconsistency arises from biased RC estimates in low flows. Thus, the flow rates derived from FATS could be considered reliable.

Surface water pollution in three urban territories of Nepal, India, and Bangladesh.

PubMed

Karn, S K; Harada, H

2001-10-01

In South Asian countries such as Nepal, India, and Bangladesh, pollution of rivers is more severe and critical near urban stretches due to huge amounts of pollution load discharged by urban activities. The Bagmati River in the Kathmandu valley, the Yamuna River at Delhi, and peripheral rivers (mainly Buriganga River) of Dhaka suffer from severe pollution these days. The observed dry season average of biochemical oxygen demand (BOD) in all these rivers is in the range of 20-30 mg/liter and total coliform are as high as 104-105 MPN/100 ml. Per capita pollution load discharge of urban areas has been estimated to be about 31, 19, and 25 g BOD/capita/day in Bagmati, Yamuna, and the rivers of Dhaka, respectively. Regression analysis reveals pollution loads steadily increasing nearly in step with the trend in urbanization. The dissolved oxygen (DO) level of the Bagmati and Buriganga rivers is declining at an average annual rate of nearly 0.3 mg/liter/year. Unplanned urbanization and industrialization occurring in these cities may be largely responsible for this grave situation. Inadequate sewerage, on-site sanitation, and wastewater treatment facilities in one hand, and lack of effective pollution control measures and their strict enforcement on the other are the major causes of rampant discharge of pollutants in the aquatic systems.

Spatial variability of mountain stream dynamics along the Ethiopian Rift Valley escarpment

NASA Astrophysics Data System (ADS)

Asfaha, Tesfaalem-Ghebreyohannes; Frankl, Amaury; Zenebe, Amanuel; Haile, Mitiku; Nyssen, Jan

2014-05-01

Changes in hydrogeomorphic characteristics of mountain streams are generally deemed to be controlled mainly by land use/cover changes and rainfall variability. This study investigates the spatial variability of peak discharge in relation to land cover, rainfall and topographic variables in eleven catchments of the Ethiopian Rift Valley escarpment (average slope gradient = 48% (± 13%). Rapid deforestation of the escarpment in the second half of the 20th century resulted in the occurrence of strong flash floods, transporting large amounts of discharge and sediment to the lower graben bottom. Due to integrated reforestation interventions as of the 1980s, many of these catchments do show improvement in vegetation cover at various degrees. Daily rainfall was measured using seven non-recording rain gauges, while peak stage discharges were measured after floods using crest stage gauges installed at eleven stream reaches. Peak discharges were calculated using the Manning's equation. Daily area-weighted rainfall was computed for each catchment using the Thiessen Polygon method. To estimate the vegetation cover of each catchment, the Normalized Difference Vegetation Index was calculated from Landsat TM imagery (mean = 0.14 ± 0.05). In the rainy season of 2012, there was a positive correlation between daily rainfall and peak discharge in each of the monitored catchments. In a multiple linear regression analysis (R² = 0.83; P<0.01), average daily peak discharge in all rivers was positively related with rainfall depth and catchment size and negatively with vegetation cover (as represented by average NDVI values). Average slope gradient of the catchments and Gravelius's compactness index did not show a statistically significant relation with peak discharge. This study shows that though the average vegetation cover of the catchments is still relatively low, differences in vegetation cover, together with rainfall variability plays a determining role in the amount of peak discharges in flashy mountain streams.

Mozart K.448 listening decreased seizure recurrence and epileptiform discharges in children with first unprovoked seizures: a randomized controlled study.

PubMed

Lin, Lung-Chang; Lee, Mei-Wen; Wei, Ruey-Chang; Mok, Hin-Kiu; Yang, Rei-Cheng

2014-01-13

Increasing numbers of reports show the beneficial effects of listening to Mozart music in decreasing epileptiform discharges as well as seizure frequency in epileptic children. There has been no effective method to reduce seizure recurrence after the first unprovoked seizure until now. In this study, we investigated the effect of listening to Mozart K.448 in reducing the seizure recurrence rate in children with first unprovoked seizures. Forty-eight children who experienced their first unprovoked seizure with epileptiform discharges were included in the study. They were randomly placed into treatment (n = 24) and control (n = 24) groups. Children in the treatment group listened to Mozart K.448 daily before bedtime for at least six months. Two patients in the treatment group were excluded from analysis due to discontinuation intervention. Finally, forty-six patients were analyzed. Most of these patients (89.1%) were idiopathic in etiology. Seizure recurrence rates and reduction of epileptiform discharges were compared. The average follow-up durations in the treatment and control groups were 18.6 ± 6.6 and 20.1 ± 5.1 months, respectively. The seizure recurrence rate was estimated to be significantly lower in the treatment group than the control group over 24 months (37.2% vs. 76.8%, p = 0.0109). Significant decreases in epileptiform discharges were also observed after 1, 2, and 6 months of listening to Mozart K.448 when compared with EEGs before listening to music. There were no significant differences in gender, mentality, seizure type, and etiology between the recurrence and non-recurrence groups. Although the case number was limited and control music was not performed in this study, the study revealed that listening to Mozart K.448 reduced the seizure recurrence rate and epileptiform discharges in children with first unprovoked seizures, especially of idiopathic etiology. We believe that Mozart K.448 could be a promising alternative treatment in patients with first unprovoked seizures and abnormal EEGs. Further large-scaled study should be conducted to confirm the effect. NCT01892605, date: June-19-2013.

The effect of the introduction of a case-mix-based funding model of rehabilitation for severe stroke: an Australian experience.

PubMed

Brock, Kim A; Vale, Stephen J; Cotton, Susan M

2007-07-01

To compare resource use of, and outcomes for, rehabilitation for severe stroke before and after the implementation of the Casemix and Rehabilitation Funding Tree case-mix-based funding model. Prospective, observational cohort study. Eight inpatient rehabilitation centers in Australia. Consecutive sample of 609 patients with severe stroke. Not applicable. Rehabilitation length of stay (LOS), discharge destination, and FIM instrument motor score at discharge. The average rehabilitation LOS changed significantly between the preimplementation year and the implementation year (Mann-Whitney U, P=.001). There were no significant differences in discharge destination. FIM motor score at discharge showed significant reduction in improvement (Mann-Whitney U, P=.001) between the preimplementation year and the implementation year. There were no significant correlations between LOS in rehabilitation and gain in function for either the preimplementation year (Spearman rho, P=.07) or the implementation year (P=.15). The change in funding model was associated with a decrease in inpatient costs and with an associated increase in disability at discharge. Our results suggest that the rate of improvement in severe stroke is variable; also, they support the use of funding models for stroke rehabilitation that allow flexibility in resource allocation.

Effect of modest pay-for-performance financial incentive on time-to-discharge summary dictation among medical residents.

PubMed

Wolk, Adam; Wang, Erwin; Horak, Bernard; Cloonan, Patricia; Adams, Michael; Moore, Eileen; Jaipaul, Chitra Komal; Brown, Gabrielle; Dasgupta, Dabanjan; Deluca, Danielle; Grossman, Mila

2013-01-01

Evaluate the effect of a modest financial incentive on time-to-discharge summary dictation among medicine residents. Pay-for-performance incentives are used in a number of health care settings. Studies are lacking on their use with medical residents and other trainees. Timely completion of discharge summaries is necessary for effective follow-up after hospitalization, and residents perform the majority of discharge summary dictations in academic medical centers. Medicine residents with the lowest average discharge-to-dictation time during their 1-month inpatient medicine ward rotation were rewarded with a $50 gift card. Discharge data were captured using an autopopulating electronic database. The average discharge-to-dictation time was reduced from 7.44 to 1.84 days, representing a 75.3% decrease. Almost 90% of discharge summary dictations were performed on the day of discharge. A modest financial incentive resulted in a marked improvement in the time-to-discharge summary dictation by medicine residents. Pay-for-performance programs may be an effective strategy for improving the quality and efficiency of patient care in academic medical centers.

Overexploitation and cumulative drought trend effect on Ras El Ain karstic spring discharge (Khabour Sub-basin, Syria)

NASA Astrophysics Data System (ADS)

Abou Zakhem, Boulos; Kattaa, Bassam

2017-10-01

The effects of climate change and overexploitation are being strongly perceived in the studied area and the springs discharge is obviously affected. In this paper, Ras El Ain spring discharge and precipitation were analyzed by normalized methods on an yearly timescale. The deficit of Ras El Ain spring discharge due to overexploitation factors and drought effects was estimated. Cumulative drought analyses were carried out using SPI10 and SQI10. Finally, the decreasing trends of the spring discharge due to the deficiency in rainfall were analyzed. The main results reveal that the annual mean deficit of Ras El Ain spring discharge due to overpumping was between 32 and 45%, whereas, annual mean deficit related to drought was between 22 and 35% on average, during the last 30 years (post-1984). The moving averages of SPI and SQI delineate very well the drought periods during last three decades. The cumulative droughts using SPI10 and SQI10 reveal that wet period (pre-1984) with positive values was characterized by high precipitation and spring discharge. Overexploitation period (1984-1989) is distinguished by decreasing SQI10 values whereas, SPI10 is almost stable. The response of the karst system to the precipitation signal has been changed, during the drought period (1990-2000), and the spring behaviour has been modified due to the first overexploitation period. Finally, overexploitation period (2001-2008) is related to the second phase of groundwater intensive pumping for irrigation purposes. Consequently, this period is completely catastrophic causing the drying up of the spring. The decreasing trends analyzed using DPI and DQI showed annual decreasing rates relative to the mean values of -0.268% and -0.105%, respectively. Thus, the results of theoretical model reveal that precipitation will decrease by about DPI = -20.7% and the discharge will decline by about -9.2% by 2050. Consequently, the declining discharge due to climatic variation under natural conditions as pre-1984 was about 10%. Whereas, the catastrophic drying up of the spring was probably the consequence of the anthropogenic effects. Accordingly, it requires the development of sustainable water resources management program to reduce long-term drought risks, restore the groundwater reservoir and minimize the overexploitation effects on spring discharge.

Spatial Characteristics and Driving Factors of Provincial Wastewater Discharge in China

PubMed Central

Chen, Kunlun; Liu, Xiaoqiong; Ding, Lei; Huang, Gengzhi; Li, Zhigang

2016-01-01

Based on the increasing pressure on the water environment, this study aims to clarify the overall status of wastewater discharge in China, including the spatio-temporal distribution characteristics of wastewater discharge and its driving factors, so as to provide reference for developing “emission reduction” strategies in China and discuss regional sustainable development and resources environment policies. We utilized the Exploratory Spatial Data Analysis (ESDA) method to analyze the characteristics of the spatio-temporal distribution of the total wastewater discharge among 31 provinces in China from 2002 to 2013. Then, we discussed about the driving factors, affected the wastewater discharge through the Logarithmic Mean Divisia Index (LMDI) method and classified those driving factors. Results indicate that: (1) the total wastewater discharge steadily increased, based on the social economic development, with an average growth rate of 5.3% per year; the domestic wastewater discharge is the main source of total wastewater discharge, and the amount of domestic wastewater discharge is larger than the industrial wastewater discharge. There are many spatial differences of wastewater discharge among provinces via the ESDA method. For example, provinces with high wastewater discharge are mainly the developed coastal provinces such as Jiangsu Province and Guangdong Province. Provinces and their surrounding areas with low wastewater discharge are mainly the undeveloped ones in Northwest China; (2) The dominant factors affecting wastewater discharge are the economy and technological advance; The secondary one is the efficiency of resource utilization, which brings about the unstable effect; population plays a less important role in wastewater discharge. The dominant driving factors affecting wastewater discharge among 31 provinces are divided into three types, including two-factor dominant type, three-factor leading type and four-factor antagonistic type. In addition, the proposals aimed at reducing the wastewater discharge are provided on the basis of these three types. PMID:27941698

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 29 2010-07-01 2010-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2013-07-01 2013-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 29 2010-07-01 2010-07-01 false New source performance standards. 464...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2014-07-01 2014-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2013-07-01 2013-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2011-07-01 2011-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 29 2010-07-01 2010-07-01 false New source performance standards. 464...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2013-07-01 2013-07-01 false New source performance standards. 464...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2012-07-01 2012-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2014-07-01 2014-07-01 false New source performance standards. 464...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2011-07-01 2011-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2012-07-01 2012-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2014-07-01 2014-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2011-07-01 2011-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2012-07-01 2012-07-01 false New source performance standards. 464...

Surface waters of Elk Creek basin in southwestern Oklahoma

USGS Publications Warehouse

Westfall, A.O.

1963-01-01

The purpose of this study is to (1) determine the average discharge during a period that is representative of average streamflow conditions, (2) determine the range of discharge, and (3) determine the storage required to supplement natural flows during drought periods. Elk Creek drains 587 square miles of the North Fork Red River basin. The climate is subhumid, and precipitation averages about 23 inches per year. The average discharge at the gaging station near Hobart is 50 cfs (cubic feet per second) or 36,200 acre-feet per year during a 19-year base period, water years 1938-56. The yearly average discharge ranged from 4.6 cfs in 1940 to 146 cfs in 1957. Maximum runoff generally occurs during May and June. The maximum monthly runoff was 64,520 acre-feet in May 1957. The maximum yearly runoff was 105,500 acre-feet in 1957. There is no sustained base flow in the basin. Severe droughts occurred in 1938-40 and 1952-56. The most extended drought occurred from June 1951 to March 1957, during which time there was a prolonged period of no flow of 182 days in 1954-55. A usable storage of 28,000 acre-feet would have been required to provide a regulated discharge of 1,500 acre-feet per month throughout these drought periods. (available as photostat copy only)

Evaluation and modification of five techniques for estimating stormwater runoff for watersheds in west-central Florida

USGS Publications Warehouse

Trommer, J.T.; Loper, J.E.; Hammett, K.M.

1996-01-01

Several traditional techniques have been used for estimating stormwater runoff from ungaged watersheds. Applying these techniques to water- sheds in west-central Florida requires that some of the empirical relationships be extrapolated beyond tested ranges. As a result, there is uncertainty as to the accuracy of these estimates. Sixty-six storms occurring in 15 west-central Florida watersheds were initially modeled using the Rational Method, the U.S. Geological Survey Regional Regression Equations, the Natural Resources Conservation Service TR-20 model, the U.S. Army Corps of Engineers Hydrologic Engineering Center-1 model, and the Environmental Protection Agency Storm Water Management Model. The techniques were applied according to the guidelines specified in the user manuals or standard engineering textbooks as though no field data were available and the selection of input parameters was not influenced by observed data. Computed estimates were compared with observed runoff to evaluate the accuracy of the techniques. One watershed was eliminated from further evaluation when it was determined that the area contributing runoff to the stream varies with the amount and intensity of rainfall. Therefore, further evaluation and modification of the input parameters were made for only 62 storms in 14 watersheds. Runoff ranged from 1.4 to 99.3 percent percent of rainfall. The average runoff for all watersheds included in this study was about 36 percent of rainfall. The average runoff for the urban, natural, and mixed land-use watersheds was about 41, 27, and 29 percent, respectively. Initial estimates of peak discharge using the rational method produced average watershed errors that ranged from an underestimation of 50.4 percent to an overestimation of 767 percent. The coefficient of runoff ranged from 0.20 to 0.60. Calibration of the technique produced average errors that ranged from an underestimation of 3.3 percent to an overestimation of 1.5 percent. The average calibrated coefficient of runoff for each watershed ranged from 0.02 to 0.72. The average values of the coefficient of runoff necessary to calibrate the urban, natural, and mixed land-use watersheds were 0.39, 0.16, and 0.08, respectively. The U.S. Geological Survey regional regression equations for determining peak discharge produced errors that ranged from an underestimation of 87.3 percent to an over- estimation of 1,140 percent. The regression equations for determining runoff volume produced errors that ranged from an underestimation of 95.6 percent to an overestimation of 324 percent. Regression equations developed from data used for this study produced errors that ranged between an underestimation of 82.8 percent and an over- estimation of 328 percent for peak discharge, and from an underestimation of 71.2 percent to an overestimation of 241 percent for runoff volume. Use of the equations developed for west-central Florida streams produced average errors for each type of watershed that were lower than errors associated with use of the U.S. Geological Survey equations. Initial estimates of peak discharges and runoff volumes using the Natural Resources Conservation Service TR-20 model, produced average errors of 44.6 and 42.7 percent respectively, for all the watersheds. Curve numbers and times of concentration were adjusted to match estimated and observed peak discharges and runoff volumes. The average change in the curve number for all the watersheds was a decrease of 2.8 percent. The average change in the time of concentration was an increase of 59.2 percent. The shape of the input dimensionless unit hydrograph also had to be adjusted to match the shape and peak time of the estimated and observed flood hydrographs. Peak rate factors for the modified input dimensionless unit hydrographs ranged from 162 to 454. The mean errors for peak discharges and runoff volumes were reduced to 18.9 and 19.5 percent, respectively, using the average calibrated input parameters for ea

Optical characteristics and parameters of gas-discharge plasma in a mixture of mercury dibromide vapor with argon

NASA Astrophysics Data System (ADS)

Malinina, A. A.; Malinin, A. N.

2015-03-01

Results are presented from studies of the optical characteristics and parameters of the plasma of a dielectric barrier discharge in a mixture of mercury dibromide vapor with argon—the working medium of an exciplex gas-discharge emitter. It is established that the partial pressures of mercury dibromide vapor and argon at which the average and pulsed emission intensities in the blue—green spectral region (λmax = 502 nm) reach their maximum values are 0.6 and 114.4 kPa, respectively. The electron energy distribution function, the transport characteristics, the specific power spent on the processes involving electrons, the electron density and temperature, and the rate constants for the processes of elastic and inelastic electron scattering from the molecules and atoms of the working mixture are determined by numerical simulation, and their dependences on the reduced electric field strength are analyzed. The rate constant of the process leading to the formation of exciplex mercury monobromide molecules for a reduced electric field of E/ N = 20 Td, at which the maximum emission intensity in the blue—green spectral region was observed in this experiment, is found to be 8.1 × 10-15 m3/s.

Review of Oceanographic and Geochemical Data Collected in Massachusetts Bay during a Large Discharge of Total Suspended Solids from Boston's Sewage-Treatment System and Ocean Outfall in August 2002

USGS Publications Warehouse

Bothner, Michael H.; Butman, Bradford; Casso, Michael A.

2010-01-01

During the period August 14-23, 2002, the discharge of total suspended solids (TSS) from the Massachusetts Water Resources Authority sewage-treatment plant ranged from 32 to 132 milligrams per liter, causing the monthly average discharge to exceed the limit specified in the National Pollution Discharge Elimination System permit. Time-series monitoring data collected by the U.S. Geological Survey in western Massachusetts Bay were examined to evaluate changes in environmental conditions during and after this exceedance event. The rate of sediment trapping and the concentrations of near-bottom suspended sediment measured near the outfall in western Massachusetts Bay increased during this period. Because similar increases in sediment-trapping rate were observed in the summers of 2003 and 2004, however, the increase in 2002 cannot be definitively attributed to the increased TSS discharge. Concentrations of copper and silver in trapped sediment collected 10 and 20 days following the 2002 TSS event were elevated compared to those in pre-event samples. Maximum concentrations were less than 50 percent of toxicity guidelines. Photographs of surficial bottom sediments obtained before and after the TSS event do not show sediment accumulation on the sea floor. Concentrations of silver, Clostridium perfringens, and clay in surficial bottom sediments sampled 10 weeks after the discharge event at a depositional site 3 kilometers west of the outfall were unchanged from those in samples obtained before the event. Simulation of the TSS event by using a coupled hydrodynamic-wave-sediment-transport model could enhance understanding of these observations and of the effects of the exceedance on the local marine environment.

National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data.

PubMed

Kozak, Lola Jean; Lees, Karen A; DeFrances, Carol J

2006-05-01

This report presents 2003 national estimates and trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes. The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2003, data were collected for approximately 320,000 discharges. Of the 479 eligible non-Federal short-stay hospitals in the sample, 426 (89 percent) responded to the survey. An estimated 34.7 million inpatients were discharged from non-Federal short-stay hospitals in 2003. They used 167.3 million days of care and had an average length of stay of 4.8 days. Females used almost one-third more days of hospital care than males. Patients with five or more diagnoses rose from 29 percent of discharges in 1990 to 57 percent in 2003. The leading diagnostic category was respiratory diseases for children under 15 years, childbirth for 15-44 year olds, and circulatory diseases for patients 45 years of age and over. Only surgical procedures were performed for 27 percent of discharges, 18 percent had surgical and nonsurgical procedures, and 16 percent had only nonsurgical procedures. A total of 664,000 coronary angioplasties were performed, and stents were inserted during 86 percent of these procedures with drug-eluting stents used in 28 percent. The number and rate of total and primary cesarean deliveries rose from 1995 to 2003. The rate of vaginal birth after cesarean delivery dropped 58 percent, from 35.5 in 1995 to 14.8 in 2003.

Preventability of early vs. late readmissions in an academic medical center

PubMed Central

Graham, Kelly L.; Dike, Ogechi; Doctoroff, Lauren; Jupiter, Marisa; Vanka, Anita

2017-01-01

Background It is unclear if the 30-day unplanned hospital readmission rate is a plausible accountability metric. Objective Compare preventability of hospital readmissions, between an early period [0–7 days post-discharge] and a late period [8–30 days post-discharge]. Compare causes of readmission, and frequency of markers of clinical instability 24h prior to discharge between early and late readmissions. Design, setting, patients 120 patient readmissions in an academic medical center between 1/1/2009-12/31/2010 Measures Sum-score based on a standard algorithm that assesses preventability of each readmission based on blinded hospitalist review; average causation score for seven types of adverse events; rates of markers of clinical instability within 24h prior to discharge. Results Readmissions were significantly more preventable in the early compared to the late period [median preventability sum score 8.5 vs. 8.0, p = 0.03]. There were significantly more management errors as causative events for the readmission in the early compared to the late period [mean causation score [scale 1–6, 6 most causal] 2.0 vs. 1.5, p = 0.04], and these errors were significantly more preventable in the early compared to the late period [mean preventability score 1.9 vs 1.5, p = 0.03]. Patients readmitted in the early period were significantly more likely to have mental status changes documented 24h prior to hospital discharge than patients readmitted in the late period [12% vs. 0%, p = 0.01]. Conclusions Readmissions occurring in the early period were significantly more preventable. Early readmissions were associated with more management errors, and mental status changes 24h prior to discharge. Seven-day readmissions may be a better accountability measure. PMID:28622384

Numerical investigation on the implications of spring temperature and discharge rate with respect to the geothermal background in a fault zone

NASA Astrophysics Data System (ADS)

Jiang, Zhenjiao; Xu, Tianfu; Mariethoz, Gregoire

2018-04-01

Geothermal springs are some of the most obvious indicators of the existence of high-temperature geothermal resources in the subsurface. However, geothermal springs can also occur in areas of low average subsurface temperatures, which makes it difficult to assess exploitable zones. To address this problem, this study quantitatively analyzes the conditions associated with the formation of geothermal springs in fault zones, and numerically investigates the implications that outflow temperature and discharge rate from geothermal springs have on the geothermal background in the subsurface. It is concluded that the temperature of geothermal springs in fault zones is mainly controlled by the recharge rate from the country rock and the hydraulic conductivity in the fault damage zone. Importantly, the topography of the fault trace on the land surface plays an important role in determining the thermal temperature. In fault zones with a permeability higher than 1 mD and a lateral recharge rate from the country rock higher than 1 m3/day, convection plays a dominant role in the heat transport rather than thermal conduction. The geothermal springs do not necessarily occur in the place having an abnormal geothermal background (with the temperature at certain depth exceeding the temperature inferred by the global average continental geothermal gradient of 30 °C/km). Assuming a constant temperature (90 °C here, to represent a normal geothermal background in the subsurface at a depth of 3,000 m), the conditions required for the occurrence of geothermal springs were quantitatively determined.

Using thermal-infrared imagery to delineate ground-water discharge

USGS Publications Warehouse

Banks, W.S.L.; Paylor, R.L.; Hughes, W.B.

1996-01-01

On March 8 and 9, 1992, a thermal-infrared-multispectral scanner (TIMS) was flown over two military ordnance disposal facilities at the Edgewood Area of Aberdeen Proving Ground, Maryland. The data, collected bythe National Aeronautics and Space Administration, in cooperation with the U.S. Army and the U.S. Geological Survey, were used to locate ground-water discharge zones in surface water. The images from the flight show areas where ground-water discharge is concentrated, as well as areas of diffuse discharge. Concentrated discharge is predominant in isolated or nearly isolated ponds and creeks in the study area. Diffuse dicharge is found near parts of the shoreline where the study area meets the surrounding estuaries of the Chesapeake Bay and the Gunpowder River. The average temperature for surface water, measured directly in the field, and the average temperature, calculated from atmospherically corrected TIMS images, was 10.6??C (Celsius) at the first of two sites. Potentiometric surface maps of both field sites show discharge toward the nontidal marshes, the estuaries which surround the field sites, and creeks which drain into the estuaries. The average measured temperature of ground water at both sites was 10.7??C. The calculated temperature from the TIMS imagery at both sites where ground-water discharge is concentrated within a surface-water body is 10.4??C. In the estuaries which surround the field sites, field measurements of temperature were made resulting in an average temperature of 9.0??C. The average calculated TIMS temperature from the estuaries was 9.3??C. Along the shoreline at the first site and within 40 to 80 meters of the western and southern shores of the second site, water was 1?? to 2??C warmer than water more than 80 meters away. The pattern of warmer water grading to cooler water in an offshore direction could result from diffuse ground-water discharge. Tonal differences in the TIMS imagery could indicate changes in surface-water temperatures. These tonal differences can be interpreted to delineate the location and extent of ground-water discharge to bodies of surface water.

Effect of average flow and capacity utilization on effluent water quality from US municipal wastewater treatment facilities.

PubMed

Weirich, Scott R; Silverstein, Joann; Rajagopalan, Balaji

2011-08-01

There is increasing interest in decentralization of wastewater collection and treatment systems. However, there have been no systematic studies of the performance of small treatment facilities compared with larger plants. A statistical analysis of 4 years of discharge monthly report (DMR) data from 210 operating wastewater treatment facilities was conducted to determine the effect of average flow rate and capacity utilization on effluent biochemical oxygen demand (BOD), total suspended solids (TSS), ammonia, and fecal coliforms relative to permitted values. Relationships were quantified using generalized linear models (GLMs). Small facilities (40 m³/d) had violation rates greater than 10 times that of the largest facilities (400,000 m³/d) for BOD, TSS, and ammonia. For facilities with average flows less than 40,000 m³/d, increasing capacity utilization was correlated with increased effluent levels of BOD and TSS. Larger facilities tended to operate at flows closer to their design capacity while maintaining treatment suggesting greater efficiency. Copyright © 2011 Elsevier Ltd. All rights reserved.

Hospital-level care coordination strategies associated with better patient experience.

PubMed

Figueroa, Jose F; Feyman, Yevgeniy; Zhou, Xiner; Joynt Maddox, Karen

2018-04-04

Patient experience is a key measure of hospital quality and is increasingly contained in value-based payment programmes. Understanding whether strategies aimed at improving care transitions are associated with better patient experience could help clinical leaders and policymakers seeking to improve care across multiple dimensions. To determine the association of specific hospital care coordination and transition strategies with patient experience. We surveyed leadership at 1600 acute care hospitals and categorised respondents into three groups based on the strategies used: low-strategy (bottom quartile of number of strategies), mid-strategy (quartiles 2 and 3) and high-strategy (highest quartile). We used linear regression models to examine the association between use of these strategies and performance on measures of patient experience from the Hospital Consumer Assessment of Healthcare Providers and Systems survey. We achieved a 62% response rate. High-strategy hospitals reported using 7.7 strategies on average usually or always on their patient populations, while mid-strategy and low-strategy hospitals reported using 5.0 and 2.3 strategies, respectively. Compared with low-strategy hospitals, high-strategy hospitals had a higher overall rating (+2.23 percentage points (pp), P<0.001), higher recommendation score (+2.5 pp, P<0.001), and higher satisfaction with discharge process (+1.35 pp, P=0.01) and medication communication (+1.44 pp, P=0.002). Mid-strategy hospitals had higher scores than low-strategy hospitals except for discharge satisfaction. Patient-facing strategies, like sharing discharge summaries with patients prior to discharge, using discharge coordinators and calling patients 48 hours after discharge, were each individually associated with a higher overall hospital rating, and higher satisfaction with discharge process and medication communication. Hospitals with greater reported use of care coordination and transition strategies have better patient experience than hospitals with fewer reported strategies. Strategies that most directly involve patients have the strongest association with better experience. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Transients in the inhibitory driving of neurons and their postsynaptic consequences.

PubMed

Segundo, J P; Stiber, M; Altshuler, E; Vibert, J F

1994-09-01

The presynaptic fiber at an inhibitory synapse on a pacemaker neuron was forced to generate transients, defined here as spike trains with a trend, unceasingly accelerating or slowing. Experiments were on isolated crayfish stretch receptor organs. Spike train analyses used tools and notions from conventional point processes and from non-linear dynamics. Pre- and postsynaptic discharges contrasted clearly in terms of rates and interspike intervals. The inhibitory train evolved monotonically and smoothly, following tightly the simple prescribed curves; it was uniform, exhibiting throughout a single and simple discharge form (i.e. interval patterning). The inhibited postsynaptic train alternately accelerated and slowed, not following tightly any simple curve; it was heterogeneous, exhibiting in succession several different and often complex discharge forms, and switching abruptly from one to another. The inhibited trains depended on the inhibitory transient's span, range and average slope. Accordingly, transients separated (not cuttingly) into categories with prolonged spans (over 1 s) and slow slopes (around 1/s2) and those with short spans (under 1 s) and fast slopes (around 30/s2). Special transients elicited postsynaptic discharges that reproduced it faithfully, e.g. accelerated with the transient and proportionately; no transient elicited postsynaptic discharges faithful to its mirror image. Crayfish synapses are prototypes, so these findings should be expected in any other junction, as working hypotheses at least. Implications involve the operation of neural networks, including the role of distortions and their compensation, and the underlying mechanisms. Transients have received little attention, most work on synaptic coding concentrating on stationary discharges. Transients are inherent to the changing situations that pervade everyday life, however, and their biological importance is self-evident. The different discharges encountered during a transient had strong similarities to the stationary forms reported for different pacemaker drivings that are called locking, intermittency, erratic and stammering; they were, in fact, trendy versions of these. Such forms appear with several synaptic drivings in the same order along the presynaptic rate scale; they may constitute basic building blocks for synaptic operation. In terms of non-linear science, it is as if the attractors postulated for stationary drivings remained strongly influential during the transients, though affected by the rate of change.

Diagnostics of pre-breakdown light emission in a helium coplanar barrier discharge: the presence of neutral bremsstrahlung

NASA Astrophysics Data System (ADS)

Navrátil, Zdeněk; Morávek, Tomáš; Ráheľ, Jozef; Čech, Jan; Lalinský, Ondřej; Trunec, David

2017-05-01

Weak light emission (˜10-3 of active discharge signal; average count rate ˜ 1 photon s-1 nm-1) associated with surface charge relaxation during the dark phase of a helium diffuse coplanar barrier discharge was studied by optical emission spectroscopy, using a technique of phase-resolved single photon counting. The optical emission spectra of the dark phase contained luminescent bands of the dielectrics used (Al2O3, AlN) and spectral lines from the gas constituents (OH*, {{{N}}}2* , {{{N}}}2+* , He*, He{}2* , O*). During the charge relaxation event, a broad continuum appeared in the optical emission spectra, consisting of bremsstrahlung radiation and amplified luminescence of the dielectric barrier. The analysis presented suggests that the bremsstrahlung radiation originated from slow electrons colliding with neutral helium atoms. The fitting procedure we developed reproduced well the observed shape of the continuum. Moreover, it provided a method for the determination of electric field strength in the discharge during this particular phase. The electric field reached 1 kV cm-1 during the charge relaxation event.

Serotonergic raphe magnus cell discharge reflects ongoing autonomic and respiratory activities.

PubMed

Mason, Peggy; Gao, Keming; Genzen, Jonathan R

2007-10-01

Serotonergic cells are located in a restricted number of brain stem nuclei, send projections to virtually all parts of the CNS, and are critical to normal brain function. They discharge tonically at a rate modulated by the sleep-wake cycle and, in the case of medullary serotonergic cells in raphe magnus and the adjacent reticular formation (RM), are excited by cold challenge. Yet, beyond behavioral state and cold, endogenous factors that influence serotonergic cell discharge remain largely mysterious. The present study in the anesthetized rat investigated predictors of serotonergic RM cell discharge by testing whether cell discharge correlated to three rhythms observed in blood pressure recordings that averaged >30 min in length. A very slow frequency rhythm with a period of minutes, a respiratory rhythm, and a cardiac rhythm were derived from the blood pressure recording. Cross-correlations between each of the derived rhythms and cell activity revealed that the discharge of 38 of the 40 serotonergic cells studied was significantly correlated to the very slow and/or respiratory rhythms. Very few serotonergic cells discharged in relation to the cardiac cycle and those that did, did so weakly. The correlations between serotonergic cell discharge and the slow and respiratory rhythms cannot arise from baroreceptive input. Instead we hypothesize that they are by-products of ongoing adjustments to homeostatic functions that happen to alter blood pressure. Thus serotonergic RM cells integrate information about multiple homeostatic activities and challenges and can consequently modulate spinal processes according to the most pressing need of the organism.

Surface water of Beaver Creek Basin, in South-Central Oklahoma

USGS Publications Warehouse

Laine, L.L.; Murphy, J.J.

1962-01-01

Annual discharge from Beaver Creek basin is estimated to have averaged 217,000 acre-feet during a 19-year base period, water years 1938-56, equivalent to an average annual runoff depth of 4.7 inches over the 857 square-mile drainage area. About 55,000 acre-feet per year comes from Little Beaver Creek basin, a tributary drainage of 195 square miles. Yearly streamflow is highly variable. The discharge of Little Beaver Creek near Duncan during 13-year period of record (water years 1949-61) has ranged from 86,530 acre-feet in calendar year 1957 to 4,880 acre-feet in 1956, a ratio of almost 18 to 1. Highest runoff within a year tends to occur in the spring months of May and June, a 2-month period that, on the average, accounts for more than half of the annual discharge of Little Beaver Creek near Duncan. The average monthly runoff during record was lowest in January. Variation in daily streamflow is such that while the average discharge for the 13-year period of record was 50.1 cfs (cubic feet per second), the daily discharge was more than 6 cfs only about half of the time. There was no flow at the site 19 percent of the time during the period. Some base runoff usually exists in the headwaters of Beaver and Little Beaver Creeks, and in the lower reaches of Beaver Creek. Low flow in Cow Creek tends to be sustained by waste water from Duncan, where water use in 1961 averaged 4 million gallons per day. In the remainder of the basin, periods of no flow occur in most years. The surface water of Beaver Creek basin is very hard but in general is usable for municipal, agricultural and industrial purposes. The chemical character of the water is predominantly a calcium, magnesium bicarbonate type of water in the lower three quarters of the basin, except in Cow Creek where oil-field brines induce a distinct sodium, calcium chloride characteristic at low and medium flows. A calcium sulfate type of water occurs in most of the northern part of the basin except in headwater areas underlain by the Rush Springs Sandstone, where quality is similar to that in the lower basin. The report gives an estimate of the average discharge at several sites in Beaver Creek basin for a 19-year base period, October 1937 to September 1956. Duration curves of daily discharge for Little Beaver Creek near Duncan and Beaver Creek near Waurika are shown for the period of record. Monthly and annual discharge records for these gaging stations are presented. The results of 52 discharge measurements at 17 other sites in the basin are tabulated, with 5 groups being plotted as discharge profiles. Storage requirements for regulated discharge at the two gaging stations are shown. (available as photostat copy only)

New approach to calibrating bed load samplers

USGS Publications Warehouse

Hubbell, D.W.; Stevens, H.H.; Skinner, J.V.; Beverage, J.P.

1985-01-01

Cyclic variations in bed load discharge at a point, which are an inherent part of the process of bed load movement, complicate calibration of bed load samplers and preclude the use of average rates to define sampling efficiencies. Calibration curves, rather than efficiencies, are derived by two independent methods using data collected with prototype versions of the Helley‐Smith sampler in a large calibration facility capable of continuously measuring transport rates across a 9 ft (2.7 m) width. Results from both methods agree. Composite calibration curves, based on matching probability distribution functions of samples and measured rates from different hydraulic conditions (runs), are obtained for six different versions of the sampler. Sampled rates corrected by the calibration curves agree with measured rates for individual runs.

Bat reproduction declines when conditions mimic climate change projections for western North America.

PubMed

Adams, Rick A

2010-08-01

Climate change models predict that much of western North America is becoming significantly warmer and drier, resulting in overall reductions in availability of water for ecosystems. Herein, I demonstrate that significant declines in the reproductive success of female insectivorous bats occur in years when annual environmental conditions mimic the long-term predictions of regional climate change models. Using a data set gathered on bat populations from 1996 through 2008 along the Front Range of Colorado, I compare trends in population numbers and reproductive outcomes of six species of vespertilionid bats with data on mean annual high temperature, precipitation, snow pack, and stream discharge rates. I show that levels of precipitation and flow rates of small streams near maternity colonies is fundamentally tied to successful reproduction in female bats, particularly during the lactation phase. Across years that experienced greater than average mean temperatures with less than average precipitation and stream flow, bat populations responded by slight to profound reductions in reproductive output depending on the severity of drought conditions. In particular, reproductive outputs showed profound declines (32-51%) when discharge rates of the largest stream in the field area dropped below 7 m3/s, indicating a threshold response. Such sensitivity to environmental change portends severe impacts to regional bat populations if current scenarios for climate change in western North America are accurate. In addition, bats act as early-warning indicators of large-scale ecological effects resulting from further regional warming and drying trends currently at play in western North America.

The importance of temporal inequality in quantifying vegetated filter strip removal efficiencies

NASA Astrophysics Data System (ADS)

Gall, H. E.; Schultz, D.; Mejia, A.; Harman, C. J.; Raj, C.; Goslee, S.; Veith, T.; Patterson, P. H.

2017-12-01

Vegetated filter strips (VFSs) are best management practices (BMPs) commonly implemented adjacent to row-cropped fields to trap overland transport of sediment and other constituents often present in agricultural runoff. VFSs are generally reported to have high sediment removal efficiencies (i.e., 70 - 95%); however, these values are typically calculated as an average of removal efficiencies observed or simulated for individual events. We argue that due to: (i) positively correlated sediment concentration-discharge relationships; (ii) strong temporal inequality exhibited by sediment transport; and (iii) decreasing VFS performance with increasing flow rates, VFS removal efficiencies over annual time scales may be significantly lower than the per-event values or averages typically reported in the literature and used in decision-making models. By applying a stochastic approach to a two-component VFS model, we investigated the extent of the disparity between two calculation methods: averaging efficiencies from each event over the course of one year, versus reporting the total annual load reduction. We examined the effects of soil texture, concentration-discharge relationship, and VFS slope to reveal the potential errors that may be incurred by ignoring the effects of temporal inequality in quantifying VFS performance. Simulation results suggest that errors can be as low as < 2% and as high as > 20%, with the differences between the two methods of removal efficiency calculations greatest for: (i) soils with high percentage of fine particulates; (ii) VFSs with higher slopes; and (iii) strongly positive concentration-discharge relationships. These results can aid in annual-scale decision making for achieving downstream water quality goals.

National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data.

PubMed

Kozak, Lola Jean; DeFrances, Carol Jean; Hall, Margaret Jean

2006-10-01

This report presents 2004 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes. The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2004, data were collected for approximately 371,000 discharges. Of the 476 eligible nonfederal short-stay hospitals in the sample, 439 (92 percent) responded to the survey. An estimated 34.9 million inpatients were discharged from nonfederal short-stay hospitals in 2004. They used 167.9 million days of care and had an average length of stay of 4.8 days. Hospital use by age ranged from 4.3 million days of care for patients 5-14 years of age to 31.8 million days of care for 75-84 year olds. Almost a third of patients 85 years and over were discharged from hospitals to long-term care institutions. Diseases of the circulatory system was the leading diagnostic category for males. Childbirth was the leading category for females, followed by circulatory diseases. The proportion of HIV discharges who were 40 years of age and over increased from 40 percent in 1995 to 67 percent in 2004. The rate of cardiac catheterizations was higher for males than for females and higher for patients 65-74 and 75-84 years of age than for older or younger groups. The average length of stay for both vaginal and cesarean deliveries decreased from 1980 through 1995 but stays for vaginal deliveries increased 24 percent during the period from 1995 to 2004.

Evaluation of the performance of the Tyson Foods wastewater treatment plant for nitrogen removal.

PubMed

Ubay-Cokgor, E; Randall, C W; Orhon, D

2005-01-01

In this paper, the performance of the Tyson Foods wastewater treatment plant with an average flow rate of 6500 m3/d was evaluated before and after upgrading of the treatment system for nitrogen removal. This study was also covered with an additional recommendation of BIOWIN BNR program simulation after the modification period to achieve an additional nutrient removal. The results clearly show that the upgrading was very successful for improved nitrogen removal, with a 57% decrease on the total nitrogen discharge. There also were slight reductions in the discharged loads of biological oxygen demand, total suspended solids, ammonium and total phosphorus with denitrification, even though the effluent flow was higher during operation of the nitrogen removal configuration.

Hospital use by the elderly in Poland and the United States.

PubMed Central

Bacon, W E; Wotjyniak, B; Krzyzanowski, M

1984-01-01

Hospital use by elderly patients in Poland and the United States was compared using data from the 1980 General Hospital Morbidity Study (Poland) and the National Hospital Discharge Survey (US). Discharge and days-of-care rates were higher in the US but average lengths of stay were longer in Poland. All three measures increased with advancing age in the US but remained relatively constant or decreased with age in Poland. Although the most frequent causes of hospitalization were similar in the two countries, the characteristic use patterns across age were evident for most frequently occurring disease conditions. The greater use of hospitals in the US is not associated with marked differences between the two countries in health status of the elderly. PMID:6388364

Response of lead-acid batteries to chopper-controlled discharge. [for electric vehicles

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1978-01-01

The results of tests on an electric vehicle battery, using a simulated electric vehicle chopper-speed controller, show energy output losses up to 25 percent compared to constant current discharges at the same average current of 100 A. However, an energy output increase of 22 percent is noticed at the 200 A average level and 44 percent increase at the 300 A level using pulse discharging. Because of these complex results, electric vehicle battery/speed controller interactions must be considered in vehicle design.

Effect of reforestation on streamflow in central New York

USGS Publications Warehouse

Schneider, William Joseph; Ayer, Gordon Roundy

1961-01-01

Hydrologic data have been collected since 1932 in central New York State to determine the effect of reforestation on streamflow. Data are available for three small partly reforested areas and for one nonreforested control area. From 35 to 58 percent of the 3 areas were reforested, mostly with species of pine and spruce. The trees were allowed to grow without thinning or cutting, and by 1958 these reforested areas had developed into dense coniferous woodlots. Intensive statistical analyses of the data from the four study areas were made in 1958. Analyses were made for three hydrologic periods: the dormant season represented by the 6-month period ending April 30, the growing season represented by the 6-month period ending October 31, and the year represented by the 12-month period ending April 30. Analyses of the hydrologic data using multiple correlation with time as a variable and analyses of covariance between early and late periods of record indicated that several significant changes had occurred in the streamflow from the partly reforested study areas. Based on correlation with precipitation, total runoff for the dormant season from the 3 study areas was reduced by annual rates of 0.17 to 0.29 inches per year. Based on correlations with streamflow from a control area, total runoff from the partly reforested Shackham Brook area was reduced by average rates of 0.14 inches per growing season, 0.23 inches per dormant season, and 0.36 inches per hydrologic year. Peak discharges on Shackham Brook during the dormant season were reduced by 1958 by an average of 41 percent for the season, with reductions ranging from an average of 66 percent for November to an average of 16 percent for April. No significant changes were found in the peak discharges for the growing season, rates of base-flow recession, volumes of direct runoff, or annual low flows of streams in the three partly reforested areas. The significant reductions in total runoff are attributed to increases in interception and transpiration in the reforested areas. The reductions in peak discharges during the dormant period are attributed largely to increased interception and sublimation of snowfall, and a gradual desynchronization of snowmelt runoff from the wooded and open areas of partly reforested watersheds. The changes in streamflow occurred gradually over the years; it could not be determined from the data whether changes in streamflow were still occurring in 1958, or whether they had reached a maximum.

Acoustic-wave-damping experimental study in x-ray preionized high-repetition rate XeCl

NASA Astrophysics Data System (ADS)

Canarelli, Patrick; Sentis, Marc L.; Delaporte, Philippe C.; Fontaine, Bernard L.; Forestier, Bernard M.

1990-08-01

To increase the pulse repetition frequency, the average power, and the beam quality of excimer laser systems, damping of the strong acoustic waves induced by the active medium excitation must be solve. In order to achieve this goal different electrodes and acoustic damping configuration have been studied. Excitation of active medium (energy deposition : 50 to 150 J/l) at high repetition rate (up to 1 000 Hz) in a subsonic loop (flow velocity : up to 65 m/s) is achieved by means of a classical discharge, through transfers capacitors. The discharge is preionized by X-Ray generated by a wire ion plasma gun. Previous studies done at I.M.F.M. have shown that the density perturbations, induced by successive excitations at high repetition rate (up to 1000 Hz), can involve output energy decrease. Here, we will present and discuss the density or pressure perturbation maximum level which don't involve this laser energy decrease; acoustic and thermal effects have been notably took account. We will study the possibilities of fast pressure perturbations damping.

Water in the Middle East: A Catalyst for Conflict or Foundation for Cooperation

DTIC Science & Technology

2003-04-07

of the Jordan River basin and the adjacent aquifers . “While freshwater resources are renewable, in practice they are often finite, unevenly...tributaries, and adjacent aquifers . Though small in comparison to the Nile, Tigris or Euphrates, (the average discharge rates in billions of cubic...and the Yarmouk River), and the non-renewable ground water aquifers ; those beneath the West Bank (the Yarkon-Taninim aquifer ), and the aquifer of the

Sediment characteristics of small streams in southern Wisconsin, 1954-59

USGS Publications Warehouse

Collier, Charles R.

1963-01-01

The results of investigations of the sediment and water discharge characteristics of Black Earth Creek, Mount Vernon Creek, and Yellowstone River from 1954 to 1959 and Dell Creek for 1958 and 1959 indicate large differences in annual runoff and sediment yields. The suspended-sediment discharge of Black Earth Creek averaged 3,260 tons per year or 71 tons per square mile : the annual yields ranged from 27 to 102 tons per square mile. The annual suspended-sediment yield of Mount Vernon Creek ranged from 48 to 171 tons per square mile and averaged 96 tons per square mile. The maximum daily discharge was 1,120 tons on April 1, 1960, during a storm which produced 67 percent of the suspended load for that water year and exceeded the discharge for the preceding 3 years. The sediment discharge of the Yellowstone River averaged 6,870 tons per year or 236 tons per square riffle. The maximum daily sediment discharge, 3,750 tons on April 1, 1959, occurred during a 14-day period of high flow during which the sediment discharge was 15,480 tons. In 1958 and 1959, Dell Creek had suspended-sediment yields of 4.7 and 26 tons per square mile of drainage area. The suspended sediment transported by Black Earth and Mount Vernon Creeks is about two-thirds clay and one-third silt. For Yellowstone River the particle-size distribution of the suspended sediment ranged from three-fourths clay and one-fourth silt during periods of low sediment discharge to one-third clay and two-thirds silt during high sediment discharges. For Dell Creek nearly all of the suspended sediment is clay, but the bed load is sand. The mean sediment concentration of storm runoff averaged two to three times more in the summer than in the winter. No significant changes with time occurred in the relation between storm runoff and sediment yield.

Negative DC corona discharge current characteristics in a flowing two-phase (air + suspended smoke particles) fluid

NASA Astrophysics Data System (ADS)

Berendt, Artur; Domaszka, Magdalena; Mizeraczyk, Jerzy

2017-04-01

The electrical characteristics of a steady-state negative DC corona discharge in a two-phase fluid (air with suspended cigarette smoke particles) flowing along a chamber with a needle-to-plate electrode arrangement were experimentally investigated. The two-phase flow was transverse in respect to the needle-to-plate axis. The velocity of the transverse two-phase flow was limited to 0.8 m/s, typical of the electrostatic precipitators. We found that three discharge current modes of the negative corona exist in the two-phase (air + smoke particles) fluid: the Trichel pulses mode, the "Trichel pulses superimposed on DC component" mode and the DC component mode, similarly as in the corona discharge in air (a single-phase fluid). The shape of Trichel pulses in the air + suspended particles fluid is similar to that in air. However, the Trichel pulse amplitudes are higher than those in "pure" air while their repetition frequency is lower. As a net consequence of that the averaged corona discharge current in the two-phase fluid is lower than in "pure" air. It was also found that the average discharge current decreases with increasing suspended particle concentration. The calculations showed that the dependence of the average negative corona current (which is a macroscopic corona discharge parameter) on the particle concentration can be explained by the particle-concentration dependencies of the electric charge of Trichel pulse and the repetition frequency of Trichel pulses, both giving a microscopic insight into the electrical phenomena in the negative corona discharge. Our investigations showed also that the average corona discharge current in the two-phase fluid is almost unaffected by the transverse fluid flow up to a velocity of 0.8 m/s. Contribution to the topical issue "The 15th International Symposium on High Pressure Low Temperature Plasma Chemistry (HAKONE XV)", edited by Nicolas Gherardi and Tomáš Hoder

The impact of environmental factors on marine turtle stranding rates

PubMed Central

Flint, Mark; Limpus, Colin J.; Mills, Paul C.

2017-01-01

Globally, tropical and subtropical regions have experienced an increased frequency and intensity in extreme weather events, ranging from severe drought to protracted rain depressions and cyclones, these coincided with an increased number of marine turtles subsequently reported stranded. This study investigated the relationship between environmental variables and marine turtle stranding. The environmental variables examined in this study, in descending order of importance, were freshwater discharge, monthly mean maximum and minimum air temperatures, monthly average daily diurnal air temperature difference and rainfall for the latitudinal hotspots (-27°, -25°, -23°, -19°) along the Queensland coast as well as for major embayments within these blocks. This study found that marine turtle strandings can be linked to these environmental variables at different lag times (3–12 months), and that cumulative (months added together for maximum lag) and non-cumulative (single month only) effects cause different responses. Different latitudes also showed different responses of marine turtle strandings, both in response direction and timing.Cumulative effects of freshwater discharge in all latitudes resulted in increased strandings 10–12 months later. For latitudes -27°, -25° and -23° non-cumulative effects for discharge resulted in increased strandings 7–12 months later. Latitude -19° had different results for the non-cumulative bay with strandings reported earlier (3–6 months). Monthly mean maximum and minimum air temperatures, monthly average daily diurnal air temperature difference and rainfall had varying results for each examined latitude. This study will allow first responders and resource managers to be better equipped to deal with increased marine turtle stranding rates following extreme weather events. PMID:28771635

Relation between flow and temporal variations of nitrate and pesticides in two karst springs in northern Alabama

USGS Publications Warehouse

Kingsbury, J.A.

2008-01-01

Two karst springs in the Mississippian Carbonate Aquifer of northern Alabama were sampled between March 1999 and March 2001 to characterize the variability in concentration of nitrate, pesticides, selected pesticide degradates, water temperature, and inorganic constituents. Water temperature and inorganic ion data for McGeehee Spring indicate that this spring represents a shallow flow system with a relatively short average ground-water residence time. Water issuing from the larger of the two springs, Meridianville Spring, maintained a constant temperature, and inorganic ion data indicate that this water represents a deeper flow system having a longer average ground-water residence time than McGeehee Spring. Although water-quality data indicate differing short-term responses to rainfall at the two springs, the seasonal variation of nitrate and pesticide concentrations generally is similar for the two springs. With the exception of pesticides detected at low concentrations, the coefficient of variation for most constituent concentrations was less than that of flow at both springs, with greater variability in concentration at McGeehee Spring. Degradates of the herbicides atrazine and fluometuron were detected at concentrations comparable to or greater than the parent pesticides. Decreases in concentration of the principal degradate of fluometuron from about July to November indicate that the degradation rate may decrease as fluometuron (demethylfluometuron) moves deeper into the soil after application. Data collected during the study show that from about November to March when recharge rates increase, nitrate and residual pesticides in the soil, unsaturated zone, and storage within the aquifer are transported to the spring discharges. Because of the increase in recharge, fluometuron loads discharged from the springs during the winter were comparable to loads discharged at the springs during the growing season. ?? 2008 American Water Resources Association.

Time-resolved deposition in the remote region of the JET-ILW divertor: measurements and modelling

NASA Astrophysics Data System (ADS)

Catarino, N.; Widdowson, A.; Baron-Wiechec, A.; Coad, J. P.; Heinola, K.; Rubel, M.; Alves, E.; Contributors, JET

2017-12-01

One crucial requirement for the development of fusion power is to know where, and how much, impurities collect in the machine, and how much of the fuelling isotope tritium will be trapped therein. The most relevant information on this issue comes from the operation of the Joint European Tokamak (JET), which is the world’s largest operating tokamak and has the same interior plasma-facing materials as the next step machine, ITER. Much of the information gained so far has been from post-mortem analysis of samples collected after whole campaigns involving varied types of operation. This paper describes time-resolved measurements of the deposition rate using rotating collectors (RC) placed in remote areas of the JET divertor during the 2013-2014 campaign with the ITER-like Wall (ILW). These techniques allow the effects of different types of operation to be distinguished. Rotating collectors made of silicon discs housed behind an aperture are exposed to the plasma. Each time the magnetic field coils are ramped up for a discharge the disc rotates, providing a linear relationship between the exposed region and the discharge number. Post-mortem ion beam analyses provide information on the deposit composition as a function of the discharge number. The results show that the Be deposition average for the RC in the corners of the inner and outer divertor are 4.9 × 1016 cm-2 and 1.8 × 1017 cm-2, respectively, accumulated over an average of ˜25 pulses. Data from the rotating collector below Tile 5 in the central region of divertor indicate a Be deposition rate of 9.3 × 1015 cm-2, per ˜25 pulses.

Quantifying time-varying ground-water discharge and recharge in wetlands of the northern Florida Everglades

USGS Publications Warehouse

Choi, J.; Harvey, J.W.

2000-01-01

Developing a more thorough understanding of water and chemical budgets in wetlands depends in part on our ability to quantify time-varying interactions between ground water and surface water. We used a combined water and solute mass balance approach to estimate time-varying ground-water discharge and recharge in the Everglades Nutrient Removal project (ENR), a relatively large constructed wetland (1544 hectare) built for removing nutrients from agricultural drainage in the norther Everglades in South Florida, USA. Over a 4-year period (1994 through 1998), ground-water recharge averaged 13.4 hectare-meter per day (ha-m/day) or 0.9 cm/day, which is approximately 31% of surface water pumped into the ENR for treatment. In contrast, ground-water discharge was much smaller (1.4 ha-m/day, or 0.09 cm/day, or 2.8% of water input to ENR for treatment). Using a water-balance approach alone only allowed net ground-water exchange (discharge - recharge) to be estimated (-12 ?? 2.4 ha-ma/day). Disharge and recharge were individually determined by combining a chloride mass balance with the water balance. For a variety of reasons, the ground-water discharge estimated by the combined mass balance approach was not reliable (1.4 ?? 37 ha-m/day). As a result, ground-water interactions could only be reliably estimated by comparing the mass-balance results with other independent approaches, including direct seepage-meter measurements and previous estimates using ground-water modeling. All three independent approaches provided similar estimates of average ground-water recharge, ranging from 13 to 14 ha-m/day. There was also relatively good agreement between ground-water discharge estimates for the mass balance and seepage meter methods, 1.4 and 0.9 ha-m/day, respectively. However, ground-water-flow modeling provided an average discharge estimate that was approximately a factor of four higher (5.4 ha-m/day) than the other two methods. Our study developed an initial understanding of how the design and operation of the ENR increases interactions between ground water and surface water. A considerable portion of recharged ground water (73%) was collected and returned to the ENR by a seepage canal. Additional recharge that was not captured by the seepage canal only occurred when pumped inflow rates to ENR (and ENR water levels) were relatively high. Management of surface water in the northern Everglades therefore clearly has the potential to increase interactions with ground water.

Channel movement of meandering Indiana streams

USGS Publications Warehouse

Daniel, James F.

1971-01-01

Because of the consistency of yearly above-average discharge volumes, it was possible to develop a general relation between path-length increase per thousand cubic-feet-per-second-days per square mile of drainage area above average discharge and the width-depth ratio of the channel. Little progress was made toward defining relationships for rotation and translation.

Fast repetition rate (FRR) flasher

DOEpatents

Kolber, Zbigniew; Falkowski, Paul

1997-02-11

A fast repetition rate (FRR) flasher suitable for high flash photolysis including kinetic chemical and biological analysis. The flasher includes a power supply, a discharge capacitor operably connected to be charged by the power supply, and a flash lamp for producing a series of flashes in response to discharge of the discharge capacitor. A triggering circuit operably connected to the flash lamp initially ionizes the flash lamp. A current switch is operably connected between the flash lamp and the discharge capacitor. The current switch has at least one insulated gate bipolar transistor for switching current that is operable to initiate a controllable discharge of the discharge capacitor through the flash lamp. Control means connected to the current switch for controlling the rate of discharge of the discharge capacitor thereby to effectively keep the flash lamp in an ionized state between Successive discharges of the discharge capacitor. Advantageously, the control means is operable to discharge the discharge capacitor at a rate greater than 10,000 Hz and even up to a rate greater than about 250,000 Hz.

IMPACT OF PARTICLE AGGLOMERATION ON ACCUMULATION RATES IN THE GLASS DISCHARGE RISER OF HLW MELTER

DOE Office of Scientific and Technical Information (OSTI.GOV)

Matyas, Josef; Jansik, Danielle P.; Owen, Antionette T.

2013-08-05

The major factor limiting waste loading in continuous high-level radioactive waste (HLW) melters is an accumulation of particles in the glass discharge riser during a frequent and periodic idling of more than 20 days. An excessive accumulation can produce robust layers a few centimeters thick, which may clog the riser, preventing molten glass from being poured into canisters. Since the accumulation rate is driven by the size of particles we investigated with X-ray microtomography, scanning electron microscopy, and image analysis the impact of spinel forming components, noble metals, and alumina on the size, concentration, and spatial distribution of particles, andmore » on the accumulation rate. Increased concentrations of Fe and Ni in the baseline glass resulted in the formation of large agglomerates that grew over the time to an average size of ~185±155 µm, and produced >3 mm thick layer after 120 h at 850 °C. The noble metals decreased the particle size, and therefore significantly slowed down the accumulation rate. Addition of alumina resulted in the formation of a network of spinel dendrites which prevented accumulation of particles into compact layers.« less

Impact Of Particle Agglomeration On Accumulation Rates In The Glass Discharge Riser Of HLW Melter

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kruger, A. A.; Rodriguez, C. A.; Matyas, J.

2012-11-12

The major factor limiting waste loading in continuous high-level radioactive waste (HLW) melters is an accumulation of particles in the glass discharge riser during a frequent and periodic idling of more than 20 days. An excessive accumulation can produce robust layers a few centimeters thick, which may clog the riser, preventing molten glass from being poured into canisters. Since the accumulation rate is driven by the size of particles we investigated with x-ray microtomography, scanning electron microscopy, and image analysis the impact of spinel forming components, noble metals, and alumina on the size, concentration, and spatial distribution of particles, andmore » on the accumulation rate. Increased concentrations of Fe and Ni in the baseline glass resulted in the formation of large agglomerates that grew over the time to an average size of ~185+-155 {mu}m, and produced >3 mm thick layer after 120 h at 850 deg C. The noble metals decreased the particle size, and therefore significantly slowed down the accumulation rate. Addition of alumina resulted in the formation of a network of spinel dendrites which prevented accumulation of particles into compact layers.« less

The 2005 Project Progress Report for 1987-099-00 Dworshak Kokanee Population and Entrainment Assessment (contract # 16791) is attached to project 1987-099-00, contract # 26850. [POINTER

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2008-12-18

During this contract, we continued testing underwater strobe lights to determine their effectiveness at repelling kokanee Oncorhynchus nerka away from Dworshak Dam. We tested one set of nine strobe lights flashing at a rate of 360 flashes/min in front of turbine 3 while operating at higher discharges than previously tested. The density and distribution of fish, (thought to be mostly kokanee), were monitored with a split-beam echo sounder. We then compared fish counts and densities during nights when the lights were flashing to counts and densities during adjacent nights without the lights on. On five nights between January 31 andmore » February 28, 2006, when no lights were present, fish counts near turbine 3 averaged eight fish and densities averaged 91 fish/ha. When strobe lights were turned on during five adjacent nights during the same period, mean counts dropped to four fish and densities dropped to 35 fish/ha. The decline in counts (49%) was not statistically significant (p = 0.182), but decline in densities (62%) was significant (p = 0.049). There appeared to be no tendency for fish to habituate to the lights during the night. Test results indicated that strobe lights were able to reduce fish densities by at least 50% in front of turbines operating at higher discharges, which would be sufficient to improve sportfish harvest. We also used split-beam hydroacoustics to monitor the kokanee population in Dworshak Reservoir during 2005. Estimated abundance of kokanee decreased from the 2004 population estimate. Based on hydroacoustic surveys, we estimated 3,011,626 kokanee (90% CI {+-} 15.2%) in Dworshak Reservoir, July 2005. This included 2,135,986 age-0 (90% CI {+-} 15.9%), 769,175 age-1 (90% CI {+-} 16.0%), and 107,465 age-2 (90% CI {+-} 15.2%). Poor survival of kokanee from age-1 to age-2 continued to keep age-2 densities below the management goal of 30-50 adults/ha. Entrainment sampling was conducted with fixed-site split-beam hydroacoustics a minimum of two days per month for a continuous 24 h period when dam operations permitted. The highest fish detection rates from entrainment assessments were again found during nighttime periods and lowest during the day. Fish detection rates were low during high discharges throughout the spring and summer and highest during low discharges in September and November. High discharge during drawdowns for anadromous fish flows in July and August again resulted in low detection rates and susceptibility to entrainment. Index counts of spawning kokanee in four tributary streams totaled 12,742 fish. This data fits the previously developed relationship between spawner counts and adult kokanee abundance in the reservoir.« less

The difference of drainage channel dimensions at Kopelma Darussalam on the land with and without the use of Bio Pores

NASA Astrophysics Data System (ADS)

Yulianur, Alfiansyah; Fauzi, Amir; Humaira, Zaitun

2018-05-01

The changes of land use and diminishing of open field that persistently occur are projected to cause rates acceleration of runoff, which decreases the opportunity for rainwater to infiltrate. It has an impact on the surface runoff into the channels, which eventually may lead to overflow and inundate the surrounding area. Some efforts are required to increase the infiltration of rainfall. Thus, bio pore could be one of the most effective methods to be implemented. The objective of this study is to evaluate the effect of bio pore towards the reduction of runoff discharge into the drainage channel and to determine whether that reduction could lead to effectively lessen the channels’ dimension. This study is commenced at Kopelma Darussalam in the southern part where there were several spots that submerged by inundation flood during the rainy season, namely Sektor Timur area. Rational modification formula is used to calculate the surface runoff discharge on the land without the use of bio pore. Meanwhile, runoff discharge on the land with the use of bio pores is calculated by the use of water balance formula. The number of bio pores that have planned in Sektor Timur area is 3350 bio pores with the diameter of each is ∅10 cm and 80 cm in depth. The result indicates that those bio pores can reduce the runoff discharge on average of 27% and its’ reduction lead to the decrease of drainage channel dimension for the average of 26.9%.

Analysis of the relationship between economic growth and industrial pollution in Zaozhuang, China-based on the hypothesis of the environmental Kuznets curve.

PubMed

Liu, Xiao-Hui; Wang, Wei-Liang; Lu, Shao-Yong; Wang, Yu-Fan; Ren, Zongming

2016-08-01

In Zaozhuang, economic development affects the discharge amount of industrial wastewater, chemical oxygen demand (COD), and ammonia nitrogen (NH3-N). To reveal the trend of water environmental quality related to the economy in Zaozhuang, this paper simulated the relationships between industrial wastewater discharge, COD, NH3-N load, and gross domestic product (GDP) per capita for Zaozhuang (2002-2012) using environmental Kuznets curve (EKC) models. The results showed that the added value of industrial GDP, the per capita GDP, and wastewater emission had average annual growth rates of 16.62, 16.19, and 17.89 %, respectively, from 2002 to 2012, while COD and NH3-N emission in 2012, compared with 2002, showed average annual decreases of 10.70 and 31.12 %, respectively. The export of EKC models revealed that industrial wastewater discharge had a typical inverted-U-shaped relationship with per capita GDP. However, both COD and NH3-N showed the binding curve of the left side of the "U" curve and left side U-shaped curve. The economy in Zaozhuang had been at the "fast-growing" stage, with low environmental pollution according to the industrial pollution level. In recent years, Zaozhuang has abated these heavy-pollution industries emphatically, so pollutants have been greatly reduced. Thus, Zaozhuang industrial wastewater treatment has been quite effective, with water quality improved significantly. The EKC models provided scientific evidence for estimating industrial wastewater discharge, COD, and NH3-N load as well as their changeable trends for Zaozhuang from an economic perspective.

Ground water recharge and discharge in the central Everglades

USGS Publications Warehouse

Harvey, Judson W.; Krupa, Steven L.; Krest, James M.

2004-01-01

Rates of ground water recharge and discharge are not well known in the central Everglades. Here we report estimates of ground water recharge and discharge at 15 sites in the Everglades Nutrient Removal Project and in Water Conservation Area 2A (WCA-2A), along with measurements of hydraulic properties of peat at 11 sites. A simple hydrogeologic simulation was used to assess how specific factors have influenced recharge and discharge. Simulations and measurements agreed that the highest values of recharge and discharge occur within 600 m of levees, the result of ground water flow beneath levees. There was disagreement in the interior wetlands of WCA-2A (located > 1000 m from levees) where measurements of recharge and discharge were substantially higher than simulated fluxes. A five-year time series (1997 to 2002) of measured fluxes indicated that recharge and discharge underwent reversals in direction on weekly, monthly, and annual timescales at interior sites in WCA-2A. Ground water discharge tended to occur during average to moderately dry conditions when local surface water levels were decreasing. Recharge tended to occur during moderately wet periods or during very dry periods just as water levels began to increase following precipitation or in response to a pulse of surface water released from water-control structures by water managers. Discharge also tended to occur at sites in the wetland interior for ∼1 week preceding the arrival of the surface water pulse. We conclude that ground water recharge and discharge vary cyclically in the interior wetlands of the central Everglades, driven by the differential responses of surface water and ground water to annual, seasonal, and weekly trends in precipitation and operation of water-control structures.

The Lassen hydrothermal system

USGS Publications Warehouse

Ingebritsen, Steven E.; Bergfeld, Deborah; Clor, Laura; Evans, William C.

2016-01-01

The active Lassen hydrothermal system includes a central vapor-dominated zone or zones beneath the Lassen highlands underlain by ~240 °C high-chloride waters that discharge at lower elevations. It is the best-exposed and largest hydrothermal system in the Cascade Range, discharging 41 ± 10 kg/s of steam (~115 MW) and 23 ± 2 kg/s of high-chloride waters (~27 MW). The Lassen system accounts for a full 1/3 of the total high-temperature hydrothermal heat discharge in the U.S. Cascades (140/400 MW). Hydrothermal heat discharge of ~140 MW can be supported by crystallization and cooling of silicic magma at a rate of ~2400 km3/Ma, and the ongoing rates of heat and magmatic CO2 discharge are broadly consistent with a petrologic model for basalt-driven magmatic evolution. The clustering of observed seismicity at ~4–5 km depth may define zones of thermal cracking where the hydrothermal system mines heat from near-plastic rock. If so, the combined areal extent of the primary heat-transfer zones is ~5 km2, the average conductive heat flux over that area is >25 W/m2, and the conductive-boundary length <50 m. Observational records of hydrothermal discharge are likely too short to document long-term transients, whether they are intrinsic to the system or owe to various geologic events such as the eruption of Lassen Peak at 27 ka, deglaciation beginning ~18 ka, the eruptions of Chaos Crags at 1.1 ka, or the minor 1914–1917 eruption at the summit of Lassen Peak. However, there is a rich record of intermittent hydrothermal measurement over the past several decades and more-frequent measurement 2009–present. These data reveal sensitivity to climate and weather conditions, seasonal variability that owes to interaction with the shallow hydrologic system, and a transient 1.5- to twofold increase in high-chloride discharge in response to an earthquake swarm in mid-November 2014.

An optimized network for phosphorus load monitoring for Lake Okeechobee, Florida

USGS Publications Warehouse

Gain, W.S.

1997-01-01

Phosphorus load data were evaluated for Lake Okeechobee, Florida, for water years 1982 through 1991. Standard errors for load estimates were computed from available phosphorus concentration and daily discharge data. Components of error were associated with uncertainty in concentration and discharge data and were calculated for existing conditions and for 6 alternative load-monitoring scenarios for each of 48 distinct inflows. Benefit-cost ratios were computed for each alternative monitoring scenario at each site by dividing estimated reductions in load uncertainty by the 5-year average costs of each scenario in 1992 dollars. Absolute and marginal benefit-cost ratios were compared in an iterative optimization scheme to determine the most cost-effective combination of discharge and concentration monitoring scenarios for the lake. If the current (1992) discharge-monitoring network around the lake is maintained, the water-quality sampling at each inflow site twice each year is continued, and the nature of loading remains the same, the standard error of computed mean-annual load is estimated at about 98 metric tons per year compared to an absolute loading rate (inflows and outflows) of 530 metric tons per year. This produces a relative uncertainty of nearly 20 percent. The standard error in load can be reduced to about 20 metric tons per year (4 percent) by adopting an optimized set of monitoring alternatives at a cost of an additional $200,000 per year. The final optimized network prescribes changes to improve both concentration and discharge monitoring. These changes include the addition of intensive sampling with automatic samplers at 11 sites, the initiation of event-based sampling by observers at another 5 sites, the continuation of periodic sampling 12 times per year at 1 site, the installation of acoustic velocity meters to improve discharge gaging at 9 sites, and the improvement of a discharge rating at 1 site.

Using the Electronic Medical Record to Enhance Physician-Nurse Communication Regarding Patients' Discharge Status.

PubMed

Driscoll, Molly; Gurka, David

2015-01-01

The fast-paced environment of hospitals contributes to communication failures between health care providers while impacting patient care and patient flow. An effective mechanism for sharing patients' discharge information with health care team members is required to improve patient throughput. The communication of a patient's discharge plan was identified as crucial in alleviating patient flow delays at a tertiary care, academic medical center. By identifying the patients who were expected to be discharged the following day, the health care team could initiate discharge preparations in advance to improve patient care and patient flow. The patients' electronic medical record served to convey dynamic information regarding the patients' discharge status to the health care team via conditional discharge orders. Two neurosciences units piloted a conditional discharge order initiative. Conditional discharge orders were designed in the electronic medical record so that the conditions for discharge were listed in a dropdown menu. The health care team was trained on the conditional discharge order protocol, including when to write them, how to find them in the patients' electronic medical record, and what actions should be prompted by these orders. On average, 24% of the patients discharged had conditional discharge orders written the day before discharge. The average discharge time for patients with conditional discharge orders decreased by 83 minutes (0.06 day) from baseline. Qualitatively, the health care team reported improved workflows with conditional orders. The conditional discharge orders allowed physicians to communicate pending discharges electronically to the multidisciplinary team. The initiative positively impacted patient discharge times and workflows.

Hypertension treatment intensification among stroke survivors with uncontrolled blood pressure.

PubMed

Roumie, Christianne L; Zillich, Alan J; Bravata, Dawn M; Jaynes, Heather A; Myers, Laura J; Yoder, Joseph; Cheng, Eric M

2015-02-01

We examined blood pressure 1 year after stroke discharge and its association with treatment intensification. We examined the systolic blood pressure (SBP) stratified by discharge SBP (≤140, 141-160, or >160 mm Hg) among a national cohort of Veterans discharged after acute ischemic stroke. Hypertension treatment opportunities were defined as outpatient SBP >160 mm Hg or repeated SBPs >140 mm Hg. Treatment intensification was defined as the proportion of treatment opportunities with antihypertensive changes (range, 0%-100%, where 100% indicates that each elevated SBP always resulted in medication change). Among 3153 patients with ischemic stroke, 38% had ≥1 elevated outpatient SBP eligible for treatment intensification in the 1 year after stroke. Thirty percent of patients had a discharge SBP ≤140 mm Hg, and an average 1.93 treatment opportunities and treatment intensification occurred in 58% of eligible visits. Forty-seven percent of patients discharged with SBP 141 to160 mm Hg had an average of 2.1 opportunities for intensification and treatment intensification occurred in 60% of visits. Sixty-three percent of the patients discharged with an SBP >160 mm Hg had an average of 2.4 intensification opportunities, and treatment intensification occurred in 65% of visits. Patients with discharge SBP >160 mm Hg had numerous opportunities to improve hypertension control. Secondary stroke prevention efforts should focus on initiation and review of antihypertensives before acute stroke discharge; management of antihypertensives and titration; and patient medication adherence counseling. © 2014 American Heart Association, Inc.

Discharge rate measurements in a canal using radiotracer methods.

PubMed

Pant, H J; Goswami, Sunil; Biswal, Jayashree; Samantray, J S; Sharma, V K

2016-06-01

Discharge rates of water were measured in a canal using radiotracer methods with an objective to validate the efficacy of Concrete Volute Pumps (CVPs) installed at various pumping stations along the canal. Pulse velocity and dilution methods were applied to measure the discharge rates using Iodine-131 as a radiotracer. The discharge rate measured in one of the sections of the canal using the pulse velocity method was found to be 22.5m(3)/s, whereas the discharge rates measured using the dilution method in four different sections of the canal varied from 20.27 to 20.62m(3)/s with single CVP in operation. The standard error in discharge rate measurements using dilution method ranged from ±1.1 to ±1.8%. The experimentally measured values of the discharge rate were in good agreement with the design value of the discharge rate (20m(3)/s) thus validating the performance of the CVPs used in the canal. Copyright © 2016 Elsevier Ltd. All rights reserved.

On the derivation of flow rating curves in data-scarce environments

NASA Astrophysics Data System (ADS)

Manfreda, Salvatore

2018-07-01

River monitoring is a critical issue for hydrological modelling that relies strongly on the use of flow rating curves (FRCs). In most cases, these functions are derived by least-squares fitting which usually leads to good performance indices, even when based on a limited range of data that especially lack high flow observations. In this context, cross-section geometry is a controlling factor which is not fully exploited in classical approaches. In fact, river discharge is obtained as the product of two factors: 1) the area of the wetted cross-section and 2) the cross-sectionally averaged velocity. Both factors can be expressed as a function of the river stage, defining a viable alternative in the derivation of FRCs. This makes it possible to exploit information about cross-section geometry limiting, at least partially, the uncertainty in the extrapolation of discharge at higher flow values. Numerical analyses and field data confirm the reliability of the proposed procedure for the derivation of FRCs.

The component content of active particles in a plasma-chemical reactor based on volume barrier discharge

NASA Astrophysics Data System (ADS)

Soloshenko, I. A.; Tsiolko, V. V.; Pogulay, S. S.; Terent'yeva, A. G.; Bazhenov, V. Yu; Shchedrin, A. I.; Ryabtsev, A. V.; Kuzmichev, A. I.

2007-02-01

In this paper the results of theoretical and experimental studies of the component content of active particles formed in a plasma-chemical reactor composed of a multiple-cell generator of active particles, based on volume barrier discharge, and a working chamber are presented. For calculation of the content of uncharged plasma components an approach is proposed which is based on averaging of the power introduced over the entire volume. Advantages of such an approach lie in an absence of fitting parameters, such as the dimensions of microdischarges, their surface density and rate of breakdown. The calculation and the experiment were accomplished with the use of dry air (20% relative humidity) as the plasma generating medium. Concentrations of O3, HNO3, HNO2, N2 O5 and NO3 were measured experimentally in the discharge volume and working chamber for the residence time of particles on a discharge of 0.3 s and more and discharge specific power of 1.5 W cm-3. It has been determined that the best agreement between the calculation and the experiment occurs at calculated gas medium temperatures in the discharge plasma of about 400-425 K, which correspond to the experimentally measured rotational temperature of nitrogen. In most cases the calculated concentrations of O3, HNO3, HNO2, N2O5 and NO3 for the barrier discharge and the working chamber are in fairly good agreement with the respective measured values.

Enhanced submarine ground water discharge form mixing of pore water and estuarine water

USGS Publications Warehouse

Martin, Jonathan B.; Cable, Jaye E.; Swarzenski, Peter W.; Lindenberg, Mary K.

2004-01-01

Submarine ground water discharge is suggested to be an important pathway for contaminants from continents to coastal zones, but its significance depends on the volume of water and concentrations of contaminants that originate in continental aquifers. Ground water discharge to the Banana River Lagoon, Florida, was estimated by analyzing the temporal and spatial variations of Cl− concentration profiles in the upper 230 cm of pore waters and was measured directly by seepage meters. Total submarine ground water discharge consists of slow discharge at depths > ∼70 cm below seafloor (cmbsf) of largely marine water combined with rapid discharge of mixed pore water and estuarine water above ∼70 cmbsf. Cl− profiles indicate average linear velocities of ∼0.014 cm/d at depths > ∼70 cmbsf. In contrast, seepage meters indicate water discharges across the sediment-water interface at rates between 3.6 and 6.9 cm/d. The discrepancy appears to be caused by mixing in the shallow sediment, which may result from a combination of bioirrigation, wave and tidal pumping, and convection. Wave and tidal pumping and convection would be minor because the tidal range is small, the short fetch of the lagoon limits wave heights, and large density contacts are lacking between lagoon and pore water. Mixing occurs to ∼70 cmbsf, which represents depths greater than previously reported. Mixing of oxygenated water to these depths could be important for remineralization of organic matter.

Evidence of equilibrium peak runoff rates in steep tropical terrain on the island of Dominica during Tropical Storm Erika, August 27, 2015

NASA Astrophysics Data System (ADS)

Ogden, Fred L.

2016-11-01

Tropical Storm Erika was a weakly organized tropical storm when its center of circulation passed more than 150 km north of the island of Dominica on August 27, 2015. Hurricane hunter flights had difficulty finding the center of circulation as the storm encountered a high shear environment. Satellite and radar observations showed gyres imbedded within the broader circulation. Radar observations from Guadeloupe show that one of these gyres formed in convergent mid-level flow triggered by orographic convection over the island of Dominica. Gauge-adjusted radar rainfall data indicated between 300 and 750 mm of rainfall on Dominica, most of it over a four hour period. The result was widespread flooding, destruction of property, and loss of life. The extremity of the rainfall on steep watersheds covered with shallow soils was hypothesized to result in near-equilibrium runoff conditions where peak runoff rates equal the watershed-average peak rainfall rate minus a small constant loss rate. Rain gauge adjusted radar rainfall estimates and indirect peak discharge (IPD) measurements from 16 rivers at watershed areas ranging from 0.9 to 31.4 km2 using the USGS Slope-Area method allowed testing of this hypothesis. IPD measurements were compared against the global envelope of maximum observed flood peaks versus drainage area and against simulations using the U.S. Army Corps of Engineers Gridded Surface/Subsurface Hydrologic Analysis (GSSHA) model to detect landslide-affected peak flows. Model parameter values were estimated from the literature. Reasonable agreement was found between GSSHA simulated peak flows and IPD measurements in some watersheds. Results showed that landslide dam failure affected peak flows in 5 of the 16 rivers, with peak flows significantly greater than the envelope curve values for the flood of record for like-sized watersheds on the planet. GSSHA simulated peak discharges showed that the remaining 11 peak flow values were plausible. Simulations of an additional 24 watersheds ranging in size from 2.2 to 75.4 km2 provided confirmation that the IPD measurements varied from 40 to nearly 100% of the envelope curve value depending on storm-total rainfall. Results presented in this paper support the hypothesis that on average, the peak discharges scaled linearly with drainage area, and the constant of proportionality was equivalent to 134 mm h-1, or a unit discharge of 37.22 m3 s-1 km-2. The results also indicate that after the available watershed storage was filled after approximately 450-500 mm of rain fell, runoff efficiencies exceeded 50-60%, and peak runoff rates were more than 80% of the peak rainfall rate minus a small constant loss rate of 20 mm h-1. These findings have important implications for design of resilient infrastructure, and means that rainfall rate was the primary determinant of peak flows once the available storage was filled in the absences of landslide dam failure.

Simulation of ground-water discharge to Biscayne Bay, southeastern Florida

USGS Publications Warehouse

Langevin, Christian David

2001-01-01

As part of the Place-Based Studies Program, the U.S. Geological Survey initiated a project in 1996, in cooperation with the U.S. Army Corps of Engineers, to quantify the rates and patterns of submarine ground-water discharge to Biscayne Bay. Project objectives were achieved through field investigations at three sites (Coconut Grove, Deering Estate, and Mowry Canal) along the coastline of Biscayne Bay and through the development and calibration of variable-density, ground-water flow models. Two-dimensional, vertical cross-sectional models were developed for steady-state conditions for the Coconut Grove and Deering Estate transects to quantify local-scale ground-water discharge patterns to Biscayne Bay. A larger regional-scale model was developed in three dimensions to simulate submarine ground-water discharge to the entire bay. The SEAWAT code, which is a combined version of MODFLOW and MT3D, was used to simulate the complex variable-density flow patterns. Field data suggest that ground-water discharge to Biscayne Bay relative to the shoreline is restricted to within 300 meters at Coconut Grove, 600 to 1,000 meters at Deering Estate, and 100 meters at Mowry Canal. The vertical cross-sectional models, which were calibrated to the field data using the assumption of steady state, tend to focus ground-water discharge to within 50 to 200 meters of the shoreline. With homogeneous distributions for aquifer parameters and a constant-concentration boundary for Biscayne Bay, the numerical models could not reproduce the lower ground-water salinities observed beneath the bay, which suggests that further research may be necessary to improve the accuracy of the numerical simulations. Results from the cross-sectional models, which were able to simulate the approximate position of the saltwater interface, suggest that longitudinal dispersivity ranges between 1 and 10 meters, and transverse dispersivity ranges from 0.1 to 1 meter for the Biscayne aquifer. The three-dimensional, regional-scale model was calibrated to ground-water heads, canal baseflow, and the general position of the saltwater interface for nearly a 10-year period from 1989 to 1998. The mean absolute error between observed and simulated head values is 0.15 meter. The mean absolute error between observed and simulated baseflow is 3 x 105 cubic meters per day. The position of the simulated saltwater interface generally matches the position observed in the field, except for areas north of the Miami Canal where the simulated saltwater interface is located about 5 kilometers inland of the observed saltwater interface. Results from the regional-scale model suggest that the average rate of fresh ground-water discharge to Biscayne Bay for the 10-year period (1989-98) is about 2 x 105 cubic meters per day for 100 kilometers of coastline. This simulated discharge rate is about 6 percent of the measured surface-water discharge to Biscayne Bay for the same period. The model also suggests that nearly 100 percent of the fresh ground-water discharge is to the northern half of Biscayne Bay, north of the Cutler Drain Canal. South of the Cutler Drain Canal, coastal lowlands prevent the water table from rising high enough to drive measurable quantities of ground water to Biscayne Bay. Annual variations in sea-level elevation, which can be as large as 0.3 meter, have a substantial effect on rates of ground-water discharge. During 1989-98, simulated rates of ground-water discharge to Biscayne Bay generally are highest when sea level is relatively low.

Fast track surgery: a clinical audit.

PubMed

Carter, Jonathan; Szabo, Rebecca; Sim, Wee Wee; Pather, Selvan; Philp, Shannon; Nattress, Kath; Cotterell, Stephen; Patel, Pinki; Dalrymple, Chris

2010-04-01

Fast track surgery is a concept that utilises a variety of techniques to reduce the surgical stress response, allowing a shortened length of stay, improved outcomes and decreased time to full recovery. To evaluate a peri-operative Fast Track Surgical Protocol (FTSP) in patients referred for abdominal surgery. All patients undergoing a laparotomy over a 12-month period were entered prospectively on a clinical database. Data were retrospectively analysed. Over the study period, 72 patients underwent a laparotomy. Average patient age was 54 years and average weight and BMI were 67.2 kg and 26 respectively. Sixty three (88%) patients had a vertical midline incision (VMI). There were no intraoperative blood transfusions. The median length of stay (LOS) was 3.0 days. Thirty eight patients (53%) were discharged on or before post op day 3, seven (10%) of whom were discharged on postoperative day 2. On stepwise regression analysis, the following were found to be independently associated with reduced LOS: able to tolerate early enteral nutrition, good performance status, use of COX inhibitor and transverse incision. In comparison with colleagues at the SGOG not undertaking FTS for their patients, the authors' LOS was lower and the RANZCOG modified Quality Indicators (QI's) did not demonstrate excess morbidity. Patients undergoing fast track surgery can be discharged from hospital with a reduced LOS, without an increased readmission rate and with comparative outcomes to non-fast tracked patients.

The comparative analysis of the current-meter method and the pressure-time method used for discharge measurements in the Kaplan turbine penstocks

NASA Astrophysics Data System (ADS)

Adamkowski, A.; Krzemianowski, Z.

2012-11-01

The paper presents experiences gathered during many years of utilizing the current-meter and pressure-time methods for flow rate measurements in many hydropower plants. The integration techniques used in these both methods are different from the recommendations contained in the relevant international standards, mainly from the graphical and arithmetical ones. The results of the comparative analysis of both methods applied at the same time during the hydraulic performance tests of two Kaplan turbines in one of the Polish hydropower plant are presented in the final part of the paper. In the case of the pressure-time method application, the concrete penstocks of the tested turbines required installing a special measuring instrumentation inside the penstock. The comparison has shown a satisfactory agreement between the results of discharge measurements executed using the both considered methods. Maximum differences between the discharge values have not exceeded 1.0 % and the average differences have not been greater than 0.5 %.

Variations in costs for the care of low-birth-weight infants among academic hospitals.

PubMed

Herrod, Henry G; Chang, Cyril F; Steinberg, Stephanie S

2010-05-01

To determine the relative role that academic hospitals (AHs) play in providing neonatal care for low-birth-weight infants within a single state and to determine if there are variations in inpatient costs for neonatal services among AHs. Retrospective analysis of hospital costs for low-birth-weight infants. Cases were identified using 2003-2005 data from the Tennessee Hospital Discharge Data System. A specific focus was discharge data from the 5 AHs that support obstetrical residencies and have a neonatal intensive care unit. Cases included all discharged infants with a birth weight of <2500 grams. The 5 AHs discharged 18% of the total normal-birth-weight infants and 30% of the low-birth-weight infants for the entire state. AHs had higher costs associated with these infants than did other hospitals, with a single exception The difference in costs at this hospital was consistent with the finding of lower utilization rates of hospital services, a shorter average length of stay, and lower costs for infants insured by the state Medicaid program. Academic obstetrical hospitals discharged a disproportionately high percentage of low-birth-weight infants compared with other Tennessee hospitals. The lower costs observed in the Shelby County hospital indicates that other hospitals could potentially lower their costs for the care of low-birth-weight infants.

Tectonic control of erosion in the southern Central Andes

NASA Astrophysics Data System (ADS)

Val, Pedro; Venerdini, Agostina L.; Ouimet, William; Alvarado, Patricia; Hoke, Gregory D.

2018-01-01

Landscape evolution modeling and global compilations of exhumation data indicate that a wetter climate, mainly through orographic rainfall, can govern the spatial distribution of erosion rates and crustal strain across an orogenic wedge. However, detecting this link is not straightforward since these relationships can be modulated by tectonic forcing and/or obscured by heavy-tailed frequencies of catchment discharge. This study combines new and published along-strike average rates of catchment erosion constrained by 10Be and river-gauge data in the Central Andes between 28°S and 36°S. These data reveal a nearly identical latitudinal pattern in erosion rates on both sides of the range, reaching a maximum of 0.27 mm/a near 34°S. Collectively, data on topographic and fluvial relief, variability of rainfall and discharge, and crustal seismicity suggest that the along-strike pattern of erosion rates in the southern Central Andes is largely independent of climate, but closely relates to the N-S distribution of shallow crustal seismicity and diachronous surface uplift. The consistently high erosion rates on either side of the orogen near 34°S imply that climate plays a secondary role in the mass flux through an orogenic wedge where the perturbation to base level is similar on both sides.

Fast repetition rate (FRR) flasher

DOEpatents

Kolber, Z.; Falkowski, P.

1997-02-11

A fast repetition rate (FRR) flasher is described suitable for high flash photolysis including kinetic chemical and biological analysis. The flasher includes a power supply, a discharge capacitor operably connected to be charged by the power supply, and a flash lamp for producing a series of flashes in response to discharge of the discharge capacitor. A triggering circuit operably connected to the flash lamp initially ionizes the flash lamp. A current switch is operably connected between the flash lamp and the discharge capacitor. The current switch has at least one insulated gate bipolar transistor for switching current that is operable to initiate a controllable discharge of the discharge capacitor through the flash lamp. Control means connected to the current switch for controlling the rate of discharge of the discharge capacitor thereby to effectively keep the flash lamp in an ionized state between successive discharges of the discharge capacitor. Advantageously, the control means is operable to discharge the discharge capacitor at a rate greater than 10,000 Hz and even up to a rate greater than about 250,000 Hz. 14 figs.

Hydrothermal Solute Flux from Ebeko Volcanic Center, Paramushir, Kuril Islands

NASA Astrophysics Data System (ADS)

Taran, Y.; Kalacheva, E.; Kotenko, T.; Chaplygin, I.

2014-12-01

Ebeko volcano on the northern part of Paramushir Island, Northern Kurils, is characterized by frequent phreatic eruptions, a strong low-temperature fumarolic activity at the summit and was the object of comprehensive volcanological and geochemical studies during the last half a century. The volcanic center is composed of several Pleistocene volcanic structures aadjacent to Ebeko and hosts a hydrothermal system with a high outflow rate of hot SO4-Cl acidic water (Upper Yurieva springs) with the current maximum temperature of ~85oC, pH 1.3 and TDS ~ 10 g/L. All discharging thermal waters are drained by the Yurieva River to the Sea of Okhotsk. The hot springs have been changing in time, generally decreasing their activity from near boiling in 1960s, with TDS ~ 20 g/L and the presence of a small steaming field at the upper part of the ~ 700 m long discharging area, to a much lower discharge rate of main vents, lower temperature and the absence of the steaming ground. The spring chemistry did not react to the Ebeko volcanic activity (14 strong phreato-magmatic events during the last 60 years).The total measured outputs of chloride and sulfur from the system last time (2006-2010) were estimated on average as 730 g/s and 980 g/s, respectively, which corresponds to the equivalent fluxes of 64 t/d of HCl and 169 t/d of SO2. These values are higher than the fumarolic volatile output from Ebeko. The estimated discharge rate of hot (85oC) water from the system with ~ 3500 ppm of chloride is about 0.3 m3/s which is much higher than the thermal water discharge from El Chichon or Copahue volcano-hydrothermal systems and among the highest hot water natural outputs ever measured for a volcano-hydrothermal system. We also report the chemical composition (major and ~ 60 trace elements including REE) of water from the main hot spring vents and the Yurieva river mouth.

A stage-normalized function for the synthesis of stage-discharge relations for the Colorado River in Grand Canyon, Arizona

USGS Publications Warehouse

Wiele, Stephen M.; Torizzo, Margaret

2003-01-01

A method was developed to construct stage-discharge rating curves for the Colorado River in Grand Canyon, Arizona, using two stage-discharge pairs and a stage-normalized rating curve. Stage-discharge rating curves formulated with the stage-normalized curve method are compared to (1) stage-discharge rating curves for six temporary stage gages and two streamflow-gaging stations developed by combining stage records with modeled unsteady flow; (2) stage-discharge rating curves developed from stage records and discharge measurements at three streamflow-gaging stations; and (3) stages surveyed at known discharges at the Northern Arizona Sand Bar Studies sites. The stage-normalized curve method shows good agreement with field data when the discharges used in the construction of the rating curves are at least 200 cubic meters per second apart. Predictions of stage using the stage-normalized curve method are also compared to predictions of stage from a steady-flow model.

Stochastic modeling of central apnea events in preterm infants.

PubMed

Clark, Matthew T; Delos, John B; Lake, Douglas E; Lee, Hoshik; Fairchild, Karen D; Kattwinkel, John; Moorman, J Randall

2016-04-01

A near-ubiquitous pathology in very low birth weight infants is neonatal apnea, breathing pauses with slowing of the heart and falling blood oxygen. Events of substantial duration occasionally occur after an infant is discharged from the neonatal intensive care unit (NICU). It is not known whether apneas result from a predictable process or from a stochastic process, but the observation that they occur in seemingly random clusters justifies the use of stochastic models. We use a hidden-Markov model to analyze the distribution of durations of apneas and the distribution of times between apneas. The model suggests the presence of four breathing states, ranging from very stable (with an average lifetime of 12 h) to very unstable (with an average lifetime of 10 s). Although the states themselves are not visible, the mathematical analysis gives estimates of the transition rates among these states. We have obtained these transition rates, and shown how they change with post-menstrual age; as expected, the residence time in the more stable breathing states increases with age. We also extrapolated the model to predict the frequency of very prolonged apnea during the first year of life. This paradigm-stochastic modeling of cardiorespiratory control in neonatal infants to estimate risk for severe clinical events-may be a first step toward personalized risk assessment for life threatening apnea events after NICU discharge.

A uniform laminar air plasma plume with large volume excited by an alternating current voltage

NASA Astrophysics Data System (ADS)

Li, Xuechen; Bao, Wenting; Chu, Jingdi; Zhang, Panpan; Jia, Pengying

2015-12-01

Using a plasma jet composed of two needle electrodes, a laminar plasma plume with large volume is generated in air through an alternating current voltage excitation. Based on high-speed photography, a train of filaments is observed to propagate periodically away from their birth place along the gas flow. The laminar plume is in fact a temporal superposition of the arched filament train. The filament consists of a negative glow near the real time cathode, a positive column near the real time anode, and a Faraday dark space between them. It has been found that the propagation velocity of the filament increases with increasing the gas flow rate. Furthermore, the filament lifetime tends to follow a normal distribution (Gaussian distribution). The most probable lifetime decreases with increasing the gas flow rate or decreasing the averaged peak voltage. Results also indicate that the real time peak current decreases and the real time peak voltage increases with the propagation of the filament along the gas flow. The voltage-current curve indicates that, in every discharge cycle, the filament evolves from a Townsend discharge to a glow one and then the discharge quenches. Characteristic regions including a negative glow, a Faraday dark space, and a positive column can be discerned from the discharge filament. Furthermore, the plasma parameters such as the electron density, the vibrational temperature and the gas temperature are investigated based on the optical spectrum emitted from the laminar plume.

Photogrammetric discharge monitoring of small tropical mountain rivers - A case study at Rivière des Pluies, Réunion island

NASA Astrophysics Data System (ADS)

Stumpf, André; Augereau, Emmanuel; Delacourt, Christophe; Bonnier, Julien

2016-04-01

Reliable discharge measurements are indispensable for an effective management of natural water resources and floods. Limitations of classical current meter profiling and stage-discharge ratings have stimulated the development of more accurate and efficient gauging techniques. While new discharge measurements technologies such as acoustic doppler current profilers and large-scale image particle velocimetry (LSPIV) have been developed and tested in numerous studies, the continuous monitoring of small mountain rivers and discharge dynamics during strong meteorological events remains challenging. More specifically LSPIV studies are often focused on short-term measurements during flood events and there are still very few studies that address its use for long-term monitoring of small mountain rivers. To fill this gap this study targets the development and testing of largely autonomous photogrammetric discharge measurement system with a special focus on the application to small mountain river with high discharge variability and a mobile riverbed in the tropics. It proposes several enhancements among previous LSPIV methods regarding camera calibration, more efficient processing in image geometry, the automatic detection of the water level as well as the statistical calibration and estimation of the discharge from multiple profiles. To account for changes in the bed topography the riverbed is surveyed repeatedly during the dry seasons using multi-view photogrammetry or terrestrial laser scanners. The presented case study comprises the analysis of several thousand videos spanning over two and a half year (2013-2015) to test the robustness and accuracy of different processing steps. An analysis of the obtained results suggests that the quality of the camera calibration reaches a sub-pixel accuracy. The median accuracy of the watermask detections is F1=0.82, whereas the precision is systematically higher than the recall. The resulting underestimation of the water surface area and level leads to a systematic underestimation of the discharge and error rates of up to 25 %. However, the bias can be effectively removed using a least-square cross-calibration which reduces the error to a MAE of 6.39% and a maximum error of 16.18%. Those error rates are significantly lower than the uncertainties among multiple profiles (30%) and illustrate the importance of the spatial averaging from multiple measurements. The study suggests that LSPIV can already be considered as a valuable tool for the monitoring of torrential flows, whereas further research is still needed to fully integrate night-time observation and stereo-photogrammetric capabilities.

A Simple Mechanism for Fractionating Oxygen Isotopes in the Solar Nebula

NASA Technical Reports Server (NTRS)

Nuth, Joseph A., III; Johnson, N. M.

2009-01-01

Lightning in the Solar Nebula is caused by the tribo-electric charging of dust grains carried by massive turbulent flows and driven by the accretion energy in the disk: it has long been one agent assumed responsible for the formation of chondrules. The degree to which charge separation can occur is dependent upon a number of factors, including the concentration of radioactive sources and the total level of ionization in the nebula, and these factors determine the maximum energy likely to be released by a single bolt. While chondrule formation requires a massive discharge, even a small lightning bolt can vaporize grains in the ionized discharge channel. Experimental studies have shown that silica, iron silicate and iron oxide grains formed from a high voltage discharge in hydrogen rich gas containing some oxygen produces solids that are enriched in O-17 and O-18 relative to the composition of the starting gas. Vaporization of silicates produces SiO, metal and free oxygen atoms in each discharge and these species will immediately begin to recondense from the hot plasma. Freshly condensed grains are incrementally enriched in heavy oxygen while the gas is enriched in O-16. Repeated evaporation and condensation of silicates in continuously occurring lightning discharges will monotonically increase the fractionation of oxygen isotopes between the O-17 and O-18 rich dust and the O-16 rich gas. The first mass independently fractionated refractory oxide particles were produced in the lab following the condensation of a flowing gas mixture containing variable amounts of hydrogen, silane, pentacarbonyl iron and oxygen that passed through a high voltage discharge powered by a Tesla coil. While the exact chemical pathway is still uncertain, the most probable reaction mechanisms involve oxidation of the growing refractory clusters by O3, OH or O atoms. This model has some interesting consequences for chemical processes in the early solar nebula. Chemical fractionation of recondensed dust evaporated via lightning discharges should be strongly time dependent. At earlier times, the accretion rate is maximal, thus driving strong turbulence, energetic grain-grain collisions, tribo-electric charging and charge separation, leading to frequent, powerful lightning discharges. As the accretion rate diminishes, turbulence decreases and lightning discharges will become both less powerful and less frequent, thus decreasing the rate of dust-gas fractionation. The most rapid increase in the formation of O-16 poor dust will occur early in nebular history. Generation of fractionated dust should be distributed throughout the inner disk. Once condensed, grain dispersal would average out any significant isotopic anomalies within the inner disk.

Excluded Facility Financial Status and Options for Payment System Modification

PubMed Central

Schneider, John E.; Cromwell, Jerry; McGuire, Thomas P.

1993-01-01

Psychiatric, rehabilitation, long-term care, and children's facilities have remained under the reimbursement system established under the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (Public Law 97-248). The number of TEFRA facilities and discharges has been increasing while their average profit rates have been steadily declining. Modifying TEFRA would require either rebasing the target amount or adjusting cost sharing for facilities exceeding their cost target. Based on our simulations of alternative payment systems, we recommend rebasing facilities' target amounts using a 50/50 blend of own costs and national average costs. Cost sharing above the target amount could be increased to include more government sharing of losses. PMID:10135345

The rate and pattern of bed incision and bank adjustment on the Colorado River in Glen Canyon downstream from Glen Canyon Dam, 1956-2000

USGS Publications Warehouse

Grams, P.E.; Schmidt, J.C.; Topping, D.J.

2007-01-01

Closure of Glen Canyon Dam in 1963 transformed the Colorado River by reducing the magnitude and duration of spring floods, increasing the magnitude of base flows, and trapping fine sediment delivered from the upper watershed. These changes caused the channel downstream in Glen Canyon to incise, armor, and narrow. This study synthesizes over 45 yr of channel-change measurements and demonstrates that the rate and style of channel adjustment are directly related to both natural processes associated with sediment deficit and human decisions about dam operations. Although bed lowering in lower Glen Canyon began when the first cofferdam was installed in 1959, most incision occurred in 1965 in conjunction with 14 pulsed high flows that scoured an average of 2.6 m of sediment from the center of the channel. The average grain size of bed material has increased from 0.25 mm in 1956 to over 20 mm in 1999. The magnitude of incision at riffles decreases with distance downstream from the dam, while the magnitude of sediment evacuation from pools is spatially variable and extends farther downstream. Analysis of bed-material mobility indicates that the increase in bed-material grain size and reduction in reach-average gradient are consistent with the transformation of an adjustable-bed alluvial river to a channel with a stable bed that is rarely mobilized. Decreased magnitude of peak discharges in the post-dam regime coupled with channel incision and the associated downward shifts of stage-discharge relations have caused sandbar and terrace erosion and the transformation of previously active sandbars and gravel bars to abandoned deposits that are no longer inundated. Erosion has been concentrated in a few pre-dam terraces that eroded rapidly for brief periods and have since stabilized. The abundance of abandoned deposits decreases downstream in conjunction with decreasing magnitude of shift in the stage-discharge relations. In the downstream part of the study area where riffles controlling channel elevation have not incised, channel narrowing has resulted from decreased magnitude of peak discharges and minor post-dam deposition. These physical changes to the aquatic and riparian systems have supported the establishment and success of an artifact ecosystem dominated by non-native species. Models for the channel response downstream from large dams typically consider factors such as the degree of sediment deficit, the pre-dam surface and subsurface grain size, and the magnitude of post-dam average flows. These results suggest that it is also necessary to consider (1) the possibility of variable responses among different channel elements and (2) the potential importance of exceptional flows resulting from management decisions. ?? 2007 Geological Society of America.

Development of an impulsive noise source to study the acoustic reflection characteristics of hard-walled wind tunnels

NASA Technical Reports Server (NTRS)

Salikuddin, M.; Burrin, R. H.; Ahuja, K. K.; Bartel, H. W.

1986-01-01

Two impulsive sound sources, one using multiple acoustic drivers and the other using a spark discharge were developed to study the acoustic reflection characteristics of hard-walled wind tunnels, and the results of laboratory tests are presented. The analysis indicates that though the intensity of the pulse generated by the spark source was higher than that obtained from the acoustic source, the number of averages needed for a particular test may require an unacceptibly long tunnel-run time due to the low spark generation repeat rate because of capacitor charging time. The additional hardware problems associated with the longevity of electrodes and electrode holders in sustaining the impact of repetitive spark discharges, show the multidriver acoustic source to be more suitable for this application.

Water temperature behaviour in the River Loire since 1976 and 1881

NASA Astrophysics Data System (ADS)

Moatar, Florentina; Gailhard, Joël

2006-05-01

Analysis of monthly mean river temperatures, recorded on an hourly basis in the middle reaches of the Loire since 1976, allows reconstruction by multiple linear regression of the annual, spring and summer water temperatures from equivalent information on air temperatures and river discharge. Since 1881, the average annual and summer temperatures of the Loire have risen by approximately 0.8 °C, this increase accelerating since the late 1980s due to the rise in air temperature and also to lower discharge rates. In addition, the thermal regime in the Orleans to Blois reach is considerably affected by the inflow of groundwater from the Calcaires de Beauce aquifer, as shown by the summer energy balance. To cite this article: F. Moatar, J. Gailhard, C. R. Geoscience 338 (2006).

A single surgeon's experience with contact laser vaporization of the prostate

NASA Astrophysics Data System (ADS)

Mueller, Edward J.

1995-05-01

Herein, I report on my first 50 contact laser prostatectomies performed with the SLT Nd:YAG laser. The obstructed prostatic urethra is opened via contact laser vaporization of the obstructing adenoma. The average pre-op AUA symptom score was 22.9 (range 14 - 30). The average 3 month post-op AUA symptom score was 2.1 (range 0 -8). Eighteen of the patients had the foley catheter removed approximately 4 - 6 hours post-op and were discharged the same day. Thirty patients had the foley catheter removed the morning following surgery and were discharged. And two patients had the foley catheter removed the morning following surgery, but remained in the hospital for medical reasons unrelated to the TURP. Thus, 48 (96%) of the patients were discharged within 24 hours of admission. No patient had to be readmitted to the hospital for any reason. All patients were allowed to return to full activity within 24 hours of discharge. The average hospital cost for the 48 patients discharged within 24 hours was DOL4,694. This compares to the average hospital cost of an electrocautery TURP of DOL6-8000. In summary, contact laser TURP using the SLT Nd:YAG laser relived the symptoms of an obstructing prostate comparable to electrocautery TURP. However, these results were achieved with a much shorter hospitalization, a quicker return to full activity and at a lower cost.

NiH2 Battery Reconditioning for LEO Applications

NASA Technical Reports Server (NTRS)

Armantrout, J. D.; Hafen, D. P.

1997-01-01

This paper summarizes reasons for and benefits of reconditioning nickel-hydrogen (NiH2) batteries used for Low Earth Orbit (LEO) applications. NiH2 battery cells do not have the classic discharge voltage problems more commonly associated with nickel-cadmium (NiCd) cells. This is due, in part, to use of hydrogen electrodes in place of cadmium electrodes. The nickel electrode, however, does have a similar discharge voltage signature for both cell designs. This can have an impact on LEO applications where peak loads at higher relative depths of discharge can impact operations. Periodic reconditioning provides information which can be used for analyzing long term performance trends to predict usable capacity to a specified voltage level. The reconditioning process described herein involves discharging NiH2 batteries at C/20 rates or less, to an average cell voltage of 1.0 volts or less. Recharge is performed at nominal C/5 rates to specified voltage/temperature (V/T) charge levels selected to restore required capacity with minimal overcharge. Reconditioning is a process of restoring reserve capacity lost on cycling, which is commonly called the memory effect in NiCd cells. This effect is characterized by decreases in the discharge voltage curve with operational life and cycling. The end effect of reconditioning NiH2 cells may be hidden in the versatility, of that design over the NiCd cell design and its associated negative electrode fading problem. The process of deep discharge at lower rates by way of reconditioning tends to redistribute electrolyte and water in the NiH2 cell electrode stack, while improving utilization and charge efficiency. NiH2 battery reconditioning effects on life are considered beneficial and may, in fact. extend life based on NiCd experience. In any case, usable capacity data obtained from reconditioning is required for performance evaluation and trend analysis. Characterization and life tests have provided the historical data base used to determine the need for reconditioning in most battery applications. The following sections briefly describe the background of NiH2 battery reconditioning and testing at Lockheed Martin Missiles & Space (LMMS) and other aerospace companies.

Screening-level estimates of mass discharge uncertainty from point measurement methods

EPA Science Inventory

The uncertainty of mass discharge measurements associated with point-scale measurement techniques was investigated by deriving analytical solutions for the mass discharge coefficient of variation for two simplified, conceptual models. In the first case, a depth-averaged domain w...

The impact of profitability of hospital admissions on mortality.

PubMed

Lindrooth, Richard C; Konetzka, R Tamara; Navathe, Amol S; Zhu, Jingsan; Chen, Wei; Volpp, Kevin

2013-04-01

Fiscal constraints faced by Medicare are leading to policies designed to reduce expenditures. Evidence of the effect of reduced reimbursement on the mortality of Medicare patients discharged from all major hospital service lines is limited. We modeled risk-adjusted 30-day mortality of patients discharged from 21 hospital service lines as a function of service line profitability, service line time trends, and hospital service line and year-fixed effects. We simulated the effect of alternative revenue-neutral reimbursement policies on mortality. Our sample included all Medicare discharges from PPS-eligible hospitals (1997, 2001, and 2005). The results reveal a statistically significant inverse relationship between changes in profitability and mortality. A $0.19 average reduction in profit per $1.00 of costs led to a 0.010-0.020 percentage-point increase in mortality rates (p < .001). Mortality in newly unprofitable service lines is significantly more sensitive to reduced payment generosity than in service lines that remain profitable. Policy simulations that target service line inequities in payment generosity result in lower mortality rates, roughly 700-13,000 fewer deaths nationally. The policy simulations raise questions about the trade-offs implicit in universal reductions in reimbursement. The effect of reduced payment generosity on mortality could be mitigated by targeting highly profitable services only for lower reimbursement. © Health Research and Educational Trust.

The Impact of Profitability of Hospital Admissions on Mortality

PubMed Central

Lindrooth, Richard C; Konetzka, R Tamara; Navathe, Amol S; Zhu, Jingsan; Chen, Wei; Volpp, Kevin

2013-01-01

Background Fiscal constraints faced by Medicare are leading to policies designed to reduce expenditures. Evidence of the effect of reduced reimbursement on the mortality of Medicare patients discharged from all major hospital service lines is limited. Methods We modeled risk-adjusted 30-day mortality of patients discharged from 21 hospital service lines as a function of service line profitability, service line time trends, and hospital service line and year-fixed effects. We simulated the effect of alternative revenue-neutral reimbursement policies on mortality. Our sample included all Medicare discharges from PPS-eligible hospitals (1997, 2001, and 2005). Results The results reveal a statistically significant inverse relationship between changes in profitability and mortality. A $0.19 average reduction in profit per $1.00 of costs led to a 0.010–0.020 percentage-point increase in mortality rates (p < .001). Mortality in newly unprofitable service lines is significantly more sensitive to reduced payment generosity than in service lines that remain profitable. Policy simulations that target service line inequities in payment generosity result in lower mortality rates, roughly 700–13,000 fewer deaths nationally. Conclusions The policy simulations raise questions about the trade-offs implicit in universal reductions in reimbursement. The effect of reduced payment generosity on mortality could be mitigated by targeting highly profitable services only for lower reimbursement. PMID:23346946

Ozone production using dielectric barrier discharge in oxygen and carbon dioxide

NASA Astrophysics Data System (ADS)

Pontiga, Francisco; Abidat, Roukia; Moreno, Helena; Agustín, Fernández-Rueda; Rebiaï, Saida

2015-09-01

The generation of ozone in oxygen and carbon dioxide using a planar dielectric barrier discharge (DBD) has been experimentally investigated. The DBD reactor was operated at moderate voltages (4.2 to 5.6 kV) and frequencies (50 to 500 Hz) and the gas flow rate was varied in the range 50 to 200 cm3/min. The averaged consumed power (<1 W) was evaluated using a monitor capacitor of known capacitance (1 μF). The effluent gas from the DBD reactor was diverted to a gas cell situated inside the sample compartment of a UV spectrophotometer. Therefore, ozone concentration was determined from the measurement of absorbance using Beer-Lambert law. The results have shown that ozone concentration in oxygen grows very linearly with the input power. In contrast, the production of ozone in carbon dioxide is less regular, which may be due to the deposition of a thin layer over the stainless steel electrode during the application of the electrical discharge. Moreover, the rate of ozone production with the injected energy density was found to be 500 times weaker in carbon dioxide than in pure oxygen. This work was supported by the Spanish Government Agency ``Ministerio de Ciencia e Innovación'' under Contract No. FIS2011-25161.

Application of acoustical methods for estimating water flow and constituent loads in Perdido Bay, Florida

USGS Publications Warehouse

Grubbs, J.W.; Pittman, J.R.

1997-01-01

Water flow and quality data were collected from December 1994 to September 1995 to evaluate variations in discharge, water quality, and chemical fluxes (loads) through Perdido Bay, Florida. Data were collected at a cross section parallel to the U.S. Highway 98 bridge. Discharges measured with an acoustic Doppler current profiler (ADCP) and computed from stage-area and velocity ratings varied roughly between + or - 10,000 cubic feet per second during a typical tidal cycle. Large reversals in flow direction occurred rapidly (less than 1 hour), and complete reversals (resulting in near peak net-upstream or downstream discharges) occurred within a few hours of slack water. Observations of simultaneous upstream and downstream flow (bidirectional flow) were quite common in the ADCP measurements, with opposing directions of flow occurring predominantly in vertical layers. Continuous (every 15 minutes) discharge data were computed for the period from August 18, 1995, to September 28, 1995, and filtered daily mean discharge values were computed for the period from August 19 to September 26, 1995. Data were not computed prior to August 18, 1995, either because of missing data or because the velocity rating was poorly defined (because of insufficient data) for the period prior to landfall of hurricane Erin (August 3, 1995). The results of the study indicate that acoustical techniques can yield useful estimates of continuous (instantaneous) discharge in Perdido Bay. Useful estimates of average daily net flow rates can also be obtained, but the accuracy of these estimates will be limited by small rating shifts that introduce bias into the instantaneous values that are used to compute the net flows. Instantaneous loads of total nitrogen ranged from -180 to 220 grams per second for the samples collected during the study, and instantaneous loads of total phosphorous ranged from -10 to 11 grams per second (negative loads indicate net upstream transport). The chloride concentrations from the water samples collected from Perdido Bay indicated a significant amount of mixing of saltwater and freshwater. Mixing effects could greatly reduce the accuracy of estimates of net loads of nutrients or other substances. The study results indicate that acoustical techniques can yield acceptable estimates of instantaneous loads in Perdido Bay. However, estimates of net loads should be interpreted with great caution and may have unacceptably large errors, especially when saltwater and freshwater concentrations differ greatly.

Streamflow simulation studies of the Hillsborough, Alafia, and Anclote Rivers, west-central Florida

USGS Publications Warehouse

Turner, J.F.

1979-01-01

A modified version of the Georgia Tech Watershed Model was applied for the purpose of flow simulation in three large river basins of west-central Florida. Calibrations were evaluated by comparing the following synthesized and observed data: annual hydrographs for the 1959, 1960, 1973 and 1974 water years, flood hydrographs (maximum daily discharge and flood volume), and long-term annual flood-peak discharges (1950-72). Annual hydrographs, excluding the 1973 water year, were compared using average absolute error in annual runoff and daily flows and correlation coefficients of monthly and daily flows. Correlations coefficients for simulated and observed maximum daily discharges and flood volumes used for calibrating range from 0.91 to 0.98 and average standard errors of estimate range from 18 to 45 percent. Correlation coefficients for simulated and observed annual flood-peak discharges range from 0.60 to 0.74 and average standard errors of estimate range from 33 to 44 percent. (Woodard-USGS)

Browns Ferry Nuclear Plant Unit 2: Control rod drive scram discharge headers decontamination effort

DOE Office of Scientific and Technical Information (OSTI.GOV)

Traynor, J.C.

1983-08-01

The control rod drive (CRD) scram discharge headers were decontaminated during the Browns Ferry unit 2, cycle 4 refueling outage (August 2-5, 1982). Hydrolasing (high-pressure water blasting) was used as the method of decontamination to remove fixed and loose radioactive contaminants from the headers. It was found that hydrolasing of the west scram discharge headers resulted in approximate maximum and average decontamination factors (DFs) on contact of 13 and 5, respectively. For the east scram discharge headers, hydrolasing resulted in a maximum and average DF on contact of approximately 3. The maximum and average DFs on contact for the individualmore » headers ranged from 1 to 33 and 1 to 10, respectively, while the walkway (head-level) DFs were in the range of 3 to 4. Higher DFs were impeded by inadequate drainage and backwashing of fluid. This led to increased radiation levels in some areas and recontamination of adjacent headers.« less

Conceptual and numerical modeling approach of the Guarani Aquifer System

NASA Astrophysics Data System (ADS)

Rodríguez, L.; Vives, L.; Gomez, A.

2013-01-01

In large aquifers, relevant for their considerable size, regional groundwater modeling remains challenging given geologic complexity and data scarcity in space and time. Yet, it may be conjectured that regional scale groundwater flow models can help in understanding the flow system functioning and the relative magnitude of water budget components, which are important for aquifer management. The Guaraní Aquifer System is the largest transboundary aquifer in South America. It contains an enormous volume of water; however, it is not well known, being difficult to assess the impact of exploitation currently used to supply over 25 million inhabitants. This is a sensitive issue because the aquifer is shared by four countries. Moreover, an integrated groundwater model, and therefore a global water balance, were not available. In this work, a transient regional scale model for the entire aquifer based upon five simplified, equally plausible conceptual models represented by different hydraulic conductivity parametrizations is used to analyze the flow system and water balance components. Combining an increasing number of hydraulic conductivity zones and an appropriate set of boundary conditions, the hypothesis of a continuous sedimentary unit yielded errors within the calibration target in a regional sense. The magnitude of the water budget terms resulted very similar for all parametrizations. Recharge and stream/aquifer fluxes were the dominant components representing, on average, 84.2% of total inflows and 61.4% of total outflows, respectively. However, leakage was small compared to stream discharges of main rivers. For instance, the simulated average leakage for the Uruguay River was 8 m3 s-1 while the observed absolute minimum discharge was 382 m3 s-1. Streams located in heavily pumped regions switched from a gaining condition in early years to a losing condition over time. Water is discharged through the aquifer boundaries, except at the eastern boundary. On average, pumping represented 16.2% of inflows while aquifer storage experienced a small overall increment. The model water balance indicates that the current rate of groundwater withdrawals does not exceed the rate of recharge in a regional sense.

Dietary intake, nutritional status and rehabilitation outcomes of stroke patients in hospital.

PubMed

Nip, W F R; Perry, L; McLaren, S; Mackenzie, A

2011-10-01

Nutrition affects rehabilitation through its influence on physical and mental functioning, although little attention has been paid to effects on rehabilitation outcomes. The present study aimed to describe nutritional status and food consumption in stroke patients within 2 weeks of hospital admission and before discharge, as well as to investigate the effects of nutritional and dietary factors on rehabilitation outcomes. One hundred patients from a consecutive cohort admitted to a metropolitan hospital with acute stroke were recruited and assessed by a single researcher, with 38 reassessed at discharge. Nutritional status was assessed using Mini-Nutritional Assessment and anthropometric indices and dietary intake was assessed by 1-day weighed dietary records. Rehabilitation outcomes were changes in Barthel index scores and the rehabilitation efficiency index. Few (n = 9; 10%) consumed ≥100% of the estimated average requirement (EAR) for energy within 2 weeks of admission and 13 (33%) had energy intakes <50% of EAR before discharge. A small but increasing proportion (7% at admission, 13% at discharge) were identified as being malnourished across the inpatient stay. Younger age, lower Barthel index and a higher energy intake in the early stages of admission predicted the extent and rate of restoration of functional abilities by discharge (F = 7.503, P = 0.001; F = 14.558, P < 0.001). Given a general finding of nutritional deterioration identified for these patients, as well as the identification of energy intake as a modifiable influence on the extent and rate of recovery, there is clearly scope for the multidisciplinary development of nutritional support for stroke patients to improve rehabilitation outcomes. © 2011 The Authors. Journal of Human Nutrition and Dietetics © 2011 The British Dietetic Association Ltd.

Survival Outcomes Following the Use of Extracorporeal Membrane Oxygenation as a Rescue Technology in Critically Ill Patients: Results From Pennsylvania 2007-2015.

PubMed

Huesch, Marco D; Foy, Andrew; Brehm, Christoph

2018-01-01

To examine real-world outcomes of survival, length of stay, and discharge destination, among all adult extracorporeal membrane oxygenation admissions in one state over nearly a decade. Retrospective analysis of administrative discharge data. State-wide administrative discharge data from Pennsylvania between 2007 and 2015. All 2,948 consecutive patients billed under a Diagnosis-Related Grouper 3 grouper and in whom a procedural code for extracorporeal membrane oxygenation was present, admitted between the beginning of 2007 and the end of 2015 to hospitals regulated by the state of Pennsylvania. Admitting diagnoses were coded as respiratory, cardiac, cardiac arrest, or uncategorized based on administrative data. Unadjusted in-hospital mortality, length of stay, and discharge destination. Summary statistics and tests of differences by age 65 years or older and by admitting diagnosis were performed. Outcomes by age were plotted using running-mean smoothed graphs. Over the 9-year period, the average observed death rate was 51.7%. Among all survivors, 14.6% went home to self-care and a further 15.2% to home health care. Of all survivors, 43.8% were readmitted within 1 month, and 60.6% within 1 year. Among elderly survivors, readmission rates were 52.3% and 65.5% within 1 month and 1 year, respectively. The likelihood of dying in-hospital increased with age that of being discharged home or to postacute care decreased. In a "usual clinical practice" setting, short-term outcomes are similar to those observed in clinical trials such as Conventional Ventilation or ECMO for Severe Adult Respiratory Failure, in registries such as extracorporeal life support organization, and in smaller single-site studies. More data on longer term follow-up are needed to allow clinicians to better inform patient selection and care.

Large rivers of the United States

USGS Publications Warehouse

Iseri, Kathleen T.; Langbein, Walter Basil

1974-01-01

Information on the flow of the 28 largest rivers in the United States is presented for the base periods 1931-60 and 1941-70. Drainage area, stream length, source, and mouth are included. Table 1 shows the average discharge at downstream gaging stations. Table 2 lists large rivers in order of average discharge at the mouth, based on the period 1941-70.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Koo, Ja-Kong; Do, Nam-Young

The K site near Seoul began landfilling in 1992. The landfilled wastes include municipal solid waste (66.4%), construction residues (20.4%), water and wastewater sludges (trace levels), and hazardous waste (trace levels). The water content of the municipal solid waste is very high (47.3%); as a result, the leachate level (average E.L.) of the landfill, the design value of which is 7.0 m, was measured at 10.3 m in January 1995 and is increasing. The increase of leachate level in the landfill site causes a problem with slope stability. The leachate level at each disposal stage divided by the intermediate covermore » layer was calculated with the HELP (Hydrologic Evaluation of Landfill Performance) model and calibrated with the data measured from February 1993 to June 1995. Also, the hydraulic conductivities of the waste layer and the intermediate cover layer in each stage were calibrated continuously with HELP model analysis. To verify these results, the total water balance in the landfill site was calculated using the infiltration rate calculated from HELP modeling. The leachate level was E.L. 10.0 m, which was close to the measured leachate level. To estimate the change of the leachate level in the future, the total water balances with different leachate discharge rates of 3,000, 3,500, and 5,000 m{sup 3}/day were analyzed. When the leachate discharge rate was 5,000 ton/day and the initial water content was decreased below 25%, the average leachate level was 10.8 m. This result satisfies the safety factor requirements (=1.3) for landfill slope stability. 4 refs., 8 figs., 1 tab.« less

Outcome and hospital cost for infants weighing less than 500 grams: a tertiary centre experience in Taiwan.

PubMed

Hsieh, Wu-Shiun; Jeng, Suh-Fang; Hung, Yi-Li; Chen, Pau-Chung; Chou, Hung-Chieh; Tsao, Po-Nien

2007-09-01

To determine the outcome and hospital cost for infants weighing < or =500 g at a tertiary centre in Taiwan. We retrospectively reviewed the medical records of infants who were born alive with birthweight < or =500 g at the National Taiwan University Hospital from 1997 to 2004. Their outcome and hospital cost were analysed. A total of 168 infants were included for analysis that 146 of them died after compassionate care in the delivery room and 22 received postnatal resuscitation. The infants who received resuscitation were more likely to have higher birthweights, older gestational ages and multiple births compared with those who received compassionate care. After resuscitation, five of the infants died and 17 were admitted to neonatal intensive care unit (NICU) for further management. Subsequently, 12 infants died and five infants survived to discharge. Two infants were discharged against advice and died within days. After exclusion of those receiving compassionate care, the NICU survival rate was 22.7% and the long-term survival rate was 13.6%. The most common early morbidities were respiratory distress syndrome, intraventricular haemorrhage and patent ductus arteriosus, whereas the late morbidities included cholestatic jaundice, retinopathy of prematurity and chronic lung disease. The average total hospital costs for the NICU survivors with birthweight < or =500 g was US $42,411 and the average hospital cost per day was US $350. Exclusive compassionate care was given to the majority of the infants weighing < or =500 g in Taiwan. The survival rate remained low in these marginally viable infants.

Average diurnal variation of summer lightning over the Florida peninsula

NASA Technical Reports Server (NTRS)

Maier, L. M.; Krider, E. P.; Maier, M. W.

1984-01-01

Data derived from a large network of electric field mills are used to determine the average diurnal variation of lightning in a Florida seacoast environment. The variation at the NASA Kennedy Space Center and the Cape Canaveral Air Force Station area is compared with standard weather observations of thunder, and the variation of all discharges in this area is compared with the statistics of cloud-to-ground flashes over most of the South Florida peninsula and offshore waters. The results show average diurnal variations that are consistent with statistics of thunder start times and the times of maximum thunder frequency, but that the actual lightning tends to stop one to two hours before the recorded thunder. The variation is also consistent with previous determinations of the times of maximum rainfall and maximum rainfall rate.

Rootless shield and perched lava pond collapses at Kīlauea Volcano, Hawai'i

USGS Publications Warehouse

Patrick, Matthew R.; Orr, Tim R.

2012-01-01

Effusion rate is a primary measurement used to judge the expected advance rate, length, and hazard potential of lava flows. At basaltic volcanoes, the rapid draining of lava stored in rootless shields and perched ponds can produce lava flows with much higher local effusion rates and advance velocities than would be expected based on the effusion rate at the vent. For several months in 2007–2008, lava stored in a series of perched ponds and rootless shields on Kīlauea Volcano, Hawai'i, was released episodically to produce fast-moving 'a'ā lava flows. Several of these lava flows approached Royal Gardens subdivision and threatened the safety of remaining residents. Using time-lapse image measurements, we show that the initial time-averaged discharge rate for one collapse-triggered lava flow was approximately eight times greater than the effusion rate at the vent. Though short-lived, the collapse-triggered 'a'ā lava flows had average advance rates approximately 45 times greater than that of the pāhoehoe flow field from which they were sourced. The high advance rates of the collapse-triggered lava flows demonstrates that recognition of lava accumulating in ponds and shields, which may be stored in a cryptic manner, is vital for accurately assessing short-term hazards at basaltic volcanoes.

Movement and dispersion of soluble pollutants in the Northeast Cape Fear Estuary, North Carolina

USGS Publications Warehouse

Hubbard, E.F.; Stamper, William G.

1972-01-01

This report presents the results of a fluorescent-dye-tracing study to determine the concentrations of a pollutant that would be present in the Northeast Cape Fear Estuary at various rates of continuous waste injection and freshwater inflow. Rhodamine WT dye was introduced into the estuary at a constant rate over a 24.8-hour period (two tidal cycles) at a point 6.4 miles upstream from the mouth in Wilmington, N.C., and concentrations were monitored at several selected sections in the tide-affected part of the river for 17 days. The range between high and low tide in this reach of the estuary averages at-rut 3.5 feet, and there is usually strong flow in both directions. Results of the dye study indicate that if a pollutant were injected at a rate of 100 pounds per day under the conditions of relatively low inflow existing' at the time, concentrations would ultimately build up to 20 micrograms of dye per liter of water 1,000 feet downstream. The flushing time during the study is estimated to be 17 days. These results are extrapolated to include periods of lower or higher inflow. For example, at average intervals of 10 years, it is estimated that inflow is so low that 100 days are required for a pollutant to travel the 6.4 miles from the point of waste release to the mouth of the river. Under these conditions it is expected that 1,000 feet downstream from the point of waste discharge, daily maximum concentrations will average about 130 micrograms per liter for each 100 pounds of pollutant injected per day. Results of a continuous discharge measurement of flow made by current meter during a complete tidal cycle are presented as a part of this report. Data from this measurement and other evidence indicate that net upstream flow in the estuary is possible over a period of several days.

Quantifying the Uncertainty in Discharge Data Using Hydraulic Knowledge and Uncertain Gaugings

NASA Astrophysics Data System (ADS)

Renard, B.; Le Coz, J.; Bonnifait, L.; Branger, F.; Le Boursicaud, R.; Horner, I.; Mansanarez, V.; Lang, M.

2014-12-01

River discharge is a crucial variable for Hydrology: as the output variable of most hydrologic models, it is used for sensitivity analyses, model structure identification, parameter estimation, data assimilation, prediction, etc. A major difficulty stems from the fact that river discharge is not measured continuously. Instead, discharge time series used by hydrologists are usually based on simple stage-discharge relations (rating curves) calibrated using a set of direct stage-discharge measurements (gaugings). In this presentation, we present a Bayesian approach to build such hydrometric rating curves, to estimate the associated uncertainty and to propagate this uncertainty to discharge time series. The three main steps of this approach are described: (1) Hydraulic analysis: identification of the hydraulic controls that govern the stage-discharge relation, identification of the rating curve equation and specification of prior distributions for the rating curve parameters; (2) Rating curve estimation: Bayesian inference of the rating curve parameters, accounting for the individual uncertainties of available gaugings, which often differ according to the discharge measurement procedure and the flow conditions; (3) Uncertainty propagation: quantification of the uncertainty in discharge time series, accounting for both the rating curve uncertainties and the uncertainty of recorded stage values. In addition, we also discuss current research activities, including the treatment of non-univocal stage-discharge relationships (e.g. due to hydraulic hysteresis, vegetation growth, sudden change of the geometry of the section, etc.).

Characterization of novel pin-hole based plasma source for generation of discharge in liquids supplied by DC non-pulsing voltage

NASA Astrophysics Data System (ADS)

Krčma, F.; Kozáková, Z.; Mazánková, V.; Horák, J.; Dostál, L.; Obradović, B.; Nikiforov, A.; Belmonte, T.

2018-06-01

A recently presented novel plasma source generating discharge in liquids based on the pin-hole discharge configuration is characterized in detail. The system is supplied by DC non-pulsing high voltage of both polarities in NaCl water solutions at a conductivity range of 100–15 000 μS/cm. The discharge itself shows self-pulsing operation. The discharge ignition is observed in micro bubbles by transient discharge followed by a glow discharge in positive polarity at lower conductivities propagating inside the bubbles. At high conductivities, the glow regime is particularly replaced by a more energetic sequence of transient discharges followed by a shorter glow mode operation. The transient regime probability and its intensity are higher in the negative discharge polarity. The transient discharge produces acoustic waves and shock waves, which are observed at the moment of the bubble cavitation. The average gas temperature of 700–1500 K was calculated from the lowest OH (A-X) 0-0 band transitions. The average electron concentrations of 1020–1023 m‑3 were calculated from H α and H β line profiles. Finally, the production of a chemically active species is determined by hydrogen peroxide energy yields related to the energy consumption of the whole interelectrode system. All these quantities are dependent on the solution conductivity, the discharge polarity, and the applied power.

Composite Cathodes for Dual-Rate Li-Ion Batteries

NASA Technical Reports Server (NTRS)

Whitacre, Jay; West, William; Bugga, Ratnakumar

2008-01-01

Composite-material cathodes that enable Li-ion electrochemical cells and batteries to function at both high energy densities and high discharge rates are undergoing development. Until now, using commercially available cathode materials, it has been possible to construct cells that have either capability for high-rate discharge or capability to store energy at average or high density, but not both capabilities. However, both capabilities are needed in robotic, standby-power, and other applications that involve duty cycles that include long-duration, low-power portions and short-duration, high-power portions. The electrochemically active ingredients of the present developmental composite cathode materials are: carbon-coated LiFePO4, which has a specific charge capacity of about 160 mA h/g and has been used as a high-discharge-rate cathode material and Li[Li(0.17)Mn(0.58)Ni(0.25)]O2, which has a specific charge capacity of about 240 mA h/g and has been used as a high-energy-density cathode material. In preparation for fabricating the composite material cathode described, these electrochemically active ingredients are incorporated into two sub-composites: a mixture comprising 10 weight percent of poly(vinylidine fluoride); 10 weight percent of carbon and 80 weight percent of carbon coated LiFePO4; and, a mixture comprising 10 weight percent of PVDF, and 80 weight percent of Li[Li(0.17)Mn(0.58)Ni(0.25)]O2. In the fabrication process, these mixtures are spray-deposited onto an aluminum current collector. Electrochemical tests performed thus far have shown that better charge/discharge performance is obtained when either 1) each mixture is sprayed on a separate area of the current collector or (2) the mixtures are deposited sequentially (in contradistinction to simultaneously) on the same current-collector area so that the resulting composite cathode material consists of two different sub-composite layers.

A modelling tool for capacity planning in acute and community stroke services.

PubMed

Monks, Thomas; Worthington, David; Allen, Michael; Pitt, Martin; Stein, Ken; James, Martin A

2016-09-29

Mathematical capacity planning methods that can take account of variations in patient complexity, admission rates and delayed discharges have long been available, but their implementation in complex pathways such as stroke care remains limited. Instead simple average based estimates are commonplace. These methods often substantially underestimate capacity requirements. We analyse the capacity requirements for acute and community stroke services in a pathway with over 630 admissions per year. We sought to identify current capacity bottlenecks affecting patient flow, future capacity requirements in the presence of increased admissions, the impact of co-location and pooling of the acute and rehabilitation units and the impact of patient subgroups on capacity requirements. We contrast these results to the often used method of planning by average occupancy, often with arbitrary uplifts to cater for variability. We developed a discrete-event simulation model using aggregate parameter values derived from routine administrative data on over 2000 anonymised admission and discharge timestamps. The model mimicked the flow of stroke, high risk TIA and complex neurological patients from admission to an acute ward through to community rehab and early supported discharge, and predicted the probability of admission delays. An increase from 10 to 14 acute beds reduces the number of patients experiencing a delay to the acute stroke unit from 1 in every 7 to 1 in 50. Co-location of the acute and rehabilitation units and pooling eight beds out of a total bed stock of 26 reduce the number of delayed acute admissions to 1 in every 29 and the number of delayed rehabilitation admissions to 1 in every 20. Planning by average occupancy would resulted in delays for one in every five patients in the acute stroke unit. Planning by average occupancy fails to provide appropriate reserve capacity to manage the variations seen in stroke pathways to desired service levels. An appropriate uplift from the average cannot be based simply on occupancy figures. Our method draws on long available, intuitive, but underused mathematical techniques for capacity planning. Implementation via simulation at our study hospital provided valuable decision support for planners to assess future bed numbers and organisation of the acute and rehabilitation services.

HMO market penetration and hospital cost inflation in California.

PubMed

Robinson, J C

1991-11-20

OBJECTIVE--Health maintenance organizations (HMOs) have stimulated price competition in California hospital markets since 1983, when the state legislature eliminated barriers to selective contracting by conventional health insurance plans. This study measures the impact of HMO-induced price competition on the rate of inflation in average cost per admission for 298 private, non-HMO hospitals between 1982 and 1988. DATA--HMO market penetration was calculated using discharge abstract data on insurance coverage, ZIP code of residence, and hospital of choice for 3.35 million patients in 1983 and 3.41 million patients in 1988. Data on hospital characteristics were obtained from the American Hospital Association and other sources. -HMO coverage grew from an average of 8.3% of all admissions in local hospital markets in 1983 to 17.0% of all admissions in 1988. The average rate of growth in costs per admission between 1982 and 1988 was 9.4% lower in markets with relatively high HMO penetration compared with markets with relatively low HMO penetration (95% confidence interval, 5.2 to 13.8). Cost savings for these 298 hospitals are estimated at $1.04 billion for 1988. CONCLUSION--Price competition between HMOs and conventional health insurers can significantly reduce hospital cost inflation if legislative barriers to selective contracting are removed. The impact of competition in California was modest, however, when evaluated in terms of the 74.5% average rate of California hospital cost inflation during these years.

Incidence Rates and Trend of Serious Farm-Related Injury in Minnesota, 2000-2011.

PubMed

Landsteiner, Adrienne M K; McGovern, Patricia M; Alexander, Bruce H; Lindgren, Paula G; Williams, Allan N

2015-01-01

Only about 2% of Minnesota's workers were employed in agriculture for the years 2005-2012, this small portion of the workforce accounted for 31% of the 563 work-related deaths that occurred in Minnesota during that same time period. Agricultural fatalities in Minnesota and elsewhere are well documented; however, nonfatal injuries are not. To explore the burden of injury, Minnesota hospital discharge data were used to examine rates and trends of farm injury for the years 2000-2011. Cases were identified through the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), injury codes and external cause of injury codes (E codes). Probable cases were defined as E code E849.1 (occurred on a farm) or E919.0 (involving agricultural machinery). Possible cases were based on five less specific E codes primarily involving animals or pesticides. Multiple data sources were used to estimate the agricultural population. An annual average of over 500 cases was identified as probable, whereas 2,000 cases were identified as possible. Trend analysis of all identified cases indicated a small but significant average annual increase of 1.5% for the time period 2000-2011. Probable cases were predominantly male (81.5%), whereas possible cases were predominantly female (63.9%). The average age of an injury case was 38.5 years, with the majority of injuries occurring in late summer and fall months. Despite the undercount of less serious injuries, hospital discharge data provide a meaningful data source for the identification and surveillance of nonfatal agricultural injuries. These methods could be utilized by other states for ongoing surveillance for nonfatal agricultural injuries.

Data Versus Information: Which Should We Distribute?

NASA Astrophysics Data System (ADS)

Haskin, Marvin E.; Haskin, Pamela H.; Laffey, Patricia A.; Teplick, J. George; Teplick, Steven K.; Satchell, Thomas; Ehmann, Mark; Auger, Arnold; McGinley, John

1985-09-01

The ultimate purpose of any PACs system is to improve the state of health of individuals and the community. The way one attempts to achieve this goal in our current environment will determine the design and performance specifications of any PACs system. Within the hospital environment, one must determine the functional requirements by understanding that a hospital is intrinsically a place for physicians. It is the referring physician who admits patients, determines their treatment, when the treatment is to be changed, and when the patient is to be discharged. The referring physician is the Chief Executive Officer of patient care. It is a reasonable goal of a diagnostic imaging and PACs systems to furnish timely and accurate information to the Chief Executive Officer of patient care. The role of the referring physician i.e., the C.E.O., is becoming even more critical within the changing economic environment of American medicine. DRG legislation has lead to the greatest change in American medicine since the introduction of Medicare. Previously we have been under a cost reimbursement formula whereby the more one spent the more reimbursement one got. With this cost reimbursement formula, elegant and expensive systems could be justified and actually be profitable. This is now changed. We are now going to be reimbursed by discharge diagnosis at a rate fixed at a national average. The average rate of reimbursement will be that of the 100-bed hospital since this, statistically, is the national average level. In addition, the DRG's impose financial penalties both in cost overruns and in excess length of stay. One of the goals, therefore, of any system would be to help decrease length of patients' stay so that profitability of the hospital can be maintained.

Analysis of the Magnitude and Frequency of Peak Discharges for the Navajo Nation in Arizona, Utah, Colorado, and New Mexico

USGS Publications Warehouse

Waltemeyer, Scott D.

2006-01-01

Estimates of the magnitude and frequency of peak discharges are necessary for the reliable flood-hazard mapping in the Navajo Nation in Arizona, Utah, Colorado, and New Mexico. The Bureau of Indian Affairs, U.S. Army Corps of Engineers, and Navajo Nation requested that the U.S. Geological Survey update estimates of peak discharge magnitude for gaging stations in the region and update regional equations for estimation of peak discharge and frequency at ungaged sites. Equations were developed for estimating the magnitude of peak discharges for recurrence intervals of 2, 5, 10, 25, 50, 100, and 500 years at ungaged sites using data collected through 1999 at 146 gaging stations, an additional 13 years of peak-discharge data since a 1997 investigation, which used gaging-station data through 1986. The equations for estimation of peak discharges at ungaged sites were developed for flood regions 8, 11, high elevation, and 6 and are delineated on the basis of the hydrologic codes from the 1997 investigation. Peak discharges for selected recurrence intervals were determined at gaging stations by fitting observed data to a log-Pearson Type III distribution with adjustments for a low-discharge threshold and a zero skew coefficient. A low-discharge threshold was applied to frequency analysis of 82 of the 146 gaging stations. This application provides an improved fit of the log-Pearson Type III frequency distribution. Use of the low-discharge threshold generally eliminated the peak discharge having a recurrence interval of less than 1.4 years in the probability-density function. Within each region, logarithms of the peak discharges for selected recurrence intervals were related to logarithms of basin and climatic characteristics using stepwise ordinary least-squares regression techniques for exploratory data analysis. Generalized least-squares regression techniques, an improved regression procedure that accounts for time and spatial sampling errors, then was applied to the same data used in the ordinary least-squares regression analyses. The average standard error of prediction for a peak discharge have a recurrence interval of 100-years for region 8 was 53 percent (average) for the 100-year flood. The average standard of prediction, which includes average sampling error and average standard error of regression, ranged from 45 to 83 percent for the 100-year flood. Estimated standard error of prediction for a hybrid method for region 11 was large in the 1997 investigation. No distinction of floods produced from a high-elevation region was presented in the 1997 investigation. Overall, the equations based on generalized least-squares regression techniques are considered to be more reliable than those in the 1997 report because of the increased length of record and improved GIS method. Techniques for transferring flood-frequency relations to ungaged sites on the same stream can be estimated at an ungaged site by a direct application of the regional regression equation or at an ungaged site on a stream that has a gaging station upstream or downstream by using the drainage-area ratio and the drainage-area exponent from the regional regression equation of the respective region.

Timeliness in discharge summary dissemination is associated with patients' clinical outcomes.

PubMed

Li, Jordan Y Z; Yong, Tuck Y; Hakendorf, Paul; Ben-Tovim, David; Thompson, Campbell H

2013-02-01

To determine the relation of the readmission rate of general medical patients to either the existence of a discharge summary or the timeliness of its dispatch. This was a retrospective study on discharge summaries of all discharges from the general medical service at a tertiary referral teaching hospital from January 2005 to December 2009. The main outcome measures were readmission rate to hospital within 7 or 28 days of discharge A total of 16 496 patient admissions were included in the analysis. Of these discharges, 3397 (20.6%) patients did not have a summary completed within a week of discharge. There were significant linear trends between patients' readmission rates within 7 (P < 0.001) or 28 days (P < 0.001) and categories reflecting the delay in dispatch of their discharge summaries. The absence of a discharge summary was associated with a 79% increase in the rate of readmission within 7 days [95% confidence interval (CI) 42 to 124% increase; P < 0.001] and a 37% increased rate of readmission within 28 days (95% CI 17 to 61% increase; P < 0.001). If aged less than 80 years, the absence of a discharge summary was associated with a 127% increase in readmission rate within 7 days (95% CI 72 to 202% increase; P < 0.001) and a 55% increase within 28 days (95% CI 25 to 91% increase; P < 0.001) after discharge. Delayed transmission or absence of a discharge summary is associated with readmission of the patient; more so in patients less than 80 years old. If no summary is generated by 7 days after discharge, the rate of readmission within 7 or 28 days after discharge is indistinguishable from no summary being written at all. © 2011 Blackwell Publishing Ltd.

Estimating 1970-99 average annual groundwater recharge in Wisconsin using streamflow data

USGS Publications Warehouse

Gebert, Warren A.; Walker, John F.; Kennedy, James L.

2011-01-01

Average annual recharge in Wisconsin for the period 1970-99 was estimated using streamflow data from U.S. Geological Survey continuous-record streamflow-gaging stations and partial-record sites. Partial-record sites have discharge measurements collected during low-flow conditions. The average annual base flow of a stream divided by the drainage area is a good approximation of the recharge rate; therefore, once average annual base flow is determined recharge can be calculated. Estimates of recharge for nearly 72 percent of the surface area of the State are provided. The results illustrate substantial spatial variability of recharge across the State, ranging from less than 1 inch to more than 12 inches per year. The average basin size for partial-record sites (50 square miles) was less than the average basin size for the gaging stations (305 square miles). Including results for smaller basins reveals a spatial variability that otherwise would be smoothed out using only estimates for larger basins. An error analysis indicates that the techniques used provide base flow estimates with standard errors ranging from 5.4 to 14 percent.

Quality Profiling at the TCM Hospital Bad Kötzting - Examples from an Ongoing Systematic Patient Documentation.

PubMed

Weidenhammer, Wolfgang; Melchart, Dieter

2016-01-01

Quality profiling is practiced at the TCM hospital Bad Kötzting since its establishment 25 years ago. The profiling comprises assessment of treatment effectiveness andsafety, structural features, staff qualification as well as diagnostic and therapeutic processes. Findings regarding patients, intervention and outcome profiles are presented by appropriate examples. Data of each in-patient were systematically collected by physicians and via self-reports at admission, discharge and follow-up. Over the years the system was adjusted several times resulting in a data pool of about 19,000 in-patients by end of 2014. Patients are 52 years old on average, 70% are female, and suffering from the main complaint since 7 years (median). The diagnostic spectrum changed over the years according to the development towards a psychosomatic focus. For TCM acupuncture therapy 222 different acupoints were used in 7.7 different localisations on average per individual treatment. The mean intensity of the main complaint decreased clinically relevant (Cohen's d = 1.11 at discharge and 0.93 at follow-up). After the hospital stay the number of days of sick leave declined from 51.3 days by 40% per patient and year. Depressive disorders as most common mental illness decreased significantly decreased significantly at discharge (ICD symptom rating; Cohen's d = -1.01). 29.8% of patients met the criteria for a metabolic syndrome diagnosis according to the International Diabetes Federation (IDF). In this group of cases, triglycerides, cholesterol and blood glucose improved markedly at discharge. The presented quality control measures clearly contribute to an enhanced transparency in terms of a comprehensive quality profile. The findings from various outcome parameters indicate that patients benefit from the treatment. © 2016 S. Karger GmbH, Freiburg.

Optimization of a hydrometric network extension using specific flow, kriging and simulated annealing

NASA Astrophysics Data System (ADS)

Chebbi, Afef; Kebaili Bargaoui, Zoubeida; Abid, Nesrine; da Conceição Cunha, Maria

2017-12-01

In hydrometric stations, water levels are continuously observed and discharge rating curves are constantly updated to achieve accurate river levels and discharge observations. An adequate spatial distribution of hydrological gauging stations presents a lot of interest in linkage with the river regime characterization, water infrastructures design, water resources management and ecological survey. Due to the increase of riverside population and the associated flood risk, hydrological networks constantly need to be developed. This paper suggests taking advantage of kriging approaches to improve the design of a hydrometric network. The context deals with the application of an optimization approach using ordinary kriging and simulated annealing (SA) in order to identify the best locations to install new hydrometric gauges. The task at hand is to extend an existing hydrometric network in order to estimate, at ungauged sites, the average specific annual discharge which is a key basin descriptor. This methodology is developed for the hydrometric network of the transboundary Medjerda River in the North of Tunisia. A Geographic Information System (GIS) is adopted to delineate basin limits and centroids. The latter are adopted to assign the location of basins in kriging development. Scenarios where the size of an existing 12 stations network is alternatively increased by 1, 2, 3, 4 and 5 new station(s) are investigated using geo-regression and minimization of the variance of kriging errors. The analysis of the optimized locations from a scenario to another shows a perfect conformity with respect to the location of the new sites. The new locations insure a better spatial coverage of the study area as seen with the increase of both the average and the maximum of inter-station distances after optimization. The optimization procedure selects the basins that insure the shifting of the mean drainage area towards higher specific discharges.

A Review of the Pollution Abatement Programs Relating to the Petroleum Refinery Industry in the Great Lakes Basin

DTIC Science & Technology

1982-11-01

of spent acids and caustics . The oil content of disposed wastes is 6,200 metric tons per year or approximately .01% of the average crude refinery rate...ALKYLATION "The major discharge from sulfuric acid alkylation are the spent caustics from the neutralization of hydrocarbon streams leaving the sulfuric... spent caustic waste stream. Any leaks or spills that involve loss of fluorides constitute a serious and difficult pollution problem. Formation of

Catchment-scale groundwater recharge and vegetation water use efficiency

NASA Astrophysics Data System (ADS)

Troch, P. A. A.; Dwivedi, R.; Liu, T.; Meira, A.; Roy, T.; Valdés-Pineda, R.; Durcik, M.; Arciniega, S.; Brena-Naranjo, J. A.

2017-12-01

Precipitation undergoes a two-step partitioning when it falls on the land surface. At the land surface and in the shallow subsurface, rainfall or snowmelt can either runoff as infiltration/saturation excess or quick subsurface flow. The rest will be stored temporarily in the root zone. From the root zone, water can leave the catchment as evapotranspiration or percolate further and recharge deep storage (e.g. fractured bedrock aquifer). Quantifying the average amount of water that recharges deep storage and sustains low flows is extremely challenging, as we lack reliable methods to quantify this flux at the catchment scale. It was recently shown, however, that for semi-arid catchments in Mexico, an index of vegetation water use efficiency, i.e. the Horton index (HI), could predict deep storage dynamics. Here we test this finding using 247 MOPEX catchments across the conterminous US, including energy-limited catchments. Our results show that the observed HI is indeed a reliable predictor of deep storage dynamics in space and time. We further investigate whether the HI can also predict average recharge rates across the conterminous US. We find that the HI can reliably predict the average recharge rate, estimated from the 50th percentile flow of the flow duration curve. Our results compare favorably with estimates of average recharge rates from the US Geological Survey. Previous research has shown that HI can be reliably estimated based on aridity index, mean slope and mean elevation of a catchment (Voepel et al., 2011). We recalibrated Voepel's model and used it to predict the HI for our 247 catchments. We then used these predicted values of the HI to estimate average recharge rates for our catchments, and compared them with those estimated from observed HI. We find that the accuracies of our predictions based on observed and predicted HI are similar. This provides an estimation method of catchment-scale average recharge rates based on easily derived catchment characteristics, such as climate and topography, and free of discharge measurements.

Bedrock river erosion measurements and modelling along a river of the Frontal Himalaya

NASA Astrophysics Data System (ADS)

Lave, Jerome; Dubille, Matthieu

2017-04-01

River incision is a key process in mountains denudation and therefore in landscape evolution models. Despite its importance, most incision models for mountain rivers rely on simplified, or quite empirical relations, and generally only consider annual average values for water discharge and sediment flux. In contrast, very few studies consider mechanistic models at the timescale of a flood, and try to bridge the gap between experimental or theoretical approaches and long term river incision studies. In this contribution, we present observations made during 7 monsoon seasons on fluvial bedrock erosion along the Bakeya river across the Frontal Himalaya in Central Nepal. Along its lower gorge, this river incises alternation of indurated sandstone and less resistant claystone, at Holocene rates larger than 10mm/yr. More importantly, its upper drainage mostly drains through non-cohesive conglomerate which allows, in this specific setting, estimating the bedload characteristics and instantaneous fluxes, i.e. a pre-requisite to test mechanistic models of fluvial erosion. During the study period, we monitored and documented the channel bank erosion in order to understand the amplitude of the erosion processes, their occurrence in relation with hydrology, in order to test time-integrated models of erosion. Besides hydrologic monitoring, erosion measurements were threefold: (1) at the scale of the whole monsoon, plucking and block removal by repeated photo surveys of a 400m long channel reach, (2) detailed microtopographic surveys of channel bedrock elevation along a few sandstone bars to document their abrasion, (3) real time measurement of fluvial bedrock wear to document erosion timing using a new erosion sensor. Results indicate that: 1. Erosion is highly dependent on rock resistance, but on average block detachment and removal is a more efficient process than bedrock attrition, and operates at a rate that permit channel banks downcutting to keep pace with Holocene uplift rate. 2. Both block detachment and attrition processes clearly increase with fluvial shear stress, but non-linearly, in particular through the existence of a minimum threshold. As a result of which bank erosion occur during only a few hours per year during short and very high flood events, which questions the use of average discharge (or drainage area) in many bedrock erosion models. We then propose a semi-physical model of sandstone bars abrasion based on discharge history (HEC-RAS modelling), Rouse suspension model, and experimental measurements on dependency of abrasion rate vs impacting particle size. This model predicts well the timing and the amplitude of both real-time and monsoon average abrasion along the surveyed sandstone bars. This first validation of a model for bank erosion opens large perspective for future work on channel bottom incision modelling using physical models of erosion and their time- and gravel-size-integration, with the objective to introduce more physical rules in landscape evolution models.

Estimation of total discharged mass from the phreatic eruption of Ontake Volcano, central Japan, on September 27, 2014

NASA Astrophysics Data System (ADS)

Takarada, Shinji; Oikawa, Teruki; Furukawa, Ryuta; Hoshizumi, Hideo; Itoh, Jun'ichi; Geshi, Nobuo; Miyagi, Isoji

2016-08-01

The total mass discharged by the phreatic eruption of Ontake Volcano, central Japan, on September 27, 2014, was estimated using several methods. The estimated discharged mass was 1.2 × 106 t (segment integration method), 8.9 × 105 t (Pyle's exponential method), and varied from 8.6 × 103 to 2.5 × 106 t (Hayakawa's single isopach method). The segment integration and Pyle's exponential methods gave similar values. The single isopach method, however, gave a wide range of results depending on which contour was used. Therefore, the total discharged mass of the 2014 eruption is estimated at between 8.9 × 105 and 1.2 × 106 t. More than 90 % of the total mass accumulated within the proximal area. This shows how important it is to include a proximal area field survey for the total mass estimation of phreatic eruptions. A detailed isopleth mass distribution map was prepared covering as far as 85 km from the source. The main ash-fall dispersal was ENE in the proximal and medial areas and E in the distal area. The secondary distribution lobes also extended to the S and NW proximally, reflecting the effects of elutriation ash and surge deposits from pyroclastic density currents during the phreatic eruption. The total discharged mass of the 1979 phreatic eruption was also calculated for comparison. The resulting volume of 1.9 × 106 t (using the segment integration method) indicates that it was about 1.6-2.1 times larger than the 2014 eruption. The estimated average discharged mass flux rate of the 2014 eruption was 1.7 × 108 kg/h and for the 1979 eruption was 1.0 × 108 kg/h. One of the possible reasons for the higher flux rate of the 2014 eruption is the occurrence of pyroclastic density currents at the summit area.

Postglacial eruptive history of the Askja region, North Iceland

NASA Astrophysics Data System (ADS)

Hartley, Margaret E.; Thordarson, Thorvaldur; de Joux, Alexandra

2016-04-01

Temporal variations in magma discharge rates on Iceland's neovolcanic rift zones have been associated with deglaciation. We have used tephrochronological and stratigraphic dating of 175 separate eruptive units to estimate volumetric output and reconstruct eruption rates in the Askja region over the postglacial period. We have identified 14 tephra layers that can be used as time marker horizons in the near vicinity of Askja, including the Vatnaöldur (871 ± 2 AD) tephra which has not previously been reported in surface cover profiles in this region. Our improved tephrochronological resolution indicates that, over the past c. 1,500 years, Askja has been significantly more active than has previously been recognised. A minimum of 39 km3 of basaltic magma has been erupted at Askja since the area became ice-free at around 10.3 ka. The absence of the 7.2 ka Hekla 5 tephra from the Askja region suggests that all postglacial lavas now exposed at the surface are younger than 7.2 ka. Time-averaged magma discharge rates at Askja were highest between 7.2 and 4.3 ka. However, the available tephrochronological resolution is not sufficient to resolve any peak in volcanic activity following deglaciation.

Isothermal calorimeter for measurements of time-dependent heat generation rate in individual supercapacitor electrodes

NASA Astrophysics Data System (ADS)

Munteshari, Obaidallah; Lau, Jonathan; Krishnan, Atindra; Dunn, Bruce; Pilon, Laurent

2018-01-01

Heat generation in electric double layer capacitors (EDLCs) may lead to temperature rise and reduce their lifetime and performance. This study aims to measure the time-dependent heat generation rate in individual carbon electrode of EDLCs under various charging conditions. First, the design, fabrication, and validation of an isothermal calorimeter are presented. The calorimeter consisted of two thermoelectric heat flux sensors connected to a data acquisition system, two identical and cold plates fed with a circulating coolant, and an electrochemical test section connected to a potentiostat/galvanostat system. The EDLC cells consisted of two identical activated carbon electrodes and a separator immersed in an electrolyte. Measurements were performed on three cells with different electrolytes under galvanostatic cycling for different current density and polarity. The measured time-averaged irreversible heat generation rate was in excellent agreement with predictions for Joule heating. The reversible heat generation rate in the positive electrode was exothermic during charging and endothermic during discharging. By contrast, the negative electrode featured both exothermic and endothermic heat generation during both charging and discharging. The results of this study can be used to validate existing thermal models, to develop thermal management strategies, and to gain insight into physicochemical phenomena taking place during operation.

Rapid, efficient charging of lead-acid and nickel-zinc traction cells

NASA Technical Reports Server (NTRS)

Smithrick, J. J.

1978-01-01

Lead-acid and nickel-zinc traction cells were rapidly and efficiently charged using a high rate tapered direct current (HRTDC) charge method which could possibly be used for on-the-road service recharge of electric vehicles. The HRTDC method takes advantage of initial high cell charge acceptance and uses cell gassing rate and temperature as an indicator of charging efficiency. On the average, in these preliminary tests, 300 amp-hour nickel-zinc traction cells were given a HRTDC (initial current 500 amps, final current 100 amps) to 78 percent of rated amp-hour capacity within 53 minutes at an amp-hour efficiency of 92 percent and an energy efficiency of 52 percent. Three hundred amp-hour lead-acid traction cells were charged to 69 percent of rated amp-hour capacity within 46 minutes at an amp-hour efficiency of 91 percent with an energy efficiency of 64 percent. In order to find ways to further decrease the recharge times, the effect of periodically (0 to 400 Hz) pulse discharging cells during a constant current charging process (94% duty cycle) was investigated. Preliminary data indicate no significant effect of this type of pulse discharging during charge on charge acceptance of lead-acid or nickel-zinc cells.

Ground-Water Occurrence and Contribution to Streamflow, Northeast Maui, Hawaii

USGS Publications Warehouse

Gingerich, Stephen B.

1999-01-01

The study area lies on the northern flank of the East Maui Volcano (Haleakala) and covers about 129 square miles between the drainage basins of Maliko Gulch to the west and Makapipi Stream to the east. About 989 million gallons per day of rainfall and 176 million gallons per day of fog drip reaches the study area and about 529 million gallons per day enters the ground-water system as recharge. Average annual ground-water withdrawal from wells totals only about 3 million gallons per day; proposed (as of 1998) additional withdrawals total about 18 million gallons per day. Additionally, tunnels and ditches of an extensive irrigation network directly intercept at least 10 million gallons per day of ground water. The total amount of average annual streamflow in gaged stream subbasins upstream of 1,300 feet altitude is about 255 million gallons per day and the total amount of average annual base flow is about 62 million gallons per day. Six major surface-water diversion systems in the study area have diverted an average of 163 million gallons per day of streamflow (including nearly all base flow of diverted streams) for irrigation and domestic supply in central Maui during 1925-97. Fresh ground water is found in two main forms. West of Keanae Valley, ground-water flow appears to be dominated by a variably saturated system. A saturated zone in the uppermost rock unit, the Kula Volcanics, is separated from a freshwater lens near sea level by an unsaturated zone in the underlying Honomanu Basalt. East of Keanae Valley, the ground-water system appears to be fully saturated above sea level to altitudes greater than 2,000 feet. The total average annual streamflow of gaged streams west of Keanae Valley is about 140 million gallons per day at 1,200 feet to 1,300 feet altitude. It is not possible to estimate the total average annual streamflow at the coast. All of the base flow measured in the study area west of Keanae Valley represents ground-water discharge from the high-elevation saturated zone. Total average daily ground-water discharge from the high-elevation saturated zone upstream of 1,200 feet altitude is greater than 38 million gallons per day, all of which is eventually removed from the streams by surface-water diversion systems. Perennial streamflow has been measured at altitudes greater than 3,000 feet in several of the streams. Discharge from the high-elevation saturated zone is persistent even during periods of little rainfall. The total average annual streamflow of the gaged streams east of Keanae Valley is about 109 million gallons per day at about 1,300 feet altitude. It is not possible to estimate the total average annual streamflow at the coast nor at higher altitudes. All of the base flow measured east of Keanae Valley represents ground-water discharge from the vertically extensive freshwater-lens system. Total average daily ground-water discharge to gaged streams upstream of 1,200 feet altitude is about 27 million gallons per day. About 19 million gallons per day of ground water discharges through the Kula and Hana Volcanics between about 500 feet and 1,300 feet altitude in the gaged stream sub-basins. About 13 million gallons per day of this discharge is in Hanawi Stream. The total ground-water discharge above 500 feet altitude in this part of the study area is greater than 56 million gallons per day.

Computing discharge using the index velocity method

USGS Publications Warehouse

Levesque, Victor A.; Oberg, Kevin A.

2012-01-01

Application of the index velocity method for computing continuous records of discharge has become increasingly common, especially since the introduction of low-cost acoustic Doppler velocity meters (ADVMs) in 1997. Presently (2011), the index velocity method is being used to compute discharge records for approximately 470 gaging stations operated and maintained by the U.S. Geological Survey. The purpose of this report is to document and describe techniques for computing discharge records using the index velocity method. Computing discharge using the index velocity method differs from the traditional stage-discharge method by separating velocity and area into two ratings—the index velocity rating and the stage-area rating. The outputs from each of these ratings, mean channel velocity (V) and cross-sectional area (A), are then multiplied together to compute a discharge. For the index velocity method, V is a function of such parameters as streamwise velocity, stage, cross-stream velocity, and velocity head, and A is a function of stage and cross-section shape. The index velocity method can be used at locations where stage-discharge methods are used, but it is especially appropriate when more than one specific discharge can be measured for a specific stage. After the ADVM is selected, installed, and configured, the stage-area rating and the index velocity rating must be developed. A standard cross section is identified and surveyed in order to develop the stage-area rating. The standard cross section should be surveyed every year for the first 3 years of operation and thereafter at a lesser frequency, depending on the susceptibility of the cross section to change. Periodic measurements of discharge are used to calibrate and validate the index rating for the range of conditions experienced at the gaging station. Data from discharge measurements, ADVMs, and stage sensors are compiled for index-rating analysis. Index ratings are developed by means of regression techniques in which the mean cross-sectional velocity for the standard section is related to the measured index velocity. Most ratings are simple-linear regressions, but more complex ratings may be necessary in some cases. Once the rating is established, validation measurements should be made periodically. Over time, validation measurements may provide additional definition to the rating or result in the creation of a new rating. The computation of discharge is the last step in the index velocity method, and in some ways it is the most straight-forward step. This step differs little from the steps used to compute discharge records for stage-discharge gaging stations. The ratings are entered into database software used for records computation, and continuous records of discharge are computed.

Design of a monitoring network and assessment of the pollution on the Lerma river and its tributaries by wastewaters disposal.

PubMed

Fall, C; Hinojosa-Peña, A; Carreño-de-León, M C

2007-02-01

While the 2005 progress report of the United Nations Millennium Development Goals stresses out the need of a dramatic increase in investment to meet the sanitation target in the third world, it is important to anticipate about some parallel negative impacts that may have this optimistic programme (extension of sewer networks without sufficient treatment works). Research was initiated on Lerma River (Mexico), subjected to many rejects disposal, to design a monitoring network and evaluate the impact of wastewaters on its water quality. The discharges was inventorized, geo-positioned with a GPS and mapped, while the physico-chemical characteristics of the river water, its tributaries and main rejects were evaluated. Microtox system was used as an additional screening tool. Along the 60 km of the High Course of Lerma River (HCLR), 51 discharges, with a diameter or width larger than 0.3 m (including 7 small tributaries) were identified. Based on the inventory, a monitoring network of 21 sampling stations in the river and 13 in the important discharges (>2 m) was proposed. A great similitude was found between the average characteristics of the discharges and the river itself, in both the wet and dry seasons. Oxygen was found exhausted (<0.5 mg/L) almost all along the high course of the river, with COD and TDS average levels of 390 and 1980 mg/L in the dry season, against 150 and 400 mg/L in the wet season. In the dry season, almost all the sites along the river revealed some toxicity to the bacteria test species (2.9 to 150 TU, with an average of 27 TU). Same septic conditions and toxicity levels were observed in many of the discharges. Four of the six evaluated tributaries, as well as the lagoon (origin of the river), were relatively in better conditions (2 to 8 mg/L D.O., TU<1) than for the Lerma, acting as diluents and renewal of the HCLR flow rate. The river was shown to be quite a main sewer collector. The high surface water contamination by untreated wastewaters that is depicted in this research should be taken into account in the Millennium Goals strategies, by promoting treatment plan works simultaneously, when sewer networks in the third world would extend.

Longevity of acid discharges from underground mines located above the regional water table.

PubMed

Demchak, J; Skousen, J; McDonald, L M

2004-01-01

The duration of acid mine drainage flowing out of underground mines is important in the design of watershed restoration and abandoned mine land reclamation projects. Past studies have reported that acid water flows from underground mines for hundreds of years with little change, while others state that poor drainage quality may last only 20 to 40 years. More than 150 above-drainage (those not flooded after abandonment) underground mine discharges from Pittsburgh and Upper Freeport coal seams were located and sampled during 1968 in northern West Virginia, and we revisited 44 of those sites in 1999-2000 and measured water flow, pH, acidity, Fe, sulfate, and conductivity. We found no significant difference in flows between 1968 and 1999-2000. Therefore, we felt the water quality data could be compared and the data represented real changes in pollutant concentrations. There were significant water quality differences between year and coal seam, but no effect of disturbance. While pH was not significantly improved, average total acidity declined 79% between 1968 and 1999-2000 in Pittsburgh mines (from 66.8 to 14 mmol H+ L(-1)) and 56% in Upper Freeport mines (from 23.8 to 10.4 mmol H+ L(-1)). Iron decreased an average of about 80% across all sites (from an average of 400 to 72 mg L(-1)), while sulfate decreased between 50 and 75%. Pittsburgh seam discharge water was much worse in 1968 than Upper Freeport seam water. Twenty of our 44 sites had water quality information in 1980, which served as a midpoint to assess the slope of the decline in acidity and metal concentrations. Five of 20 sites (25%) showed an apparent exponential rate of decline in acidity and iron, while 10 of 20 sites (50%) showed a more linear decline. Drainage from five Upper Freeport sites increased in acidity and iron. While it is clear that surface mines and below-drainage underground mines improve in discharge quality relatively rapidly (20-40 years), above-drainage underground mines are not as easily predicted. In total, the drainage from 34 out of 44 (77%) above-drainage underground mines showed significant improvement in acidity over time, some exponentially and some linearly. Ten discharges showed no improvement and three of these got much worse.

Organic compounds and cadmium in the tributaries to the Elizabeth River in New Jersey, October 2008 to November 2008: Phase II of the New Jersey Toxics Reduction Workplan for New York-New Jersey Harbor

USGS Publications Warehouse

Bonin, Jennifer L.

2010-01-01

Samples of surface water and suspended sediment were collected from the two branches that make up the Elizabeth River in New Jersey - the West Branch and the Main Stem - from October to November 2008 to determine the concentrations of selected chlorinated organic and inorganic constituents. The sampling and analyses were conducted as part of Phase II of the New York-New Jersey Harbor Estuary Plan-Contaminant Assessment and Reduction Program (CARP), which is overseen by the New Jersey Department of Environmental Protection. Phase II of the New Jersey Workplan was conducted by the U.S. Geological Survey to define upstream tributary and point sources of contaminants in those rivers sampled during Phase I work, with special emphasis on the Passaic and Elizabeth Rivers. This portion of the Phase II study was conducted on the two branches of the Elizabeth River, which were previously sampled during July and August of 2003 at low-flow conditions. Samples were collected during 2008 from the West Branch and Main Stem of the Elizabeth River just upstream from their confluence at Hillside, N.J. Both tributaries were sampled once during low-flow discharge conditions and once during high-flow discharge conditions using the protocols and analytical methods that were used in the initial part of Phase II of the Workplan. Grab samples of streamwater also were collected at each site and were analyzed for cadmium, suspended sediment, and particulate organic carbon. The measured concentrations, along with available historical suspended-sediment and stream-discharge data were used to estimate average annual loads of suspended sediment and organic compounds in the two branches of the Elizabeth River. Total suspended-sediment loads for 1975 to 2000 were estimated using rating curves developed from historical U.S. Geological Survey suspended-sediment and discharge data, where available. Concentrations of suspended-sediment-bound polychlorinated biphenyls (PCBs) in the Main Stem and the West Branch of the Elizabeth River during low-flow conditions were 534 ng/g (nanograms per gram) and 1,120 ng/g, respectively, representing loads of 27 g/yr (grams per year) and 416 g/yr, respectively. These loads were estimated using contaminant concentrations during low flow, and the assumed 25-year average discharge, and 25-year average suspended-sediment concentration. Concentrations of suspended-sediment-bound PCBs in the Main Stem and the West Branch of the Elizabeth River during high-flow conditions were 3,530 ng/g and 623 ng/g, respectively, representing loads of 176 g/yr and 231 g/yr, respectively. These loads were estimated using contaminant concentrations during high-flow conditions, the assumed 25-year average discharge, and 25-year average suspended-sediment concentration. Concentrations of suspended-sediment-bound polychlorinated dibenzo-p-dioxins and polychlorinated dibenzo-p-difuran compounds (PCDD/PCDFs) during low-flow conditions were 2,880 pg/g (picograms per gram) and 5,910 pg/g in the Main Stem and West Branch, respectively, representing average annual loads of 0.14 g/yr and 2.2 g/yr, respectively. Concentrations of suspended-sediment-bound PCDD/PCDFs during high-flow conditions were 40,900 pg/g and 12,400 pg/g in the Main Stem and West Branch, respectively, representing average annual loads of 2.05 g/yr and 4.6 g/yr, respectively. Total toxic equivalency (TEQ) loads (sum of PCDD/PCDF and PCB TEQs) were 3.1 mg/yr (milligrams per year) (as 2, 3, 7, 8-TCDD) in the Main Stem and 28 mg/yr in the West Branch during low-flow conditions. Total TEQ loads (sum of PCDD/PCDFs and PCBs) were 27 mg/yr (as 2, 3, 7, 8-TCDD) in the Main Stem and 32 mg/yr in the West Branch during high-flow conditions. All of these load estimates, however, are directly related to the assumed annual discharge for the two branches. Long-term measurement of stream discharge and suspended-sediment concentrations would be needed to verify these loads. On the basis of the loads cal

Effectiveness of a financial incentive to physicians for timely follow-up after hospital discharge: a population-based time series analysis.

PubMed

Lapointe-Shaw, Lauren; Mamdani, Muhammad; Luo, Jin; Austin, Peter C; Ivers, Noah M; Redelmeier, Donald A; Bell, Chaim M

2017-10-02

Timely follow-up after hospital discharge may decrease readmission to hospital. Financial incentives to improve follow-up have been introduced in the United States and Canada, but it is unknown whether they are effective. Our objective was to evaluate the impact of an incentive program on timely physician follow-up after hospital discharge. We conducted an interventional time series analysis of all medical and surgical patients who were discharged home from hospital between Apr. 1, 2002, and Jan. 30, 2015, in Ontario, Canada. The intervention was a supplemental billing code for physician follow-up within 14 days of discharge from hospital, introduced in 2006. The primary outcome was an outpatient visit within 14 days of discharge. Secondary outcomes were 7-day follow-up and a composite of emergency department visits, nonelective hospital readmission and death within 14 days. We included 8 008 934 patient discharge records. The incentive code was claimed in 31% of eligible visits by 51% of eligible physicians, and cost $17.5 million over the study period. There was no change in the average monthly rate of outcomes in the year before the incentive was introduced compared with the year following introduction: 14-day follow-up (66.5% v. 67.0%, overall p = 0.5), 7-day follow-up (44.9% v. 44.9%, overall p = 0.5) and composite outcome (16.7% v. 16.9%, overall p = 0.2). Despite uptake by physicians, a financial incentive did not alter follow-up after hospital discharge. This lack of effect may be explained by features of the incentive or by extra-physician barriers to follow-up. These barriers should be considered by policymakers before introducing similar initiatives. © 2017 Canadian Medical Association or its licensors.

Characterization and Application of a Planar Radio - Inductively-Coupled Plasma Source for the Production of Barrier Coatings.

NASA Astrophysics Data System (ADS)

Mahoney, Leonard Joseph

A planar radio-frequency (rf) inductively-coupled plasma (ICP) source is used to produce fluorocarbon discharges (CF_4/Ar) to fluorinate the surface of high-density polyethylene (HDPE). Using this system, concurrent studies of discharge characteristics, permeation properties of treated polymers and polymer surface characteristics are conducted to advance the use of plasma-fluorinated polymer surfaces as a barrier layer for automotive applications. Langmuir probes are used to determine spatial distribution of charged-particle and space-potential characteristics in Ar and CF_4/Ar discharges and to show the influence of the spatial distribution of the heating regions and the reactor boundaries on the discharge uniformity. Langmuir probes are also used to identify rf anisotropic drift motion of electrons in the heating regions of the source and transient high-energy electron features in pulsed discharges. These latter features allow pulsed ICP sources to be operated at low time-averaged powers that are necessary to treat thermally sensitive polymers. Fourier Transform Infrared (FITR) spectroscopy is used to measure the dissociation of fluorocarbon gases and to explore differences between pulsed- and continuous -power operation. Dissociation levels of CF_4 (50-85%) using pulsed-power operation are as high as that for continuous operation, even though the net time -averaged power is far less with pulsed operation. The result suggests that pulsed fluorocarbon discharges possess high concentrations of chemically-active species needed for rapid surface fluorination. A gravimetric permeation cup method is used to measure the permeation rate of test fuels through HDPE membranes, and electron spectroscopy for chemical analysis (ESCA) studies are performed to determine the stoichiometry and thickness of the barrier layer. From these studies we find that a 50-70 A thick, polar, fluoro-hydrocarbon over layer reduces the permeation of isooctane/toluene/methanol mixtures by a factor of 4. To increase the permeation resistance for automotive applications, this result points towards the deposition of a 1000 A thick fluoro-hydrocarbon barrier coating with stoichiometry and bond structures similar to the CF_4/Ar treated HDPE.

Effect of Discharge Rate on Positive Active Material of Lead Carbon Battery for Energy Storage

NASA Astrophysics Data System (ADS)

Chen, Kailun; Liu, Hao; Hu, Chen; Gao, Fei; Yang, Kai; Wang, Hao

2017-10-01

Lead carbon battery has been widespread concern with its excellent performance of charge and discharge under High Rate Part State of Charge (HRPSoC) as well as its cycle performance. In this paper, the cycling performance of lead carbon battery for energy storage was tested by different discharge rate. The effects of different discharge rate on the composition and morphology of positive active materials in the cycle was studied by XRD and SEM. The effect of different discharge rate on the ohmic impedance of lead carbon battery was studied by testing Electrochemical Impedance Spectroscopy with different capacity retention rates. The results show that with the increase of the discharge rate, the content of PbO2 in the positive active material increases, the active substance utilization and the particle size of PbO2 crystal declines, and the ohmic impedance of the battery decreases.

Annual estimates of water and solute export from 42 tributaries to the Yukon River

USGS Publications Warehouse

Frederick Zanden,; Suzanne P. Anderson,; Striegl, Robert G.

2012-01-01

Annual export of 11 major and trace solutes for the Yukon River is found to be accurately determined based on summing 42 tributary contributions. These findings provide the first published estimates of tributary specific distribution of solutes within the Yukon River basin. First, we show that annual discharge of the Yukon River can be computed by summing calculated annual discharges from 42 tributaries. Annual discharge for the tributaries is calculated from the basin area and average annual precipitation over that area using a previously published regional regression equation. Based on tributary inputs, we estimate an average annual discharge for the Yukon River of 210 km3 year–1. This value is within 1% of the average measured annual discharge at the U.S. Geological Survey gaging station near the river terminus at Pilot Station, AK, for water years 2001 through 2005. Next, annual loads for 11 solutes are determined by combining annual discharge with point measurements of solute concentrations in tributary river water. Based on the sum of solutes in tributary water, we find that the Yukon River discharges approximately 33 million metric tons of dissolved solids each year at Pilot Station. Discharged solutes are dominated by cations calcium and magnesium (5.65 × 109 and 1.42 × 109 g year–1) and anions bicarbonate and sulphate (17.3 × 109 and 5.40 × 109 g year–1). These loads compare well with loads calculated independently at the three continuous gaging stations along the Yukon River. These findings show how annual solute yields vary throughout a major subarctic river basin and that accurate estimates of total river export can be determined from calculated tributary contributions.

State Firearm Legislation and Nonfatal Firearm Injuries.

PubMed

Simonetti, Joseph A; Rowhani-Rahbar, Ali; Mills, Brianna; Young, Bessie; Rivara, Frederick P

2015-08-01

We investigated whether stricter state-level firearm legislation was associated with lower hospital discharge rates for nonfatal firearm injuries. We estimated discharge rates for hospitalized and emergency department-treated nonfatal firearm injuries in 18 states in 2010 and used negative binomial regression to determine whether strength of state firearm legislation was independently associated with total nonfatal firearm injury discharge rates. We identified 26 744 discharges for nonfatal firearm injuries. The overall age-adjusted discharge rate was 19.0 per 100 000 person-years (state range = 3.3-36.6), including 7.9 and 11.1 discharges per 100 000 for hospitalized and emergency department-treated injuries, respectively. In models adjusting for differences in state sociodemographic characteristics and economic conditions, states in the strictest tertile of legislative strength had lower discharge rates for total (incidence rate ratio [IRR] = 0.60; 95% confidence interval [CI] = 0.44, 0.82), assault-related (IRR = 0.58; 95% CI = 0.34, 0.99), self-inflicted (IRR = 0.18; 95% CI = 0.14, 0.24), and unintentional (IRR = 0.53; 95% CI = 0.34, 0.84) nonfatal firearm injuries. There is significant variation in state-level hospital discharge rates for nonfatal firearm injuries, and stricter state firearm legislation is associated with lower discharge rates for such injuries.

State Firearm Legislation and Nonfatal Firearm Injuries

PubMed Central

Rowhani-Rahbar, Ali; Mills, Brianna; Young, Bessie; Rivara, Frederick P.

2015-01-01

Objectives. We investigated whether stricter state-level firearm legislation was associated with lower hospital discharge rates for nonfatal firearm injuries. Methods. We estimated discharge rates for hospitalized and emergency department–treated nonfatal firearm injuries in 18 states in 2010 and used negative binomial regression to determine whether strength of state firearm legislation was independently associated with total nonfatal firearm injury discharge rates. Results. We identified 26 744 discharges for nonfatal firearm injuries. The overall age-adjusted discharge rate was 19.0 per 100 000 person-years (state range = 3.3–36.6), including 7.9 and 11.1 discharges per 100 000 for hospitalized and emergency department–treated injuries, respectively. In models adjusting for differences in state sociodemographic characteristics and economic conditions, states in the strictest tertile of legislative strength had lower discharge rates for total (incidence rate ratio [IRR] = 0.60; 95% confidence interval [CI] = 0.44, 0.82), assault-related (IRR = 0.58; 95% CI = 0.34, 0.99), self-inflicted (IRR = 0.18; 95% CI = 0.14, 0.24), and unintentional (IRR = 0.53; 95% CI = 0.34, 0.84) nonfatal firearm injuries. Conclusions. There is significant variation in state-level hospital discharge rates for nonfatal firearm injuries, and stricter state firearm legislation is associated with lower discharge rates for such injuries. PMID:26066935

Dynamic rating curve assessment in hydrometric stations and calculation of the associated uncertainties : Quality and monitoring indicators

NASA Astrophysics Data System (ADS)

Morlot, Thomas; Perret, Christian; Favre, Anne-Catherine

2013-04-01

Whether we talk about safety reasons, energy production or regulation, water resources management is one of EDF's (French hydropower company) main concerns. To meet these needs, since the fifties EDF-DTG operates a hydrometric network that includes more than 350 hydrometric stations. The data collected allow real time monitoring of rivers (hydro meteorological forecasts at points of interests), as well as hydrological studies and the sizing of structures. Ensuring the quality of stream flow data is a priority. A rating curve is an indirect method of estimating the discharge in rivers based on water level measurements. The value of discharge obtained thanks to the rating curve is not entirely accurate due to the constant changes of the river bed morphology, to the precision of the gaugings (direct and punctual discharge measurements) and to the quality of the tracing. As time goes on, the uncertainty of the estimated discharge from a rating curve « gets older » and increases: therefore the final level of uncertainty remains particularly difficult to assess. Moreover, the current EDF capacity to produce a rating curve is not suited to the frequency of change of the stage-discharge relationship. The actual method does not take into consideration the variation of the flow conditions and the modifications of the river bed which occur due to natural processes such as erosion, sedimentation and seasonal vegetation growth. In order to get the most accurate stream flow data and to improve their reliability, this study undertakes an original « dynamic» method to compute rating curves based on historical gaugings from a hydrometric station. A curve is computed for each new gauging and a model of uncertainty is adjusted for each of them. The model of uncertainty takes into account the inaccuracies in the measurement of the water height, the quality of the tracing, the uncertainty of the gaugings and the aging of the confidence intervals calculated with a variographic analysis. These rating curves enable to provide values of stream flow taking into account the variability of flow conditions, while providing a model of uncertainties resulting from the aging of the rating curves. By taking into account the variability of the flow conditions and the life of the hydrometric station, this original dynamic method can answer important questions in the field of hydrometry such as « How many gaugings a year have to be made so as to produce stream flow data with an average uncertainty of X% ? » and « When and in which range of water flow do we have to realize those gaugings ? ». KEY WORDS : Uncertainty, Rating curve, Hydrometric station, Gauging, Variogram, Stream Flow

Step-related discharges of Purkinje cells in the paravermal cortex of the cerebellar anterior lobe in the cat.

PubMed Central

Edgley, S A; Lidierth, M

1988-01-01

1. Extracellular recordings were made of the simple spike discharges of Purkinje cells in the lateral part of the paravermal cortex of lobule V in the cerebellum of awake cats. The cells were located within the c2 and c3 zones of Oscarsson (1979). 2. The peripheral receptive fields in which light mechanical stimuli could evoke simple spikes were examined in 252 Purkinje cells. Ninety-two per cent were activated by stimulation of the ipsilateral forelimb and 52% of 113 tested cells also discharged simple spikes in response to stimulation of the contralateral forelimb. The receptive fields were concentrated on the distal parts of the limbs: 67% of the 139 cells which were examined in most detail responded to stimulation of the paw or wrist of the ipsilateral forelimb. 3. In 135 of the Purkinje cells, the discharges were recorded during locomotion. Simple spikes were discharged at a mean rate of 54.3 +/- 27.8 impulses/s (S.D., n = 135) during steady walking on a belt moving at 0.5-0.7 m/s. The discharges of each cell were rhythmically modulated in time with the movements of stepping and although the timings of the discharges were highly variable between cells, activity in the population was greatest at the times of transition between the stance and swing phases in the ipsilateral forelimb and least during mid-stance. 4. As a population Purkinje cells with simple spike receptive fields on the distal parts of the forelimb(s) exhibited two activity maxima. These occurred during early stance and during the transition from stance to swing in the ipsilateral forelimb. Cells with receptive fields on the proximal parts of the limb achieved an activity maximum during late swing, and their average discharge rate fell at the time of onset of the swing phase in the ipsilateral forelimb instead of rising as was the case for the distal group. 5. The present results are compared with those from cells located more medially in the paravermal cortex. It is shown that medially located cells tend to discharge earlier in stance (or in late flexion) than laterally located cells with similar receptive fields. PMID:3171993

Discharges with surgical procedures performed less often than once per month per hospital account for two-thirds of hospital costs of inpatient surgery.

PubMed

O'Neill, Liam; Dexter, Franklin; Park, Sae-Hwan; Epstein, Richard H

2017-09-01

Most surgical discharges (54%) at the average hospital are for procedures performed no more often than once per month at that hospital. We hypothesized that such uncommon procedures would be associated with an even greater percentage of the total cost of performing all surgical procedures at that hospital. Observational study. State of Texas hospital discharge abstract data: 4th quarter of 2015 and 1st quarter of 2016. Inpatients discharged with a major therapeutic ("operative") procedure. For each of N=343 hospitals, counts of discharges, sums of lengths of stay (LOS), sums of diagnosis related group (DRG) case-mix weights, and sums of charges were obtained for each procedure or combination of procedures, classified by International Classification of Diseases version 10 Procedure Coding System (ICD-10-PCS). Each discharge was classified into 2 categories, uncommon versus not, defined as a procedure performed at most once per month versus those performed more often than once per month. Major procedures performed at most once per month per hospital accounted for an average among hospitals of 68% of the total inpatient costs associated with all major therapeutic procedures. On average, the percentage of total costs associated with uncommon procedures was 26% greater than expected based on their share of total discharges (P<0.00001). Average percentage differences were insensitive to the endpoint, with similar results for the percentage of patient days and percentage of DRG case-mix weights. Approximately 2/3rd (mean 68%) of inpatient costs among surgical patients can be attributed to procedures performed at most once per month per hospital. The finding that such uncommon procedures account for a large percentage of costs is important because methods of cost accounting by procedure are generally unsuitable for them. Copyright © 2017 Elsevier Inc. All rights reserved.

Health policies for the reduction of obstetric interventions in singleton full-term births in Catalonia.

PubMed

Pueyo, Maria-Jesus; Escuriet, Ramon; Pérez-Botella, M; de Molina, I; Ruíz-Berdun, D; Albert, S; Díaz, S; Torres-Capcha, P; Ortún, V

2018-04-01

To explore the effect of hospital's characteristics in the proportion of obstetric interventions (OI) performed in singleton fullterm births (SFTB) in Catalonia (2010-2014), while incentives were employed to reduce C-sections. Data about SFTB assisted at 42 public hospitals were extracted from the dataset of hospital discharges. Hospitals were classified according to the level of complexity, the volume of births attended, and the adoption of a non-medicalized delivery (NMD) strategy. The annual average change in the percentage for OI was calculated based on Poisson regression models. The rate of OI (35% of all SFTB) including C-sections (20.6%) remained stable through the period. Hospitals attending less complex cases had a lower average of OI, while hospitals attending lower volumes had the highest average. Higher levels of complexity increased the use of C-sections (+4% yearly) and forceps (+16%). The adoption of the NMD strategy decreased the rate of C-sections. The proportion of OI, including C-sections, remained stable in spite of public incentives to reduce them. The adoption of the NMD strategy could help in decreasing the rate of OI. To reduce the OI rate, new strategies should be launched as the development of low-risk pregnancies units, alignment of incentives and hospital payment, increased value of incentives and encouragement of a cultural shift towards non-medicalized births. Copyright © 2018 Elsevier B.V. All rights reserved.

Trends in hospitalized discharge rates for head injury in Maryland, 1979-86.

PubMed Central

MacKenzie, E J; Edelstein, S L; Flynn, J P

1990-01-01

Hospital discharge data from all acute care hospitals in Maryland were used to examine trends in hospitalized head injury incidence and outcome by severity. From 1979 to 1986, discharge rates increased by 3.4/100,000 per year; the largest percent increase was for more severe injuries. Discharge rates increased the most for adults ages 15-24 and ages 75+ but declined for children ages 0-4. Coinciding with the increase in head injury discharges was a decrease in the hospital case-fatality rate across all severity groups. PMID:2297074

Quantifying the uncertainty in discharge data using hydraulic knowledge and uncertain gaugings: a Bayesian method named BaRatin

NASA Astrophysics Data System (ADS)

Le Coz, Jérôme; Renard, Benjamin; Bonnifait, Laurent; Branger, Flora; Le Boursicaud, Raphaël; Horner, Ivan; Mansanarez, Valentin; Lang, Michel; Vigneau, Sylvain

2015-04-01

River discharge is a crucial variable for Hydrology: as the output variable of most hydrologic models, it is used for sensitivity analyses, model structure identification, parameter estimation, data assimilation, prediction, etc. A major difficulty stems from the fact that river discharge is not measured continuously. Instead, discharge time series used by hydrologists are usually based on simple stage-discharge relations (rating curves) calibrated using a set of direct stage-discharge measurements (gaugings). In this presentation, we present a Bayesian approach (cf. Le Coz et al., 2014) to build such hydrometric rating curves, to estimate the associated uncertainty and to propagate this uncertainty to discharge time series. The three main steps of this approach are described: (1) Hydraulic analysis: identification of the hydraulic controls that govern the stage-discharge relation, identification of the rating curve equation and specification of prior distributions for the rating curve parameters; (2) Rating curve estimation: Bayesian inference of the rating curve parameters, accounting for the individual uncertainties of available gaugings, which often differ according to the discharge measurement procedure and the flow conditions; (3) Uncertainty propagation: quantification of the uncertainty in discharge time series, accounting for both the rating curve uncertainties and the uncertainty of recorded stage values. The rating curve uncertainties combine the parametric uncertainties and the remnant uncertainties that reflect the limited accuracy of the mathematical model used to simulate the physical stage-discharge relation. In addition, we also discuss current research activities, including the treatment of non-univocal stage-discharge relationships (e.g. due to hydraulic hysteresis, vegetation growth, sudden change of the geometry of the section, etc.). An operational version of the BaRatin software and its graphical interface are made available free of charge on request to the authors. J. Le Coz, B. Renard, L. Bonnifait, F. Branger, R. Le Boursicaud (2014). Combining hydraulic knowledge and uncertain gaugings in the estimation of hydrometric rating curves: a Bayesian approach, Journal of Hydrology, 509, 573-587.

Vastus Lateralis Motor Unit Firing Rate Is Higher in Women With Patellofemoral Pain.

PubMed

Gallina, Alessio; Hunt, Michael A; Hodges, Paul W; Garland, S Jayne

2018-05-01

To compare neural drive, determined from motor unit firing rate, in the vastus medialis and lateralis in women with and without patellofemoral pain. Cross-sectional study. University research laboratory. Women (N=56) 19 to 35 years of age, including 36 with patellofemoral pain and 20 controls. Not applicable. Participants sustained an isometric knee extension contraction at 10% of their maximal voluntary effort for 70 seconds. Motor units (N=414) were identified using high-density surface electromyography. Average firing rate was calculated between 5 and 35 seconds after recruitment for each motor unit. Initial firing rate was the inverse of the first 3 motor unit interspike intervals. In control participants, vastus medialis motor units discharged at higher rates than vastus lateralis motor units (P=.001). This was not observed in women with patellofemoral pain (P=.78) because of a higher discharge rate of vastus lateralis compared with control participants (P=.002). No between-group differences were observed for vastus medialis (P=.93). Similar results were obtained for the initial motor unit firing rate. These findings suggest that women with patellofemoral pain have a higher neural drive to vastus lateralis but not vastus medialis, which may be a contributor of the altered patellar kinematics observed in some studies. The different neural drive may be an adaptation to patellofemoral pain, possibly to compensate for decreased quadriceps force production, or a precursor of patellofemoral pain. Copyright © 2018 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Cost effectiveness of the U.S. Geological Survey's stream-gaging program in Wisconsin

USGS Publications Warehouse

Walker, J.F.; Osen, L.L.; Hughes, P.E.

1987-01-01

A minimum budget of $510,000 is required to operate the program; a budget less than this does not permit proper service and maintenance of the gaging stations. At this minimum budget, the theoretical average standard error of instantaneous discharge is 14.4%. The maximum budget analyzed was $650,000 and resulted in an average standard of error of instantaneous discharge of 7.2%. 

Effects of warming on groundwater flow in mountainous snowmelt-dominated catchments

NASA Astrophysics Data System (ADS)

Evans, S. G.; Ge, S.; Molotch, N. P.

2015-12-01

In mountainous regions, warmer air temperatures have led to an earlier onset of spring snowmelt and lower snowmelt rates; i.e. because snowmelt has shifted earlier when energy availability is lower. These changes to snowmelt will likely affect the partitioning of snowmelt water between surface runoff and groundwater flow, and therefore, the lag time between snowmelt and streamflow. While the connection between snowmelt and surface runoff has been well-studied, the impact of snowmelt variability on groundwater flow processes has received limited attention, especially in mountainous catchments. We construct a two-dimensional, finite element, coupled flow and heat transport hydrogeologic model to evaluate how changes in snowmelt onset and rate may alter groundwater discharge to streams in mountainous catchments. The coupled hydrogeologic model simulates seasonally frozen ground by incorporating permeability variation as a function of temperature and allows for modeling of pore water freeze and thaw. We apply the model to the Green Lakes Valley (GLV) watershed in the Rocky Mountains of Colorado, a representative snowmelt-dominated catchment. Snowmelt for the GLV catchment is reconstructed from a 12 year (1996-2007) dataset of hydrometeorological records and satellite-derived snow covered area. Modeling results suggest that on a yearly cycle, groundwater infiltration and discharge is limited by the seasonally frozen subsurface. Under average conditions from 1996 to 2007, maximum groundwater discharge to the surface lags maximum snowmelt by approximately two months. Ongoing modeling is exploring how increasing air temperatures affect lag times between snowmelt and groundwater discharge to streams. This study has implications for water resource availability and its temporal variability in a warming global climate.

Supercapacitors based on ordered mesoporous carbon derived from furfuryl alcohol: effect of the carbonized temperature.

PubMed

Li, Na; Xu, Jianxiong; Chen, Han; Wang, Xianyou

2014-07-01

Supercapacitors are successfully prepared from ordered mesoporous carbon (OMC) synthesized by employing the mesoporous silica, SBA-15 as template and furfuryl alcohol as carbon source. It is found that the carbonized temperature greatly influences the physical properties of the synthesized mesoporous carbon materials. The optimal carbonized temperature is measured to be 600 degrees C under which OMC with the specific surface area of 1219 m2/g and pore volume of 1.31 cm3/g and average pore diameter of - 3 nm are synthesized. The OMC materials synthesized under different carbonized temperature are used as electrode material of supercapacitors and the electrochemical properties of the OMC materials are compared by using cyclic voltammetry, electrochemical impedance spectroscopy, galvanostatic charge-discharge and self-discharge tests. The results show that the electrochemical properties of the OMC materials are directly related to the specific surface area and pore volume of the mesoporous carbon and the electrode prepared from the OMC synthesized under the carbonized temperature of 600 degrees C (OMC-600) exhibits the most excellent electrochemical performance with the specific capacitance of 207.08 F/g obtained from cyclic voltammetry at the scan rate of 1 mV/s, small resistance and low self-discharge rate. Moreover, the supercapacitor based on the OMC-600 material exhibits good capacitance properties and stable cycle behavior with the specific capacitance of 105 F/g at the current density of 700 mA/g, and keeps a specific capacitance of 98 F/g after 20000 consecutive charge/discharge cycles.

Denitrification in the Upper Mississippi River: Rates, controls, and contribution to nitrate flux

USGS Publications Warehouse

Richardson, W.B.; Strauss, E.A.; Bartsch, L.A.; Monroe, E.M.; Cavanaugh, J.C.; Vingum, L.; Soballe, D.M.

2004-01-01

We evaluated patterns of denitrification and factors effecting denitrification in the upper Mississippi River. Measurements were taken over 2 years, during which river discharge ranged from record flooding to base flow conditions. Over the period of study, average denitrification enzyme activity was highest in backwater lakes and lowest in the main channel. Throughout the study reach, highest denitrification enzyme activity occurred during fall and lowest occurred in winter. Rates during spring floods (2001) were only slightly higher than during the preceding winter. Mean unamended denitrification rates ranged from 0.02 (fall 2001 in backwaters) to 0.40 ??g N??cm -2??h-1 (spring 2001 in backwaters). Laboratory experiments showed that denitrification rates increased significantly with addition of NO3- regardless of sediment C content, while rates increased little with addition of labile C (glucose). Denitrification in this reach of the upper Mississippi River appears to be NO3- limited throughout the growing season and the delivery of NO 3- is strongly controlled by river discharge and hydrologie connectivity across the floodplain. We estimate that denitrification removes 6939 t N??year-1 or 6.9% of the total annual NO 3- input to the reach. Hydrologic connectivity and resultant NO3- delivery to high-C sediments is a critical determinant of reach-scale processing of N in this floodplain system.

Long-duration high-efficiency operation of a continuously pulsed copper laser utilizing copper bromide as a lasant

NASA Technical Reports Server (NTRS)

Chen, C. J.; Bhanji, A. M.; Russell, G. R.

1978-01-01

A copper laser utilizing copper bromide as a lasant and neon as the buffer gas has been operated at an average laser power of between 16 and 19.5 W for a period of 68 h. Lasing was attained at a pulsing rate of 16.7 kHz in a quartz discharge tube 2.5-cm in diameter with an electrode separation of 200 cm. The laser energy/pulse and peak power/pulse corresponding to an average power of 19.5 W are 1.2 mJ and 30 kW, respectively. The ratio of laser power at 510.6 and 578.2 nm varied from 3.9 to 1.1 corresponding to a total average laser power of 4 and 18 W, respectively. The highest wall plug and capacitor efficiency measured during 68 h of operation were 0.7 and 1.1%, respectively.

Clinical features and practice patterns of gastroschisis: a retrospective analysis using a Japanese national inpatient database.

PubMed

Fujiogi, Michimasa; Michihata, Nobuaki; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo; Fujishiro, Jun

2018-05-16

The number of infants with gastroschisis is increasing worldwide, but advances in neonatal intensive care and parenteral nutrition have reduced gastroschisis mortality. Recent clinical data on gastroschisis are often from Western nations. This study aimed to examine clinical features and practice patterns of gastroschisis in Japan. We examined treatment options, outcomes, and discharge status among inpatients with simple gastroschisis (SG) and complex gastroschisis (CG), 2010-2016, using a national inpatient database in Japan. The 247 eligible patients (222 with SG) had average birth weight of 2102 g and average gestational age of 34 weeks; 30% had other congenital anomalies. Digestive anomalies were most common, followed by circulatory anomalies. In-hospital mortality was 8.1%. The median age at start of full enteral feeding was 30 days. The median length of stay was 46 days. There were no significant differences in outcomes except for length of stay, starting full enteral feeding and total hospitalization costs between the SG and CG groups. About 80% of patients were discharged to home without home medical care. The readmission rate was 28%. This study's findings on the clinical characteristics and outcomes of gastroschisis are useful for the clinical management of gastroschisis.

Numerical modeling of incised-valley deposits in Tokyo lowland for the last 13 kyrs

NASA Astrophysics Data System (ADS)

Kubo, Y.; Syvitski, J. P.; Hutton, E. W.; Tanabe, S.

2006-12-01

A coupled-simulation by the hydrologic model HydroTrend and the stratigraphic model SedFlux is applied to the incised-valley-fill deposits in the Tokyo lowland for the last 13,000 years. The postglacial sediments supplied by paleo Tonegawa River have formed deltaic deposits controlled by eustatic sea-level rise after LGM. The effects of changes in sea level, climate, and morphology on the resultant architecture of the deposits are simulated and analyzed by the numerical models. Synthetic sediment flux from the paleo Tonegawa is computed by the hydrologic model HydroTrend. The model predicts variation in average rate of sediment production over geological time scale from changes in drainage area, precipitation, temperature and morphology. Random variation based on statistic climate data is added to the predicted average values to provide daily sediment discharge. The model prediction indicates that, despite 80% increase in drainage area in the past, competing effects of decreased precipitation resulted in relatively stable sediment discharge over the last 13,000 years. On the other hand, variation in daily sediment discharge shows drastic increase during infrequent storm events. Possible occurrence of hyperpycnal flows at the river mouth was indicated during such storms, which produced daily sediment load ten times larger than average yearly sediment discharge. The estimated sediment supply is used as input to the process-based forward-model 2D-SedFlux. SedFlux is able to simulate transport and deposition of sediments by such processes as river plume, bedload dumping and ocean storms with changing boundary conditions of sea level and basement morphology. The simulation is based on the initial paleo-morphology reconstructed from integrated core analysis from the area. 2D-SedFlux successfully predicts the formation of transgressive deposits and subsequent prograding delta deposits, and the results are comparable to general architecture of incised-valley fills in the area. Detailed comparison between the model predictions and field data shows some minor differences, which are then used to revise the local sea level curve.

Hydrogeology and groundwater availability in Clarke County, Virginia

USGS Publications Warehouse

Nelms, David L.; Moberg, Roger M.

2010-01-01

The prolonged drought between 1999 and 2002 drew attention in Clarke County, Virginia, to the quantity and sustainability of its groundwater resources. The groundwater flow systems of the county are complex and are controlled by the extremely folded and faulted geology that underlies the county. A study was conducted between October 2002 and October 2008 by the U.S. Geological Survey, in cooperation with Clarke County, Virginia, to describe the hydrogeology and groundwater availability in the county and to establish a long-term water monitoring network. The study area encompasses approximately 177 square miles and includes the carbonate and siliciclastic rocks of the Great Valley section of the Valley and Ridge Physiographic Province and the metamorphic rocks of the Blue Ridge Physiographic Province (Blue Ridge). High-yielding wells generally tend to cluster along faults, within lineament zones, and in areas of tight folding throughout the county. Water-bearing zones are generally within 250 feet (ft) of land surface; however, median depths are slightly deeper for the hydrogeologic units of the Blue Ridge than for those of the Great Valley section of the county. Total water-level fluctuations between October 2002 and October 2008 ranged from 2.86 to 87.84 ft across the study area, with an average of 24.15 ft. Generally, water-level fluctuations were greatest near hydrologic divides, in isolated elevated areas, and in the Opequon Creek Basin. Seasonally, water-level highs occur in the early spring at the end of the major groundwater recharge period and lows occur in late autumn when evapotranspiration rates begin to decrease. An overall downward trend in water levels between 2003 and 2008, which closely follows a downward trend in annual precipitation over the same period, was observed in a majority of wells in the Great Valley and in some of the wells in the Blue Ridge. Water-level fluctuations in the Blue Ridge tend to follow current meteorological conditions, and seasonal highs and lows tend to shift in response to the current conditions. Springs generally are present along faults and fold axes, and discharges for the study period ranged from dry to 10 cubic feet per second. A similar downward trend in discharges correlates with the trend in water levels and is indicative of an aquifer system that, over time, drains to a base level controlled by springs and streams. Point discharge from springs can occur as the start of flows of streams and creeks, along banks, and as discrete discharge through streambeds in the Great Valley. For the most part, streams, creeks, and rivers in the Great Valley function as aqueducts. Springs in the Blue Ridge have relatively low discharge rates, have small drainage areas, and are susceptible to current meteorological conditions. Estimates of effective groundwater recharge from 2001 to 2007 ranged from 6.4 to 23.0 inches per year (in/yr) in the Dry Marsh Run and Spout Run Basins with averages of 11.6 and 11.9 in/yr, respectively. Base flow accounted for between 80 and 97 percent of mean streamflow and averaged about 90 percent in these basins. The high base-flow index values (percent of streamflow from base flow) in the Dry Marsh Run and Spout Run Basins indicate that groundwater is the dominant source of streamflow during both wet and drought conditions. Between 46 and 82 percent of the precipitation that fell on the Dry Marsh Run and Spout Run Basins from 2001 to 2007 was removed by evapotranspiration, and an average of approximately 30 percent of the precipitation reached the water table as effective recharge. The high permeability of the rocks and low relief in these basins are not conducive for runoff; therefore, on average, only about 3 to 4 percent of the precipitation becomes runoff. Groundwater flow systems in the county are extremely vulnerable to current climatic conditions. Successive years of below-average effective recharge cause declines in water levels, spring discha

Discharge ratings for control gates at Mississippi River lock and dam 12, Bellevue, Iowa

USGS Publications Warehouse

Heinitz, Albert J.

1986-01-01

The water level of the navigation pools on the Mississippi River are maintained by the operation of tainter and roller gates at the locks and dams. Discharge ratings for the gates on Lock and Dam 12, at Bellevue, Iowa, were developed from current-meter discharge measurements made in the forebays of the gate structures. Methodology is given to accurately compute the gate openings of the tainter gates. Discharge coefficients, in equations that express discharge as a function of tailwater head , forebay head, and height of gate opening, were determined for conditions of submerged-orifice and fee-weir flow. A comparison of the rating discharges to the hydraulic-model rating discharges is given for submerged orifice flow for the tainter and roller gates.

The Effect of Mississippi River Discharge on the Concentration and Composition of Particulate Matter along the Texas-Louisiana Shelf during Summers 2012 and 2013

NASA Astrophysics Data System (ADS)

Richardson, M. J.; Zuck, N.; Gardner, W. D.

2016-02-01

Flow from the Mississippi-Atchafalaya River System generally peaks during the spring freshet, discharging nutrient-rich fresh water and sediment into the northern Gulf of Mexico. The peak discharge varies year to year as a result of varying drought or flood conditions in the Mississippi watershed. When compared to an 8-year climatological average, summer 2012 is characterized by low discharge into the northern Gulf of Mexico, whereas summer 2013 is characterized by average discharge conditions. Water samples were collected during four cruises during June and August of 2012 and 2013 to assess the changes in concentration and composition of bulk particulate matter. While no consistent relationship between particulate matter composition and hypoxia was observed, there are several statistically significant seasonal and inter-annual changes in the concentration and composition of particulate matter associated with varying river discharge. There is also evidence that some sub-pycnocline turbidity and chlorophyll-a may be due to in situ primary productivity, rather than settled plankton containing chlorophyll-a.

Crystal structure and electrochemical characteristics of non-AB 5 type La-Ni system alloys

NASA Astrophysics Data System (ADS)

Shi, Siqi; Ouyang, Chuying; Lei, Minsheng

The La-Ni system compounds have been prepared by arc-melting method under Ar atmosphere. X-ray diffraction analysis reveals that the as-prepared alloys consist of different phases. The electrochemical properties, including activation, maximum discharge capacity, high rate chargeability (HRC), and high rate dischargeability (HRD) of these alloy electrodes have been studied through the charge-discharge recycle testing at different temperatures and charge (or discharge) currents. Among the La-Ni alloy electrodes studied, LaNi 2.28 alloy has the most excellent high rate charging performance, and La 2Ni 7 alloy exhibit the highest high rate dischargeability, while La 7Ni 3 alloy is capable of discharging at low temperature.

A feasibility pilot study on the use of text messages to track PTSD symptoms after a traumatic injury.

PubMed

Price, Matthew; Ruggiero, Kenneth J; Ferguson, Pamela L; Patel, Sachin K; Treiber, Frank; Couillard, Deborah; Fahkry, Samir M

2014-01-01

Monitoring posttraumatic stress disorder (PTSD) symptoms after a traumatic injury is beneficial for patients and providers. Text messages can be used to automatically monitor symptoms and impose minimal burden to patients and providers. The present study piloted such a strategy with traumatic injury patients. An automated daily text message was piloted to evaluate PTSD symptoms after discharge from the hospital. Twenty-nine patients who experienced a traumatic injury received 15 daily texts and were then followed up at 1-month and 3-months after discharge. 82.8% of the sample responded at least once and the average response rate per participant was 63.1%. Response rates were correlated with PTSD symptoms at baseline but not at any other time. Patient satisfaction with this approach was high. Text messages are a viable method to monitor PTSD symptoms after a traumatic injury. Such an approach should be evaluated on a larger scale as part of a more comprehensive early intervention for traumatic stress. Copyright © 2014 Elsevier Inc. All rights reserved.

Rostral dorsolateral pontine neurons with sympathetic nerve-related activity.

PubMed

Barman, S M; Gebber, G L; Kitchens, H

1999-02-01

Spike-triggered averaging, arterial pulse-triggered analysis, and coherence analysis were used to classify rostral dorsolateral pontine (RDLP) neurons into groups whose naturally occurring discharges were correlated to only the 10-Hz rhythm (n = 29), to only the cardiac-related rhythm (n = 15), and to both rhythms (n = 15) in inferior cardiac sympathetic nerve discharge (SND) of urethan-anesthetized cats. Most of the neurons with activity correlated to only the cardiac-related rhythm were located medial to the other two groups of neurons. The firing rates of most RDLP neurons with activity correlated to only the 10-Hz rhythm (9 of 12) or both rhythms (7 of 8) were decreased during baroreceptor reflex-induced inhibition of SND produced by aortic obstruction; thus, they are presumed to be sympathoexcitatory. The firing rates of four of seven RDLP neurons with activity correlated to only the cardiac-related rhythm increased during baroreceptor reflex activation; thus, they may be sympathoinhibitory. We conclude that the RDLP contains a functionally heterogeneous population of neurons with sympathetic nerve-related activity. These neurons could not be antidromically activated by stimulation of the thoracic spinal cord.

Traveltime and longitudinal dispersion in Illinois streams

USGS Publications Warehouse

Graf, J.B.

1984-01-01

Twenty-seven measurements of traveltime and longitudinal dispersion in 10 Illinois streams provide data needed for estimating traveltime of peak concentration of a conservative solute, traveltime of the leading edge of a solute cloud, peak concentration resulting from a given quantity of solute, and passage time of solute past a given point on a stream for both measured and unmeasured streams. Traveltime of peak concentration and of the leading edge of the cloud are related to discharge at the downstream end of the reach, distance of travel, and the fraction of the time that discharge at a given location on the stream is equaled or exceeded. Peak concentration and passage time are best estimated from the relation of each to traveltime. In measured streams, dispersion efficiency is greater than that predicted by Fickian diffusion theory. The rate of decrease in peak concentration with traveltime is about equal to the rate of increase in passage time. Average velocity in a stream reach, given by the velocity of the center of solute mass in that reach, also can be estimated from an equation developed from measured values. (USGS)

Association of heart rate at hospital discharge with mortality and hospitalizations in patients with heart failure.

PubMed

Habal, Marlena V; Liu, Peter P; Austin, Peter C; Ross, Heather J; Newton, Gary E; Wang, Xuesong; Tu, Jack V; Lee, Douglas S

2014-01-01

Heart failure (HF) is associated with a high burden of morbidity and mortality. Hospital discharge is an opportunity for identification of modifiable prognostic factors in the transition to chronic HF. We examined the association of discharge heart rate with 30-day and 1-year mortality and hospitalization outcomes in a cohort of 9097 patients with HF discharged from hospital. Discharge heart rate was categorized into predefined groups: 40 to 60 (n=1333), 61 to 70 (n=2170), 71 to 80 (n=2631), 81 to 90 (n=1700), and >90 bpm (n=1263). There was a significant increase in all-cause 30-day mortality with adjusted odds ratios of 1.59 (95% confidence interval [CI], 1.18-2.14; P=0.003) for discharge heart rates 81 to 90 bpm and 1.56 (95% CI, 1.13-2.16; P=0.007) for heart rates>90 bpm when compared with the reference group (heart rates, 61-70 bpm). Cardiovascular death risk at 30 days was also higher with adjusted odds ratio 1.59 (discharge heart rates, 81-90 bpm; 95% CI, 1.09-2.33; P=0.017) and 1.65 (discharge heart rates, >90 bpm; 95% CI, 1.09-2.48; P=0.017). One-year all-cause mortality (adjusted odds ratio, 1.41; 95% CI, 1.16-1.72; P<0.001) and cardiovascular death (adjusted odds ratio, 1.47; 95% CI, 1.12-1.92; P=0.005) were higher with discharge heart rates>90 bpm when compared with the reference group (heart rates, 40-60 bpm). Readmissions for HF (adjusted hazard ratio, 1.26; 95% CI, 1.04-1.54; P=0.021) and cardiovascular disease (adjusted hazard ratio, 1.29; 95% CI, 1.08-1.54; P=0.004) within 30 days were also higher with discharge heart rates>90 bpm. Higher discharge heart rates were associated with greater risk of all-cause and cardiovascular mortality≤1-year follow-up and an elevated risk of 30-day readmission for HF and cardiovascular disease.

Outcomes, impact on management, and costs of fungal eye disease consults in a tertiary care setting.

PubMed

Ghodasra, Devon H; Eftekhari, Kian; Shah, Ankoor R; VanderBeek, Brian L

2014-12-01

To determine the frequency of clinical management changes resulting from inpatient ophthalmic consultations for fungemia and the associated costs. Retrospective case series. Three hundred forty-eight inpatients at a tertiary care center between 2008 and 2012 with positive fungal blood culture results, 238 of whom underwent an ophthalmologic consultation. Inpatient charts of all fungemic patients were reviewed. Costs were standardized to the year 2014. The Student t test was used for all continuous variables and the Pearson chi-square test was used for categorical variables. Prevalence of ocular involvement, rate of change in clinical management, mortality rate of fungemic patients, and costs of ophthalmic consultation. Twenty-two (9.2%) of 238 consulted patients with fungemia had ocular involvement. Twenty patients had chorioretinitis and 2 had endophthalmitis. Only 9 patients (3.7%) had a change in management because of the ophthalmic consultation. One patient underwent bilateral intravitreal injections. Thirty percent of consulted patients died before discharge or were discharged to hospice. The total cost of new consults was $36 927.54 ($204.19/initial level 5 visit and $138.63/initial level 4). The cost of follow-up visits was $13 655.44 ($104.24/visit). On average, 26.4 patients were evaluated to find 1 patient needing change in management, with an average cost of $5620.33 per change in 1 patient's management. Clinical management changes resulting from ophthalmic consultation in fungemic patients were uncommon. Associated costs were high for these consults in a patient population with a high mortality rate. Together, these data suggest that the usefulness of routine ophthalmic consultations for all fungemic patients is likely to be low. Copyright © 2014 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

Probability-based classifications for spatially characterizing the water temperatures and discharge rates of hot springs in the Tatun Volcanic Region, Taiwan.

PubMed

Jang, Cheng-Shin

2015-05-01

Accurately classifying the spatial features of the water temperatures and discharge rates of hot springs is crucial for environmental resources use and management. This study spatially characterized classifications of the water temperatures and discharge rates of hot springs in the Tatun Volcanic Region of Northern Taiwan by using indicator kriging (IK). The water temperatures and discharge rates of the springs were first assigned to high, moderate, and low categories according to the two thresholds of the proposed spring classification criteria. IK was then used to model the occurrence probabilities of the water temperatures and discharge rates of the springs and probabilistically determine their categories. Finally, nine combinations were acquired from the probability-based classifications for the spatial features of the water temperatures and discharge rates of the springs. Moreover, various combinations of spring water features were examined according to seven subzones of spring use in the study region. The research results reveal that probability-based classifications using IK provide practicable insights related to propagating the uncertainty of classifications according to the spatial features of the water temperatures and discharge rates of the springs. The springs in the Beitou (BT), Xingyi Road (XYR), Zhongshanlou (ZSL), and Lengshuikeng (LSK) subzones are suitable for supplying tourism hotels with a sufficient quantity of spring water because they have high or moderate discharge rates. Furthermore, natural hot springs in riverbeds and valleys should be developed in the Dingbeitou (DBT), ZSL, Xiayoukeng (XYK), and Macao (MC) subzones because of low discharge rates and low or moderate water temperatures.

Radiocesium concentrations in soil and leaf after decontamination practices in a forest plantation highly polluted by the Fukushima accident.

PubMed

López-Vicente, Manuel; Onda, Yuichi; Takahashi, Junko; Kato, Hiroaki; Chayama, Shinya; Hisadome, Keigo

2018-08-01

Owing to the Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident a vast amount of radiocesium was released polluting the land. Afterwards, a variety of decontamination practices has been done, reducing the ambient dose rates. In this study we evaluated the effectiveness of eight forest decontamination practices by means of monitoring the radiocesium ( 137 Cs) concentration in soil and leaf samples, and the daily discharge rates in ten plots during 27 months (May 2013-July 2015). A forest plantation located 16 km southwest to the FDNPP and within the exclusion area was selected. Radiocesium concentrations were analysed using a germanium gamma ray detector. The differences in radiocesium activities between the different plots were statistically significant (p < 0.05) and four homogeneous groups were distinguished. Tree thinning and litter removal greatly reduced the radioactivity and the two plots devoted to these practices presented the highest discharge rates of 137 Cs (Th + LR; 350-380 Bq/m 2 day), followed by the two Th plots (163-174 Bq/m 2 day). The clearcutting with LR and the LR plots (104 and 92 Bq/m 2 day) also had higher rates than those rates in the control plots (51 Bq/m 2 day). We only observed low rates in the two plots with matting (19-25 Bq/m 2 day). The temporal variability was explained by (i) the different rainfall depths registered during the measurement intervals (accumulated precipitation from 14 to 361 mm); and (ii) the fluctuations of the total surface coverage. The decrease trend in radiocesium concentration was high in 2013, moderate in 2014 and low in 2015 owing to the vegetation recovery after the countermeasures, thus reducing the possibility of the second pollution of the neighbouring areas. The average proportions of contribution of 137 Cs discharge by soil and leaf fraction were 96.6% and 3.4%. Copyright © 2018 Elsevier Ltd. All rights reserved.

Restrictive transfusion threshold is safe in high-risk patients undergoing brain tumor surgery.

PubMed

Alkhalid, Yasmine; Lagman, Carlito; Sheppard, John P; Nguyen, Thien; Prashant, Giyarpuram N; Ziman, Alyssa F; Yang, Isaac

2017-12-01

To assess the safety of a restrictive threshold for the transfusion of red blood cells (RBCs) compared to a liberal threshold in high-risk patients undergoing brain tumor surgery. We reviewed patients who were 50 years of age or older with a preoperative American Society of Anesthesiologists physical status class II to V who underwent open craniotomy for tumor resection and were transfused packed RBCs during or after surgery. We retrospectively assigned patients to a restrictive-threshold (a pretransfusion hemoglobin level <8g/dL) or a liberal-threshold group (a pretransfusion hemoglobin level of 8-10/dL). The primary outcome was in-hospital mortality rate. Secondary outcomes were in-hospital complication rates, length of stay, and discharge disposition. Twenty-five patients were included in the study, of which 17 were assigned to a restrictive-threshold group and 8 patients to a liberal-threshold group. The in-hospital mortality rates were 12% for the restrictive-threshold group (odds ratio [OR] 0.93, 95% confidence interval [CI] 0.07-12.11) and 13% for the liberal-threshold group. The in-hospital complication rates were 52.9% for the restrictive-threshold group (OR 1.13, 95% CI 0.21-6.05) and 50% for the liberal-threshold group. The average number of days in the intensive care unit and hospital were 8.6 and 22.4 days in the restrictive-threshold group and 6 and 15 days in the liberal-threshold group, respectively (P=0.69 and P=0.20). The rates of non-routine discharge were 71% in the restrictive-threshold group (OR 2.40, 95% CI 0.42-13.60) and 50% in the liberal-threshold group. A restrictive transfusion threshold did not significantly influence in-hospital mortality or complication rates, length of stay, or discharge disposition in patients at high operative risk. Copyright © 2017. Published by Elsevier B.V.

The efficiency evaluation of in situ remediation performed around the source zone of DNAPL contaminated site, Wonju, Korea

NASA Astrophysics Data System (ADS)

Lee, S. S.; Lee, S. H.; Lee, K. K.

2014-12-01

The location of DNAPL source and distribution of contaminant plume at an industrial complex, Wonju, Korea, was examined based on the combined results of seasonal impact analysis, historical approach, radon tracer approach, and chemical fingerprinting conducted from 2009 to 2013 (Yang et al., 2013). With regard to the amount of contaminants discharged at this study site, there is no exact information on disposal. Therefore, various remediation technologies such as soil vapor extraction, soil flushing, biostimulation, and pump-and-treatment have been performed to eliminate the contaminant sources of trichloroethylene (TCE) and to prevent the migration of TCE plume from remediation target zones. Also, dissolved TCE concentration and mass of residual TCE in the initial stage of disposal were estimated to evaluate the efficiency of in situ remediation. The remediation efficiency according to the remediation actions was evaluated by tracing a time-series of plume evolution and estimating the temporal mass discharge at three transects (Source, Transec-1, Transect-2) which was assigned along the groundwater flow path. From results of periodically monitored TCE concentration at main source zone, the TCE level (15.74 mg/L) before the remediation dramatically decreased up to 0.56 mg/L at the end of year 2012 due to the effect of remediation. During the intensive remediation period from 2012 to 2013, the early average mass discharge (26.58 g/day) at source transect was decreased to average 4.99 g/day. Especially, in case of surfactant flushing test which was conducted to eliminate the residual TCE, the efficiency of surfactant flushing test was evaluated using the recovery rate of chloride ion which was used as tracer. The results for recovery rate of chloride ion show that test wells observed the slow recovery rate represented more effective dissolution of TCE than wells showing the rapid recovery rate. By using the source zone monitoring data and analytical solution, initial dissolved concentration and residual mass of TCE in late 1980s at the main source zone were roughly estimated 150 mg/L and 1000 kg, respectively. These values decreased to 0.45 mg/L and 33.07 kg direct after an intensive remedial action in 2013 and then it expected to be continuously decreased to 0.29 mg/L and 25.41 kg from the end of remedial actions to 2020.

Hospital-based, acute care after ambulatory surgery center discharge.

PubMed

Fox, Justin P; Vashi, Anita A; Ross, Joseph S; Gross, Cary P

2014-05-01

As a measure of quality, ambulatory surgery centers have begun reporting rates of hospital transfer at discharge. This process, however, may underestimate the acute care needs of patients after care. We conducted this study to determine rates and evaluate variation in hospital transfer and hospital-based, acute care within 7 days among patients discharged from ambulatory surgery centers. Using data from the Healthcare Cost and Utilization Project, we identified adult patients who underwent a medical or operative procedure between July 2008 and September 2009 at ambulatory surgery centers in California, Florida, and Nebraska. The primary outcomes were hospital transfer at the time of discharge and hospital-based, acute care (emergency department visits or hospital admissions) within 7-days expressed as the rate per 1,000 discharges. At the ambulatory surgery center level, rates were adjusted for age, sex, and procedure-mix. We studied 3,821,670 patients treated at 1,295 ambulatory surgery centers. At discharge, the hospital transfer rate was 1.1 per 1,000 discharges (95% confidence interval 1.1-1.1). Among patients discharged home, the hospital-based, acute care rate was 31.8 per 1,000 discharges (95% confidence interval 31.6-32.0). Across ambulatory surgery centers, there was little variation in adjusted hospital transfer rates (median = 1.0/1,000 discharges [25th-75th percentile = 1.0-2.0]), whereas substantial variation existed in adjusted, hospital-based, acute care rates (28.0/1,000 [21.0-39.0]). Among adult patients undergoing ambulatory care at surgery centers, hospital transfer at time of discharge from the ambulatory care center is a rare event. In contrast, the rate of need for hospital-based, acute care in the first week afterwards is nearly 30-fold greater, varies across centers, and may be a more meaningful measure for discriminating quality. Published by Mosby, Inc.

An Apparatus for Measuring Rates of Discharge of a Fuel-Injection System

NASA Technical Reports Server (NTRS)

Dutee, Francis J

1941-01-01

A portable apparatus for rapidly determining rates of discharge of a fuel-injection system is described. Satisfactory operation of this apparatus with injection-pump speeds up to 2400 r.p.m was obtained. Rate-of-discharge tests were made with several cam-plunger-valve injection systems with long injection tubes. A check valve designed to reduce secondary discharges was tested. This check valve was operated with injection-pump speeds up to 2400 r.p.m without the occurrence of large secondary discharges.

Test methods and results of the 10-cell bipolar Ni-H2 battery

NASA Technical Reports Server (NTRS)

Cataldo, R.

1983-01-01

Characterization tests were carried out at three charge levels and four discharge levels. The "c' or capacity of the battery is designated at 6.5 ampere-hours. The recharge ampere-hours was the same for all test conditions, 6.5 A-H, regardless of the discharge capacity removed for any particular discharge rate. Less capacity can be removed at higher discharge rates to the same termination voltage, which was 0.50 volts for the weakest (lowest voltage) cell. The general trend of efficiencies increases as the charge rate increases as noted in results of the table included in the handout package. The data also indicate the efficiency increases as the discharge rate decreases. This is true; however, efficiencies at the discharge rates of c and 2c are penalized because these cycles received more overcharge than necessary.

Effect of storage and LEO cycling on manufacturing technology IPV nickel-hydrogen cells

NASA Technical Reports Server (NTRS)

Smithrick, John J.

1987-01-01

Yardney Manufacturing Technology (MANTECH) 50 A-hr space weight individual pressure vessel nickel-hydrogen cells were evaluated. This consisted of investigating: the effect of storage and charge/discharge cycling on cell performance. For the storage test the cells were precharged with hydrogen, by the manufacturer, to a pressure of 14.5 psia. After undergoing activation and acceptance tests, the cells were discharged at C/10 rate (5A) to 0.1 V or less. The terminals were then shorted. The cells were shipped to NASA Lewis Research Center where they were stored at room temperature in the shorted condition for 1 year. After storage, the acceptance tests were repeated at NASA Lewis. A comparison of test results indicate no significant degradation in electrical performance due to 1 year storage. For the cycle life test the regime was a 90 minute low earth orbit at deep depths of discharge (80 and 60 percent). At the 80 percent DOD the three cells failed on the average at cycle 741. Failure for this test was defined to occur when the cell voltage degraded to 1 V prior to completion of the 35 min discharge. The DOD was reduced to 60 percent. The cycle life test was continued.

Numerical investigation of trichel pulse of negative corona discharge in N2-O2 mixture

NASA Astrophysics Data System (ADS)

Xia, Qing; Zhang, Yu; Jiang, Zhaorui; Wang, Ronggang; Ouyang, Jiting

2017-12-01

Trichel pulse of negative corona discharge in atmospheric air is investigated numerically using a 2D fluid model. The model consists of a hyperbolic cathode tip and a plane anode, and considers 11 kinds of particles and the most important interactions among them. The spatio-temporal evolution of charged species and the electric field are evaluated during the pulse process. During the pulse rising edge, the positive ions accumulate ahead of the tip forming the temporal cathode sheath, significantly enhancing the local field. In the pulse decay edge, the temporal sheath collapses and the discharge falls back to a low-current mode. In the pulse interval, the discharge does not cease but sustains weakly until the next pulse. The location of the temporal sheath is independent of the averaged value during the Trichel pulse regime and also the same with that in a normal glow regime, which determines a nearly constant pulse rising time at given configurations. However, a smaller tip radius will lead to their decrease. The effect of negative ions on the pulse process is studied by adjusting the attachment rates. It indicates that the negative ions are actually not necessary in the Trichel pulse process, but will influence the pulse waveform significantly.

Measurement of ozone production scaling in a helium plasma jet with oxygen admixture

NASA Astrophysics Data System (ADS)

Sands, Brian; Ganguly, Biswa

2012-10-01

Capillary dielectric barrier plasma jet devices that generate confined streamer-like discharges along a rare gas flow can produce significant quantities of reactive oxygen species with average input powers ranging from 100 mW to >1 W. We have measured spatially-resolved ozone production in a He plasma jet with O2 admixture concentrations up to 5% using absorption spectroscopy of the O3 Hartley band system. A 20-ns risetime, 10-13 kV positive unipolar voltage pulse train was used to power the discharge, with pulse repetition rates varied from 1-20 kHz. The discharge was operated in a transient glow mode to scale the input power by adjusting the gap width between the anode and downstream cathodic plane. Peak ozone number densities in the range of 10^16 - 10^17 cm-3 were measured. At a given voltage, the density of ozone increased monotonically up to 3% O2 admixture (6 mm gap) as the peak discharge current decreased by an order of magnitude. Ozone production increased with distance from the capillary, consistent with observations by other groups. Atomic oxygen production inferred from O-atom 777 nm emission intensity did not scale with ozone as the input power was increased. The spatial distribution of ozone and scaling with input power will be presented.

Discharge ratings at gaging stations

USGS Publications Warehouse

Kennedy, E.J.

1984-01-01

A discharge rating is the relation of the discharge at a gaging station to stage and sometimes also to other variables. This chapter of 'Techniques of Water-Resources Investigations' describes the procedures commonly used to develop simple ratings where discharge is related only to stage and the most frequently encountered types of complex ratings where additional factors such as rate of change in stage, water-surface slope, or index velocity are used. Fundamental techniques of logarithmic plotting and the applications of simple storage routing to rating development are demonstrated. Computer applications, especially for handheld programmable calculators, and data handling are stressed.

Determining of the Parking Manoeuvre and the Taxi Blockage Adjustment Factor for the Saturation Flow Rate at the Outlet Legs of Signalized Intersections: Case Study from Rasht City (Iran)

NASA Astrophysics Data System (ADS)

Behbahani, Hamid; Jahangir Samet, Mehdi; Najafi Moghaddam Gilani, Vahid; Amini, Amir

2017-10-01

The presence of taxi stops within the area of signalized intersections at the outlet legs due to unnatural behaviour of the taxis, sudden change of lanes, parking manoeuvres activities and stopping the vehicle to discharge or pick up the passengers have led to reduction of saturation flow rate at the outlet leg of signalized intersections and increased delay as well as affecting the performance of a crossing lane. So far, in term of evaluating effective adjustment factors on saturation flow rate at the inlet legs of the signalized intersections, various studies have been carried out, however; there has not been any studies on effective adjustment factors on saturation flow rate at the inlet legs. Hence, the evaluating of the traffic effects of unique behaviours on the saturation flow rate of the outlet leg is very important. In this research the parking manoeuvre time and taxi blockage time were evaluated and analyzed based on the available lane width as well as determining the effective adjustment factors on the saturation flow rate using recording related data at four signalized intersections in Rasht city. The results show that the average parking manoeuvre time is a function of the lane width and is increased as the lane width is reduced. Also, it is suggested to use the values of 7.37 and 11.31 seconds, respectively for the average parking manoeuvre time and the average blockage time of taxies at the outlet legs of signalized intersections for the traffic designing in Rasht city.

Lava effusion rate definition and measurement: a review

USGS Publications Warehouse

Calvari, Sonia; Dehn, Jonathan; Harris, A.

2007-01-01

Measurement of effusion rate is a primary objective for studies that model lava flow and magma system dynamics, as well as for monitoring efforts during on-going eruptions. However, its exact definition remains a source of confusion, and problems occur when comparing volume flux values that are averaged over different time periods or spatial scales, or measured using different approaches. Thus our aims are to: (1) define effusion rate terminology; and (2) assess the various measurement methods and their results. We first distinguish between instantaneous effusion rate, and time-averaged discharge rate. Eruption rate is next defined as the total volume of lava emplaced since the beginning of the eruption divided by the time since the eruption began. The ultimate extension of this is mean output rate, this being the final volume of erupted lava divided by total eruption duration. Whether these values are total values, i.e. the flux feeding all flow units across the entire flow field, or local, i.e. the flux feeding a single active unit within a flow field across which many units are active, also needs to be specified. No approach is without its problems, and all can have large error (up to ∼50%). However, good agreement between diverse approaches shows that reliable estimates can be made if each approach is applied carefully and takes into account the caveats we detail here. There are three important factors to consider and state when measuring, giving or using an effusion rate. First, the time-period over which the value was averaged; second, whether the measurement applies to the entire active flow field, or a single lava flow within that field; and third, the measurement technique and its accompanying assumptions.

An Evaluation of Selected Extraordinary Floods in the United States Reported by the U.S. Geological Survey and Implications for Future Advancement of Flood Science

USGS Publications Warehouse

Costa, John E.; Jarrett, Robert D.

2008-01-01

Thirty flood peak discharges determine the envelope curve of maximum floods documented in the United States by the U.S. Geological Survey. These floods occurred from 1927 to 1978 and are extraordinary not just in their magnitude, but in their hydraulic and geomorphic characteristics. The reliability of the computed discharge of these extraordinary floods was reviewed and evaluated using current (2007) best practices. Of the 30 flood peak discharges investigated, only 7 were measured at daily streamflow-gaging stations that existed when the flood occurred, and 23 were measured at miscellaneous (ungaged) sites. Methods used to measure these 30 extraordinary flood peak discharges consisted of 21 slope-area measurements, 2 direct current-meter measurements, 1 culvert measurement, 1 rating-curve extension, and 1 interpolation and rating-curve extension. The remaining four peak discharges were measured using combinations of culvert, slope-area, flow-over-road, and contracted-opening measurements. The method of peak discharge determination for one flood is unknown. Changes to peak discharge or rating are recommended for 20 of the 30 flood peak discharges that were evaluated. Nine floods retained published peak discharges, but their ratings were downgraded. For two floods, both peak discharge and rating were corrected and revised. Peak discharges for five floods that are subject to significant uncertainty due to complex field and hydraulic conditions, were re-rated as estimates. This study resulted in 5 of the 30 peak discharges having revised values greater than about 10 percent different from the original published values. Peak discharges were smaller for three floods (North Fork Hubbard Creek, Texas; El Rancho Arroyo, New Mexico; South Fork Wailua River, Hawaii), and two peak discharges were revised upward (Lahontan Reservoir tributary, Nevada; Bronco Creek, Arizona). Two peak discharges were indeterminate because they were concluded to have been debris flows with peak discharges that were estimated by an inappropriate method (slope-area) (Big Creek near Waynesville, North Carolina; Day Creek near Etiwanda, California). Original field notes and records could not be found for three of the floods, however, some data (copies of original materials, records of reviews) were available for two of these floods. A rating was assigned to each of seven peak discharges that had no rating. Errors identified in the reviews include misidentified flow processes, incorrect drainage areas for very small basins, incorrect latitude and longitude, improper field methods, arithmetic mistakes in hand calculations, omission of measured high flows when developing rating curves, and typographical errors. Common problems include use of two-section slope-area measurements, poor site selection, uncertainties in Manning's n-values, inadequate review, lost data files, and insufficient and inadequately described high-water marks. These floods also highlight the extreme difficulty in making indirect discharge measurements following extraordinary floods. Significantly, none of the indirect measurements are rated better than fair, which indicates the need to improve methodology to estimate peak discharge. Highly unsteady flow and resulting transient hydraulic phenomena, two-dimensional flow patterns, debris flows at streamflow-gaging stations, and the possibility of disconnected flow surfaces are examples of unresolved problems not well handled by current indirect discharge methodology. On the basis of a comprehensive review of 50,000 annual peak discharges and miscellaneous floods in California, problems with individual flood peak discharges would be expected to require a revision of discharge or rating curves at a rate no greater than about 0.10 percent of all floods. Many extraordinary floods create complex flow patterns and processes that cannot be adequately documented with quasi-steady, uniform one-dimensional analyses. These floods are most accura

Fluvial geochemistry in São Miguel Island (Azores, Portugal): source and fluxes of inorganic solutes in an active volcanic environment.

PubMed

Freire, P; Andrade, C; Coutinho, R; Cruz, J V

2013-06-01

River water chemistry in two of the major rivers in São Miguel Island (Azores archipelago, Portugal) has been characterized monthly between June 2010 and October 2011 in order to estimate the main geochemical processes that explain water composition and to estimate solute fluxes and the thermal water input to rivers. Both rivers (Ribeira Grande - RRG, and Ribeira Quente - RRQ) drain active trachytic central volcanoes. The number of sampling stations is seven in RRG and six in RRQ. Rivers are mainly slightly acid to basic in nature (pH in the range 5.41-8.70 in RRG and 5.90-8.10 in RRQ) and from the Na-HCO3 and Na-HCO3-Cl water types. In both cases water temperature increases towards the river mouth and median values are slightly higher in Ribeira Quente (15.5-22.4°C) comparing to Ribeira Grande river (15.2-19.7°C). Electrical conductivity suggests poorly mineralized waters (139-456 μS/cm in RRG and 209-402 μS/cm in RRQ, and values increase downstream. Higher solute fluxes are associated to HCO3 and Na, and the total CO2 flux is equal to 3647 t/yr in RRQ and 7546 t/yr in RRG. Mixture with thermal water discharges also influences river water chemistry and in RRQ the contribution to the annual average discharge rate was estimated in 2.96×10(6)m(3)/yr (12.8% of overall discharge rate in the watershed). In RRG thermal water discharges were estimated in 2.4×10(6)m(3)/yr (14.9% of the discharge rate). The minimum total CO2-consumption associated with low-temperature weathering is equal to 0.58×10(6)mol/km(2)/yr in Ribeira Quente river and equal to 0.78×10(6)mol/km(2)/yr in Ribeira Grande river. Copyright © 2013 Elsevier B.V. All rights reserved.

New model simulations of the global atmospheric electric circuit driven by thunderstorms and electrified shower clouds: The roles of lightning and sprites

NASA Astrophysics Data System (ADS)

Rycroft, Michael J.; Odzimek, Anna; Arnold, Neil F.; Füllekrug, Martin; Kułak, Andrzej; Neubert, Torsten

2007-12-01

Several processes acting below, in and above thunderstorms and in electrified shower clouds drive upward currents which close through the global atmospheric electric circuit. These are all simulated in a novel way using the software package PSpice. A moderate negative cloud-to-ground lightning discharge from the base of a thunderstorm increases the ionospheric potential above the thundercloud by 0.0013%. Assuming the ionosphere to be an equipotential surface, this discharge increases the current flowing in the global circuit and the fair-weather electric field also by 0.0013%. A moderate positive cloud-to-ground lightning discharge from the bottom of a thunderstorm decreases the ionospheric potential by 0.014%. Such a discharge may trigger a sprite, causing the ionospheric potential to decrease by ˜1V. The time scales for the recovery of the ionospheric potential are shown to be ˜250s, which is of the same order as the CR time constant for the global circuit. Knowing the global average rate of lightning discharges, it is found that negative cloud-to-ground discharges increase the ionospheric potential by only ˜4%, and that positive cloud-to-ground discharges reduce it by ˜3%. Thus, overall, lightning contributes only ˜1%—an almost insignificant proportion—to maintaining the high potential of the ionosphere. It is concluded that the net upward current to the ionosphere due to lightning is only ˜20A. Further, it is concluded that conduction and convection currents associated with “batteries” within thunderclouds and electrified shower clouds contribute essentially equally (˜500A each) to maintaining the ionospheric potential.

Inpatient Rehabilitation Volume and Functional Outcomes in Stroke, Lower Extremity Fracture, and Lower Extremity Joint Replacement

PubMed Central

Graham, James E.; Deutsch, Anne; O’Connell, Ann A.; Karmarkar, Amol M.; Granger, Carl V.; Ottenbacher, Kenneth J.

2013-01-01

Background It is unclear if volume-outcome relationships exist in inpatient rehabilitation. Objectives Assess associations between facility volumes and two patient-centered outcomes in the three most common diagnostic groups in inpatient rehabilitation. Research Design We used hierarchical linear and generalized linear models to analyze administrative assessment data from patients receiving inpatient rehabilitation services for stroke (n=202,423), lower extremity fracture (n=132,194), or lower extremity joint replacement (n=148,068) between 2006 and 2008 in 717 rehabilitation facilities across the U.S. Facilities were assigned to quintiles based on average annual diagnosis-specific patient volumes. Measures Discharge functional status (FIM instrument) and probability of home discharge. Results Facility-level factors accounted for 6–15% of the variance in discharge FIM total scores and 3–5% of the variance in home discharge probability across the 3 diagnostic groups. We used the middle volume quintile (Q3) as the reference group for all analyses and detected small, but statistically significant (p < .01) associations with discharge functional status in all three diagnosis groups. Only the highest volume quintile (Q5) reached statistical significance, displaying higher functional status ratings than Q3 each time. The largest effect was observed in FIM total scores among fracture patients, with only a 3.6-point difference in Q5 and Q3 group means. Volume was not independently related to home discharge. Conclusions Outcome-specific volume effects ranged from small (functional status) to none (home discharge) in all three diagnostic groups. Patients with these conditions can be treated locally rather than at higher-volume regional centers. Further regionalization of inpatient rehabilitation services is not needed for these conditions. PMID:23579350

Inpatient rehabilitation volume and functional outcomes in stroke, lower extremity fracture, and lower extremity joint replacement.

PubMed

Graham, James E; Deutsch, Anne; O'Connell, Ann A; Karmarkar, Amol M; Granger, Carl V; Ottenbacher, Kenneth J

2013-05-01

It is unclear if volume-outcome relationships exist in inpatient rehabilitation. Assess associations between facility volumes and 2 patient-centered outcomes in the 3 most common diagnostic groups in inpatient rehabilitation. We used hierarchical linear and generalized linear models to analyze administrative assessment data from patients receiving inpatient rehabilitation services for stroke (n=202,423), lower extremity fracture (n=132,194), or lower extremity joint replacement (n=148,068) between 2006 and 2008 in 717 rehabilitation facilities across the United States. Facilities were assigned to quintiles based on average annual diagnosis-specific patient volumes. Discharge functional status (FIM instrument) and probability of home discharge. Facility-level factors accounted for 6%-15% of the variance in discharge FIM total scores and 3%-5% of the variance in home discharge probability across the 3 diagnostic groups. We used the middle volume quintile (Q3) as the reference group for all analyses and detected small, but statistically significant (P<0.01) associations with discharge functional status in all 3 diagnosis groups. Only the highest volume quintile (Q5) reached statistical significance, displaying higher functional status ratings than Q3 each time. The largest effect was observed in FIM total scores among fracture patients, with only a 3.6-point difference in Q5 and Q3 group means. Volume was not independently related to home discharge. Outcome-specific volume effects ranged from small (functional status) to none (home discharge) in all 3 diagnostic groups. Patients with these conditions can be treated locally rather than at higher volume regional centers. Further regionalization of inpatient rehabilitation services is not needed for these conditions.

The 2006 Project Progress Report for 1987-099-00 Dworshak Kokanee Population and Entrainment Assessment (contract # 26850) is attached to project 2007-003-00, contract #31598. [POINTER

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2008-12-18

During this contract, we continued testing underwater strobe lights to determine their effectiveness at repelling kokanee Oncorhynchus nerka away from Dworshak Dam. Strobe light tests were conducted on four nights from April 24-27, 2006, in front of the middle reservoir outlet (RO) 2. The density and distribution of fish, (thought to be mostly kokanee), were monitored with a split-beam echo sounder. We then compared fish counts and densities during nights when the lights were flashing to counts and densities during adjacent nights without the lights on. On two nights, April 25 and 27, 2006, when no lights were present, fishmore » counts near RO 2 averaged 12.4 fish and densities averaged 31.0 fish/ha. When strobe lights were turned on during the nights of April 24 and 26, mean counts dropped to 4.7 fish and densities dropped to 0.5 fish/ha. The decline in counts (62%) and densities (99%) was statistically significant (p = 0.009 and 0.002, respectively). Test results indicated that strobe lights were able to reduce fish densities by at least 50% in front of a discharging reservoir outlet, which would be sufficient to improve sport fish harvest. We also used split-beam hydroacoustics to monitor the kokanee population in Dworshak Reservoir during 2006. Estimated abundance of kokanee increased from the 2005 population estimate. Based on hydroacoustic surveys, we estimated approximately 5,815,000 kokanee (90% CI {+-} 27.6%) in Dworshak Reservoir in August 2006. This included 2,183,000 age-0 (90% CI {+-} 24.2%), 1,509,000 age-1 (90% CI {+-} 29.0%), and 2,124,000 age-2 (90% CI {+-} 27.6%) kokanee. This resulted in a density of age-2 kokanee above the management goal of 30-50 adults/ha. Entrainment sampling was conducted with fixed-site, split-beam hydroacoustics from May through September for a continuous 24 h period when dam operations permitted. The highest fish detection rates from entrainment assessments were found during dawn periods, unlike previous year's results, which were highest during nighttime. The lowest detection rate was found during the day period, which was consistent with previous findings. Fish detection rates were generally low during high discharges throughout the summer and highest during low discharges in May and June. Low detection rates were found during high discharge periods during drawdowns for anadromous fish flows in July and August, which resulted in low susceptibility to entrainment. Counts of spawning kokanee in four tributary streams totaled 29,743 fish. These data fit the previously developed relationship between spawner counts and adult kokanee abundance in the reservoir.« less

Dworshak Kokanee Population and Engrainment Assessment : 2006 Annual Report, March 1, 2006 - February 28, 2007.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stark, Eric J.

2008-12-18

During this contract, we continued testing underwater strobe lights to determine their effectiveness at repelling kokanee Oncorhynchus nerka away from Dworshak Dam. Strobe light tests were conducted on four nights from April 24-27, 2006, in front of the middle reservoir outlet (RO) 2. The density and distribution of fish, (thought to be mostly kokanee), were monitored with a split-beam echo sounder. We then compared fish counts and densities during nights when the lights were flashing to counts and densities during adjacent nights without the lights on. On two nights, April 25 and 27, 2006, when no lights were present, fishmore » counts near RO 2 averaged 12.4 fish and densities averaged 31.0 fish/ha. When strobe lights were turned on during the nights of April 24 and 26, mean counts dropped to 4.7 fish and densities dropped to 0.5 fish/ha. The decline in counts (62%) and densities (99%) was statistically significant (p = 0.009 and 0.002, respectively). Test results indicated that strobe lights were able to reduce fish densities by at least 50% in front of a discharging reservoir outlet, which would be sufficient to improve sport fish harvest. We also used split-beam hydroacoustics to monitor the kokanee population in Dworshak Reservoir during 2006. Estimated abundance of kokanee increased from the 2005 population estimate. Based on hydroacoustic surveys, we estimated approximately 5,815,000 kokanee (90% CI {+-} 27.6%) in Dworshak Reservoir in August 2006. This included 2,183,000 age-0 (90% CI {+-} 24.2%), 1,509,000 age-1 (90% CI {+-} 29.0%), and 2,124,000 age-2 (90% CI {+-} 27.6%) kokanee. This resulted in a density of age-2 kokanee above the management goal of 30-50 adults/ha. Entrainment sampling was conducted with fixed-site, split-beam hydroacoustics from May through September for a continuous 24 h period when dam operations permitted. The highest fish detection rates from entrainment assessments were found during dawn periods, unlike previous year's results, which were highest during nighttime. The lowest detection rate was found during the day period, which was consistent with previous findings. Fish detection rates were generally low during high discharges throughout the summer and highest during low discharges in May and June. Low detection rates were found during high discharge periods during drawdowns for anadromous fish flows in July and August, which resulted in low susceptibility to entrainment. Counts of spawning kokanee in four tributary streams totaled 29,743 fish. These data fit the previously developed relationship between spawner counts and adult kokanee abundance in the reservoir.« less

Water budgets for selected watersheds in the Delaware River basin, eastern Pennsylvania and western New Jersey

USGS Publications Warehouse

Sloto, Ronald A.; Buxton, Debra E.

2005-01-01

This pilot study, done by the U.S. Geological Survey in cooperation with the Delaware River Basin Commission, developed annual water budgets using available data for five watersheds in the Delaware River Basin with different degrees of urbanization and different geological settings. A basin water budget and a water-use budget were developed for each watershed. The basin water budget describes inputs to the watershed (precipitation and imported water), outputs of water from the watershed (streamflow, exported water, leakage, consumed water, and evapotranspiration), and changes in ground-water and surface-water storage. The water-use budget describes water withdrawals in the watershed (ground-water and surface-water withdrawals), discharges of water in the watershed (discharge to surface water and ground water), and movement of water of water into and out of the watershed (imports, exports, and consumed water). The water-budget equations developed for this study can be applied to any watershed in the Delaware River Basin. Data used to develop the water budgets were obtained from available long-term meteorological and hydrological data-collection stations and from water-use data collected by regulatory agencies. In the Coastal Plain watersheds, net ground-water loss from unconfined to confined aquifers was determined by using ground-water-flow-model simulations. Error in the water-budget terms is caused by missing data, poor or incomplete measurements, overestimated or underestimated quantities, measurement or reporting errors, and the use of point measurements, such as precipitation and water levels, to estimate an areal quantity, particularly if the watershed is hydrologically or geologically complex or the data-collection station is outside the watershed. The complexity of the water budgets increases with increasing watershed urbanization and interbasin transfer of water. In the Wissahickon Creek watershed, for example, some ground water is discharged to streams in the watershed, some is exported as wastewater, and some is exported for public supply. In addition, ground water withdrawn outside the watershed is imported for public supply or imported as wastewater for treatment and discharge in the watershed. A GIS analysis was necessary to quantify many of the water-budget components. The 89.9-square mile East Branch Brandywine Creek watershed in Pennsylvania is a rural watershed with reservoir storage that is underlain by fractured rock. Water budgets were developed for 1977-2001. Average annual precipitation, streamflow, and evapotranspiration were 46.89, 21.58, and 25.88 inches, respectively. Some water was imported (average of 0.68 inches) into the watershed for public-water supply and as wastewater for treatment and discharge; these imports resulted in a net gain of water to the watershed. More water was discharged to East Branch Brandywine Creek than was withdrawn from it; the net discharge resulted in an increase in streamflow. Most ground water was withdrawn (average of 0.25 inches) for public-water supply. Surface water was withdrawn (average of 0.58 inches) for public-water and industrial supply. Discharge of water by sewage-treatment plants and industries (average of 1.22 inches) and regulation by Marsh Creek Reservoir caused base flow to appear an average of 7.2 percent higher than it would have been without these additional sources. On average, 67 percent of the difference was caused by sewage-treatment-plant and industrial discharges, and 33 percent was caused by regulation of the Marsh Creek Reservoir. Water imports, withdrawals, and discharges have been increasing as the watershed becomes increasingly urbanized. The 64-square mile Wissahickon Creek watershed in Pennsylvania is an urban watershed underlain by fractured rock. Water budgets were developed for 1987-98. Average annual precipitation, streamflow, and evapotranspiration were 47.23, 22.24, and 23.12 inches, respectively. The watershed is highly u

Post-Hospital Discharge Care: A Retrospective Cohort Study Exploring the Value of Pharmacist-Enhanced Care and Describing Medication-Related Problems.

PubMed

Hawes, Emily M; Pinelli, Nicole R; Sanders, Kimberly A; Lipshutz, Andrew M; Tong, Gretchen; Sievers, Lauren S; Chao, Sarah; Gwynne, Mark

2018-01-01

BACKGROUND Medication-related problems occur at high rates during care transitions. Evidence suggests that pharmacists are well-suited to identify and resolve medication-related problems during hospital admission and at discharge. Additional evidence is needed to understand the impact of face-to-face pharmacist visits in primary care after discharge. The purpose of the study was to describe medication-related problems found during face-to-face pharmacist visits in a medical home after hospital discharge. METHODS A retrospective cohort study was conducted within an academic primary care center staffed by family medicine trained physicians that evaluated patients who attended a hospital follow-up visit with pharmacist-enhanced care (N = 86) versus usual care (N = 86). The primary objective was to describe medication-related problems identified by pharmacists using a modified individualized Medication Assessment and Planning tool for patients receiving pharmacist-enhanced care. Secondary analyses were also conducted to compare 30-day and 60-day hospital readmission and emergency department visit rates in those exposed to pharmacist-enhanced care versus those who were not. RESULTS At baseline, the mean hospitalizations in the prior year were 1.1 ± 1.7 (pharmacist-enhanced care) and 0.76 ± 1.2 (usual care), indicating a low initial readmission risk. Of patients receiving pharmacist-enhanced care, 97.7% were found to have at least 1 medication-related problem, with an average of 4.36 medication-related problems per patient. The 30-day readmission rate was lower, but not significantly different between groups (8.1% for pharmacist-enhanced care versus 12.8% for usual care; adjusted odds ratio (OR), 0.47; 95% confidence interval (CI), 0.16-1.36). LIMITATIONS Limitations include the retrospective cohort study design and small sample size. Medication-related problems were identified and collected prospectively during pharmacist visits. CONCLUSION Medication-related problems are ubiquitous after hospital discharge. Larger prospective studies will be needed to understand the potential value of pharmacist-enhanced care during hospital follow-up visits on readmission rates in low-risk patient populations receiving care within a primary care medical home. ©2018 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

Hydrogeology and Simulated Ground-Water Flow in the Salt Pond Region of Southern Rhode Island

USGS Publications Warehouse

Masterson, John P.; Sorenson, Jason R.; Stone, Janet R.; Moran, S. Bradley; Hougham, Andrea

2007-01-01

The Salt Pond region of southern Rhode Island extends from Westerly to Narragansett Bay and forms the natural boundary between the Atlantic Ocean and the shallow, highly permeable freshwater aquifer of the South Coastal Basin. Large inputs of fresh ground water coupled with the low flushing rates to the open ocean make the salt ponds particularly susceptible to eutrophication and bacterial contamination. Ground-water discharge to the salt ponds is an important though poorly quantified source of contaminants, such as dissolved nutrients. A ground-water-flow model was developed and used to delineate the watersheds to the salt ponds, including the areas that contribute ground water directly to the ponds and the areas that contribute ground water to streams that flow into ponds. The model also was used to calculate ground-water fluxes to these coastal areas for long-term average conditions. As part of the modeling analysis, adjustments were made to model input parameters to assess potential uncertainties in model-calculated watershed delineations and in ground-water discharge to the salt ponds. The results of the simulations indicate that flow to the salt ponds is affected primarily by the ease with which water is transmitted through a glacial moraine deposit near the regional ground-water divide, and by the specified recharge rate used in the model simulations. The distribution of the total freshwater flow between direct ground-water discharge and ground-water-derived surface-water (streamflow) discharge to the salt ponds is affected primarily by simulated stream characteristics, including the streambed-aquifer connection and the stream stage. The simulated position of the ground-water divide and, therefore, the model-calculated watershed delineations for the salt ponds, were affected only by changes in the transmissivity of the glacial moraine. Selected changes in other simulated hydraulic parameters had substantial effects on total freshwater discharge and the distribution of direct ground-water discharge and ground-water-derived surface-water (streamflow) discharge to the salt ponds, but still provided a reasonable match to the hydrologic data available for model calibration. To reduce the uncertainty in predictions of watershed areas and ground-water discharge to the salt ponds, additional hydrogeologic data would be required to constrain the model input parameters that have the greatest effect on the simulation results.

A Novel Uncertainty Framework for Improving Discharge Data Quality Using Hydraulic Modelling.

NASA Astrophysics Data System (ADS)

Mansanarez, V.; Westerberg, I.; Lyon, S. W.; Lam, N.

2017-12-01

Flood risk assessments rely on accurate discharge data records. Establishing a reliable stage-discharge (SD) rating curve for calculating discharge from stage at a gauging station normally takes years of data collection efforts. Estimation of high flows is particularly difficult as high flows occur rarely and are often practically difficult to gauge. Hydraulically-modelled rating curves can be derived based on as few as two concurrent stage-discharge and water-surface slope measurements at different flow conditions. This means that a reliable rating curve can, potentially, be derived much faster than a traditional rating curve based on numerous stage-discharge gaugings. We introduce an uncertainty framework using hydraulic modelling for developing SD rating curves and estimating their uncertainties. The proposed framework incorporates information from both the hydraulic configuration (bed slope, roughness, vegetation) and the information available in the stage-discharge observation data (gaugings). This method provides a direct estimation of the hydraulic configuration (slope, bed roughness and vegetation roughness). Discharge time series are estimated propagating stage records through posterior rating curve results.We applied this novel method to two Swedish hydrometric stations, accounting for uncertainties in the gaugings for the hydraulic model. Results from these applications were compared to discharge measurements and official discharge estimations.Sensitivity analysis was performed. We focused analyses on high-flow uncertainty and the factors that could reduce this uncertainty. In particular, we investigated which data uncertainties were most important, and at what flow conditions the gaugings should preferably be taken.

Effective Discharge and Annual Sediment Yield on Brazos River

NASA Astrophysics Data System (ADS)

Rouhnia, M.; Salehi, M.; Keyvani, A.; Ma, F.; Strom, K. B.; Raphelt, N.

2012-12-01

Geometry of an alluvial river alters dynamically over the time due to the sediment mobilization on the banks and bottom of the river channel in various flow rates. Many researchers tried to define a single representative discharge for these morphological processes such as "bank-full discharge", "effective discharge" and "channel forming discharge". Effective discharge is the flow rate in which, the most sediment load is being carried by water, in a long term period. This project is aimed to develop effective discharge estimates for six gaging stations along the Brazos River from Waco, TX to Rosharon, TX. The project was performed with cooperation of the In-stream Flow Team of the Texas Water Development Board (TWDB). Project objectives are listed as: 1) developing "Flow Duration Curves" for six stations based on mean-daily discharge by downloading the required, additional data from U.S Geological Survey website, 2) developing "Rating Curves" for six gaging stations after sampling and field measurements in three different flow conditions, 3) developing a smooth shaped "Sediment Yield Histogram" with a well distinguished peak as effective discharge. The effective discharge was calculated using two methods of manually and automatic bin selection. The automatic method is based on kernel density approximation. Cross-sectional geometry measurements, particle size distributions and water field samples were processed in the laboratory to obtain the suspended sediment concentration associated with flow rate. Rating curves showed acceptable trends, as the greater flow rate we experienced, the more sediment were carried by water.

Rate Dependent Multi-Mechanism Discharge of Ag 0.50VOP 4·1.8H 2O: Insights from In Situ Energy Dispersive X-ray Diffraction

DOE Office of Scientific and Technical Information (OSTI.GOV)

Huie, Matthew M.; Bock, David C.; Zhong, Zhong

Ag 0.50VOPO 4·1.8H 2O (silver vanadium phosphate, SVOP) demonstrates a counterintuitive higher initial loaded voltage under higher discharge current. Energy dispersive X-ray diffraction (EDXRD) from synchrotron radiation was used to create tomographic profiles of cathodes at various depths of discharge for two discharge rates. SVOP displays two reduction mechanisms, reduction of a vanadium center accompanied by lithiation of the structure, or reduction-displacement of a silver cation to form silver metal. In-situ EDXRD provides the opportunity to observe spatially resolved changes to the parent SVOP crystal and formation of Ag 0 during reduction. At a C/170 discharge rate V 5+ reductionmore » is the preferred initial reaction resulting in higher initial loaded voltage. At a discharge rate of C/400 reduction of Ag + with formation of conductive Ag 0 occurs earlier during discharge. Discharge rate also affects the spatial location of reduction products. The faster discharge rate initiates reduction close to the current collector with non-uniform distribution of silver metal resulting in isolated cathode areas. The slower rate develops a more homogenous distribution of reduced SVOP and silver metal. This study illuminates the roles of electronic and ionic conductivity limitations within a cathode at the mesoscale and how they impact the course of reduction processes and loaded voltage.« less

Rate Dependent Multi-Mechanism Discharge of Ag 0.50VOP 4·1.8H 2O: Insights from In Situ Energy Dispersive X-ray Diffraction

DOE PAGES

Huie, Matthew M.; Bock, David C.; Zhong, Zhong; ...

2016-09-01

Ag 0.50VOPO 4·1.8H 2O (silver vanadium phosphate, SVOP) demonstrates a counterintuitive higher initial loaded voltage under higher discharge current. Energy dispersive X-ray diffraction (EDXRD) from synchrotron radiation was used to create tomographic profiles of cathodes at various depths of discharge for two discharge rates. SVOP displays two reduction mechanisms, reduction of a vanadium center accompanied by lithiation of the structure, or reduction-displacement of a silver cation to form silver metal. In-situ EDXRD provides the opportunity to observe spatially resolved changes to the parent SVOP crystal and formation of Ag 0 during reduction. At a C/170 discharge rate V 5+ reductionmore » is the preferred initial reaction resulting in higher initial loaded voltage. At a discharge rate of C/400 reduction of Ag + with formation of conductive Ag 0 occurs earlier during discharge. Discharge rate also affects the spatial location of reduction products. The faster discharge rate initiates reduction close to the current collector with non-uniform distribution of silver metal resulting in isolated cathode areas. The slower rate develops a more homogenous distribution of reduced SVOP and silver metal. This study illuminates the roles of electronic and ionic conductivity limitations within a cathode at the mesoscale and how they impact the course of reduction processes and loaded voltage.« less

Assessing natural and anthropogenic influences on water discharge and sediment load in the Yangtze River, China.

PubMed

Zhao, Yifei; Zou, Xinqing; Liu, Qing; Yao, Yulong; Li, Yali; Wu, Xiaowei; Wang, Chenglong; Yu, Wenwen; Wang, Teng

2017-12-31

The water discharge and sediment load of rivers are changing substantially under the impacts of climate change and human activities, becoming a hot issue in hydro-environmental research. In this study, the water discharge and sediment load in the mainstream and seven tributaries of the Yangtze River were investigated by using long-term hydro-meteorological data from 1953 to 2013. The non-parametric Mann-Kendall test and double mass curve (DMC) were used to detect trends and abrupt change-points in water discharge and sediment load and to quantify the effects of climate change and human activities on water discharge and sediment load. The results are as follows: (1) the water discharge showed a non-significant decreasing trend at most stations except Hukou station. Among these, water discharge at Dongting Lake and the Min River basin shows a significant decreasing trend with average rates of -13.93×10 8 m 3 /year and -1.8×10 8 m 3 /year (P<0.05), respectively. However, the sediment load exhibited a significant decreasing trend in all tributaries of the Yangtze River. (2) No significant abrupt change-points were detected in the time series of water discharge for all hydrological stations. In contrast, significant abrupt change-points were detected in sediment load, most of these changes appeared in the late 1980s. (3) The water discharge was mainly influenced by precipitation in the Yangtze River basin, whereas sediment load was mainly affected by climate change and human activities; the relative contribution ratios of human activities were above 70% for the Yangtze River. (4) The decrease of sediment load has directly impacted the lower Yangtze River and the delta region. These results will provide a reference for better resource management in the Yangtze River Basin. Copyright © 2017 Elsevier B.V. All rights reserved.

Investigation of nanosecond pulsed dielectric barrier discharge using plate-to-plate electrode with asymmetric dielectric arrangement in airflow

DOE Office of Scientific and Technical Information (OSTI.GOV)

Qi, Haicheng; School of Physics Science and Technology, Anshan Normal University, Anshan 114005; Fan, Zhihui

Atmospheric pressure dielectric barrier discharge plasma is produced in airflow by applying nanosecond high voltage pulses with peak voltage about 35 kV and rising time about 40 ns on a plate-to-plate electrode arrangement. The effects of airflow rate (0–50 m/s) on the discharge characteristics are investigated under different barrier conditions (the bare anode case and the bare cathode case). For both cases, the breakdown voltage and the time lag increase distinctly and the discharge intensity decreases sharply when the airflow rate increases from 0 to 30 m/s, and then keep almost constant until the airflow rate is further increased to 50 m/s. For the baremore » anode case (the cathode is covered by dielectric plate), the discharge mode transforms gradually from filamentary to diffuse discharge with the increasing airflow rate. While for the bare cathode case, some micro-discharge channels are still excited, though the discharge becomes more diffuse when the airflow rate is higher than 30 m/s. By acquiring the time-resolved images of the discharge, it is proved that it is the primary discharge which becomes diffuse when airflow is introduced and the following two discharges of the same voltage pulse occur principally at the positions where the primary discharge is more intense. And in both cases, the plasma temperatures are reduced, but the degree is different. All the phenomena can be explained mainly by the variation of the space charge distribution when the airflow is introduced into the discharge gap. And it is indicated that the bare anode case has an advantage in obtaining diffuse discharge.« less

Recovery and concordance in a secure forensic psychiatry hospital - the self rated DUNDRUM-3 programme completion and DUNDRUM-4 recovery scales.

PubMed

Davoren, Mary; Hennessy, Sarah; Conway, Catherine; Marrinan, Seamus; Gill, Pauline; Kennedy, Harry G

2015-03-28

Detention in a secure forensic psychiatric hospital may inhibit engagement and recovery. Having validated the clinician rated DUNDRUM-3 (programme completion) and DUNDRUM-4 (recovery) in a forensic hospital, we set out to draft and validate scales measuring the same programme completion and recovery items that patients could use to self-rate. Based on previous work, we hypothesised that self-rating scores might be predictors of objective progress including conditional discharge. We hypothesised also that the difference between patients' and clinicians' ratings of progress in treatment and other factors relevant to readiness for discharge (concordance) would diminish as patients neared discharge. We hypothesised also that this difference in matched scores would predict objective progress including conditional discharge. In a prospective naturalistic observational cohort study in a forensic hospital, we examined whether scores on the self-rated DUNDRUM-3 programme completion and DUNDRUM-4 recovery scales or differences between clinician and patient ratings on the same scales (concordance) would predict moves between levels of therapeutic security and conditional discharge over the next twelve months. Both scales stratified along the recovery pathway of the hospital, but clinician ratings matched the level of therapeutic security more accurately than self ratings. The clinician rated scales predicted moves to less secure units and to more secure units and predicted conditional discharge but the self-rated scores did not. The difference between clinician and self-rated scores (concordance) predicted positive and negative moves and conditional discharge, but this was not always an independent predictor as shown by regression analysis. In regression analysis the DUNDRUM-3 predicted moves to less secure places though the HCR-20 C & R score dominated the model. Moves back to more secure places were predicted by lack of concordance on the DUNDRUM-4. Conditional discharge was predicted predominantly by the DUNDRUM-3. Patients accurately self-rate relative to other patients however their absolute ratings were consistently lower (better) than clinicians' ratings and were less accurate predictors of outcomes including conditional discharge. Quantifying concordance is a useful part of the recovery process and predicts outcomes but self-ratings are not accurate predictors.

Chopper-controlled discharge life cycling studies on lead-acid batteries

NASA Technical Reports Server (NTRS)

Kraml, J. J.; Ames, E. P.

1982-01-01

State-of-the-art 6 volt lead-acid golf car batteries were tested. A daily charge/discharge cycling to failure points under various chopper controlled pulsed dc and continuous current load conditions was undertaken. The cycle life and failure modes were investigated for depth of discharge, average current chopper frequency, and chopper duty cycle. It is shown that battery life is primarily and inversely related to depth of discharge and discharge current. Failure mode is characterized by a gradual capacity loss with consistent evidence of cell element aging.

Response of lead-acid batteries to chopper-controlled discharge: Preliminary results

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1978-01-01

The preliminary results of simulated electric vehicle, chopper, speed controller discharge of a battery show energy output losses up to 25 percent compared to constant current discharges at the same average discharge current of 100 amperes. These energy losses are manifested as temperature rises during discharge, amounting to a two-fold increase for a 400-ampere pulse compared to the constant current case. Because of the potentially large energy inefficiency, the results suggest that electric vehicle battery/speed controller interaction must be carefully considered in vehicle design.

Response of lead-acid batteries to chopper-controlled discharge

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1978-01-01

The preliminary results of simulated electric vehicle, chopper, speed controller discharge of a battery show energy output losses at up to 25 percent compared to constant current discharges at the same average discharge current of 100 A. These energy losses are manifested as temperature rises during discharge, amounting to a two-fold increase for a 400-A pulse compared to the constant current case. Because of the potentially large energy inefficiency, the results suggest that electric vehicle battery/speed controller interaction must be carefully considered in vehicle design.

Investigation of operating parameters on CO2 splitting by dielectric barrier discharge plasma

NASA Astrophysics Data System (ADS)

Pan, CHEN; Jun, SHEN; Tangchun, RAN; Tao, YANG; Yongxiang, YIN

2017-12-01

Experiments of CO2 splitting by dielectric barrier discharge (DBD) plasma were carried out, and the influence of CO2 flow rate, plasma power, discharge voltage, discharge frequency on CO2 conversion and process energy efficiency were investigated. It was shown that the absolute quantity of CO2 decomposed was only proportional to the amount of conductive electrons across the discharge gap, and the electron amount was proportional to the discharge power; the energy efficiency of CO2 conversion was almost a constant at a lower level, which was limited by CO2 inherent discharge character that determined a constant gap electric field strength. This was the main reason why CO2 conversion rate decreased as the CO2 flow rate increase and process energy efficiency was decreased a little as applied frequency increased. Therefore, one can improve the CO2 conversion by less feed flow rate or larger discharge power in DBD plasma, but the energy efficiency is difficult to improve.

Estimations of direct release rate of 137Cs and 90Sr to the ocean from the Fukushima Dai-ichi Nuclear Power Plant for five-and-a-half years

NASA Astrophysics Data System (ADS)

Tsumune, Daisuke; Aoyama, Michio; Tsubono, Takaki; Misumi, Kazuhiro; Tateda, Yutaka

2017-04-01

A series of accidents at the Fukushima Dai-ichi Nuclear Power Plant (1F NPP) following the earthquake and tsunami of 11 March 2011 resulted in the release of radioactive materials to the ocean by two major pathways, direct release from the accident site and atmospheric deposition. Additional release pathways by river input and runoff from 1F NPP site with precipitation and were also effective for coastal zone in the specific periods before starting direct release on March 26 2011. Direct release from 1F NPP site is dominant one year after the accident. We estimated the direct release rate of 137Cs and 90Sr for more than five-and-a-half years after the accident by the Regional Ocean Model System (ROMS). Direct release rate of 137Cs were estimated for five-and-a-half years after the accident by comparing simulated results and measured activities adjacent to the 1F NPP site(at 5,6 discharge and south discharge). Directly release rate of 137Cs was estimated to be the order of magnitude of 1014 Bq/day and decreased exponentially with time to be the order of magnitude of 109 Bq/day by the end of September 2016. Estimated direct release rate have exponentially reduced with constant rate since November 2011. Apparent half-life of direct release rate was estimated to be 346 days. The estimated total amounts of directly released 137Cs was 3.7±0.7 PBq for five and a half years. Simulated 137Cs activities attributable to direct release were in good agreement with observed activities, a result that implies the estimated direct release rate was reasonable. Simulated 137Cs activity affected off coast in the Fukushima prefecture. We used the measured 137Cs activities by the Tokyo Electric Power Company (TEPCO) for the estimation of direct release. The sea water samples were corrected from the coast. The averaged 137Cs activities from November 2013 to June 2016 were 391 and 383 Bq/m3 at 5,6 discharge and south discharge, respectively. The averaged 137Cs activities measured by the Nuclear Regulation Agency (NRA) is about five times smaller than the one by the TEPCO because the NRA corrected seawater samples at 300-500m offshore by ship. Horizontal resolution of the model was 1km x 1km, therefore it is important to consider the difference of activities in the sub-grid scale for the detailed estimations of direct release. 90Sr/137Cs activity ratio measured adjacent to the 1F NPP is variable with time. The 90Sr/137Cs activity ratio was 0.62 due to the global fallout before the accident. The 90Sr/137Cs activity ratio decreased to 0.01 after the accident before April 2011. And the ratio increased to 1 by September 2013. And then the ratio decreased to 0.1-1. After October 2015, the ratio decreased to 0.1-0.2. Directly release rate of 90Sr was estimated to be the order of magnitude of 1012 Bq/day and decreased to the order of magnitude of 108 Bq/day by the end of September 2016. The estimated total amounts of directly released 90Sr was 35 ± 7 TBq.

Fluid simulation of the bias effect in inductive/capacitive discharges

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zhang, Yu-Ru; Research Group PLASMANT, Department of Chemistry, University of Antwerp, Universiteitsplein 1, Wilrijk, BE-2610 Antwerp; Gao, Fei

Computer simulations are performed for an argon inductively coupled plasma (ICP) with a capacitive radio-frequency bias power, to investigate the bias effect on the discharge mode transition and on the plasma characteristics at various ICP currents, bias voltages, and bias frequencies. When the bias frequency is fixed at 13.56 MHz and the ICP current is low, e.g., 6 A, the spatiotemporal averaged plasma density increases monotonically with bias voltage, and the bias effect is already prominent at a bias voltage of 90 V. The maximum of the ionization rate moves toward the bottom electrode, which indicates clearly the discharge mode transition in inductive/capacitivemore » discharges. At higher ICP currents, i.e., 11 and 13 A, the plasma density decreases first and then increases with bias voltage, due to the competing mechanisms between the ion acceleration power dissipation and the capacitive power deposition. At 11 A, the bias effect is still important, but it is noticeable only at higher bias voltages. At 13 A, the ionization rate is characterized by a maximum at the reactor center near the dielectric window at all selected bias voltages, which indicates that the ICP power, instead of the bias power, plays a dominant role under this condition, and no mode transition is observed. Indeed, the ratio of the bias power to the total power is lower than 0.4 over a wide range of bias voltages, i.e., 0–300 V. Besides the effect of ICP current, also the effect of various bias frequencies is investigated. It is found that the modulation of the bias power to the spatiotemporal distributions of the ionization rate at 2 MHz is strikingly different from the behavior observed at higher bias frequencies. Furthermore, the minimum of the plasma density appears at different bias voltages, i.e., 120 V at 2 MHz and 90 V at 27.12 MHz.« less

The Effect of Cathode Composition on the Thermal Characteristics of Lithium-Ion Cells

NASA Technical Reports Server (NTRS)

Vaidyanathan, Hari; Rao, Gopalakrishna M.

1999-01-01

The specific thermal capacity and heat dissipation rate for lithium ion cells containing LiNiO2 and mixed oxide (75%LiCoO2+ 25%LiNiO2) as cathode materials are compared. The experimental measurements were made using a radiative calorimeter consisting of a copper chamber maintained at -168 C by circulating liquid nitrogen and enclosed in a vacuum bell jar. The specific thermal capacity was determined based on warm-up and cool-down transients. The heat dissipation rate was calculated from the values measured for heat radiated and stored, and the resulting values were corrected for conductive heat dissipation through the leads. The specific heat was 1.117 J/ C-g for the LiNiO2 cell and 0.946 J/ C-g for the 75%LiCoO2,25%LiNiO2 cell. Endothermic cooling at the beginning of charge was very apparent for the cell containing 75%LiCoO2,25%LiNiO2 as the cathode. Exothermic heating began at a higher state of charge for the cell with the 75%LiCoO2,25%LiNiO2 cathode compared to the LiNiO2 cathode cell. During discharge, the rate of heat dissipation increased with increase in the discharge current for both types of cells. The maximum heat dissipated at C/5 discharge was 0.065 W and 0.04 W for the LiNiO2 and 75%LiCoO2,25%LiNiO2 cells, respectively, The thermoneutral potential showed variability toward the end of discharge. The plateau region of the curves was used to calculate average thermoneutral potentials of 3.698 V and 3.837 V for the LiNiO2 cell and the 75%LiCoO2,25%LiNiO2 cell, respectively.

Cost effectiveness of stream-gaging program in Michigan

USGS Publications Warehouse

Holtschlag, D.J.

1985-01-01

This report documents the results of a study of the cost effectiveness of the stream-gaging program in Michigan. Data uses and funding sources were identified for the 129 continuous gaging stations being operated in Michigan as of 1984. One gaging station was identified as having insufficient reason to continue its operation. Several stations were identified for reactivation, should funds become available, because of insufficiencies in the data network. Alternative methods of developing streamflow information based on routing and regression analyses were investigated for 10 stations. However, no station records were reproduced with sufficient accuracy to replace conventional gaging practices. A cost-effectiveness analysis of the data-collection procedure for the ice-free season was conducted using a Kalman-filter analysis. To define missing-record characteristics, cross-correlation coefficients and coefficients of variation were computed at stations on the basis of daily mean discharge. Discharge-measurement data were used to describe the gage/discharge rating stability at each station. The results of the cost-effectiveness analysis for a 9-month ice-free season show that the current policy of visiting most stations on a fixed servicing schedule once every 6 weeks results in an average standard error of 12.1 percent for the current $718,100 budget. By adopting a flexible servicing schedule, the average standard error could be reduced to 11.1 percent. Alternatively, the budget could be reduced to $700,200 while maintaining the current level of accuracy. A minimum budget of $680,200 is needed to operate the 129-gaging-station program; a budget less than this would not permit proper service and maintenance of stations. At the minimum budget, the average standard error would be 14.4 percent. A budget of $789,900 (the maximum analyzed) would result in a decrease in the average standard error to 9.07 percent. Owing to continual changes in the composition of the network and the changes in the uncertainties of streamflow accuracy at individual stations, the cost-effectiveness analysis will need to be updated regularly if it is to be used as a management tool. Cost of these updates need to be considered in decisions concerning the feasibility of flexible servicing schedules.

Temporal variability in stage-discharge relationships

NASA Astrophysics Data System (ADS)

Guerrero, José-Luis; Westerberg, Ida K.; Halldin, Sven; Xu, Chong-Yu; Lundin, Lars-Christer

2012-06-01

SummaryAlthough discharge estimations are central for water management and hydropower, there are few studies on the variability and uncertainty of their basis; deriving discharge from stage heights through the use of a rating curve that depends on riverbed geometry. A large fraction of the world's river-discharge stations are presumably located in alluvial channels where riverbed characteristics may change over time because of erosion and sedimentation. This study was conducted to analyse and quantify the dynamic relationship between stage and discharge and to determine to what degree currently used methods are able to account for such variability. The study was carried out for six hydrometric stations in the upper Choluteca River basin, Honduras, where a set of unusually frequent stage-discharge data are available. The temporal variability and the uncertainty of the rating curve and its parameters were analysed through a Monte Carlo (MC) analysis on a moving window of data using the Generalised Likelihood Uncertainty Estimation (GLUE) methodology. Acceptable ranges for the values of the rating-curve parameters were determined from riverbed surveys at the six stations, and the sampling space was constrained according to those ranges, using three-dimensional alpha shapes. Temporal variability was analysed in three ways: (i) with annually updated rating curves (simulating Honduran practices), (ii) a rating curve for each time window, and (iii) a smoothed, continuous dynamic rating curve derived from the MC analysis. The temporal variability of the rating parameters translated into a high rating-curve variability. The variability could turn out as increasing or decreasing trends and/or cyclic behaviour. There was a tendency at all stations to a seasonal variability. The discharge at a given stage could vary by a factor of two or more. The quotient in discharge volumes estimated from dynamic and static rating curves varied between 0.5 and 1.5. The difference between discharge volumes derived from static and dynamic curves was largest for sub-daily ratings but stayed large also for monthly and yearly totals. The relative uncertainty was largest for low flows but it was considerable also for intermediate and large flows. The standard procedure of adjusting rating curves when calculated and observed discharge differ by more than 5% would have required continuously updated rating curves at the studied locations. We believe that these findings can be applicable to many other discharge stations around the globe.

Thermogenesis-triggered seed dispersal in dwarf mistletoe

PubMed Central

deBruyn, Rolena A.J.; Paetkau, Mark; Ross, Kelly A.; Godfrey, David V.; Friedman, Cynthia Ross

2015-01-01

Lodgepole pine dwarf mistletoe (DM), Arceuthobium americanum, is a parasitic flowering plant and forest pathogen in North America. Seed dispersal in DM occurs by explosive discharge. Notably, slight warming of ripe DM fruit in the laboratory can trigger explosions. Previously, we showed that alternative oxidase, a protein involved in endogenous heat production (thermogenesis) in plants, is present in DM fruit. These observations have led us to investigate if thermogenesis induces discharge. Here, infrared thermographs reveal that ripe DM fruits display an anomalous increase in surface temperature by an average of 2.1±0.8 °C over an average time of 103±29 s (n=9, 95% confidence interval) before dehiscence. Furthermore, both non-isothermal and isothermal modulated differential scanning calorimetry consistently show an exothermic event (~1 J g−1) in the non-reversible heat flow just prior to discharge. These results support thermogenesis-triggered seed discharge, never before observed in any plant. PMID:25662062

Low-Flow Characteristics and Discharge Profiles for Selected Streams in the Cape Fear River Basin, North Carolina, Through 1998

USGS Publications Warehouse

Weaver, J.C.; Pope, B.F.

2001-01-01

An understanding of the magnitude and frequency of low-flow discharges is an important part of evaluating surface-water resources and planning for municipal and industrial economic expansion. Low-flow characteristics are summarized in this report for 67 continuous-record gaging stations and 121 partial-record measuring sites in the Cape Fear River Basin of North Carolina. Records of discharge collected through the 1998 water year were used in the analyses. Flow characteristics included in the summary are (1) average annual unit flow; (2) 7Q10 low-flow discharge, the minimum average discharge for a 7-consecutive-day period occurring, on average, once in 10 years; (3) 30Q2 low-flow discharge; (4) W7Q10 low-flow discharge, similar to 7Q10 discharge except that only flow during November through March is considered; and (5) 7Q2 low-flow discharge. Low-flow characteristics in the Cape Fear River Basin vary widely in response to changes in geology and soil types. The area of the basin with the lowest potentials for sustained base flows is underlain by the Triassic basin in parts of Durham, Wake, and Chatham Counties. Typically, these soils are derived from basalt and fine-grained sedimentary rocks that allow very little infiltration of water into the shallow aquifers for storage and later release to streams during periods of base flow. The area of the basin with the highest base flows is the Sand Hills region in parts of Moore, Harnett, Hoke, and Cumberland Counties. Streams in the Sand Hills have the highest unit low flows in the study area as well as in much of North Carolina. Well-drained sandy soils in combination with higher topographic relief relative to other areas in the Coastal Plain contribute to the occurrence of high potentials for sustained base flows. A number of sites in the upper part of the Cape Fear River Basin underlain by the Carolina Slate Belt and Triassic basin, as well many sites in lower areas of the Coastal Plain (particularly the Northeast Cape Fear River Basin), have zero or minimal (defined as less than 0.05 cubic foot per second) 7Q10 discharges. In this area, the poorly sustained base flows are reflective of either (1) thin soils that have very little storage of water to sustain streams during base-flow periods (Carolina Slate Belt), or (2) soils having very low infiltration rates (Triassic basin). As a result, there is insufficient water stored in the surficial aquifers for release to streams during extended dry periods. Within the part of the study area underlain by the Carolina Slate Belt, streams draining basins 5 square miles or less may have zero or minimal 7Q10 discharges. The part of the study area underlain by the Triassic basin has a higher drainage-area threshold at 35 square miles, below which streams will likely have zero or minimal 7Q10 discharges. Occurrences of zero or minimal 7Q10 discharges in the Coastal Plain were noted, though on a more widespread basis. In this area, low flows are more likely affected by the presence of poorly drained soils in combination with very low topographic relief relative to other areas in the Coastal Plain, particularly the Sand Hills. In eastern Harnett County and northeastern Cumberland County, basins with less than 3 square miles may be prone to having zero or minimal 7Q10 discharges. Soils in this area have been described as a mixture of sandy and clay soils. In the Northeast Cape Fear River Basin, particularly on the western side of the river, streams draining less than 8 square miles may have zero or minimal 7Q10 discharges. The poorly drained clay soils along with very little topographic relief results in the low potential for sustained base flows in this part of the study area. Drainage area and low-flow discharge profiles are presented for 13 streams in the Cape Fear River Basin; these profiles reflect a wide range in basin size, characteristics, and streamflow conditions. In addition to the Haw River and Cape Fear River main stem, pro

Estimation of underground river water availability based on rainfall in the Maros karst region, South Sulawesi

NASA Astrophysics Data System (ADS)

Arsyad, Muhammad; Ihsan, Nasrul; Tiwow, Vistarani Arini

2016-02-01

Maros karst region, covering an area of 43.750 hectares, has water resources that determine the life around it. Water resources in Maros karst are in the rock layers or river underground in the cave. The data used in this study are primary and secondary data. Primary data includes characteristics of the medium. Secondary data is rainfall data from BMKG, water discharge data from the PSDA, South Sulawesi province in 1990-2010, and the other characteristics data Maros karst, namely cave, flora and fauna of the Bantimurung Bulusaraung National Park. Data analysis was conducted using laboratory test for medium characteristics Maros karst, rainfall and water discharge were analyzed using Minitab Program 1.5 to determine their profile. The average rainfall above 200 mm per year occurs in the range of 1999 to 2005. The availability of the water discharge at over 50 m3/s was happened in 1993 and 1995. Prediction was done by modeling Autoregressive Integrated Moving Average (ARIMA), with the rainfall data shows that the average precipitation for four years (2011-2014) will sharply fluctuate. The prediction of water discharge in Maros karst region was done for the period from January to August in 2011, including the type of 0. In 2012, the addition of the water discharge started up in early 2014.

Insanity acquittee outcomes in New Zealand.

PubMed

Skipworth, Jeremy; Brinded, Phil; Chaplow, David; Frampton, Chris

2006-01-01

This paper examines clinical and forensic outcomes for defendants found not guilty by reason of insanity in New Zealand, and explores the implications for policy development and clinical rehabilitation in this population. All insanity acquittees disposed of by the courts as special patients after 1976 and released before 2004 are described. Their duration of inpatient care, rates of reconviction and rehospitalization following release are examined. The high resolution rate for violent crime reported to police suggests that reconviction rates are a reasonable proxy for violent reoffending. Factors predicting duration of inpatient care and reoffending are analysed. Severity of Index Offence was the only variable predicting duration of inpatient care of the 135 special patients. Offenders of more serious offences were securely detained for longer periods--averaging 6 years in the case of those charged with murder. Most patients were readmitted over the decade following discharge. Only 6% had violently reoffended 2 years after release into the community. Prior offending, age at release, ethnicity and gender predicted reoffending, but not diagnosis or duration of inpatient admission. Following discharge into the community, insanity acquittees are reconvicted of violent crimes at a very low rate, although readmission to hospital is common. It may be that insanity acquittees are initially detained in hospital longer than is clinically indicated, and that safe forensic community treatment can occur at an earlier stage of recovery without compromising public safety.

African Americans Have Better Outcomes for Five Common Gastrointestinal Diagnoses in Hospitals With More Racially Diverse Patients.

PubMed

Okafor, Philip N; Stobaugh, Derrick J; van Ryn, Michelle; Talwalkar, Jayant A

2016-05-01

We sought to characterize the relationship between hospital inpatient racial diversity and outcomes for African-American patients including rates of major complications or mortality during hospitalization for five common gastrointestinal diagnoses. Using the 2012 National Inpatient Sample database, hospital inpatient racial diversity was defined as the percentage of African-American patients discharged from each hospital. Logistic regression was used to predict major complication rates or death, long length of stay, and high total charges. Control variables included age, gender, payer type, patient location, area-associated income quartile, hospital characteristics including size, urban vs. rural, teaching vs. nonteaching, region, and the interaction of the percentage of African Americans with patient race. There were 848,395 discharges across 3,392 hospitals. The patient population was on average 27% minority (s.d.±21%) with African Americans accounting for 14% of all patients. Overall, African-American patients had higher rates of major complications or death relative to white patients (adjusted odds ratio (aOR) 1.19; 95% confidence interval (CI) 1.16-1.23). However, when treated in hospitals with higher patient racial diversity, African-American patients experienced significantly lower rates of major complications or mortality (aOR 0.80; 95% CI 0.74-0.86). African Americans have better outcomes for five common gastrointestinal diagnoses when treated in hospitals with higher inpatient racial diversity. This has major ramifications on total hospital charges.

Minimum reaction network necessary to describe Ar/CF4 plasma etch

NASA Astrophysics Data System (ADS)

Helpert, Sofia; Chopra, Meghali; Bonnecaze, Roger T.

2018-03-01

Predicting the etch and deposition profiles created using plasma processes is challenging due to the complexity of plasma discharges and plasma-surface interactions. Volume-averaged global models allow for efficient prediction of important processing parameters and provide a means to quickly determine the effect of a variety of process inputs on the plasma discharge. However, global models are limited based on simplifying assumptions to describe the chemical reaction network. Here a database of 128 reactions is compiled and their corresponding rate constants collected from 24 sources for an Ar/CF4 plasma using the platform RODEo (Recipe Optimization for Deposition and Etching). Six different reaction sets were tested which employed anywhere from 12 to all 128 reactions to evaluate the impact of the reaction database on particle species densities and electron temperature. Because many the reactions used in our database had conflicting rate constants as reported in literature, we also present a method to deal with those uncertainties when constructing the model which includes weighting each reaction rate and filtering outliers. By analyzing the link between a reaction's rate constant and its impact on the predicted plasma densities and electron temperatures, we determine the conditions at which a reaction is deemed necessary to the plasma model. The results of this study provide a foundation for determining which minimal set of reactions must be included in the reaction set of the plasma model.

Timescale bias in measuring river migration rate

NASA Astrophysics Data System (ADS)

Donovan, M.; Belmont, P.; Notebaert, B.

2016-12-01

River channel migration plays an important role in sediment routing, water quality, riverine ecology, and infrastructure risk assessment. Migration rates may change in time and space due to systematic changes in hydrology, sediment supply, vegetation, and/or human land and water management actions. The ability to make detailed measurements of lateral migration over a wide range of temporal and spatial scales has been enhanced from increased availability of historical landscape-scale aerial photography and high-resolution topography (HRT). Despite a surge in the use of historical and contemporary aerial photograph sequences in conjunction with evolving methods to analyze such data for channel change, we found no research considering the biases that may be introduced as a function of the temporal scales of measurement. Unsteady processes (e.g.; sedimentation, channel migration, width changes) exhibit extreme discontinuities over time and space, resulting in distortion when measurements are averaged over longer temporal scales, referred to as `Sadler effects' (Sadler, 1981; Gardner et al., 1987). Using 12 sets of aerial photographs for the Root River (Minnesota), we measure lateral migration over space (110 km) and time (1937-2013) assess whether bias arises from different measurement scales and whether rates shift systematically with increased discharge over time. Results indicate that measurement-scale biases indeed arise from the time elapsed between measurements. We parsed the study reach into three distinct reaches and examine if/how recent increases in river discharge translate into changes in migration rate.

Facile Synthesis of Bowl-Like LiFePO4/C Composite with High Rate-Performance

NASA Astrophysics Data System (ADS)

Jing, Peng; Yao, Lei; Xiang, Mingwu; Wang, Yan; Wu, Jinhua; Wang, Boya; Zhang, Yun; Wu, Hao; Liu, Heng

2018-07-01

Olivine-structured LiFePO4/C composites with high rate-performance were synthesized via an industrial spray-drying technique using a low cost Fe3O4 as iron source. The as-obtained LiFePO4/C exhibits a unique bowl-like morphology with a particle size of 2-5 μm in diameter. A continuous uniform carbon coating layer on the surface of LiFePO4/C cathodes promotes fast electron transport, whilst it guarantees the favorable electrochemical reaction. Especially the formation of porous structure leads to an average pore volume of 0.127 cm3 g-1 and a high specific surface area of 34.46 m2 g-1, which is conducive to facilitating the penetration of electrolyte and providing the more contact area of electrolyte with LiFePO4/C. As a result, the as-prepared LiFePO4/C cathode material delivers an outstanding discharge capacity of 102.1 mAh g-1, 94.2% of the initial capacity (108.3 mAh g-1), after 1000 cycles at 10 C. Even at an ultrahigh current rate of 50 C, it still shows an initial discharge capacity of 58 mAh g-1.

Calculation of lava discharge rates during effusive eruptions: an empirical approach using MODIS Middle InfraRed data

NASA Astrophysics Data System (ADS)

Coppola, Diego; Laiolo, Marco; Cigolini, Corrado

2016-04-01

The rate at which the lava is erupted is a crucial parameter to be monitored during any volcanic eruption. However, its accurate and systematic measurement, throughout the whole duration of an event, remains a big challenge, also for volcanologists working on highly studied and well monitored volcanoes. The thermal approach (also known as thermal proxy) is actually one of most promising techniques adopted during effusive eruptions, since it allows to estimate Time Averaged lava Discharge Rates (TADR) from remote-sensed infrared data acquired several time per day. However, due to the complexity of the physic behind the effusive phenomenon and the difficulty to have field validations, the application of the thermal proxy is still debated and limited to few volcanoes only. Here we present the analysis of MODIS Middle InfraRed data, collected by during several distinct eruptions, in order to show how an alternative, empirical method (called radiant density approach; Coppola et al., 2013) permit to estimate TADRs over a wide range of emplacement styles and lava compositions. We suggest that the simplicity of this empirical approach allows its rapid application during eruptive crisis, and provides the basis for more complex models based on the cooling and spreading processes of the active lava bodies.

Facile Synthesis of Bowl-Like LiFePO4/C Composite with High Rate-Performance

NASA Astrophysics Data System (ADS)

Jing, Peng; Yao, Lei; Xiang, Mingwu; Wang, Yan; Wu, Jinhua; Wang, Boya; Zhang, Yun; Wu, Hao; Liu, Heng

2018-03-01

Olivine-structured LiFePO4/C composites with high rate-performance were synthesized via an industrial spray-drying technique using a low cost Fe3O4 as iron source. The as-obtained LiFePO4/C exhibits a unique bowl-like morphology with a particle size of 2-5 μm in diameter. A continuous uniform carbon coating layer on the surface of LiFePO4/C cathodes promotes fast electron transport, whilst it guarantees the favorable electrochemical reaction. Especially the formation of porous structure leads to an average pore volume of 0.127 cm3 g-1 and a high specific surface area of 34.46 m2 g-1, which is conducive to facilitating the penetration of electrolyte and providing the more contact area of electrolyte with LiFePO4/C. As a result, the as-prepared LiFePO4/C cathode material delivers an outstanding discharge capacity of 102.1 mAh g-1, 94.2% of the initial capacity (108.3 mAh g-1), after 1000 cycles at 10 C. Even at an ultrahigh current rate of 50 C, it still shows an initial discharge capacity of 58 mAh g-1.

Seawater-groundwater exchange and nutrients carried by submarine groundwater discharge in different types of wetlands at Jiaozhou Bay, China

NASA Astrophysics Data System (ADS)

Qu, Wenjing; Li, Hailong; Huang, Hao; Zheng, Chunmiao; Wang, Chaoyue; Wang, Xuejing; Zhang, Yan

2017-12-01

In Jiaozhou Bay, there are four wetland types, including sandy beaches, mud flats, tidal marshes, and estuarine intertidal zones. Four typical transects representing each of the wetland types were selected to investigate the flow dynamics, seawater-groundwater exchange and nutrients carried by submarine groundwater discharge (SGD). Based on field measurements of groundwater heads and salinity along each transect, the SGD averaged over the observation period was estimated using generalized Darcy's law. The SGD along the four transects ranges from 3.6 × 10-3 to 7.6 cm/d with the maximum occurring at the sandy beach. The SGD rate has a good correlation with the hydraulic conductivities of the wetland sediments. There is a positive correlation between the ratio of NO3-N/DIN and SGD rates. The SGD-associated nutrient output rate ranges from 3.3 × 10-2 to 9.5 mmol/m2/d for DIN (dissolved inorganic nitrogen), and from 6.2 × 10-5 to 1.8 × 10-2 mmol/m2/d for DIP (dissolved inorganic phosphorus). Compared to the nutrients delivered by the river, nutrients carried by SGD provide a more important source for the phosphate-limited environment to plankton in Jiaozhou Bay.

Physician Variability in Management of Emergency Department Patients with Chest Pain.

PubMed

Smulowitz, Peter B; Barrett, Orit; Hall, Matthew M; Grossman, Shamai A; Ullman, Edward A; Novack, Victor

2017-06-01

Chest pain is a common emergency department (ED) presentation accounting for 8-10 million visits per year in the United States. Physician-level factors such as risk tolerance are predictive of admission rates. The recent advent of accelerated diagnostic pathways and ED observation units may have an impact in reducing variation in admission rates on the individual physician level. We conducted a single-institution retrospective observational study of ED patients with a diagnosis of chest pain as determined by diagnostic code from our hospital administrative database. We included ED visits from 2012 and 2013. Patients with an elevated troponin or an electrocardiogram (ECG) demonstrating an ST elevation myocardial infarction were excluded. Patients were divided into two groups: "admission" (this included observation and inpatients) and "discharged." We stratified physicians by age, gender, residency location, and years since medical school. We controlled for patient- and hospital-related factors including age, gender, race, insurance status, daily ED volume, and lab values. Of 4,577 patients with documented dispositions, 3,252 (70.9%) were either admitted to the hospital or into observation (in an ED observation unit or in the hospital), while 1,333 (29.1%) were discharged. Median number of patients per physician was 132 (interquartile range 89-172). Average admission rate was 73.7±9.5% ranging from 54% to 96%. Of the 3,252 admissions, 2,638 (81.1%) were to observation. There was significant variation in the admission rate at the individual physician level with adjusted odds ratio ranging from 0.42 to 5.8 as compared to the average admission. Among physicians' characteristics, years elapsed since finishing medical school demonstrated a trend towards association with a higher admission probability. There is substantial variation among physicians in the management of patients presenting with chest pain, with physician experience playing a role.

Verification of 1921 peak discharge at Skagit River near Concrete, Washington, using 2003 peak-discharge data

USGS Publications Warehouse

Mastin, M.C.; Kresch, D.L.

2005-01-01

The 1921 peak discharge at Skagit River near Concrete, Washington (U.S. Geological Survey streamflow-gaging station 12194000), was verified using peak-discharge data from the flood of October 21, 2003, the largest flood since 1921. This peak discharge is critical to determining other high discharges at the gaging station and to reliably estimating the 100-year flood, the primary design flood being used in a current flood study of the Skagit River basin. The four largest annual peak discharges of record (1897, 1909, 1917, and 1921) were used to determine the 100-year flood discharge at Skagit River near Concrete. The peak discharge on December 13, 1921, was determined by James E. Stewart of the U.S. Geological Survey using a slope-area measurement and a contracted-opening measurement. An extended stage-discharge rating curve based on the 1921 peak discharge was used to determine the peak discharges of the three other large floods. Any inaccuracy in the 1921 peak discharge also would affect the accuracies of the three other largest peak discharges. The peak discharge of the 1921 flood was recalculated using the cross sections and high-water marks surveyed after the 1921 flood in conjunction with a new estimate of the channel roughness coefficient (n value) based on an n-verification analysis of the peak discharge of the October 21, 2003, flood. The n value used by Stewart for his slope-area measurement of the 1921 flood was 0.033, and the corresponding calculated peak discharge was 240,000 cubic feet per second (ft3/s). Determination of a single definitive water-surface profile for use in the n-verification analysis was precluded because of considerable variation in elevations of surveyed high-water marks from the flood on October 21, 2003. Therefore, n values were determined for two separate water-surface profiles thought to bracket a plausible range of water-surface slopes defined by high-water marks. The n value determined using the flattest plausible slope was 0.024 and the corresponding recalculated discharge of the 1921 slope-area measurement was 266,000 ft3/s. The n value determined using the steepest plausible slope was 0.032 and the corresponding recalculated discharge of the 1921 slope-area measurement was 215,000 ft3/s. The two recalculated discharges were 10.8 percent greater than (flattest slope) and 10.4 percent less than (steepest slope) the 1921 peak discharge of 240,000 ft3/s. The 1921 peak discharge was not revised because the average of the two recalculated discharges (240,500 ft3/s) is only 0.2 percent greater than the 1921 peak discharge.

Coastal erosion vs riverline sediment discharge in the Arctic shelfx seas

USGS Publications Warehouse

Rachold, V.; Grigoriev, M.N.; Are, F.E.; Solomon, Sean C.; Reimnitz, E.; Kassens, H.; Antonow, M.

2000-01-01

This article presents a comparison of sediment input by rivers and by coastal erosion into both the Laptev Sea and the Canadian Beaufort Sea (CBS). New data on coastal erosion in the Laptev Sea, which are based on field measurements and remote sensing information and existing data on coastal erosion in the CBS as well as riverine sediment discharge into both the Laptev Sea and the CBS are included. Strong regional differences in the percentages of coastal ero- sion and riverine sediment supply are observed. The CBS is dominated by the riverine sediment discharge (64.45x106 t a-1) mainly of the Mackenzie River. which is the largest single source of sediments in the Arctic. Riverine sediment discharge into the Laptev Sea amounts to 24.10x106 t a-1, more than 70% of which are related to the Lena River. In comparison with the CBS. the Laptev Sea coast on average delivers approximately twice as much sediment mass per kilometer, a result of higher erosion rates due to higher cliffs and seasonal ice melting. In the Laptev Sea sediment input by coastal erosion (58.4x106 t a-1) is therefore more important than in the CBS and the ratio between riverine and coastal sediment input amounts to 0.4. Coastal erosion supplying 5.6x106 t a-1 is less significant for the sediment budget of the CBS where riverine sediment discharge exceeds coastal sediment input by a factor of ca. 10.

Effects of episodic rainfall on a subterranean estuary

NASA Astrophysics Data System (ADS)

Yu, Xiayang; Xin, Pei; Lu, Chunhui; Robinson, Clare; Li, Ling; Barry, D. A.

2017-07-01

Numerical simulations were conducted to examine the effect of episodic rainfall on nearshore groundwater dynamics in a tidally influenced unconfined coastal aquifer, with a focus on both long-term (yearly) and short-term (daily) behavior of submarine groundwater discharge (SGD) and seawater intrusion (SWI). The results showed nonlinear interactions among the processes driven by rainfall, tides, and density gradients. Rainfall-induced infiltration increased the yearly averaged fresh groundwater discharge to the ocean but reduced the extents of the saltwater wedge and upper saline plume as well as the total rate of seawater circulation through both zones. Overall, the net effect of the interactions led to an increase of the SGD. The nearshore groundwater responded to individual rainfall events in a delayed and cumulative fashion, as evident in the variations of daily averaged SGD and salt stored in the saltwater wedge (quantifying the extent of SWI). A generalized linear model (GLM) along with a Gamma distribution function was developed to describe the delayed and prolonged effect of rainfall events on short-term groundwater behavior. This model validated with results of daily averaged SGD and SWI from the simulations of groundwater and solute transport using independent rainfall data sets, performed well in predicting the behavior of the nearshore groundwater system under the combined influence of episodic rainfall, tides, and density gradients. The findings and developed GLM form a basis for evaluating and predicting SGD, SWI, and associated mass fluxes from unconfined coastal aquifers under natural conditions, including episodic rainfall.

Cost of practice in a tertiary/quaternary referral center: is it sustainable?

PubMed

Cologne, K G; Hwang, G S; Senagore, A J

2014-11-01

Third-party payers are moving toward a bundled care payment system. This means that there will need to be a warranty cost of care-where the cost of complexity and complication rates is built into the bundled payment. The theoretical benefit of this system is that providers with lower complication rates will be able to provide care with lower warranty costs and lower overall costs. This may also result in referring riskier patients to tertiary or quaternary referral centers. Unless the payment model truly covers the higher cost of managing such referred cases, the economic risk may be unsustainable for these centers. We took the last seven patients that were referred by other surgeons as "too high risk" for colectomy at other centers. A contribution margin was calculated using standard Medicare reimbursement rates at our institution and cost of care based on our administrative database. We then recalculated a contribution margin assuming a 3 % reduction in payment for a higher than average readmission rate, like that which will take effect in 2014. Finally, we took into account the cost of any readmissions. Seven patients with diagnosis related group (DRG) 330 were reviewed with an average age of 66.8 ± 16 years, American Society of Anesthesiologists score 2.3 ± 1.0, body mass index 31.6 ± 9.8 kg/m(2) (range 22-51 kg/m(2)). There was a 57 % readmission rate, 29 % reoperation rate, 10.8 ± 7.7 day average initial length of stay with 14 ± 8.6 day average readmission length of stay. Forty-two percent were discharged to a location other than home. Seventy-one percent of these patients had Medicare insurance. The case mix index was 2.45. Average reimbursement for DRG 330 was $17,084 (based on Medicare data) for our facility in 2012, with the national average being $12,520. The total contribution margin among all cases collectively was -$19,122 ± 13,285 (average per patient -$2,731, range -$21,905-$12,029). Assuming a 3 % reimbursement reduction made the overall contribution margin -$22,122 ± 13,285 (average -$3,244). Including the cost of readmission in the variable cost made the contribution margin -$115,741 ± 16,023 (average -$16,534). Care of high-risk patients at tertiary and quaternary referral centers is a very expensive proposition and can lead to financial ruin under the current reimbursement system.

A multi-method approach for groundwater resource assessment in coastal carbonate (karst) aquifers: the case study of Sierra Almijara (southern Spain)

NASA Astrophysics Data System (ADS)

Andreo, B.; Barberá, J. A.; Mudarra, M.; Marín, A. I.; García-Orellana, J.; Rodellas, V.; Pérez, I.

2018-02-01

Understanding the transference of water resources within hydrogeological systems, particularly in coastal aquifers, in which groundwater discharge may occur through multiple pathways (through springs, into rivers and streams, towards the sea, etc.), is crucial for sustainable groundwater use. This research aims to demonstrate the usefulness of the application of conventional recharge assessment methods coupled to isotopic techniques for accurately quantifying the hydrogeological balance and submarine groundwater discharge (SGD) from coastal carbonate aquifers. Sierra Almijara (Southern Spain), a carbonate aquifer formed of Triassic marbles, is considered as representative of Mediterranean coastal karst formations. The use of a multi-method approach has permitted the computation of a wide range of groundwater infiltration rates (17-60%) by means of direct application of hydrometeorological methods (Thornthwaite and Kessler) and spatially distributed information (modified APLIS method). A spatially weighted recharge rate of 42% results from the most coherent information on physiographic and hydrogeological characteristics of the studied system. Natural aquifer discharge and groundwater abstraction have been volumetrically quantified, based on flow and water-level data, while the relevance of SGD was estimated from the spatial analysis of salinity, 222Rn and the short-lived radium isotope 224Ra in coastal seawater. The total mean aquifer discharge (44.9-45.9 hm3 year-1) is in agreement with the average recharged groundwater (44.7 hm3 year-1), given that the system is volumetrically equilibrated during the study period. Besides the groundwater resources assessment, the methodological aspects of this research may be interesting for groundwater management and protection strategies in coastal areas, particularly karst environments.

[Acute complicated and uncomplicated pyelonephritis in the emergency department: process-of-care indicators and outcomes].

PubMed

Delgado Vicente, Miriam; Lecaroz Agara, Mª Concepción; Barrios Andrés, José Luis; Canut Blasco, Andrés

2017-02-01

To assess process-of-care indicators and outcomes in acute pyelonephritis (APN) in a general hospital emergency department, and compare them between uncomplicaed and complicated APN. Retrospective study of consecutive patients discharged with a diagnosis of APN. We studied health processof- care indicators (percentage admitted, avoidable hospitalization, appropriate initial antibiotic therapy, urine and blood cultures) and outcomes (hospital length of stay [LOS], discharge from the emergency department, revisits, mortality, yields of microbiological tests ordered). A total of 529 cases (59% of them complicated) were included. Patients with uncomplicated APN were significantly younger on average (mean, 39 years) than patients with complicated APN (56 years). Escherichia coli was the most common pathogen identified, although the percentage of E coli infection was lower in patients with complicated APN (78%) than in patients with uncomplicated APN (95%). The rates of admission and orders for urine and blood cultures were significantly higher and hospital LOS was longer in the group with complicated APN. Moreover, these patients had even longer stays if the initial antibiotic therapy was inappropriate. Significantly more patients with uncomplicated APN were discharged from the emergency department. Sixty-one percent of patients with uncomplicated APN were admitted; 9% of these cases were considered avoidable hospitalizations. Complicated APN is diagnosed more often in older patients, and E coli infection causes a smaller proportion of these cases. Hospital LOS is longer in complicated APN and more urine and blood cultures are ordered. Patients with uncomplicated APN are more often discharged from the emergency department, although the number of avoidable hospitalizations seems high based on the rate found in this study.

Predictors for Perioperative Outcomes following Total Laryngectomy: A University HealthSystem Consortium Discharge Database Study.

PubMed

Rutledge, Jonathan W; Spencer, Horace; Moreno, Mauricio A

2014-07-01

The University HealthSystem Consortium (UHC) database collects discharge information on patients treated at academic health centers throughout the United States. We sought to use this database to identify outcome predictors for patients undergoing total laryngectomy. A secondary end point was to assess the validity of the UHC's predictive risk mortality model in this cohort of patients. Retrospective review. Academic medical centers (tertiary referral centers) and their affiliate hospitals in the United States. Using the UHC discharge database, we retrieved and analyzed data for 4648 patients undergoing total laryngectomy who were discharged between October 2007 and January 2011 from all of the member institutions. Demographics, comorbidities, institutional data, and outcomes were retrieved. The length of stay and overall costs were significantly higher among female patients (P < .0001), while age was a predictor of intensive care unit stay (P = .014). The overall complication rate was higher among Asians (P = .019) and in patients with anemia and diabetes compared with other comorbidities. The average institutional case load was 1.92 cases/mo; we found an inverse correlation (R = -0.47) between the institutional case load and length of stay (P < .0001). The UHC admit mortality risk estimator was found to be an accurate predictor not only of mortality (P < .0002) but also of intensive care unit admission and complication rate (P < .0001). This study provides an overview of laryngectomy outcomes in a contemporary cohort of patients treated at academic health centers. UHC admit mortality risk is an excellent outcome predictor and a valuable tool for risk stratification in these patients. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.

Evaluation of the Ott Hydromet Qliner for measuring discharge in laboratory and field conditions

USGS Publications Warehouse

McVay, Jason C.

2015-01-01

The U.S. Geological Survey, in collaboration with the University of Iowa IIHR – Hydroscience and Engineering, evaluated the use of the Ott Hydromet Qliner using laboratory flume tests along with field validation tests. Analysis of the flume testing indicates the velocities measured by the Qliner at a 40-second exposure time results in higher dispersion of velocities from the mean velocity of data collected with a 5-minute exposure time. The percent data spread from the mean of a 100-minute mean of Qliner velocities for a 40-second exposure time averaged 16.6 percent for the entire vertical, and a 5-minute mean produced a 6.2 percent data spread from the 100-minute mean. This 16.6 percent variation in measured velocity would result in a 3.32 percent variation in computed discharge assuming 25 verticals while averaging 4 bins in each vertical. The flume testing also provided results that indicate the blanking distance of 0.20 meters is acceptable when using beams 1 and 2, however beam 3 is negatively biased near the transducer and the 0.20-meter blanking distance is not sufficient. Field testing included comparing the measured discharge by the Qliner to the discharge measured by a Price AA mechanical current meter and a Teledyne RDI Rio Grande 1200 kilohertz acoustic Doppler current profiler. The field tests indicated a difference between the discharges measured with the Qliner and the field reference discharge between -14.0 and 8.0 percent; however the average percent difference for all 22 field comparisons was 0.22, which was not statistically significant.

Computation of backwater and discharge at width constrictions of heavily vegetated flood plains

USGS Publications Warehouse

Schneider, V.R.; Board, J.W.; Colson, B.E.; Lee, F.N.; Druffel, Leroy

1977-01-01

The U.S. Geological Survey, cooperated with the Federal Highway Administration and the State Highway Departments of Mississippi, Alabama, and Louisiana, to develop a proposed method for computing backwater and discharge at width constrictions of heavily vegetated flood plains. Data were collected at 20 single opening sites for 31 floods. Flood-plain width varied from 4 to 14 times the bridge opening width. The recurrence intervals of peak discharge ranged from a 2-year flood to greater than a 100-year flood, with a median interval of 6 years. Measured backwater ranged from 0.39 to 3.16 feet. Backwater computed by the present standard Geological Survey method averaged 29 percent less than the measured, and that computed by the currently used Federal Highway Administration method averaged 47 percent less than the measured. Discharge computed by the Survey method averaged 21 percent more then the measured. Analysis of data showed that the flood-plain widths and the Manning 's roughness coefficient are larger than those used to develop the standard methods. A method to more accurately compute backwater and discharge was developed. The difference between the contracted and natural water-surface profiles computed using standard step-backwater procedures is defined as backwater. The energy loss terms in the step-backwater procedure are computed as the product of the geometric mean of the energy slopes and the flow distance in the reach was derived from potential flow theory. The mean error was 1 percent when using the proposed method for computing backwater and 3 percent for computing discharge. (Woodard-USGS)

Non-contact flow gauging for the extension and development of rating curves

NASA Astrophysics Data System (ADS)

Perks, Matthew; Large, Andy; Russell, Andy

2015-04-01

Accurate measurement of river discharge is fundamental to understanding hydrological processes, associated hazards and ecological responses within fluvial systems. Established protocols for determining river discharge are partial, predominantly invasive and logistically difficult during high flows. There is demand for new methods for accurate quantification of flow velocity under high-flow/flood conditions to in turn enable better post-event reconstruction of peak discharge. As a consequence considerable effort has been devoted to the development of innovative technologies for the representation of flow in open channels. Remotely operated fixed and mobile systems capable of providing quantitative estimates of instantaneous and time-averaged flow characteristics using non-contact methods has been a major development. Amongst the new approaches for stand-alone continuous monitoring of surface flows is Large Scale Particle Image Velocimetry (LSPIV). Here we adapt the LSPIV concept, to provide continuous discharge measurements in non-uniform channels with complex flow conditions. High Definition videos (1080p; 30fps) of the water surface are acquired at 5 minute intervals. The image is rectified to correct for perspective distortion using a new, open source tool which minimises errors resulting from oblique image capture. Naturally occurring artefacts on the water surface (e.g. bubbles, debris, etc.) are tracked with the Kanade-Lucas-Tomasi (KLT) algorithm. The data generated is in the form of a complex surface water velocity field which can be interrogated to extract a range of hydrological information such as the streamwise velocity at a cross-section of interest, or even allow the interrogation of hydrodynamic flow structures. Here we demonstrate that this approach is capable of generating river discharge data comparable to concurrent measurements made using existing, accepted technologies (e.g. ADCP). The outcome is better constraint and extension of rating curves. The approach is suited to water management authorities throughout Europe who seek ever-increasingly cost-effective and non-invasive techniques for maximising the monitoring capabilities of their operational network.

Patients at Risk: Large Opioid Prescriptions After Total Knee Arthroplasty.

PubMed

Hernandez, Nicholas M; Parry, Joshua A; Taunton, Michael J

2017-08-01

Opioids are an effective, and often necessary, treatment of postoperative pain after total knee arthroplasty (TKA). However, it is often difficult to know how much medication patients will need after discharge. The purpose of this study was to determine if patients discharged with greater quantities of opioids after TKA are more likely to request refills. This is a retrospective review of 105 primary TKAs performed with at least 1 year of follow-up. Exclusion criteria included bilateral TKA, preoperative opioid use, or reoperation within the first 3 months. Data collected included opioid refills, Knee Society Score, and total and daily morphine equivalent dose (MED) prescribed. Patients were most commonly discharged on oxycodone (90%), hydromorphone (5%), and hydrocodone/acetaminophen (1%). The average total prescribed MED was 1405 ± 616 mg (range, 273-3250 mg). Patients requiring refills did not differ in the total prescribed MED (1521 ± 624 vs 1349 ± 609 mg; P = .1), daily prescribed MED (153 ± 10 vs 155 ± 7 mg; P = .8), or preoperative Knee Society Score (63 ± 16 vs 60 ± 13; P = .3). Average follow-up time was 2.4 ± 0.5 years. The quantity of opioids prescribed after TKA varied widely, ranging from a total MED of 273-3250 mg. The refill rate did not differ between large prescriptions (≥1400 mg) and smaller prescriptions. Excessive opioid prescriptions should be avoided as they did not decrease the number of refills and pose the risk of divergence and subsequent abuse. Copyright © 2017 Elsevier Inc. All rights reserved.

Kagomé lattices as cathode: Effect of particle size and fluoride substitution on electrochemical lithium insertion in sodium- and ammonium Jarosites

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sandineni, Prashanth; Yaghoobnejad Asl, Hooman; Choudhury, Amitava, E-mail: choudhurya@mst.edu

Highly crystalline sodium and ammonium Jarosites, NaFe{sub 3}(SO{sub 4}){sub 2}(OH){sub 6} and NH{sub 4}Fe{sub 3}(SO{sub 4}){sub 2}(OH){sub 6}, have been synthesized employing hydrothermal synthesis routes. The structures consist of anionic layers of vertex-sharing FeO{sub 6} octahedra and SO{sub 4} tetrahedral units with interlayer space occupied by Na and ammonium ions, respectively. The corner-sharing FeO{sub 6} octahedral units form six and three rings similar to hexagonal tungsten bronze sheets also known as kagomé lattice. These sodium and ammonium Jarosites are thermally stable up to 400 °C and undergo facile electrochemical lithium insertion through the reduction of Fe{sup 3+} to Fe{sup 2+}.more » Galvanostatic charge–discharge indicates that up to 2.25 and 2 lithium ions per formula unit can be inserted at an average voltage of 2.49 and 2.26 V to the sodium and the ammonium Jarosites, respectively, under slow discharge rate of C/50. The cycle-life and experimental achievable capacity show strong dependence on particle sizes and synthesis conditions. A small amount of fluoride substitution improves both achievable capacity and average voltage. - Graphical abstract: Discharge capacity of jarosite phases as a function of particle size and fluoride substitution. - Highlights: • Synthesis of natro- and ammonium Jarosites. • Jarosites as cathodes for lithium ion batteries. • Li-ion electrochemistry of Jarosites. • Mössbauer spectroscopy of Jarosites.« less

Effects of agricultural nutrient management on nitrogen fate and transport in Lancaster County, Pennsylvania

USGS Publications Warehouse

Hall, D.W.; Risser, D.W.

1993-01-01

Nitrogen inputs to, and outputs from, a 55-acre site in Lancaster County, Pennsylvania, were estimated to determine the pathways and relative magnitude of loads of nitrogen entering and leaving the site, and to compare the loads of nitrogen before and after the implementation of nutrient management. Inputs of nitrogen to the site were manure fertilizer, commercial fertilizer, nitrogen in precipitation, and nitrogen in ground-water inflow; and these sources averaged 93, 4, 2, and 1 percent of average annual nitrogen additions, respectively. Outputs of nitrogen from the site were nitrogen in harvested crops, loads of nitrogen in surface runoff, volatilization of nitrogen, and loads of nitrogen in ground-water discharge, which averaged 37, less than 1,25, and 38 percent of average annual nitrogen removals from the site, respectively. Virtually all of the nitrogen leaving the site that was not removed in harvested crops or by volatilization was discharged in the ground water. Applications of manure and fertilizer nitrogen to 47.5 acres of cropped fields decreased about 33 percent, from an average of 22,700 pounds per year (480 pounds per acre per year) before nutrient management to 15,175 pounds of nitrogen per year (320 pounds per acre per year) after the implementation of nutrient management practices. Nitrogen loads in ground-water discharged from the site decreased about 30 percent, from an average of 292 pounds of nitrogen per million gallons of ground water before nutrient management to an average of 203 pounds of nitrogen per million gallons as a result of the decreased manure and commercial fertilizer applications. Reductions in manure and commercial fertilizer applications caused a reduction of approximately 11,000 pounds (3,760 pounds per year, 70 pounds per acre per year) in the load of nitrogen discharged in ground water from the 55-acre site during the three-year period 1987-1990.

Responses of the sustainable yield of groundwater to annual rainfall and pumping patterns in the Baotou Plain, North China

NASA Astrophysics Data System (ADS)

Liao, Z.; LONG, Y., Sr.; Wei, Y.; Guo, Z.

2017-12-01

Serious water deficits and deteriorating environmental quality are threatening the sustainable socio-economic development and the protection of the ecology and the environment in North China, especially in Baotou City. There is a common misconception that groundwater extraction can be sustainable if the pumping rate does not exceed the total natural recharge in a groundwater basin. The truth is that the natural recharge is mainly affected by the rainfall and that groundwater withdrawal determines the sustainable yield of the aquifer flow system. The concept of the sustainable yield is defined as the allowance pumping patterns and rates that avoid adverse impacts on the groundwater system. The sustainable yield introduced in this paper is a useful baseline for groundwater management under all rainfall conditions and given pumping scenarios. A dynamic alternative to the groundwater sustainable yield for a given pumping pattern and rate should consider the responses of the recharge, discharge, and evapotranspiration to the groundwater level fluctuation and to different natural rainfall conditions. In this study, methods for determining the sustainable yield through time series data of groundwater recharge, discharge, extraction, and precipitation in an aquifer are introduced. A numerical simulation tool was used to assess and quantify the dynamic changes in groundwater recharge and discharge under excessive pumping patterns and rates and to estimate the sustainable yield of groundwater flow based on natural rainfall conditions and specific groundwater development scenarios during the period of 2007 to 2014. The results of this study indicate that the multi-year sustainable yield only accounts for about one-half of the average annual recharge. The future sustainable yield for the current pumping scenarios affected by rainfall conditions are evaluated quantitatively to obtain long-term groundwater development strategies. The simulation results show that sufficient rainfall supports excessive pumping patterns, causing a slow and disproportionate groundwater storage recovery and water level rise. In addition, the decrease in the recharge and the increase in the discharge were found to have a notable effect on the dynamic annual sustainable yield, especially in a drought year.

Improving Posthospital Discharge Telephone Reach Rates Through Prehospital Discharge Face-to-Face Meetings.

PubMed

Vergara, Franz H; Sheridan, Daniel J; Sullivan, Nancy J; Budhathoki, Chakra

The purpose of this study was to determine whether a face-to-face meeting with patients by a telephonic case manager prehospital discharge would result in increased telephone follow-up (TFU) reach rates posthospital discharge. Acute care adult medicine inpatient units. A quasiexperimental design was utilized. Two adult inpatient medicine units were selected as the intervention and comparison groups. The framework of the study is the transitions theory. A convenience sampling technique was used, whereby 88 eligible patients on the intervention unit received face-to-face meetings prehospital discharge whereas 123 patients on the comparison unit received standard care (no face-to-face meetings). Cross-tabulation and chi-square tests were employed to examine the association of face-to-face meeting intervention and TFU reach rates. Implementing brief (<10 min) face-to-face meetings by a telephonic case manager prehospital discharge resulted in a TFU reach rate of 87% on the intervention unit, whereas the comparison unit only had a 58% TFU reach rate (p < .001). Increasing reach rates by a telephonic case manager facilitates communication with more patients posthospital discharge. A brief prehospital discharge face-to-face meeting with patients assisted them to understand the reasons for a posthospital discharge telephone call, identified the best times to call using accurate telephone numbers, and taught patients how best to prepare for the call. In addition, by meeting patients face-to-face, the telephonic case manager was no longer an unknown person on the telephone asking them questions about their medical condition. These factors combined may have significantly helped to increase TFU reach rates.

Hospital discharge rates before and after implementation of a city-wide smoking ban in a Texas city, 2004-2008.

PubMed

Head, Phil; Jackson, Bradford E; Bae, Sejong; Cherry, Debra

2012-01-01

The objective of this study was to examine hospital discharge data on 5 tobacco-related diagnoses before and after implementation of a smoking ban in a small Texas city. We compared hospital discharge rates for 2 years before and 2 years after implementation of the ban in the intervention city with discharge rates during the same time in a similar city with no ban. The discharge rates for blacks and whites combined declined significantly after the ban in the intervention city for acute myocardial infarction (MI) (rate ratio [RR], 0.74; 95% confidence interval [CI], 0.65-0.85) and for stroke or cerebrovascular accident (RR, 0.71; 95% CI, 0.62-0.82); discharge rates in the intervention city also declined significantly for chronic obstructive pulmonary disease (RR, 0.64; 95% CI, 0.54-0.75) and asthma (RR, 0.69; 95% CI, 0.52-0.91) for whites only. Discharge rates for 4 of 5 diagnoses in the control city did not change. Although postban reduction in acute MI is well documented, this is one of the first studies to show a racial disparity in health benefits and a decline in tobacco-related diagnoses other than acute MI after implementation of a city-wide smoking ban.

Forecasting Daily Patient Outflow From a Ward Having No Real-Time Clinical Data

PubMed Central

Tran, Truyen; Luo, Wei; Phung, Dinh; Venkatesh, Svetha

2016-01-01

Background: Modeling patient flow is crucial in understanding resource demand and prioritization. We study patient outflow from an open ward in an Australian hospital, where currently bed allocation is carried out by a manager relying on past experiences and looking at demand. Automatic methods that provide a reasonable estimate of total next-day discharges can aid in efficient bed management. The challenges in building such methods lie in dealing with large amounts of discharge noise introduced by the nonlinear nature of hospital procedures, and the nonavailability of real-time clinical information in wards. Objective Our study investigates different models to forecast the total number of next-day discharges from an open ward having no real-time clinical data. Methods We compared 5 popular regression algorithms to model total next-day discharges: (1) autoregressive integrated moving average (ARIMA), (2) the autoregressive moving average with exogenous variables (ARMAX), (3) k-nearest neighbor regression, (4) random forest regression, and (5) support vector regression. Although the autoregressive integrated moving average model relied on past 3-month discharges, nearest neighbor forecasting used median of similar discharges in the past in estimating next-day discharge. In addition, the ARMAX model used the day of the week and number of patients currently in ward as exogenous variables. For the random forest and support vector regression models, we designed a predictor set of 20 patient features and 88 ward-level features. Results Our data consisted of 12,141 patient visits over 1826 days. Forecasting quality was measured using mean forecast error, mean absolute error, symmetric mean absolute percentage error, and root mean square error. When compared with a moving average prediction model, all 5 models demonstrated superior performance with the random forests achieving 22.7% improvement in mean absolute error, for all days in the year 2014. Conclusions In the absence of clinical information, our study recommends using patient-level and ward-level data in predicting next-day discharges. Random forest and support vector regression models are able to use all available features from such data, resulting in superior performance over traditional autoregressive methods. An intelligent estimate of available beds in wards plays a crucial role in relieving access block in emergency departments. PMID:27444059

FIM motor scores for classifying community discharge after inpatient rehabilitation for hip fracture.

PubMed

Wang, Ching-Yi; Graham, James E; Karmarkar, Amol M; Reistetter, Timothy A; Protas, Elizabeth J; Ottenbacher, Kenneth J

2014-06-01

To assess the utility of functional status in classifying patients by discharge setting after inpatient rehabilitation for hip fracture. Retrospective cohort study. A total of 1257 inpatient rehabilitation facilities in the United States. Medicare beneficiaries (N = 117,168) receiving inpatient rehabilitation for hip fracture from 2007 to 2009. Receiver operating characteristic curve analyses to assess the overall discriminatory ability of functional status scores (Functional Independence Measure [FIM] total, FIM cognition, and FIM motor) and to identify the functioning threshold that best differentiates patients by discharge setting. Discharge setting (community versus institutional). Approximately 68% of patients were discharged to the community after inpatient rehabilitation for hip fracture. Receiver operating characteristic curve analyses indicate that discharge FIM motor ratings (area under the curve: 0.84) alone are as effective as a multivariable model (area under the curve: 0.85), including sociodemographic and clinical factors, in discriminating patients discharged to the community from those discharged to an institution. A discharge FIM motor rating of 58 yielded the best balance in sensitivity and specificity for classifying patients by discharge setting. Discharge FIM motor ratings demonstrated good discriminatory ability for classifying discharge setting. An FIM motor rating of 58 may serve as a clinical tool to guide treatment plans and/or as additional information in complex discharge planning decisions for patients with hip fracture. Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

Geology, Streamflow, and Water Chemistry of the Talufofo Stream Basin, Saipan, Northern Mariana Islands

USGS Publications Warehouse

Izuka, Scot K.; Ewart, Charles J.

1995-01-01

A study of the geology, streamflow, and water chemistry of Talufofo Stream Basin, Saipan, Commonwealth of the Northern Mariana Islands, was undertaken to determine the flow characteristics of Talufofo Stream and the relation to the geology of the drainage basin. The Commonwealth government is exploring the feasibility of using water from Talufofo Stream to supplement Saipan's stressed municipal water supply. Streamflow records from gaging stations on the principal forks of Talufofo Stream indicate that peak streamflows and long-term average flow are higher at the South Fork gaging station than at the Middle Fork gaging station because the drainage area of the South Fork gaging station is larger, but persistent base flow from ground-water discharge during dry weather is greater in the Middle Fork gaging station. The sum of the average flows at the Middle Fork and South Fork gaging stations, plus an estimate of the average flow at a point in the lower reaches of the North Fork, is about 2.96 cubic feet per second or 1.91 million gallons per day. Although this average represents the theoretical maximum long-term draft rate possible from the Talufofo Stream Basin if an adequate reservoir can be built, the actual amount of surface water available will be less because of evaporation, leaks, induced infiltration, and reservoir-design constraints. Base-flow characteristics, such as stream seepage and spring discharge, are related to geology of the basin. Base flow in the Talufofo Stream Basin originates as discharge from springs near the base of limestones located in the headwaters of Talufofo Stream, flows over low-permeability volcanic rocks in the middle reaches, and seeps back into the high-permeability limestones in the lower reaches. Water sampled from Talufofo Stream during base flow had high dissolved-calcium concentrations (between 35 and 98 milligrams per liter), characteristic of water from a limestone aquifer. Concentrations of potassium, sodium, and chloride ions in water samples from Talufofo Stream are characteristic of water draining a heavily vegetated basin near the ocean. The streamflow and water-chemistry data indicate that discharge from springs is in hydraulic connection with the limestone aquifer near the headwaters of the basin. The base flow therefore is subject to stresses placed on the nearby limestone ground-water system. Pumping from wells in the limestones at the headwaters of Talufofo Stream Basin may decrease spring flow in Talufofo Stream.

Retrieval of river discharge solely from satellite imagery and at-many-stations hydraulic geometry: Sensitivity to river form and optimization parameters

NASA Astrophysics Data System (ADS)

Gleason, Colin J.; Smith, Laurence C.; Lee, Jinny

2014-12-01

Knowledge of river discharge is critically important for water resource management, climate modeling, and improved understanding of the global water cycle, yet discharge is poorly known in much of the world. Remote sensing holds promise to mitigate this gap, yet current approaches for quantitative retrievals of river discharge require in situ calibration or a priori knowledge of river hydraulics, limiting their utility in unmonitored regions. Recently, Gleason and Smith (2014) demonstrated discharge retrievals within 20-30% of in situ observations solely from Landsat TM satellite images through discovery of a river-specific geomorphic scaling phenomenon termed at-many-stations hydraulic geometry (AMHG). This paper advances the AMHG discharge retrieval approach via additional parameter optimizations and validation on 34 gauged rivers spanning a diverse range of geomorphic and climatic settings. Sensitivity experiments reveal that discharge retrieval accuracy varies with river morphology, reach averaging procedure, and optimization parameters. Quality of remotely sensed river flow widths is also important. Recommended best practices include a proposed global parameter set for use when a priori information is unavailable. Using this global parameterization, AMHG discharge retrievals are successful for most investigated river morphologies (median RRMSE 33% of in situ gauge observations), except braided rivers (median RRMSE 74%), rivers having low at-a-station hydraulic geometry b exponents (reach-averaged b < 0.1, median RRMSE 86%), and arid rivers having extreme discharge variability (median RRMSE > 1000%). Excluding such environments, 26-41% RRMSE agreement between AMHG discharge retrievals and in situ gauge observations suggests AMHG can meaningfully address global discharge knowledge gaps solely from repeat satellite imagery.

Can hydraulic-modelled rating curves reduce uncertainty in high flow data?

NASA Astrophysics Data System (ADS)

Westerberg, Ida; Lam, Norris; Lyon, Steve W.

2017-04-01

Flood risk assessments rely on accurate discharge data records. Establishing a reliable rating curve for calculating discharge from stage at a gauging station normally takes years of data collection efforts. Estimation of high flows is particularly difficult as high flows occur rarely and are often practically difficult to gauge. Hydraulically-modelled rating curves can be derived based on as few as two concurrent stage-discharge and water-surface slope measurements at different flow conditions. This means that a reliable rating curve can, potentially, be derived much faster than a traditional rating curve based on numerous stage-discharge gaugings. In this study we compared the uncertainty in discharge data that resulted from these two rating curve modelling approaches. We applied both methods to a Swedish catchment, accounting for uncertainties in the stage-discharge gauging and water-surface slope data for the hydraulic model and in the stage-discharge gauging data and rating-curve parameters for the traditional method. We focused our analyses on high-flow uncertainty and the factors that could reduce this uncertainty. In particular, we investigated which data uncertainties were most important, and at what flow conditions the gaugings should preferably be taken. First results show that the hydraulically-modelled rating curves were more sensitive to uncertainties in the calibration measurements of discharge than water surface slope. The uncertainty of the hydraulically-modelled rating curves were lowest within the range of the three calibration stage-discharge gaugings (i.e. between median and two-times median flow) whereas uncertainties were higher outside of this range. For instance, at the highest observed stage of the 24-year stage record, the 90% uncertainty band was -15% to +40% of the official rating curve. Additional gaugings at high flows (i.e. four to five times median flow) would likely substantially reduce those uncertainties. These first results show the potential of the hydraulically-modelled curves, particularly where the calibration gaugings are of high quality and cover a wide range of flow conditions.

Fluvial sediment of the Mississippi River at St. Louis, Missouri

USGS Publications Warehouse

Jordan, Paul Robert

1965-01-01

An investigation of the fluvial sediment of the Mississippi River at St. Louis, Mo., was begun in 1948. Most data have been obtained only to determine the daily suspended-sediment discharge and the particle-size distribution of suspended sediment and bed material, but a few data have been obtained to study the flow resistance, the vertical distribution of sediment and velocity, and the bed-material discharge. The flow of the Mississippi River at St. Louis is made up of the flows from the Missouri River, which had an average flow of 79,860 cubic feet per second for 1897-1958 at Hermann, Mo., and from the upper Mississippi River, which had an average flow of 91,890 cubic feet per second for 1928-58 at Alton, Il. The Missouri River is partly controlled by reservoirs that had a total capacity of 90,300,000 acre-feet in 1956, and the upper Mississippi River is partly controlled by lakes and reservoirs that had a total capacity of 4,890,000 acre-feet in 1956. The flows of the Missouri and upper Mississippi Rivers have not become mixed at St. Louis; so the river has a lateral gradient of suspended-sediment concentration. The concentration near the west bank has been as much as 2,400 parts per million greater than the concentration near the east bank. Suspended-sediment discharges from April 1948 to September 1958 ranged from 4,250 to 7,010,000 tons per day and averaged 496,000 tons per day. Mean concentrations for water years decreased steadily from 1,690 parts per million in 1949 to 403 parts per million in 1956, but they increased to 756 parts per million in 1958. Effects of new reservoirs in the Missouri River basin on the concentration have been obscured by the close relation of concentration to streamflow. Measured suspended-sediment discharge through September 1958 averaged 47 percent clay, 38 percent silt, and 15 percent sand. Variations of particle size were due mainly to differences in the source areas of the sediment. Most of the bed material in the main flow was between 0.125 and 1.000 millimeter in diameter. The average of median diameters was related to the discharge for periods of 1 year and longer. Geometric quartile deviations of the bed material ranged from 1.1 to 2.5 and averaged 1.5. The mean elevation of the bed had a range of almost 10 feet and was related to the median diameter of bed material by the regression equation hb=363.0 - 7.8 d50 for which the standard error of estimate was 0.91 foot. The resistance to flow as measured by Manning's n ranged from 0.024 to 0.041 and was related to the discharge and mean velocity but not to the shear velocity. Normal dune height is 2-8 feet, and average dune length is about 250 feet. When the resistance to flow was low, much of the bed was fairly fiat; a few dunes were present, but they were much longer than the average. For a given discharge during individual rises in stage, the gage height was lower for increasing discharge than for decreasing discharge even though the bed elevation was higher. The changes in gage height were not caused by changes in energy gradient due to changing discharge, by channel storage between the gage and the measuring section, nor by return of overbank flow; but they were probably caused by a combination of changes in roughness due to changing bed configuration and of changes in turbulence constant due to changing sediment concentration. Turbulence constants (Von Karman's k) computed from velocity measurements at 5-10 points in the vertical and from routine velocity measurements at 2 points in the vertical averaged 0.35 and 0.33, respectively. The exponent z1 of the vertical distribution of concentration for different size ranges varied with about the 0.77 power of the fall velocity. Except for the difference between the theoretical variation and the actual variation of z1 with changing fall velocity, the theoretical equation for the vertical distribution of sediment concentration seems to apply reasonably well for the Miss

Effect of positive pulse charge waveforms on cycle life of nickel-zinc cells

NASA Technical Reports Server (NTRS)

Smithrick, J. J.

1980-01-01

Five amp-hour nickel-zinc cells were life cycled to evaluate four different charge methods. Three of the four waveforms investigated were 120 Hz full wave rectified sinusoidal (FWRS), 120 Hz silicon controlled rectified (SCR), and 1 kHz square wave (SW). The fourth, a constant current method, was used as a baseline of comparison. Three sealed Ni-Zn cells connected in series were cycled. Each series string was charged at an average c/20 rate, and discharged at a c/2.5 rate to a 75% rated depth. Results indicate that the relatively inexpensive 120 Hz FWRS charger appears feasible for charging 5 amp-hour nickel-zinc cells with no significant loss in average cycle life when compared to constant current charging. The 1-kHz SW charger could also be used with no significant loss in average cycle life, and suggests the possibility of utilizing the existing electric vehicle chopper controller circuitry for an on-board charger. There was an apparent difference using the 120 Hz SCR charger compared to the others, however, this difference could be due to an inadvertent severe overcharge, which occurred prior to cell failure. The remaining two positive pulse charging waveforms, FWRS and 1 kHz, did not improve the cycle life of 5 amp-hour nickel-zinc cells over that of constant current charging.

Simulated effects of projected ground-water withdrawals in the Floridan aquifer system, greater Orlando metropolitan area, east-central Florida

USGS Publications Warehouse

Murray, Louis C.; Halford, Keith J.

1999-01-01

Ground-water levels in the Floridan aquifer system within the greater Orlando metropolitan area are expected to decline because of a projected increase in the average pumpage rate from 410 million gallons per day in 1995 to 576 million gallons per day in 2020. The potential decline in ground-water levels and spring discharge within the area was investigated with a calibrated, steady-state, ground-water flow model. A wetter-than-average condition scenario and a drought-condition scenario were simulated to bracket the range of water-levels and springflow that may occur in 2020 under average rainfall conditions. Pumpage used to represent the drought-condition scenario totaled 865 million gallons per day, about 50 percent greater than the projected average pumpage rate in 2020. Relative to average 1995 steady-state conditions, drawdowns simulated in the Upper Floridan aquifer exceeded 10 and 25 feet for wet and dry conditions, respectively, in parts of central and southwest Orange County and in north Osceola County. In Seminole County, drawdowns of up to 20 feet were simulated for dry conditions, compared with 5 to 10 feet simulated for wet conditions. Computed springflow was reduced by 10 percent for wet conditions and by 38 percent for dry conditions, with the largest reductions (28 and 76 percent) occurring at the Sanlando Springs group. In the Lower Floridan aquifer, drawdowns simulated in southwest Orange County exceeded 20 and 40 feet for wet and dry conditions, respectively.

The invisible trauma patient: emergency department discharges.

PubMed

Reilly, Patrick M; Schwab, C William; Kauder, Donald R; Dabrowski, G Paul; Gracias, Vicente; Gupta, Rajan; Pryor, John P; Braslow, Benjamin M; Kim, Patrick; Wiebe, Douglas J

2005-04-01

As the malpractice and financial environment has changed, injured patients evaluated by the trauma team and discharged from the emergency department (ED) are now commonplace. The evaluation, care, and disposition of this population has become a significant workload component but is not reported to accrediting organizations and is relatively invisible to hospital administrators. Our objective was to quantify and begin to qualify the evolving picture of the trauma ED discharge population as a work component of trauma service function in an urban, Level I trauma center with an aeromedical program. Trauma registry (contacts, mechanism, transport, injuries, and disposition) and hospital databases (ED closure, occupancy rates) were queried for a 5-year period (1999-2003). Trend analysis provided statistical comparisons for questions of interest. During the 5-year study period, the total number of trauma contacts rose by 18.1% (2,220 in 1999 vs. 2,622 in 2003; trend p < 0.05). This increase in total contacts was not a manifestation of an increase in admissions (1,672 in 1999 vs. 1,544 in 2003) but rather a reflection of a marked increase in patients seen primarily by the trauma team and discharged from the ED (473 in 1999 vs. 1,000 in 2003; trend p < 0.05). These ED discharge patients were increasingly transported by helicopter (12.3% in 1999 vs. 29.2% in 2003; trend p < 0.05) and less frequently from urban areas (57.1% in 1999 vs. 48.1% in 2003; trend p < 0.05) over the course of the study period. Average injury severity of this group increased over the study period (Injury Severity Score of 2.7 +/- 0.1 in 1999 vs. 3.3 +/- 0.1 in 2003; trend p < 0.05). ED length of stay for this group increased 19.8% over the study period (trend p < 0.05), averaging nearly 5 hours in 2003. The total number, relative percentage, and injury severity of patients evaluated by the trauma team and discharged from the ED has significantly increased over the last 5 years, representing nearly 5,000 patient care hours in 2003. Systems to care for these patients in a cost- and resource-efficient fashion should be put in place. The impact of this growing population of patients on the workload of the trauma center should be recognized by accrediting agencies, hospital administration, and Emergency Medical Services.

Liquid Fertilizer Spraying Performance Using A Knapsack Power Sprayer On Soybean Field

NASA Astrophysics Data System (ADS)

Gatot, P.; Anang, R.

2018-05-01

An effort for increasing soybean production can be conducted by applying liquid fertilizer on soybean cultivation field. The objective of this research was to determine liquid fertilizer spraying performance using knapsack power sprayer TASCO TF-900 on a soybean cultivation field. Performances test were conducted in the Laboratory of Spraying Test and on a soybean cultivation field to determine (1) effective spraying width, (2) droplets diameter, (3) droplets density, (4) effective spraying discharge rate, and (5) effective field capacity of spraying. The research was conducted using 2 methods: (1) one-nozzle spraying, and (2) four- nozzles spraying. Results of the research showed that at a constant pressure of 900 kPa effective spraying width using one-nozzle spraying and four-nozzles spraying were 0.62 m and 1.10 m. A bigger effective spraying width was resulted in a bigger average effective spraying discharge rate and average effective spraying field capacity of 4.52 l/min and 83.92 m2/min on forward walking speed range of 0.94 m/s up to 1.77 m/s. On the contrary, bigger effective spraying width was result in bigger droplets diameter of 502.73 μm and a smaller droplets density of 98.39 droplets/cm2, whereas smaller effective spraying width was resulted in a smaller droplets diameter of 367.09 μm and a bigger droplets density of 350.53 droplets/cm2. One-nozzle spraying method produced a better spraying quality than four-nozzles spraying method, although four-nozzles spraying was resulted in a bigger effective field capacity of spraying.

Wetland management reduces sediment and nutrient loading to the upper Mississippi River

USGS Publications Warehouse

Kreiling, Rebecca M.; Schubauer-Berigan, Joseph P.; Richardson, William B.; Bartsch, Lynn; Hughes, Peter E.; Strauss, Eric A.

2013-01-01

Restored riparian wetlands in the Upper Mississippi River basin have potential to remove sediment and nutrients from tributaries before they flow into the Mississippi River. For 3 yr we calculated retention efficiencies of a marsh complex, which consisted of a restored marsh and an adjacent natural marsh that were connected to Halfway Creek, a small tributary of the Mississippi. We measured sediment, N, and P removal through a mass balance budget approach, N removal through denitrification, and N and P removal through mechanical soil excavation. The marsh complex had average retention rates of approximately 30 Mg sediment ha−1 yr−1, 26 kg total N ha−1 yr−1, and 20 kg total P ha−1 yr−1. Water flowed into the restored marsh only during high-discharge events. Although the majority of retention occurred in the natural marsh, portions of the natural marsh were hydrologically disconnected at low discharge due to historical over-bank sedimentation. The natural marsh removed >60% of sediment, >10% of P, and >5% of N loads (except the first year, when it was a N source). The marsh complex was a source of NH4+ and soluble reactive P. The average denitrification rate for the marsh complex was 2.88 mg N m−2 h−1. Soil excavation removed 3600 Mg of sediment, 5.6 Mg of N, and 2.7 Mg of P from the restored marsh. The marsh complex was effective in removing sediment and nutrients from storm flows; however, retention could be increased if more water was diverted into both restored and natural marshes before entering the river.

Over atmospheric pressure flowing afterglow

NASA Astrophysics Data System (ADS)

Ganciu, Mihai; Orphal, Johannes; Vervloet, Michel; Pointu, Anne-Marie; Touzeau, Michel

2002-10-01

A Tabletop discharge * created above atmospheric pressure in a N2 gas flow, uses some 10 kV very fast high voltage pulses applied between needle electrodes with some 10 kHz repetition rate. It is followed by a post-discharge, in a plastic tube with 6-mm internal diameter. Adjusting the flow and the repetition rate, the post-discharge exhibits a surprisingly long size, 9-10 m, as shown by the tube fluorescence. Preliminary spectroscopic measurements demonstrate that fluorescence is due to internal gas excited molecules (CN and NH) that are locally created by active species interaction with organic impurities. The discharge emission spectrum evidences a high nitrogen atom production rate, much higher than attainable rate with a Dielectric Barrier Discharge with same applied voltage pulses. For small air quantities added in the post-discharge, spectrum exhibits rich UV range corresponding to NO excited states. Further studies will be devoted to the post-discharge kinetics and to possible applications to medical sterilization. *M. Ganciu, private communication

Communication at the interface between hospitals and primary care - a general practice audit of hospital discharge summaries.

PubMed

Belleli, Esther; Naccarella, Lucio; Pirotta, Marie

2013-12-01

Timeliness and quality of hospital discharge summaries are crucial for patient safety and efficient health service provision after discharge. We audited receipt rates, timeliness and the quality of discharge summaries for 49 admissions among 38 patients in an urban general practice. For missing discharge summaries, a hospital medical record search was performed. Discharge summaries were received for 92% of identified admissions; 73% were received within three days and 55% before the first post-discharge visit to the general practitioner (GP). Administrative information and clinical content, including diagnosis, treatment and follow-up plans, were well reported. However, information regarding tests, referrals and discharge medication was often missing; 57% of summaries were entirely typed and 13% had legibility issues. Completion rates were good but utility was compromised by delays, content omissions and formatting. Digital searching enables extraction of information from rich existing datasets contained in GP records for accurate measurement of discharge summary receipt rate and timing.

[Removal of SO2 from flue gas by water vapor DC corona discharge].

PubMed

Sun, Ming; Wu, Yan

2006-07-01

The influence of several factors on removal rate of SO2 from flue gas in unsaturated water vapor DC corona discharge was researched. Furthermore, the experiments of the removal rate of SO2 in pulsed discharge increased by water vapor DC corona discharge plasma were conducted. The experiment system is supplied with multi-nozzle-plate electrodes and the flow of simulated flue gas is under 70 m3/h. The results show that removal rate of SO2 can be improved by increasing the concentration of water vapor, intensity of electric field or decreasing flow of simulated flue gas. In unsaturated water vapor DC corona discharge, removal rate of SO2 can be improved by 10%, when NH3 is added as NH3 and SO2 is in a mole ratio of two to one, it can reach 60%. The removal rate of SO2 can be increased by 5% in pulsed corona discharge and reach above 90%.

Multi-perspective comparisons and mitigation implications of SO2 and NO x discharges from the industrial sector of China: a decomposition analysis.

PubMed

Jia, Junsong; Gong, Zhihai; Gu, Zhongyu; Chen, Chundi; Xie, Dongming

2018-04-01

This study is the first attempt to investigate the drivers of Chinese industrial SO 2 and NO x emissions from both periodic and structural perspectives through a decomposition analysis using the logarithmic mean Divisia index (LMDI). The two pollutants' emissions were decomposed into output effects, structural effects, clean production effects, and pollution abatement effects. The results showed that China's industrial SO 2 discharge increased by 1.14 Mt during 2003-2014, and the contributions from the four effects were 23.17, - 1.88, - 3.80, and - 16.36 Mt, respectively. Likewise, NO x discharge changed by - 3.44 Mt over 2011-2014, and the corresponding contributions from the four effects were 2.97, - 0.62, - 1.84, and - 3.95 Mt. Thus, the output effect was mainly responsible for the growth of the two discharges. The average annual contribution rates of SO 2 and NO x from output were 14.33 and 5.97%, respectively, but pollution abatement technology presented the most obvious mitigating effects (- 10.11 and - 7.92%), followed by the mitigating effects of clean production technology (- 2.35 and - 3.7%), and the mitigation from the structural effect was the weakest (- 1.16 and - 1.25%, respectively), which meant pollutant reduction policies related to industrial structure adjustment should be a long-term measure for the two discharges. In addition, the sub-sectors of I20 (manufacture of raw chemical materials and chemical products), I24 (manufacture of non-metallic mineral products), and I26 (smelting and pressing of non-ferrous metals) were the major contributors to both discharges. Thus, these sub-sectors should be given priority consideration when designing mitigation-related measures. Last, some particular policy implications were recommended for reducing the two discharges, including that the government should seek a technological discharge reduction route.

A multimodel approach to interannual and seasonal prediction of Danube discharge anomalies

NASA Astrophysics Data System (ADS)

Rimbu, Norel; Ionita, Monica; Patrut, Simona; Dima, Mihai

2010-05-01

Interannual and seasonal predictability of Danube river discharge is investigated using three model types: 1) time series models 2) linear regression models of discharge with large-scale climate mode indices and 3) models based on stable teleconnections. All models are calibrated using discharge and climatic data for the period 1901-1977 and validated for the period 1978-2008 . Various time series models, like autoregressive (AR), moving average (MA), autoregressive and moving average (ARMA) or singular spectrum analysis and autoregressive moving average (SSA+ARMA) models have been calibrated and their skills evaluated. The best results were obtained using SSA+ARMA models. SSA+ARMA models proved to have the highest forecast skill also for other European rivers (Gamiz-Fortis et al. 2008). Multiple linear regression models using large-scale climatic mode indices as predictors have a higher forecast skill than the time series models. The best predictors for Danube discharge are the North Atlantic Oscillation (NAO) and the East Atlantic/Western Russia patterns during winter and spring. Other patterns, like Polar/Eurasian or Tropical Northern Hemisphere (TNH) are good predictors for summer and autumn discharge. Based on stable teleconnection approach (Ionita et al. 2008) we construct prediction models through a combination of sea surface temperature (SST), temperature (T) and precipitation (PP) from the regions where discharge and SST, T and PP variations are stable correlated. Forecast skills of these models are higher than forecast skills of the time series and multiple regression models. The models calibrated and validated in our study can be used for operational prediction of interannual and seasonal Danube discharge anomalies. References Gamiz-Fortis, S., D. Pozo-Vazquez, R.M. Trigo, and Y. Castro-Diez, Quantifying the predictability of winter river flow in Iberia. Part I: intearannual predictability. J. Climate, 2484-2501, 2008. Gamiz-Fortis, S., D. Pozo-Vazquez, R.M. Trigo, and Y. Castro-Diez, Quantifying the predictability of winter river flow in Iberia. Part II: seasonal predictability. J. Climate, 2503-2518, 2008. Ionita, M., G. Lohmann, and N. Rimbu, Prediction of spring Elbe river discharge based on stable teleconnections with global temperature and precipitation. J. Climate. 6215-6226, 2008.

Performance summary on a high power dense plasma focus x-ray lithography point source producing 70 nm line features in AlGaAs microcircuits

NASA Astrophysics Data System (ADS)

Petr, Rodney; Bykanov, Alexander; Freshman, Jay; Reilly, Dennis; Mangano, Joseph; Roche, Maureen; Dickenson, Jason; Burte, Mitchell; Heaton, John

2004-08-01

A high average power dense plasma focus (DPF), x-ray point source has been used to produce ˜70 nm line features in AlGaAs-based monolithic millimeter-wave integrated circuits (MMICs). The DPF source has produced up to 12 J per pulse of x-ray energy into 4π steradians at ˜1 keV effective wavelength in ˜2 Torr neon at pulse repetition rates up to 60 Hz, with an effective x-ray yield efficiency of ˜0.8%. Plasma temperature and electron concentration are estimated from the x-ray spectrum to be ˜170 eV and ˜5.1019 cm-3, respectively. The x-ray point source utilizes solid-state pulse power technology to extend the operating lifetime of electrodes and insulators in the DPF discharge. By eliminating current reversals in the DPF head, an anode electrode has demonstrated a lifetime of more than 5 million shots. The x-ray point source has also been operated continuously for 8 h run times at 27 Hz average pulse recurrent frequency. Measurements of shock waves produced by the plasma discharge indicate that overpressure pulses must be attenuated before a collimator can be integrated with the DPF point source.

Ketorolac does not reduce effectiveness of pleurodesis in pediatric patients with spontaneous pneumothorax.

PubMed

Lizardo, Radhames E; Langness, Simone; Davenport, Katherine P; Kling, Karen; Fairbanks, Timothy; Bickler, Stephen W; Grabowski, Julia

2015-12-01

Antiinflammatory medications are thought to reduce the effectiveness of pleurodesis performed for the treatment of spontaneous pneumothorax. We reviewed our experience with children undergoing video-assisted thorascopic surgery (VATS) with pleurodesis for pneumothorax to determine if ketorolac administration influences patient outcomes. A retrospective review of patients who underwent VATS pleurodesis for spontaneous pneumothorax from 2009 to 2013 at a pediatric hospital was performed. Length of stay, radiographic pneumothorax resolution prior to discharge, and ipsilateral recurrence rates were compared in patients who did and did not receive perioperative ketorolac. Over a 50-month period, 51 patients underwent VATS with mechanical pleurodesis for spontaneous pneumothorax. The average age was 15.5years, and 76% were male. Ketorolac was administered to 26/51 patients. There were no differences in average length of stay (11.3 vs 10.9days, p=0.36), incidence of residual pneumothorax at discharge (22/41 vs 19/41, p=0.48), or ipsilateral recurrence (5/10 vs 5/10, p=1). Despite the intrinsic antiinflammatory properties of ketorolac, our data suggests that its use for patients undergoing pleurodesis for spontaneous pneumothorax does not detrimentally influence the outcomes of surgery. Therefore, we conclude that ketorolac can be used for pain control in this population. Large-scale studies are warranted to validate these findings. Published by Elsevier Inc.

Korean Brain Rehabilitation Registry for Rehabilitation of Persons with Brain Disorders: Annual Report in 2009

PubMed Central

Yang, Seung Nam; Park, Si-Woon; Jung, Han Young; Rah, Ueon Woo; Kim, Yun-Hee; Chun, Min Ho; Paik, Nam-Jong; Yoo, Seung Don; Pyun, Sung-Bom; Kim, Min Wook; Lee, Sam-Gyu; Park, Byung Kyu; Shin, Heesuk; Shin, Yong Il; Lee, Heeyeon

2012-01-01

This first annual report provides a description of patients discharged from rehabilitation facilities in Korea based on secondary data analysis of Korean Brain Rehabilitation Registry V1.0 subscribed in 2009. The analysis included 1,697 records of patients with brain disorders including stroke, traumatic brain injury, brain tumor and other disorders from 24 rehabilitation facilities across Korea. The data comprised 1,380 cases of stroke, 104 cases of brain injury, 55 cases of brain tumor, and 58 cases of other brain diseases. The functional status of each patient was measured using the Korean version of the Modified Barthel Index (KMBI). The average change in the KMBI score was 15.9 for all patients in the inpatient rehabilitation facility. The average length of stay for inpatient rehabilitation was 36.9 days. The transfer rates to other hospitals were high, being 62.4% when all patients were considered. Patients with brain disorders of Korea in 2009 and measurable functional improvement was observed in patients. However, relatively high percentages of patients were not discharged to the community after inpatient rehabilitation. Based on the results of this study, consecutive reports of the status of rehabilitation need to be conducted in order to provide useful information to many practitioners. PMID:22690103

Analysis of Variations in Hospital Use by Medicare Patients in Psro Areas, 1974-1977

PubMed Central

Deacon, Ronald; Lubitz, James; Gornick, Marian; Newton, Marilyn

1979-01-01

A study of the use of short-stay hospitals in PSRO areas by Medicare enrollees aged 65 and over for the period 1974 through 1977 revealed that discharge rates increased, average length of stay (ALOS) decreased, and days-of-care rates remained relatively constant in nearly all of the PSRO areas. The data show large variations in hospital use in PSRO areas within States and HEW regions, and suggest that factors within the area are critical determinants of hospital utilization. This study presents important implications for PSRO program policy for it suggests that factors other than physician and hospital behavior should also be considered when setting objectives for reducing misutilization and improving the quality of health care. PMID:10309054

Sediment thicknesses and holocene glacial marine sedimentation rates in three east Greenland fjords (ca. 68°N)

USGS Publications Warehouse

Andrews, J.T.; Milliman, John D.; Jennings, A.E.; Rynes, N.; Dwyer, J.

1994-01-01

We compared measured and estimated sediment budgets in heavily glaciated fjords in East Greenland. Mass balance calculations and regional glacio-climatic conditions suggest that the sediment flux to the seafloor in Kangerdlugssuaq and Nansen fjords should be dominated by iceberg rafting and not by the rain-out of suspended particulates in meltwater, as the glacier calving flux is estimated at 15 and $2 km^{3}/yr$, compared to meltwater volumes of 4.4 and $1.7 km^{3}/yr$, respectively. Gravity cores in the three fjords indicate that the uppermost 1-2.5 m of sediment consists of diamictons or fine-grained laminated muds. AMS radiocarbon dates on calcareous foramininfera or shells (16 total) indicate sedimentation rates of 110 to 340 cm/ka within the fjords over the last 1 ka, and 10-20 cm/ka during the Holecene on the inner and middle shelf. Annual sediment discharge is around $0.67 \\times 10^{6}$ tonnes/yr within the Kangerdlugssuaq Fjord and Trough system, which translates into an average basin-wide rate of denudation of 0.01 mm/yr (0.01 m/ka). Air gun and deep-towed (Huntec) seismic profiling was carried out in Kangerdlugssuaq and Nansen fjords, East Greenland, and showed that sediment fills averaged 500 and 350 m respectively; they consist primarily of acoustically stratified sediments. If the sediment fills are entirely Holocene in age then the required average sediment accumulation rates of 35-50 m/ka are an order of magnitude larger than the $^{14}C $controlled rates of the last 1-2 ka. This raises the possibility that fjord sediments may be by-passed and not always recycled during glacial advances; this will affect sedimentation rates on adjacent shelves and deep-sea areas during successive glaciations

Submarine groundwater discharge in the Sarasota Bay system: Its assessment and implications for the nearshore coastal environment

NASA Astrophysics Data System (ADS)

Mwashote, B. M.; Murray, M.; Burnett, W. C.; Chanton, J.; Kruse, S.; Forde, A.

2013-02-01

A study was conducted from July 2002 through June 2006 in order to assess the significance of submarine groundwater discharge (SGD) to Sarasota Bay (SB), Florida. The assessment approaches used in this study included manual seepage meters, geochemical tracers (radon, 222Rn and methane, CH4), and subseafloor resistivity measurements. The estimated SGD advection rates in the SB system were found to range from 0.7 to 24.0 cm/day, except for some isolated hot spot occurrences where higher rates were observed. In general, SGD estimates were relatively higher (5.9-24.0 cm/day) in the middle and south regions of the bay compared to the north region (0.7-5.9 cm/day). Average dissolved inorganic nutrient concentrations within the SB water column ranged: 0.1-11 μM (NO2+NO3), 0.1-9.1 μM (NH4) and 0.2-1.4 μM (PO4). The average N/P ratio was higher in the north compared to the middle and south regions of the bay. On average, we conservatively estimate that about 27% of the total N in the SB system was derived via SGD. The prevalence of shallow embayed areas in the SB system and the presence of numerous septic tanks in the surrounding settlements enhanced the potential effects of nutrient rich seepages. Statistical comparison of the quantitative approaches revealed a good agreement between SGD estimates from manual seepage meters and those derived from the 222Rn model (p=0.67; α=0.05; n=18). CH4 was found to be useful for qualitative SGD assessments. CH4 and 222Rn were correlated (r2=0.31; α=0.05; n=54). Large scale resistivity surveys showed spatial variability that correlates more clearly with lithology than with SGD patterns.

Bier block regional anesthesia and casting for forearm fractures: safety in the pediatric emergency department setting.

PubMed

Aarons, Chad E; Fernandez, Meagan D; Willsey, Matt; Peterson, Bret; Key, Charles; Fabregas, Jorge

2014-01-01

Bier block regional anesthesia was first described in 1908; however, it is uncommonly used for fears of cardiac and neurological complications. Although recent studies have documented safe usage in an adult population, no study to date has investigated its use in a pediatric setting. In addition, most emergency departments feel that splint placement is safer than casting after acute forearm fracture reduction in the pediatric population. However, to our knowledge there is no such study that documents the complication rates associated with immediate casting. The goal of this study was to assess the safety and efficacy of Bier block regional anesthesia and immediate cast application after closed reduction of pediatric forearm fractures. A retrospective review was conducted of patients treated for forearm fractures in a 2-year period at a major metropolitan pediatric hospital. Rates of complications and length and costs of the 2 procedures were analyzed. A total of 600 patients were treated with Bier block regional anesthesia and 645 were treated with conscious sedation for displaced fractures of the forearm in the 2-year study period. No complications requiring admission were seen in either group. No patient experienced compartment syndrome or a need for readmission secondary to cast application. 2.2% and 4.3% (P=0.0382) of patients in the Bier block and sedation groups, respectively, needed their cast bivalved secondary to swelling. The average time from initiation of procedural sedation to discharge was 1 hour and 42 minutes, whereas the time to discharge from initiation of Bier block regional anesthesia was 47 minutes (P<0.0001). The average cost for a patient treated with procedural sedation was $6313, whereas the average cost for the Bier block regional anesthesia group was $4956. Bier block regional anesthesia is a safe, efficient, and cost-effective method of reducing pediatric forearm fractures. Immediate cast application can be used without fear of major complications. Level III--retrospective review.

Spatial Characteristics of Geothermal Spring Temperatures and Discharge Rates in the Tatun Volcanic Area, Taiwan

NASA Astrophysics Data System (ADS)

Jang, C. S.; Liu, C. W.

2014-12-01

The Tatun volcanic area is the only potential volcanic geothermal region in the Taiwan island, and abundant in hot spring resources owing to stream water mixing with fumarolic gases. According to the Meinzer's classification, spring temperatures and discharge rates are the most important properties for characterizing spring classifications. This study attempted to spatially characterize spring temperatures and discharge rates in the Tatun volcanic area, Taiwanusing indicator kriging (IK). First, data on spring temperatures and discharge rates, which were collected from surveyed data of the Taipei City Government, were divided into high, moderate and low categories according to spring classification criteria, and the various categories were regarded as estimation thresholds. Then, IK was adopted to model occurrence probabilities of specified temperatures and discharge rates in springs, and to determine their classifications based on estimated probabilities. Finally, nine combinations were obtained from the classifications of temperatures and discharge rates in springs. Moreover, the combinations and features of spring water were spatially quantified according to seven sub-zones of spring utilization. A suitable and sustainable development strategy of the spring area was proposed in each sub-zone based on probability-based combinations and features of spring water.The research results reveal that the probability-based classifications using IK provide an excellent insight in exploring the uncertainty of spatial features in springs, and can provide Taiwanese government administrators with detailed information on sustainable spring utilization and conservation in the overexploited spring tourism areas. The sub-zones BT (Beitou), RXY (Rd. Xingyi), ZSL (Zhongshanlou) and LSK (Lengshuikeng) with high or moderate discharge rates are suitable to supply spring water for tourism hotels.Local natural hot springs should be planned in the sub-zones DBT (Dingbeitou), ZSL, XYK (Xiayoukeng), and MC (Macao) with low discharge rates, and low or moderate temperatures, particularly in riverbeds or valleys.Keywords: Spring; Temperature; Discharge rate; Indicator kriging; Uncertainty

Optimising recovery after surgery: Predictors of early discharge and hospital readmission.

PubMed

Carter, Jonathan; Philp, Shannon; Wan, King M

2016-10-01

Fast track surgery (FTS) programs minimise the stress response after surgery and allow for enhanced recovery. To document the frequency and incidence of adverse events in patients enrolled on a FTS program and to investigate factors associated with shorter length of stay and readmission to hospital. A seven-year updated surgical audit of patients undergoing laparotomy for suspected or confirmed malignancy on a FTS program. Five hundred and fifty patients comprise the study group. Average age and body mass index (BMI) were 55 years and 28, respectively. Mean length of stay (LOS) was 3.4 days with 194 (35%) patients discharged on day 2. Six (1%) patients had confirmed venous thromboembolism (VTE), three of whom were diagnosed on pre-operative imaging. Overall, transfusion rate was 5%. Adverse events in decreasing frequency were hospital readmission (4%) and significant wound infection (3%). All other adverse events were uncommon with rates <0.5%. Factors associated with a discharge on or after day 3 include age, pathology, Eastern Cooperative Oncology Group performance status, incision type, operating time, blood transfusion and cyclo-oxygenase 2 inhibitors. Factors associated with hospital readmission include longer operating time, performance of lymph node sampling/dissection, longer LOS, development of wound infection, febrile morbidity, return to the operating room, unplanned intensive care unit admission and presence of other complications. Patients managed by a FTS protocol can expect enhanced outcomes when compared to historical controls. © 2016 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

Behavior of motor units in human biceps brachii during a submaximal fatiguing contraction.

PubMed

Garland, S J; Enoka, R M; Serrano, L P; Robinson, G A

1994-06-01

The activity of 50 single motor units was recorded in the biceps brachii muscle of human subjects while they performed submaximal isometric elbow flexion contractions that were sustained to induce fatigue. The purposes of this study were to examine the influence of fatigue on motor unit threshold force and to determine the relationship between the threshold force of recruitment and the initial interimpulse interval on the discharge rates of single motor units during a fatiguing contraction. The discharge rate of most motor units that were active from the beginning of the contraction declined during the fatiguing contraction, whereas the discharge rates of most newly recruited units were either constant or increased slightly. The absolute threshold forces of recruitment and derecruitment decreased, and the variability of interimpulse intervals increased after the fatigue task. The change in motor unit discharge rate during the fatigue task was related to the initial rate, but the direction of the change in discharge rate could not be predicted from the threshold force of recruitment or the variability in the interimpulse intervals. The discharge rate of most motor units declined despite an increase in the excitatory drive to the motoneuron pool during the fatigue task.

The suitability of using dissolved gases to determine groundwater discharge to high gradient streams

USGS Publications Warehouse

Gleeson, Tom; Manning, Andrew H.; Popp, Andrea; Zane, Mathew; Clark, Jordan F.

2018-01-01

Determining groundwater discharge to streams using dissolved gases is known to be useful over a wide range of streamflow rates but the suitability of dissolved gas methods to determine discharge rates in high gradient mountain streams has not been sufficiently tested, even though headwater streams are critical as ecological habitats and water resources. The aim of this study is to test the suitability of using dissolved gases to determine groundwater discharge rates to high gradient streams by field experiments in a well-characterized, high gradient mountain stream and a literature review. At a reach scale (550 m) we combined stream and groundwater radon activity measurements with an in-stream SF6 tracer test. By means of numerical modeling we determined gas exchange velocities and derived very low groundwater discharge rates (∼15% of streamflow). These groundwater discharge rates are below the uncertainty range of physical streamflow measurements and consistent with temperature, specific conductance and streamflow measured at multiple locations along the reach. At a watershed-scale (4 km), we measured CFC-12 and δ18O concentrations and determined gas exchange velocities and groundwater discharge rates with the same numerical model. The groundwater discharge rates along the 4 km stream reach were highly variable, but were consistent with the values derived in the detailed study reach. Additionally, we synthesized literature values of gas exchange velocities for different stream gradients which show an empirical relationship that will be valuable in planning future dissolved gas studies on streams with various gradients. In sum, we show that multiple dissolved gas tracers can be used to determine groundwater discharge to high gradient mountain streams from reach to watershed scales.

The suitability of using dissolved gases to determine groundwater discharge to high gradient streams

NASA Astrophysics Data System (ADS)

Gleeson, Tom; Manning, Andrew H.; Popp, Andrea; Zane, Matthew; Clark, Jordan F.

2018-02-01

Determining groundwater discharge to streams using dissolved gases is known to be useful over a wide range of streamflow rates but the suitability of dissolved gas methods to determine discharge rates in high gradient mountain streams has not been sufficiently tested, even though headwater streams are critical as ecological habitats and water resources. The aim of this study is to test the suitability of using dissolved gases to determine groundwater discharge rates to high gradient streams by field experiments in a well-characterized, high gradient mountain stream and a literature review. At a reach scale (550 m) we combined stream and groundwater radon activity measurements with an in-stream SF6 tracer test. By means of numerical modeling we determined gas exchange velocities and derived very low groundwater discharge rates (∼15% of streamflow). These groundwater discharge rates are below the uncertainty range of physical streamflow measurements and consistent with temperature, specific conductance and streamflow measured at multiple locations along the reach. At a watershed-scale (4 km), we measured CFC-12 and δ18O concentrations and determined gas exchange velocities and groundwater discharge rates with the same numerical model. The groundwater discharge rates along the 4 km stream reach were highly variable, but were consistent with the values derived in the detailed study reach. Additionally, we synthesized literature values of gas exchange velocities for different stream gradients which show an empirical relationship that will be valuable in planning future dissolved gas studies on streams with various gradients. In sum, we show that multiple dissolved gas tracers can be used to determine groundwater discharge to high gradient mountain streams from reach to watershed scales.

Course and predictors of rehospitalization in adolescent anorexia nervosa in a multisite study.

PubMed

Steinhausen, Hans-Christoph; Grigoroiu-Serbanescu, Maria; Boyadjieva, Svetlana; Neumärker, Klaus-Jürgen; Winkler Metzke, Christa

2008-01-01

The course and clinical predictors of rehospitalization were studied in a large sample of adolescent patients with anorexia nervosa who had been treated at five European sites and been followed-up. Two-hundred and twelve adolescent patients first admitted for in-patient treatment, aged 10-18 (Mean 14.9) years and 94.8% female, were followed-up for an average of 8.3 years after first admission at sites in (former East and West Berlin, Zurich, Sofia, and Bucharest). Clinical history data were collected by use of standardized item-sheets at first admission. Semi-structured interviews including ratings of eating pathology and psychosocial outcome were performed at follow-up. About 44.8% (95/212) of the patients required at least one readmission. Rates of rehospitalization were significantly higher at the Eastern sites (Sofia and Bucharest). Significant predictors of readmission were paternal alcoholism, history of anorexia nervosa in the family, eating disorder in infancy, periodic overactivity, lower weight increase at first admission, and lower BMI at first discharge. In a model of logistic regression analysis, five variables (paternal alcoholism, eating disorder in infancy, periodic overactivity, low weight increase during first admission, and low BMI at first discharge) correctly classified 69% of the participants into cases with single or repeated admissions. Patients with repeated admissions had a less favorable long term outcome and had higher rates of persisting psychopathology at follow-up. Rehospitalization reflects the chronic course in a sizable proportion of adolescent patients with anorexia nervosa. Family psychopathology may have an effect both in terms of genetic vulnerability and environmental stress leading to unfavorable courses. The strong effect of insufficient weight gain during first admission and lower BMI at first discharge emphasizes the importance of adequate interventions. Readmissions carry the risk for later poor psychosocial and psychiatric outcomes.

Anemia, hypoalbuminemia, and elevated troponin levels as risk factors for respiratory failure in patients with severe exacerbations of chronic obstructive pulmonary disease requiring invasive mechanical ventilation.

PubMed

Pavliša, Gordana; Labor, Marina; Puretić, Hrvoje; Hećimović, Ana; Jakopović, Marko; Samaržija, Miroslav

2017-12-31

To determine in-hospital and post-discharge mortality, readmission rates, and predictors of invasive mechanical ventilation (IMV) in patients treated at intensive care unit (ICU) due to acute exacerbations of chronic obstructive pulmonary disease (AECOPD). A retrospective observational cohort study included all patients treated at a respiratory ICU for AECOPD during one year. A total of 62 patients (41 men) with mean age 68.4±10.4 years were analyzed for outcomes including in-hospital and post-discharge mortality, readmission rates, and IMV. Patients' demographic, hematologic, biochemical data and arterial blood gas (ABG) values were recorded on admission to hospital. Mean duration of follow-up time was 2.4 years. Of 62 patients, 7 (11.3%) died during incident hospitalization and 21 (33.9%) died during the follow-up. The overall 2.4-year mortality was 45.2%. Twenty nine (46.8%) patients were readmitted due to AECOPD. The average number of readmissions was 1.2. Multivariate analysis showed that blood pH, bicarbonate levels, low albumin, low serum chloride, and low hemoglobin were significant predictors of IMV during incident hospitalization (P<0.001 for the overall model fit). High in-hospital and post-discharge mortality and high readmission rates in our patients treated due to AECOPD at ICU indicate that these patients represent a high risk group in need of close monitoring. Our results suggested that anemia, hypoalbuminemia, and elevated troponin levels were risk factors for the need of IMV in severe AECOPD. Identification of such high-risk patients could provide the opportunity for administration of an appropriate and timely treatment.

The impact of DRGs on the cost and quality of health care in the United States.

PubMed

Davis, C; Rhodes, D J

1988-01-01

The prospective Payment System (PPS) represents a fundamental change in the way the United States government reimburses hospitals for medical services covered under Medicare, a federal health care insurance program for the elderly and disabled. PPS replaced the retrospective cost-based system of payment for Medicare services with a prospective payment system. Under PPS, a predetermined specific rate for each discharge dictates payment according to the diagnosis related group (DRG) in which the discharge is classified. The PPS was intended to create financial incentives that encourage hospitals to restrain the use of resources while providing high-quality inpatient care. Both objectives appear to have been met under PPS. Hospital utilization has declined, average length of stay has fallen, and the locus of care has shifted from the inpatient setting to less costly outpatient settings. The growth in inpatient hospital benefits has slowed and the impending insolvency of the Medicare trust fund has been forestalled. Studies have found no deterioration in the quality of care rendered to Medicare beneficiaries. Neither the mortality rate nor the rate of re-admission (presumably related to premature discharge) increased under PPS. Indeed, PPS appears to have enhanced the quality of inpatient care by discouraging unnecessary and potentially harmful procedures, and by encouraging the concentration of complex procedures in facilities in which the high frequency of these procedures promotes efficiency. Incentive-based reimbursement also appears to have contributed to the growth in alternative delivery systems, such as HMOs and PPOs, which contain costs by maintaining a high volume of a limited range of services. The success of the PPS/DRG system in controlling costs and promoting quality in this country suggests its application in other countries, either as a method of reimbursement or as a product line management tool.

Increasing trends of acute myocardial infarction in Spain: the MONICA-Catalonia Study.

PubMed

Sans, Susana; Puigdefábregas, Ana; Paluzie, Guillermo; Monterde, David; Balaguer-Vintró, Ignacio

2005-03-01

To assess coronary mortality and morbidity secular trends in Spain. Acute coronary events occurring in both sexes at ages 35-74 years between 1985 and 1997, were monitored in a geographical area of Catalonia, through a population-based registry. Information was collected from annual discharge lists of 78 hospitals and from death certificates, and validated following the methods and quality control of the World Health Organization MONItoring Trends and Determinants in CArdiovascular Disease Project (MONICA). Registration included 19 119 valid events (14 221 in men, 4898 in women) of which 30% were fatal and 41% were definite acute myocardial infarctions. Average attack rates were 315 per 100 000 (95% CI 300-329) and 80 (75-86) in men and women, respectively. Incidence (first-ever event) rates were 209 (194-224) and 56 (52-60) per 100 000. Attack rates increased annually by 2.1% (0.3-4.1) and 1.8% (-0.9 to +4.6). Average 28-day case fatality was 46% (44-47) in men decreasing significantly by 1.4 and 53% (51-55) in women with no change. Fatal trends remained stable. Nationwide morbidity statistics showed similar trends. Acute coronary syndromes are rising in Spanish men.

Method and means for measuring acoustic emissions

DOEpatents

Renken, Jr., Claus J.

1976-01-06

The detection of acoustic emissions emanating from an object is achieved with a capacitive transducer coupled to the object. The capacitive transducer is charged and then allowed to discharge with the rate of discharge being monitored. Oscillations in the rate of discharge about the normally exponential discharge curve for the capacitive transducer indicate the presence of acoustic emissions.

Stability of Geriatric Syndromes in Hospitalized Medicare Beneficiaries Discharged to Skilled Nursing Facilities.

PubMed

Simmons, Sandra F; Bell, Susan; Saraf, Avantika A; Coelho, Chris S; Long, Emily A; Jacobsen, J M L; Schnelle, John F; Vasilevskis, Eduard E

2016-10-01

To assess multiple geriatric syndromes in a sample of older hospitalized adults discharged to skilled nursing facilities (SNFs) and subsequently to home to determine the prevalence and stability of each geriatric syndrome at the point of these care transitions. Descriptive, prospective study. One large university-affiliated hospital and four area SNFs. Fifty-eight hospitalized Medicare beneficiaries discharged to SNFs (N = 58). Research personnel conducted standardized assessments of the following geriatric syndromes at hospital discharge and 2 weeks after SNF discharge to home: cognitive impairment, depression, incontinence, unintentional weight loss, loss of appetite, pain, pressure ulcers, history of falls, mobility impairment, and polypharmacy. The average number of geriatric syndromes per participant was 4.4 ± 1.2 at hospital discharge and 3.8 ± 1.5 after SNF discharge. There was low to moderate stability for most syndromes. On average, participants had 2.9 syndromes that persisted across both care settings, 1.4 syndromes that resolved, and 0.7 new syndromes that developed between hospital and SNF discharge. Geriatric syndromes were prevalent at the point of each care transition but also reflected significant within-individual variability. These findings suggest that multiple geriatric syndromes present during a hospital stay are not transient and that most syndromes are not resolved before SNF discharge. These results underscore the importance of conducting standardized screening assessments at the point of each care transition and effectively communicating this information to the next provider to support the management of geriatric conditions. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

Stability of Geriatric Syndromes in Hospitalized Medicare Patients Discharged to Skilled Nursing Facilities

PubMed Central

Simmons, Sandra F.; Bell, Susan; Saraf, Avantika A.; Coelho, Chris Simon; Long, Emily A.; Jacobsen, J. Mary Lou; Schnelle, John F.; Vasilevskis, Eduard E.

2016-01-01

Objectives The purpose of this study was to assess multiple geriatric syndromes in a sample of older hospitalized patients discharged to skilled nursing facilities and, subsequently, to home to determine the prevalence and stability of each geriatric syndrome at the point of these care transitions. Design Descriptive, prospective study. Setting One large university-affiliated hospital and four area SNFs. Participants Fifty-eight hospitalized Medicare beneficiaries discharged to SNF. Measurements Research personnel conducted standardized assessments of the following geriatric syndromes at hospital discharge and two weeks following SNF discharge to home: cognitive impairment, depression, incontinence, unintentional weight loss, loss of appetite, pain, pressure ulcers, history of falls, mobility impairment and polypharmacy. Results The average number of geriatric syndromes per patient was 4.4 (± 1.2) at hospital discharge and 3.8 (±1.5) following SNF discharge. There was low to moderate stability for most syndromes. On average, participants had 2.9 syndromes that persisted across both care settings, 1.4 syndromes that resolved, and 0.7 new syndromes that developed between hospital and SNF discharge. Conclusion Geriatric syndromes were prevalent at the point of each care transition but also reflected significant within-individual variability. These findings suggest that multiple geriatric syndromes present during a hospital stay are not transient nor are most syndromes resolved prior to SNF discharge. These results underscore the importance of conducting standardized screening assessments at the point of each care transition and effectively communicating this information to the next provider to support the management of geriatric conditions. PMID:27590032

Sediment transport of streams tributary to San Francisco, San Pablo, and Suisun Bays, California, 1909-66

USGS Publications Warehouse

Porterfield, George

1980-01-01

A review of historical sedimentation data is presented, results of sediment-data collection for water years 1957-59 are summarized, and long-term sediment-discharge estimates from a preliminary report are updated. Comparison of results based on 3 years of data to those for the 10 water years, 1957-66, provides an indication of the adequacy of the data obtained during the short period to define the long-term relation between sediment transport and streamflow. During 1909-66, sediment was transported to the entire San Francisco Bay system at an average rate of 8.6 million cubic yards per year. The Sacramento and San Joaquin River basins provided about 83% of the sediment inflow to the system annually during 1957-66 and 86% during 1909-66. About 98% of this inflow was measured or estimated at sediment measuring sites. Measured sediment inflow directly to the bays comprised only about 40% of the total discharged by basins directly tributary to the bays. About 90% of the total sediment discharge to the delta and the bays in the San Francisco Bay system thus was determined on the basis of systematic measurements. (USGS)

Radioactive Cs-137 discharge from Headwater Forested Catchment in Fukushima after Fukushima Dai-ichi Nuclear Power Plant Accident

NASA Astrophysics Data System (ADS)

Iwagami, S.; Onda, Y.; Tsujimura, M.; Sakakibara, K.; Konuma, R.

2015-12-01

Radiocesium migration from headwater forested catchment is important perception as output from the forest which is also input to the subsequent various land use and downstream rivers after Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident. In this study, Cs-137 concentration of dissolved water, suspended sediment and coarse organic matter such as leaf and branch were monitored. Discharge amount of stream water, suspended sediment and coarse organic matter were measured to investigate the discharge amount of radiocesium and composition of radiocesium discharge form through the headwater stream. Observation were conducted at stream site in four headwater catchments in Yamakiya district, located ~35 km north west of FDNPP from June 2011 (suspended sediment and coarse organic matter: August 2012) to December 2014.The Cs-137 concentration of dissolved water was around 1Bq/l at June 2011. Then declined to 0.1 Bq/l at December 2011. And in December 2014, it declined to 0.01 Bq/l order. Declining trend of Cs-137 concentration in dissolved water was expressed in double exponential model. Also temporary increase was observed in dissolved Cs-137 during the rainfall event. The Cs-137 concentration of suspended sediment and coarse organic matter were 170-49000 Bq/kg and 350-14000 Bq/kg respectably. The Cs-137 concentration of suspended sediment showed good correlation with average deposition density of catchment. The effect of decontamination works appeared in declining of Cs-137 concentration in suspended sediment. Contribution rate of Cs-137 discharge by suspended sediment was 96-99% during a year. Total annual Cs-137 discharge from the catchment were 0.02-0.3% of the deposition.

Impact of a psychiatric unit's daily discharge rates on emergency department flow.

PubMed

Bastiampillai, Tarun; Schrader, Geoffrey; Dhillon, Rohan; Strobel, Jörg; Bidargaddi, Niranjan

2012-04-01

To investigate relationships between time spent in the emergency department (ED) in patients requiring admission to the psychiatric ward, the day of the week of presentation and the daily number of discharges from the psychiatric ward. Retrospective analysis of patient flow as a function of day of week, time of day (a.m., p.m.), number of patients requiring admission and number of ward discharges over a one-year period, for all mental health related presentations to the ED of the Queen Elizabeth Hospital in Adelaide, South Australia, before their admission to the psychiatric inpatient facility. The time spent by patients in the ED waiting for admission to the psychiatric ward was significantly greater on weekends. There were significantly fewer discharges from the psychiatric ward during weekends compared with weekdays. The average time spent by patients in the ED requiring admission to the psychiatric ward for those days when there were vacant beds was 17.9 hours (SD=14.5). More people presented to the ED with a psychiatric diagnosis in the afternoons. There was a significant inverse correlation between the time spent by patients in the ED requiring admission to the psychiatric ward per day and the number of discharges from the psychiatric ward per day. These findings demonstrate that patient flow is significantly slower on weekends because of fewer discharges from the ward, leading to longer times spent in the ED before ward transfer. Waiting times in the ED were very substantially greater than the proposed 4-hour target even when vacant beds were available, raising considerable doubt about that target being realistic for psychiatric patients.

Current Density Measurements of an Annular-Geometry Ion Engine

NASA Technical Reports Server (NTRS)

Shastry, Rohit; Patterson, Michael J.; Herman, Daniel A.; Foster, John E.

2012-01-01

The concept of the annular-geometry ion engine, or AGI-Engine, has been shown to have many potential benefits when scaling electric propulsion technologies to higher power. However, the necessary asymmetric location of the discharge cathode away from thruster centerline could potentially lead to non-uniformities in the discharge not present in conventional geometry ion thrusters. In an effort to characterize the degree of this potential nonuniformity, a number of current density measurements were taken on a breadboard AGI-Engine. Fourteen button probes were used to measure the ion current density of the discharge along a perforated electrode that replaced the ion optics during conditions of simulated beam extraction. Three Faraday probes spaced apart in the vertical direction were also used in a separate test to interrogate the plume of the AGI-Engine during true beam extraction. It was determined that both the discharge and the plume of the AGI-Engine are highly uniform, with variations under most conditions limited to 10% of the average current density in the discharge and 5% of the average current density in the plume. Beam flatness parameter measured 30 mm from the ion optics ranged from 0.85 0.95, and overall uniformity was shown to generally increase with increasing discharge and beam currents. These measurements indicate that the plasma is highly uniform despite the asymmetric location of the discharge cathode.

Current Density Measurements of an Annular-Geometry Ion Engine

NASA Technical Reports Server (NTRS)

Shastry, Rohit; Patterson, Michael J.; Herman, Daniel A.; Foster, John E.

2012-01-01

The concept of the annular-geometry ion engine, or AGI-Engine, has been shown to have many potential benefits when scaling electric propulsion technologies to higher power. However, the necessary asymmetric location of the discharge cathode away from thruster centerline could potentially lead to non-uniformities in the discharge not present in conventional geometry ion thrusters. In an effort to characterize the degree of this potential non-uniformity, a number of current density measurements were taken on a breadboard AGI-Engine. Fourteen button probes were used to measure the ion current density of the discharge along a perforated electrode that replaced the ion optics during conditions of simulated beam extraction. Three Faraday probes spaced apart in the vertical direction were also used in a separate test to interrogate the plume of the AGI-Engine during true beam extraction. It was determined that both the discharge and the plume of the AGI-Engine are highly uniform, with variations under most conditions limited to +/-10% of the average current density in the discharge and +/-5% of the average current density in the plume. Beam flatness parameter measured 30 mm from the ion optics ranged from 0.85 - 0.95, and overall uniformity was shown to generally increase with increasing discharge and beam currents. These measurements indicate that the plasma is highly uniform despite the asymmetric location of the discharge cathode.

Association between quality domains and health care spending across physician networks

PubMed Central

Rahman, Farah; Guan, Jun; Glazier, Richard H.; Brown, Adalsteinn; Bierman, Arlene S.; Croxford, Ruth; Stukel, Therese A.

2018-01-01

One of the more fundamental health policy questions is the relationship between health care quality and spending. A better understanding of these relationships is needed to inform health systems interventions aimed at increasing quality and efficiency of care. We measured 65 validated quality indicators (QI) across Ontario physician networks. QIs were aggregated into domains representing six dimensions of care: screening and prevention, evidence-based medications, hospital-community transitions (7-day post-discharge visit with a primary care physician; 30-day post-discharge visit with a primary care physician and specialist), potentially avoidable hospitalizations and emergency department (ED) visits, potentially avoidable readmissions and unplanned returns to the ED, and poor cancer end of life care. Each domain rate was computed as a weighted average of QI rates, weighting by network population at risk. We also measured overall and sector-specific per capita healthcare network spending. We evaluated the associations between domain rates, and between domain rates and spending using weighted correlations, weighting by network population at risk, using an ecological design. All indicators were measured using Ontario health administrative databases. Large variations were seen in timely hospital-community transitions and potentially avoidable hospitalizations. Networks with timely hospital-community transitions had lower rates of avoidable admissions and readmissions (r = -0.89, -0.58, respectively). Higher physician spending, especially outpatient primary care spending, was associated with lower rates of avoidable hospitalizations (r = -0.83) and higher rates of timely hospital-community transitions (r = 0.81) and moderately associated with lower readmission rates (r = -0.46). Investment in effective primary care services may help reduce burden on the acute care sector and associated expenditures. PMID:29614131

Reach-scale isotope tracer experiment to quantify denitrification and related processes in a nitrate-rich stream, midcontinent United States

USGS Publications Warehouse

Böhlke, J.K.; Harvey, J.W.; Voytek, M.A.

2004-01-01

We conducted an in-stream tracer experiment with Br and 15N-enriched NO3- to determine the rates of denitrification and related processes in a gaining NO3- -rich stream in an agricultural watershed in the upper Mississippi basin in September 2001. We determined reach-averaged rates of N fluxes and reactions from isotopic analyses of NO3-, NO2-, N2, and suspended particulate N in conjunction with other data in a 1.2-km reach by using a forward time-stepping numerical simulation that included groundwater discharge, denitrification, nitrification, assimilation, and air-water gas exchange with changing temperature. Denitrification was indicated by a systematic downstream increase in the d15N values of dissolved N2. The reach-averaged rate of denitrification of surface-water NO3- indicated by the isotope tracer was approximately 120 ± 20 µmol m-2 h-1 (corresponding to zero- and first-order rate constants of 0.63 µmol L-1 h-1 and 0.009 h-1, respectively). The overall rate of NO3- loss by processes other than denitrification (between 0 and about 200 µmol m-2 h-1) probably was less than the denitrification rate but had a large relative uncertainty because the NO3- load was large and was increasing through the reach. The rates of denitrification and other losses would have been sufficient to reduce the stream NO3- load substantially in the absence of NO3- sources, but the losses were more than offset by nitrification and groundwater NO3- inputs at a combined rate of about 500-700 µmol m-2 h-1. Despite the importance of denitrification, the overall mass fluxes of N2 were dominated by discharge of denitrified groundwater and air-water gas exchange in response to changing temperature, whereas the flux of N2 attributed to denitrification was relatively small. The in-stream isotope tracer experiment provided a sensitive direct reach-scale measurement of denitrification and related processes in a NO3- -rich stream where other mass-balance methods were not suitable because of insufficient sensitivity or offsetting sources and sinks. Despite the increasing NO3- load in the experimental reach, the isotope tracer data indicate that denitrification was a substantial permanent sink for N leaving this agricultural watershed during low-flow conditions.

Pathological effect of homeostatic synaptic scaling on network dynamics in diseases of the cortex.

PubMed

Fröhlich, Flavio; Bazhenov, Maxim; Sejnowski, Terrence J

2008-02-13

Slow periodic EEG discharges are common in CNS disorders. The pathophysiology of this aberrant rhythmic activity is poorly understood. We used a computational model of a neocortical network with a dynamic homeostatic scaling rule to show that loss of input (partial deafferentation) can trigger network reorganization that results in pathological periodic discharges. The decrease in average firing rate in the network by deafferentation was compensated by homeostatic synaptic scaling of recurrent excitation among pyramidal cells. Synaptic scaling succeeded in recovering the network target firing rate for all degrees of deafferentation (fraction of deafferented cells), but there was a critical degree of deafferentation for pathological network reorganization. For deafferentation degrees below this value, homeostatic upregulation of recurrent excitation had minimal effect on the macroscopic network dynamics. For deafferentation above this threshold, however, a slow periodic oscillation appeared, patterns of activity were less sparse, and bursting occurred in individual neurons. Also, comparison of spike-triggered afferent and recurrent excitatory conductances revealed that information transmission was strongly impaired. These results suggest that homeostatic plasticity can lead to secondary functional impairment in case of cortical disorders associated with cell loss.

Extended-testing of xenon ion thruster hollow cathodes

NASA Technical Reports Server (NTRS)

Sarver-Verhey, Timothy R.

1992-01-01

A hollow cathode wear-test of 508 hours was successfully completed at an emission current of 23.0 A and a xenon flow rate of 10 Pa-L/s. This test was the continuation of a hollow cathode contamination investigation. Discharge voltage was stable at 16.7 V. The cathode temperature averaged 1050 C with a 7 percent drop during the wear-test. Discharge ignition voltage was found to be approximately 20 V and was repeatable over four starts. Post-test analyses of the hollow cathode found a much improved internal cathode condition with respect to earlier wear-test cathodes. Negligible tungsten movement occurred and no formation of mono-barium tungsten was observed. These results correlated with an order-of-magnitude reduction in propellant feed-system leakage rate. Ba2CaWO6 and extensive calcium crystal formation occurred on the upstream end of the insert. Ba-Ca compound depositions were found on the Mo insert collar, on the Re electrical leads, and in the gap between the insert and cathode wall. This wear-test cathode was found to be in the best internal condition and had the most stable operating performance of any hollow cathode tested during this contamination investigation.

Temporal trends in hospitalization for rotavirus gastroenteritis: A nationwide study in Italy, 2005–2012

PubMed Central

Mattei, Antonella; Sbarbati, Margherita; Fiasca, Fabiana; Angelone, Anna Maria; Mazzei, Maria Chiara; di Orio, Ferdinando

2016-01-01

AGE severity is linked to etiology, and Rotavirus (RV) accounts for most of severe cases. In 2009 the World Health Organization recommended RV vaccination for all children. Worldwide a number of Countries implemented RV vaccination in their pediatric immunisation programmes, but only a limited number in Europe. This study was designed to estimate the proportion of RVGE among children aged <6 y who were diagnosed with AGE and admitted to hospitals in Italy during the years 2005–2012. A total of 334,982 hospital discharge forms were collected, being 79,344 hospitalizations associated with RV. The average hospitalization rate (HR) was 146/100,000 children for RVGE in primary diagnosis (PD) and 150/100,000 children for RVGE in secondary diagnosis (SD). Since 2008 the RVGE hospitalization figures and rates (HRs) in SD exceed those in PD. The majority of RVGE hospitalizations (33.67%) were reported among children aged ≤ 2 years. Despite some limitations due to the hospital discharge database (HDD) synthetic contents and low potential for clinical interpretation, the analysis of national HDD, including PD and SD, documents that RV still represents a consistent cause of pediatric hospitalizations in Italy. PMID:26337458

Emissions and Economics of Behind-the-Meter Electricity Storage.

PubMed

Fisher, Michael J; Apt, Jay

2017-02-07

Annual installations of behind-the-meter (BTM) electric storage capacity are forecast to eclipse grid-side electrochemical storage by the end of the decade. Here, we characterize the economic payoff and regional emission consequences of BTM storage without colocated generation under different tariff conditions, battery characteristics, and ownership scenarios using metered loads for several hundred commercial and industrial customers. Net emissions are calculated as increased system emissions from charging minus avoided emissions from discharging. Net CO 2 emissions range from 75 to 270 kg/MWh of delivered energy depending on location and ownership perspective, though in New York, these emissions can be reduced with careful tariff design. Net NO x emissions range from -0.13 to 0.24 kg/MWh, and net SO 2 emissions range from -0.01 to 0.58 kg/MWh. Emission rates are driven primarily by energy losses, not by the difference between marginal emission rates during battery charging and discharging. Economics are favorable for many buildings in regions with high demand charges like California and New York, even without subsidies. Future penetration into regions with average charges like Pennsylvania will depend greatly on installation cost reductions and wholesale prices for ancillary services.

Can Palliative Home Care Reduce 30-Day Readmissions? Results of a Propensity Score Matched Cohort Study

PubMed Central

Ranganathan, Anjana; Dougherty, Meredith; Waite, David

2013-01-01

Abstract Objective This study examined the impact of palliative home nursing care on rates of hospital 30-day readmissions. Methods The electronic health record based retrospective cohort study was performed within home care and palliative home care programs. Participants were home care patients discharged from one of three urban teaching hospitals. Outcome measures were propensity score matched rates of hospital readmissions within 30 days of hospital discharge. Results Of 406 palliative home care patients, matches were identified for 392 (96%). Of 15,709 home care patients, 890 were used at least once as a match for palliative care patients, for a total final sample of 1282. Using the matched sample we calculated the average treatment effect for treated patients. In this sample, palliative care patients had a 30-day readmission probability of 9.1% compared to a probability of 17.4% in the home care group (mean ATT: 8.3%; 95% confidence interval [CI] 8.0%–8.6%). This effect persisted after adjustment for visit frequency. Conclusions Palliative home care may offer benefits to health systems by allowing patients to remain at home and thereby avoiding 30-day rehospitalizations. PMID:24007348

Any link between sexual inactivity and treadle pump performance characteristics: The Malawi case

NASA Astrophysics Data System (ADS)

Joseph, Chidanti-Malunga; Yamikani, Malunga

In mitigating the effects of climate change in Malawi, government promotes the use of low cost irrigation technologies to small-scale farmers, especially in wetlands where water is available. The treadle pump is one such technology. The pump is a manual water lifting device operated by feet. Although the technology has been widely accepted by small-scale farmers, there are documented reports that some farmers abandon the technology, preferring other technologies such as river diversion. One theory for the abandonment is that female farmers claim that the technology makes their male counterparts sexually inactive. This research seeks to find an explanation to the misconception. The study analyzed the physical characteristics of the treadle pump and its users. The results show that the technology is male-dominated (30% were females out of a sample of 40). The results also show that the technology is labor-intensive with very small discharge rates (an average of 0.78 l/s) achieved regardless of the BMI of the operator. With such small discharge rates, in order to fulfill irrigation requirements of a crop, the operator has to pump for long hours. This exercise makes men naturally tired, perhaps making them sexually inactive as well.

Relationships between ecosystem metabolism, benthic macroinvertebrate densities, and environmental variables in a sub-arctic Alaskan river

USGS Publications Warehouse

Benson, Emily R.; Wipfli, Mark S.; Clapcott, Joanne E.; Hughes, Nicholas F.

2013-01-01

Relationships between environmental variables, ecosystem metabolism, and benthos are not well understood in sub-arctic ecosystems. The goal of this study was to investigate environmental drivers of river ecosystem metabolism and macroinvertebrate density in a sub-arctic river. We estimated primary production and respiration rates, sampled benthic macroinvertebrates, and monitored light intensity, discharge rate, and nutrient concentrations in the Chena River, interior Alaska, over two summers. We employed Random Forests models to identify predictor variables for metabolism rates and benthic macroinvertebrate density and biomass, and calculated Spearman correlations between in-stream nutrient levels and metabolism rates. Models indicated that discharge and length of time between high water events were the most important factors measured for predicting metabolism rates. Discharge was the most important variable for predicting benthic macroinvertebrate density and biomass. Primary production rate peaked at intermediate discharge, respiration rate was lowest at the greatest time since last high water event, and benthic macroinvertebrate density was lowest at high discharge rates. The ratio of dissolved inorganic nitrogen to soluble reactive phosphorus ranged from 27:1 to 172:1. We found that discharge plays a key role in regulating stream ecosystem metabolism, but that low phosphorous levels also likely limit primary production in this sub-arctic stream.

Determination of dilution factors for discharge of aluminum-containing wastes by public water-supply treatment facilities into lakes and reservoirs in Massachusetts

USGS Publications Warehouse

Colman, John A.; Massey, Andrew J.; Brandt, Sara L.

2011-09-16

Dilution of aluminum discharged to reservoirs in filter-backwash effluents at water-treatment facilities in Massachusetts was investigated by a field study and computer simulation. Determination of dilution is needed so that permits for discharge ensure compliance with water-quality standards for aquatic life. The U.S. Environmental Protection Agency chronic standard for aluminum, 87 micrograms per liter (μg/L), rather than the acute standard, 750 μg/L, was used in this investigation because the time scales of chronic exposure (days) more nearly match rates of change in reservoir concentrations than do the time scales of acute exposure (hours).Whereas dilution factors are routinely computed for effluents discharged to streams solely on the basis of flow of the effluent and flow of the receiving stream, dilution determination for effluents discharged to reservoirs is more complex because (1), compared to streams, additional water is available for dilution in reservoirs during low flows as a result of reservoir flushing and storage during higher flows, and (2) aluminum removal in reservoirs occurs by aluminum sedimentation during the residence time of water in the reservoir. Possible resuspension of settled aluminum was not considered in this investigation. An additional concern for setting discharge standards is the substantial concentration of aluminum that can be naturally present in ambient surface waters, usually in association with dissolved organic carbon (DOC), which can bind aluminum and keep it in solution.A method for dilution determination was developed using a mass-balance equation for aluminum and considering sources of aluminum from groundwater, surface water, and filter-backwash effluents and losses caused by sedimentation, water withdrawal, and spill discharge from the reservoir. The method was applied to 13 reservoirs. Data on aluminum and DOC concentrations in reservoirs and influent water were collected during the fall of 2009. Complete reservoir volume was determined to be available for mixing on the basis of vertical and horizontal aluminum-concentration profiling. Losses caused by settling of aluminum were assumed to be proportional to aluminum concentration and reservoir area. The constant of proportionality, as a function of DOC concentration, was established by simulations in each of five reservoirs that differed in DOC concentration.In addition to computing dilution factors, the project determined dilution factors that would be protective with the same statistical basis (frequency of exceedance of the chronic standard) as dilutions computed for streams at the 7-day-average 10-year-recurrence annual low flow (the 7Q10). Low-flow dilutions are used for permitting so that receiving waters are protected even at the worst-case flow levels. The low-flow dilution factors that give the same statistical protection are the lowest annual 7-day-average dilution factors with a recurrence of 10 years, termed 7DF10s. Determination of 7DF10 values for reservoirs required that long periods of record be simulated so that dilution statistics could be determined. Dilution statistics were simulated for 13 reservoirs from 1960 to 2004 using U.S. Geological Survey Firm-Yield Estimator software to model reservoir inputs and outputs and present-day values of filter-effluent discharge and aluminum concentration.Computed settling velocities ranged from 0 centimeters per day (cm/d) at DOC concentrations of 15.5 milligrams per liter (mg/L) to 21.5 cm/d at DOC concentrations of 2.7 mg/L. The 7DF10 values were a function of aluminum effluent discharged. At current (2009) effluent discharge rates, the 7DF10 values varied from 1.8 to 115 among the 13 reservoirs. In most cases, the present-day (2009) discharge resulted in receiving water concentrations that did not exceed the standard at the 7DF10. Exceptions were one reservoir with a very small area and three reservoirs with high concentrations of DOC. Maximum permissible discharges were determined for water-treatment plants by adjusting discharges upward in simulations until the 7DF10 resulted in reservoir concentrations that just met the standard. In terms of aluminum flux, these discharges ranged from 0 to 28 kilograms of aluminum per day.

Method of inducing differential etch rates in glow discharge produced amorphous silicon

DOEpatents

Staebler, David L.; Zanzucchi, Peter J.

1980-01-01

A method of inducing differential etch rates in glow discharge produced amorphous silicon by heating a portion of the glow discharge produced amorphous silicon to a temperature of about 365.degree. C. higher than the deposition temperature prior to etching. The etch rate of the exposed amorphous silicon is less than the unheated amorphous silicon.

46 CFR 108.437 - Pipe sizes and discharge rates for enclosed ventilation systems for rotating electrical equipment.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Pipe sizes and discharge rates for enclosed ventilation... Systems Fixed Carbon Dioxide Fire Extinguishing Systems § 108.437 Pipe sizes and discharge rates for enclosed ventilation systems for rotating electrical equipment. (a) The minimum pipe size for the initial...

46 CFR 108.437 - Pipe sizes and discharge rates for enclosed ventilation systems for rotating electrical equipment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Pipe sizes and discharge rates for enclosed ventilation systems for rotating electrical equipment. 108.437 Section 108.437 Shipping COAST GUARD, DEPARTMENT OF... Systems Fixed Carbon Dioxide Fire Extinguishing Systems § 108.437 Pipe sizes and discharge rates for...

An ensemble-based dynamic Bayesian averaging approach for discharge simulations using multiple global precipitation products and hydrological models

NASA Astrophysics Data System (ADS)

Qi, Wei; Liu, Junguo; Yang, Hong; Sweetapple, Chris

2018-03-01

Global precipitation products are very important datasets in flow simulations, especially in poorly gauged regions. Uncertainties resulting from precipitation products, hydrological models and their combinations vary with time and data magnitude, and undermine their application to flow simulations. However, previous studies have not quantified these uncertainties individually and explicitly. This study developed an ensemble-based dynamic Bayesian averaging approach (e-Bay) for deterministic discharge simulations using multiple global precipitation products and hydrological models. In this approach, the joint probability of precipitation products and hydrological models being correct is quantified based on uncertainties in maximum and mean estimation, posterior probability is quantified as functions of the magnitude and timing of discharges, and the law of total probability is implemented to calculate expected discharges. Six global fine-resolution precipitation products and two hydrological models of different complexities are included in an illustrative application. e-Bay can effectively quantify uncertainties and therefore generate better deterministic discharges than traditional approaches (weighted average methods with equal and varying weights and maximum likelihood approach). The mean Nash-Sutcliffe Efficiency values of e-Bay are up to 0.97 and 0.85 in training and validation periods respectively, which are at least 0.06 and 0.13 higher than traditional approaches. In addition, with increased training data, assessment criteria values of e-Bay show smaller fluctuations than traditional approaches and its performance becomes outstanding. The proposed e-Bay approach bridges the gap between global precipitation products and their pragmatic applications to discharge simulations, and is beneficial to water resources management in ungauged or poorly gauged regions across the world.

Estimation of Uncertainties in Stage-Discharge Curve for an Experimental Himalayan Watershed

NASA Astrophysics Data System (ADS)

Kumar, V.; Sen, S.

2016-12-01

Various water resource projects developed on rivers originating from the Himalayan region, the "Water Tower of Asia", plays an important role on downstream development. Flow measurements at the desired river site are very critical for river engineers and hydrologists for water resources planning and management, flood forecasting, reservoir operation and flood inundation studies. However, an accurate discharge assessment of these mountainous rivers is costly, tedious and frequently dangerous to operators during flood events. Currently, in India, discharge estimation is linked to stage-discharge relationship known as rating curve. This relationship would be affected by a high degree of uncertainty. Estimating the uncertainty of rating curve remains a relevant challenge because it is not easy to parameterize. Main source of rating curve uncertainty are errors because of incorrect discharge measurement, variation in hydraulic conditions and depth measurement. In this study our objective is to obtain best parameters of rating curve that fit the limited record of observations and to estimate uncertainties at different depth obtained from rating curve. The rating curve parameters of standard power law are estimated for three different streams of Aglar watershed located in lesser Himalayas by maximum-likelihood estimator. Quantification of uncertainties in the developed rating curves is obtained from the estimate of variances and covariances of the rating curve parameters. Results showed that the uncertainties varied with catchment behavior with error varies between 0.006-1.831 m3/s. Discharge uncertainty in the Aglar watershed streams significantly depend on the extent of extrapolation outside the range of observed water levels. Extrapolation analysis confirmed that more than 15% for maximum discharges and 5% for minimum discharges are not strongly recommended for these mountainous gauging sites.

Oscillations in motor unit discharge are reflected in the low-frequency component of rectified surface EMG and the rate of change in force.

PubMed

Yoshitake, Yasuhide; Shinohara, Minoru

2013-11-01

Common drive to a motor unit (MU) pool manifests as low-frequency oscillations in MU discharge rate, producing fluctuations in muscle force. The aim of the study was to examine the temporal correlation between instantaneous MU discharge rate and rectified EMG in low frequencies. Additionally, we attempted to examine whether there is a temporal correlation between the low-frequency oscillations in MU discharge rate and the first derivative of force (dF/dt). Healthy young subjects produced steady submaximal force with their right finger as a single task or while maintaining a pinch-grip force with the left hand as a dual task. Surface EMG and fine-wire MU potentials were recorded from the first dorsal interosseous muscle in the right hand. Surface EMG was band-pass filtered (5-1,000 Hz) and full-wave rectified. Rectified surface EMG and the instantaneous discharge rate of MUs were smoothed by a Hann-window of 400 ms duration (equivalent to 2 Hz low-pass filtering). In each of the identified MUs, the smoothed MU discharge rate was positively correlated with the rectified-and-smoothed EMG as confirmed by the distinct peak in cross-correlation function with greater values in the dual task compared with the single task. Additionally, the smoothed MU discharge rate was temporally correlated with dF/dt more than with force and with rectified-and-smoothed EMG. The results indicated that the low-frequency component of rectified surface EMG and the first derivative of force provide temporal information on the low-frequency oscillations in the MU discharge rate.

40 CFR 464.34 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

...-continuous dischargers, annual average mass standards and maximum day and maximum for monthly average concentration (mg/l) standards shall apply. Concentration standards and annual average mass standards shall only... 40 Protection of Environment 31 2012-07-01 2012-07-01 false New source performance standards. 464...

40 CFR 464.34 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

...-continuous dischargers, annual average mass standards and maximum day and maximum for monthly average concentration (mg/l) standards shall apply. Concentration standards and annual average mass standards shall only... 40 Protection of Environment 30 2014-07-01 2014-07-01 false New source performance standards. 464...

40 CFR 464.34 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

...-continuous dischargers, annual average mass standards and maximum day and maximum for monthly average concentration (mg/l) standards shall apply. Concentration standards and annual average mass standards shall only... 40 Protection of Environment 31 2013-07-01 2013-07-01 false New source performance standards. 464...

Patients discharged against medical advice from a psychiatric hospital in Iran: a prospective study.

PubMed

Sheikhmoonesi, Fatemeh; Khademloo, Mohammad; Pazhuheshgar, Samaneh

2014-03-30

Self- discharged patients are at high risk for readmission and ultimately higher cost for care.We intended to find the proportion of patients who leave hospital against medical advice and explore some of their characteristics. This prospective study of discharge against medical advice was conducted in psychiatric wards of Zare hospital in Iran, 2011. A psychologist recorded some information on a checklist based on the documented information about the patient who wanted to leave against medical advice. The psychologist interviewed these patients and recorded the reasons for discharge against medical advice. Descriptive statistics were calculated for the variables. The rate of premature discharge was 34.4%. Compared to patients with regular discharges, patients with premature discharge were significantly more likely to be male, self-employed, to have co morbid substance abuse and first admission and positive family history of psychiatric disorder. Disappearance of symptoms was the most frequent reason for premature discharge. The 34.4% rate of premature discharge observed in our study is higher than rate reported in other studies. One possible explanation is our teaching hospital serves a low-income urban area and most patients had low socioeconomic status. Further studies are needed to compare teaching and non-teaching hospital about the rate of premature discharge and the reasons of patients who want to leave against medical advice.

Predicting Hydrologic Function With Aquatic Gene Fragments

NASA Astrophysics Data System (ADS)

Good, S. P.; URycki, D. R.; Crump, B. C.

2018-03-01

Recent advances in microbiology techniques, such as genetic sequencing, allow for rapid and cost-effective collection of large quantities of genetic information carried within water samples. Here we posit that the unique composition of aquatic DNA material within a water sample contains relevant information about hydrologic function at multiple temporal scales. In this study, machine learning was used to develop discharge prediction models trained on the relative abundance of bacterial taxa classified into operational taxonomic units (OTUs) based on 16S rRNA gene sequences from six large arctic rivers. We term this approach "genohydrology," and show that OTU relative abundances can be used to predict river discharge at monthly and longer timescales. Based on a single DNA sample from each river, the average Nash-Sutcliffe efficiency (NSE) for predicted mean monthly discharge values throughout the year was 0.84, while the NSE for predicted discharge values across different return intervals was 0.67. These are considerable improvements over predictions based only on the area-scaled mean specific discharge of five similar rivers, which had average NSE values of 0.64 and -0.32 for seasonal and recurrence interval discharge values, respectively. The genohydrology approach demonstrates that genetic diversity within the aquatic microbiome is a large and underutilized data resource with benefits for prediction of hydrologic function.

Characteristics of cold atmospheric plasma source based on low-current pulsed discharge with coaxial electrodes

NASA Astrophysics Data System (ADS)

Bureyev, O. A.; Surkov, Yu S.; Spirina, A. V.

2017-05-01

This work investigates the characteristics of the gas discharge system used to create an atmospheric pressure plasma flow. The plasma jet design with a cylindrical graphite cathode and an anode rod located on the axis of the system allows to realize regularly reproducible spark breakdowns mode with a frequency ∼ 5 kHz and a duration ∼ 40 μs. The device generates a cold atmospheric plasma flame with 1 cm in diameter in the flow of various plasma forming gases including nitrogen and air at about 100 mA average discharge current. In the described construction the cathode spots of individual spark channels randomly move along the inner surface of the graphite electrode creating the secondary plasma stream time-average distributed throughout the whole exit aperture area after the decay of numerous filamentary discharge channels. The results of the spectral diagnostics of plasma in the discharge gap and in the stream coming out of the source are presented. Despite the low temperature of atoms and molecules in plasma stream the cathode spots operation with temperature of ∼ 4000 °C at a graphite electrode inside a discharge system enables to saturate the plasma by CN-radicals and atomic carbon in the case of using nitrogen as the working gas.

Diagnostic of capacitively coupled radio frequency plasma from electrical discharge characteristics: comparison with optical emission spectroscopy and fluid model simulation

NASA Astrophysics Data System (ADS)

Xiang, HE; Chong, LIU; Yachun, ZHANG; Jianping, CHEN; Yudong, CHEN; Xiaojun, ZENG; Bingyan, CHEN; Jiaxin, PANG; Yibing, WANG

2018-02-01

The capacitively coupled radio frequency (CCRF) plasma has been widely used in various fields. In some cases, it requires us to estimate the range of key plasma parameters simpler and quicker in order to understand the behavior in plasma. In this paper, a glass vacuum chamber and a pair of plate electrodes were designed and fabricated, using 13.56 MHz radio frequency (RF) discharge technology to ionize the working gas of Ar. This discharge was mathematically described with equivalent circuit model. The discharge voltage and current of the plasma were measured at different pressures and different powers. Based on the capacitively coupled homogeneous discharge model, the equivalent circuit and the analytical formula were established. The plasma density and temperature were calculated by using the equivalent impedance principle and energy balance equation. The experimental results show that when RF discharge power is 50-300 W and pressure is 25-250 Pa, the average electron temperature is about 1.7-2.1 eV and the average electron density is about 0.5 × 1017-3.6 × 1017 m-3. Agreement was found when the results were compared to those given by optical emission spectroscopy and COMSOL simulation.

Photogrammetric and Global Positioning System Measurements of Active Pahoehoe Lava Lobe Emplacement on Kilauea, Hawaii

NASA Technical Reports Server (NTRS)

Hamilton, Christopher W.; Glaze, Lori S.; James, Mike R.; Baloga, Stephen M.; Fagents, Sarah A.

2012-01-01

Basalt is the most common rock type on the surface of terrestrial bodies throughout the solar system and -- by total volume and areal coverage -- pahoehoe flows are the most abundant form of basaltic lava in subaerial and submarine environments on Earth. A detailed understanding of pahoehoe emplacement processes is necessary for developing accurate models of flow field development, assessing hazards associated with active lava flows, and interpreting the significance of lava flow morphology on Earth and other planetary bodies. Here, we examine the active emplacement of pahoehoe lobes along the margins of the Hook Flow from Pu'u 'O'o on Kilauea, Hawaii. Topographic data were acquired between 21 and 23 February 2006 using stereo-imaging and differential global positing system (DGPS) measurements. During this time, the average discharge rate for the Hook Flow was 0.01-0.05 cubic m/s. Using stereogrammetric point clouds and interpolated digital terrain models (DTMs), active flow fronts were digitized at 1 minute intervals. These areal spreading maps show that the lava lobe grew by a series of breakouts tha t broadly fit into two categories: narrow (0.2-0.6 m-wide) toes that grew preferentially down-slope, and broad (1.4-3.5 m-wide) breakouts that formed along the sides of the lobe, nearly perpendicular to the down-flow axis. These lobes inflated to half of their final thickness within approx 5 minutes, with a rate of inflation that generally deceased with time. Through a combination of down-slope and cross-slope breakouts, lobes developed a parabolic cross-sectional shape within tens of minutes. We also observed that while the average local discharge rate for the lobe was generally constant at 0.0064 +/- 0.0019 cubic m/s, there was a 2 to 6 fold increase in the areal coverage rate every 4.1 +/- 0.6 minutes. We attribute this periodicity to the time required for the dynamic pressurization of the liquid core of the lava lobe to exceed the cooling-induced strength of the lobe margins. Using DGPS-derived DTMs of the topography before and after pahoehoe lobe emplacement, we observed that the lava typically concentrated within existing topographic lows, with the lobe reaching a maximum thickness of approx 1.2 m above the lowest points of the initial topography and above reverse-facing slopes. Lobe margins were typically controlled by high-standing topography, with the zone directly adjacent to the final flow margin having average relief that is approx 4 cm higher than the lava-inundated region. This suggests that irregularities approx 25% of the height of the smallest breakout elements (i.e., toes) can exert a strong control on the paths of low-discharge pahoehoe lobes, with stagnated toes forming confining margins that allow interior portions of flow to topographically invert the landscape by inflation.

A six-year descriptive analysis of hospitalisations for ambulatory care sensitive conditions among people born in refugee-source countries.

PubMed

Correa-Velez, Ignacio; Ansari, Zahid; Sundararajan, Vijaya; Brown, Kaye; Gifford, Sandra M

2007-10-03

Hospitalisation for ambulatory care sensitive conditions (ACSHs) has become a recognised tool to measure access to primary care. Timely and effective outpatient care is highly relevant to refugee populations given the past exposure to torture and trauma, and poor access to adequate health care in their countries of origin and during flight. Little is known about ACSHs among resettled refugee populations. With the aim of examining the hypothesis that people from refugee backgrounds have higher ACSHs than people born in the country of hospitalisation, this study analysed a six-year state-wide hospital discharge dataset to estimate ACSH rates for residents born in refugee-source countries and compared them with the Australia-born population. Hospital discharge data between 1 July 1998 and 30 June 2004 from the Victorian Admitted Episodes Dataset were used to assess ACSH rates among residents born in eight refugee-source countries, and compare them with the Australia-born average. Rate ratios and 95% confidence levels were used to illustrate these comparisons. Four categories of ambulatory care sensitive conditions were measured: total, acute, chronic and vaccine-preventable. Country of birth was used as a proxy indicator of refugee status. When compared with the Australia-born population, hospitalisations for total and acute ambulatory care sensitive conditions were lower among refugee-born persons over the six-year period. Chronic and vaccine-preventable ACSHs were largely similar between the two population groups. Contrary to our hypothesis, preventable hospitalisation rates among people born in refugee-source countries were no higher than Australia-born population averages. More research is needed to elucidate whether low rates of preventable hospitalisation indicate better health status, appropriate health habits, timely and effective care-seeking behaviour and outpatient care, or overall low levels of health care-seeking due to other more pressing needs during the initial period of resettlement. It is important to unpack dimensions of health status and health care access in refugee populations through ad-hoc surveys as the refugee population is not a homogenous group despite sharing a common experience of forced displacement and violence-related trauma.

Hydrogeology and Simulation of Groundwater Flow in the Plymouth-Carver-Kingston-Duxbury Aquifer System, Southeastern Massachusetts

USGS Publications Warehouse

Masterson, John P.; Carlson, Carl S.; Walter, Donald A.; Other contributing authors: Bent, Gardner C.; Massey, Andrew J.

2009-01-01

The glacial sediments that underlie the Plymouth-Carver-Kingston-Duxbury area of southeastern Massachusetts compose an important aquifer system that is the primary source of water for a region undergoing rapid development. Population increases and land-use changes in this area has led to two primary environmental effects that relate directly to groundwater resources: (1) increases in pumping that can adversely affect environmentally sensitive groundwater-fed surface waters, such as ponds, streams, and wetlands; and (2) adverse effects of land use on the quality of water in the aquifer. In response to these concerns, the U.S. Geological Survey, in cooperation with the Massachusetts Department of Environmental Protection, began an investigation in 2005 to improve the understanding of the hydrogeology in the area and to assess the effects of changing pumping and recharge conditions on groundwater flow in the Plymouth-Carver-Kingston-Duxbury aquifer system. A numerical flow model was developed based on the USGS computer program MODFLOW-2000 to assist in the analysis of groundwater flow. Model simulations were used to determine water budgets, flow directions, and the sources of water to pumping wells, ponds, streams, and coastal areas. Model-calculated water budgets indicate that approximately 298 million gallons per day (Mgal/d) of water recharges the Plymouth-Carver-Kingston-Duxbury aquifer system. Most of this water (about 70 percent) moves through the aquifer, discharges to streams, and then reaches the coast as surface-water discharge. Of the remaining 30 percent of flow, about 25 percent of the water that enters the aquifer as recharge discharges directly to coastal areas and 5 percent discharges to pumping wells. Groundwater withdrawals are anticipated to increase from the current (2005) rate of about 14 Mgal/d to about 21 Mgal/d by 2030. Pumping from large-capacity production wells decreases water levels and increases the potential for effects on surface-water bodies, which are affected by pumping and wastewater disposal locations and rates. Pumping wells that are upgradient of surface-water bodies potentially capture water that would otherwise discharge to these surface-water bodies, thereby reducing streamflow and pond levels. The areas most affected by proposed increases in groundwater withdrawals are in the Towns of Plymouth and Wareham where more than half of the proposed increase in pumping will occur. In response to an increase of about 7 Mgal/d of pumping, groundwater discharge to streams is reduced by about 6 cubic feet per second (ft3/s) (about 4 Mgal/d) from a total of about 325 ft3/s. Reduction in streamflow is moderated by an increase of artificial recharge from wastewater returned to the aquifer by onsite domestic septic systems and centralized wastewater treatment facilities. It is anticipated that about 3 Mgal/d of the 7 Mgal/d of increase in pumped water will be returned to the aquifer as wastewater by 2030. Currently (2005) about 3 percent of groundwater discharge to streams is from wastewater return flow to the aquifer during average conditions. During drought conditions, the component of streamflow augmented by wastewater return flow doubles as wastewater recharge remains constant and aquifer recharge rates decrease. Wastewater return flow, whether as direct groundwater discharge to streams or as an additional source of aquifer recharge, increases the height of the water table near streams, thereby moderating the effects of increased groundwater withdrawals on streamflow. An analysis of a simulated drought similar to the 1960s drought of record indicates that the presence of streams moderates the effects on water levels of reduced aquifer recharge. The area where water-table altitudes were least affected by drought was in the Weweantic River watershed in the Town of Carver. Water levels decreased by less than 2 feet from current average conditions compared to decreases of greater than 5

38 CFR 4.30 - Convalescent ratings.

Code of Federal Regulations, 2010 CFR

2010-07-01

... RATING DISABILITIES General Policy in Rating § 4.30 Convalescent ratings. A total disability rating (100... by report at hospital discharge (regular discharge or release to non-bed care) or outpatient release... total ratings will not be subject to § 3.105(e) of this chapter. Such total rating will be followed by...

Casemix and rehabilitation: evaluation of an early discharge scheme.

PubMed

Brandis, S

2000-01-01

This paper presents a case study of an early discharge scheme funded by casemix incentives and discusses limitations of a casemix model of funding whereby hospital inpatient care is funded separately from care in other settings. The POSITIVE Rehabilitation program received 151 patients discharged early from hospital in a twelve-month period. Program evaluation demonstrates a 40.9% drop in the average length of stay of rehabilitation patients and a 42.6% drop in average length of stay for patients with stroke. Other benefits of the program include a high level of patient satisfaction, improved carer support and increased continuity of care. The challenge under the Australian interpretation of a casemix model of funding is ensuring the viability of services that extend across acute hospital, non-acute care, and community and home settings.

Availability of streamflow for recharge of the basal aquifer in the Pearl Harbor area, Hawaii

USGS Publications Warehouse

Hirashima, George Tokusuke

1971-01-01

The Pearl Harbor area is underlain by an extensive basal aquifer that contains large supplies of fresh water. Because of the presence of a cap rock composed of sedimentary material that is less permeable than the basaltic lava of the basal aquifer, seaward movement of ground water is retarded. The cap rock causes the basal water to stand at a high level; thus, the lens of fresh water that floats on sea water is thick. Discharge from the basal ground-water body, which includes pumpage from wells and shafts, averaged 250 million gallons per day during 1931-65. Because the water level in the basal aquifer did not decline progressively, recharge to the ground-water body must have been approximately equal to discharge. Although pumping for agricultural use has decreased since 1931, net ground-water discharge has increased because of a large increase in pumping for urban use. Substitution of ground water for surface water in the irrigation of sugarcane has also contributed to a net increase in ground-water discharge. The development of Mililani Town will further increase discharge. The increase in ground-water discharge may cause an increase in chloride content of the water pumped from wells near the shore of Pearl Harbor unless the increased discharge is balanced by increased recharge to the local aquifer. The aquifer is recharged by direct infiltration and deep percolation of rain, principally in the high forested area, by infiltration and percolation of irrigation water applied in excess of plant requirements, by seepage of water through streambeds, and possibly by ground-water inflow from outside the area. Recharge is greatest in the uplands, where rainfall is heavy and where much infiltration takes place before rainwater collects in the middle and lower reaches of stream channels. Once water collects in and saturates the alluvium of stream channels, additional inflow to the streams will flow out to sea, only slightly decreased by seepage. Average annual direct runoff from the 90-square-mile Pearl Harbor area is 47.27 million gallons per day, or 11.1 inches; this is 13.3 percent of the average annual rainfall (83.3 in.) over the area. Average annual direct runoff in streams at the 800- and 400-foot altitudes is 29 and 38 million gallons per day, respectively. Kipapa Stream has the largest average annual direct runoff at those altitudes--6 and 9 million gallons per day, respectively. Because streams are flashy and have a wide range in discharge, only 60 percent of the average annual runoff can be economically diverted through ditches to recharge areas. The diversion may be increased slightly if reservoirs are used in conjunction with ditches to temporarily detain flows in excess of ditch capacity. The planned irrigation use of some of the perennial flow available in Waikele Stream near sea level will decrease pumping from and increase recharge to the basal aquifer. Suspended-sediment load is mainly silt and clay, and it increases rapidly with increased discharge. Thus, the use of streamflow for artificial recharge poses problems. High flows must be used if recharge is to be effective, but flows must not be so high as to cause clogging of recharge facilities with sediment or woodland debris. Practical tests are needed to determine the advantages and disadvantages of different types of recharge structures, such as a reservoir or basin, large-diameter deep shafts, deep wells, or combinations of all these structures.

Predictors and variation of routine home discharge in critically ill adults with cystic fibrosis.

PubMed

Oud, Lavi; Chan, Yiu Ming

2018-06-01

The short-term outcomes of patients with cystic fibrosis (CF) surviving critical illness were not examined systematically. To determine the factors associated with and variation in rates of routine home discharge among ICU-managed adult CF patients. Predictors of routine home discharge and its hospital-level variation were examined in ICU-managed adults with cystic fibrosis in Texas during 2004-2013. Older age, rural residence, and severity of illness decreased odds of routine home discharge, while hospitalization in facilities accredited as part of the Cystic Fibrosis Foundation Care Center Network nearly doubled the odds of routine home discharge. The median (interquartile) adjusted rate of routine home discharge was 62.0% (31.5-82.5). The identified determinants of routine home discharge can inform clinical decision-making, while the demonstrated wide variation in adjusted across-hospital rates of routine home discharge of ICU-managed adults with CF can provide benchmark data for future quality improvement efforts. Published by Elsevier Inc.

Controlling diameter distribution of catalyst nanoparticles in arc discharge.

PubMed

Li, Jian; Volotskova, Olga; Shashurin, Alexey; Keidar, Michael

2011-11-01

It is demonstrated that the diameter distribution of catalyst nanoparticles in arc discharge can be controlled by a magnetic field. The magnetic field affects the arc shape, shortens the diffusing time of the catalyst nanoparticles through the nucleation zone, and consequentially reduces the average diameters of nanoparticles. The average diameter is reduced from about 7.5 nm without magnetic field to about 5 nm is the case of a magnetic field. Decrease of the catalyst nanoparticle diameter with magnetic field correlates well with decrease in the single-wall carbon nanotube and their bundles diameters.

Water withdrawals, wastewater discharge, and water consumption in the Apalachicola-Chattahoochee-Flint River Basin, 2005, and water-use trends, 1970-2005

USGS Publications Warehouse

Marella, Richard L.; Fanning, Julia L.

2011-01-01

In 2000, an estimated 49 percent of the water withdrawn for public supply in the basin was consumed, and the remaining 51 percent was returned to the hydrologic system through wastewater treatment systems. In 2005, an estimated 38 percent was consumed and 62 percent was returned to the hydrologic system. This contrast between water withdrawals and wastewater discharges for these years was caused primarily by below-average rainfall during 2000 (a dry year) and above-average rainfall during 2005 (a wet year).